Bottom quartile Middle Top quartile Percentile badges compare this hospital to all 5,426 hospitals nationally.

Overview

Address
5400 SOUTH RAINBOW BLVD, LAS VEGAS, NV 89118
Phone
(702) 853-3000
Hospital Type
Acute Care
Ownership
For-Profit
Emergency Services
Yes
Birthing Friendly
Yes
2 /5
CMS Overall Rating
p7
Acute Care — General medical and surgical hospital participating in Medicare IPPS. Subject to CMS quality reporting and payment adjustment programs (VBP, HRRP, HAC).

CMS Star Rating — Quality Domain Breakdown

CMS computes the overall star rating from five quality domains. Each domain compares this hospital's measures against national benchmarks.

Mortality 7 of 7 measures reported
6
1
Better No different Worse
30-day death rates for heart attack, heart failure, pneumonia, COPD, stroke, CABG, and kidney disease.
Safety of Care 7 of 8 measures reported
3
4
Better No different Worse
Healthcare-associated infections and patient safety indicators (PSI-90 composite).
Readmission 9 of 11 measures reported
7
2
Better No different Worse
30-day unplanned readmission rates for heart attack, heart failure, pneumonia, COPD, hip/knee replacement, and CABG.
Patient Experience 8 of 8 measures reported
8 measures reported (comparative data not available for this domain)
HCAHPS survey scores — patient-reported experience with communication, responsiveness, cleanliness, and discharge planning.
Timely & Effective Care 9 of 12 measures reported
9 measures reported (comparative data not available for this domain)
Process-of-care measures including flu immunization, blood clot prevention, and appropriate use of imaging.

Readmissions — Hospital Readmissions Reduction Program

The Excess Readmission Ratio (ERR) compares this hospital's 30-day readmission rate to expected, adjusting for patient mix. An ERR of 1.0 means readmissions are as expected; > 1.0 triggers a Medicare payment penalty (up to 3%).

This hospital has excess readmissions in at least one condition and is subject to HRRP payment reduction.
Acute Myocardial Infarction (Heart Attack) 111 discharges
0.9517 p20
Heart Failure 258 discharges
1.0690 p85
Pneumonia 341 discharges
1.0946 p91
COPD 83 discharges
1.0463 p83
Hip/Knee Replacement
0.9257 p31
CABG Surgery
0.9244 p19
Expected (1.0) National median

Value-Based Purchasing

The Hospital VBP Program adjusts Medicare payments based on clinical quality. The Total Performance Score (TPS) is a weighted composite of four domains, each worth 25%. This hospital's TPS is below the national median, suggesting a negative payment adjustment.

23.6 p29
Total Performance Score
National median: 29.5
Clinical Outcomes 25% weight
7.9 p71
Nat'l median: 5.0
Measures mortality rates for conditions like heart attack, heart failure, pneumonia, and COPD. Based on 30-day risk-standardized mortality.
Safety 25% weight
11.7 p59
Nat'l median: 10.0
Patient safety measures including healthcare-associated infections (CLABSI, CAUTI, SSI, MRSA, C. diff) and perioperative complications.
Person & Community Engagement 25% weight
4.0 p10
Nat'l median: 8.8
Based on HCAHPS patient experience survey results — communication with nurses and doctors, hospital cleanliness, pain management, discharge information.
Efficiency & Cost Reduction 25% weight
0.0 p0
Nat'l median: 2.5
Based on Medicare Spending Per Beneficiary (MSPB). Measures episode-of-care costs from 3 days before admission through 30 days after discharge.

CMS Payment Programs

Three Medicare programs adjust hospital payments based on quality performance. Hospitals can be penalized under multiple programs simultaneously.

Readmissions (HRRP)
Penalized
Worst ERR: 1.0946
Value-Based Purchasing
23.6 TPS
Below national median
HAC Reduction
No Reduction
HAC Score: -0.3557

Complications & Deaths

30-day mortality rates, patient safety indicators, and complication rates. "Better" means statistically significantly better than the national rate.

