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:
12024
Docs Surgical Hospital
6000 San Vicente Blvd.
Los Angeles
DOCS Surgical Hospital, LLC/930000143
2019
[Confidential data left blank intentionally.]
[Confidential data left blank intentionally.]
DOCS Surgical Hospital
10/30/2019 3:45:45 PM
Provide the Hospital Owner and Year of Report per Section 130061(e)
[Confidential data left blank intentionally.]
OSHPD FDD SB499 Report 11/1/2019 6:30 AMData Last Update: 10/30/2019 Submission Date: 10/30/2019 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, SPC4D 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
01/01/2020N/ARemoveTower BuildingBLD-03234
6000 San Vicente Blvd. 01/01/2020
01/01/2025SPC2RebuildMain Hospital - Ogden Building
BLD-05236
6000 San Vicente Blvd. 01/01/2020
OSHPD FDD SB499 Report 11/1/2019 6:30 AMData Last Update: 10/30/2019 Submission Date: 10/30/2019 Printed:
120242019 Docs Surgical Hospital Los Angeles Page:2 of 24Report Year:
No data reported for Section 130061(c)(1)(C).
OSHPD FDD SB499 Report 11/1/2019 6:30 AMData Last Update: 10/30/2019 Submission Date: 10/30/2019 Printed:
120242019 Docs Surgical Hospital Los Angeles Page:3 of 24Report Year:
BLD-03234 Tower 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
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 11/1/2019 6:30 AMData Last Update: 10/30/2019 Submission Date: 10/30/2019 Printed:
120242019 Docs Surgical Hospital Los Angeles Page:4 of 24Report Year:
BLD-05236 Main Hospital - Ogden Building
X
Nursing
Building Number: Building Name:
IntensiveCare
Pediatric/Adolescent
PsychiatricNursing
ObstetricalAnte/Postprtum
IntermediateCare
Skilled Nursing
X
X
X
X
X
X
X
X
X17
50817
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 11/1/2019 6:30 AMData Last Update: 10/30/2019 Submission Date: 10/30/2019 Printed:
120242019 Docs Surgical Hospital Los Angeles Page:5 of 24Report 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-03234 Tower 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 11/1/2019 6:30 AMData Last Update: 10/30/2019 Submission Date: 10/30/2019 Printed:
120242019 Docs Surgical Hospital Los Angeles Page:6 of 24Report 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-05236 Main Hospital - Ogden Building
17 508
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0 17 17
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 11/1/2019 6:30 AMData Last Update: 10/30/2019 Submission Date: 10/30/2019 Printed:
120242019 Docs Surgical Hospital Los Angeles Page:7 of 24Report Year:
BLD-03234 Tower Building Remove
BLD-05236 Main Hospital - Ogden Building 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 11/1/2019 6:30 AMData Last Update: 10/30/2019 Submission Date: 10/30/2019 Printed:
120242019 Docs Surgical Hospital Los Angeles Page:8 of 24Report Year:
N_1 Main Hospital Ogden Building
Building Number
Building Name New Site
List ALL proposed new buildings to be constructed at this or another site.
OSHPD FDD SB499 Report 11/1/2019 6:30 AMData Last Update: 10/30/2019 Submission Date: 10/30/2019 Printed:
120242019 Docs Surgical Hospital Los Angeles Page:9 of 24Report Year:
BLD-03234 Tower BuildingBuilding Number: Removal Date:
01/01/2020
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 Services
Administration
Dietetic
Pharmaceutical
Clinical Lab
Radiological/Imaging
Obstetrical Cesarean/Deliv
ObstetricalRecovery
Newborn/WellBaby
OutpatientSurgery
Central PlantEmergency
Nuclear Medicine
RehabilitationTherapy
Renal Dialysis
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 11/1/2019 6:30 AMData Last Update: 10/30/2019 Submission Date: 10/30/2019 Printed:
120242019 Docs Surgical Hospital Los Angeles Page:10 of 24Report Year:
Provide the number of inpatient beds and patient days per unit for the year of 2013, 2014, and 2015 for buildings to be removed from acute care services per Section 130061(c)(2)(D).
BLD-03234Building Nbr: Building Name: Tower Building Year of Information: 2016
Unit Type
Medical/Surgical (include GYN)
Perinatal (exclude Neborn/GYN)
Pediatric
Intensive Care
Coronary Care
Acute Respiratory Care
Burn
Inpatient Beds
Inpatient Beds
Inpatient Beds
Inpatient Beds
Inpatient Beds
Inpatient Beds
Inpatient Beds
Intensive Care Newborn Nursery
Rehabilitation Center Int. Care/Developmentally Disabled
Intermediate Care
Skilled Nursing
Chemical Dependency
Acute Psychiatric
0
0
0
0
0
0
0
Total Beds this Building per Service
0
Information Current As Of:
Patient Days
0
Patient Days
Patient Days
Patient Days
Patient Days
0
0
0
0Total Beds this Building per Unit 0
Patient Days
Patient Days
Patient Days
Patient Days
Patient Days
Patient Days
Patient Days
Patient Days
Patient Days
Inpatient Beds
Inpatient Beds
Inpatient Beds
Inpatient Beds
Inpatient Beds
Inpatient Beds
Inpatient Beds
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
OSHPD FDD SB499 Report 11/1/2019 6:30 AMData Last Update: 10/30/2019 Submission Date: 10/30/2019 Printed:
120242019 Docs Surgical Hospital Los Angeles Page:11 of 24Report Year:
Provide the number of inpatient beds and patient days per unit for the year of 2013, 2014, and 2015 for buildings to be removed from acute care services per Section 130061(c)(2)(D).
BLD-03234Building Nbr: Building Name: Tower Building Year of Information: 2017
Unit Type
Medical/Surgical (include GYN)
Perinatal (exclude Neborn/GYN)
Pediatric
Intensive Care
Coronary Care
Acute Respiratory Care
Burn
Inpatient Beds
Inpatient Beds
Inpatient Beds
Inpatient Beds
Inpatient Beds
Inpatient Beds
Inpatient Beds
Intensive Care Newborn Nursery
Rehabilitation Center Int. Care/Developmentally Disabled
Intermediate Care
Skilled Nursing
Chemical Dependency
Acute Psychiatric
0
0
0
0
0
0
0
Total Beds this Building per Service
0
Information Current As Of:
Patient Days
0
Patient Days
Patient Days
Patient Days
Patient Days
0
0
0
0Total Beds this Building per Unit 0
Patient Days
Patient Days
Patient Days
Patient Days
Patient Days
Patient Days
Patient Days
Patient Days
Patient Days
Inpatient Beds
Inpatient Beds
Inpatient Beds
Inpatient Beds
Inpatient Beds
Inpatient Beds
Inpatient Beds
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
OSHPD FDD SB499 Report 11/1/2019 6:30 AMData Last Update: 10/30/2019 Submission Date: 10/30/2019 Printed:
120242019 Docs Surgical Hospital Los Angeles Page:12 of 24Report Year:
Provide the number of inpatient beds and patient days per unit for the year of 2013, 2014, and 2015 for buildings to be removed from acute care services per Section 130061(c)(2)(D).
BLD-03234Building Nbr: Building Name: Tower Building Year of Information: 2018
Unit Type
Medical/Surgical (include GYN)
Perinatal (exclude Neborn/GYN)
Pediatric
Intensive Care
Coronary Care
Acute Respiratory Care
Burn
Inpatient Beds
Inpatient Beds
Inpatient Beds
Inpatient Beds
Inpatient Beds
Inpatient Beds
Inpatient Beds
Intensive Care Newborn Nursery
Rehabilitation Center Int. Care/Developmentally Disabled
Intermediate Care
Skilled Nursing
Chemical Dependency
Acute Psychiatric
0
0
0
0
0
0
0
Total Beds this Building per Service
0
Information Current As Of:
Patient Days
0
Patient Days
Patient Days
Patient Days
Patient Days
0
0
0
0Total Beds this Building per Unit 0
Patient Days
Patient Days
Patient Days
Patient Days
Patient Days
Patient Days
Patient Days
Patient Days
Patient Days
Inpatient Beds
Inpatient Beds
Inpatient Beds
Inpatient Beds
Inpatient Beds
Inpatient Beds
Inpatient Beds
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
OSHPD FDD SB499 Report 11/1/2019 6:30 AMData Last Update: 10/30/2019 Submission Date: 10/30/2019 Printed:
120242019 Docs Surgical Hospital Los Angeles Page:13 of 24Report Year:
Provide the number of inpatient beds and patient days per type of service for the year of 2013, 2014, and 2015 for buildings to be removed from acute care services per Section 130061(c)(2)(D).
BLD-03234Building Nbr: Building Name:
Tower Building Year of Information: 2016
Type of Services Provided
Nursing
IntensiveCare
Pediatric/Adolescent
PsychiatricNursing
ObstetricalAnte/Postprtum
IntermediateCare
Skilled Nursing
Inpatient Beds
Inpatient Beds
Inpatient Beds
Inpatient Beds
Inpatient Beds
Inpatient Beds
Inpatient Beds
Surgical
Anesthesia
Administration
Dietetic
Pharmaceutical
Clinical Lab
Radiological/Imaging
Obstetrical Cesarean/Deliv
ObstetricalRecovery
Newborn/WellBaby
Emergency
Nuclear Medicine
Support Services
OutpatientSurgery
Central Plant
RehabilitationTherapy
Renal Dialysis
0
0
0
0
0
0
0
Total Beds this Building per service 0
Information Current As Of:
Patient Days
Patient Days
Patient Days
Patient Days
Patient Days
Patient Days
Patient Days
0
0
0
0
0
0
0
OSHPD FDD SB499 Report 11/1/2019 6:30 AMData Last Update: 10/30/2019 Submission Date: 10/30/2019 Printed:
120242019 Docs Surgical Hospital Los Angeles Page:14 of 24Report Year:
Provide the number of inpatient beds and patient days per type of service for the year of 2013, 2014, and 2015 for buildings to be removed from acute care services per Section 130061(c)(2)(D).
BLD-03234Building Nbr: Building Name:
Tower Building Year of Information: 2017
Type of Services Provided
Nursing
IntensiveCare
Pediatric/Adolescent
PsychiatricNursing
ObstetricalAnte/Postprtum
IntermediateCare
Skilled Nursing
Inpatient Beds
Inpatient Beds
Inpatient Beds
Inpatient Beds
Inpatient Beds
Inpatient Beds
Inpatient Beds
Surgical
Anesthesia
Administration
Dietetic
Pharmaceutical
Clinical Lab
Radiological/Imaging
Obstetrical Cesarean/Deliv
ObstetricalRecovery
Newborn/WellBaby
Emergency
Nuclear Medicine
Support Services
OutpatientSurgery
Central Plant
RehabilitationTherapy
Renal Dialysis
0
0
0
0
0
0
0
Total Beds this Building per service 0
Information Current As Of:
Patient Days
Patient Days
Patient Days
Patient Days
Patient Days
Patient Days
Patient Days
0
0
0
0
0
0
0
OSHPD FDD SB499 Report 11/1/2019 6:30 AMData Last Update: 10/30/2019 Submission Date: 10/30/2019 Printed:
120242019 Docs Surgical Hospital Los Angeles Page:15 of 24Report Year:
Provide the number of inpatient beds and patient days per type of service for the year of 2013, 2014, and 2015 for buildings to be removed from acute care services per Section 130061(c)(2)(D).
BLD-03234Building Nbr: Building Name:
Tower Building Year of Information: 2018
Type of Services Provided
Nursing
IntensiveCare
Pediatric/Adolescent
PsychiatricNursing
ObstetricalAnte/Postprtum
IntermediateCare
Skilled Nursing
Inpatient Beds
Inpatient Beds
Inpatient Beds
Inpatient Beds
Inpatient Beds
Inpatient Beds
Inpatient Beds
Surgical
Anesthesia
Administration
Dietetic
Pharmaceutical
Clinical Lab
Radiological/Imaging
Obstetrical Cesarean/Deliv
ObstetricalRecovery
Newborn/WellBaby
Emergency
Nuclear Medicine
Support Services
OutpatientSurgery
Central Plant
RehabilitationTherapy
Renal Dialysis
0
0
0
0
0
0
0
Total Beds this Building per service 0
X
X
Information Current As Of:
10/30/2019
Patient Days
Patient Days
Patient Days
Patient Days
Patient Days
Patient Days
Patient Days
0
0
0
0
0
0
0
OSHPD FDD SB499 Report 11/1/2019 6:30 AMData Last Update: 10/30/2019 Submission Date: 10/30/2019 Printed:
120242019 Docs Surgical Hospital Los Angeles Page:16 of 24Report Year:
No data reported for 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 11/1/2019 6:30 AMData Last Update: 10/30/2019 Submission Date: 10/30/2019 Printed:
120242019 Docs Surgical Hospital Los Angeles Page:17 of 24Report Year:
Building Number:
Building Name:
Will general acute care services and beds will be relocated to a new, Existing or retrofitted building?
BLD-03234 Tower Building
ClinicalLab N/A
Each hospital owner shall also report for each facility for which any buildings will be removed from active care service, any net change in the number of inpatient beds by type of unit and service per Section 130061(c)(3)
Building Number:
Building Name:
Will general acute care services and beds will be relocated to a new, Existing or retrofitted building?
BLD-03234 Tower Building
Radiological/Imaging N/A
Each hospital owner shall also report for each facility for which any buildings will be removed from active care service, any net change in the number of inpatient beds by type of unit and service per Section 130061(c)(3)
OSHPD FDD SB499 Report 11/1/2019 6:30 AMData Last Update: 10/30/2019 Submission Date: 10/30/2019 Printed:
120242019 Docs Surgical Hospital Los Angeles Page:18 of 24Report Year:
Building Number: Building Name:
Nursing
IntensiveCare
Pediatric/Adolescent
PsychiatricNursing
ObstetricalAnte/Postprtum
IntermediateCare
Skilled Nursing
BLD-03234 Tower 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 general acute care hospital building that is rated SPC-1 per Section 130061(c)(4)
OSHPD FDD SB499 Report 11/1/2019 6:30 AMData Last Update: 10/30/2019 Submission Date: 10/30/2019 Printed:
120242019 Docs Surgical Hospital Los Angeles Page:19 of 24Report Year:
Building Number: Building Name:
Nursing
IntensiveCare
Pediatric/Adolescent
PsychiatricNursing
ObstetricalAnte/Postprtum
IntermediateCare
Skilled Nursing
BLD-05236 Main Hospital - Ogden Building
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
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 11/1/2019 6:30 AMData Last Update: 10/30/2019 Submission Date: 10/30/2019 Printed:
120242019 Docs Surgical Hospital Los Angeles Page:20 of 24Report 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-03234 Tower Building
Remove from GAC service by 1/1/2020Configuration:
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 11/1/2019 6:30 AMData Last Update: 10/30/2019 Submission Date: 10/30/2019 Printed:
120242019 Docs Surgical Hospital Los Angeles Page:21 of 24Report 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-05236 Main Hospital - Ogden Building
N/AConfiguration:
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 11/1/2019 6:30 AMData Last Update: 10/30/2019 Submission Date: 10/30/2019 Printed:
120242019 Docs Surgical Hospital Los Angeles Page:22 of 24Report Year:
No data reported for Section 130061(e)
OSHPD FDD SB499 Report 11/1/2019 6:30 AMData Last Update: 10/30/2019 Submission Date: 10/30/2019 Printed:
120242019 Docs Surgical Hospital Los Angeles Page:23 of 24Report Year: