🏥 Valley Children's Hospital

Madera County · HCAI 106204019

9300 VALLEY CHILDREN'S PLACE, MADERA 93636

Open · Hospital facility · roster 2026-10-01

Acute care + rehabilitation reporting unit

Hospital Snapshot

The available data, together. Tap a section to open its history and sources.

↑ Increasing · ↓ Decreasing · → Stable · Provisional = filing still in process

Read the arrows

Trends: ↑ increasing, ↓ decreasing, → stable over the dates shown. Provisional means a filing is still in process.

CMS / CDPH comparisons: ↑ above, ↓ below, ↔ equal to the national number or the source reports no difference. The label identifies which comparison is shown.

—: no matched comparison.

👩‍⚕️ RN staffing

Acute care + rehabilitation reporting unit · RN hours / patient day: 17.67↓
Productive RN hours: 1,256,019
RN-only FTEs · productive, calculated: 603.86

History & details →

✈️ Travelers / agency

Contract RN hours / reported nursing hours: 6.9%↑
Contract RN hours: 127,484

History & details →

🛏️ Beds & capacity

🏥 Campus licensed beds: 358
🛏️ Reported staffed beds: 190—
⚙️ Operational beds: — UNKNOWN
🛏️ Reported available beds: 358
❤️ Licensed ICU beds: 42
👶 Licensed NICU beds: 116
🤰 Licensed perinatal beds: 0
🚑 ED treatment stations: 38

History & details →

🚑 ED & hospital pressure

🚑 ED encounters · admitted + non-admitted: 97,234
🛏️ ED admissions: 6,357
⏱️ Median ED stay · excludes psych / transfers: — UNKNOWN
⏱️ Ambulance offload · 90th percentile: 21.15 min
🚨 Ambulance diversion reported: No
⏱️ Boarding / wait time: — UNKNOWN

History & details →

🔄 Services & changes

Documented service changes: Service review not documented

History & details →

👥 Turnover & working conditions

Acute-hospital RN turnover: — UNKNOWN
RN vacancies: — UNKNOWN

Pay, overtime, orientation and contract records →

History & details →

📈 Workload & complete records

Patient days, discharges, care mix and workload history.

🔎 All sources →History & details →

Explore history & sources

Before you take the job

Open details

Charge-nurse patient assignment — UNKNOWN · charge availability affects every nurse’s backupIs the charge nurse free of a patient assignment on this unit? If not, is it a partial or full assignment, how many patients, and how often? What dedicated RN/LVN support is provided, and who covers charge duties during emergencies?Source →

↑ Back to snapshot

👥 Turnover & working conditions

Open details

Who stays? Who leaves?

Acute-hospital RN turnover: — UNKNOWN
RN vacancies: — UNKNOWN

Pay, overtime, orientation & contract

RN overtime: UNKNOWN — no matched RN-specific hours
Current RN wage scale: UNKNOWN — no matched current scale
Orientation: UNKNOWN — no matched unit policy
Contract provisions: UNKNOWN — no executed local contract reviewed

↑ Back to snapshot

📈 Workload & patient demand

Open details

📈 Workload, Staffing & Capacity

2022–2024: ED encounters increased from 85,977 to 97,234.

🚑 ED activity · ↑ 13.1%

ED history & measures → · 🔎 Sources →

↑ Back to snapshot

👩‍⚕️ RN Staffing

Open details

Annual RN labor inputs · all retained years

Annual financial reporting unit · source-reported inputs
Reporting period	Productive RN hours	Contract RN hours	Patient days	Filing status	Source
2021-10-01–2022-09-30	1,189,243	48,123	65,942	Audited	Preserved fileAPI record ID 429
2022-10-01–2023-09-30	1,197,572	78,584	66,521	Audited	Preserved fileAPI record ID 435
2023-10-01–2024-09-30	1,256,019	127,484	71,079	Audited	Preserved fileHADR 01-01-2024 to 12-31-2024 row 433

Full source records & reporting scope →

🔎 Records & complete history →

Acute care + rehabilitation reporting unit · RN hours / patient day

17.67

2023-10-01–2024-09-30📈 Trend: ↓ Decreasing · 2022–2024

California peer comparison

Peer median: 14.85
Typical reported range · middle 50%: 11.14–19.49

RN hours / patient day · 191 audited 2024 reports

Mostly acute-care patient days

99.4% of this report’s patient days: acute care

Within the typical reported range

🔎 Comparison source & calculation

Productive RN hours

1,256,019

2023-10-01–2024-09-30

RN-only FTEs · productive, calculated

603.86

2023-10-01–2024-09-30 · productive RN hours ÷ 2,080

📈 RN hours per patient day · annual reports

RN hours per patient day · annual reports · RN hours / patient day
Period	RN hours / patient day
2022	18.03
2023	18
2024	17.67

2022–2024 pattern: RN hours per patient day went from 18.03 to 17.67.

↑ Back to snapshot

✈️ Travelers / Agency Nursing

Open details

🔎 Records & complete history →

Contract RN hours / reported nursing hours: 6.9%
Contract RN hours: 127,484

📈 Contract RN share of nursing hours · annual reports

Contract RN share of nursing hours · annual reports · % of nursing hours
Period	% of nursing hours
2022	2.88
2023	4.53
2024	6.85

2022–2024 pattern: contract RN share went from 2.9% to 6.9%.

2018–2019 baseline: 1.9%.

↑ Back to snapshot

🛏️ Beds & Capacity

Open details

Which kind of bed capacity is reported?

What do these bed counts mean?

🏥 Licensed: Authorized bed capacity under the facility license.
🛏️ Staffed: Beds the hospital reports having personnel to operate during the reporting period.
⚙️ Operational: Beds open and equipped for patient care at a stated time.
📋 Reported available: The source’s available-bed count for its dated reporting period. Live availability means an empty, staffed bed ready to accept a patient now.

Quarterly beds and workload · 5 retained reporting periods

HCAI 106204019 · dated quarterly reporting unit
Reporting period	Licensed beds	Available beds	Staffed beds	Patient days	Outpatient visits	Source
2025-Q12025-01-01–2025-03-31	358	358	216	19,380	127,113	Preserved fileAPI record 431
2025-Q22025-04-01–2025-06-30	358	358	197	16,955	126,050	Preserved fileAPI record 425
2025-Q32025-07-01–2025-09-30	358	358	183	16,513	119,805	Preserved fileAPI record 427
2025-Q42025-10-01–2025-12-31	358	358	190	16,919	120,605	Preserved fileAPI record 425
2026-Q12026-01-01–2026-03-31	358	358	213	17,533	127,767	Preserved fileAPI record 424

9300 VALLEY CHILDREN'S PLACE, MADERA 93636 · reported facility address · 2026-Q1

Full records & official source links →

🔎 Records & complete history →

🏥 Campus licensed beds: 358
🛏️ Reported staffed beds: 190
⚙️ Operational beds: — UNKNOWN
🛏️ Reported available beds: 358
❤️ Licensed ICU beds: 42
👶 Licensed NICU beds: 116
🤰 Licensed perinatal beds: 0
🚑 ED treatment stations: 38

📈 Licensed specialty-bed history

Licensed beds · annual utilization
Licensed beds	2022	2023	2024
❤️ ICU	42	42	42
👶 NICU	116	116	116
🤰 Perinatal	0	0	0

📈 ED treatment stations · December 31

ED treatment stations · December 31 · Stations
Period	Stations
2022	38
2023	38
2024	38

↑ Back to snapshot

🚑 ED & Hospital Pressure

Open details

🔎 Records & complete history →

🚑 ED encounters · admitted + non-admitted: 97,234
🛏️ ED admissions: 6,357
⏱️ Median ED stay · excludes psych / transfers: — UNKNOWN
⏱️ Ambulance offload · 90th percentile: 21.15 min
🚨 Ambulance diversion reported: No
⏱️ Boarding / wait time: — UNKNOWN

📈 Ambulance offload · 90th percentile · Oct 2024–Mar 2025

Ambulance offload · 90th percentile · Oct 2024–Mar 2025 · Minutes
Period	Minutes
Oct 2024	24.28
Nov 2024	22.77
Dec 2024	21.53
Jan 2025	24.08
Feb 2025	21.08
Mar 2025	21.15

📈 ED encounters · admitted + non-admitted

ED encounters · admitted + non-admitted · Encounters
Period	Encounters
2022	85,977
2023	89,045
2024	97,234

↑ Back to snapshot

🔄 Services & Changes

Open details

Service review not documented

All documented service changes →↑ Back to snapshot

🔎 Sources

Open details

HCAI facility roster · 2026-10-01 · source row 211 · Retained roster
Download this hospital’s retained records and history (JSON)HCAI 106204019 · dates, source locators and original values included

RN labor and workload · records & history

RN trend comparison: eligible. Contract-share trend comparison: eligible.

2022 · 2021-10-01–2022-09-30 · Audited

Download preserved source · Official source · API record ID 429

Field

Value

year

2022

begin

2021-10-01

end

2022-09-30

reportDays

365

filing

Audited

type

Comparable

sourceRecord

429

name

VALLEY CHILDREN'S HOSPITAL

county

Madera

rnHours

1189243

patientDays

65942

ratio

18.034681993266812

components

Open components

Retained record fields
Field	Value
PRD_HR_RN	1189243
PRD_HR_LVN	15670
PRD_HR_AID	419059
CNT_HR_RN	48123

nursingHours

1672095

contractShare

0.02878006333372207

careDays

Open careDays

Retained record fields
Field	Value
DAY_ACUTE	64996
DAY_PSYCH	0
DAY_CHEM	0
DAY_REHAB	946
DAY_LTC	0
DAY_RESDNT	0

2023 · 2022-10-01–2023-09-30 · Audited

Download preserved source · Official source · API record ID 435

Field

Value

year

2023

begin

2022-10-01

end

2023-09-30

reportDays

365

filing

Audited

type

Comparable

sourceRecord

435

name

VALLEY CHILDREN'S HOSPITAL

county

Madera

rnHours

1197572

patientDays

66521

ratio

18.00291637227342

components

Open components

Retained record fields
Field	Value
PRD_HR_RN	1197572
PRD_HR_LVN	23484
PRD_HR_AID	436048
CNT_HR_RN	78584

nursingHours

1735688

contractShare

0.04527541816271127

careDays

Open careDays

Retained record fields
Field	Value
DAY_ACUTE	65868
DAY_PSYCH	0
DAY_CHEM	0
DAY_REHAB	653
DAY_LTC	0
DAY_RESDNT	0

2024 · 2023-10-01–2024-09-30 · Audited

Download preserved source · Official source · HADR 01-01-2024 to 12-31-2024 row 433

Field

Value

year

2024

begin

2023-10-01

end

2024-09-30

reportDays

366

filing

Audited

type

Comparable

sourceRecord

433

name

VALLEY CHILDREN'S HOSPITAL

county

Madera

rnHours

1256019

patientDays

71079

ratio

17.670746634026926

components

Open components

Retained record fields
Field	Value
PRD_HR_RN	1256019
PRD_HR_LVN	28855
PRD_HR_AID	448672
CNT_HR_RN	127484

nursingHours

1861030

contractShare

0.06850185112545204

careDays

Open careDays

Retained record fields
Field	Value
DAY_ACUTE	70681
DAY_PSYCH	0
DAY_CHEM	0
DAY_REHAB	398
DAY_LTC	0
DAY_RESDNT	0

Current CNO profile record · reported labor fields

Preserved 2024 financial workbook

Retained record fields
Field	Value
rnHours	1256019
contractHours	127484
contractShare	0.0685
rnPerPatientDay	17.67075
baseline	0.01882
history	UNIQUE
filing	Audited

Beds and capacity · records & history

Official facility identity, campus scope & licensed beds · 2026-10-01

Official HCAI roster · Retained source · row 211

Field

Value

officialName

VALLEY CHILDREN'S HOSPITAL

county

Madera

city

MADERA

address

9300 VALLEY CHILDREN'S PLACE

zip

93636

level

Parent Facility

category

General Acute Care Hospital

status

Open

statusEffective

1998-08-31

licensedBeds

358

erServiceLevel

Emergency - Basic

licenseNumber

040000160

rosterDate

2026-10-01

checkedOn

2026-10-12

sourceRow

211

officialUrl

https://data.chhs.ca.gov/dataset/licensed-healthcare-facility-listing

sourceFile

/downloads/coverage/hcai-current-20261001.json.gz

aliases

Open aliases

Record 1

VALLEY CHILDREN'S HOSPITAL

parentId

— UNKNOWN

parentName

— UNKNOWN

cdphFacilityType

GENERAL ACUTE CARE HOSPITAL

crosswalkRows

Open crosswalkRows

Record 1

Retained record fields
Field	Value
_id	441
LICENSED_CERTIFIED	LICENSED AND CERTIFIED
ELMS_FACID	040000129
LICENSE_NUMBER	040000160
LICENSE_STATUS_DESCRIPTION	ACTIVE
PERM_ID	17124
HCAI_ID	106204019
ASPEN_FACID	CA0400129
CCN	053300
NPI	1952312043
ASPEN_STATUS	ACTIVE
FACNAME	VALLEY CHILDREN'S HOSPITAL
FAC_TYPE_DESCRIPTION	GENERAL ACUTE CARE HOSPITAL
FAC_FDR	GENERAL ACUTE CARE HOSPITAL
FAC_FAC_RELATIONSHIP	Parent
ELMS_PARENT_FACID	— UNKNOWN

addedByCoverageAudit

false

2025-Q1 · 2025-01-01–2025-03-31 · quarterly record 431

Download preserved source · Official source

Field

Value

period

2025-q1

begin

2025-01-01

end

2025-03-31

sourceRecord

431

sourceFile

/downloads/deep-review/qfu-2025-q1.json.gz

sourceUrl

https://data.chhs.ca.gov/api/3/action/datastore_search?resource_id=6e956cf6-5ced-4f4d-9cfd-0eb709b02cc3&limit=10000

name

VALLEY CHILDREN'S HOSPITAL

address

9300 VALLEY CHILDREN'S PLACE

city

MADERA

zip

93636

operationStatus

Open

licensedBeds

358

availableBeds

358

staffedBeds

216

patientDays

19380

outpatientVisits

127113

conflict

— UNKNOWN

raw

Open raw

Retained record fields
Field	Value
FAC_NO	106204019
YEAR_QTR	20251
BEG_DATE	01/01/2025
END_DATE	03/31/2025
LIC_BEDS	358
AVL_BEDS	358
STF_BEDS	216
DAY_TOT	19380
VIS_TOT	127113

2025-Q2 · 2025-04-01–2025-06-30 · quarterly record 425

Download preserved source · Official source

Field

Value

period

2025-q2

begin

2025-04-01

end

2025-06-30

sourceRecord

425

sourceFile

/downloads/deep-review/qfu-2025-q2.json.gz

sourceUrl

https://data.chhs.ca.gov/api/3/action/datastore_search?resource_id=f902f922-6806-49c4-bfed-b1dadaab3cc1&limit=10000

name

VALLEY CHILDREN'S HOSPITAL

address

9300 VALLEY CHILDREN'S PLACE

city

MADERA

zip

93636

operationStatus

Open

licensedBeds

358

availableBeds

358

staffedBeds

197

patientDays

16955

outpatientVisits

126050

conflict

— UNKNOWN

raw

Open raw

Retained record fields
Field	Value
FAC_NO	106204019
YEAR_QTR	20252
BEG_DATE	04/01/2025
END_DATE	06/30/2025
LIC_BEDS	358
AVL_BEDS	358
STF_BEDS	197
DAY_TOT	16955
VIS_TOT	126050

2025-Q3 · 2025-07-01–2025-09-30 · quarterly record 427

Download preserved source · Official source

Field

Value

period

2025-q3

begin

2025-07-01

end

2025-09-30

sourceRecord

427

sourceFile

/downloads/deep-review/qfu-2025-q3.json.gz

sourceUrl

https://data.chhs.ca.gov/api/3/action/datastore_search?resource_id=15939e50-5c82-46af-9653-d40a5458dc26&limit=10000

name

VALLEY CHILDREN'S HOSPITAL

address

9300 VALLEY CHILDREN'S PLACE

city

MADERA

zip

93636

operationStatus

Open

licensedBeds

358

availableBeds

358

staffedBeds

183

patientDays

16513

outpatientVisits

119805

conflict

— UNKNOWN

raw

Open raw

Retained record fields
Field	Value
FAC_NO	106204019
YEAR_QTR	20253
BEG_DATE	07/01/2025
END_DATE	09/30/2025
LIC_BEDS	358
AVL_BEDS	358
STF_BEDS	183
DAY_TOT	16513
VIS_TOT	119805

2025-Q4 · 2025-10-01–2025-12-31 · quarterly record 425

Download preserved source · Official source

Field

Value

period

2025-q4

begin

2025-10-01

end

2025-12-31

sourceRecord

425

sourceFile

/downloads/deep-review/qfu-2025-q4.json.gz

sourceUrl

https://data.chhs.ca.gov/api/3/action/datastore_search?resource_id=8a512ca9-560e-4fcc-9c57-c928c874231b&limit=10000

name

VALLEY CHILDREN'S HOSPITAL

address

9300 VALLEY CHILDREN'S PLACE

city

MADERA

zip

93636

operationStatus

Open

licensedBeds

358

availableBeds

358

staffedBeds

190

patientDays

16919

outpatientVisits

120605

conflict

— UNKNOWN

raw

Open raw

Retained record fields
Field	Value
FAC_NO	106204019
YEAR_QTR	20254
BEG_DATE	10/01/2025
END_DATE	12/31/2025
LIC_BEDS	358
AVL_BEDS	358
STF_BEDS	190
DAY_TOT	16919
VIS_TOT	120605

2026-Q1 · 2026-01-01–2026-03-31 · quarterly record 424

Download preserved source · Official source

Field

Value

period

2026-q1

begin

2026-01-01

end

2026-03-31

sourceRecord

424

sourceFile

/downloads/deep-review/qfu-2026-q1.json.gz

sourceUrl

https://data.chhs.ca.gov/api/3/action/datastore_search?resource_id=46f2a36e-e0ca-4509-a89a-2083e356169d&limit=10000

name

VALLEY CHILDREN'S HOSPITAL

address

9300 VALLEY CHILDREN'S PLACE

city

MADERA

zip

93636

operationStatus

Open

licensedBeds

358

availableBeds

358

staffedBeds

213

patientDays

17533

outpatientVisits

127767

conflict

— UNKNOWN

raw

Open raw

Retained record fields
Field	Value
FAC_NO	106204019
YEAR_QTR	20261
BEG_DATE	01/01/2026
END_DATE	03/31/2026
LIC_BEDS	358
AVL_BEDS	358
STF_BEDS	213
DAY_TOT	17533
VIS_TOT	127767

Official campus record

Retained record fields
Field	Value
licensedBeds	358
staffedBeds	190
availableBeds	358
reportingYear	2025
scope	Workforce reporting year 2024; capacity reporting year 2025; not a same-period state assessment.

Licensed beds by care type · 2022 · 2022-01-01–2022-12-31

Preserved utilization workbook · Page 1-6 · row 207

Field

Value

year

2022

begin

2022-01-01

end

2022-12-31

operated

Yes

beds

Open beds

Retained record fields
Field	Value
acute	358
psychiatric	0
chemical	0
skilledNursing	0
intermediateCare	0
developmentalCare	0

total

358

sourceRow

207

sourceId

AUR-2022

Licensed beds by care type · 2023 · 2023-01-01–2023-12-31

Preserved utilization workbook · Page 1-6 · row 209

Field

Value

year

2023

begin

2023-01-01

end

2023-12-31

operated

Yes

beds

Open beds

Retained record fields
Field	Value
acute	358
psychiatric	0
chemical	0
skilledNursing	0
intermediateCare	0
developmentalCare	0

total

358

sourceRow

209

sourceId

AUR-2023

Licensed beds by care type · 2024 · 2024-01-01–2024-12-31

Preserved utilization workbook · Page 1-6 · row 209

Field

Value

year

2024

begin

2024-01-01

end

2024-12-31

operated

Yes

beds

Open beds

Retained record fields
Field	Value
acute	358
psychiatric	0
chemical	0
skilledNursing	0
intermediateCare	0
developmentalCare	0

total

358

sourceRow

209

sourceId

AUR-2024

ED activity, specialty beds and diversion · records & history

2022 · 2022-01-01–2022-12-31

Download preserved workbook · Official source · HCAI 106204019 · source row 207

Retained record fields
Field	Value
year	2022
begin	2022-01-01
end	2022-12-31
operated	Yes
sourceId	AUR-2022
sourceRow	207
diversionReported	No
icuLicensed	42
nicuLicensed	116
perinatalLicensed	0
edStations	38
edNonAdmitVisits	78731
edAdmissions	7246
diversionHours	— UNKNOWN

2023 · 2023-01-01–2023-12-31

Download preserved workbook · Official source · HCAI 106204019 · source row 209

Retained record fields
Field	Value
year	2023
begin	2023-01-01
end	2023-12-31
operated	Yes
sourceId	AUR-2023
sourceRow	209
diversionReported	No
icuLicensed	42
nicuLicensed	116
perinatalLicensed	0
edStations	38
edNonAdmitVisits	82795
edAdmissions	6250
diversionHours	— UNKNOWN

2024 · 2024-01-01–2024-12-31

Download preserved workbook · Official source · HCAI 106204019 · source row 209

Retained record fields
Field	Value
year	2024
begin	2024-01-01
end	2024-12-31
operated	Yes
sourceId	AUR-2024
sourceRow	209
diversionReported	No
icuLicensed	42
nicuLicensed	116
perinatalLicensed	0
edStations	38
edNonAdmitVisits	90877
edAdmissions	6357
diversionHours	— UNKNOWN

Ambulance offload · records & history
Valley Children's Hospital · CEMSIS 20061 · unique normalized hospital / retained CMS name + EMS geography
Download preserved report · Official report
Record 1 · 2024-10
Retained record fields
Field Value
month 2024-10
minutes 24.283333333333335
offloadCount 399
countPage 31
rawTime 0:24:17
sourceId EMSA-APOT-JUNE2025
page 19
row 16
Record 2 · 2024-11
Retained record fields
Field Value
month 2024-11
minutes 22.766666666666666
offloadCount 355
countPage 37
rawTime 0:22:46
sourceId EMSA-APOT-JUNE2025
page 19
row 16
Record 3 · 2024-12
Retained record fields
Field Value
month 2024-12
minutes 21.533333333333335
offloadCount 411
countPage 42
rawTime 0:21:32
sourceId EMSA-APOT-JUNE2025
page 19
row 16
Record 4 · 2025-01
Retained record fields
Field Value
month 2025-01
minutes 24.083333333333332
offloadCount 416
countPage 47
rawTime 0:24:05
sourceId EMSA-APOT-JUNE2025
page 19
row 16
Record 5 · 2025-02
Retained record fields
Field Value
month 2025-02
minutes 21.083333333333332
offloadCount 410
countPage 52
rawTime 0:21:05
sourceId EMSA-APOT-JUNE2025
page 19
row 16
Record 6 · 2025-03
Retained record fields
Field Value
month 2025-03
minutes 21.15
offloadCount 465
countPage 57
rawTime 0:21:09
sourceId EMSA-APOT-JUNE2025
page 19
row 16

2022–2024 annual nursing history · source records & calculations

HCAI 106204019 · annual financial reporting unit
Report	Reporting period	Productive RN hours	Patient days	Contract RN hours	Nursing hours
2022	2021-10-01–2022-09-30	1,189,243	65,942	48,123	1,672,095
2023	2022-10-01–2023-09-30	1,197,572	66,521	78,584	1,735,688
2024	2023-10-01–2024-09-30	1,256,019	71,079	127,484	1,861,030

RN hours per patient day: PRD_HR_RN ÷ DAY_TOT. Contract RN share: CNT_HR_RN ÷ (PRD_HR_RN + PRD_HR_LVN + PRD_HR_AID + CNT_HR_RN).

2022 HCAI annual financial records · Preserved source · API record ID 429 · Audited · ComparableSHA-256: a79841850b69181682634b9cf5baafc9886fc80761f7ef7bd18281d87c488e8e
2023 HCAI annual financial records · Preserved source · API record ID 435 · Audited · ComparableSHA-256: 50ecefcc9e0613b9c65c7f292acbb5ea45d82205d0ec651ee7a42c153143a4ba
2024 HCAI annual financial records · Preserved source · HADR 01-01-2024 to 12-31-2024 row 433 · Audited · ComparableSHA-256: 0fcc4c3c52f335adc63699cf65d5ecbe28b94bb2d20433508cfe799e82541e26

2024 HCAI selected annual financial reports · RN hours and patient-day care mix · Preserved workbook
RN comparison calculation & reporting scope
Unweighted median of hospital report ratios PRD_HR_RN / DAY_TOT. Middle 50%: inclusive linear-interpolated 25th and 75th percentiles. Same 2024 selected-report file; audited Comparable reports, 365 or 366 days, majority (>50%) patient-day care group, exact unique HCAI IDs, reconciled care-day totals and existing CNO ratio. Includes reported zero RN hours; excludes missing values. No reference for mixed care-day groups or cohorts smaller than eight.
HCAI 106204019 · HADR 01-01-2024 to 12-31-2024 · row 433 · Audited · 2023-10-01–2024-09-30
Outlier screen: ratio above the care-group upper quartile plus three interquartile ranges.
Productive RN hours: 1,256,019 ÷ total patient days: 71,079
- Acute care: 70,681 patient days
- Psychiatric: 0 patient days
- Chemical dependency: 0 patient days
- Rehabilitation: 398 patient days
- Long-term care: 0 patient days
- Residential: 0 patient days
Source SHA-256: 0fcc4c3c52f335adc63699cf65d5ecbe28b94bb2d20433508cfe799e82541e26
Oct 2024–Mar 2025 · EMSA ambulance offload history · page 19 · Preserved report
Offload hospital identity & source times
Valley Children's Hospital · Central California · CEMSIS 20061 · unique normalized hospital / retained CMS name + EMS geography
- Oct 2024: 0:24:17 · 90th percentile · 399 qualifying offloads · page 19 · count page 31
- Nov 2024: 0:22:46 · 90th percentile · 355 qualifying offloads · page 19 · count page 37
- Dec 2024: 0:21:32 · 90th percentile · 411 qualifying offloads · page 19 · count page 42
- Jan 2025: 0:24:05 · 90th percentile · 416 qualifying offloads · page 19 · count page 47
- Feb 2025: 0:21:05 · 90th percentile · 410 qualifying offloads · page 19 · count page 52
- Mar 2025: 0:21:09 · 90th percentile · 465 qualifying offloads · page 19 · count page 57
2022-01-01–2022-12-31 · HCAI licensed specialty beds, ED activity & diversion · Preserved file
2023-01-01–2023-12-31 · HCAI licensed specialty beds, ED activity & diversion · Preserved file
2024-01-01–2024-12-31 · HCAI licensed specialty beds, ED activity & diversion · Preserved file
2024 contract RN share calculation
Nursing-hour denominator
Contract RN hours ÷ (productive RN + productive LVN + productive aide + contract RN hours). HCAI fields: CNT_HR_RN ÷ (PRD_HR_RN + PRD_HR_LVN + PRD_HR_AID + CNT_HR_RN).
Productive FTE calculation · hours ÷ 2,080
2024 HCAI annual financial / RN labor
2025 California capacity record
Official hospital facility / campus beds

All public source collections →
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Research record, provenance & reporting scope

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Public Record Profile · No state call

Valley Children'S Hospital

Madera County · HCAI 106204019

Profile statusLISTED — NOT YET REVIEWEDDescriptive profile · two source layers2024 financial filing audited2024 workforce record available2025 capacity record available

What this page can show2024 nursing labor and 2025 capacity, reported separately.

What the public record reports

What is reported?

This facility is listed, but its records have not received the additional hospital-specific review shown on reviewed profiles.

Reported RN labor1,256,019 productive RN hours.

1,256,019Hospital-wide productive RN hours · 2024

Contract RN share6.9% of reported RN labor.

6.9%Agency, registry, or contract RN share · 2024

Reported RN intensity17.7 RN hours per patient day.

17.7Hospital-wide annual proxy · 2024

Reported capacity190 staffed beds.

358 → 190Available → staffed beds · 2025

Evidence trail

Where the numbers came from.

Facility identity

CLEAR — UNIQUE ID MATCH. This page is anchored to HCAI facility ID 106204019.

Open official facility source ↗

Workforce source

2024 productive RN hours and contract-RN measures come from the HCAI hospital financial/workforce reporting layer.

Open HCAI hospital financials ↗

Capacity source

2025 licensed, available, and staffed-bed records are a separate capacity layer with its own reporting scope.

Open California health data ↗

Next evidence step

Acquire third independent audited domain before any state call.

Read CNO’s methodology →

Use the gap

What changed in patient demand, staffed capacity, and permanent RN coverage during the same reporting period—and what happened on my unit?

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Field	Value
month	2024-10
minutes	24.283333333333335
offloadCount	399
countPage	31
rawTime	0:24:17
sourceId	EMSA-APOT-JUNE2025
page	19
row	16

Field	Value
month	2024-11
minutes	22.766666666666666
offloadCount	355
countPage	37
rawTime	0:22:46
sourceId	EMSA-APOT-JUNE2025
page	19
row	16

Field	Value
month	2024-12
minutes	21.533333333333335
offloadCount	411
countPage	42
rawTime	0:21:32
sourceId	EMSA-APOT-JUNE2025
page	19
row	16

Field	Value
month	2025-01
minutes	24.083333333333332
offloadCount	416
countPage	47
rawTime	0:24:05
sourceId	EMSA-APOT-JUNE2025
page	19
row	16

Field	Value
month	2025-02
minutes	21.083333333333332
offloadCount	410
countPage	52
rawTime	0:21:05
sourceId	EMSA-APOT-JUNE2025
page	19
row	16

Field	Value
month	2025-03
minutes	21.15
offloadCount	465
countPage	57
rawTime	0:21:09
sourceId	EMSA-APOT-JUNE2025
page	19
row	16

🏥 Valley Children's Hospital

Hospital Snapshot

👩‍⚕️ RN staffing ›

✈️ Travelers / agency ›

🛏️ Beds & capacity ›

🚑 ED & hospital pressure ›

🔄 Services & changes ›

👥 Turnover & working conditions ›

📈 Workload & complete records ›

Explore history & sources

Before you take the job

👥 Turnover & working conditions

Who stays? Who leaves?

📈 Workload & patient demand

📈 Workload, Staffing & Capacity

👩‍⚕️ RN Staffing

✈️ Travelers / Agency Nursing

🛏️ Beds & Capacity

🚑 ED & Hospital Pressure

🔄 Services & Changes

🔎 Sources

Valley Children'S Hospital

What is reported?

Where the numbers came from.

👩‍⚕️ RN staffing

✈️ Travelers / agency

🛏️ Beds & capacity

🚑 ED & hospital pressure

🔄 Services & changes

👥 Turnover & working conditions

📈 Workload & complete records