Cesarean Section Rates from the 2015 Leapfrog Hospital Survey Results reflect submissions received by December 31, 2015 Hospital City State Rate Performance Alaska Regional Hospital Anchorage AK 33.5% Willing to Report Bartlett Regional Hospital Juneau AK Declined to Respond Central Peninsula General Hospital Soldotna AK Declined to Respond Fairbanks Memorial Hospital Fairbanks AK 15.3% Fully Meets Standard Mat‐Su Regional Medical Center Palmer AK Declined to Respond Providence Alaska Medical Center Anchorage AK 20.0% Fully Meets Standard Andalusia Regional Hospital Andalusia AL 22.1% Fully Meets Standard Athens‐Limestone Hospital Athens AL Declined to Respond Atmore Community Hospital Atmore AL Declined to Respond Baptist Medical Center East Montgomery AL Declined to Respond Baptist Medical Center South Montgomery AL Declined to Respond Bibb Medical Center Centreville AL Declined to Respond Brookwood Medical Center Birmingham AL 31.9% Some Progress Bryan W. Whitfield Memorial Hospital Demopolis AL Declined to Respond Bullock County Hospital Union Springs AL Declined to Respond Cherokee Medical Center Centre AL Declined to Respond Citizens Baptist Medical Center Talladega AL Declined to Respond Clay County Hospital Ashland AL Declined to Respond Community Hospital of Tallassee Tallassee AL Declined to Respond Coosa Valley Medical Center Sylacauga AL Declined to Respond Crenshaw Community Hospital Luverne AL Declined to Respond Crestwood Medical Center Huntsville AL Declined to Respond Cullman Regional Medical Center Cullman AL Declined to Respond D. W. McMillan Memorial Hospital Brewton AL Declined to Respond Dale Medical Center Ozark AL Declined to Respond DCH Regional Medical Center Tuscaloosa AL Declined to Respond Decatur Morgan Hospital Decatur AL Declined to Respond Decatur Morgan Hospital‐Parkway Campus Decatur AL Declined to Respond DeKalb Regional Medical Center Fort Payne AL Declined to Respond East Alabama Medical Center Opelika AL Declined to Respond East Alabama Medical Center ‐ Lanier Valley AL Declined to Respond Eliza Coffee Memorial Hospital Florence AL Declined to Respond Elmore Community Hospital Wetumpka AL Declined to Respond Evergreen Medical Center Evergreen AL Declined to Respond Fayette Medical Center Fayette AL Declined to Respond Flowers Hospital Dothan AL Declined to Respond Gadsden Regional Medical Center Gadsden AL Declined to Respond Georgiana Hospital Georgiana AL Declined to Respond Greene County Hospital Eutaw AL Declined to Respond Grove Hill Memorial Hospital Grove Hill AL Declined to Respond

These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group. www.leapfroggroup.org/compare‐hospitals *Unusually high rate; could not be verified. 1 of 96 Cesarean Section Rates from the 2015 Leapfrog Hospital Survey Results reflect submissions received by December 31, 2015 Hospital City State Rate Performance Hale County Hospital Greensboro AL Declined to Respond Helen Keller Hospital Sheffield AL Declined to Respond Highlands Medical Center Scottsboro AL Declined to Respond Hill Hospital of Sumter County York AL Declined to Respond Huntsville Hospital Huntsville AL Declined to Respond J. Paul Jones Hospital Camden AL Declined to Respond Jack Hughston Memorial Hospital Phenix City AL Does Not Apply Jackson Hospital Montgomery AL Declined to Respond Jackson Medical Center of Alabama Jackson AL Declined to Respond L. V. Stabler Memorial Hospital Greenville AL Declined to Respond Lake Martin Community Hospital Dadeville AL Declined to Respond Lakeland Community Hospital Haleyville AL Declined to Respond Lawrence Medical Center Moulton AL Declined to Respond Marshall Medical Center North Guntersville AL Declined to Respond Marshall Medical Center South Boaz AL Declined to Respond Medical Center Barbour Eufaula AL Declined to Respond Medical Center Enterprise Enterprise AL Declined to Respond Mizell Memorial Hospital Opp AL Declined to Respond Mobile Infirmary Medical Center Mobile AL Declined to Respond Monroe County Hospital Monroeville AL Declined to Respond North Baldwin Infirmary Bay Minette AL Declined to Respond North Mississippi Medical Center ‐ Hamilton Hamilton AL Declined to Respond Northeast Alabama Regional Medical Center Anniston AL 30.1% Some Progress Northport Medical Center Northport AL Declined to Respond Northwest Medical Center Winfield AL Declined to Respond Pickens County Medical Center Carrollton AL Declined to Respond Prattville Baptist Hospital Prattville AL Declined to Respond Princeton Baptist Medical Center Birmingham AL Declined to Respond Providence Hospital Mobile AL 34.6% Willing to Report Riverview Regional Medical Center Gadsden AL Does Not Apply RMC Jacksonville Jacksonville AL Declined to Respond Russell Medical Center Alexander City AL Declined to Respond Russellville Hospital Russellville AL Declined to Respond Shelby Baptist Medical Center Alabaster AL Declined to Respond Shoals Hospital Muscle Shoals AL Declined to Respond South Baldwin Regional Medical Center Foley AL Declined to Respond Southeast Alabama Medical Center Dothan AL 40.8% Willing to Report SPRINGHILL MEMORIAL HOSPITAL MOBILE AL Declined to Respond St. Vincent's Birmingham Birmingham AL Declined to Respond St. Vincent's Blount Oneonta AL Declined to Respond

These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group. www.leapfroggroup.org/compare‐hospitals *Unusually high rate; could not be verified. 2 of 96 Cesarean Section Rates from the 2015 Leapfrog Hospital Survey Results reflect submissions received by December 31, 2015 Hospital City State Rate Performance St. Vincent's East Birmingham AL Declined to Respond St. Vincent's St. Clair Pell City AL Declined to Respond Stringfellow Memorial Hospital Anniston AL Declined to Respond The Children's Hospital of Alabama Birmingham AL Declined to Respond Thomas Hospital Fairhope AL Declined to Respond Trinity Medical Center Birmingham AL Declined to Respond Troy Regional Medical Center Troy AL Declined to Respond UAB Highlands Birmingham AL Declined to Respond UAB Medical Center Medical West Bessemer AL Declined to Respond University of Alabama Hospital Birmingham AL 15.3% Fully Meets Standard University of South Alabama Children's and Women's Hospital Mobile AL Declined to Respond University of South Alabama Medical Center Mobile AL Declined to Respond Vaughan Regional Medical Center Selma AL 24.8% Substantial Progress Walker Baptist Medical Center Jasper AL Declined to Respond Wedowee Hospital Wedowee AL Declined to Respond Wiregrass Medical Center Geneva AL Declined to Respond Arkansas Children's Hospital Little Rock AR Declined to Respond Arkansas Methodist Medical Center Paragould AR Declined to Respond Baptist Health Medical Center ‐ North Little Rock North Little Rock AR Declined to Respond Baptist Health Medical Center‐Little Rock Little Rock AR Declined to Respond Baptist Health Medical Center‐Stuttgart Stuttgart AR Declined to Respond Baxter Regional Medical Center Mountain Home AR Declined to Respond Chambers Memorial Hospital Danville AR Declined to Respond Conway Regional Medical Center Conway AR Declined to Respond Drew Memorial Hospital Monticello AR Declined to Respond Five Rivers Medical Center Pocahontas AR Declined to Respond Forrest City Medical Center Forrest City AR Declined to Respond Great River Medical Center Blytheville AR Declined to Respond H.S.C. Medical Center Malvern AR Declined to Respond Helena Regional Medical Center Helena AR Declined to Respond Jefferson Regional Medical Center Pine Bluff AR Declined to Respond Johnson Regional Medical Center Clarksville AR Declined to Respond Magnolia Regional Medical Center Magnolia AR Declined to Respond Medical Center of South Arkansas El Dorado AR Declined to Respond Mena Regional Health System Mena AR Declined to Respond Mercy Hospital Fort Smith Fort Smith AR Declined to Respond Mercy Hospital Northwest Arkansas Rogers AR 26.9% Substantial Progress National Park Medical Center Hot Springs AR Declined to Respond NEA Baptist Memorial Hospital Jonesboro AR Declined to Respond North Arkansas Regional Medical Center Harrison AR Declined to Respond

These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group. www.leapfroggroup.org/compare‐hospitals *Unusually high rate; could not be verified. 3 of 96 Cesarean Section Rates from the 2015 Leapfrog Hospital Survey Results reflect submissions received by December 31, 2015 Hospital City State Rate Performance North Metro Medical Center Jacksonville AR Declined to Respond Northwest Medical Center Springdale AR Declined to Respond Northwest Medical Center ‐ Bentonville Bentonville AR Declined to Respond Saint Mary's Regional Medical Center Russellville AR Declined to Respond Saline Memorial Hospital Benton AR Declined to Respond Siloam Springs Memorial Hospital Siloam Springs AR Declined to Respond Sparks Regional Medical Center Fort Smith AR Declined to Respond St. Bernards Medical Center Jonesboro AR Declined to Respond St. Joseph's Mercy Health Center Hot Springs National AR Declined to Respond St. Vincent Infirmary Medical Center Little Rock AR Declined to Respond St. Vincent Medical Center‐North Sherwood AR Declined to Respond Summit Medical Center Van Buren AR Declined to Respond UAMS Medical Center Little Rock AR 34.3% Willing to Report Unity Health Harris Medical Center Newport AR Declined to Respond Unity Health White County Medical Center Searcy AR Declined to Respond Wadley Regional Medical Center at Hope Hope AR Does Not Apply Washington Regional Medical Center Fayetteville AR 27.8% Some Progress White River Medical Center Batesville AR Declined to Respond Abrazo Arrowhead Campus Glendale AZ 23.2% Fully Meets Standard Abrazo Central Phoenix AZ 19.6% Fully Meets Standard Abrazo Maryvale Campus Phoenix AZ 12.0% Fully Meets Standard Abrazo Scottsdale Campus Phoenix AZ 25.3% Substantial Progress Abrazo West Campus Goodyear AZ 21.4% Fully Meets Standard BANNER ‐ UNIVERSITY MEDICAL CENTER PHOENIX PHOENIX AZ 23.0% Fully Meets Standard BANNER BAYWOOD MEDICAL CENTER MESA AZ 28.5% Some Progress BANNER BOSWELL MEDICAL CENTER SUN CITY AZ Does Not Apply Banner Casa Grande Medical Center Casa Grande AZ 19.5% Fully Meets Standard BANNER DEL E WEBB MEDICAL CENTER SUN CITY WEST AZ 21.1% Fully Meets Standard BANNER DESERT MEDICAL CENTER MESA AZ 25.8% Substantial Progress BANNER ESTRELLA MEDICAL CENTER PHOENIX AZ 21.3% Fully Meets Standard BANNER GATEWAY MEDICAL CENTER GILBERT AZ 21.5% Fully Meets Standard Banner Goldfield Medical Center Apache Junction AZ Does Not Apply BANNER HEART HOSPITAL MESA AZ Does Not Apply Banner Ironwood Medical Center San Tan Valley AZ 40.1% Willing to Report BANNER THUNDERBIRD MEDICAL CENTER GLENDALE AZ 25.4% Substantial Progress Carondelet St. Joseph's Hospital Tucson AZ Declined to Respond Carondelet St. Mary's Hospital Tucson AZ Does Not Apply Chandler Regional Medical Center Chandler AZ 28.7% Some Progress Deer Valley Medical Center Phoenix AZ Does Not Apply Flagstaff Medical Center Flagstaff AZ Declined to Respond

