{
  "version": 1,
  "generatedAt": "2026-09-07T04:32:07.308636+00:00",
  "coverage": {
    "coreFacilities": 299,
    "annualIdentifierMatches": 299,
    "npiMatches": 299,
    "cmsMatches": 269,
    "cmsRatedMatches": 236,
    "cmsQualityAnyMatches": 262,
    "cmsHcahpsMatches": 245,
    "cmsSep1Matches": 231,
    "cmsEdMatches": 254,
    "cmsHrrpMatches": 231,
    "ahrqMatches": 287,
    "ohca2023Matches": 298,
    "quarterly2026Q1Matches": 291,
    "quarterlyDaysCashMatches": 291,
    "mortality2024Matches": 265,
    "equity2024Matches": 280,
    "marketCountiesWithData": 58,
    "marketFacilityCcnLinks": 404
  },
  "assertions": [
    {
      "check": "core_facility_count",
      "expected": 299,
      "actual": 299,
      "pass": true
    },
    {
      "check": "unique_enrichment_rows",
      "expected": 299,
      "actual": 299,
      "pass": true
    },
    {
      "check": "annual_identifier_linkage",
      "threshold": ">=95%",
      "actual": 1.0,
      "pass": true
    },
    {
      "check": "cms_linkage",
      "threshold": ">=80%",
      "actual": 0.8997,
      "pass": true
    },
    {
      "check": "cms_quality_ccn_linkage",
      "threshold": ">=80%",
      "actual": 0.8763,
      "pass": true
    },
    {
      "check": "hcahps_national_exact_match",
      "expected": true,
      "actual": true,
      "pass": true
    },
    {
      "check": "ohca_2023_linkage",
      "threshold": ">=90%",
      "actual": 0.9967,
      "pass": true
    },
    {
      "check": "market_county_coverage",
      "expected": 58,
      "actual": 58,
      "pass": true
    },
    {
      "check": "regional_cross_domain_rollups",
      "expected": 14,
      "actual": 14,
      "pass": true
    },
    {
      "check": "california_us_benchmarks",
      "expected": ">=5 directly comparable rows",
      "actual": 5,
      "pass": true
    },
    {
      "check": "national_capacity_utilization_ownership_spending",
      "expected": 7,
      "actual": 7,
      "pass": true
    },
    {
      "check": "peer_reviewed_california_price_evidence",
      "expected": 5,
      "actual": 5,
      "pass": true
    },
    {
      "check": "federal_medi_cal_scenario_reconciliation",
      "expected": 44304434123.0,
      "actual": 44304434123.0,
      "pass": true
    },
    {
      "check": "dated_policy_timeline",
      "expected": ">=10 dated events",
      "actual": 14,
      "pass": true
    }
  ],
  "limitations": [
    "Unmatched records remain null; names are not used as an automatic fallback when documented IDs fail.",
    "CMS overall ratings and HCAI condition-level mortality ratings are displayed separately and are not blended into a composite.",
    "CMS Care Compare HCAHPS, SEP-1, ED time, and HRRP values are linked only by CCN. They are intentionally displayed as distinct measures; HRRP ratios are never combined into a performance score.",
    "California and U.S. HCAHPS comparisons use the same hospital-level eligibility, reporting period, and unweighted mean. The published CMS national statistic is retained for context only. Alphanumeric CMS facility IDs remain distinct from numeric CCNs.",
    "AHA national aggregate comparisons use the broader community-hospital population. Staffed-bed and ownership concepts are aligned with caveats; admissions/discharges, system linkage, and spending growth are contextual only and are not used as performance rankings.",
    "OHCA net patient revenue per adjusted unit is a spending measure, not a negotiated price for a standardized service.",
    "2026 Q1 values are quarter-specific and are not annualized or ranked against 2024 full-year values.",
    "2026 Q1 days cash on hand follows HCAI's published liquid-reserve formula; cash and investments can be reported at a system level, so facility comparisons require ownership and reporting-context review.",
    "Market HHI uses patient-county inpatient discharge shares and is a descriptive screen, not a legal market definition.",
    "System HHI uses only documented AHRQ system IDs joined through HCAI facility IDs and CCNs; unmatched facilities remain individual identities.",
    "HSA cross-domain rollups mix source periods by design and retain a field-level method. Quality metrics are unweighted matched-hospital summaries; OHCA price-like measures are medians of spending proxies.",
    "Federal Medi-Cal 1%, 3%, and 5% figures are transparent sensitivities applied to 2024 Medi-Cal net patient revenue, not official estimates, forecasts, probabilities, or facility allocations of enacted financing changes."
  ]
}