HEALTH AND WELFARE: DECODING PRIME

Updated December 16, 2011

Prime Healthcare reports outsized rates of unusual conditions

Prime Healthcare Services, a chain of 13 hospitals in Southern California, one in Shasta County and another in Texas, reports higher rates of several serious medical conditions than other California hospitals. At the same time, former doctors and employees of Prime say that chain owner Dr. Prem Reddy has urged doctors and medical coders to log those conditions, which pay a premium when treating elderly Medicare patients.

Encephalopathy

Symptoms of encephalopathy

Hospitals in California reported the brain disease encephalopathy in 3.6 percent of elderly Medicare patients in 2010. Prime Healthcare reported a higher rate – 18 percent chainwide and 36 percent at one of its nonprofit hospitals, Encino Hospital Medical Center. A hospital could earn $7,000 per case for treating the condition as a complication of pneumonia.

Percentage of Medicare patients 65+ reported to have encephalopathy

Other California hospitals

3.6%

Prime Healthcare hospitals

17.9%

California hospitals with the most encephalopathy cases among Medicare patients (2010)

 
Highlighted rows
= Prime Healthcare hospitals
 Medicare
patients 65+		 Encephalopathy
cases		 Pct of
Medicare patients
1. Encino Hospital Medical Center 1,033 370 35.8%
2. Memorial Hospital of Gardena 1,602 517 32.3%
3. Sherman Oaks Hospital 1,645 452 27.5%
4. Centinela Hospital Medical Center 6,020 1,479 24.6%
5. Chino Valley Medical Center 1,950 423 21.7%
6. Huntington Beach Hospital 1,097 217 19.8%
7. West Anaheim Medical Center 2,543 503 19.8%
8. Marina Del Rey Hospital 1,735 321 18.5%
9. Mission Community Hospital Panora Campus 1,229 214 17.4%
10. Garden Grove Hospital Medical Center 1,473 234 15.9%
11. Sonoma Valley Hospital 764 99 13.0%
12. Desert Valley Hospital 2,836 366 12.9%
13. Providence Saint Joseph Medical Center 5,699 679 11.9%
14. Montclair Hospital Medical Center 775 92 11.9%
15. Enloe Medical Center Esplanade Campus 5,207 612 11.8%
16. Coast Plaza Doctors Hospital 833 97 11.6%
17. Paradise Valley Hospital 1,539 178 11.6%
18. Providence Tarzana Medical Center 4,929 559 11.3%
19. St. Mary Medical Center 2,407 245 10.2%
20. Shasta Regional Medical Center 3,548 361 10.2%
21. San Dimas Community Hospital 1,278 128 10.0%
22. East Valley Hospital Medical Center 551 55 10.0%
23. Verdugo Hills Hospital 2,193 217 9.9%
24. Community Hospital of Long Beach 1,162 114 9.8%
25. Greater El Monte Community Hospital 528 51 9.7%
26. Glendale Adventist Medical Center Wilson Terrace 5,191 487 9.4%
27. Glendale Memorial Hospital and Health Center 4,109 375 9.1%
28. Pacific Hospital of Long Beach 719 65 9.0%
29. Pomona Valley Hospital Medical Center 3,739 330 8.8%
30. St. Joseph Hospital Orange 3,884 338 8.7%
31. Marshall Medical Center (RH) 2,339 201 8.6%
32. East Los Angeles Doctors Hospital 733 62 8.5%
33. Valleycare Medical Center 2,500 211 8.4%
34. Norwalk Community Hospital 691 58 8.4%
35. Pomerado Hospital 2,584 215 8.3%
36. Sonora Regional Medical Center Greenley 1,808 149 8.2%
37. Fountain Valley Regional Hospital and Medical Center Euclid 4,751 389 8.2%
38. Olympia Medical Center 2,990 240 8.0%
39. Oroville Hospital 3,065 244 8.0%
40. Hollywood Presbyterian Medical Center 2,717 210 7.7%
41. Loma Linda University Medical Center 4,902 373 7.6%
42. Brotman Medical Center 2,238 170 7.6%
43. San Gabriel Valley Medical Center 2,107 158 7.5%
44. Pacific Alliance Medical Center Inc. 1,265 94 7.4%
45. San Joaquin Community Hospital 2,787 202 7.2%
46. Simi Valley Hospital and Health Care Services Sycamore 1,589 115 7.2%
47. Garfield Medical Center 3,026 218 7.2%
48. Tricity Medical Center 5,939 426 7.2%
49. Alhambra Hospital 1,555 111 7.1%
50. Valley Presbyterian Hospital 2,967 208 7.0%

Autonomic
Nerve Disorder

Symptoms of autonomic nerve disorder

Autonomic nerve disorder is a rare condition that most California hospitals do not report seeing. Yet several Prime hospitals reported dozens of cases. Treating the disorder – a potentially deadly condition related to Parkinson's disease, diabetes and alcoholism – can earn $5,000 more for a hospital if coded the right way.