These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group. www.leapfroggroup.org/compare‐hospitals *Unusually high rate; could not be verified. 4 of 96 Cesarean Section Rates from the 2015 Leapfrog Hospital Survey Results reflect submissions received by December 31, 2015 Hospital City State Rate Performance Gilbert Hospital Gilbert AZ Declined to Respond Greenbaum Surgical Specialty Hospital Scottsdale AZ Does Not Apply Havasu Regional Medical Center Lake Havasu City AZ 36.7% Willing to Report John C. Lincoln Medical Center Phoenix AZ Does Not Apply Kingman Regional Medical Center Kingman AZ Declined to Respond La Paz Regional Hospital Parker AZ Declined to Respond Los Ninos Hospital Phoenix AZ Declined to Respond Maricopa Integrated Health System Phoenix AZ 21.8% Fully Meets Standard MAYO CLINIC HOSPITAL PHOENIX AZ Declined to Respond Mercy Gilbert Medical Center Gilbert AZ 24.6% Substantial Progress Mountain Vista Medical Center Mesa AZ 24.1% Substantial Progress Mt. Graham Regional Medical Center Safford AZ Declined to Respond Northwest Medical Center Tucson AZ Declined to Respond Oro Valley Hospital Oro Valley AZ Declined to Respond Osborn Medical Center SCOTTSDALE AZ 25.1% Substantial Progress PAGE HOSPITAL PAGE AZ 17.5% Fully Meets Standard Payson Regional Medical Center Payson AZ Declined to Respond PHOENIX CHILDREN'S HOSPITAL PHOENIX AZ Does Not Apply SHEA MEDICAL CENTER SCOTTSDALE AZ 27.0% Substantial Progress Sierra Vista Regional Health Center Sierra Vista AZ Declined to Respond St. Joseph's Hospital & Medical Center Phoenix AZ 20.4% Fully Meets Standard St. Luke's Medical Center Phoenix AZ Declined to Respond Summit Healthcare Regional Medical Center Show Low AZ Declined to Respond Surgical Specialty Hospital of Arizona Phoenix AZ Declined to Respond Tempe St. Luke's Hospital Tempe AZ Declined to Respond The University of Arizona Medical Center ‐ South Campus Tucson AZ Declined to Respond The University of Arizona Medical Center ‐ University Campus Tucson AZ Declined to Respond THOMPSON PEAK HOSPITAL SCOTTSDALE AZ Does Not Apply Tuba City Regional Health Care Corporation Tuba City AZ Declined to Respond Tucson Medical Center Tucson AZ 16.9% Fully Meets Standard Valley View Medical Center Fort Mohave AZ Declined to Respond Verde Valley Medical Center Cottonwood AZ Declined to Respond Western Arizona Regional Medical Ctr Bullhead City AZ Declined to Respond Western Regional Medical Center at Cancer Treatment Centers of America Goodyear AZ Does Not Apply Yavapai Regional Medical Center ‐ East Prescott Valley AZ Declined to Respond Yavapai Regional Medical Center Prescott AZ Declined to Respond Yuma Regional Medical Center Yuma AZ 11.5% Fully Meets Standard Adventist Health ‐ Feather River Hospital Paradise CA Declined to Respond Adventist Health ‐ Central Valley General Hospital Hanford CA Declined to Respond Adventist Health ‐ San Joaquin Community Hospital Bakersfield CA 15.3% Fully Meets Standard

These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group. www.leapfroggroup.org/compare‐hospitals *Unusually high rate; could not be verified. 5 of 96 Cesarean Section Rates from the 2015 Leapfrog Hospital Survey Results reflect submissions received by December 31, 2015 Hospital City State Rate Performance Adventist Medical Center ‐ Reedley Reedley CA 30.8% Some Progress Adventist Medical Center Hanford Hanford CA Does Not Apply Adventist Medical Center Selma Selma CA 18.2% Fully Meets Standard AHMC Anaheim Regional Medical Center Anaheim CA Declined to Respond Alameda County Medical Center Highland Hospital Oakland CA 25.2% Substantial Progress Alameda Hospital Alameda CA Does Not Apply Alhambra Hospital Medical Center Alhambra CA Does Not Apply Alta Bates Summit Medical Center Alta Bates Campus Berkeley CA 23.3% Fully Meets Standard Alta Bates Summit Medical Center Summit Campus Oakland CA Does Not Apply Alvarado Hospital Medical Center San Diego CA Declined to Respond Antelope Valley Hospital Lancaster CA Declined to Respond Arrowhead Regional Medical Center Colton CA Declined to Respond Arroyo Grande Community Hospital Arroyo Grande CA Does Not Apply Bakersfield Heart Hospital Bakersfield CA Does Not Apply Bakersfield Memorial Hospital Bakersfield CA 18.9% Fully Meets Standard Banner Lassen Medical Center Susanville CA 33.8% Willing to Report Barstow Community Hospital Barstow CA Declined to Respond Barton Memorial Hospital South Lake Tahoe CA Declined to Respond Bear Valley Community Hospital Big Bear Lake CA Declined to Respond Beverly Hospital Montebello CA Declined to Respond Biggs‐Gridley Memorial Hospital (dba: Orchard Hospital) Gridley CA Declined to Respond California Hospital Medical Center Los Angeles CA 26.7% Substantial Progress California Pacific Medical Center ‐ California Campus San Francisco CA 21.7% Fully Meets Standard California Pacific Medical Center ‐ Davies Campus San Francisco CA Does Not Apply California Pacific Medical Center ‐ Pacific Campus San Francisco CA Does Not Apply Catalina Island Medical Center Avalon CA Declined to Respond Cedars‐Sinai Medical Center Los Angeles CA Declined to Respond Centinela Hospital Medical Center Inglewood CA 29.3% Some Progress Chapman Medical Center Orange CA Declined to Respond Children's Hospital & Research Center, Oakland d/b/a UCSF Benioff Children's Hospital Oakland Oakland CA Does Not Apply Children's Hospital at Mission Mission Viejo CA Declined to Respond Children's Hospital Los Angeles Los Angeles CA Does Not Apply Children's Hospital of Orange County Orange CA Does Not Apply Chinese Hospital San Francisco CA Does Not Apply Chino Valley Medical Center Chino CA Does Not Apply Citrus Valley Medical Center Inter‐Community Campus Covina CA Does Not Apply Citrus Valley Medical Center ‐Queen of the Valley Campus West Covina CA 24.2% Substantial Progress Clovis Community Medical Center Clovis CA 25.2% Substantial Progress Coalinga Regional Medical Center Coalinga CA Declined to Respond Coast Plaza Hospital Norwalk CA Declined to Respond

These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group. www.leapfroggroup.org/compare‐hospitals *Unusually high rate; could not be verified. 6 of 96 Cesarean Section Rates from the 2015 Leapfrog Hospital Survey Results reflect submissions received by December 31, 2015 Hospital City State Rate Performance Coastal Communities Hospital Santa Ana CA Declined to Respond College Medical Center Long Beach CA Declined to Respond Colorado River Medical Center Needles CA Declined to Respond Colusa Regional Medical Center Colusa CA Declined to Respond Community Hospital of Huntington Park Huntington Park CA Declined to Respond Community Hospital of Long Beach Long Beach CA Does Not Apply COMMUNITY HOSPITAL OF SAN BERNARDINO SAN BERNARDINO CA 32.6% Some Progress Community Hospital of the Monterey Peninsula Monterey CA 21.4% Fully Meets Standard Community Memorial Hospital of San Buenaventura Ventura CA Declined to Respond Community Regional Medical Center Fresno CA 30.0% Some Progress Contra Costa Regional Medical Center Martinez CA 25.7% Substantial Progress Corona Regional Medical Center Corona CA Declined to Respond Dameron Hospital Stockton CA Declined to Respond Delano Regional Medical Center Delano CA Declined to Respond Desert Regional Medical Center Palm Springs CA 25.6% Substantial Progress Desert Valley Hospital Victorville CA 25.1% Substantial Progress Doctors Hospital of Manteca Manteca CA 17.2% Fully Meets Standard Doctors Hospital of West Covina West Covina CA Declined to Respond Doctors Medical Center of Modesto Modesto CA 27.1% Some Progress Dominican Hospital Santa Cruz CA 17.1% Fully Meets Standard Downey Regional Medical Center Downey CA Declined to Respond East Los Angeles Doctors Hospital Los Angeles CA Declined to Respond Eastern Plumas Health Care District Portola CA Declined to Respond Eden Medical Center Castro Valley CA 23.3% Fully Meets Standard Eisenhower Medical Center Rancho Mirage CA Does Not Apply El Camino Hospital Mountain View CA Declined to Respond El Camino Hospital Los Gatos Los Gatos CA Declined to Respond El Centro Regional Medical Center El Centro CA Declined to Respond Emanuel Medical Center Turlock CA 12.3% Fully Meets Standard Encino Hospital Medical Center Encino CA Does Not Apply Enloe Medical Center Chico CA 24.3% Substantial Progress Fairchild Medical Center Yreka CA Declined to Respond Fallbrook Hospital Fallbrook CA Declined to Respond Foothill Presbyterian Hospital Glendora CA 38.9% Willing to Report Fountain Valley Regional Hospital and Medical Center Fountain Valley CA Declined to Respond Frank R. Howard Memorial Hospital Willits CA Declined to Respond Fremont Medical Center Yuba City CA Declined to Respond French Hospital Medical Center San Luis Obispo CA 25.9% Substantial Progress Fresno Heart and Surgical Hospital Fresno CA Does Not Apply Fresno Surgical Hospital Fresno CA Declined to Respond

These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group. www.leapfroggroup.org/compare‐hospitals *Unusually high rate; could not be verified. 7 of 96 Cesarean Section Rates from the 2015 Leapfrog Hospital Survey Results reflect submissions received by December 31, 2015 Hospital City State Rate Performance Garden Grove Hospital and Medical Center Garden Grove CA 31.7% Some Progress Garfield Medical Center Monterey Park CA Declined to Respond George L. Mee Memorial Hospital King City CA Declined to Respond Glendale Adventist Medical Center Glendale CA 33.3% Some Progress Glendale Memorial Hospital and Health Center Glendale CA 34.7% Willing to Report Glendora Community Hospital Glendora CA Does Not Apply Glenn Medical Center Willows CA Declined to Respond Goleta Valley Cottage Hospital Goleta CA Declined to Respond Good Samaritan Hospital North Bakersfield CA Declined to Respond Good Samaritan Hospital of Los Angeles Los Angeles CA 25.5% Substantial Progress Good Samaritan Hospital of San Jose San Jose CA 31.7% Some Progress Greater El Monte Community Hospital South El Monte CA Declined to Respond Hazel Hawkins Memorial Hospital Hollister CA 28.0% Some Progress Healdsburg District Hospital Healdsburg CA Declined to Respond Hemet Valley Medical Center Hemet CA Declined to Respond Henry Mayo Newhall Hospital Valencia CA Declined to Respond Hi‐Desert Medical Center Joshua Tree CA Declined to Respond Hoag Hospital Irvine Irvine CA Does Not Apply Hoag Memorial Hospital Presbyterian Newport Beach CA 25.9% Substantial Progress Hoag Orthopedic Institute Irvine CA Declined to Respond Hollywood Community Hospital Hollywood CA Declined to Respond Hollywood Presbyterian Medical Center Los Angeles CA 27.0% Substantial Progress Huntington Beach Hospital Huntington Beach CA Does Not Apply Huntington Hospital Pasadena CA 24.6% Substantial Progress Inland Valley Medical Center Wildomar CA Declined to Respond Jerold Phelps Community Hospital Garberville CA Declined to Respond John C. Fremont Healthcare District Mariposa CA Declined to Respond John F. Kennedy Memorial Hospital Indio CA 27.1% Some Progress John Muir Medical Center Concord Campus Concord CA Declined to Respond John Muir Medical Center Walnut Creek Campus Walnut Creek CA Declined to Respond Kaiser Foundation Hospital ‐ Antioch Antioch CA 25.6% Substantial Progress Kaiser Foundation Hospital ‐ Baldwin Park Medical Center Baldwin Park CA 23.4% Fully Meets Standard Kaiser Foundation Hospital ‐ Fremont Fremont CA Does Not Apply Kaiser Foundation Hospital ‐ Fresno Fresno CA 27.7% Some Progress Kaiser Foundation Hospital ‐ Manteca Manteca CA Unable to Calculate Score Kaiser Foundation Hospital ‐ Modesto Modesto CA 19.3% Fully Meets Standard Kaiser Foundation Hospital ‐ Oakland Oakland CA 21.4% Fully Meets Standard Kaiser Foundation Hospital ‐ Redwood City Redwood City CA 13.8% Fully Meets Standard Kaiser Foundation Hospital ‐ Richmond Richmond CA Unable to Calculate Score Kaiser Foundation Hospital ‐ Roseville Roseville CA 16.5% Fully Meets Standard

