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:

12372

Tri-City Medical Center

4002 Vista Way

Oceanside

Tri-City Health Care District

2010

Gerald W. Hunter

1/6/2011 9:51:02 AM

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

Report Status: 1/7/2011 8:38 AMData Last Update: 01/06/2011 Submission Date: 01/06/2011 Print Date:

123722010 Tri-City Medical Center Oceanside Page:1 of 82Report Year:

For buildings which are planned for retrofit or replacement the report shall identify: Whether the hospital owner intends to retrofit or replace the building to SPC 2 or SPC 5 per section 130061(c)(1)(A). The deadline, as described in Section 130060 or 130061.5, for retrofit or replacement of the bulding 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

10/20/201101/01/2013SPC2RetrofitSouth Tower Stair Shaft04B 4002 Vista Way

Report Status: 1/7/2011 8:38 AMData Last Update: 01/06/2011 Submission Date: 01/06/2011 Print Date:

123722010 Tri-City Medical Center Oceanside Page:2 of 82Report Year:

Report Status: 1/7/2011 8:38 AMData Last Update: 01/06/2011 Submission Date: 01/06/2011 Print Date:

123722010 Tri-City Medical Center Oceanside Page:3 of 82Report Year:

04B South Tower Stair Shaft

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

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

ObstetricalCesarean/Deliv

Report Status: 1/7/2011 8:38 AMData Last Update: 01/06/2011 Submission Date: 01/06/2011 Print Date:

123722010 Tri-City Medical Center Oceanside Page:4 of 82Report Year:

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

04B South Tower Stair Shaft

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)

Report Status: 1/7/2011 8:38 AMData Last Update: 01/06/2011 Submission Date: 01/06/2011 Print Date:

123722010 Tri-City Medical Center Oceanside Page:5 of 82Report Year:

01 Center Tower

02 North Wing

03A Center Complex - North

03B Center Complex - South

04A South Tower

04B South Tower Stair Shaft

05A Electrical Building

05B Electrical Building Addition

06 1976 Center Complex Addition

07 Materials/Laboratory Building

08 1976 Radiology Addition

10 Administration Building

12A Pavilion Building

12B Pavilion Building Canopy

13 Ancillary Building

14A Emergency Room Addition

14B Emergency Room Addition Canopy

15A Perinatal Unit/Women's Center

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

Building Number

Building Name

Building to be Removed

Report Status: 1/7/2011 8:38 AMData Last Update: 01/06/2011 Submission Date: 01/06/2011 Print Date:

123722010 Tri-City Medical Center Oceanside Page:6 of 82Report Year:

15B Perinatal Unit/Wmns Ctr Canopy 1

15C Perinatal Unit/Wmns Ctr Canopy 2

15D Perinatal Unit Wmns Ctr Canopy 3

16A Surgery Addition 1

16B Surgery Addition 2

16C Surgery Addition Canopy

17 Central Plant

Report Status: 1/7/2011 8:38 AMData Last Update: 01/06/2011 Submission Date: 01/06/2011 Print Date:

123722010 Tri-City Medical Center Oceanside Page:7 of 82Report Year:

Report Status: 1/7/2011 8:38 AMData Last Update: 01/06/2011 Submission Date: 01/06/2011 Print Date:

123722010 Tri-City Medical Center Oceanside Page:8 of 82Report Year:

Building Number: Building Name:

Nursing

IntensiveCare

Pediatric/Adolescent

PsychiatricNursing

ObstetricalAnte/Postprtum

IntermediateCare

Skilled Nursing

04B South Tower Stair Shaft

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 genaral acute care hospital building that is rated SPC-1 per Section 130061(c)(4)

Report Status: 1/7/2011 8:38 AMData Last Update: 01/06/2011 Submission Date: 01/06/2011 Print Date:

123722010 Tri-City Medical Center Oceanside Page:9 of 82Report Year:

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

01 Center Tower

Replace with new SPC 5 and NPC 4 or NPC 5 buildingConfiguration:

