Value Based Purchasing Oct Sept. 2013

Transcription

1 Medicare Quality Bonuses And Penalties Year 3 Medicare has three payment incentive programs for hospitals that are part of an effort to make them accountable on quality. One gives bonuses and penalties to hospitals based on how well they performed on 26 quality measures. That program is called Value Based. The second penalizes hospitals that have too many patients readmitted within a month. Both programs are in their third year. A new program reduces payment to hospitals with high rates of infections and other patient injuries, known as hospital acquired conditions. This chart shows the payment adjustments for each program for each hospital this year, as well as the adjustments for the first two years of the value based purchasing program. Certain specialty hospitals with special payment arrangements with Medicare, including all hospitals in Maryland and critical access hospitals in isolated areas, are also exempt. This chart only includes hospitals that are currently registered with the Medicare program. The financial adjustments are applied to payments for every hospital stay of a Medicare patient from October 2014 through September Data source: U.S. Centers for Medicare & Medicaid Services Oct Alaska Native Medical Center Anchorage AK 0.50% 0.33% 0.48% 0.49% N Alaska Regional Hospital Anchorage AK 0.08% 0.28% 0.50% 0.00% Y Bartlett Regional Hospital Juneau AK 0.08% 0.36% 0.20% 1.27% N Central Peninsula General Hospital Soldotna AK 0.40% 0.39% 0.44% 1.41% N Fairbanks Memorial Hospital Fairbanks AK 0.02% 0.10% 1.05% 0.07% N Mat Su Regional Medical Center Palmer AK 0.38% 0.33% 0.54% 0.92% N Mt Edgecumbe Hospital Sitka AK N/A N/A N/A 0.00% N Providence Alaska Medical Center Anchorage AK 0.32% 0.27% 0.25% 0.00% Y Yukon Kuskokwim Delta Reg Hospital Bethel AK N/A N/A 0.81% 0.00% N Andalusia Regional Hospital Andalusia AL 0.37% 0.29% 0.18% 0.00% N Athens Limestone Hospital Athens AL 0.05% 0.38% 0.09% 0.09% N Atmore Community Hospital Atmore AL N/A N/A 0.13% 0.80% N Baptist Medical Center East Montgomery AL 0.15% 0.07% 0.75% 0.39% N Baptist Medical Center South Montgomery AL 0.02% 0.24% 0.38% 0.67% N Baptist Medical Center Princeton Birmingham AL 0.37% 0.14% 0.07% 0.00% N Bibb Medical Center Centreville AL N/A N/A N/A 0.39% N Brookwood Medical Center Birmingham AL 0.27% 0.01% 0.04% 0.35% Y Bryan W Whitfield Mem Hosp Inc Demopolis AL 0.45% 0.60% 0.42% 0.20% N Bullock County Hospital Union Springs AL N/A N/A N/A 0.00% N Callahan Eye Hospital Birmingham AL N/A N/A N/A 0.00% N Cherokee Medical Center Centre AL N/A N/A 1.16% 0.00% N Citizens Baptist Medical Center Talladega AL 0.07% 0.30% 0.59% 0.21% N Clay County Hospital Ashland AL N/A N/A 0.95% 0.78% N Community Hospital Inc Tallassee AL 0.33% 0.13% 0.76% 0.08% N Coosa Valley Medical Center Sylacauga AL 0.18% 0.54% 0.07% 0.13% N January 15, of 90

2 Oct Crenshaw Community Hospital Luverne AL N/A N/A 0.16% 0.10% N Crestwood Medical Center Huntsville AL 0.32% 0.15% 0.03% 0.80% Y Cullman Regional Medical Center Cullman AL 0.57% 0.55% 0.57% 0.91% N D C H Regional Medical Center Tuscaloosa AL 0.05% 0.18% 0.06% 1.24% Y D W Mcmillan Memorial Hospital Brewton AL 0.06% 0.05% 0.08% 0.85% N Dale Medical Center Ozark AL 0.38% 0.24% 0.39% 0.87% N Decatur Morgan Hospital Decatur Campus Decatur AL 0.00% 0.05% 0.31% 0.35% N Decatur Morgan Hospital Parkway Campus Decatur AL 0.41% 0.79% 0.32% 0.68% N Dekalb Regional Medical Center Fort Payne AL 0.26% 0.27% 0.07% 0.73% N East Alabama Medical Center Opelika AL 0.45% 0.32% 0.55% 0.73% Y Eliza Coffee Memorial Hospital Florence AL 0.11% 0.23% 0.36% 0.00% N Elmore Community Hospital Wetumpka AL N/A N/A 0.06% 0.18% N Evergreen Medical Center Evergreen AL N/A N/A 0.80% 2.12% N Fayette Medical Center Fayette AL 0.24% 0.52% 1.70% 1.03% N Flowers Hospital Dothan AL 0.62% 0.70% 0.23% 0.19% N Gadsden Regional Medical Center Gadsden AL 0.13% 0.32% 0.41% 1.11% N Georgiana Medical Center Georgiana AL N/A N/A 1.24% 0.61% N Greene County Hospital Eutaw AL N/A N/A N/A 0.24% N Grove Hill Memorial Hospital Grove Hill AL N/A 0.58% 0.25% 0.00% N Hale County Hospital Greensboro AL N/A N/A N/A 0.00% N Helen Keller Memorial Hospital Sheffield AL 0.33% 0.20% 0.00% 0.11% N Highlands Medical Center Scottsboro AL 0.02% 0.44% 0.47% 0.76% Y Hill Hospital Of Sumter County York AL N/A N/A N/A 0.00% N Huntsville Hospital Huntsville AL 0.03% 0.08% 0.04% 0.02% Y J Paul Jones Hospital Camden AL N/A N/A N/A 0.00% N Jack Hughston Memorial Hospital Phenix City AL 0.52% N/A 0.48% 0.03% N Jackson Hospital & Clinic Inc Montgomery AL 0.46% 0.03% 0.15% 0.44% N Jackson Medical Center Jackson AL N/A N/A N/A 0.13% N L V Stabler Memorial Hospital Greenville AL 0.53% 0.27% 0.39% 0.00% N Lake Martin Community Hospital Dadeville AL N/A N/A 0.01% 0.57% N Lakeland Community Hospital Haleyville AL 0.18% 0.29% 0.44% 0.21% N Lawrence Medical Center Moulton AL N/A N/A 0.42% 0.34% N Marion Regional Medical Center Hamilton AL N/A 0.21% 1.29% 0.00% N Marshall Medical Center South Boaz AL 0.16% 0.21% 0.81% 0.71% N Medical Center Barbour Eufaula AL 0.22% 0.28% 0.03% 0.35% N Medical Center Enterprise Enterprise AL 0.51% 0.26% 0.37% 0.82% N Medical West, An Affiliate Of Uab Health System Bessemer AL 0.19% 0.03% 0.47% 0.40% N January 15, of 90

3 Oct Mizell Memorial Hospital Opp AL 0.53% 0.43% 0.26% 0.39% N Mobile Infirmary Mobile AL 0.02% 0.06% 0.01% 0.98% N Monroe County Hospital Monroeville AL 0.25% 0.44% 0.38% 0.00% N North Baldwin Infirmary Bay Minette AL 0.49% 0.28% 1.42% 0.11% N Northeast Alabama Regional Med Center Anniston AL 0.24% 0.25% 0.66% 0.71% Y Northwest Medical Center Winfield AL 0.42% 0.40% 0.16% 0.28% N Pickens County Medical Center Carrollton AL 0.45% N/A 0.11% 0.45% N Prattville Baptist Hospital Prattville AL 0.58% 0.14% 0.11% 1.43% N Providence Hospital Mobile AL 0.29% 0.23% 0.14% 0.92% N Riverview Regional Medical Center Gadsden AL 0.00% 0.42% 0.51% 1.38% N Rmc Jacksonville Jacksonville AL 0.36% 0.50% 0.44% 0.58% N Russell Hospital Alexander City AL 0.27% 0.05% 0.42% 0.32% N Russellville Hospital Russellville AL 0.33% 0.51% 0.34% 1.45% Y Shelby Baptist Medical Center Alabaster AL 0.39% 0.25% 0.05% 0.82% N Shoals Hospital Muscle Shoals AL 0.05% 0.07% 0.23% 0.38% N South Baldwin Regional Medical Center Foley AL 0.38% 0.35% 0.51% 0.90% N Southeast Alabama Medical Center Dothan AL 0.16% 0.10% 0.10% 0.32% N Springhill Medical Center Mobile AL 0.27% 0.16% 0.26% 0.85% Y St Vincent's Birmingham Birmingham AL 0.11% 0.12% 0.40% 1.59% N St Vincent's East Birmingham AL 0.08% 0.19% 0.05% 0.35% N St Vincent's St Clair Pell City AL N/A N/A 0.81% 1.93% N Stringfellow Memorial Hospital Anniston AL 0.13% 0.41% 0.40% 0.79% N Thomas Hospital Fairhope AL 0.09% 0.20% 0.03% 0.34% N Trinity Medical Center Birmingham AL 0.56% 0.61% 0.25% 0.50% N Troy Regional Medical Center Troy AL 0.43% 0.13% 1.23% 0.57% N University Of Alabama Hospital Birmingham AL 0.05% 0.14% 0.57% 0.61% Y University Of South Alabama Medical Center Mobile AL 0.10% N/A 0.36% 0.00% Y Vaughan Regional Medical Center Parkway Campus Selma AL 0.38% 0.20% 0.14% 0.96% N Walker Baptist Medical Center Jasper AL 0.50% 0.44% 0.18% 1.35% N Wedowee Hospital Wedowee AL N/A N/A 1.17% 0.97% N Wiregrass Medical Center Geneva AL 0.75% N/A 0.31% 0.00% N Arkansas Heart Hospital Little Rock AR 0.66% 0.88% 1.18% 0.01% N Arkansas Methodist Medical Center Paragould AR 0.31% 0.04% 0.28% 1.67% N Arkansas Surgical Hospital No Little Rock AR 0.61% N/A 1.47% 0.00% N Baptist Health Medical Center North Little Rock North Little Rock AR 0.17% 0.16% 0.08% 0.88% Y Baptist Health Medical Center Hot Springs County Malvern AR 0.27% N/A 0.02% 1.03% N Baptist Health Medical Center Little Rock Little Rock AR 0.10% 0.14% 0.02% 0.81% N January 15, of 90

4 Oct Baptist Health Medical Center Stuttgart Stuttgart AR 0.56% 0.28% 0.55% 0.64% N Baxter Regional Medical Center Mountain Home AR 0.25% 0.69% 0.45% 1.63% N Chambers Memorial Hospital Danville AR N/A N/A 1.31% 1.83% Y Conway Regional Medical Center Conway AR 0.07% 0.55% 0.09% 0.42% N Crittenden Memorial Hospital West Memphis AR 0.10% 0.33% 0.09% 0.78% N Drew Memorial Hospital Monticello AR 0.33% 0.77% 0.34% 0.83% N Five Rivers Medical Center Pocahontas AR N/A N/A 0.03% 1.07% N Forrest City Medical Center Forrest City AR 0.07% 0.07% 0.39% 0.44% N Great River Medical Center Blytheville AR 0.62% 0.52% 0.16% 1.54% N Harris Hospital Newport AR 0.04% 0.42% 0.20% 2.15% Y Helena Regional Medical Center Helena AR 0.61% N/A 0.90% 1.58% N Jefferson Regional Medical Center Pine Bluff AR 0.33% 0.12% 0.05% 0.25% N Johnson Regional Medical Center Clarksville AR 0.35% 0.75% 0.57% 0.59% N Leo N Levi National Arthritis Hospital Hot Springs AR N/A N/A N/A N/A N/A Magnolia Hospital Magnolia AR 0.04% N/A 0.07% 0.45% N Medical Center South Arkansas El Dorado AR 0.26% 0.26% 0.02% 0.40% N Mena Regional Health System Mena AR N/A 0.43% 0.20% 0.00% N Mercy Hospital Northwest Arkansas Rogers AR 0.22% 0.05% 0.03% 0.00% Y National Park Medical Center Hot Springs AR 0.11% 0.03% 0.40% 1.93% N Nea Baptist Memorial Hospital Jonesboro AR 0.04% 0.06% 0.25% 1.11% N North Arkansas Regional Medical Center Harrison AR 0.14% 0.42% 0.09% 0.79% N North Metro Medical Center Jacksonville AR 0.31% N/A 0.54% 1.36% N Northwest Medical Center Springdale Springdale AR 0.06% 0.36% 0.36% 0.83% N Ouachita County Medical Center Camden AR 0.32% 0.29% 0.38% 0.00% N Physicians' Specialty Hospital Fayetteville AR 0.69% N/A 0.47% 3.00% Y Saline Memorial Hospital Benton AR 0.21% 0.17% 0.03% 1.43% N Siloam Springs Regional Hospital Siloam Springs AR 0.28% 0.07% 0.06% 0.36% N Sparks Regional Medical Center Fort Smith AR 0.27% 0.28% 0.01% 0.42% N St Bernards Medical Center Jonesboro AR 0.11% 0.14% 0.25% 0.55% Y St Edward Mercy Medical Center Fort Smith AR 0.44% 0.32% 0.33% 0.00% N St Josephs Mercy Health Center Inc Hot Springs AR 0.09% 0.01% 0.32% 0.00% N St Marys Regional Medical Center Russellville AR 0.20% 0.29% 0.81% 0.26% N St Vincent Infirmary Medical Center Little Rock AR 0.21% 0.30% 0.36% 0.63% N St Vincent Medical Center/North Sherwood AR 0.17% 0.30% 0.12% 0.41% N Summit Medical Center Van Buren AR 0.16% 0.14% 0.06% 1.45% N Uams Medical Center Little Rock AR 0.03% 0.12% 0.78% 0.25% Y Wadley Regional Medical Center At Hope Hope AR N/A N/A 0.67% 0.00% N January 15, of 90

5 Oct Washington Regional Med Ctr At North Hills Fayetteville AR 0.14% 0.14% 0.11% 0.00% N White County Medical Center Searcy AR 0.19% 0.17% 0.16% 1.55% N White River Medical Center Batesville AR 0.14% 0.08% 0.16% 2.53% Y Arizona Orthopedic And Surgical Speciality Hosp Chandler AZ 0.24% N/A 0.95% 3.00% Y Arizona Spine And Joint Hospital Mesa AZ 0.50% N/A 1.05% 3.00% N Arrowhead Hospital Glendale AZ 0.18% 0.23% 0.26% 0.12% N Banner Baywood Medical Center Mesa AZ 0.06% 0.27% 0.08% 0.40% N Banner Boswell Medical Center Sun City AZ 0.05% 0.50% 0.06% 0.20% N Banner Casa Grande Medical Center Casa Grande AZ 0.19% 0.30% 0.30% 1.63% N Banner Del E Webb Medical Center Sun City West AZ 0.18% 0.01% 0.32% 0.72% N Banner Desert Medical Center Mesa AZ 0.04% 0.07% 0.38% 0.60% N Banner Estrella Medical Center Phoenix AZ 0.13% 0.08% 0.17% 0.93% N Banner Gateway Medical Center Gilbert AZ 0.10% 0.07% 0.18% 0.11% Y Banner Goldfield Medical Center Apache Junction AZ N/A N/A N/A 0.00% N/A Banner Good Samaritan Medical Center Phoenix AZ 0.08% 0.15% 0.29% 0.20% N Banner Heart Hospital Mesa AZ 0.20% 0.14% 0.14% 0.02% N Banner Ironwood Medical Center San Tan Valley AZ 0.22% N/A 0.86% 0.00% Y Banner Thunderbird Medical Center Glendale AZ 0.07% 0.12% 0.14% 0.86% N Carondelet St Joseph's Hospital Tucson AZ 0.18% 0.39% 0.43% 0.18% N Carondelet St Marys Hospital Tucson AZ 0.18% 0.02% 0.07% 0.00% N Chandler Regional Medical Center Chandler AZ 0.11% 0.16% 0.01% 0.21% N Chinle Comprehensive Health Care Facility Chinle AZ N/A N/A 0.14% 0.11% N Flagstaff Medical Center Flagstaff AZ 0.11% 0.11% 0.28% 0.00% N Florence Hospital At Anthem, Llc Florence AZ N/A N/A 0.24% 0.00% Y Fort Defiance Indian Hospital Fort Defiance AZ 0.55% N/A 0.94% 0.14% N Gilbert Hospital Gilbert AZ N/A N/A 1.86% 0.15% N Havasu Regional Medical Center Lake Havasu City AZ 0.29% 0.50% 0.07% 0.03% N John C Lincoln Deer Valley Hospital Phoenix AZ 0.02% 0.38% 0.26% 0.25% N John C Lincoln North Mountain Hospital Phoenix AZ 0.05% 0.58% 0.23% 0.46% N Kingman Regional Medical Center Kingman AZ 0.09% 0.33% 0.47% 0.32% N Maricopa Medical Center Phoenix AZ 0.07% N/A 0.26% 0.00% Y Maryvale Hospital Phoenix AZ 0.27% N/A 0.38% 0.15% N Mayo Clinic Hospital Phoenix AZ 0.39% 0.67% 1.14% 0.04% N Mercy Gilbert Medical Center Gilbert AZ 0.20% 0.02% 0.53% 0.28% Y Mountain Vista Medical Center, Lp Mesa AZ 0.27% 0.42% 0.57% 1.30% N Mt Graham Regional Medical Center Safford AZ 0.10% N/A 0.61% 1.16% N Northwest Medical Center Tucson AZ 0.06% 0.28% 0.10% 0.09% Y January 15, of 90

6 Oct Oasis Hospital Phoenix AZ 0.37% N/A 0.38% 0.00% N Oro Valley Hospital Oro Valley AZ 0.19% 0.07% 0.04% 0.34% N Paradise Valley Hospital Phoenix AZ 0.08% 0.39% 0.35% 0.17% N Payson Regional Medical Center Payson AZ 0.26% 0.41% 0.47% 1.98% N Phoenix Baptist Hospital Phoenix AZ 0.04% 0.18% 0.23% 0.12% N Phoenix Indian Medical Center Phoenix AZ 0.70% N/A 0.65% 0.03% Y San Carlos Indian Hospital San Carlos AZ N/A N/A N/A 0.00% N Scottsdale Healthcare Osborn Medical Center Scottsdale AZ 0.08% 0.09% 0.22% 0.00% N Scottsdale Healthcare Shea Medical Center Scottsdale AZ 0.08% 0.14% 0.16% 0.00% N Scottsdale Healthcare Thompson Peak Hospital Scottsdale AZ 0.10% 0.10% 0.28% 0.00% N Sells Indian Health Service Hospital Sells AZ N/A N/A N/A 0.00% Y Sierra Vista Regional Health Center Sierra Vista AZ 0.29% 0.27% 0.34% 0.93% N St Joseph's Hospital And Medical Center Phoenix AZ 0.03% 0.03% 0.48% 0.03% Y St Luke's Medical Center Phoenix AZ 0.13% 0.19% 0.47% 0.01% Y Summit Healthcare Regional Medical Center Show Low AZ 0.18% 0.14% 0.01% 0.18% N Surgical Hospital Of Phoenix, The Phoenix AZ 0.23% N/A 0.96% 0.54% N Tuba City Regional Health Care Corporation Tuba City AZ 0.41% N/A 0.40% 1.23% N Tucson Medical Center Tucson AZ 0.14% 0.05% 0.38% 0.14% Y University Of Arizona Medical Ctr South Cam, The Tucson AZ 0.35% 0.42% 0.14% 0.01% N University Of Arizona Medical Ctr University, The Tucson AZ 0.22% 0.33% 0.42% 0.43% Y Valley View Medical Center Fort Mohave AZ 0.37% 0.53% 0.09% 2.53% N Verde Valley Medical Center Cottonwood AZ 0.02% 0.06% 0.18% 0.00% N West Valley Hospital Goodyear AZ 0.20% 0.20% 0.18% 0.51% N Western Arizona Regional Medical Center Bullhead City AZ 0.19% 0.36% 0.20% 0.92% N Whiteriver Phs Indian Hospital Whiteriver AZ N/A N/A N/A 0.00% N Yavapai Regional Medical Center Prescott AZ 0.20% 0.65% 0.34% 0.07% N Yavapai Regional Medical Center East Campus Prescott Valley AZ 0.15% 0.39% 0.05% 0.31% N Yuma Regional Medical Center Yuma AZ 0.36% 0.44% 0.67% 0.65% N Adventist Medical Center Hanford CA 0.04% 0.57% 0.66% 0.55% N Adventist Medical Center Reedley Reedley CA 0.19% N/A 0.35% 0.09% N Ahmc Anaheim Regional Medical Center Anaheim CA 0.12% 0.21% 0.68% 0.80% Y Alameda County Medical Center Oakland CA 0.10% 0.52% 0.38% 0.26% N Alameda Hospital Alameda CA 0.59% 0.57% 0.56% 0.73% N Alhambra Hospital Medical Center Alhambra CA 0.02% 0.37% 0.07% 0.00% N Alta Bates Summit Medical Center Oakland CA 0.20% 0.09% 0.17% 0.91% N Alta Bates Summit Medical Center Alta Bates Camp Berkeley CA 0.09% 0.48% 1.01% 0.03% Y Alvarado Hospital Medical Center San Diego CA 0.08% 0.49% 0.57% 0.05% N January 15, of 90

7 Oct Antelope Valley Hospital Lancaster CA 0.05% 0.28% 0.74% 0.33% Y Arrowhead Regional Medical Center Colton CA 0.69% 0.48% 0.07% 0.04% Y Bakersfield Heart Hospital Bakersfield CA 0.29% 0.36% 0.19% 0.26% N Bakersfield Memorial Hospital Bakersfield CA 0.18% 0.47% 0.52% 0.54% Y Barstow Community Hospital Barstow CA 0.08% 0.38% 0.70% 0.37% N Barton Memorial Hospital South Lake Tahoe CA 0.08% 0.02% 0.61% 0.68% N Bear Valley Community Hospital Big Bear Lake CA N/A N/A N/A 0.14% N Beverly Hospital Montebello CA 0.12% 0.07% 0.55% 0.31% N California Hospital Medical Center La Los Angeles CA 0.37% 0.16% 0.37% 0.88% N California Pacific Medical Ctr St. Luke's Campus San Francisco CA 0.23% 0.15% 0.34% 0.22% N California Pacific Medical Ctr Davies Campus Hosp San Francisco CA 0.42% 0.02% 0.16% 0.01% N California Pacific Medical Ctr Pacific Campus Hosp San Francisco CA 0.12% 0.12% 0.42% 0.01% N Cedars Sinai Medical Center Los Angeles CA 0.05% 0.36% 0.32% 0.15% N Centinela Hospital Medical Center Inglewood CA 0.43% 0.67% 0.23% 0.79% N Central Valley General Hospital Hanford CA N/A N/A N/A 0.00% N Chapman Medical Center Orange CA 0.24% N/A 0.05% 0.16% Y Chinese Hospital San Francisco CA 0.06% 0.32% 0.39% 2.16% N Chino Valley Medical Center Chino CA 0.46% 0.16% 0.87% 0.02% N Citrus Valley Medical Center Ic Campus Covina CA 0.33% 0.01% 0.23% 0.25% N Clovis Community Medical Center Clovis CA 0.01% 0.52% 0.01% 0.00% Y Coalinga Regional Medical Center Coalinga CA N/A N/A N/A 0.45% N Coast Plaza Hospital Norwalk CA N/A 0.82% 0.35% 0.37% N Coastal Communities Hospital Santa Ana CA 0.13% 0.39% 0.20% 0.13% Y College Hospital Costa Mesa Costa Mesa CA N/A N/A N/A 0.00% N Colusa Regional Medical Center Colusa CA N/A N/A 0.10% 0.79% N Community Hospital Of Huntington Park Huntington Park CA 0.30% 0.21% 0.57% 1.18% N Community Hospital Of Long Beach Long Beach CA 0.08% 0.85% 0.43% 0.03% N Community Hospital Of San Bernardino San Bernardino CA 0.66% 0.35% 0.14% 0.06% N Community Hospital Of The Monterey Peninsula Monterey CA 0.07% 0.13% 0.29% 0.00% N Community Memorial Hospital San Buenaventura Ventura CA 0.24% 0.14% 0.20% 0.00% N Community Regional Medical Center Fresno CA 0.49% 0.07% 0.68% 0.43% Y Contra Costa Regional Medical Center Martinez CA 0.48% 0.53% 0.12% 0.00% Y Corona Regional Medical Center Corona CA 0.31% 0.06% 0.13% 0.40% N Dameron Hospital Stockton CA 0.17% 0.05% 0.10% 1.90% N Delano Regional Medical Center Delano CA 0.47% 0.50% N/A 0.42% N Desert Regional Medical Center Palm Springs CA 0.26% 0.47% 0.38% 0.56% N Desert Valley Hospital Victorville CA 0.14% 0.24% 0.26% 0.38% N January 15, of 90

8 Oct Doctors Hospital Of Manteca Manteca CA 0.07% 0.07% 0.57% 0.99% N Doctors Hospital Of West Covina, Inc West Covina CA N/A N/A N/A 0.00% N Doctors Medical Center Modesto CA 0.04% 0.03% 0.17% 0.59% N Doctors Medical Center San Pablo San Pablo CA 0.03% 0.40% 0.66% 0.60% Y Dominican Hospital Santa Cruz CA 0.18% 0.07% 0.25% 0.00% N East Los Angeles Doctors Hospital Los Angeles CA 0.14% 0.01% 0.85% 0.13% Y Eden Medical Center Castro Valley CA 0.01% 0.28% 0.25% 0.66% N Eisenhower Medical Center Rancho Mirage CA 0.28% 0.27% 0.36% 0.00% N El Camino Hospital Mountain View CA 0.04% 0.49% 0.45% 0.43% N El Centro Regional Medical Center El Centro CA 0.54% 0.94% 0.52% 0.90% Y Emanuel Medical Center Turlock CA 0.16% 0.14% 0.48% 1.89% Y Encino Hospital Medical Center Encino CA N/A N/A 0.44% 0.35% N Enloe Medical Center Chico CA 0.04% 0.16% 0.15% 2.05% N Fallbrook Hospital District Fallbrook CA 0.28% 0.11% 0.24% 0.10% N Feather River Hospital Paradise CA 0.38% 0.32% 0.41% 1.15% N Foothill Presbyterian Hospital Glendora CA 0.08% 0.12% 0.08% 0.11% N Fountain Valley Regional Hospital & Medical Center Fountain Valley CA 0.16% 0.02% 0.55% 0.93% N French Hospital Medical Center San Luis Obispo CA 0.32% 0.27% 0.23% 0.02% N Fresno Heart And Surgical Hospital Fresno CA 0.33% 0.50% 0.38% 0.00% N Fresno Surgical Hospital Fresno CA 0.30% N/A 1.55% 0.00% Y Garden Grove Hospital & Medical Center Garden Grove CA 0.36% 0.34% 0.15% 0.13% N Garfield Medical Center Monterey Park CA 0.02% 0.06% 0.18% 0.95% N George L Mee Memorial Hospital King City CA 0.40% 0.14% 0.77% 0.19% N Glendale Adventist Medical Center Glendale CA 0.12% 0.53% 0.39% 0.86% N Glendale Mem Hospital & Hlth Center Glendale CA 0.32% 0.45% 0.04% 1.61% N Glendora Community Hospital Glendora CA N/A N/A 0.05% 0.00% N Goleta Valley Cottage Hospital Santa Barbara CA 0.01% N/A 0.62% 0.00% N Good Samaritan Hospital Bakersfield CA N/A N/A 0.21% 0.02% N Good Samaritan Hospital San Jose CA 0.07% 0.26% 0.52% 1.02% Y Good Samaritan Hospital Los Angeles CA 0.28% 0.33% 0.66% 0.39% Y Greater El Monte Community Hospital South El Monte CA 0.83% 0.10% 0.31% 0.44% N Grossmont Hospital La Mesa CA 0.12% 0.10% 0.03% 0.04% N Hazel Hawkins Memorial Hospital Hollister CA 0.28% 0.05% 0.30% 0.55% N Hemet Valley Medical Center Hemet CA 0.42% 0.98% 0.64% 0.59% Y Henry Mayo Newhall Hospital Valencia CA 0.45% 0.09% 0.03% 0.21% N Hi Desert Medical Center Joshua Tree CA 0.19% 0.50% 0.00% 0.37% N Hoag Memorial Hospital Presbyterian Newport Beach CA 0.20% 0.01% 0.13% 0.00% N January 15, of 90

9 Oct Hoag Orthopedic Institute Irvine CA 0.34% N/A 1.16% 0.00% N Hollywood Presbyterian Medical Center Los Angeles CA 0.16% 0.01% 0.32% 0.82% N Huntington Beach Hospital Huntington Beach CA 0.52% 0.36% 0.25% 0.38% N Huntington Memorial Hospital Pasadena CA 0.30% 0.07% 0.18% 0.17% N John F Kennedy Memorial Hospital Indio CA 0.02% 0.09% 0.34% 1.07% N John Muir Medical Center Concord Campus Concord CA 0.00% 0.00% 0.13% 0.12% Y John Muir Medical Center Walnut Creek Campus Walnut Creek CA 0.04% 0.11% 0.18% 0.00% Y Kaiser Foundation Hosp So Sacramento Sacramento CA 0.24% N/A 0.45% 0.00% N Kaiser Foundation Hospital San Rafael CA 0.26% N/A 1.24% 0.00% N Kaiser Foundation Hospital Antioch Antioch CA 0.33% N/A 0.89% 0.00% Y Kaiser Foundation Hospital Baldwin Park Baldwin Park CA 0.06% N/A 0.70% 0.00% Y Kaiser Foundation Hospital Downey Downey CA 0.25% N/A 0.83% 0.00% N Kaiser Foundation Hospital Fremont Fremont CA 0.29% N/A 0.32% 0.00% Y Kaiser Foundation Hospital Fresno Fresno CA 0.12% N/A 1.17% 0.00% N Kaiser Foundation Hospital Los Angeles Los Angeles CA 0.09% N/A 0.69% 0.00% N Kaiser Foundation Hospital Oakland/Richmond Oakland CA 0.16% N/A 0.40% 0.05% Y Kaiser Foundation Hospital Orange County Anaheim CA 0.44% N/A 1.29% 0.00% N Kaiser Foundation Hospital Panorama City Panorama City CA 0.24% N/A 0.79% 0.00% N Kaiser Foundation Hospital Redwood City Redwood City CA 0.34% N/A 0.02% 0.00% Y Kaiser Foundation Hospital Roseville Roseville CA 0.25% N/A 0.96% 0.00% N Kaiser Foundation Hospital Sacramento Sacramento CA 0.26% N/A 0.76% 0.00% N Kaiser Foundation Hospital San Diego San Diego CA 0.48% N/A 1.44% 0.00% N Kaiser Foundation Hospital San Francisco San Francisco CA 0.34% N/A 1.28% 0.06% N Kaiser Foundation Hospital South Bay Harbor City CA 0.34% N/A 1.23% 0.00% N Kaiser Foundation Hospital South San Francisco South San Francis CA 0.35% N/A 0.99% 0.00% N Kaiser Foundation Hospital Vacaville Vacaville CA 0.26% N/A 1.08% 0.00% Y Kaiser Foundation Hospital Walnut Creek Walnut Creek CA 0.24% N/A 0.50% 0.00% N Kaiser Foundation Hospital West La Los Angeles CA 0.03% N/A 0.33% 0.00% N Kaiser Foundation Hospital Woodland Hills Woodland Hills CA 0.27% N/A 1.17% 0.00% N Kaiser Foundation Hospital And Rehab Center Vallejo CA 0.26% N/A 0.16% 0.00% Y Kaiser Foundation Hospital Fontana Fontana CA 0.14% N/A 1.15% 0.11% N Kaiser Foundation Hospital Manteca Manteca CA 0.28% N/A 0.77% 0.00% N Kaiser Foundation Hospital, Riverside Riverside CA 0.34% N/A 0.73% 0.00% N Kaiser Foundation Hospital Moreno Valley Moreno Valley CA 0.33% N/A 1.19% 0.07% N Kaiser Foundation Hospital San Jose San Jose CA 0.32% N/A 0.97% 0.14% Y Kaiser Foundation Hospital Santa Clara Santa Clara CA 0.33% N/A 1.09% 0.08% N Kaiser Foundation Hospital Santa Rosa Santa Rosa CA 0.28% N/A 0.88% 0.00% N January 15, of 90

10 Oct Kaweah Delta Medical Center Visalia CA 0.22% 0.31% 0.22% 0.00% N Keck Hospital Of Usc Los Angeles CA 0.11% 0.04% 0.59% 0.19% Y Kern Medical Center Bakersfield CA 0.58% N/A 0.22% 0.00% N La Palma Intercommunity Hospital La Palma CA 0.34% 0.04% 0.02% 0.20% N Lac/Harbor Ucla Med Center Torrance CA 0.10% N/A 0.32% 0.14% Y Lac/Olive View Ucla Medical Center Sylmar CA 0.08% 0.35% 0.37% 0.38% N Lac/Rancho Los Amigos National Rehabilitation Ctr Downey CA 0.29% N/A 0.54% 0.00% Y Lac+Usc Medical Center Los Angeles CA 0.02% 0.31% 0.08% 0.13% Y Laguna Honda Hospital & Rehabilitation Center San Francisco CA N/A N/A N/A 0.00% N Lakewood Regional Medical Center Lakewood CA 0.07% 0.19% 0.64% 0.32% N Lodi Memorial Hospital Lodi CA 0.10% 0.52% 0.14% 0.10% N Loma Linda University Medical Center Loma Linda CA 0.21% 0.19% 0.60% 0.06% Y Loma Linda University Medical Center Murrieta Murrieta CA N/A 0.70% 0.42% 0.71% N Lompoc Valley Medical Center Lompoc CA 0.30% 0.38% 0.26% 0.01% N Long Beach Memorial Medical Center Long Beach CA 0.22% 0.02% 0.32% 0.24% Y Los Alamitos Medical Center Los Alamitos CA 0.17% 0.20% 0.20% 0.62% N Los Angeles Community Hospital Los Angeles CA N/A 0.04% 0.14% 0.21% N Los Robles Hospital & Medical Center Thousand Oaks CA 0.30% 0.05% 0.18% 0.15% Y Mad River Community Hospital Arcata CA 0.19% 0.64% 0.01% 0.00% N Madera Community Hospital Madera CA 0.45% 0.35% 0.84% 0.18% N Marian Regional Medical Center Santa Maria CA 0.04% 0.21% 0.10% 0.00% N Marin General Hospital Greenbrae CA 0.26% 0.10% 0.45% 0.22% Y Marina Del Rey Hospital Marina Del Rey CA 0.14% 0.40% 0.39% 0.03% N Marshall Medical Center Placerville CA 0.12% 0.05% 0.81% 0.26% N Memorial Hospital Los Banos Los Banos CA 0.52% 0.46% 0.71% 0.52% N Memorial Hospital Of Gardena Gardena CA 0.00% 0.20% 0.71% 0.22% N Memorial Medical Center Modesto CA 0.01% 0.22% 0.09% 0.18% N Menifee Valley Medical Center Sun City CA 0.04% 0.24% 1.07% 0.61% N Menlo Park Surgical Hospital Menlo Park CA N/A N/A N/A 0.00% N Mercy General Hospital Sacramento CA 0.10% 0.27% 0.24% 0.07% N Mercy Hospital Bakersfield CA 0.05% 0.60% 0.35% 0.39% N Mercy Hospital Of Folsom Folsom CA 0.26% 0.18% 0.32% 0.17% N Mercy Medical Center Merced CA 0.11% 0.33% 0.10% 0.54% N Mercy Medical Center Redding Redding CA 0.38% 0.22% 0.72% 0.00% N Mercy San Juan Medical Center Carmichael CA 0.17% 0.24% 0.09% 0.49% N Methodist Hospital Of Sacramento Sacramento CA 0.08% 0.39% 0.42% 0.41% N Methodist Hospital Of Southern Ca Arcadia CA 0.27% 0.32% 0.18% 0.16% N January 15, of 90

11 Oct Mills Peninsula Medical Center Burlingame CA 0.11% 0.20% 0.12% 0.00% N Miracle Mile Medical Center Los Angeles CA N/A N/A N/A 0.00% N Mission Community Hospital Panorama City CA 0.12% 0.44% 0.76% 0.03% Y Mission Hospital Regional Med Center Mission Viejo CA 0.20% 0.34% 0.63% 0.13% N Montclair Hospital Medical Center Montclair CA 0.09% 0.29% 0.20% 0.20% N Monterey Park Hospital Monterey Park CA 0.49% 0.52% 0.13% 0.29% N Motion Picture & Television Hospital Woodland Hills CA N/A N/A N/A 0.00% Y Natividad Medical Center Salinas CA 0.32% 0.85% 0.59% 0.33% Y Northbay Medical Center Fairfield CA 0.24% 0.56% 0.02% 0.70% N Northridge Hospital Medical Center Northridge CA 0.11% 0.09% 0.41% 0.32% Y Novato Community Hospital Novato CA 0.20% 0.13% 0.20% 0.32% N Oak Valley District Hospital Oakdale CA 0.11% 0.40% 0.03% 0.29% N O'Connor Hospital San Jose CA 0.04% 0.04% 0.20% 0.22% N Olympia Medical Center Los Angeles CA 0.30% 0.50% 0.07% 0.50% N Orange Coast Memorial Medical Center Fountain Valley CA 0.03% 0.05% 0.22% 0.57% N Oroville Hospital Oroville CA 0.30% 0.11% 0.07% 1.03% N Pacific Alliance Medical Center Los Angeles CA 0.18% 0.26% 0.52% 0.15% N Pacifica Hospital Of The Valley Sun Valley CA 0.75% 0.69% 0.53% 0.30% Y Palmdale Regional Medical Center Palmdale CA 0.33% 0.03% 0.21% 0.77% N Palo Verde Hospital Blythe CA 0.53% 0.70% 0.20% 0.22% N Palomar Health Downtown Campus Escondido CA 0.04% 0.29% 0.16% 0.00% Y Paradise Valley Hospital National City CA 0.41% 0.42% 0.20% 0.05% N Parkview Community Hospital Medical Center Riverside CA 0.65% 0.51% 0.56% 0.78% N Patients' Hospital Of Redding Redding CA 0.57% N/A 1.69% 0.00% N Petaluma Valley Hospital Petaluma CA 0.03% 0.53% 0.02% 0.00% N Pih Hospital Downey Downey CA 0.40% 0.44% 0.57% 0.25% Y Pioneers Memorial Healthcare District Brawley CA 0.34% 0.07% 0.02% 0.62% N Placentia Linda Hospital Placentia CA 0.19% 0.30% 0.32% 0.39% Y Pomerado Hospital Poway CA 0.00% 0.60% 0.01% 0.00% Y Pomona Valley Hospital Medical Center Pomona CA 0.15% 0.12% 0.45% 0.41% N Porterville Developmental Center Porterville CA N/A N/A N/A 1.61% Y Presbyterian Intercommunity Hospital Whittier CA 0.18% 0.43% 0.42% 0.00% N Providence Holy Cross Medical Center Mission Hills CA 0.00% 0.01% 0.14% 0.68% Y Providence Little Co Of Mary Med Ctr San Pedro San Pedro CA 0.07% 0.26% 0.63% 0.23% N Providence Little Company Of Mary Med Ctr TorranceTorrance CA 0.25% 0.05% 0.01% 0.48% N Providence Saint John's Health Center Santa Monica CA 0.31% 0.18% 0.16% 0.20% N Providence Saint Joseph Medical Ctr Burbank CA 0.14% 0.12% 0.01% 0.31% N January 15, of 90

12 Oct Providence Tarzana Medical Center Tarzana CA 0.14% 0.17% 0.24% 0.27% Y Queen Of The Valley Medical Center Napa CA 0.06% 0.16% 0.07% 0.03% Y Redlands Community Hospital Redlands CA 0.14% 0.09% 0.46% 0.00% N Regional Medical Center Of San Jose San Jose CA 0.12% 0.15% 0.45% 0.65% N Rideout Memorial Hospital Marysville CA 0.18% 0.20% 0.07% 0.62% Y Riverside Community Hospital Riverside CA 0.06% 0.08% 0.56% 0.93% N Riverside County Regional Medical Center Moreno Valley CA 0.28% 0.30% 0.61% 0.16% N Ronald Reagan Ucla Medical Center Los Angeles CA 0.10% 0.49% 0.04% 0.24% Y Saddleback Memorial Medical Center Laguna Hills CA 0.31% 0.17% 0.04% 0.00% Y Saint Agnes Medical Center Fresno CA 0.04% 0.39% 0.40% 0.62% Y Saint Francis Medical Center Lynwood CA 0.29% 0.18% 0.51% 0.00% N Saint Francis Memorial Hospital San Francisco CA 0.24% 0.19% 0.21% 0.53% N Saint Louise Regional Hospital Gilroy CA 0.40% 0.47% 0.25% 0.38% N Saint Vincent Medical Center Los Angeles CA 0.08% 0.35% 0.28% 0.10% N Salinas Valley Memorial Hospital Salinas CA 0.07% 0.06% 0.11% 0.11% N San Antonio Community Hospital Upland CA 0.06% 0.15% 0.37% 0.36% Y San Dimas Community Hospital San Dimas CA 0.22% 0.15% 0.86% 0.46% N San Francisco General Hospital San Francisco CA 0.22% 0.12% 0.31% 0.24% Y San Gabriel Valley Medical Center San Gabriel CA 0.26% 0.14% 0.38% 0.81% Y San Gorgonio Memorial Hospital Banning CA 0.00% 0.48% 0.08% 0.21% N San Joaquin Community Hospital Bakersfield CA 0.22% 0.08% 0.57% 1.03% Y San Joaquin General Hospital French Camp CA 0.45% 0.56% 0.55% 0.00% N San Leandro Hospital San Leandro CA N/A N/A 0.50% 0.00% N San Mateo Medical Center San Mateo CA 0.44% N/A 0.19% 0.00% N San Ramon Regional Medical Ctr San Ramon CA 0.03% 0.07% 0.27% 0.63% N Santa Barbara Cottage Hospital Santa Barbara CA 0.24% 0.07% 0.04% 0.13% N Santa Clara Valley Medical Center San Jose CA 0.12% 0.12% 0.60% 0.10% N Santa Monica Ucla Med Ctr & Orthopaedic Hospital Santa Monica CA 0.07% 0.50% 0.15% 1.08% Y Santa Rosa Memorial Hospital Santa Rosa CA 0.30% 0.48% 0.44% 0.00% N Scripps Green Hospital La Jolla CA 0.52% 0.70% 0.50% 0.00% Y Scripps Memorial Hospital Encinitas Encinitas CA 0.35% 0.35% 0.02% 0.00% Y Scripps Memorial Hospital La Jolla La Jolla CA 0.22% 0.13% 0.32% 0.24% N Scripps Mercy Hospital San Diego CA 0.07% 0.39% 0.50% 0.55% Y Sequoia Hospital Redwood City CA 0.05% 0.03% 0.02% 0.01% N Seton Medical Center Daly City CA 0.10% 0.53% 0.48% 0.59% Y Sharp Chula Vista Medical Center Chula Vista CA 0.28% 0.23% 0.28% 0.40% N Sharp Coronado Hospital And Hlthcr Ctr Coronado CA 0.65% 0.24% 1.77% 0.02% Y January 15, of 90

13 Oct Sharp Memorial Hospital San Diego CA 0.20% 0.05% 0.52% 0.03% Y Shasta Regional Medical Center Redding CA 0.34% 0.26% 0.10% 0.65% N Sherman Oaks Hospital Sherman Oaks CA 0.16% 0.05% 0.29% 0.49% N Sierra Nevada Memorial Hospital Grass Valley CA 0.33% 0.03% 0.17% 0.50% N Sierra View Medical Center Porterville CA 0.00% 0.12% 0.15% 0.75% Y Sierra Vista Regional Medical Center San Luis Obispo CA 0.05% 0.01% 0.02% 0.02% N Silver Lake Medical Center Los Angeles CA N/A N/A 0.02% 0.04% N Simi Valley Hospital & Health Care Services Simi Valley CA 0.14% 0.18% 0.27% 0.75% Y Sonoma Developmental Center Eldridge CA N/A N/A N/A 0.00% N Sonoma Valley Hospital Sonoma CA 0.25% 0.06% 0.66% 0.00% N Sonora Regional Medical Center Sonora CA 0.31% 0.35% 0.56% 0.00% N Southern California Hospital At Hollywood Hollywood CA N/A N/A 0.35% 0.03% N Southwest Healthcare System Murrieta CA 0.23% 0.35% 0.16% 0.21% N St Bernardine Medical Center San Bernardino CA 0.30% 0.33% 0.41% 0.20% N St Elizabeth Community Hospital Red Bluff CA 0.17% 0.01% 0.22% 0.00% N St Helena Hospital Saint Helena CA 0.24% 0.08% 0.50% 0.00% Y St Johns Pleasant Valley Hospital Camarillo CA 0.10% 0.01% 0.40% 0.25% N St Johns Regional Medical Center Oxnard CA 0.10% 0.20% 0.35% 0.72% Y St Joseph Hospital Eureka CA 0.09% 0.43% 0.19% 0.00% N St Joseph Hospital Orange CA 0.28% 0.44% 0.02% 0.06% Y St Josephs Medical Center Of Stockton Stockton CA 0.09% 0.17% 0.46% 0.02% N St Jude Medical Center Fullerton CA 0.11% 0.02% 0.21% 0.07% N St Mary Medical Center Long Beach CA 0.08% 0.00% 0.00% 0.21% N St Mary Medical Center Apple Valley CA 0.11% 0.06% 0.27% 0.56% N St Mary's Medical Center San Francisco CA 0.01% 0.23% 0.15% 0.16% N St Rose Hospital Hayward CA 0.13% 0.08% 0.31% 1.06% N Stanford Hospital Stanford CA 0.06% 0.24% 0.17% 0.15% N Stanislaus Surgical Hospital Modesto CA 0.33% N/A 0.96% 0.68% Y Sutter Amador Hospital Jackson CA 0.05% 0.27% 0.15% 0.22% N Sutter Auburn Faith Hospital Auburn CA 0.41% 0.27% 0.32% 0.01% N Sutter Coast Hospital Crescent City CA 0.18% 0.30% 0.65% 0.05% N Sutter Davis Hospital Davis CA 0.37% 0.12% 1.18% 0.27% N Sutter Delta Medical Center Antioch CA 0.12% 0.32% 0.34% 0.50% N Sutter General Hospital Sacramento CA 0.35% 0.13% 0.21% 0.05% N Sutter Maternity & Surgery Center Of Santa Cruz Santa Cruz CA 0.54% N/A 0.61% 0.00% Y Sutter Medical Center Of Santa Rosa Santa Rosa CA 0.08% 0.07% 0.42% 0.01% N Sutter Roseville Medical Center Roseville CA 0.09% 0.15% 0.17% 0.46% N January 15, of 90

14 Oct Sutter Solano Medical Center Vallejo CA 0.06% 0.20% 0.29% 0.13% N Sutter Surgical Hospital North Valley Yuba City CA 0.49% N/A 1.33% 3.00% N Sutter Tracy Community Hospital Tracy CA 0.27% 0.11% 0.74% 0.18% N Temecula Valley Hospital Temecula CA N/A N/A N/A N/A N/A Temple Community Hospital Los Angeles CA N/A N/A 0.68% 0.00% N Torrance Memorial Medical Center Torrance CA 0.10% 0.21% 0.26% 0.28% N Tri City Medical Center Oceanside CA 0.12% 0.19% 0.33% 0.06% N Tri City Regional Medical Center Hawaiian Gardens CA N/A 0.48% 0.32% 0.01% N Tulare Regional Medical Center Tulare CA 0.73% 0.69% 0.49% 0.06% N Twin Cities Community Hospital Templeton CA 0.21% 0.26% 0.30% 1.49% Y Ucsf Medical Center San Francisco CA 0.00% 0.21% 0.10% 0.23% N Ukiah Valley Medical Center/Hospital D Ukiah CA 0.65% 0.66% 0.34% 0.19% N University Of California Davis Medical Center Sacramento CA 0.07% 0.00% 0.27% 0.36% Y University Of California Irvine Med Center Orange CA 0.34% 0.25% 0.17% 0.13% N University Of California San Diego Medical Center San Diego CA 0.15% 0.09% N/A 0.21% Y Usc Verdugo Hills Hospital Glendale CA 0.67% 0.12% 0.04% 0.06% N Valley Presbyterian Hospital Van Nuys CA 0.26% 0.23% 0.06% 1.39% N Valleycare Medical Center Pleasanton CA 0.18% 0.15% 0.30% 0.20% N Ventura County Medical Center Ventura CA 0.30% 0.49% 1.12% 0.19% Y Victor Valley Global Medical Center Victorville CA 0.47% N/A 0.31% 0.26% N Washington Hospital Fremont CA 0.11% 0.35% 0.44% 1.24% N Watsonville Community Hospital Watsonville CA 0.03% 0.39% 0.15% 0.36% N West Anaheim Medical Center Anaheim CA 0.34% 0.04% 0.21% 0.29% N West Hills Hospital & Medical Center West Hills CA 0.21% 0.06% 0.33% 0.14% N Western Medical Center Hosp Anaheim Anaheim CA 0.08% 0.36% 0.36% 0.16% N Western Medical Center Santa Ana Santa Ana CA 0.45% 0.66% 0.50% 0.12% Y White Memorial Medical Center Los Angeles CA 0.27% 0.02% 0.28% 0.28% Y Whittier Hospital Medical Center Whittier CA 0.55% 0.15% 0.36% 0.00% N Woodland Memorial Hospital Woodland CA 0.34% 0.19% 0.92% 0.12% N Animas Surgical Hospital, Llc Durango CO 0.26% N/A 1.07% 0.00% N Arkansas Valley Regional Medical Center La Junta CO 0.18% 0.14% 0.24% 1.29% N Castle Rock Adventist Hospital Castle Rock CO N/A N/A N/A 0.00% N/A Centura Health Avista Adventist Hospital Louisville CO 0.31% 0.36% 0.32% 0.00% N Centura Health Littleton Adventist Hospital Littleton CO 0.43% 0.07% 0.16% 0.00% Y Centura Health Penrose St Francis Health Services Colorado Springs CO 0.16% 0.11% 0.16% 0.00% N Centura Health Porter Adventist Hospital Denver CO 0.41% 0.04% 0.26% 0.02% Y Centura Health St Anthony Hospital Lakewood CO 0.47% 0.25% 0.13% 0.10% Y January 15, of 90

15 Oct Centura Health St Anthony North Hospital Westminster CO 0.17% 0.13% 0.15% 0.48% N Centura Health St Mary Corwin Medical Center Pueblo CO 0.03% 0.08% 0.22% 0.00% Y Centura Health St Thomas More Hospital Canon City CO 0.08% 0.72% 0.79% 0.99% N Colorado Plains Medical Center Fort Morgan CO 0.44% 0.37% 0.49% 0.04% N Community Hospital Grand Junction CO 0.05% 0.10% 0.11% 0.00% N Delta County Memorial Hospital Delta CO 0.20% 0.56% 0.38% 0.04% N Denver Health Medical Center Denver CO 0.21% 0.71% 0.20% 0.01% N Exempla Good Samaritan Medical Center Llc Lafayette CO 0.33% 0.20% 0.17% 0.01% N Exempla Lutheran Medical Center Wheat Ridge CO 0.24% 0.03% 0.45% 0.00% N Exempla Saint Joseph Hospital Denver CO 0.00% 0.04% 0.76% 0.05% N Foothills Hospital Boulder CO 0.09% 0.28% 0.07% 0.41% N Keefe Memorial Hospital Cheyenne Wells CO N/A N/A N/A 0.00% N Longmont United Hospital Longmont CO 0.01% 0.18% 0.54% 0.00% N Mckee Medical Center Loveland CO 0.23% 0.10% 0.17% 0.09% N Medical Center Of Aurora, The Aurora CO 0.12% 0.11% 0.04% 0.56% Y Medical Center Of The Rockies Loveland CO 0.05% 0.25% 0.06% 0.05% N Mercy Regional Medical Center Durango CO 0.09% 0.18% 0.49% 0.00% N Montrose Memorial Hospital Montrose CO 0.21% 0.28% 0.10% 0.00% Y National Jewish Health Denver CO N/A N/A N/A 0.00% N North Colorado Medical Center Greeley CO 0.11% 0.12% 0.38% 0.52% N North Suburban Medical Center Thornton CO 0.40% 0.26% 0.30% 0.52% N Orthocolorado Hospital At St Anthony Med Campus Lakewood CO 0.45% N/A 1.40% 0.00% Y Parker Adventist Hospital Parker CO 0.10% 0.40% 0.43% 1.05% N Parkview Medical Center Inc Pueblo CO 0.02% 0.47% 0.14% 0.11% Y Platte Valley Medical Center Brighton CO 0.01% 0.01% 0.49% 0.44% N Poudre Valley Hospital Fort Collins CO 0.05% 0.11% 0.10% 0.00% N Presbyterian St Lukes Medical Center Denver CO 0.01% 0.01% 0.34% 0.01% Y Rose Medical Center Denver CO 0.48% 0.68% 0.62% 0.09% Y San Luis Valley Regional Medical Center Alamosa CO 0.39% 0.44% 0.68% 0.35% N Sky Ridge Medical Center Lone Tree CO 0.45% 0.52% 0.20% 0.00% N St Anthony Summit Medical Center Frisco CO 0.46% N/A 0.51% 0.07% N St Marys Hospital And Medical Center Grand Junction CO 0.02% 0.10% 0.11% 0.06% N Sterling Regional Medcenter Sterling CO 0.08% 0.31% 0.41% 0.00% Y Swedish Medical Center Englewood CO 0.06% 0.16% 0.45% 0.15% Y University Colo Health Memorial Hospital Central Colorado Springs CO 0.18% 0.09% 0.48% 0.00% N University Of Colorado Hospital Anschutz Inpatient Aurora CO 0.29% 0.35% 0.31% 0.87% Y Vail Valley Medical Center Vail CO 0.52% N/A 0.36% 0.00% Y January 15, of 90

16 Oct Valley View Hospital Association Glenwood Springs CO 0.32% N/A 0.17% 0.00% Y Yampa Valley Medical Center Steamboat Spring CO 0.21% 0.05% 0.76% 0.53% N Bridgeport Hospital Bridgeport CT 0.01% 0.18% 0.44% 0.42% Y Bristol Hospital Bristol CT 0.07% 0.28% 0.15% 1.28% N Charlotte Hungerford Hospital Torrington CT 0.53% 0.13% 0.19% 0.71% N Danbury Hospital Danbury CT 0.10% 0.32% 0.60% 0.15% Y Day Kimball Hospital Putnam CT 0.13% 0.03% 0.04% 0.49% N Greenwich Hospital Association Greenwich CT 0.32% 0.31% 0.31% 0.39% N Griffin Hospital Derby CT 0.03% 0.10% 0.10% 0.77% N Hartford Hospital Hartford CT 0.30% 0.04% 0.18% 0.24% Y Hebrew Home And Hospital Inc West Hartford CT N/A N/A N/A 0.00% N Hospital Of Central Connecticut, The New Britain CT 0.17% 0.17% 0.18% 1.06% Y John Dempsey Hospital Farmington CT 0.10% 0.13% 0.21% 0.37% Y Johnson Memorial Hospital Stafford Springs CT 0.37% 0.52% 0.75% 0.79% Y Lawrence & Memorial Hospital New London CT 0.14% 0.32% 0.23% 0.60% N Manchester Memorial Hospital Manchester CT 0.26% 0.16% 0.00% 0.02% Y Masonic Home And Hospital Wallingford CT N/A N/A 0.24% 1.17% N Middlesex Hospital Middletown CT 0.13% 0.14% 0.07% 1.24% N Midstate Medical Center Meriden CT 0.07% 0.04% 0.51% 0.82% N Milford Hospital, Inc Milford CT 0.14% 0.17% 0.49% 1.47% N New Milford Hospital New Milford CT 0.05% 0.38% 0.21% 0.00% N Norwalk Hospital Association Norwalk CT 0.14% 0.02% 0.20% 0.20% Y Rockville General Hospital Rockville CT 0.06% 0.09% 0.09% 0.85% Y Saint Marys Hospital Waterbury CT 0.08% 0.41% 0.45% 0.06% N Sharon Hospital Sharon CT 0.36% 0.30% 0.18% 0.40% N St Francis Hospital & Medical Center Hartford CT 0.09% 0.06% 0.21% 0.48% N St Vincent's Medical Center Bridgeport CT 0.10% 0.31% 0.39% 1.84% N Stamford Hospital Stamford CT 0.01% 0.04% 0.03% 0.06% Y Waterbury Hospital Waterbury CT 0.34% 0.21% 0.28% 0.47% Y William W Backus Hospital Norwich CT 0.16% 0.18% 0.27% 0.56% N Windham Comm Mem Hosp & Hatch Hosp Willimantic CT 0.37% 0.66% 0.40% 0.65% Y Yale New Haven Hospital New Haven CT 0.32% 0.33% 0.39% 0.71% Y George Washington Univ Hospital Washington DC 0.22% 0.29% 0.53% 0.61% Y Howard University Hospital Washington DC 0.63% 0.27% 0.34% 0.93% N Medstar Georgetown University Hospital Washington DC 0.21% 0.02% 0.47% 0.25% Y Medstar Washington Hospital Center Washington DC 0.01% 0.05% 0.31% 0.33% Y Providence Hospital Washington DC 0.45% 0.47% 0.21% 2.61% Y January 15, of 90

17 Oct Sibley Memorial Hospital Washington DC 0.12% 0.05% 0.35% 1.93% Y United Medical Center Washington DC 0.66% 0.80% 0.73% 0.31% N Bayhealth Kent General Hospital Dover DE 0.09% 0.07% 0.66% 0.22% Y Bayhealth Milford Memorial Hospital Milford DE 0.38% 0.15% 0.29% 0.08% N Beebe Medical Center Lewes DE 0.35% 0.50% 0.05% 0.21% N Christiana Care Health Services, Inc. Newark DE 0.18% 0.34% 0.25% 0.28% N Nanticoke Memorial Hospital Seaford DE 0.55% 0.01% 0.23% 0.07% Y St Francis Hospital Wilmington DE 0.03% 0.25% 0.09% 0.43% N Anne Bates Leach Eye Hospital Miami FL N/A N/A N/A 0.00% N Aventura Hospital And Medical Center Aventura FL 0.12% 0.09% 0.46% 1.13% N Baptist Hospital Pensacola FL 0.25% 0.09% 0.08% 0.06% N Baptist Hospital Of Miami Inc Miami FL 0.59% 0.52% 0.06% 0.23% Y Baptist Medical Center Jacksonville FL 0.18% 0.34% 0.27% 0.02% N Baptist Medical Center Nassau Fernandina Beach FL 0.09% 0.05% 0.10% 0.00% N Baptist Medical Center Beaches Jacksonville Beach FL 0.06% 0.10% 0.04% 0.68% N Bartow Regional Medical Center Bartow FL 0.07% 0.07% 0.30% 0.27% N Bay Medical Center Sacred Heart Health System Panama City FL 0.02% 0.20% 0.01% 0.33% N Bayfront Health St Petersburg Saint Petersburg FL 0.25% 0.28% 0.53% 1.11% N Bayfront Health Brooksville Brooksville FL 0.15% 0.02% 0.57% 0.51% N Bayfront Health Dade City Dade City FL 0.04% 0.16% 0.43% 0.29% N Bayfront Health Port Charlotte Port Charlotte FL 0.22% 0.42% 0.58% 1.31% N Bayfront Health Punta Gorda Punta Gorda FL 0.02% 0.34% 0.14% 0.59% N Bert Fish Medical Center New Smyrna Beac FL 0.24% 0.17% 0.15% 0.14% N Bethesda Hospital East Boynton Beach FL 0.02% 0.28% 0.47% 0.07% N Blake Medical Center Bradenton FL 0.09% 0.30% 0.58% 0.13% N Boca Raton Regional Hospital Boca Raton FL 0.28% 0.23% 0.18% 0.18% N Brandon Regional Hospital Brandon FL 0.00% 0.01% 0.32% 0.25% N Broward Health Coral Springs Coral Springs FL 0.25% 0.12% 0.10% 1.07% Y Broward Health Imperial Point Fort Lauderdale FL 0.06% 0.27% 0.07% 0.14% Y Broward Health Medical Center Fort Lauderdale FL 0.13% 0.25% 0.22% 0.11% Y Broward Health North Pompano Beach FL 0.07% 0.43% 0.15% 0.30% N Cape Canaveral Hospital Cocoa Beach FL 0.31% 0.17% 0.20% 0.91% N Cape Coral Hospital Cape Coral FL 0.47% 0.32% 0.50% 0.25% Y Capital Regional Medical Center Tallahassee FL 0.22% 0.12% 0.36% 0.75% N Central Florida Regional Hospital Sanford FL 0.13% 0.06% 0.04% 0.71% Y Citrus Memorial Hospital Inverness FL 0.29% 0.44% 0.77% 0.08% Y Cleveland Clinic Hospital Weston FL 0.04% 0.06% 0.54% 0.72% N January 15, of 90

18 Oct Coral Gables Hospital Coral Gables FL 0.48% 0.29% 0.10% 0.72% N Delray Medical Center Delray Beach FL 0.08% 0.01% 0.17% 0.00% N Desoto Memorial Hospital Arcadia FL 0.52% 0.90% 0.21% 1.12% N Doctors Hospital Inc Coral Gables FL 0.44% 0.63% 0.50% 0.06% N Doctors Hospital Of Sarasota Sarasota FL 0.37% 0.43% 0.03% 0.05% N Doctor's Memorial Hospital Inc Perry FL 0.06% 0.35% 0.92% 0.03% N Douglas Gardens Hospital Miami FL N/A N/A N/A 0.10% N Ed Fraser Memorial Hospital Macclenny FL N/A N/A N/A 0.00% Y Edward White Hospital Saint Petersburg FL 0.16% 0.03% 0.07% 0.26% N Englewood Community Hospital Englewood FL 0.17% 0.27% 0.57% 0.09% N Fawcett Memorial Hospital Port Charlotte FL 0.32% 0.25% 0.37% 0.34% N Flagler Hospital Saint Augustine FL 0.07% 0.01% 0.07% 0.00% N Florida Hospital Orlando FL 0.04% 0.32% 0.04% 1.06% N Florida Hospital Carrollwood Tampa FL 0.38% 0.49% 0.21% 0.15% Y Florida Hospital Deland Deland FL 0.12% 0.09% 0.04% 0.62% N Florida Hospital Fish Memorial Orange City FL 0.09% 0.21% 0.15% 0.60% N Florida Hospital Flagler Palm Coast FL 0.14% 0.16% 0.39% 0.37% N Florida Hospital Heartland Medical Center Sebring FL 0.10% 0.13% 0.37% 0.60% N Florida Hospital Memorial Medical Center Daytona Beach FL 0.43% 0.31% 0.31% 0.04% N Florida Hospital North Pinellas Tarpon Springs FL 0.00% 0.28% 0.53% 0.88% N Florida Hospital Tampa Tampa FL 0.04% 0.43% 0.52% 0.59% N Florida Hospital Waterman Tavares FL 0.16% 0.03% 0.21% 0.77% Y Florida Hospital Wesley Chapel Wesley Chapel FL N/A N/A 0.52% 0.01% N Florida Hospital Zephyrhills Zephyrhills FL 0.13% 0.54% 0.23% 0.33% N Fort Walton Beach Medical Center Fort Walton Beach FL 0.10% 0.20% 0.20% 0.47% N Good Samaritan Medical Center West Palm Beach FL 0.13% 0.42% 0.35% 0.02% N Gulf Breeze Hospital Gulf Breeze FL 0.20% 0.48% 0.72% 0.05% N Gulf Coast Medical Center Lee Mem Health System Fort Myers FL 0.38% 0.13% 0.55% 0.62% Y Gulf Coast Regional Medical Center Panama City FL 0.23% 0.21% 0.13% 0.47% N Halifax Health Medical Center Daytona Beach FL 0.17% 0.02% 0.24% 0.23% N Health Central Ocoee FL 0.07% 0.04% 0.09% 0.21% N Healthmark Regional Medical Center Defuniak Springs FL 0.53% 0.49% 0.81% 1.14% N Heart Of Florida Regional Medical Center Davenport FL 0.34% 0.04% 0.82% 0.78% Y Hialeah Hospital Hialeah FL 0.01% 0.14% 0.15% 1.22% N Highlands Regional Medical Center Sebring FL 0.09% 0.02% 0.15% 1.08% N Holmes Regional Medical Center Melbourne FL 0.08% 0.12% 0.27% 0.53% N Holy Cross Hospital Inc Fort Lauderdale FL 0.21% 0.34% 0.37% 0.20% N January 15, of 90

19 Oct Homestead Hospital Homestead FL 0.33% 0.45% 0.85% 0.39% N Indian River Medical Center Vero Beach FL 0.10% 0.26% 0.69% 0.00% N Jackson Hospital Marianna FL 0.02% 0.18% 0.01% 0.30% N Jackson Memorial Hospital Miami FL 0.33% 0.31% 0.67% 0.53% Y Jay Hospital Jay FL N/A N/A 1.17% 0.00% N Jfk Medical Center Atlantis FL 0.28% 0.38% 0.14% 0.98% N Jupiter Medical Center Jupiter FL 0.17% 0.03% 0.07% 0.00% Y Kendall Regional Medical Center Miami FL 0.24% 0.22% 0.31% 1.71% Y Lake City Medical Center Lake City FL 0.46% 0.19% 0.46% 0.80% N Lake Wales Medical Center Lake Wales FL 0.08% 0.37% 0.16% 1.97% N Lakeland Regional Medical Center Lakeland FL 0.04% 0.54% 0.39% 0.76% N Lakeside Medical Center Belle Glade FL 0.38% 0.03% 0.74% 0.16% N Lakewood Ranch Medical Center Bradenton FL 0.15% 0.15% 0.26% 0.07% N Largo Medical Center Largo FL 0.04% 0.06% 0.34% 0.91% N Larkin Community Hospital South Miami FL N/A N/A 0.20% 0.24% N Lawnwood Regional Medical Center & Heart Institute Fort Pierce FL 0.33% 0.21% 0.04% 0.16% N Lee Memorial Hospital Fort Myers FL 0.54% 0.05% 0.13% 0.85% Y Leesburg Regional Medical Center Leesburg FL 0.39% 0.55% 0.33% 1.87% Y Lehigh Regional Medical Center Lehigh Acres FL 0.09% 0.23% 0.54% 1.00% N Lower Keys Medical Center Key West FL 0.15% 0.07% 0.09% 1.09% N Manatee Memorial Hospital Bradenton FL 0.15% 0.12% 0.36% 0.25% Y Martin Medical Center Stuart FL 0.10% 0.39% 0.63% 0.15% N Mayo Clinic Jacksonville FL 0.04% 0.37% 0.53% 0.21% N Mease Countryside Hospital Safety Harbor FL 0.02% 0.07% 0.15% 0.09% N Mease Dunedin Hospital Dunedin FL 0.04% 0.16% 0.03% 0.00% N Medical Center Of Trinity Trinity FL 0.33% 0.38% 0.01% 1.12% N Memorial Hospital Jacksonville Jacksonville FL 0.21% 0.03% 0.45% 0.81% Y Memorial Hospital Miramar Miramar FL 0.49% 0.42% 0.29% 0.38% N Memorial Hospital Of Tampa Tampa FL 0.17% 0.16% 0.74% 0.23% N Memorial Hospital Pembroke Pembroke Pines FL 0.38% 0.49% 0.44% 0.27% N Memorial Hospital West Pembroke Pines FL 0.09% 0.30% 0.32% 0.76% N Memorial Regional Hospital Hollywood FL 0.32% 0.53% 0.39% 0.50% N Morton Plant Hospital Clearwater FL 0.19% 0.04% 0.05% 0.12% N Morton Plant North Bay Hospital New Port Richey FL 0.39% 0.11% 0.17% 0.02% N Mount Sinai Medical Center Miami Beach FL 0.60% 0.14% 0.17% 0.16% N Munroe Regional Medical Center Ocala FL 0.10% 0.17% 0.50% 0.51% N Naples Community Hospital Naples FL N/A N/A 0.44% 0.00% N January 15, of 90

20 Oct North Florida Regional Medical Center Gainesville FL 0.27% 0.36% 0.29% 0.44% N North Okaloosa Medical Center Crestview FL 0.25% 0.27% 0.26% 0.32% N North Shore Medical Center Miami FL 0.49% 0.59% 0.25% 0.44% Y Northside Hospital Saint Petersburg FL 0.20% 0.14% 0.03% 1.53% N Northwest Medical Center Margate FL 0.09% 0.02% 0.21% 1.26% N Oak Hill Hospital Brooksville FL 0.27% 0.15% 0.10% 1.03% N Ocala Regional Medical Center Ocala FL 0.17% 0.02% 0.27% 0.04% N Orange Park Medical Center Orange Park FL 0.41% 0.43% 0.15% 0.10% N Orlando Regional Medical Center Orlando FL 0.20% 0.27% 0.70% 0.64% N Osceola Regional Medical Center Kissimmee FL 0.01% 0.03% 0.24% 1.60% N Palm Bay Hospital Palm Bay FL 0.19% 0.13% 0.11% 0.20% N Palm Beach Gardens Medical Center Palm Beach Garde FL 0.17% 0.05% 0.16% 0.65% N Palm Springs General Hospital Hialeah FL 0.19% 0.05% 0.13% 1.17% N Palmetto General Hospital Hialeah FL 0.17% 0.05% 0.11% 1.25% Y Palms Of Pasadena Hospital Saint Petersburg FL 0.08% 0.36% 0.08% 0.48% N Palms West Hospital Loxahatchee FL 0.10% 0.19% 0.20% 0.20% N Parrish Medical Center Titusville FL 0.43% 0.07% 0.24% 0.00% N Physicians Regional Medical Center Pine Ridge Naples FL 0.32% 0.10% 0.09% 0.70% N Plantation General Hospital Plantation FL 0.14% 0.15% 0.25% 0.31% N Poinciana Medical Center Kissimmee FL N/A N/A N/A 0.00% N/A Putnam Community Medical Center Palatka FL 0.01% 0.38% 0.61% 0.30% N Raulerson Hospital Okeechobee FL 0.57% 0.76% 0.92% 0.94% N Regional General Hospital Williston Williston FL N/A N/A N/A N/A N/A Regional Medical Center Bayonet Point Hudson FL 0.23% 0.26% 0.41% 0.92% N Sacred Heart Hospital Pensacola FL 0.02% 0.11% 0.52% 0.00% Y Sacred Heart Hospital On The Emerald Coast Miramar Beach FL 0.17% 0.51% 0.36% 0.00% N Sacred Heart Hospital On The Gulf Port Saint Joe FL N/A N/A 1.29% 0.40% N Santa Rosa Medical Center Milton FL 0.39% 0.08% 0.06% 0.64% N Sarasota Memorial Hospital Sarasota FL 0.10% 0.16% 0.28% 0.00% Y Sebastian River Medical Center Sebastian FL 0.43% 0.52% 0.06% 1.54% N Seven Rivers Regional Medical Center Crystal River FL 0.12% 0.35% 0.49% 0.00% N Shands Lake Shore Regional Medical Center Lake City FL 0.49% 0.47% 0.54% 1.61% N South Bay Hospital Sun City Center FL 0.03% 0.09% 0.24% 1.22% N South Florida Baptist Hospital Plant City FL 0.14% 0.11% 0.07% 0.24% N South Lake Hospital Clermont FL 0.31% 0.69% 0.65% 0.14% Y South Miami Hospital, Inc South Miami FL 0.25% 0.34% 0.70% 0.00% N St Anthonys Hospital Saint Petersburg FL 0.08% 0.08% 0.38% 0.93% Y January 15, of 90