California State Hospital Report Card, 2009

California State Honor Roll for Inpatient Procedures and Conditions

1. What is the Honor Roll?

The Honor Roll consists of hospitals who have treated at least thirty cases, and whose risk-adjusted mortality rate is statistically significantly lower than the state average mortality rate using a 95% confidence interval on a given indicator. The list is sorted by region, indicator, and city, respectively. Essentially, the same information can be obtained by viewing the TABLES and GRAPHS from the main entry page and noting the hospitals with three stars. Indicators for which no hospitals made the honor roll are not displayed.

2. What does "risk-adjustment" and "95% confidence interval" mean?

These terms are described in our Frequently Asked Questions (FAQ) page. More information also can be obtained in our Interpreting Tables and Interpreting Graphs pages.

3. Why are volume and utilization indicators excluded from the Honor Roll?

Hospitals which make the honor roll are the same hospitals which obtained three stars in a given mortality indicator on the GRAPHS. Due to the fact that there is no correct way to gauge volume or utilization levels as better or worse, we can only include mortality indicators simply because we know that a lower mortality rate is definately better.

 

   Craniotomy Mortality (Surgical opening of the skull) [Graph]
     CASTRO VALLEY
        EDEN MEDICAL CENTER
     PALO ALTO
        STANFORD HOSPITAL
   Acute Myocardial Infarction (Heart Attack) [Graph]
     FREMONT
        KAISER FND HOSP - FREMONT
     WOODLAND HILLS
        KAISER FND HOSP - WOODLAND HILLS
   Congestive Heart Failure (CHF) Mortality [Graph]
     WALNUT CREEK
        JOHN MUIR MEDICAL CENTER-WALNUT CREEK CAMPUS
     WOODLAND HILLS
        KAISER FND HOSP - WOODLAND HILLS
     VALLEJO
        KAISER FND HOSP - REHABILITATION CENTER VALLEJO
   Acute Stroke Mortality [Graph]
     BALDWIN PARK
        KAISER FND HOSP - BALDWIN PARK
     RIVERSIDE
        KAISER FND HOSP - RIVERSIDE
     ORANGE
        ST. JOSEPH HOSPITAL - ORANGE
     ANAHEIM
        ANAHEIM MEMORIAL MEDICAL CENTER
     GARDEN GROVE
        GARDEN GROVE HOSPITAL AND MEDICAL CENTER
     GLENDALE
        GLENDALE MEMORIAL HOSPITAL AND HEALTH CENTER
     COVINA
        CITRUS VALLEY MEDICAL CENTER - IC CAMPUS
     SAN BERNARDINO
        ST. BERNARDINE MEDICAL CENTER
     VALENCIA
        HENRY MAYO NEWHALL MEMORIAL HOSPITAL
     LAGUNA HILLS
        SADDLEBACK MEMORIAL MEDICAL CENTER
     POMONA
        CASA COLINA HOSPITAL FOR REHAB MEDICINE
     LONG BEACH
        LONG BEACH MEMORIAL MEDICAL CENTER
     MONTEREY PARK
        GARFIELD MEDICAL CENTER
     LOS ANGELES
        PACIFIC ALLIANCE MEDICAL CENTER INC.
     WHITTIER
        WHITTIER HOSPITAL MEDICAL CENTER
     ROSEVILLE
        SUTTER ROSEVILLE MEDICAL CENTER
   Pneumonia Mortality [Graph]
     ALHAMBRA
        ALHAMBRA HOSPITAL
     WHITTIER
        PRESBYTERIAN INTERCOMMUNITY HOSPITAL
     MISSION HILLS
        PROVIDENCE HOLY CROSS MEDICAL CENTER
     VICTORVILLE
        DESERT VALLEY HOSPITAL
     SOUTH EL MONTE
        GREATER EL MONTE COMMUNITY HOSPITAL
     SAN DIEGO
        UNIVERSITY OF CALIF-SAN DIEGO MEDICAL CENTER
     LOS ANGELES
        ST. VINCENT MEDICAL CENTER
     VALENCIA
        HENRY MAYO NEWHALL MEMORIAL HOSPITAL
     NATIONAL CITY
        PARADISE VALLEY HOSPITAL
     LOS ANGELES
        LOS ANGELES COMMUNITY HOSPITAL
     CHULA VISTA
        SCRIPPS MERCY HOSPITAL - CHULA VISTA
     SAN GABRIEL
        SAN GABRIEL VALLEY MEDICAL CENTER
     WOODLAND HILLS
        KAISER FND HOSP - WOODLAND HILLS
     PARADISE
        FEATHER RIVER HOSPITAL
   Acute Myocardial Infarction w/transfers excluded (Heart Attack) [Graph]
     FREMONT
        KAISER FND HOSP - FREMONT
     WOODLAND HILLS
        KAISER FND HOSP - WOODLAND HILLS
   Failure to rescue [Graph]
     PASADENA
        HUNTINGTON MEMORIAL HOSPITAL
     BALDWIN PARK
        KAISER FND HOSP - BALDWIN PARK
     SOUTH SAN FRANCISCO
        KAISER FND HOSP - SOUTH SAN FRANCISCO
     DUARTE
        CITY OF HOPE HELFORD CLINICAL RESEARCH HOSPITAL
     LOS ANGELES
        USC UNIVERSITY HOSPITAL
     WALNUT CREEK
        JOHN MUIR MEDICAL CENTER-WALNUT CREEK CAMPUS
     NORTHRIDGE
        NORTHRIDGE HOSPITAL MEDICAL CENTER
     PALO ALTO
        STANFORD HOSPITAL
     CANOGA PARK
        WEST HILLS HOSPITAL AND MEDICAL CENTER
     LOS ANGELES
        UCLA MEDICAL CENTER
     TURLOCK
        EMANUEL MEDICAL CENTER INC
     UPLAND
        SAN ANTONIO COMMUNITY HOSPITAL
   Iatrogenic pneumothorax [Graph]
     RIVERSIDE
        KAISER FND HOSP - RIVERSIDE
     SANTA MONICA
        ST. JOHN'S HEALTH CENTER
     GLENDALE
        GLENDALE MEMORIAL HOSPITAL AND HEALTH CENTER
     POWAY
        POMERADO HOSPITAL
     LOS ANGELES
        WHITE MEMORIAL MEDICAL CENTER
     SAN BERNARDINO
        COMMUNITY HOSPITAL OF SAN BERNARDINO
     NORTHRIDGE
        NORTHRIDGE HOSPITAL MEDICAL CENTER
     TARZANA
        PROVIDENCE TARZANA MEDICAL CENTER
     SAN BERNARDINO
        ST. BERNARDINE MEDICAL CENTER
     THOUSAND OAKS
        LOS ROBLES HOSPITAL & MEDICAL CENTER
     MURRIETA
        SOUTHWEST HEALTHCARE SYSTEM-MURRIETA
     MONTEREY PARK
        GARFIELD MEDICAL CENTER
     WHITTIER
        WHITTIER HOSPITAL MEDICAL CENTER
     BELLFLOWER
        KAISER FND HOSP - BELLFLOWER
   Postoperative hip fracture [Graph]
     WOODLAND HILLS
        KAISER FND HOSP - WOODLAND HILLS
   Postoperative hemorrhage or hematoma [Graph]
     WEST COVINA
        CITRUS VALLEY MEDICAL CENTER - QV CAMPUS
     LOS ANGELES
        GOOD SAMARITAN HOSPITAL-LOS ANGELES
     SYLMAR
        LOS ANGELES COUNTY OLIVE VIEW-UCLA MEDICAL CENTER
     SANTA CRUZ
        DOMINICAN HOSPITAL-SANTA CRUZ/SOQUEL
     DALY CITY
        SETON MEDICAL CENTER
     SAN LUIS OBISPO
        FRENCH HOSPITAL MEDICAL CENTER
     SAN JOSE
        O'CONNOR HOSPITAL - SAN JOSE
     FRESNO
        COMMUNITY REGIONAL MEDICAL CENTER-FRESNO
     RANCHO MIRAGE
        EISENHOWER MEMORIAL HOSPITAL
     LOS ANGELES
        KAISER FND HOSP - SUNSET
     SANTA CLARA
        KAISER FND HOSP - SANTA CLARA
   Postoperative pulmonary embolism or deep vein thrombosis [Graph]
     ST. HELENA
        ST. HELENA HOSPITAL
     ALHAMBRA
        ALHAMBRA HOSPITAL
     Sonora
        SONORA REGIONAL MEDICAL CENTER - GREENLEY
     SAN FRANCISCO
        SAN FRANCISCO GENERAL HOSPITAL
     BALDWIN PARK
        KAISER FND HOSP - BALDWIN PARK
     LONG BEACH
        ST. MARY MEDICAL CENTER
     RIVERSIDE
        KAISER FND HOSP - RIVERSIDE
     REDDING
        SHASTA REGIONAL MEDICAL CENTER
     WEST COVINA
        CITRUS VALLEY MEDICAL CENTER - QV CAMPUS
     HEMET
        HEMET VALLEY MEDICAL CENTER
     REDWOOD CITY
        KAISER FND HOSP - REDWOOD CITY
     DOWNEY
        DOWNEY REGIONAL MEDICAL CENTER
     AUBURN
        SUTTER AUBURN FAITH HOSPITAL
     SOUTH SAN FRANCISCO
        KAISER FND HOSP - SOUTH SAN FRANCISCO
     MADERA
        MADERA COMMUNITY HOSPITAL
     SAN PEDRO
        LITTLE COMPANY OF MARY - SAN PEDRO HOSPITAL
     PLACENTIA
        PLACENTIA LINDA HOSPITAL
     FRESNO
        ST. AGNES MEDICAL CENTER
     OJAI
        OJAI VALLEY COMMUNITY HOSPITAL
     NORWALK
        NORWALK COMMUNITY HOSPITAL
     WOODLAND
        WOODLAND MEMORIAL HOSPITAL
     SAN DIMAS
        SAN DIMAS COMMUNITY HOSPITAL
     PANORAMA CITY
        KAISER FND HOSP - PANORAMA CITY
     HEALDSBURG
        HEALDSBURG DISTRICT HOSPITAL
     SANTA MARIA
        MARIAN MEDICAL CENTER
     EL CENTRO
        EL CENTRO REGIONAL MEDICAL CENTER
     GLENDALE
        GLENDALE MEMORIAL HOSPITAL AND HEALTH CENTER
     MODESTO
        STANISLAUS SURGICAL HOSPITAL
     PANORAMA CITY
        MISSION COMMUNITY HOSPITAL - PANORAMA CAMPUS
     FRESNO
        FRESNO HEART AND SURGICAL HOSPITAL
     BISHOP
        NORTHERN INYO HOSPITAL
     VICTORVILLE
        VICTOR VALLEY COMMUNITY HOSPITAL
     CHICO
        ENLOE MEDICAL CENTER- ESPLANADE CAMPUS
     GRASS VALLEY
        SIERRA NEVADA MEMORIAL HOSPITAL
     POWAY
        POMERADO HOSPITAL
     ROSEVILLE
        KAISER FND HOSP - SACRAMENTO/ROSEVILLE-EUREKA
     LANCASTER
        ANTELOPE VALLEY HOSPITAL
     WALNUT CREEK
        JOHN MUIR MEDICAL CENTER-WALNUT CREEK CAMPUS
     IRVINE
        IRVINE REGIONAL HOSPITAL AND MEDICAL CENTER
     ENCINO
        ENCINO HOSPITAL MEDICAL CENTER
     FOLSOM
        MERCY HOSPITAL - FOLSOM
     VICTORVILLE
        DESERT VALLEY HOSPITAL
     LONG BEACH
        COMMUNITY HOSPITAL OF LONG BEACH
     POMONA
        POMONA VALLEY HOSPITAL MEDICAL CENTER
     NOVATO
        NOVATO COMMUNITY HOSPITAL
     STOCKTON
        ST. JOSEPH'S MEDICAL CENTER OF STOCKTON
     GLENDALE
        VERDUGO HILLS HOSPITAL
     APPLE VALLEY
        ST. MARY REGIONAL MEDICAL CENTER
     SAN LUIS OBISPO
        FRENCH HOSPITAL MEDICAL CENTER
     JACKSON
        SUTTER AMADOR HOSPITAL
     FREMONT
        WASHINGTON HOSPITAL - FREMONT
     CASTRO VALLEY
        EDEN MEDICAL CENTER
     SACRAMENTO
        KAISER FND HOSP - SACRAMENTO/ROSEVILLE-MORSE
     SAN JOSE
        O'CONNOR HOSPITAL - SAN JOSE
     LOS ANGELES
        ST. VINCENT MEDICAL CENTER
     HAWAIIAN GARDENS
        TRI-CITY REGIONAL MEDICAL CENTER
     REDDING
        MERCY MEDICAL CENTER
     SAN MATEO
        SAN MATEO MEDICAL CENTER
     SAN FRANCISCO
        CALIFORNIA PACIFIC MED CTR-PACIFIC CAMPUS
        KAISER FND HOSP - GEARY S F
     SAN JOSE
        KAISER FND HOSP - SAN JOSE
     CORONADO
        SHARP CORONADO HOSPITAL AND HEALTHCARE CENTER
     MARTINEZ
        CONTRA COSTA REGIONAL MEDICAL CENTER
     MOUNTAIN VIEW
        EL CAMINO HOSPITAL
     CONCORD
        JOHN MUIR MEDICAL CENTER-CONCORD CAMPUS
     RED BLUFF
        ST. ELIZABETH COMMUNITY HOSPITAL
     HARBOR CITY
        KAISER FND HOSP - HARBOR CITY
     BAKERSFIELD
        SAN JOAQUIN COMMUNITY HOSPITAL
     MORENO VALLEY
        RIVERSIDE COUNTY REGIONAL MEDICAL CENTER
     HAYWARD
        ST. ROSE HOSPITAL
        KAISER FND HOSP - HAYWARD
     CLOVIS
        COMMUNITY MEDICAL CENTER - CLOVIS
     OROVILLE
        OROVILLE HOSPITAL
     OAKLAND
        KAISER FND HOSP - OAKLAND CAMPUS
     SACRAMENTO
        SUTTER GENERAL HOSPITAL
     SUN CITY
        MENIFEE VALLEY MEDICAL CENTER
     SANTA CRUZ
        SUTTER MATERNITY AND SURGERY CENTER OF SANTA CRUZ
     SIMI VALLEY
        SIMI VALLEY HOSPITAL AND HEALTH CARE SVCS-SYCAMORE
     VALLEJO
        SUTTER SOLANO MEDICAL CENTER
     ARCADIA
        METHODIST HOSPITAL OF SOUTHERN CALIFORNIA
     LAGUNA BEACH
        SOUTH COAST MEDICAL CENTER
     SANTA BARBARA
        SANTA BARBARA COTTAGE HOSPITAL
     FORTUNA
        REDWOOD MEMORIAL HOSPITAL
     SANTA ROSA
        SUTTER MEDICAL CENTER OF SANTA ROSA
     ARROYO GRANDE
        ARROYO GRANDE COMMUNITY HOSPITAL
     SONOMA
        SONOMA VALLEY HOSPITAL
     OAKLAND
        ALTA BATES SUMMIT MED CTR-SUMMIT CAMPUS-HAWTHORNE
     REDLANDS
        REDLANDS COMMUNITY HOSPITAL
     SANTA BARBARA
        GOLETA VALLEY COTTAGE HOSPITAL
     ARCATA
        MAD RIVER COMMUNITY HOSPITAL
     RIVERSIDE
        PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER
     RANCHO MIRAGE
        EISENHOWER MEMORIAL HOSPITAL
     ANTIOCH
        SUTTER DELTA MEDICAL CENTER
     FREMONT
        KAISER FND HOSP - FREMONT
     VISALIA
        KAWEAH DELTA MEDICAL CENTER
     SACRAMENTO
        MERCY GENERAL HOSPITAL
     SANTA ROSA
        KAISER FND HOSP - SANTA ROSA
     LOS ANGELES
        LOS ANGELES COMMUNITY HOSPITAL
     BAKERSFIELD
        BAKERSFIELD MEMORIAL HOSPITAL- 34TH STREET
     SAN GABRIEL
        SAN GABRIEL VALLEY MEDICAL CENTER
     YREKA
        FAIRCHILD MEDICAL CENTER
     FRESNO
        UNIVERSITY MEDICAL CENTER
     HANFORD
        HANFORD COMMUNITY MEDICAL CENTER
     LOS ANGELES
        KAISER FND HOSP - SUNSET
     LAKEPORT
        SUTTER LAKESIDE HOSPITAL
     STOCKTON
        DAMERON HOSPITAL
     PARADISE
        FEATHER RIVER HOSPITAL
     FRESNO
        FRESNO SURGICAL HOSPITAL
     FALLBROOK
        FALLBROOK HOSPITAL DISTRICT
     CARMICHAEL
        MERCY SAN JUAN HOSPITAL
     SAN CLEMENTE
        SADDLEBACK MEMORIAL MEDICAL CENTER - SAN CLEMENTE
     SACRAMENTO
        KAISER FND HOSP - SOUTH SACRAMENTO
        METHODIST HOSPITAL OF SACRAMENTO
     SAN ANDREAS
        MARK TWAIN ST. JOSEPH'S HOSPITAL
     CRESCENT CITY
        SUTTER COAST HOSPITAL
     CORONA
        CORONA REGIONAL MEDICAL CENTER-MAIN
     TURLOCK
        EMANUEL MEDICAL CENTER INC
     SAN FRANCISCO
        CHINESE HOSPITAL
        ST. FRANCIS MEMORIAL HOSPITAL
     MOUNT SHASTA
        MERCY MEDICAL CENTER MT. SHASTA
     BELLFLOWER
        KAISER FND HOSP - BELLFLOWER
     GILROY
        ST. LOUISE REGIONAL HOSPITAL
     SUN VALLEY
        PACIFICA HOSPITAL OF THE VALLEY
     YUBA CITY
        FREMONT MEDICAL CENTER
     VALLEJO
        KAISER FND HOSP - REHABILITATION CENTER VALLEJO
     LODI
        LODI MEMORIAL HOSPITAL
     SAN RAFAEL
        KAISER FND HOSP - SAN RAFAEL
   Accidental puncture and laceration [Graph]
     ALHAMBRA
        ALHAMBRA HOSPITAL
     PASADENA
        HUNTINGTON MEMORIAL HOSPITAL
     TORRANCE
        LAC/HARBOR-UCLA MEDICAL CENTER
     BALDWIN PARK
        KAISER FND HOSP - BALDWIN PARK
     ANAHEIM
        WESTERN MEDICAL CENTER HOSPITAL - ANAHEIM
     LA JOLLA
        SCRIPPS GREEN HOSPITAL
     RIVERSIDE
        KAISER FND HOSP - RIVERSIDE
     ANAHEIM
        ANAHEIM MEMORIAL MEDICAL CENTER
     WEST COVINA
        CITRUS VALLEY MEDICAL CENTER - QV CAMPUS
     HEMET
        HEMET VALLEY MEDICAL CENTER
     PALM SPRINGS
        DESERT REGIONAL MEDICAL CENTER
     DOWNEY
        DOWNEY REGIONAL MEDICAL CENTER
     WHITTIER
        PRESBYTERIAN INTERCOMMUNITY HOSPITAL
     MADERA
        MADERA COMMUNITY HOSPITAL
     SAN PEDRO
        LITTLE COMPANY OF MARY - SAN PEDRO HOSPITAL
     NORWALK
        COAST PLAZA DOCTORS HOSPITAL
     PANORAMA CITY
        KAISER FND HOSP - PANORAMA CITY
     LOS ANGELES
        CALIFORNIA HOSPITAL MEDICAL CENTER - LOS ANGELES
     EL CENTRO
        EL CENTRO REGIONAL MEDICAL CENTER
     GLENDALE
        GLENDALE MEMORIAL HOSPITAL AND HEALTH CENTER
     MODESTO
        STANISLAUS SURGICAL HOSPITAL
     SYLMAR
        LOS ANGELES COUNTY OLIVE VIEW-UCLA MEDICAL CENTER
     GLENDALE
        GLENDALE ADVENTIST MEDICAL CENTER - WILSON TERRACE
     VAN NUYS
        VALLEY PRESBYTERIAN HOSPITAL
     ROSEVILLE
        KAISER FND HOSP - SACRAMENTO/ROSEVILLE-EUREKA
     LANCASTER
        ANTELOPE VALLEY HOSPITAL
     WALNUT CREEK
        JOHN MUIR MEDICAL CENTER-WALNUT CREEK CAMPUS
     VICTORVILLE
        DESERT VALLEY HOSPITAL
     LOS ANGELES
        WHITE MEMORIAL MEDICAL CENTER
     LONG BEACH
        COMMUNITY HOSPITAL OF LONG BEACH
     BURLINGAME
        PENINSULA MEDICAL CENTER
     POMONA
        POMONA VALLEY HOSPITAL MEDICAL CENTER
     NOVATO
        NOVATO COMMUNITY HOSPITAL
     STOCKTON
        ST. JOSEPH'S MEDICAL CENTER OF STOCKTON
     GLENDALE
        VERDUGO HILLS HOSPITAL
     APPLE VALLEY
        ST. MARY REGIONAL MEDICAL CENTER
     TARZANA
        PROVIDENCE TARZANA MEDICAL CENTER
     DALY CITY
        SETON MEDICAL CENTER
     FREMONT
        WASHINGTON HOSPITAL - FREMONT
     SAN BERNARDINO
        ST. BERNARDINE MEDICAL CENTER
     LOS ANGELES
        ST. VINCENT MEDICAL CENTER
        LOS ANGELES METROPOLITAN MEDICAL CENTER
     MONTEREY
        COMMUNITY HOSPITAL MONTEREY PENINSULA
     LAGUNA HILLS
        SADDLEBACK MEMORIAL MEDICAL CENTER
     ORANGE
        CHAPMAN MEDICAL CENTER
     MORENO VALLEY
        RIVERSIDE COUNTY REGIONAL MEDICAL CENTER
     OROVILLE
        OROVILLE HOSPITAL
     MISSION VIEJO
        MISSION HOSPITAL REGIONAL MEDICAL CENTER
     LONG BEACH
        LONG BEACH MEMORIAL MEDICAL CENTER
     REDDING
        PATIENTS' HOSPITAL OF REDDING
     BAKERSFIELD
        BAKERSFIELD HEART HOSPITAL
     MONTEBELLO
        BEVERLY HOSPITAL
     TORRANCE
        TORRANCE MEMORIAL MEDICAL CENTER
     ARROYO GRANDE
        ARROYO GRANDE COMMUNITY HOSPITAL
     LYNWOOD
        ST. FRANCIS MEDICAL CENTER
     CULVER CITY
        BROTMAN MEDICAL CENTER
     RIVERSIDE
        PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER
     COLTON
        ARROWHEAD REGIONAL MEDICAL CENTER
     LOS ANGELES
        EAST LOS ANGELES DOCTORS HOSPITAL
        LOS ANGELES COMMUNITY HOSPITAL
     TORRANCE
        LITTLE COMPANY OF MARY HOSPITAL
     SAN GABRIEL
        SAN GABRIEL VALLEY MEDICAL CENTER
     LANCASTER
        LANCASTER COMMUNITY HOSPITAL
     YREKA
        FAIRCHILD MEDICAL CENTER
     RIVERSIDE
        RIVERSIDE COMMUNITY HOSPITAL
     LOS ANGELES
        KAISER FND HOSP - SUNSET
     SHERMAN OAKS
        SHERMAN OAKS HOSPITAL
     BURBANK
        PROVIDENCE SAINT JOSEPH MEDICAL CENTER
     MONTEREY PARK
        GARFIELD MEDICAL CENTER
     LOS ANGELES
        PACIFIC ALLIANCE MEDICAL CENTER INC.
     INGLEWOOD
        CENTINELA HOSPITAL MEDICAL CENTER
     LOS ANGELES
        OLYMPIA MEDICAL CENTER
     BANNING
        SAN GORGONIO MEMORIAL HOSPITAL
     FALLBROOK
        FALLBROOK HOSPITAL DISTRICT
     SAN CLEMENTE
        SADDLEBACK MEMORIAL MEDICAL CENTER - SAN CLEMENTE
     MARYSVILLE
        RIDEOUT MEMORIAL HOSPITAL
     CANOGA PARK
        WEST HILLS HOSPITAL AND MEDICAL CENTER
     LA PALMA
        LA PALMA INTERCOMMUNITY HOSPITAL
     SAN FRANCISCO
        CHINESE HOSPITAL
     LOS ANGELES
        CEDARS SINAI MEDICAL CENTER
     MONTEREY PARK
        MONTEREY PARK HOSPITAL
     BELLFLOWER
        BELLFLOWER MEDICAL CENTER
     LODI
        LODI MEMORIAL HOSPITAL