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          ]
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      },
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          ]
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      },
      {
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        "hcahpsDefinitelyRecommend": {
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        "edMedianMinutes": {
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        "ohcaThirdPartyInpatientNprPerCmad": {
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        "quarterly2026Q1DaysCashOnHand": {
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            },
            {
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            },
            {
              "identity": "ahrq:HSI00001168",
              "systemName": "University of California Health",
              "ahrqSystemLinked": true,
              "discharges": 24793,
              "share": 0.118287
            },
            {
              "identity": "ahrq:HSI00000658",
              "systemName": "MemorialCare Health System",
              "ahrqSystemLinked": true,
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              "share": 0.11165
            },
            {
              "identity": "ahrq:HSI00000845",
              "systemName": "Prime Healthcare Services",
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          ]
        }
      },
      {
        "healthServiceArea": "14 - SAN DIEGO / IMPERIAL",
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        "hcahpsDefinitelyRecommend": {
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        },
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        },
        "edMedianMinutes": {
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        "ohcaThirdPartyInpatientNprPerCmad": {
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        },
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        "quarterly2026Q1DaysCashOnHand": {
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        "providerFootprintSystemConcentration": {
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          "topFourShare": 0.831507,
          "ahrqLinkedFacilities": 15,
          "topSystems": [
            {
              "identity": "ahrq:HSI00000977",
              "systemName": "Sharp Healthcare",
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              "share": 0.321105
            },
            {
              "identity": "ahrq:HSI00000968",
              "systemName": "Scripps Health",
              "ahrqSystemLinked": true,
              "discharges": 67850,
              "share": 0.261489
            },
            {
              "identity": "ahrq:HSI00001168",
              "systemName": "University of California Health",
              "ahrqSystemLinked": true,
              "discharges": 40373,
              "share": 0.155594
            },
            {
              "identity": "ahrq:HSI00000809",
              "systemName": "Palomar Health",
              "ahrqSystemLinked": true,
              "discharges": 24214,
              "share": 0.093319
            },
            {
              "identity": "ahrq:HSI00000864",
              "systemName": "Rady Childrens Hospital San Diego",
              "ahrqSystemLinked": true,
              "discharges": 19466,
              "share": 0.07502
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          ]
        }
      }
    ],
    "aggregationRules": {
      "capacityUtilizationFinance": "Sums and ratios of summed numerators and denominators from the fixed 299-hospital 2024 cohort.",
      "payerMix": "HSA Medi-Cal net patient revenue divided by net patient revenue summed across the five HCAI broad payer groups.",
      "cmsQuality": "Unweighted facility mean or median among matched reporting hospitals; the matched denominator is shown for every measure.",
      "ohcaSpending": "Median of matched 2023 facility NPR-per-adjusted-unit measures; these are not negotiated prices.",
      "quarterlyLiquidity": "Median of matched 2026 Q1 facility days-cash-on-hand screens; not annualized or blended with 2024 values.",
      "systemConcentration": "HHI of 2024 HAFD discharges among AHRQ 2023 system identities and unmatched independent facilities located in the HSA."
    },
    "limitation": "HSA is a reporting taxonomy, not a legal hospital market or patient-origin service area. Cross-source periods differ and are displayed explicitly; unmatched records are never imputed. Provider-footprint HHI is separate from patient-residence county HHI."
  }
}