These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group. www.leapfroggroup.org/compare‐hospitals *Unusually high rate; could not be verified. 8 of 96 Cesarean Section Rates from the 2015 Leapfrog Hospital Survey Results reflect submissions received by December 31, 2015 Hospital City State Rate Performance Kaiser Foundation Hospital ‐ Sacramento Sacramento CA Unable to Calculate Score Kaiser Foundation Hospital ‐ San Francisco San Francisco CA 20.3% Fully Meets Standard Kaiser Foundation Hospital ‐ San Jose San Jose CA 16.0% Fully Meets Standard Kaiser Foundation Hospital ‐ San Rafael San Rafael CA Does Not Apply Kaiser Foundation Hospital ‐ Santa Clara Santa Clara CA 28.1% Some Progress Kaiser Foundation Hospital ‐ Santa Rosa Santa Rosa CA 23.4% Fully Meets Standard Kaiser Foundation Hospital ‐ South Sacramento Sacramento CA 16.8% Fully Meets Standard Kaiser Foundation Hospital ‐ South San Francisco South San Francisco CA Does Not Apply Kaiser Foundation Hospital ‐ Vacaville Vacaville CA 16.5% Fully Meets Standard Kaiser Foundation Hospital ‐ Vallejo Vallejo CA 25.6% Substantial Progress Kaiser Foundation Hospital ‐ Walnut Creek Walnut Creek CA 24.6% Substantial Progress Kaiser Foundation Hospital ‐ West Los Angeles Los Angeles CA 24.2% Substantial Progress Kaiser Foundation Hospital South Bay Harbor City CA 26.5% Substantial Progress Kaiser Foundation Hospital, Orange County ‐ Anaheim Anaheim CA 25.2% Substantial Progress Kaiser Foundation Hospital, Orange County‐Irvine Irvine CA 26.6% Substantial Progress Kaiser Permanente Fontana Medical Center Fontana CA 26.7% Substantial Progress Kaiser Permanente Foundation Hospital, Downey Medical Center Downey CA 24.0% Substantial Progress Kaiser Permanente Los Angeles Medical Center Los Angeles CA 27.8% Some Progress Kaiser Permanente Moreno Valley Community Hospital Moreno Valley CA 27.7% Some Progress Kaiser Permanente Ontario Medical Center Ontario CA 23.9% Fully Meets Standard Kaiser Permanente Panorama City Medical Center Panorama City CA 21.7% Fully Meets Standard Kaiser Permanente Riverside Medical Center Riverside CA 21.5% Fully Meets Standard Kaiser Permanente San Diego Medical Center San Diego CA 29.8% Some Progress Kaiser Permanente Woodland Hills Medical Center Woodland Hills CA 19.2% Fully Meets Standard Kaweah Delta Medical Center Visalia CA Declined to Respond Keck Hospital of USC Los Angeles CA Does Not Apply Kern Medical Center Bakersfield CA 27.6% Some Progress Kern Valley Healthcare District Lake Isabella CA Declined to Respond La Palma Intercommunity Hospital La Palma CA 20.6% Fully Meets Standard Lakewood Regional Medical Center Lakewood CA Declined to Respond Lodi Memorial Hospital Lodi CA Declined to Respond Loma Linda University Children's Hospital Loma Linda CA 29.4% Some Progress Loma Linda University Medical Center Loma Linda CA Does Not Apply Loma Linda University Medical Center East Campus Loma Linda CA Does Not Apply LOMA LINDA UNIVERSITY MEDICAL CENTER‐MURRIETA MURRIETA CA 25.6% Substantial Progress Loma Linda University Surgical Hospital Redlands CA Does Not Apply Lompoc Valley Medical Center Lompoc CA Declined to Respond Long Beach Memorial Medical Center Long Beach CA Does Not Apply Los Alamitos Medical Center Los Alamitos CA 19.4% Fully Meets Standard Los Angeles Community Hospital Los Angeles CA Declined to Respond

These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group. www.leapfroggroup.org/compare‐hospitals *Unusually high rate; could not be verified. 9 of 96 Cesarean Section Rates from the 2015 Leapfrog Hospital Survey Results reflect submissions received by December 31, 2015 Hospital City State Rate Performance Los Angeles County ‐ Harbor UCLA Medical Center Torrance CA Declined to Respond Los Angeles County ‐ Olive View UCLA Medical Center Sylmar CA Declined to Respond Los Angeles County University of Southern California Medical Center Los Angeles CA Declined to Respond Los Robles Hospital and Medical Center Thousand Oaks CA 33.5% Willing to Report Lucile Salter Packard Children's Hospital at Stanford Palo Alto CA 28.2% Some Progress Mad River Community Hospital Arcata CA Declined to Respond Madera Community Hospital Madera CA 22.3% Fully Meets Standard Mammoth Hospital Mammoth Lakes CA Declined to Respond Marian Medical Center Santa Maria CA 28.1% Some Progress Marin General Hospital Greenbrae CA 27.3% Some Progress Marina Del Rey Hospital Marina Del Rey CA Declined to Respond Mark Twain Medical Center San Andreas CA Does Not Apply Marshall Medical Center Placerville CA Declined to Respond Mayers Memorial Hospital District Fall River Mills CA Declined to Respond Memorial Hospital Los Banos Los Banos CA 36.3% Willing to Report Memorial Hospital of Gardena Gardena CA Declined to Respond Memorial Medical Center of Modesto Modesto CA 31.1% Some Progress Mendocino Coast District Hospital Fort Bragg CA Declined to Respond Menifee Valley Medical Center Sun City CA Does Not Apply Menlo Park Surgical Hospital Menlo Park CA Does Not Apply Mercy General Hospital Sacramento CA 29.8% Some Progress Mercy Hospital ‐ Downtown Bakersfield CA Does Not Apply Mercy Hospital ‐ Southwest Bakersfield CA 21.5% Fully Meets Standard Mercy Hospital of Folsom Folsom CA 22.0% Fully Meets Standard Mercy Medical Center Merced CA 35.5% Willing to Report Mercy Medical Center of Mount Shasta Mount Shasta CA 20.9% Fully Meets Standard Mercy Medical Center of Redding Redding CA 28.1% Some Progress Mercy San Juan Medical Center Carmichael CA 24.6% Substantial Progress Methodist Hospital of Sacramento Sacramento CA 26.4% Substantial Progress Methodist Hospital of Southern California Arcadia CA 22.5% Fully Meets Standard Miller Children's and Women's Hospital Long Beach CA 23.8% Fully Meets Standard Mills‐Peninsula Health Services Burlingame CA 28.1% Some Progress Miracle Mile Medical Center Los Angeles CA Declined to Respond Mission Community Hospital Panorama City CA Declined to Respond Mission Hospital Laguna Beach Laguna Beach CA Does Not Apply Mission Hospital Regional Medical Center Mission Viejo CA 28.2% Some Progress Montclair Hospital Medical Center Montclair CA 28.2% Some Progress Monterey Park Hospital Monterey Park CA Declined to Respond Motion Picture and Television Fund Hospital and Residential Services Woodland Hills CA Declined to Respond Mountains Community Hospital Lake Arrowhead CA Declined to Respond

These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group. www.leapfroggroup.org/compare‐hospitals *Unusually high rate; could not be verified. 10 of 96 Cesarean Section Rates from the 2015 Leapfrog Hospital Survey Results reflect submissions received by December 31, 2015 Hospital City State Rate Performance Natividad Medical Center Salinas CA 23.8% Fully Meets Standard NorthBay Medical Center Fairfield CA 24.6% Substantial Progress NorthBay VacaValley Hospital Vacaville CA Does Not Apply Northern Inyo County Local Hospital Dist. Bishop CA 28.2% Some Progress Northridge Hospital Medical Center‐Roscoe Boulevard Campus Northridge CA 36.4% Willing to Report Novato Community Hospital Novato CA Does Not Apply Oak Valley Hospital District Oakdale CA Declined to Respond O'Connor Hospital San Jose CA Declined to Respond Ojai Valley Community Hospital Ojai CA Declined to Respond Olympia Medical Center Los Angeles CA Declined to Respond Orange Coast Memorial Medical Center Fountain Valley CA 32.4% Some Progress Orange County Global Medical Center Santa Ana CA Declined to Respond Oroville Hospital Oroville CA 34.8% Willing to Report Pacific Alliance Medical Center Los Angeles CA Declined to Respond Pacifica Hospital of the Valley Sun Valley CA Declined to Respond Palmdale Regional Medical Center Palmdale CA Declined to Respond Palo Verde Hospital Blythe CA Declined to Respond Palomar Medical Center Escondido CA Declined to Respond Paradise Valley Hospital National City CA 28.4% Some Progress Parkview Community Hospital Medical Center Riverside CA 28.9% Some Progress Patient's Hospital of Redding Redding CA Does Not Apply Petaluma Valley Hospital Petaluma CA 20.1% Fully Meets Standard Pioneers Memorial Healthcare District Brawley CA Declined to Respond Placentia‐Linda Hospital Placentia CA Does Not Apply Pomerado Hospital Poway CA Declined to Respond Pomona Valley Hospital Medical Center Pomona CA 18.9% Fully Meets Standard Presbyterian Intercommunity Hospital Whittier CA Declined to Respond Providence Holy Cross Medical Center Mission Hills CA 22.1% Fully Meets Standard Providence Little Company of Mary Medical Center San Pedro San Pedro CA 27.8% Some Progress Providence Little Company of Mary Medical Center Torrance Torrance CA 29.2% Some Progress Providence St. Joseph Medical Center of Burbank Burbank CA Declined to Respond Providence Tarzana Medical Center Tarzana CA 29.5% Some Progress Queen of the Valley Medical Center Napa CA 28.6% Some Progress Rady Children's Hospital San Diego CA Does Not Apply Rancho Springs Medical Center Murrieta CA Declined to Respond Redlands Community Hospital Redlands CA Declined to Respond Redwood Memorial Hospital Fortuna CA Declined to Respond Regional Medical Center of San Jose San Jose CA 34.7% Willing to Report Rideout Memorial Hospital Marysville CA Declined to Respond Ridgecrest Regional Hospital Ridgecrest CA Declined to Respond

These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group. www.leapfroggroup.org/compare‐hospitals *Unusually high rate; could not be verified. 11 of 96 Cesarean Section Rates from the 2015 Leapfrog Hospital Survey Results reflect submissions received by December 31, 2015 Hospital City State Rate Performance Riverside Community Hospital Riverside CA 35.2% Willing to Report Riverside County Regional Medical Center Moreno Valley CA 21.6% Fully Meets Standard Saddleback Memorial Medical Center of Laguna Hills Laguna Hills CA 27.0% Substantial Progress Saddleback Memorial Medical Center of San Clemente San Clemente CA Does Not Apply Saint Agnes Medical Center Fresno CA 35.7% Willing to Report Saint Francis Memorial Hospital San Francisco CA Does Not Apply Salinas Valley Memorial Healthcare System Salinas CA 23.3% Fully Meets Standard San Antonio Regional Hospital Upland CA 33.5% Willing to Report San Dimas Community Hospital San Dimas CA 22.7% Fully Meets Standard San Francisco General Hospital Medical Center San Francisco CA Declined to Respond San Gabriel Valley Medical Center San Gabriel CA Declined to Respond San Gorgonio Memorial Hospital Banning CA Declined to Respond San Joaquin General Hospital French Camp CA Declined to Respond San Leandro Hospital San Leandro CA Declined to Respond San Mateo Medical Center San Mateo CA Declined to Respond San Ramon Regional Medical Center San Ramon CA 20.1% Fully Meets Standard Santa Barbara Cottage Hospital Santa Barbara CA Declined to Respond Santa Clara Valley Medical Center San Jose CA Declined to Respond Santa Rosa Memorial Hospital Santa Rosa CA 20.0% Fully Meets Standard Santa Ynez Valley Cottage Hospital Solvang CA Declined to Respond Scripps Green Hospital La Jolla CA Does Not Apply Scripps Memorial Hospital of Encinitas Encinitas CA 35.3% Willing to Report Scripps Memorial Hospital of La Jolla La Jolla CA 35.8% Willing to Report Scripps Mercy Hospital of Chula Vista Chula Vista CA 25.6% Substantial Progress Scripps Mercy Hospital of San Diego San Diego CA 18.1% Fully Meets Standard Seneca Healthcare District Chester CA Declined to Respond Sequoia Hospital Redwood City CA 25.2% Substantial Progress Seton Medical Center Daly City CA 29.8% Some Progress Seton Medical Center Coastside Moss Beach CA Declined to Respond Sharp Chula Vista Medical Center Chula Vista CA 28.3% Some Progress Sharp Coronado Hospital and Healthcare Center Coronado CA Does Not Apply Sharp Grossmont Hospital La Mesa CA 27.8% Some Progress Sharp Mary Birch Hospital for Women and Newborns San Diego CA Declined to Respond Sharp Memorial Hospital San Diego CA 33.6% Willing to Report Shasta Regional Medical Center Redding CA Does Not Apply Sherman Oaks Hospital Sherman Oaks CA Does Not Apply Sierra Nevada Memorial Hospital Grass Valley CA 19.0% Fully Meets Standard Sierra View Medical Center Porterville CA 23.5% Fully Meets Standard Sierra Vista Regional Medical Center San Luis Obispo CA 34.1% Willing to Report Silver Lake Medical Center Los Angeles CA Declined to Respond

These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group. www.leapfroggroup.org/compare‐hospitals *Unusually high rate; could not be verified. 12 of 96 Cesarean Section Rates from the 2015 Leapfrog Hospital Survey Results reflect submissions received by December 31, 2015 Hospital City State Rate Performance Simi Valley Hospital and Health Care Services Simi Valley CA 10.0% Fully Meets Standard Sonoma Valley Hospital Sonoma CA 25.9% Substantial Progress Sonora Regional Medical Center Sonora CA Declined to Respond Southern California Hospital at Culver City Culver City CA Declined to Respond Southern Inyo Healthcare District Lone Pine CA Declined to Respond St. Bernardine Medical Center San Bernardino CA 23.2% Fully Meets Standard St. Elizabeth Community Hospital Red Bluff CA 23.4% Fully Meets Standard St. Francis Medical Center of Lynwood Lynwood CA Declined to Respond St. Helena Hospital St. Helena CA Declined to Respond St. Helena Hospital Clearlake Clearlake CA Declined to Respond St. John's Health Center of Santa Monica Santa Monica CA Declined to Respond St. John's Pleasant Valley Hospital Camarillo CA Does Not Apply St. John's Regional Medical Center of Oxnard Oxnard CA 28.9% Some Progress St. Joseph Health Saint Mary Apple Valley CA Declined to Respond St. Joseph Hospital of Eureka Eureka CA 26.8% Substantial Progress St. Joseph Hospital of Orange Orange CA 32.5% Some Progress St. Joseph's Medical Center of Stockton Stockton CA 31.9% Some Progress St. Jude Medical Center Fullerton CA 21.9% Fully Meets Standard St. Louise Regional Hospital Gilroy CA Declined to Respond St. Luke's Hospital of San Francisco San Francisco CA 21.1% Fully Meets Standard St. Mary Medical Center of Long Beach Long Beach CA 29.5% Some Progress St. Mary's Medical Center San Francisco CA Does Not Apply St. Rose Hospital Hayward CA Declined to Respond St. Vincent Medical Center of Los Angeles Los Angeles CA Declined to Respond Stanford Hospital and Clinics Stanford CA Does Not Apply Stanislaus Surgical Hospital Modesto CA Declined to Respond Surprise Valley Community Hospital Cedarville CA Declined to Respond Sutter Amador Hospital Jackson CA 38.0% Willing to Report Sutter Auburn Faith Hospital Auburn CA Does Not Apply Sutter Coast Hospital Crescent City CA 24.4% Substantial Progress Sutter Davis Hospital Davis CA 12.2% Fully Meets Standard Sutter Delta Medical Center Antioch CA 20.5% Fully Meets Standard Sutter Maternity and Surgery Center of Santa Cruz Santa Cruz CA 16.4% Fully Meets Standard Sutter Medical Center Sacramento Sacramento CA 27.2% Some Progress Sutter Roseville Medical Center Roseville CA 20.6% Fully Meets Standard Sutter Santa Rosa Regional Hospital Santa Rosa CA 21.0% Fully Meets Standard Sutter Solano Medical Center Vallejo CA 19.3% Fully Meets Standard Sutter Tracy Community Hospital Tracy CA 39.1% Willing to Report Sutter West Bay Hospitals dba Sutter Lakeside Hospital Lakeport CA 40.2% Willing to Report Tahoe Forest Hospital District Truckee CA Declined to Respond

These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group. www.leapfroggroup.org/compare‐hospitals *Unusually high rate; could not be verified. 13 of 96 Cesarean Section Rates from the 2015 Leapfrog Hospital Survey Results reflect submissions received by December 31, 2015 Hospital City State Rate Performance Tehachapi Valley Healthcare District Tehachapi CA Declined to Respond Temecula Valley Hospital Temecula CA Does Not Apply Thousand Oaks Surgical Hospital Thousand Oaks CA Does Not Apply Torrance Memorial Medical Center Torrance CA 29.5% Some Progress Tri‐City Medical Center of Oceanside Oceanside CA 31.3% Some Progress Tri‐City Regional Medical Center Hawaiian Gardens CA Declined to Respond Trinity Hospital Weaverville CA Declined to Respond Tulare Regional Medical Center Tulare CA Declined to Respond Twin Cities Community Hospital Templeton CA 11.2% Fully Meets Standard UC San Diego Health Hillcrest ‐ Hillcrest Medical Center San Diego CA 23.3% Fully Meets Standard UC San Diego Health La Jolla ‐ Thornton Hospital and Sulpizio Cardiovascular Center La Jolla CA Does Not Apply UCLA Medical Center of Santa Monica Santa Monica CA Declined to Respond UCSF Medical Center / Moffitt‐Long Hospitals San Francisco CA 21.5% Fully Meets Standard Ukiah Valley Medical Center Ukiah CA 15.9% Fully Meets Standard University of California Davis Medical Center Sacramento CA 26.2% Substantial Progress University of California Irvine Medical Center Orange CA 22.7% Fully Meets Standard University of California Ronald Reagan UCLA Medical Center Los Angeles CA Declined to Respond USC Norris Cancer Hospital Los Angeles CA Does Not Apply USC Verdugo Hills Hospital Glendale CA 40.4% Willing to Report Valley Children's Hospital Madera CA Does Not Apply Valley Presbyterian Hospital Van Nuys CA 26.8% Substantial Progress ValleyCare Health System Pleasanton CA 19.0% Fully Meets Standard Ventura County Medical Center Ventura CA Declined to Respond Victor Valley Community Hospital Victorville CA Declined to Respond Washington Hospital Health System Fremont CA Declined to Respond Watsonville Community Hospital Watsonville CA Declined to Respond West Anaheim Medical Center Anaheim CA Does Not Apply West Hills Hospital and Medical Center West Hills CA 27.5% Some Progress Western Medical Center Anaheim Anaheim CA Declined to Respond White Memorial Medical Center Los Angeles CA 29.3% Some Progress Whittier Hospital Medical Center Whittier CA Declined to Respond Woodland Memorial Hospital Woodland CA 23.5% Fully Meets Standard Animas Surgical Hospital Durango CO Declined to Respond Arkansas Valley Regional Medical Center La Junta CO Declined to Respond Aspen Valley Hospital District Aspen CO Declined to Respond Boulder Community Foothills Hospital Boulder CO 25.5% Substantial Progress Castle Rock Adventist Hospital Castle Rock CO 23.1% Fully Meets Standard Centura Health‐Avista Adventist Hospital Louisville CO 19.9% Fully Meets Standard Centura Health‐Litteton Adventist Hospital Littleton CO 18.1% Fully Meets Standard Centura Health‐Penrose Hospital Colorado Springs CO Does Not Apply

These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group. www.leapfroggroup.org/compare‐hospitals *Unusually high rate; could not be verified. 14 of 96 Cesarean Section Rates from the 2015 Leapfrog Hospital Survey Results reflect submissions received by December 31, 2015 Hospital City State Rate Performance Centura Health‐Porter Adventist Hospital Denver CO Does Not Apply Centura Health‐St. Anthony Hospital Lakewood CO Does Not Apply Centura Health‐St. Anthony North Hospital Westminster CO 13.6% Fully Meets Standard Centura Health‐St. Francis Medical Center Colorado Springs CO 14.7% Fully Meets Standard Centura Health‐St. Mary Corwin Medical Center Pueblo CO 21.4% Fully Meets Standard Centura Health‐St. Thomas More Hospital Canon City CO 32.1% Some Progress Centura Parker Adventist Hospital Parker CO 23.3% Fully Meets Standard Children's Hospital Colorado Aurora CO Declined to Respond Colorado Canyons Hospital & Medical Center Fruita CO Does Not Apply Colorado Plains Medical Center Fort Morgan CO 12.9% Fully Meets Standard Community Hospital Grand Junction CO Declined to Respond Conejos County Hospital La Jara CO Declined to Respond Craig Hospital Englewood CO Declined to Respond Delta County Memorial Hospital Delta CO Declined to Respond Denver Health Medical Center Denver CO Declined to Respond East Morgan County Hospital Brush CO Does Not Apply Good Samaritan Medical Center Lafayette CO 20.0% Fully Meets Standard Grand River Hospital District Rifle CO Declined to Respond Gunnison Valley Hospital Gunnison CO Declined to Respond Haxtun Hospital District Haxtun CO Declined to Respond Heart of the Rockies Regional Medical Center Salida CO Declined to Respond Keefe Memorial Hospital Cheyenne Wells CO Declined to Respond Kit Carson County Memorial Hospital Burlington CO Declined to Respond Longmont United Hospital Longmont CO 24.0% Substantial Progress Lutheran Hospital Association of the San Luis Valley Alamosa CO Declined to Respond Lutheran Medical Center Wheat Ridge CO 23.7% Fully Meets Standard McKee Medical Center Loveland CO 24.6% Substantial Progress Medical Center of Aurora Aurora CO 14.6% Fully Meets Standard Medical Center of the Rockies Loveland CO Declined to Respond Melissa Memorial Hospital Holyoke CO Declined to Respond Memorial Hospital Colorado Springs CO Declined to Respond Memorial Hospital of Craig Craig CO Declined to Respond Mercy Regional Medical Center Durango CO 18.2% Fully Meets Standard Middle Park Medical Center Kremmling Kremmling CO Declined to Respond Montrose Memorial Hospital Montrose CO 18.2% Fully Meets Standard Mt. San Rafael Hospital Trinidad CO Declined to Respond North Colorado Medical Center Greeley CO 25.4% Substantial Progress North Suburban Medical Center Thornton CO 19.3% Fully Meets Standard Pagosa Springs Medical Center Pagosa Springs CO Declined to Respond Parkview Medical Center Pueblo CO 17.0% Fully Meets Standard

These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group. www.leapfroggroup.org/compare‐hospitals *Unusually high rate; could not be verified. 15 of 96 Cesarean Section Rates from the 2015 Leapfrog Hospital Survey Results reflect submissions received by December 31, 2015 Hospital City State Rate Performance Pikes Peak Regional Hospital Woodland Park CO Does Not Apply Pioneers Medical Center Meeker CO Declined to Respond Platte Valley Medical Center Brighton CO Declined to Respond Poudre Valley Hospital Fort Collins CO Declined to Respond Presbyterian‐St. Luke's Medical Center Denver CO 28.5% Some Progress Prowers Medical Center Lamar CO Declined to Respond Rangely District Hospital Rangely CO Declined to Respond Rio Grande Hospital Del Norte CO Declined to Respond Rose Medical Center Denver CO 27.4% Some Progress Saint Joseph Hospital Denver CO 21.8% Fully Meets Standard Sedgwick County Health Center Julesburg CO Declined to Respond Sky Ridge Medical Center Lone Tree CO 30.1% Some Progress Southeast Colorado Hospital District Springfield CO Declined to Respond Southwest Memorial Hospital Cortez CO Declined to Respond Spalding Rehabilitation Hospital Aurora CO Does Not Apply Spanish Peaks Regional Health Center Walsenburg CO Declined to Respond St. Anthony Summit Medical Center Frisco CO 15.0% Fully Meets Standard St. Mary's Hospital and Medical Center Grand Junction CO 17.2% Fully Meets Standard St. Vincent General Hospital District Leadville CO Declined to Respond Sterling Regional MedCenter Sterling CO 31.5% Some Progress Swedish Medical Center Englewood CO 23.8% Fully Meets Standard University of Colorado Hospital Aurora CO Declined to Respond Vail Valley Medical Center Vail CO Declined to Respond Valley View Hospital Glenwood Springs CO 22.2% Fully Meets Standard Weisbrod Memorial County Hospital Eads CO Declined to Respond Wray Community District Hospital Wray CO Declined to Respond Yampa Valley Medical Center Steamboat Springs CO Declined to Respond Yuma District Hospital Yuma CO Declined to Respond Bridgeport Hospital Bridgeport CT Declined to Respond Bristol Hospital Bristol CT 24.2% Substantial Progress Charlotte Hungerford Hospital Torrington CT 35.1% Willing to Report Connecticut Children's Medical Center Hartford CT Declined to Respond Danbury Hospital Danbury CT Declined to Respond Day Kimball Hospital Putnam CT Declined to Respond Greenwich Hospital Greenwich CT Declined to Respond Griffin Hospital Derby CT Declined to Respond Hartford Hospital Hartford CT Declined to Respond Johnson Memorial Medical Center Stafford Springs CT Declined to Respond Lawrence & Memorial Hospital New London CT Declined to Respond Manchester Memorial Hospital Manchester CT Declined to Respond

These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group. www.leapfroggroup.org/compare‐hospitals *Unusually high rate; could not be verified. 16 of 96 Cesarean Section Rates from the 2015 Leapfrog Hospital Survey Results reflect submissions received by December 31, 2015 Hospital City State Rate Performance Middlesex Hospital Middletown CT Declined to Respond MidState Medical Center Meriden CT Declined to Respond Milford Hospital Milford CT Declined to Respond New Milford Hospital New Milford CT Declined to Respond Norwalk Hospital Norwalk CT Declined to Respond Rockville General Hospital Vernon Rockville CT Declined to Respond Saint Mary's Hospital Waterbury CT Declined to Respond Sharon Hospital Sharon CT Declined to Respond St. Francis Hospital & Medical Center Hartford CT Declined to Respond St. Vincent's Medical Center Bridgeport CT Declined to Respond Stamford Hospital Stamford CT 43.2% Willing to Report The Hospital of Central Connecticut New Britain CT Declined to Respond The William W. Backus Hospital Norwich CT 20.7% Fully Meets Standard University of Connecticut Health Center, John Dempsey Hospital Farmington CT 29.0% Some Progress Waterbury Hospital Waterbury CT Declined to Respond Windham Hospital Willimantic CT 22.5% Fully Meets Standard Yale‐New Haven Hospital New Haven CT Declined to Respond Yale‐New Haven Hospital Saint Raphael Campus New Haven CT Declined to Respond Children's National Medical Center Washington DC Does Not Apply George Washington University Hospital Washington DC Declined to Respond Howard University Hospital Washington DC Declined to Respond MedStar Georgetown University Hospital Washington DC Declined to Respond MedStar Washington Hospital Center Washington DC Declined to Respond Providence Hospital of Washington Washington DC 28.6% Some Progress Sibley Memorial Hospital Washington DC 41.7% Willing to Report United Medical Center Washington DC 35.2% Willing to Report Bayhealth Kent General Dover DE Declined to Respond Bayhealth Milford Memorial Hospital Milford DE Declined to Respond Beebe Healthcare Lewes DE Declined to Respond Christiana Care Health System ‐ Christiana Hospital Newark DE 27.1% Some Progress Christiana Care Health System ‐ Wilmington Hospital Wilmington DE Does Not Apply Nanticoke Memorial Hospital Seaford DE 27.2% Some Progress St. Francis Hospital Wilmington DE Declined to Respond The Alfred I. duPont Hospital for Children WILMINGTON DE Does Not Apply All Children's Hospital Saint Petersburg FL Declined to Respond Arnold Palmer Hospital for Children Orlando FL Does Not Apply Aventura Hospital and Medical Center Aventura FL Does Not Apply Baptist Health South Florida Baptist Hospital of Miami Miami FL 36.4% Willing to Report Baptist Health South Florida Doctors Hospital Coral Gables FL Does Not Apply Baptist Health South Florida Homestead Hospital Homestead FL 44.7% Willing to Report

These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group. www.leapfroggroup.org/compare‐hospitals *Unusually high rate; could not be verified. 17 of 96 Cesarean Section Rates from the 2015 Leapfrog Hospital Survey Results reflect submissions received by December 31, 2015 Hospital City State Rate Performance Baptist Health South Florida Mariners Hospital TAVERNIER FL Does Not Apply Baptist Health South Florida South Miami Hospital South Miami FL 53.4% Willing to Report Baptist Health South Florida West Kendall Baptist Hospital Miami FL 38.8% Willing to Report Baptist Hospital Pensacola FL Declined to Respond Baptist Medical Center Beaches Jacksonville Beach FL 28.3% Some Progress Baptist Medical Center Jacksonville Jacksonville FL 28.9% Some Progress Baptist Medical Center Nassau Fernandina Beach FL 24.6% Substantial Progress Baptist Medical Center South Jacksonville FL 32.4% Some Progress Bartow Regional Medical Center Bartow FL Declined to Respond Bay Medical Center Sacred Heart Health System Panama City FL 15.8% Fully Meets Standard Bayfront Health Brooksville Brooksville FL Declined to Respond Bayfront Health Dade City Dade City FL Declined to Respond Bayfront Health Port Charlotte Port Charlotte FL Declined to Respond Bayfront Health Punta Gorda Punta Gorda FL Declined to Respond Bayfront Health Spring Hill Spring Hill FL Declined to Respond Bayfront Health St. Petersburg Saint Petersburg FL Declined to Respond Bert Fish Medical Center New Smyrna Beach FL Declined to Respond Bethesda Hospital East Boynton Beach FL Declined to Respond Bethesda Hospital West Boynton Beach FL Declined to Respond BLAKE MEDICAL CENTER BRADENTON FL Does Not Apply Boca Raton Regional Hospital Boca Raton FL 32.5% Some Progress BRANDON REGIONAL HOSPITAL BRANDON FL 33.1% Some Progress Broward Health Coral Springs Coral Springs FL Declined to Respond Broward Health Imperial Point Fort Lauderdale FL Declined to Respond Broward Health Medical Center Fort Lauderdale FL Declined to Respond Broward Health North Deerfield Beach FL Declined to Respond Cape Canaveral Hospital Cocoa Beach FL 32.1% Some Progress Cape Coral Hospital Cape Coral FL 36.8% Willing to Report Capital Regional Medical Center Tallahassee FL 26.1% Substantial Progress Central Florida Regional Hospital Sanford FL 34.4% Willing to Report Chris Evert Children's Hospital Fort Lauderdale FL Declined to Respond Citrus Memorial Hospital Inverness FL 31.1% Some Progress Cleveland Clinic Florida Weston FL Declined to Respond Coral Gables Hospital Coral Gables FL Does Not Apply Delray Medical Center Delray Beach FL Does Not Apply Desoto Memorial Hospital Arcadia FL 38.1% Willing to Report DOCTORS HOSPITAL OF SARASOTA SARASOTA FL Does Not Apply Doctor's Memorial Hospital Perry FL Declined to Respond Dr. P. Phillips Hospital Orlando FL Does Not Apply Ed Fraser Memorial Hospital and Baker Community Health Center Macclenny FL Declined to Respond

These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group. www.leapfroggroup.org/compare‐hospitals *Unusually high rate; could not be verified. 18 of 96 Cesarean Section Rates from the 2015 Leapfrog Hospital Survey Results reflect submissions received by December 31, 2015 Hospital City State Rate Performance Engelwood Community Hospital Englewood FL Does Not Apply Fawcett Memorial Hospital Port Charlotte FL Does Not Apply Fishermen's Community Hospital Marathon FL Declined to Respond Flagler Hospital Saint Augustine FL 28.6% Some Progress Florida Hospital Altamonte Altamonte Springs FL 32.7% Some Progress Florida Hospital Apopka Apopka FL Does Not Apply Florida Hospital Carrollwood Tampa FL Does Not Apply Florida Hospital Celebration Health Celebration FL 34.5% Willing to Report Florida Hospital DeLand DeLand FL 31.0% Some Progress Florida Hospital East Orlando Orlando FL Does Not Apply Florida Hospital Fish Memorial Orange City FL Does Not Apply Florida Hospital Flagler Palm Coast FL Does Not Apply Florida Hospital Heartland Medical Center Sebring FL 22.1% Fully Meets Standard Florida Hospital Heartland Medical Center Lake Placid Lake Placid FL Does Not Apply Florida Hospital Kissimmee Kissimmee FL Does Not Apply Florida Hospital Memorial Medical Center Daytona Beach FL 37.6% Willing to Report Florida Hospital North Pinellas Tarpon Springs FL 21.6% Fully Meets Standard Florida Hospital Orlando Orlando FL 30.1% Some Progress Florida Hospital Tampa Tampa FL 34.0% Willing to Report Florida Hospital Waterman Tavares FL 37.5% Willing to Report Florida Hospital Wauchula Wauchula FL Does Not Apply Florida Hospital Wesley Chapel WESLEY CHAPEL FL 28.1% Some Progress Florida Hospital Zephyrhills Zephyrhills FL Declined to Respond Florida Medical Center Ft. Lauderdale FL Declined to Respond Fort Walton Beach Medical Center Fort Walton Beach FL 36.0% Willing to Report Golisano Children's Hospital of Southwest Florida Fort Myers FL Declined to Respond Good Samaritan Medical Center West Palm Beach FL 13.3% Fully Meets Standard Gulf Breeze Hospital Gulf Breeze FL Declined to Respond Gulf Coast Medical Center Fort Myers FL 25.9% Substantial Progress Gulf Coast Regional Medical Center Panama City FL 20.9% Fully Meets Standard Halifax Health Medical Center Daytona Beach FL 23.5% Fully Meets Standard Halifax Health Medical Center ‐ Port Orange Port Orange FL Declined to Respond Health Central Hospital Ocoee FL 31.4% Some Progress Health First, Viera Hospital Melbourne FL Does Not Apply Healthmark Regional Medical Center Defuniak Springs FL Declined to Respond Healthpark Medical Center Fort Myers FL 30.1% Some Progress Heart of Florida Regional Medical Center Davenport FL Declined to Respond Hialeah Hospital Hialeah FL 68%* Willing to Report Highlands Regional Medical Center Sebring FL Declined to Respond Holmes Regional Medical Center Melbourne FL 22.6% Fully Meets Standard