Rate of autonomic nerve disorder cases

Other California hospitals

0.15 cases per 1,000 Medicare patients 65+

Prime Healthcare hospitals

13.3 cases per 1,000 Medicare patients 65+

California hospitals with the most autonomic nerve disorder cases among Medicare patients (2010)

 
Highlighted rows
= Prime Healthcare hospitals
 Medicare
patients 65+		 Autonomic nerve
disorder cases		 Cases per
thousand patients
1. Chino Valley Medical Center 1,950 79 40.5
2. Memorial Hospital of Gardena 1,602 46 28.7
3. Centinela Hospital Medical Center 6,020 171 28.4
4. Shasta Regional Medical Center 3,548 61 17.2
5. Sherman Oaks Hospital 1,645 23 14.0
6. Paradise Valley Hospital 1,539 13 8.4
7. Huntington Beach Hospital 1,097 5 4.6
8. Marina Del Rey Hospital 1,735 4 2.3
9. Encino Hospital Medical Center 1,033 2 1.9
10. Montclair Hospital Medical Center 775 1 1.3
11. South Coast Medical Center 986 1 1.0
12. Dominican Hospital Santa Cruz/Soquel 3,045 3 1.0
13. West Anaheim Medical Center 2,543 2 0.8
14. San Dimas Community Hospital 1,278 1 0.8
15. Sutter Solano Medical Center 1,370 1 0.7
16. Desert Valley Hospital 2,836 2 0.7
17. St. Johns Health Center 6,045 4 0.7
18. St. Helena Hospital 1,792 1 0.6
19. Little Company of Mary San Pedro Hospital 1,927 1 0.5
20. John Muir Medical Center Walnut Creek Campus 6,291 3 0.5
21. Brotman Medical Center 2,238 1 0.4
22. St. Mary Medical Center 2,407 1 0.4
23. Sequoia Hospital 2,440 1 0.4
24. Washington Hospital Fremont 5,098 2 0.4
25. Los Robles Hospital & Medical Center 5,247 2 0.4
26. Sutter Delta Medical Center 2,776 1 0.4
27. San Joaquin Community Hospital 2,787 1 0.4
28. Alta Bates Summit Medical Center Alta Bates Campus 2,891 1 0.3
29. Lodi Memorial Hospital 3,063 1 0.3
30. Marian Medical Center 3,230 1 0.3
31. Mercy San Juan Hospital 6,736 2 0.3
32. Scripps Memorial Hospital Encinitas 3,418 1 0.3
33. John Muir Medical Center Concord Campus 3,818 1 0.3
34. Glendale Memorial Hospital and Health Center 4,109 1 0.2
35. Torrance Memorial Medical Center 8,260 2 0.2
36. Scripps Mercy Hospital 8,853 2 0.2
37. Community Memorial Hospital San Buena Ventura 4,562 1 0.2
38. Fountain Valley Regional Hospital and Medical Center Euclid 4,751 1 0.2
39. Santa Monica UCLA Medical Center & Orthopaedic Hospital 4,795 1 0.2
40. Scripps Memorial Hospital La Jolla 4,824 1 0.2
41. Santa Barbara Cottage Hospital 4,826 1 0.2
42. California Pacific Medical Center Pacific Campus 4,845 1 0.2
43. Hoag Memorial Hospital Presbyterian 9,868 2 0.2
44. St. Agnes Medical Center 9,918 2 0.2
45. Eisenhower Memorial Hospital 10,410 2 0.2
46. Community Regional Medical Center Fresno 5,497 1 0.2
47. St. Josephs Medical Center of Stockton 5,827 1 0.2
48. Tricity Medical Center 5,939 1 0.2
49. Mission Hospital Regional Medical Center 6,063 1 0.2
50. Southwest Healthcare System Murrieta 6,114 1 0.2

Malignant
Hypertension

Symptoms of malignant hypertension

The National Institutes of Health estimates that about 1 percent of hypertension cases are the very serious form, malignant hypertension. California hospitals not owned by Prime reported it in 2.6 percent of hypertension cases in 2010. Prime hospitals reported it at much higher rates – as high as 38 percent at one facility, Desert Valley Hospital. Hospitals can earn about $3,000 more per case when reporting the more serious condition.

Percentage of hypertension cases recorded as malignant hypertension

Other California hospitals

2.6%

Prime Healthcare hospitals

18.9%

California hospitals with the highest percentage of malignant hypertension cases (2010)

 
Highlighted rows
= Prime Healthcare hospitals
 Medicare
patients 65+		 Non-malignant
hypertension		 Malignant
hypertension		 Pct malignant
1. Desert Valley Hospital 2,836 576 351 37.9%
2. Centinela Hospital Medical Center 6,020 2,015 693 25.6%
3. Montclair Hospital Medical Center 775 170 57 25.1%
4. Pomerado Hospital 2,584 367 110 23.1%
5. Sutter Lakeside Hospital 694 116 26 18.3%
6. Encino Hospital Medical Center 1,033 289 58 16.7%
7. San Dimas Community Hospital 1,278 260 51 16.4%
8. Shasta Regional Medical Center 3,548 539 103 16.0%
9. Memorial Hospital of Gardena 1,602 404 75 15.7%
10. West Anaheim Medical Center 2,543 678 119 14.9%
11. Brotman Medical Center 2,238 534 90 14.4%
12. Lodi Memorial Hospital 3,063 643 107 14.3%
13. Sherman Oaks Hospital 1,645 394 63 13.8%
14. Huntington Beach Hospital 1,097 313 49 13.5%
15. East Valley Hospital Medical Center 551 66 10 13.2%
16. Mission Community Hospital Panora Campus 1,229 306 42 12.1%
17. Los Angeles Community Hospital 1,098 188 25 11.7%
18. Tricity Medical Center 5,939 1,101 142 11.4%
19. Mercy General Hospital 4,713 881 95 9.7%
20. San Antonio Community Hospital 4,957 1,218 127 9.4%
21. Chino Valley Medical Center 1,950 788 77 8.9%
22. Palomar Medical Center 6,164 1,296 126 8.9%
23. Loma Linda University Medical Center 4,902 786 76 8.8%
24. Mercy San Juan Hospital 6,736 1,256 120 8.7%
25. City of Hope Helford Clinical Research Hospital 894 21 2 8.7%
26. Fountain Valley Regional Hospital and Medical Center Euclid 4,751 1,237 108 8.0%
27. Los Angeles Metropolitan Medical Center 575 59 5 7.8%
28. Marina Del Rey Hospital 1,735 489 38 7.2%
29. Eisenhower Memorial Hospital 10,410 1,890 143 7.0%
30. Parkview Community Hospital Medical Center 1,792 374 28 7.0%
31. Community and Mission Hospital of Huntington Park Slauson 739 123 9 6.8%
32. St. Mary Regional Medical Center 3,184 767 55 6.7%
33. Lancaster Community Hospital 2,249 419 30 6.7%
34. Valleycare Medical Center 2,500 462 32 6.5%
35. St. Francis Medical Center 2,614 809 55 6.4%
36. La Palma Intercommunity Hospital 1,363 383 25 6.1%
37. Paradise Valley Hospital 1,539 629 40 6.0%
38. Sharp Chula Vista Medical Center 4,684 1,253 78 5.9%
39. Temple Community Hospital 1,084 387 22 5.4%
40. Garden Grove Hospital Medical Center 1,473 370 21 5.4%
41. Glendale Memorial Hospital and Health Center 4,109 1,050 59 5.3%
42. Sonoma Valley Hospital 764 107 6 5.3%
43. Seton Medical Center 3,640 985 52 5.0%
44. Memorial Hospital Medical Center Modesto 8,147 2,134 111 4.9%
45. Alvarado Hospital*
*Alvarado Hospital was not counted as a Prime Healthcare hospital in this analysis since the chain acquired it in November 2010.
 3,032 628 32 4.8%
46. Pomona Valley Hospital Medical Center 3,739 733 37 4.8%
47. Palm Drive Hospital 520 80 4 4.8%
48. Hazel Hawkins Memorial Hospital 753 101 5 4.7%
49. Methodist Hospital of Sacramento 2,570 552 26 4.5%
50. Placentia Linda Hospital 1,882 285 13 4.4%

Acute
Heart Failure

Symptoms of AHF

Hospitals not owned by Prime reported that 4.8 percent of their Medicare patients were diagnosed with acute heart failure from 2008-2010. But Prime hospitals reported more than double that rate. And at Prime's Chino Valley Medical Center, acute heart failure was reported at seven times the non-Prime rate. Treating the condition can bring a bonus payment from Medicare.

Percentage of Medicare patients with acute heart failure

Other California hospitals

4.8%

Prime Healthcare hospitals

12.9%

California hospitals with the highest percentage of acute heart failure cases (2008-2010)

 
Highlighted rows
= Prime Healthcare hospitals
 Medicare
patients 65+		 Acute heart
failure cases		 Pct of patients with acute heart failure
1. Chino Valley Medical Center 5,596 1,971 35.2%
2. Paradise Valley Hospital 5,585 880 15.8%
3. Huntington Beach Hospital 3,443 516 15.0%
4. Sutter Coast Hospital 2,789 397 14.2%
5. Centinela Hospital Medical Center 18,589 2,491 13.4%
6. Desert Valley Hospital 5,867 785 13.4%
7. San Leandro Hospital 6,252 817 13.1%
8. La Palma Intercommunity Hospital 3,846 499 13.0%
9. Montclair Hospital Medical Center 2,446 308 12.6%
10. West Anaheim Medical Center 8,357 1,029 12.3%
11. North Bay Vaca Valley Hospital 3,380 416 12.3%
12. Bakersfield Heart Hospital 6,243 760 12.2%
13. North Bay Medical Center 4,407 520 11.8%
14. Sequoia Hospital 7,281 821 11.3%
15. Hazel Hawkins Memorial Hospital 2,127 228 10.7%
16. Presbyterian Intercommunity Hospital 18,069 1,918 10.6%
17. Sharp Chula Vista Medical Center 13,818 1,465 10.6%
18. Valleycare Medical Center 7,150 758 10.6%
19. Oroville Hospital 8,894 910 10.2%
20. Salinas Valley Memorial Hospital 10,752 1,099 10.2%
21. Sherman Oaks Hospital 5,636 566 10.0%
22. Alameda Hospital 3,852 374 9.7%
23. Sonoma Valley Hospital 2,100 202 9.6%
24. Scripps Mercy Hospital Chula Vista 3,422 328 9.6%
25. Marina Del Rey Hospital 4,958 465 9.4%
26. Barton Memorial Hospital 1,465 136 9.3%
27. Methodist Hospital of Sacramento 7,245 672 9.3%
28. Glendale Memorial Hospital and Health Center 12,199 1,122 9.2%
29. Scripps Memorial Hospital Encinitas 9,937 900 9.1%
30. San Antonio Community Hospital 14,624 1,306 8.9%
31. Sutter Delta Medical Center 7,797 692 8.9%
32. Dominican Hospital Santa Cruz/Soquel 9,277 809 8.7%
33. Encino Hospital Medical Center 4,398 378 8.6%
34. Mercy San Juan Hospital 18,186 1,549 8.5%
35. Doctors Medical Center San Pablo 7,922 665 8.4%
36. Mercy General Hospital 14,641 1,221 8.3%
37. St. Helena Hospital 4,425 369 8.3%
38. Western Medical Center Santa Ana 4,367 359 8.2%
39. Community Memorial Hospital San Buena Ventura 13,718 1,127 8.2%
40. Queen of the Valley Hospital Napa 9,102 746 8.2%
41. Feather River Hospital 5,673 461 8.1%
42. Sonora Regional Medical Center Greenley 5,415 437 8.1%
43. Sutter Memorial Hospital 6,728 541 8.0%
44. St. Jude Medical Center 19,111 1,534 8.0%
45. Arroyo Grande Community Hospital 4,151 329 7.9%
46. Grossmont Hospital 25,666 2,000 7.8%
47. Northridge Hospital Medical Center 12,910 1,000 7.7%
48. St. Francis Medical Center 8,741 672 7.7%
49. Olympia Medical Center 8,825 667 7.6%
50. Methodist Hospital of Southern California 20,964 1,583 7.6%

Septicemia

Symptoms of Septicemia

Septicemia is a life-threatening blood infection that gets worse very quickly. It can arise from infections throughout the body, including the lungs, abdomen and urinary tract. Prime hospitals reported septicemia among Medicare patients twice as often as other California hospitals in 2008. Medicare pays bonuses for treating patients with septicemia: Prime's chairman, Dr. Prem Reddy, testified in 2005 that his hospitals were reimbursed about $9,000 for each case.

Percentage of Medicare patients 65+ reported to have septicemia

Other California hospitals

7.6%

Prime Healthcare hospitals

15.6%

California hospitals with the most septicemia cases among Medicare patients (2008)

 
Highlighted rows
= Prime Healthcare hospitals
 Medicare
patients 65+		 Septicemia
cases		 Pct of
Medicare patients
1. Hollywood Community Hospital of Hollywood 2,278 622 27.3%
2. Greater El Monte Community Hospital 1,697 411 24.2%
3. Olympia Medical Center 8,825 1,989 22.5%
4. San Gabriel Valley Medical Center 6,455 1,418 22.0%
5. Sherman Oaks Hospital 5,636 1,223 21.7%
6. Desert Valley Hospital 5,867 1,255 21.4%
7. Alhambra Hospital 5,299 1,116 21.1%
8. Encino Hospital Medical Center 4,398 898 20.4%
9. West Anaheim Medical Center 8,357 1,646 19.7%
10. Montclair Hospital Medical Center 2,446 478 19.5%
11. Memorial Hospital of Gardena 4,513 876 19.4%
12. Pacific Hospital of Long Beach 2,506 465 18.6%
13. Mission Community Hospital Panora Campus 3,992 705 17.7%
14. Norwalk Community Hospital 1,804 300 16.6%
15. Sonoma Valley Hospital 2,100 337 16.0%
16. Chino Valley Medical Center 5,596 889 15.9%
17. Marian Medical Center 10,124 1,560 15.4%
18. Marina Del Rey Hospital 4,958 748 15.1%
19. Centinela Hospital Medical Center 18,589 2,755 14.8%
20. Sutter Coast Hospital 2,789 410 14.7%
21. Hollywood Presbyterian Medical Center 8,213 1,201 14.6%
22. Whittier Hospital Medical Center 7,627 1,099 14.4%
23. Garden Grove Hospital Medical Center 4,426 633 14.3%
24. San Dimas Community Hospital 4,256 607 14.3%
25. Mercy San Juan Hospital 18,186 2,585 14.2%
26. Community Hospital of San Bernadino 2,970 411 13.8%
27. Mercy Medical Center Merced Community Campus 9,326 1,281 13.7%
28. Sutter Davis Hospital 2,207 299 13.5%
29. Mercy Hospital Folsom 4,680 628 13.4%
30. Methodist Hospital of Sacramento 7,245 949 13.1%
31. Citrus Valley Medical Center QV Campus 7,508 981 13.1%
32. Feather River Hospital 5,673 744 13.1%
33. Silver Lake Medica Center Downtown Campus 1,280 166 13.0%
34. Community Hospital of Long Beach 3,565 459 12.9%
35. Huntington Beach Hospital 3,443 435 12.6%
36. East Los Angeles Doctors Hospital 2,090 262 12.5%
37. Regional Medical of San Jose 12,548 1,560 12.4%
38. Alameda Hospital 3,852 479 12.4%
39. Brotman Medical Center 7,558 934 12.4%
40. Paradise Valley Hospital 5,585 694 12.4%
41. Pomona Valley Hospital Medical Center 11,365 1,383 12.2%
42. Sierra Nevada Memorial Hospital 7,811 926 11.9%
43. Sutter Solano Medical Center 3,982 468 11.8%
44. Little Company of Mary San Pedro Hospital 6,457 755 11.7%
45. Tricity Regional Medical Center 2,467 289 11.7%
46. Eden Medical Center 8,285 971 11.7%
47. Palm Drive Hospital 1,486 166 11.2%
48. Woodland Memorial Hospital 3,466 384 11.1%
49. Foothill Presbyterian Hospital Johnston Memorial 6,047 660 10.9%
50. White Memorial Medical Center 10,222 1,109 10.8%

Kwashiorkor

Symptoms of kwashiorkor

Kwashiorkor is a rare form of malnutrition caused by protein deficiency, often found in very poor countries during a drought or other natural disaster. State records show Prime hospitals reported kwashiorkor 20 times more often than other California hospitals from 2009 to 2010. Shasta Regional Medical Center billed Medicare for more than 1,000 cases. Medicare pays providers significant bonuses for treating kwashiorkor.

Rate of Medicare patients 65+ reported to have kwashiorkor

Other California hospitals

1.4 cases per 1,000 Medicare patients 65+

Prime Healthcare hospitals

27.5 cases per 1,000 Medicare patients 65+

California hospitals with the most kwashiorkor cases among Medicare patients (2009-2010)

 
Highlighted rows
= Prime Healthcare hospitals
 Medicare
patients 65+		 Kwashiorkor
cases		 Pct of
Medicare patients
1. Shasta Regional Medical Center 5,547 1,030 18.6%
2. Desert Valley Hospital 4,571 172 3.8%
3. Promise Hospital of East Los Angeles East L.A. Campus 1,757 46 2.6%
4. San Dimas Community Hospital 3,103 78 2.5%
5. Kindred Hospital La Mirada 2,470 59 2.4%
6. Kindred Hospital Westminster 970 22 2.3%
7. Olympia Medical Center 6,261 129 2.1%
8. Garden Grove Hospital Medical Center 3,412 66 1.9%
9. Huntington Beach Hospital 2,761 52 1.9%
10. West Anaheim Medical Center 5,820 95 1.6%
11. East Valley Hospital Medical Center 1,087 17 1.6%
12. Oroville Hospital 6,234 72 1.2%
13. San Leandro Hospital 4,243 42 1.0%
14. St. Francis Medical Center 6,231 56 0.9%
15. Pomona Valley Hospital Medical Center 7,722 66 0.9%
16. Eisenhower Memorial Hospital 21,112 172 0.8%
17. St. Joseph Hospital Orange 8,384 67 0.8%
18. St. VIncent Medical Center 5,332 33 0.6%
19. Pioneers Memorial Hospital 2,926 18 0.6%
20. Montclair Hospital Medical Center 1,817 11 0.6%
21. Little Company of Mary Hospital 13,305 81 0.6%
22. Sonoma Valley Hospital 1,494 9 0.6%
23. Brotman Medical Center 4,665 26 0.6%
24. Hi-Desert Medical Center 1,501 8 0.5%
25. East Los Angeles Doctors Hospital 1,611 7 0.4%
26. St. Johns Health Center 12,045 47 0.4%
27. Norwalk Community Hospital 1,359 5 0.4%
28. Memorial Hospital of Gardena 3,583 13 0.4%
29. Bellflower Medical Center 1,102 4 0.4%
30. Regional Medical of San Jose 8,529 31 0.4%
31. Tricity Regional Medical Center 2,075 7 0.3%
32. St. Joseph Hospital Eureka 4,281 14 0.3%
33. Bakersfield Heart Hospital 4,475 14 0.3%
34. Centinela Hospital Medical Center 13,111 39 0.3%
35. Alvarado Hospital*
*Note: Alvarado Hospital was not counted as a Prime Healthcare hospital in this analysis since the chain acquired it in November 2010.
 6,298 19 0.3%
36. Lakewood Regional Medical Center 6,725 19 0.3%
37. Community Memorial Hospital San Buena Ventura 9,392 26 0.3%
38. Redwood Memorial Hospital 1,064 3 0.3%
39. St. Helena Hospital Clear Lake 1,112 3 0.3%
40. El Centro Regional Medical Center 4,148 11 0.3%
41. Goleta Valley Cottage Hospital 1,128 3 0.3%
42. Seton Medical Center 7,645 20 0.3%
43. Chino Valley Medical Center 4,044 10 0.3%
44. Fountain Valley Regional Hospital and Medical Center Euclid 10,060 25 0.3%
45. Encino Hospital Medical Center 2,499 6 0.2%
46. Riverside Community Hospital 11,679 27 0.2%
47. Good Samaritan Hospital San Jose 9,706 22 0.2%
48. Enloe Medical Center Esplanade Campus 10,593 23 0.2%
49. Feather River Hospital 4,058 9 0.2%
50. San Antonio Community Hospital 9,855 21 0.2%

Interactive by Michael Corey. Reporting by Christina Jewett, Lance Williams and Stephen K. Doig.

Source: California Office of Statewide Health Planning and Development. Disease symptoms from National Institutes of Health and Mayo Clinic. Read more about how we calculated hospitals' diagnosis rates for kwashiorkor and septicemia; acute heart failure; and malignant hypertension, autonomic nerve disorder and encephalopathy.

Filed under: Health and Welfare