Annual Utilization Report of Hospitals
Facility Name:	PROVIDENCE SAINT JOSEPH MEDICAL CENTER
OSHPD ID:	106190758	Report Status:	Revised
License Category:	General Acute Care Hospital	Report Year:	2003

Table of Content

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

Section 1 - General Information

Section 2 - Hospital Description

Section 3 - Inpatient Services

Section 4 - Emergency Medical Services (EMS)

Section 5 - Surgery and Related Services

Section 6 - Major Capital Expenditures

General Comments

View Errors and Warnings

Section 1 - General Information
1.	Facility Name:	PROVIDENCE SAINT JOSEPH MEDICAL CENTER
2.	OSHPD ID Number:	106190758
3.	Street Address:	501 SO. BUENA VISTA
4.	City:	BURBANK
5.	Zip:	91505-4866
6.	Facility Phone No.:	( 818 ) 843 - 5111 ext.
7.	Administrator Name:	PATRICK PETRE
8.	Administrator E-mail Address:	PATRICK.PETRE@PROVIDENCE.ORG
9.	Was this hospital in operation at any time during the year?:	Yes
10.	Operation Open From:	1/1/2003
11.	Operation Open To:	12/31/2003
12.	Name of Parent Corporation:	PROVIDENCE HEALTH SYSTEM
13.	Corporate Street Address:	506 2ND Ave. SUITE 1200
14.	City:	SEATTLE
15.	State:	WA
16.	Zip:	98104 -
17.	Person Completing Report:	DAMON CIANCI
18.	Phone No.:	818-847-3026
19.	Fax No.:	818-847-3036
20.	E-mail Address:	DCianci@phsca.org
30.	Submitted by:	106190758
31.	Submitted Date and Time:	3/4/2004 11:14:09 AM

Section 2 - Hospital Description

1.	License Category:	General Acute Care Hospital

LICENSEE TYPE OF CONTROL

Line No. (1) 5. Select the category that best describes the licensee type of control of your hospital from drop down list: Non-profit Corporation

PRINCIPAL SERVICE TYPE

Line No. (1) 25. Select the category that best describes the type of service provided to the majority of your patients from drop down list: General Medical / Surgical

Section 3 - Inpatient Services

INPATIENT BED UTILIZATION - DO NOT INCLUDE NORMAL NEWBORNS IN BED UTILIZATION DATA

Line No. Bed Classification and General Acute Care (GAC) Bed Designation (1) Licensed Beds as of 12/31 (2) Licensed Bed Days (3) Hospital Discharges (including deaths) (4) Intra-hospital Transfers from Critical Care (5) Patient (Census) Days GAC Bed Designations 1. Medical / Surgical (include GYN) 223 81,395 13,457 58,579 2. Perinatal (exclude Newborn / GYN) 23 8,395 3,004 7,441 3. Pediatric 4 1,460 0 0 4. Intensive Care 28 10,220 932 0 10,573 5. Coronary Care 16 5,840 0 0 0 6. Acute Respiratory Care 0 0 0 0 0 7. Burn 0 0 0 0 0 8. Intensive Care Newborn Nursery 20 7,300 334 0 5,065 9. Rehabilitation Center 20 7,300 380 5,123 15. Subtotal - GAC 334 121,910 18,107 86,781 16. Chemical Dependency Recovery Hospital 0 0 0 0 17. Acute Psychiatric 0 0 0 0 18. Skilled Nursing 93 33,945 2,140 17,944 19. Intermediate Care 0 0 0 0 20. Intermediate Care / Developmentally Disabled 0 0 0 0 25. Total (Sum of Lines 15 thru 20) 427 155,855 20,247 104,725

Chemical Dependency Recovery Services In Licensed GAC and Acute Psychiatric Beds*

Line No. Bed Classification (1) Licensed Beds (3) Hospital Discharges (5) Patient (Census) Days 30. GAC - Chemical Dep Recovery Services 0 0 0 31. Acute Psych - Chemical Dep Recovery Svcs 0 0 0

* The licensed services data for these CDRS are to be included in lines 1 through 25 above.

Newborn Nursery Information

Line No. (1) Nursery Bassinets (3) Nursery Discharges (5) Nursery Days 35. Newborn Nursery 24 2,284 4,913

40.	Number of licensed General Acute Care beds approved for Skilled Nursing Care:	0

Complete lines 43 through 70 only if your hospital has licensed Acute Psychiatric or PHF beds. Include Chemical Dependency Recovery Services provided in licensed Acute Psychiatric beds.

Acute Psychiatric Patients By Unit on December 31

Line No. (1) Number of Patients 43. Locked 0 44. Open 0 45. Acute Psychiatric Total* 0

Acute Psychiatric Patients By Age Category on December 31

Line No. (1) Number of Patients 46. 0 - 17 Years 0 47. 18 - 64 Years 0 49. 65 Years and Older 0 50. Acute Psychiatric Total* 0

Acute Psychiatric Patients By Primary Payer on December 31

Line No. (1) Number of Patients 51. Medicare - Traditional 0 52. Medicare - Managed Care 0 53. Medi-Cal - Traditional 0 54. Medi-Cal - Managed Care 0 55. County Indigent Programs 0 56. Other Third Parties - Traditional 0 57. Other Third Parties - Managed Care 0 58. Short-Doyle (includes Short-Doyle Medi-Cal) 0 59. Other Indigent 0 64. Other Payers 0 65. Acute Psychiatric Total* 0

* Acute Psychiatric Total on lines 45, 50 and 65 must agree.

Short Doyle Contract Services

Line No. (1) 70. During the reporting period, did you provide any acute psychiatric care under a Short-Doyle contract? No

Inpatient Hospice Program

Line No. (1) 71. Did your hospital offer an inpatient hospice program during the report period? No

If 'yes' on line 71, what type of bed classification is used for this service? (Check all that apply.)

Line No. Bed Classification (1) 72. General Acute Care No 73. Skilled Nursing (SN) No 74. Intermediate Care (IC) No

Section 4 - Emergency Medical Services (EMS)

EMSA Trauma Center Designation on December 31 (Completed by OSHPD from EMSA data.)

Line No. (1) Designation (2) Pediatric 1.

Licensed Emergency Department Level (Completed by OSHPD)

Line No. (1) January 1 (2) December 31 2. Basic Basic

Services Available on Premises (Check all that apply.)

Line No. Services Available (1) 24 Hour (2) On-Call 11. Anesthesiologist Yes No 12. Laboratory Services Yes No 13. Operating Room No Yes 14. Pharmacist Yes No 15. Physician Yes No 16. Psychiatric ER No Yes 17. Radiology Services Yes No

Emergency Medical Service Visits By Type

Line No. EMS Visit Type* CPT Codes (1) Total (2) Admitted 21. Minor 99281 5,606 14 22. Low/Moderate 99282 11,188 33 23. Moderate 99283 10,255 178 24. Severe without threat 99284 8,700 1,052 25. Severe with threat 99285 13,310 7,416 30. Total EMS Visits 49,059 8,693

* DO NOT INCLUDE patients who register but leave without being seen, employee physicals and scheduled Clinic-type visits.

Emergency Medical Treatment Stations on December 31

Line No. (1) 35. Enter the number of emergency medical treatment stations. 23

Treatment Stations - A specific place within the emergency department adequate to treat one patient at a time. Do not count holding or observation beds.

Non-Emergency (Clinic) Visits Seen in Emergency Department

Line No. (1) 40. Enter the number of non-emergency (clinic) visits seen in EMS. 0

Emergency Registrations, But Patient Leaves Without Being Seen*

Line No. (1) 45. Enter the number of EMS registrations that did NOT result in treatment. 722

* Include patients who arrived at ED, but did not register and left without being seen (if available)

Emergency Department Closure / Ambulance Diversion Hours

Line No. (1) 50. Did your hospital close its ED at any time during the year, resulting in ambulance diversion? If 'yes', fill out lines 51 through 65 below. Yes

Number of Hours Emergency Department Was Closed

Line No. Month (1) Hours 51. January 432 52. February 251 53. March 231 54. April 96 55. May 263 56. June 206 57. July 282 58. August 169 59. September 216 60. October 194 61. November 244 62. December 455 65. Total Hours 3,039

Section 5 - Surgery and Related Services

Surgical Services

Line No. Surgical Services (1) Surgical Operations (2) Operating Room Minutes 1. Inpatient 6,715 765,423 2. Outpatient 12,390 793,444

Operating Rooms On December 31

Line No. Operating Room Type (1) Number 7. Inpatient Only 0 8. Outpatient Only 4 9. Inpatient and Outpatient 13 10. Total Operating Rooms 17

Ambulatory Surgical Program

Line No. (1) 15. Did your hospital have an organized ambulatory surgical program? Yes

Live Births

Line No. (1) Number 20. Total Live Births (Count multiple births separately)* 2,284 21. Total Births with Birth Weight Less Than 2500 grams (5 lbs. 8 oz.) 123 22. Live Births with Birth Weight Less Than 1500 grams (3 lbs. 5 oz). 25

* TOTAL LIVE BIRTHS on line 20 should approximate the number of Perinatal discharges shown in Section 3, line 2, column 3. Include LDR or LDRP births and C-Section deliveries.

Alternate Birthing Center Information

Line No. (1) 31. Did your hospital have an approved alternate birthing program? No 32. Was your alternate setting was approved as LDR No 33. Was your alternate setting was approved as LDRP No

Other Live Birth Data

Line No. (1) Number 36. How many of the live births reported on line 20 occurred in your alternative setting? Do not include C-Section deliveries. 0 37. How many of the live births reported on line 20 were C-Section deliveries? 670

Licensed Cardiology and Cardiovascular Surgery Services (Completed by OSHPD.)

Line No. (1) Licensure 41. Cardiovascular Surgery Services

Note: Complete lines 42 to 85 if licensed for Cardiovascular Surgery Services. Complete lines 55 to 85 if licensed for Cardiac Catheterization only.

Licensed Cardiovascular Operating Rooms

Line No. (1) 42. Number of operating rooms licensed to perform cardiovascular surgery on December 31. 2

Cardiovascular Surgical Operations (with and without the HEART/LUNG MACHINE*)

Line No. (1) Cardio-Pulmonary Bypass USED* (2) Cardio-Pulmonary Bypass NOT USED 43. Pediatric 0 0 44. Adult 100 73 45. Total Cardiovascular Surgical Operations 100 73

* Also refered to as Extracorporeal Bypass or "on-the-pump" (heart/lung machine).

Coronary Artery Bypass Graft (CABG) Surgeries*

Line No. (1) 50. Number of Coronary Artery Bypass Graft (CABG) surgeries performed. 110

* Subset of cardiovascular surgeries reported on line 45 above.

Cardiac Catheterization Lab Rooms

Line No. (1) 55. Number of rooms equipped to perform cardiac catheterizations on December 31. 2

Cardiac Catheterization Visits

Line No. (1) Diagnostic (2) Therapuetic 56. Pediatric - Inpatient 0 0 57. Pediatric - Outpatient 0 0 58. Adult - Inpatient 425 656 59. Adult - Outpatient 256 1 60. Total Cardiac Catheterization Visits 681 657

Distribution of Therapeutic Cardiac Catheterization Procedures

Complete this table if Therapeutic Cardiac Catheterization Visits are reported in column 2, line 60.

Line No. (1) Procedures 71. Permanent Pacemaker Implantation 220 72. Percutaneous Transluminal Coronary Angioplasty (PTCA) - WITH Stent 261 73. Percutaneous Transluminal Coronary Angioplasty (PTCA) - WITHOUT Stent 38 74. Atherectomy (PTCRA - rotablator, DCA, laser, other ablation, etc.) 0 75. Thrombolytic Agents (Intracoronary only) 0 76. Percutaneous Transluminal Balloon Valvulopasty (PTBV) 0 84. All Other (including Radiofrequency Catheter Ablation) 0 85. Total Therapeutic Cardiac Catheterization Procedures 519

NOTE: Do Not Include Any Of The Following As A Cardiac Catheterization:

Angiography - Non-coronary, Automatic Implantable Cardiac Defibrillator (AICD), Defibrillation, Cardioversion, Intra-Aortic Balloon Pump, Percutaneous Transluminal Angioplasty - Non-cardiac, Pericardiocentesis, or Temporary Pacemaker Insertion.

Section 6 - Major Capital Expenditures

Section 127285(3) of the Health and Safety Code requires each hospital 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 hospital 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 hospital 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 hospital 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:

Our ICU/ CCU beds are combined and we don't carve out the discharges and patient days from the two bed types.

Errors and Warnings