These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group. www.leapfroggroup.org/compare‐hospitals *Unusually high rate; could not be verified. 19 of 96 Cesarean Section Rates from the 2015 Leapfrog Hospital Survey Results reflect submissions received by December 31, 2015 Hospital City State Rate Performance Holtz Children's Hospital Miami FL Declined to Respond Holy Cross Hospital Fort Lauderdale FL 42.9% Willing to Report Indian River Medical Center Vero Beach FL 20.8% Fully Meets Standard Jackson Hospital Marianna FL Declined to Respond Jackson Memorial Hospital Miami FL 39.8% Willing to Report Jackson North Medical Center North Miami Beach FL 29.9% Some Progress Jackson South Community Hospital Miami FL 27.9% Some Progress Jay Hospital Jay FL Declined to Respond JFK Medical Center Atlantis FL Does Not Apply Joe DiMaggio Children's Hospital Hollywood FL Declined to Respond Jupiter Medical Center Jupiter FL 29.9% Some Progress Kendall Regional Medical Center Miami FL 53.9% Willing to Report Lake City Medical Center Lake City FL Does Not Apply Lake Wales Medical Center Lake Wales FL Declined to Respond Lakeland Regional Medical Center Lakeland FL 22.9% Fully Meets Standard Lakeside Medical Center Belle Glade FL Declined to Respond Lakewood Ranch Medical Center Bradenton FL Declined to Respond LARGO MEDICAL CENTER LARGO FL Does Not Apply Largo Medical Center ‐ Indian Rocks Largo FL Declined to Respond Larkin Community Hospital South Miami FL Does Not Apply Lawnwood Regional Medical Center & Heart Institute Fort Pierce FL 34.1% Willing to Report Lee Memorial Hospital Fort Myers FL Unable to Calculate Score Leesburg Regional Medical Center Leesburg FL 33.0% Some Progress Lehigh Regional Medical Center Lehigh Acres FL Declined to Respond Lower Keys Medical Center Key West FL Declined to Respond Manatee Memorial Hospital Bradenton FL Declined to Respond Martin Hospital South Stuart FL Declined to Respond Martin Medical Center Stuart FL Declined to Respond Mayo Clinic Hospital Jacksonville FL Declined to Respond Mease Countryside Hospital Safety Harbor FL Declined to Respond Mease Dunedin Hospital Dunedin FL Declined to Respond Medical Center of Trinity Trinity FL 32.8% Some Progress Memorial Hospital Jacksonville Jacksonville FL 31.1% Some Progress Memorial Hospital Miramar Miramar FL Declined to Respond Memorial Hospital of Tampa Tampa FL Does Not Apply Memorial Hospital Pembroke Pembroke Pines FL Declined to Respond Memorial Hospital West Pembroke Pines FL Declined to Respond Memorial Regional Hospital Hollywood FL Declined to Respond Memorial Regional Hospital South Hollywood FL Declined to Respond Mercy Hospital Miami FL 51.8% Willing to Report

These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group. www.leapfroggroup.org/compare‐hospitals *Unusually high rate; could not be verified. 20 of 96 Cesarean Section Rates from the 2015 Leapfrog Hospital Survey Results reflect submissions received by December 31, 2015 Hospital City State Rate Performance Miami Children's Hospital Miami FL Declined to Respond Morton Plant Hospital Clearwater FL Declined to Respond Morton Plant North Bay Hospital New Port Richey FL Declined to Respond Mount Sinai Medical Center Miami Beach FL 41.4% Willing to Report Munroe Regional Medical Center Ocala FL Declined to Respond NCH Downtown Naples Hospital Naples FL Does Not Apply NCH North Naples Hospital Naples FL 34.6% Willing to Report Nemours Children's Hospital, Orlando Orlando FL Does Not Apply North Florida Regional Medical Center Gainesville FL 26.4% Substantial Progress North Okaloosa Medical Center Crestview FL Declined to Respond North Shore Medical Center Miami FL 31.6% Some Progress NORTHSIDE HOSPITAL SAINT PETERSBURG FL Does Not Apply Northwest Medical Center Margate FL 36.6% Willing to Report Oak Hill Hospital BROOKSVILLE FL Does Not Apply Ocala Regional Medical Center Ocala FL Does Not Apply Orange Park Medical Center Orange Park FL 26.4% Substantial Progress Orlando Regional Medical Center Orlando FL Does Not Apply Orlando Regional South Seminole Hospital Longwood FL Does Not Apply Osceola Regional Medical Center Kissimmee FL 26.1% Substantial Progress Palm Bay Hospital Palm Bay FL Does Not Apply Palm Beach Gardens Medical Center Palm Beach Gardens FL Declined to Respond Palm Springs General Hospital Hialeah FL Declined to Respond Palmetto General Hospital Hialeah FL 38.0% Willing to Report Palms of Pasadena Hospital Saint Petersburg FL Does Not Apply Palms West Hospital Loxahatchee FL 38.8% Willing to Report Parrish Medical Center Titusville FL 30.3% Some Progress Physicians Regional Medical Center ‐ Collier Boulevard Naples FL Declined to Respond Physicians Regional Medical Center ‐ Pine Ridge Naples FL Declined to Respond Plantation General Hospital Plantation FL 54.7% Willing to Report Poinciana Medical Center Kissimmee FL Does Not Apply Putnam Community Medical Center Palatka FL 24.6% Substantial Progress Raulerson Hospital Okeechobee FL Does Not Apply Regional General Hospital Williston Williston FL Declined to Respond REGIONAL MEDICAL CENTER BAYONET POINT HUDSON FL Does Not Apply Sacred Heart Hospital On The Emerald Coast Miramar Beach FL 15.8% Fully Meets Standard Sacred Heart Hospital on the Gulf Port Saint Joe FL Does Not Apply Sacred Heart Hospital Pensacola Pensacola FL 27.9% Some Progress Santa Rosa Medical Center Milton FL Declined to Respond Sarasota Memorial Hospital Sarasota FL Declined to Respond Sebastian River Medical Center Sebastian FL Declined to Respond

These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group. www.leapfroggroup.org/compare‐hospitals *Unusually high rate; could not be verified. 21 of 96 Cesarean Section Rates from the 2015 Leapfrog Hospital Survey Results reflect submissions received by December 31, 2015 Hospital City State Rate Performance Seven Rivers Regional Medical Center Crystal River FL Declined to Respond Shands Lake Shore Regional Medical Center Lake City FL Declined to Respond Shands Live Oak Regional Medical Center Live Oak FL Declined to Respond Shands Starke Regional Medical Center Starke FL Declined to Respond SOUTH BAY HOSPITAL Sun City Center FL Unable to Calculate Score South Florida Baptist Hospital Plant City FL Declined to Respond South Lake Hospital Clermont FL 25.0% Substantial Progress St. Anthony's Hospital Saint Petersburg FL Declined to Respond St. Cloud Regional Medical Center St. Cloud FL Declined to Respond St. Joseph's Children's Hospital Tampa FL Declined to Respond St. Joseph's Hospital Tampa FL Declined to Respond St. Joseph's Hospital North LUTZ FL Declined to Respond St. Joseph's Women's Hospital Tampa FL Declined to Respond St. Lucie Medical Center Port St Lucie FL 37.0% Willing to Report St. Mary's Medical Center West Palm Beach FL 31.8% Some Progress St. Petersburg General Hospital St. Petersburg FL 33.3% Some Progress St. Vincent's Medical Center Clay County Middleburg FL Does Not Apply St. Vincent's Medical Center Riverside Jacksonville FL 40.1% Willing to Report St. Vincent's Medical Center Southside Jacksonville FL 21.0% Fully Meets Standard Sylvester Comprehensive Cancer Center / UMHC Miami FL Declined to Respond Tallahassee Memorial Healthcare Tallahassee FL Declined to Respond Tampa Community Hospital Tampa FL Does Not Apply Tampa General Hospital Tampa FL Declined to Respond The Children's Hospital at Sacred Heart Pensacola FL Declined to Respond The Villages Regional Hospital The Villages FL Does Not Apply Tradition Medical Center Port St. Lucie FL Declined to Respond Twin Cities Hospital Niceville FL Does Not Apply UF Health Jacksonville Jacksonville FL Declined to Respond UF Health Shands Children's Hospital Gainesville FL Declined to Respond UF Health Shands Hospital Gainesville FL Declined to Respond University Hospital and Medical Center Tamarac FL Does Not Apply University of Miami Hospital Miami FL Does Not Apply Venice Regional Bayfront Health Venice FL Declined to Respond Walt Disney Pavilion at Florida Hospital for Children Orlando FL Does Not Apply Wellington Regional Medical Center Wellington FL Declined to Respond West Boca Medical Center Boca Raton FL 39.9% Willing to Report West Florida Hospital Pensacola FL 19.2% Fully Meets Standard West Marion Community Hospital Ocala FL Does Not Apply West Palm Hospital West Palm Beach FL Does Not Apply Westchester General Hospital Miami FL Declined to Respond

These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group. www.leapfroggroup.org/compare‐hospitals *Unusually high rate; could not be verified. 22 of 96 Cesarean Section Rates from the 2015 Leapfrog Hospital Survey Results reflect submissions received by December 31, 2015 Hospital City State Rate Performance Westside Regional Medical Center Plantation FL Does Not Apply Winnie Palmer Hospital for Women and Babies Orlando FL 31.5% Some Progress Winter Haven Hospital Winter Haven FL Declined to Respond Winter Park Memorial Hospital Winter Park FL 28.8% Some Progress Wolfson Children's Hospital Jacksonville FL Does Not Apply Wuesthoff Medical Center ‐ Melbourne Melbourne FL Declined to Respond Wuesthoff Medical Center ‐ Rockledge Rockledge FL Declined to Respond Appling Healthcare System Baxley GA Declined to Respond Athens Regional Medical Center Athens GA 28.9% Some Progress Atlanta Medical Center Atlanta GA 20.4% Fully Meets Standard Atlanta Medical Center South Campus East Point GA Does Not Apply Barrow Regional Medical Center Winder GA Declined to Respond Burke Medical Center Waynesboro GA Declined to Respond Candler Hospital Savannah GA 37.8% Willing to Report Cartersville Medical Center Cartersville GA 27.0% Substantial Progress Chestatee Regional Hospital Dahlonega GA Declined to Respond Children's Healthcare of Atlanta at Egleston Atlanta GA Declined to Respond Children's Healthcare of Atlanta at Hughes Spalding Atlanta GA Declined to Respond Children's Healthcare of Atlanta at Scottish Rite Atlanta GA Declined to Respond Coffee Regional Medical Center Douglas GA Declined to Respond Coliseum Medical Centers Macon GA 32.4% Some Progress Coliseum Northside Hospital Macon GA Does Not Apply Colquitt Regional Medical Center Moultrie GA 30.6% Some Progress Cook Medical Center ‐ A Campus of Tift Regional Medical Center Adel GA Declined to Respond Crisp Regional Hospital Cordele GA 41.5% Willing to Report Dekalb Medical at Hillandale Lithonia GA Declined to Respond Dekalb Medical Center Decatur GA Declined to Respond Doctors Hospital Augusta GA 32.8% Some Progress Doctors Hospital of Columbus Columbus GA Declined to Respond Dodge County Hospital Eastman GA Declined to Respond Donalsonville Hospital Donalsonville GA Declined to Respond East Georgia Regional Medical Center Statesboro GA Declined to Respond Eastside Medical Center Snellville GA 43.0% Willing to Report Elbert Memorial Hospital Elberton GA Declined to Respond Emanuel Medical Hospital Swainsboro GA Declined to Respond Emory Johns Creek Hospital Johns Creek GA Declined to Respond Emory University Hospital Atlanta GA Declined to Respond Emory University Hospital Midtown Atlanta GA Declined to Respond Evans Memorial Hospital Claxton GA Declined to Respond Fairview Park Hospital Dublin GA 27.6% Some Progress

These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group. www.leapfroggroup.org/compare‐hospitals *Unusually high rate; could not be verified. 23 of 96 Cesarean Section Rates from the 2015 Leapfrog Hospital Survey Results reflect submissions received by December 31, 2015 Hospital City State Rate Performance Fannin Regional Hospital Blue Ridge GA Declined to Respond Flint River Community Hospital Montezuma GA Declined to Respond Floyd Medical Center Rome GA Declined to Respond Georgia Regents Medical Center Augusta GA Declined to Respond Gordon Hospital Calhoun GA 20.8% Fully Meets Standard Grady General Hospital Cairo GA Declined to Respond Grady Memorial Hospital Atlanta GA Declined to Respond Gwinnett Medical Center ‐ Duluth Duluth GA Does Not Apply Gwinnett Medical Center Lawrenceville Lawrenceville GA 24.2% Substantial Progress Habersham Medical Center Demorest GA Declined to Respond Hamilton Medical Center Dalton GA Declined to Respond Houston Medical Center Warner Robins GA 24.5% Substantial Progress Hutcheson Medical Center Fort Oglethorpe GA Declined to Respond Irwin County Hospital Ocilla GA Declined to Respond Jefferson Hospital Louisville GA Declined to Respond John D. Archbold Memorial Hospital Thomasville GA Declined to Respond MAYO CLINIC HEALTH SYSTEM IN WAYCROSS Waycross GA Declined to Respond Meadows Regional Medical Center Vidalia GA 33.1% Some Progress Memorial Hospital and Manor Bainbridge GA Declined to Respond Memorial University Medical Center Savannah GA 33.6% Willing to Report Murray Medical Center Chatsworth GA Declined to Respond North Fulton Hospital Roswell GA 11.7% Fully Meets Standard North Georgia Medical Center Ellijay GA Declined to Respond Northeast Georgia Medical Center Gainesville GA Declined to Respond Northridge Medical Center Commerce GA Declined to Respond Northside Forsyth Hospital Cumming GA Declined to Respond Northside Hospital Atlanta GA Declined to Respond Northside Hospital Cherokee Canton GA Declined to Respond Oconee Regional Medical Center Milledgeville GA Declined to Respond Perry Hospital Perry GA Does Not Apply Phoebe Dorminy Medical Center Fitzgerald GA Declined to Respond Phoebe Putney Memorial Hospital Albany GA Declined to Respond Phoebe Putney Memorial Hospital (North Campus) Albany GA Declined to Respond Phoebe Sumter Medical Center Americus GA Declined to Respond Piedmont Fayette Hospital Fayetteville GA 18.0% Fully Meets Standard Piedmont Henry Hospital Stockbridge GA 22.2% Fully Meets Standard Piedmont Hospital Atlanta GA 26.7% Substantial Progress Piedmont Mountainside Hospital Jasper GA 18.6% Fully Meets Standard Piedmont Newnan Hospital Newnan GA 25.0% Substantial Progress Piedmont Newton Hospital Covington GA Declined to Respond

These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group. www.leapfroggroup.org/compare‐hospitals *Unusually high rate; could not be verified. 24 of 96 Cesarean Section Rates from the 2015 Leapfrog Hospital Survey Results reflect submissions received by December 31, 2015 Hospital City State Rate Performance Redmond Regional Medical Center Rome GA Does Not Apply Rockdale Medical Center Conyers GA 24.3% Substantial Progress Smith Northview Hospital Valdosta GA Declined to Respond South Georgia Medical Center Valdosta GA Declined to Respond South Georgia Medical Center Berrien Campus Nashville GA Declined to Respond Southeast Georgia Health System ‐ Brunswick Campus Brunswick GA Declined to Respond Southeast Georgia Health System ‐ Camden Campus St. Marys GA Declined to Respond Southeastern Regional Medical Center Newnan GA Does Not Apply Southern Regional Medical Center Riverdale GA Declined to Respond Spalding Regional Hospital Griffin GA 15.4% Fully Meets Standard St. Francis Hospital of Columbus Columbus GA Declined to Respond St. Joseph's Hospital Savannah GA Does Not Apply St. Joseph's Hospital of Atlanta Atlanta GA Declined to Respond St. Mary's Health Care System, Inc Athens GA 24.7% Substantial Progress Stephens County Hospital Toccoa GA Declined to Respond Sylvan Grove Hospital Jackson GA Does Not Apply Tanner Medical Center of Carrollton Carrollton GA 16.7% Fully Meets Standard Tanner Medical Center of Villa Rica Villa Rica GA Declined to Respond Taylor Regional Hospital Hawkinsville GA Declined to Respond The Medical Center Columbus GA Declined to Respond The Medical Center, Navicent Health Macon GA 28.0% Some Progress Tift Regional Medical Center Tifton GA 21.8% Fully Meets Standard Trinity Hospital of Augusta Augusta GA Declined to Respond Ty Cobb Regional Medical Center Lavonia GA Declined to Respond Union General Hospital Blairsville GA Declined to Respond University Hospital Augusta GA 31.4% Some Progress University Hospital McDuffie Thomson GA Declined to Respond Upson Regional Medical Center Thomaston GA Unable to Calculate Score Walton Regional Medical Center/Clearview Regional Medical Center Monroe GA Declined to Respond Washington County Regional Medical Center Sandersville GA Declined to Respond Wayne Memorial Hospital Jesup GA 34.3% Willing to Report Wellstar Cobb Hospital Austell GA 26.9% Substantial Progress Wellstar Douglas Hospital Douglasville GA 28.0% Some Progress Wellstar Kennestone Hospital Marietta GA 30.6% Some Progress Wellstar Paulding Hospital Hiram GA Does Not Apply West Georgia Medical Center Lagrange GA Declined to Respond Castle Medical Center Kailua HI Declined to Respond Hilo Medical Center Hilo HI Declined to Respond Kaiser Foundation Hospital ‐ Moanalua Medical Center Honolulu HI 18.1% Fully Meets Standard Kona Community Hospital Kealakekua HI Declined to Respond

These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group. www.leapfroggroup.org/compare‐hospitals *Unusually high rate; could not be verified. 25 of 96 Cesarean Section Rates from the 2015 Leapfrog Hospital Survey Results reflect submissions received by December 31, 2015 Hospital City State Rate Performance Kuakini Medical Center Honolulu HI Declined to Respond Maui Memorial Medical Center Wailuku HI 17.4% Fully Meets Standard North Hawaii Community Hospital Kamuela HI 17.1% Fully Meets Standard Pali Momi Medical Center Aiea HI Does Not Apply Straub Clinic & Hospital Honolulu HI Does Not Apply The Queen's Medical Center Honolulu HI 17.3% Fully Meets Standard Wahiawa General Hospital Wahiawa HI Declined to Respond Wilcox Memorial Hospital Lihue HI 26.5% Substantial Progress Allen Hospital Waterloo IA 18.6% Fully Meets Standard Broadlawns Medical Center Des Moines IA Declined to Respond CHI Health Mercy Council Bluffs Council Bluffs IA Declined to Respond Covenant Medical Center Waterloo IA Declined to Respond Finley Hospital Dubuque IA Declined to Respond Fort Madison Community Hospital Fort Madison IA Declined to Respond Franklin General Hospital Hampton IA Declined to Respond Genesis Medical Center‐Davenport Davenport IA 20.3% Fully Meets Standard Great River Medical Center West Burlington IA Declined to Respond Greene County Medical Center Jefferson IA Declined to Respond Grinnell Regional Medical Center Grinnell IA 22.2% Fully Meets Standard Grundy County Memorial Hospital Grundy Center IA Declined to Respond Iowa Lutheran Hospital Des Moines IA Declined to Respond Iowa Methodist Medical Center Des Moines IA Declined to Respond Jennie Edmundson Hospital Council Bluffs IA Declined to Respond Jones Regional Medical Center Anamosa IA Declined to Respond Keokuk Area Hospital Keokuk IA Declined to Respond Lakes Regional Healthcare Spirit Lake IA Declined to Respond Marshalltown Medical & Surgical Center Marshalltown IA Declined to Respond Mary Greeley Medical Center Ames IA Declined to Respond Mercy Hospital of Iowa City Iowa City IA Declined to Respond Mercy Medical Center Cedar Rapids IA Declined to Respond Mercy Medical Center ‐ West Lakes West Des Moines IA Declined to Respond Mercy Medical Center of Clinton Clinton IA Declined to Respond Mercy Medical Center of Des Moines Des Moines IA Declined to Respond Mercy Medical Center of Dubuque Dubuque IA Declined to Respond Mercy Medical Center of Mason City Mason City IA Declined to Respond Mercy Medical Center of Sioux City Sioux City IA Declined to Respond Mercy Medical Center‐Centerville Centerville IA Declined to Respond Methodist West Hospital West Des Moines IA Declined to Respond Ottumwa Regional Health Center Ottumwa IA Declined to Respond Pella Regional Health Center Pella IA Declined to Respond

These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group. www.leapfroggroup.org/compare‐hospitals *Unusually high rate; could not be verified. 26 of 96 Cesarean Section Rates from the 2015 Leapfrog Hospital Survey Results reflect submissions received by December 31, 2015 Hospital City State Rate Performance Sartori Memorial Hospital Cedar Falls IA Declined to Respond Sioux Center Community Hospital/Health Center Sioux Center IA Declined to Respond Skiff Medical Center Newton IA 20.4% Fully Meets Standard Spencer Hospital Spencer IA Declined to Respond St. Anthony Regional Hospital Carroll IA Declined to Respond St. Luke's Methodist Hospital of Cedar Rapids Cedar Rapids IA Declined to Respond St. Luke's Regional Medical Center of Sioux City Sioux City IA Declined to Respond Story County Medical Center Nevada IA Declined to Respond Trinity Bettendorf Bettendorf IA Declined to Respond Trinity Muscatine Muscatine IA Declined to Respond Trinity Regional Medical Center Fort Dodge IA Declined to Respond University of Iowa Hospitals and Clinics Iowa City IA Declined to Respond Winneshiek Medical Center Decorah IA Declined to Respond Eastern Idaho Regional Medical Center Idaho Falls ID 20.0% Fully Meets Standard Kootenai Health Coeur D'Alene ID 21.8% Fully Meets Standard Madison Memorial Hospital Rexburg ID 25.1% Substantial Progress Mountain View Hospital Idaho Falls ID Declined to Respond Portneuf Medical Center Pocatello ID Declined to Respond Saint Alphonsus Medical Center ‐ Nampa Nampa ID Declined to Respond Saint Alphonsus Regional Medical Center Boise ID Declined to Respond St. Joseph Regional Medical Center Lewiston ID Declined to Respond St. Luke's Boise Regional Medical Center Boise ID 19.1% Fully Meets Standard St. Luke's Magic Valley Medical Center Twin Falls ID 18.9% Fully Meets Standard St. Luke's Meridian Medical Center Meridian ID 19.1% Fully Meets Standard Treasure Valley Hospital Boise ID Declined to Respond West Valley Medical Center Caldwell ID 14.8% Fully Meets Standard Abraham Lincoln Memorial Hospital Lincoln IL Declined to Respond Advocate BroMenn Medical Center Normal IL Declined to Respond Advocate Christ Medical Center Oak Lawn IL Declined to Respond Advocate Condell Medical Center Libertyville IL Declined to Respond Advocate Eureka Hospital Eureka IL Declined to Respond Advocate Good Samaritan Hospital Downers Grove IL Declined to Respond Advocate Good Shepherd Hospital Barrington IL Declined to Respond Advocate Illinois Masonic Medical Center Chicago IL Declined to Respond Advocate Lutheran General Hospital Park Ridge IL Declined to Respond Advocate Sherman Hospital Elgin IL Declined to Respond Advocate South Suburban Hospital Hazel Crest IL Declined to Respond Advocate Trinity Hospital Chicago IL Declined to Respond Alton Memorial Hospital Alton IL Declined to Respond AMITA Adventist Medical Center, Hinsdale Hinsdale IL 26.2% Substantial Progress

