The federal office responsible for appeals for Medicare coverage has cut in half the waiting time for beneficiaries who are requesting a hearing before a judge.

The progress follows an announcement last January that officials were going to work through a crushing backlog by moving beneficiaries to the front of the line and suspending hearings on cases from hospitals, doctors and other providers for at least two years.

The Office of Medicare Hearings and Appeals (OMHA) has decided most of the 5,162 cases filed by beneficiaries in the fiscal year ending Sept. 30, plus 1,535 older cases, according to statistics provided to Kaiser Health News.

That’s a dramatic change from the year before, when a third of beneficiary cases (1,493) were not decided and nearly half (1,705) of the 2012 cases also were unresolved.

Still, about 900,000 appeals are awaiting decisions, with most filed by hospitals, nursing homes, medical device suppliers and other health care providers, said Jason Green, OMHA’s program and policy director. The wait times for health providers’ cases have doubled since last year, and are nearly four times longer than the processing time for beneficiary appeals.

Hospitals file more appeals than any other provider. The single largest reason is the increasing number of Medicare payment denials for patients who have been admitted to the hospital but whom auditors later say should have been kept instead for observation care, a status that reduces payments.

Seniors also have long complained about observation care because Medicare doesn’t cover follow-up nursing home care for observation patients.

The rise in beneficiary appeal decisions is a direct result of the “beneficiary-first” policy Chief Judge Nancy Griswold announced last January, said Green. The temporary measure will remain in place as long as there is a backlog, he added.

Since then, beneficiaries have waited 113 days on average for a hearing, compared to 235 days the year before, said Green. This includes appeals from beneficiaries in traditional Medicare and private Medicare Advantage insurance plans. It’s a big improvement but still not in compliance with the federal requirement that an appeal be decided within 90 days after a request for a hearing.

“We are striving toward that 90-day mark,” said Green, who expects the beneficiary appeals backlog will continue to shrink next year.

Reaching the Office of Medicare Hearings and Appeals (OMHA) is the third of four stages in the appeals process and the first opportunity for Medicare beneficiaries or health care providers to present their case before a judge. The odds of winning an appeal at the third stage are far better than at the previous levels, which involve only a review of the case files, the Health and Human Services inspector general has found.

But seniors seeking top priority treatment, must identify themselves by addressing their appeal to an OMHA office in Cleveland and writing “Attn: Beneficiary Mail Stop” on the envelope. Griswold announced the new mail address last February, and it is part of the instructions beneficiaries receive when their appeal is denied at the second level.

Beneficiary appeals filed before the new policy was established may be languishing in the backlog pile until officials find them.

“Beneficiaries can help us to help them get to the front of the line,” Griswold said at a meeting in October. She urged those beneficiaries to write to her office using the special mailing address or to call her office at 855-556-8475.

Kaiser Health News (KHN) is a national health policy news service. It is an editorially independent program of the Henry J. Kaiser Family Foundation.

HHS supports efforts to speed Ebola vaccine delivery

If your cardiologist is away at a conference when you’re having a stabbing feeling in your chest, don’t fret. You may be more likely to live.

A study published Monday in the journal JAMA Internal Medicine found frail patients admitted to teaching hospitals with two common types of heart problems were more likely to survive on days when national cardiology conferences were going on.

The researchers also discovered that heart-attack patients who were at higher risk of dying were less likely to undergo angioplasties when conferences were occurring, yet their mortality rates were the same as similar patients admitted at other times. An angioplasty—in which a doctor unblocks an artery with an inflatable balloon inserted by a small tube—is one of the most common medical procedures for cardiac patients.

The conclusions about teaching hospitals surprised even the authors, who had begun their inquiry anticipating that death would be more common during cardiology meetings because hospital staffs were more short-handed than usual. Finding the opposite, the researchers speculated that for very weak patients, aggressive treatments may exceed the benefits.

“There’s something very specific about cardiology meetings and cardiology outcomes,” said Dr. Anupam Jena, a professor at Harvard Medical School and the lead researcher of the study. “I can tell you with almost certainty that something different is happening in the hospital, but I can’t tell you why this is happening.”

The study looked at Medicare patients admitted to 263 major teaching hospitals between 2002 and 2011, during days that the American Heart Association or the American College of Cardiology held their annual meetings. These conferences draw thousands of doctors, nurses, pharmacists and other medical professionals who come to hear of the latest research, therapies, drugs and technologies, as well as to network and socialize with colleagues.

Dr. Patrick O’Gara, president of the cardiology conference, said he was reassured by the finding that patient mortality did not increase when those doctors were away. “People should take away from this particular paper that they should be confident of going to a teaching hospital at any time of the year,” he said. He cautioned against drawing any conclusions from the paper’s finding that mortality rates dropped for some people, noting that the data is “not granular enough to provide information about what types of patient therapies the patients received.”

For patients with heart failure, heart attacks or cardiac arrest, the researchers examined death rates—either in the hospital or within 30 days of leaving—and compared them with the rates for patients hospitalized on the same days of the week during the three weeks before the conferences started and the three weeks after.

The lower death rates during conferences were limited to high-risk patients in teaching hospitals; researchers did not see a change in mortality for high-risk patients in other hospitals. The study also found that the majority of patients with more robust health had no greater chance of expiring if their hospitalization overlapped with a conference.

The researchers found that 18 percent of high-risk patients with heart failure—where the heart muscle does not pump blood as well as it should—died on conference days, while 25 percent died on the non-meeting days. The difference was even greater for patients with cardiac arrest, when the heart isn’t pumping blood. The study found 59 percent of cardiac arrest patients died when conferences were underway, while 69 percent died on other days.

The researchers suggested several possibilities, but also found reasons to doubt those explanations. It could be that cardiologists who attend conferences are more likely to do aggressive medical treatments such as complex angioplasties than are those doctors who skip conferences. While invasive treatments often save lives, they can also result in infections and other complications, some of which can be deadly.

The researchers also postulated that when a patient’s primary cardiologist is out of town, a substituting doctor may be less likely to perform an aggressive intervention. However, the researchers were unable to find evidence of any procedures that were being performed less frequently for heart failure or cardiac arrest patients during conference dates. Jena said aggressive procedures, such as placing catheters into neck veins to measure the heart, can cause complications but are not always easy to identify in the Medicare billing data used in the study.

The researchers hypothesized that during conferences, there might be fewer patients undergoing elective procedures, therefore giving the remaining doctors more time to focus on the urgent cases. However, they did not find any decrease in the number of heart patient admissions during conference days. They also found no difference in the general health of patients hospitalized on meetings days and those admitted at other times.

One more possibility, Jena said, “is that the doctors who leave are primarily researchers and they don’t take care of as many patients as other doctors, so they are worse doctors.”

Heart attack patients were just as likely to die on conference dates as other dates. But 21 percent received angioplasties or stents when conferences were going on, less than the 28 percent who received these interventions other times. “Patients at the very least are no worst off and in fact they may be better off by having less stenting,” Jena said.

Kaiser Health News (KHN) is a national health policy news service. It is an editorially independent program of the Henry J. Kaiser Family Foundation.

With the deadline looming to re-enroll in California’s insurance exchange, Kuei Lin Liu faced a tough question: Do I want to go through this all over again?

After a year of bureaucratic snags, data glitches and inexplicably dropped coverage, Liu wondered whether Covered California was worth the effort.

“I’m so frustrated right now,” she said. “I spent the last year trying to work out this mess.”

The 37-year-old Richmond resident first enrolled in the exchange last fall, when she left a senior accounting position at a big corporation and the benefits that came with it. With two daughters under 5 and a son due in May, Liu said going uninsured was not an option.

So Liu and her husband Qing Lin, a 45-year-old stay-at-home dad, signed up for a benefits-rich platinum plan from Blue Shield of California. With a projected income of about $90,000 from her tax prep business,  they were eligible for a subsidy that covered a third of their nearly $1,600-a-month premium.

The plan wasn’t as generous as the coverage at her accounting job, but having most of the year virtually free to spend with her family was, to her, a fair trade.

Then the hassles began, said Liu, a CPA and native of Taiwan who immigrated to the United States in 1997 to attend college.

After applying in November 2013 for the Blue Shield plan, she didn’t hear back. With no response from the exchange or the insurer by Dec. 28, she panicked. She had her insurance broker submit another application.

The New Year came and went with neither a confirmation nor a bill from Covered California or Blue Shield. She had to pay for an ultrasound out-of-pocket — about $600, said Liu, who goes by Cecily in English. Fearful of giving birth without insurance, she shelled out about $1,200 for an off-exchange policy with Blue Shield that started on Feb. 1.

Shortly afterward, Liu received confirmation that her Covered California plan was in effect. Blue Shield agreed to apply the payment she had already made on the off-exchange plan to the exchange plan — but that took another month. The reason: Blue Shield had separate payment systems for off- and on-exchange plans.

“I actually visited Blue Shield in El Dorado Hills, their corporate office, to try and make them move the payments,” said Liu’s broker, Kevin Knauss.

Liu thought her problems were behind her after the company applied the payment correctly. Then, in May, her son Nolan was born.

Knauss contacted Covered California the day after his birth to add him to the family policy. When the enrollment data was submitted to Blue Shield, however, the rest of the family’s coverage disappeared from the computer record. It was reinstated –except for Liu’s older daughter Larissa.

That problem eventually was corrected but the policy started on the wrong date.

Although Blue Shield covered the baby’s birth, Liu and Knauss had to hector the insurer and Covered California for two months to ensure Nolan and his siblings remained properly enrolled, they said. Liu even filed a complaint with the state Department of Managed Health Care.

“No one was willing to take responsibility. I told them… ‘You took my money and ran.’”

In late September, Knauss was checking online and noticed the family’s coverage seemed to have disappeared again.

After another round of calls they were back in the system. But all the stress resurfaced in November when the pediatrician’s biller called to say coverage couldn’t be verified for her younger daughter Fiona’s visit in July.

“It’s like history is repeating,” said an exasperated Liu, who fielded several similar calls in the summer, when she was trying to sign up her son. “It’s ridiculous.”

‘We can do better’

Neither Covered California nor Blue Shield would comment specifically on Liu’s case. But they and consumer advocates both underscored the need to improve “the customer experience.”

Covered California is “going to have to not just promise but provide a better experience for people in renewing and signing up for coverage,” said Anthony Wright, executive director of Health Access California, an advocacy group.

Despite glitches, Covered California’s first enrollment period, which started in October 2013, was a success compared to the rollout of its federal counterpart operating in 36 states, healthcare.gov. Enrollment this year began on Nov. 15 and runs until Feb. 15, and California’s exchange appears to be going more smoothly. In the first month, 144,178 people selected a health plan, nearly a third more than signed up in the first month in 2013, according to Covered California.

Exchange officials say they spent the summer making improvements, bolstering technological infrastructure and adding staff.

“I’m sure there are people who have had a negative experience that won’t come back,” said Roy Kennedy, a spokesman. “We ask that they come back and let us try to make it up to them. We know that we can do better.”

A Blue Shield spokesman said in an email that during the early implementation of the health reform law, “some customers did not experience the level of service they deserve.”

“We have and will continue to work closely with Covered California and our vendors to address these issues and streamline the process in 2015 and beyond,” said the spokesman, Sean Barry.

A Cautious Decision

For months, Liu went back and forth about whether to re-enroll.

She found herself thinking, “It’s just too much work. I don’t have time for that.”

If she took no action, she and her family would be automatically re-enrolled in their Blue Shield platinum policy. The pre-subsidy premium would be $1,699 a month, a $116 hike.

Days before the Dec. 21 deadline for coverage beginning in the New Year, Liu cautiously decided to give Covered California another try. Instead of a platinum plan, she picked a slightly less rich gold one because she doesn’t expect to need as much care as this year when she had the baby. She will pay $1,482—or $949 with the tax credit.

Liu’s hoping the switch proceeds without difficulties but if the service isn’t substantially better, she’s buying private insurance off exchange next time.

“I don’t want to deal with that headache again,” she said.

Blue Shield of California Foundation helps support KHN coverage of California.

The California Endowment helps support KHN coverage of California.

Kaiser Health News (KHN) is a national health policy news service. It is an editorially independent program of the Henry J. Kaiser Family Foundation.

Ballots for the Providence Registered Nurses election were counted on December 19, 2014 at 3:00 PM at the Association office. Congratulations to our leaders who were elected by PRN members. Elected to PRN:


Vice President
Jane Erickson

PRN Representative to the AaNA Labor Council
Jennifer Hazen

Grievance Officer
Jennifer Hazen

Health & Safety Officer
Donna Phillips

Ballots for the AaNA Joint Board of Directors & Labor Council election were counted on December 19, 2014 at 3:00 PM at the Association office. Congratulations to our leaders who were elected by AaNA members. Newly elected members will begin their terms on January 1, 2015. Elected to the AaNA Board of Directors and Labor Council:


Board of Directors Vice President / Labor Council Director
Jane Erickson

Board of Directors Labor Council Designee / Labor Council Director
Donna Phillips

Board of Directors Director-at-Large / Labor Council Director
Lila Elliott
Kimberly Kluckman
Shelley Burlison

Starting next year, the government will offer some seniors enrolled in private Medicare Advantage insurance an opportunity to leave those plans if they lose their doctors or other health care providers.

Last year, thousands of seniors in at least 10 states were left stranded or assigned new doctors when insurers discontinued contracts with the physicians.

The Medicare Advantage policies cover 16 million seniors and are an alternative to the government-run Medicare program. Medicare Advantage members can only get care from a network of providers under contract to participate in their plan. They must remain in their plans for the calendar year, with some rare exceptions, but losing their doctor has not been among the permitted reasons.

But if certain conditions are met, officials at the Centers for Medicare & Medicaid Services will create a special three-month enrollment period following network changes “considered significant based on the [effect] or potential to affect, current plan enrollees,”  according to an update to Medicare’s Managed Care Manual. During that time, they could join traditional Medicare or another Medicare Advantage plan whose provider network includes their doctors.

“If CMS does not prohibit midyear network terminations then a special enrollment period is the next best thing for beneficiaries,” said David Lipschutz, senior policy attorney at the Center for Medicare Advocacy, a nonprofit law firm that works on behalf of Medicare patients.

Clare Krusing, a spokeswoman for the trade group America’s Health Insurance Plans, said banning network changes would hamper provider contract negotiations, which occur throughout the year, and could ultimately reduce the variety of available plans.

She said “CMS has taken a balanced approach” in dealing with seniors’ needs while assuring flexibility for health plans.

But Lipschutz said no one seems to know what the “significant” network changes are that will trigger the special enrollment opportunity.

Medicare spokesman Raymond Thorn said the agency will make that “case-by-case” determination based on the number of beneficiaries affected and whether they received adequate and timely advance notice, the size of the plan’s service area, when during the year the provider terminations occur and other factors. He declined to provide details on the minimum number of beneficiaries, providers or service area size that would be necessary.   Once Medicare decides that plan members should be allowed to leave their plan, the agency will require the plan to notify its members about their new options.

Only CMS will make a determination of the need for this provision. Individual beneficiaries who are concerned after their doctor is dropped from a plan cannot request the special enrollment period, Thorn said. That is different from how Medicare handles some other mid-year changes in these policies. Beneficiaries can request a special enrollment if they move into an area where their plan is not available, become eligible for Medicaid, or move into a nursing home, among other reasons.

Last year, UnitedHealthcare cut thousands of physicians from its Medicare Advantage plans across the country, including 2,200 physicians in Connecticut.  At town hall meetings held by the Fairfield County, Conn., Medical Association, executive director Mark Thompson said angry and fearful patients told “heart-wrenching” stories about their experience.

“They were being forced to leave their doctors and there wasn’t anything they could do about it,” he said.  “They couldn’t go to another plan and they couldn’t go back to traditional Medicare.”

The only option at the time, he said, “was to go to another doctor who they had no history with.”

UnitedHealthcare spokesman Terence O’Hara said next year its enrollees “nationally will continue to enjoy a broad selection of doctors that can provide the right care where and when it is needed.”

The special enrollment option comes after officials established stricter notification rules for network changes that also take effect Jan. 1, 2015. Insurers must tell CMS at least 90 days before instituting network “significant” changes.  The rules also recommend that insurers provide more than the required 30 days’ advance notice to beneficiaries. It should include the name of the provider being terminated and how members can request continuation of ongoing medical treatment from that provider.

Kaiser Health News (KHN) is a national health policy news service. It is an editorially independent program of the Henry J. Kaiser Family Foundation.

Medicare is penalizing 721 hospitals with high rates of potentially avoidable mistakes that can harm patients, known as “hospital-acquired conditions.” Penalized hospitals will have their Medicare payments reduced by 1 percent over the fiscal year that runs from October 2014 through September 2015. To determine penalties, Medicare evaluated three types of HACs. One is central-line associated bloodstream infections, or CLABSIs. The second is catheter-associated urinary tract infections, or CAUTIs. The final one, Serious Complications, is based on eight types of injuries, including blood clots, bed sores and falls. Here are the hospitals that are being penalized:

Hospital
City
State
County
Alaska Regional Hospital
Anchorage
AK
Anchorage
Providence Alaska Medical Center
Anchorage
AK
Anchorage
Brookwood Medical Center
Birmingham
AL
Jefferson
Crestwood Medical Center
Huntsville
AL
Madison
D C H Regional Medical Center
Tuscaloosa
AL
Tuscaloosa
East Alabama Medical Center And SNF
Opelika
AL
Lee
Highlands Medical Center
Scottsboro
AL
Jackson
Huntsville Hospital
Huntsville
AL
Madison
Northeast Alabama Regional Med Center
Anniston
AL
Calhoun
Russellville Hospital
Russellville
AL
Franklin
Springhill Medical Center
Mobile
AL
Mobile
University Of Alabama Hospital
Birmingham
AL
Jefferson
University Of South Alabama Medical Center
Mobile
AL
Mobile
Baptist Health Medical Center – NLR
North Little Rock
AR
Pulaski
Chambers Memorial Hospital
Danville
AR
Yell
Harris Hospital Inc
Newport
AR
Jackson
Mercy Hospital Northwest Arkansas
Rogers
AR
Benton
Physicians’ Specialty Hospital
Fayetteville
AR
Washington
St Bernards Medical Center
Jonesboro
AR
Craighead
UAMS Medical Center
Little Rock
AR
Pulaski
White River Medical Center
Batesville
AR
Independence
Arizona Orthopedic And Surgical Specialty Hospital
Chandler
AZ
Maricopa
Banner Gateway Medical Center
Gilbert
AZ
Maricopa
Banner Ironwood Medical Center
San Tan Valley
AZ
Pinal
Florence Hospital At Anthem, Llc
Florence
AZ
Pinal
Maricopa Medical Center
Phoenix
AZ
Maricopa
Mercy Gilbert Medical Center
Gilbert
AZ
Maricopa
Northwest Medical Center
Tucson
AZ
Pima
Phoenix Indian Medical Center
Phoenix
AZ
Maricopa
Sells Indian Health Service Hospital
Sells
AZ
Pima
St Joseph’s Hospital And Medical Center
Phoenix
AZ
Maricopa
St Luke’s Medical Center
Phoenix
AZ
Maricopa
Tucson Medical Center
Tucson
AZ
Pima
University Of Arizona Medical Ctr-University, The
Tucson
AZ
Pima
AHMC Anaheim Regional Medical Center
Anaheim
CA
Orange
Alta Bates Summit Medical Center – Alta Bates Campus
Berkeley
CA
Alameda
Antelope Valley Hospital
Lancaster
CA
Los Angeles
Arrowhead Regional Medical Center
Colton
CA
San Bernardino
Bakersfield Memorial Hospital
Bakersfield
CA
Kern
Chapman Medical Center
Orange
CA
Orange
Clovis Community Medical Center
Clovis
CA
Fresno
Coastal Communities Hospital
Santa Ana
CA
Orange
Community Regional Medical Center
Fresno
CA
Fresno
Contra Costa Regional Medical Center
Martinez
CA
Contra Costa
Doctors Medical Center – San Pablo
San Pablo
CA
Contra Costa
East Los Angeles Doctors Hospital
Los Angeles
CA
Los Angeles
El Centro Regional Medical Center
El Centro
CA
Imperial
Emanuel Medical Center Inc
Turlock
CA
Stanislaus
Fairview Developmental Center
Costa Mesa
CA
Orange
Fresno Surgical Hospital
Fresno
CA
Fresno
Good Samaritan Hospital
San Jose
CA
Santa Clara
Good Samaritan Hospital
Los Angeles
CA
Los Angeles
Hemet Valley Medical Center
Hemet
CA
Riverside
John Muir Medical Center – Concord Campus
Concord
CA
Contra Costa
John Muir Medical Center – Walnut Creek Campus
Walnut Creek
CA
Contra Costa
Kaiser Foundation Hospital – Antioch
Antioch
CA
Contra Costa
Kaiser Foundation Hospital – Baldwin Park
Baldwin Park
CA
Los Angeles
Kaiser Foundation Hospital – Redwood City
Redwood City
CA
San Mateo
Kaiser Foundation Hospital – Vacaville
Vacaville
CA
Solano
Kaiser Foundation Hospital And Rehab Center
Vallejo
CA
Solano
Kaiser Foundation Hospital Fremont/Hayward
Fremont
CA
Alameda
Kaiser Foundation Hospital Oakland/Richmond
Oakland
CA
Alameda
Kaiser Foundation Hospital-San Jose
San Jose
CA
Santa Clara
Keck Hospital Of USC
Los Angeles
CA
Los Angeles
Lac/Harbor-UCLA Med Center
Torrance
CA
Los Angeles
Lac/Rancho Los Amigos National Rehabilitation  Ctr
Downey
CA
Orange
LAC+USC Medical Center
Los Angeles
CA
Los Angeles
Lanterman Developmental Center
Pomona
CA
Los Angeles
Loma Linda University Medical Center
Loma Linda
CA
San Bernardino
Long Beach Memorial Medical Center
Long Beach
CA
Los Angeles
Los Robles Hospital & Medical Center
Thousand Oaks
CA
Ventura
Marin General Hospital
Greenbrae
CA
Marin
Mission Community Hospital
Panorama City
CA
Los Angeles
Motion Picture & Television Hospital
Woodland Hills
CA
Los Angeles
Natividad Medical Center
Salinas
CA
Monterey
Northridge Hospital Medical Center
Northridge
CA
Los Angeles
Pacifica Hospital Of The Valley
Sun Valley
CA
Los Angeles
Palomar Health Downtown Campus
Escondido
CA
San Diego
Pih Hospital – Downey
Downey
CA
Los Angeles
Placentia Linda Hospital
Placentia
CA
Orange
Pomerado Hospital
Poway
CA
San Diego
Porterville Developmental Center
Porterville
CA
Tulare
Providence Holy Cross Medical Center
Mission Hills
CA
Los Angeles
Providence Tarzana Medical Center
Tarzana
CA
Los Angeles
Queen Of The Valley Medical Center
Napa
CA
Napa
Rideout Memorial Hospital
Marysville
CA
Yuba
Ronald Reagan UCLA Medical Center
Los Angeles
CA
Los Angeles
Saddleback Memorial Medical Center
Laguna Hills
CA
Orange
Saint Agnes Medical Center
Fresno
CA
Fresno
San Antonio Community Hospital
Upland
CA
San Bernardino
San Francisco General Hospital
San Francisco
CA
San Francisco
San Gabriel Valley Medical Center
San Gabriel
CA
Los Angeles
San Joaquin Community Hospital
Bakersfield
CA
Kern
Santa Monica – UCLA Med Ctr & Orthopaedic Hospital
Santa Monica
CA
Los Angeles
Scripps Green Hospital
La Jolla
CA
San Diego
Scripps Memorial Hospital – Encinitas
Encinitas
CA
San Diego
Scripps Mercy Hospital
San Diego
CA
San Diego
Seton Medical Center
Daly City
CA
San Mateo
Sharp Coronado Hospital And Hlthcr Ctr
Coronado
CA
San Diego
Sharp Memorial Hospital
San Diego
CA
San Diego
Sierra View District Hospital
Porterville
CA
Tulare
Simi Valley Hospital & Health Care Services
Simi Valley
CA
Ventura
St Helena Hospital
Saint Helena
CA
Napa
St Johns Regional Medical Center
Oxnard
CA
Ventura
St Joseph Hospital
Orange
CA
Orange
Stanislaus Surgical Hospital
Modesto
CA
Stanislaus
Sutter Maternity & Surgery Center Of Santa Cruz
Santa Cruz
CA
Santa Cruz
Twin Cities Community Hospital
Templeton
CA
San Luis Obispo
University Of California Davis Medical Center
Sacramento
CA
Sacramento
University Of California San Diego Medical Center
San Diego
CA
San Diego
Ventura County Medical Center
Ventura
CA
Ventura
Western Medical Center Santa Ana
Santa Ana
CA
Orange
White Memorial Medical Center
Los Angeles
CA
Los Angeles
Centura Health-Porter Adventist Hospital
Denver
CO
Denver
Centura Health-St Anthony  Hospital
Lakewood
CO
Jefferson
Hca-Healthone Dba Swedish Medical Center
Englewood
CO
Arapahoe
Littleton Adventist Hospital, Centura Health
Littleton
CO
Arapahoe
Medical Center Of Aurora, The
Aurora
CO
Arapahoe
Montrose Memorial Hospital
Montrose
CO
Montrose
OrthoColorado Hospital At St Anthony Med Campus
Lakewood
CO
Jefferson
Parkview Medical Center Inc
Pueblo
CO
Pueblo
Presbyterian St Lukes Medical Center
Denver
CO
Denver
Rose Medical Center
Denver
CO
Denver
St Mary Corwin Med Ctr, Centura Health
Pueblo
CO
Pueblo
Sterling Regional Medcenter
Sterling
CO
Logan
University Of Colorado Hospital Anschutz Inpatient
Aurora
CO
Adams
Vail Valley Medical Center
Vail
CO
Eagle
Valley View Hospital Association
Glenwood Springs
CO
Garfield
Bridgeport Hospital
Bridgeport
CT
Fairfield
Danbury Hospital
Danbury
CT
Fairfield
Hartford Hospital
Hartford
CT
Hartford
John Dempsey Hospital
Farmington
CT
Hartford
Johnson Memorial Hospital
Stafford Springs
CT
Tolland
Manchester Memorial Hospital
Manchester
CT
Hartford
Norwalk Hospital Association
Norwalk
CT
Fairfield
Rockville General Hospital
Rockville
CT
Tolland
Stamford Hospital
Stamford
CT
Fairfield
The Connecticut Hospice Inc.
Branford
CT
New Haven
The Hospital Of Central Connecticut
New Britain
CT
Hartford
Waterbury Hospital
Waterbury
CT
New Haven
Windham Community Memorial Hospital
Willimantic
CT
Windham
Yale-New Haven Hospital
New Haven
CT
New Haven
George Washington Univ Hospital
Washington
DC
District Of Columbia
Medstar Georgetown University Hospital
Washington
DC
District Of Columbia
Medstar Washington Hospital Center
Washington
DC
District Of Columbia
Providence Hospital
Washington
DC
District Of Columbia
Sibley Memorial Hospital
Washington
DC
District Of Columbia
Bayhealth – Kent General Hospital
Dover
DE
Kent
Nanticoke Memorial Hospital
Seaford
DE
Sussex
Baptist Hospital Of Miami Inc
Miami
FL
Miami-Dade
Broward Health Coral Springs
Coral Springs
FL
Broward
Broward Health Imperial Point
Fort Lauderdale
FL
Broward
Broward Health Medical Center
Fort Lauderdale
FL
Broward
Cape Coral Hospital
Cape Coral
FL
Lee
Central Florida Regional Hospital
Sanford
FL
Seminole
Citrus Memorial Hospital
Inverness
FL
Citrus
Ed Fraser Memorial Hospital
Macclenny
FL
Baker
Florida Hospital Carrollwood
Tampa
FL
Hillsborough
Florida Hospital Waterman
Tavares
FL
Lake
Gulf Coast Medical Center Lee Mem Health System
Fort Myers
FL
Lee
Heart Of Florida Regional Medical Center
Davenport
FL
Polk
Jackson Health System
Miami
FL
Miami-Dade
Jupiter Medical Center
Jupiter
FL
Palm Beach
Kendall Regional Medical Center
Miami
FL
Miami-Dade
Lee Memorial Hospital
Fort Myers
FL
Lee
Leesburg Regional Medical Center
Leesburg
FL
Lake
Manatee Memorial Hospital
Bradenton
FL
Manatee
Memorial Hospital Jacksonville
Jacksonville
FL
Duval
North Shore Medical Center
Miami
FL
Miami-Dade
Palmetto General Hospital
Hialeah
FL
Miami-Dade
Sacred Heart Hospital
Pensacola
FL
Escambia
Sarasota Memorial Hospital
Sarasota
FL
Sarasota
Shands Jacksonville
Jacksonville
FL
Duval
South Lake Hospital
Clermont
FL
Lake
St Anthony’s Hospital
Saint Petersburg
FL
Pinellas
St Cloud Regional Medical Center
Saint Cloud
FL
Osceola
St Petersburg General Hospital
Saint Petersburg
FL
Pinellas
Tampa General Hospital
Tampa
FL
Hillsborough
Venice Regional Medical Center
Venice
FL
Sarasota
Wuesthoff Melbourne
Melbourne
FL
Brevard
Athens Regional Medical Center
Athens
GA
Clarke
Atlanta Medical Center
Atlanta
GA
Fulton
Candler Hospital
Savannah
GA
Chatham
Cartersville Medical Center
Cartersville
GA
Bartow
Coliseum Medical Centers, Llc
Macon
GA
Bibb
Coliseum Northside Hospital
Macon
GA
Bibb
Crisp Regional Hospital
Cordele
GA
Crisp
Dekalb Medical Center At Hillandale
Lithonia
GA
Dekalb
Doctors Hospital
Augusta
GA
Richmond
Doctors Specialty Hospital
Columbus
GA
Muscogee
Emory University Hospital
Atlanta
GA
Dekalb
Emory University Hospital Midtown
Atlanta
GA
Fulton
Emory-Adventist Hospital
Smyrna
GA
Cobb
Georgia Health Sciences Medical Center
Augusta
GA
Richmond
Grady Memorial Hospital
Atlanta
GA
Fulton
Hutcheson Medical Center
Fort Oglethorpe
GA
Catoosa
Irwin County Hospital
Ocilla
GA
Irwin
Mayo Clinic Health System In Waycross
Waycross
GA
Ware
Meadows Regional Medical Center
Vidalia
GA
Toombs
Memorial University Medical Center
Savannah
GA
Chatham
Piedmont Henry Hospital
Stockbridge
GA
Henry
Piedmont Hospital
Atlanta
GA
Fulton
Saint Joseph’s Hospital Of Atlanta, Inc
Atlanta
GA
Fulton
Southeast Georgia Health System — Camden Campus
Saint Marys
GA
Camden
Southern Regional Medical Center
Riverdale
GA
Clayton
Tift Regional Medical Center
Tifton
GA
Tift
Union General Hospital
Blairsville
GA
Union
Wellstar Cobb Hospital
Austell
GA
Cobb
Wellstar Kennestone Hospital
Marietta
GA
Cobb
Skiff Medical Center
Newton
IA
Jasper
Trinity – Bettendorf
Bettendorf
IA
Scott
University Of Iowa Hospital & Clinics
Iowa City
IA
Johnson
Madison Memorial Hospital
Rexburg
ID
Madison
Portneuf Medical Center
Pocatello
ID
Bannock
St Alphonsus Regional Medical Center
Boise
ID
Ada
Advocate Illinois Masonic Medical Center
Chicago
IL
Cook
Anderson Hospital
Maryville
IL
Madison
Decatur Memorial Hospital
Decatur
IL
Macon
Franciscan Alliance, Inc., Dba, Franciscan St. James Health
Olympia Fields
IL
Cook
Holy Cross Hospital
Chicago
IL
Cook
John H. Stroger, Jr. Hospital Of Cook County
Chicago
IL
Cook
Little Company Of Mary Hospital
Evergreen Park
IL
Cook
Loretto Hospital
Chicago
IL
Cook
Mercy Hospital And Medical Center
Chicago
IL
Cook
Northshore University Healthsystem – Evanston Hospital
Evanston
IL
Cook
Northwest Community Hospital
Arlington Heights
IL
Cook
Northwestern Lake Forest Hospital
Lake Forest
IL
Lake
Northwestern Memorial Hospital
Chicago
IL
Cook
OSF Saint Anthony Medical Center
Rockford
IL
Winnebago
OSF Saint Francis Medical Center
Peoria
IL
Peoria
Ottawa Regional Hospital Dba OSF Saint Elizabeth Mdl Ctr
Ottawa
IL
La Salle
Palos Community Hospital
Palos Heights
IL
Cook
Richland Memorial Hospital
Olney
IL
Richland
Rush University Medical Center
Chicago
IL
Cook
Saint Anthony Hospital
Chicago
IL
Cook
Sarah Bush Lincoln Health Center
Mattoon
IL
Coles
St Elizabeth’s Hospital
Belleville
IL
Saint Clair
St Johns Hospital
Springfield
IL
Sangamon
The Carle Foundation Hospital
Urbana
IL
Champaign
Trinity – Rock Island
Rock Island
IL
Rock Island
University Of Illinois Hospital
Chicago
IL
Cook
Westlake Community Hospital
Melrose Park
IL
Cook
Community Heart And Vascular Hospital
Indianapolis
IN
Marion
Community Hospital North
Indianapolis
IN
Marion
Community Howard Regional Health Inc.
Kokomo
IN
Howard
Dupont Hospital Llc
Fort Wayne
IN
Allen
Eskenazi Health
Indianapolis
IN
Marion
Franciscan Healthcare – Munster
Munster
IN
Lake
Franciscan Saint Anthony Health – Crown Point
Crown Point
IN
Lake
Indiana University Health Methodist Hospital (Indianapolis)
Indianapolis
IN
Marion
Memorial Hospital And Health Care Center
Jasper
IN
Dubois
Methodist Hospitals Inc
Gary
IN
Lake
Physicians’ Medical Center Llc
New Albany
IN
Floyd
Saint Joseph Regional Medical Center – Plymouth
Plymouth
IN
Marshall
Union Hospital Inc.
Terre Haute
IN
Vigo
Witham Health Services
Lebanon
IN
Boone
Coffeyville Regional Medical Center
Coffeyville
KS
Montgomery
Hutchinson Regional Medical Center Inc
Hutchinson
KS
Reno
Kansas Heart Hospital
Wichita
KS
Sedgwick
Menorah Medical Center
Overland Park
KS
Johnson
Miami County Medical Center
Paola
KS
Miami
Overland Park Reg Med Ctr
Overland Park
KS
Johnson
Saint John Hospital
Leavenworth
KS
Leavenworth
Saint Luke’s South Hospital
Overland Park
KS
Johnson
South Central Ks  Med Center
Arkansas City
KS
Cowley
Sumner Regional Medical Center
Wellington
KS
Sumner
University Of Kansas Hospital
Kansas City
KS
Wyandotte
Jackson Purchase Medical Center
Mayfield
KY
Graves
Jewish Hospital & St Mary’s Healhcare
Louisville
KY
Jefferson
Lourdes Hospital
Paducah
KY
Mccracken
Muhlenberg Community Hospital
Greenville
KY
Muhlenberg
Norton Hospitals, Inc
Louisville
KY
Jefferson
Saint Joseph East
Lexington
KY
Fayette
St Elizabeth Edgewood
Lakeside Park
KY
Kenton
St Elizabeth Florence
Florence
KY
Boone
University Of Kentucky Hospital
Lexington
KY
Fayette
University Of Louisville Hospital
Louisville
KY
Jefferson
Charity Hospital & Medical Center Of Louisiana At
New Orleans
LA
Orleans
Christus St Frances Cabrini Hospital
Alexandria
LA
Rapides
Glenwood Regional Medical Center
West Monroe
LA
Ouachita
Leonard J Chabert Medical Center
Houma
LA
Terrebonne
Monroe Surgical Hospital
Monroe
LA
Ouachita
Our Lady Of The Lake Regional Medical Center
Baton Rouge
LA
East Baton Rouge
St Elizabeth Hospital
Gonzales
LA
Ascension
Tulane Medical Center
New Orleans
LA
Orleans
University Health Shreveport
Shreveport
LA
Caddo
University Hospital & Clinics
Lafayette
LA
Lafayette
Willis Knighton Medical Center
Shreveport
LA
Caddo
Beth Israel Deaconess Hospital Plymouth
Plymouth
MA
Plymouth
Beth Israel Deaconess Medical Center
Boston
MA
Suffolk
Boston Medical Center
Boston
MA
Suffolk
Brigham And Women’s Hospital
Boston
MA
Suffolk
Falmouth Hospital
Falmouth
MA
Barnstable
Heywood Hospital
Gardner
MA
Worcester
Holyoke Medical Center
Holyoke
MA
Hampden
Lahey Hospital & Medical Center, Burlington
Burlington
MA
Middlesex
Mercy Medical Center
Springfield
MA
Hampden
North Shore Medical Center
Salem
MA
Essex
Saints Medical Center
Lowell
MA
Middlesex
Sturdy Memorial Hospital
Attleboro
MA
Bristol
Tufts Medical Center
Boston
MA
Suffolk
Aroostook Medical Center
Presque Isle
ME
Aroostook
Eastern Maine Medical Center
Bangor
ME
Penobscot
Inland Hospital
Waterville
ME
Kennebec
Maine Medical Center
Portland
ME
Cumberland
Mainegeneral Medical Center
Augusta
ME
Kennebec
St Marys Regional Medical Center
Lewiston
ME
Androscoggin
Borgess Medical Center
Kalamazoo
MI
Kalamazoo
Bronson Battle Creek Hospital
Battle Creek
MI
Calhoun
Carson City Hospital
Carson City
MI
Montcalm
Crittenton Hospital Medical Center
Rochester
MI
Oakland
Detroit Receiving Hospital
Detroit
MI
Wayne
Forest Health Medical Center
Ypsilanti
MI
Washtenaw
Genesys Regional Medical Center – Health Park
Grand Blanc
MI
Genesee
Harper University Hospital
Detroit
MI
Wayne
Henry Ford Hospital
Detroit
MI
Wayne
Henry Ford Macomb Hospital
Clinton Township
MI
Macomb
Hurley Medical Center
Flint
MI
Genesee
Mclaren – Greater Lansing
Lansing
MI
Ingham
Mclaren Flint
Flint
MI
Genesee
Mclaren Macomb Hospital
Mount Clemens
MI
Macomb
Mercy Memorial Hospital System
Monroe
MI
Monroe
Oakwood Hospital – Southshore
Trenton
MI
Wayne
Oakwood Hospital And Medical Center
Dearborn
MI
Wayne
Portage Health
Hancock
MI
Houghton
Spectrum Health-Butterworth Campus
Grand Rapids
MI
Kent
St Joseph Mercy Port Huron
Port Huron
MI
Saint Clair
William Beaumont Hospital-Grosse Pointe
Grosse Pointe
MI
Wayne
Cambridge Medical Center
Cambridge
MN
Isanti
Essentia Health St Joseph’s Medical Center
Brainerd
MN
Crow Wing
Essentia Health Virginia
Virginia
MN
Saint Louis
Fairview Northland Regional Hospital
Princeton
MN
Sherburne
Hennepin County Medical Center
Minneapolis
MN
Hennepin
Maple Grove Hospital
Maple Grove
MN
Hennepin
Olmsted Medical Center
Rochester
MN
Olmsted
Regions Hospital
Saint Paul
MN
Ramsey
Sanford Bemidji Medical Center
Bemidji
MN
Beltrami
St Cloud Hospital
Saint Cloud
MN
Stearns
St Lukes Hospital
Duluth
MN
Saint Louis
University Of Minnesota  Medical Center, Fairview
Minneapolis
MN
Hennepin
Barnes Jewish Hospital
Saint Louis
MO
Saint Louis City
Barnes-Jewish West County Hospital
Creve Coeur
MO
Saint Louis
Bothwell Regional Health Center
Sedalia
MO
Pettis
Centerpoint Medical Center Of Independence, Lcc
Independence
MO
Jackson
Christian Hospital Northeast
Saint Louis
MO
Saint Louis
Lee’s Summit Medical Center
Lees Summit
MO
Jackson
Mercy Hospital Lebanon
Lebanon
MO
Laclede
Moberly Regional Medical Center
Moberly
MO
Randolph
Ozarks Community Hospital
Springfield
MO
Greene
Phelps County Regional Medical Center
Rolla
MO
Phelps
Poplar Bluff Regional Medical Center
Poplar Bluff
MO
Butler
Research Medical Center
Kansas City
MO
Jackson
Saint Francis Medical Center
Cape Girardeau
MO
Cape Girardeau
Southeast Missouri Hospital
Cape Girardeau
MO
Cape Girardeau
Ssm St Joseph Hospital West
Lake Saint Louis
MO
Saint Charles
St Louis University Hospital
Saint Louis
MO
Saint Louis City
St Lukes Hospital Of Kansas City
Kansas City
MO
Jackson
St Marys Medical Center
Blue Springs
MO
Jackson
Truman Medical Center Hospital Hill
Kansas City
MO
Jackson
Anderson Regional Medical Center South Campus
Meridian
MS
Lauderdale
Baptist Memorial Hospital Desoto
Southaven
MS
Desoto
Bolivar Medical Center
Cleveland
MS
Bolivar
Choctaw Health Center
Choctaw
MS
Choctaw
Crossgates River Oaks Hospital
Brandon
MS
Rankin
Delta Regional Medical Center
Greenville
MS
Washington
Garden Park Medical Center
Gulfport
MS
Harrison
Highland Community  Hospital
Picayune
MS
Pearl River
Jasper General Hospital
Bay Springs
MS
Jasper
Och Regional Medical Center
Starkville
MS
Oktibbeha
South Central Reg Med Ctr
Laurel
MS
Jones
University Of Mississippi Med Center
Jackson
MS
Hinds
Northern Montana Hospital
Havre
MT
Hill
St James Healthcare
Butte
MT
Silver Bow
St. Patrick Hospital
Missoula
MT
Missoula
Alamance Regional Medical Center
Burlington
NC
Alamance
Cape Fear Valley Medical Center
Fayetteville
NC
Cumberland
Carolinas Medical Center-Pineville
Charlotte
NC
Mecklenburg
Caromont Regional Medical Center
Gastonia
NC
Gaston
Carteret General Hospital
Morehead City
NC
Carteret
Catawba Valley Medical Center
Hickory
NC
Catawba
Cleveland Regional Medical Center
Shelby
NC
Cleveland
Nash General Hospital
Rocky Mount
NC
Nash
Novant Health Presbyterian Medical Center
Charlotte
NC
Mecklenburg
Rutherford Hospital Inc
Rutherfordton
NC
Rutherford
Sentara Albemarle Medical Center
Elizabeth City
NC
Pasquotank
Southeastern Regional Medical Center
Lumberton
NC
Robeson
University Of North Carolina Hospital
Chapel Hill
NC
Orange
Vidant Medical Center
Greenville
NC
Pitt
Wakemed, Cary Hospital
Cary
NC
Wake
Wakemed, Raleigh Campus
Raleigh
NC
Wake
Wilmington Treatment Center
Wilmington
NC
New Hanover
Essentia Health
Fargo
ND
Cass
Alegent Creighton Health-Creighton University Medical Center
Omaha
NE
Douglas
Faith Regional Health Services
Norfolk
NE
Madison
Great Plains Health
North Platte
NE
Lincoln
St Francis Medical Center
Grand Island
NE
Hall
The Nebraska Medical Center
Omaha
NE
Douglas
The Nebraska Methodist Hospital
Omaha
NE
Douglas
Winnebago Ihs Hospital
Winnebago
NE
Thurston
Catholic Medical Center
Manchester
NH
Hillsborough
Elliot Hospital
Manchester
NH
Hillsborough
Mary Hitchcock Memorial Hospital
Lebanon
NH
Grafton
Bergen Regional Medical Center
Paramus
NJ
Bergen
Capital Health Medical Center – Hopewell
Pennington
NJ
Mercer
Centrastate Medical Center
Freehold
NJ
Monmouth
Chilton Medical Center
Pompton Plains
NJ
Morris
Hackensack University Medical Center
Hackensack
NJ
Bergen
Inspira Medical Center Vineland
Vineland
NJ
Cumberland
JFK Medical Ctr – Anthony M. Yelencsics Community
Edison
NJ
Middlesex
Meadowlands Hospital Medical Center
Secaucus
NJ
Hudson
Memorial Hospital Of Salem County
Salem
NJ
Salem
Monmouth Medical Center
Long Branch
NJ
Monmouth
Newark Beth Israel Medical Center
Newark
NJ
Essex
Ocean Medical Center
Brick
NJ
Ocean
Overlook Medical Center
Summit
NJ
Union
Palisades Medical Center
North Bergen
NJ
Hudson
Robert Wood Johnson University Hospital
New Brunswick
NJ
Middlesex
Robert Wood Johnson University Hospital – Somerset
Somerville
NJ
Somerset
Robert Wood Johnson University Hospital Hamilton
Hamilton
NJ
Mercer
Saint Peter’s University Hospital
New Brunswick
NJ
Middlesex
Shore Medical Center
Somers Point
NJ
Atlantic
Southern Ocean Medical Center
Manahawkin
NJ
Ocean
St Mary’s Hospital, Passaic
Passaic
NJ
Passaic
The University Hospital
Newark
NJ
Essex
University Medical Center Of Princeton At Plainsboro
Plainsboro
NJ
Middlesex
Artesia General Hospital
Artesia
NM
Eddy
Eastern New Mexico Medical Center
Roswell
NM
Chaves
Gila Regional Medical Center
Silver City
NM
Grant
Holy Cross Hospital A Div Of Taos Health Systems
Taos
NM
Taos
Los Alamos Medical Center
Los Alamos
NM
Los Alamos
Memorial Medical Center Inc
Las Cruces
NM
Dona Ana
Northern Navajo Medical Center
Shiprock
NM
San Juan
Presbyterian Hospital
Albuquerque
NM
Bernalillo
Roosevelt General Hospital
Portales
NM
Roosevelt
San Juan Regional Medical Center
Farmington
NM
San Juan
University Of New Mexico Hospital
Albuquerque
NM
Bernalillo
Harmon Hospital
Las Vegas
NV
Clark
Mountainview Hospital
Las Vegas
NV
Clark
North Vista Hospital
North Las Vegas
NV
Clark
Northern Nevada Medical Center
Sparks
NV
Washoe
NYE Regional Medical Center
Tonopah
NV
Nye
Southern Hills Hospital And Medical Center
Las Vegas
NV
Clark
St Rose Dominican Hospitals – Siena Campus
Henderson
NV
Clark
UMC Of Southern Nevada
Las Vegas
NV
Clark
Valley Hospital Medical Center
Las Vegas
NV
Clark
Brookdale Hospital Medical Center
Brooklyn
NY
Kings
Brooklyn Hospital Center At Downtown Campus
Brooklyn
NY
Kings
Burdett Care Center
Troy
NY
Rensselaer
Carthage Area Hospital, Inc
Carthage
NY
Jefferson
Champlain Valley Physicians Hospital Medical Ctr
Plattsburgh
NY
Clinton
Columbia Memorial Hospital
Hudson
NY
Columbia
Coney Island Hospital
Brooklyn
NY
Kings
Crouse Hospital
Syracuse
NY
Onondaga
Ellis Hospital
Schenectady
NY
Schenectady
Faxton-St Luke’s Healthcare
Utica
NY
Oneida
Highland Hospital
Rochester
NY
Monroe
Jacobi Medical Center
Bronx
NY
Bronx
Jamaica Hospital Medical Center
Jamaica
NY
Queens
Kaleida Health
Buffalo
NY
Erie
Kings County Hospital Center
Brooklyn
NY
Kings
Kingsbrook Jewish Medical Center
Brooklyn
NY
Kings
Lenox Hill Hospital
New York
NY
New York
Lutheran Medical Center
Brooklyn
NY
Kings
Massena Memorial Hospital
Massena
NY
Saint Lawrence
Montefiore Medical Center
Bronx
NY
Bronx
Mount Sinai St Luke’s Roosevelt Hospital
New York
NY
New York
New York Methodist Hospital
Brooklyn
NY
Kings
New York University Langone Medical Center
New York
NY
New York
Northern Westchester Hospital
Mount Kisco
NY
Westchester
NS/LIJ HS Plainview Hospital
Plainview
NY
Nassau
NS/LIJ HS Southside Hospital
Bay Shore
NY
Suffolk
NS/LIJ HS-North Shore University Hospital At Manhasset
Manhasset
NY
Nassau
Putnam Hospital Center
Carmel
NY
Putnam
Saratoga Hospital
Saratoga Springs
NY
Saratoga
St Barnabas Hospital
Bronx
NY
Bronx
St Elizabeth Medical Center
Utica
NY
Oneida
St James Mercy Hospital
Hornell
NY
Steuben
St John’s Episcopal Hospital At South Shore
Far Rockaway
NY
Queens
St Joseph’s Medical Center
Yonkers
NY
Westchester
Strong Memorial Hospital
Rochester
NY
Monroe
Suny/Downstate University Hospital Of Brooklyn
Brooklyn
NY
Kings
Suny/Stony Brook University Hospital
Stony Brook
NY
Suffolk
University Hospital S U N Y Health Science Center
Syracuse
NY
Onondaga
Westchester Medical Center
Valhalla
NY
Westchester
Wyckoff Heights Medical Center
Brooklyn
NY
Kings
Wyoming County Community Hospital
Warsaw
NY
Wyoming
Adena Regional Medical Center
Chillicothe
OH
Ross
Cleveland Clinic
Cleveland
OH
Cuyahoga
Euclid Hospital
Euclid
OH
Cuyahoga
Flower Hospital
Sylvania
OH
Lucas
Good Samaritan Hospital
Dayton
OH
Montgomery
Mary Rutan Hospital
Bellefontaine
OH
Logan
Marymount Hospital
Garfield Heights
OH
Cuyahoga
Mercy St Charles Hospital
Oregon
OH
Lucas
Mercy St Vincent Medical Center
Toledo
OH
Lucas
Metrohealth System
Cleveland
OH
Cuyahoga
Miami Valley Hospital
Dayton
OH
Montgomery
Mount Carmel St Ann’s
Westerville
OH
Franklin
Ohio State University State Health System
Columbus
OH
Franklin
Robinson Memorial Hospital
Ravenna
OH
Portage
St Vincent Charity Medical Center
Cleveland
OH
Cuyahoga
Summa Health System Barberton Hospital
Barberton
OH
Summit
Trumbull Memorial Hospital
Warren
OH
Trumbull
University Hospitals Ahuja Medical Center
Beachwood
OH
Cuyahoga
University Of Cincinnati Medical Center, Llc
Cincinnati
OH
Hamilton
University Of Toledo Medical Center
Toledo
OH
Lucas
Van Wert County Hospital
Van Wert
OH
Van Wert
Woods At Parkside,The
Columbia
OH
Franklin
Cherokee Nation W W Hastings Indian Hospital
Tahlequah
OK
Cherokee
Chickasaw Nation Medical Center
Ada
OK
Pontotoc
Eastern Oklahoma Medical Center
Poteau
OK
Le Flore
Hillcrest Hospital Cushing
Cushing
OK
Payne
Hillcrest Hospital South
Tulsa
OK
Tulsa
Integris Blackwell Regional Hospital
Blackwell
OK
Kay
Newman Memorial Hospital
Shattuck
OK
Ellis
Ou Medical Center
Oklahoma City
OK
Oklahoma
Southwestern Medical Center
Lawton
OK
Comanche
Southwestern Regional Medical Center
Tulsa
OK
Tulsa
St Anthony Hospital
Oklahoma City
OK
Oklahoma
Summit Medical Center
Edmond
OK
Oklahoma
Asante Ashland Community Hospital
Ashland
OR
Jackson
Legacy Emanuel Medical Center
Portland
OR
Multnomah
Legacy Good Samaritan Medical Center
Portland
OR
Multnomah
Legacy Mount Hood Medical Center
Gresham
OR
Multnomah
Mid-Columbia Medical Center
The Dalles
OR
Wasco
Providence Medford Medical Center
Medford
OR
Jackson
Providence St Vincent Medical Center
Portland
OR
Washington
Santiam Memorial Hospital
Stayton
OR
Marion
Silverton Hospital
Silverton
OR
Marion
Acmh Hospital
Kittanning
PA
Armstrong
Albert Einstein Medical Center
Philadelphia
PA
Philadelphia
Aria Health
Philadelphia
PA
Philadelphia
Barix Clinics Of Pennsylvania
Langhorne
PA
Bucks
Brandywine Hospital
Coatesville
PA
Chester
Bryn Mawr Hospital
Bryn Mawr
PA
Delaware
Butler Memorial Hospital
Butler
PA
Butler
Chambersburg Hospital
Chambersburg
PA
Franklin
Conemaugh Valley Memorial Hospital
Johnstown
PA
Cambria
Eastern Regional Medical Center
Philadelphia
PA
Philadelphia
Ephrata Community Hospital
Ephrata
PA
Lancaster
Geisinger Medical Center
Danville
PA
Montour
Geisinger Wyoming Valley Medical Center
Wilkes Barre
PA
Luzerne
Geisinger-Lewistown Hospital
Lewistown
PA
Mifflin
Grand View Hospital
Sellersville
PA
Bucks
Heritage Valley Beaver
Beaver
PA
Beaver
Hospital Of Univ Of Pennsylvania
Philadelphia
PA
Philadelphia
Lehigh Valley Hospital
Allentown
PA
Lehigh
Lehigh Valley Hospital – Muhlenberg
Bethlehem
PA
Lehigh
Lower Bucks Hospital
Bristol
PA
Bucks
Magee Womens Hospital Of Upmc Health System
Pittsburgh
PA
Allegheny
Memorial Hospital
York
PA
York
Milton S Hershey Medical Center
Hershey
PA
Dauphin
Nason Hospital
Roaring Spring
PA
Blair
Palmerton Hospital
Palmerton
PA
Carbon
Paoli Hospital
Paoli
PA
Chester
Pennsylvania Hospital
Philadelphia
PA
Philadelphia
Pottstown Memorial Medical Center
Pottstown
PA
Montgomery
Saint Vincent Hospital
Erie
PA
Erie
Soldiers And Sailors Memorial Hospital
Wellsboro
PA
Tioga
St Joseph Medical Center
Reading
PA
Berks
St Joseph’s Hospital
Philadelphia
PA
Philadelphia
St Luke’s Hospital Bethlehem
Bethlehem
PA
Northampton
St Lukes Quakertown Hospital
Quakertown
PA
Bucks
Surgical Specialty Center At Coordinated Health
Allentown
PA
Lehigh
Thomas Jefferson University Hospital
Philadelphia
PA
Philadelphia
UPMC Passavant
Pittsburgh
PA
Allegheny
UPMC Presbyterian Shadyside
Pittsburgh
PA
Allegheny
Waynesboro Hospital
Waynesboro
PA
Franklin
Our Lady Of Fatima Hospital
North Providence
RI
Providence
Rhode Island Hospital
Providence
RI
Providence
Westerly Hospital
Westerly
RI
Washington
Women And Infants Hospital Of Rhode Island
Providence
RI
Providence
Aiken Regional Medical Center
Aiken
SC
Aiken
Beaufort County Memorial Hospital
Beaufort
SC
Beaufort
Conway Medical Center
Conway
SC
Horry
Kershaw Health
Camden
SC
Kershaw
Mcleod Medical Center – Dillon
Dillon
SC
Dillon
MUSC Medical Center
Charleston
SC
Charleston
Novant Health Gaffney Medical Center
Gaffney
SC
Cherokee
Oconee Medical Center
Seneca
SC
Oconee
Palmetto Health Baptist
Columbia
SC
Richland
Palmetto Health Baptist Easley
Easley
SC
Pickens
Palmetto Health Richland
Columbia
SC
Richland
Spartanburg Regional Medical Center
Spartanburg
SC
Spartanburg
TRMC Of Orangeburg & Calhoun
Orangeburg
SC
Orangeburg
Black Hills Surgical Hospital Llp
Rapid City
SD
Pennington
Prairie Lakes Healthcare System, Inc
Watertown
SD
Codington
Sanford Usd Medical Center
Sioux Falls
SD
Minnehaha
Spearfish Regional Surgery Center
Spearfish
SD
Lawrence
Baptist Memorial Hospital
Memphis
TN
Shelby
Cumberland River Hospital
Celina
TN
Clay
Erlanger Medical Center
Chattanooga
TN
Hamilton
Fort Sanders Regional Medical Center
Knoxville
TN
Knox
Gateway Medical Center
Clarksville
TN
Montgomery
Lafollette Medical Center
La Follette
TN
Campbell
Methodist Healthcare Fayette Hospital
Somerville
TN
Fayette
Parkwest Medical Center
Knoxville
TN
Knox
Regional One Health
Memphis
TN
Shelby
Saint Thomas Midtown Hospital
Nashville
TN
Davidson
Tristar Hendersonville Medical Center
Hendersonville
TN
Sumner
Tristar Southern Hills Medical Center
Nashville
TN
Davidson
Tristar Stonecrest Medical Center
Smyrna
TN
Rutherford
University Of Tn Medical Center
Knoxville
TN
Knox
Baylor All Saints Medical Center At Fort Worth
Fort Worth
TX
Tarrant
Baylor Medical Center At Carrollton
Carrollton
TX
Denton
Baylor Medical Center At Frisco
Frisco
TX
Collin
Baylor Medical Center At Mckinney
Mc Kinney
TX
Collin
Baylor Medical Center At Waxahachie
Waxahachie
TX
Ellis
Baylor Regional Medical Center At Grapevine
Grapevine
TX
Tarrant
Baylor University Medical Center
Dallas
TX
Dallas
Cleveland Regional Medical Ctr
Cleveland
TX
Liberty
College Station Medical Center
College Station
TX
Brazos
Covenant Hospital Levelland
Levelland
TX
Hockley
Cypress Fairbanks Medical Center
Houston
TX
Harris
Dallas County Hospital District
Dallas
TX
Dallas
East Texas Medical Center Jacksonville
Jacksonville
TX
Cherokee
El Paso Specialty Hospital
El Paso
TX
El Paso
Goodall Witcher Hospital
Clifton
TX
Bosque
Gulf Coast Medical Center
Wharton
TX
Wharton
Hill Regional Hospital
Hillsboro
TX
Hill
JPS Health Network
Fort Worth
TX
Tarrant
Kingwood Medical Center
Kingwood
TX
Harris
Medical Center Of Arlington
Arlington
TX
Tarrant
Medical Center Of Plano
Plano
TX
Collin
Medical City Dallas Hospital
Dallas
TX
Dallas
Nix Health Care System
San Antonio
TX
Bexar
North Hills Hospital
North Richland Hills
TX
Tarrant
Odessa Regional Hospital
Odessa
TX
Ector
Permian Regional Medical Center Andrews County Ho
Andrews
TX
Andrews
Rio Grande Regional Hospital
Mcallen
TX
Hidalgo
Scott & White Memorial Hospital
Temple
TX
Bell
Seton Medical Center Austin
Austin
TX
Travis
St David’s South Austin Medical Center
Austin
TX
Travis
St Lukes Lakeside Hospital
The Woodlands
TX
Montgomery
St Marks Medical Center
La Grange
TX
Fayette
Texas Health Center For Diagnostics & Surgery
Plano
TX
Collin
Texas Health Harris Methodist Hospital Alliance
Fort Worth
TX
Tarrant
Texas Health Presbyterian Hospital Dallas
Dallas
TX
Dallas
Texas Health Presbyterian Hospital Kaufman
Kaufman
TX
Kaufman
The Heart Hospital Baylor Plano
Plano
TX
Collin
U.T. Southwestern University Hospital – St. Paul
Dallas
TX
Dallas
University Hospital
San Antonio
TX
Bexar
University Medical Center At Brackenridge
Austin
TX
Travis
University Medical Center Of El Paso
El Paso
TX
El Paso
University Of Texas Medical Branch Galveston
Galveston
TX
Galveston
Westbury Community Hospital, Llc
Houston
TX
Harris
Alta View Hospital
Sandy
UT
Salt Lake
Ashley Regional Medical Center
Vernal
UT
Uintah
Bear River Valley Hospital
Tremonton
UT
Box Elder
Castleview Hospital
Price
UT
Carbon
Davis Hospital And Medical Center
Layton
UT
Davis
Intermountain Medical Center
Murray
UT
Salt Lake
LDS Hospital
Salt Lake City
UT
Salt Lake
Mckay Dee Hospital
Ogden
UT
Weber
Ogden Regional Medical Center
Ogden
UT
Weber
Park City Medical Center
Park City
UT
Summit
Riverton Hospital
Riverton
UT
Salt Lake
Salt Lake Regional Medical Center
Salt Lake City
UT
Salt Lake
St Marks Hospital
Salt Lake City
UT
Salt Lake
The Orthopedic Specialty Hospital
Murray
UT
Salt Lake
University Health Care/Univ Hospitals And  Clinics
Salt Lake City
UT
Salt Lake
Utah Valley Regional Medical Center
Provo
UT
Utah
Bon Secours Depaul Medical Center
Norfolk
VA
Norfolk City
Bon Secours Memorial Regional Medical Center
Mechanicsville
VA
Hanover
Carilion Medical Center
Roanoke
VA
Roanoke City
Catawba Hospital
Catawba
VA
Roanoke
Centra
Lynchburg
VA
Lynchburg City
Culpeper Regional Hospital
Culpeper
VA
Culpeper
Danville Regional Medical Center
Danville
VA
Danville City
Halifax Regional Hospital
Halifax
VA
Halifax
Inova Fairfax Hospital
Falls Church
VA
Fairfax
Riverside Doctors’ Hospital Of Williamsburg
Williamsburg
VA
James City
Riverside Tappahannock Hospital
Tappahannock
VA
Essex
Riverside Walter Reed Hospital
Gloucester
VA
Gloucester
Stafford Hospital
Stafford
VA
Stafford
University Of Virginia Medical Center
Charlottesville
VA
Charlottesville City
VCU Health System
Richmond
VA
Richmond City
Cascade Valley Hospital
Arlington
WA
Snohomish
Deaconess Medical Center
Spokane
WA
Spokane
Harborview Medical Center
Seattle
WA
King
Kadlec Regional Medical Center
Richland
WA
Benton
Multicare Auburn Medical Center
Auburn
WA
King
Multicare Good Samaritan Hospital
Puyallup
WA
Pierce
Northwest Hospital & Medical Center
Seattle
WA
King
Peacehealth St Joseph Medical Center
Bellingham
WA
Whatcom
Providence Holy Family Hospital
Spokane
WA
Spokane
Providence Sacred Heart Medical Center
Spokane
WA
Spokane
Providence St Mary Medical Center
Walla Walla
WA
Walla Walla
Swedish Medical Center – First Hill/Ballard
Seattle
WA
King
Swedish Medical Center / Cherry Hill
Seattle
WA
King
Trios Health
Kennewick
WA
Benton
Valley Medical Center
Renton
WA
King
Wenatchee Valley Hospital
Wenatchee
WA
Chelan
Yakima Regional Medical And Cardiac Center
Yakima
WA
Yakima
Appleton Medical Ctr
Appleton
WI
Outagamie
Aspirus Wausau Hospital
Wausau
WI
Marathon
Aurora Medical Center Kenosha
Kenosha
WI
Kenosha
Holy Family Memorial
Manitowoc
WI
Manitowoc
Mayo Clinic Health System Eau Claire Hospital
Eau Claire
WI
Eau Claire
Mercy Medical Ctr Of Oshkosh
Oshkosh
WI
Winnebago
Meriter Hospital
Madison
WI
Dane
Midwest Orthopedic Specialty Hospital
Franklin
WI
Milwaukee
Mile Bluff Medical Center
Mauston
WI
Juneau
St Joseph’s Hospital
Marshfield
WI
Wood
St Marys Janesville Hospital
Janesville
WI
Rock
St Michael’s Hospital
Stevens Point
WI
Portage
St Vincent Hospital
Green Bay
WI
Brown
University Of WI  Hospitals & Clinics Authority
Madison
WI
Dane
Watertown Memorial Hospital
Watertown
WI
Dodge
Wheaton Franciscan Healthcare  All Saints
Racine
WI
Racine
Wheaton Franciscan Healthcare St Francis
Milwaukee
WI
Milwaukee
Wheaton Franciscan St Joseph
Milwaukee
WI
Milwaukee
Cabell Huntington Hospital Inc
Huntington
WV
Cabell
Camden Clark Medical Center
Parkersburg
WV
Wood
Ohio Valley Medical Center
Wheeling
WV
Ohio
Stonewall Jackson Memorial Hospital
Weston
WV
Lewis
Thomas Memorial Hospital
South Charleston
WV
Kanawha
Wetzel County Hospital
New Martinsville
WV
Wetzel
Ivinson Memorial Hospital
Laramie
WY
Albany
Memorial Hospital Sweetwater County
Rock Springs
WY
Sweetwater
Mountain View Regional Hospital
Casper
WY
Natrona

Kaiser Health News (KHN) is a national health policy news service. It is an editorially independent program of the Henry J. Kaiser Family Foundation.