39
As submitted to California's Office of Statewide Health Planning and Development in accordance with Senate Bill 499 (SB 499) requirement for all general acute care hospitals with Structural Performance Category 1 (SPC-1) buildings to report annually with seismic safety compliance status, beds and services. Senate Bill 499 (SB 499) Hospital Report Office of Statewide Health Planning and Development Facilities Development Division Facility Number: Hospital Owner/Licensee: City: Address: Facility Name: Year of Reporting: Contact 1 e-mail Address: Contact 2 e-mail Address: Contact 3 e-mail Address:: Name of Submitter: Submission Date: 18007 Orange County Global Medical Center 1001 N Tustin Ave Santa Ana Orange County Global Medical Center, Inc. 2015 [Confidential data left blank intentionally.] [Confidential data left blank intentionally.] Robert Kessler 12/14/2015 3:22:15 PM Provide the Hospital Owner and Year of Report per Section 130061(e) [Confidential data left blank intentionally.] OSHPD FDD SB499 Report 12/16/2015 6:25 AM Data Last Update: 12/14/2015 Submission Date: 12/14/2015 Printed:

Office of Statewide Health Senate Bill 499 (SB 499 ... Facility Number: Hospital Owner/Licensee: City: Address: Facility Name: Year of Reporting: Contact 1 e-mail Address: Contact

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Page 1: Office of Statewide Health Senate Bill 499 (SB 499 ... Facility Number: Hospital Owner/Licensee: City: Address: Facility Name: Year of Reporting: Contact 1 e-mail Address: Contact

As submitted to California's Office of Statewide Health Planning and Development in accordance with Senate Bill 499 (SB 499) requirement for all general acute care hospitals with Structural Performance Category 1 (SPC-1) buildings to report annually with seismic safety compliance status, beds and services.

Senate Bill 499 (SB 499) Hospital ReportOffice of Statewide Health Planning and DevelopmentFacilities Development Division

Facility Number:

Hospital Owner/Licensee:

City:

Address:

Facility Name:

Year of Reporting:

Contact 1 e-mail Address:

Contact 2 e-mail Address:

Contact 3 e-mail Address::

Name of Submitter:

Submission Date:

18007

Orange County Global Medical Center

1001 N Tustin Ave

Santa Ana

Orange County Global Medical Center, Inc.

2015

[Confidential data left blank intentionally.]

[Confidential data left blank intentionally.]

Robert Kessler

12/14/2015 3:22:15 PM

Provide the Hospital Owner and Year of Report per Section 130061(e)

[Confidential data left blank intentionally.]

OSHPD FDD SB499 Report 12/16/2015 6:25 AMData Last Update: 12/14/2015 Submission Date: 12/14/2015 Printed:

Page 2: Office of Statewide Health Senate Bill 499 (SB 499 ... Facility Number: Hospital Owner/Licensee: City: Address: Facility Name: Year of Reporting: Contact 1 e-mail Address: Contact

For buildings For buildings which are planned for rebuild, retrofit or replacement this report shall identify;  Whether the hospital owner intends to rebuild, retrofit or replace the building to SPC2, SPC3, SPC4 or SPC5 per 130061(c)(1)(A). The deadline, as described in Section 130060 or 130061.5,for rebuild, retrofit or replacement of the building that the hospital owner intends to meet, and the applicable extension for which the hospital owner has been approved per Section 130061(c)(1)(B)

Bldg.No. Building Name Alternate Building Address

Building Resolution

Final SPC RatingIf Required

Extension Date

Anticipated Completion Date

01/01/2019SPC2RetrofitAdministrationBLD-00298

1001 N Tustin Ave 06/01/2018

01/01/2019SPC2RetrofitEntrance CanopyBLD-05722

1001 N Tustin Ave 12/31/2018

OSHPD FDD SB499 Report 12/16/2015 6:25 AMData Last Update: 12/14/2015 Submission Date: 12/14/2015 Printed:

180072015 Orange County Global Medical Center Santa Ana Page:2 of 39Report Year:

Page 3: Office of Statewide Health Senate Bill 499 (SB 499 ... Facility Number: Hospital Owner/Licensee: City: Address: Facility Name: Year of Reporting: Contact 1 e-mail Address: Contact

AdministrationBuilding No: BLD-00298 Yes-SubmittedRetrofit/Replacement Project:

18007 H142861-30-00

0 V.S.I. Voluntary Seismic Improvement 12/10/2014

PEND No 6/9/2015 12:00:00

AM

Facility Number

Project Number

Sub Num Scope Date In

Plan Approved Date

Projected Start Date

Projected Completion Date Status

CEQA Review

For each building which is planned for rebuild, retrofit or replacement, provide the project numbers, per Section 130061(c)(1)(C). The projected construction start date or dates and projected Completion date or dates per Section 130061(c)(1)(D) and the most recent project status and approvals per Section 130061(c)(1)(E).

OSHPD FDD SB499 Report 12/16/2015 6:25 AMData Last Update: 12/14/2015 Submission Date: 12/14/2015 Printed:

180072015 Orange County Global Medical Center Santa Ana Page:3 of 39Report Year:

Page 4: Office of Statewide Health Senate Bill 499 (SB 499 ... Facility Number: Hospital Owner/Licensee: City: Address: Facility Name: Year of Reporting: Contact 1 e-mail Address: Contact

BLD-00298 Administration

Nursing

Building Number: Building Name:

IntensiveCare

Pediatric/Adolescent

PsychiatricNursing

ObstetricalAnte/Postprtum

IntermediateCare

Skilled Nursing

X

0

00

Type of Service Provided

Inpatient Beds

Inpatient Beds

Inpatient Days

Inpatient Beds

Inpatient Beds

Inpatient Beds

Inpatient Beds

Inpatient Beds

0

0

0

0

0

0

Inpatient Days

Inpatient Days

Inpatient Days

Inpatient Days

Inpatient Days

Inpatient Days

0

0

0

0

0

0

Total Beds this Building

Surgical ObstetricalRecovery

AnesthesiaNewborn/WellBaby

Support Services

Administration

Dietetic

Pharmaceutical

Clinical Lab

Radiological/Imaging

OutpatientSurgery

Central Plant

Emergency

Nuclear Medicine

RehabilitationTherapy

Renal Dialysis

ObstetricalCesarean/Deliv

Provide the number of inpatient beds and patient days per type of service per building per Section 130061(c)(1)(F)