Measure Score vs. National Denominator
COMP_HIP_KNEE 3.50 No Different Than the National Rate 156
Hybrid_HWM 4.60 No Different Than the National Rate 1,210
MORT_30_AMI 13.00 No Different Than the National Rate 96
MORT_30_CABG 1.90 No Different Than the National Rate 48
MORT_30_COPD 7.30 No Different Than the National Rate 71
MORT_30_HF 12.50 No Different Than the National Rate 211
MORT_30_PN 17.00 No Different Than the National Rate 296
MORT_30_STK 18.10 Worse Than the National Rate 150
PSI_03 0.57 No Different Than the National Rate 4,000
PSI_04 151.86 No Different Than the National Rate 96
PSI_06 0.16 No Different Than the National Rate 5,371
PSI_08 0.26 No Different Than the National Rate 5,582
PSI_09 1.74 No Different Than the National Rate 1,204
PSI_10 1.52 No Different Than the National Rate 368
PSI_11 10.78 No Different Than the National Rate 386
PSI_12 3.61 No Different Than the National Rate 1,295
PSI_13 6.29 No Different Than the National Rate 367
PSI_14 1.65 No Different Than the National Rate 282
PSI_15 0.86 No Different Than the National Rate 946
PSI_90 1.03 No Different Than the National Value

Patient Experience (HCAHPS)

Hospital Consumer Assessment of Healthcare Providers and Systems — standardized patient survey measuring satisfaction with care.

Measure Score Star Rating
H_COMP_1_A_P: Nurses "always" communicated well 75%
H_COMP_1_SN_P: Nurses "sometimes" or "never" communicated well 7%
H_COMP_1_U_P: Nurses "usually" communicated well 18%
H_COMP_1_LINEAR_SCORE: Nurse communication - linear mean score
H_COMP_1_STAR_RATING: Nurse communication - star rating 2
H_NURSE_RESPECT_A_P: Nurses "always" treated them with courtesy and respect 83%
H_NURSE_RESPECT_SN_P: Nurses "sometimes" or "never" treated them with courtesy and respect 5%
H_NURSE_RESPECT_U_P: Nurses "usually" treated them with courtesy and respect 12%
H_NURSE_LISTEN_A_P: Nurses "always" listened carefully 71%
H_NURSE_LISTEN_SN_P: Nurses "sometimes" or "never" listened carefully 7%
H_NURSE_LISTEN_U_P: Nurses "usually" listened carefully 22%
H_NURSE_EXPLAIN_A_P: Nurses "always" explained things so they could understand 69%
H_NURSE_EXPLAIN_SN_P: Nurses "sometimes" or "never" explained things so they could understand 8%
H_NURSE_EXPLAIN_U_P: Nurses "usually" explained things so they could understand 23%
H_COMP_2_A_P: Doctors "always" communicated well 71%
H_COMP_2_SN_P: Doctors "sometimes" or "never" communicated well 9%
H_COMP_2_U_P: Doctors "usually" communicated well 20%
H_COMP_2_LINEAR_SCORE: Doctor communication - linear mean score
H_COMP_2_STAR_RATING: Doctor communication - star rating 2
H_DOCTOR_RESPECT_A_P: Doctors "always" treated them with courtesy and respect 79%
H_DOCTOR_RESPECT_SN_P: Doctors "sometimes" or "never" treated them with courtesy and respect 6%
H_DOCTOR_RESPECT_U_P: Doctors "usually" treated them with courtesy and respect 15%
H_DOCTOR_LISTEN_A_P: Doctors "always" listened carefully 68%
H_DOCTOR_LISTEN_SN_P: Doctors "sometimes" or "never" listened carefully 11%
H_DOCTOR_LISTEN_U_P: Doctors "usually" listened carefully 21%
H_DOCTOR_EXPLAIN_A_P: Doctors "always" explained things so they could understand 67%
H_DOCTOR_EXPLAIN_SN_P: Doctors "sometimes" or "never" explained things so they could understand 11%
H_DOCTOR_EXPLAIN_U_P: Doctors "usually" explained things so they could understand 22%
H_COMP_5_A_P: Staff "always" explained 57%
H_COMP_5_SN_P: Staff "sometimes" or "never" explained 26%
H_COMP_5_U_P: Staff "usually" explained 17%
H_COMP_5_LINEAR_SCORE: Communication about medicines - linear mean score
H_COMP_5_STAR_RATING: Communication about medicines - star rating 2
H_MED_FOR_A_P: Staff "always" explained new medications 69%
H_MED_FOR_SN_P: Staff "sometimes" or "never" explained new medications 13%
H_MED_FOR_U_P: Staff "usually" explained new medications 18%
H_SIDE_EFFECTS_A_P: Staff "always" explained possible side effects 45%
H_SIDE_EFFECTS_SN_P: Staff "sometimes" or "never" explained possible side effects 39%
H_SIDE_EFFECTS_U_P: Staff "usually" explained possible side effects 16%
H_COMP_6_N_P: No, staff "did not" give patients this information 18%
H_COMP_6_Y_P: Yes, staff "did" give patients this information 82%
H_COMP_6_LINEAR_SCORE: Discharge information - linear mean score
H_COMP_6_STAR_RATING: Discharge information - star rating 2
H_DISCH_HELP_N_P: No, staff "did not" give patients information about help after discharge 20%
H_DISCH_HELP_Y_P: Yes, staff "did" give patients information about help after discharge 80%
H_SYMPTOMS_N_P: No, staff "did not" give patients information about possible symptoms 16%
H_SYMPTOMS_Y_P: Yes, staff "did" give patients information about possible symptoms 84%
H_CLEAN_HSP_A_P: Room was "always" clean 67%
H_CLEAN_HSP_SN_P: Room was "sometimes" or "never" clean 15%
H_CLEAN_HSP_U_P: Room was "usually" clean 18%
H_CLEAN_LINEAR_SCORE: Cleanliness - linear mean score
H_CLEAN_STAR_RATING: Cleanliness - star rating 2
H_QUIET_HSP_A_P: "Always" quiet at night 52%
H_QUIET_HSP_SN_P: "Sometimes" or "never" quiet at night 16%
H_QUIET_HSP_U_P: "Usually" quiet at night 32%
H_QUIET_LINEAR_SCORE: Quietness - linear mean score
H_QUIET_STAR_RATING: Quietness - star rating 2
H_HSP_RATING_0_6: Patients who gave a rating of "6" or lower (low) 12%
H_HSP_RATING_7_8: Patients who gave a rating of "7" or "8" (medium) 23%
H_HSP_RATING_9_10: Patients who gave a rating of "9" or "10" (high) 65%
H_HSP_RATING_LINEAR_SCORE: Overall hospital rating - linear mean score
H_HSP_RATING_STAR_RATING: Overall hospital rating - star rating 3
H_RECMND_DN: "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it) 9%
H_RECMND_DY: "YES", patients would definitely recommend the hospital 64%
H_RECMND_PY: "YES", patients would probably recommend the hospital 27%
H_RECMND_LINEAR_SCORE: Recommend hospital - linear mean score
H_RECMND_STAR_RATING: Recommend hospital - star rating 2
H_STAR_RATING: Summary star rating 2

Healthcare Associated Infections

Standardized Infection Ratios (SIR). A SIR < 1.0 means fewer infections than predicted based on national baseline data.

Measure Score (SIR) vs. National
HAI_1_CILOWER 0.146 Better than the National Benchmark
HAI_1_CIUPPER 0.749 Better than the National Benchmark
HAI_1_DOPC 15479.000 Better than the National Benchmark
HAI_1_ELIGCASES 16.658 Better than the National Benchmark
HAI_1_NUMERATOR 6.000 Better than the National Benchmark
HAI_1_SIR 0.360 Better than the National Benchmark
HAI_2_CILOWER 0.048 Better than the National Benchmark
HAI_2_CIUPPER 0.510 Better than the National Benchmark
HAI_2_DOPC 12816.000 Better than the National Benchmark
HAI_2_ELIGCASES 16.000 Better than the National Benchmark
HAI_2_NUMERATOR 3.000 Better than the National Benchmark
HAI_2_SIR 0.188 Better than the National Benchmark
HAI_3_CILOWER 0.159 No Different than National Benchmark
HAI_3_CIUPPER 1.701 No Different than National Benchmark
HAI_3_DOPC 180.000 No Different than National Benchmark
HAI_3_ELIGCASES 4.801 No Different than National Benchmark
HAI_3_NUMERATOR 3.000 No Different than National Benchmark
HAI_3_SIR 0.625 No Different than National Benchmark
HAI_4_CILOWER
HAI_4_CIUPPER
HAI_4_DOPC 46.000
HAI_4_ELIGCASES 0.370
HAI_4_NUMERATOR 0.000
HAI_4_SIR
HAI_5_CILOWER 0.334 No Different than National Benchmark
HAI_5_CIUPPER 1.712 No Different than National Benchmark
HAI_5_DOPC 102702.000 No Different than National Benchmark
HAI_5_ELIGCASES 7.290 No Different than National Benchmark
HAI_5_NUMERATOR 6.000 No Different than National Benchmark
HAI_5_SIR 0.823 No Different than National Benchmark
HAI_6_CILOWER 0.001 Better than the National Benchmark
HAI_6_CIUPPER 0.076 Better than the National Benchmark
HAI_6_DOPC 97903.000 Better than the National Benchmark
HAI_6_ELIGCASES 64.874 Better than the National Benchmark
HAI_6_NUMERATOR 1.000 Better than the National Benchmark
HAI_6_SIR 0.015 Better than the National Benchmark

Timely & Effective Care

Process-of-care measures including ED wait times, treatment timeliness, and preventive care.

Measure Score Condition
EDV very high Emergency Department
GMCS Electronic Clinical Quality Measure
GMCS_Malnutrition_Diagnosis_Documented Electronic Clinical Quality Measure
GMCS_Malnutrition_Screening Electronic Clinical Quality Measure
GMCS_Nutrition_Assessment Electronic Clinical Quality Measure
GMCS_Nutritional_Care_Plan Electronic Clinical Quality Measure
HH_HYPER Electronic Clinical Quality Measure
HH_HYPO Electronic Clinical Quality Measure
HH_ORAE 0.0 Electronic Clinical Quality Measure
IMM_3 76.0 Healthcare Personnel Vaccination
OP_18a 182.0 Emergency Department
OP_18b 174.0 Emergency Department
OP_18c 209.0 Emergency Department
OP_18d Emergency Department
OP_22 0.0 Emergency Department
OP_23 Emergency Department
OP_29 79.0 Colonoscopy care
OP_31 Cataract surgery outcome
OP_40 50.0 Electronic Clinical Quality Measure
SAFE_USE_OF_OPIOIDS 12.0 Electronic Clinical Quality Measure
SEP_1 54.0 Sepsis Care
SEP_SH_3HR 72.0 Sepsis Care
SEP_SH_6HR 73.0 Sepsis Care
SEV_SEP_3HR 76.0 Sepsis Care
SEV_SEP_6HR 94.0 Sepsis Care
STK_02 Electronic Clinical Quality Measure
STK_03 Electronic Clinical Quality Measure
STK_05 Electronic Clinical Quality Measure
VTE_1 96.0 Electronic Clinical Quality Measure
VTE_2 98.0 Electronic Clinical Quality Measure

Unplanned Hospital Visits

Readmission and ED return rates within 30 days of discharge.

Measure Score vs. National
EDAC_30_AMI -1.20 Average Days per 100 Discharges
EDAC_30_HF 9.00 Average Days per 100 Discharges
EDAC_30_PN 14.80 More Days Than Average per 100 Discharges
Hybrid_HWR 15.60 No Different Than the National Rate
OP_32 12.80 No Different Than the National Rate
OP_35_ADM Number of Cases Too Small
OP_35_ED Number of Cases Too Small
OP_36 0.90 No Different than expected
READM_30_AMI 13.10 No Different Than the National Rate
READM_30_CABG 9.80 No Different Than the National Rate
READM_30_COPD 19.00 No Different Than the National Rate
READM_30_HF 21.20 No Different Than the National Rate
READM_30_HIP_KNEE 4.50 No Different Than the National Rate
READM_30_PN 17.60 No Different Than the National Rate

Medicare Spending Per Beneficiary

MSPB ratio: values > 1.0 mean this hospital's episode spending is higher than the national median hospital.

Value
1.07

Financial Health (Cost Report — FY 2023)

All Data

Every labeled metric surfaced for this hospital, with national medians and percentiles where a benchmark is available.

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Show 94 rows
Source Metric Value National Median Pctl. Raw key
Cost Report Cost-to-Charge Ratio 0.07 metrics.cost_to_charge_ratio
Cost Report Current Ratio 3.01 metrics.current_ratio
Cost Report Employees per Bed 4.66 metrics.employees_per_bed
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Fund Balance ($) $605,308,114 metrics.fund_balance
Cost Report Net Income ($) $52,157,212 metrics.net_income
Cost Report Net Patient Revenue ($) $432,337,405 metrics.net_patient_revenue
Cost Report Operating Margin (%) 11.0% metrics.operating_margin
Cost Report Total Assets ($) $254,532,538 metrics.total_assets
Cost Report Total Costs ($) $351,146,741 metrics.total_costs
Cost Report Total Liabilities ($) $-350,775,576 metrics.total_liabilities
Cost Report Total Margin (%) 11.9% metrics.total_margin
Cost Report Uncompensated Care (%) 3.9% metrics.uncompensated_care_pct
General Information Address 5400 SOUTH RAINBOW BLVD Address
General Information City/Town LAS VEGAS City/Town
General Information Count of Facility MORT Measures 7 Count of Facility MORT Measures
General Information Count of Facility Pt Exp Measures 8 Count of Facility Pt Exp Measures
General Information Count of Facility READM Measures 9 Count of Facility READM Measures
General Information Count of Facility Safety Measures 7 Count of Facility Safety Measures
General Information Count of Facility TE Measures 9 Count of Facility TE Measures
General Information Count of MORT Measures Better 0 Count of MORT Measures Better
General Information Count of MORT Measures No Different 6 Count of MORT Measures No Different
General Information Count of MORT Measures Worse 1 Count of MORT Measures Worse
General Information Count of READM Measures Better 0 Count of READM Measures Better
General Information Count of READM Measures No Different 7 Count of READM Measures No Different
General Information Count of READM Measures Worse 2 Count of READM Measures Worse
General Information Count of Safety Measures Better 3 Count of Safety Measures Better
General Information Count of Safety Measures No Different 4 Count of Safety Measures No Different
General Information Count of Safety Measures Worse 0 Count of Safety Measures Worse
General Information County/Parish CLARK County/Parish
General Information Emergency Services Yes Emergency Services
General Information Facility ID 290046 Facility ID
General Information Facility Name SPRING VALLEY HOSPITAL MEDICAL CENTER Facility Name
General Information Hospital overall rating 2 Hospital overall rating
General Information Hospital overall rating footnote Hospital overall rating footnote
General Information Hospital Ownership Proprietary Hospital Ownership
General Information Hospital Type Acute Care Hospitals Hospital Type
General Information Meets criteria for birthing friendly designation Y Meets criteria for birthing friendly designation
General Information MORT Group Footnote MORT Group Footnote
General Information MORT Group Measure Count 7 MORT Group Measure Count
General Information Pt Exp Group Footnote Pt Exp Group Footnote
General Information Pt Exp Group Measure Count 8 Pt Exp Group Measure Count
General Information READM Group Footnote READM Group Footnote
General Information READM Group Measure Count 11 READM Group Measure Count
General Information Safety Group Footnote Safety Group Footnote
General Information Safety Group Measure Count 8 Safety Group Measure Count
General Information State NV State
General Information TE Group Footnote TE Group Footnote
General Information TE Group Measure Count 12 TE Group Measure Count
General Information Telephone Number (702) 853-3000 Telephone Number
General Information ZIP Code 89118 ZIP Code
HAC Reduction Program fiscal_year 2,026 fiscal_year
HAC Reduction Program measures — cauti — sir 0.19 measures.cauti.sir
HAC Reduction Program measures — cdi — sir 0.09 measures.cdi.sir
HAC Reduction Program measures — clabsi — sir 0.57 measures.clabsi.sir
HAC Reduction Program measures — mrsa — sir 0.85 measures.mrsa.sir
HAC Reduction Program measures — ssi — sir 0.45 measures.ssi.sir
HAC Reduction Program payment_reduction No payment_reduction
HAC Reduction Program total_hac_score -0.36 total_hac_score
Medicare Spending per Beneficiary End Date 12/31/2024 End Date
Medicare Spending per Beneficiary Measure ID MSPB-1 Measure ID
Medicare Spending per Beneficiary Start Date 01/01/2024 Start Date
Medicare Spending per Beneficiary Value 1.07 Value
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Excess readmission ratio 0.95 0.9995 p20 READM-30-AMI-HRRP.excess_readmission_ratio
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Expected readmission rate 14.7% READM-30-AMI-HRRP.expected_readmission_rate
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Number of discharges 111 READM-30-AMI-HRRP.num_discharges
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Number of readmissions 13 READM-30-AMI-HRRP.num_readmissions
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Predicted readmission rate 14.0% READM-30-AMI-HRRP.predicted_readmission_rate
Readmissions (HRRP) CABG Surgery — Excess readmission ratio 0.92 1.0000 p19 READM-30-CABG-HRRP.excess_readmission_ratio
Readmissions (HRRP) CABG Surgery — Expected readmission rate 11.4% READM-30-CABG-HRRP.expected_readmission_rate
Readmissions (HRRP) CABG Surgery — Predicted readmission rate 10.5% READM-30-CABG-HRRP.predicted_readmission_rate
Readmissions (HRRP) COPD — Excess readmission ratio 1.05 0.9969 p83 READM-30-COPD-HRRP.excess_readmission_ratio
Readmissions (HRRP) COPD — Expected readmission rate 16.9% READM-30-COPD-HRRP.expected_readmission_rate
Readmissions (HRRP) COPD — Number of discharges 83 READM-30-COPD-HRRP.num_discharges
Readmissions (HRRP) COPD — Number of readmissions 18 READM-30-COPD-HRRP.num_readmissions
Readmissions (HRRP) COPD — Predicted readmission rate 17.7% READM-30-COPD-HRRP.predicted_readmission_rate
Readmissions (HRRP) Heart Failure — Excess readmission ratio 1.07 0.9983 p85 READM-30-HF-HRRP.excess_readmission_ratio
Readmissions (HRRP) Heart Failure — Expected readmission rate 20.0% READM-30-HF-HRRP.expected_readmission_rate
Readmissions (HRRP) Heart Failure — Number of discharges 258 READM-30-HF-HRRP.num_discharges
Readmissions (HRRP) Heart Failure — Number of readmissions 60 READM-30-HF-HRRP.num_readmissions
Readmissions (HRRP) Heart Failure — Predicted readmission rate 21.3% READM-30-HF-HRRP.predicted_readmission_rate
Readmissions (HRRP) Hip/Knee Replacement — Excess readmission ratio 0.93 0.9916 p31 READM-30-HIP-KNEE-HRRP.excess_readmission_ratio
Readmissions (HRRP) Hip/Knee Replacement — Expected readmission rate 5.3% READM-30-HIP-KNEE-HRRP.expected_readmission_rate
Readmissions (HRRP) Hip/Knee Replacement — Predicted readmission rate 4.9% READM-30-HIP-KNEE-HRRP.predicted_readmission_rate
Readmissions (HRRP) Pneumonia — Excess readmission ratio 1.09 0.9955 p91 READM-30-PN-HRRP.excess_readmission_ratio
Readmissions (HRRP) Pneumonia — Expected readmission rate 17.1% READM-30-PN-HRRP.expected_readmission_rate
Readmissions (HRRP) Pneumonia — Number of discharges 341 READM-30-PN-HRRP.num_discharges
Readmissions (HRRP) Pneumonia — Number of readmissions 70 READM-30-PN-HRRP.num_readmissions
Readmissions (HRRP) Pneumonia — Predicted readmission rate 18.7% READM-30-PN-HRRP.predicted_readmission_rate
Value-Based Purchasing Clinical Outcomes 7.92 5.00 p71 clinical_outcomes_score
Value-Based Purchasing Efficiency & Cost Reduction 0.00 2.50 p0 efficiency_score
Value-Based Purchasing Person & Community Engagement 4.00 8.75 p10 person_community_score
Value-Based Purchasing Safety 11.67 10.00 p59 safety_score
Value-Based Purchasing Total Performance Score 23.58 29.50 p29 total_performance_score
Methodology

Full methodology →