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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: 10628 Sutter Memorial Hospital 5151 F Street Sacramento Sutter Health Sacramento Sierra Region 2012 Carl Scheuerman 1/8/2013 3:18:16 PM Provide the Hospital Owner and Year of Report per Section 130061(e) Report Status: 1/9/2013 6:25 AM Data Last Update: 10/11/2012 Submission Date: 01/08/2013 Print Date: 10628 2012 Sutter Memorial Hospital Sacramento Page:1 of 76 Report Year:

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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:

10628

Sutter Memorial Hospital

5151 F Street

Sacramento

Sutter Health Sacramento Sierra Region

2012

Carl Scheuerman

1/8/2013 3:18:16 PM

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

Report Status: 1/9/2013 6:25 AMData Last Update: 10/11/2012 Submission Date: 01/08/2013 Print Date:

106282012 Sutter Memorial Hospital Sacramento Page:1 of 76Report Year:

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

Bldg.No. Building Name Alternate Building Address

Building Resolution

Final SPC RatingIf Required

Extension Date

Anticipated Completion Date

12/15/201301/01/2015SPC5RebuildCentral WingBLD-01448

5151 F Street

12/15/201301/01/2015SPC5RebuildEast WingBLD-01449

5151 F Street

12/15/201301/01/2015SPC5RebuildDiagnostic Laboratory Building

BLD-01450

5151 F Street

12/15/201501/01/2015SPC5RebuildSurgery BuildingBLD-01451

5151 F Street

12/15/201301/01/2015SPC5RebuildDietaryBLD-02970

5151 F Street

12/15/201301/01/2015SPC5RebuildMaternityBLD-02971

5151 F Street

12/15/201301/01/2015SPC5RebuildRadiation / OncologyBLD-02972

5151 F Street

12/15/201301/01/2015SPC5RebuildCarpenter/Paint ShopBLD-02975

5151 F Street

Report Status: 1/9/2013 6:25 AMData Last Update: 10/11/2012 Submission Date: 01/08/2013 Print Date:

106282012 Sutter Memorial Hospital Sacramento Page:2 of 76Report Year:

Central WingBuilding No: BLD-01448 Yes-SubmittedRetrofit/Replacement Project:

10625 IS040037-0 0 8 STORY TOWER/WOMEN'S & CHILDREN'S HOSPITAL BUILDING

1/7/2004 12:00:00

AM

08/28/2007 12/15/2013 PEND No

Facility Project Sub Scope Date Plan Approved Proj. Start Proj. Completed Status CEQANumber Number Num in Date Date Date Review_

East WingBuilding No: BLD-01449 Yes-SubmittedRetrofit/Replacement Project:

10625 IS040037-0 0 8 STORY TOWER/WOMEN'S & CHILDREN'S HOSPITAL BUILDING

1/7/2004 12:00:00

AM

08/28/2007 12/15/2013 PEND No

Facility Project Sub Scope Date Plan Approved Proj. Start Proj. Completed Status CEQANumber Number Num in Date Date Date Review_

Diagnostic Laboratory BuildingBuilding No: BLD-01450 Yes-SubmittedRetrofit/Replacement Project:

10625 IS040037-0 0 8 STORY TOWER/WOMEN'S & CHILDREN'S HOSPITAL BUILDING

1/7/2004 12:00:00

AM

08/28/2007 12/15/2012 PEND No

Facility Project Sub Scope Date Plan Approved Proj. Start Proj. Completed Status CEQANumber Number Num in Date Date Date Review_

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

Report Status: 1/9/2013 6:25 AMData Last Update: 10/11/2012 Submission Date: 01/08/2013 Print Date:

106282012 Sutter Memorial Hospital Sacramento Page:3 of 76Report Year:

Surgery BuildingBuilding No: BLD-01451 Yes-SubmittedRetrofit/Replacement Project:

10625 IS040037-0 0 8 STORY TOWER/WOMEN'S & CHILDREN'S HOSPITAL BUILDING

1/7/2004 12:00:00

AM

08/28/2007 12/15/2012 PEND No

Facility Project Sub Scope Date Plan Approved Proj. Start Proj. Completed Status CEQANumber Number Num in Date Date Date Review_

DietaryBuilding No: BLD-02970 Yes-SubmittedRetrofit/Replacement Project:

10625 IS040037-0 0 8 STORY TOWER/WOMEN'S & CHILDREN'S HOSPITAL BUILDING

1/7/2004 12:00:00

AM

08/28/2007 12/15/2013 PEND No

Facility Project Sub Scope Date Plan Approved Proj. Start Proj. Completed Status CEQANumber Number Num in Date Date Date Review_

MaternityBuilding No: BLD-02971 Yes-SubmittedRetrofit/Replacement Project:

10625 IS040037-0 0 8 STORY TOWER/WOMEN'S & CHILDREN'S HOSPITAL BUILDING

1/7/2004 12:00:00

AM

08/28/2007 12/15/2012 PEND No

Facility Project Sub Scope Date Plan Approved Proj. Start Proj. Completed Status CEQANumber Number Num in Date Date Date Review_

Radiation / OncologyBuilding No: BLD-02972 Yes-SubmittedRetrofit/Replacement Project:

10625 IS040037-0 0 8 STORY TOWER/WOMEN'S & CHILDREN'S HOSPITAL BUILDING

1/7/2004 12:00:00

AM

08/28/2007 12/15/2012 PEND No

Facility Project Sub Scope Date Plan Approved Proj. Start Proj. Completed Status CEQANumber Number Num in Date Date Date Review_

Report Status: 1/9/2013 6:25 AMData Last Update: 10/11/2012 Submission Date: 01/08/2013 Print Date:

106282012 Sutter Memorial Hospital Sacramento Page:4 of 76Report Year:

Carpenter/Paint ShopBuilding No: BLD-02975 Yes-SubmittedRetrofit/Replacement Project:

10625 IS040037-0 0 8 STORY TOWER/WOMEN'S & CHILDREN'S HOSPITAL BUILDING

1/7/2004 12:00:00

AM

10/03/2007 12/15/2013 PEND No

Facility Project Sub Scope Date Plan Approved Proj. Start Proj. Completed Status CEQANumber Number Num in Date Date Date Review_

Report Status: 1/9/2013 6:25 AMData Last Update: 10/11/2012 Submission Date: 01/08/2013 Print Date:

106282012 Sutter Memorial Hospital Sacramento Page:5 of 76Report Year:

BLD-01448 Central Wing

X

Nursing

Building Number: Building Name:

IntensiveCare

X

X

Pediatric/Adolescent

PsychiatricNursing

ObstetricalAnte/Postprtum

IntermediateCare

Skilled Nursing

X

X

X

XX

124

1299674

Type of Service Provided

Inpatient Beds

Inpatient Beds

Inpatient Days

Inpatient Beds

Inpatient Beds

Inpatient Beds

Inpatient Beds

Inpatient Beds

0

28

0

22

0

0

Inpatient Days

Inpatient Days

Inpatient Days

Inpatient Days

Inpatient Days

Inpatient Days

0

7397

0

4707

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: 1/9/2013 6:25 AMData Last Update: 10/11/2012 Submission Date: 01/08/2013 Print Date:

106282012 Sutter Memorial Hospital Sacramento Page:6 of 76Report Year:

BLD-01449 East Wing

X

Nursing

Building Number: Building Name:

IntensiveCare

X

X

Pediatric/Adolescent

PsychiatricNursing

ObstetricalAnte/Postprtum

IntermediateCare

Skilled Nursing

X

X

95

913352

Type of Service Provided

Inpatient Beds

Inpatient Beds

Inpatient Days

Inpatient Beds

Inpatient Beds

Inpatient Beds

Inpatient Beds

Inpatient Beds

0

21

0

22

0

0

Inpatient Days

Inpatient Days

Inpatient Days

Inpatient Days

Inpatient Days

Inpatient Days

0

5547

0

4707

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: 1/9/2013 6:25 AMData Last Update: 10/11/2012 Submission Date: 01/08/2013 Print Date:

106282012 Sutter Memorial Hospital Sacramento Page:7 of 76Report Year:

BLD-01450 Diagnostic Laboratory Building

Nursing

Building Number: Building Name:

IntensiveCare

Pediatric/Adolescent

PsychiatricNursing

ObstetricalAnte/Postprtum

IntermediateCare

Skilled Nursing

X

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: 1/9/2013 6:25 AMData Last Update: 10/11/2012 Submission Date: 01/08/2013 Print Date:

106282012 Sutter Memorial Hospital Sacramento Page:8 of 76Report Year:

BLD-01451 Surgery Building

Nursing

Building Number: Building Name:

IntensiveCare

Pediatric/Adolescent

PsychiatricNursing

ObstetricalAnte/Postprtum

IntermediateCare

Skilled Nursing

X

X

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: 1/9/2013 6:25 AMData Last Update: 10/11/2012 Submission Date: 01/08/2013 Print Date:

106282012 Sutter Memorial Hospital Sacramento Page:9 of 76Report Year:

BLD-02970 Dietary

X

Nursing

Building Number: Building Name:

IntensiveCare

Pediatric/Adolescent

PsychiatricNursing

ObstetricalAnte/Postprtum

IntermediateCare

Skilled Nursing

X

X

X55

00

Type of Service Provided

Inpatient Beds

Inpatient Beds

Inpatient Days

Inpatient Beds

Inpatient Beds

Inpatient Beds

Inpatient Beds

Inpatient Beds

55

0

0

0

0

0

Inpatient Days

Inpatient Days

Inpatient Days

Inpatient Days

Inpatient Days

Inpatient Days

18749

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: 1/9/2013 6:25 AMData Last Update: 10/11/2012 Submission Date: 01/08/2013 Print Date:

106282012 Sutter Memorial Hospital Sacramento Page:10 of 76Report Year:

BLD-02971 Maternity

Nursing

Building Number: Building Name:

IntensiveCare

Pediatric/Adolescent

PsychiatricNursing

ObstetricalAnte/Postprtum

IntermediateCare

Skilled Nursing

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: 1/9/2013 6:25 AMData Last Update: 10/11/2012 Submission Date: 01/08/2013 Print Date:

106282012 Sutter Memorial Hospital Sacramento Page:11 of 76Report Year:

BLD-02972 Radiation / Oncology

Nursing

Building Number: Building Name:

IntensiveCare

Pediatric/Adolescent

PsychiatricNursing

ObstetricalAnte/Postprtum

IntermediateCare

Skilled Nursing

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: 1/9/2013 6:25 AMData Last Update: 10/11/2012 Submission Date: 01/08/2013 Print Date:

106282012 Sutter Memorial Hospital Sacramento Page:12 of 76Report Year:

BLD-02975 Carpenter/Paint Shop

Nursing

Building Number: Building Name:

IntensiveCare

Pediatric/Adolescent

PsychiatricNursing

ObstetricalAnte/Postprtum

IntermediateCare

Skilled Nursing

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: 1/9/2013 6:25 AMData Last Update: 10/11/2012 Submission Date: 01/08/2013 Print Date:

106282012 Sutter Memorial Hospital Sacramento Page:13 of 76Report 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

BLD-01448 Central Wing

74 12996

22 4707

28 7397

0 0

0 0

0 0

0 0

0 0

0 0

0 0 124 124

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: 1/9/2013 6:25 AMData Last Update: 10/11/2012 Submission Date: 01/08/2013 Print Date:

106282012 Sutter Memorial Hospital Sacramento Page:14 of 76Report 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

BLD-01449 East Wing

52 9133

22 4707

21 5547

0 0

0 0

0 0

0 0

0 0

0 0

0 0 95 95

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: 1/9/2013 6:25 AMData Last Update: 10/11/2012 Submission Date: 01/08/2013 Print Date:

106282012 Sutter Memorial Hospital Sacramento Page:15 of 76Report 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

BLD-01450 Diagnostic 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

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

Report Status: 1/9/2013 6:25 AMData Last Update: 10/11/2012 Submission Date: 01/08/2013 Print Date:

106282012 Sutter Memorial Hospital Sacramento Page:16 of 76Report 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

BLD-01451 Surgery 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

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

Report Status: 1/9/2013 6:25 AMData Last Update: 10/11/2012 Submission Date: 01/08/2013 Print Date:

106282012 Sutter Memorial Hospital Sacramento Page:17 of 76Report 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

BLD-02970 Dietary

0 0

0 0

0 0

0 0

0 0

0 0

0 0

55 18749

0 0

0 0 55 55

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: 1/9/2013 6:25 AMData Last Update: 10/11/2012 Submission Date: 01/08/2013 Print Date:

106282012 Sutter Memorial Hospital Sacramento Page:18 of 76Report 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

BLD-02971 Maternity

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: 1/9/2013 6:25 AMData Last Update: 10/11/2012 Submission Date: 01/08/2013 Print Date:

106282012 Sutter Memorial Hospital Sacramento Page:19 of 76Report 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

BLD-02972 Radiation / Oncology

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: 1/9/2013 6:25 AMData Last Update: 10/11/2012 Submission Date: 01/08/2013 Print Date:

106282012 Sutter Memorial Hospital Sacramento Page:20 of 76Report 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

BLD-02975 Carpenter/Paint Shop

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: 1/9/2013 6:25 AMData Last Update: 10/11/2012 Submission Date: 01/08/2013 Print Date:

106282012 Sutter Memorial Hospital Sacramento Page:21 of 76Report Year:

BLD-01448 Central Wing Rebuild

BLD-01449 East Wing Rebuild

BLD-01450 Diagnostic Laboratory Building Rebuild

BLD-01451 Surgery Building Rebuild

BLD-01452 North Wing Rebuild

BLD-01453 ER Radiology Rebuild

BLD-02970 Dietary Rebuild

BLD-02971 Maternity Rebuild

BLD-02972 Radiation / Oncology Rebuild

BLD-02973 Central Plant Replace

BLD-02974 Corridor Rebuild

BLD-02975 Carpenter/Paint Shop Rebuild

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

Building Number Building

Name

Building to be Removed / Replaced / Rebuilt

Report Status: 1/9/2013 6:25 AMData Last Update: 10/11/2012 Submission Date: 01/08/2013 Print Date:

106282012 Sutter Memorial Hospital Sacramento Page:22 of 76Report Year:

N_1 Women's & Childrens Tower X

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

Building Number

Building Name New Site

Report Status: 1/9/2013 6:25 AMData Last Update: 10/11/2012 Submission Date: 01/08/2013 Print Date:

106282012 Sutter Memorial Hospital Sacramento Page:23 of 76Report Year:

Report whether the general acute care services and beds will be relocated to a new, existing or retrofitted building and any corresponding building sites or project numbers for buildings with a Building Resolution of "Rebuild" or "Replace" per Section 130061(c)(2)(E)

Building Number:

Building Name:

Will general acutr care services and beds will be relocated to a new, Existing or retrofittrd building?

BLD-01448 Central Wing

Nursing N/A

Building Number:

Building Name:

Will general acutr care services and beds will be relocated to a new, Existing or retrofittrd building?

Facility Project Sub Scope Date Plan Approved Proj. Start Proj. Completed Status Number Number Num in Date Date Date

10625 IS040037-0 0 8 STORY TOWER/WOMEN'S & CHILDREN'S HOSPITAL BUILDING

2004-01-07 08/28/2007 12/15/2013 PEND

BLD-01448 Central Wing

Pediatric Adolescent Relocated to new building

New Building RetroFitted Building Other SPC2-SPC5 Building

N_1-Women's & Childrens Tower

Report Status: 1/9/2013 6:25 AMData Last Update: 10/11/2012 Submission Date: 01/08/2013 Print Date:

106282012 Sutter Memorial Hospital Sacramento Page:24 of 76Report Year:

Building Number:

Building Name:

Will general acutr care services and beds will be relocated to a new, Existing or retrofittrd building?

Facility Project Sub Scope Date Plan Approved Proj. Start Proj. Completed Status Number Number Num in Date Date Date

10625 IS040037-0 0 8 STORY TOWER/WOMEN'S & CHILDREN'S HOSPITAL BUILDING

2004-01-07 08/28/2007 12/15/2013 PEND

BLD-01448 Central Wing

Obstetrical Ante Postprtum

Relocated to new building

New Building RetroFitted Building Other SPC2-SPC5 Building

N_1-Women's & Childrens Tower

Building Number:

Building Name:

Will general acutr care services and beds will be relocated to a new, Existing or retrofittrd building?

Facility Project Sub Scope Date Plan Approved Proj. Start Proj. Completed Status Number Number Num in Date Date Date

10625 IS040037-0 0 8 STORY TOWER/WOMEN'S & CHILDREN'S HOSPITAL BUILDING

2004-01-07 08/28/2007 12/15/2013 PEND

BLD-01448 Central Wing

Surgical Relocated to new building

New Building RetroFitted Building Other SPC2-SPC5 Building

N_1-Women's & Childrens Tower

Report Status: 1/9/2013 6:25 AMData Last Update: 10/11/2012 Submission Date: 01/08/2013 Print Date:

106282012 Sutter Memorial Hospital Sacramento Page:25 of 76Report Year:

Building Number:

Building Name:

Will general acutr care services and beds will be relocated to a new, Existing or retrofittrd building?

Facility Project Sub Scope Date Plan Approved Proj. Start Proj. Completed Status Number Number Num in Date Date Date

10625 IS040037-0 0 8 STORY TOWER/WOMEN'S & CHILDREN'S HOSPITAL BUILDING

2004-01-07 08/28/2007 12/15/2013 PEND

BLD-01448 Central Wing

Anesthesia Relocated to new building

New Building RetroFitted Building Other SPC2-SPC5 Building

N_1-Women's & Childrens Tower

Building Number:

Building Name:

Will general acutr care services and beds will be relocated to a new, Existing or retrofittrd building?

Facility Project Sub Scope Date Plan Approved Proj. Start Proj. Completed Status Number Number Num in Date Date Date

10625 IS040037-0 0 8 STORY TOWER/WOMEN'S & CHILDREN'S HOSPITAL BUILDING

2004-01-07 08/28/2007 12/15/2013 PEND

BLD-01448 Central Wing

Administration Relocated to new building

New Building RetroFitted Building Other SPC2-SPC5 Building

N_1-Women's & Childrens Tower

Report Status: 1/9/2013 6:25 AMData Last Update: 10/11/2012 Submission Date: 01/08/2013 Print Date:

106282012 Sutter Memorial Hospital Sacramento Page:26 of 76Report Year:

Building Number:

Building Name:

Will general acutr care services and beds will be relocated to a new, Existing or retrofittrd building?

Facility Project Sub Scope Date Plan Approved Proj. Start Proj. Completed Status Number Number Num in Date Date Date

10625 IS040037-0 0 8 STORY TOWER/WOMEN'S & CHILDREN'S HOSPITAL BUILDING

2004-01-07 08/28/2007 12/15/2013 PEND

BLD-01448 Central Wing

Support Services Relocated to new building

New Building RetroFitted Building Other SPC2-SPC5 Building

N_1-Women's & Childrens Tower

Building Number:

Building Name:

Will general acutr care services and beds will be relocated to a new, Existing or retrofittrd building?

Facility Project Sub Scope Date Plan Approved Proj. Start Proj. Completed Status Number Number Num in Date Date Date

10625 IS040037-0 0 8 STORY TOWER/WOMEN'S & CHILDREN'S HOSPITAL BUILDING

2004-01-07 08/28/2007 12/15/2013 PEND

BLD-01448 Central Wing

OutpatientSurgery Relocated to new building

New Building RetroFitted Building Other SPC2-SPC5 Building

N_1-Women's & Childrens Tower

Report Status: 1/9/2013 6:25 AMData Last Update: 10/11/2012 Submission Date: 01/08/2013 Print Date:

106282012 Sutter Memorial Hospital Sacramento Page:27 of 76Report Year:

Building Number:

Building Name:

Will general acutr care services and beds will be relocated to a new, Existing or retrofittrd building?

Facility Project Sub Scope Date Plan Approved Proj. Start Proj. Completed Status Number Number Num in Date Date Date

10625 IS040037-0 0 8 STORY TOWER/WOMEN'S & CHILDREN'S HOSPITAL BUILDING

2004-01-07 08/28/2007 12/15/2013 PEND

BLD-01448 Central Wing

Medical/Surgical(Include GYN)

Relocated to new building

New Building RetroFitted Building Other SPC2-SPC5 Building

N_1-Women's & Childrens Tower

Building Number:

Building Name:

Will general acutr care services and beds will be relocated to a new, Existing or retrofittrd building?

Facility Project Sub Scope Date Plan Approved Proj. Start Proj. Completed Status Number Number Num in Date Date Date

10625 IS040037-0 0 8 STORY TOWER/WOMEN'S & CHILDREN'S HOSPITAL BUILDING

2004-01-07 08/28/2007 12/15/2013 PEND

BLD-01448 Central Wing

Perinatal (exclude Newborn / GYN))

Relocated to new building

New Building RetroFitted Building Other SPC2-SPC5 Building

N_1-Women's & Childrens Tower

Report Status: 1/9/2013 6:25 AMData Last Update: 10/11/2012 Submission Date: 01/08/2013 Print Date:

106282012 Sutter Memorial Hospital Sacramento Page:28 of 76Report Year:

Building Number:

Building Name:

Will general acutr care services and beds will be relocated to a new, Existing or retrofittrd building?

Facility Project Sub Scope Date Plan Approved Proj. Start Proj. Completed Status Number Number Num in Date Date Date

10625 IS040037-0 0 8 STORY TOWER/WOMEN'S & CHILDREN'S HOSPITAL BUILDING

2004-01-07 08/28/2007 12/15/2013 PEND

10625 IS040037-0 0 8 STORY TOWER/WOMEN'S & CHILDREN'S HOSPITAL BUILDING

2004-01-07 08/28/2007 12/15/2013 PEND

BLD-01448 Central Wing

Pediatric Relocated to new building

New Building RetroFitted Building Other SPC2-SPC5 Building

N_1-Women's & Childrens Tower

Building Number:

Building Name:

Will general acutr care services and beds will be relocated to a new, Existing or retrofittrd building?

Facility Project Sub Scope Date Plan Approved Proj. Start Proj. Completed Status Number Number Num in Date Date Date

10625 IS040037-0 0 8 STORY TOWER/WOMEN'S & CHILDREN'S HOSPITAL BUILDING

2004-01-07 08/28/2007 12/15/2013 PEND

BLD-01449 East Wing

Nursing Relocated to new building

New Building RetroFitted Building Other SPC2-SPC5 Building

N_1-Women's & Childrens Tower

Report Status: 1/9/2013 6:25 AMData Last Update: 10/11/2012 Submission Date: 01/08/2013 Print Date:

106282012 Sutter Memorial Hospital Sacramento Page:29 of 76Report Year:

Building Number:

Building Name:

Will general acutr care services and beds will be relocated to a new, Existing or retrofittrd building?

Facility Project Sub Scope Date Plan Approved Proj. Start Proj. Completed Status Number Number Num in Date Date Date

10625 IS040037-0 0 8 STORY TOWER/WOMEN'S & CHILDREN'S HOSPITAL BUILDING

2004-01-07 08/28/2007 12/15/2013 PEND

BLD-01449 East Wing

Pediatric Adolescent Relocated to new building

New Building RetroFitted Building Other SPC2-SPC5 Building

N_1-Women's & Childrens Tower

Building Number:

Building Name:

Will general acutr care services and beds will be relocated to a new, Existing or retrofittrd building?

Facility Project Sub Scope Date Plan Approved Proj. Start Proj. Completed Status Number Number Num in Date Date Date

10625 IS040037-0 0 8 STORY TOWER/WOMEN'S & CHILDREN'S HOSPITAL BUILDING

2004-01-07 08/28/2007 12/15/2013 PEND

BLD-01449 East Wing

Obstetrical Ante Postprtum

Relocated to new building

New Building RetroFitted Building Other SPC2-SPC5 Building

N_1-Women's & Childrens Tower

Report Status: 1/9/2013 6:25 AMData Last Update: 10/11/2012 Submission Date: 01/08/2013 Print Date:

106282012 Sutter Memorial Hospital Sacramento Page:30 of 76Report Year:

Building Number:

Building Name:

Will general acutr care services and beds will be relocated to a new, Existing or retrofittrd building?

Facility Project Sub Scope Date Plan Approved Proj. Start Proj. Completed Status Number Number Num in Date Date Date

10625 IS040037-0 0 8 STORY TOWER/WOMEN'S & CHILDREN'S HOSPITAL BUILDING

2004-01-07 08/28/2007 12/15/2013 PEND

BLD-01449 East Wing

Pharmaceutical Relocated to new building

New Building RetroFitted Building Other SPC2-SPC5 Building

N_1-Women's & Childrens Tower

Building Number:

Building Name:

Will general acutr care services and beds will be relocated to a new, Existing or retrofittrd building?

Facility Project Sub Scope Date Plan Approved Proj. Start Proj. Completed Status Number Number Num in Date Date Date

10625 IS040037-0 0 8 STORY TOWER/WOMEN'S & CHILDREN'S HOSPITAL BUILDING

2004-01-07 08/28/2007 12/15/2013 PEND

BLD-01449 East Wing

Newborn/Well Baby Relocated to new building

New Building RetroFitted Building Other SPC2-SPC5 Building

N_1-Women's & Childrens Tower

Report Status: 1/9/2013 6:25 AMData Last Update: 10/11/2012 Submission Date: 01/08/2013 Print Date:

106282012 Sutter Memorial Hospital Sacramento Page:31 of 76Report Year:

Building Number:

Building Name:

Will general acutr care services and beds will be relocated to a new, Existing or retrofittrd building?

Facility Project Sub Scope Date Plan Approved Proj. Start Proj. Completed Status Number Number Num in Date Date Date

10625 IS040037-0 0 8 STORY TOWER/WOMEN'S & CHILDREN'S HOSPITAL BUILDING

2004-01-07 08/28/2007 12/15/2013 PEND

BLD-01449 East Wing

Medical/Surgical(Include GYN)

Relocated to new building

New Building RetroFitted Building Other SPC2-SPC5 Building

N_1-Women's & Childrens Tower

Building Number:

Building Name:

Will general acutr care services and beds will be relocated to a new, Existing or retrofittrd building?

Facility Project Sub Scope Date Plan Approved Proj. Start Proj. Completed Status Number Number Num in Date Date Date

10625 IS040037-0 0 8 STORY TOWER/WOMEN'S & CHILDREN'S HOSPITAL BUILDING

2004-01-07 08/28/2007 12/15/2013 PEND

BLD-01449 East Wing

Perinatal (exclude Newborn / GYN))

Relocated to new building

New Building RetroFitted Building Other SPC2-SPC5 Building

N_1-Women's & Childrens Tower

Report Status: 1/9/2013 6:25 AMData Last Update: 10/11/2012 Submission Date: 01/08/2013 Print Date:

106282012 Sutter Memorial Hospital Sacramento Page:32 of 76Report Year:

Building Number:

Building Name:

Will general acutr care services and beds will be relocated to a new, Existing or retrofittrd building?

Facility Project Sub Scope Date Plan Approved Proj. Start Proj. Completed Status Number Number Num in Date Date Date

10625 IS040037-0 0 8 STORY TOWER/WOMEN'S & CHILDREN'S HOSPITAL BUILDING

2004-01-07 08/28/2007 12/15/2013 PEND

BLD-01449 East Wing

Pediatric Relocated to new building

New Building RetroFitted Building Other SPC2-SPC5 Building

N_1-Women's & Childrens Tower

Building Number:

Building Name:

Will general acutr care services and beds will be relocated to a new, Existing or retrofittrd building?

Facility Project Sub Scope Date Plan Approved Proj. Start Proj. Completed Status Number Number Num in Date Date Date

10625 IS040037-0 0 8 STORY TOWER/WOMEN'S & CHILDREN'S HOSPITAL BUILDING

2004-01-07 08/28/2007 12/15/2013 PEND

BLD-01450 Diagnostic Laboratory Building

ClinicalLab Relocated to new building

New Building RetroFitted Building Other SPC2-SPC5 Building

N_1-Women's & Childrens Tower

Report Status: 1/9/2013 6:25 AMData Last Update: 10/11/2012 Submission Date: 01/08/2013 Print Date:

106282012 Sutter Memorial Hospital Sacramento Page:33 of 76Report Year:

Building Number:

Building Name:

Will general acutr care services and beds will be relocated to a new, Existing or retrofittrd building?

Facility Project Sub Scope Date Plan Approved Proj. Start Proj. Completed Status Number Number Num in Date Date Date

10625 IS040037-0 0 8 STORY TOWER/WOMEN'S & CHILDREN'S HOSPITAL BUILDING

2004-01-07 08/28/2007 12/15/2013 PEND

BLD-01450 Diagnostic Laboratory Building

Support Services Relocated to new building

New Building RetroFitted Building Other SPC2-SPC5 Building

N_1-Women's & Childrens Tower

Building Number:

Building Name:

Will general acutr care services and beds will be relocated to a new, Existing or retrofittrd building?

Facility Project Sub Scope Date Plan Approved Proj. Start Proj. Completed Status Number Number Num in Date Date Date

10625 IS040037-0 0 8 STORY TOWER/WOMEN'S & CHILDREN'S HOSPITAL BUILDING

2004-01-07 08/28/2007 12/15/2013 PEND

BLD-01451 Surgery Building

Surgical Relocated to new building

New Building RetroFitted Building Other SPC2-SPC5 Building

N_1-Women's & Childrens Tower

Report Status: 1/9/2013 6:25 AMData Last Update: 10/11/2012 Submission Date: 01/08/2013 Print Date:

106282012 Sutter Memorial Hospital Sacramento Page:34 of 76Report Year:

Building Number:

Building Name:

Will general acutr care services and beds will be relocated to a new, Existing or retrofittrd building?

Facility Project Sub Scope Date Plan Approved Proj. Start Proj. Completed Status Number Number Num in Date Date Date

10625 IS040037-0 0 8 STORY TOWER/WOMEN'S & CHILDREN'S HOSPITAL BUILDING

2004-01-07 08/28/2007 12/15/2013 PEND

BLD-01451 Surgery Building

Anesthesia Relocated to new building

New Building RetroFitted Building Other SPC2-SPC5 Building

N_1-Women's & Childrens Tower

Building Number:

Building Name:

Will general acutr care services and beds will be relocated to a new, Existing or retrofittrd building?

Facility Project Sub Scope Date Plan Approved Proj. Start Proj. Completed Status Number Number Num in Date Date Date

10625 IS040037-0 0 8 STORY TOWER/WOMEN'S & CHILDREN'S HOSPITAL BUILDING

2004-01-07 08/28/2007 12/15/2013 PEND

BLD-01451 Surgery Building

Support Services Relocated to new building

New Building RetroFitted Building Other SPC2-SPC5 Building

N_1-Women's & Childrens Tower

Report Status: 1/9/2013 6:25 AMData Last Update: 10/11/2012 Submission Date: 01/08/2013 Print Date:

106282012 Sutter Memorial Hospital Sacramento Page:35 of 76Report Year:

Building Number:

Building Name:

Will general acutr care services and beds will be relocated to a new, Existing or retrofittrd building?

BLD-01452 North Wing

Intensive Care N/A

Building Number:

Building Name:

Will general acutr care services and beds will be relocated to a new, Existing or retrofittrd building?

Facility Project Sub Scope Date Plan Approved Proj. Start Proj. Completed Status Number Number Num in Date Date Date

10625 IS040037-0 0 8 STORY TOWER/WOMEN'S & CHILDREN'S HOSPITAL BUILDING

2004-01-07 08/28/2007 12/15/2013 PEND

BLD-01452 North Wing

Pediatric Adolescent Relocated to new building

New Building RetroFitted Building Other SPC2-SPC5 Building

N_1-Women's & Childrens Tower

Report Status: 1/9/2013 6:25 AMData Last Update: 10/11/2012 Submission Date: 01/08/2013 Print Date:

106282012 Sutter Memorial Hospital Sacramento Page:36 of 76Report Year:

Building Number:

Building Name:

Will general acutr care services and beds will be relocated to a new, Existing or retrofittrd building?

Facility Project Sub Scope Date Plan Approved Proj. Start Proj. Completed Status Number Number Num in Date Date Date

10625 IS040037-0 0 8 STORY TOWER/WOMEN'S & CHILDREN'S HOSPITAL BUILDING

2004-01-07 08/28/2007 12/15/2013 PEND

BLD-01452 North Wing

Obstetrical Ante Postprtum

Relocated to new building

New Building RetroFitted Building Other SPC2-SPC5 Building

N_1-Women's & Childrens Tower

Building Number:

Building Name:

Will general acutr care services and beds will be relocated to a new, Existing or retrofittrd building?

Facility Project Sub Scope Date Plan Approved Proj. Start Proj. Completed Status Number Number Num in Date Date Date

10625 IS040037-0 0 8 STORY TOWER/WOMEN'S & CHILDREN'S HOSPITAL BUILDING

2004-01-07 08/28/2007 12/15/2013 PEND

BLD-01452 North Wing

Surgical Relocated to new building

New Building RetroFitted Building Other SPC2-SPC5 Building

N_1-Women's & Childrens Tower

Report Status: 1/9/2013 6:25 AMData Last Update: 10/11/2012 Submission Date: 01/08/2013 Print Date:

106282012 Sutter Memorial Hospital Sacramento Page:37 of 76Report Year:

Building Number:

Building Name:

Will general acutr care services and beds will be relocated to a new, Existing or retrofittrd building?

Facility Project Sub Scope Date Plan Approved Proj. Start Proj. Completed Status Number Number Num in Date Date Date

10625 IS040037-0 0 8 STORY TOWER/WOMEN'S & CHILDREN'S HOSPITAL BUILDING

2004-01-07 08/28/2007 12/15/2013 PEND

BLD-01452 North Wing

Anesthesia Relocated to new building

New Building RetroFitted Building Other SPC2-SPC5 Building

N_1-Women's & Childrens Tower

Building Number:

Building Name:

Will general acutr care services and beds will be relocated to a new, Existing or retrofittrd building?

Facility Project Sub Scope Date Plan Approved Proj. Start Proj. Completed Status Number Number Num in Date Date Date

10625 IS040037-0 0 8 STORY TOWER/WOMEN'S & CHILDREN'S HOSPITAL BUILDING

2004-01-07 08/28/2007 12/15/2013 PEND

BLD-01452 North Wing

Support Services Relocated to new building

New Building RetroFitted Building Other SPC2-SPC5 Building

N_1-Women's & Childrens Tower

Report Status: 1/9/2013 6:25 AMData Last Update: 10/11/2012 Submission Date: 01/08/2013 Print Date:

106282012 Sutter Memorial Hospital Sacramento Page:38 of 76Report Year:

Building Number:

Building Name:

Will general acutr care services and beds will be relocated to a new, Existing or retrofittrd building?

Facility Project Sub Scope Date Plan Approved Proj. Start Proj. Completed Status Number Number Num in Date Date Date

10625 IS040037-0 0 8 STORY TOWER/WOMEN'S & CHILDREN'S HOSPITAL BUILDING

2004-01-07 08/28/2007 12/15/2013 PEND

BLD-01452 North Wing

Obstetrical Cesarean/Deliv

Relocated to new building

New Building RetroFitted Building Other SPC2-SPC5 Building

N_1-Women's & Childrens Tower

Building Number:

Building Name:

Will general acutr care services and beds will be relocated to a new, Existing or retrofittrd building?

Facility Project Sub Scope Date Plan Approved Proj. Start Proj. Completed Status Number Number Num in Date Date Date

10625 IS040037-0 0 8 STORY TOWER/WOMEN'S & CHILDREN'S HOSPITAL BUILDING

2004-01-07 08/28/2007 12/15/2013 PEND

BLD-01452 North Wing

Obstetrical Recovery Relocated to new building

New Building RetroFitted Building Other SPC2-SPC5 Building

N_1-Women's & Childrens Tower

Report Status: 1/9/2013 6:25 AMData Last Update: 10/11/2012 Submission Date: 01/08/2013 Print Date:

106282012 Sutter Memorial Hospital Sacramento Page:39 of 76Report Year:

Building Number:

Building Name:

Will general acutr care services and beds will be relocated to a new, Existing or retrofittrd building?

Facility Project Sub Scope Date Plan Approved Proj. Start Proj. Completed Status Number Number Num in Date Date Date

10625 IS040037-0 0 8 STORY TOWER/WOMEN'S & CHILDREN'S HOSPITAL BUILDING

2004-01-07 08/28/2007 12/15/2013 PEND

BLD-01452 North Wing

Newborn/Well Baby Relocated to new building

New Building RetroFitted Building Other SPC2-SPC5 Building

N_1-Women's & Childrens Tower

Building Number:

Building Name:

Will general acutr care services and beds will be relocated to a new, Existing or retrofittrd building?

Facility Project Sub Scope Date Plan Approved Proj. Start Proj. Completed Status Number Number Num in Date Date Date

10625 IS040037-0 0 8 STORY TOWER/WOMEN'S & CHILDREN'S HOSPITAL BUILDING

2004-01-07 08/28/2007 12/15/2013 PEND

BLD-01452 North Wing

Perinatal (exclude Newborn / GYN))

Relocated to new building

New Building RetroFitted Building Other SPC2-SPC5 Building

N_1-Women's & Childrens Tower

Report Status: 1/9/2013 6:25 AMData Last Update: 10/11/2012 Submission Date: 01/08/2013 Print Date:

106282012 Sutter Memorial Hospital Sacramento Page:40 of 76Report Year:

Building Number:

Building Name:

Will general acutr care services and beds will be relocated to a new, Existing or retrofittrd building?

Facility Project Sub Scope Date Plan Approved Proj. Start Proj. Completed Status Number Number Num in Date Date Date

10625 IS040037-0 0 8 STORY TOWER/WOMEN'S & CHILDREN'S HOSPITAL BUILDING

2004-01-07 08/28/2007 12/15/2013 PEND

10625 IS040037-0 0 8 STORY TOWER/WOMEN'S & CHILDREN'S HOSPITAL BUILDING

2004-01-07 08/28/2007 12/15/2013 PEND

BLD-01452 North Wing

Pediatric Relocated to new building

New Building RetroFitted Building Other SPC2-SPC5 Building

N_1-Women's & Childrens Tower

Report Status: 1/9/2013 6:25 AMData Last Update: 10/11/2012 Submission Date: 01/08/2013 Print Date:

106282012 Sutter Memorial Hospital Sacramento Page:41 of 76Report Year:

Building Number:

Building Name:

Will general acutr care services and beds will be relocated to a new, Existing or retrofittrd building?

Facility Project Sub Scope Date Plan Approved Proj. Start Proj. Completed Status Number Number Num in Date Date Date

10625 IS040037-0 0 8 STORY TOWER/WOMEN'S & CHILDREN'S HOSPITAL BUILDING

2004-01-07 08/28/2007 12/15/2013 PEND

10625 IS040037-0 0 8 STORY TOWER/WOMEN'S & CHILDREN'S HOSPITAL BUILDING

2004-01-07 08/28/2007 12/15/2013 PEND

10625 IS040037-0 0 8 STORY TOWER/WOMEN'S & CHILDREN'S HOSPITAL BUILDING

2004-01-07 08/28/2007 12/15/2013 PEND

10625 IS040037-0 0 8 STORY TOWER/WOMEN'S & CHILDREN'S HOSPITAL BUILDING

2004-01-07 08/28/2007 12/15/2013 PEND

BLD-01452 North Wing

Intensive Care Relocated to new building

New Building RetroFitted Building Other SPC2-SPC5 Building

N_1-Women's & Childrens Tower

Report Status: 1/9/2013 6:25 AMData Last Update: 10/11/2012 Submission Date: 01/08/2013 Print Date:

106282012 Sutter Memorial Hospital Sacramento Page:42 of 76Report Year:

Building Number:

Building Name:

Will general acutr care services and beds will be relocated to a new, Existing or retrofittrd building?

Facility Project Sub Scope Date Plan Approved Proj. Start Proj. Completed Status Number Number Num in Date Date Date

10625 IS040037-0 0 8 STORY TOWER/WOMEN'S & CHILDREN'S HOSPITAL BUILDING

2004-01-07 08/28/2007 12/15/2013 PEND

BLD-01452 North Wing

Coronary Care) Relocated to new building

New Building RetroFitted Building Other SPC2-SPC5 Building

N_1-Women's & Childrens Tower

Building Number:

Building Name:

Will general acutr care services and beds will be relocated to a new, Existing or retrofittrd building?

Facility Project Sub Scope Date Plan Approved Proj. Start Proj. Completed Status Number Number Num in Date Date Date

10625 IS040037-0 0 8 STORY TOWER/WOMEN'S & CHILDREN'S HOSPITAL BUILDING

2004-01-07 08/28/2007 12/15/2013 PEND

BLD-01453 ER Radiology

Radiological/Imaging Relocated to new building

New Building RetroFitted Building Other SPC2-SPC5 Building

N_1-Women's & Childrens Tower

Report Status: 1/9/2013 6:25 AMData Last Update: 10/11/2012 Submission Date: 01/08/2013 Print Date:

106282012 Sutter Memorial Hospital Sacramento Page:43 of 76Report Year:

Building Number:

Building Name:

Will general acutr care services and beds will be relocated to a new, Existing or retrofittrd building?

Facility Project Sub Scope Date Plan Approved Proj. Start Proj. Completed Status Number Number Num in Date Date Date

10625 IS040037-0 0 8 STORY TOWER/WOMEN'S & CHILDREN'S HOSPITAL BUILDING

2004-01-07 08/28/2007 12/15/2013 PEND

BLD-01453 ER Radiology

Emergency Relocated to new building

New Building RetroFitted Building Other SPC2-SPC5 Building

N_1-Women's & Childrens Tower

Building Number:

Building Name:

Will general acutr care services and beds will be relocated to a new, Existing or retrofittrd building?

Facility Project Sub Scope Date Plan Approved Proj. Start Proj. Completed Status Number Number Num in Date Date Date

10625 IS040037-0 0 8 STORY TOWER/WOMEN'S & CHILDREN'S HOSPITAL BUILDING

2004-01-07 08/28/2007 12/15/2013 PEND

BLD-01453 ER Radiology

Nuclear Medicine Relocated to new building

New Building RetroFitted Building Other SPC2-SPC5 Building

N_1-Women's & Childrens Tower

Report Status: 1/9/2013 6:25 AMData Last Update: 10/11/2012 Submission Date: 01/08/2013 Print Date:

106282012 Sutter Memorial Hospital Sacramento Page:44 of 76Report Year:

Building Number:

Building Name:

Will general acutr care services and beds will be relocated to a new, Existing or retrofittrd building?

Facility Project Sub Scope Date Plan Approved Proj. Start Proj. Completed Status Number Number Num in Date Date Date

10625 IS040037-0 0 8 STORY TOWER/WOMEN'S & CHILDREN'S HOSPITAL BUILDING

2004-01-07 08/28/2007 12/15/2013 PEND

BLD-02970 Dietary

Intensive Care Relocated to new building

New Building RetroFitted Building Other SPC2-SPC5 Building

N_1-Women's & Childrens Tower

Building Number:

Building Name:

Will general acutr care services and beds will be relocated to a new, Existing or retrofittrd building?

Facility Project Sub Scope Date Plan Approved Proj. Start Proj. Completed Status Number Number Num in Date Date Date

10625 IS040037-0 0 8 STORY TOWER/WOMEN'S & CHILDREN'S HOSPITAL BUILDING

2004-01-07 08/28/2007 12/15/2013 PEND

BLD-02970 Dietary

Dietetic Relocated to new building

New Building RetroFitted Building Other SPC2-SPC5 Building

N_1-Women's & Childrens Tower

Report Status: 1/9/2013 6:25 AMData Last Update: 10/11/2012 Submission Date: 01/08/2013 Print Date:

106282012 Sutter Memorial Hospital Sacramento Page:45 of 76Report Year:

Building Number:

Building Name:

Will general acutr care services and beds will be relocated to a new, Existing or retrofittrd building?

Facility Project Sub Scope Date Plan Approved Proj. Start Proj. Completed Status Number Number Num in Date Date Date

10625 IS040037-0 0 8 STORY TOWER/WOMEN'S & CHILDREN'S HOSPITAL BUILDING

2004-01-07 08/28/2007 12/15/2013 PEND

BLD-02970 Dietary

Support Services Relocated to new building

New Building RetroFitted Building Other SPC2-SPC5 Building

N_1-Women's & Childrens Tower

Building Number:

Building Name:

Will general acutr care services and beds will be relocated to a new, Existing or retrofittrd building?

Facility Project Sub Scope Date Plan Approved Proj. Start Proj. Completed Status Number Number Num in Date Date Date

10625 IS040037-0 0 8 STORY TOWER/WOMEN'S & CHILDREN'S HOSPITAL BUILDING

2004-01-07 08/28/2007 12/15/2013 PEND

BLD-02970 Dietary

CentralPlant Relocated to new building

New Building RetroFitted Building Other SPC2-SPC5 Building

N_1-Women's & Childrens Tower

Report Status: 1/9/2013 6:25 AMData Last Update: 10/11/2012 Submission Date: 01/08/2013 Print Date:

106282012 Sutter Memorial Hospital Sacramento Page:46 of 76Report Year:

Building Number:

Building Name:

Will general acutr care services and beds will be relocated to a new, Existing or retrofittrd building?

Facility Project Sub Scope Date Plan Approved Proj. Start Proj. Completed Status Number Number Num in Date Date Date

10625 IS040037-0 0 8 STORY TOWER/WOMEN'S & CHILDREN'S HOSPITAL BUILDING

2004-01-07 08/28/2007 12/15/2013 PEND

BLD-02970 Dietary

Intensive Care Newborn Nursery

Relocated to new building

New Building RetroFitted Building Other SPC2-SPC5 Building

N_1-Women's & Childrens Tower

Building Number:

Building Name:

Will general acutr care services and beds will be relocated to a new, Existing or retrofittrd building?

Facility Project Sub Scope Date Plan Approved Proj. Start Proj. Completed Status Number Number Num in Date Date Date

10625 IS040037-0 0 8 STORY TOWER/WOMEN'S & CHILDREN'S HOSPITAL BUILDING

2004-01-07 08/28/2007 12/15/2013 PEND

BLD-02973 Central Plant

CentralPlant Relocated to new building

New Building RetroFitted Building Other SPC2-SPC5 Building

N_1-Women's & Childrens Tower

Report Status: 1/9/2013 6:25 AMData Last Update: 10/11/2012 Submission Date: 01/08/2013 Print Date:

106282012 Sutter Memorial Hospital Sacramento Page:47 of 76Report Year:

Building Number: Building Name:

Nursing

IntensiveCare

Pediatric/Adolescent

PsychiatricNursing

ObstetricalAnte/Postprtum

IntermediateCare

Skilled Nursing

BLD-01448 Central Wing

X

X

X

Type of Service Provided

Surgical

Anesthesia

Support Services

Administration

Dietetic

Pharmaceutical

Clinical Lab

Radiological/Imaging

OutpatientSurgery

Central Plant

RehabilitationTherapy

Renal Dialysis

X

X

X

X

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: 1/9/2013 6:25 AMData Last Update: 10/11/2012 Submission Date: 01/08/2013 Print Date:

106282012 Sutter Memorial Hospital Sacramento Page:48 of 76Report Year:

Building Number: Building Name:

Nursing

IntensiveCare

Pediatric/Adolescent

PsychiatricNursing

ObstetricalAnte/Postprtum

IntermediateCare

Skilled Nursing

BLD-01449 East Wing

X

X

X

Type of Service Provided

Surgical

Anesthesia

Support Services

Administration

Dietetic

Pharmaceutical

Clinical Lab

Radiological/Imaging

OutpatientSurgery

Central Plant

RehabilitationTherapy

Renal Dialysis

X

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: 1/9/2013 6:25 AMData Last Update: 10/11/2012 Submission Date: 01/08/2013 Print Date:

106282012 Sutter Memorial Hospital Sacramento Page:49 of 76Report Year:

Building Number: Building Name:

Nursing

IntensiveCare

Pediatric/Adolescent

PsychiatricNursing

ObstetricalAnte/Postprtum

IntermediateCare

Skilled Nursing

BLD-01450 Diagnostic Laboratory Building

Type of Service Provided

Surgical

Anesthesia

Support Services

Administration

Dietetic

Pharmaceutical

Clinical Lab

Radiological/Imaging

OutpatientSurgery

Central Plant

RehabilitationTherapy

Renal Dialysis

X

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: 1/9/2013 6:25 AMData Last Update: 10/11/2012 Submission Date: 01/08/2013 Print Date:

106282012 Sutter Memorial Hospital Sacramento Page:50 of 76Report Year:

Building Number: Building Name:

Nursing

IntensiveCare

Pediatric/Adolescent

PsychiatricNursing

ObstetricalAnte/Postprtum

IntermediateCare

Skilled Nursing

BLD-01451 Surgery Building

Type of Service Provided

Surgical

Anesthesia

Support Services

Administration

Dietetic

Pharmaceutical

Clinical Lab

Radiological/Imaging

OutpatientSurgery

Central Plant

RehabilitationTherapy

Renal Dialysis

X

X

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: 1/9/2013 6:25 AMData Last Update: 10/11/2012 Submission Date: 01/08/2013 Print Date:

106282012 Sutter Memorial Hospital Sacramento Page:51 of 76Report Year:

Building Number: Building Name:

Nursing

IntensiveCare

Pediatric/Adolescent

PsychiatricNursing

ObstetricalAnte/Postprtum

IntermediateCare

Skilled Nursing

BLD-02970 Dietary

X

Type of Service Provided

Surgical

Anesthesia

Support Services

Administration

Dietetic

Pharmaceutical

Clinical Lab

Radiological/Imaging

OutpatientSurgery

Central Plant

RehabilitationTherapy

Renal Dialysis

X

X

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: 1/9/2013 6:25 AMData Last Update: 10/11/2012 Submission Date: 01/08/2013 Print Date:

106282012 Sutter Memorial Hospital Sacramento Page:52 of 76Report Year:

Building Number: Building Name:

Nursing

IntensiveCare

Pediatric/Adolescent

PsychiatricNursing

ObstetricalAnte/Postprtum

IntermediateCare

Skilled Nursing

BLD-02971 Maternity

Type of Service Provided

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

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: 1/9/2013 6:25 AMData Last Update: 10/11/2012 Submission Date: 01/08/2013 Print Date:

106282012 Sutter Memorial Hospital Sacramento Page:53 of 76Report Year:

Building Number: Building Name:

Nursing

IntensiveCare

Pediatric/Adolescent

PsychiatricNursing

ObstetricalAnte/Postprtum

IntermediateCare

Skilled Nursing

BLD-02972 Radiation / Oncology

Type of Service Provided

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

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: 1/9/2013 6:25 AMData Last Update: 10/11/2012 Submission Date: 01/08/2013 Print Date:

106282012 Sutter Memorial Hospital Sacramento Page:54 of 76Report Year:

Building Number: Building Name:

Nursing

IntensiveCare

Pediatric/Adolescent

PsychiatricNursing

ObstetricalAnte/Postprtum

IntermediateCare

Skilled Nursing

BLD-02975 Carpenter/Paint Shop

Type of Service Provided

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

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: 1/9/2013 6:25 AMData Last Update: 10/11/2012 Submission Date: 01/08/2013 Print Date:

106282012 Sutter Memorial Hospital Sacramento Page:55 of 76Report 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

X

BLD-01448 Central Wing

Rebuild (Per SB90 Definition for Rebuild) with new SPC5 and NPC4 or NPC5 building.Configuration:

X

X

X

X

X

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

Report Status: 1/9/2013 6:25 AMData Last Update: 10/11/2012 Submission Date: 01/08/2013 Print Date:

106282012 Sutter Memorial Hospital Sacramento Page:56 of 76Report 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

X

BLD-01449 East Wing

Rebuild (Per SB90 Definition for Rebuild) with new SPC5 and NPC4 or NPC5 building.Configuration:

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: 1/9/2013 6:25 AMData Last Update: 10/11/2012 Submission Date: 01/08/2013 Print Date:

106282012 Sutter Memorial Hospital Sacramento Page:57 of 76Report 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:

BLD-01450 Diagnostic Laboratory Building

Rebuild (Per SB90 Definition for Rebuild) with new SPC5 and NPC4 or NPC5 building.Configuration:

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: 1/9/2013 6:25 AMData Last Update: 10/11/2012 Submission Date: 01/08/2013 Print Date:

106282012 Sutter Memorial Hospital Sacramento Page:58 of 76Report 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:

BLD-01451 Surgery Building

Rebuild (Per SB90 Definition for Rebuild) with new SPC5 and NPC4 or NPC5 building.Configuration:

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: 1/9/2013 6:25 AMData Last Update: 10/11/2012 Submission Date: 01/08/2013 Print Date:

106282012 Sutter Memorial Hospital Sacramento Page:59 of 76Report 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

X

BLD-01452 North Wing

Rebuild (Per SB90 Definition for Rebuild) with new SPC5 and NPC4 or NPC5 building.Configuration:

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: 1/9/2013 6:25 AMData Last Update: 10/11/2012 Submission Date: 01/08/2013 Print Date:

106282012 Sutter Memorial Hospital Sacramento Page:60 of 76Report 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:

BLD-01453 ER Radiology

Rebuild (Per SB90 Definition for Rebuild) with new SPC5 and NPC4 or NPC5 building.Configuration:

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: 1/9/2013 6:25 AMData Last Update: 10/11/2012 Submission Date: 01/08/2013 Print Date:

106282012 Sutter Memorial Hospital Sacramento Page:61 of 76Report 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

BLD-02970 Dietary

Rebuild (Per SB90 Definition for Rebuild) with new SPC5 and NPC4 or NPC5 building.Configuration:

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: 1/9/2013 6:25 AMData Last Update: 10/11/2012 Submission Date: 01/08/2013 Print Date:

106282012 Sutter Memorial Hospital Sacramento Page:62 of 76Report 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:

BLD-02971 Maternity

Rebuild (Per SB90 Definition for Rebuild) with new SPC5 and NPC4 or NPC5 building.Configuration:

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: 1/9/2013 6:25 AMData Last Update: 10/11/2012 Submission Date: 01/08/2013 Print Date:

106282012 Sutter Memorial Hospital Sacramento Page:63 of 76Report 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:

BLD-02972 Radiation / Oncology

Rebuild (Per SB90 Definition for Rebuild) with new SPC5 and NPC4 or NPC5 building.Configuration:

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: 1/9/2013 6:25 AMData Last Update: 10/11/2012 Submission Date: 01/08/2013 Print Date:

106282012 Sutter Memorial Hospital Sacramento Page:64 of 76Report 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:

BLD-02973 Central Plant

Rebuild (Per SB90 Definition for Rebuild) with new SPC5 and NPC4 or NPC5 building.Configuration:

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: 1/9/2013 6:25 AMData Last Update: 10/11/2012 Submission Date: 01/08/2013 Print Date:

106282012 Sutter Memorial Hospital Sacramento Page:65 of 76Report 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:

BLD-02974 Corridor

Rebuild (Per SB90 Definition for Rebuild) with new SPC5 and NPC4 or NPC5 building.Configuration:

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: 1/9/2013 6:25 AMData Last Update: 10/11/2012 Submission Date: 01/08/2013 Print Date:

106282012 Sutter Memorial Hospital Sacramento Page:66 of 76Report 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:

BLD-02975 Carpenter/Paint Shop

Rebuild (Per SB90 Definition for Rebuild) with new SPC5 and NPC4 or NPC5 building.Configuration:

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: 1/9/2013 6:25 AMData Last Update: 10/11/2012 Submission Date: 01/08/2013 Print Date:

106282012 Sutter Memorial Hospital Sacramento Page:67 of 76Report Year:

BLD-01452 North Wing

X

Nursing

Building Number: Building Name:

IntensiveCare

X

X

Pediatric/Adolescent

PsychiatricNursing

ObstetricalAnte/Postprtum

IntermediateCare

Skilled Nursing

X

X

X

X

X

74

0

Type of Service Provided

Inpatient Beds

Inpatient Beds

Inpatient Beds

Inpatient Beds

Inpatient Beds

Inpatient Beds

Inpatient Beds

40

12

0

22

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: 1/9/2013 6:25 AMData Last Update: 10/11/2012 Submission Date: 01/08/2013 Print Date:

106282012 Sutter Memorial Hospital Sacramento Page:68 of 76Report Year:

BLD-01453 ER Radiology

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: 1/9/2013 6:25 AMData Last Update: 10/11/2012 Submission Date: 01/08/2013 Print Date:

106282012 Sutter Memorial Hospital Sacramento Page:69 of 76Report Year:

BLD-02973 Central Plant

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: 1/9/2013 6:25 AMData Last Update: 10/11/2012 Submission Date: 01/08/2013 Print Date:

106282012 Sutter Memorial Hospital Sacramento Page:70 of 76Report Year:

BLD-02974 Corridor

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: 1/9/2013 6:25 AMData Last Update: 10/11/2012 Submission Date: 01/08/2013 Print Date:

106282012 Sutter Memorial Hospital Sacramento Page:71 of 76Report 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

BLD-01452 North Wing

0 0

22 4707

12 3170

24 4091

16 4326

0 0

0 0

0 0

0 0

0 0 74 74

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: 1/9/2013 6:25 AMData Last Update: 10/11/2012 Submission Date: 01/08/2013 Print Date:

106282012 Sutter Memorial Hospital Sacramento Page:72 of 76Report 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

BLD-01453 ER Radiology

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: 1/9/2013 6:25 AMData Last Update: 10/11/2012 Submission Date: 01/08/2013 Print Date:

106282012 Sutter Memorial Hospital Sacramento Page:73 of 76Report 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

BLD-02973 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: 1/9/2013 6:25 AMData Last Update: 10/11/2012 Submission Date: 01/08/2013 Print Date:

106282012 Sutter Memorial Hospital Sacramento Page:74 of 76Report 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

BLD-02974 Corridor

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: 1/9/2013 6:25 AMData Last Update: 10/11/2012 Submission Date: 01/08/2013 Print Date:

106282012 Sutter Memorial Hospital Sacramento Page:75 of 76Report Year:

Report Status: 1/9/2013 6:25 AMData Last Update: 10/11/2012 Submission Date: 01/08/2013 Print Date:

106282012 Sutter Memorial Hospital Sacramento Page:76 of 76Report Year: