APPENDICES

Appendix A Data Submission Timeline Appendix B Logs Appendix C Bacterial Pathogens Appendix D Birth Defect Codes for Item 49 Appendix E Surgery Codes for Item 43 Appendix F OSHPD FACILITY CODES Appendix G Calculation Charts for Date of Day 28 Appendix H Calculation Charts for Date of Week 36 (please use new calculator tool) Appendix I Day Number Chart

Appendix J Farenheit to Centrigrade Conversion Table *Appendices G-J was adapted from a log developed by Vermont Oxford Network*

 2014 CPQCC, Stanford University, MSOB, 1265 Welch Road, Stanford, CA 94305. (650) 721-1844

Page 103 of 166 APPENDIX A - DATA SUBMISSION TIMELINE (Please see 2014 Finalization Guidelines for more details) January 1, 2015 Start using new on-line form for infants born in 2015. Centers who submit electronically, start following the 2015 format of the EDS specs. January 8, 2015 Deadline for submitting data to be included in the Fourth Quarter Report for 2014. January 2015 Fourth Quarter Report for 2014 available on-line (www.cpqccdata.org). February 2015 CPQCC/VON Contact Report posted on the www.cpqcc.org site for all participating Database Members. April 1, 2015 Deadline for submitting the following: 1) Submit all data into the CPQCC Database for ALL eligible infants born in 2014 and Still-In-House infants born in 2013. Only the minimum data items need to be submitted for infants that have not yet been discharged. 2) Deadline for submitting ALL Finalization documents. 3) Deadline for submitting 2014 CCS Supplemental Forms and confirming the Draft CCS Report. April 1, 2015 CPQCC Data Center Deadline for completing finalization of all data to be included in the VON Database and the Annual NICU Quality Management Report for 2014. April 8, 2015 Deadline for submitting data to be included in the First Quarter Report for 2015. April 2015 First Quarter Report for 2015 available on-line (www.cpqccdata.org) June 1, 2015 Deadline for submission of the following finalized data: 1) All records for 2014 and prior years are complete and 100% error free to be included in ALL CPQCC, CCS and VON Annual Reports. 2) CCS Final Report finalized and confirmed for completeness and accuracy. Jun 2 – 7, 2015 Deadline to confirm the CCS Final Report for completeness and accuracy. July 8, 2015 Deadline for submitting data to be included in the Second Quarter Report for 2015. July 2015 Second Quarter Report for 2015 available on-line (www.cpqccdata.org) September 2015 Annual NICU Quality Management Report for 2015 available for Centers that completed the 2015 data. October 8, 2015 Deadline for submitting data to be included in the Third Quarter Report for 2015.

October 2015 Third Quarter Report for 2015 available on-line (www.cpqccdata.org) January 8, 2016 Deadline for submitting data to be included in the Fourth Quarter Report for 2015.

 2015 CPQCC, Stanford University, MSOB, 1265 Welch Road, Stanford, CA 94305. (650) 721-1844

APPENDIX B - LOGS

Page 105 of 166 OPTIONAL: CPQCC PENDING ELIGIBILITY LOG 2015 ELIGIBILITY LOGS INCLUDE PROTECTED HEALTH CARE INFORMATION FOR YOUR INTERNAL USE ONLY DO NOT SUBMIT TO CPQCC

Center Number______Center Name______

Patient's Name Birth Date Admit Date Date of Day 28 Eligible at If infant is eligible, (MM/DD/YYYY) (MM/DD/YY) discharge? enter date below and SELECTION CRITERIA: To be eligible, infant MUST answer (Yes/No) enter the infant in the YES to at least one of the following criteria prior to infant Patient Log reaching Day 28 (MM/DD/YY) 401-1500 grams? (Yes/No) Gestational Age Greater than 1500g/31 wks 6/7 between 22/0 days AND MUST answer YES to at and 29/0? least one criteria: Acute Transport (Yes/No) in/out, Surgery, Death, Intubated Assisted Vent >4 continuous hrs., Early Sepsis, Previously discharged home and readmitted for Total Serum Bilirubin of =>25mg/dL and/or exchange transfusion OR Nasal IMV/XIMV (or any other form of non- intubated assisted vent) for >4 continuous hrs.

*This form was adapted from a log developed by Vermont Oxford Network *Submit Items 58-60 for all transported infants when the Post Transfer Disposition is known. **Submit Items 61-62 for all readmitted infants when the Disposition After Readmission is known ***Submit Items 63 and 64 for all infants who were transferred more than once when the Ultimate Disposition is known. ****Submit Item 64 for all infants who were transferred when the Date of Final Discharge or Death is known. CPQCC PATIENT LOG 2015 PATIENT LOGS INCLUDE PROTECTED HEALTH CARE INFORMATION FOR YOUR INTERNAL USE ONLY DO NOT SUBMIT TO CPQCC

Center Number______Center Name______

CPQCC Network Patient's Name Medical Record Birth Date Eligibility: Admission/Discharge Form Date DR Death Form Transport Form ID Number Number (MM/DD/YYYY) A. 401-1500g OR Sent (MM/DD/YYYY) Date Sent Required? (Y/N) B. GA 22/0-31/6 OR (MM/DD/YYY) C. >1500g and one of the following: Death, Surg, Intubated Assisted Vent >4 continuous hrs, Early Sepsis, Acute Transport in/out, Previously discharged home and readmitted for Total Serum Bilirubin of =>25mg/dL and/or exchange transfusion OR Nasal IMV/SIMV (or any other form of non-intubated assisted vent) for >4 continuous hours.

*This form was adapted from a log developed by Vermont Oxford Network CPQCC TRANSPORT LOG 2015 ELIGIBILITY LOGS INCLUDE PROTECTED HEALTH CARE INFORMATION FOR YOUR INTERNAL USE ONLY DO NOT SUBMIT TO CPQCC

Center Number______Center Name______

CPQCC Network Patient's Name Birth Date Transfer Date Transfer Hospital CPQCC Items 58-60 Items 61-62 Items 63-64 Item 64 ID Number (MM/DD/YY) (MM/DD/YY) Name Member? Sent* Sent** Sent*** Sent**** (Yes/No) (MM/DD/YY) (MM/DD/YY) (MM/DD/YY) (MM/DD/YY) Required for Required for all Transfers all Transfers

*This form was adapted from a log developed by Vermont Oxford Network *Submit Items 58-60 for all transported infants when the Post Transfer Disposition is known. **Submit Items 61-62 for all readmitted infants when the Disposition After Readmission is known ***Submit Items 63 and 64 for all infants who were transferred more than once when the Ultimate Disposition is known. ****Submit Item 64 for all infants who were transferred when the Date of Final Discharge or Death is known. APPENDIX C- BACTERIAL PATHOGENS

1. Achromobacter species [including Achromobacter xylosoxidans (also known as Alcaligenes xylosoxidans) and others] 2. Acinetobacter species 3. Aeromonas species 4. Alcaligenes species [Alcaligenes xylosoxidans and others] 5. Bacteroides species 6. Burkholderia species [Burkholderia capecia and others] 7. Campylobacter species [Campylobacter fetus, C. jejuni and others] 8. Chryseobacterium species 9. Citrobacter species [Citrobacter diversus, C. freundii, C. koseri and others] 10. Clostridium species 11. Enterobacter species [Enterobacter aerogenes, E. cloacae, and others] 12. Enterococcus species (Enterococcus faecalis (also known as Streptococcus faecalis), E. faecium, and other Enterococcus species] 13. Escherichia coli 14. Flavobacterium species 15. Haemophilus species [Haemophilus influenzae and others] 16. Klebsiella species [Klebsiella oxytoca, K. pneumoniae and others] 17. Listeria monocytogenes 18. Moraxella species [Moraxella catarrhalis (also known as Branhamella catarrhalis) and others] 19. Neisseria species [Neisseria meningitidis, N. gonorrhoeae and others] 20. Pasteurella species 21. Prevotella species 22. Proteus species [Proteus mirabilis, P. vulgaris and others] 23. Providencia species [Providencia rettgeri, and others] 24. Pseudomonas species [Pseudomonas aeruginosa and others] 25. Ralstonia Species 26. Salmonella species 27. Serratia species [Serratia liquefaciencs, S. marcescens and others] 28. Staphylococcus coagulase positive [aureus] 29. Stenotrophomonas maltophilia 30. Streptococcus species [including Streptococcus Group A, Streptococcus Group B, Streptococcus Group D, Streptococcus pneumoniae, Strep Milleri and other]

Page 109 of 166 APPENDIX D - BIRTH DEFECTS CODES FOR ITEM 49 Code Other Lethal or Life Threatening Birth Defect

100 Other Lethal or Life-Threatening Birth Defect which is not listed below

Code Central Nervous System Defects 150 Other lethal or life threatening CNS Defects (DESCRIBE) 101 Anencephaly 102 Meningomyelocele 103 Hydranencephaly 104 Congenital Hydrocephalus 105 Holoprosencephaly 106 Microcephaly 107 Hypopituitary 108 Septic Optic Dysplasia 109 Encephalocele

Code Congenital Heart Defects 200 Other lethal or life threatening congenital heart defects (DESCRIBE) 201 Truncus Arteriosus 202 Transposition of the Great Vessels 203 Tetralogy of Fallot 204 Single Ventricle 205 Double Outlet Right Ventricle 206 Complete Atrio-Ventricular Canal 207 Pulmonary Atresia with intact ventircal septum 208 Tricuspid Atresia 209 Hypoplastic Left Heart Syndrome 210 Interrupted Aortic Arch 211 Total Anomalous Pulmonary Venous Return 212 Coarctation of the Aorta 213 Atrial septal defect (ASD) 214 Ventricular septal defect (VSD) 215 Arrythmias 216 Ebsteins Anomaly 217 Pericardial Effusion 218 Pulmonary Stenosis 219 Hypertrophic Cardiomyopathy 220 Penatalogy of Cantrell (Thoraco-Abdominal Ectopia Cordis)

Code Gastro-Intestinal Defects 300 Other lethal or life threatening GI Defects (DESCRIBE) 301 Cleft Palate 302 Tracheo-Esophageal Fistula 303 Esophageal Atresia 304 Duodenal Atresia 305 Jejunal Atresia

Page 110 of 166 306 Ileal Atresia 307 Atresia of Large Bowel or Rectum 308 Imperforate Anus 309 Omphalocele 310 Gastroschisis 311 Pyloric Stenosis 312 Annular Pancreas 313 Biliary Atresia 314 Meconium Ilius 315 Malrotation Volvulus 316 Hirschsprung’s Disease

Code Genito-Urinary Defects 401 Bilateral Renal Agenesis 402 Bilateral Polycystic, Multicystic, or Dysplastic Kidneys 403 Obstructive Uropathy with Congenital Hydronephrosis 404 Exstrophy of the Urinary Bladder 400 Other Lethal or Life Threatening Genito-Urinary defects not listed above (DESCRIBE)

Code Chromosomal Abnormalities 501 Trisomy 13 502 Trisomy 18 503 Trisomy 21 504 Other Chromosomal Abnormality (DESCRIBE) 505 Triploidy

Code Other Birth Defects 601 Skeletal Dysplasia (DESCRIBE) 602 Congenital Diaphragmatic Hernia 603 Hydrops Fetalis with anasarca and one or more of the following: ascites, pleural effusion pericardial effusion 604 Oligohydramnios sequence including all 3 of the following: 1. Oligohydramnios documented by antenatal ultrasound 5 or more days prior to delivery. 2. Evidence of fetal constraint on postnatal physical exam (such as Potter's facies, contractures, or positional deformities of limbs), and 3. Postnatal respiratory failure requiring endotracheal intubation and assisted ventilation. 605 Inborn Error of Metabolism (DESCRIBE) 606 Myotonic Dystrophy requiring endotracheal intubation and assisted ventilation. 607 Conjoined Twins 608 Trachael Agenesis or Atresia 609 Thanatophoric Dysplasia Types 1 and 2 610 Hemoglobin Barts

Code Pulmonary Defects 800 Other Lethal or Life Threatening Pulmonary Malformation

Page 111 of 166 (DESCRIBE)

802 Congenital Cystic Adenomatoid Malformation of the Lung

Code Vascular and Lymphatic Defects

901 Cystic Hygroma 902 Hemangioma

Code Other Diagnoses

121 Hematologic 122 Hemolytic Disease of the Newborn (Not ABO)

The following conditions should NOT be coded as Major Birth Defects Extreme Prematurity, Limb Abnormalities, Syndactyly, Polydactyly, Hypospadias, Patent Ductus Arteriosus, Pulmonary Hypoplasia (use code 401 for bilateral renal agenesis, or 604 for Oligohydramnios Sequence, if applicable), Intrauterine Growth Retardation, Small Size for Gestational Age, Fetal Alcohol Syndrome, Hypothyroidism, Intrauterine Infection, Persistent Pulmonary Hypertension (PPHN)

Page 112 of 166 APPENDIX E- SURGERY CODES FOR ITEM 43 *** New Codes. There are no new codes for 2015 ** Revised Codes. There are no revised codes for 2015 * Discontinued Codes. There are no discontinued codes for 2015

Head and Neck

S101 Tracheostomy S102 Cricoid split S103 Ophthalmologic surgery OTHER than laser or cryosurgery for ROP

Note: Record ROP surgery in item 42c. Do not record ROP surgery as ‘Other Surgery’

S104 Cleft lip or palate repair S105 Branchial cleft sinus excision S106 Thyroglossal duct excision S107 Palliative or definitive repair of choanal atresia S108 Mandibular (jaw) distraction S109 Craniotomy S100 Other head and neck surgery requiring general or spinal Anesthesia (description required)

Thorax

S201 Tracheal Resection S202 Aortopexy S203 Tracheoesophageal atresia and/or fistula repair S204 Thorascoscopy (with or without pleuridesis/pleurectomy) S205 Thoracotomy (with or without pleural or lung biopsy) S206 Thoractomy (or thoracoscopy) with pneumonectomy, lobectomy or partial lobectomy S207 Resection of pulmonary sequestration (intrathoracic or extrathoracic) S208 Resection of mediastinal mass S209 Resection of chest wall S210 Bronchoscopy (with or without biopsy) S211 Esophagoscopy (with or without biopsy) S212 Surgery for Congenital Cystic Adenomatoid Malformation of the Lung S213 Lung Transplant S214 Sternal closure S200 Other thoracic surgery requiring general or spinal anesthesia (description required)

Abdominal and Gastro – Intestinal

Note: Record all applicable codes even if item 40b, NEC surgery, has already

been checked, “Yes”

Note: The code for Inguinal Hernia is S410 (see Genitourinary section)

S301 Rectal biopsy with or without anoscopy S302 Laparoscopy (diagnostic, with/without biopsy) S303 Laparotomy (diagnostic or exploratory, with/without biopsy) S304 Fundoplication S305 Pyloromyotomy S306 Pyloroplasty S307 Jejunostomy, ileostomy, enterostomy, colostomy for intestinal diversion (with or without bowel resection, with or without fistula creation) S308 Small bowel resection with or without primary anastomosis S309 Large bowel resection S310 Duodenal Atresia/stenosis/web repair S311 Jejunal, ileal, or colonic atresia repair (or repair of multiple intestinal atresias) S312 Excision of Meckel’s diverticulum S313 Drainage of intra-abdominal abscess (not as primary treatment for NEC, see code S 333) S314 Surgery for meconium ileus S315 Excision of omphalomesenteric duct or duct remnant S316 Gastroschisis repair (primary or staged) S317 Omphalocele repair (primary or staged) S318 Lysis of adhesions S319 Repair of imperforate anus (with or without vaginal, urethral, or vesicle fistula) S320 Pull through for Hirschsprung’s disease (any technique) S321 Pancreatectomy (partial, near total or total) S322 Splenectomy or splenorrhaphy (partial or complete) S323 Resection of retroperitoneal tumor S324 Resection of sacrococcygeal tumor S325 Repair of diaphragmatic hernia S326 Plication of the diaphragm S327 Gastrostomy/jeunostomy tube S328 Upper endoscopy (stomach or duodenum, with or without biopsy) S329 Colonoscopy/sigmoidoscopy (with or without biopsy) S330 Takedown of ostomy and/or reanastomosis of bowel (small or large bowel) S331 Ladd’s or other procedure for correction of malrotation S332 Appendectomy S333 Primary peritoneal drainage for NEC, suspected NEC, or intestinal perforation (If infant subsequently has other applicable surgical procedures, code those also.) S334 Anoplasty S335 Kasai procedure S336 Liver biopsy done during laparotomy or laparoscopy (includes wedge or needle techniques) S337 Umbilical hernia repair S300 Other abdominal surgery requiring general or spinal anesthesia (description required)

Genitourinary

S401 Cystoscopy (diagnostic, with or without biopsy) S402 Adrenalectomy S403 Nephrectomy S404 Nephrostomy S405 Urteterostomy S406 Resection of urachal cyst S407 Cystostomy S408 Closure of bladder exstrophy S409 Resection of posterior urethral valves S410 Inguinal hernia repair S411 Orchidopexy S412 Orchiectomy S413 Drainage or removal of ovarian cyst S414 Oopherectomy (partial or complete) S416 Pyeloplasty S417 Renal Transplant S400 Other genitourinary surgery requiring general or spinal anesthesia (description required)

Open Heart or Vascular Procedures

Note: PDA ligation is recorded in 39c. Do not record PDA Ligation as ‘Other Surgery’. If PDA is ligated as a component of the repair or palliation of congenital heart disease use code S504

S501 Vascular Ring division S502 Repair of coarctation of the aorta S503 Repair of major vascular injury S504 Repair or palliation of congenital heart disease S505 Heart transplant S506 Implanted pacemaker (permanent – do not use code for temporary pacemakers) S500 Other open heart or vascular surgery requiring general or spinal anesthesia (description required)

Diagnostic or interventional cardiac catheterization

S601 Diagnostic cardiac catheterization S602 Interventional catheterization with balloon septostomy S603 Interventional catheterization with aortic valvuloplasty S604 Interventional catheterization with pulmonary valvuloplasty

S600 Other interventional catheterization whether or not anesthesia was required (description required) NOTE: Record procedures for other cardiac catheterization (S600) whether or not the infant received general or regional anesthesia.

Skin and Soft Tissue

S700 Skin or soft tissue surgery requiring general or spinal anesthesia (description required)

Musculoskeletal System

S800 Other musculoskeletal surgery requiring general or spinal anesthesia (description required)

Central Nervous System

S901 Ventriculoperitoneal or other ventricular shunt S902 External ventricular drain S903 Ventricular drain with reservoir placement or removal S904 Meningocele or Myelomeningocele repair S905 Encephalocele repair S900 Other central nervous system surgery requiring general or spinal anesthesia (description required)

Fetal Surgery (record if fetal surgery was done at your hospital or another hospital)

S1000 Fetal surgery at your hospital (description and location required)

Conjoined Twins

S1101 Separation of conjoined twins

OSHPD FACILITY CODES --- Sorted by Hospital (JAN 2015) CPQCC Centers Indicated in Bold Italics OSHPD # HOSPITAL NAME CITY COUNTY 700564 30TH MEDICAL GROUP HOSPITAL 700597 60TH MEDICAL GROUP HOSPITAL 700431 722ND MEDICAL GROUP 700103 95TH MEDICAL GROUP - EDWARDS AIR FORCE BASE 164029 ADVENTIST MEDICAL CENTER HANFORD KINGS 100797 ADVENTIST MEDICAL CENTER - REEDLEY REEDLEY FRESNO 100793 ADVENTIST MEDICAL CENTER-SELMA SELMA FRESNO 010735 ALAMEDA HOSPITAL ALAMEDA ALAMEDA 010989 ALAMEDA HOSPITAL AT WATERS EDGE ALAMEDA ALAMEDA 010956 ALAMEDA HOSPITAL-SOUTH SHORE CONVALESCENT ALAMEDA ALAMEDA HOSPITAL 190017 ALHAMBRA HOSPITAL MEDICAL CENTER ALHAMBRA LOS ANGELES 010844 ALTA BATES SUMMIT MED CTR-HERRICK CAMPUS BERKELEY ALAMEDA 010937 ALTA BATES SUMMIT MED CTR-SUMMIT CAMPUS- OAKLAND ALAMEDA HAWTHORNE 013626 ALTA BATES SUMMIT MED CTR-SUMMIT CAMPUS-SUMMIT OAKLAND ALAMEDA 010739 ALTA BATES SUMMIT MEDICAL CENTER BERKELEY ALAMEDA 370652 ALVARADO HOSPITAL MEDICAL CENTER SAN DIEGO SAN DIEGO 374063 ALVARADO HOSPITAL MEDICAL CENTER SAN DIEGO SAN DIEGO 370749 ALVARADO PARKWAY INSTITUTE B.H.S. LA MESA SAN DIEGO 194010 AMERICAN RECOVERY CENTER POMONA LOS ANGELES 301097 ANAHEIM GENERAL HOSPITAL ANAHEIM ORANGE 301109 ANAHEIM GENERAL HOSPITAL - BUENA PARK CAMPUS BUENA PARK ORANGE 301098 ANAHEIM REGIONAL MEDICAL CENTER ANAHEIM ORANGE 190034 ANTELOPE VALLEY HOSPITAL LANCASTER LOS ANGELES 364231 ARROWHEAD REGIONAL MEDICAL CENTER COLTON SAN BERNARDINO 400683 ATASCADERO STATE HOSPITAL ATASCADERO SAN LUIS OBISPO 494048 AURORA BEHAVIORAL HEALTHCARE-SANTA ROSA, LLC SANTA ROSA SONOMA 190163 AURORA CHARTER OAK COVINA LOS ANGELES 190462 AURORA LAS ENCINAS HOSPITAL PASADENA LOS ANGELES 374024 AURORA SAN DIEGO SAN DIEGO SAN DIEGO 560203 AURORA VISTA DEL MAR HOSPITAL VENTURA VENTURA 154101 BAKERSFIELD HEART HOSPITAL BAKERSFIELD KERN 150722 BAKERSFIELD MEMORIAL HOSPITAL BAKERSFIELD KERN 364121 BALLARD REHABILITATION HOSP SAN BERNARDINO SAN BERNARDINO 184008 BANNER LASSEN MEDICAL CENTER SUSANVILLE LASSEN 190052 BARLOW RESPIRATORY HOSPITAL LOS ANGELES LOS ANGELES 364430 BARSTOW COMMUNITY HOSPITAL BARSTOW SAN BERNARDINO 090793 BARTON MEMORIAL HOSPITAL SOUTH LAKE TAHOE EL DORADO 361110 BEAR VALLEY COMMUNITY HOSPITAL BIG BEAR LAKE SAN BERNARDINO 190066 BELLFLOWER MEDICAL CENTER BELLFLOWER LOS ANGELES 194044 BELLWOOD HEALTH CENTER BELLFLOWER LOS ANGELES 330120 BETTY FORD CENTER AT EISENHOWER, THE RANCHO MIRAGE RIVERSIDE Page 1 of 14 OSHPD FACILITY CODES --- Sorted by Hospital (JAN 2015) CPQCC Centers Indicated in Bold Italics OSHPD # HOSPITAL NAME CITY COUNTY 190081 BEVERLY HOSPITAL MONTEBELLO LOS ANGELES 190020 BHC ALHAMBRA HOSPITAL ROSEMEAD LOS ANGELES 040802 BIGGS GRIDLEY MEMORIAL HOSPITAL GRIDLEY BUTTE 413500 BURLINGAME HEALTH CARE CENTER D/P SNF BURLINGAME SAN MATEO 044006 BUTTE COUNTY MENTAL HEALTH SERVICES CHICO BUTTE 890096 CALIFORNIA - CLINIC 890097 CALIFORNIA - EMERGENCY ROOM 890000 CALIFORNIA - HOME BIRTH 890095 CALIFORNIA - MD OFFICE 890099 CALIFORNIA - OTHER IN/PATIENT SETTING 890094 CALIFORNIA - OTHER OUT/PATIENT SETTING 190125 CALIFORNIA HOSPITAL MEDICAL CENTER - LOS ANGELES LOS ANGELES LOS ANGELES 380826 CALIFORNIA PACIFIC MED CTR-CALIFORNIA EAST SAN FRANCISCO SAN FRANCISCO 380933 CALIFORNIA PACIFIC MED CTR-DAVIES CAMPUS SAN FRANCISCO SAN FRANCISCO 380929 CALIFORNIA PACIFIC MED CTR-PACIFIC CAMPUS SAN FRANCISCO SAN FRANCISCO 380964 CALIFORNIA PACIFIC MEDICAL CENTER - ST. LUKE'S CAMPUS SAN FRANCISCO SAN FRANCISCO

380777 CALIFORNIA PACIFIC MEDICAL CENTER (CPMC) SAN FRANCISCO SAN FRANCISCO 364050 CANYON RIDGE HOSPITAL CHINO SAN BERNARDINO 190137 CASA COLINA HOSPITAL FOR REHAB MEDICINE POMONA LOS ANGELES 190045 CATALINA ISLAND MEDICAL CENTER AVALON LOS ANGELES 190555 CEDARS-SINAI MEDICAL CENTER LOS ANGELES LOS ANGELES 190148 CENTINELA HOSPITAL MEDICAL CENTER INGLEWOOD LOS ANGELES 160787 CENTRAL VALLEY GENERAL HOSPITAL HANFORD KINGS 500954 CENTRAL VALLEY SPECIALTY HOSPITAL MODESTO STANISLAUS 190155 CENTURY CITY DOCTORS HOSPITAL LOS ANGELES LOS ANGELES 301140 CHAPMAN MEDICAL CENTER ORANGE ORANGE 010776 CHILDREN’S HOSPITAL & RESEARCH CENTER - OAKLAND OAKLAND ALAMEDA 100899 CHILDREN’S HOSPITAL CENTRAL CALIFORNIA- ST. AGNES FRESNO FRESNO HOSPITAL (CHCC) 204019 CHILDREN’S HOSPITAL CENTRAL CALIFORNIA, (CHCC) MADERA MADERA 190170 CHILDREN’S HOSPITAL LOS ANGELES LOS ANGELES LOS ANGELES 300032 CHILDREN’S HOSPITAL OF ORANGE COUNTY (CHOC ) ORANGE ORANGE 304113 CHILDREN’S HOSPITAL OF ORANGE COUNTY (CHOC) AT MISSION VIEJO ORANGE MISSION HOSPITAL 434051 CHILDRENS RECOVERY CENTER OF NORTHERN CALIFORNIA CAMPBELL SANTA CLARA 382715 CHINESE HOSPITAL SAN FRANCISCO SAN FRANCISCO 361144 CHINO VALLEY MEDICAL CENTER CHINO SAN BERNARDINO 190636 CITRUS VALLEY MEDICAL CENTER WEST COVINA LOS ANGELES 190413 CITRUS VALLEY MEDICAL CENTER - IC CAMPUS COVINA LOS ANGELES 190176 CITY OF HOPE HELFORD CLINICAL RESEARCH HOSPITAL DUARTE LOS ANGELES 100005 CLOVIS COMMUNITY MEDICAL CENTER CLOVIS FRESNO 100697 COALINGA REGIONAL MEDICAL CENTER COALINGA FRESNO Page 2 of 14 OSHPD FACILITY CODES --- Sorted by Hospital (JAN 2015) CPQCC Centers Indicated in Bold Italics OSHPD # HOSPITAL NAME CITY COUNTY 190766 COAST PLAZA HOSPITAL NORWALK LOS ANGELES 301258 COASTAL COMMUNITIES HOSPITAL SANTA ANA ORANGE 190184 COLLEGE HOSPITAL CERRITOS LOS ANGELES 301155 COLLEGE HOSPITAL COSTA MESA COSTA MESA ORANGE 190587 COLLEGE MEDICAL CENTER LONG BEACH LOS ANGELES 190477 COLLEGE MEDICAL CENTER SOUTH CAMPUS D/P APH LONG BEACH LOS ANGELES 361458 COLORADO RIVER MEDICAL CENTER NEEDLES SAN BERNARDINO 060870 COLUSA REGIONAL MEDICAL CENTER COLUSA COLUSA 104008 COMMUNITY BEHAVIORAL HEALTH CENTER FRESNO FRESNO 190475 COMMUNITY HOSPITAL LONG BEACH LONG BEACH LOS ANGELES 190197 COMMUNITY HOSPITAL OF HUNTINGTON PARK HUNTINGTON PARK LOS ANGELES 361323 COMMUNITY HOSPITAL OF SAN BERNARDINO SAN BERNARDINO SAN BERNARDINO 270744 COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA MONTEREY MONTEREY 560473 COMMUNITY MEMORIAL HOSPITAL OF VENTURA VENTURA VENTURA 100717 COMMUNITY REGIONAL MEDICAL CENTER (CRMC) FRESNO FRESNO 100718 COMMUNITY SUBACUTE AND TRANSITIONAL CARE CENTER FRESNO FRESNO 070924 CONTRA COSTA REGIONAL MEDICAL CENTER MARTINEZ CONTRA COSTA 331145 CORONA REGIONAL MEDICAL CENTER-MAGNOLIA CORONA RIVERSIDE 331152 CORONA REGIONAL MEDICAL CENTER-MAIN CORONA RIVERSIDE 420514 COTTAGE HOSPITAL, SANTA BARBARA SANTA BARBARA SANTA BARBARA 424047 COTTAGE REHABILITATION HOSPITAL SANTA BARBARA SANTA BARBARA 154160 CRESTWOOD PSYCHIATRIC HEALTH FACILITY 2 BAKERSFIELD KERN 344170 CRESTWOOD PSYCHIATRIC HEALTH FACILITY-CARMICHAEL CARMICHAEL SACRAMENTO 104089 CRESTWOOD PSYCHIATRIC HEALTH FACILITY-FRESNO FRESNO FRESNO 344188 CRESTWOOD PSYCHIATRIC HEALTH FACILITY-SACRAMENTO SACRAMENTO SACRAMENTO 434220 CRESTWOOD PSYCHIATRIC HEALTH FACILITY-SAN JOSE SAN JOSE SANTA CLARA 484062 CRESTWOOD SOLANO PSYCHIATRIC HEALTH FACILITY VALLEJO SOLANO 390846 DAMERON HOSPITAL ASSOCIATION (DHA) STOCKTON SAN JOAQUIN 190232 DEL AMO HOSPITAL TORRANCE LOS ANGELES 150706 DELANO REGIONAL MEDICAL CENTER DELANO KERN 105051 DEPARTMENT OF STATE HOSPITAL - COALINGA COALINGA FRESNO 190958 DEPARTMENT OF STATE HOSPITAL-METROPOLITAN NORWALK LOS ANGELES 331164 DESERT REGIONAL MEDICAL CENTER PALM SPRINGS RIVERSIDE 364144 DESERT VALLEY HOSPITAL VICTORVILLE SAN BERNARDINO 392287 DOCTORS HOSPITAL OF MANTECA MANTECA SAN JOAQUIN 190857 DOCTORS HOSPITAL OF WEST COVINA, INC WEST COVINA LOS ANGELES 070904 DOCTORS MEDICAL CENTER - SAN PABLO SAN PABLO CONTRA COSTA 500852 DOCTORS MEDICAL CENTER OF MODESTO MODESTO STANISLAUS 501016 DOCTORS MEDICAL CENTER-BEHAVIORAL HEALTH MODESTO STANISLAUS DEPARTMENT 440755 DOMINICAN HOSPITAL SANTA CRUZ SANTA CRUZ 190256 EAST LOS ANGELES DOCTORS HOSPITAL LOS ANGELES LOS ANGELES 462284 EASTERN PLUMAS HOSPITAL-LOYALTON CAMPUS D/P SNF LOYALTON SIERRA Page 3 of 14 OSHPD FACILITY CODES --- Sorted by Hospital (JAN 2015) CPQCC Centers Indicated in Bold Italics OSHPD # HOSPITAL NAME CITY COUNTY 320859 EASTERN PLUMAS HOSPITAL-PORTOLA CAMPUS PORTOLA PLUMAS 014233 EDEN MEDICAL CENTER CASTRO VALLEY ALAMEDA 374497 EDGEMOOR GERIATRIC HOSPITAL SANTEE SAN DIEGO 331168 EISENHOWER MEDICAL CENTER RANCHO MIRAGE RIVERSIDE 430763 EL CAMINO HOSPITAL MOUNTAIN VIEW SANTA CLARA 430743 EL CAMINO HOSPITAL LOS GATOS LOS GATOS SANTA CLARA 130699 EL CENTRO REGIONAL MEDICAL CENTER EL CENTRO IMPERIAL 094002 EL DORADO COUNTY P H F PLACERVILLE EL DORADO 500867 EMANUEL MEDICAL CENTER TURLOCK STANISLAUS 190280 ENCINO HOSPITAL MEDICAL CENTER ENCINO LOS ANGELES 040828 ENLOE MEDICAL CENTER - COHASSET CHICO BUTTE 040962 ENLOE MEDICAL CENTER- ESPLANADE CHICO BUTTE 044011 ENLOE REHABILITATION CENTER CHICO BUTTE 197931 EXODUS RECOVERY P.H.F. CULVER CITY LOS ANGELES 474007 FAIRCHILD MEDICAL CENTER YREKA SISKIYOU 010811 FAIRMONT HOSPITAL SAN LEANDRO ALAMEDA 301781 FAIRVIEW DEVELOPMENTAL CENTER COSTA MESA ORANGE 370704 FALLBROOK HOSP DISTRICT SKILLED NURSING FACILITY FALLBROOK SAN DIEGO 370705 FALLBROOK HOSPITAL DISTRICT FALLBROOK SAN DIEGO 040875 FEATHER RIVER HOSPITAL PARADISE BUTTE 190298 FOOTHILL PRESBYTERIAN HOSPITAL-JOHNSTON MEMORIAL GLENDORA LOS ANGELES 301175 FOUNTAIN VALLEY REGIONAL HOSPITAL & MEDICAL FOUNTAIN VALLEY ORANGE CENTER 304039 FOUNTAIN VALLEY RGNL HOSP AND MED CTR - WARNER FOUNTAIN VALLEY ORANGE 230949 FRANK R HOWARD MEMORIAL HOSPITAL WILLITS MENDOCINO 014034 FREMONT HOSPITAL FREMONT ALAMEDA 510882 FREMONT MEDICAL CENTER YUBA CITY SUTTER 400480 FRENCH HOSPITAL MEDICAL CENTER SAN LUIS OBISPO SAN LUIS OBISPO 105029 FRESNO HEART AND SURGICAL HOSPITAL FRESNO FRESNO 104047 FRESNO SURGICAL HOSPITAL FRESNO FRESNO 301283 GARDEN GROVE HOSPITAL AND MEDICAL CENTER GARDEN GROVE ORANGE 190159 GARDENS REGIONAL HOSPITAL AND MEDICAL CENTER HAWAIIAN GARDENS LOS ANGELES 190315 GARFIELD MEDICAL CENTER MONTEREY PARK LOS ANGELES 190317 GATEWAYS HOSPITAL AND MENTAL HEALTH CENTER LOS ANGELES LOS ANGELES 120981 GENERAL HOSPITAL, THE EUREKA HUMBOLDT 270777 GEORGE L MEE MEMORIAL HOSPITAL KING CITY MONTEREY 190323 GLENDALE ADVENTIST MEDICAL CENTER GLENDALE LOS ANGELES 190522 GLENDALE MEMORIAL HOSPITAL AND HEALTH CENTER GLENDALE LOS ANGELES 190328 GLENDORA COMMUNITY HOSPITAL GLENDORA LOS ANGELES 110889 GLENN MEDICAL CENTER WILLOWS GLENN 420483 GOLETA VALLEY COTTAGE HOSPITAL SANTA BARBARA SANTA BARBARA 430779 GOOD SAMARITAN HOSPITAL (HCA), SAN JOSE SAN JOSE SANTA CLARA 150775 GOOD SAMARITAN HOSPITAL-BAKERSFIELD BAKERSFIELD KERN Page 4 of 14 OSHPD FACILITY CODES --- Sorted by Hospital (JAN 2015) CPQCC Centers Indicated in Bold Italics OSHPD # HOSPITAL NAME CITY COUNTY 154044 GOOD SAMARITAN HOSPITAL-SOUTHWEST D/P APH BAKERSFIELD KERN 190392 GOOD SAMARITAN HOSPITAL, LOS ANGELES LOS ANGELES LOS ANGELES 190352 GREATER EL MONTE COMMUNITY HOSPITAL SOUTH EL MONTE LOS ANGELES 191227 HARBOR UCLA MEDICAL CENTER TORRANCE LOS ANGELES 350784 HAZEL HAWKINS MEMORIAL HOSPITAL HOLLISTER SAN BENITO 351814 HAZEL HAWKINS MEMORIAL HOSPITAL D/P SNF HOLLISTER SAN BENITO 490964 HEALDSBURG DISTRICT HOSPITAL HEALDSBURG SONOMA 304159 HEALTHBRIDGE CHILDREN'S HOSPITAL-ORANGE ORANGE ORANGE 154022 HEALTHSOUTH BAKERSFIELD REHABILITATION HOSPITAL BAKERSFIELD KERN 304079 HEALTHSOUTH TUSTIN REHABILITATION HOSPITAL TUSTIN ORANGE 334032 HEMET VALLEY HEALTH CARE CENTER HEMET RIVERSIDE 331194 HEMET VALLEY MEDICAL CENTER HEMET RIVERSIDE 190949 HENRY MAYO NEWHALL MEMORIAL HOSPITAL VALENCIA LOS ANGELES 344021 HERITAGE OAKS HOSPITAL SACRAMENTO SACRAMENTO 362041 HI-DESERT MEDICAL CENTER JOSHUA TREE SAN BERNARDINO 010846 HIGHLAND HOSPITAL OAKLAND ALAMEDA 304045 HOAG HOSPITAL IRVINE IRVINE ORANGE 301205 HOAG MEMORIAL HOSPITAL, PRESBYTERIAN NEWPORT BEACH ORANGE 304460 HOAG ORTHOPEDIC INSTITUTE IRVINE ORANGE 190382 HOLLYWOOD PRESBYTERIAN MEDICAL CENTER LOS ANGELES LOS ANGELES 301209 HUNTINGTON BEACH HOSPITAL HUNTINGTON BEACH ORANGE 190400 HUNTINGTON MEMORIAL HOSPITAL PASADENA LOS ANGELES 121031 JEROLD PHELPS COMMUNITY HOSPITAL GARBERVILLE HUMBOLDT 380842 JEWISH HOME SAN FRANCISCO SAN FRANCISCO 220733 JOHN C FREMONT HEALTHCARE DISTRICT MARIPOSA MARIPOSA 331216 JOHN F KENNEDY MEMORIAL HOSPITAL INDIO RIVERSIDE 074039 JOHN MUIR BEHAVIORAL HEALTH CENTER CONCORD CONTRA COSTA 070988 JOHN MUIR HEALTH, WALNUT CREEK CAMPUS WALNUT CREEK CONTRA COSTA 071018 JOHN MUIR MEDICAL CENTER-CONCORD CAMPUS CONCORD CONTRA COSTA 196404 JOYCE EISENBERG KEEFER MEDICAL CENTER RESEDA LOS ANGELES 074097 KAISER FND HOSP - ANTIOCH ANTIOCH CONTRA COSTA 196035 KAISER FND HOSP - BALDWIN PARK BALDWIN PARK LOS ANGELES 196403 KAISER FND HOSP - DOWNEY DOWNEY LOS ANGELES 361223 KAISER FND HOSP - FONTANA FONTANA SAN BERNARDINO 014132 KAISER FND HOSP - FREMONT FREMONT ALAMEDA 104062 KAISER FND HOSP - FRESNO FRESNO FRESNO 394009 KAISER FND HOSP - MANTECA MANTECA SAN JOAQUIN 190646 KAISER FND HOSP - MENTAL HEALTH CENTER LOS ANGELES LOS ANGELES 504042 KAISER FND HOSP - MODESTO MODESTO STANISLAUS 334048 KAISER FND HOSP - MORENO VALLEY MORENO VALLEY RIVERSIDE 364265 KAISER FND HOSP - ONTARIO ONTARIO SAN BERNARDINO 304409 KAISER FND HOSP - ORANGE COUNTY - ANAHEIM ANAHEIM ORANGE 304306 KAISER FND HOSP - ORANGE COUNTY - IRVINE IRVINE ORANGE Page 5 of 14 OSHPD FACILITY CODES --- Sorted by Hospital (JAN 2015) CPQCC Centers Indicated in Bold Italics OSHPD # HOSPITAL NAME CITY COUNTY 301132 KAISER FND HOSP - ORANGE COUNTY - LAKEVIEW ANAHEIM ORANGE 190432 KAISER FND HOSP - PANORAMA CITY PANORAMA CITY LOS ANGELES 410804 KAISER FND HOSP - REDWOOD CITY REDWOOD CITY SAN MATEO 480989 KAISER FND HOSP - REHABILITATION CENTER VALLEJO VALLEJO SOLANO 074093 KAISER FND HOSP - RICHMOND CAMPUS RICHMOND CONTRA COSTA 334025 KAISER FND HOSP - RIVERSIDE RIVERSIDE RIVERSIDE 340913 KAISER FND HOSP - SACRAMENTO SACRAMENTO SACRAMENTO 370730 KAISER FND HOSP - SAN DIEGO SAN DIEGO SAN DIEGO 431506 KAISER FND HOSP - SAN JOSE SAN JOSE SANTA CLARA 210992 KAISER FND HOSP - SAN RAFAEL SAN RAFAEL MARIN 494019 KAISER FND HOSP - SANTA ROSA SANTA ROSA SONOMA 190431 KAISER FND HOSP - SOUTH BAY HARBOR CITY LOS ANGELES 342344 KAISER FND HOSP - SOUTH SACRAMENTO SACRAMENTO SACRAMENTO 410806 KAISER FND HOSP - SOUTH SAN FRANCISCO SOUTH SAN FRANCISCO SAN MATEO 190429 KAISER FND HOSP - SUNSET/LOS ANGELES LOS ANGELES LOS ANGELES 484044 KAISER FND HOSP - VACAVILLE VACAVILLE SOLANO 190434 KAISER FND HOSP - WEST LOS ANGELES LOS ANGELES LOS ANGELES 191450 KAISER FND HOSP - WOODLAND HILLS WOODLAND HILLS LOS ANGELES 014326 KAISER PERMANENTE - OAKLAND OAKLAND ALAMEDA 314024 KAISER PERMANENTE - ROSEVILLE ROSEVILLE PLACER 380857 KAISER PERMANENTE - SAN FRANCISCO SAN FRANCISCO SAN FRANCISCO 014337 KAISER PERMANENTE - SAN LEANDRO SAN LEANDRO ALAMEDA 434153 KAISER PERMANENTE - SANTA CLARA SANTA CLARA SANTA CLARA 070990 KAISER PERMANENTE - WALNUT CREEK WALNUT CREEK CONTRA COSTA 434218 KAISER PERMANENTE P.H.F - SANTA CLARA SANTA CLARA SANTA CLARA 544009 KAWEAH DELTA MENTAL HEALTH HOSPITAL D/P APH VISALIA TULARE 540734 KAWEAH DELTA HEALTHCARE DISTRICT VISALIA TULARE 544075 KAWEAH DELTA REHABILITATION HOSPITAL VISALIA TULARE 540827 KAWEAH DELTA SKILLED NURSING FACILITY VISALIA TULARE 194219 KECK HOSPITAL OF USC LOS ANGELES LOS ANGELES 190150 KEDREN COMMUNITY MENTAL HEALTH CENTER LOS ANGELES LOS ANGELES 210993 KENTFIELD REHABILITATION & SPECIALTY HOSPITAL KENTFIELD MARIN 150736 KERN MEDICAL CENTER BAKERSFIELD KERN 150737 KERN VALLEY HEALTHCARE DISTRICT LAKE ISABELLA KERN 190449 KINDRED HOSPITAL - LA MIRADA LA MIRADA LOS ANGELES 190305 KINDRED HOSPITAL - LOS ANGELES LOS ANGELES LOS ANGELES 370721 KINDRED HOSPITAL - SAN DIEGO SAN DIEGO SAN DIEGO 010887 KINDRED HOSPITAL - SAN FRANCISCO BAY AREA SAN LEANDRO ALAMEDA 190458 KINDRED HOSPITAL - SAN GABRIEL VALLEY WEST COVINA LOS ANGELES 301167 KINDRED HOSPITAL - SANTA ANA SANTA ANA ORANGE 190049 KINDRED HOSPITAL BALDWIN PARK BALDWIN PARK LOS ANGELES 301127 KINDRED HOSPITAL BREA BREA ORANGE 361274 KINDRED HOSPITAL ONTARIO ONTARIO SAN BERNARDINO Page 6 of 14 OSHPD FACILITY CODES --- Sorted by Hospital (JAN 2015) CPQCC Centers Indicated in Bold Italics OSHPD # HOSPITAL NAME CITY COUNTY 364188 KINDRED HOSPITAL RANCHO RANCHO CUCAMONGA SAN BERNARDINO 332172 KINDRED HOSPITAL RIVERSIDE PERRIS RIVERSIDE 190196 KINDRED HOSPITAL SOUTH BAY GARDENA LOS ANGELES 301380 KINDRED HOSPITAL WESTMINSTER WESTMINSTER ORANGE 194981 LA CASA PSYCHIATRIC HEALTH FACILITY LONG BEACH LOS ANGELES 301234 LA PALMA INTERCOMMUNITY HOSPITAL LA PALMA ORANGE 191306 LAC/RANCHO LOS AMIGOS NATIONAL REHAB CENTER DOWNEY LOS ANGELES 191228 LAC/USC (LOS ANGELES COUNTY, UNIVERSITY SOUTHERN LOS ANGELES LOS ANGELES CALIFORNIA MEDICAL CENTER) 380865 LAGUNA HONDA HOSPITAL AND REHABILITATION CENTER SAN FRANCISCO SAN FRANCISCO 190240 LAKEWOOD REGIONAL MEDICAL CENTER LAKEWOOD LOS ANGELES 380868 LANGLEY PORTER PSYCHIATRIC INSTITUTE SAN FRANCISCO SAN FRANCISCO 191014 LANTERMAN DEVELOPMENTAL CENTER POMONA LOS ANGELES 390923 LODI MEMORIAL HOSPITAL LODI SAN JOAQUIN 390922 LODI MEMORIAL HOSPITAL - WEST LODI SAN JOAQUIN 361245 LOMA LINDA UNIV. MED. CENTER EAST CAMPUS HOSPITAL LOMA LINDA SAN BERNARDINO 364014 LOMA LINDA UNIVERSITY BEHAVIORAL MEDICINE CENTER REDLANDS SAN BERNARDINO 364502 LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL LOMA LINDA SAN BERNARDINO 364268 LOMA LINDA UNIVERSITY HEART AND SURGICAL HOSPITAL REDLANDS SAN BERNARDINO 361246 LOMA LINDA UNIVERSITY MEDICAL CENTER LOMA LINDA SAN BERNARDINO 334589 LOMA LINDA UNIVERSITY MEDICAL CENTER-MURRIETA MURRIETA RIVERSIDE 420491 LOMPOC VALLEY MEDICAL CENTER LOMPOC SANTA BARBARA 420552 LOMPOC VALLEY MEDICAL CENTER COMPREHENSIVE CARE LOMPOC SANTA BARBARA CENTER D/P S 190525 LONG BEACH MEMORIAL MEDICAL CENTER LONG BEACH LOS ANGELES 301248 LOS ALAMITOS MEDICAL CENTER LOS ALAMITOS ORANGE 190198 LOS ANGELES COMMUNITY HOSPITAL LOS ANGELES LOS ANGELES 190523 LOS ANGELES METROPOLITAN MED CTR-HAWTHORNE HAWTHORNE LOS ANGELES CAMPUS 190854 LOS ANGELES METROPOLITAN MEDICAL CENTER LOS ANGELES LOS ANGELES 564018 LOS ROBLES HOSPITAL & MEDICAL CENTER - EAST CAMPUS WESTLAKE VILAGE VENTURA 560492 LOS ROBLES REGIONAL HOSPITAL & MEDICAL CENTER THOUSAND OAKS VENTURA 434040 LUCILE PACKARD CHILDREN’S HOSPITAL AT STANFORD, PALO ALTO SANTA CLARA (LPCH) 410891 LUCILE PACKARD CHILDREN’S SPECIAL CARE NURSERY AT REDWOOD CITY SAN MATEO SEQUOIA HOSPITAL, (LPCH) 121002 MAD RIVER COMMUNITY HOSPITAL ARCATA HUMBOLDT 201281 MADERA COMMUNITY HOSPITAL MADERA MADERA 260011 MAMMOTH HOSPITAL MAMMOTH LAKES MONO 420493 MARIAN REGIONAL MEDICAL CENTER SANTA MARIA SANTA BARBARA 400466 MARIAN REGIONAL MEDICAL CENTER, ARROYO GRANDE ARROYO GRANDE SAN LUIS OBISPO 244027 MARIE GREEN PSYCHIATRIC CENTER - P H F MERCED MERCED 211006 MARIN GENERAL HOSPITAL GREENBRAE MARIN Page 7 of 14 OSHPD FACILITY CODES --- Sorted by Hospital (JAN 2015) CPQCC Centers Indicated in Bold Italics OSHPD # HOSPITAL NAME CITY COUNTY 190500 MARINA DEL REY HOSPITAL MARINA DEL REY LOS ANGELES 050932 MARK TWAIN MEDICAL CENTER SAN ANDREAS CALAVERAS 090933 MARSHALL MEDICAL CENTER (1-RH) PLACERVILLE EL DORADO 190796 MATTEL CHILDREN’S HOSPITAL AT RONALD REAGAN UCLA LOS ANGELES LOS ANGELES 450936 MAYERS MEMORIAL HOSPITAL FALL RIVER MILLS SHASTA 240924 MEMORIAL HOSPITAL LOS BANOS LOS BANOS MERCED 190521 MEMORIAL HOSPITAL OF GARDENA GARDENA LOS ANGELES 500939 MEMORIAL MEDICAL CENTER, MODESTO MODESTO STANISLAUS 231013 MENDOCINO COAST DISTRICT HOSPITAL FORT BRAGG MENDOCINO 334018 MENIFEE VALLEY MEDICAL CENTER SUN CITY RIVERSIDE 414018 MENLO PARK SURGICAL HOSPITAL MENLO PARK SAN MATEO 340947 MERCY GENERAL HOSPITAL SACRAMENTO SACRAMENTO 150761 MERCY HOSPITAL - BAKERSFIELD BAKERSFIELD KERN 344029 MERCY HOSPITAL - FOLSOM FOLSOM SACRAMENTO 240942 MERCY MEDICAL CENTER - MERCED MERCED MERCED 470871 MERCY MEDICAL CENTER MT. SHASTA MOUNT SHASTA SISKIYOU 450949 MERCY MEDICAL CENTER, REDDING REDDING SHASTA 340950 MERCY SAN JUAN MEDICAL CENTER CARMICHAEL SACRAMENTO 154108 MERCY SOUTHWEST HOSPITAL BAKERSFIELD KERN 340951 METHODIST HOSPITAL OF SACRAMENTO SACRAMENTO SACRAMENTO 190529 METHODIST HOSPITAL OF SOUTHERN CALIFORNIA ARCADIA LOS ANGELES 196168 MILLER CHILDREN’S HOSPITAL AT LONG BEACH MEMORIAL LONG BEACH LOS ANGELES HOSPITAL 410742 MILLS HEALTH CENTER SAN MATEO SAN MATEO 410852 MILLS-PENINSULA MEDICAL CENTER BURLINGAME SAN MATEO 190681 MIRACLE MILE MEDICAL CENTER LOS ANGELES LOS ANGELES 190524 MISSION COMMUNITY HOSPITAL - PANORAMA CAMPUS PANORAMA CITY LOS ANGELES 301337 MISSION HOSPITAL LAGUNA BEACH LAGUNA BEACH ORANGE 301262 MISSION HOSPITAL REGIONAL MEDICAL CENTER MISSION VIEJO ORANGE 430915 MISSION OAKS HOSPITAL LOS GATOS SANTA CLARA 250956 MODOC MEDICAL CENTER ALTURAS MODOC 190541 MONROVIA MEMORIAL HOSPITAL MONROVIA LOS ANGELES 361166 MONTCLAIR HOSPITAL MEDICAL CENTER MONTCLAIR SAN BERNARDINO 190547 MONTEREY PARK HOSPITAL MONTEREY PARK LOS ANGELES 190552 MOTION PICTURE AND TELEVISION HOSPITAL WOODLAND HILLS LOS ANGELES 361266 MOUNTAINS COMMUNITY HOSPITAL LAKE ARROWHEAD SAN BERNARDINO 013687 MPI CHEMICAL DEPENDENCY RECOVERY HOSPITAL OAKLAND ALAMEDA 281266 NAPA STATE HOSPITAL NAPA NAPA 274043 NATIVIDAD MEDICAL CENTER SALINAS MONTEREY 700501 NAVAL HOSPITAL - CAMP PENDLETON 700112 NAVAL HOSPITAL - LEMOORE 700461 NAVAL HOSPITAL - TWENTYNINE PALM 700502 NAVAL MEDICAL CENTER (BALBOA) Page 8 of 14 OSHPD FACILITY CODES --- Sorted by Hospital (JAN 2015) CPQCC Centers Indicated in Bold Italics OSHPD # HOSPITAL NAME CITY COUNTY 301304 NEWPORT BAY HOSPITAL NEWPORT BEACH ORANGE 301357 NEWPORT SPECIALTY HOSPITAL TUSTIN ORANGE 484001 NORTH BAY VACAVALLEY HOSPITAL VACAVILLE SOLANO 514033 NORTH VALLEY BEHAVIORAL HEALTH YUBA CITY SUTTER 481357 NORTHBAY MEDICAL CENTER FAIRFIELD SOLANO 141273 NORTHERN INYO HOSPITAL BISHOP INYO 190568 NORTHRIDGE HOSPITAL MEDICAL CENTER NORTHRIDGE LOS ANGELES 190570 NORWALK COMMUNITY HOSPITAL NORWALK LOS ANGELES 777777 NOT APPLICABLE 214034 NOVATO COMMUNITY HOSPITAL NOVATO MARIN 430837 O’CONNOR HOSPITAL SAN JOSE SANTA CLARA 501352 OAK VALLEY CARE CENTER D/P SNF OAKDALE STANISLAUS 500967 OAK VALLEY DISTRICT HOSPITAL (2-RH) OAKDALE STANISLAUS 560500 OJAI MANOR CONVALESCENT HOSPITAL OJAI VENTURA 560501 OJAI VALLEY COMMUNITY HOSPITAL OJAI VENTURA 191231 OLIVE VIEW UCLA MEDICAL CENTER SYLMAR LOS ANGELES 190534 OLYMPIA MEDICAL CENTER LOS ANGELES LOS ANGELES 300225 ORANGE COAST MEMORIAL MEDICAL CENTER FOUNTAIN VALLEY ORANGE 040937 OROVILLE HOSPITAL OROVILLE BUTTE 880096 OUT OF STATE - CLINIC 880097 OUT OF STATE - EMERGENCY ROOM 880000 OUT OF STATE - HOME BIRTH 880095 OUT OF STATE - MD OFFICE 880099 OUT OF STATE - OTHER IN/PATIENT SETTING 880094 OUT OF STATE - OTHER OUT/PATIENT SETTING 190307 PACIFIC ALLIANCE MEDICAL CENTER LOS ANGELES LOS ANGELES 560838 PACIFIC SHORES HOSPITAL OXNARD VENTURA 190696 PACIFICA HOSPITAL OF THE VALLEY SUN VALLEY LOS ANGELES 491338 PALM DRIVE HOSPITAL SEBASTOPOL SONOMA 196405 PALMDALE REGIONAL MEDICAL CENTER PALMDALE LOS ANGELES 331288 PALO VERDE HOSPITAL BLYTHE RIVERSIDE 374382 PALOMAR MEDICAL CENTER ESCONDIDO SAN DIEGO 370759 PARADISE VALLEY HOSPITAL NATIONAL CITY SAN DIEGO 370775 PARADISE VALLEY HSP D/P APH BAYVIEW BEH HLTH CHULA VISTA SAN DIEGO 331293 PARKVIEW COMMUNITY HOSPITAL RIVERSIDE RIVERSIDE 454013 PATIENTS' HOSPITAL OF REDDING REDDING SHASTA 361768 PATTON STATE HOSPITAL PATTON SAN BERNARDINO 491001 PETALUMA VALLEY HOSPITAL PETALUMA SONOMA 190243 PIH HOSPITAL - DOWNEY DOWNEY LOS ANGELES 130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT BRAWLEY IMPERIAL 301297 PLACENTIA LINDA HOSPITAL PLACENTIA ORANGE 320986 PLUMAS DISTRICT HOSPITAL QUINCY PLUMAS 370977 POMERADO HOSPITAL POWAY SAN DIEGO Page 9 of 14 OSHPD FACILITY CODES --- Sorted by Hospital (JAN 2015) CPQCC Centers Indicated in Bold Italics OSHPD # HOSPITAL NAME CITY COUNTY 190630 POMONA VALLEY HOSPITAL MEDICAL CENTER POMONA LOS ANGELES 541123 PORTERVILLE DEVELOPMENTAL CENTER PORTERVILLE TULARE 190631 PRESBYTERIAN INTER. HOSPITAL (PIH) HEALTH HOSPITAL WHITTIER LOS ANGELES 190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. LOS ANGELES LOS ANGELES CAMPUS 190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN PARAMOUNT LOS ANGELES CAMPUS 370787 PROMISE HOSPITAL OF SAN DIEGO SAN DIEGO SAN DIEGO 190385 PROVIDENCE HOLY CROSS MEDICAL CENTER MISSION HILLS LOS ANGELES 190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO SAN PEDRO LOS ANGELES 190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE LOS ANGELES - TORRANCE 190362 PROVIDENCE LITTLE COMPANY OF MARY SUBACUTE CARE SAN PEDRO LOS ANGELES CENTER 190702 PROVIDENCE LITTLE COMPANY OF MARY TRANSITIONAL TORRANCE LOS ANGELES CARE CENTER 190758 PROVIDENCE ST. JOSEPH MEDICAL CENTER BURBANK LOS ANGELES 190517 PROVIDENCE TARZANA MEDICAL CENTER TARZANA LOS ANGELES 281047 QUEEN OF THE VALLEY HOSPITAL - NAPA NAPA NAPA 370673 RADY CHILDREN’S HOSPITAL SAN DIEGO (RCHSD) SAN DIEGO SAN DIEGO 371394 RADY CHILDREN’S HOSPITAL SAN DIEGO AT SCRIPPS ENCINITAS SAN DIEGO ENCINITAS (RCHSD) 370771 RADY CHILDREN’S HOSPITAL SAN DIEGO AT SCRIPPS LA LA JOLLA SAN DIEGO JOLLA (RCHSD) 370755 RADY CHILDREN’S NICU AT PALOMAR MEDICAL CENTER ESCONDIDO SAN DIEGO (RCHSD) 361308 REDLANDS COMMUNITY HOSPITAL REDLANDS SAN BERNARDINO 121051 REDWOOD MEMORIAL HOSPITAL FORTUNA HUMBOLDT 430705 REGIONAL MEDICAL CENTER OF SAN JOSE SAN JOSE SANTA CLARA 190930 RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA LOS ANGELES LOS ANGELES 454068 RESTPADD PSYCHIATRIC HEALTH FACILITY REDDING SHASTA 580996 RIDEOUT MEMORIAL HOSPITAL MARYSVILLE YUBA 150782 RIDGECREST REGIONAL HOSPITAL RIDGECREST KERN 331312 RIVERSIDE COMMUNITY HOSPITAL RIVERSIDE RIVERSIDE 334487 RIVERSIDE COUNTY REGIONAL MEDICAL CENTER MORENO VALLEY RIVERSIDE 331314 RIVERSIDE COUNTY REGIONAL MEDICAL CENTER - D/P APH RIVERSIDE RIVERSIDE 600001 ROGUE REGIONAL MEDICAL CENTER MEDFORD 344011 SACRAMENTO MENTAL HEALTH TREATMENT CENTER SACRAMENTO SACRAMENTO 301317 SADDLEBACK MEMORIAL HOSPITAL LAGUNA HILLS ORANGE 301325 SADDLEBACK MEMORIAL MEDICAL CENTER - SAN SAN CLEMENTE ORANGE CLEMENTE 900099 SAFE SURRENDER 270875 SALINAS VALLEY MEMORIAL HEALTHCARE SYSTEM SALINAS MONTEREY Page 10 of 14 OSHPD FACILITY CODES --- Sorted by Hospital (JAN 2015) CPQCC Centers Indicated in Bold Italics OSHPD # HOSPITAL NAME CITY COUNTY 361318 SAN ANTONIO COMMUNITY HOSPITAL UPLAND SAN BERNARDINO 374055 SAN DIEGO COUNTY PSYCHIATRIC HOSPITAL SAN DIEGO SAN DIEGO 190673 SAN DIMAS COMMUNITY HOSPITAL SAN DIMAS LOS ANGELES 380939 SAN FRANCISCO GENERAL HOSPITAL (SFGH) SAN FRANCISCO SAN FRANCISCO 190200 SAN GABRIEL VALLEY MEDICAL CENTER SAN GABRIEL LOS ANGELES 331326 SAN GORGONIO MEMORIAL HOSPITAL BANNING RIVERSIDE 150788 SAN JOAQUIN COMMUNITY HOSPITAL BAKERSFIELD KERN 394003 SAN JOAQUIN COUNTY P.H.F. STOCKTON SAN JOAQUIN 391010 SAN JOAQUIN GENERAL HOSPITAL FRENCH CAMP SAN JOAQUIN 104023 SAN JOAQUIN VALLEY REHABILITATION HOSPITAL FRESNO FRESNO 013619 SAN LEANDRO HOSPITAL SAN LEANDRO ALAMEDA 404046 SAN LUIS OBISPO CO PSYCHIATRIC HEALTH FACILITY SAN LUIS OBISPO SAN LUIS OBISPO 410782 SAN MATEO MEDICAL CENTER SAN MATEO SAN MATEO 074017 SAN RAMON REGIONAL MEDICAL CENTER SAN RAMON CONTRA COSTA 074011 SAN RAMON REGIONAL MEDICAL CENTER SOUTH BUILDING SAN RAMON CONTRA COSTA

424002 SANTA BARBARA PSYCHIATRIC HEALTH FACILITY SANTA BARBARA SANTA BARBARA 430883 SANTA CLARA VALLEY MEDICAL CENTER (SCVMC) SAN JOSE SANTA CLARA 190687 SANTA MONICA-UCLA MEDICAL CENTER & ORTHOPEDIC SANTA MONICA LOS ANGELES HOSPITAL 491064 SANTA ROSA MEMORIAL HOSPITAL SANTA ROSA SONOMA 490907 SANTA ROSA MEMORIAL HOSPITAL-SOTOYOME SANTA ROSA SONOMA 420522 SANTA YNEZ VALLEY COTTAGE HOSPITAL SOLVANG SANTA BARBARA 371256 SCRIPPS GREEN HOSPITAL LA JOLLA SAN DIEGO 370658 SCRIPPS MERCY HOSPITAL CHULA VISTA CHULA VISTA SAN DIEGO 370744 SCRIPPS MERCY HOSPITAL, SAN DIEGO SAN DIEGO SAN DIEGO 124004 SEMPERVIRENS P.H.F. EUREKA HUMBOLDT 321016 SENECA HEALTHCARE DISTRICT CHESTER PLUMAS 410828 SETON COASTSIDE MOSS BEACH SAN MATEO 410817 SETON MEDICAL CENTER DALY CITY SAN MATEO 370875 SHARP CHULA VISTA MEDICAL CENTER CHULA VISTA SAN DIEGO 370689 SHARP CORONADO HOSPITAL AND HEALTHCARE CENTER CORONADO SAN DIEGO 370714 SHARP GROSSMONT HOSPITAL, WOMEN’S HEALTH CENTER LA MESA SAN DIEGO

370695 SHARP MARY BIRCH HOSPITAL FOR WOMEN SAN DIEGO SAN DIEGO 374049 SHARP MCDONALD CENTER SAN DIEGO SAN DIEGO 370694 SHARP MEMORIAL HOSPITAL SAN DIEGO SAN DIEGO 370745 SHARP MESA VISTA HOSPITAL SAN DIEGO SAN DIEGO 451019 SHASTA COUNTY P H F REDDING SHASTA 450940 SHASTA REGIONAL MEDICAL CENTER REDDING SHASTA 190708 SHERMAN OAKS HOSPITAL SHERMAN OAKS LOS ANGELES 190712 SHRINERS HOSPITAL FOR CHILDREN LOS ANGELES LOS ANGELES 344114 SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF. SACRAMENTO SACRAMENTO Page 11 of 14 OSHPD FACILITY CODES --- Sorted by Hospital (JAN 2015) CPQCC Centers Indicated in Bold Italics OSHPD # HOSPITAL NAME CITY COUNTY 291023 SIERRA NEVADA MEMORIAL HOSPITAL GRASS VALLEY NEVADA 540798 SIERRA VIEW MEDICAL CENTER PORTERVILLE TULARE 342392 SIERRA VISTA HOSPITAL SACRAMENTO SACRAMENTO 400524 SIERRA VISTA REGIONAL MEDICAL CENTER SAN LUIS OBISPO SAN LUIS OBISPO 190661 SILVER LAKE MEDICAL CENTER-DOWNTOWN CAMPUS LOS ANGELES LOS ANGELES 190410 SILVER LAKE MEDICAL CENTER-INGLESIDE CAMPUS ROSEMEAD LOS ANGELES 560525 SIMI VALLEY HOSPITAL AND HEALTH CARE SVCS-SYCAMORE SIMI VALLEY VENTURA 491267 SONOMA DEVELOPMENTAL CENTER ELDRIDGE SONOMA 491076 SONOMA VALLEY HOSPITAL SONOMA SONOMA 552209 SONORA REGIONAL MEDICAL CENTER - FAIRVIEW SONORA TUOLUMNE 554011 SONORA REGIONAL MEDICAL CENTER - GREENLEY SONORA TUOLUMNE 551035 SONORA REGIONAL MEDICAL CENTER D/P SNF (UNIT 6 AND SONORA TUOLUMNE 7) 190110 SOUTHERN CALIFORNIA HOSPITAL AT CULVER CITY CULVER CITY LOS ANGELES 190380 SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD HOLLYWOOD LOS ANGELES 190814 SOUTHERN CALIFORNIA HOSPITAL AT VAN NUYS D/P APH VAN NUYS LOS ANGELES 141338 SOUTHERN INYO HOSPITAL LONE PINE INYO 334068 SOUTHWEST HEALTHCARE SYSTEM-MURRIETA MURRIETA RIVERSIDE 334001 SOUTHWEST HEALTHCARE SYSTEM-WILDOMAR WILDOMAR RIVERSIDE 361339 ST. BERNARDINE MEDICAL CENTER SAN BERNARDINO SAN BERNARDINO 521041 ST. ELIZABETH COMMUNITY HOSPITAL RED BLUFF TEHAMA 190754 ST. FRANCIS MEDICAL CENTER LYNWOOD LOS ANGELES 380960 ST. FRANCIS MEMORIAL HOSPITAL SAN FRANCISCO SAN FRANCISCO 281078 ST. HELENA HOSPITAL ST. HELENA NAPA 171049 ST. HELENA HOSPITAL - CLEARLAKE CLEARLAKE LAKE 481015 ST. HELENA HOSPITAL CENTER FOR BEHAVIORAL HEALTH VALLEJO SOLANO 560508 ST. JOHN'S PLEASANT VALLEY HOSPITAL CAMARILLO VENTURA 190756 ST. JOHN’S HEALTH CENTER SANTA MONICA LOS ANGELES 560529 ST. JOHN’S REGIONAL MEDICAL CENTER OXNARD VENTURA 121080 ST. JOSEPH HOSPITAL - EUREKA EUREKA HUMBOLDT 301340 ST. JOSEPH HOSPITAL - ORANGE ORANGE ORANGE 392232 ST. JOSEPH'S BEHAVIORAL HEALTH CENTER STOCKTON SAN JOAQUIN 391042 ST. JOSEPH’S MEDICAL CENTER, STOCKTON STOCKTON SAN JOAQUIN 301342 ST. JUDE MEDICAL CENTER FULLERTON ORANGE 434138 ST. LOUISE REGIONAL HOSPITAL GILROY SANTA CLARA 190053 ST. MARY MEDICAL CENTER LONG BEACH LOS ANGELES 361343 ST. MARY MEDICAL CENTER IN APPLE VALLEY APPLE VALLEY SAN BERNARDINO 380965 ST. MARY'S MEDICAL CENTER, SAN FRANCISCO SAN FRANCISCO SAN FRANCISCO 010967 ST. ROSE HOSPITAL HAYWARD ALAMEDA 190762 ST. VINCENT MEDICAL CENTER LOS ANGELES LOS ANGELES 430905 STANFORD HOSPITAL PALO ALTO SANTA CLARA 504038 STANISLAUS SURGICAL HOSPITAL MODESTO STANISLAUS 194967 STAR VIEW ADOLESCENT - P H F TORRANCE LOS ANGELES Page 12 of 14 OSHPD FACILITY CODES --- Sorted by Hospital (JAN 2015) CPQCC Centers Indicated in Bold Italics OSHPD # HOSPITAL NAME CITY COUNTY 250955 SURPRISE VALLEY COMMUNITY HOSPITAL CEDARVILLE MODOC 034002 SUTTER AMADOR HOSPITAL JACKSON AMADOR 310791 SUTTER AUBURN FAITH HOSPITAL AUBURN PLACER 344017 SUTTER CENTER FOR PSYCHIATRY SACRAMENTO SACRAMENTO 084001 SUTTER COAST HOSPITAL CRESCENT CITY DEL NORTE 574010 SUTTER DAVIS HOSPITAL DAVIS YOLO 070934 SUTTER DELTA MEDICAL CENTER ANTIOCH CONTRA COSTA 341051 SUTTER GENERAL HOSPITAL SACRAMENTO SACRAMENTO 171395 SUTTER LAKESIDE HOSPITAL LAKEPORT LAKE 444012 SUTTER MATERNITY AND SURGERY CENTER OF SANTA CRUZ SANTA CRUZ SANTA CRUZ 494106 SUTTER MEDICAL CENTER OF SANTA ROSA SANTA ROSA SONOMA 341052 SUTTER MEDICAL CENTER SACRAMENTO SACRAMENTO SACRAMENTO 311000 SUTTER ROSEVILLE MEDICAL CENTER ROSEVILLE PLACER 481094 SUTTER SOLANO MEDICAL CENTER VALLEJO SOLANO 514030 SUTTER SURGICAL HOSPITAL-NORTH VALLEY YUBA CITY SUTTER 391056 SUTTER TRACY COMMUNITY HOSPITAL TRACY SAN JOAQUIN 514001 SUTTER-YUBA PSYCHIATRIC HEALTH FACILITY YUBA CITY SUTTER 291053 TAHOE FOREST HOSPITAL TRUCKEE NEVADA 190782 TARZANA TREATMENT CENTER TARZANA LOS ANGELES 150808 TEHACHAPI HOSPITAL TEHACHAPI KERN 014207 TELECARE HERITAGE PSYCHIATRIC HEALTH FACILITY OAKLAND ALAMEDA 314029 TELECARE PLACER COUNTY PSYCHIATRIC HEALTH FACILITY ROSEVILLE PLACER 334457 TELECARE RIVERSIDE COUNTY PSYCHIATRIC HEALTH INDIO RIVERSIDE FACILITY 444029 TELECARE SANTA CRUZ PHF SANTA CRUZ SANTA CRUZ 504081 TELECARE STANISLAUS COUNTY PHF CERES STANISLAUS 014226 TELECARE WILLOW ROCK CENTER SAN LEANDRO ALAMEDA 334564 TEMECULA VALLEY HOSPITAL TEMECULA RIVERSIDE 424102 THE CHAMPION CENTER LOMPOC SANTA BARBARA 564121 THOUSAND OAKS SURGICAL HOSPITAL, A CAMPUS OF LOS THOUSAND OAKS VENTURA ROBLES HOSP 010782 THUNDER ROAD CHEMICAL DEPENDENCY RECOVERY OAKLAND ALAMEDA HOSPITAL 191225 TOM REDGATE MEMORIAL RECOVERY CENTER LONG BEACH LOS ANGELES 190422 TORRANCE MEMORIAL MEDICAL CENTER TORRANCE LOS ANGELES 364451 TOTALLY KIDS REHABILITATION HOSPITAL LOMA LINDA SAN BERNARDINO 370780 TRI-CITY MEDICAL CENTER OCEANSIDE SAN DIEGO 531059 TRINITY HOSPITAL WEAVERVILLE TRINITY 540816 TULARE REGIONAL MEDICAL CENTER TULARE TULARE 400548 TWIN CITIES COMMUNITY HOSPITAL TEMPLETON SAN LUIS OBISPO 374141 UCSD-LA JOLLA, JOHN M/SALLY B THORNTON HOSP & LA JOLLA SAN DIEGO SULPIZO CARDIO 380895 UCSF MEDICAL CENTER AT MOUNT ZION SAN FRANCISCO SAN FRANCISCO Page 13 of 14 OSHPD FACILITY CODES --- Sorted by Hospital (JAN 2015) CPQCC Centers Indicated in Bold Italics OSHPD # HOSPITAL NAME CITY COUNTY 231396 UKIAH VALLEY MEDICAL CENTER UKIAH MENDOCINO 341006 UNIVERSITY OF CALIFORNIA, DAVIS CHILDREN’S HOSPITAL SACRAMENTO SACRAMENTO (UCD) 301279 UNIVERSITY OF CALIFORNIA, IRVINE MEDICAL CENTER ORANGE ORANGE (UCI) 370782 UNIVERSITY OF CALIFORNIA, SAN DIEGO MEDICAL CENTER SAN DIEGO SAN DIEGO (UCSD) 381154 UNIVERSITY OF CALIFORNIA, SAN FRANCISCO MEDICAL SAN FRANCISCO SAN FRANCISCO CENTER (UCSF) 999999 UNKNOWN 700330 US ARMY AIR FORCE HOSPITAL 700473 US ARMY HOSPITAL 700474 US INFIMARY AIR FORCE BASE 700602 US NAVAL HOSPITAL 700659 US NAVAL STATION HOSPITAL 700664 USAF HOSPITAL - MARYSVILLE 191216 USC KENNETH NORRIS, JR. CANCER HOSPITAL LOS ANGELES LOS ANGELES 190818 USC VERDUGO HILLS HOSPITAL GLENDALE LOS ANGELES 010983 VALLEY MEMORIAL HOSPITAL LIVERMORE ALAMEDA 190812 VALLEY PRESBYTERIAN HOSPITAL VAN NUYS LOS ANGELES 014050 VALLEYCARE MEDICAL CENTER PLEASANTON ALAMEDA 560521 VENTURA COUNTY MEDICAL CENTER - SANTA PAULA SANTA PAULA VENTURA HOSPITAL 560481 VENTURA COUNTY MEDICAL CENTER (VCMC) VENTURA VENTURA 454012 VIBRA HOSPITAL OF NORTHERN CALIFORNIA REDDING SHASTA 344035 VIBRA HOSPITAL OF SACRAMENTO FOLSOM SACRAMENTO 374094 VIBRA HOSPITAL OF SAN DIEGO SAN DIEGO SAN DIEGO 361370 VICTOR VALLEY GLOBAL MEDICAL CENTER VICTORVILLE SAN BERNARDINO 374321 VILLA CORONADO CONVALESCENT (DP/SNF) CORONADO SAN DIEGO 331226 VISTA BEHAVIORAL HOSPITAL RIVERSIDE RIVERSIDE 010987 WASHINGTON HOSPITAL - FREMONT FREMONT ALAMEDA 444013 WATSONVILLE COMMUNITY HOSPITAL WATSONVILLE SANTA CRUZ 301379 WEST ANAHEIM MEDICAL CENTER ANAHEIM ORANGE 190859 WEST HILLS HOSPITAL AND MEDICAL CENTER CANOGA PARK LOS ANGELES 301188 WESTERN MEDICAL CENTER ANAHEIM ANAHEIM ORANGE 301566 WESTERN MEDICAL CENTER, SANTA ANA SANTA ANA ORANGE 190878 WHITE MEMORIAL MEDICAL CENTER LOS ANGELES LOS ANGELES 190883 WHITTIER HOSPITAL MEDICAL CENTER WHITTIER LOS ANGELES 571086 WOODLAND MEMORIAL HOSPITAL WOODLAND YOLO 494047 WOODLANDS PSYCHIATRIC HEALTH FACILITY GEYSERVILLE SONOMA

Page 14 of 14 OSHPD FACILITY CODES --- Sorted by City (JAN 2015) CPQCC Centers Indicated in Bold Italics OSHPD # HOSPITAL NAME CITY COUNTY 010735 ALAMEDA HOSPITAL ALAMEDA ALAMEDA 010989 ALAMEDA HOSPITAL AT WATERS EDGE ALAMEDA ALAMEDA 010956 ALAMEDA HOSPITAL-SOUTH SHORE CONVALESCENT HOSPITAL ALAMEDA ALAMEDA

190017 ALHAMBRA HOSPITAL MEDICAL CENTER ALHAMBRA LOS ANGELES 250956 MODOC MEDICAL CENTER ALTURAS MODOC 301097 ANAHEIM GENERAL HOSPITAL ANAHEIM ORANGE 301098 ANAHEIM REGIONAL MEDICAL CENTER ANAHEIM ORANGE 304409 KAISER FND HOSP - ORANGE COUNTY - ANAHEIM ANAHEIM ORANGE 301132 KAISER FND HOSP - ORANGE COUNTY - LAKEVIEW ANAHEIM ORANGE 301379 WEST ANAHEIM MEDICAL CENTER ANAHEIM ORANGE 301188 WESTERN MEDICAL CENTER ANAHEIM ANAHEIM ORANGE 074097 KAISER FND HOSP - ANTIOCH ANTIOCH CONTRA COSTA 070934 SUTTER DELTA MEDICAL CENTER ANTIOCH CONTRA COSTA 361343 ST. MARY MEDICAL CENTER IN APPLE VALLEY APPLE VALLEY SAN BERNARDINO

190529 METHODIST HOSPITAL OF SOUTHERN CALIFORNIA ARCADIA LOS ANGELES 121002 MAD RIVER COMMUNITY HOSPITAL ARCATA HUMBOLDT 400466 MARIAN REGIONAL MEDICAL CENTER, ARROYO GRANDE ARROYO GRANDE SAN LUIS OBISPO 400683 ATASCADERO STATE HOSPITAL ATASCADERO SAN LUIS OBISPO 310791 SUTTER AUBURN FAITH HOSPITAL AUBURN PLACER 190045 CATALINA ISLAND MEDICAL CENTER AVALON LOS ANGELES 154101 BAKERSFIELD HEART HOSPITAL BAKERSFIELD KERN 150722 BAKERSFIELD MEMORIAL HOSPITAL BAKERSFIELD KERN 154160 CRESTWOOD PSYCHIATRIC HEALTH FACILITY 2 BAKERSFIELD KERN 150775 GOOD SAMARITAN HOSPITAL-BAKERSFIELD BAKERSFIELD KERN 154044 GOOD SAMARITAN HOSPITAL-SOUTHWEST D/P APH BAKERSFIELD KERN 154022 HEALTHSOUTH BAKERSFIELD REHABILITATION HOSPITAL BAKERSFIELD KERN 150736 KERN MEDICAL CENTER BAKERSFIELD KERN 150761 MERCY HOSPITAL - BAKERSFIELD BAKERSFIELD KERN 154108 MERCY SOUTHWEST HOSPITAL BAKERSFIELD KERN 150788 SAN JOAQUIN COMMUNITY HOSPITAL BAKERSFIELD KERN 196035 KAISER FND HOSP - BALDWIN PARK BALDWIN PARK LOS ANGELES 190049 KINDRED HOSPITAL BALDWIN PARK BALDWIN PARK LOS ANGELES 331326 SAN GORGONIO MEMORIAL HOSPITAL BANNING RIVERSIDE 364430 BARSTOW COMMUNITY HOSPITAL BARSTOW SAN BERNARDINO 190066 BELLFLOWER MEDICAL CENTER BELLFLOWER LOS ANGELES 194044 BELLWOOD HEALTH CENTER BELLFLOWER LOS ANGELES 010844 ALTA BATES SUMMIT MED CTR-HERRICK CAMPUS BERKELEY ALAMEDA 010739 ALTA BATES SUMMIT MEDICAL CENTER BERKELEY ALAMEDA 361110 BEAR VALLEY COMMUNITY HOSPITAL BIG BEAR LAKE SAN BERNARDINO 141273 NORTHERN INYO HOSPITAL BISHOP INYO 331288 PALO VERDE HOSPITAL BLYTHE RIVERSIDE Page 1 of 14 OSHPD FACILITY CODES --- Sorted by City (JAN 2015) CPQCC Centers Indicated in Bold Italics OSHPD # HOSPITAL NAME CITY COUNTY 130760 PIONEERS MEMORIAL HEALTHCARE DISTRICT BRAWLEY IMPERIAL 301127 KINDRED HOSPITAL BREA BREA ORANGE 301109 ANAHEIM GENERAL HOSPITAL - BUENA PARK CAMPUS BUENA PARK ORANGE 190758 PROVIDENCE ST. JOSEPH MEDICAL CENTER BURBANK LOS ANGELES 413500 BURLINGAME HEALTH CARE CENTER D/P SNF BURLINGAME SAN MATEO 410852 MILLS-PENINSULA MEDICAL CENTER BURLINGAME SAN MATEO 560508 ST. JOHN'S PLEASANT VALLEY HOSPITAL CAMARILLO VENTURA 434051 CHILDRENS RECOVERY CENTER OF NORTHERN CALIFORNIA CAMPBELL SANTA CLARA 190859 WEST HILLS HOSPITAL AND MEDICAL CENTER CANOGA PARK LOS ANGELES 344170 CRESTWOOD PSYCHIATRIC HEALTH FACILITY-CARMICHAEL CARMICHAEL SACRAMENTO 340950 MERCY SAN JUAN MEDICAL CENTER CARMICHAEL SACRAMENTO 014233 EDEN MEDICAL CENTER CASTRO VALLEY ALAMEDA 250955 SURPRISE VALLEY COMMUNITY HOSPITAL CEDARVILLE MODOC 504081 TELECARE STANISLAUS COUNTY PHF CERES STANISLAUS 190184 COLLEGE HOSPITAL CERRITOS LOS ANGELES 321016 SENECA HEALTHCARE DISTRICT CHESTER PLUMAS 044006 BUTTE COUNTY MENTAL HEALTH SERVICES CHICO BUTTE 040828 ENLOE MEDICAL CENTER - COHASSET CHICO BUTTE 040962 ENLOE MEDICAL CENTER- ESPLANADE CHICO BUTTE 044011 ENLOE REHABILITATION CENTER CHICO BUTTE 364050 CANYON RIDGE HOSPITAL CHINO SAN BERNARDINO 361144 CHINO VALLEY MEDICAL CENTER CHINO SAN BERNARDINO 370775 PARADISE VALLEY HSP D/P APH BAYVIEW BEH HLTH CHULA VISTA SAN DIEGO 370658 SCRIPPS MERCY HOSPITAL CHULA VISTA CHULA VISTA SAN DIEGO 370875 SHARP CHULA VISTA MEDICAL CENTER CHULA VISTA SAN DIEGO 171049 ST. HELENA HOSPITAL - CLEARLAKE CLEARLAKE LAKE 100005 CLOVIS COMMUNITY MEDICAL CENTER CLOVIS FRESNO 100697 COALINGA REGIONAL MEDICAL CENTER COALINGA FRESNO 105051 DEPARTMENT OF STATE HOSPITAL - COALINGA COALINGA FRESNO 364231 ARROWHEAD REGIONAL MEDICAL CENTER COLTON SAN BERNARDINO

060870 COLUSA REGIONAL MEDICAL CENTER COLUSA COLUSA 074039 JOHN MUIR BEHAVIORAL HEALTH CENTER CONCORD CONTRA COSTA 071018 JOHN MUIR MEDICAL CENTER-CONCORD CAMPUS CONCORD CONTRA COSTA 331145 CORONA REGIONAL MEDICAL CENTER-MAGNOLIA CORONA RIVERSIDE 331152 CORONA REGIONAL MEDICAL CENTER-MAIN CORONA RIVERSIDE 370689 SHARP CORONADO HOSPITAL AND HEALTHCARE CENTER CORONADO SAN DIEGO 374321 VILLA CORONADO CONVALESCENT (DP/SNF) CORONADO SAN DIEGO 301155 COLLEGE HOSPITAL COSTA MESA COSTA MESA ORANGE 301781 FAIRVIEW DEVELOPMENTAL CENTER COSTA MESA ORANGE 190163 AURORA CHARTER OAK COVINA LOS ANGELES 190413 CITRUS VALLEY MEDICAL CENTER - IC CAMPUS COVINA LOS ANGELES 084001 SUTTER COAST HOSPITAL CRESCENT CITY DEL NORTE Page 2 of 14 OSHPD FACILITY CODES --- Sorted by City (JAN 2015) CPQCC Centers Indicated in Bold Italics OSHPD # HOSPITAL NAME CITY COUNTY 197931 EXODUS RECOVERY P.H.F. CULVER CITY LOS ANGELES 190110 SOUTHERN CALIFORNIA HOSPITAL AT CULVER CITY CULVER CITY LOS ANGELES 410817 SETON MEDICAL CENTER DALY CITY SAN MATEO 574010 SUTTER DAVIS HOSPITAL DAVIS YOLO 150706 DELANO REGIONAL MEDICAL CENTER DELANO KERN 196403 KAISER FND HOSP - DOWNEY DOWNEY LOS ANGELES 191306 LAC/RANCHO LOS AMIGOS NATIONAL REHAB CENTER DOWNEY LOS ANGELES 190243 PIH HOSPITAL - DOWNEY DOWNEY LOS ANGELES 190176 CITY OF HOPE HELFORD CLINICAL RESEARCH HOSPITAL DUARTE LOS ANGELES 130699 EL CENTRO REGIONAL MEDICAL CENTER EL CENTRO IMPERIAL 491267 SONOMA DEVELOPMENTAL CENTER ELDRIDGE SONOMA 371394 RADY CHILDREN’S HOSPITAL SAN DIEGO AT SCRIPPS ENCINITAS SAN DIEGO ENCINITAS (RCHSD) 190280 ENCINO HOSPITAL MEDICAL CENTER ENCINO LOS ANGELES 374382 PALOMAR MEDICAL CENTER ESCONDIDO SAN DIEGO 370755 RADY CHILDREN’S NICU AT PALOMAR MEDICAL CENTER ESCONDIDO SAN DIEGO (RCHSD) 120981 GENERAL HOSPITAL, THE EUREKA HUMBOLDT 124004 SEMPERVIRENS P.H.F. EUREKA HUMBOLDT 121080 ST. JOSEPH HOSPITAL - EUREKA EUREKA HUMBOLDT 481357 NORTHBAY MEDICAL CENTER FAIRFIELD SOLANO 450936 MAYERS MEMORIAL HOSPITAL FALL RIVER MILLS SHASTA 370704 FALLBROOK HOSP DISTRICT SKILLED NURSING FACILITY FALLBROOK SAN DIEGO 370705 FALLBROOK HOSPITAL DISTRICT FALLBROOK SAN DIEGO 344029 MERCY HOSPITAL - FOLSOM FOLSOM SACRAMENTO 344035 VIBRA HOSPITAL OF SACRAMENTO FOLSOM SACRAMENTO 361223 KAISER FND HOSP - FONTANA FONTANA SAN BERNARDINO

231013 MENDOCINO COAST DISTRICT HOSPITAL FORT BRAGG MENDOCINO 121051 REDWOOD MEMORIAL HOSPITAL FORTUNA HUMBOLDT 301175 FOUNTAIN VALLEY REGIONAL HOSPITAL & MEDICAL CENTER FOUNTAIN VALLEY ORANGE 304039 FOUNTAIN VALLEY RGNL HOSP AND MED CTR - WARNER FOUNTAIN VALLEY ORANGE 300225 ORANGE COAST MEMORIAL MEDICAL CENTER FOUNTAIN VALLEY ORANGE 014034 FREMONT HOSPITAL FREMONT ALAMEDA 014132 KAISER FND HOSP - FREMONT FREMONT ALAMEDA 010987 WASHINGTON HOSPITAL - FREMONT FREMONT ALAMEDA 391010 SAN JOAQUIN GENERAL HOSPITAL FRENCH CAMP SAN JOAQUIN 100899 CHILDREN’S HOSPITAL CENTRAL CALIFORNIA- ST. AGNES FRESNO FRESNO HOSPITAL (CHCC) 104008 COMMUNITY BEHAVIORAL HEALTH CENTER FRESNO FRESNO 100717 COMMUNITY REGIONAL MEDICAL CENTER (CRMC) FRESNO FRESNO 100718 COMMUNITY SUBACUTE AND TRANSITIONAL CARE CENTER FRESNO FRESNO 104089 CRESTWOOD PSYCHIATRIC HEALTH FACILITY-FRESNO FRESNO FRESNO Page 3 of 14 OSHPD FACILITY CODES --- Sorted by City (JAN 2015) CPQCC Centers Indicated in Bold Italics OSHPD # HOSPITAL NAME CITY COUNTY 105029 FRESNO HEART AND SURGICAL HOSPITAL FRESNO FRESNO 104047 FRESNO SURGICAL HOSPITAL FRESNO FRESNO 104062 KAISER FND HOSP - FRESNO FRESNO FRESNO 104023 SAN JOAQUIN VALLEY REHABILITATION HOSPITAL FRESNO FRESNO 301342 ST. JUDE MEDICAL CENTER FULLERTON ORANGE 121031 JEROLD PHELPS COMMUNITY HOSPITAL GARBERVILLE HUMBOLDT 301283 GARDEN GROVE HOSPITAL AND MEDICAL CENTER GARDEN GROVE ORANGE 190196 KINDRED HOSPITAL SOUTH BAY GARDENA LOS ANGELES 190521 MEMORIAL HOSPITAL OF GARDENA GARDENA LOS ANGELES 494047 WOODLANDS PSYCHIATRIC HEALTH FACILITY GEYSERVILLE SONOMA 434138 ST. LOUISE REGIONAL HOSPITAL GILROY SANTA CLARA 190323 GLENDALE ADVENTIST MEDICAL CENTER GLENDALE LOS ANGELES 190522 GLENDALE MEMORIAL HOSPITAL AND HEALTH CENTER GLENDALE LOS ANGELES 190818 USC VERDUGO HILLS HOSPITAL GLENDALE LOS ANGELES 190298 FOOTHILL PRESBYTERIAN HOSPITAL-JOHNSTON MEMORIAL GLENDORA LOS ANGELES 190328 GLENDORA COMMUNITY HOSPITAL GLENDORA LOS ANGELES 291023 SIERRA NEVADA MEMORIAL HOSPITAL GRASS VALLEY NEVADA 211006 MARIN GENERAL HOSPITAL GREENBRAE MARIN 040802 BIGGS GRIDLEY MEMORIAL HOSPITAL GRIDLEY BUTTE 164029 ADVENTIST MEDICAL CENTER HANFORD KINGS 160787 CENTRAL VALLEY GENERAL HOSPITAL HANFORD KINGS 190431 KAISER FND HOSP - SOUTH BAY HARBOR CITY LOS ANGELES 190159 GARDENS REGIONAL HOSPITAL AND MEDICAL CENTER HAWAIIAN GARDENS LOS ANGELES

190523 LOS ANGELES METROPOLITAN MED CTR-HAWTHORNE HAWTHORNE LOS ANGELES CAMPUS 010967 ST. ROSE HOSPITAL HAYWARD ALAMEDA 490964 HEALDSBURG DISTRICT HOSPITAL HEALDSBURG SONOMA 334032 HEMET VALLEY HEALTH CARE CENTER HEMET RIVERSIDE 331194 HEMET VALLEY MEDICAL CENTER HEMET RIVERSIDE 350784 HAZEL HAWKINS MEMORIAL HOSPITAL HOLLISTER SAN BENITO 351814 HAZEL HAWKINS MEMORIAL HOSPITAL D/P SNF HOLLISTER SAN BENITO 190380 SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD HOLLYWOOD LOS ANGELES 301209 HUNTINGTON BEACH HOSPITAL HUNTINGTON BEACH ORANGE

190197 COMMUNITY HOSPITAL OF HUNTINGTON PARK HUNTINGTON PARK LOS ANGELES 331216 JOHN F KENNEDY MEMORIAL HOSPITAL INDIO RIVERSIDE 334457 TELECARE RIVERSIDE COUNTY PSYCHIATRIC HEALTH FACILITY INDIO RIVERSIDE 190148 CENTINELA HOSPITAL MEDICAL CENTER INGLEWOOD LOS ANGELES 304045 HOAG HOSPITAL IRVINE IRVINE ORANGE 304460 HOAG ORTHOPEDIC INSTITUTE IRVINE ORANGE 304306 KAISER FND HOSP - ORANGE COUNTY - IRVINE IRVINE ORANGE 034002 SUTTER AMADOR HOSPITAL JACKSON AMADOR Page 4 of 14 OSHPD FACILITY CODES --- Sorted by City (JAN 2015) CPQCC Centers Indicated in Bold Italics OSHPD # HOSPITAL NAME CITY COUNTY 362041 HI-DESERT MEDICAL CENTER JOSHUA TREE SAN BERNARDINO 210993 KENTFIELD REHABILITATION & SPECIALTY HOSPITAL KENTFIELD MARIN 270777 GEORGE L MEE MEMORIAL HOSPITAL KING CITY MONTEREY 370771 RADY CHILDREN’S HOSPITAL SAN DIEGO AT SCRIPPS LA JOLLA LA JOLLA SAN DIEGO (RCHSD) 371256 SCRIPPS GREEN HOSPITAL LA JOLLA SAN DIEGO 374141 UCSD-LA JOLLA, JOHN M/SALLY B THORNTON HOSP & SULPIZO LA JOLLA SAN DIEGO CARDIO 370749 ALVARADO PARKWAY INSTITUTE B.H.S. LA MESA SAN DIEGO 370714 SHARP GROSSMONT HOSPITAL, WOMEN’S HEALTH CENTER LA MESA SAN DIEGO 190449 KINDRED HOSPITAL - LA MIRADA LA MIRADA LOS ANGELES 301234 LA PALMA INTERCOMMUNITY HOSPITAL LA PALMA ORANGE 301337 MISSION HOSPITAL LAGUNA BEACH LAGUNA BEACH ORANGE 301317 SADDLEBACK MEMORIAL HOSPITAL LAGUNA HILLS ORANGE 361266 MOUNTAINS COMMUNITY HOSPITAL LAKE ARROWHEAD SAN BERNARDINO 150737 KERN VALLEY HEALTHCARE DISTRICT LAKE ISABELLA KERN 171395 SUTTER LAKESIDE HOSPITAL LAKEPORT LAKE 190240 LAKEWOOD REGIONAL MEDICAL CENTER LAKEWOOD LOS ANGELES 190034 ANTELOPE VALLEY HOSPITAL LANCASTER LOS ANGELES 010983 VALLEY MEMORIAL HOSPITAL LIVERMORE ALAMEDA 390923 LODI MEMORIAL HOSPITAL LODI SAN JOAQUIN 390922 LODI MEMORIAL HOSPITAL - WEST LODI SAN JOAQUIN 361245 LOMA LINDA UNIV. MED. CENTER EAST CAMPUS HOSPITAL LOMA LINDA SAN BERNARDINO 364502 LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL LOMA LINDA SAN BERNARDINO 361246 LOMA LINDA UNIVERSITY MEDICAL CENTER LOMA LINDA SAN BERNARDINO 364451 TOTALLY KIDS REHABILITATION HOSPITAL LOMA LINDA SAN BERNARDINO 420491 LOMPOC VALLEY MEDICAL CENTER LOMPOC SANTA BARBARA 420552 LOMPOC VALLEY MEDICAL CENTER COMPREHENSIVE CARE LOMPOC SANTA BARBARA CENTER D/P S 424102 THE CHAMPION CENTER LOMPOC SANTA BARBARA 141338 SOUTHERN INYO HOSPITAL LONE PINE INYO 190587 COLLEGE MEDICAL CENTER LONG BEACH LOS ANGELES 190477 COLLEGE MEDICAL CENTER SOUTH CAMPUS D/P APH LONG BEACH LOS ANGELES 190475 COMMUNITY HOSPITAL LONG BEACH LONG BEACH LOS ANGELES 194981 LA CASA PSYCHIATRIC HEALTH FACILITY LONG BEACH LOS ANGELES 190525 LONG BEACH MEMORIAL MEDICAL CENTER LONG BEACH LOS ANGELES 196168 MILLER CHILDREN’S HOSPITAL AT LONG BEACH MEMORIAL LONG BEACH LOS ANGELES HOSPITAL 190053 ST. MARY MEDICAL CENTER LONG BEACH LOS ANGELES 191225 TOM REDGATE MEMORIAL RECOVERY CENTER LONG BEACH LOS ANGELES 301248 LOS ALAMITOS MEDICAL CENTER LOS ALAMITOS ORANGE 190052 BARLOW RESPIRATORY HOSPITAL LOS ANGELES LOS ANGELES 190125 CALIFORNIA HOSPITAL MEDICAL CENTER - LOS ANGELES LOS ANGELES LOS ANGELES Page 5 of 14 OSHPD FACILITY CODES --- Sorted by City (JAN 2015) CPQCC Centers Indicated in Bold Italics OSHPD # HOSPITAL NAME CITY COUNTY 190555 CEDARS-SINAI MEDICAL CENTER LOS ANGELES LOS ANGELES 190155 CENTURY CITY DOCTORS HOSPITAL LOS ANGELES LOS ANGELES 190170 CHILDREN’S HOSPITAL LOS ANGELES LOS ANGELES LOS ANGELES 190256 EAST LOS ANGELES DOCTORS HOSPITAL LOS ANGELES LOS ANGELES 190317 GATEWAYS HOSPITAL AND MENTAL HEALTH CENTER LOS ANGELES LOS ANGELES 190392 GOOD SAMARITAN HOSPITAL, LOS ANGELES LOS ANGELES LOS ANGELES 190382 HOLLYWOOD PRESBYTERIAN MEDICAL CENTER LOS ANGELES LOS ANGELES 190646 KAISER FND HOSP - MENTAL HEALTH CENTER LOS ANGELES LOS ANGELES 190429 KAISER FND HOSP - SUNSET/LOS ANGELES LOS ANGELES LOS ANGELES 190434 KAISER FND HOSP - WEST LOS ANGELES LOS ANGELES LOS ANGELES 194219 KECK HOSPITAL OF USC LOS ANGELES LOS ANGELES 190150 KEDREN COMMUNITY MENTAL HEALTH CENTER LOS ANGELES LOS ANGELES 190305 KINDRED HOSPITAL - LOS ANGELES LOS ANGELES LOS ANGELES 191228 LAC/USC (LOS ANGELES COUNTY, UNIVERSITY SOUTHERN LOS ANGELES LOS ANGELES CALIFORNIA MEDICAL CENTER) 190198 LOS ANGELES COMMUNITY HOSPITAL LOS ANGELES LOS ANGELES 190854 LOS ANGELES METROPOLITAN MEDICAL CENTER LOS ANGELES LOS ANGELES 190796 MATTEL CHILDREN’S HOSPITAL AT RONALD REAGAN UCLA LOS ANGELES LOS ANGELES 190681 MIRACLE MILE MEDICAL CENTER LOS ANGELES LOS ANGELES 190534 OLYMPIA MEDICAL CENTER LOS ANGELES LOS ANGELES 190307 PACIFIC ALLIANCE MEDICAL CENTER LOS ANGELES LOS ANGELES 190468 PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS LOS ANGELES LOS ANGELES 190930 RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA LOS ANGELES LOS ANGELES 190712 SHRINERS HOSPITAL FOR CHILDREN LOS ANGELES LOS ANGELES 190661 SILVER LAKE MEDICAL CENTER-DOWNTOWN CAMPUS LOS ANGELES LOS ANGELES 190762 ST. VINCENT MEDICAL CENTER LOS ANGELES LOS ANGELES 191216 USC KENNETH NORRIS, JR. CANCER HOSPITAL LOS ANGELES LOS ANGELES 190878 WHITE MEMORIAL MEDICAL CENTER LOS ANGELES LOS ANGELES 240924 MEMORIAL HOSPITAL LOS BANOS LOS BANOS MERCED 430743 EL CAMINO HOSPITAL LOS GATOS LOS GATOS SANTA CLARA 430915 MISSION OAKS HOSPITAL LOS GATOS SANTA CLARA 462284 EASTERN PLUMAS HOSPITAL-LOYALTON CAMPUS D/P SNF LOYALTON SIERRA 190754 ST. FRANCIS MEDICAL CENTER LYNWOOD LOS ANGELES 204019 CHILDREN’S HOSPITAL CENTRAL CALIFORNIA, (CHCC) MADERA MADERA 201281 MADERA COMMUNITY HOSPITAL MADERA MADERA 260011 MAMMOTH HOSPITAL MAMMOTH LAKES MONO 392287 DOCTORS HOSPITAL OF MANTECA MANTECA SAN JOAQUIN 394009 KAISER FND HOSP - MANTECA MANTECA SAN JOAQUIN 190500 MARINA DEL REY HOSPITAL MARINA DEL REY LOS ANGELES 220733 JOHN C FREMONT HEALTHCARE DISTRICT MARIPOSA MARIPOSA 070924 CONTRA COSTA REGIONAL MEDICAL CENTER MARTINEZ CONTRA COSTA 580996 RIDEOUT MEMORIAL HOSPITAL MARYSVILLE YUBA 600001 ROGUE REGIONAL MEDICAL CENTER MEDFORD Page 6 of 14 OSHPD FACILITY CODES --- Sorted by City (JAN 2015) CPQCC Centers Indicated in Bold Italics OSHPD # HOSPITAL NAME CITY COUNTY 414018 MENLO PARK SURGICAL HOSPITAL MENLO PARK SAN MATEO 244027 MARIE GREEN PSYCHIATRIC CENTER - P H F MERCED MERCED 240942 MERCY MEDICAL CENTER - MERCED MERCED MERCED 190385 PROVIDENCE HOLY CROSS MEDICAL CENTER MISSION HILLS LOS ANGELES 304113 CHILDREN’S HOSPITAL OF ORANGE COUNTY (CHOC) AT MISSION VIEJO ORANGE MISSION HOSPITAL 301262 MISSION HOSPITAL REGIONAL MEDICAL CENTER MISSION VIEJO ORANGE 500954 CENTRAL VALLEY SPECIALTY HOSPITAL MODESTO STANISLAUS 500852 DOCTORS MEDICAL CENTER OF MODESTO MODESTO STANISLAUS 501016 DOCTORS MEDICAL CENTER-BEHAVIORAL HEALTH MODESTO STANISLAUS DEPARTMENT 504042 KAISER FND HOSP - MODESTO MODESTO STANISLAUS 500939 MEMORIAL MEDICAL CENTER, MODESTO MODESTO STANISLAUS 504038 STANISLAUS SURGICAL HOSPITAL MODESTO STANISLAUS 190541 MONROVIA MEMORIAL HOSPITAL MONROVIA LOS ANGELES 361166 MONTCLAIR HOSPITAL MEDICAL CENTER MONTCLAIR SAN BERNARDINO 190081 BEVERLY HOSPITAL MONTEBELLO LOS ANGELES 270744 COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA MONTEREY MONTEREY 190315 GARFIELD MEDICAL CENTER MONTEREY PARK LOS ANGELES 190547 MONTEREY PARK HOSPITAL MONTEREY PARK LOS ANGELES 334048 KAISER FND HOSP - MORENO VALLEY MORENO VALLEY RIVERSIDE 334487 RIVERSIDE COUNTY REGIONAL MEDICAL CENTER MORENO VALLEY RIVERSIDE 410828 SETON COASTSIDE MOSS BEACH SAN MATEO 470871 MERCY MEDICAL CENTER MT. SHASTA MOUNT SHASTA SISKIYOU 430763 EL CAMINO HOSPITAL MOUNTAIN VIEW SANTA CLARA 334589 LOMA LINDA UNIVERSITY MEDICAL CENTER-MURRIETA MURRIETA RIVERSIDE 334068 SOUTHWEST HEALTHCARE SYSTEM-MURRIETA MURRIETA RIVERSIDE 281266 NAPA STATE HOSPITAL NAPA NAPA 281047 QUEEN OF THE VALLEY HOSPITAL - NAPA NAPA NAPA 370759 PARADISE VALLEY HOSPITAL NATIONAL CITY SAN DIEGO 361458 COLORADO RIVER MEDICAL CENTER NEEDLES SAN BERNARDINO 301205 HOAG MEMORIAL HOSPITAL, PRESBYTERIAN NEWPORT BEACH ORANGE 301304 NEWPORT BAY HOSPITAL NEWPORT BEACH ORANGE 190568 NORTHRIDGE HOSPITAL MEDICAL CENTER NORTHRIDGE LOS ANGELES 190766 COAST PLAZA HOSPITAL NORWALK LOS ANGELES 190958 DEPARTMENT OF STATE HOSPITAL-METROPOLITAN NORWALK LOS ANGELES 190570 NORWALK COMMUNITY HOSPITAL NORWALK LOS ANGELES 214034 NOVATO COMMUNITY HOSPITAL NOVATO MARIN 501352 OAK VALLEY CARE CENTER D/P SNF OAKDALE STANISLAUS 500967 OAK VALLEY DISTRICT HOSPITAL (2-RH) OAKDALE STANISLAUS 010937 ALTA BATES SUMMIT MED CTR-SUMMIT CAMPUS- OAKLAND ALAMEDA HAWTHORNE 013626 ALTA BATES SUMMIT MED CTR-SUMMIT CAMPUS-SUMMIT OAKLAND ALAMEDA Page 7 of 14 OSHPD FACILITY CODES --- Sorted by City (JAN 2015) CPQCC Centers Indicated in Bold Italics OSHPD # HOSPITAL NAME CITY COUNTY 010776 CHILDREN’S HOSPITAL & RESEARCH CENTER - OAKLAND OAKLAND ALAMEDA 010846 HIGHLAND HOSPITAL OAKLAND ALAMEDA 014326 KAISER PERMANENTE - OAKLAND OAKLAND ALAMEDA 013687 MPI CHEMICAL DEPENDENCY RECOVERY HOSPITAL OAKLAND ALAMEDA 014207 TELECARE HERITAGE PSYCHIATRIC HEALTH FACILITY OAKLAND ALAMEDA 010782 THUNDER ROAD CHEMICAL DEPENDENCY RECOVERY OAKLAND ALAMEDA HOSPITAL 370780 TRI-CITY MEDICAL CENTER OCEANSIDE SAN DIEGO 560500 OJAI MANOR CONVALESCENT HOSPITAL OJAI VENTURA 560501 OJAI VALLEY COMMUNITY HOSPITAL OJAI VENTURA 364265 KAISER FND HOSP - ONTARIO ONTARIO SAN BERNARDINO

361274 KINDRED HOSPITAL ONTARIO ONTARIO SAN BERNARDINO 301140 CHAPMAN MEDICAL CENTER ORANGE ORANGE 300032 CHILDREN’S HOSPITAL OF ORANGE COUNTY (CHOC ) ORANGE ORANGE 304159 HEALTHBRIDGE CHILDREN'S HOSPITAL-ORANGE ORANGE ORANGE 301340 ST. JOSEPH HOSPITAL - ORANGE ORANGE ORANGE 301279 UNIVERSITY OF CALIFORNIA, IRVINE MEDICAL CENTER (UCI) ORANGE ORANGE 040937 OROVILLE HOSPITAL OROVILLE BUTTE 560838 PACIFIC SHORES HOSPITAL OXNARD VENTURA 560529 ST. JOHN’S REGIONAL MEDICAL CENTER OXNARD VENTURA 331164 DESERT REGIONAL MEDICAL CENTER PALM SPRINGS RIVERSIDE 196405 PALMDALE REGIONAL MEDICAL CENTER PALMDALE LOS ANGELES 434040 LUCILE PACKARD CHILDREN’S HOSPITAL AT STANFORD, PALO ALTO SANTA CLARA (LPCH) 430905 STANFORD HOSPITAL PALO ALTO SANTA CLARA 190432 KAISER FND HOSP - PANORAMA CITY PANORAMA CITY LOS ANGELES 190524 MISSION COMMUNITY HOSPITAL - PANORAMA CAMPUS PANORAMA CITY LOS ANGELES 040875 FEATHER RIVER HOSPITAL PARADISE BUTTE 190599 PROMISE HOSPITAL OF EAST LOS ANGELES-SUBURBAN PARAMOUNT LOS ANGELES CAMPUS 190462 AURORA LAS ENCINAS HOSPITAL PASADENA LOS ANGELES 190400 HUNTINGTON MEMORIAL HOSPITAL PASADENA LOS ANGELES 361768 PATTON STATE HOSPITAL PATTON SAN BERNARDINO 332172 KINDRED HOSPITAL RIVERSIDE PERRIS RIVERSIDE 491001 PETALUMA VALLEY HOSPITAL PETALUMA SONOMA 301297 PLACENTIA LINDA HOSPITAL PLACENTIA ORANGE 094002 EL DORADO COUNTY P H F PLACERVILLE EL DORADO 090933 MARSHALL MEDICAL CENTER (1-RH) PLACERVILLE EL DORADO 014050 VALLEYCARE MEDICAL CENTER PLEASANTON ALAMEDA 194010 AMERICAN RECOVERY CENTER POMONA LOS ANGELES 190137 CASA COLINA HOSPITAL FOR REHAB MEDICINE POMONA LOS ANGELES 191014 LANTERMAN DEVELOPMENTAL CENTER POMONA LOS ANGELES Page 8 of 14 OSHPD FACILITY CODES --- Sorted by City (JAN 2015) CPQCC Centers Indicated in Bold Italics OSHPD # HOSPITAL NAME CITY COUNTY 190630 POMONA VALLEY HOSPITAL MEDICAL CENTER POMONA LOS ANGELES 541123 PORTERVILLE DEVELOPMENTAL CENTER PORTERVILLE TULARE 540798 SIERRA VIEW MEDICAL CENTER PORTERVILLE TULARE 320859 EASTERN PLUMAS HOSPITAL-PORTOLA CAMPUS PORTOLA PLUMAS 370977 POMERADO HOSPITAL POWAY SAN DIEGO 320986 PLUMAS DISTRICT HOSPITAL QUINCY PLUMAS 364188 KINDRED HOSPITAL RANCHO RANCHO SAN BERNARDINO CUCAMONGA 330120 BETTY FORD CENTER AT EISENHOWER, THE RANCHO MIRAGE RIVERSIDE 331168 EISENHOWER MEDICAL CENTER RANCHO MIRAGE RIVERSIDE 521041 ST. ELIZABETH COMMUNITY HOSPITAL RED BLUFF TEHAMA 450949 MERCY MEDICAL CENTER, REDDING REDDING SHASTA 454013 PATIENTS' HOSPITAL OF REDDING REDDING SHASTA 454068 RESTPADD PSYCHIATRIC HEALTH FACILITY REDDING SHASTA 451019 SHASTA COUNTY P H F REDDING SHASTA 450940 SHASTA REGIONAL MEDICAL CENTER REDDING SHASTA 454012 VIBRA HOSPITAL OF NORTHERN CALIFORNIA REDDING SHASTA 364014 LOMA LINDA UNIVERSITY BEHAVIORAL MEDICINE CENTER REDLANDS SAN BERNARDINO 364268 LOMA LINDA UNIVERSITY HEART AND SURGICAL HOSPITAL REDLANDS SAN BERNARDINO 361308 REDLANDS COMMUNITY HOSPITAL REDLANDS SAN BERNARDINO

410804 KAISER FND HOSP - REDWOOD CITY REDWOOD CITY SAN MATEO 410891 LUCILE PACKARD CHILDREN’S SPECIAL CARE NURSERY AT REDWOOD CITY SAN MATEO SEQUOIA HOSPITAL, (LPCH) 100797 ADVENTIST MEDICAL CENTER - REEDLEY REEDLEY FRESNO 196404 JOYCE EISENBERG KEEFER MEDICAL CENTER RESEDA LOS ANGELES 074093 KAISER FND HOSP - RICHMOND CAMPUS RICHMOND CONTRA COSTA 150782 RIDGECREST REGIONAL HOSPITAL RIDGECREST KERN 334025 KAISER FND HOSP - RIVERSIDE RIVERSIDE RIVERSIDE 331293 PARKVIEW COMMUNITY HOSPITAL RIVERSIDE RIVERSIDE 331312 RIVERSIDE COMMUNITY HOSPITAL RIVERSIDE RIVERSIDE 331314 RIVERSIDE COUNTY REGIONAL MEDICAL CENTER - D/P APH RIVERSIDE RIVERSIDE 331226 VISTA BEHAVIORAL HOSPITAL RIVERSIDE RIVERSIDE 190020 BHC ALHAMBRA HOSPITAL ROSEMEAD LOS ANGELES 190410 SILVER LAKE MEDICAL CENTER-INGLESIDE CAMPUS ROSEMEAD LOS ANGELES 314024 KAISER PERMANENTE - ROSEVILLE ROSEVILLE PLACER 311000 SUTTER ROSEVILLE MEDICAL CENTER ROSEVILLE PLACER 314029 TELECARE PLACER COUNTY PSYCHIATRIC HEALTH FACILITY ROSEVILLE PLACER 344188 CRESTWOOD PSYCHIATRIC HEALTH FACILITY-SACRAMENTO SACRAMENTO SACRAMENTO 344021 HERITAGE OAKS HOSPITAL SACRAMENTO SACRAMENTO 340913 KAISER FND HOSP - SACRAMENTO SACRAMENTO SACRAMENTO 342344 KAISER FND HOSP - SOUTH SACRAMENTO SACRAMENTO SACRAMENTO 340947 MERCY GENERAL HOSPITAL SACRAMENTO SACRAMENTO Page 9 of 14 OSHPD FACILITY CODES --- Sorted by City (JAN 2015) CPQCC Centers Indicated in Bold Italics OSHPD # HOSPITAL NAME CITY COUNTY 340951 METHODIST HOSPITAL OF SACRAMENTO SACRAMENTO SACRAMENTO 344011 SACRAMENTO MENTAL HEALTH TREATMENT CENTER SACRAMENTO SACRAMENTO 344114 SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF. SACRAMENTO SACRAMENTO 342392 SIERRA VISTA HOSPITAL SACRAMENTO SACRAMENTO 344017 SUTTER CENTER FOR PSYCHIATRY SACRAMENTO SACRAMENTO 341051 SUTTER GENERAL HOSPITAL SACRAMENTO SACRAMENTO 341052 SUTTER MEDICAL CENTER SACRAMENTO SACRAMENTO SACRAMENTO 341006 UNIVERSITY OF CALIFORNIA, DAVIS CHILDREN’S HOSPITAL SACRAMENTO SACRAMENTO (UCD) 274043 NATIVIDAD MEDICAL CENTER SALINAS MONTEREY 270875 SALINAS VALLEY MEMORIAL HEALTHCARE SYSTEM SALINAS MONTEREY 050932 MARK TWAIN MEDICAL CENTER SAN ANDREAS CALAVERAS 364121 BALLARD REHABILITATION HOSP SAN BERNARDINO SAN BERNARDINO 361323 COMMUNITY HOSPITAL OF SAN BERNARDINO SAN BERNARDINO SAN BERNARDINO

361339 ST. BERNARDINE MEDICAL CENTER SAN BERNARDINO SAN BERNARDINO

301325 SADDLEBACK MEMORIAL MEDICAL CENTER - SAN CLEMENTE SAN CLEMENTE ORANGE 370652 ALVARADO HOSPITAL MEDICAL CENTER SAN DIEGO SAN DIEGO 374063 ALVARADO HOSPITAL MEDICAL CENTER SAN DIEGO SAN DIEGO 374024 AURORA SAN DIEGO SAN DIEGO SAN DIEGO 370730 KAISER FND HOSP - SAN DIEGO SAN DIEGO SAN DIEGO 370721 KINDRED HOSPITAL - SAN DIEGO SAN DIEGO SAN DIEGO 370787 PROMISE HOSPITAL OF SAN DIEGO SAN DIEGO SAN DIEGO 370673 RADY CHILDREN’S HOSPITAL SAN DIEGO (RCHSD) SAN DIEGO SAN DIEGO 374055 SAN DIEGO COUNTY PSYCHIATRIC HOSPITAL SAN DIEGO SAN DIEGO 370744 SCRIPPS MERCY HOSPITAL, SAN DIEGO SAN DIEGO SAN DIEGO 370695 SHARP MARY BIRCH HOSPITAL FOR WOMEN SAN DIEGO SAN DIEGO 374049 SHARP MCDONALD CENTER SAN DIEGO SAN DIEGO 370694 SHARP MEMORIAL HOSPITAL SAN DIEGO SAN DIEGO 370745 SHARP MESA VISTA HOSPITAL SAN DIEGO SAN DIEGO 370782 UNIVERSITY OF CALIFORNIA, SAN DIEGO MEDICAL CENTER SAN DIEGO SAN DIEGO (UCSD) 374094 VIBRA HOSPITAL OF SAN DIEGO SAN DIEGO SAN DIEGO 190673 SAN DIMAS COMMUNITY HOSPITAL SAN DIMAS LOS ANGELES 380826 CALIFORNIA PACIFIC MED CTR-CALIFORNIA EAST SAN FRANCISCO SAN FRANCISCO 380933 CALIFORNIA PACIFIC MED CTR-DAVIES CAMPUS SAN FRANCISCO SAN FRANCISCO 380929 CALIFORNIA PACIFIC MED CTR-PACIFIC CAMPUS SAN FRANCISCO SAN FRANCISCO 380964 CALIFORNIA PACIFIC MEDICAL CENTER - ST. LUKE'S CAMPUS SAN FRANCISCO SAN FRANCISCO 380777 CALIFORNIA PACIFIC MEDICAL CENTER (CPMC) SAN FRANCISCO SAN FRANCISCO 382715 CHINESE HOSPITAL SAN FRANCISCO SAN FRANCISCO 380842 JEWISH HOME SAN FRANCISCO SAN FRANCISCO 380857 KAISER PERMANENTE - SAN FRANCISCO SAN FRANCISCO SAN FRANCISCO Page 10 of 14 OSHPD FACILITY CODES --- Sorted by City (JAN 2015) CPQCC Centers Indicated in Bold Italics OSHPD # HOSPITAL NAME CITY COUNTY 380865 LAGUNA HONDA HOSPITAL AND REHABILITATION CENTER SAN FRANCISCO SAN FRANCISCO 380868 LANGLEY PORTER PSYCHIATRIC INSTITUTE SAN FRANCISCO SAN FRANCISCO 380939 SAN FRANCISCO GENERAL HOSPITAL (SFGH) SAN FRANCISCO SAN FRANCISCO 380960 ST. FRANCIS MEMORIAL HOSPITAL SAN FRANCISCO SAN FRANCISCO 380965 ST. MARY'S MEDICAL CENTER, SAN FRANCISCO SAN FRANCISCO SAN FRANCISCO 380895 UCSF MEDICAL CENTER AT MOUNT ZION SAN FRANCISCO SAN FRANCISCO 381154 UNIVERSITY OF CALIFORNIA, SAN FRANCISCO MEDICAL SAN FRANCISCO SAN FRANCISCO CENTER (UCSF) 190200 SAN GABRIEL VALLEY MEDICAL CENTER SAN GABRIEL LOS ANGELES 434220 CRESTWOOD PSYCHIATRIC HEALTH FACILITY-SAN JOSE SAN JOSE SANTA CLARA 430779 GOOD SAMARITAN HOSPITAL (HCA), SAN JOSE SAN JOSE SANTA CLARA 431506 KAISER FND HOSP - SAN JOSE SAN JOSE SANTA CLARA 430837 O’CONNOR HOSPITAL SAN JOSE SANTA CLARA 430705 REGIONAL MEDICAL CENTER OF SAN JOSE SAN JOSE SANTA CLARA 430883 SANTA CLARA VALLEY MEDICAL CENTER (SCVMC) SAN JOSE SANTA CLARA 010811 FAIRMONT HOSPITAL SAN LEANDRO ALAMEDA 014337 KAISER PERMANENTE - SAN LEANDRO SAN LEANDRO ALAMEDA 010887 KINDRED HOSPITAL - SAN FRANCISCO BAY AREA SAN LEANDRO ALAMEDA 013619 SAN LEANDRO HOSPITAL SAN LEANDRO ALAMEDA 014226 TELECARE WILLOW ROCK CENTER SAN LEANDRO ALAMEDA 400480 FRENCH HOSPITAL MEDICAL CENTER SAN LUIS OBISPO SAN LUIS OBISPO 404046 SAN LUIS OBISPO CO PSYCHIATRIC HEALTH FACILITY SAN LUIS OBISPO SAN LUIS OBISPO 400524 SIERRA VISTA REGIONAL MEDICAL CENTER SAN LUIS OBISPO SAN LUIS OBISPO 410742 MILLS HEALTH CENTER SAN MATEO SAN MATEO 410782 SAN MATEO MEDICAL CENTER SAN MATEO SAN MATEO 070904 DOCTORS MEDICAL CENTER - SAN PABLO SAN PABLO CONTRA COSTA 190680 PROVIDENCE LITTLE COMPANY OF MARY MC - SAN PEDRO SAN PEDRO LOS ANGELES 190362 PROVIDENCE LITTLE COMPANY OF MARY SUBACUTE CARE SAN PEDRO LOS ANGELES CENTER 210992 KAISER FND HOSP - SAN RAFAEL SAN RAFAEL MARIN 074017 SAN RAMON REGIONAL MEDICAL CENTER SAN RAMON CONTRA COSTA 074011 SAN RAMON REGIONAL MEDICAL CENTER SOUTH BUILDING SAN RAMON CONTRA COSTA 301258 COASTAL COMMUNITIES HOSPITAL SANTA ANA ORANGE 301167 KINDRED HOSPITAL - SANTA ANA SANTA ANA ORANGE 301566 WESTERN MEDICAL CENTER, SANTA ANA SANTA ANA ORANGE 420514 COTTAGE HOSPITAL, SANTA BARBARA SANTA BARBARA SANTA BARBARA 424047 COTTAGE REHABILITATION HOSPITAL SANTA BARBARA SANTA BARBARA 420483 GOLETA VALLEY COTTAGE HOSPITAL SANTA BARBARA SANTA BARBARA 424002 SANTA BARBARA PSYCHIATRIC HEALTH FACILITY SANTA BARBARA SANTA BARBARA 434153 KAISER PERMANENTE - SANTA CLARA SANTA CLARA SANTA CLARA 434218 KAISER PERMANENTE P.H.F - SANTA CLARA SANTA CLARA SANTA CLARA 440755 DOMINICAN HOSPITAL SANTA CRUZ SANTA CRUZ 444012 SUTTER MATERNITY AND SURGERY CENTER OF SANTA CRUZ SANTA CRUZ SANTA CRUZ Page 11 of 14 OSHPD FACILITY CODES --- Sorted by City (JAN 2015) CPQCC Centers Indicated in Bold Italics OSHPD # HOSPITAL NAME CITY COUNTY 444029 TELECARE SANTA CRUZ PHF SANTA CRUZ SANTA CRUZ 420493 MARIAN REGIONAL MEDICAL CENTER SANTA MARIA SANTA BARBARA 190687 SANTA MONICA-UCLA MEDICAL CENTER & ORTHOPEDIC SANTA MONICA LOS ANGELES HOSPITAL 190756 ST. JOHN’S HEALTH CENTER SANTA MONICA LOS ANGELES 560521 VENTURA COUNTY MEDICAL CENTER - SANTA PAULA SANTA PAULA VENTURA HOSPITAL 494048 AURORA BEHAVIORAL HEALTHCARE-SANTA ROSA, LLC SANTA ROSA SONOMA 494019 KAISER FND HOSP - SANTA ROSA SANTA ROSA SONOMA 491064 SANTA ROSA MEMORIAL HOSPITAL SANTA ROSA SONOMA 490907 SANTA ROSA MEMORIAL HOSPITAL-SOTOYOME SANTA ROSA SONOMA 494106 SUTTER MEDICAL CENTER OF SANTA ROSA SANTA ROSA SONOMA 374497 EDGEMOOR GERIATRIC HOSPITAL SANTEE SAN DIEGO 491338 PALM DRIVE HOSPITAL SEBASTOPOL SONOMA 100793 ADVENTIST MEDICAL CENTER-SELMA SELMA FRESNO 190708 SHERMAN OAKS HOSPITAL SHERMAN OAKS LOS ANGELES 560525 SIMI VALLEY HOSPITAL AND HEALTH CARE SVCS-SYCAMORE SIMI VALLEY VENTURA 420522 SANTA YNEZ VALLEY COTTAGE HOSPITAL SOLVANG SANTA BARBARA 491076 SONOMA VALLEY HOSPITAL SONOMA SONOMA 552209 SONORA REGIONAL MEDICAL CENTER - FAIRVIEW SONORA TUOLUMNE 554011 SONORA REGIONAL MEDICAL CENTER - GREENLEY SONORA TUOLUMNE 551035 SONORA REGIONAL MEDICAL CENTER D/P SNF (UNIT 6 AND 7) SONORA TUOLUMNE 190352 GREATER EL MONTE COMMUNITY HOSPITAL SOUTH EL MONTE LOS ANGELES 090793 BARTON MEMORIAL HOSPITAL SOUTH LAKE TAHOE EL DORADO 410806 KAISER FND HOSP - SOUTH SAN FRANCISCO SOUTH SAN SAN MATEO FRANCISCO 281078 ST. HELENA HOSPITAL ST. HELENA NAPA 390846 DAMERON HOSPITAL ASSOCIATION (DHA) STOCKTON SAN JOAQUIN 394003 SAN JOAQUIN COUNTY P.H.F. STOCKTON SAN JOAQUIN 392232 ST. JOSEPH'S BEHAVIORAL HEALTH CENTER STOCKTON SAN JOAQUIN 391042 ST. JOSEPH’S MEDICAL CENTER, STOCKTON STOCKTON SAN JOAQUIN 334018 MENIFEE VALLEY MEDICAL CENTER SUN CITY RIVERSIDE 190696 PACIFICA HOSPITAL OF THE VALLEY SUN VALLEY LOS ANGELES 184008 BANNER LASSEN MEDICAL CENTER SUSANVILLE LASSEN 191231 OLIVE VIEW UCLA MEDICAL CENTER SYLMAR LOS ANGELES 190517 PROVIDENCE TARZANA MEDICAL CENTER TARZANA LOS ANGELES 190782 TARZANA TREATMENT CENTER TARZANA LOS ANGELES 150808 TEHACHAPI HOSPITAL TEHACHAPI KERN 334564 TEMECULA VALLEY HOSPITAL TEMECULA RIVERSIDE 400548 TWIN CITIES COMMUNITY HOSPITAL TEMPLETON SAN LUIS OBISPO 560492 LOS ROBLES REGIONAL HOSPITAL & MEDICAL CENTER THOUSAND OAKS VENTURA 564121 THOUSAND OAKS SURGICAL HOSPITAL, A CAMPUS OF LOS THOUSAND OAKS VENTURA ROBLES HOSP Page 12 of 14 OSHPD FACILITY CODES --- Sorted by City (JAN 2015) CPQCC Centers Indicated in Bold Italics OSHPD # HOSPITAL NAME CITY COUNTY 190232 DEL AMO HOSPITAL TORRANCE LOS ANGELES 191227 HARBOR UCLA MEDICAL CENTER TORRANCE LOS ANGELES 190470 PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER - TORRANCE LOS ANGELES TORRANCE 190702 PROVIDENCE LITTLE COMPANY OF MARY TRANSITIONAL CARE TORRANCE LOS ANGELES CENTER 194967 STAR VIEW ADOLESCENT - P H F TORRANCE LOS ANGELES 190422 TORRANCE MEMORIAL MEDICAL CENTER TORRANCE LOS ANGELES 391056 SUTTER TRACY COMMUNITY HOSPITAL TRACY SAN JOAQUIN 291053 TAHOE FOREST HOSPITAL TRUCKEE NEVADA 540816 TULARE REGIONAL MEDICAL CENTER TULARE TULARE 500867 EMANUEL MEDICAL CENTER TURLOCK STANISLAUS 304079 HEALTHSOUTH TUSTIN REHABILITATION HOSPITAL TUSTIN ORANGE 301357 NEWPORT SPECIALTY HOSPITAL TUSTIN ORANGE 231396 UKIAH VALLEY MEDICAL CENTER UKIAH MENDOCINO 361318 SAN ANTONIO COMMUNITY HOSPITAL UPLAND SAN BERNARDINO

484044 KAISER FND HOSP - VACAVILLE VACAVILLE SOLANO 484001 NORTH BAY VACAVALLEY HOSPITAL VACAVILLE SOLANO 190949 HENRY MAYO NEWHALL MEMORIAL HOSPITAL VALENCIA LOS ANGELES 484062 CRESTWOOD SOLANO PSYCHIATRIC HEALTH FACILITY VALLEJO SOLANO 480989 KAISER FND HOSP - REHABILITATION CENTER VALLEJO VALLEJO SOLANO 481015 ST. HELENA HOSPITAL CENTER FOR BEHAVIORAL HEALTH VALLEJO SOLANO 481094 SUTTER SOLANO MEDICAL CENTER VALLEJO SOLANO 190814 SOUTHERN CALIFORNIA HOSPITAL AT VAN NUYS D/P APH VAN NUYS LOS ANGELES 190812 VALLEY PRESBYTERIAN HOSPITAL VAN NUYS LOS ANGELES 560203 AURORA VISTA DEL MAR HOSPITAL VENTURA VENTURA 560473 COMMUNITY MEMORIAL HOSPITAL OF VENTURA VENTURA VENTURA 560481 VENTURA COUNTY MEDICAL CENTER (VCMC) VENTURA VENTURA 364144 DESERT VALLEY HOSPITAL VICTORVILLE SAN BERNARDINO 361370 VICTOR VALLEY GLOBAL MEDICAL CENTER VICTORVILLE SAN BERNARDINO 544009 KAWEAH DELTA MENTAL HEALTH HOSPITAL D/P APH VISALIA TULARE 540734 KAWEAH DELTA HEALTHCARE DISTRICT VISALIA TULARE 544075 KAWEAH DELTA REHABILITATION HOSPITAL VISALIA TULARE 540827 KAWEAH DELTA SKILLED NURSING FACILITY VISALIA TULARE 070988 JOHN MUIR HEALTH, WALNUT CREEK CAMPUS WALNUT CREEK CONTRA COSTA 070990 KAISER PERMANENTE - WALNUT CREEK WALNUT CREEK CONTRA COSTA 444013 WATSONVILLE COMMUNITY HOSPITAL WATSONVILLE SANTA CRUZ 531059 TRINITY HOSPITAL WEAVERVILLE TRINITY 190636 CITRUS VALLEY MEDICAL CENTER WEST COVINA LOS ANGELES 190857 DOCTORS HOSPITAL OF WEST COVINA, INC WEST COVINA LOS ANGELES 190458 KINDRED HOSPITAL - SAN GABRIEL VALLEY WEST COVINA LOS ANGELES 564018 LOS ROBLES HOSPITAL & MEDICAL CENTER - EAST CAMPUS WESTLAKE VILAGE VENTURA Page 13 of 14 OSHPD FACILITY CODES --- Sorted by City (JAN 2015) CPQCC Centers Indicated in Bold Italics OSHPD # HOSPITAL NAME CITY COUNTY 301380 KINDRED HOSPITAL WESTMINSTER WESTMINSTER ORANGE 190631 PRESBYTERIAN INTER. HOSPITAL (PIH) HEALTH HOSPITAL WHITTIER LOS ANGELES 190883 WHITTIER HOSPITAL MEDICAL CENTER WHITTIER LOS ANGELES 334001 SOUTHWEST HEALTHCARE SYSTEM-WILDOMAR WILDOMAR RIVERSIDE 230949 FRANK R HOWARD MEMORIAL HOSPITAL WILLITS MENDOCINO 110889 GLENN MEDICAL CENTER WILLOWS GLENN 571086 WOODLAND MEMORIAL HOSPITAL WOODLAND YOLO 191450 KAISER FND HOSP - WOODLAND HILLS WOODLAND HILLS LOS ANGELES 190552 MOTION PICTURE AND TELEVISION HOSPITAL WOODLAND HILLS LOS ANGELES 474007 FAIRCHILD MEDICAL CENTER YREKA SISKIYOU 510882 FREMONT MEDICAL CENTER YUBA CITY SUTTER 514033 NORTH VALLEY BEHAVIORAL HEALTH YUBA CITY SUTTER 514030 SUTTER SURGICAL HOSPITAL-NORTH VALLEY YUBA CITY SUTTER 514001 SUTTER-YUBA PSYCHIATRIC HEALTH FACILITY YUBA CITY SUTTER 700564 30TH MEDICAL GROUP HOSPITAL 700597 60TH MEDICAL GROUP HOSPITAL 700431 722ND MEDICAL GROUP 700103 95TH MEDICAL GROUP - EDWARDS AIR FORCE BASE 890096 CALIFORNIA - CLINIC 890097 CALIFORNIA - EMERGENCY ROOM 890000 CALIFORNIA - HOME BIRTH 890095 CALIFORNIA - MD OFFICE 890099 CALIFORNIA - OTHER IN/PATIENT SETTING 890094 CALIFORNIA - OTHER OUT/PATIENT SETTING 700501 NAVAL HOSPITAL - CAMP PENDLETON 700112 NAVAL HOSPITAL - LEMOORE 700461 NAVAL HOSPITAL - TWENTYNINE PALM 700502 NAVAL MEDICAL CENTER (BALBOA) 777777 NOT APPLICABLE 880096 OUT OF STATE - CLINIC 880097 OUT OF STATE - EMERGENCY ROOM 880000 OUT OF STATE - HOME BIRTH 880095 OUT OF STATE - MD OFFICE 880099 OUT OF STATE - OTHER IN/PATIENT SETTING 880094 OUT OF STATE - OTHER OUT/PATIENT SETTING 900099 SAFE SURRENDER 999999 UNKNOWN 700330 US ARMY AIR FORCE HOSPITAL 700473 US ARMY HOSPITAL 700474 US INFIMARY AIR FORCE BASE 700602 US NAVAL HOSPITAL 700659 US NAVAL STATION HOSPITAL 700664 USAF HOSPITAL - MARYSVILLE Page 14 of 14 CALCULATION CHARTS FOR DATE OF DAY 28 IN 2015

Jan DOB DAY28 Feb DOB DAY28 Mar DOB DAY28 Apr DOB DAY28 May DOB DAY28 Jun DOB DAY28 01/01/15 01/28/15 02/01/15 02/28/15 03/01/15 03/28/15 04/01/15 04/28/15 05/01/15 05/28/15 06/01/15 06/28/15 01/02/15 01/29/15 02/02/15 03/01/15 03/02/15 03/29/15 04/02/15 04/29/15 05/02/15 05/29/15 06/02/15 06/29/15 01/03/15 01/30/15 02/03/15 03/02/15 03/03/15 03/30/15 04/03/15 04/30/15 05/03/15 05/30/15 06/03/15 06/30/15 01/04/15 01/31/15 02/04/15 03/03/15 03/04/15 03/31/15 04/04/15 05/01/15 05/04/15 05/31/15 06/04/15 07/01/15 01/05/15 02/01/15 02/05/15 03/04/15 03/05/15 04/01/15 04/05/15 05/02/15 05/05/15 06/01/15 06/05/15 07/02/15 01/06/15 02/02/15 02/06/15 03/05/15 03/06/15 04/02/15 04/06/15 05/03/15 05/06/15 06/02/15 06/06/15 07/03/15 01/07/15 02/03/15 02/07/15 03/06/15 03/07/15 04/03/15 04/07/15 05/04/15 05/07/15 06/03/15 06/07/15 07/04/15 01/08/15 02/04/15 02/08/15 03/07/15 03/08/15 04/04/15 04/08/15 05/05/15 05/08/15 06/04/15 06/08/15 07/05/15 01/09/15 02/05/15 02/09/15 03/08/15 03/09/15 04/05/15 04/09/15 05/06/15 05/09/15 06/05/15 06/09/15 07/06/15 01/10/15 02/06/15 02/10/15 03/09/15 03/10/15 04/06/15 04/10/15 05/07/15 05/10/15 06/06/15 06/10/15 07/07/15 01/11/15 02/07/15 02/11/15 03/10/15 03/11/15 04/07/15 04/11/15 05/08/15 05/11/15 06/07/15 06/11/15 07/08/15 01/12/15 02/08/15 02/12/15 03/11/15 03/12/15 04/08/15 04/12/15 05/09/15 05/12/15 06/08/15 06/12/15 07/09/15 01/13/15 02/09/15 02/13/15 03/12/15 03/13/15 04/09/15 04/13/15 05/10/15 05/13/15 06/09/15 06/13/15 07/10/15 01/14/15 02/10/15 02/14/15 03/13/15 03/14/15 04/10/15 04/14/15 05/11/15 05/14/15 06/10/15 06/14/15 07/11/15 01/15/15 02/11/15 02/15/15 03/14/15 03/15/15 04/11/15 04/15/15 05/12/15 05/15/15 06/11/15 06/15/15 07/12/15 01/16/15 02/12/15 02/16/15 03/15/15 03/16/15 04/12/15 04/16/15 05/13/15 05/16/15 06/12/15 06/16/15 07/13/15 01/17/15 02/13/15 02/17/15 03/16/15 03/17/15 04/13/15 04/17/15 05/14/15 05/17/15 06/13/15 06/17/15 07/14/15 01/18/15 02/14/15 02/18/15 03/17/15 03/18/15 04/14/15 04/18/15 05/15/15 05/18/15 06/14/15 06/18/15 07/15/15 01/19/15 02/15/15 02/19/15 03/18/15 03/19/15 04/15/15 04/19/15 05/16/15 05/19/15 06/15/15 06/19/15 07/16/15 01/20/15 02/16/15 02/20/15 03/19/15 03/20/15 04/16/15 04/20/15 05/17/15 05/20/15 06/16/15 06/20/15 07/17/15 01/21/15 02/17/15 02/21/15 03/20/15 03/21/15 04/17/15 04/21/15 05/18/15 05/21/15 06/17/15 06/21/15 07/18/15 01/22/15 02/18/15 02/22/15 03/21/15 03/22/15 04/18/15 04/22/15 05/19/15 05/22/15 06/18/15 06/22/15 07/19/15 01/23/15 02/19/15 02/23/15 03/22/15 03/23/15 04/19/15 04/23/15 05/20/15 05/23/15 06/19/15 06/23/15 07/20/15 01/24/15 02/20/15 02/24/15 03/23/15 03/24/15 04/20/15 04/24/15 05/21/15 05/24/15 06/20/15 06/24/15 07/21/15 01/25/15 02/21/15 02/25/15 03/24/15 03/25/15 04/21/15 04/25/15 05/22/15 05/25/15 06/21/15 06/25/15 07/22/15 01/26/15 02/22/15 02/26/15 03/25/15 03/26/15 04/22/15 04/26/15 05/23/15 05/26/15 06/22/15 06/26/15 07/23/15 01/27/15 02/23/15 02/27/15 03/26/15 03/27/15 04/23/15 04/27/15 05/24/15 05/27/15 06/23/15 06/27/15 07/24/15 01/28/15 02/24/15 02/28/15 03/27/15 03/28/15 04/24/15 04/28/15 05/25/15 05/28/15 06/24/15 06/28/15 07/25/15 01/29/15 02/25/15 03/29/15 04/25/15 04/29/15 05/26/15 05/29/15 06/25/15 06/29/15 07/26/15 01/30/15 02/26/15 03/30/15 04/26/15 04/30/15 05/27/15 05/30/15 06/26/15 06/30/15 07/27/15 01/31/15 02/27/15 03/31/15 04/27/15 05/31/15 06/27/15

To use this chart: Find the Date of Birth in the month column. The correctly calculated Date of Day 28 is to the right of the Date of Birth. Example: If the Date of Birth is 4/23/15, then the Date of Day 28 is 5/20/15. CALCULATION CHARTS FOR DATE OF DAY 28 IN 2015

July DOB DAY28 Aug DOB DAY28 Sept DOB DAY28 Oct DOB DAY28 Nov DOB DAY28 Dec DOB DAY28 07/01/15 07/28/15 08/01/15 08/28/15 09/01/15 09/28/15 10/01/15 10/28/15 11/01/15 11/28/15 12/01/15 12/28/15 07/02/15 07/29/15 08/02/15 08/29/15 09/02/15 09/29/15 10/02/15 10/29/15 11/02/15 11/29/15 12/02/15 12/29/15 07/03/15 07/30/15 08/03/15 08/30/15 09/03/15 09/30/15 10/03/15 10/30/15 11/03/15 11/30/15 12/03/15 12/30/15 07/04/15 07/31/15 08/04/15 08/31/15 09/04/15 10/01/15 10/04/15 10/31/15 11/04/15 12/01/15 12/04/15 12/31/15 07/05/15 08/01/15 08/05/15 09/01/15 09/05/15 10/02/15 10/05/15 11/01/15 11/05/15 12/02/15 12/05/15 01/01/16 07/06/15 08/02/15 08/06/15 09/02/15 09/06/15 10/03/15 10/06/15 11/02/15 11/06/15 12/03/15 12/06/15 01/02/16 07/07/15 08/03/15 08/07/15 09/03/15 09/07/15 10/04/15 10/07/15 11/03/15 11/07/15 12/04/15 12/07/15 01/03/16 07/08/15 08/04/15 08/08/15 09/04/15 09/08/15 10/05/15 10/08/15 11/04/15 11/08/15 12/05/15 12/08/15 01/04/16 07/09/15 08/05/15 08/09/15 09/05/15 09/09/15 10/06/15 10/09/15 11/05/15 11/09/15 12/06/15 12/09/15 01/05/16 07/10/15 08/06/15 08/10/15 09/06/15 09/10/15 10/07/15 10/10/15 11/06/15 11/10/15 12/07/15 12/10/15 01/06/16 07/11/15 08/07/15 08/11/15 09/07/15 09/11/15 10/08/15 10/11/15 11/07/15 11/11/15 12/08/15 12/11/15 01/07/16 07/12/15 08/08/15 08/12/15 09/08/15 09/12/15 10/09/15 10/12/15 11/08/15 11/12/15 12/09/15 12/12/15 01/08/16 07/13/15 08/09/15 08/13/15 09/09/15 09/13/15 10/10/15 10/13/15 11/09/15 11/13/15 12/10/15 12/13/15 01/09/16 07/14/15 08/10/15 08/14/15 09/10/15 09/14/15 10/11/15 10/14/15 11/10/15 11/14/15 12/11/15 12/14/15 01/10/16 07/15/15 08/11/15 08/15/15 09/11/15 09/15/15 10/12/15 10/15/15 11/11/15 11/15/15 12/12/15 12/15/15 01/11/16 07/16/15 08/12/15 08/16/15 09/12/15 09/16/15 10/13/15 10/16/15 11/12/15 11/16/15 12/13/15 12/16/15 01/12/16 07/17/15 08/13/15 08/17/15 09/13/15 09/17/15 10/14/15 10/17/15 11/13/15 11/17/15 12/14/15 12/17/15 01/13/16 07/18/15 08/14/15 08/18/15 09/14/15 09/18/15 10/15/15 10/18/15 11/14/15 11/18/15 12/15/15 12/18/15 01/14/16 07/19/15 08/15/15 08/19/15 09/15/15 09/19/15 10/16/15 10/19/15 11/15/15 11/19/15 12/16/15 12/19/15 01/15/16 07/20/15 08/16/15 08/20/15 09/16/15 09/20/15 10/17/15 10/20/15 11/16/15 11/20/15 12/17/15 12/20/15 01/16/16 07/21/15 08/17/15 08/21/15 09/17/15 09/21/15 10/18/15 10/21/15 11/17/15 11/21/15 12/18/15 12/21/15 01/17/16 07/22/15 08/18/15 08/22/15 09/18/15 09/22/15 10/19/15 10/22/15 11/18/15 11/22/15 12/19/15 12/22/15 01/18/16 07/23/15 08/19/15 08/23/15 09/19/15 09/23/15 10/20/15 10/23/15 11/19/15 11/23/15 12/20/15 12/23/15 01/19/16 07/24/15 08/20/15 08/24/15 09/20/15 09/24/15 10/21/15 10/24/15 11/20/15 11/24/15 12/21/15 12/24/15 01/20/16 07/25/15 08/21/15 08/25/15 09/21/15 09/25/15 10/22/15 10/25/15 11/21/15 11/25/15 12/22/15 12/25/15 01/21/16 07/26/15 08/22/15 08/26/15 09/22/15 09/26/15 10/23/15 10/26/15 11/22/15 11/26/15 12/23/15 12/26/15 01/22/16 07/27/15 08/23/15 08/27/15 09/23/15 09/27/15 10/24/15 10/27/15 11/23/15 11/27/15 12/24/15 12/27/15 01/23/16 07/28/15 08/24/15 08/28/15 09/24/15 09/28/15 10/25/15 10/28/15 11/24/15 11/28/15 12/25/15 12/28/15 01/24/16 07/29/15 08/25/15 08/29/15 09/25/15 09/29/15 10/26/15 10/29/15 11/25/15 11/29/15 12/26/15 12/29/15 01/25/16 07/30/15 08/26/15 08/30/15 09/26/15 09/30/15 10/27/15 10/30/15 11/26/15 11/30/15 12/27/15 12/30/15 01/26/16 07/31/15 08/27/15 08/31/15 09/27/15 10/31/15 11/27/15 12/31/15 01/27/16

To use this chart: Find the Date of Birth in the month column. The correctly calculated Date of Day 28 is to the right of the Date of Birth. Example: If the Date of Birth is 4/23/15, then the Date of Day 28 is 5/20/15. DAY NUMBER CHART FOR CALCULATING LENGTH OF STAY FOR INFANTS BORN IN 2015

DATE DAY # DATE DAY # DATE DAY # January 1, 2015 1 February 1, 2015 32 March 1, 2015 60 January 2, 2015 2 February 2, 2015 33 March 2, 2015 61 January 3, 2015 3 February 3, 2015 34 March 3, 2015 62 January 4, 2015 4 February 4, 2015 35 March 4, 2015 63 January 5, 2015 5 February 5, 2015 36 March 5, 2015 64 January 6, 2015 6 February 6, 2015 37 March 6, 2015 65 January 7, 2015 7 February 7, 2015 38 March 7, 2015 66 January 8, 2015 8 February 8, 2015 39 March 8, 2015 67 January 9, 2015 9 February 9, 2015 40 March 9, 2015 68 January 10, 2015 10 February 10, 2015 41 March 10, 2015 69 January 11, 2015 11 February 11, 2015 42 March 11, 2015 70 January 12, 2015 12 February 12, 2015 43 March 12, 2015 71 January 13, 2015 13 February 13, 2015 44 March 13, 2015 72 January 14, 2015 14 February 14, 2015 45 March 14, 2015 73 January 15, 2015 15 February 15, 2015 46 March 15, 2015 74 January 16, 2015 16 February 16, 2015 47 March 16, 2015 75 January 17, 2015 17 February 17, 2015 48 March 17, 2015 76 January 18, 2015 18 February 18, 2015 49 March 18, 2015 77 January 19, 2015 19 February 19, 2015 50 March 19, 2015 78 January 20, 2015 20 February 20, 2015 51 March 20, 2015 79 January 21, 2015 21 February 21, 2015 52 March 21, 2015 80 January 22, 2015 22 February 22, 2015 53 March 22, 2015 81 January 23, 2015 23 February 23, 2015 54 March 23, 2015 82 January 24, 2015 24 February 24, 2015 55 March 24, 2015 83 January 25, 2015 25 February 25, 2015 56 March 25, 2015 84 January 26, 2015 26 February 26, 2015 57 March 26, 2015 85 January 27, 2015 27 February 27, 2015 58 March 27, 2015 86 January 28, 2015 28 February 28, 2015 59 March 28, 2015 87 January 29, 2015 29 March 29, 2015 88 January 30, 2015 30 March 30, 2015 89 January 31, 2015 31 March 31, 2015 90

DAY NUMBER CHART FOR CALCULATING LENGTH OF STAY FOR INFANTS BORN IN 2015

DATE DAY # DATE DAY # DATE DAY # April 1, 2015 91 May 1, 2015 121 June 1, 2015 152 April 2, 2015 92 May 2, 2015 122 June 2, 2015 153 April 3, 2015 93 May 3, 2015 123 June 3, 2015 154 April 4, 2015 94 May 4, 2015 124 June 4, 2015 155 April 5, 2015 95 May 5, 2015 125 June 5, 2015 156 April 6, 2015 96 May 6, 2015 126 June 6, 2015 157 April 7, 2015 97 May 7, 2015 127 June 7, 2015 158 April 8, 2015 98 May 8, 2015 128 June 8, 2015 159 April 9, 2015 99 May 9, 2015 129 June 9, 2015 160 April 10, 2015 100 May 10, 2015 130 June 10, 2015 161 April 11, 2015 101 May 11, 2015 131 June 11, 2015 162 April 12, 2015 102 May 12, 2015 132 June 12, 2015 163 April 13, 2015 103 May 13, 2015 133 June 13, 2015 164 April 14, 2015 104 May 14, 2015 134 June 14, 2015 165 April 15, 2015 105 May 15, 2015 135 June 15, 2015 166 April 16, 2015 106 May 16, 2015 136 June 16, 2015 167 April 17, 2015 107 May 17, 2015 137 June 17, 2015 168 April 18, 2015 108 May 18, 2015 138 June 18, 2015 169 April 19, 2015 109 May 19, 2015 139 June 19, 2015 170 April 20, 2015 110 May 20, 2015 140 June 20, 2015 171 April 21, 2015 111 May 21, 2015 141 June 21, 2015 172 April 22, 2015 112 May 22, 2015 142 June 22, 2015 173 April 23, 2015 113 May 23, 2015 143 June 23, 2015 174 April 24, 2015 114 May 24, 2015 144 June 24, 2015 175 April 25, 2015 115 May 25, 2015 145 June 25, 2015 176 April 26, 2015 116 May 26, 2015 146 June 26, 2015 177 April 27, 2015 117 May 27, 2015 147 June 27, 2015 178 April 28, 2015 118 May 28, 2015 148 June 28, 2015 179 April 29, 2015 119 May 29, 2015 149 June 29, 2015 180 April 30, 2015 120 May 30, 2015 150 June 30, 2015 181 May 31, 2015 151

DAY NUMBER CHART FOR CALCULATING LENGTH OF STAY FOR INFANTS BORN IN 2015

DATE DAY # DATE DAY # DATE DAY # July 1, 2015 182 August 1, 2015 213 September 1, 2015 244 July 2, 2015 183 August 2, 2015 214 September 2, 2015 245 July 3, 2015 184 August 3, 2015 215 September 3, 2015 246 July 4, 2015 185 August 4, 2015 216 September 4, 2015 247 July 5, 2015 186 August 5, 2015 217 September 5, 2015 248 July 6, 2015 187 August 6, 2015 218 September 6, 2015 249 July 7, 2015 188 August 7, 2015 219 September 7, 2015 250 July 8, 2015 189 August 8, 2015 220 September 8, 2015 251 July 9, 2015 190 August 9, 2015 221 September 9, 2015 252 July 10, 2015 191 August 10, 2015 222 September 10, 2015 253 July 11, 2015 192 August 11, 2015 223 September 11, 2015 254 July 12, 2015 193 August 12, 2015 224 September 12, 2015 255 July 13, 2015 194 August 13, 2015 225 September 13, 2015 256 July 14, 2015 195 August 14, 2015 226 September 14, 2015 257 July 15, 2015 196 August 15, 2015 227 September 15, 2015 258 July 16, 2015 197 August 16, 2015 228 September 16, 2015 259 July 17, 2015 198 August 17, 2015 229 September 17, 2015 260 July 18, 2015 199 August 18, 2015 230 September 18, 2015 261 July 19, 2015 200 August 19, 2015 231 September 19, 2015 262 July 20, 2015 201 August 20, 2015 232 September 20, 2015 263 July 21, 2015 202 August 21, 2015 233 September 21, 2015 264 July 22, 2015 203 August 22, 2015 234 September 22, 2015 265 July 23, 2015 204 August 23, 2015 235 September 23, 2015 266 July 24, 2015 205 August 24, 2015 236 September 24, 2015 267 July 25, 2015 206 August 25, 2015 237 September 25, 2015 268 July 26, 2015 207 August 26, 2015 238 September 26, 2015 269 July 27, 2015 208 August 27, 2015 239 September 27, 2015 270 July 28, 2015 209 August 28, 2015 240 September 28, 2015 271 July 29, 2015 210 August 29, 2015 241 September 29, 2015 272 July 30, 2015 211 August 30, 2015 242 September 30, 2015 273 July 31, 2015 212 August 31, 2015 243

DAY NUMBER CHART FOR CALCULATING LENGTH OF STAY FOR INFANTS BORN IN 2015

DATE DAY # DATE DAY # DATE DAY # October 1, 2015 274 November 1, 2015 305 December 1, 2015 335 October 2, 2015 275 November 2, 2015 306 December 2, 2015 336 October 3, 2015 276 November 3, 2015 307 December 3, 2015 337 October 4, 2015 277 November 4, 2015 308 December 4, 2015 338 October 5, 2015 278 November 5, 2015 309 December 5, 2015 339 October 6, 2015 279 November 6, 2015 310 December 6, 2015 340 October 7, 2015 280 November 7, 2015 311 December 7, 2015 341 October 8, 2015 281 November 8, 2015 312 December 8, 2015 342 October 9, 2015 282 November 9, 2015 313 December 9, 2015 343 October 10, 2015 283 November 10, 2015 314 December 10, 2015 344 October 11, 2015 284 November 11, 2015 315 December 11, 2015 345 October 12, 2015 285 November 12, 2015 316 December 12, 2015 346 October 13, 2015 286 November 13, 2015 317 December 13, 2015 347 October 14, 2015 287 November 14, 2015 318 December 14, 2015 348 October 15, 2015 288 November 15, 2015 319 December 15, 2015 349 October 16, 2015 289 November 16, 2015 320 December 16, 2015 350 October 17, 2015 290 November 17, 2015 321 December 17, 2015 351 October 18, 2015 291 November 18, 2015 322 December 18, 2015 352 October 19, 2015 292 November 19, 2015 323 December 19, 2015 353 October 20, 2015 293 November 20, 2015 324 December 20, 2015 354 October 21, 2015 294 November 21, 2015 325 December 21, 2015 355 October 22, 2015 295 November 22, 2015 326 December 22, 2015 356 October 23, 2015 296 November 23, 2015 327 December 23, 2015 357 October 24, 2015 297 November 24, 2015 328 December 24, 2015 358 October 25, 2015 298 November 25, 2015 329 December 25, 2015 359 October 26, 2015 299 November 26, 2015 330 December 26, 2015 360 October 27, 2015 300 November 27, 2015 331 December 27, 2015 361 October 28, 2015 301 November 28, 2015 332 December 28, 2015 362 October 29, 2015 302 November 29, 2015 333 December 29, 2015 363 October 30, 2015 303 November 30, 2015 334 December 30, 2015 364 October 31, 2015 304 December 31, 2015 365

DAY NUMBER CHART FOR CALCULATING LENGTH OF STAY FOR INFANTS BORN IN 2015

DATE DAY # DATE DAY # DATE DAY # January 1, 2016 366 February 1, 2016 397 March 1, 2016 426 January 2, 2016 367 February 2, 2016 398 March 2, 2016 427 January 3, 2016 368 February 3, 2016 399 March 3, 2016 428 January 4, 2016 369 February 4, 2016 400 March 4, 2016 429 January 5, 2016 370 February 5, 2016 401 March 5, 2016 430 January 6, 2016 371 February 6, 2016 402 March 6, 2016 431 January 7, 2016 372 February 7, 2016 403 March 7, 2016 432 January 8, 2016 373 February 8, 2016 404 March 8, 2016 433 January 9, 2016 374 February 9, 2016 405 March 9, 2016 434 January 10, 2016 375 February 10, 2016 406 March 10, 2016 435 January 11, 2016 376 February 11, 2016 407 March 11, 2016 436 January 12, 2016 377 February 12, 2016 408 March 12, 2016 437 January 13, 2016 378 February 13, 2016 409 March 13, 2016 438 January 14, 2016 379 February 14, 2016 410 March 14, 2016 439 January 15, 2016 380 February 15, 2016 411 March 15, 2016 440 January 16, 2016 381 February 16, 2016 412 March 16, 2016 441 January 17, 2016 382 February 17, 2016 413 March 17, 2016 442 January 18, 2016 383 February 18, 2016 414 March 18, 2016 443 January 19, 2016 384 February 19, 2016 415 March 19, 2016 444 January 20, 2016 385 February 20, 2016 416 March 20, 2016 445 January 21, 2016 386 February 21, 2016 417 March 21, 2016 446 January 22, 2016 387 February 22, 2016 418 March 22, 2016 447 January 23, 2016 388 February 23, 2016 419 March 23, 2016 448 January 24, 2016 389 February 24, 2016 420 March 24, 2016 449 January 25, 2016 390 February 25, 2016 421 March 25, 2016 450 January 26, 2016 391 February 26, 2016 422 March 26, 2016 451 January 27, 2016 392 February 27, 2016 423 March 27, 2016 452 January 28, 2016 393 February 28, 2016 424 March 28, 2016 453 January 29, 2016 394 February 29, 2016 425 March 29, 2016 454 January 30, 2016 395 March 30, 2016 455 January 31, 2016 396 March 31, 2016 456

DAY NUMBER CHART FOR CALCULATING LENGTH OF STAY FOR INFANTS BORN IN 2015

DATE DAY # DATE DAY # DATE DAY # April 1, 2016 457 May 1, 2016 487 June 1, 2016 518 April 2, 2016 458 May 2, 2016 488 June 2, 2016 519 April 3, 2016 459 May 3, 2016 489 June 3, 2016 520 April 4, 2016 460 May 4, 2016 490 June 4, 2016 521 April 5, 2016 461 May 5, 2016 491 June 5, 2016 522 April 6, 2016 462 May 6, 2016 492 June 6, 2016 523 April 7, 2016 463 May 7, 2016 493 June 7, 2016 524 April 8, 2016 464 May 8, 2016 494 June 8, 2016 525 April 9, 2016 465 May 9, 2016 495 June 9, 2016 526 April 10, 2016 466 May 10, 2016 496 June 10, 2016 527 April 11, 2016 467 May 11, 2016 497 June 11, 2016 528 April 12, 2016 468 May 12, 2016 498 June 12, 2016 529 April 13, 2016 469 May 13, 2016 499 June 13, 2016 530 April 14, 2016 470 May 14, 2016 500 June 14, 2016 531 April 15, 2016 471 May 15, 2016 501 June 15, 2016 532 April 16, 2016 472 May 16, 2016 502 June 16, 2016 533 April 17, 2016 473 May 17, 2016 503 June 17, 2016 534 April 18, 2016 474 May 18, 2016 504 June 18, 2016 535 April 19, 2016 475 May 19, 2016 505 June 19, 2016 536 April 20, 2016 476 May 20, 2016 506 June 20, 2016 537 April 21, 2016 477 May 21, 2016 507 June 21, 2016 538 April 22, 2016 478 May 22, 2016 508 June 22, 2016 539 April 23, 2016 479 May 23, 2016 509 June 23, 2016 540 April 24, 2016 480 May 24, 2016 510 June 24, 2016 541 April 25, 2016 481 May 25, 2016 511 June 25, 2016 542 April 26, 2016 482 May 26, 2016 512 June 26, 2016 543 April 27, 2016 483 May 27, 2016 513 June 27, 2016 544 April 28, 2016 484 May 28, 2016 514 June 28, 2016 545 April 29, 2016 485 May 29, 2016 515 June 29, 2016 546 April 30, 2016 486 May 30, 2016 516 June 30, 2016 547 May 31, 2016 517

DAY NUMBER CHART FOR CALCULATING LENGTH OF STAY FOR INFANTS BORN IN 2015

DATE DAY # DATE DAY # DATE DAY # July 1, 2016 548 August 1, 2016 579 September 1, 2016 610 July 2, 2016 549 August 2, 2016 580 September 2, 2016 611 July 3, 2016 550 August 3, 2016 581 September 3, 2016 612 July 4, 2016 551 August 4, 2016 582 September 4, 2016 613 July 5, 2016 552 August 5, 2016 583 September 5, 2016 614 July 6, 2016 553 August 6, 2016 584 September 6, 2016 615 July 7, 2016 554 August 7, 2016 585 September 7, 2016 616 July 8, 2016 555 August 8, 2016 586 September 8, 2016 617 July 9, 2016 556 August 9, 2016 587 September 9, 2016 618 July 10, 2016 557 August 10, 2016 588 September 10, 2016 619 July 11, 2016 558 August 11, 2016 589 September 11, 2016 620 July 12, 2016 559 August 12, 2016 590 September 12, 2016 621 July 13, 2016 560 August 13, 2016 591 September 13, 2016 622 July 14, 2016 561 August 14, 2016 592 September 14, 2016 623 July 15, 2016 562 August 15, 2016 593 September 15, 2016 624 July 16, 2016 563 August 16, 2016 594 September 16, 2016 625 July 17, 2016 564 August 17, 2016 595 September 17, 2016 626 July 18, 2016 565 August 18, 2016 596 September 18, 2016 627 July 19, 2016 566 August 19, 2016 597 September 19, 2016 628 July 20, 2016 567 August 20, 2016 598 September 20, 2016 629 July 21, 2016 568 August 21, 2016 599 September 21, 2016 630 July 22, 2016 569 August 22, 2016 600 September 22, 2016 631 July 23, 2016 570 August 23, 2016 601 September 23, 2016 632 July 24, 2016 571 August 24, 2016 602 September 24, 2016 633 July 25, 2016 572 August 25, 2016 603 September 25, 2016 634 July 26, 2016 573 August 26, 2016 604 September 26, 2016 635 July 27, 2016 574 August 27, 2016 605 September 27, 2016 636 July 28, 2016 575 August 28, 2016 606 September 28, 2016 637 July 29, 2016 576 August 29, 2016 607 September 29, 2016 638 July 30, 2016 577 August 30, 2016 608 September 30, 2016 639 July 31, 2016 578 August 31, 2016 609

DAY NUMBER CHART FOR CALCULATING LENGTH OF STAY FOR INFANTS BORN IN 2015

DATE DAY # DATE DAY # DATE DAY # October 1, 2016 640 November 1, 2016 671 December 1, 2016 701 October 2, 2016 641 November 2, 2016 672 December 2, 2016 702 October 3, 2016 642 November 3, 2016 673 December 3, 2016 703 October 4, 2016 643 November 4, 2016 674 December 4, 2016 704 October 5, 2016 644 November 5, 2016 675 December 5, 2016 705 October 6, 2016 645 November 6, 2016 676 December 6, 2016 706 October 7, 2016 646 November 7, 2016 677 December 7, 2016 707 October 8, 2016 647 November 8, 2016 678 December 8, 2016 708 October 9, 2016 648 November 9, 2016 679 December 9, 2016 709 October 10, 2016 649 November 10, 2016 680 December 10, 2016 710 October 11, 2016 650 November 11, 2016 681 December 11, 2016 711 October 12, 2016 651 November 12, 2016 682 December 12, 2016 712 October 13, 2016 652 November 13, 2016 683 December 13, 2016 713 October 14, 2016 653 November 14, 2016 684 December 14, 2016 714 October 15, 2016 654 November 15, 2016 685 December 15, 2016 715 October 16, 2016 655 November 16, 2016 686 December 16, 2016 716 October 17, 2016 656 November 17, 2016 687 December 17, 2016 717 October 18, 2016 657 November 18, 2016 688 December 18, 2016 718 October 19, 2016 658 November 19, 2016 689 December 19, 2016 719 October 20, 2016 659 November 20, 2016 690 December 20, 2016 720 October 21, 2016 660 November 21, 2016 691 December 21, 2016 721 October 22, 2016 661 November 22, 2016 692 December 22, 2016 722 October 23, 2016 662 November 23, 2016 693 December 23, 2016 723 October 24, 2016 663 November 24, 2016 694 December 24, 2016 724 October 25, 2016 664 November 25, 2016 695 December 25, 2016 725 October 26, 2016 665 November 26, 2016 696 December 26, 2016 726 October 27, 2016 666 November 27, 2016 697 December 27, 2016 727 October 28, 2016 667 November 28, 2016 698 December 28, 2016 728 October 29, 2016 668 November 29, 2016 699 December 29, 2016 729 October 30, 2016 669 November 30, 2016 700 December 30, 2016 730 October 31, 2016 670 December 31, 2016 731

Fahrenheit to Centigrade Conversion Table

Degrees Degrees Degrees Degrees Degrees Degrees Degrees Degrees Degrees Degrees Fahrenheit Centigrade Fahrenheit Centigrade Fahrenheit Centigrade Fahrenheit Centigrade Fahrenheit Centigrade 90.1 32.3 94.1 34.5 98.1 36.7 102.1 38.9 106.1 41.2 90.2 32.3 94.2 34.6 98.2 36.8 102.2 39.0 106.2 41.2 90.3 32.4 94.3 34.6 98.3 36.8 102.3 39.1 106.3 41.3 90.4 32.4 94.4 34.7 98.4 36.9 102.4 39.1 106.4 41.3 90.5 32.5 94.5 34.7 98.5 36.9 102.5 39.2 106.5 41.4 90.6 32.6 94.6 34.8 98.6 37.0 102.6 39.2 106.6 41.4 90.7 32.6 94.7 34.8 98.7 37.1 102.7 39.3 106.7 41.5 90.8 32.7 94.8 34.9 98.8 37.1 102.8 39.3 106.8 41.6 90.9 32.7 94.9 34.9 98.9 37.2 102.9 39.4 106.9 41.6 91.0 32.8 95.0 35.0 99.0 37.2 103.0 39.4 107.0 41.7 91.1 32.8 95.1 35.1 99.1 37.3 103.1 39.5 107.1 41.7 91.2 32.9 95.2 35.1 99.2 37.3 103.2 39.6 107.2 41.8 91.3 32.9 95.3 35.2 99.3 37.4 103.3 39.6 107.3 41.8 91.4 33.0 95.4 35.2 99.4 37.4 103.4 39.7 107.4 41.9 91.5 33.1 95.5 35.3 99.5 37.5 103.5 39.7 107.5 41.9 91.6 33.1 95.6 35.3 99.6 37.6 103.6 39.8 107.6 42.0 91.7 33.2 95.7 35.4 99.7 37.6 103.7 39.8 107.7 42.1 91.8 33.2 95.8 35.4 99.8 37.7 103.8 39.9 107.8 42.1 91.9 33.3 95.9 35.5 99.9 37.7 103.9 39.9 107.9 42.2 92.0 33.3 96.0 35.6 100.0 37.8 104.0 40.0 108.0 42.2 92.1 33.4 96.1 35.6 100.1 37.8 104.1 40.1 108.1 42.3 92.2 33.4 96.2 35.7 100.2 37.9 104.2 40.1 108.2 42.3 92.3 33.5 96.3 35.7 100.3 37.9 104.3 40.2 108.3 42.4 92.4 33.6 96.4 35.8 100.4 38.0 104.4 40.2 108.4 42.4 92.5 33.6 96.5 35.8 100.5 38.1 104.5 40.3 108.5 42.5 92.6 33.7 96.6 35.9 100.6 38.1 104.6 40.3 108.6 42.6 92.7 33.7 96.7 35.9 100.7 38.2 104.7 40.4 108.7 42.6 92.8 33.8 96.8 36.0 100.8 38.2 104.8 40.4 108.8 42.7 92.9 33.8 96.9 36.1 100.9 38.3 104.9 40.5 108.9 42.7 93.0 33.9 97.0 36.1 101.0 38.3 105.0 40.6 109.0 42.8 93.1 33.9 97.1 36.2 101.1 38.4 105.1 40.6 109.1 42.8 93.2 34.0 97.2 36.2 101.2 38.4 105.2 40.7 109.2 42.9 93.3 34.1 97.3 36.3 101.3 38.5 105.3 40.7 109.3 42.9 93.4 34.1 97.4 36.3 101.4 38.6 105.4 40.8 109.4 43.0 93.5 34.2 97.5 36.4 101.5 38.6 105.5 40.8 109.5 43.1 93.6 34.2 97.6 36.4 101.6 38.7 105.6 40.9 109.6 43.1 93.7 34.3 97.7 36.5 101.7 38.7 105.7 40.9 109.7 43.2 93.8 34.3 97.8 36.6 101.8 38.8 105.8 41.0 109.8 43.2 93.9 34.4 97.9 36.6 101.9 38.8 105.9 41.1 109.9 43.3 94.0 34.4 98.0 36.7 102.0 38.9 106.0 41.1 110.0 43.3