OSHPD FDD SB499 Report 12/16/2015 6:25 AMData Last Update: 12/14/2015 Submission Date: 12/14/2015 Printed:

180072015 Orange County Global Medical Center Santa Ana Page:4 of 39Report Year:

Page 5: Office of Statewide Health Senate Bill 499 (SB 499 ... Facility Number: Hospital Owner/Licensee: City: Address: Facility Name: Year of Reporting: Contact 1 e-mail Address: Contact

BLD-05722 Entrance Canopy

Nursing

Building Number: Building Name:

IntensiveCare

Pediatric/Adolescent

PsychiatricNursing

ObstetricalAnte/Postprtum

IntermediateCare

Skilled Nursing

X

0

00

Type of Service Provided

Inpatient Beds

Inpatient Beds

Inpatient Days

Inpatient Beds

Inpatient Beds

Inpatient Beds

Inpatient Beds

Inpatient Beds

0

0

0

0

0

0

Inpatient Days

Inpatient Days

Inpatient Days

Inpatient Days

Inpatient Days

Inpatient Days

0

0

0

0

0

0

Total Beds this Building

Surgical ObstetricalRecovery

AnesthesiaNewborn/WellBaby

Support Services

Administration

Dietetic

Pharmaceutical

Clinical Lab

Radiological/Imaging

OutpatientSurgery

Central Plant

Emergency

Nuclear Medicine

RehabilitationTherapy

Renal Dialysis

ObstetricalCesarean/Deliv

Provide the number of inpatient beds and patient days per type of service per building per Section 130061(c)(1)(F)

OSHPD FDD SB499 Report 12/16/2015 6:25 AMData Last Update: 12/14/2015 Submission Date: 12/14/2015 Printed:

180072015 Orange County Global Medical Center Santa Ana Page:5 of 39Report Year:

Page 6: Office of Statewide Health Senate Bill 499 (SB 499 ... Facility Number: Hospital Owner/Licensee: City: Address: Facility Name: Year of Reporting: Contact 1 e-mail Address: Contact

Building Number: Building Name:

Pediatric

Perinatal (excluse Newborn / GYN)

Medical / Surgical (Include GYN)

Intermediate Card

Coronary Care

Intensive Care Rehabilitation Center

Chemical Dependency

Acute Respiratory Care

Skilled Nursing Burn

intensive Care Newborn Nursery

Acute Psychiatric

Int. Care / development Disabled

Total Beds this Building Per Unit

Total Beds this Building Per Service

InpatientBed

InpatientDays

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

BLD-00298 Administration

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0 0 0

0 0

0 0

0 0

0 0

Provide the number of Inpatient beds and patient days per type of unit per building per Section 130061(c)(1)(F)

OSHPD FDD SB499 Report 12/16/2015 6:25 AMData Last Update: 12/14/2015 Submission Date: 12/14/2015 Printed:

180072015 Orange County Global Medical Center Santa Ana Page:6 of 39Report Year:

Page 7: Office of Statewide Health Senate Bill 499 (SB 499 ... Facility Number: Hospital Owner/Licensee: City: Address: Facility Name: Year of Reporting: Contact 1 e-mail Address: Contact

Building Number: Building Name:

Pediatric

Perinatal (excluse Newborn / GYN)

Medical / Surgical (Include GYN)

Intermediate Card

Coronary Care

Intensive Care Rehabilitation Center

Chemical Dependency

Acute Respiratory Care

Skilled Nursing Burn

intensive Care Newborn Nursery

Acute Psychiatric

Int. Care / development Disabled

Total Beds this Building Per Unit

Total Beds this Building Per Service

InpatientBed

InpatientDays

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

BLD-05722 Entrance Canopy

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0 0 0

0 0

0 0

0 0

0 0

Provide the number of Inpatient beds and patient days per type of unit per building per Section 130061(c)(1)(F)

OSHPD FDD SB499 Report 12/16/2015 6:25 AMData Last Update: 12/14/2015 Submission Date: 12/14/2015 Printed:

180072015 Orange County Global Medical Center Santa Ana Page:7 of 39Report Year:

Page 8: Office of Statewide Health Senate Bill 499 (SB 499 ... Facility Number: Hospital Owner/Licensee: City: Address: Facility Name: Year of Reporting: Contact 1 e-mail Address: Contact

BLD-00295 Ancillary Building/ER Expansion Remain

BLD-00296 Elevator Tower Remain

BLD-00297 Nursing Tower Remain

BLD-00298 Administration Retrofit

BLD-00299 Shipping & Receiving Remain

BLD-00300 Mechanical Building Remain

BLD-00301 Radiation Therapy Remain

BLD-00302 Support Services Remain

BLD-05722 Entrance Canopy Retrofit

For all buildings at the facility, indicate which ones are scheduled for general acute service removal.

Building Number Building Name

Building to be Removed / Replaced / Rebuilt

OSHPD FDD SB499 Report 12/16/2015 6:25 AMData Last Update: 12/14/2015 Submission Date: 12/14/2015 Printed:

180072015 Orange County Global Medical Center Santa Ana Page:8 of 39Report Year:

Page 9: Office of Statewide Health Senate Bill 499 (SB 499 ... Facility Number: Hospital Owner/Licensee: City: Address: Facility Name: Year of Reporting: Contact 1 e-mail Address: Contact

N_1 Entry Canopy X

Building Number

Building Name New Site

List ALL proposed new buildings to be constructed at this or another site.

OSHPD FDD SB499 Report 12/16/2015 6:25 AMData Last Update: 12/14/2015 Submission Date: 12/14/2015 Printed:

180072015 Orange County Global Medical Center Santa Ana Page:9 of 39Report Year:

Page 10: Office of Statewide Health Senate Bill 499 (SB 499 ... Facility Number: Hospital Owner/Licensee: City: Address: Facility Name: Year of Reporting: Contact 1 e-mail Address: Contact

No data reported for Section 130061 (c)(2)(A) , (B), or (C)

OSHPD FDD SB499 Report 12/16/2015 6:25 AMData Last Update: 12/14/2015 Submission Date: 12/14/2015 Printed:

180072015 Orange County Global Medical Center Santa Ana Page:10 of 39Report Year:

Page 11: Office of Statewide Health Senate Bill 499 (SB 499 ... Facility Number: Hospital Owner/Licensee: City: Address: Facility Name: Year of Reporting: Contact 1 e-mail Address: Contact

No data reported for Section 130061(c)(2)(D).

OSHPD FDD SB499 Report 12/16/2015 6:25 AMData Last Update: 12/14/2015 Submission Date: 12/14/2015 Printed:

180072015 Orange County Global Medical Center Santa Ana Page:11 of 39Report Year:

Page 12: Office of Statewide Health Senate Bill 499 (SB 499 ... Facility Number: Hospital Owner/Licensee: City: Address: Facility Name: Year of Reporting: Contact 1 e-mail Address: Contact

No data reported for Section 130061(c)(2)(D).

OSHPD FDD SB499 Report 12/16/2015 6:25 AMData Last Update: 12/14/2015 Submission Date: 12/14/2015 Printed:

180072015 Orange County Global Medical Center Santa Ana Page:12 of 39Report Year:

Page 13: Office of Statewide Health Senate Bill 499 (SB 499 ... Facility Number: Hospital Owner/Licensee: City: Address: Facility Name: Year of Reporting: Contact 1 e-mail Address: Contact

No data reported for whether the general acute care services and beds will be relocated to a new, existing or retrofitted building and any corresponding building sites or project numbers for buildings with a Building Resolution of "Rebuild" or "Replace" per Section 130061(c)(2)(E).

OSHPD FDD SB499 Report 12/16/2015 6:25 AMData Last Update: 12/14/2015 Submission Date: 12/14/2015 Printed:

180072015 Orange County Global Medical Center Santa Ana Page:13 of 39Report Year:

Page 14: Office of Statewide Health Senate Bill 499 (SB 499 ... Facility Number: Hospital Owner/Licensee: City: Address: Facility Name: Year of Reporting: Contact 1 e-mail Address: Contact

No data reported for Section 130061(c)(3).

OSHPD FDD SB499 Report 12/16/2015 6:25 AMData Last Update: 12/14/2015 Submission Date: 12/14/2015 Printed:

180072015 Orange County Global Medical Center Santa Ana Page:14 of 39Report Year:

Page 15: Office of Statewide Health Senate Bill 499 (SB 499 ... Facility Number: Hospital Owner/Licensee: City: Address: Facility Name: Year of Reporting: Contact 1 e-mail Address: Contact

Building Number: Building Name:

Nursing

IntensiveCare

Pediatric/Adolescent

PsychiatricNursing

ObstetricalAnte/Postprtum

IntermediateCare

Skilled Nursing

BLD-00298 Administration

Type of Service Provided

Surgical

Anesthesia

Support Services

Administration

Dietetic

Pharmaceutical

Clinical Lab

Radiological/Imaging

OutpatientSurgery

Central Plant

RehabilitationTherapy

Renal Dialysis

X

Obstetrical Cesarean/Deliv

ObstetricalRecovery

Newborn/WellBaby

Emergency

Nuclear Medicine

Report any general acute care hospital inpatient service that is provided in any general acute care hospital building that is rated SPC-1 per Section 130061(c)(4)

OSHPD FDD SB499 Report 12/16/2015 6:25 AMData Last Update: 12/14/2015 Submission Date: 12/14/2015 Printed:

180072015 Orange County Global Medical Center Santa Ana Page:15 of 39Report Year:

Page 16: Office of Statewide Health Senate Bill 499 (SB 499 ... Facility Number: Hospital Owner/Licensee: City: Address: Facility Name: Year of Reporting: Contact 1 e-mail Address: Contact

Building Number: Building Name:

Nursing

IntensiveCare

Pediatric/Adolescent

PsychiatricNursing

ObstetricalAnte/Postprtum

IntermediateCare

Skilled Nursing

BLD-05722 Entrance Canopy

Type of Service Provided

Surgical

Anesthesia

Support Services

Administration

Dietetic

Pharmaceutical

Clinical Lab

Radiological/Imaging

OutpatientSurgery

Central Plant

RehabilitationTherapy

Renal Dialysis

X

Obstetrical Cesarean/Deliv

ObstetricalRecovery

Newborn/WellBaby

Emergency

Nuclear Medicine

Report any general acute care hospital inpatient service that is provided in any general acute care hospital building that is rated SPC-1 per Section 130061(c)(4)

OSHPD FDD SB499 Report 12/16/2015 6:25 AMData Last Update: 12/14/2015 Submission Date: 12/14/2015 Printed:

180072015 Orange County Global Medical Center Santa Ana Page:16 of 39Report Year:

Page 17: Office of Statewide Health Senate Bill 499 (SB 499 ... Facility Number: Hospital Owner/Licensee: City: Address: Facility Name: Year of Reporting: Contact 1 e-mail Address: Contact

Nursing

IntensiveCare

Pediatric/Adolescent

PsychiatricNursing

ObstetricalAnte/Postprtum

IntermediateCare

Skilled Nursing

Support Services

Administration

Dietetic

Pharmaceutical

Radiological/Imaging

Clinical Lab

Anesthesia

Surgical

ObstetricalRecovery

Newborn/WellBaby

Emergency

Nuclear Medicine

RehabilitationTherapy

Renal Dialysis

OutpatientSurgery

Central Plant

Obstetrical Cesarean/Deliv

Building Number:

Type of Service Provided

Building Name:

X

BLD-00295 Ancillary Building/ER Expansion

N/AConfiguration:

X

X

X

X

X

X

X

X

X

X

Report the final configuration of all buildings on the hospital campus showing how each building will comply with the SPC-5/NPC-4 or 5 requirements whether by retrofit or by replacement and the type of service that will be provided in each general acute care hospital building per Section 130061(c)(5)

OSHPD FDD SB499 Report 12/16/2015 6:25 AMData Last Update: 12/14/2015 Submission Date: 12/14/2015 Printed:

180072015 Orange County Global Medical Center Santa Ana Page:17 of 39Report Year:

Page 18: Office of Statewide Health Senate Bill 499 (SB 499 ... Facility Number: Hospital Owner/Licensee: City: Address: Facility Name: Year of Reporting: Contact 1 e-mail Address: Contact

Nursing

IntensiveCare

Pediatric/Adolescent

PsychiatricNursing

ObstetricalAnte/Postprtum

IntermediateCare

Skilled Nursing

Support Services

Administration

Dietetic

Pharmaceutical

Radiological/Imaging

Clinical Lab

Anesthesia

Surgical

ObstetricalRecovery

Newborn/WellBaby

Emergency

Nuclear Medicine

RehabilitationTherapy

Renal Dialysis

OutpatientSurgery

Central Plant

Obstetrical Cesarean/Deliv

Building Number:

Type of Service Provided

Building Name:

BLD-00296 Elevator Tower

N/AConfiguration:

Report the final configuration of all buildings on the hospital campus showing how each building will comply with the SPC-5/NPC-4 or 5 requirements whether by retrofit or by replacement and the type of service that will be provided in each general acute care hospital building per Section 130061(c)(5)

OSHPD FDD SB499 Report 12/16/2015 6:25 AMData Last Update: 12/14/2015 Submission Date: 12/14/2015 Printed:

180072015 Orange County Global Medical Center Santa Ana Page:18 of 39Report Year:

Page 19: Office of Statewide Health Senate Bill 499 (SB 499 ... Facility Number: Hospital Owner/Licensee: City: Address: Facility Name: Year of Reporting: Contact 1 e-mail Address: Contact

Nursing

IntensiveCare

Pediatric/Adolescent

PsychiatricNursing

ObstetricalAnte/Postprtum

IntermediateCare

Skilled Nursing

Support Services

Administration

Dietetic

Pharmaceutical

Radiological/Imaging

Clinical Lab

Anesthesia

Surgical

ObstetricalRecovery

Newborn/WellBaby

Emergency

Nuclear Medicine

RehabilitationTherapy

Renal Dialysis

OutpatientSurgery

Central Plant

Obstetrical Cesarean/Deliv

Building Number:

Type of Service Provided

Building Name:

X

X

X

BLD-00297 Nursing Tower

N/AConfiguration:

X

X

Report the final configuration of all buildings on the hospital campus showing how each building will comply with the SPC-5/NPC-4 or 5 requirements whether by retrofit or by replacement and the type of service that will be provided in each general acute care hospital building per Section 130061(c)(5)

OSHPD FDD SB499 Report 12/16/2015 6:25 AMData Last Update: 12/14/2015 Submission Date: 12/14/2015 Printed:

180072015 Orange County Global Medical Center Santa Ana Page:19 of 39Report Year:

Page 20: Office of Statewide Health Senate Bill 499 (SB 499 ... Facility Number: Hospital Owner/Licensee: City: Address: Facility Name: Year of Reporting: Contact 1 e-mail Address: Contact

Nursing

IntensiveCare

Pediatric/Adolescent

PsychiatricNursing

ObstetricalAnte/Postprtum

IntermediateCare

Skilled Nursing

Support Services

Administration

Dietetic

Pharmaceutical

Radiological/Imaging

Clinical Lab

Anesthesia

Surgical

ObstetricalRecovery

Newborn/WellBaby

Emergency

Nuclear Medicine

RehabilitationTherapy

Renal Dialysis

OutpatientSurgery

Central Plant

Obstetrical Cesarean/Deliv

Building Number:

Type of Service Provided

Building Name:

BLD-00298 Administration

N/AConfiguration:

X

Report the final configuration of all buildings on the hospital campus showing how each building will comply with the SPC-5/NPC-4 or 5 requirements whether by retrofit or by replacement and the type of service that will be provided in each general acute care hospital building per Section 130061(c)(5)

OSHPD FDD SB499 Report 12/16/2015 6:25 AMData Last Update: 12/14/2015 Submission Date: 12/14/2015 Printed:

180072015 Orange County Global Medical Center Santa Ana Page:20 of 39Report Year:

Page 21: Office of Statewide Health Senate Bill 499 (SB 499 ... Facility Number: Hospital Owner/Licensee: City: Address: Facility Name: Year of Reporting: Contact 1 e-mail Address: Contact

Nursing

IntensiveCare

Pediatric/Adolescent

PsychiatricNursing

ObstetricalAnte/Postprtum

IntermediateCare

Skilled Nursing

Support Services

Administration

Dietetic

Pharmaceutical

Radiological/Imaging

Clinical Lab

Anesthesia

Surgical

ObstetricalRecovery

Newborn/WellBaby

Emergency

Nuclear Medicine

RehabilitationTherapy

Renal Dialysis

OutpatientSurgery

Central Plant

Obstetrical Cesarean/Deliv

Building Number:

Type of Service Provided

Building Name:

BLD-00299 Shipping & Receiving

N/AConfiguration:

Report the final configuration of all buildings on the hospital campus showing how each building will comply with the SPC-5/NPC-4 or 5 requirements whether by retrofit or by replacement and the type of service that will be provided in each general acute care hospital building per Section 130061(c)(5)

OSHPD FDD SB499 Report 12/16/2015 6:25 AMData Last Update: 12/14/2015 Submission Date: 12/14/2015 Printed:

180072015 Orange County Global Medical Center Santa Ana Page:21 of 39Report Year:

Page 22: Office of Statewide Health Senate Bill 499 (SB 499 ... Facility Number: Hospital Owner/Licensee: City: Address: Facility Name: Year of Reporting: Contact 1 e-mail Address: Contact

Nursing

IntensiveCare

Pediatric/Adolescent

PsychiatricNursing

ObstetricalAnte/Postprtum

IntermediateCare

Skilled Nursing

Support Services

Administration

Dietetic

Pharmaceutical

Radiological/Imaging

Clinical Lab

Anesthesia

Surgical

ObstetricalRecovery

Newborn/WellBaby

Emergency

Nuclear Medicine

RehabilitationTherapy

Renal Dialysis

OutpatientSurgery

Central Plant

Obstetrical Cesarean/Deliv

Building Number:

Type of Service Provided

Building Name:

BLD-00300 Mechanical Building

N/AConfiguration:

X

Report the final configuration of all buildings on the hospital campus showing how each building will comply with the SPC-5/NPC-4 or 5 requirements whether by retrofit or by replacement and the type of service that will be provided in each general acute care hospital building per Section 130061(c)(5)

OSHPD FDD SB499 Report 12/16/2015 6:25 AMData Last Update: 12/14/2015 Submission Date: 12/14/2015 Printed:

180072015 Orange County Global Medical Center Santa Ana Page:22 of 39Report Year:

Page 23: Office of Statewide Health Senate Bill 499 (SB 499 ... Facility Number: Hospital Owner/Licensee: City: Address: Facility Name: Year of Reporting: Contact 1 e-mail Address: Contact

Nursing

IntensiveCare

Pediatric/Adolescent

PsychiatricNursing

ObstetricalAnte/Postprtum

IntermediateCare

Skilled Nursing

Support Services

Administration

Dietetic

Pharmaceutical

Radiological/Imaging

Clinical Lab

Anesthesia

Surgical

ObstetricalRecovery

Newborn/WellBaby

Emergency

Nuclear Medicine

RehabilitationTherapy

Renal Dialysis

OutpatientSurgery

Central Plant

Obstetrical Cesarean/Deliv

Building Number:

Type of Service Provided

Building Name:

BLD-00301 Radiation Therapy

N/AConfiguration:

Report the final configuration of all buildings on the hospital campus showing how each building will comply with the SPC-5/NPC-4 or 5 requirements whether by retrofit or by replacement and the type of service that will be provided in each general acute care hospital building per Section 130061(c)(5)

OSHPD FDD SB499 Report 12/16/2015 6:25 AMData Last Update: 12/14/2015 Submission Date: 12/14/2015 Printed:

180072015 Orange County Global Medical Center Santa Ana Page:23 of 39Report Year:

Page 24: Office of Statewide Health Senate Bill 499 (SB 499 ... Facility Number: Hospital Owner/Licensee: City: Address: Facility Name: Year of Reporting: Contact 1 e-mail Address: Contact

Nursing

IntensiveCare

Pediatric/Adolescent

PsychiatricNursing

ObstetricalAnte/Postprtum

IntermediateCare

Skilled Nursing

Support Services

Administration

Dietetic

Pharmaceutical

Radiological/Imaging

Clinical Lab

Anesthesia

Surgical

ObstetricalRecovery

Newborn/WellBaby

Emergency

Nuclear Medicine

RehabilitationTherapy

Renal Dialysis

OutpatientSurgery

Central Plant

Obstetrical Cesarean/Deliv

Building Number:

Type of Service Provided

Building Name:

BLD-00302 Support Services

N/AConfiguration:

X

Report the final configuration of all buildings on the hospital campus showing how each building will comply with the SPC-5/NPC-4 or 5 requirements whether by retrofit or by replacement and the type of service that will be provided in each general acute care hospital building per Section 130061(c)(5)

OSHPD FDD SB499 Report 12/16/2015 6:25 AMData Last Update: 12/14/2015 Submission Date: 12/14/2015 Printed:

180072015 Orange County Global Medical Center Santa Ana Page:24 of 39Report Year:

Page 25: Office of Statewide Health Senate Bill 499 (SB 499 ... Facility Number: Hospital Owner/Licensee: City: Address: Facility Name: Year of Reporting: Contact 1 e-mail Address: Contact

Nursing

IntensiveCare

Pediatric/Adolescent

PsychiatricNursing

ObstetricalAnte/Postprtum

IntermediateCare

Skilled Nursing

Support Services

Administration

Dietetic

Pharmaceutical

Radiological/Imaging

Clinical Lab

Anesthesia

Surgical

ObstetricalRecovery

Newborn/WellBaby

Emergency

Nuclear Medicine

RehabilitationTherapy

Renal Dialysis

OutpatientSurgery

Central Plant

Obstetrical Cesarean/Deliv

Building Number:

Type of Service Provided

Building Name:

BLD-05722 Entrance Canopy

N/AConfiguration:

X

Report the final configuration of all buildings on the hospital campus showing how each building will comply with the SPC-5/NPC-4 or 5 requirements whether by retrofit or by replacement and the type of service that will be provided in each general acute care hospital building per Section 130061(c)(5)

OSHPD FDD SB499 Report 12/16/2015 6:25 AMData Last Update: 12/14/2015 Submission Date: 12/14/2015 Printed:

180072015 Orange County Global Medical Center Santa Ana Page:25 of 39Report Year:

Page 26: Office of Statewide Health Senate Bill 499 (SB 499 ... Facility Number: Hospital Owner/Licensee: City: Address: Facility Name: Year of Reporting: Contact 1 e-mail Address: Contact

BLD-00295 Ancillary Building/ER Expansion

X

Nursing

Building Number: Building Name:

IntensiveCare

Pediatric/Adolescent

PsychiatricNursing

ObstetricalAnte/Postprtum

IntermediateCare

Skilled Nursing

X

X

X

X

X

X

X

X

X

X

X

X

X

34

0

Type of Service Provided

Inpatient Beds

Inpatient Beds

Inpatient Beds

Inpatient Beds

Inpatient Beds

Inpatient Beds

Inpatient Beds

34

0

0

0

0

0

Total Beds this Building

Surgical

Anesthesia

Support Services

Administration

Dietetic

Pharmaceutical

Clinical Lab

Radiological/Imaging

OutpatientSurgery

Central Plant

RehabilitationTherapy

Renal Dialysis

Obstetrical Cesarean/Deliv

ObstetricalRecovery

Newborn/WellBaby

Emergency

Nuclear Medicine

Include information on the number of inpatient beds by type of Service provided by buildings that are classified as SPC-2, SPC-3, SPC-4, and SPC-5 per Section 130061(e)

OSHPD FDD SB499 Report 12/16/2015 6:25 AMData Last Update: 12/14/2015 Submission Date: 12/14/2015 Printed:

180072015 Orange County Global Medical Center Santa Ana Page:26 of 39Report Year:

Page 27: Office of Statewide Health Senate Bill 499 (SB 499 ... Facility Number: Hospital Owner/Licensee: City: Address: Facility Name: Year of Reporting: Contact 1 e-mail Address: Contact

BLD-00296 Elevator Tower

Nursing

Building Number: Building Name:

IntensiveCare

Pediatric/Adolescent

PsychiatricNursing

ObstetricalAnte/Postprtum

IntermediateCare

Skilled Nursing

X

0

0

Type of Service Provided

Inpatient Beds

Inpatient Beds

Inpatient Beds

Inpatient Beds

Inpatient Beds

Inpatient Beds

Inpatient Beds

0

0

0

0

0

0

Total Beds this Building

Surgical

Anesthesia

Support Services

Administration

Dietetic

Pharmaceutical

Clinical Lab

Radiological/Imaging

OutpatientSurgery

Central Plant

RehabilitationTherapy

Renal Dialysis

Obstetrical Cesarean/Deliv

ObstetricalRecovery

Newborn/WellBaby

Emergency

Nuclear Medicine

Include information on the number of inpatient beds by type of Service provided by buildings that are classified as SPC-2, SPC-3, SPC-4, and SPC-5 per Section 130061(e)

OSHPD FDD SB499 Report 12/16/2015 6:25 AMData Last Update: 12/14/2015 Submission Date: 12/14/2015 Printed:

180072015 Orange County Global Medical Center Santa Ana Page:27 of 39Report Year:

Page 28: Office of Statewide Health Senate Bill 499 (SB 499 ... Facility Number: Hospital Owner/Licensee: City: Address: Facility Name: Year of Reporting: Contact 1 e-mail Address: Contact

BLD-00297 Nursing Tower

X

X

Nursing

Building Number: Building Name:

IntensiveCare

X

X

X

Pediatric/Adolescent

PsychiatricNursing

ObstetricalAnte/Postprtum

IntermediateCare

Skilled Nursing

X

X

X

X

X

248

111

Type of Service Provided

Inpatient Beds

Inpatient Beds

Inpatient Beds

Inpatient Beds

Inpatient Beds

Inpatient Beds

Inpatient Beds

31

26

28

52

0

0

Total Beds this Building

Surgical

X

Anesthesia

Support Services

Administration

Dietetic

Pharmaceutical

Clinical Lab

Radiological/Imaging

OutpatientSurgery

Central Plant

RehabilitationTherapy

Renal Dialysis

Obstetrical Cesarean/Deliv

ObstetricalRecovery

Newborn/WellBaby

Emergency

Nuclear Medicine

Include information on the number of inpatient beds by type of Service provided by buildings that are classified as SPC-2, SPC-3, SPC-4, and SPC-5 per Section 130061(e)

OSHPD FDD SB499 Report 12/16/2015 6:25 AMData Last Update: 12/14/2015 Submission Date: 12/14/2015 Printed:

180072015 Orange County Global Medical Center Santa Ana Page:28 of 39Report Year:

Page 29: Office of Statewide Health Senate Bill 499 (SB 499 ... Facility Number: Hospital Owner/Licensee: City: Address: Facility Name: Year of Reporting: Contact 1 e-mail Address: Contact

BLD-00299 Shipping & Receiving

Nursing

Building Number: Building Name:

IntensiveCare

Pediatric/Adolescent

PsychiatricNursing

ObstetricalAnte/Postprtum

IntermediateCare

Skilled Nursing

X

0

0

Type of Service Provided

Inpatient Beds

Inpatient Beds

Inpatient Beds

Inpatient Beds

Inpatient Beds

Inpatient Beds

Inpatient Beds

0

0

0

0

0

0

Total Beds this Building

Surgical

Anesthesia

Support Services

Administration

Dietetic

Pharmaceutical

Clinical Lab

Radiological/Imaging

OutpatientSurgery

Central Plant

RehabilitationTherapy

Renal Dialysis

Obstetrical Cesarean/Deliv

ObstetricalRecovery

Newborn/WellBaby

Emergency

Nuclear Medicine

Include information on the number of inpatient beds by type of Service provided by buildings that are classified as SPC-2, SPC-3, SPC-4, and SPC-5 per Section 130061(e)

OSHPD FDD SB499 Report 12/16/2015 6:25 AMData Last Update: 12/14/2015 Submission Date: 12/14/2015 Printed:

180072015 Orange County Global Medical Center Santa Ana Page:29 of 39Report Year:

Page 30: Office of Statewide Health Senate Bill 499 (SB 499 ... Facility Number: Hospital Owner/Licensee: City: Address: Facility Name: Year of Reporting: Contact 1 e-mail Address: Contact

BLD-00300 Mechanical Building

Nursing

Building Number: Building Name:

IntensiveCare

Pediatric/Adolescent

PsychiatricNursing

ObstetricalAnte/Postprtum

IntermediateCare

Skilled Nursing

X

0

0

Type of Service Provided

Inpatient Beds

Inpatient Beds

Inpatient Beds

Inpatient Beds

Inpatient Beds

Inpatient Beds

Inpatient Beds

0

0

0

0

0

0

Total Beds this Building

Surgical

Anesthesia

Support Services

Administration

Dietetic

Pharmaceutical

Clinical Lab

Radiological/Imaging

OutpatientSurgery

Central Plant

RehabilitationTherapy

Renal Dialysis

Obstetrical Cesarean/Deliv

ObstetricalRecovery

Newborn/WellBaby

Emergency

Nuclear Medicine

Include information on the number of inpatient beds by type of Service provided by buildings that are classified as SPC-2, SPC-3, SPC-4, and SPC-5 per Section 130061(e)

OSHPD FDD SB499 Report 12/16/2015 6:25 AMData Last Update: 12/14/2015 Submission Date: 12/14/2015 Printed:

180072015 Orange County Global Medical Center Santa Ana Page:30 of 39Report Year:

Page 31: Office of Statewide Health Senate Bill 499 (SB 499 ... Facility Number: Hospital Owner/Licensee: City: Address: Facility Name: Year of Reporting: Contact 1 e-mail Address: Contact

BLD-00301 Radiation Therapy

Nursing

Building Number: Building Name:

IntensiveCare

Pediatric/Adolescent

PsychiatricNursing

ObstetricalAnte/Postprtum

IntermediateCare

Skilled Nursing

X

0

0

Type of Service Provided

Inpatient Beds

Inpatient Beds

Inpatient Beds

Inpatient Beds

Inpatient Beds

Inpatient Beds

Inpatient Beds

0

0

0

0

0

0

Total Beds this Building

Surgical

Anesthesia

Support Services

Administration

Dietetic

Pharmaceutical

Clinical Lab

Radiological/Imaging

OutpatientSurgery

Central Plant

RehabilitationTherapy

Renal Dialysis

Obstetrical Cesarean/Deliv

ObstetricalRecovery

Newborn/WellBaby

Emergency

Nuclear Medicine

Include information on the number of inpatient beds by type of Service provided by buildings that are classified as SPC-2, SPC-3, SPC-4, and SPC-5 per Section 130061(e)

OSHPD FDD SB499 Report 12/16/2015 6:25 AMData Last Update: 12/14/2015 Submission Date: 12/14/2015 Printed:

180072015 Orange County Global Medical Center Santa Ana Page:31 of 39Report Year:

Page 32: Office of Statewide Health Senate Bill 499 (SB 499 ... Facility Number: Hospital Owner/Licensee: City: Address: Facility Name: Year of Reporting: Contact 1 e-mail Address: Contact

BLD-00302 Support Services

Nursing

Building Number: Building Name:

IntensiveCare

Pediatric/Adolescent

PsychiatricNursing

ObstetricalAnte/Postprtum

IntermediateCare

Skilled Nursing

X

0

0

Type of Service Provided

Inpatient Beds

Inpatient Beds

Inpatient Beds

Inpatient Beds

Inpatient Beds

Inpatient Beds

Inpatient Beds

0

0

0

0

0

0

Total Beds this Building

Surgical

Anesthesia

Support Services

Administration

Dietetic

Pharmaceutical

Clinical Lab

Radiological/Imaging

OutpatientSurgery

Central Plant

RehabilitationTherapy

Renal Dialysis

Obstetrical Cesarean/Deliv

ObstetricalRecovery

Newborn/WellBaby

Emergency

Nuclear Medicine

Include information on the number of inpatient beds by type of Service provided by buildings that are classified as SPC-2, SPC-3, SPC-4, and SPC-5 per Section 130061(e)

OSHPD FDD SB499 Report 12/16/2015 6:25 AMData Last Update: 12/14/2015 Submission Date: 12/14/2015 Printed:

180072015 Orange County Global Medical Center Santa Ana Page:32 of 39Report Year:

Page 33: Office of Statewide Health Senate Bill 499 (SB 499 ... Facility Number: Hospital Owner/Licensee: City: Address: Facility Name: Year of Reporting: Contact 1 e-mail Address: Contact

Building Number: Building Name:

Pediatric

Perinatal (Exclude Newborn / GYN)

Medical / Surgical (Include GYN)

Intermediate Care

Coronary Care

Intensive Care Rehabilitation Center

Chemical Dependency

Acute Respiratory Care

Skilled Nursing Burn

Intensive Care Newborn Nursery

Acute Psychiatric

Int. Care / Developmentally Disabled

Total Beds this Building Per Unit

Total Beds this Building Per Service

InpatientBed

InpatientDays

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

BLD-00295 Ancillary Building/ER Expansion

0 0

0 0

0 0

34 6821

0 0

0 0

0 0

0 0

0 0

0 034 34

0 0

0 0

0 0

0 0

Include information on the number of inpatient beds by type of unit provided by buildings that are classified as SPC-2, SPC-3, SPC-4, and SPC-5 per Section 130061(e)

OSHPD FDD SB499 Report 12/16/2015 6:25 AMData Last Update: 12/14/2015 Submission Date: 12/14/2015 Printed:

180072015 Orange County Global Medical Center Santa Ana Page:33 of 39Report Year:

Page 34: Office of Statewide Health Senate Bill 499 (SB 499 ... Facility Number: Hospital Owner/Licensee: City: Address: Facility Name: Year of Reporting: Contact 1 e-mail Address: Contact

Building Number: Building Name:

Pediatric

Perinatal (Exclude Newborn / GYN)

Medical / Surgical (Include GYN)

Intermediate Care

Coronary Care

Intensive Care Rehabilitation Center

Chemical Dependency

Acute Respiratory Care

Skilled Nursing Burn

Intensive Care Newborn Nursery

Acute Psychiatric

Int. Care / Developmentally Disabled

Total Beds this Building Per Unit

Total Beds this Building Per Service

InpatientBed

InpatientDays

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

BLD-00296 Elevator Tower

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 00 0

0 0

0 0

0 0

0 0

Include information on the number of inpatient beds by type of unit provided by buildings that are classified as SPC-2, SPC-3, SPC-4, and SPC-5 per Section 130061(e)

OSHPD FDD SB499 Report 12/16/2015 6:25 AMData Last Update: 12/14/2015 Submission Date: 12/14/2015 Printed:

180072015 Orange County Global Medical Center Santa Ana Page:34 of 39Report Year:

Page 35: Office of Statewide Health Senate Bill 499 (SB 499 ... Facility Number: Hospital Owner/Licensee: City: Address: Facility Name: Year of Reporting: Contact 1 e-mail Address: Contact

Building Number: Building Name:

Pediatric

Perinatal (Exclude Newborn / GYN)

Medical / Surgical (Include GYN)

Intermediate Care

Coronary Care

Intensive Care Rehabilitation Center

Chemical Dependency

Acute Respiratory Care

Skilled Nursing Burn

Intensive Care Newborn Nursery

Acute Psychiatric

Int. Care / Developmentally Disabled

Total Beds this Building Per Unit

Total Beds this Building Per Service

InpatientBed

InpatientDays

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

BLD-00297 Nursing Tower

69 13660

52 5083

26 0

8 56

0 0

0 0

7 1112

16 1769

0 0

0 0248 248

28 0

0 0

42 4890

0 0

Include information on the number of inpatient beds by type of unit provided by buildings that are classified as SPC-2, SPC-3, SPC-4, and SPC-5 per Section 130061(e)

OSHPD FDD SB499 Report 12/16/2015 6:25 AMData Last Update: 12/14/2015 Submission Date: 12/14/2015 Printed:

180072015 Orange County Global Medical Center Santa Ana Page:35 of 39Report Year:

Page 36: Office of Statewide Health Senate Bill 499 (SB 499 ... Facility Number: Hospital Owner/Licensee: City: Address: Facility Name: Year of Reporting: Contact 1 e-mail Address: Contact

Building Number: Building Name:

Pediatric

Perinatal (Exclude Newborn / GYN)

Medical / Surgical (Include GYN)

Intermediate Care

Coronary Care

Intensive Care Rehabilitation Center

Chemical Dependency

Acute Respiratory Care

Skilled Nursing Burn

Intensive Care Newborn Nursery

Acute Psychiatric

Int. Care / Developmentally Disabled

Total Beds this Building Per Unit

Total Beds this Building Per Service

InpatientBed

InpatientDays

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

BLD-00299 Shipping & Receiving

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 00 0

0 0

0 0

0 0

0 0

Include information on the number of inpatient beds by type of unit provided by buildings that are classified as SPC-2, SPC-3, SPC-4, and SPC-5 per Section 130061(e)

OSHPD FDD SB499 Report 12/16/2015 6:25 AMData Last Update: 12/14/2015 Submission Date: 12/14/2015 Printed:

180072015 Orange County Global Medical Center Santa Ana Page:36 of 39Report Year:

Page 37: Office of Statewide Health Senate Bill 499 (SB 499 ... Facility Number: Hospital Owner/Licensee: City: Address: Facility Name: Year of Reporting: Contact 1 e-mail Address: Contact

Building Number: Building Name:

Pediatric

Perinatal (Exclude Newborn / GYN)

Medical / Surgical (Include GYN)

Intermediate Care

Coronary Care

Intensive Care Rehabilitation Center

Chemical Dependency

Acute Respiratory Care

Skilled Nursing Burn

Intensive Care Newborn Nursery

Acute Psychiatric

Int. Care / Developmentally Disabled

Total Beds this Building Per Unit

Total Beds this Building Per Service

InpatientBed

InpatientDays

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

BLD-00300 Mechanical Building

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 00 0

0 0

0 0

0 0

0 0

Include information on the number of inpatient beds by type of unit provided by buildings that are classified as SPC-2, SPC-3, SPC-4, and SPC-5 per Section 130061(e)

OSHPD FDD SB499 Report 12/16/2015 6:25 AMData Last Update: 12/14/2015 Submission Date: 12/14/2015 Printed:

180072015 Orange County Global Medical Center Santa Ana Page:37 of 39Report Year:

Page 38: Office of Statewide Health Senate Bill 499 (SB 499 ... Facility Number: Hospital Owner/Licensee: City: Address: Facility Name: Year of Reporting: Contact 1 e-mail Address: Contact

Building Number: Building Name:

Pediatric

Perinatal (Exclude Newborn / GYN)

Medical / Surgical (Include GYN)

Intermediate Care

Coronary Care

Intensive Care Rehabilitation Center

Chemical Dependency

Acute Respiratory Care

Skilled Nursing Burn

Intensive Care Newborn Nursery

Acute Psychiatric

Int. Care / Developmentally Disabled

Total Beds this Building Per Unit

Total Beds this Building Per Service

InpatientBed

InpatientDays

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

BLD-00301 Radiation Therapy

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 00 0

0 0

0 0

0 0

0 0

Include information on the number of inpatient beds by type of unit provided by buildings that are classified as SPC-2, SPC-3, SPC-4, and SPC-5 per Section 130061(e)

OSHPD FDD SB499 Report 12/16/2015 6:25 AMData Last Update: 12/14/2015 Submission Date: 12/14/2015 Printed:

180072015 Orange County Global Medical Center Santa Ana Page:38 of 39Report Year:

Page 39: Office of Statewide Health Senate Bill 499 (SB 499 ... Facility Number: Hospital Owner/Licensee: City: Address: Facility Name: Year of Reporting: Contact 1 e-mail Address: Contact

Building Number: Building Name:

Pediatric

Perinatal (Exclude Newborn / GYN)

Medical / Surgical (Include GYN)

Intermediate Care

Coronary Care

Intensive Care Rehabilitation Center

Chemical Dependency

Acute Respiratory Care

Skilled Nursing Burn

Intensive Care Newborn Nursery

Acute Psychiatric

Int. Care / Developmentally Disabled

Total Beds this Building Per Unit

Total Beds this Building Per Service

InpatientBed

InpatientDays

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

InpatientDays

InpatientBed

BLD-00302 Support Services

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 00 0

0 0

0 0

0 0

0 0

Include information on the number of inpatient beds by type of unit provided by buildings that are classified as SPC-2, SPC-3, SPC-4, and SPC-5 per Section 130061(e)

OSHPD FDD SB499 Report 12/16/2015 6:25 AMData Last Update: 12/14/2015 Submission Date: 12/14/2015 Printed:

180072015 Orange County Global Medical Center Santa Ana Page:39 of 39Report Year: