San Diego County - CA OSHPD - Office of · PDF fileSan Diego County Healthcare Information os...

San Diego County

Healthcare Information

os pd

"Equitable Healthcare Accessibility for California""Equitable Healthcare Accessibility for California"Office of Statewide Health Planning & Development

Demographics Population Education Employment Population & Healthcare Resources

Healthcare Resources General Acute Care Hospitals Long-term Care Facilities Primary Care Clinics Home Health Agencies Hospices

Hospitalization Characteristics Inpatient Overview Clinical Overview

Specific Trends Births & Deliveries Conditions Procedures Injuries

Individual Hospital Financial & Utilization Reports

Contents

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6

1012

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2022

2528

Page

Population

TrendsAge

Race/EthnicityProjection

EducationAttainment

EmploymentMajor Employment Sectors

Unemployment

D E M O G R A P H I C SD E M O G R A P H I C S

San Diego CountyD e m o g r a p h i c s

C o u n t y T r e n d s

2000 2001 2002 2003 2004Births+ 44,272 43,758 43,951 45,368 -

Deaths- 19,621 19,871 19,356 19,864 - Emigration-/ 37,386 (84,340) 19,998 10,038 -

Immigration+Total Change 62,037 (60,453) 44,593 35,542 -

Age - 2004 Race/Ethnicity - 2004

SOURCE: California Department of Finance (http://www.dof.ca.gov/html/Demograp/DRU_datafiles/DRU_datafiles.htm)

POPULATION

*Death Records for 2004 were not available from California Department of Health Services at publication

2004 - Perspectives in Healthcare

C a l i f o r n i a

0

500,000

1,000,000

1,500,000

2,000,000

2,500,000

3,000,000

3,500,000

2000 2001 2002 2003 2004

6.6%12.8%

48.0%

21.8%

10.8%

0 - 4 5 - 14 15 - 44 45 - 64 65+

50.8%

9.6%

5.5%

30.5%

0.5%2.4%

0.7%

Asian Pacific IslanderBlack HispanicNative American WhiteMultirace

Projection - 2010

7.1%11.4%

46.2%

24.4%

10.8%

0 - 4 5 - 14 15 - 44 45 - 64 65+

46.3%

0.8%

5.5%

33.7%

0.5%

10.7%

2.4%

Asian Pacific IslanderBlack HispanicAmerican Indian WhiteMultirace

Population Trends(Millions)

0

5

10

15

20

25

30

35

40

2000 2001 2002 2003 2004

Age - 2004

7%

15%

44%

23%

11%

0 - 4 5 - 14 15 - 4445 - 64 65+

Race/Ethnicity - 2004

11%

0%

7%

35%

1%

44%

2%

AsianPacific IslanderBlackHispanicNative AmericanWhiteMultirace

Page 2

San Diego CountyD e m o g r a p h i c s

Labor Force UnemploymentRate

1999 1,348,300 3.12000 1,391,100 3.02001 1,417,700 3.22002 1,458,000 4.32003 1,482,200 4.3

SOURCE: California Employment Development Department, Labor Market Information Division (http://www.labormarketinfo.edd.ca.gov/cgi/databrow 2004 - Perspectives in Healthcare

U n e m p l o y m e n t

C a l i f o r n i a

E d u c a t i o n

T o p 5 M a j o r E m p l o y m e n t S e c t o r s

Unemployment Rate

0.01.02.03.04.05.0

1999 2000 2001 2002 2003

Educational Attainment (based on 2000 Census/Age 25 and above)

17.4%

45.5%

37.1%

No High School Diploma High School Graduate College Degree

Unemployment Rate

0.0

1.0

2.0

3.0

4.0

5.0

6.0

7.0

8.0

1999 2000 2001 2002 2003

Top 5 Major Employment Sectors

27%

23%20%

15%

15%

Trade/Transp/Util

Government

Prof/BusSer

Manufacturing

Ed/Health

24%

23%

14%

23%

16%

Government Trade, Transp. & Utilities Professional & Business Serv.Leisure and Hospitality Educational and Health Services

Page 3

NOTE: 2000 - 2004 Employment trend data is being revised by the California Employment Development Dept, Labor Market Information Division. This revised data was not yet available at publication.

General Acute Care Hospitals

Long-term Care Facilities

Clinics

Home Health Agencies

Hospices

H E A L T H C A R E R E S O U R C E S

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AURORA SAN DIEGO

POMERADO HOSPITAL

GROSSMONT HOSPITAL

SHARP VISTA PACIFICA

PALOMAR MEDICAL CENTER

SCRIPPS MERCY HOSPITAL

SCRIPPS GREEN HOSPITAL

TRI-CITY MEDICAL CENTER

SHARP CABRILLO HOSPITAL

PARADISE VALLEY HOSPITAL

FALLBROOK HOSPITAL DISTRICT

EDGEMOOR GERIATRICHOSPITAL

PALOMAR CONTINUING CARE CENTER

SHARP CHULA VISTA MEDICAL CENTER

UCSD/LA JOLLA -THORNTON HOSPITAL

SCRIPPS MERCY HOSPITAL - CHULA VISTA

VILLA CORONADOCONVALESCENT (DP/SNF)

SAN DIEGO COUNTYPSYCHIATRIC HOSPITAL

PARADISE VALLEY HSP D/P APH BAYVIEW BEH HLTH

FALLBROOK HOSP DISTRICTSKILLED NURSING FACILITY

SHARP MEMORIAL HOSPITAL

KAISER FND HOSP - SAN DIEGO

KINDRED HOSPITAL - SAN DIEGO

SHARP MEMORIAL HOSPITAL D/P APH

CHILDREN'S HOSPITAL - SAN DIEGO

ALVARADO HOSPITAL MEDICAL CENTER

CHILDREN'S CONVALESCENT HOSPITAL

ALVARADO PARKWAY INSTITUTE B.H.S.

UNIVERSITY COMMUNITY MEDICAL CENTER

SHARP MARY BIRCH HOSPITAL FOR WOMEN

SCRIPPS MEMORIAL HOSPITAL- LA JOLLA

ALVARADO HOSPITAL MEDICAL CENTER/SDRI

SCRIPPS MEMORIAL HOSPITAL- ENCINITAS

UNIVERSITY OF CALIF-SANDIEGO MEDICAL CENTER

SHARP CORONADO HOSPITALAND HEALTHCARE CENTER

CONTINENTAL REHABILITATION HOSPITALOF SAN DIEGO UCSD/SAN DIEGO - ALVARADO

CHILD AND ADOLESCENT D/P

SAN DIEGO HOSPICE ANDPALLIATIVE CARE-ACUTE CARE CTR

San Diego CountyHospital Sites/EMS Level

! Comprehensive

!> Basic

#* Standby

") None

Population0 - 2234

2235 - 4958

4959 - 7843

7844 - 13604

13605 - 36034

Map compiled by: California Office of Statewide Health Planning & Development (OSHPD)Healthcare Quality and Analysis Healthcare Information Resource Center2005

Date Source: 2000 U.S. Census/OSHPD Licensed Facility Data

San Diego CountyH e a l t h c a r e R e s o u r c e s

N e t P a t i e n t R e v e n u e

2000* 2,175,364,496$ 2000* 1,239$ 2001 2,619,182,104$ 2001 1,346$ 2002 2,956,001,163$ 2002 1,477$ 2003 3,208,486,703$ 2003 1,618$ 2004 3,480,996,995$ 2004 1,722$

Net Patient Revenue by Payer - 2004

Net Patient Revenue/Expense*

Inpatient OutpatientRevenue Expense Revenue Expense

2000* 1,259$ 1,355$ 2000* 183$ 197$ 2001 1,364$ 1,388$ 2001 218$ 222$ 2002 1,498$ 1,515$ 2002 243$ 245$ 2003 1,630$ 1,673$ 2003 271$ 278$ 2004 1,600$ 1,656$ 2004 310$ 321$

NOTE: Data for 2000 are for 6/30/00 to 12/31/00 only due to changes in reporting requirements.*These data reflect disproportionate share payments transferred to a related public entity.Graphs & tables exclude data from State, Kaiser, PHF, & other non-comparable hopsitals.

SOURCE: OSHPD Annual Hospital Financial Disclosure Report (http://www.oshpd.ca.gov/HQAD/Hospital/financial/hospAF.htm)2004 - Perspectives in Healthcare

ACUTE CARE HOSPITALS

C a l i f o r n i a

Net Patient Revenue(Millions)

$-

$500

$1,000

$1,500

$2,000

$2,500

$3,000

$3,500

$4,000

2000* 2001 2002 2003 2004

Net Patient RevenuePer Adj Day

$-$200$400$600$800

$1,000$1,200$1,400$1,600$1,800$2,000

2000* 2001 2002 2003 2004

25.4%

0.4%2.4%

41.6%

12.6%

6.0%

2.2%1.3%

8.2%

Medicare TraditionalMedicare Managed CareMedi-Cal TraditionalMedi-Cal Managed CareCounty Indigent ProgramsOther Third-Party TraditionalOther Third-Party Managed CareOther IndigentOther Payers

Net InpatientRevenue/Expense per Day

$-

$500

$1,000

$1,500

$2,000

2000* 2001 2002 2003 2004

Revenue Expense

Net OutpatientRevenue/Expense per Visit

$-$50

$100$150$200$250$300$350

2000* 2001 2002 2003 2004Revenue Expense

Net Patient Revenue per Adjusted Day

$0

$500

$1,000

$1,500

$2,000

2000* 2002 2004

By Payer

26%

6%

15%1%11%

33%

0%

4%

4%

Medicare TraditionalMedicare Managed CareMedi-Cal TraditionalMedi-Cal Managed CareCounty Indigent ProgramsOther Third-Party TraditionalOther Third-Party Managed CareOther IndigentOther Payers

Net Inpatient Revenue/Expense per Day

$0

$500

$1,000

$1,500

$2,000

$2,500

2000* 2002 2004

Revenue Expense

Page 6

San Diego County H e a l t h c a r e R e s o u r c e s

ED Stations Per 1,000 Pop.2000 330 0.11 2001 292 0.10 2002 342 0.12 2003 375 0.13 2004 352 0.12

Services by Type:Standby 0Basic 16Comprehensive 1Trauma Center 6

Visits Visits Per 1000% Visit Result

Admit2000 626,995 213 0.162001 568,920 189 0.152002 572,797 195 0.112003 670,814 224 0.172004 520,859 172 0.14

NOTE: Data for 2000 are for 6/30/00 to 12/31/00 only due to changes in reporting requirements.Graphs include data from comparable GAC hospitals and Kaiser.SOURCE: OSHPD Annual Hospital Utilization Report (http://www.oshpd.ca.gov/HQAD/Hospital/hosputil.htm)

ACUTE CARE HOSPITALSE m e r g e n c y R o o m S e r v i c e s


E m e r g e n c y D e p a r t m e n t V i s i t s

2004Hospitals with Emergency

C a l i f o r n i a

ED Treatment Stations

0.050.0

100.0150.0200.0250.0300.0350.0400.0

2000 2001 2002 2003 2004

ED Treatment Stationsper 1,000 population

0.000.020.040.060.080.100.120.14

2000 2001 2002 2003 2004

Total Hospital ER Visits

-

200,000

400,000

600,000

800,000

2000 2001 2002 2003 2004

Total Hospital ED Visitsper 1,000 Population

050

100150200250

2000 2001 2002 2003 2004

ED Visits - 2004

9%

26%

23%

10%32%

Non-Urgent - CPT 99281

Urgent - CPT 99282

Moderate - CPT 99283

Severe - CPT 99284

Critical - CPT 99285

ED Treatment Stations Per 1,000 Population

0.00

0.04

0.08

0.12

0.16

0.20

2000 2001 2002 2003 2004

ED Visits Per 1,000 Population

0

50

100

150

200

250

300

2000 2001 2002 2003 2004

Page 7


P a t i e n t D a y s

Patient Days2000* 1,407,720 4972001 1,594,541 5522002 1,604,776 5452003 1,583,550 5302004 1,603,606 530

O u t p a t i e n t V i s i t s

Outpatient Visits Per 1,000 Pop.2000* 2,995,273 1,057 2001 3,014,423 1,044 2002 2,961,097 1,006 2003 3,046,232 1,019 2004 2,953,614 976

*NOTE: Data for 2000 are for 6/30/00 to 12/31/00 only due to changes in reporting requirements.Graphs include data from comparable GAC hospitals and Kaiser.

SOURCE: OSHPD Annual Hospital Financial Disclosure Report (http://www.oshpd.ca.gov/HQAD/Hospital/financial/hospAF.htm)

Per 1,000 Pop.


ACUTE CARE HOSPITALS

C a l i f o r n i a

Patient Days

0200,000400,000600,000800,000

1,000,0001,200,0001,400,0001,600,0001,800,000

2000* 2001 2002 2003 2004

Patient Days Per 1,000 Population

-

100

200

300

400

500

600

2000* 2001 2002 2003 2004

Outpatient Visits

-500,000

1,000,0001,500,0002,000,0002,500,0003,000,0003,500,000

2000* 2001 2002 2003 2004

Outpatient Visits Per 1,000 Population

-

200

400

600

800

1,000

1,200

2000* 2001 2002 2003 2004

Patient Days Per 1,000 Population

0

100

200

300

400

500

600

2000* 2002 2004

Outpatient Visits Per 1,000 Population

0

200

400

600

800

1,000

1,200

1,400

2000* 2001 2002 2003 2004

Page 8


Beds Per 1,000 Pop.2000* 5,968 2.12001 6,295 2.22002 6,319 2.12003 6,320 2.12004 6,326 2.1

Rate Days2000* 64.6 5.72001 69.6 5.92002 69.6 5.82003 69.0 5.62004 69.3 5.7

*NOTE: Data for 2000 are for 6/30/00 to 12/31/00 only due to changes in reporting requirements.Graphs include data from comparable GAC hospitals and Kaiser.SOURCE: OSHPD Annual Hospital Financial Disclosure Report (http://www.oshpd.ca.gov/HQAD/Hospital/financial/hospAF.htm)

ACUTE CARE HOSPITALSA v a i l a b l e B e d s


O c c u p a n c y R a t e

C a l i f o r n i a

Available Beds

-1,0002,0003,0004,0005,0006,0007,000

2000* 2001 2002 2003 2004

Available Beds per 1,000 Population

0.0

0.5

1.0

1.5

2.0

2.5

2000* 2001 2002 2003 2004

Occupancy Rate

0.0

10.0

20.0

30.0

40.0

50.0

60.0

70.0

80.0

2000* 2001 2002 2003 2004Average Length of Stay

(ALOS)

0.0

1.0

2.0

3.0

4.0

5.0

6.0

7.0

2000* 2001 2002 2003 2004

Available Beds Per 1,000 Population

0.0

0.5

1.0

1.5

2.0

2.5

2000* 2002 2004

Occupancy Rate

0.0

10.0

20.0

30.0

40.0

50.0

60.0

70.0

2000* 2002 2004

Average Length of Stay (ALOS)

0.0

1.0

2.0

3.0

4.0

5.0

6.0

2000* 2002 2004

Page 9



LTC Residents LTC Residents 65+

2000 7,782 6,574 2001 7,589 6,311 2002 7,201 6,148 2003 7,304 6,129 2004 7,446 6,152

Beds2000 9,365 2001 9,126 2002 8,274 2003 8,421 2004 8,731

2000 29.12001 28.72002 25.72003 26.02004 26.8

2000 82.6%2001 81.8%2002 82.7%2003 84.5%2004 74.1%

Non-responders in any given year may cause fluctuations in data.SOURCE: OSHPD Long-term Care Financial (http://www.oshpd.ca.gov/HQAD/ltc/financial/ltcfin.htm)

& Utilization (http://www.oshpd.ca.gov/HQAD/ltc/ltcutil.htm) databases.

LTC Beds Per 1,000 Population 65+


Occupancy Rate

C a l i f o r n i a

LONG-TERM CARE FACILITIES

Residents

0

2,000

4,000

6,000

8,000

10,000

2000 2001 2002 2003 2004

Residents Residents 65+

Beds

0

2,000

4,000

6,000

8,000

10,000

2000 2001 2002 2003 2004

Beds per 1,000 Population 65+

05

101520253035

2000 2001 2002 2003 2004

Occupancy Rate

0.0%10.0%20.0%30.0%40.0%50.0%60.0%70.0%80.0%90.0%

2000 2001 2002 2003 2004

Trends(Thousands)

0

20

40

60

80

100

120

140

2000 2002 2004

LTC ResidentsLTC Residents 65+Beds

Occupancy Rate

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

2000 2001 2002 2003 2004

Page 10


2000 136$ 138$ 2001 144$ 148$ 2002 154$ 158$ 2003 159$ 164$ 2004 170$ 173$

Non-reponders in any given year may cause fluctuations in data.SOURCE: OSHPD Long-term Care Financial (http://www.oshpd.ca.gov/HQAD/ltc/financial/ltcfin.htm) & Utilization (http://www.oshpd.ca.gov/HQAD/ltc/ltcutil.htm) databases. 2004 - Perspectives in Healthcare

LONG-TERM CARE FACILITIESR e s i d e n t s

Revenue Per Day

Expense Per Day

F i n a n c i a l I n f o r m a t i o n

C a l i f o r n i aAge

13.5%

32.2%

31.7%

5.3%

3.9%

8.6%

4.9%

Under 45 45 - 54 55 - 6465 - 74 75 - 84 85 - 9495+

Discharged to

16.5%

29.0%

4.3%

6.3%

2.0%

41.9%

Death HospitalOther LTC Residential CareOther Home

Net Patient Services Revenue & ExpensePer Census Day

020406080

100120140160180200

2000 2001 2002 2003 2004

Revenue Per Day Expense Per Day

Payers

9.4%

58.1%

19.1%

7.3%

6.2%

Medicare Medi-Cal Self-Pay Other Managed Care

Discharged to

16%

37%

4%

6%

2%

35%

Death HospitalOther LTC Residential CareOther Home

Page 11



Encounters Patients # Community # Free2000 1,167,627 393,557 59 22001 1,015,600 426,511 58 12002 1,182,111 448,944 65 22003 1,248,042 468,862 68 12004 1,323,813 473,881 67 3

Race/Ethnicity - 2004

Economic Status (Based on Federal Poverty Levels)

Non-reponders in any given year may cause fluctuations in data.SOURCE: OSHPD Primary Care Clinic Utilization database (http://www.oshpd.ca.gov/HQAD/Clinics/clinicsutil.htm)2004 - Perspectives in Healthcare

C a l i f o r n i a

#REF!

PRIMARY CARE CLINICS

Patients

0200,000400,000600,000800,000

1,000,0001,200,0001,400,000

2000 2001 2002 2003 2004

Patients Encounters

Race

0.6%

5.6%

4.7%

6.1%

83.1%

Asian/Pacific Islander Black Native American WhiteOther/Unknown

2004

73.5%

18.9%

4.1%

3.4%

Below 100% 100 - 200%Above 200% Unknown

1996

66.5%

25.2%

8.3%

Below 100% 100 - 200% Above 200%

Community Clinic: - tax-exempt non-profit organizations.

- charges are based on patient's ability to pay.

Free Clinic:- community clinics, where patients are not charged for services or medicines.

The Poverty Guidelines, issued by the Federal Department of Health and Human Services, estimate the number of persons/families living in poverty in order to determine financial eligibility for Federal programs.

Ethnicity

58%31%

11%

Hispanic Non-Hispanic Unknown Ethnicity

Race

7% 6%

2%

73%

12%

Asian/Pacific IslanderBlack Native AmericanWhiteOther/Unknown

Ethnicity

52%41%

7%

HispanicNon-HispanicUnknown Ethnicity

Page 12


Number2000 56,255 2001 53,109 2002 44,643 2003 46,378 2004 46,071

Non-reponders in any given year may cause fluctuations in data.SOURCE: OSHPD Primary Care Clinic Utilization database (http://www.oshpd.ca.gov/HQAD/Clinics/clinicsutil.htm) 2004 - Perspectives in Healthcare

C a l i f o r n i a

HOME HEALTH AGENCIESS t a t e w i d e T r e n d s

P a t i e n t s 2 0 0 4

D i s c h a r g e d T o - 2 0 0 4

Unduplicated Patients

0

10,000

20,000

30,000

40,000

50,000

60,000

2000 2001 2002 2003 2004

Age

13.9%

21.7%

36.4%

22.8%

5.2%

0 - 30 31 - 60 61 - 8081 - 90 91+

Condition

6.5%

7.7%

5.5%5.0%2.3%

72.9%

Fractures SkinRespiratory CardiovascularMusculoskeletal Other

1.3%

71.9%

8.1%

13.9% 4.8%

Death Admit Hospital No Further Care To Family/Friends Other

Unduplicated patient: may have been seen more than once but is counted only once as a patient.

Page 13



Patients2000 9,262 2001 10,034 2002 10,783 2003 10,970 2004 11,590

P a t i e n t s 2 0 0 4

Conditions Requiring Hospice Care - 2004

Non-reponders in any given year may cause fluctuations in data.SOURCE: OSHPD Home Health Agency and Hospice Utilization databases. (http://www.oshpd.ca.gov/HQAD/HHA/hhautil.htm)2004 - Perspectives in Healthcare

C a l i f o r n i a

HOSPICE

Patients

0

2,000

4,000

6,000

8,000

10,000

12,000

14,000

2000 2001 2002 2003 2004

Age

0.8% 9.9%

33.8%

38.5%

17.0%

0 - 30 31 - 60 61 - 8081 - 90 91+

Discharged to

89%

2%2%

1%

2% 1% 3%

Death MovedRefused Service Prognosis ExtendedDesired Curative TransferredOther

Hospice: pallative care to support a patient in the last phases of life due to the existence of a terminal disease.

0 500 1,000 1,500 2,000 2,500 3,000 3,500 4,000 4,500

# of Patients

Cancer Other Dementia Cardiovascular Respiratory

Page 14

Inpatient OverviewTrends

DemographicsAdmits/Dispositions

Clinical Overview

Types of Hospitalizations/DiagnosisTypes of Principal Procedures

Injuries/Types/Types by Age Group

H O S P I T A L I Z A T I O N C H A R A C T E R I S T I C S C H A R A C T E R I S T I C S

San Diego CountyH o s p i t a l i z a t i o n C h a r a c t e r i s t i c s

Inpatients2000 286,761 2001 289,908 2002 295,700 2003 300,125 2004 299,454

SOURCE: California Inpatient Discharge Data, OSHPD. (http://www.oshpd.ca.gov/HQAD/PatientLevel/index.htm)

P a t i e n t s 2 0 0 4

INPATIENT OVERVIEW

C a l i f o r n i a



Inpatient Hospitalizations

0

50,000

100,000

150,000

200,000

250,000

300,000

350,000

2000 2001 2002 2003 2004

Age

18.6%

14.1%

16.9%15.1%

35.3%

00 - 14 15 - 29 30 - 44 45 - 59 60+

Race/Ethnicity

57.1%

3.5%0.3%

27.1%

5.9%6.1%

Asian BlackHispanic Native AmericanOther /Unknown White

Admitted From

38.0%

41.1%

13.5%

7.5%

ER Home Newborn Other

Discharged to

11.2%1.2%

2.2%2.5%

8.9%

74.0%

Died Home HealthOther RoutineTransferred Other Transferred Within

Hospitalizations(Millions)

0.0

1.0

2.0

3.0

4.0

5.0

2000 2001 2002 2003 2004

Age2004

19.3%

14.3%

16.1%15.3%

35.0%

00 - 14 15 - 29 30 - 44

45 - 59 60+

Race/Ethnicity2004

7.5%8.1%

28.7%

52.1%

0.3%3.4%

Asian Black

Hispanic Native American

Other /Unknown White

Page 16

San Diego CountyH o s p i t a l i z a t i o n C h a r a c t e r i s t i c s

SOURCE: California Inpatient Discharge Data, OSHPD. (http://www.oshpd.ca.gov/HQAD/PatientLevel/index.htm) 2004 - Perspectives in Healthcare

T y p e s o f P r i n c i p a l P r o c e d u r e s 2 0 0 4

T y p e s o f P r i n c i p a l D i a g n o s e s 2 0 0 4

C a l i f o r n i a

0

5,000

10,000

15,000

20,000

25,000

30,000

35,000

40,000

45,000

50,000

All Pregnancies BirthsCirculatory System Mental DisordersInjuries/Poisonings/Complications Digestive SystemSymptoms/Other Reasons Respiratory SystemMusculoskeletal System Cancer (Includes non-cancerous growths)Genitourinary System Endocrine SystemInfections Skin DisordersNervous System Anemia and Other Blood DisordersPerinatal Disorders Birth Defects

0

5,000

10,000

15,000

20,000

25,000

30,000

35,000

40,000

45,000

Obstetrical Procedures Diagnostic/Therapeutic ProceduresCardiovascular System Digestive SystemMusculoskeletal System Female Reproductive OrgansSkin Nervous SystemRespiratory System Male Reproductive OrgansUrinary System Lymph Nodes/Spleen/Bone Marrow ProcedureNose/Mouth/Pharynx Endocrine SystemEye Ear

Pregnancies/births accountfor 28.6% of hospital discharges from facilities in California.

Circulatory and digestive system disorders and symptoms/other reasons account for the top threediagnostic categories excluding pregnancies and births.

Obstetrical procedures account for 21.6% of hospital inpatient principal procedures performed in California facilities.

Principal procedures performed for diagnostic/therapeutic,digestive, and cardiovascularsystems are the top threeprocedure categories for hospital discharges from California facilities, excluding obstetrical procedures.

Page 17

San Diego County H o s p i t a l iH o s p i t a l i z a t i o n C h a r a c t e r i s t i c s

SOURCE: California Inpatient Discharge Data, OSHPD. (http://www.oshpd.ca.gov/HQAD/PatientLevel/index.htm) 2004 - Perspectives in Healthcare

T y p e s o f I n j u r i e s 2 0 0 4CLINICAL OVERVIEW

C a l i f o r n i a

T y p e s o f I n j u r i e s b y A g e 2 0 0 4

0

2,000

4,000

6,000

8,000

10,000

12,000

14,000

Adverse Effects/Therapeutics Accidental FallsRail & Motor Vehicle Other AccidentsMisadventures/Complication Self-Inflicted InjuryInflicted By Others Late Effects of InjuryAccidental Poisoning Other Vehicle/TransportSubmersion, Suffocation, Foreign Body Natural/Environmental FactorsUndetermined Injury Fire AccidentsWar

0

1,000

2,000

3,000

4,000

5,000

6,000

7,000

8,000

9,000

0 - 14 15 - 29 30 - 44 45 - 59 60+

Accidental Falls Accidental PoisoningInflicted By Others Late Effects of InjuryOther Accidents Adverse Effects/TherapeuticsFire Accidents Misadventures/ComplicationNatural/Environmental Factors Other Vehicle/TransportRail & Motor Vehicle Self-Inflicted InjurySubmersion, Suffocation, Foreign Body Undetermined InjuryWar

Adverse effects of medications, accidental falls, and misadventures /complications are the top three principal causes of injuries at California facilities.

In California facilities, patientsage 60+ represent 69.6% of discharge records for accidental falls and 64.6% of discharge records for adverse effects of medications.

Page 18

Selected ConditionsBirths & DeliveriesHigh-risk Deliveries

AsthmaCancer

HIVSelected Procedures

Cardiac BypassMastectomyProstatectomy

Selected InjuriesAuto Injuries

Drug PoisoningsGunshot Injuries

S P E C I F I C T R E N D S

San Diego County S p e c i f i c S p e c i f i c H o s p i t a l i z a t i o n T r e n d s

Fertility Rate2000 38,997 60.72001 38,573 58.92002 38,705 57.92003 39,762 58.22004 40,109 57.8

2000 2,935 7.5%2001 2,854 7.4%2002 2,903 7.5%2003 3,073 7.7%2004 3,216 8.0%

C-Sections% of All

Deliveries2000 9,022 23.1%2001 9,458 24.5%2002 10,072 26.0%2003 10,683 26.9%2004 11,451 28.5%

SOURCE: California Inpatient Discharge Data, OSHPD. (http://www.oshpd.ca.gov/HQAD/PatientLevel/index.htm)

% of Total BirthsPremature

Births

B I R T H S & D E L I V E R I E S

County Births

C a l i f o r n i a



P r e m a t u r e B i r t h s

C e s a r e a n S e c t i o n D e l i v e r i e s

% of Premature Births

0.0%

1.0%

2.0%

3.0%

4.0%

5.0%

6.0%

7.0%

8.0%

9.0%

2000 2001 2002 2003 2004

Fertility Rate Per 1,000 (Women between 15 -44 years)

0.0

10.0

20.0

30.0

40.0

50.0

60.0

70.0

2000 2001 2002 2003 2004

% of Cesarean Section Deliveries

0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

30.0%

2000 2001 2002 2003 2004

Fertility Rate Per 1,000 (Women between

15 - 44 years)

0.0

10.0

20.0

30.0

40.0

50.0

60.0

70.0

80.0

2000 2001 2002 2003 2004

Page 20

% of Premature Births

0.0%

1.0%

2.0%

3.0%

4.0%

5.0%

6.0%

7.0%

8.0%

9.0%

2000 2001 2002 2003 2004

% of Cesarean Section Deliveries

0%

5%

10%

15%

20%

25%

30%

35%

2000 2001 2002 2003 2004

San Diego CountyS p e c i f i c H o s p i t a l i z a t i o n T r e n d s

0 - 15 16 - 34 35+Year # % # % # %

2000 247 0.6% 31,640 82.3% 6,561 17.1%2001 230 0.6% 31,154 82.1% 6,558 17.3%2002 211 0.6% 31,034 81.5% 6,846 18.0%2003 187 0.5% 31,796 81.2% 7,172 18.3%2004 201 0.5% 32,163 81.5% 7,091 18.0%

SOURCE: California Inpatient Discharge Data, OSHPD. (http://www.oshpd.ca.gov/HQAD/PatientLevel/index.htm) Demographic data from California Department of Finance. (http://www.dof.ca.gov/html/Demograp/DRU_datafiles/DRU_datafiles.htm) 2004 - Perspectives in Healthcare

C a l i f o r n i a

All Deliveries: Mother's Age At Delivery, 2004

35+18.0%

0 - 150.5%

16 - 3481.5%

High-Risk Deliveries

0

1,000

2,000

3,000

4,000

5,000

6,000

7,000

8,000

2000 2001 2002 2003 2004

0 - 15 years 35+ years

High-Risk Deliveries, % of All Deliveries

0.0%2.0%4.0%6.0%8.0%

10.0%12.0%14.0%16.0%18.0%20.0%

2000 2001 2002 2003 2004

0 - 15 years 35+ years

High-Risk Deliveries(thousands)

0

10

20

30

40

50

60

70

80

90

100

2000 2001 2002 2003 2004

0 - 15 35+

High-Risk DeliveriesPercent

0%

2%

4%

6%

8%

10%

12%

14%

16%

18%

2000 2001 2002 2003 2004

0 - 15 35+

Page 21


County StatewideAge-Adjusted Age-Adjusted

County Rate Rate Hospitalizations Per 1,000 Pop Per 1,000 Pop

2000 2,485 0.89 1.082001 2,426 0.86 1.042002 2,425 0.85 1.042003 2,630 0.92 1.112004 2,278 0.79 0.97

% of Asthma Patients % of County Residents

*Based on Principal DiagnosisSOURCE: California Inpatient Discharge Data, OSHPD. (http://www.oshpd.ca.gov/HQAD/PatientLevel/index.htm)

Demographic data from California Department of Finance. (http://www.dof.ca.gov/html/Demograp/DRU_datafiles/DRU_datafiles.htm)2004 - Perspectives in Healthcare

C a l i f o r n i a


P a t i e n t s 2 0 0 4

A S T H M A*

Gender

0%

10%

20%

30%

40%

50%

60%

70%

Male Female

Race/Ethnicity

0%

10%

20%

30%

40%

50%

60%

Asian Black Hispanic NativeAmerican

Other/Unknown

White

Age

0%

5%

10%

15%

20%

25%

30%

35%

40%

00 - 14 15 - 29 30 - 44 45 - 59 60+

Asthma Hospitalizations(Age-Adjusted Rate Per 1,000 Pop.)

0.00

0.10

0.20

0.30

0.40

0.50

0.60

0.70

0.80

0.90

1.00

2000 2001 2002 2003 2004

Asthma Hospitalizations(Age-Adjusted Rate Per

1,000 Pop.)

0.00

0.20

0.40

0.60

0.80

1.00

1.20

2000 2001 2002 2003 2004

Page 22



County Rate RateHospitalizations Per 1,000 Pop Per 1,000 Pop

2000 10,034 3.91 4.172001 10,039 3.83 4.112002 10,000 3.72 3.932003 9,953 3.64 3.782004 10,042 3.60 3.67

% of Cancer Patients % of County Residents

*Based on Principal DiagnosisSOURCE: California Inpatient Discharge Data, OSHPD. (http://www.oshpd.ca.gov/HQAD/PatientLevel/index.htm) Demographic data from California Department of Finance. (http://www.dof.ca.gov/html/Demograp/DRU_datafiles/DRU_datafiles.htm)


C a l i f o r n i a

C A N C E R*


P a t i e n t s 2 0 0 4

Race/Ethnicity

0%

10%

20%

30%

40%

50%

60%

70%

80%



Cancer Hospitalizations(Age-Adjusted Rate Per 1,000 Pop.)

0.00

0.50

1.00

1.50

2.00

2.50

3.00

3.50

4.00

4.50

2000 2001 2002 2003 2004

Gender

0%

10%

20%

30%

40%

50%

60%

Male Female

Age

0%

10%

20%

30%

40%

50%

60%

70%

00 - 14 15 - 29 30 - 44 45 - 59 60+

CancerHospitalizations

(Age-Adjusted Rate Per 1,000 Pop.)

0.000.501.001.502.002.503.003.504.004.50

2000 2001 2002 2003 2004

Page 23




2000 605 0.21 0.212001 580 0.19 0.212002 491 0.16 0.202003 493 0.16 0.192004 533 0.17 0.18

% of HIV Patients % of County Residents

*Based on Principal DiagnosisSOURCE: California Inpatient Discharge Data, OSHPD. (http://www.oshpd.ca.gov/HQAD/PatientLevel/index.htm)

Demographic data from California Department of Finance. (http://www.dof.ca.gov/html/Demograp/DRU_datafiles/DRU_datafiles.htm)



P a t i e n t s 2 0 0 4

H I V*

C a l i f o r n i a

HIV Hospitalizations(Age-Adjusted Rate Per 1,000 Pop.)

0.00

0.05

0.10

0.15

0.20

0.25

2000 2001 2002 2003 2004

Gender

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

Male Female

Race/Ethnicity

0%

10%

20%

30%

40%

50%

60%



Age

0%

10%

20%

30%

40%

50%

60%

70%

00 - 14 15 - 29 30 - 44 45 - 59 60+

HIV Hospitalizations (Age-Adjusted Rate

Per 1,000 Pop.)

0.00

0.05

0.10

0.15

0.20

0.25

2000 2002 2004

Page 24


County Statewide County StatewideCounty Age-Adjusted Age-Adjusted County Age-Adjusted Age-Adjusted

PCI Rate Rate Cardiac Bypass Rate RateHospitalizations Per 1,000 Pop Per 1,000 Pop Hospitalizations Per 1,000 Pop Per 1,000 Pop

2000 4,136 1.64 1.54 1,843 0.73 0.912001 4,523 1.74 1.59 1,713 0.67 0.812002 4,938 1.86 1.57 1,740 0.66 0.732003 4,608 1.71 1.50 1,472 0.55 0.622004 5,379 1.96 1.62 1,308 0.48 0.55

% of Bypass Patients % of PCI Patients % of County Residents


SELECTED CARDIAC PROCEDURES*

P a t i e n t s 2 0 0 4

C a l i f o r n i a



Percutaneous Coronary Intervention (PCI) & Cardiac Bypass Hospitalizations


0.01.02.03.0

2000 2001 2002 2003 2004

PCI Cardiac Bypass

Gender

0%

10%

20%

30%

40%

50%

60%

70%

80%

Male Female

Race/Ethnicity

0%

10%

20%

30%

40%

50%

60%

70%

80%

Asian Black Hispanic Native American Other /Unknown White

Age

0%

10%

20%

30%

40%

50%

60%

70%

80%

00 - 14 15 - 29 30 - 44 45 - 59 60+

Percutaneous Coronary Intervention (PCI) & Cardiac

Bypass Hospitalizations (Age-Adjusted Rate Per

1,000 Pop.)

0.00

0.20

0.40

0.60

0.80

1.00

1.20

1.40

1.60

1.80

2000 2002 2004

PCI Cardiac Bypass

Page 25




2000 680 0.26 0.282001 632 0.24 0.272002 554 0.20 0.252003 507 0.18 0.232004 507 0.18 0.22

% of Mastectomy Patients % of County Residents

*Based on Principal ProcedureSOURCE: California Inpatient Discharge Data, OSHPD. (http://www.oshpd.ca.gov/HQAD/PatientLevel/index.htm)



C a l i f o r n i a

P a t i e n t s 2 0 0 4


M A S T E C T O M Y*

Race/Ethnicity

0%

10%

20%

30%

40%

50%

60%

70%

80%


Mastectomy Hospitalizations(Age-Adjusted Rate Per 1,000 Pop.)

0.00

0.05

0.10

0.15

0.20

0.25

0.30

2000 2001 2002 2003 2004

Age

0%

10%

20%

30%

40%

50%

60%

00 - 14 15 - 29 30 - 44 45 - 59 60+

Mastectomy Hopitalizations(Age-Adjusted Rate

Per 1,000 Pop.)

0.00

0.05

0.10

0.15

0.20

0.25

0.30

2000 2001 2002 2003 2004

Page 26




2000 1,418 0.57 0.632001 1,433 0.56 0.612002 1,295 0.50 0.582003 1,363 0.51 0.542004 1,375 0.51 0.53

% of Prostatectomy Patients % of County Residents



C a l i f o r n i a

P a t i e n t s 2 0 0 4


P R O S T A T E C T O M Y*

Prostatectomy Hospitalizations(Age-Adjusted Rate Per 1,000 Pop.)

0.00

0.10

0.20

0.30

0.40

0.50

0.60

2000 2001 2002 2003 2004

Race/Ethnicity

0%

10%

20%

30%

40%

50%

60%

70%

80%


Age

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

00 - 14 15 - 29 30 - 44 45 - 59 60+

Prostatectomy Hospitalizations


0.00

0.10

0.20

0.30

0.40

0.50

0.60

0.70

2000 2001 2002 2003 2004

Page 27




2000 3,368 1.18 0.962001 3,229 1.11 0.952002 3,473 1.16 0.972003 3,490 1.14 0.972004 3,404 1.09 0.97

% of Auto Injury Patients % of County Residents

*Based on first event causing hospitalizationSOURCE: California Inpatient Discharge Data, OSHPD. (http://www.oshpd.ca.gov/HQAD/PatientLevel/index.htm)

Demographic data from California Department of Finance. (http://www.dof.ca.gov/html/Demograp/DRU_datafiles/DRU_datafiles.htm)2004 - Perspectives in Healthcare

A U T O I N J U R Y*

P a t i e n t s 2 0 0 4

C a l i f o r n i a


Auto Injury Hospitalizations(Age-Adjusted Rate Per 1,000 Pop.)

0.00

0.20

0.40

0.60

0.80

1.00

1.20

1.40

2000 2001 2002 2003 2004

Gender

0%

10%

20%

30%

40%

50%

60%

70%

Male Female

Race/Ethnicity

0%

10%

20%

30%

40%

50%

60%


Age

0%

5%

10%

15%

20%

25%

30%

35%

40%

45%

00 - 14 15 - 29 30 - 44 45 - 59 60+

Auto Injury Hospitalizations (Age-Adjusted Rate Per

1,000 Pop.)

0.00

0.20

0.40

0.60

0.80

1.00

1.20

2000 2001 2002 2003 2004

Page 28




2000 2,156 0.76 0.672001 2,237 0.77 0.682002 2,187 0.74 0.692003 2,012 0.67 0.702004 2,032 0.66 0.69

% of Drug Poisoning Patients % of County Residents

*Based on first event causing hospitalizationSOURCE: California Inpatient Discharge Data, OSHPD. (http://www.oshpd.ca.gov/HQAD/PatientLevel/index.htm) Demographic data from California Department of Finance. (http://www.dof.ca.gov/html/Demograp/DRU_datafiles/DRU_datafiles.htm)

P a t i e n t s 2 0 0 4

C a l i f o r n i a

C o u n t y T r e n d sD R U G P O I S O N I N G*


Drug Poisoning Hospitalizations(Age-Adjusted Rate Per 1,000 Pop.)

0.00

0.10

0.20

0.30

0.40

0.50

0.60

0.70

0.80

0.90

2000 2001 2002 2003 2004

Gender

0%

10%

20%

30%

40%

50%

60%

Male Female

Race/Ethnicity

0%

10%

20%

30%

40%

50%

60%

70%


Other/Unknown

White

Age

0%

5%

10%

15%

20%

25%

30%

35%

00 - 14 15 - 29 30 - 44 45 - 59 60+

Drug Poisoning Hospitalizations


0.00

0.10

0.20

0.30

0.40

0.50

0.60

0.70

0.80

2000 2001 2002 2003 2004

Page 29




2000 165 0.05 0.122001 209 0.07 0.122002 190 0.06 0.132003 225 0.07 0.122004 283 0.09 0.12

% of Gunshot Injury Patients % of County Residents

*Based on first event causing hospitalizationSOURCE: California Inpatient Discharge Data, OSHPD. (http://www.oshpd.ca.gov/HQAD/PatientLevel/index.htm)


G U N S H O T I N J U R I E S*

C a l i f o r n i a

P a t i e n t s 2 0 0 4


C a l i f o r n i a


Gunshot Injury Hospitalizations(Age-Adjusted Rate Per 1,000 Pop.)

0.000.010.020.030.040.050.060.070.080.090.10

2000 2001 2002 2003 2004

Gender

0%10%20%30%40%50%60%70%80%90%

100%

Male Female

Race/Ethnicity

0%

10%

20%

30%

40%

50%

60%


Age

0%

10%

20%

30%

40%

50%

60%

70%

80%

00 - 14 15 - 29 30 - 44 45 - 59 60+

Gunshot Injuries(Age-Adjusted Rate

Per 1,000 Pop.)

0.00

0.02

0.04

0.06

0.08

0.10

0.12

0.14

2000 2001 2002 2003 2004

Page 30

OwnershipType of Hospital

Type of CareAvailable Beds/Occupancy Rate

Average Length of Stay/Discharges/Outpatient VisitsEmergency Department Utilization

Income StatementIncome Statement Per Adjusted Patient Day

I N D I V I D U A LH O S P I T A L

F INANCIAL & UT I L I ZAT ION REPORTS

San DiegoPage 32 H e a l t h c a r e R e s o u r c e S u m m a r i e s

Facility NameALVARADO HOSPITAL MEDICAL

CENTERALVARADO HOSPITAL MEDICAL

CENTER/SDRIALVARADO PARKWAY INSTITUTE

BHSOwnership INVESTOR --- INVESTORType of Hospital COMPARABLE --- COMPARABLEType of Care GENERAL ACUTE --- PSYCHIATRICTeaching/Rural N/A --- N/AAvailable Beds 291 --- 64Occupancy Rate 51.8% --- 89.0%Patient Days 55,158 --- 20,851

Average Length of Stay 6.5 --- 9.9Total Discharges 8,548 --- 2,102Outpatient Visits 78,862 --- 15,180

Emergency DepartmentEMS Level Basic --- ---EMS Stations 12 - - Total EMS Visits 22,981 - - Non-Emergency EMS Visits - - - Non-Urgent EMS Visits 1,665 - - Urgent EMS Visits 5,004 - - Moderate EMS Visits 4,146 - - Severe EMS Visits 3,595 - - Critical EMS Visits 8,571 - - % of Visits Resulting in Admit 23.7% 0.0% 0.0%Registered-Left w/o Treatment 336 - -

Income StatementGross Patient Revenue $724,208,518 --- $29,853,617-Deductions from Revenue $607,958,209 --- $15,565,971+Capitation Premium Revenue $5,789,256 --- $0Net Patient Revenue $122,039,565 --- $14,287,646+Other Operating Revenue $1,624,714 --- $26,737Total Operating Revenue $123,664,279 --- $14,314,383-Operating Expense $128,566,489 --- $13,324,990Net from Operations -$4,902,210 --- $989,393+Non-Operating Revenue $1,402,255 --- $140,387-Non-Operating Expense $1,468,324 --- $269,762-Income Taxes $0 --- $0-Extraordinary Items $0 --- $0Net Income -$4,968,279 --- $860,018

Per Adjusted DayGross Patient Revenue $10,186 --- $1,066-Deductions from Revenue $8,551 --- $556+Capitation Premium Revenue $81 --- $0Net Patient Revenue $1,716 --- $510+Other Operating Revenue $23 --- $1Total Operating Revenue $1,739 --- $511-Operating Expense $1,808 --- $476Net from Operations -$69 --- $35+Non-Operating Revenue $20 --- $5-Non-Operating Expense $21 --- $10-Income Taxes $0 --- $0-Extraordinary Items $0 --- $0Net Income -$70 --- $31Footnotes:Per Adjusted Day: This statistic adjusts the number of patient days to compensate for outpatient services.The financial data on this page reflect disproportionate share payments transferred to a related public entity.Note that columns may not add to subtotals due to rounding.

Source: OSHPD Annual Hospital Financial (http://www.oshpd.ca.gov/HQAD/Hospital/financial/hospAF.htm) & Utilization Disclosure Reports (http://www.oshpd.ca.gov/HQAD/Hospital/hosputil.htm) ---- data not reported

Financial & Utilization Information 2004

San DiegoH e a l t h c a r e R e s o u r c e S u m m a r i e s Page 33

AURORA SAN DIEGOCHILDREN'S HOSPITAL - SAN

DIEGOCONTINENTAL REHAB HOSP FOR

SAN DIEGO Facility NameINVESTOR NON-PROFIT INVESTOR Ownership

COMPARABLE COMPARABLE COMPARABLE Type of HospitalPSYCHIATRIC GENERAL ACUTE SPECIALTY Type of Care

N/A N/A N/A Teaching/Rural80 301 110 Available Beds

75.0% 72.6% 47.1% Occupancy Rate21,970 79,958 18,943 Patient Days

8.4 6.2 25.2 Average Length of Stay2,622 12,937 753 Total Discharges8,200 259,207 9,601 Outpatient Visits

Emergency Department:--- --- --- EMS Level

- --- --- EMS Stations- --- --- Total EMS Visits- --- --- Non-Emergency EMS Visits- --- --- Non-Urgent EMS Visits- --- --- Urgent EMS Visits- --- --- Moderate EMS Visits- --- --- Severe EMS Visits- --- --- Critical EMS Visits

0.0% --- --- % of Visits Resulting in Admit- --- --- Registered-Left w/o Treatment

Income Statement$22,996,731 $657,676,197 $42,353,910 Gross Patient Revenue

$9,568,010 $402,261,935 $20,933,953 -Deductions from Revenue$0 $25,108,436 $0 +Capitation Premium Revenue

$13,428,721 $280,522,698 $21,419,957 Net Patient Revenue$36,265 $22,122,178 $86,159 +Other Operating Revenue

$13,464,986 $302,644,876 $21,506,116 Total Operating Revenue$13,194,356 $324,092,145 $21,110,289 -Operating Expense

$270,630 -$21,447,269 $395,827 Net from Operations$0 $22,390,735 $93,823 +Non-Operating Revenue$0 $2,654,833 $0 -Non-Operating Expense$0 $0 $0 -Income Taxes$0 $0 $0 -Extraordinary Items

$270,630 -$1,711,367 $489,650 Net Income

Per Adjusted Day$893 $5,368 $2,193 Gross Patient Revenue$372 $3,283 $1,084 -Deductions from Revenue

$0 $205 $0 +Capitation Premium Revenue$522 $2,290 $1,109 Net Patient Revenue

$1 $181 $4 +Other Operating Revenue$523 $2,470 $1,113 Total Operating Revenue$513 $2,645 $1,093 -Operating Expense

$11 -$175 $20 Net from Operations$0 $183 $5 +Non-Operating Revenue$0 $22 $0 -Non-Operating Expense$0 $0 $0 -Income Taxes$0 $0 $0 -Extraordinary Items

$11 -$14 $25 Net IncomeFootnotes:Per Adjusted Day: This statistic adjusts the number of patient days to compensate for outpatient services.The financial data on this page reflect disproportionate share payments transferred to a related public entity.Note that columns may not add to subtotals due to rounding.

Source: OSHPD Annual Hospital Financial (http://www.oshpd.ca.gov/HQAD/Hospital/financial/hospAF.htm) & Utilization Disclosure Reports (http://www.oshpd.ca.gov/HQAD/Hospital/hosputil.htm) ---- data not reported

Financial & Utilization Information


Facility Name FALLBROOK HOSPITAL DISTRICT GROSSMONT HOSPITAL KAISER FDN HOSP - SAN DIEGOOwnership DISTRICT --- NON-PROFITType of Hospital COMPARABLE --- KAISERType of Care GENERAL ACUTE --- GENERAL ACUTETeaching/Rural SMALL/RURAL --- N/AAvailable Beds 140 --- 392Occupancy Rate 64.7% --- 73.2%Patient Days 33,138 --- 105,037

Average Length of Stay 11.4 --- 3.9Total Discharges 2,907 --- 26,899Outpatient Visits 74,455 --- 19,566

Emergency DepartmentEMS Level Basic Basic BasicEMS Stations 7 64 54 Total EMS Visits 10,090 63,060 92,274 Non-Emergency EMS Visits 449 - 37,792 Non-Urgent EMS Visits 390 7,630 12,587 Urgent EMS Visits 5,877 10,000 25,205 Moderate EMS Visits 2,129 19,629 52,647 Severe EMS Visits 1,694 22,041 1,809 Critical EMS Visits - 3,760 26 % of Visits Resulting in Admit 14.1% 16.8% 0.0%Registered-Left w/o Treatment 295 2,042 559

Income StatementGross Patient Revenue $112,201,023 --- $0-Deductions from Revenue $77,637,774 --- $0+Capitation Premium Revenue $0 --- $0Net Patient Revenue $34,563,249 --- $0+Other Operating Revenue $100,519 --- $0Total Operating Revenue $34,663,768 --- $0-Operating Expense $31,743,023 --- $0Net from Operations $2,920,745 --- $0+Non-Operating Revenue $288,393 --- $0-Non-Operating Expense $49,292 --- $0-Income Taxes $0 --- $0-Extraordinary Items $0 --- $0Net Income $3,159,846 --- $0

Per Adjusted DayGross Patient Revenue $1,937 --- $0-Deductions from Revenue $1,340 --- $0+Capitation Premium Revenue $0 --- $0Net Patient Revenue $597 --- $0+Other Operating Revenue $2 --- $0Total Operating Revenue $598 --- $0-Operating Expense $548 --- $0Net from Operations $50 --- $0+Non-Operating Revenue $5 --- $0-Non-Operating Expense $1 --- $0-Income Taxes $0 --- $0-Extraordinary Items $0 --- $0Net Income $55 --- $0Footnotes:Per Adjusted Day: This statistic adjusts the number of patient days to compensate for outpatient services.The financial data on this page reflect disproportionate share payments transferred to a related public entity.Note that columns may not add to subtotals due to rounding.

Source: OSHPD Annual Hospital Financial (http://www.oshpd.ca.gov/HQAD/Hospital/financial/hospAF.htm) & Utilization Disclosure Reports (http://www.oshpd.ca.gov/HQAD/Hospital/hosputil.htm)



KINDRED HOSPITAL - SAN DIEGO PALOMAR MEDICAL CENTER PARADISE VALLEY HOSPITAL Facility Name--- DISTRICT NON-PROFIT Ownership--- COMPARABLE COMPARABLE Type of Hospital--- GENERAL ACUTE GENERAL ACUTE Type of Care--- N/A N/A Teaching/Rural--- 420 301 Available Beds--- 74.4% 66.9% Occupancy Rate--- 114,308 73,753 Patient Days--- 5.4 5.6 Average Length of Stay--- 21,180 13,204 Total Discharges--- 179,874 126,331 Outpatient Visits

Emergency Department--- Basic Basic EMS Level

- 21 20 EMS Stations- 49,720 29,899 Total EMS Visits- - - Non-Emergency EMS Visits- 3,586 1,672 Non-Urgent EMS Visits- 5,921 13,070 Urgent EMS Visits- 16,677 6,289 Moderate EMS Visits- 17,346 4,622 Severe EMS Visits- 6,190 4,246 Critical EMS Visits

0.0% 21.1% 8.9% % of Visits Resulting in Admit- 1,397 1,539 Registered-Left w/o Treatment

Income Statement--- $642,037,350 $526,281,191 Gross Patient Revenue--- $464,416,231 $399,491,776 -Deductions from Revenue--- $39,060,166 $667,060 +Capitation Premium Revenue--- $216,681,285 $127,456,475 Net Patient Revenue--- $5,973,248 $2,852,609 +Other Operating Revenue--- $222,654,533 $130,309,084 Total Operating Revenue--- $219,120,757 $133,729,520 -Operating Expense--- $3,533,776 -$3,420,436 Net from Operations--- $966,184 $2,547,109 +Non-Operating Revenue--- $0 $1,028,395 -Non-Operating Expense--- $0 $0 -Income Taxes--- $0 $0 -Extraordinary Items--- $4,499,960 -$1,901,722 Net Income

Per Adjusted Day--- $4,643 $5,210 Gross Patient Revenue--- $3,358 $3,955 -Deductions from Revenue--- $282 $7 +Capitation Premium Revenue--- $1,567 $1,262 Net Patient Revenue--- $43 $28 +Other Operating Revenue--- $1,610 $1,290 Total Operating Revenue--- $1,585 $1,324 -Operating Expense--- $26 -$34 Net from Operations--- $7 $25 +Non-Operating Revenue--- $0 $10 -Non-Operating Expense--- $0 $0 -Income Taxes--- $0 $0 -Extraordinary Items--- $33 -$19 Net Income

Footnotes:Per Adjusted Day: This statistic adjusts the number of patient days to compensate for outpatient services.The financial data on this page reflect disproportionate share payments transferred to a related public entity.Note that columns may not add to subtotals due to rounding.




Facility Name POMERADO HOSPITALSAN DIEGO COUNTY

PSYCHIATRIC HOSPITALSAN DIEGO HOSPICE & PALLIATIVE CARE CTR

Ownership DISTRICT CITY / COUNTY NON-PROFITType of Hospital COMPARABLE LTC EMPHASIS COMPARABLEType of Care GENERAL ACUTE PSYCHIATRIC GENERAL ACUTETeaching/Rural N/A N/A N/AAvailable Beds 236 431 24Occupancy Rate 81.0% 43.0% 88.0%Patient Days 69,987 67,787 7,728

Average Length of Stay 9.4 70.3 11.8Total Discharges 7,437 964 655Outpatient Visits 83,983 109,225 0

Emergency Department:EMS Level Basic --- ---EMS Stations 16 - ---Total EMS Visits 24,401 - ---Non-Emergency EMS Visits - - ---Non-Urgent EMS Visits 951 - ---Urgent EMS Visits 3,258 - ---Moderate EMS Visits 9,660 - ---Severe EMS Visits 6,645 - ---Critical EMS Visits 3,887 - ---% of Visits Resulting in Admit 13.8% 0.0% ---Registered-Left w/o Treatment 81 - ---

Income StatementGross Patient Revenue $241,197,000 $46,578,931 $8,884,900-Deductions from Revenue $173,887,019 $2,011,287 $4,788,011+Capitation Premium Revenue $16,544,645 $0 $0Net Patient Revenue $83,854,626 $44,567,644 $4,096,889+Other Operating Revenue $2,038,619 $282,205 $126,049Total Operating Revenue $85,893,245 $44,849,849 $4,222,938-Operating Expense $85,616,865 $74,497,942 $9,026,947Net from Operations $276,380 -$29,648,093 -$4,804,009+Non-Operating Revenue $214,431 $29,648,093 $0-Non-Operating Expense $0 $0 $0-Income Taxes $0 $0 $0-Extraordinary Items $0 $0 $0Net Income $490,811 $0 -$4,804,009

Per Adjusted DayGross Patient Revenue $2,668 $377 $1,150-Deductions from Revenue $1,923 $16 $620+Capitation Premium Revenue $183 $0 $0Net Patient Revenue $927 $361 $530+Other Operating Revenue $23 $2 $16Total Operating Revenue $950 $363 $546-Operating Expense $947 $603 $1,168Net from Operations $3 -$240 -$622+Non-Operating Revenue $2 $240 $0-Non-Operating Expense $0 $0 $0-Income Taxes $0 $0 $0-Extraordinary Items $0 $0 $0Net Income $5 $0 -$622Footnotes:Per Adjusted Day: This statistic adjusts the number of patient days to compensate for outpatient services.The financial data on this page reflect disproportionate share payments transferred to a related public entity.Note that columns may not add to subtotals due to rounding.




SCRIPPS GREEN HOSPITALSCRIPPS MEMORIAL HOSPITAL -

CHULA VISTASCRIPPS MEMORIAL HOSPITAL -

ENCINITAS Facility NameNON-PROFIT NON-PROFIT NON-PROFIT Ownership

COMPARABLE COMPARABLE COMPARABLE Type of HospitalGENERAL ACUTE GENERAL ACUTE GENERAL ACUTE Type of Care



3.6 4.7 5.6 Average Length of Stay9,922 9,592 7,107 Total Discharges

118,069 74,739 57,230 Outpatient Visits

Emergency Department:--- Basic Basic EMS Level--- --- 12 EMS Stations--- --- 26,949 Total EMS Visits--- --- - Non-Emergency EMS Visits--- --- 3,249 Non-Urgent EMS Visits--- --- 16,710 Urgent EMS Visits--- --- 2,989 Moderate EMS Visits--- --- 3,244 Severe EMS Visits--- --- 757 Critical EMS Visits--- --- 14.1% % of Visits Resulting in Admit

--- --- - Registered-Left w/o Treatment

Income Statement$537,133,986 $310,118,672 $302,422,520 Gross Patient Revenue$358,887,759 $227,133,847 $206,407,313 -Deductions from Revenue

$7,694 $112,929 $56,368 +Capitation Premium Revenue$178,253,921 $83,097,754 $96,071,575 Net Patient Revenue

$8,004,953 $2,401,930 $1,142,632 +Other Operating Revenue$186,258,874 $85,499,684 $97,214,207 Total Operating Revenue$159,922,205 $99,377,418 $95,588,488 -Operating Expense

$26,336,669 -$13,877,734 $1,625,719 Net from Operations$0 $0 $106,072 +Non-Operating Revenue$0 $0 $0 -Non-Operating Expense$0 $0 $0 -Income Taxes$0 $0 $0 -Extraordinary Items

$26,336,669 -$13,877,734 $1,731,791 Net Income

Per Adjusted Day$9,953 $5,368 $5,878 Gross Patient Revenue$6,650 $3,932 $4,012 -Deductions from Revenue

$0 $2 $1 +Capitation Premium Revenue$3,303 $1,438 $1,867 Net Patient Revenue

$148 $42 $22 +Other Operating Revenue$3,451 $1,480 $1,890 Total Operating Revenue$2,963 $1,720 $1,858 -Operating Expense

$488 -$240 $32 Net from Operations$0 $0 $2 +Non-Operating Revenue$0 $0 $0 -Non-Operating Expense$0 $0 $0 -Income Taxes$0 $0 $0 -Extraordinary Items

$488 -$240 $34 Net IncomeFootnotes:Per Adjusted Day: This statistic adjusts the number of patient days to compensate for outpatient services.The financial data on this page reflect disproportionate share payments transferred to a related public entity.Note that columns may not add to subtotals due to rounding.




Facility NameSCRIPPS MEMORIAL HOSPITAL -

LA JOLLA SCRIPPS MERCY HOSPITALSCRIPPS MERCY HOSPITAL -

CHULA VISTAOwnership NON-PROFIT NON-PROFIT ---Type of Hospital COMPARABLE COMPARABLE ---Type of Care SPECIALTY GENERAL ACUTE ---Teaching/Rural N/A TEACHING ---Available Beds 356 447 ---Occupancy Rate 76.2% 61.6% ---Patient Days 99,349 100,700 ---

Average Length of Stay 5.2 4.7 ---Total Discharges 19,009 21,214 ---Outpatient Visits 112,297 135,490 ---

Emergency Department:EMS Level --- Basic BasicEMS Stations --- 27 25 Total EMS Visits --- - 32,721 Non-Emergency EMS Visits --- 37 - Non-Urgent EMS Visits --- - 2,576 Urgent EMS Visits --- - 4,791 Moderate EMS Visits --- - 15,675 Severe EMS Visits --- - 4,262 Critical EMS Visits --- - 5,417 % of Visits Resulting in Admit --- 0.0% 15.4%Registered-Left w/o Treatment --- 10 936

Income StatementGross Patient Revenue $958,222,885 $871,265,699 ----Deductions from Revenue $662,534,913 $623,794,808 ---+Capitation Premium Revenue $69,639 $10,528,073 ---Net Patient Revenue $295,757,611 $257,998,964 ---+Other Operating Revenue $7,295,493 $5,805,766 ---Total Operating Revenue $303,053,104 $263,804,730 ----Operating Expense $285,928,731 $260,867,332 ---Net from Operations $17,124,373 $2,937,398 ---+Non-Operating Revenue $1,028,843 $3,153,971 ----Non-Operating Expense $0 $741,615 ----Income Taxes $0 $0 ----Extraordinary Items $0 $0 ---Net Income $18,153,216 $5,349,754 ---

Per Adjusted DayGross Patient Revenue $7,710 $6,856 ----Deductions from Revenue $5,331 $4,909 ---+Capitation Premium Revenue $1 $83 ---Net Patient Revenue $2,380 $2,030 ---+Other Operating Revenue $59 $46 ---Total Operating Revenue $2,438 $2,076 ----Operating Expense $2,301 $2,053 ---Net from Operations $138 $23 ---+Non-Operating Revenue $8 $25 ----Non-Operating Expense $0 $6 ----Income Taxes $0 $0 ----Extraordinary Items $0 $0 ---Net Income $146 $42 ---Footnotes:Per Adjusted Day: This statistic adjusts the number of patient days to compensate for outpatient services.The financial data on this page reflect disproportionate share payments transferred to a related public entity.Note that columns may not add to subtotals due to rounding.




SHARP CABRILLO HOSPITALSHARP CHULA VISTA MEDICAL

CENTERSHARP CORONADO HOSPITAL &

HEALTHCARE CTR Facility NameNON-PROFIT NON-PROFIT NON-PROFIT Ownership

COMPARABLE COMPARABLE COMPARABLE Type of HospitalGENERAL ACUTE GENERAL ACUTE GENERAL ACUTE Type of Care



21.9 7.1 21.5 Average Length of Stay1,008 13,237 2,299 Total Discharges1,547 70,749 45,802 Outpatient Visits

Emergency Department:--- Basic Basic EMS Level

- 20 5 EMS Stations- 39,466 10,965 Total EMS Visits- - 319 Non-Emergency EMS Visits- 3,043 1,135 Non-Urgent EMS Visits- 8,020 3,440 Urgent EMS Visits- 12,802 4,870 Moderate EMS Visits- 11,265 1,207 Severe EMS Visits- 4,336 313 Critical EMS Visits

0.0% 20.6% 12.2% % of Visits Resulting in Admit- 1,042 138 Registered-Left w/o Treatment

Income Statement$20,622,825 $663,513,226 $119,370,200 Gross Patient Revenue$13,719,219 $545,934,750 $80,372,096 -Deductions from Revenue

$3,694,278 $29,763,728 $2,646,435 +Capitation Premium Revenue$10,597,884 $147,342,204 $41,644,539 Net Patient Revenue

$1,355 $1,030,527 $28,632 +Other Operating Revenue$10,599,239 $148,372,731 $41,673,171 Total Operating Revenue$14,180,812 $156,511,470 $42,319,781 -Operating Expense-$3,581,573 -$8,138,739 -$646,610 Net from Operations

$0 $2,395,041 $2,318,316 +Non-Operating Revenue$106,221 $612,281 $1,940,363 -Non-Operating Expense

$0 $0 $0 -Income Taxes$0 $0 $0 -Extraordinary Items

-$3,687,794 -$6,355,979 -$268,657 Net Income

Per Adjusted Day$892 $5,399 $1,771 Gross Patient Revenue$594 $4,443 $1,192 -Deductions from Revenue$160 $242 $39 +Capitation Premium Revenue$459 $1,199 $618 Net Patient Revenue

$0 $8 $0 +Other Operating Revenue$459 $1,207 $618 Total Operating Revenue$614 $1,274 $628 -Operating Expense

-$155 -$66 -$10 Net from Operations$0 $19 $34 +Non-Operating Revenue$5 $5 $29 -Non-Operating Expense$0 $0 $0 -Income Taxes$0 $0 $0 -Extraordinary Items

-$160 -$52 -$4 Net IncomeFootnotes:Per Adjusted Day: This statistic adjusts the number of patient days to compensate for outpatient services.The financial data on this page reflect disproportionate share payments transferred to a related public entity.Note that columns may not add to subtotals due to rounding.



San Diego Page 40 H e a l t h c a r e R e s o u r c e S u m m a r i e s

Facility Name SHARP GROSSMONT HOSPITALSHARP MARY BIRCH HOSPITAL

FOR WOMEN SHARP MEMORIAL HOSPITALOwnership NON-PROFIT NON-PROFIT NON-PROFITType of Hospital COMPARABLE COMPARABLE COMPARABLEType of Care GENERAL ACUTE GENERAL ACUTE GENERAL ACUTETeaching/Rural N/A N/A N/AAvailable Beds 439 166 490Occupancy Rate 69.5% 73.9% 73.8%Patient Days 111,733 44,872 132,273

Average Length of Stay 4.8 4.5 5.7Total Discharges 23,247 10,053 23,334Outpatient Visits 491,583 12,856 388,453

Emergency Department:EMS Level --- --- BasicEMS Stations --- - - Total EMS Visits --- - - Non-Emergency EMS Visits --- - - Non-Urgent EMS Visits --- - - Urgent EMS Visits --- - - Moderate EMS Visits --- - - Severe EMS Visits --- - - Critical EMS Visits --- - - % of Visits Resulting in Admit --- 0.0% 0.0%Registered-Left w/o Treatment --- - -

Income StatementGross Patient Revenue $1,211,865,741 $281,772,865 $1,276,166,812-Deductions from Revenue $966,920,446 $223,978,148 $981,595,179+Capitation Premium Revenue $62,310,519 $14,129,709 $78,622,557Net Patient Revenue $307,255,814 $71,924,426 $373,194,190+Other Operating Revenue $657,382 $270,967 $4,574,235Total Operating Revenue $307,913,196 $72,195,393 $377,768,425-Operating Expense $307,671,699 $62,330,581 $367,348,716Net from Operations $241,497 $9,864,812 $10,419,709+Non-Operating Revenue $5,972,444 $368,945 $4,038,929-Non-Operating Expense $1,674,577 $905,416 $4,215,273-Income Taxes $0 $0 $0-Extraordinary Items $0 $0 $0Net Income $4,539,364 $9,328,341 $10,243,365

Per Adjusted DayGross Patient Revenue $7,361 $5,781 $6,907-Deductions from Revenue $5,873 $4,595 $5,312+Capitation Premium Revenue $378 $290 $426Net Patient Revenue $1,866 $1,476 $2,020+Other Operating Revenue $4 $6 $25Total Operating Revenue $1,870 $1,481 $2,045-Operating Expense $1,869 $1,279 $1,988Net from Operations $1 $202 $56+Non-Operating Revenue $36 $8 $22-Non-Operating Expense $10 $19 $23-Income Taxes $0 $0 $0-Extraordinary Items $0 $0 $0Net Income $28 $191 $55Footnotes:Per Adjusted Day: This statistic adjusts the number of patient days to compensate for outpatient services.

The financial data on this page reflect disproportionate share payments transferred to a related public entity.

Note that columns may not add to subtotals due to rounding.



SHARP VISTA PACIFICA TRI-CITY MEDICAL CENTERUCSD/LA JOLLA - THORNTON

HOSPITAL Facility NameNON-PROFIT DISTRICT --- Ownership

COMPARABLE COMPARABLE --- Type of HospitalSPECIALTY GENERAL ACUTE --- Type of Care

N/A N/A --- Teaching/Rural12 397 --- Available Beds

74.9% 50.8% --- Occupancy Rate3,289 73,768 --- Patient Days13.3 4.4 --- Average Length of Stay247 16,876 --- Total Discharges

4,597 217,140 --- Outpatient Visits

Emergency Department:--- Basic Basic EMS Level

- 30 11 EMS Stations- 53,280 19,590 Total EMS Visits- 2,393 - Non-Emergency EMS Visits- 3,824 558 Non-Urgent EMS Visits- 13,611 6,598 Urgent EMS Visits- 13,402 3,904 Moderate EMS Visits- 12,916 7,838 Severe EMS Visits- 9,527 692 Critical EMS Visits

0.0% 16.3% 11.8% % of Visits Resulting in Admit- 3,500 384 Registered-Left w/o Treatment

Income Statement$4,040,650 $565,134,135 --- Gross Patient Revenue$2,395,301 $420,775,870 --- -Deductions from Revenue

$1,561 $44,943,414 --- +Capitation Premium Revenue$1,646,910 $189,301,679 --- Net Patient Revenue

$84 $2,741,000 --- +Other Operating Revenue$1,646,994 $192,042,679 --- Total Operating Revenue$1,586,251 $202,795,361 --- -Operating Expense

$60,743 -$10,752,682 --- Net from Operations$0 $8,012,795 --- +Non-Operating Revenue

$19,362 $20 --- -Non-Operating Expense$0 $0 --- -Income Taxes$0 $0 --- -Extraordinary Items

$41,381 -$2,739,907 --- Net Income

Per Adjusted Day$721 $5,134 --- Gross Patient Revenue$428 $3,823 --- -Deductions from Revenue

$0 $408 --- +Capitation Premium Revenue$294 $1,720 --- Net Patient Revenue

$0 $25 --- +Other Operating Revenue$294 $1,745 --- Total Operating Revenue$283 $1,842 --- -Operating Expense

$11 -$98 --- Net from Operations$0 $73 --- +Non-Operating Revenue$3 $0 --- -Non-Operating Expense$0 $0 --- -Income Taxes$0 $0 --- -Extraordinary Items$7 -$25 --- Net Income

Footnotes:Per Adjusted Day: This statistic adjusts the number of patient days to compensate for outpatient services.

The financial data on this page reflect disproportionate share payments transferred to a related public entity.

Note that columns may not add to subtotals due to rounding.


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