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 actue care hospital building per Section 130061(c)(5)

Report Status: 1/7/2011 8:38 AMData Last Update: 01/06/2011 Submission Date: 01/06/2011 Print Date:

123722010 Tri-City Medical Center Oceanside Page:10 of 82Report Year:

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

02 North Wing

Retrofit Conforming building to NPC 4 or NPC 5Configuration:

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 actue care hospital building per Section 130061(c)(5)

Report Status: 1/7/2011 8:38 AMData Last Update: 01/06/2011 Submission Date: 01/06/2011 Print Date:

123722010 Tri-City Medical Center Oceanside Page:11 of 82Report Year:

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:

03A Center Complex - North

Retrofit Conforming building to NPC 4 or NPC 5Configuration:

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 actue care hospital building per Section 130061(c)(5)

Report Status: 1/7/2011 8:38 AMData Last Update: 01/06/2011 Submission Date: 01/06/2011 Print Date:

123722010 Tri-City Medical Center Oceanside Page:12 of 82Report Year:

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:

03B Center Complex - South

Retrofit Conforming building to NPC 4 or NPC 5Configuration:

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 actue care hospital building per Section 130061(c)(5)

Report Status: 1/7/2011 8:38 AMData Last Update: 01/06/2011 Submission Date: 01/06/2011 Print Date:

123722010 Tri-City Medical Center Oceanside Page:13 of 82Report Year:

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

04A South Tower

Replace with new SPC 5 and NPC 4 or NPC 5 buildingConfiguration:

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 actue care hospital building per Section 130061(c)(5)

Report Status: 1/7/2011 8:38 AMData Last Update: 01/06/2011 Submission Date: 01/06/2011 Print Date:

123722010 Tri-City Medical Center Oceanside Page:14 of 82Report Year:

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:

04B South Tower Stair Shaft

Replace with new SPC 5 and NPC 4 or NPC 5 buildingConfiguration:

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 actue care hospital building per Section 130061(c)(5)

Report Status: 1/7/2011 8:38 AMData Last Update: 01/06/2011 Submission Date: 01/06/2011 Print Date:

123722010 Tri-City Medical Center Oceanside Page:15 of 82Report Year:

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:

05A Electrical Building

Retrofit Conforming building to NPC 4 or NPC 5Configuration:

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 actue care hospital building per Section 130061(c)(5)

Report Status: 1/7/2011 8:38 AMData Last Update: 01/06/2011 Submission Date: 01/06/2011 Print Date:

123722010 Tri-City Medical Center Oceanside Page:16 of 82Report Year:

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:

05B Electrical Building Addition

Retrofit Conforming building to NPC 4 or NPC 5Configuration:

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 actue care hospital building per Section 130061(c)(5)

Report Status: 1/7/2011 8:38 AMData Last Update: 01/06/2011 Submission Date: 01/06/2011 Print Date:

123722010 Tri-City Medical Center Oceanside Page:17 of 82Report Year:

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:

06 1976 Center Complex Addition

Retrofit Conforming building to NPC 4 or NPC 5Configuration:

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 actue care hospital building per Section 130061(c)(5)

Report Status: 1/7/2011 8:38 AMData Last Update: 01/06/2011 Submission Date: 01/06/2011 Print Date:

123722010 Tri-City Medical Center Oceanside Page:18 of 82Report Year:

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:

07 Materials/Laboratory Building

Retrofit Conforming building to NPC 4 or NPC 5Configuration:

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 actue care hospital building per Section 130061(c)(5)

Report Status: 1/7/2011 8:38 AMData Last Update: 01/06/2011 Submission Date: 01/06/2011 Print Date:

123722010 Tri-City Medical Center Oceanside Page:19 of 82Report Year:

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:

08 1976 Radiology Addition

Retrofit Conforming building to NPC 4 or NPC 5Configuration:

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 actue care hospital building per Section 130061(c)(5)

Report Status: 1/7/2011 8:38 AMData Last Update: 01/06/2011 Submission Date: 01/06/2011 Print Date:

123722010 Tri-City Medical Center Oceanside Page:20 of 82Report Year:

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:

10 Administration Building

Retrofit Conforming building to NPC 4 or NPC 5Configuration:

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 actue care hospital building per Section 130061(c)(5)

Report Status: 1/7/2011 8:38 AMData Last Update: 01/06/2011 Submission Date: 01/06/2011 Print Date:

123722010 Tri-City Medical Center Oceanside Page:21 of 82Report Year:

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:

12A Pavilion Building

Retrofit Conforming building to NPC 4 or NPC 5Configuration:

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 actue care hospital building per Section 130061(c)(5)

Report Status: 1/7/2011 8:38 AMData Last Update: 01/06/2011 Submission Date: 01/06/2011 Print Date:

123722010 Tri-City Medical Center Oceanside Page:22 of 82Report Year:

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:

12B Pavilion Building Canopy

Retrofit Conforming building to NPC 4 or NPC 5Configuration:

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 actue care hospital building per Section 130061(c)(5)

Report Status: 1/7/2011 8:38 AMData Last Update: 01/06/2011 Submission Date: 01/06/2011 Print Date:

123722010 Tri-City Medical Center Oceanside Page:23 of 82Report Year:

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:

13 Ancillary Building

Retrofit Conforming building to NPC 4 or NPC 5Configuration:

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 actue care hospital building per Section 130061(c)(5)

Report Status: 1/7/2011 8:38 AMData Last Update: 01/06/2011 Submission Date: 01/06/2011 Print Date:

123722010 Tri-City Medical Center Oceanside Page:24 of 82Report Year:

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:

14A Emergency Room Addition

Retrofit Conforming building to NPC 4 or NPC 5Configuration:

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 actue care hospital building per Section 130061(c)(5)

Report Status: 1/7/2011 8:38 AMData Last Update: 01/06/2011 Submission Date: 01/06/2011 Print Date:

123722010 Tri-City Medical Center Oceanside Page:25 of 82Report Year:

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:

14B Emergency Room Addition Canopy

Retrofit Conforming building to NPC 4 or NPC 5Configuration:

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 actue care hospital building per Section 130061(c)(5)

Report Status: 1/7/2011 8:38 AMData Last Update: 01/06/2011 Submission Date: 01/06/2011 Print Date:

123722010 Tri-City Medical Center Oceanside Page:26 of 82Report Year:

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

15A Perinatal Unit/Women's Center

Retrofit Conforming building to NPC 4 or NPC 5Configuration:

X

XX

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 actue care hospital building per Section 130061(c)(5)

Report Status: 1/7/2011 8:38 AMData Last Update: 01/06/2011 Submission Date: 01/06/2011 Print Date:

123722010 Tri-City Medical Center Oceanside Page:27 of 82Report Year:

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:

15B Perinatal Unit/Wmns Ctr Canopy 1

Retrofit Conforming building to NPC 4 or NPC 5Configuration:

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 actue care hospital building per Section 130061(c)(5)

Report Status: 1/7/2011 8:38 AMData Last Update: 01/06/2011 Submission Date: 01/06/2011 Print Date:

123722010 Tri-City Medical Center Oceanside Page:28 of 82Report Year:

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:

15C Perinatal Unit/Wmns Ctr Canopy 2

Retrofit Conforming building to NPC 4 or NPC 5Configuration:

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 actue care hospital building per Section 130061(c)(5)

Report Status: 1/7/2011 8:38 AMData Last Update: 01/06/2011 Submission Date: 01/06/2011 Print Date:

123722010 Tri-City Medical Center Oceanside Page:29 of 82Report Year:

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:

15D Perinatal Unit Wmns Ctr Canopy 3

Retrofit Conforming building to NPC 4 or NPC 5Configuration:

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 actue care hospital building per Section 130061(c)(5)

Report Status: 1/7/2011 8:38 AMData Last Update: 01/06/2011 Submission Date: 01/06/2011 Print Date:

123722010 Tri-City Medical Center Oceanside Page:30 of 82Report Year:

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:

16A Surgery Addition 1

Retrofit Conforming building to NPC 4 or NPC 5Configuration:

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 actue care hospital building per Section 130061(c)(5)

Report Status: 1/7/2011 8:38 AMData Last Update: 01/06/2011 Submission Date: 01/06/2011 Print Date:

123722010 Tri-City Medical Center Oceanside Page:31 of 82Report Year:

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:

16B Surgery Addition 2

Retrofit Conforming building to NPC 4 or NPC 5Configuration:

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 actue care hospital building per Section 130061(c)(5)

Report Status: 1/7/2011 8:38 AMData Last Update: 01/06/2011 Submission Date: 01/06/2011 Print Date:

123722010 Tri-City Medical Center Oceanside Page:32 of 82Report Year:

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:

16C Surgery Addition Canopy

Retrofit Conforming building to NPC 4 or NPC 5Configuration:

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 actue care hospital building per Section 130061(c)(5)

Report Status: 1/7/2011 8:38 AMData Last Update: 01/06/2011 Submission Date: 01/06/2011 Print Date:

123722010 Tri-City Medical Center Oceanside Page:33 of 82Report Year:

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:

17 Central Plant

Retrofit Conforming building to NPC 4 or NPC 5Configuration:

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 actue care hospital building per Section 130061(c)(5)

Report Status: 1/7/2011 8:38 AMData Last Update: 01/06/2011 Submission Date: 01/06/2011 Print Date:

123722010 Tri-City Medical Center Oceanside Page:34 of 82Report Year:

01 Center Tower

Nursing

Building Number: Building Name:

IntensiveCare

X

Pediatric/Adolescent

PsychiatricNursing

ObstetricalAnte/Postprtum

IntermediateCare

Skilled Nursing

70

0

Type of Service Provided

Inpatient Beds

Inpatient Beds

Inpatient Beds

Inpatient Beds

Inpatient Beds

Inpatient Beds

Inpatient Beds

0

0

0

0

0

70

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)

Report Status: 1/7/2011 8:38 AMData Last Update: 01/06/2011 Submission Date: 01/06/2011 Print Date:

123722010 Tri-City Medical Center Oceanside Page:35 of 82Report Year:

02 North Wing

Nursing

Building Number: Building Name:

IntensiveCare

X

X

Pediatric/Adolescent

PsychiatricNursing

ObstetricalAnte/Postprtum

IntermediateCare

Skilled Nursing

X

71

0

Type of Service Provided

Inpatient Beds

Inpatient Beds

Inpatient Beds

Inpatient Beds

Inpatient Beds

Inpatient Beds

Inpatient Beds

0

0

29

0

0

42

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)

Report Status: 1/7/2011 8:38 AMData Last Update: 01/06/2011 Submission Date: 01/06/2011 Print Date:

123722010 Tri-City Medical Center Oceanside Page:36 of 82Report Year:

03A Center Complex - North

Nursing

Building Number: Building Name:

IntensiveCare

Pediatric/Adolescent

PsychiatricNursing

ObstetricalAnte/Postprtum

IntermediateCare

Skilled Nursing

X

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)

Report Status: 1/7/2011 8:38 AMData Last Update: 01/06/2011 Submission Date: 01/06/2011 Print Date:

123722010 Tri-City Medical Center Oceanside Page:37 of 82Report Year:

03B Center Complex - South

Nursing

Building Number: Building Name:

IntensiveCare

Pediatric/Adolescent

PsychiatricNursing

ObstetricalAnte/Postprtum

IntermediateCare

Skilled Nursing

X

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)

Report Status: 1/7/2011 8:38 AMData Last Update: 01/06/2011 Submission Date: 01/06/2011 Print Date:

123722010 Tri-City Medical Center Oceanside Page:38 of 82Report Year:

04A South Tower

X

Nursing

Building Number: Building Name:

IntensiveCare

X

Pediatric/Adolescent

PsychiatricNursing

ObstetricalAnte/Postprtum

IntermediateCare

Skilled Nursing

X

120

0

Type of Service Provided

Inpatient Beds

Inpatient Beds

Inpatient Beds

Inpatient Beds

Inpatient Beds

Inpatient Beds

Inpatient Beds

52

0

0

0

0

68

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)

Report Status: 1/7/2011 8:38 AMData Last Update: 01/06/2011 Submission Date: 01/06/2011 Print Date:

123722010 Tri-City Medical Center Oceanside Page:39 of 82Report Year:

05A Electrical 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)

Report Status: 1/7/2011 8:38 AMData Last Update: 01/06/2011 Submission Date: 01/06/2011 Print Date:

123722010 Tri-City Medical Center Oceanside Page:40 of 82Report Year:

05B Electrical Building Addition

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)

Report Status: 1/7/2011 8:38 AMData Last Update: 01/06/2011 Submission Date: 01/06/2011 Print Date:

123722010 Tri-City Medical Center Oceanside Page:41 of 82Report Year:

06 1976 Center Complex Addition

Nursing

Building Number: Building Name:

IntensiveCare

Pediatric/Adolescent

PsychiatricNursing

ObstetricalAnte/Postprtum

IntermediateCare

Skilled Nursing

X

X

X

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)

Report Status: 1/7/2011 8:38 AMData Last Update: 01/06/2011 Submission Date: 01/06/2011 Print Date:

123722010 Tri-City Medical Center Oceanside Page:42 of 82Report Year:

07 Materials/Laboratory Building

Nursing

Building Number: Building Name:

IntensiveCare

Pediatric/Adolescent

PsychiatricNursing

ObstetricalAnte/Postprtum

IntermediateCare

Skilled Nursing

X

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)

Report Status: 1/7/2011 8:38 AMData Last Update: 01/06/2011 Submission Date: 01/06/2011 Print Date:

123722010 Tri-City Medical Center Oceanside Page:43 of 82Report Year:

08 1976 Radiology Addition

Nursing

Building Number: Building Name:

IntensiveCare

Pediatric/Adolescent

PsychiatricNursing

ObstetricalAnte/Postprtum

IntermediateCare

Skilled Nursing

X

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)

Report Status: 1/7/2011 8:38 AMData Last Update: 01/06/2011 Submission Date: 01/06/2011 Print Date:

123722010 Tri-City Medical Center Oceanside Page:44 of 82Report Year:

10 Administration 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)

Report Status: 1/7/2011 8:38 AMData Last Update: 01/06/2011 Submission Date: 01/06/2011 Print Date:

123722010 Tri-City Medical Center Oceanside Page:45 of 82Report Year:

12A Pavilion Building

Nursing

Building Number: Building Name:

IntensiveCare

Pediatric/Adolescent

PsychiatricNursing

ObstetricalAnte/Postprtum

IntermediateCare

Skilled Nursing

X

96

0

Type of Service Provided

Inpatient Beds

Inpatient Beds

Inpatient Beds

Inpatient Beds

Inpatient Beds

Inpatient Beds

Inpatient Beds

0

10

0

0

0

86

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)

Report Status: 1/7/2011 8:38 AMData Last Update: 01/06/2011 Submission Date: 01/06/2011 Print Date:

123722010 Tri-City Medical Center Oceanside Page:46 of 82Report Year:

12B Pavilion Building Canopy

Nursing

Building Number: Building Name:

IntensiveCare

Pediatric/Adolescent

PsychiatricNursing

ObstetricalAnte/Postprtum

IntermediateCare

Skilled Nursing

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)

Report Status: 1/7/2011 8:38 AMData Last Update: 01/06/2011 Submission Date: 01/06/2011 Print Date:

123722010 Tri-City Medical Center Oceanside Page:47 of 82Report Year:

13 Ancillary Building

Nursing

Building Number: Building Name:

IntensiveCare

Pediatric/Adolescent

PsychiatricNursing

ObstetricalAnte/Postprtum

IntermediateCare

Skilled Nursing

X

X

X

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)

Report Status: 1/7/2011 8:38 AMData Last Update: 01/06/2011 Submission Date: 01/06/2011 Print Date:

123722010 Tri-City Medical Center Oceanside Page:48 of 82Report Year:

14A Emergency Room Addition

Nursing

Building Number: Building Name:

IntensiveCare

Pediatric/Adolescent

PsychiatricNursing

ObstetricalAnte/Postprtum

IntermediateCare

Skilled Nursing

X

X

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)

Report Status: 1/7/2011 8:38 AMData Last Update: 01/06/2011 Submission Date: 01/06/2011 Print Date:

123722010 Tri-City Medical Center Oceanside Page:49 of 82Report Year:

14B Emergency Room Addition Canopy

Nursing

Building Number: Building Name:

IntensiveCare

Pediatric/Adolescent

PsychiatricNursing

ObstetricalAnte/Postprtum

IntermediateCare

Skilled Nursing

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)

Report Status: 1/7/2011 8:38 AMData Last Update: 01/06/2011 Submission Date: 01/06/2011 Print Date:

123722010 Tri-City Medical Center Oceanside Page:50 of 82Report Year:

15A Perinatal Unit/Women's Center

Nursing

Building Number: Building Name:

IntensiveCare

X

Pediatric/Adolescent

PsychiatricNursing

ObstetricalAnte/Postprtum

IntermediateCare

Skilled Nursing

X

X

X

X

X

40

0

Type of Service Provided

Inpatient Beds

Inpatient Beds

Inpatient Beds

Inpatient Beds

Inpatient Beds

Inpatient Beds

Inpatient Beds

0

0

0

40

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)

Report Status: 1/7/2011 8:38 AMData Last Update: 01/06/2011 Submission Date: 01/06/2011 Print Date:

123722010 Tri-City Medical Center Oceanside Page:51 of 82Report Year:

15B Perinatal Unit/Wmns Ctr Canopy 1

Nursing

Building Number: Building Name:

IntensiveCare

Pediatric/Adolescent

PsychiatricNursing

ObstetricalAnte/Postprtum

IntermediateCare

Skilled Nursing

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)

Report Status: 1/7/2011 8:38 AMData Last Update: 01/06/2011 Submission Date: 01/06/2011 Print Date:

123722010 Tri-City Medical Center Oceanside Page:52 of 82Report Year:

15C Perinatal Unit/Wmns Ctr Canopy 2

Nursing

Building Number: Building Name:

IntensiveCare

Pediatric/Adolescent

PsychiatricNursing

ObstetricalAnte/Postprtum

IntermediateCare

Skilled Nursing

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)

Report Status: 1/7/2011 8:38 AMData Last Update: 01/06/2011 Submission Date: 01/06/2011 Print Date:

123722010 Tri-City Medical Center Oceanside Page:53 of 82Report Year:

15D Perinatal Unit Wmns Ctr Canopy 3

Nursing

Building Number: Building Name:

IntensiveCare

Pediatric/Adolescent

PsychiatricNursing

ObstetricalAnte/Postprtum

IntermediateCare

Skilled Nursing

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)

Report Status: 1/7/2011 8:38 AMData Last Update: 01/06/2011 Submission Date: 01/06/2011 Print Date:

123722010 Tri-City Medical Center Oceanside Page:54 of 82Report Year:

16A Surgery Addition 1

Nursing

Building Number: Building Name:

IntensiveCare

Pediatric/Adolescent

PsychiatricNursing

ObstetricalAnte/Postprtum

IntermediateCare

Skilled Nursing

X

X

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)

Report Status: 1/7/2011 8:38 AMData Last Update: 01/06/2011 Submission Date: 01/06/2011 Print Date:

123722010 Tri-City Medical Center Oceanside Page:55 of 82Report Year:

16B Surgery Addition 2

Nursing

Building Number: Building Name:

IntensiveCare

Pediatric/Adolescent

PsychiatricNursing

ObstetricalAnte/Postprtum

IntermediateCare

Skilled Nursing

X

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)

Report Status: 1/7/2011 8:38 AMData Last Update: 01/06/2011 Submission Date: 01/06/2011 Print Date:

123722010 Tri-City Medical Center Oceanside Page:56 of 82Report Year:

16C Surgery Addition Canopy

Nursing

Building Number: Building Name:

IntensiveCare

Pediatric/Adolescent

PsychiatricNursing

ObstetricalAnte/Postprtum

IntermediateCare

Skilled Nursing

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)

Report Status: 1/7/2011 8:38 AMData Last Update: 01/06/2011 Submission Date: 01/06/2011 Print Date:

123722010 Tri-City Medical Center Oceanside Page:57 of 82Report Year:

17 Central Plant

Nursing

Building Number: Building Name:

IntensiveCare

Pediatric/Adolescent

PsychiatricNursing

ObstetricalAnte/Postprtum

IntermediateCare

Skilled Nursing

X

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)

Report Status: 1/7/2011 8:38 AMData Last Update: 01/06/2011 Submission Date: 01/06/2011 Print Date:

123722010 Tri-City Medical Center Oceanside Page:58 of 82Report Year:

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

01 Center Tower

70 26138

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0 70 70

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)

Report Status: 1/7/2011 8:38 AMData Last Update: 01/06/2011 Submission Date: 01/06/2011 Print Date:

123722010 Tri-City Medical Center Oceanside Page:59 of 82Report Year:

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

02 North Wing

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

10 3650

0 0 71 71

29 10585

0 0

32 11949

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)

Report Status: 1/7/2011 8:38 AMData Last Update: 01/06/2011 Submission Date: 01/06/2011 Print Date:

123722010 Tri-City Medical Center Oceanside Page:60 of 82Report Year:

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

03A Center Complex - North

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

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)

Report Status: 1/7/2011 8:38 AMData Last Update: 01/06/2011 Submission Date: 01/06/2011 Print Date:

123722010 Tri-City Medical Center Oceanside Page:61 of 82Report Year:

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

03B Center Complex - South

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

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)

Report Status: 1/7/2011 8:38 AMData Last Update: 01/06/2011 Submission Date: 01/06/2011 Print Date:

123722010 Tri-City Medical Center Oceanside Page:62 of 82Report Year:

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

04A South Tower

0 0

0 0

0 0

14 5110

14 5110

0 0

0 0

24 7300

0 0

0 0 120 120

0 0

0 0

68 25391

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)

Report Status: 1/7/2011 8:38 AMData Last Update: 01/06/2011 Submission Date: 01/06/2011 Print Date:

123722010 Tri-City Medical Center Oceanside Page:63 of 82Report Year:

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

05A Electrical Building

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

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)

Report Status: 1/7/2011 8:38 AMData Last Update: 01/06/2011 Submission Date: 01/06/2011 Print Date:

123722010 Tri-City Medical Center Oceanside Page:64 of 82Report Year:

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

05B Electrical Building Addition

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

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)

Report Status: 1/7/2011 8:38 AMData Last Update: 01/06/2011 Submission Date: 01/06/2011 Print Date:

123722010 Tri-City Medical Center Oceanside Page:65 of 82Report Year:

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

06 1976 Center Complex Addition

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

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)

Report Status: 1/7/2011 8:38 AMData Last Update: 01/06/2011 Submission Date: 01/06/2011 Print Date:

123722010 Tri-City Medical Center Oceanside Page:66 of 82Report Year:

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

07 Materials/Laboratory Building

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

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)

Report Status: 1/7/2011 8:38 AMData Last Update: 01/06/2011 Submission Date: 01/06/2011 Print Date:

123722010 Tri-City Medical Center Oceanside Page:67 of 82Report Year:

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

08 1976 Radiology Addition

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

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)

Report Status: 1/7/2011 8:38 AMData Last Update: 01/06/2011 Submission Date: 01/06/2011 Print Date:

123722010 Tri-City Medical Center Oceanside Page:68 of 82Report Year:

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

10 Administration Building

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

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)

Report Status: 1/7/2011 8:38 AMData Last Update: 01/06/2011 Submission Date: 01/06/2011 Print Date:

123722010 Tri-City Medical Center Oceanside Page:69 of 82Report Year:

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

12A Pavilion Building

90 33612

0 0

6 2190

0 0

0 0

0 0

0 0

0 0

0 0

0 0 96 96

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)

Report Status: 1/7/2011 8:38 AMData Last Update: 01/06/2011 Submission Date: 01/06/2011 Print Date:

123722010 Tri-City Medical Center Oceanside Page:70 of 82Report Year:

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

12B Pavilion Building 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

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)

Report Status: 1/7/2011 8:38 AMData Last Update: 01/06/2011 Submission Date: 01/06/2011 Print Date:

123722010 Tri-City Medical Center Oceanside Page:71 of 82Report Year:

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

13 Ancillary Building

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

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)

Report Status: 1/7/2011 8:38 AMData Last Update: 01/06/2011 Submission Date: 01/06/2011 Print Date:

123722010 Tri-City Medical Center Oceanside Page:72 of 82Report Year:

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

14A Emergency Room Addition

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

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)

Report Status: 1/7/2011 8:38 AMData Last Update: 01/06/2011 Submission Date: 01/06/2011 Print Date:

123722010 Tri-City Medical Center Oceanside Page:73 of 82Report Year:

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

14B Emergency Room Addition 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

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)

Report Status: 1/7/2011 8:38 AMData Last Update: 01/06/2011 Submission Date: 01/06/2011 Print Date:

123722010 Tri-City Medical Center Oceanside Page:74 of 82Report Year:

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

15A Perinatal Unit/Women's Center

0 0

40 13870

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0 40 40

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)

Report Status: 1/7/2011 8:38 AMData Last Update: 01/06/2011 Submission Date: 01/06/2011 Print Date:

123722010 Tri-City Medical Center Oceanside Page:75 of 82Report Year:

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

15B Perinatal Unit/Wmns Ctr Canopy 1

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

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)

Report Status: 1/7/2011 8:38 AMData Last Update: 01/06/2011 Submission Date: 01/06/2011 Print Date:

123722010 Tri-City Medical Center Oceanside Page:76 of 82Report Year:

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

15C Perinatal Unit/Wmns Ctr Canopy 2

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

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)

Report Status: 1/7/2011 8:38 AMData Last Update: 01/06/2011 Submission Date: 01/06/2011 Print Date:

123722010 Tri-City Medical Center Oceanside Page:77 of 82Report Year:

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

15D Perinatal Unit Wmns Ctr Canopy 3

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

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)

Report Status: 1/7/2011 8:38 AMData Last Update: 01/06/2011 Submission Date: 01/06/2011 Print Date:

123722010 Tri-City Medical Center Oceanside Page:78 of 82Report Year:

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

16A Surgery Addition 1

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

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)

Report Status: 1/7/2011 8:38 AMData Last Update: 01/06/2011 Submission Date: 01/06/2011 Print Date:

123722010 Tri-City Medical Center Oceanside Page:79 of 82Report Year:

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

16B Surgery Addition 2

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

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)

Report Status: 1/7/2011 8:38 AMData Last Update: 01/06/2011 Submission Date: 01/06/2011 Print Date:

123722010 Tri-City Medical Center Oceanside Page:80 of 82Report Year:

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

16C Surgery Addition 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

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)

Report Status: 1/7/2011 8:38 AMData Last Update: 01/06/2011 Submission Date: 01/06/2011 Print Date:

123722010 Tri-City Medical Center Oceanside Page:81 of 82Report Year:

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

17 Central Plant

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

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)

Report Status: 1/7/2011 8:38 AMData Last Update: 01/06/2011 Submission Date: 01/06/2011 Print Date:

123722010 Tri-City Medical Center Oceanside Page:82 of 82Report Year: