As submitted to California's Office of Statewide Health Planning and Development in accordance with Senate Bill 499 (SB 499) requirement for all general acute care hospitals with Structural Performance Category 1 (SPC-1) buildings to report annually with seismic safety compliance status, beds and services.

Senate Bill 499 (SB 499) Hospital ReportOffice of Statewide Health Planning and DevelopmentFacilities Development Division

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:

11288

Highland Hospital

1411 E 31st Street

Oakland

County of Alameda, General Services Agency

2015

[Confidential data left blank intentionally.]

[Confidential data left blank intentionally.]

Ann Ludwig

10/6/2015 3:57:48 PM

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

[Confidential data left blank intentionally.]

OSHPD FDD SB499 Report 10/8/2015 6:25 AMData Last Update: 09/22/2015 Submission Date: 10/06/2015 Printed:

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

01/01/2020SPC5RebuildAcute Care TowerBLD-01316

1411 E 31st Street 01/31/2016

01/01/2020SPC5RebuildChiller BuildingBLD-01318

1411 E 31st Street 01/31/2016

01/01/2020SPC5RebuildBoiler PlantBLD-01319

1411 E 31st Street 01/01/2020

OSHPD FDD SB499 Report 10/8/2015 6:25 AMData Last Update: 09/22/2015 Submission Date: 10/06/2015 Printed:

112882015 Highland Hospital Oakland Page:2 of 36Report Year:

Acute Care TowerBuilding No: BLD-01316 Yes-SubmittedRetrofit/Replacement Project:

11288 IS101717-0 0 PPR - ACUTE CARE TOWER REPLACEMENT

9/9/2010 ACTI No 05/01/201701/01/2011

Facility Number

Project Number

Sub Num Scope Date In

Plan Approved Date

Projected Start Date

Projected Completion Date Status

CEQA 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).

Chiller BuildingBuilding No: BLD-01318 Yes-SubmittedRetrofit/Replacement Project:

11288 IS101717-0 0 PPR - ACUTE CARE TOWER REPLACEMENT

9/9/2010 ACTI No 05/01/201701/01/2011

Facility Number

Project Number

Sub Num Scope Date In

Plan Approved Date

Projected Start Date

Projected Completion Date Status

CEQA 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).

OSHPD FDD SB499 Report 10/8/2015 6:25 AMData Last Update: 09/22/2015 Submission Date: 10/06/2015 Printed:

112882015 Highland Hospital Oakland Page:3 of 36Report Year:

Boiler PlantBuilding No: BLD-01319 Yes-SubmittedRetrofit/Replacement Project:

11288 IS101717-0 0 PPR - ACUTE CARE TOWER REPLACEMENT

9/9/2010 ACTI No 12/01/201606/01/2011

Facility Number

Project Number

Sub Num Scope Date In

Plan Approved Date

Projected Start Date

Projected Completion Date Status

CEQA 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).

OSHPD FDD SB499 Report 10/8/2015 6:25 AMData Last Update: 09/22/2015 Submission Date: 10/06/2015 Printed:

112882015 Highland Hospital Oakland Page:4 of 36Report Year:

BLD-01316 Acute Care Tower

X

X

Nursing

Building Number: Building Name:

IntensiveCare

X

Pediatric/Adolescent

PsychiatricNursing

ObstetricalAnte/Postprtum

IntermediateCare

Skilled Nursing

X

X

X X

XX

X

X

206

35052161

Type of Service Provided

Inpatient Beds

Inpatient Beds

Inpatient Days

Inpatient Beds

Inpatient Beds

Inpatient Beds

Inpatient Beds

Inpatient Beds

28

0

0

17

0

0

Inpatient Days

Inpatient Days

Inpatient Days

Inpatient Days

Inpatient Days

Inpatient Days

7289

0

0

3487

0

0

Total Beds this Building

Surgical ObstetricalRecovery

X

AnesthesiaNewborn/WellBaby

Support Services

Administration

Dietetic

Pharmaceutical

Clinical Lab

Radiological/Imaging

OutpatientSurgery

Central Plant

Emergency

Nuclear Medicine

RehabilitationTherapy

Renal Dialysis

X ObstetricalCesarean/Deliv

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

OSHPD FDD SB499 Report 10/8/2015 6:25 AMData Last Update: 09/22/2015 Submission Date: 10/06/2015 Printed:

112882015 Highland Hospital Oakland Page:5 of 36Report Year:

BLD-01318 Chiller Building

Nursing

Building Number: Building Name:

IntensiveCare

Pediatric/Adolescent

PsychiatricNursing

ObstetricalAnte/Postprtum

IntermediateCare

Skilled Nursing

X0

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

ObstetricalCesarean/Deliv

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

OSHPD FDD SB499 Report 10/8/2015 6:25 AMData Last Update: 09/22/2015 Submission Date: 10/06/2015 Printed:

112882015 Highland Hospital Oakland Page:6 of 36Report Year:

BLD-01319 Boiler Plant

Nursing

Building Number: Building Name:

IntensiveCare

Pediatric/Adolescent

PsychiatricNursing

ObstetricalAnte/Postprtum

IntermediateCare

Skilled Nursing

X0

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

ObstetricalCesarean/Deliv

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

OSHPD FDD SB499 Report 10/8/2015 6:25 AMData Last Update: 09/22/2015 Submission Date: 10/06/2015 Printed:

112882015 Highland Hospital Oakland Page:7 of 36Report 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-01316 Acute Care Tower

161 35052

17 3487

0 0

20 6144

0 0

0 0

0 0

8 1145

0 0

0 0 206 206

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)

OSHPD FDD SB499 Report 10/8/2015 6:25 AMData Last Update: 09/22/2015 Submission Date: 10/06/2015 Printed:

112882015 Highland Hospital Oakland Page:8 of 36Report 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-01318 Chiller 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)

OSHPD FDD SB499 Report 10/8/2015 6:25 AMData Last Update: 09/22/2015 Submission Date: 10/06/2015 Printed:

112882015 Highland Hospital Oakland Page:9 of 36Report 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-01319 Boiler 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

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

OSHPD FDD SB499 Report 10/8/2015 6:25 AMData Last Update: 09/22/2015 Submission Date: 10/06/2015 Printed:

112882015 Highland Hospital Oakland Page:10 of 36Report Year:

BLD-01315 Critical Care Building Remain

BLD-01316 Acute Care Tower Rebuild

BLD-01318 Chiller Building Rebuild

BLD-01319 Boiler Plant 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

OSHPD FDD SB499 Report 10/8/2015 6:25 AMData Last Update: 09/22/2015 Submission Date: 10/06/2015 Printed:

112882015 Highland Hospital Oakland Page:11 of 36Report Year:

N_1 Acute Care Tower Replacement

Building Number

Building Name New Site

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

OSHPD FDD SB499 Report 10/8/2015 6:25 AMData Last Update: 09/22/2015 Submission Date: 10/06/2015 Printed:

112882015 Highland Hospital Oakland Page:12 of 36Report Year:

BLD-01316 Acute Care TowerBuilding Number: Removal Date:

01/31/2016

Planned Uses for the building to be removed from acute care service:

Planned use for building: Demolished Jurisdiction:

Inpatient services currently delivered in the building:

Nursing

IntensiveCare

Pediatric/Adolescent

PsychiatricNursing

ObstetricalAnte/Postprtum

IntermediateCare

Skilled Nursing

Surgical

Anesthesia

Support ServicesAdministration

Dietetic

Pharmaceutical

Clinical Lab

Radiological/Imaging

Obstetrical Cesarean/Deliv

ObstetricalRecovery

Newborn/WellBaby

OutpatientSurgery

Central PlantEmergency

Nuclear Medicine

RehabilitationTherapy

Renal Dialysis

X

X

X

X

X

X

XX

X

X

X

X

X

X

For the building or buildings to be replaced, rebuilt, removed from acute care service, provide the following:The projected date or dates the building will be removed from service per Section 130061 (c)(2)(A) and provide said date or dates for replaced or rebuild buildings as well.The planned uses of the building or buildings to be removed from acute care service per Section 130061(c)(2)(B) and provide said uses for replaced or rebuild buildings as well.The inpatient service currently delivered in the building or buildings per Section 130061(c)(2)(C)

OSHPD FDD SB499 Report 10/8/2015 6:25 AMData Last Update: 09/22/2015 Submission Date: 10/06/2015 Printed:

112882015 Highland Hospital Oakland Page:13 of 36Report Year:

BLD-01318 Chiller BuildingBuilding Number: Removal Date:

01/31/2016

Planned Uses for the building to be removed from acute care service:

Planned use for building: Demolished Jurisdiction:

Inpatient services currently delivered in the building:

Nursing

IntensiveCare

Pediatric/Adolescent

PsychiatricNursing

ObstetricalAnte/Postprtum

IntermediateCare

Skilled Nursing

Surgical

Anesthesia

Support ServicesAdministration

Dietetic

Pharmaceutical

Clinical Lab

Radiological/Imaging

Obstetrical Cesarean/Deliv

ObstetricalRecovery

Newborn/WellBaby

OutpatientSurgery

Central PlantEmergency

Nuclear Medicine

RehabilitationTherapy

Renal Dialysis

For the building or buildings to be replaced, rebuilt, removed from acute care service, provide the following:The projected date or dates the building will be removed from service per Section 130061 (c)(2)(A) and provide said date or dates for replaced or rebuild buildings as well.The planned uses of the building or buildings to be removed from acute care service per Section 130061(c)(2)(B) and provide said uses for replaced or rebuild buildings as well.The inpatient service currently delivered in the building or buildings per Section 130061(c)(2)(C)

OSHPD FDD SB499 Report 10/8/2015 6:25 AMData Last Update: 09/22/2015 Submission Date: 10/06/2015 Printed:

112882015 Highland Hospital Oakland Page:14 of 36Report Year:

BLD-01319 Boiler PlantBuilding Number: Removal Date:

01/01/2020

Planned Uses for the building to be removed from acute care service:

Planned use for building: Other

Other Usage: No longer to provide acute care services

Jurisdiction:

Inpatient services currently delivered in the building:

Nursing

IntensiveCare

Pediatric/Adolescent

PsychiatricNursing

ObstetricalAnte/Postprtum

IntermediateCare

Skilled Nursing

Surgical

Anesthesia

Support ServicesAdministration

Dietetic

Pharmaceutical

Clinical Lab

Radiological/Imaging

Obstetrical Cesarean/Deliv

ObstetricalRecovery

Newborn/WellBaby

OutpatientSurgery

Central PlantEmergency

Nuclear Medicine

RehabilitationTherapy

Renal Dialysis

For the building or buildings to be replaced, rebuilt, removed from acute care service, provide the following:The projected date or dates the building will be removed from service per Section 130061 (c)(2)(A) and provide said date or dates for replaced or rebuild buildings as well.The planned uses of the building or buildings to be removed from acute care service per Section 130061(c)(2)(B) and provide said uses for replaced or rebuild buildings as well.The inpatient service currently delivered in the building or buildings per Section 130061(c)(2)(C)

OSHPD FDD SB499 Report 10/8/2015 6:25 AMData Last Update: 09/22/2015 Submission Date: 10/06/2015 Printed:

112882015 Highland Hospital Oakland Page:15 of 36Report Year:

No data reported for Section 130061(c)(2)(D).

OSHPD FDD SB499 Report 10/8/2015 6:25 AMData Last Update: 09/22/2015 Submission Date: 10/06/2015 Printed:

112882015 Highland Hospital Oakland Page:16 of 36Report Year:

No data reported for Section 130061(c)(2)(D).

OSHPD FDD SB499 Report 10/8/2015 6:25 AMData Last Update: 09/22/2015 Submission Date: 10/06/2015 Printed:

112882015 Highland Hospital Oakland Page:17 of 36Report Year:

Building Number:

Building Name:

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

BLD-01316 Acute Care Tower

Nursing Relocated to new building

New Building RetroFitted Building Other SPC2-SPC5 Building

N_1-Acute Care Tower Replacement

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 acute care services and beds will be relocated to a new, Existing or retrofitted building?

BLD-01316 Acute Care Tower

Intensive Care Relocated to new building

New Building RetroFitted Building Other SPC2-SPC5 Building

N_1-Acute Care Tower Replacement

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)

OSHPD FDD SB499 Report 10/8/2015 6:25 AMData Last Update: 09/22/2015 Submission Date: 10/06/2015 Printed:

112882015 Highland Hospital Oakland Page:18 of 36Report Year:

Building Number:

Building Name:

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

BLD-01316 Acute Care Tower

Obstetrical Ante Postprtum

Relocated to new building

New Building RetroFitted Building Other SPC2-SPC5 Building

N_1-Acute Care Tower Replacement

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 acute care services and beds will be relocated to a new, Existing or retrofitted building?

BLD-01316 Acute Care Tower

ClinicalLab Relocated to new building

New Building RetroFitted Building Other SPC2-SPC5 Building

N_1-Acute Care Tower Replacement

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)

OSHPD FDD SB499 Report 10/8/2015 6:25 AMData Last Update: 09/22/2015 Submission Date: 10/06/2015 Printed:

112882015 Highland Hospital Oakland Page:19 of 36Report Year:

Building Number:

Building Name:

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

BLD-01316 Acute Care Tower

Radiological/Imaging Relocated to new building

New Building RetroFitted Building Other SPC2-SPC5 Building

N_1-Acute Care Tower Replacement

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 acute care services and beds will be relocated to a new, Existing or retrofitted building?

BLD-01316 Acute Care Tower

Dietetic Relocated to new building

New Building RetroFitted Building Other SPC2-SPC5 Building

N_1-Acute Care Tower Replacement

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)

OSHPD FDD SB499 Report 10/8/2015 6:25 AMData Last Update: 09/22/2015 Submission Date: 10/06/2015 Printed:

112882015 Highland Hospital Oakland Page:20 of 36Report Year:

Building Number:

Building Name:

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

BLD-01316 Acute Care Tower

Administration Relocated to new building

New Building RetroFitted Building Other SPC2-SPC5 Building

N_1-Acute Care Tower Replacement

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 acute care services and beds will be relocated to a new, Existing or retrofitted building?

BLD-01316 Acute Care Tower

Support Services Relocated to new building

New Building RetroFitted Building Other SPC2-SPC5 Building

N_1-Acute Care Tower Replacement

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)

OSHPD FDD SB499 Report 10/8/2015 6:25 AMData Last Update: 09/22/2015 Submission Date: 10/06/2015 Printed:

112882015 Highland Hospital Oakland Page:21 of 36Report Year:

Building Number:

Building Name:

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

BLD-01316 Acute Care Tower

Obstetrical Cesarean/Deliv

Relocated to new building

New Building RetroFitted Building Other SPC2-SPC5 Building

N_1-Acute Care Tower Replacement

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 acute care services and beds will be relocated to a new, Existing or retrofitted building?

BLD-01316 Acute Care Tower

Obstetrical Recovery Relocated to new building

New Building RetroFitted Building Other SPC2-SPC5 Building

N_1-Acute Care Tower Replacement

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)

OSHPD FDD SB499 Report 10/8/2015 6:25 AMData Last Update: 09/22/2015 Submission Date: 10/06/2015 Printed:

112882015 Highland Hospital Oakland Page:22 of 36Report Year:

Building Number:

Building Name:

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

BLD-01316 Acute Care Tower

Newborn/Well Baby Relocated to new building

New Building RetroFitted Building Other SPC2-SPC5 Building

N_1-Acute Care Tower Replacement

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 acute care services and beds will be relocated to a new, Existing or retrofitted building?

BLD-01316 Acute Care Tower

Nuclear Medicine Relocated to new building

New Building RetroFitted Building Other SPC2-SPC5 Building

N_1-Acute Care Tower Replacement

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)

OSHPD FDD SB499 Report 10/8/2015 6:25 AMData Last Update: 09/22/2015 Submission Date: 10/06/2015 Printed:

112882015 Highland Hospital Oakland Page:23 of 36Report Year:

Building Number:

Building Name:

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

BLD-01316 Acute Care Tower

Rehabilitation Therapy

Relocated to new building

New Building RetroFitted Building Other SPC2-SPC5 Building

N_1-Acute Care Tower Replacement

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 acute care services and beds will be relocated to a new, Existing or retrofitted building?

BLD-01316 Acute Care Tower

Medical/Surgical(Include GYN)

Relocated to new building

New Building RetroFitted Building Other SPC2-SPC5 Building

N_1-Acute Care Tower Replacement

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)

OSHPD FDD SB499 Report 10/8/2015 6:25 AMData Last Update: 09/22/2015 Submission Date: 10/06/2015 Printed:

112882015 Highland Hospital Oakland Page:24 of 36Report Year:

Building Number:

Building Name:

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

BLD-01316 Acute Care Tower

Perinatal (exclude Newborn / GYN))

Relocated to new building

New Building RetroFitted Building Other SPC2-SPC5 Building

N_1-Acute Care Tower Replacement

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 acute care services and beds will be relocated to a new, Existing or retrofitted building?

BLD-01316 Acute Care Tower

Intensive Care Relocated to new building

New Building RetroFitted Building Other SPC2-SPC5 Building

N_1-Acute Care Tower Replacement

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)

OSHPD FDD SB499 Report 10/8/2015 6:25 AMData Last Update: 09/22/2015 Submission Date: 10/06/2015 Printed:

112882015 Highland Hospital Oakland Page:25 of 36Report Year:

Building Number:

Building Name:

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

BLD-01316 Acute Care Tower

Intensive Care Newborn Nursery

Relocated to new building

New Building RetroFitted Building Other SPC2-SPC5 Building

N_1-Acute Care Tower Replacement

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 acute care services and beds will be relocated to a new, Existing or retrofitted building?

BLD-01318 Chiller Building

CentralPlant Relocated to new building

New Building RetroFitted Building Other SPC2-SPC5 Building

N_1-Acute Care Tower Replacement

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 acute care services and beds will be relocated to a new, Existing or retrofitted building?

BLD-01319 Boiler Plant

CentralPlant N/A

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)

OSHPD FDD SB499 Report 10/8/2015 6:25 AMData Last Update: 09/22/2015 Submission Date: 10/06/2015 Printed:

112882015 Highland Hospital Oakland Page:26 of 36Report Year:

No data reported for Section 130061(c)(3).

OSHPD FDD SB499 Report 10/8/2015 6:25 AMData Last Update: 09/22/2015 Submission Date: 10/06/2015 Printed:

112882015 Highland Hospital Oakland Page:27 of 36Report Year:

Building Number: Building Name:

Nursing

IntensiveCare

Pediatric/Adolescent

PsychiatricNursing

ObstetricalAnte/Postprtum

IntermediateCare

Skilled Nursing

BLD-01316 Acute Care Tower

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

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

OSHPD FDD SB499 Report 10/8/2015 6:25 AMData Last Update: 09/22/2015 Submission Date: 10/06/2015 Printed:

112882015 Highland Hospital Oakland Page:28 of 36Report Year:

Building Number: Building Name:

Nursing

IntensiveCare

Pediatric/Adolescent

PsychiatricNursing

ObstetricalAnte/Postprtum

IntermediateCare

Skilled Nursing

BLD-01318 Chiller Building

Type of Service Provided

Surgical

Anesthesia

Support Services

Administration

Dietetic

Pharmaceutical

Clinical Lab

Radiological/Imaging

OutpatientSurgery

Central Plant

RehabilitationTherapy

Renal Dialysis

X

Obstetrical Cesarean/Deliv

ObstetricalRecovery

Newborn/WellBaby

Emergency

Nuclear Medicine

Report any general acute care hospital inpatient service that is provided in any general acute care hospital building that is rated SPC-1 per Section 130061(c)(4)

OSHPD FDD SB499 Report 10/8/2015 6:25 AMData Last Update: 09/22/2015 Submission Date: 10/06/2015 Printed:

112882015 Highland Hospital Oakland Page:29 of 36Report Year:

Building Number: Building Name:

Nursing

IntensiveCare

Pediatric/Adolescent

PsychiatricNursing

ObstetricalAnte/Postprtum

IntermediateCare

Skilled Nursing

BLD-01319 Boiler Plant

Type of Service Provided

Surgical

Anesthesia

Support Services

Administration

Dietetic

Pharmaceutical

Clinical Lab

Radiological/Imaging

OutpatientSurgery

Central Plant

RehabilitationTherapy

Renal Dialysis

X

Obstetrical Cesarean/Deliv

ObstetricalRecovery

Newborn/WellBaby

Emergency

Nuclear Medicine

Report any general acute care hospital inpatient service that is provided in any general acute care hospital building that is rated SPC-1 per Section 130061(c)(4)

OSHPD FDD SB499 Report 10/8/2015 6:25 AMData Last Update: 09/22/2015 Submission Date: 10/06/2015 Printed:

112882015 Highland Hospital Oakland Page:30 of 36Report 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-01315 Critical Care Building

N/AConfiguration:

X

X

X

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

OSHPD FDD SB499 Report 10/8/2015 6:25 AMData Last Update: 09/22/2015 Submission Date: 10/06/2015 Printed:

112882015 Highland Hospital Oakland Page:31 of 36Report 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-01316 Acute Care Tower

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

X

X

X

X

X

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

OSHPD FDD SB499 Report 10/8/2015 6:25 AMData Last Update: 09/22/2015 Submission Date: 10/06/2015 Printed:

112882015 Highland Hospital Oakland Page:32 of 36Report 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-01318 Chiller Building

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

OSHPD FDD SB499 Report 10/8/2015 6:25 AMData Last Update: 09/22/2015 Submission Date: 10/06/2015 Printed:

112882015 Highland Hospital Oakland Page:33 of 36Report 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-01319 Boiler 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 acute care hospital building per Section 130061(c)(5)

OSHPD FDD SB499 Report 10/8/2015 6:25 AMData Last Update: 09/22/2015 Submission Date: 10/06/2015 Printed:

112882015 Highland Hospital Oakland Page:34 of 36Report Year:

BLD-01315 Critical Care Building

Nursing

Building Number: Building Name:

IntensiveCare

Pediatric/Adolescent

PsychiatricNursing

ObstetricalAnte/Postprtum

IntermediateCare

Skilled Nursing

X

X

X

X

X

X

X

X

0

0

Type of Service Provided

Inpatient Beds

Inpatient Beds

Inpatient Beds

Inpatient Beds

Inpatient Beds

Inpatient Beds

Inpatient Beds

0

0

0

0

0

0

Total Beds this Building

Surgical

Anesthesia

Support Services

Administration

Dietetic

Pharmaceutical

Clinical Lab

Radiological/Imaging

OutpatientSurgery

Central Plant

RehabilitationTherapy

Renal Dialysis

Obstetrical Cesarean/Deliv

ObstetricalRecovery

Newborn/WellBaby

Emergency

Nuclear Medicine

Include information on the number of inpatient beds by type of Service provided by buildings that are classified as SPC-2, SPC-3, SPC-4, and SPC-5 per Section 130061(e)

OSHPD FDD SB499 Report 10/8/2015 6:25 AMData Last Update: 09/22/2015 Submission Date: 10/06/2015 Printed:

112882015 Highland Hospital Oakland Page:35 of 36Report Year:

Building Number: Building Name:

Pediatric

Perinatal (Exclude Newborn / GYN)

Medical / Surgical (Include GYN)

Intermediate Care

Coronary Care

Intensive Care Rehabilitation Center

Chemical Dependency

Acute Respiratory Care

Skilled Nursing Burn

Intensive Care Newborn Nursery

Acute Psychiatric

Int. Care / Developmentally 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-01315 Critical Care Building

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 00 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)

OSHPD FDD SB499 Report 10/8/2015 6:25 AMData Last Update: 09/22/2015 Submission Date: 10/06/2015 Printed:

112882015 Highland Hospital Oakland Page:36 of 36Report Year: