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Alameda County Healthcare Information

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					   Alameda County




Healthcare Information
                Contents
                                            Page
Demographics
    Population                               2
    Education                                3
    Employment                               3
    Population & Healthcare Resources        4

Healthcare Resources
    General Acute Care Hospitals
        (individual facility information)    6
    Long-term Care Facilities               16
    Primary Care Clinics                    18
    Home Health Agencies                    19
    Hospices                                20

Hospitalization Characteristics
    Inpatient Overview                      22
    Clinical Overview                       23

Specific Trends
    Births & Deliveries                     26
    Conditions                              28
    Procedures                              31
    Injuries                                34
DEMOGRAPHICS
       Population
           Trends
            Age
       Race/Ethnicity
         Projection

        Education
        Attainment

      Employment
  Major Employment Sectors
       Unemployment
               Alameda County
                                                        Demographics
          2
                                                                                                              POPULATION
                                                                                                                       County Trends

                                                                                  2
                                                                                                                                                                              Total
                                                                                                                                                           1990         1,284,825
                           California
                                                                      Millions
                                                                                  1                                                                        1995         1,347,739
                                                                                                                                                           2000         1,470,155
                                                                                                                                                           2005         1,571,796
                                                                                  0
                                                                                       1990            1995          2000         2005
                               Population                                                                              1995         1996     1997         1998         1999
                                          Trends                                               Births +              20,941 20,668           20,766    20,436         20,547
                                                                                               Deaths -               9,924   9,670           9,574     9,801          9,863
                          40
                                                                                               Emigration/           +6,285 +22,551         +14,997   +13,229        +10,828
                          30                                                                   Immigration
               Millions




                          20                                                                   Total Change 17,304                 33,549    26,189       23,864      21,512

                          10
                                                                                                   Age                                                     Race/Ethnicity
                           0
                               1990 1995 2000             2005                                   1999                                                                   1999


                                                                                             65+ yrs       0-4 yrs
                                                                                                                                                                    Native American
                                                                                             10.4%          7.5%                                          Black           0.5%
                                      Age                                                                                                                 17.2%
                                                                                                                       5-14 yrs
                                      1999                                                                              14.9%
                                                                                 45-64 yrs                                                      Asian/                             White
                               65+ yrs,      0-4 yrs,
                                              8.1%                                22.3%                                                     Pacific Islander                       44.8%
                                10.7%
                                                                                                                                                 19.5%
                                                    5-14 yrs,                                                          15-44 yrs
               45-64 yrs,                            16.0%
                                                                                                                        44.9%                         Hispanic
                20.3%
                                                                                                                                                       18.0%
                                                    15-44 yrs,
                                                     44.9%                             Age                    Number                                Race                        Number
                                                                                      0-4 yrs              109,006                                White             649,147
                                                                                      5-14 yrs             215,838                                Hispanic          261,220
                                                                                      15-44 yrs            650,482                                Asian/Pacific Is. 282,128
                                                                                      45-64 yrs            323,302                                Black             249,383
                                                                                      65+ yrs              150,015                                Native American     6,765
                               Race/Ethnicity                                         Total                1,448,643                              Total                        144,8643
                                   1999

                                   Black,
                                    6.8%     Native American,
                      Asian/                       0.6%                                                                     Projection
                     Pacific Is.,
                       11.3%                                        Age                                                             2005                            Race/Ethnicity
Demographics




                                                        White,
                          Hispanic,                     50.9%
                            30.4%
                                                                                         65+ yrs         0-4 yrs                                                    Native American
                                                                                                          6.9%                                              Black         0.4%
                                                                                         10.6%                                                              16.7%
                                                                                                                     5-14 yrs
                                                                                                                      14.8%
                                                                           45-64 yrs                                                            Asian/
                                                                            26.0%                                                           Pacific Islander
                                                                                                                                                 23.0%                                White
                                                                                                                                                                                      40.3%

                                                                                                           15-44 yrs                                               Hispanic
                                                                                                            41.7%                                                   19.5%


                                                                 Source: California Department of Finance.
               Edition 2, 2001
                                                                 Note that the population data from 1999 forward are based on projections.
                                                                               Alameda County

                                                                                                                                                      3

                                            Education

                             Educational Attainment
                                 (based on 1990 census)
                                                                                                                    California
                                                       No high school diploma,
                                                                18.6%
       College degree,
                                                                                                                    Educational Attainment
            36.6%                                                                                                   (based on 1990 Census)
                                                                                                              College degree,
                                                                                                                   31.3%           No high school
                                                                                                                                      diploma,
                                                                                                                                        23.8%
                                                       High school graduate,
                                                               44.9%
                                                                                                                         High school graduate,
                                                                                                                                 44.9%


                         Employment Sectors


       Major Employment
             Sectors
                                                                                                                     Employment Sectors
                                        Trade,                                                                             1999
                                        23.1%               Major Employment Sectors                                    Other,
   Other,                                                                                                                          Government,
                                                                   (1999) Number                                        13.6%
                                                                                                                                      15.5%
   29.1%                                                    Trade              158,100                         Production,
                                                            Service Industry   195,700                                                   Trade,
                                                                                                                  18.2%
                                                            Production         130,600                                                   22.2%
                                                            Other              199,200
 Production,                                                Total              683,600                                    Service Industry,
    19.1%                                                                                                                      30.4%
                           Service Industry,
                                28.6%




                                 Unemployment

                                                                                                                     Unemployment Rate
                                                                                                       10.0
 Employment Statistics
                                                                                                                                                      Demographics
                                                       Unemployment Rate
            Labor Unemployment                                                                                7.5
            Force     Rate
                                                                                                    Percent




1995     682,000      5.8%                  6                                                                 5.0
1996     680,700      5.0%
1997     698,800      4.4%                  5                                                                 2.5
1998     707,700      4.1%
1999     719,800      3.5%                  4                                                                 0.0
                                  Percent




                                                                                                                    1995 1996 1997 1998 1999
                                            3

                                            2

                                            1

                                            0
                                                1995      1996      1997       1998      1999


                     Source: Employment Development Department, Labor Market Information Division                                   Edition 2, 2001
      Alameda County
         Population & Healthcare Resources
          4



               Children's Hospital Med Ctr of No Cal
               Summit Medical Center
                 Alta Bates Med Ctr-Ashby Campus
                    Kaiser Fdn Hosp - Oakland Campus
                       Alameda County Medical Center
                           San Leandro Hospital
                                Eden Medical Center




                                               Valley Memorial Hospital
                                          Washington Hospital - Fremont
                                     Kaiser Fdn Hosp - Hayward
                                     St. Rose Hospital

                                Alameda County Line
                             Population by ZIP Code Hospital Sites/ER Level
                                 0 - 1,149             Basic
                                 1,150 - 17,549
                                 17,550 - 34,549
                                 35,550 - 52,549
                                 52,550 +
Demographics
H E A L T H C A R E
 R E S O U R C E S
 General Acute Care Hospitals

   Long-term Care Facilities

            Clinics

    Home Health Agencies

           Hospices
                                  Alameda County

                           6
                                     Healthcare Resources
                                                                           FINANCIAL & UTILIZATION INFORMATION
                                                                           GENERAL ACUTE CARE HOSPITALS 1999


                                                                                                                                               Alta Bates
                                                                                                         Alameda Cnty         Alameda           Med Ctr        Eden
                                                                         Income Statement                   Med Ctr           Hospital      -Ashby Campus    Medical Ctr

                                                                        Gross Patient Revenue    $264,793,305                       N    $ 1,034,215,299    $200,291,781
                                                                                                                                    o
                                                                        -Deductions from Revenue   55,968,235                       t       735,431,282      123,663,417
                                                                        Net Patient Revenue       208,825,070                               298,784,017       76,628,364
                                                                        +Other Operating Revenue    9,147,149                       R         12,147,014       1,302,920
                                                                        Total Operating Revenue   217,972,219                       e       310,931,031       77,931,284
                                                                                                                                    p
                                    13 of 18 GAC hospitals in           -Operating Expenses       205,320,045                       o       308,182,070       74,496,491
                                     Alameda County are non-            Net from Operations        12,652,174                       r          2,748,961       3,434,793
                                     profit.                            +Non-operating Revenue      5,088,614                       t          6,686,083         799,152
                                                                        -Non-operating Expense         53,824                       e          1,295,684         498,702
                                    7 of 18 GAC hospitals                                                                           d
                                     reported a negative net            -Income Taxes                       0                                          0               0
                                     income.                            -Extraordinary Items                0                                          0               0
                                    12 of 18 GAC hospitals provide      Net Income                          $17,686,964                      $8,139,360       $3,735,243
                                    emergency services.

                                                                        Per Adjusted Day
                                                                        Gross Patient Revenue                     $1,620            N            $5,672           $3,534
                                                                        -Deductions from Revenue                     342            o             4,033            2,182
                                                                        Net Patient Revenue                        1,277            t             1,639            1,352
                                                                        +Other Operating Revenue                      56            R                67               23
                                                                        Total Operating Revenue                    1,333            e             1,705            1,375
                                                                        -Operating Expenses                        1,256            p             1,690            1,314
                                                                        Net from Operations                           77            o                15               61
                                                                                                                                    r
                                                                        +Non-operating Revenue                        31            t                37               14
Resources: Acute Care Hospitals




                                                                        -Non-operating Expense                         0            e                 7                9
                                                                        -Income Taxes                                  0            d                 0                0
                                                                        -Extraordinary Items                           0                              0                0
                                                                        Net Income                                   $108                           $45              $66

                                                                        Resource Utilization
                                              California
                                                                       Ownership                                Gov't         Non-profit     Non-profit       Non-profit
                                           Type of Control,            Available Beds                             535       Not reported           509              216
                                                1999                   Patient Days                           116,545                   "      137,637           43,008
                                           Government                  Discharges                              13,174                   "       22,394            9,338
                                              6.2%                     Occupancy Rate                           59.7%                   "        74.1%            54.6%
                                                         Non-profit
                                    District
                                                          50.4%
                                                                       Outpatient Visits                      201,999                   "      387,004          125,947
                                    10.4%
                                                                       Average Length of Stay                      6.5                  "           5.3              3.5
                                                                       Emergency Service                        Basic              Basic         Basic            Basic
                                                                       # of ER Stations                            30                 10            29               13
                                                                       Specialty/Teaching/Rural             Teaching                   --             --               --
                                   Investor
                                    32.9%



                                                                        Footnotes:
                                                                        Per Adjusted Day: This statistic adjusts the number of patient days to compensate for
                                                                        outpatient services.

                                                                        The financial data on this page reflect disproportionate share payments transferred
                                                                        to a related public entity.
                                                                        *Excludes data from State, Kaiser, PHF, Shriner, and other non-comparable hospitals.



                                                                        Note that columns may not add to subtotals due to rounding.

                                  Edition 2, 2001                     Source: OSHPD Annual Hospital Financial Disclosure Reports.
                                                                             Alameda County

                                                                                                                                                                      7
  FINANCIAL & UTILIZATION INFORMATION
   GENERAL ACUTE CARE HOSPITALS 1999


   San Leandro      St. Rose       Summit           Valley
     Hospital       Hospital      Medical Ctr    Memorial Hosp
                                                                  Income Statement
 $125,371,181      $96,181,137 $493,760,868 $258,240,217 Gross Patient Revenue
                                                                                                                                     California
   79,983,616       46,816,482 312,870,076 167,122,465 - Deductions from Revenue
   45,387,565       49,364,655 180,890,792    91,117,752 Net Patient Revenue
      342,092           750,960   15,491,680   1,250,621 + Other Operating Revenue
   45,729,657       50,115,615 196,382,472    92,368,373 T otal Operating Revenue                                     Net Income from Operations
   46,223,649       54,501,851 209,127,127    89,294,536 -Operating Expenses                                            Comparable Hospitals
    (493,992)       (4,386,236) (12,744,655)   3,073,837 Net from Operations                                                   10
      482,500           339,100   13,405,487   3,095,664 + Non-operating Revenue                                                5
      423,190                 0    2,043,851     472,187   -Non-operating Expense
                                                                                                                                0




                                                                                                                     Dollars
            0                 0            0           0 -Income Taxes
                                                                                                                               -5
            0                 0            0           0 -Extraordinary Items
                                                                                                                             -10
   ($434,682) ($4,047,136) ($1,383,019)           $5,697,314      Net Income
                                                                                                                             -15
                                                                                                                             -20
                                                                  Per Adjusted Day                                                  1995 1996 1997 1998 1999
        $3,633         $1,991          $3,459          $5,755     Gross Patient Revenue
         2,317            969           2,192           3,724     -Deductions from Revenue
         1,315          1,022           1,267           2,031     Net Patient Revenue
            10             16             109              28     +Other Operating Revenue
         1,325          1,037           1,376           2,058     Total Operating Revenue




                                                                                                                                                                      Resources: Acute Care Hospitals
         1,339          1,128           1,456           1,990     -Operating Expenses                                 Operating Revenue/Expense
          (14)           (91)            (89)              69     Net from Operations                                   Comparable Hospitals
            14              7              94              69     +Non-operating Revenue
                                                                                                                             40
            12              0              14              11     -Non-operating Expense
             0              0               0               0     -Income Taxes                         Dollars (Billions)
                                                                                                                             30
             0              0               0               0     -Extraordinary Items
                                                                                                                             20
         ($13)           ($84)          ($10)            $127     Net Income
                                                                                                                             10
                                                                  Resource Utilization
                                                                                                                               0
      Investor      Non-Profit     Non-Profit      Non-Profit     Ownership                                                         1995   1996 1997 1998 1999
           122            175            441             152      Available Beds
        25,847        36,339         109,499          31,934      Patient Days                                                      Revenue       Expense
         5,349          7,026         20,922           6,768      Discharges
         63.4%         56.9%           68.0%           57.6%      Occupancy Rate
        17,456        82,126         180,168         193,086      Outpatient Visits
            4.0            4.1            4.7             4.1     Average Length of Stay
         Basic          Basic          Basic           None       Emergency Service
              7            12             22                --    # of ER Stations
              --             --             --              --    Specialty/Teaching/Rural



Footnotes:
Per Adjusted Day: This statistic adjusts the number of patient days to compensate for
outpatient services.

The financial data on this page reflect disproportionate share payments transferred
to a related public entity.

*Excludes data from State, Kaiser, PHF, Shriner, and other non-comparable hospitals.
Note that columns may not add to subtotals due to rounding.



                                          Source: OSHPD Annual Hospital Financial Disclosure Reports.                                               Edition 2, 2001
                                  Alameda County

                           8
                                     Healthcare Resources
                                                                         FINANCIAL & UTILIZATION INFORMATION
                                                                               GENERAL ACUTE CARE &
                                                                            NONCOMPARABLE HOSPITALS1999

                                                                                                               Valley Care        Washington Hosp   Kaiser Fnd Hosp
                                                                       Income Statement                         Med Cntr             Fremont           Hayward

                                                                      Gross Patient Revenue                                       $342,714,471
                                                                      -Deductions from Revenue                                     199,483,302            N
                                                                                                               Included                                   o
                                                                      Net Patient Revenue                                          143,231,169
                                                                                                                   in                                     t
                                                                      +Other Operating Revenue                                       1,452,462
                                                                      Total Operating Revenue                    Valley            144,683,631            R
                                                                      -Operating Expenses                                          136,082,465            e
                                   Kaiser Foundation Hospitals        Net from Operations                      Memorial              8,601,166            p
                                   report data by region. There
                                                                      +Non-operating Revenue                                         6,163,836            o
                                   are fourteen locations in the                                                Hospital                                  r
                                   Northern California region and     -Non-operating Expense                                           203,752            t
                                   twelve in the Southern             -Income Taxes                                                          0            e
                                   California region.                                                                                                     d
                                                                      -Extraordinary Items                                             241,805
                                                                      Net Income                                                   $14,319,445

                                                                      Per Adjusted Day
                                                                      Gross Patient Revenue                                             $4,763             N
                                                                      -Deductions from Revenue                                           2,773             o
                                                                                                                Included                                   t
                                                                      Net Patient Revenue                                                1,991
                                                                      +Other Operating Revenue                      in                      20             R
                                                                      Total Operating Revenue                                            2,011             e
                                                                      -Operating Expenses                        Valley                  1,891             p
                                                                      Net from Operations                                                  120             o
                                                                                                               Memorial                                    r
                                                                      +Non-operating Revenue                                                86             t
                                                                                                                Hospital
Resources: Acute Care Hospitals




                                                                      -Non-operating Expense                                                 3             e
                                                                      -Income Taxes                                                          0             d
                                                                      -Extraordinary Items                                                   3
                                                                      Net Income                                                          $199

                                                                      Resource Utilization
                                                                     Ownership                                Non-profit                District    Non-profit
                                                                     Available Beds                                   --                   279            213
                                                                     Patient Days                                     --                60,237         48,607
                                                                     Discharges                                       --                13,988         14,350
                                                                     Occupancy Rate                                   --                 59.2%          62.5%
                                                                     Outpatient Visits                                --               148,902         41,673
                                                                     Average Length of Stay                           --                    4.3            3.4
                                                                     Emergency Service                            Basic                  Basic          Basic
                                                                     # of ER Stations                                12                      16            19
                                                                     Specialty/Teaching/Rural                         --                      --             --



                                                                      Footnotes:
                                                                      Per Adjusted Day: This statistic adjusts the number of patient days to compensate for
                                                                      outpatient services.

                                                                      The financial data on this page reflect disproportionate share payments transferred
                                                                      to a related public entity.


                                                                      *Excludes data from State, Kaiser, PHF, Shriner, and other non-comparable hospitals.


                                                                      Note that columns may not add to subtotals due to rounding.

                                  Edition 2, 2001                   Source: OSHPD Annual Hospital Financial Disclosure Reports.
                                                                               Alameda County

                                                                                                                                              9
  FINANCIAL & UTILIZATION INFORMATION
      NONCOMPARABLE & SPECIALTY
            HOSPITALS 1999

                         Children Hosp
 Kaiser Fdn Hosp           Med Ctr           Laurel Grove
    Oakland               of N Calif.          Hospital           Income Statement
                        $261,165,749        $18,467,518           Gross Patient Revenue
       N                 109,396,316         10,146,450          - Deductions from Revenue
       o                 151,769,433          8,321,068           Net Patient Revenue
       t                  37,116,437             46,245          + Other Operating Revenue
       R                 188,885,870          8,367,313          T otal Operating Revenue               There are six specialty hospitals
       e                 191,820,722          8,444,423           -Operating Expenses                   in Alameda County in the
       p                                                                                                following categories: one is a
                          (2,934,852)          (77,110)           Net from Operations
       o                                                                                                children's hospital, one is for
                            7,393,111            76,259          + Non-operating Revenue                patients requiring long-term
       r
       t                    3,443,371            20,268            -Non-operating Expense               care, one is for patients with
                                    0                 0           -Income Taxes                         chemical dependencies,
       e                                                                                                one is for rehabilitation, one
       d                            0                 0           -Extraordinary Items                  is for comatose patients, and
                          $1,014,888           ($21,119)          Net Income                            one is a psychiatric health
                                                                                                        facility.

                                                                  Per Adjusted Day                      Of the six specialty hospitals in
                                                                                                        Alameda County, two are
                               $3,670             $1,776          Gross Patient Revenue                 investor-owned and four are
       N                        1,537                976          -Deductions from Revenue              non-profit.
       o
       t                        2,133                800          Net Patient Revenue
                                                                                                        Kaiser Foundation Hospitals
                                  522                   4         +Other Operating Revenue              report data by region. There
       R                        2,654                805          Total Operating Revenue               are fourteen locations in the




                                                                                                                                              Resources: Acute Care Hospitals
       e                        2,695                812          -Operating Expenses                   Northern California region and
       p                         (41)                 (7)         Net from Operations                   twelve in the Southern
       o                                                                                                California region.
       r                          104                   7         +Non-operating Revenue
       t                           48                   2         -Non-operating Expense
       e                            0                   0         -Income Taxes
       d                            0                   0         -Extraordinary Items
                                  $14                ($2)         Net Income

                                                                  Resource Utilization
    Non-profit             Non-Profit         Non-Profit          Ownership
          292                    204                 42           Available Beds
       50,627                 53,630              9,078           Patient Days
       12,710                 10,282                672           Discharges
        47.5%                  72.0%             59.2%            Occupancy Rate
       40,742                157,145            11,463            Outpatient Visits
           4.0                    5.2              14.3           Average Length of Stay
        Basic                  Basic             None             Emergency Service
           27                     14                  --          # of ER Stations
             --             Children          Specialty           Specialty/Teaching/Rural



Footnotes:
Per Adjusted Day: This statistic adjusts the number of patient days to compensate for
outpatient services.

The financial data on this page reflect disproportionate share payments transferred
to a related public entity.

*Excludes data from State, Kaiser, PHF, Shriner, and other non-comparable hospitals.
Note that columns may not add to subtotals due to rounding.



                                          Source: OSHPD Annual Hospital Financial Disclosure Reports.                       Edition 2, 2001
                                  Alameda County

                     10
                                     Healthcare Resources
                                                                           FINANCIAL & UTILIZATION INFORMATION
                                                                          SPECIALTY & PSYCHIATRIC HOSPITALS 1999

                                                                                                                                               Thunder Road
                                                                                                                     Merritt Peralta            Chem Dep
                                                                           Income Statement                          Institute CDRH           Recovery Hosp
                                                                          Gross Patient Revenue                       $3,380,417              $4,203,947
                                                                          -Deductions from Revenue                      2,300,642              1,173,079
                                                                          Net Patient Revenue                           1,079,775              3,030,868
                                                                          +Other Operating Revenue                              0                265,375
                                                                          Total Operating Revenue                       1,079,775              3,296,243
                                    There are six specialty hospitals     -Operating Expenses                           3,097,588              3,367,590
                                    in Alameda County in the              Net from Operations                         (2,017,813)               (71,347)
                                    following categories: one is a
                                                                          +Non-operating Revenue                                0                100,969
                                    children's hospital, one is for
                                    patients requiring long-term          -Non-operating Expense                                0                      0
                                    care, one is for patients with        -Income Taxes                                         0                      0
                                    chemical dependencies,                -Extraordinary Items                                  0                      0
                                    one is for rehabilitation, one
                                    is for comatose patients, and         Net Income                                ($2,017,813)                 $29,622
                                    one is a psychiatric health
                                    facility.
                                                                          Per Adjusted Day
                                    Of the six specialty hospitals in     Gross Patient Revenue                              $624                   $263
                                    Alameda County, two are
                                    investor-owned and four are           -Deductions from Revenue                            425                     73
                                    non-profit.                           Net Patient Revenue                                 199                    190
                                                                          +Other Operating Revenue                              0                      17
                                                                          Total Operating Revenue                             199                    206
                                                                          -Operating Expenses                                 572                    211
                                                                          Net from Operations                               (373)                     (4)
                                                                          +Non-operating Revenue                                0                       6
                                                                          -Non-operating Expense                                0                       0
Resources: Acute Care Hospitals




                                                                          -Income Taxes                                         0                       0
                                                                          -Extraordinary Items                                  0                       0
                                                                          Net Income                                       ($373)                     $2


                                                                          Resource Utilization
                                                                         Ownership                                     Non-profit             Non-Profit
                                                                         Available Beds                                       20                     50
                                                                         Patient Days                                      5,294                15,975
                                                                         Discharges                                          460                   301
                                                                         Occupancy Rate                                    86.5%                 87.5%
                                                                         Outpatient Visits                                      0                     0
                                                                         Average Length of Stay                             11.5                   53.1
                                                                         Emergency Service                                 None                  None
                                                                         # of ER Stations                                       --                    --
                                                                         Specialty/Teaching/Rural                       Specialty             Specialty


                                                                          Footnotes:
                                                                          Per Adjusted Day: This statistic adjusts the number of patient days to compensate for
                                                                          outpatient services.

                                                                          The financial data on this page reflect disproportionate share payments transferred
                                                                          to a related public entity.


                                                                          *Excludes data from State, Kaiser, PHF, Shriner, and other non-comparable hospitals.


                                                                          Note that columns may not add to subtotals due to rounding.



                                  Edition 2, 2001                       Source: OSHPD Annual Hospital Financial Disclosure Reports.
                                                                            Alameda County

                                                                                                                                             11
 FINANCIAL & UTILIZATION INFORMATION
SPECIALTY & PSYCHIATRIC HOSPITALS 1999

        Vencor Hosp
        San Leandro                 Fremont Hosp
                                                         Income Statement
       $61,528,438                  $12,785,333             Gross Patient Revenue
        45,204,287                     6,269,528            -Deductions from Revenue
        16,324,151                     6,515,805            Net Patient Revenue
             20,368                       78,205            +Other Operating Revenue
        16,344,519                     6,594,010            Total Operating Revenue                      There are six specialty hospitals
        17,692,396                     7,833,174            -Operating Expenses                          in Alameda County in the
        (1,347,877)                  (1,239,164)            Net from Operations                          following categories: one is a
                                                                                                         children's hospital, one is for
             57,682                       68,245            +Non-operating Revenue                       patients requiring long-term
                  0                       13,968            -Non-operating Expense                       care, one is for patients with
                  0                            0            -Income Taxes                                chemical dependencies,
                                                                                                         one is for rehabilitation, one
                  0                            0            -Extraordinary Items
                                                                                                         is for comatose patients, and
                                                                                                         one is a psychiatric health
      ($1,290,195)                  ($1,184,887)             Net Income                                  facility.

                                                                                                         Of the six specialty hospitals in
                                                         Per Adjusted Day                                Alameda County, two are
            $3,612                          $809             Gross Patient Revenue                       investor-owned and four are
             2,654                           397             -Deductions from Revenue                    non-profit.
               958                           412             Net Patient Revenue
                 1                              5            +Other Operating Revenue
               960                           417             Total Operating Revenue
             1,039                           496             -Operating Expenses




                                                                                                                                              Resources: Acute Care Hospitals
              (79)                           (78)            Net from Operations
                 3                              4            +Non-operating Revenue




                                                                                                                                                Resources: Acute Care Hospitals
                 0                              1            -Non-operating Expense
                 0                              0            -Income Taxes
                 0                              0            -Extraordinary Items
             ($76)                         ($75)             Net Income

                                                        Resource Utilization
          Investor                      Investor           Ownership
                80                            78           Available Beds
            17,033                        13,922           Patient Days
               414                         1,982           Discharges
             58.3%                         48.9%           Occupancy Rate
                 0                         5,985           Outpatient Visits
              41.1                            7.0          Average Length of Stay
             None                          None            Emergency Service
                 --                             --         # of ER Stations
         Specialty                   Psychiatric           Specialty/Teaching/Rural

 Footnotes:
 Per Adjusted Day: This statistic adjusts the number of patient days to compensate for
 outpatient services.

 The financial data on this page reflect disproportionate share payments transferred
 to a related public entity.

 *Excludes data from State, Kaiser, PHF, Shriner, and other non-comparable hospitals.

 Note that columns may not add to subtotals due to rounding.




                                         Source: OSHPD's Annual Hospital Financial Disclosure Reports.                     Edition 2, 2001
                              Alameda County
                       12
                                                Healthcare Resources
                                                                                                       ACUTE CARE HOSPITALS
                                                                                                                              Net Patient Revenue
                                               California

                                                                                                              Net Patient Revenue                                                 Net Patient Revenue
                                                                                                                                                                                   per Adjusted Day

                                                                                                                       1995   1,209,004,372                                                               1995    1,375
                                                     Net Patient Revenue                                               1996   1,176,542,808                                                               1996    1,335
                                                      per Adjusted Day                                                 1997   1,196,766,739                                                               1997    1,372
                                                                                                        2                                                                      2,000
                                       1,500                                                                           1998   1,205,596,635                                                               1998    1,412
                                                                                                                       1999   1,372,343,860                                                               1999    1,469
                                                                                                                                                                               1,500
                                                                                       $ (Billions)




                                                                                                                                                                 Dollars
                                                                                                        1                                                                      1,000
                                       1,000
                                    Dollars




                                                                                                                                                                                500


                                              500                                                       0                                                                         0
                                                                                                            1995 1996 1997 1998 1999                                                   1995 1996 1997 1998 1999


                                                                                                                                Net Patient Revenue by Payer
                                                0
                                                     1995 1996 1997 1998 1999
                                                                                                                                            1999

                                                                                                                                           Other Payers,
                                                                                                                                               5.0%                   Medicare,
                                                    Net Patient Revenue                                                                                                28.4%
                                                         by Payer
                                                            1999
Resources: Acute Care Hospitals




                                                         Other Payer,
                                                            5.6%
                                  Other Third Party,               Medicare,                                                                                                      Medi-Cal,
                                        44.7                          29.7%                                                                                                        17.5%


                                                                                                                                        Other Third     County Indigent,
                                                                                                                                       Party Payers,         3.5%
                                                                       Medi-Cal,                                                          45.5%
                                                                        17.9%
                                                    County Indigent,
                                                         2.1%
                                                                                                                                Net Patient Revenue/Expense

                                                       Net Inpatient                                                Net Inpatient                                                     Net Outpatient
                                                     Revenue/Expense                                          Revenue/Expense per Day                                            Revenue/Expense per Visit
                                                                                              2,000                                                                  300
                                                         per Day

                                                                                              1,500
                                                                                                                                                                     200
                                                                                   Dollars




                                                                                                                                                           Dollars




                                            2,000
                                                                                              1,000

                                            1,500                      Revenue                                                                                       100
                                                                                                      500
                                  Dollars




                                            1,000                      Expense                                                                Revenue
                                                                                                        0                                                                  0
                                                                                                            1995 1996 1997 1998 1999          Expense                          1995 1996 1997 1998 1999
                                              500

                                                                                                                    Net Inpatient   Net Inpatient   Net Outpatient    Net Outpatient
                                                0
                                                     1995 1996 1997 1998 1999                                      Revenue per Day Expense per Day Revenue per Visit Expense per Visit
                                                                                                            1995       $1,367         $1,367              $155            $155
                                                                                                            1996        1,339          1,435               166             178
                                                                                                            1997        1,371          1,501               157             171
                                                                                                            1998        1,414          1,512               185             198
                                                                                                            1999        1,464          1,546               204             215
                                                                                     Graphs and tables exclude data from State, Kaiser, PHF, Shriner, and other non-comparable hospitals.
                                    Edition 2, 2001
                                                                                     Source: OSHPD Annual Hospital Financial Disclosure Reports.
                                                                                                Alameda County
                                                                                                                                                                            13


                                     Emergency Room Services



                                     ER Treatment Stations                                                                                       California
                             300                                                 Hospitals with
                                                                                  Emergency
                             200                                                    Services
                    Number




                                                                                 by Type, 1999:                                                  ER Treatment Stations
                             100                                                Comprehensive:         0                                          per 1,000 Population
                                                                                Basic:                12
                                                                                Standby:               0                                 0.40
                               0
                                   1995 1996 1997         1998 1999             Trauma:                3




                                                                                                                              Stations
                                                                                                                                         0.30

                              ER Treatment Stations                                                ER Treatment
             0.20
                              per 1,000 population                                     ER Treatment Stations                             0.20

             0.15                                                                         Stations per 1,000 Pop.
                                                                                1995        208                 0.15                     0.10
Stations




             0.10                                                               1996        215                 0.16
                                                                                1997        209                 0.15
                                                                                                                                         0.00
             0.05                                                               1998        207                 0.15                             1995 1996 1997 1998     1999
                                                                                1999        211                 0.15
             0.00
                     1995          1996     1997    1998 1999




                                                                                                                                                                                Resources: Acute Care Hospitals
                                            Emergency Room Visits


                                                                                                          % of ER Visits
                                                                                               ER Visits   Resulting in                      Emergency Room Visits
                                                                                ER Visits    per 1,000 Pop. Admit
                                                                                                                                         10.0
              Total Hospital ER Visits                               1995       409,741           304             14.6
                                                                     1996       420,333           308             14.8                     8.0
             600
                                                                                                                                Millions




                                                                     1997       431,512           309             15.1                     6.0
             500
                                                                     1998       421,269           296             15.9
             400                                                     1999       418,798           289             14.6                     4.0
 Thousands




             300                                                                                                                           2.0
             200
                                                                                                                                            0
             100                                                                                                                                 1995 1996 1997 1998 1999

               0
                     1995          1996    1997    1998    1999                       ER Visits,
                                                                                 Alameda County, 1999
                                                                                   Critical Visits,
                                                                                       11.4%               Non-urgent
             Total Hospital Emergency Room Visits                                                          Visits, 40.1%
                     per 1,000 Population
                                                           Alameda
             300                                            County

                                                      California
             200
Visits




             100                                                                    Urgent Visits,
                                                                                       48.5%
               0
                   1995 1996              1997 1998 1999

                                            Graphs include data from comparable GAC hospitals plus Kaiser.
                                             Source: California Department of Finance, OSHPD Hospital Utilization database.                                   Edition 2, 2001
                             Alameda County

                             14
                                                          Specific Trends
                                                                                     ACUTE CARE HOSPITALS
                                                                                                                            Patient Days

                                                   California


                                                                                                                            per
                                                     Patient Days                                                          1,000
                                                                                                        Days
                                                 per 1,000 Population                                                      pop.                                              Patient Days
                                                                                              1995    749,385              556
                                           600                                                1996    737,582              540                                  800
                                                                                              1997    728,350              521                                  700
                                           450                                                1998    720,497              506                                  600
                                                                                              1999    779,265              538




                                                                                                                                                    Thousands
                                   Days




                                                                                                                                                                500
                                           300
                                                                                                                                                                400
                                                                                                                                                                300
                                           150
                                                                                                                                                                200
                                             0                                                                                   Patient Days                   100
                                                   1995 1996 1997 1998 1999                                                  per 1,000 Population                   0
                                                                                                                   600                                                  1995 1996 1997 1998 1999
                                                                                                                   500
                                                                                                                   400
                                                                                                            Days




                                                                                                                   300
                                                                                                                   200
Resources: Acute Care Hospitals




                                                                                                                   100
                                                                                                                       0
                                                                                                                           1995 1996 1997 1998 1999




                                                                                                                       Outpatient Visits

                                                  Outpatient Visits
                                                 per 1,000 Population
                                           2,000
                                                                                                                             per
                                                                                                   Outpatient               1,000
                                           1,500                                                      Visits                                                                  Outpatient Visits
                                                                                                                            pop.                                    2.0
                                  Visits




                                                                                           1995    1,850,248               1,373
                                           1,000
                                                                                           1996    1,731,926               1,269
                                                                                           1997    1,832,461               1,310                                    1.5
                                            500
                                                                                           1998    1,656,278               1,162
                                                                                                                                                         Millions




                                                                                           1999    1,672,969               1,155
                                                 0                                                                                                                  1.0
                                                  1995 1996 19971998 1999

                                                                                                                                                                    0.5
                                                                                                                               Outpatient Visits
                                                                                                                             per 1,000 Population
                                                                                                            1,500                                                   0.0
                                                                                                                                                                          1995 1996 1997 1998 1999

                                                                                                            1,000
                                                                                                       Visits




                                                                                                                500



                                                                                                                   0
                                                                                                                       1995 1996 1997 1998 1999

                                                                              Graphs include data from comparable GAC hospitals plus Kaiser.
                                     Edition 2, 2001                          Source: OSHPD Annual Hospital Financial Disclosure Reports.
                                                                                             Alameda County
                                                                                                                                                                      15


                                               Available Beds

                                                                                                                                         California


                                                                                                  per
                                                                                                 1,000                                        Available Beds
                              Available Beds                                            Beds     pop.                                       per 1,000 Population
                                                                                                                                   3.0
         4,000                                                               1995      3,335      2.5
                                                                             1996      3,276      2.4
                                                                             1997      3,381      2.4
         3,000                                                               1998      3,090      2.2




                                                                                                                          Beds
                                                                             1999      3,527      2.4
Number




                                                                                                                                   1.5

         2,000


         1,000
                                                           Available Beds per 1,000 Population                                     0.0
                                                                                                                                         1995 1996   1997 1998 1999
                                                           3
                   0
                       1995 1996 1997 1998 1999
                                                           2
                                                    Beds




                                                           1                                                                               Occupancy Rate
                                                                                                                                   60




                                                                                                                                                                          Resources: Acute Care Hospitals
                                                           0
                                                               1995 1996 1997 1998 1999
                                                                                                                                   40


                                                                                                                         Percent
                                                                                                                                   20
                                           Occupancy Rate

                                                                                                                                    0
                                                                                                                                         1995 1996 1997 1998 1999




                         Occupancy Rate                                             Rate       Days
              70
                                                                             1995   61.6         5.1
              60                                                             1996   61.6         4.9                                     Average Length of Stay
                                                                             1997   59.0         4.8                                            (Days)
              50                                                                                                                   5.0
                                                                             1998   64.0         4.8
    Percent




              40                                                             1999   60.5         4.7
                                                                                                                                   4.0
              30
                                                                                                                          Days




                                                                                                                                   3.0
              20
                                                           Average Length of Stay                                                  2.0
              10
                                                         6.0
               0                                                                                                                   1.0
                   1995 1996 1997 1998 1999              5.0
                                                                                                                                   0.0
                                                         4.0                                                                              1995 1996 1997 1998 1999
                                                  Days




                                                         3.0

                                                         2.0

                                                         1.0

                                                         0.0
                                                               1995 1996 1997 1998 1999

                                           Graphs include data from comparable GAC hospitals plus Kaiser.
                                                           Source: OSHPD Annual Hospital Financial Disclosure Reports.                                  Edition 2, 2001
                            Alameda County
              16
                                                                                 LONG-TERM CARE FACILITIES
                                                                                                                              County Trends


                                           California
                                                                                                           LTC Residents
                                                                                                6,000                                                                  LTC      LTC Residents
                                                                                                                          LTC Residents
                                                                                                5,000                                                               Residents      over 65
                                                        Trends                                                                                      1995              5,058          4,304
                                                                                                4,000
                                                                                                                                                    1996              5,154          4,081
                                                                                    Number




                                        200                                                     3,000              LTC Residents over 65            1997              5,128          4,128
                                                                                                                                                    1998              5,009          4,064
                                                                                                2,000
                            Thousands




                                                                                                                                                    1999              4,924          4,309
                                                                                                1,000
                                        100
                                                                                                     0
                                                                                                         1995 1996 1997 1998 1999

                                           0
                                            1995 1996 1997 1998 1999
                                                                                                                                                                 Beds
                                                                                                                                                    6,000
                                                      Total LTC Beds                                               Beds                             5,000
                                                      Total LTC Residents
                                                                                                            1995             5,927                  4,000
                                                                                                                                           Number
                                                      Residents over 65
                                                                                                            1996             5,927                  3,000
                                                                                                            1997             5,820
                                                                                                            1998             5,802                  2,000
                                                                                                            1999             5,503                  1,000
                                                                                                                                                           0
                                                                                                                                                               1995 1996 1997 1998 1999
                                                   Occupancy Rate
Resources: Long-term Care




                                           100
                                                                                              LTC Beds per 1,000 County Residents Over 65
                                            80
                                                                                                    50
                                 Percent




                                            60                                                                                                                   LTC Beds per 1,000
                                            40
                                                                                                                                                               County Residents over 65
                                                                                                                                                                 1995           41.6
                                                                                             Beds




                                            20
                                                                                                    25                                                           1996           41.0
                                               0                                                                                                                 1997           39.7
                                                   1995 1996 1997 1998 1999
                                                                                                                                                                 1998           39.1
                                                                                                                                                                 1999           36.7
                                                                                                     0
                                                                                                         1995 1996 1997 1998 1999



                                                                                                                                                               LTC Occupancy Rate

                                                                                                              Occupancy Rate                              100

                                                                                                             1995            85.5                          75
                                                                                                                                                Percent




                                                                                                             1996            87.4
                                                                                                             1997            86.2                          50
                                                                                                             1998            84.7
                                                                                                             1999            87.3                          25

                                                                                                                                                            0
                                                                                                                                                                 1995 1996 1997 1998 1999




                                  Edition 2, 2001                             Source: Callifornia Department of Finance, OSHPD Long-term Care Financial and Utilization databases.
                                                                                      Alameda County
                                                                                                                                                      17


                                               Residents
                                                 1999


                                                                                                                     California


                           Age                                                 Discharged To
                                                                                                                          Discharged To
                                                                                                                               1999
                           Under 45, 2.3%
over 95 yrs, 6.8%                                                              Other, 2.1%
                             45-54 yrs, 3.7%                                                  Home, 32.6%
                                                                   Death, 16.9%                                           Other, 1.7%
                                55-64 yrs, 6.5%                                                                                            Home, 33.8%
                                                                                                                  Death,19.4%
                                    65-74 yrs, 14.6%
                                                                  Residential                                     Residential
                                                                  Care, 9.1%                                        Care,
                                                                                                                     6.8%

                                                              Other LTC, 3.9%                                     Other LTC,
                                                                                                                    4.9%
                                                                                                                                        Hospital, 33.4%
                                 75-84 yrs, 32.6%                                        Hospital, 35.4%
85-94 yrs, 33.5%




                               Financial Information




                                                                                                                                                          Resources: Long-term Care
                                                       Revenue          Expense                                          California Payers,
                                                       per Day          per Day                                                 1999
                                                                                                                      Other Payers,      Medicare,
                                        1996               $126          $129                                             9.9%             8.5%
                                        1997                132           135                                      Self-pay,
                                        1998                134           140                                        21.1%
                                        1999                132           143



                                                                                                                                  Medi-Cal,
           Net Patient Services Revenue & Expense                                    Payers                                        60.4%
                        per Census Day                                                1999
                                                                                        Medicare,
           150                                                       Other Payers,        9.6%
                                                                         9.9%


           100
 Dollars




                                                                   Self-Pay,
            50                                                      20.6%



             0                                                                                  Medi-Cal,
                  1996      1997        1998        1999                                         59.9%
                       Revenue                 Expense




           Source: Callifornia Department of Finance, OSHPD Long-term Care Financial and Utilization databases.                         Edition 2, 2001
                     Alameda County

             18
                          Healthcare Resources
                                                                              PRIMARY CARE CLINICS
                                                                                                                 County Trends


                                                                                                          Patients & Encounters
                                                                                                   600

                                                                                                   500
                     Community clinics:                                                                                                            Encounters
                                                                                                   400




                                                                                       Thousands
                        tax-exempt nonprofit
                        organizations                                                              300

                        charges are based on patients'                                             200
                        ability to pay                                                                                                             Patients
                                                                                                   100

                                                                                                     0
                                                                                                          1995     1996     1997    1998    1999
                     Free clinics:
                        community clinics, where
                        patients are not charged for                                                             1995      1996      1997          1998        1999
                        services or medicines.                                      Patients    109,436                   127,044 130,830     145,854         137,735
                                                                                    Encounters 428,879                    527,164 545,435     553,857         547,803
                                                                                    # Community      42                        44      44          44              42
                                                                                    # Free            1                         1       1           1               1


                                                                                                             Race/Ethnicity
                                                                                                                 1999

                                                                                                        Pacific Islander, 0.6
                                                                                       Native American, 1.2%
                                 California                                                                         Filipino, 4.4%
                               Clinic Patients                                      Other Non-White, 8.1%
                               Race/Ethnicity                                                                                    White, 17.6%
                                    1999

                             Pacific Islander, 0.4%
                                                                                       Asian, 15.9%
                                   Filipino, 1.0%
                       Native American, 2.1%
                     Other Non-White, 4.6%
                        Asian, 5.3%
                      Black, 6.7%                     White,
                                                      26.9%
                                                                                                                                            Hispanic, 30.4%
                                                                                                         Black,21.8%
                                                  Hispanic,
                                                    53.1%

                                                                                                            Economic Status
                                                                                      (Based on Federal Poverty Levels)

                                                                                        1995                                                              1999
Resources: Clinics




                                                                         Above 200%,                                                       Above 200%,
                                                                            5.7%                                                              12.8%
                      The Poverty Guidelines are
                      issued by the Federal
                                                                                                                                   100%-200%,
                      Department of Health and
                      Human Services to estimate the                                                                                 30.1%
                      number of persons/families in             100%-200%,
                      poverty for determining                     24.8%
                      financial eligibility for Federal
                      programs.                                                                                   Below 100%,                                           Below 100%,
                                                                                                                     69.5%                                                 57.1%




                     Edition 2, 2001                           Source: OSHPD Primary Care Clinic Utilization database.
                                                                                   Alameda County
                                                                                                                                              19
            HOME HEALTH AGENCIES
                                           County Trends


                        Unduplicated Patients
            60

            50
Thousands




            40                                                                  Number
            30                                                           1995    31,921
                                                                         1996    37,478                      Unduplicated patient: may
            20                                                                                               have been seen more than
                                                                         1997    39,380
                                                                                                             once but is counted only once
                                                                         1998    31,319                      as a patient.
            10                                                           1999    25,502
             0
                 1995     1996       1997      1998       1999




                                                      Patients
                                                       1999




                                                                                                                                                Resources: Home Health Agencies
                            Age                                             Condition                          Nearly 65% of patients in
                                                                                                               home health agency
                               0-20 yrs,                                         Fractures,                    care are over the age of 60.
                                15.7%                                               5.0%
             81+ yrs,                                                                    Skin Diseases,
                                            21-40 yrs,                                        5.7%
              27.9%                           6.7%
                                                                                             Respiratory,
                                                                Other,                           7.5%
                                                                62.5%
                                             41-60 yrs,
                                              13.1%                                        Cardiovascular,
                                                                                                9.8%
                                                                                      Musculoskeletal
                        61-80 yrs,                                                     Conditions,
                         36.6%                                                            9.5%



                                               Discharged To
                                                         1999




                                                    To hospital,
                                            Died,      5.1%
                                            2.8%
                        To family/friends,
                              2.6%



                               Other,                                      No further care needed,
                               14.7%                                                74.9%




                                            Source: OSHPD Home Health Agency Utilization databases.                           Edition 2, 2001
                 Alameda County
           20
                        Healthcare Resources
                                                                                             HOSPICES
                                                                                               County Trends

                                                                        4,000            Patients

                                                                        3,000
                                                                                                                                                       Patients


                                                               Number
                                                                                                                                         1995         1,524
                                                                        2,000
                      Hospice: palliative care to                                                                                        1996         3,389
                      support a patient in the last                                                                                      1997         3,652
                      phases of life due to the                         1,000                                                            1998         3,144
                      existence of a terminal disease.                                                                                   1999         3,662
                                                                           0
                                                                                1995 1996    1997    1998    1999



                                                                                                                  Patients
                                                                                                                   1999

                                                                                      Age                                                          Discharged To


                                                                                     0-30 yrs,
                        83% of hospice patients are
                                                                         91+ yrs,      0.7% 31-60 yrs,                                                Moved Out of Area, 0.6%
                                                                                                                            Refused Service, 0.4%     Prognosis Extended, 4.8%
                        over the age of 60.                               10.0%                16.3%                             Transferred, 1.2%
                                                                                                                  Patient Desired Curative, 0.8%
                                                                                                                                  Other, 4.0%



                                                           81-90 yrs,
                                                            29.1%                                   61-80 yrs,
                                                                                                     43.9%
                                                                                                                                                                      Died,
                                                                                                                                                                      88.2%




                                                                                            Conditions Requiring Hospice Care
                                                                                                          1999

                                                                                                                                                                      Cancer
Resources: Hospices




                                                                                                       Other

                                                                                    Diseases of the Circulatory System

                                                                            Diseases of the Respiratory System

                                                                            Diseases of the Nervous System

                                                                           Diseases of the Digestive System

                                                                          HIV

                                                                 0                  10         20                 30              40                 50            60
                                                                                                                 Percent
                      Edition 2, 2001                    Source: OSHPD Home Health Agency and Hospice Utilization Database.
HOSPITALIZATION
CHARACTERISTICS
       Inpatient Overview
             Trends
         Demographics
        Admits/Dispositions

       Clinical Overview
 Types of Hospitalizations/Diagnosis
    Types of Principal Procedures
 Injuries/Types/Types by Age Group
                                                      Alameda County
                                                                 Hospitalization Characteristics
                                       22
                                                                                                                             INPATIENT OVERVIEW
                                                                                                                                                      County Trends


                                                                                                                                                                                                                              per
                                                                                                                                                                                                            Inpatients       1,000
                                                                                                                                                                                                     1995    148,608          110
                                                                   California                                                     Inpatient Hospitalizations                                         1996    148,930          109
                                                                                                                       200                                                                           1997    152,340          109
                                                                                                                                                                                                     1998    157,485          111
                                                                                                                       150                                                                           1999    159,582          110
                                                                       Hospitalizations
                                                                                                           Thousands




                                                                               Trends
Hospitalization Characteristics: Inpatient Overview




                                                                 4.0                                                   100
                                                                                                                                                                                         Hospitalizations per 1,000 Residents
                                                                                                                                                                                             200
                                                                 3.0
                                                                                                                        50
                                                      Millions




                                                                                                                                                                                             150
                                                                 2.0




                                                                                                                                                                                    Number
                                                                                                                         0                                                                   100
                                                                 1.0
                                                                                                                             1995     1996        1997         1998     1999
                                                                  0                                                                                                                           50
                                                                   1995 1996 1997 1998 1999
                                                                                                                                                                                               0
                                                                                                                                                                                                   1995 1996 1997 1998 1999

                                                                                                                                                                       Patients
                                                                                                                                                                        1999


                                                                               Age                                                    Age                                                             Race/Ethnicity
                                                                               1999
                                                                                      0-14 yrs,                                                                                Native American, 0.2%            Other/Unknown, 4.1%
                                                                 60+ yrs,                                                                       0-14 yrs,
                                                                  36.5%                19.5%
                                                                                                                                                 19.3%                           Asian, 12.1%
                                                                                                                 60+ yrs,
                                                                                                                  36.0%
                                                                                             15-29 yrs,
                                                                                              14.2%
                                                                                                                                                                                                                                  White, 47.1%
                                                                                                                                                          15-29 yrs,
                                                                  45-59 yrs,                                                                               13.0%           Black, 21.7%
                                                                                   30-44 yrs,
                                                                   13.5%            16.3%

                                                                                                                         45-59 yrs,
                                                                                                                          14.6%              30-44 yrs,
                                                                                                                                              17.1%                                           Hispanic, 14.8%




                                                                            Race/Ethnicity                                   Admitted From                                                         Discharged To
                                                                                1999
                                                                 Native American,        Unknown,
                                                                        0.2%               2.8%                                   Other,                                                                    Died, 2.4%
                                                                  Asian/                                                                                                   Transferred Within, 3.3%
                                                                                                                                   9.1%                                                                             Other, 0.2%
                                                                 Pacific Is.,                                                                       Home,
                                                                   6.6%                                         Newborn,                                           Transferred Other, 12.5%
                                                                                                                                                    36.8%
                                                                                                                 12.7%
                                                                  Black,
                                                                   8.4%                                                                                                 Home Health,
                                                                                                  White,                                                                  10.2%
                                                                       Hispanic,                  55.9%
                                                                         26.1%                                                                                                                                                Routine, 71.4%



                                                                                                             Emergency
                                                                                                               Room,
                                                                                                               41.4%


                                                            Edition 2, 2001                                Source: Department of Finance, OSHPD California Inpatient Discharge Data.
                                                                                    Alameda County
                                                                                                                                                         23
         CLINICAL OVERVIEW
                  Types of Principal Diagnoses
                                                   1999


                                                                                  Circulatory System
                                                                                All Pregnancies
                                                                       Births                                    Pregnancies/births account for 26.9% of
                                                                                                                 hospital discharges in Alameda County, and
                                                     Respiratory System




                                                                                                                                                               Hospitalization Characteristics:Clinical Overview
                                                                                                                 28.3% of hospital discharges statewide.
                                           Digestive System
                                          Injuries/Poisonings/Complications
                                       Symptoms/Other Reasons
                                       Mental Disorders                                                          Circulatory, respiratory, and digestive
                                                                                                                 disorders account for the top three
                             Cancer (Includes non-cancerous growths)                                             diagnostic categories of hospital
                         Musculoskeletal System                                                                  discharges in Alameda County, excluding
                                                                                                                 pregnancies and births.
                      Genitourinary System
                  Endocrine System
                 Infections
          Skin Disorders
         Nervous System
        Anemia & Other Blood Disorders
    Perinatal Disorders
    Birth Defects
0               5000           10000            15000           20000             25000
                                              Number



                  Types of Principal Procedures
                                                    1999




                                                                                        Diagnostic/
                                                                                        Therapeutic Procedures   Obstetrical procedures account for 12.5% of
                                                                        Obstetrical Procedures                   inpatient principal procedures performed on
                                                                                                                 Alameda County residents and 22.2% of
                                             Cardiovascular System                                                inpatient principal procedures performed
                                             Digestive System                                                    statewide.

                                    Musculoskeletal System
                     Female Reproductive Organs
                   Male Reproductive Organs
                                                                                                                 Principal procedures performed for
                  Skin                                                                                           cardiovascular, digestive, and
                                                                                                                 muskuloskeletal systems are the top three
                Nervous System                                                                                   procedure categories for hospital
               Respiratory System                                                                                discharges in Alameda County, excluding
                                                                                                                 obstetrical and diagnostic/therapeutic
           Urinary System                                                                                        procedures.
        Nose/Mouth/Throat
        Lymph Nodes/Spleen/Bone Marrow Procedures
         Endocrine System
        Eye
         Ear

    0              5,000            10,000         15,000          20,000            25,000
                                              Number


                                                        Source: California Inpatient Discharge Data, OSHPD.                             Edition 2, 2001
                                         Alameda County
                                     24
                                                      Hospitalization Characteristics
                                                                                                                                                   Types of Injuries
                                                                                                                                                        1999

                                                                                                                                                                                                   Accidental Falls

                                                                                                                                                                                                   Adverse Effects of Medications

                                                                                                                                                                 Other Accidents
                                                                                                                                                                 Rail & Motor Vehicle Accidents
                                                   Accidental falls, adverse effects
                                                   of medications, and other accidents
                                                   are the top three principal cause of                                                                Undetermined and Other
                                                   injuries of Alameda County inpatients.
                                                                                                                                                Self Inflicted
                                                                                                                                               Inflicted by Others

                                                                                                                                            Accidental Poisoning

                                                                                                                                      Other Vehicle/Transport Accidents
                                                                                                                                    Late effects of Injury
Inpatient Characteristics: Clinical Overview




                                                                                                                                0      500 1,000 1,500 2,000 2,500 3,000 3,500 4,000
                                                                                                                                                                   Number


                                                                                                                                                   Types of Injuries
                                                                                                                                                      Age 1999

                                                                                                                     3,000
                                                   In Alameda County, patients
                                                   age 60 and over represent
                                                   68.1% of discharge records for
                                                   accidental falls and 61.6% of
                                                   discharge records for adverse
                                                   effects of medications.
                                                                                               Number of Incidents




                                                                                                                                                                                                  0-14 yrs
                                                                                                                                                                                                  15-29 yrs
                                                                                                                     2,000                                                                        30-44 yrs
                                                                                                                                                                                                  45-59 yrs
                                                                                                                                                                                                  60+ yrs




                                                                                                                     1,000




                                                                                                                           0
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                                               Edition 2, 2001
                                                                                                                                       O




                                                                                            Source: California Inpatient Discharge Data, OSHPD.
SPECIFIC TRENDS
   Selected Conditions
     Births & Deliveries
     High-risk Deliveries
          Asthma
           Cancer
             HIV
  Selected Procedures
      Cardiac Bypass
       Mastectomy
       Prostatectomy
    Selected Injuries
       Auto Injuries
      Drug Poisonings
      Gunshot Injuries
                                       Alameda County

                            26
                                                                     Specific Trends
                                                                                                                  BIRTHS & DELIVERIES
                                                                                                                                            County Trends


                                                                                                                                                                                                   Births
                                                                                                                                                                                  30




                                                                                                                                                                      Thousands
                                                        California                                                                                                                20

                                                                                                                         Fertility Rate
                                                                                                        100                                                                       10
                                                                   Births
                                                      600
                                                                                                             80                                   California
                                                                                                                                                                                   0
                                                      500                                                                                                                              1995 1996 1997 1998 1999
                                                                                                   Percent



                                                                                                             60
                                                                                                                                    Alameda County
                                          Thousands




                                                      400                                                    40                                                                   County       County        Statewide
                                                                                                                                                                                   Births    Fertility Rate Fertility Rate
                                                      300                                                    20
                                                                                                                                                                 1995             20,688              66.0            75.1
                                                      200                                                     0                                                  1996             20,522              65.8            73.6
                                                                                                                  1995   1996   1997      1998 1999
                                                                                                                                                                 1997             20,631              65.4            71.0
                                                      100                                                                                                        1998             20,749              65.5            70.0
                                                                                                                                                                 1999             20,348              64.0            69.1
                                                        0
                                                            1995 1996 1997 1998 1999

                                                                                                                                   Premature Births
                                                              Premature Births
Specific Trends: Births & Deliveries




                                                   40


                                                                                                                                                                                  Premature Births
                                                   30                                                                                                       2,000
                                       Thousands




                                                   20
                                                                                                                                                       Number




                                                                                                                                                            1,000
                                                   10
                                                                                                                    Alameda         Statewide
                                                                                                                     County
                                                      0                                               1995           1,591           37,896
                                                       1995 1996 1997 1998 1999                       1996           1,539           37,397
                                                                                                      1997           1,634           37,035                      0
                                                                                                      1998           1,617           36,806                          1995 1996               1997 1998               1999
                                                        Fertility rate is calculated                  1999           1,547           36,703
                                                        by dividing the number of
                                                        births by the population of
                                                        females aged 15-44 years,
                                                        and then dividing by 1,000.                                  Cesarean Section Deliveries

                                                                                                                                                                            Alameda County                    Statewide
                                                        26% of all births to                                                                                                              % of All                      % of All
                                                        California residents were                                                                                    C-sections          Deliveries     C-sections     Deliveries
                                                                                                             Cesarean Sections, % of Deliveries
                                                        premature.                                 50                                                     1995           3,547              17.4        111,393          20.7
                                                                                                                                                          1996           3,373              16.6        108,263          20.6
                                                                                                   40                                                     1997           3,348              16.4        107,256          21.0
                                                        Year 2010 National Health
                                                        Objectives Goal: Cesarean                                                                         1998           3,564              17.4        110,034          21.7
                                                                                                   30
                                                                                         Percent




                                                        section births to equal no                                                                        1999           4,023              20.0        114,397          22.8
                                                        more than 15.5% of total
                                                                                                                                   California
                                                        births.                                    20

                                                                                                   10                              Alameda County

                                                                                                    0
                                                                                                             1995    1996   1997     1998       1999



                                          Edition 2, 2001                              Sources: California Inpatient Discharge Data, OSHPD. Demographic data from CA Dept of Finance.
                                                                                                 Alameda County

                                                                                                                                                                    27

                                                County Trends



                                                                                        All Deliveries:
                                                                                 Mother's Age at Delivery,1999
                                                                                                                                       California
                                                                                           Over 35 yrs,
                          0-16 yrs             17-34 yrs               Over 35 yrs           19.0%           Ages 0-16,                    Deliveries by females
                                 % of                     % of                  % of                           1.5%                        less than 16 years of age
                    Number     all births      Number   all births     Number all births                                                   or greater than 35 years
                                                                                                                                           of age are considered
                                                                                                                                           "high risk."
1995                 436          2.1        16,626       81.5         3,345      16.4
1996                 397          2.0        16,412       80.9         3,477      17.1
1997                 364          1.8        16,415       80.3         3,652      17.9
1998                 356          1.7        16,404       79.9         3,781      18.4
                                                                                                                                           High Risk Deliveries
1999                 304          1.5        16,006       79.5         3,832      19.0
                                                                                                                                      80
                                                                                              Ages 17-34 yrs,
                                                                                                 79.5%
                                                                                                                                      60




                                                                                                                          Thousands
                                                                                                                                      40
                                            High-risk Deliveries
                                                                                                                                      20


                                                                                                                                       0
                                                        High-risk Deliveries                                                               1995 1996 1997 1998 1999




                                                                                                                                                                        Specific Trends: Births & Deliveries
                     4,000

                                                                                                                                                   0-16 yrs
                     3,000                                                                            over 35 years
                                                                                                                                                    35+ yrs
       Deliveries




                     2,000

                     1,000                                                                                                                   High Risk Deliveries
                                                                                                      0-16 years                              % of All Deliveries
                                                                                                                                      20
                           0
                                  1995            1996                1997          1998       1999

                                                                                                                                      15


                                            High-risk Deliveries, % of All Deliveries
                                                                                                                          Percent




                                                                                                                                      10
                     20                                                                                   over 35 years

                                                                                                                                       5
                     16

                                                                                                                                       0
                     12
   Percent




                                                                                                                                           1995 1996 1997 1998 1999



                      8


                      4
                                                                                                          0-16 years
                      0
                               1995              1996                1997           1998       1999



                     Sources: California Inpatient Discharge Data, OSHPD. Demographic data from CA Dept of Finance.                                   Edition 2, 2001
                     Note that 1998 population figures are based on estimates.
                              Alameda County

                              28
                                                                         Specific Trends
                                                                                                                                ASTHMA
                                                                                                                     (based on principal diagnosis)

                                                                                                                                   County Trends
                                                                                                  Asthma Hospitalizations
                                                                                      3,000

                                                California                                                                                                    Hospitalizations   Age-adjusted Rate
                                                                                                                                                             Alameda County        per 1,000 Pop.
                                                    Asthma                            2,000
                                                                             Number


                                                 Hospitalizations                                                                                    1995          2,367               1.74
                                                     Trends                                                                                          1996          2,295               1.68
                                           50
                                                                                                                                                     1997          2,464               1.75
                                                                                      1000,
                                                                                                                                                     1998          2,637               1.86
                                           40
                                                                                                                                                     1999          2,798               1.93
                               Thousands




                                           30

                                                                                            0
                                           20
                                                                                                 1995 1996   1997        1998      1999
                                           10
                                                                                                                                          Patients
                                            0
                                                1995 1996 1997 1998 1999                                                                   1999
                                                                                                Percent of County Asthma Patients Compared to the Percent of Total
                                                                                                                County Population for Each Group
                                                     Age-adjusted Rate
                                                       per 1,000 Pop.
                                                 1995         1.30                                                                        Gender
                                                 1996         1.15
                                                 1997         1.18
                                                                                                                              60
                                                 1998         1.12
                                                 1999         1.16                                                            50

                                                                                                                              40
                                                                                                                    Percent




                                                                                                                              30

                                                                                                                              20
Specific Trends: Conditions




                                                                                                                              10

                                                                                                Race/Ethnicity                 0
                                                                                                                                                  Female
                                                                                                                                                                                 Age
                                                                                                                                    Male


                                                                                      50                                                                                                      50

                                                                                      40                                                                                                      40

                                                                                      30                                                                                                      30
                                                                                                                                                                                                   Percent
                                                                           Percent




                                                                                      20                                                                                                      20

                                                                                      10                                                                                                      10

                                                                                        0                                                                                                     0
                                                                                                                                                            0-14 15-29 30-44 45-59 60+
                                                                                                             k
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                                                                                                                                                                    Age (Years)
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                                                                                                                                    % of Asthma Patients
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                                                                                                                                    % of County Residents
                                                                                         at
                                                                                       N




                              Edition 2, 2001                              Sources: California Inpatient Discharge Data, OSHPD. Demographic data from CA Dept of Finance.
                                                                           Note that 1998 population figures are based on estimates.
                                                                                                     Alameda County
                                                                                                                                                                                      29
                                                                    CANCER
                                                          (based on principal diagnosis)

                                                                      County Trends

                              Cancer Hospitalizations
         10,000


                                                                                     Hospitalizations Age-adjusted Rate                                California
                                                                                    Alameda County      per 1,000 Pop.
Number




                                                                                  1995       4,960         4.17
          5,000                                                                   1996       4,887         4.01                                           Cancer
                                                                                  1997       4,972         3.98
                                                                                  1998       5,359         4.20
                                                                                                                                                       Hospitalizations
                                                                                  1999       5,538         4.25                                      150          Trends




                                                                                                                                         Thousands
                   0                                                                                                                                 100
                           1995 1996          1997 1998        1999


                                                                         Patients                                                                     50
                                                                           1999
                            Percent of County Cancer Patients Compared to the Percent of Total                                                         0
                                                                                                                                                           1995 1996 1997 1998 1999
                                            County Population for Each Group

                                                                         Gender
                                                                                                                                                                  Age-adjusted Rate
                                                                                                                                                                    per 1,000 Pop.
                                                               60
                                                                                                                                                           1995          4.44
                                                               50                                                                                          1996          4.36
                                                                                                                                                           1997          4.43
                                                               40                                                                                          1998          4.37




                                                                                                                                                                                           Specific Trends: Conditions
                                                                                                                                                           1999          4.30
                                                               30
                                                     Percent




                                                               20

                                                               10

                            Race/Ethnicity                      0                                        Age
                                                                    Male        Female

                   60                                                                                                     80
                                                                                                                          70
                   50
                                                                                                                          60
                   40                                                                                                     50

                   30                                                                                                     40
         Percent




                                                                                                                               Percent




                                                                                                                          30
                   20
                                                                                                                          20
                   10                                                                                                     10

                       0                                                                                                  0
                                                                                          0-14 15-29 30-44 45-59 60+
                         te




                                              m ck
                                 ic




                                                      er
                                                     an
                                         n




                                                                                                  Age (Years)
                                      sia
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                              an




                                                   th
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                                                                      % of Cancer Patients
                                          at
                                          N




                                                                      % of County Residents




                           Sources: California Inpatient Discharge Data, OSHPD. Demographic data from CA Dept of Finance.                                                Edition 2, 2001
                           Note that 1998 population figures are based on estimates.
                              Alameda County

                     30
                                                                     Specific Trends
                                                                                                                                  HIV
                                                                                                                     (based on principal diagnosis)

                                                                                                                                County Trends

                                                                                                  HIV Hospitalizations
                                                                                     800

                                                California                                                                                           Hospitalizations   Age-adjusted Rate
                                                                                     600                                                            Alameda County        per 1,000 Pop.

                                           HIV Hospitalizations             Number


                                                    Trends                           400                                                    1995           773                0.55
                                                                                                                                            1996           700                0.50
                                          15                                                                                                1997           557                0.39
                                                                                     200                                                    1998           419                0.29
                                                                                                                                            1999           376                0.25
                                          10
                              Thousands




                                                                                          0
                                                                                              1995 1996   1997         1998 1999
                                          50
                                                                                                                                   Patients
                                                                                                                                    1999
                                           0
                                               1995 1996 1997 1998 1999
                                                                                              Percent of County HIV Patients Compared to the Percent of Total
                                                                                                            County Population for Each Group

                                                                                                                                       Gender
                                                     Age-adjusted Rate
                                                       per 1,000 Pop.
                                                                                                                           80
                                                 1995         0.43
                                                 1996         0.37                                                         70
                                                 1997         0.27                                                         60
                                                 1998         0.25
                                                                                                                 Percent




                                                                                                                           50
                                                 1999         0.22
                                                                                                                           40
                                                                                                                           30
                                                                                                                           20
Specific Trends: Conditions




                                                                                                                           10
                                                                                              Race/Ethnicity                0                                           Age
                                                                                                                                Male      Female


                                                                                     60                                                                                          60

                                                                                     50                                                                                          50

                                                                                     40                                                                                          40
                                                                                                                                                                                      Percent
                                                                          Percent




                                                                                     30                                                                                          30

                                                                                     20                                                                                          20

                                                                                     10                                                                                          10

                                                                                      0                                                                                          0
                                                                                                                                                    0-14 15-29 30-44 45-59 60+
                                                                                                           n
                                                                                                          ic




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                                                                                                         an
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                                                                                                       sia

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                                                                                                      an




                                                                                                                                                            Age (Years)
                                                                                                       th
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                                                                                                                                % of HIV Patients
                                                                                                                                % of County Residents


                                 Edition 2, 2001                          Sources: California Inpatient Discharge Data, OSHPD. Demographic data from CA Dept of Finance.
                                                                          Note that 1998 population figures are based on estimates.
                                                                                        Alameda County
                                                                                                                                                                    31
                                       CARDIAC BYPASS
                                           (based on principal procedure)

                                                        County Trends

                 Cardiac Bypass Hospitalizations
         2,000
                                                                                                                                        California
                                                                            Hospitalizations Age-adjusted Rate
                                                                           Alameda County      per 1,000 Pop.
         1,500
                                                                    1995          988            0.84
Number




                                                                    1996        1,077            0.90
         1,000                                                      1997        1,046            0.85                                   Cardiac Bypass
                                                                    1998        1,028            0.81
                                                                    1999        1,005            0.78                                   Hospitalizations
               500
                                                                                                                                                Trends
                                                                                                                                   30
                 0
                     1995 1996 1997 1998 1999




                                                                                                                       Thousands
                                                                                                                                   20
                                                           Patients
                                                            1999
                                                                                                                                   10

                      Percent of County Cardiac Bypass Patients Compared to the Percent
                                   of Total County Population for Each Group
                                                                                                                                    0
                                                                                                                                        1995 1996 1997 1998 1999
                                                           Gender

                                                   80
                                                   70
                                                   60                                                                                          Statewide
                                                   50                                                                                      Age-adjusted Rate
                                         Percent




                                                                                                                                             per 1,000 Pop.




                                                                                                                                                                     Specific Trends: Procedures
                                                   40
                                                   30                                                                                    1995        0.97
                                                   20                                                                                    1996        1.03
                                                                                                                                         1997        0.99
                                                   10                                                                                    1998        0.96
                                                    0                                                                                    1999        0.93
                     Race/Ethnicity                     Male       Female                   Age


                60                                                                                      80
                                                                                                        70
                50
                                                                                                        60
                40                                                                                      50
                                                                                                             Percent
     Percent




                30                                                                                      40
                                                                                                        30
                20
                                                                                                        20
                10                                                                                      10
                 0                                                                                      0
                                                                      0-14 15-29 30-44 45-59 60+
                         te




                                  O n
                          ic

                           n


                                 m ck



                                        er




                                                                                Age (Years)
                                        a
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                       hi




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                                                        % of Bypass Patients
                                                        % of County Residents


                 Sources: California Inpatient Discharge Data, OSHPD. Demographic data from CA Dept of Finance.                                   Edition 2, 2001
                 Note that 1998 population figures are based on estimates.
                   Alameda County

                    32
                                                                       Specific Trends
                                                                                                                          MASTECTOMY
                                                                                                                          (based on principal procedure)
                                                                                                                          County Trends


                                                                                     500
                                                                                                  Mastectomy Hospitalizations


                                                                                     400                                                                    Hospitalizations   Age-adjusted Rate
                                           California                                                                                                      Alameda County        per 1,000 Pop.

                                                                                     300                                                       1995              312                 0.26
                                                                            Number



                                                                                                                                               1996              276                 0.22
                                                                                                                                               1997              291                 0.23
                                                  Mastectomy                         200
                                                                                                                                               1998              313                 0.24
                                                 Hospitalizations                                                                              1999              361                 0.27
                                                       Trends                        100
                                          10

                                                                                          0
                                                                                              1995      1996 1997        1998    1999
                              Thousands




                                           5                                                                                            Patients
                                                                                                                                         1999

                                                                                                  Percent of County Mastectomy Patients Compared to the Percent
                                           0                                                                  of Total County Population for Each Group
                                               1995 1996 1997 1998 1999




                                                   Age-adjusted Rate
                                                     per 1,000 Pop.

                                               1995         0.32
                                               1996         0.29
                                               1997         0.29
                                               1998         0.29                                                  Race/Ethnicity                                               Age
Specific Trends: Procedures




                                               1999         0.29

                                                                                          60                                                                                                   50

                                                                                          50
                                                                                                                                                                                               40

                                                                                          40
                                                                                                                                                                                               30
                                                                                                                                                                                                    Percent
                                                                                Percent




                                                                                          30
                                                                                                                                                                                               20
                                                                                          20

                                                                                          10                                                                                                   10


                                                                                              0                                                                                                0
                                                                                                                                                       0-14 15-29 30-44 45-59            60+
                                                                                                                                  an
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                                                                                                                                                                 Age (Years)
                                                                                              hi




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                                                                                                                                % of Mastectomy Patients
                                                                                                                    tiv
                                                                                                                  Na




                                                                                                                                % of County Residents




                              Edition 2, 2001                             Sources: California Inpatient Discharge Data, OSHPD. Demographic data from CA Dept of Finance.
                                                                          Note that 1998 population figures are based on estimates.
                                                                                          Alameda County
                                                                                                                                                                   33
                                         PROSTATECTOMY
                                             (based on principal procedure)

                                                 County Trends

                Prostatectomy Hospitalizations
          800
          700                                                           Hospitalizations Age-adjusted Rate
          600
                                                                       Alameda County      per 1,000 Pop.                               California
          500                                                         1995     777             0.68
 Number




          400                                                         1996     728             0.62
                                                                      1997     701             0.59                                     Prostatectomy
          300                                                         1998     714             0.58                                     Hospitalizations
                                                                      1999     800             0.64
          200
                                                                                                                                               Trends
          100                                                                                                                      30

            0
                 1995 1996        1997     1998 1999




                                                                                                                       Thousands
                                                                                                                                   20

                                                           Patients
                                                            1999                                                                   10


                    Percent of County Prostatectomy Patients Compared to the Percent
                                of Total County Population for Each Group                                                           0
                                                                                                                                        1995 1996 1997 1998 1999




                                                                                                                                            Age-adjusted Rate




                                                                                                                                                                      Specific Trends: Procedures
                                                                                                                                              per 1,000 Pop.

                                                                                                                                        1995       0.79
                                                                                                                                        1996       0.75
                                                                                                                                        1997       0.72
                                                                                                                                        1998       0.67
          80                                                                                                                            1999       0.65
                                                                                                      100
          70              Race/Ethnicity                                            Age

          60                                                                                          80

          50
                                                                                                             Percent
Percent




                                                                                                      60
          40

          30                                                                                          40

          20
                                                                                                      20
          10

           0                                                                                          0
                                                               0-14 15-29 30-44 45-59          60+
                                              an
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                                                                       Age (Years)
                                            er
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                                                      % of Prostatectomy Patients
                                                      % of County Residents


                Sources: California Inpatient Discharge Data, OSHPD. Demographic data from CA Dept of Finance.                                      Edition 2, 2001
                Note that 1998 population figures are based on estimates.
                            Alameda County
                34
                                                                                                                              AUTO INJURY
                                                                                                                (based on first event causing hospitalization)

                                                                                                                                     County Trends

                                                                                                    Auto Injury Hospitalizations
                                                                                       2,000
                                                                                                                                                                    Hospitalizations   Age-adjusted Rate
                                         California                                                                                                                Alameda County        per 1,000 Pop.

                                                                                       1,500
                                                                                                                                                                1995    1,555            1.17
                                                                                                                                                                1996    1,305            0.96
                                                                              Number



                                                                                       1,000                                                                    1997    1,393            1.00
                                                Auto Injury                                                                                                     1998    1,285            0.91
                                              Hospitalizations                                                                                                  1999    1,466            1.02

                                                    Trends                                 500
                                        40


                                                                                              0
                                        30                                                         1995       1996 1997              1998     1999
                            Thousands




                                        20                                                                                                     Patients
                                                                                                                                                1999
                                        10
                                                                                                  Percent of County Auto Injury Patients Compared to the Percent
                                         0
                                                                                                             of Total County Population for Each Group
                                             1995 1996 1997 1998 1999

                                                                                                                                                Gender

                                                 Age-adjusted Rate                                                                   80
                                                   per 1,000 Pop.
                                                                                                                                     70
                                                                                                                                     60
                                             1995            1.08
                                                                                                                                     50
                                                                                                                           Percent




                                             1996            1.04
                                             1997            1.01                                                                    40
                                             1998            0.98
                                             1999            0.97
                                                                                                                                     30
                                                                                                                                     20
                                                                                                                                     10
                                                                                                                                      0
                                                                                           Race/Ethnicity                                   Male       Female                     Age
Specific Trends: Injuries




                                                                                  50                                                                                                            35
                                                                                                                                                                                                30
                                                                                  40
                                                                                                                                                                                                25
                                                                        Percent




                                                                                  30                                                                                                            20
                                                                                                                                                                                                      Percent




                                                                                  20                                                                                                            15
                                                                                                                                                                                                10
                                                                                  10
                                                                                                                                                                                                5
                                                                                       0                                                                                                        0
                                                                                                                                                             0-14 15-29 30-44 45-59 60+
                                                                                                            n




                                                                                                                        an


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                                                                                                                                     th
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                                                                                                        A
                                                                                  W




                                                                                                                Bl




                                                                                                                                                                     Age (Years)
                                                                                                                                     O
                                                                                                                      er
                                                                                              sp




                                                                                                                   Am
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                                                                                                                                         % of Auto Accident Patients
                                                                                                                                         % of County Residents


                               Edition 2, 2001                           Sources: California Inpatient Discharge Data, OSHPD. Demographic data from CA Dept of Finance.
                                                                         Note that 1998 population figures are based on estimates.
                                                                                          Alameda County
                                                                                                                                                                    35
                                  DRUG POISONING
                                (based on first event causing hospitalization)

                                                 County Trends

                 Drug Poisoning Hospitalizations
         1,000


                                                                       Hospitalizations   Age-adjusted Rate
                                                                                                                                    California
          750
                                                                      Alameda County        per 1,000 Pop.
Number




          500                                                  1995              928             0.69
                                                               1996              942             0.69                                      Drug Poisoning
                                                               1997              964             0.70                                      Hospitalizations
          250                                                  1998              999             0.71                                           Trends
                                                               1999              956             0.67                               25


            0                                                                                                                       20
                 1995 1996    1997    1998        1999




                                                                                                                        Thousands
                                                                                                                                    15
                                                         Patients
                                                             1999                                                                   10


                                                                                                                                     5
                  Percent of County Drug Poisoning Patients Compared to the Percent
                              of Total County Population for Each Group
                                                                                                                                     0
                                                                                                                                         1995 1996 1997 1998 1999

                                                         Gender


                                                                                                                                                Age-adjusted Rate
                                                                                                                                                  per 1,000 Pop.
                                                 80
                                                 70                                                                                         1995          0.72
                                                 60                                                                                         1996          0.71
                                                 50                                                                                         1997          0.70
                                       Percent




                                                 40                                                                                         1998          0.66
                                                                                                                                            1999          0.64




                                                                                                                                                                       Specific Trends: Injuries
                                                 30
                                                 20
                                                 10                                       Age
                 Race/Ethnicity
                                                  0
                                                      Male      Female

                                                                                                        30
           50
                                                                                                        25
           40
                                                                                                        20
                                                                                                              Percent




           30
Percent




                                                                                                        15
           20
                                                                                                        10

           10                                                                                           5

            0                                                                                           0
                                                                           0-14 15-29 30-44 45-59 60+
                             er
                            te




                           an
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                                                                                    Age (Years)
                        ic
                       W




                       O
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                  A
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          N




                                                  % of Drug Poisoning Patients
                                                  % of County Residents

                 Sources: California Inpatient Discharge Data, OSHPD.Demographic data from CA Dept of Finance.                                       Edition 2, 2001
                  Note that 1998 population figures are based on estimates.
                        Alameda County
                36
                                                                                                              GUNSHOT INJURIES
                                                                                                             (based on first event causing hospitalization)


                                                                                                                          County Trends

                                                                                        Gunshot Injury Hospitalizations

                                                                                    400                                                                   Hospitalizations   Age-adjusted Rate
                                                                                                                                                         Alameda County        per 1,000 Pop.

                                                California
                                                                                    300
                                                                                                                                                   1995             296           0.21
                                                                                                                                                   1996             238           0.17
                                                                           Number




                                                                                    200                                                            1997             264           0.18
                                                Gunshot Injury                                                                                     1998             208           0.14
                                                Hospitalizations                                                                                   1999             170           0.11
                                                                                    100
                                                      Trends

                                   10.0                                                  0
                                                                                             1995    1996 1997          1998 1999
                                        8.0

                                                                                                                                     Patients
                            Thousands




                                        6.0

                                        4.0
                                                                                                                                      1999
                                        2.0                                               Percent of County Gunshot Injury Patients Compared to the Percent
                                                                                                      of Total County Population for Each Group
                                        0.0
                                              1995   1996 1997 1998 1999

                                                                                                                                      Gender


                                                                                                                              100

                                                                                                                               80
                                                     Age-adjusted Rate
                                                                                                                               60
                                                                                                                    Percent




                                                       per 1,000 Pop.

                                                 1995          0.24                                                            40
                                                 1996          0.20
                                                 1997          0.16                                                            20
                                                 1998          0.13
                                                                                                                                                                          Age
Specific Trends: Injuries




                                                 1999          0.12                      Race/Ethnicity                         0
                                                                                                                                     Male       Female



                                                                                        60                                                                                           80
                                                                                                                                                                                     70
                                                                                        50
                                                                                                                                                                                     60
                                                                                        40
                                                                                                                                                                                     50
                                                                              Percent




                                                                                                                                                                                          Percent




                                                                                        30                                                                                           40
                                                                                                                                                                                     30
                                                                                        20
                                                                                                                                                                                     20
                                                                                        10
                                                                                                                                                                                     10
                                                                                         0                                                                                           0
                                                                                                                                                     0-14 15-29 30-44 45-59 60+
                                                                                                                     an
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                                                                                                        n

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                                                                                                                                                            Age (Years)
                                                                                           W




                                                                                                                 O
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                                                                                                                               % of Gunshot Injury Patients
                                                                                                        N




                                                                                                                               % of County Residents


                                        Edition 2, 2001                    Sources: California Inpatient Discharge Data, OSHPD.Demographic data from CA Dept of Finance.
                                                                            Note that 1998 population figures are based on estimates.
For more information please contact...




Healthcare Quality and Analysis Division
 Healthcare Information Resource Center
           818 K Street, Room 500
           Sacramento, CA 95814
                (916)322-2814
            hirc@oshpd.state.ca.us
            www.oshpd.state.ca.us

				
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