Embed Size (px)
Citation preview
OSHPD ID NAME DPH NDPH
NICU as
Defined by
DHCS
OSHPD Rural
Hospital
DHCS
Designated
Remote Rural
Hospital
SFY 14/15
Cost-to-
Charge Ratio
SFY 14/15
Wage Index
Value
SFY 14/15
Unadjusted
Statewide
Base Rate
SFY 14/15
Wage
Adjusted
Statewide
Base Rate
SFY 14/15
Hospital-
Specific
Transition
Base Rate
Transition/ Non-
Transition
SFY 14/15
Rehab
Rate
SFY 14/15
Subacute 190
Rate
SFY 14/15
Subacute 199
Rate
106164029 ADVENTIST MEDICAL CENTER No No No No No 33.48% 1.2477 10,640$ 12,474$ 11,712$ Transition N/A 958.13$ 823.83$
106100793 ADVENTIST MEDICAL CENTER-SELMA COMMUNITY HOSP No No No Yes Yes 33.48% 1.2477 10,640$ 12,474$ 11,712$ Transition N/A 958.13$ 823.83$
106010846 ALAMEDA CO MED CTR Yes No No No No 40.33% 1.665 6,289$ 9,200$ N/A N/A N/A N/A N/A
106010735 ALAMEDA HOSP No Yes No No No 25.99% 1.665 6,289$ 9,200$ N/A Non-Transition N/A 958.13$ 823.83$
106190017 ALHAMBRA HOSP No No No No No 20.79% 1.2477 6,289$ 7,373$ 5,215$ Transition 1,210$ 958.13$ 823.83$
106010739 ALTA BATES SUMMIT MED CTR-ALTA BATES No No No No No 27.08% 1.665 6,289$ 9,200$ 12,719$ Transition 1,510$ 958.13$ 823.83$
106010937 ALTA BATES SUMMIT MED CTR-HAWTHORNE No No No No No 23.66% 1.665 6,289$ 9,200$ 7,492$ Transition 1,510$ 958.13$ 823.83$
106010844 ALTA BATES SUMMIT MED CTR-HERRICK CAMPUS No No No No No 27.08% 1.665 6,289$ 9,200$ 12,719$ Transition 1,510$ 958.13$ 823.83$
106013626 ALTA BATES SUMMIT MED CTR-SUMMIT CAMPUS No No No No No 23.66% 1.665 6,289$ 9,200$ 7,492$ Transition N/A 958.13$ 823.83$
106374063 ALVARADO HOSP MED CTR No No No No No 21.05% 1.2477 6,289$ 7,373$ 4,368$ Transition 1,210$ 958.13$ 823.83$
106370652 ALVARADO HOSP MED CTR No No No No No 21.05% 1.2477 6,289$ 7,373$ 4,368$ Transition 1,210$ 958.13$ 823.83$
106301097 ANAHEIM GEN HOSP No No No No No 15.22% 1.2508 6,289$ 7,387$ N/A N/A N/A 958.13$ 823.83$
106301098 ANAHEIM MEM MED CTR No No No No No 15.00% 1.2508 6,289$ 7,387$ 15,980$ Transition N/A 958.13$ 823.83$
106190034 ANTELOPE VALLEY HOSP MED CTR No Yes No No No 30.02% 1.2477 6,289$ 7,373$ 7,390$ Transition N/A 958.13$ 823.83$
106364231 ARROWHEAD REG MED CTR Yes No No No No 24.67% 1.2477 6,289$ 7,373$ N/A N/A N/A N/A N/A
106400466 ARROYO GRANDE COMM HOSP No No No No No 22.09% 1.2559 6,289$ 7,409$ N/A Non-Transition 1,216$ 958.13$ 823.83$
106154101 BAKERSFIELD HEART HOSP No No No No No 20.44% 1.2477 6,289$ 7,373$ N/A Non-Transition N/A 958.13$ 823.83$
106150722 BAKERSFIELD MEM HOSP-34TH ST No No No No No 22.24% 1.2477 6,289$ 7,373$ 9,675$ Transition N/A 958.13$ 823.83$
106364121 BALLARD REHABILITATION HOSP No No No No No 83.00% 1.2477 N/A N/A N/A Non-Transition 1,415$ 958.13$ 823.83$
106184008 BANNER LASSEN MED CTR No No No Yes Yes 47.35% 1.2477 10,640$ 12,474$ 16,419$ Transition N/A 958.13$ 823.83$
106190052 BARLOW RESP HOSP No No No No No 20.82% 1.2477 6,289$ 7,373$ 7,239$ Transition N/A 958.13$ 823.83$
106361105 BARSTOW COMM HOSP No No No Yes Yes 19.77% 1.2477 10,640$ 12,474$ N/A N/A N/A 958.13$ 823.83$
106090793 BARTON MEM HOSP No No No Yes Yes 37.44% 1.4887 10,640$ 14,259$ N/A Non-Transition N/A 958.13$ 823.83$
106361110 BEAR VALLEY COMM HOSP No Yes No Yes Yes 84.08% 1.2477 10,640$ 12,474$ N/A Non-Transition N/A 958.13$ 823.83$
106190066 BELLFLOWER MED CTR No No No No No 27.80% 1.2477 6,289$ 7,373$ 5,434$ Transition N/A 958.13$ 823.83$
106190081 BEVERLY HOSP No No No No No 40.33% 1.2477 6,289$ 7,373$ 5,594$ Transition N/A 958.13$ 823.83$
106040802 BIGGS GRIDLEY MEM HOSP No No No Yes Yes 33.81% 1.2477 10,640$ 12,474$ N/A Non-Transition N/A 958.13$ 823.83$
106380929 CA PACIFIC MED CTR No No Yes No No 24.74% 1.6269 6,289$ 9,033$ 4,855$ Transition N/A 958.13$ 823.83$
106380777 CA PACIFIC MED CTR - CALIFORNIA WEST No No Yes No No 24.74% 1.6269 6,289$ 9,033$ 4,855$ Transition N/A 958.13$ 823.83$
106380933 CA PACIFIC MED CTR-DAVIES CAMPUS No No No No No 22.14% 1.6269 6,289$ 9,033$ N/A Non-Transition 1,482$ 958.13$ 823.83$
106190125 CALIFORNIA HOSP MED CTR-LA No No Yes No No 24.40% 1.2477 6,289$ 7,373$ N/A Non-Transition N/A 958.13$ 823.83$
106190137 CASA COLINA HOSP FOR REHAB MED No No No No No 51.61% 1.2477 N/A N/A N/A Non-Transition 1,210$ 958.13$ 823.83$
106190045 CATALINA ISLAND MED CTR No No No Yes Yes 90.00% 1.2477 10,640$ 12,474$ N/A Non-Transition N/A 958.13$ 823.83$
106190555 CEDARS-SINAI MED CTR No No Yes No No 24.06% 1.2477 6,289$ 7,373$ 5,149$ Transition 1,210$ 958.13$ 823.83$
106190148 CENTINELA FREEMAN REG MED CTR-CENTINEL No No No No No 16.35% 1.2477 6,289$ 7,373$ 6,034$ Transition 1,210$ 958.13$ 823.83$
106190500 CENTINELA FREEMAN REG MED CTR-MARINA No No No No No 20.33% 1.2477 6,289$ 7,373$ N/A Non-Transition N/A 958.13$ 823.83$
106160787 CENTRAL VALLEY GEN HOSP No No No No No 69.71% 1.2477 6,289$ 7,373$ 12,533$ Transition N/A 958.13$ 823.83$
106500954 CENTRAL VALLEY SPECIALTY HOSPITAL No No No No No 21.90% 1.3401 6,289$ 7,778$ N/A Non-Transition 1,276$ 958.13$ 823.83$
Last Updated 3/7/2017
OSHPD ID NAME DPH NDPH
NICU as
Defined by
DHCS
OSHPD Rural
Hospital
DHCS
Designated
Remote Rural
Hospital
SFY 14/15
Cost-to-
Charge Ratio
SFY 14/15
Wage Index
Value
SFY 14/15
Unadjusted
Statewide
Base Rate
SFY 14/15
Wage
Adjusted
Statewide
Base Rate
SFY 14/15
Hospital-
Specific
Transition
Base Rate
Transition/ Non-
Transition
SFY 14/15
Rehab
Rate
SFY 14/15
Subacute 190
Rate
SFY 14/15
Subacute 199
Rate
106301140 CHAPMAN MED CTR No No No No No 18.96% 1.2508 $ 6,289 $ 7,387 N/A Non-Transition N/A $ 958.13 $ 823.83
106304113 CHILDRENS HOSP AT MISSION No No No No No 35.07% 1.2477 $ 6,289 $ 7,373 $ 20,227 Transition N/A $ 958.13 $ 823.83
106204019 CHILDRENS HOSP CENTRAL CALIFORNIA No No Yes No No 25.37% 1.2477 $ 6,289 $ 7,373 N/A Non-Transition $ 2,158 $ 958.13 $ 823.83
106010776 CHILDRENS HOSP OAKLAND No No Yes No No 31.17% 1.6439 $ 6,289 $ 9,107 N/A Non-Transition $ 2,666 $ 958.13 $ 823.83
106190170 CHILDRENS HOSP OF LA No No Yes No No 38.21% 1.2477 $ 6,289 $ 7,373 N/A Non-Transition $ 2,158 $ 958.13 $ 823.83
106300032 CHILDRENS HOSP OF ORANGE CO No No Yes No No 23.16% 1.2477 $ 6,289 $ 7,373 $ 5,161 Transition N/A $ 958.13 $ 823.83
106370673 CHILDRENS HOSP-SAN DIEGO No No Yes No No 29.22% 1.2477 $ 6,289 $ 7,373 $ 5,987 Transition $ 2,158 $ 958.13 $ 823.83
106382715 CHINESE HOSP No No No No No 39.61% 1.6269 $ 6,289 $ 9,033 $ 7,720 Transition N/A $ 958.13 $ 823.83
106361144 CHINO VALLEY MED CTR No No No No No 23.43% 1.2477 $ 6,289 $ 7,373 N/A Non-Transition N/A $ 958.13 $ 823.83
106190176 CITY OF HOPE HELFORD CLINIC RES HOSP No No No No No 29.26% 1.2477 $ 6,289 $ 7,373 $ 5,225 Transition N/A $ 958.13 $ 823.83
106100005 CLOVIS COMM MED CTR No No No No No 30.11% 1.2477 $ 6,289 $ 7,373 $ 8,293 Transition N/A $ 958.13 $ 823.83
106100697 COALINGA REG MED CTR No Yes No Yes Yes 87.75% 1.2477 $ 10,640 $ 12,474 N/A Non-Transition N/A $ 958.13 $ 823.83
106190766 COAST PLAZA DRS HOSP No No No No No 23.18% 1.2477 $ 6,289 $ 7,373 $ 5,041 Transition N/A $ 958.13 $ 823.83
106301258 COASTAL COMM HOSP No No No No No 32.26% 1.2508 $ 6,289 $ 7,387 $ 6,739 Transition N/A $ 958.13 $ 804.96
106301155 COLLEGE HOSP COSTA MESA No No No No No 28.76% 1.2508 $ 6,289 $ 7,387 N/A Non-Transition N/A $ 958.13 $ 823.83
106190587 COLLEGE MEDICAL CENTER No No No No No 31.95% 1.2477 $ 6,289 $ 7,373 $ 3,920 Transition N/A $ 958.13 $ 823.83
106361458 COLORADO RIVER MED CTR No No No Yes Yes 70.34% 1.2477 $ 10,640 $ 12,474 $ 17,092 Transition N/A $ 958.13 $ 823.83
106060870 COLUSA REG MED CTR No No No Yes Yes 30.92% 1.2477 $ 10,640 $ 12,474 $ 11,908 Transition N/A $ 958.13 $ 823.83
106190197 COMM AND MISSION HOSP OF HUNT PK No No No No No 30.13% 1.2477 $ 6,289 $ 7,373 $ 5,197 Transition N/A $ 958.13 $ 823.83
106190475 COMM HOSP OF LONG BEACH No No No No No 17.55% 1.2477 $ 6,289 $ 7,373 $ 16,833 Transition N/A $ 958.13 $ 823.83
106270744 COMM HOSP OF MONTEREY PENINSULA No No No No No 31.45% 1.5678 $ 6,289 $ 8,774 $ 18,975 Transition $ 1,440 $ 958.13 $ 823.83
106361323 COMM HOSP OF SAN BERNARDINO No No No No No 27.32% 1.2477 $ 6,289 $ 7,373 $ 6,207 Transition N/A $ 958.13 $ 784.06
106560473 COMM MEM HOSP OF SAN BUENAVENTURA No No No No No 27.33% 1.3019 $ 6,289 $ 7,610 $ 4,101 Transition N/A $ 958.13 $ 823.83
106100717 COMM REG MED CTR-FRESNO No No Yes No No 22.37% 1.2477 $ 6,289 $ 7,373 $ 8,500 Transition $ 1,641 $ 958.13 $ 823.83
106070924 CONTRA COSTA REG MED CTR Yes No No No No 63.73% 1.6439 $ 6,289 $ 9,107 N/A N/A N/A N/A N/A
106331152 CORONA REG MED CTR No No No No No 26.99% 1.2477 $ 6,289 $ 7,373 $ 5,150 Transition $ 1,210 $ 958.13 $ 823.83
106190413 CV-INTERCOMMUNITY CAMPUS No No No No No 31.39% 1.2477 $ 6,289 $ 7,373 $ 6,483 Transition N/A $ 958.13 $ 823.83
106190636 CV-QUEEN OF VALLEY CAMPUS No No Yes No No 31.39% 1.2477 $ 6,289 $ 7,373 N/A Non-Transition $ 1,210 $ 958.13 $ 823.83
106390846 DAMERON HOSP No No No No No 20.40% 1.3505 $ 6,289 $ 7,823 N/A Non-Transition N/A $ 958.13 $ 823.83
106150706 DELANO REG MED CTR No No No No No 42.41% 1.2477 $ 6,289 $ 7,373 $ 6,759 Transition N/A $ 958.13 $ 757.80
106331164 DESERT REG MED CTR No No No No No 14.94% 1.2477 $ 6,289 $ 7,373 $ 6,781 Transition $ 1,435 $ 958.13 $ 823.83
106364144 DESERT VALLEY HOSP No No No No No 22.03% 1.2477 $ 6,289 $ 7,373 $ 8,617 Transition N/A $ 958.13 $ 823.83
106440755 DOMINICAN HOSP-SANTA CRUZ No No No No No 28.66% 1.7276 $ 6,289 $ 9,474 $ 7,272 Transition $ 1,555 $ 958.13 $ 823.83
106441807 DOMINICAN HOSP-SANTA CRUZ/FREDERICK No No No No No 28.66% 1.7276 $ 6,289 $ 9,474 $ 7,272 Transition $ 1,555 $ 958.13 $ 823.83
106190243 DOWNEY REG MED CTR No No No No No 16.20% 1.2477 $ 6,289 $ 7,373 $ 6,560 Transition N/A $ 958.13 $ 823.83
106392287 DRS HOSP OF MANTECA No No No No No 13.28% 1.3505 $ 6,289 $ 7,823 $ 12,334 Transition N/A $ 958.13 $ 823.83
106190857 DRS HOSP OF WEST COVINA No No No No No 18.33% 1.2477 $ 6,289 $ 7,373 N/A Non-Transition N/A $ 958.13 $ 609.23
106500852 DRS MED CTR No No No No No 11.45% 1.3505 $ 6,289 $ 7,823 $ 7,529 Transition N/A $ 958.13 $ 823.83
Last Updated 3/7/2017
OSHPD ID NAME DPH NDPH
NICU as
Defined by
DHCS
OSHPD Rural
Hospital
DHCS
Designated
Remote Rural
Hospital
SFY 14/15
Cost-to-
Charge Ratio
SFY 14/15
Wage Index
Value
SFY 14/15
Unadjusted
Statewide
Base Rate
SFY 14/15
Wage
Adjusted
Statewide
Base Rate
SFY 14/15
Hospital-
Specific
Transition
Base Rate
Transition/ Non-
Transition
SFY 14/15
Rehab
Rate
SFY 14/15
Subacute 190
Rate
SFY 14/15
Subacute 199
Rate
106070904 DRS MED CTR-SAN PABLO/PINOLE No Yes No No No 22.74% 1.6439 $ 6,289 $ 9,107 $ 5,516 Transition N/A $ 958.13 $ 823.83
106190256 EAST LA DRS HOSP No No No No No 20.91% 1.2477 $ 6,289 $ 7,373 $ 5,544 Transition N/A $ 958.13 $ 823.83
106190328 EAST VALLEY HOSP MED CTR No No No No No 26.92% 1.2477 $ 6,289 $ 7,373 $ 5,298 Transition N/A $ 958.13 $ 823.83
106320859 EASTERN PLUMAS HOSP No Yes No Yes Yes 45.77% 1.2477 $ 10,640 $ 12,474 $ 10,582 Transition N/A $ 958.13 $ 823.83
106010805 EDEN MED CTR No No No No No 31.73% 1.665 $ 6,289 $ 9,200 $ 13,603 Transition N/A $ 958.13 $ 823.83
106331168 EISENHOWER MEM HOSP No No No No No 14.84% 1.2477 $ 6,289 $ 7,373 $ 10,794 Transition N/A $ 958.13 $ 823.83
106430763 EL CAMINO HOSP No Yes No No No 26.68% 1.665 $ 6,289 $ 9,200 $ 4,866 Transition $ 1,510 $ 958.13 $ 823.83
106130699 EL CENTRO COMM HOSP No Yes No No No 22.09% 1.2477 $ 6,289 $ 7,373 $ 9,713 Transition N/A $ 958.13 $ 823.83
106500867 EMANUEL MED CTR No No No No No 19.51% 1.3401 $ 6,289 $ 7,778 N/A Non-Transition N/A $ 958.13 $ 823.83
106190280 ENCINO HOSP MED CTR No No No No No 28.02% 1.2477 $ 6,289 $ 7,373 N/A Non-Transition $ 1,210 $ 958.13 $ 823.83
106040962 ENLOE MED CTR No No No No No 23.91% 1.2477 $ 6,289 $ 7,373 $ 10,789 Transition $ 1,378 $ 958.13 $ 823.83
106044011 ENLOE REHABILLITATION CENTER No No No No No 23.91% 1.2477 $ 6,289 $ 7,373 $ 10,789 Transition $ 1,378 $ 958.13 $ 823.83
106474007 FAIRCHILD MED CTR No No No Yes Yes 58.38% 1.2477 $ 10,640 $ 12,474 $ 14,423 Transition N/A $ 958.13 $ 823.83
106370705 FALLBROOK HOSP DIST No Yes No Yes Yes 21.90% 1.2477 $ 10,640 $ 12,474 $ 6,149 Transition N/A $ 958.13 $ 823.83
106040875 FEATHER RIVER HOSP No No No No No 16.12% 1.2477 $ 6,289 $ 7,373 $ 11,399 Transition N/A $ 958.13 $ 823.83
106190298 FOOTHILL PRES HOSP No No No No No 30.51% 1.2477 $ 6,289 $ 7,373 $ 4,539 Transition N/A $ 958.13 $ 823.83
106301357 FOOTHILL REGIONAL MED CTR No No No No No 2.31% 1.2477 $ 6,289 $ 7,373 N/A Non-Transition N/A $ 958.13 $ 823.83
106301175 FOUNTAIN VALLEY REG HOSP-EUCLID No No No No No 20.31% 1.2508 $ 6,289 $ 7,387 $ 9,402 Transition N/A $ 958.13 $ 823.83
106304039 FOUNTAIN VALLEY REG HOSP-WARNER No No No No No 20.31% 1.2508 $ 6,289 $ 7,387 $ 9,402 Transition N/A $ 958.13 $ 823.83
106230949 FRANK R HOWARD MEM HOSP No No No Yes Yes 36.12% 1.2477 $ 10,640 $ 12,474 $ 13,581 Transition N/A $ 958.13 $ 823.83
106510882 FREMONT MEDICAL CENTER No No No No No 24.45% 1.2799 $ 6,289 $ 7,514 $ 12,345 Transition N/A $ 958.13 $ 823.83
106400480 FRENCH HOSP MED CTR No No No No No 36.41% 1.2559 $ 6,289 $ 7,409 N/A Non-Transition N/A $ 958.13 $ 823.83
106105029 FRESNO HEART HOSP No No No No No 29.57% 1.2477 $ 6,289 $ 7,373 N/A Non-Transition N/A $ 958.13 $ 823.83
106104047 FRESNO SURGERY CTR No No No No No 28.30% 1.2477 $ 6,289 $ 7,373 N/A Non-Transition N/A $ 958.13 $ 823.83
106301283 GARDEN GROVE HOSP AND MED CTR No No No No No 21.33% 1.2508 $ 6,289 $ 7,387 $ 5,507 Transition N/A $ 958.13 $ 823.83
106190315 GARFIELD MED CTR No No No No No 15.79% 1.2477 $ 6,289 $ 7,373 $ 6,988 Transition $ 1,382 $ 958.13 $ 823.83
106270777 GEORGE L MEE MEM HOSP No No No Yes Yes 36.71% 1.5678 $ 10,640 $ 14,845 $ 17,886 Transition N/A $ 958.13 $ 823.83
106190323 GLENDALE ADV MED CTR-WILSON TERRACE No No No No No 19.78% 1.2477 $ 6,289 $ 7,373 N/A Non-Transition $ 1,210 $ 958.13 $ 823.83
106190522 GLENDALE MEM HOSP AND HLTH CTR No No No No No 19.33% 1.2477 $ 6,289 $ 7,373 $ 6,563 Transition $ 1,210 $ 958.13 $ 823.83
106110889 GLENN MED CTR No No No Yes Yes 55.89% 1.2477 $ 10,640 $ 12,474 $ 18,583 Transition N/A $ 958.13 $ 823.83
106420483 GOLETA VALLEY COTTAGE HOSP No No No No No 29.98% 1.2488 $ 6,289 $ 7,378 N/A Non-Transition N/A $ 958.13 $ 823.83
106150775 GOOD SAMARITAN HOSP-BAKERSFIELD No No No No No 20.96% 1.2477 $ 6,289 $ 7,373 N/A Non-Transition N/A $ 958.13 $ 823.83
