Annual Utilization Report of Specialty Clinics
Facility Name:	NEWPORT COAST SURGERY CENTER, INC.
OSHPD ID:	306304264	Report Status:	Submitted
License Category:	Surgical	Report Year:	2005

Table of Contents

Click on any of the links listed below to view the corresponding section.

Section 1 - General Information

Section 2 - Facility Description

Section 3 - Patients and Encounters

Section 4 - Income Statement

Section 5 - Major Capital Expenditures

Errors and Warnings

Section 1 - General Information
1.	Facility Name:	NEWPORT COAST SURGERY CENTER, INC.
2.	OSHPD ID Number:	306304264
3.	Street Address:	1441 AVOCADO AVE., STE 103
4.	City:	NEWPORT BEACH
5.	Zip:	92660
6.	Facility Phone No.:	( 949) 718 - 3600 ext.
7.	Administrator Name:	Elizabeth Prather
8.	Administrator E-mail Address:	eprather@ocpain.com
9.	Was this clinic in operation at any time during the year?	Yes
10.	Operation Open From:	1/1/2005
11.	Operation Open To:	12/31/2005
12.	Name of Parent Corporation:
13.	Corporate Business Address:
14.	City:
15.	State:
16.	Zip:	-
17.	Person Completing Report:	Elizabeth Prather
18.	Report Preparer's Phone No.:	949-718-3600
19.	Fax No.:	949-718-4320
20.	E-mail Address:	eprather@ocpain.com
30.	Submitted by:	lizprather
31.	Submitted Date and Time:	5/12/2006 2:04:23 PM

Section 2 - Facility Description

LICENSE CATEGORY (TYPE)

Line No. (1) 1. License Category Surgical

LICENSEE TYPE OF CONTROL

Line No. (1) 5. Select the category that best describes the licensee type of control of your clinic from drop down list: Investor - Limited Liability Company

Section 3 - Patients and Encounters

PATIENTS AND ENCOUNTERS IN THE CALENDAR YEAR (ALL CLINICS)

Please report the total number of individual, unduplicated patients served and the total number of encounters for these patients. Please refer to the instructions for further details.

Line No. (1) Unduplicated Patients (2) Encounters 1. Total, all locations under this license (Main, Mobile, Satellite, etc.) 2,800 4,559

SURGICAL CLINICS ONLY

Line No. (1) Number 5. Number of surgical operating rooms on December 31 2 6. Total number of surgical operations performed during the calendar year 4,559

PSYCHOLOGY CLINICS ONLY

Line No. Service Type (1) Encounters 11. General Medical 0 12. Substance Abuse (alcohol and drug) 0 13. Mental Health Counseling 0 14. All Other 0 15. Total 0

Section 4 - Income Statement

INCOME STATEMENT

Line No. (1) Total 1. Gross Patient Revenue $10,887,353 WRITE-OFFS AND ADJUSTMENTS: 2. Charity 0 3. Contractual Adjustments 0 4. Bad Debts 0 8. Other Adjustments 0 9. Total Write-Offs and Adjustments (line 2-8) $0 10. Net Patient Revenue (line 1 minus 9) $10,887,353 Other Operating Revenue: 11. Grants - Public 0 12. Grants - Private 0 13. Donations / Contributions 0 19. Other 0 20. Total Other Operating Revenue (sum lines 11 - 19) $0 25. Total Operating Revenue (line 10 + Line 20) $10,887,353 Operating Expenses: 30. Salaries, Wages and Employee Benefits 0 31. Contract Services - Professional $6,605 32. Supplies $1,844,648 33. Rent / Depreciation / Mortgage Interest $148,653 34. Utilities 0 35. Professional Liability Insurance $85,282 36. Other Insurances 0 44. All Other Expenses $2,022,147 45. Total Operating Expenses (sum lines 30 - 44) $4,107,335 50. Net From Operations (line 25 minus Line 45) $6,780,018

The Clinic's License Fee Will Be Based Upon The Completion Of This Income Statement And Will Be Calculated Accordingly.

Section 5 - Major Capital Expenditures

Section 127285(3) of the Health and Safety Code requires each clinic to report "acquisitions of diagnostic or therapeutic equipment during the reporting period with a value in excess of five hundred thousand dollars ($500,000)."

Diagnostic and Therapeutic Equipment Acquired During The Report Period

1. Did your clinic acquire any diagnostic or therapeutic equipment that had a value in excess of $500,000? (If 'Yes', fill out lines 2 through 11, as necessary, below.) No

Diagnostic and Therapeutic Equipment Detail

Line No. (1) Description of Equipment (2) Value (3) Date of Aquisition MM/DD/YYYY (4) Means of Acquisition 2. 3. 4. 5. 6. 7. 8. 9. 10. 11.

Building Projects Commenced During Report Period Costing Over $1,000,000

Section 127285(4) of the Health and Safety Code requires each clinic to report the "commencement of projects during the reporting period that require a capital expenditure for the facility or clinic in excess of one million dollars ($1,000,000)."

25. Did your clinic commence any building projects during the report period which will require an aggregate capital expenditure exceeding $1,000,000? (If 'Yes', fill out lines 26 through 30, as necessary, below.) No

Detail of Capital Expenditures

Line No. (1) Description of Project (2) Projected Total Capital Expenditure (3) OSHPD Project No. (if applicable) 26. 27. 28. 29. 30.

General Comments:

Errors and Warnings