RATE YEAR 2014 DISPROPORTIONATE SHARE HOSPITAL and/or MEDICAID PERCENTAGE ADJUSTMENT ELIGIBLE HOSPITALS October 1, September 30, 2014

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1 Abraham Lincoln Children's, Lincoln Yes Yes Adventist GlenOaks Hospital, Glendale Heights Yes Yes Advocate Christ Hope Children's, Oak Lawn Yes Yes Advocate Illinois Masonic MC, Chicago Yes Yes Advocate Lutheran General Child, Park Ridge No Yes Advocate Trinity Hospital, Chicago Yes Yes Alexian Brothers Children's, Hoffman Estates No Yes Ann & Robert H Lurie Child Hosp, Chicago Yes Yes Barnes-Jewish Hospital, Saint Louis, Mo Yes Yes BHS Meadows Hospital, Bloomington, In Yes Yes Cardninal Glennon, St. Louis Mo Yes Yes Carle Foundation Hospital, Urbana Yes Yes Centerpointe Hospital, Saint Charles, Mo Yes Yes Chicago Lakeshore Hospital, Chicago Yes Yes Childrens Hospital of Wisconsin, Milwaukee, Wi Yes Yes Christian Hospital NE NW, Saint Louis, Mo Yes Yes Clarian Health Partners, Indianapolis, In Yes Yes Fayette County Hospital & LTC, Vandalia No Yes Franciscan St James-Oly Fl/Chgo, Olympia Fields Yes Yes Garfiled Park, Chicago No Yes Gateway Regional Medical Center, Granite City Yes Yes Graham Hospital, Canton No Yes Hardin County General Hospital, Rosiclare Yes Yes Harrisburg Medical Center, Harrisburg No Yes Harsha Behavorial Center. Terre Haute, In Yes Yes Hartgrove Behavioral Health Sys, Chicago Yes Yes Heartland Regional Medical Ctr, Marion No Yes Holy Cross Hospital, Chicago Yes Yes Ingalls Children's Hospital, Harvey Yes Yes Jackson Park Hospital & Med Ctr, Chicago Yes Yes John H. Stroger, Chicago Yes No Kindred Chicago Central Hosp, Chicago Yes Yes Kindred Hosp Chicago Northlake, Northlake Yes Yes Kindred Hospital Sycamore, Sycamore Yes Yes Lakeview Neurorehab Center Midw, Waterford, Wi Yes Yes LaRabida Children's Chicago Yes Yes Lincoln Prairie Beh Health Ctr, Springfield Yes Yes Loretto Hospital, Chicago Yes Yes Loyola Ronald McDonald Children, Maywood Yes Yes MacNeal Hospital, Berwyn Yes Yes Maryville Nolan Scott, Maryville Yes Yes Massac Memorial Hospital, Metropolis No Yes Memorial Hosp of Carbondale, Carbondale Yes Yes Memorial Hospital, Belleville No Yes Memorial Medical Center Children, Springfield No Yes Mercy Hospital & Medical Center, Chicago Yes Yes Methodist Hospital of Chicago, Chicago Yes Yes MetroSouth Medical Center, Blue Island Yes Yes Mount Sinai Children's Hospita, Chicago Yes Yes

2 Mount Sinai Hospital, Chicago Yes Yes Norwegian American Hospital, Chicago Yes Yes Osf Saint Francis Children's Hospital, Peoria Yes Yes OSF Saint Francis Medical Ctr, Peoria No Yes Passavant Area Children's. Jacksonville Yes Yes Presence Holy Family Med Center, Des Plaines Yes Yes Presence Mercy Medical Center, Aurora Yes Yes Presence Our Lady of the Res MC, Chicago Yes Yes Presence Saint Francis Hospital, Evanston Yes Yes Presence Saint Mary Hospital, Chicago Yes Yes Presence St Mary's Hospital, Kankakee Yes Yes Presence United Samaritans MC, Danville Yes Yes Provident Hospital of Cook County, Chicago Yes No Ranken Jordan A Ped Rehab Ctr, Saint Louis, Mo Yes Yes Richland Memorial Hospital, Olney Yes Yes Riveredge Hospital, Forest Park Yes Yes Rockford Memorial Hospital, Rockford Yes Yes Roseland Community Hospital, Chicago Yes Yes Rush University Children's Service, Chicago Yes Yes Saint Anthony Hospital, Chicago Yes Yes Schwab Rehabilitation Hospital, Chicago Yes Yes Shriners Hospital for Children, Chicago No Yes Silver Cross Hospital, New Lenox No Yes South Shore Hospital, Chicago Yes Yes St Bernard Hosp & Hlth Care Ctr, Chicago Yes Yes St John's Children's, Springfield Yes Yes St Louis Childrens, Saint Louis, Mo Yes Yes St Louis University Hospital, Saint Louis, Mo Yes Yes St Margarets-Mercy North, Hammond, In Yes Yes St Mary's Hospital, Centralia Yes Yes St Marys-St Louis, Saint Louis, Mo Yes Yes St. Catherine Hospital, East Chicago, IN Yes Yes Streamwood Behavioral Hlth Ctr, Streamwood Yes Yes Swedish Covenant Hospital, Chicago Yes Yes SwedishAmerican Hospital, Rockford Yes Yes Taylorville Memorial Children's, Taylorville No Yes The Pavilion, Champaign Yes Yes Thorek Memorial Hospital, Chicago Yes Yes Touchette Regional Hospital, Centreville Yes Yes Union County Hospital, Anna Yes Yes University Of Chicago Med Ctr Children's, Chicago Yes Yes University of Illinois Yes No Vista Medical Center East, Waukegan Yes Yes West Suburban Med Ctr, Oak Park Yes Yes Westlake Hospital, Melrose Park Yes Yes

3 Abraham Lincoln Children's, Lincoln Yes Yes Adventist GlenOaks Hospital, Glendale Heights Yes Yes Advocate Christ Hope Children's, Oak Lawn Yes Yes Advocate Illinois Masonic MC, Chicago Yes Yes Advocate Lutheran General Child, Park Ridge No Yes Advocate Trinity Hospital, Chicago Yes Yes Alexian Brothers Children's, Hoffman Estates No Yes Ann & Robert H Lurie Child Hosp, Chicago Yes Yes Barnes-Jewish Hospital, Saint Louis, Mo Yes Yes BHS Meadows Hospital, Bloomington, In Yes Yes Cardninal Glennon, St. Louis Mo Yes Yes Carle Foundation Hospital, Urbana Yes Yes Centerpointe Hospital, Saint Charles, Mo Yes Yes Chicago Lakeshore Hospital, Chicago Yes Yes Childrens Hospital of Wisconsin, Milwaukee, Wi Yes Yes Christian Hospital NE NW, Saint Louis, Mo Yes Yes Clarian Health Partners, Indianapolis, In Yes Yes Fayette County Hospital & LTC, Vandalia No Yes Franciscan St James-Oly Fl/Chgo, Olympia Fields Yes Yes Garfiled Park, Chicago No Yes Gateway Regional Medical Center, Granite City Yes Yes Graham Hospital, Canton No Yes Hardin County General Hospital, Rosiclare Yes Yes Harrisburg Medical Center, Harrisburg No Yes Harsha Behavorial Center. Terre Haute, In Yes Yes Hartgrove Behavioral Health Sys, Chicago Yes Yes Heartland Regional Medical Ctr, Marion No Yes Holy Cross Hospital, Chicago Yes Yes Ingalls Children's Hospital, Harvey Yes Yes Jackson Park Hospital & Med Ctr, Chicago Yes Yes John H. Stroger, Chicago Yes No Kindred Chicago Central Hosp, Chicago Yes Yes Kindred Hosp Chicago Northlake, Northlake Yes Yes Kindred Hospital Sycamore, Sycamore Yes Yes Lakeview Neurorehab Center Midw, Waterford, Wi Yes Yes LaRabida Children's Chicago Yes Yes Lincoln Prairie Beh Health Ctr, Springfield Yes Yes Loretto Hospital, Chicago Yes Yes Loyola Ronald McDonald Children, Maywood Yes Yes MacNeal Hospital, Berwyn Yes Yes Maryville Nolan Scott, Maryville Yes Yes Massac Memorial Hospital, Metropolis No Yes Memorial Hosp of Carbondale, Carbondale Yes Yes Memorial Hospital, Belleville No Yes Memorial Medical Center Children, Springfield No Yes Mercy Hospital & Medical Center, Chicago Yes Yes Methodist Hospital of Chicago, Chicago Yes Yes MetroSouth Medical Center, Blue Island Yes Yes Mount Sinai Children's Hospita, Chicago Yes Yes

4 Mount Sinai Hospital, Chicago Yes Yes Norwegian American Hospital, Chicago Yes Yes Osf Saint Francis Children's Hospital, Peoria Yes Yes OSF Saint Francis Medical Ctr, Peoria No Yes Passavant Area Children's. Jacksonville Yes Yes Presence Holy Family Med Center, Des Plaines Yes Yes Presence Mercy Medical Center, Aurora Yes Yes Presence Our Lady of the Res MC, Chicago Yes Yes Presence Saint Francis Hospital, Evanston Yes Yes Presence Saint Mary Hospital, Chicago Yes Yes Presence St Mary's Hospital, Kankakee Yes Yes Presence United Samaritans MC, Danville Yes Yes Provident Hospital of Cook County, Chicago Yes No Ranken Jordan A Ped Rehab Ctr, Saint Louis, Mo Yes Yes Richland Memorial Hospital, Olney Yes Yes Riveredge Hospital, Forest Park Yes Yes Rockford Memorial Hospital, Rockford Yes Yes Roseland Community Hospital, Chicago Yes Yes Rush University Children's Service, Chicago Yes Yes Saint Anthony Hospital, Chicago Yes Yes Schwab Rehabilitation Hospital, Chicago Yes Yes Shriners Hospital for Children, Chicago No Yes Silver Cross Hospital, New Lenox No Yes South Shore Hospital, Chicago Yes Yes St Bernard Hosp & Hlth Care Ctr, Chicago Yes Yes St John's Children's, Springfield Yes Yes St Louis Childrens, Saint Louis, Mo Yes Yes St Louis University Hospital, Saint Louis, Mo Yes Yes St Margarets-Mercy North, Hammond, In Yes Yes St Mary's Hospital, Centralia Yes Yes St Marys-St Louis, Saint Louis, Mo Yes Yes St. Catherine Hospital, East Chicago, IN Yes Yes Streamwood Behavioral Hlth Ctr, Streamwood Yes Yes Swedish Covenant Hospital, Chicago Yes Yes SwedishAmerican Hospital, Rockford Yes Yes Taylorville Memorial Children's, Taylorville No Yes The Pavilion, Champaign Yes Yes Thorek Memorial Hospital, Chicago Yes Yes Touchette Regional Hospital, Centreville Yes Yes Union County Hospital, Anna Yes Yes University Of Chicago Med Ctr Children's, Chicago Yes Yes University of Illinois Yes No Vista Medical Center East, Waukegan Yes Yes West Suburban Med Ctr, Oak Park Yes Yes Westlake Hospital, Melrose Park Yes Yes

5 Abraham Lincoln Children's, Lincoln Yes Yes Adventist GlenOaks Hospital, Glendale Heights Yes Yes Advocate Christ Hope Children's, Oak Lawn Yes Yes Advocate Illinois Masonic MC, Chicago Yes Yes Advocate Lutheran General Child, Park Ridge No Yes Advocate Trinity Hospital, Chicago Yes Yes Alexian Brothers Children's, Hoffman Estates No Yes Ann & Robert H Lurie Child Hosp, Chicago Yes Yes Barnes-Jewish Hospital, Saint Louis, Mo Yes Yes BHS Meadows Hospital, Bloomington, In Yes Yes Cardninal Glennon, St. Louis Mo Yes Yes Carle Foundation Hospital, Urbana Yes Yes Centerpointe Hospital, Saint Charles, Mo Yes Yes Chicago Lakeshore Hospital, Chicago Yes Yes Childrens Hospital of Wisconsin, Milwaukee, Wi Yes Yes Christian Hospital NE NW, Saint Louis, Mo Yes Yes Clarian Health Partners, Indianapolis, In Yes Yes Fayette County Hospital & LTC, Vandalia No Yes Franciscan St James-Oly Fl/Chgo, Olympia Fields Yes Yes Garfiled Park, Chicago No Yes Gateway Regional Medical Center, Granite City Yes Yes Graham Hospital, Canton No Yes Hardin County General Hospital, Rosiclare Yes Yes Harrisburg Medical Center, Harrisburg No Yes Harsha Behavorial Center. Terre Haute, In Yes Yes Hartgrove Behavioral Health Sys, Chicago Yes Yes Heartland Regional Medical Ctr, Marion No Yes Holy Cross Hospital, Chicago Yes Yes Ingalls Children's Hospital, Harvey Yes Yes Jackson Park Hospital & Med Ctr, Chicago Yes Yes John H. Stroger, Chicago Yes No Kindred Chicago Central Hosp, Chicago Yes Yes Kindred Hosp Chicago Northlake, Northlake Yes Yes Kindred Hospital Sycamore, Sycamore Yes Yes Lakeview Neurorehab Center Midw, Waterford, Wi Yes Yes LaRabida Children's Chicago Yes Yes Lincoln Prairie Beh Health Ctr, Springfield Yes Yes Loretto Hospital, Chicago Yes Yes Loyola Ronald McDonald Children, Maywood Yes Yes MacNeal Hospital, Berwyn Yes Yes Maryville Nolan Scott, Maryville Yes Yes Massac Memorial Hospital, Metropolis No Yes Memorial Hosp of Carbondale, Carbondale Yes Yes Memorial Hospital, Belleville No Yes Memorial Medical Center Children, Springfield No Yes Mercy Hospital & Medical Center, Chicago Yes Yes Methodist Hospital of Chicago, Chicago Yes Yes MetroSouth Medical Center, Blue Island Yes Yes Mount Sinai Children's Hospita, Chicago Yes Yes

6 Mount Sinai Hospital, Chicago Yes Yes Norwegian American Hospital, Chicago Yes Yes Osf Saint Francis Children's Hospital, Peoria Yes Yes OSF Saint Francis Medical Ctr, Peoria No Yes Passavant Area Children's. Jacksonville Yes Yes Presence Holy Family Med Center, Des Plaines Yes Yes Presence Mercy Medical Center, Aurora Yes Yes Presence Our Lady of the Res MC, Chicago Yes Yes Presence Saint Francis Hospital, Evanston Yes Yes Presence Saint Mary Hospital, Chicago Yes Yes Presence St Mary's Hospital, Kankakee Yes Yes Presence United Samaritans MC, Danville Yes Yes Provident Hospital of Cook County, Chicago Yes No Ranken Jordan A Ped Rehab Ctr, Saint Louis, Mo Yes Yes Richland Memorial Hospital, Olney Yes Yes Riveredge Hospital, Forest Park Yes Yes Rockford Memorial Hospital, Rockford Yes Yes Roseland Community Hospital, Chicago Yes Yes Rush University Children's Service, Chicago Yes Yes Saint Anthony Hospital, Chicago Yes Yes Schwab Rehabilitation Hospital, Chicago Yes Yes Shriners Hospital for Children, Chicago No Yes Silver Cross Hospital, New Lenox No Yes South Shore Hospital, Chicago Yes Yes St Bernard Hosp & Hlth Care Ctr, Chicago Yes Yes St John's Children's, Springfield Yes Yes St Louis Childrens, Saint Louis, Mo Yes Yes St Louis University Hospital, Saint Louis, Mo Yes Yes St Margarets-Mercy North, Hammond, In Yes Yes St Mary's Hospital, Centralia Yes Yes St Marys-St Louis, Saint Louis, Mo Yes Yes St. Catherine Hospital, East Chicago, IN Yes Yes Streamwood Behavioral Hlth Ctr, Streamwood Yes Yes Swedish Covenant Hospital, Chicago Yes Yes SwedishAmerican Hospital, Rockford Yes Yes Taylorville Memorial Children's, Taylorville No Yes The Pavilion, Champaign Yes Yes Thorek Memorial Hospital, Chicago Yes Yes Touchette Regional Hospital, Centreville Yes Yes Union County Hospital, Anna Yes Yes University Of Chicago Med Ctr Children's, Chicago Yes Yes University of Illinois Yes No Vista Medical Center East, Waukegan Yes Yes West Suburban Med Ctr, Oak Park Yes Yes Westlake Hospital, Melrose Park Yes Yes