106190392 GOOD SAMARITAN HOSP-LA No No Yes No No 20.78% 1.2477 $ 6,289 $ 7,373 N/A Non-Transition $ 1,210 $ 958.13 $ 823.83
106430779 GOOD SAMARITAN HOSP-SAN JOSE No No Yes No No 26.09% 1.665 $ 6,289 $ 9,200 $ 5,097 Transition $ 1,510 $ 958.13 $ 823.83
106190352 GREATER EL MONTE COMM HOSP No No No No No 15.88% 1.2477 $ 6,289 $ 7,373 $ 4,605 Transition N/A $ 958.13 $ 823.83
106370714 GROSSMONT HOSP No No No No No 23.94% 1.2477 $ 6,289 $ 7,373 $ 6,219 Transition $ 1,210 $ 958.13 $ 823.83
106350784 HAZEL HAWKINS MEM HOSP No Yes No Yes Yes 37.20% 1.665 $ 10,640 $ 15,565 N/A Non-Transition N/A $ 958.13 $ 823.83
106490964 HEALDSBURG DIST HOSP No Yes No Yes Yes 17.81% 1.6337 $ 10,640 $ 15,333 N/A Non-Transition N/A $ 958.13 $ 823.83
Last Updated 3/7/2017
OSHPD ID NAME DPH NDPH
NICU as
Defined by
DHCS
OSHPD Rural
Hospital
DHCS
Designated
Remote Rural
Hospital
SFY 14/15
Cost-to-
Charge Ratio
SFY 14/15
Wage Index
Value
SFY 14/15
Unadjusted
Statewide
Base Rate
SFY 14/15
Wage
Adjusted
Statewide
Base Rate
SFY 14/15
Hospital-
Specific
Transition
Base Rate
Transition/ Non-
Transition
SFY 14/15
Rehab
Rate
SFY 14/15
Subacute 190
Rate
SFY 14/15
Subacute 199
Rate
106304159 HEALTHBRIDGE CHILDRENS HOSP-ORANGE No No No No No 38.80% 1.2477 $ 6,289 $ 7,373 N/A Non-Transition $ 2,158 $ 958.13 $ 823.83
106154022 HEALTHSOUTH BAKERSFIELD REHAB HOSP No No No No No 52.35% 1.2477 N/A N/A N/A Non-Transition $ 1,371 $ 958.13 $ 823.83
106304079 HEALTHSOUTH TUSTIN REHAB HOSP No No No No No 52.81% 1.2477 N/A N/A N/A Non-Transition $ 1,210 $ 958.13 $ 823.83
106331194 HEMET VALLEY MED CTR No No No No No 22.87% 1.2477 $ 6,289 $ 7,373 $ 5,651 Transition N/A $ 958.13 $ 823.83
106190949 HENRY MAYO NEWHALL MEM HOSP No No No No No 19.47% 1.2477 $ 6,289 $ 7,373 $ 5,335 Transition $ 1,210 $ 958.13 $ 823.83
106362041 HI-DESERT MED CTR No Yes No Yes Yes 31.32% 1.2477 $ 10,640 $ 12,474 $ 10,384 Transition N/A $ 958.13 $ 642.71
106301205 HOAG MEM HOSP PRESBYTERIAN No No No No No 59.88% 1.2508 $ 6,289 $ 7,387 $ 14,475 Transition N/A $ 958.13 $ 823.83
106304460 HOAG ORTHOPEDIC No No No No No 48.94% 1.2508 $ 6,289 $ 7,387 N/A Non-Transition N/A $ 958.13 $ 823.83
106190380 HOLLYWOOD COMM HOSP OF HOLLYWOOD No No No No No 18.08% 1.2477 $ 6,289 $ 7,373 $ 5,297 Transition N/A $ 958.13 $ 823.83
106190382 HOLLYWOOD PRES MED CTR No No No No No 21.49% 1.2477 $ 6,289 $ 7,373 N/A Non-Transition $ 1,210 $ 958.13 $ 823.83
106301209 HUNTINGTON BEACH HOSP No No No No No 16.00% 1.2508 $ 6,289 $ 7,387 N/A Non-Transition N/A $ 958.13 $ 823.83
106190400 HUNTINGTON MEM HOSP No No Yes No No 22.96% 1.2477 $ 6,289 $ 7,373 $ 7,260 Transition $ 1,210 $ 958.13 $ 823.83
106304045 IRVINE REG HOSP AND MED CTR No No No No No 20.00% 1.2477 $ 6,289 $ 7,373 N/A N/A N/A $ 958.13 $ 823.83
106121031 JEROLD PHELPS COMM HOSP No Yes No Yes Yes 100.00% 1.2477 $ 10,640 $ 12,474 N/A Non-Transition N/A $ 958.13 $ 823.83
106220733 JOHN C FREMONT HCARE DIST No Yes No Yes Yes 60.66% 1.2477 $ 10,640 $ 12,474 $ 7,610 Transition N/A $ 958.13 $ 823.83
106331216 JOHN F KENNEDY MEM HOSP No No No No No 19.91% 1.2477 $ 6,289 $ 7,373 $ 6,193 Transition N/A $ 958.13 $ 823.83
106071018 JOHN MUIR MED CTR-CONCORD CAMPUS No No No No No 19.58% 1.6439 $ 6,289 $ 9,107 $ 13,751 Transition N/A $ 958.13 $ 823.83
106070988 JOHN MUIR MED CTR-WALNUT CREEK CAMPUS No No No No No 22.18% 1.6439 $ 6,289 $ 9,107 $ 11,850 Transition $ 1,494 $ 958.13 $ 823.83
106314024 KAISER HOSPITAL - ROSEVILLE No No Yes No No 46.17% 1.4887 $ 6,289 $ 8,428 $ 12,457 Transition N/A $ 958.13 $ 823.83
106364265 KAISER ONTARIO MEDICAL CENTER CAMPUS No No Yes No No 54.67% 1.2477 $ 6,289 $ 7,373 $ 11,002 Transition $ 1,210 $ 958.13 $ 823.83
106301132 KAISER-ANAHEIM No No No No No 61.07% 1.2508 $ 6,289 $ 7,387 N/A Non-Transition N/A $ 958.13 $ 823.83
106304306 KAISER-ANAHEIM-IRVINE No No No No No 61.07% 1.2508 $ 6,289 $ 7,387 N/A Non-Transition N/A $ 958.13 $ 823.83
106304409 KAISER-ANAHEIM-Orange No No No No No 61.07% 1.2508 $ 6,289 $ 7,387 N/A Non-Transition N/A $ 958.13 $ 823.83
106074097 KAISER-ANTIOCH No No No No No 72.85% 1.6439 $ 6,289 $ 9,107 N/A Non-Transition N/A $ 958.13 $ 823.83
106196035 KAISER-BALDWIN PARK No No No No No 53.45% 1.2477 $ 6,289 $ 7,373 N/A Non-Transition N/A $ 958.13 $ 823.83
106196403 KAISER-DOWNEY No No Yes No No 51.35% 1.2477 $ 6,289 $ 7,373 $ 13,992 Transition N/A $ 958.13 $ 823.83
106361223 KAISER-FONTANA No No Yes No No 54.67% 1.2477 $ 6,289 $ 7,373 $ 11,002 Transition $ 1,210 $ 958.13 $ 823.83
106014132 KAISER-FREMONT No No No No No 62.61% 1.665 $ 6,289 $ 9,200 $ 11,255 Transition N/A $ 958.13 $ 823.83
106104062 KAISER-FRESNO No No No No No 65.57% 1.2477 $ 6,289 $ 7,373 N/A Non-Transition N/A $ 958.13 $ 823.83
106380857 KAISER-GEARY SF No No No No No 44.17% 1.6269 $ 6,289 $ 9,033 N/A Non-Transition N/A $ 958.13 $ 823.83
106190431 KAISER-HARBOR CITY No No No No No 54.03% 1.2477 $ 6,289 $ 7,373 N/A Non-Transition N/A $ 958.13 $ 823.83
106010858 KAISER-HAYWARD No No No No No 62.61% 1.665 $ 6,289 $ 9,200 $ 11,255 Transition N/A $ 958.13 $ 823.83
106394009 KAISER-MANTECA No No No No No 35.35% 1.3505 $ 6,289 $ 7,823 N/A Non-Transition N/A $ 958.13 $ 823.83
106504042 KAISER-MODESTO No No No No No 35.35% 1.3401 $ 6,289 $ 7,778 N/A Non-Transition N/A $ 958.13 $ 823.83
106334048 KAISER-MORENO VALLEY No No No No No 96.97% 1.2477 $ 6,289 $ 7,373 $ 4,571 Transition N/A $ 958.13 $ 823.83
106010856 KAISER-OAKLAND/RICHMOND No No Yes No No 46.51% 1.665 $ 6,289 $ 9,200 $ 12,861 Transition N/A $ 958.13 $ 823.83
106190432 KAISER-PANORAMA CITY No No No No No 49.47% 1.3019 $ 6,289 $ 7,610 $ 17,276 Transition N/A $ 958.13 $ 823.83
106410804 KAISER-REDWOOD CITY No No No No No 64.67% 1.6356 $ 6,289 $ 9,071 N/A Non-Transition N/A $ 958.13 $ 823.83
Last Updated 3/7/2017
OSHPD ID NAME DPH NDPH
NICU as
Defined by
DHCS
OSHPD Rural
Hospital
DHCS
Designated
Remote Rural
Hospital
SFY 14/15
Cost-to-
Charge Ratio
SFY 14/15
Wage Index
Value
SFY 14/15
Unadjusted
Statewide
Base Rate
SFY 14/15
Wage
Adjusted
Statewide
Base Rate
SFY 14/15
Hospital-
Specific
Transition
Base Rate
Transition/ Non-
Transition
SFY 14/15
Rehab
Rate
SFY 14/15
Subacute 190
Rate
SFY 14/15
Subacute 199
Rate
106480989 KAISER-REHAB CENTER VALLEJO No No No No No 68.99% 1.6215 $ 6,289 $ 9,009 N/A Non-Transition $ 2,564 $ 958.13 $ 823.83
106074093 KAISER-RICHMOND No No Yes No No 46.51% 1.6648 $ 6,289 $ 9,199 $ 12,861 Transition N/A $ 958.13 $ 823.83
106334025 KAISER-RIVERSIDE No No No No No 61.33% 1.2477 $ 6,289 $ 7,373 N/A Non-Transition N/A $ 958.13 $ 823.83
106340913 KAISER-SACRAMENTO/ROSEVILLE-MORSE No No No No No 53.18% 1.4887 $ 6,289 $ 8,428 $ 12,457 Transition N/A $ 958.13 $ 823.83
106370730 KAISER-SAN DIEGO No No No No No 52.61% 1.2477 $ 6,289 $ 7,373 N/A Non-Transition N/A $ 958.13 $ 823.83
106014337 KAISER-SAN LEANDRO No No No No No 21.90% 1.6439 $ 6,289 $ 9,107 N/A Non-Transition N/A $ 958.13 $ 823.83
106210992 KAISER-SAN RAFAEL No No No No No 32.76% 1.6337 $ 6,289 $ 9,063 N/A Non-Transition N/A $ 958.13 $ 823.83
106430805 KAISER-SANTA CLARA No No Yes No No 48.21% 1.665 $ 6,289 $ 9,200 N/A N/A N/A $ 958.13 $ 823.83
106494019 KAISER-SANTA ROSA No No No No No 52.53% 1.6337 $ 6,289 $ 9,063 $ 18,752 Transition N/A $ 958.13 $ 823.83
106431506 KAISER-SANTA TERESA COMM HOSP No No No No No 64.21% 1.665 $ 6,289 $ 9,200 N/A Non-Transition N/A $ 958.13 $ 823.83
106342344 KAISER-SOUTH SACRAMENTO No No No No No 49.06% 1.4887 $ 6,289 $ 8,428 N/A Non-Transition N/A $ 958.13 $ 823.83
106410806 KAISER-SOUTH SF No No No No No 57.00% 1.6356 $ 6,289 $ 9,071 N/A Non-Transition N/A $ 958.13 $ 823.83
106190429
KAISER-SUNSET No No Yes No No 48.65% 1.2477 $ 6,289 $ 7,373 $ 6,859 Transition N/A $ 958.13 $ 823.83
106484044 KAISER-VACAVILLE No No No No No 69.29% 1.6215 $ 6,289 $ 9,009 N/A Non-Transition N/A $ 958.13 $ 823.83
106070990 KAISER-WALNUT CREEK No No No No No 59.24% 1.6439 $ 6,289 $ 9,107 N/A Non-Transition N/A $ 958.13 $ 823.83
106190434 KAISER-WEST LA No No No No No 74.39% 1.2477 $ 6,289 $ 7,373 N/A Non-Transition N/A $ 958.13 $ 823.83
106191450 KAISER-WOODLAND HILLS No No No No No 55.33% 1.3019 $ 6,289 $ 7,610 N/A Non-Transition N/A $ 958.13 $ 823.83
106540734 KAWEAH DELTA DIST HOSP No Yes No No No 25.10% 1.2477 $ 6,289 $ 7,373 $ 8,757 Transition $ 1,210 $ 958.13 $ 760.47
106544075 KAWEAH DELTA REHABILITATION HOSPITAL No Yes No No No 25.10% 1.2477 $ 6,289 $ 7,373 $ 8,757 Transition $ 1,210 $ 958.13 $ 760.47
106210993 KENTFIELD REHAB HOSP No No No No No 59.67% 1.6269 $ 6,289 $ 9,033 $ 20,355 Transition $ 1,482 $ 958.13 $ 823.83
106150736 KERN MED CTR Yes No No No No 37.75% 1.2477 $ 6,289 $ 7,373 N/A N/A N/A N/A N/A
106150737 KERN VALLEY HCARE DIST No Yes No Yes Yes 30.57% 1.2477 $ 10,640 $ 12,474 $ 6,473 Transition N/A $ 958.13 $ 823.83
106190049 KINDRED HOSPITAL BALDWIN PARK No No No No No 19.30% 1.2477 $ 6,289 $ 7,373 $ 11,822 Transition N/A $ 958.13 $ 823.83
106364188 KINDRED RANCHO No No No No No 19.64% 1.2477 $ 6,289 $ 7,373 $ 23,218 Transition N/A $ 958.13 $ 823.83
106332172 KINDRED RIVERSIDE No No No No No 24.32% 1.2477 $ 6,289 $ 7,373 $ 26,383 Transition N/A $ 958.13 $ 823.83
106190196 KINDRED SOUTH BAY No No No No No 20.04% 1.2477 $ 6,289 $ 7,373 N/A Non-Transition N/A $ 958.13 $ 823.83
106301127 KINDRED-BREA No No No No No 21.87% 1.2477 $ 6,289 $ 7,373 N/A Non-Transition N/A $ 958.13 $ 823.83
106190305 KINDRED-LA No No No No No 18.99% 1.2477 $ 6,289 $ 7,373 $ 3,916 Transition N/A $ 958.13 $ 823.83
106190449 KINDRED-LA MIRADA/SGV/SNTA ANA No No No No No 14.82% 1.2477 $ 6,289 $ 7,373 $ 8,852 Transition $ 1,210 $ 958.13 $ 823.83
106361274 KINDRED-ONTARIO No No No No No 18.71% 1.2477 $ 6,289 $ 7,373 $ 10,514 Transition N/A $ 958.13 $ 823.83
106370721 KINDRED-SAN DIEGO No No No No No 34.05% 1.2477 $ 6,289 $ 7,373 $ 4,596 Transition N/A $ 958.13 $ 823.83
106190458 KINDRED-SAN GABRIEL VALLEY No No No No No 14.82% 1.2477 $ 6,289 $ 7,373 $ 8,852 Transition $ 1,210 $ 958.13 $ 823.83
106301167 KINDRED-SANTA ANA No No No No No 14.82% 1.2477 $ 6,289 $ 7,373 $ 8,852 Transition $ 1,210 $ 958.13 $ 823.83
106010887 KINDRED-SF BAY AREA No No No No No 28.70% 1.6439 $ 6,289 $ 9,107 $ 5,887 Transition N/A $ 958.13 $ 823.83
106301380 KINDRED-WESTMINSTER No No No No No 27.03% 1.2477 $ 6,289 $ 7,373 N/A Non-Transition N/A $ 958.13 $ 823.83
106190198 LA COMM HOSP No No No No No 16.51% 1.2477 $ 6,289 $ 7,373 $ 7,037 Transition N/A $ 958.13 $ 823.83
106190854 LA METRO MED CTR No No No No No 27.01% 1.2477 $ 6,289 $ 7,373 $ 6,537 Transition N/A $ 958.13 $ 823.83
106301234 LA PALMA INTERCOMMUNITY HOSP No No No No No 22.90% 1.2508 $ 6,289 $ 7,387 $ 6,854 Transition N/A $ 958.13 $ 823.83
Last Updated 3/7/2017
OSHPD ID NAME DPH NDPH
NICU as
Defined by
DHCS
OSHPD Rural
Hospital
DHCS
Designated
Remote Rural
Hospital
SFY 14/15
Cost-to-
Charge Ratio
SFY 14/15
Wage Index
Value
SFY 14/15
Unadjusted
Statewide
Base Rate
SFY 14/15
Wage
Adjusted
Statewide
Base Rate
SFY 14/15
Hospital-
Specific
Transition
Base Rate
Transition/ Non-
Transition
SFY 14/15
Rehab
Rate
SFY 14/15
Subacute 190
Rate
SFY 14/15
Subacute 199
Rate
106191227 LAC-HARBOR-UCLA MED CTR Yes No Yes No No 34.23% 1.2477 $ 6,289 $ 7,373 N/A N/A N/A N/A N/A
106191231 LAC-OLIVE VIEW-UCLA MED CTR Yes No No No No 40.63% 1.2477 $ 6,289 $ 7,373 N/A N/A N/A N/A N/A
106191306 LAC-RANCHO LOS AMIGOS NATL REHAB CTR Yes No No No No 44.88% 1.2477 $ 6,289 $ 7,373 N/A N/A N/A N/A N/A
106191228 LAC-USC MED CTR Yes No Yes No No 40.68% 1.2477 $ 6,289 $ 7,373 N/A N/A N/A N/A N/A
106380865 LAGUNA HONDA HOSP AND REHAB CTR Yes No No No No 58.43% 1.6269 $ 6,289 $ 9,033 N/A N/A N/A N/A N/A
106190240 LAKEWOOD REG MED CTR No No No No No 15.01% 1.2477 $ 6,289 $ 7,373 $ 3,798 Transition $ 1,210 $ 958.13 $ 823.83
106190470 LITTLE CO OF MARY HOSP No No No No No 15.45% 1.2477 $ 6,289 $ 7,373 $ 6,878 Transition N/A $ 958.13 $ 823.83
106190680 LITTLE CO OF MARY-SAN PEDRO HOSP No No No No No 14.84% 1.2477 $ 6,289 $ 7,373 $ 5,937 Transition $ 1,210 $ 958.13 $ 823.83
106390923 LODI MEM HOSP No No No No No 13.04% 1.3505 $ 6,289 $ 7,823 $ 9,660 Transition $ 1,284 $ 958.13 $ 823.83
106390922 LODI MEM HOSP - WEST No No No No No 13.04% 1.3505 $ 6,289 $ 7,823 $ 9,660 Transition $ 1,284 $ 958.13 $ 823.83
106334589 LOMA LINDA MURRIETTA No No No No No 35.48% 1.2477 $ 6,289 $ 7,373 $ 6,202 Transition N/A $ 958.13 $ 823.83
106364502 LOMA LINDA UNIV CHILDRENS HOSP No No Yes No No 18.27% 1.2477 $ 6,289 $ 7,373 $ 6,202 Transition $ 2,158 $ 958.13 $ 823.83
106364268 LOMA LINDA UNIV HEART AND SURGICAL HOSPITAL No No Yes No No 18.27% 1.2477 $ 6,289 $ 7,373 $ 6,202 Transition $ 1,478 $ 958.13 $ 823.83
106361245 LOMA LINDA UNIV MED CTR No No Yes No No 18.27% 1.2477 $ 6,289 $ 7,373 $ 6,202 Transition $ 1,478 $ 958.13 $ 823.83
106361246 LOMA LINDA UNIV MED CTR No No Yes No No 18.27% 1.2477 $ 6,289 $ 7,373 $ 6,202 Transition $ 1,478 $ 958.13 $ 823.83
106420491 LOMPOC HCARE DIST No Yes No Yes Yes 99.36% 1.2488 $ 10,640 $ 12,482 N/A Non-Transition N/A $ 958.13 $ 823.83
106190525 LONG BEACH MEM MED CTR No No No No No 20.20% 1.2477 $ 6,289 $ 7,373 N/A Non-Transition $ 1,613 $ 958.13 $ 823.83
106301248 LOS ALAMITOS MED CTR No No No No No 20.24% 1.2508 $ 6,289 $ 7,387 $ 4,467 Transition N/A $ 958.13 $ 823.83
106560492 LOS ROBLES HOSP AND MED CTR No No No No No 21.50% 1.3019 $ 6,289 $ 7,610 $ 4,399 Transition $ 1,249 $ 958.13 $ 823.83
106564018 LOS ROBLES HOSP AND MED CTR-EAST CAMPUS No No No No No 21.50% 1.3019 $ 6,289 $ 7,610 $ 4,399 Transition $ 1,249 $ 958.13 $ 823.83
106434040 LSP CHILDRENS HOSP AT STANFORD No No Yes No No 21.64% 1.665 $ 6,289 $ 9,200 $ 5,315 Transition N/A $ 958.13 $ 823.83
106121002 MAD RIVER COMM HOSP No No No No No 40.63% 1.2477 $ 6,289 $ 7,373 $ 10,089 Transition N/A $ 958.13 $ 823.83
106201281 MADERA COMM HOSP No No No No No 52.75% 1.2477 $ 6,289 $ 7,373 N/A Non-Transition N/A $ 958.13 $ 823.83
106260011 MAMMOTH HOSP No Yes No Yes Yes 82.57% 1.2477 $ 10,640 $ 12,474 $ 43,404 Transition N/A $ 958.13 $ 823.83
106420493 MARIAN MED CTR No No No No No 27.66% 1.2488 $ 6,289 $ 7,378 $ 9,906 Transition N/A $ 958.13 $ 823.83
106211006 MARIN GEN HOSP No Yes No No No 24.93% 1.6337 $ 6,289 $ 9,063 $ 8,736 Transition N/A $ 958.13 $ 823.83
106050932 MARK TWAIN ST JOSEPHS HOSP No No No Yes Yes 37.16% 1.2477 $ 10,640 $ 12,474 $ 13,381 Transition N/A $ 958.13 $ 823.83
106090933 MARSHALL MED CTR No No No Yes Yes 20.02% 1.4887 $ 10,640 $ 14,259 N/A Non-Transition N/A $ 958.13 $ 823.83
106191230 MARTIN LUTHER KING, JR. COMM HOSP No No No No No 21.90% 1.2477 $ 6,289 $ 7,373 N/A Non-Transition N/A $ 958.13 $ 823.83
106450936 MAYERS MEM HOSP No Yes No Yes Yes 73.41% 1.439 $ 10,640 $ 13,891 N/A Non-Transition N/A $ 958.13 $ 823.83
106240924 MEM HOSP LOS BANOS No No No Yes Yes 33.84% 1.2477 $ 10,640 $ 12,474 $ 15,313 Transition N/A $ 958.13 $ 823.83
106500939 MEM HOSP MED CTR-MODESTO No No No No No 22.07% 1.3401 $ 6,289 $ 7,778 $ 5,564 Transition N/A $ 958.13 $ 823.83
106190521 MEM HOSP OF GARDENA No No No No No 20.86% 1.2477 $ 6,289 $ 7,373 $ 4,422 Transition N/A $ 958.13 $ 805.02
106231013 MENDOCINO COAST DIST HOSP No Yes No Yes Yes 48.68% 1.2477 $ 10,640 $ 12,474 $ 14,422 Transition N/A $ 958.13 $ 823.83
106334018 MENIFEE VALLEY MED CTR No No No No No 35.92% 1.2477 $ 6,289 $ 7,373 $ 4,854 Transition N/A $ 958.13 $ 823.83
106414018 MENLO PARK SURGICAL HOSP No No No No No 100.00% 1.6356 $ 6,289 $ 9,071 N/A Non-Transition N/A $ 958.13 $ 823.83
106340947 MERCY GEN HOSP No No No No No 22.70% 1.4887 $ 6,289 $ 8,428 $ 5,693 Transition $ 1,383 $ 958.13 $ 823.83
106344029 MERCY HOSP OF FOLSOM No No No No No 27.59% 1.4887 $ 6,289 $ 8,428 $ 4,881 Transition N/A $ 958.13 $ 823.83
Last Updated 3/7/2017
OSHPD ID NAME DPH NDPH
NICU as
Defined by
DHCS
OSHPD Rural
Hospital
DHCS
Designated
Remote Rural
Hospital
SFY 14/15
Cost-to-
Charge Ratio
SFY 14/15
Wage Index
Value
SFY 14/15
Unadjusted
Statewide
Base Rate
SFY 14/15
Wage
Adjusted
Statewide
Base Rate
SFY 14/15
Hospital-
Specific
Transition
Base Rate
Transition/ Non-
Transition
SFY 14/15
Rehab
Rate
SFY 14/15
Subacute 190
Rate
SFY 14/15
Subacute 199
Rate
106150761 MERCY HOSP-BAKERSFIELD No No No No No 23.50% 1.2477 $ 6,289 $ 7,373 $ 8,568 Transition N/A $ 958.13 $ 823.83
106240942 MERCY MED CTR MERCED No No No No No 24.95% 1.2879 $ 6,289 $ 7,549 N/A Non-Transition N/A $ 958.13 $ 823.83
106470871 MERCY MED CTR-MT SHASTA No No No Yes Yes 64.72% 1.2477 $ 10,640 $ 12,474 N/A Non-Transition N/A $ 958.13 $ 823.83
106450949 MERCY MED CTR-REDDING No No No No No 25.36% 1.439 $ 6,289 $ 8,211 $ 10,800 Transition N/A $ 958.13 $ 823.83
106340950 MERCY SAN JUAN HOSP No No No No No 22.19% 1.4887 $ 6,289 $ 8,428 $ 7,856 Transition N/A $ 958.13 $ 823.83
106154108 MERCY SOUTHWEST HOSPITAL No No No No No 23.50% 1.2477 $ 6,289 $ 7,373 $ 8,568 Transition N/A $ 958.13 $ 823.83
106340951 METHODIST HOSP OF SACRAMENTO No No No No No 20.09% 1.4887 $ 6,289 $ 8,428 $ 8,015 Transition N/A $ 958.13 $ 823.83
106190529 METHODIST HOSP OF SO CAL No No No No No 22.45% 1.2477 $ 6,289 $ 7,373 $ 6,382 Transition $ 1,210 $ 958.13 $ 823.83
106196168 MILLER CHILDRENS HOSP No No Yes No No 27.38% 1.2477 $ 6,289 $ 7,373 $ 8,890 Transition N/A $ 958.13 $ 823.83
106410742 MILLS HEALTH CENTER No No No No No 27.70% 1.6356 $ 6,289 $ 9,071 $ 15,642 Transition N/A $ 958.13 $ 823.83
106410852 MILLS PENINSULA No No No No No 27.70% 1.6356 $ 6,289 $ 9,071 $ 15,642 Transition N/A $ 958.13 $ 823.83
106190681 MIRACLE MILE No No No No No 100.00% 1.2477 $ 6,289 $ 7,373 N/A Non-Transition N/A $ 958.13 $ 823.83
106190524 MISSION COMM HOSP-PANORAMA CAMPUS No No No No No 36.49% 1.2477 $ 6,289 $ 7,373 $ 3,786 Transition N/A $ 958.13 $ 823.83
106301337 MISSION HOSP LAGUNA BEACH No No No No No 53.05% 1.2508 $ 6,289 $ 7,387 N/A Non-Transition N/A $ 958.13 $ 823.83
106301262 MISSION HOSP REG MED CTR No No No No No 53.05% 1.2508 $ 6,289 $ 7,387 $ 15,211 Transition $ 1,212 $ 958.13 $ 823.83
106250956 MODOC MED CTR No Yes No Yes Yes 49.91% 1.2477 $ 10,640 $ 12,474 $ 10,503 Transition N/A $ 958.13 $ 823.83
106190541 MONROVIA MEM HOSP No No No No No 100.00% 1.2477 $ 6,289 $ 7,373 N/A Non-Transition N/A $ 958.13 $ 823.83
106361166 MONTCLAIR HOSP MED CTR No No No No No 27.47% 1.2477 $ 6,289 $ 7,373 $ 5,666 Transition N/A $ 958.13 $ 823.83
106190547 MONTEREY PARK HOSP No No No No No 12.85% 1.2477 $ 6,289 $ 7,373 $ 5,623 Transition N/A $ 958.13 $ 823.83
106361266 MOUNTAINS COMM HOSP No Yes No Yes Yes 59.86% 1.2477 $ 10,640 $ 12,474 $ 14,373 Transition N/A $ 958.13 $ 823.83
106274043 NATIVIDAD MED CTR Yes No No No No 19.12% 1.5678 $ 6,289 $ 8,774 N/A N/A N/A N/A N/A
106481357 NORTH BAY MEDICAL CENTER No No No No No 19.63% 1.6215 $ 6,289 $ 9,009 $ 17,018 Transition N/A $ 958.13 $ 823.83
106484001 NORTH BAY VACAVALLEY HOSP No No No No No 19.63% 1.6215 $ 6,289 $ 9,009 N/A Non-Transition N/A $ 958.13 $ 823.83
106141273 NORTHERN INYO HOSP No Yes No Yes Yes 82.54% 1.2477 $ 10,640 $ 12,474 $ 25,684 Transition N/A $ 958.13 $ 823.83
106190568 NORTHRIDGE HOSP MED CTR No No No No No 18.72% 1.3019 $ 6,289 $ 7,610 N/A Non-Transition $ 1,701 $ 958.13 $ 823.83
106190570 NORWALK COMMUNITY HOSPITAL No No No No No 16.51% 1.2477 $ 6,289 $ 7,373 $ 7,037 Transition N/A $ 958.13 $ 823.83
106214034 NOVATO COMM HOSP No No No No No 30.80% 1.6337 $ 6,289 $ 9,063 $ 6,102 Transition N/A $ 958.13 $ 823.83
106500967 OAK VALLEY DIST HOSP No Yes No Yes No 34.65% 1.3401 $ 6,289 $ 7,778 $ 4,806 Transition N/A $ 958.13 $ 823.83
106430837 O'CONNOR HOSP-SAN JOSE No No No No No 23.75% 1.665 $ 6,289 $ 9,200 $ 4,875 Transition N/A $ 958.13 $ 823.83
106560501 OJAI VALLEY COMM HOSP No No No Yes Yes 24.36% 1.3019 $ 10,640 $ 12,876 N/A Non-Transition N/A $ 958.13 $ 823.83
106190534 OLYMPIA MED CTR No No No No No 7.05% 1.2477 $ 6,289 $ 7,373 $ 6,505 Transition N/A $ 958.13 $ 823.83
106300225 ORANGE COAST MEM MED CTR No No No No No 27.49% 1.2508 $ 6,289 $ 7,387 $ 21,067 Transition N/A $ 958.13 $ 823.83
106040937 OROVILLE HOSP No No No No No 17.92% 1.2477 $ 6,289 $ 7,373 $ 5,976 Transition N/A $ 958.13 $ 823.83
106190307 PACIFIC ALLIANCE MED CTR No No No No No 42.99% 1.2477 $ 6,289 $ 7,373 N/A Non-Transition $ 1,210 $ 958.13 $ 823.83
106190696 PACIFICA HOSP OF THE VALLEY No No No No No 41.44% 1.2477 $ 6,289 $ 7,373 $ 5,384 Transition N/A $ 958.13 $ 815.30
106491338 PALM DRIVE HOSP No Yes No Yes No 56.51% 1.6337 $ 6,289 $ 9,063 $ 12,583 Transition N/A $ 958.13 $ 823.83
106196405 PALMDALE REGIONAL MEDICAL CTR No No No No No 18.96% 1.2477 $ 6,289 $ 7,373 $ 7,920 Transition $ 1,210 $ 958.13 $ 823.83
106331288 PALO VERDE HOSP No Yes No Yes Yes 45.76% 1.2477 $ 10,640 $ 12,474 $ 16,470 Transition N/A $ 958.13 $ 823.83
Last Updated 3/7/2017
OSHPD ID NAME DPH NDPH
NICU as
Defined by
DHCS
OSHPD Rural
Hospital
DHCS
Designated
Remote Rural
Hospital
SFY 14/15
Cost-to-
Charge Ratio
SFY 14/15
Wage Index
Value
SFY 14/15
Unadjusted
Statewide
Base Rate
SFY 14/15
Wage
Adjusted
Statewide
Base Rate
SFY 14/15
Hospital-
Specific
Transition
Base Rate
Transition/ Non-
Transition
SFY 14/15
Rehab
Rate
SFY 14/15
Subacute 190
Rate
SFY 14/15
Subacute 199
Rate
106370755 PALOMAR MED CTR No Yes No No No 24.29% 1.2477 $ 6,289 $ 7,373 $ 6,525 Transition $ 1,210 $ 958.13 $ 823.83
106370759 PARADISE VALLEY HOSP No No No No No 21.39% 1.2477 $ 6,289 $ 7,373 $ 4,093 Transition $ 1,210 $ 958.13 $ 823.83
106331293 PARKVIEW COMM HOSP MED CTR No No No No No 26.75% 1.2477 $ 6,289 $ 7,373 N/A Non-Transition N/A $ 958.13 $ 823.83
106454013 PATIENTS HOSP OF REDDING No No No No No 25.51% 1.439 $ 6,289 $ 8,211 N/A Non-Transition N/A $ 958.13 $ 823.83
106410852 PENINSULA MED CTR No No No No No 31.44% 1.6356 $ 6,289 $ 9,071 $ 15,642 Transition N/A $ 958.13 $ 823.83
106491001 PETALUMA VALLEY HOSP No No No No No 23.31% 1.6337 $ 6,289 $ 9,063 $ 14,204 Transition N/A $ 958.13 $ 823.83
106130760 PIONEERS MEM HOSP No Yes No Yes No 31.33% 1.2477 $ 6,289 $ 7,373 $ 10,643 Transition N/A $ 958.13 $ 823.83
106301297 PLACENTIA LINDA HOSP No No No No No 17.16% 1.2508 $ 6,289 $ 7,387 N/A Non-Transition N/A $ 958.13 $ 823.83
106320986 PLUMAS DIST HOSP No Yes No Yes Yes 66.79% 1.2477 $ 10,640 $ 12,474 N/A Non-Transition N/A $ 958.13 $ 823.83
106370977 POMERADO HOSP No Yes No No No 29.25% 1.2477 $ 6,289 $ 7,373 $ 6,299 Transition N/A $ 958.13 $ 823.83
106190630 POMONA VALLEY HOSP MED CTR No No Yes No No 15.49% 1.2477 $ 6,289 $ 7,373 N/A Non-Transition N/A $ 958.13 $ 823.83
106190631 PRESBYTERIAN INTERCOMM HOSP No No No No No 12.88% 1.2477 $ 6,289 $ 7,373 $ 10,298 Transition $ 1,210 $ 958.13 $ 823.83
106190468 PROMISE HOSP OF EAST LA-EAST LA No No No No No 21.00% 1.2477 $ 6,289 $ 7,373 N/A Non-Transition N/A $ 958.13 $ 823.83
106190599 PROMISE HOSP OF EAST LA-EAST LA-SUBURBAN CAMPUS No No No No No 21.00% 1.2477 $ 6,289 $ 7,373 N/A Non-Transition N/A $ 958.13 $ 823.83
106370787 PROMISE HOSP OF SAN DIEGO No No No No No 36.60% 1.2477 $ 6,289 $ 7,373 N/A Non-Transition N/A $ 958.13 $ 823.83
106190385 PROVIDENCE HOLY CROSS MED CTR No No No No No 10.80% 1.2477 $ 6,289 $ 7,373 $ 6,016 Transition $ 1,210 $ 958.13 $ 823.30
106190758 PROVIDENCE ST JOSEPH MED CTR No No No No No 13.62% 1.2477 $ 6,289 $ 7,373 $ 6,768 Transition $ 1,210 $ 958.13 $ 823.83
106190517 PROVIDENCE TARZANA MED CTR No No Yes No No 18.42% 1.3019 $ 6,289 $ 7,610 N/A Non-Transition N/A $ 958.13 $ 823.83
106281047 QUEEN OF THE VALLEY HOSP-NAPA No No No No No 32.79% 1.6337 $ 6,289 $ 9,063 $ 18,596 Transition $ 1,487 $ 958.13 $ 823.83
106361308 REDLANDS COMM HOSP No No No No No 20.49% 1.2477 $ 6,289 $ 7,373 N/A Non-Transition N/A $ 958.13 $ 823.83
106121051 REDWOOD MEM HOSP No No No Yes Yes 38.06% 1.2477 $ 10,640 $ 12,474 N/A Non-Transition N/A $ 958.13 $ 823.83
106100797 REEDLEY COMMUNITY HOSPITAL No No No Yes Yes 43.60% 1.2477 $ 10,640 $ 12,474 $ 8,386 Transition N/A $ 958.13 $ 823.83
106430705 REG MED CTR OF SAN JOSE No No No No No 20.18% 1.665 $ 6,289 $ 9,200 $ 14,221 Transition N/A $ 958.13 $ 823.83
106424047 REHAB INSTITUTE OF SANTA BARBARA No No No No No 37.00% 1.2488 N/A N/A N/A N/A $ 1,211 $ 958.13 $ 823.83
106580996 RIDEOUT MEM HOSP No No No No No 24.45% 1.2799 $ 6,289 $ 7,514 $ 12,345 Transition N/A $ 958.13 $ 823.83
106150782 RIDGECREST REG HOSP No No No Yes Yes 46.27% 1.2477 $ 10,640 $ 12,474 N/A Non-Transition N/A $ 958.13 $ 823.83
106334487 RIVERSIDE CO REG MED CTR Yes No No No No 25.77% 1.2477 $ 6,289 $ 7,373 N/A N/A N/A N/A N/A
106331312 RIVERSIDE COMM HOSP No No No No No 17.02% 1.2477 $ 6,289 $ 7,373 $ 5,688 Transition N/A $ 958.13 $ 823.83
106301317 SADDLEBACK MEM MED CTR No No No No No 23.80% 1.2508 $ 6,289 $ 7,387 $ 13,563 Transition $ 1,212 $ 958.13 $ 823.83
106301325 SADDLEBACK MEM MED CTR-SAN CLEMENTE No No No No No 23.80% 1.2508 $ 6,289 $ 7,387 $ 13,563 Transition $ 1,212 $ 958.13 $ 823.83
106270875 SALINAS VALLEY MEM HOSP No Yes No No No 44.73% 1.665 $ 6,289 $ 9,200 N/A Non-Transition N/A $ 958.13 $ 823.83
106361318 SAN ANTONIO COMM HOSP No No No No No 23.06% 1.2477 $ 6,289 $ 7,373 $ 9,772 Transition N/A $ 958.13 $ 823.83
106190673 SAN DIMAS COMM HOSP No No No No No 20.23% 1.2477 $ 6,289 $ 7,373 $ 13,031 Transition N/A $ 958.13 $ 823.83
106190200 SAN GABRIEL VALLEY MED CTR No No No No No 18.36% 1.2477 $ 6,289 $ 7,373 $ 6,564 Transition N/A $ 958.13 $ 823.83
106331326 SAN GORGONIO MEM HOSP No Yes No Yes Yes 31.39% 1.2477 $ 10,640 $ 12,474 N/A Non-Transition N/A $ 958.13 $ 823.83
106150788 SAN JOAQUIN COMM HOSP No No No No No 21.85% 1.2477 $ 6,289 $ 7,373 $ 7,804 Transition N/A $ 958.13 $ 823.83
106391010 SAN JOAQUIN GEN HOSP Yes No No No No 22.25% 1.3505 $ 6,289 $ 7,823 N/A N/A N/A N/A N/A
106104023 SAN JOAQUIN VALLEY REHAB HOSP No No No No No 57.14% 1.2477 N/A N/A N/A Non-Transition $ 1,401 $ 958.13 $ 823.83
Last Updated 3/7/2017
OSHPD ID NAME DPH NDPH
NICU as
Defined by
DHCS
OSHPD Rural
Hospital
DHCS
Designated
Remote Rural
Hospital
SFY 14/15
Cost-to-
Charge Ratio
SFY 14/15
Wage Index
Value
SFY 14/15
Unadjusted
Statewide
Base Rate
SFY 14/15
Wage
Adjusted
Statewide
Base Rate
SFY 14/15
Hospital-
Specific
Transition
Base Rate
Transition/ Non-
Transition
SFY 14/15
Rehab
Rate
SFY 14/15
Subacute 190
Rate
SFY 14/15
Subacute 199
Rate
106013619 SAN LEANDRO HOSP No Yes No No No 39.67% 1.6215 $ 6,289 $ 9,009 $ 11,445 Transition N/A $ 958.13 $ 823.83
106410782 SAN MATEO MED CTR Yes No No No No 67.82% 1.6356 $ 6,289 $ 9,071 N/A N/A N/A N/A N/A
106074017 SAN RAMON REG MED CTR No No No No No 18.89% 1.6439 $ 6,289 $ 9,107 $ 15,365 Transition $ 1,494 $ 958.13 $ 823.83
106074011 SAN RAMON REG MED CTR SOUTH BUILDING No No No No No 18.89% 1.6439 $ 6,289 $ 9,107 $ 15,365 Transition $ 1,494 $ 958.13 $ 823.83
106420514 SANTA BARBARA COTTAGE HOSP No No Yes No No 41.95% 1.2488 $ 6,289 $ 7,378 $ 11,760 Transition $ 2,108 $ 958.13 $ 823.83
106430883 SANTA CLARA VALLEY MED CTR Yes No Yes No No 32.21% 1.7276 $ 6,289 $ 9,474 N/A N/A N/A N/A N/A
106190687 SANTA MONICA - UCLA MEDICAL CENTER Yes No No No No 31.85% 1.2477 $ 6,289 $ 7,373 N/A N/A N/A N/A N/A
106491064 SANTA ROSA MEM HOSP-MONTGOMERY No No No No No 20.08% 1.6337 $ 6,289 $ 9,063 $ 16,061 Transition $ 1,487 $ 958.13 $ 823.83
106490907 SANTA ROSA MEM HOSP-SOTOYOME No No No No No 20.08% 1.6337 $ 6,289 $ 9,063 $ 16,061 Transition $ 1,487 $ 958.13 $ 823.83
106420522 SANTA YNEZ VALLEY COTTAGE HOSP No No No Yes Yes 54.00% 1.2488 $ 10,640 $ 12,482 N/A Non-Transition N/A $ 958.13 $ 823.83
106371256 SCRIPPS GREEN HOSP No No No No No 20.85% 1.2477 $ 6,289 $ 7,373 N/A Non-Transition N/A $ 958.13 $ 823.83
106371394 SCRIPPS MEM HOSP-ENCINITAS No No No No No 24.78% 1.2477 $ 6,289 $ 7,373 $ 6,714 Transition $ 1,427 $ 958.13 $ 823.83
106370771 SCRIPPS MEM HOSP-LA JOLLA No No No No No 21.40% 1.2477 $ 6,289 $ 7,373 $ 3,984 Transition N/A $ 958.13 $ 823.83
106370744 SCRIPPS MERCY HOSP/CV No No No No No 22.59% 1.2477 $ 6,289 $ 7,373 $ 6,270 Transition N/A $ 958.13 $ 823.83
106370658 SCRIPPS MERCY HOSP-CHULA VISTA No No No No No 22.59% 1.2477 $ 6,289 $ 7,373 $ 6,270 Transition N/A $ 958.13 $ 823.83
106321016 SENECA HCARE DIST No Yes No Yes Yes 43.66% 1.2477 $ 10,640 $ 12,474 N/A Non-Transition N/A $ 958.13 $ 823.83
106410891 SEQUOIA HOSP No No No No No 19.12% 1.665 $ 6,289 $ 9,200 N/A Non-Transition N/A $ 958.13 $ 823.83
106410817 SETON MED CTR No No No No No 18.66% 1.6356 $ 6,289 $ 9,071 $ 7,686 Transition N/A $ 958.13 $ 823.83
106410828 SETON MED CTR-COASTSIDE No No No No No 18.66% 1.6356 $ 6,289 $ 9,071 $ 7,686 Transition N/A $ 958.13 $ 823.83
106380939 SF GENERAL HOSP Yes No No No No 27.44% 1.6269 $ 6,289 $ 9,033 N/A N/A N/A N/A N/A
106370875 SHARP CHULA VISTA MED CTR No No No No No 19.04% 1.2477 $ 6,289 $ 7,373 $ 6,155 Transition N/A $ 958.13 $ 823.83
106370689 SHARP CORONADO HOSP AND HCARE CTR No No No No No 22.48% 1.2477 $ 6,289 $ 7,373 N/A Non-Transition N/A $ 958.13 $ 706.89
106370695 SHARP MARY BIRCH HOSPITAL FOR WOMEN AND NEWBORNS No No No No No 20.56% 1.2477 $ 6,289 $ 7,373 N/A Non-Transition $ 1,424 $ 958.13 $ 823.83
106370694 SHARP MEM HOSP No No No No No 20.56% 1.2477 $ 6,289 $ 7,373 N/A Non-Transition $ 1,424 $ 958.13 $ 823.83
106370694 SHARP MEM HOSP No No No No No 20.56% 1.2477 $ 6,289 $ 7,373 N/A Non-Transition $ 1,424 $ 958.13 $ 823.83
106450940 SHASTA REG MED CTR No No No No No 15.88% 1.439 $ 6,289 $ 8,211 $ 8,443 Transition N/A $ 958.13 $ 823.83
106190708 SHERMAN OAKS HOSP No No No No No 22.14% 1.2477 $ 6,289 $ 7,373 N/A Non-Transition N/A $ 958.13 $ 823.83
106190712 SHRINERS HOSPITAL- LA No No No No No 37.82% 1.2477 $ 6,289 $ 7,373 N/A Non-Transition N/A $ 958.13 $ 823.83
106344114 SHRINERS HOSPITAL- SACRAMENTO No No No No No 34.35% 1.4887 $ 6,289 $ 8,429 N/A Non-Transition $ 2,467 $ 958.13 $ 823.83
106291023 SIERRA NEVADA MEM HOSP No No No Yes Yes 34.42% 1.4887 $ 10,640 $ 14,259 N/A Non-Transition N/A $ 958.13 $ 823.83
106540798 SIERRA VIEW DIST HOSP No Yes No No No 27.93% 1.2477 $ 6,289 $ 7,373 $ 9,195 Transition N/A $ 958.13 $ 776.82
106400524 SIERRA VIST REG MED CTR No No No No No 18.94% 1.2559 $ 6,289 $ 7,409 $ 5,186 Transition N/A $ 958.13 $ 823.83
106190661 SILVER LAKE MED CTR No No No No No 26.27% 1.2477 $ 6,289 $ 7,373 $ 5,392 Transition N/A $ 958.13 $ 823.83
106560525 SIMI VALLEY HOSP AND HCARE-SYCAMORE No No No No No 29.97% 1.3019 $ 6,289 $ 7,610 N/A Non-Transition N/A $ 958.13 $ 823.83
106491076 SONOMA VALLEY HOSP No Yes No No No 49.31% 1.6337 $ 6,289 $ 9,063 $ 13,784 Transition N/A $ 958.13 $ 823.83
106554011 SONORA REG MED CTR No No No Yes Yes 21.09% 1.315 $ 10,640 $ 12,973 N/A Non-Transition N/A $ 958.13 $ 823.83
106190110 SOUTHERN CA HOSPITAL AT CULVER CITY No No No No No 12.36% 1.2477 $ 6,289 $ 7,373 $ 4,132 Transition $ 1,210 $ 958.13 $ 823.83
106190380 SOUTHERN CA HOSPITAL AT HOLLYWOOD No No No No No 18.08% 1.2477 $ 6,289 $ 7,373 $ 5,297 Transition $ 1,210 $ 958.13 $ 823.83
Last Updated 3/7/2017
OSHPD ID NAME DPH NDPH
NICU as
Defined by
DHCS
OSHPD Rural
Hospital
DHCS
Designated
Remote Rural
Hospital
SFY 14/15
Cost-to-
Charge Ratio
SFY 14/15
Wage Index
Value
SFY 14/15
Unadjusted
Statewide
Base Rate
SFY 14/15
Wage
Adjusted
Statewide
Base Rate
SFY 14/15
Hospital-
Specific
Transition
Base Rate
Transition/ Non-
Transition
SFY 14/15
Rehab
Rate
SFY 14/15
Subacute 190
Rate
SFY 14/15
Subacute 199
Rate
106141338 SOUTHERN INYO HOSP No Yes No Yes Yes 64.34% 1.2477 $ 10,640 $ 12,474 N/A Non-Transition N/A $ 958.13 $ 823.83
106334068 SOUTHWEST HCARE SYSTEM No No No No No 51.83% 1.2477 $ 6,289 $ 7,373 $ 4,949 Transition N/A $ 958.13 $ 823.83
106334001 SOUTHWEST HCARE SYSTEM-WILDOMAR No No No No No 51.83% 1.2477 $ 6,289 $ 7,373 $ 4,949 Transition N/A $ 958.13 $ 823.83
106100899 ST AGNES MED CTR No No No No No 25.56% 1.2477 $ 6,289 $ 7,373 $ 8,359 Transition N/A $ 958.13 $ 823.83
106361339 ST BERNARDINE MED CTR No No No No No 24.96% 1.2477 $ 6,289 $ 7,373 $ 5,738 Transition N/A $ 958.13 $ 823.83
106521041 ST ELIZABETH COMM HOSP No No No Yes Yes 29.10% 1.3913 $ 10,640 $ 13,538 $ 11,891 Transition N/A $ 958.13 $ 823.83
106190754 ST FRANCIS MED CTR No No No No No 43.50% 1.2477 $ 6,289 $ 7,373 $ 5,923 Transition N/A $ 958.13 $ 823.83
106380960 ST FRANCIS MEM HOSP No No No No No 21.67% 1.6269 $ 6,289 $ 9,033 $ 4,831 Transition $ 1,482 $ 958.13 $ 823.83
106281078 ST HELENA HOSP No No No No No 22.02% 1.5215 $ 6,289 $ 8,572 $ 10,277 Transition N/A $ 958.13 $ 823.83
106560508 ST JOHN'S PLEASANT VALLEY HOSP No No No No No 14.94% 1.3019 $ 6,289 $ 7,610 N/A Non-Transition N/A $ 958.13 $ 823.83
106560529 ST JOHN'S REG MED CTR No No No No No 30.21% 1.3019 $ 6,289 $ 7,610 $ 6,606 Transition $ 1,802 $ 958.13 $ 823.83
106121080 ST JOSEPH HOSP-EUREKA No No No No No 26.61% 1.3913 $ 6,289 $ 8,002 $ 10,223 Transition $ 1,534 $ 958.13 $ 823.83
106301340 ST JOSEPH HOSP-ORANGE No No No No No 30.74% 1.2508 $ 6,289 $ 7,387 $ 4,987 Transition N/A $ 958.13 $ 823.83
106391042 ST JOSEPHS MED CTR OF STOCKTON No No No No No 20.77% 1.6215 $ 6,289 $ 9,009 N/A Non-Transition N/A $ 958.13 $ 823.83
106301342 ST JUDE MED CTR No No No No No 21.39% 1.2508 $ 6,289 $ 7,387 $ 5,559 Transition $ 1,212 $ 958.13 $ 823.83
106434138 ST LOUISE REG HOSP No No No No No 23.53% 1.665 $ 6,289 $ 9,200 $ 17,277 Transition N/A $ 958.13 $ 823.83
106380964 ST LUKES HOSP No No No No No 30.41% 1.6269 $ 6,289 $ 9,033 $ 8,208 Transition N/A $ 958.13 $ 823.83
106190053 ST MARY MED CTR No No No No No 23.37% 1.2477 $ 6,289 $ 7,373 N/A Non-Transition $ 1,210 $ 958.13 $ 823.83
106361343 ST MARY REG MED CTR No No No Yes No 24.06% 1.2477 $ 6,289 $ 7,373 $ 10,422 Transition N/A $ 958.13 $ 823.83
106380965 ST MARYS MED CTR-SF No No No No No 16.87% 1.6269 $ 6,289 $ 9,033 $ 4,733 Transition $ 1,482 $ 958.13 $ 823.83
106010967 ST ROSE HOSP No No No No No 20.94% 1.665 $ 6,289 $ 9,200 $ 7,192 Transition N/A $ 958.13 $ 823.83
106190762 ST VINCENT MED CTR No No No No No 19.05% 1.2477 $ 6,289 $ 7,373 $ 4,465 Transition $ 1,210 $ 958.13 $ 823.83
106171049 ST. HELENA HOSPITAL - CLEARLAKE No No No Yes Yes 39.45% 1.2477 $ 10,640 $ 12,474 $ 16,001 Transition N/A $ 958.13 $ 823.83
106190756 ST. JOHN'S HEALTH CTR No No No No No 31.02% 1.2477 $ 6,289 $ 7,373 N/A Non-Transition N/A $ 958.13 $ 823.83
106430905 STANFORD HOSP No No No No No 19.35% 1.665 $ 6,289 $ 9,200 $ 5,094 Transition $ 1,510 $ 958.13 $ 823.83
106504038 STANISLAUS SURGICAL HOSP No No No No No 90.00% 1.3401 $ 6,289 $ 7,778 N/A Non-Transition N/A $ 958.13 $ 823.83
106250955 SURPRISE VALLEY COMM HOSP No Yes No Yes Yes 89.00% 1.2477 $ 10,640 $ 12,474 N/A Non-Transition N/A $ 958.13 $ 823.83
106034002 SUTTER AMADOR HOSP No No No Yes Yes 32.04% 1.2773 $ 10,640 $ 12,694 N/A Non-Transition N/A $ 958.13 $ 823.83
106310791 SUTTER AUBURN FAITH HOSP No No No No No 25.87% 1.4887 $ 6,289 $ 8,428 $ 12,522 Transition N/A $ 958.13 $ 823.83
106084001 SUTTER COAST HOSP No No No Yes Yes 39.94% 1.2477 $ 10,640 $ 12,474 $ 13,037 Transition N/A $ 958.13 $ 823.83
106574010 SUTTER DAVIS HOSP No No No No No 41.08% 1.4887 $ 6,289 $ 8,428 $ 15,109 Transition N/A $ 958.13 $ 823.83
106070934 SUTTER DELTA MED CTR No No No No No 24.73% 1.6439 $ 6,289 $ 9,107 $ 12,853 Transition N/A $ 958.13 $ 823.83
106341051 SUTTER GEN HOSP No No Yes No No 23.22% 1.5558 $ 6,289 $ 8,722 $ 6,926 Transition N/A $ 958.13 $ 823.83
106171395 SUTTER LAKESIDE HOSP No No No Yes Yes 34.52% 1.2477 $ 10,640 $ 12,474 $ 15,154 Transition N/A $ 958.13 $ 823.83
106444012 SUTTER MATERNITY AND SRG CTR OF S CRUZ No No No No No 56.79% 1.7276 $ 6,289 $ 9,474 $ 22,474 Transition N/A $ 958.13 $ 823.83
106490919 SUTTER MED CTR OF SANTA ROSA No No No No No 34.58% 1.6337 $ 6,289 $ 9,063 $ 16,156 Transition N/A $ 958.13 $ 823.83
106341052 SUTTER MEMORIAL HOSPITAL No No Yes No No 23.22% 1.5558 $ 6,289 $ 8,722 $ 6,926 Transition N/A $ 958.13 $ 823.83
106311000 SUTTER ROSEVILLE MED CTR No No No No No 24.31% 1.4887 $ 6,289 $ 8,428 $ 12,047 Transition $ 1,383 $ 958.13 $ 823.83
Last Updated 3/7/2017
OSHPD ID NAME DPH NDPH
NICU as
Defined by
DHCS
OSHPD Rural
Hospital
DHCS
Designated
Remote Rural
Hospital
SFY 14/15
Cost-to-
Charge Ratio
SFY 14/15
Wage Index
Value
SFY 14/15
Unadjusted
Statewide
Base Rate
SFY 14/15
Wage
Adjusted
Statewide
Base Rate
SFY 14/15
Hospital-
Specific
Transition
Base Rate
Transition/ Non-
Transition
SFY 14/15
Rehab
Rate
SFY 14/15
Subacute 190
Rate
SFY 14/15
Subacute 199
Rate
106481094 SUTTER SOLANO MED CTR No No No No No 34.45% 1.6337 $ 6,289 $ 9,063 $ 19,067 Transition N/A $ 958.13 $ 823.83
106514030 SUTTER SURG HOSP-NORTH VALLEY No No No No No 34.49% 1.2477 $ 6,289 $ 7,373 N/A Non-Transition N/A $ 958.13 $ 823.83
106391056 SUTTER TRACY COMM HOSP No No No No No 24.81% 1.3505 $ 6,289 $ 7,823 $ 5,703 Transition N/A $ 958.13 $ 823.83
106291053 TAHOE FOREST HOSP No Yes No Yes Yes 51.20% 1.4887 $ 10,640 $ 14,259 $ 19,375 Transition N/A $ 958.13 $ 823.83
106150808 TEHACHAPI HOSP No Yes No Yes Yes 98.00% 1.2477 $ 10,640 $ 12,474 $ 21,746 Transition N/A $ 958.13 $ 823.83
106334564 TEMECULA VALLEY HOSPITAL No No No No No 22.30% 1.2477 $ 6,289 $ 7,373 N/A Non-Transition N/A $ 958.13 $ 823.83
106190784 TEMPLE COMM HOSP No No No No No 23.15% 1.2477 $ 6,289 $ 7,373 N/A Non-Transition N/A $ 958.13 $ 823.83
106120981 THE GENERAL HOSPITAL No No No No No 26.61% 1.3913 N/A N/A N/A Non-Transition $ 1,534 $ 958.13 $ 823.83
106564121 THOUSAND OAKS SURGICAL HOSPITAL No No No No No 21.50% 1.3019 $ 6,289 $ 7,610 $ 4,399 Transition $ 1,249 $ 958.13 $ 823.83
106190422 TORRANCE MEM MED CTR No No No No No 19.77% 1.2477 $ 6,289 $ 7,373 $ 5,605 Transition N/A $ 958.13 $ 823.83
106364451 TOTALLY KIDS REHAB HOSP No No No No No 21.90% 1.2477 $ 1 $ 1 N/A N/A $ 2,158 $ 958.13 $ 823.83
106370780 TRI-CITY MED CTR No Yes No No No 34.13% 1.2477 $ 6,289 $ 7,373 $ 8,384 Transition $ 1,210 $ 958.13 $ 823.83
106190159 TRI-CITY REG MED CTR No No No No No 27.08% 1.2477 $ 6,289 $ 7,373 $ 3,847 Transition N/A $ 958.13 $ 823.83
106531059 TRINITY HOSP No Yes No Yes Yes 69.63% 1.2477 $ 10,640 $ 12,474 $ 14,141 Transition N/A $ 958.13 $ 823.83
106540816 TULARE DIST HOSP No Yes No No No 34.21% 1.2477 $ 6,289 $ 7,373 $ 10,334 Transition N/A $ 958.13 $ 823.83
106400548 TWIN CITIES COMM HOSP No No No Yes Yes 17.15% 1.2559 $ 10,640 $ 12,535 $ 6,375 Transition N/A $ 958.13 $ 823.83
106341006 UC DAVIS MED CTR Yes No Yes No No 19.71% 1.4887 $ 6,289 $ 8,428 N/A N/A N/A N/A N/A
106301279 UC IRVINE MED CTR Yes No Yes No No 21.37% 1.2508 $ 6,289 $ 7,387 N/A N/A N/A N/A N/A
106190796 UCLA MED CTR Yes No Yes No No 32.75% 1.2477 $ 6,289 $ 7,373 N/A N/A N/A N/A N/A
106370782 UCSD MED CTR Yes No Yes No No 74.13% 1.2477 $ 6,289 $ 7,373 N/A N/A N/A N/A N/A
106370782 UCSD MED CTR Yes No Yes No No 74.13% 1.2477 $ 6,289 $ 7,373 N/A N/A N/A N/A N/A
106374141 UCSD-LA JOLLA, JOHN M & SALLY B. THORNTON HOSPITAL Yes No Yes No No 74.13% 1.2477 $ 6,289 $ 7,373 N/A N/A N/A N/A N/A
106381154 UCSF MED CTR Yes No Yes No No 58.43% 1.6269 $ 6,289 $ 9,033 N/A N/A N/A N/A N/A
106380895 UCSF MED CTR AT MOUNT ZION Yes No Yes No No 58.43% 1.6269 $ 6,289 $ 9,033 N/A N/A N/A N/A N/A
106231396 UKIAH VALLEY MED CTR/HOSP DR No No No Yes Yes 34.86% 1.2477 $ 10,640 $ 12,474 N/A Non-Transition N/A $ 958.13 $ 823.83
106191216 USC KENNETH NORRIS JR CANCER HOSP No No No No No 16.80% 1.2477 $ 6,289 $ 7,373 N/A Non-Transition N/A $ 958.13 $ 823.83
106194219 USC UNIVERSITY HOSP No No No No No 16.80% 1.2477 $ 6,289 $ 7,373 $ 4,134 Transition $ 1,210 $ 958.13 $ 823.83
106014050 VALLEY CARE MEDICAL CENTER No No No No No 20.93% 1.665 $ 6,289 $ 9,200 $ 15,059 Transition N/A $ 958.13 $ 823.83
106010983 VALLEY MEM HOSP-LIVERMORE No No No No No 20.93% 1.665 $ 6,289 $ 9,200 $ 15,059 Transition N/A $ 958.13 $ 823.83
106190812 VALLEY PRES HOSP No No No No No 31.73% 1.2477 $ 6,289 $ 7,373 N/A Non-Transition $ 1,210 $ 958.13 $ 823.83
106560481 VENTURA CO MED CTR Yes No Yes No No 25.35% 1.3019 $ 6,289 $ 7,610 N/A N/A N/A N/A N/A
106560521 VENTURA CO MED CTR-SANTA PAULA HOSPITAL Yes No Yes No No 25.35% 1.3019 $ 6,289 $ 7,610 N/A N/A N/A N/A N/A
106190818 VERDUGO HILLS HOSP No No No No No 25.31% 1.2477 $ 6,289 $ 7,373 $ 5,057 Transition N/A $ 958.13 $ 823.83
106454012 VIBRA HOSP OF NORTHERN CA No No No No No 43.00% 1.439 $ 6,289 $ 8,211 N/A Non-Transition $ 1,347 $ 958.13 $ 823.83
106344035 VIBRA HOSPITAL OF SACRAMENTO No No No No No 35.00% 1.4887 $ 6,289 $ 8,428 N/A Non-Transition N/A $ 958.13 $ 823.83
106374094 VIBRA OF SAN DIEGO No No No No No 27.76% 1.2477 $ 6,289 $ 7,373 N/A Non-Transition $ 1,210 $ 958.13 $ 823.83
106361370 VICTOR VALLEY GLOBAL MEDICAL CENTER No No No Yes No 36.90% 1.2477 $ 6,289 $ 7,373 $ 8,792 Transition N/A $ 958.13 $ 823.83
106010987 WASHINGTON HOSP-FREMONT No Yes No No No 20.81% 1.665 $ 6,289 $ 9,200 $ 5,701 Transition N/A $ 958.13 $ 823.83
Last Updated 3/7/2017
OSHPD ID NAME DPH NDPH
NICU as
Defined by
DHCS
OSHPD Rural
Hospital
DHCS
Designated
Remote Rural
Hospital
SFY 14/15
Cost-to-
Charge Ratio
SFY 14/15
Wage Index
Value
SFY 14/15
Unadjusted
Statewide
Base Rate
SFY 14/15
Wage
Adjusted
Statewide
Base Rate
SFY 14/15
Hospital-
Specific
Transition
Base Rate
Transition/ Non-
Transition
SFY 14/15
Rehab
Rate
SFY 14/15
Subacute 190
Rate
SFY 14/15
Subacute 199
Rate
106444013 WATSONVILLE COMM HOSP No No No No No 19.45% 1.7276 $ 6,289 $ 9,474 $ 14,200 Transition N/A $ 958.13 $ 823.83
106301379 WEST ANAHEIM MED CTR No No No No No 16.00% 1.2508 $ 6,289 $ 7,387 $ 4,513 Transition N/A $ 958.13 $ 823.83
106190859 WEST HILLS HOSP AND MED CTR No No No No No 19.33% 1.3019 $ 6,289 $ 7,610 $ 8,561 Transition N/A $ 958.13 $ 823.83
106301188 WESTERN MED CTR-ANAHEIM No No No No No 33.76% 1.2508 $ 6,289 $ 7,387 $ 7,242 Transition N/A $ 958.13 $ 823.83
106301566 WESTERN MED CTR-SANTA ANA No No No No No 22.73% 1.2508 $ 6,289 $ 7,387 $ 7,206 Transition N/A $ 958.13 $ 823.83
106190878 WHITE MEM MED CTR No No No No No 15.54% 1.2477 $ 6,289 $ 7,373 $ 7,757 Transition $ 1,210 $ 958.13 $ 823.83
106190883 WHITTIER HOSP MED CTR No No No No No 15.14% 1.2477 $ 6,289 $ 7,373 $ 5,681 Transition N/A $ 958.13 $ 823.83
106571086 WOODLAND MEM HOSP No No No No No 32.58% 1.4887 $ 6,289 $ 8,428 $ 10,629 Transition N/A $ 958.13 $ 823.83
Last Updated 3/7/2017
![Neutral Citation Number: [2014] EWHC 1311 (Comm) Case No: … · Neutral Citation Number: [2014] EWHC 1311 (Comm) Case No: 2012 folio 1398 IN THE HIGH COURT OF JUSTICE QUEEN'S BENCH](https://img.dokumen.tips/doc/110x75/5be5d52109d3f288458c3bf9/neutral-citation-number-2014-ewhc-1311-comm-case-no-neutral-citation-number.jpg)
![Neutral Citation Number: [2014] EWHC 1311 (Comm) Case No](https://img.dokumen.tips/doc/110x75/617d4705b8182b23fe24f5e6/neutral-citation-number-2014-ewhc-1311-comm-case-no-.jpg)
![[ e-comm ] LOGÍSTICA NO COMÉRCIO ELETRÔNICO Vera Lucia Costa Medeiros, 2001](https://img.dokumen.tips/doc/110x75/5706384b1a28abb8238f5c1d/-e-comm-logistica-no-comercio-eletronico-vera-lucia-costa-medeiros-2001.jpg)