These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group. www.leapfroggroup.org/compare‐hospitals *Unusually high rate; could not be verified. 27 of 96 Cesarean Section Rates from the 2015 Leapfrog Hospital Survey Results reflect submissions received by December 31, 2015 Hospital City State Rate Performance AMITA Adventist Medical Center, La Grange La Grange IL 32.7% Some Progress AMITA Health Adventist Medical Center, Bolingbrook Bolingbrook IL 25.0% Substantial Progress AMITA Health Adventist Medical Center, GlenOaks Glendale Heights IL 21.7% Fully Meets Standard AMITA Health Alexian Brothers Medical Center, Elk Grove Village Elk Grove Village IL 27.5% Some Progress AMITA Health St. Alexius Medical Center, Hoffman Estates Hoffman Estates IL 31.1% Some Progress Anderson Hospital Maryville IL Declined to Respond Ann & Robert H. Lurie Children's Hospital of Chicago Chicago IL Does Not Apply Blessing Hospital Quincy IL 26.0% Substantial Progress Carle Foundation Hospital Urbana IL 21.0% Fully Meets Standard Centegra Hospital ‐ McHenry McHenry IL 14.6% Fully Meets Standard Centegra Hospital ‐ Woodstock Woodstock IL Declined to Respond CGH Medical Center Sterling IL Declined to Respond Clay County Hospital Flora IL Declined to Respond Community First Medical Center Chicago IL Unable to Calculate Score Community Memorial Hospital of Staunton Staunton IL Declined to Respond Crawford Memorial Hospital Robinson IL Declined to Respond Crossroads Community Hospital Mount Vernon IL Declined to Respond Decatur Memorial Hospital Decatur IL 26.0% Substantial Progress Edward Hospital Naperville IL 29.7% Some Progress Elmhurst Memorial Hospital Elmhurst IL 24.0% Substantial Progress Fairfield Memorial Hospital Fairfield IL Declined to Respond Fayette County Hospital Vandalia IL Declined to Respond Ferrell Hospital Eldorado IL Declined to Respond FHN Memorial Hospital Freeport IL Declined to Respond Franciscan St. James Health ‐ Chicago Heights Chicago Heights IL 32.6% Some Progress Franciscan St. James Health ‐ Olympia Fields Olympia Fields IL Does Not Apply Franklin Hospital Benton IL Declined to Respond Galesburg Cottage Hospital Galesburg IL Declined to Respond Gateway Regional Medical Center Granite City IL Declined to Respond Genesis Medical Center, Illini Campus Silvis IL Declined to Respond Good Samaritan Hospital Mount Vernon IL 19.7% Fully Meets Standard Graham Hospital Canton IL Declined to Respond Greenville Regional Hospital Greenville IL Declined to Respond Hamilton Memorial Hospital District McLeansboro IL Declined to Respond Hammond‐Henry Hospital Geneseo IL Declined to Respond Hardin County General Hospital & Clinic Rosiclare IL Declined to Respond Harrisburg Medical Center Harrisburg IL Declined to Respond Heartland Regional Medical Center Marion IL Declined to Respond Herrin Hospital Herrin IL Declined to Respond Hillsboro Area Hospital Hillsboro IL Declined to Respond

These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group. www.leapfroggroup.org/compare‐hospitals *Unusually high rate; could not be verified. 28 of 96 Cesarean Section Rates from the 2015 Leapfrog Hospital Survey Results reflect submissions received by December 31, 2015 Hospital City State Rate Performance Holy Cross Hospital Chicago IL Declined to Respond Hoopeston Regional Health Center Hoopeston IL Declined to Respond HSHS St. Francis Hospital Litchfield IL 8.9% Fully Meets Standard HSHS St. John's Hospital Springfield IL 20.0% Fully Meets Standard HSHS St. Joseph's Hospital, Breese Breese IL Declined to Respond Illini Community Hospital Pittsfield IL Declined to Respond Illinois Valley Community Hospital Peru IL 15.0% Fully Meets Standard Ingalls Memorial Hospital Harvey IL 27.0% Substantial Progress Iroquois Memorial Hospital and Resident Home Watseka IL Declined to Respond Jackson Park Hospital Chicago IL 29.5% Some Progress Jersey Community Hospital Jerseyville IL Declined to Respond John and Mary Kirby Hospital Monticello IL Declined to Respond John H. Stroger Jr. Hospital Chicago IL 31.1% Some Progress Katherine Shaw Bethea Hospital Dixon IL Declined to Respond Kishwaukee Hospital DeKalb IL 19.8% Fully Meets Standard La Rabida Children's Hospital Chicago IL Declined to Respond Lawrence County Memorial Hospital Lawrenceville IL Declined to Respond Little Company of Mary Hospital and Health Care Centers Evergreen Park IL 14.1% Fully Meets Standard Loretto Hospital Chicago IL Does Not Apply Loyola Gottlieb Memorial Hospital Melrose Park IL 34.1% Willing to Report Loyola University Medical Center Maywood IL 39.7% Willing to Report MacNeal Hospital Berwyn IL 21.7% Fully Meets Standard Marshall Browning Hospital Du Quoin IL Declined to Respond Mason District Hospital Havana IL Declined to Respond Massac Memorial Hospital Metropolis IL Declined to Respond McDonough District Hospital Macomb IL 24.2% Substantial Progress Memorial Hospital Belleville IL Declined to Respond Memorial Hospital of Carbondale Carbondale IL Declined to Respond Memorial Hospital of Carthage Carthage IL Declined to Respond Memorial Hospital of Chester Chester IL Declined to Respond Memorial Medical Center Springfield IL 12.2% Fully Meets Standard Mercer County Hospital Aledo IL Declined to Respond Mercy Harvard Hospital Harvard IL Declined to Respond Mercy Hospital and Medical Center Chicago IL 18.7% Fully Meets Standard Methodist Hospital of Chicago Chicago IL Declined to Respond MetroSouth Medical Center Blue Island IL Declined to Respond Midwest Medical Center Galena IL Declined to Respond Midwestern Regional Medical Center Zion IL Does Not Apply Morris Hospital Morris IL Declined to Respond Morrison Community Hospital Morrison IL Declined to Respond

These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group. www.leapfroggroup.org/compare‐hospitals *Unusually high rate; could not be verified. 29 of 96 Cesarean Section Rates from the 2015 Leapfrog Hospital Survey Results reflect submissions received by December 31, 2015 Hospital City State Rate Performance Mount Sinai Hospital Chicago IL Declined to Respond NorthShore University HealthSystem ‐Evanston Hospital Evanston IL Declined to Respond NorthShore University HealthSystem ‐Glenbrook Hospital Glenview IL Declined to Respond NorthShore University HealthSystem ‐Skokie Hospital Skokie IL Declined to Respond NorthShore University HealthSystem‐Highland Park Hospital Highland Park IL Declined to Respond Northwest Community Hospital Arlington Heights IL 23.1% Fully Meets Standard Northwestern Lake Forest Hospital Lake Forest IL 28.5% Some Progress Northwestern Medicine Central DuPage Hospital Winfield IL 24.8% Substantial Progress Northwestern Medicine Delnor Hospital Geneva IL 30.3% Some Progress Northwestern Memorial Hospital Chicago IL 16.7% Fully Meets Standard Norwegian American Hospital Chicago IL 18.5% Fully Meets Standard OSF Holy Family Medical Center Monmouth IL Does Not Apply OSF Saint Anthony Medical Center Rockford IL 29.5% Some Progress OSF Saint Anthony's Health Center Alton IL 22.5% Fully Meets Standard OSF Saint James ‐ John W. Albrecht Medical Center Pontiac IL 42.9% Willing to Report OSF Saint Luke Medical Center Kewanee IL Does Not Apply OSF Saint Paul Medical Center Mendota IL Declined to Respond OSF St. Francis Medical Center of Peoria Peoria IL 30.7% Some Progress OSF St. Joseph Medical Center Bloomington IL 24.1% Substantial Progress OSF St. Mary Medical Center Galesburg IL 34.1% Willing to Report Ottawa Regional Hospital and Healthcare Center d/b/a OSF Saint Elizabeth Medical Center Ottawa IL 13.1% Fully Meets Standard Palos Community Hospital Palos Heights IL 28.1% Some Progress Pana Community Hospital Pana IL Declined to Respond Paris Community Hospital Paris IL Declined to Respond Passavant Area Hospital Jacksonville IL 21.0% Fully Meets Standard Pekin Hospital Pekin IL Declined to Respond Perry Memorial Hospital Princeton IL Declined to Respond Pinckneyville Community Hospital Pinckneyville IL Declined to Respond Presence Covenant Medical Center Urbana IL 26.1% Substantial Progress Presence Mercy Medical Center Aurora IL 35.0% Willing to Report Presence Resurrection Medical Center Chicago IL 27.5% Some Progress Presence Saint Francis Hospital Evanston IL 33.0% Some Progress Presence Saint Joseph Hospital Chicago IL 30.9% Some Progress Presence Saint Joseph Hospital ‐ Elgin Elgin IL Does Not Apply Presence Saints Mary and Elizabeth Medical Center Chicago IL 22.1% Fully Meets Standard Presence St. Joseph Medical Center Joliet IL 28.5% Some Progress Presence St. Mary's Hospital Kankakee IL 33.3% Some Progress Presence United Samaritans Medical Center Danville IL 28.3% Some Progress Provident Hospital of Cook County Chicago IL Declined to Respond Red Bud Regional Hospital Red Bud IL Declined to Respond

These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group. www.leapfroggroup.org/compare‐hospitals *Unusually high rate; could not be verified. 30 of 96 Cesarean Section Rates from the 2015 Leapfrog Hospital Survey Results reflect submissions received by December 31, 2015 Hospital City State Rate Performance Richland Memorial Hospital Olney IL 48.6% Willing to Report Riverside Medical Center Kankakee IL 24.5% Substantial Progress Rochelle Community Hospital Rochelle IL Declined to Respond Rockford Memorial Hospital Rockford IL 29.8% Some Progress Roseland Community Hospital Chicago IL 13.9% Fully Meets Standard Rush Oak Park Hospital Oak Park IL Does Not Apply Rush University Medical Center Chicago IL 26.7% Substantial Progress Rush‐Copley Medical Center Aurora IL 25.1% Substantial Progress Saint Anthony Hospital Chicago IL 13.8% Fully Meets Standard Salem Township Hospital Salem IL Declined to Respond Sarah Bush Lincoln Health Center Mattoon IL 19.4% Fully Meets Standard Sarah D. Culbertson Memorial Hospital Rushville IL Declined to Respond Shelby Memorial Hospital Shelbyville IL Declined to Respond Silver Cross Hospital New Lenox IL 22.2% Fully Meets Standard South Shore Hospital Chicago IL Declined to Respond Sparta Community Hospital Sparta IL Does Not Apply St. Anthony's Memorial Hospital Effingham IL 23.4% Fully Meets Standard St. Bernard Hospital and Health Care Center Chicago IL Declined to Respond St. Elizabeth Hospital of Belleville Belleville IL 20.7% Fully Meets Standard St. Joseph Memorial Hospital of Murphysboro Murphysboro IL Declined to Respond St. Joseph's Hospital of Highland Highland IL Declined to Respond St. Margaret's Hospital Spring Valley IL Declined to Respond St. Mary's Hospital Centralia Illinois Centralia IL 18.0% Fully Meets Standard St. Mary's Hospital of Decatur Decatur IL 24.3% Substantial Progress St. Mary's Hospital of Streator Streator IL Declined to Respond Swedish American Hospital Rockford IL 29.3% Some Progress Swedish Covenant Hospital Chicago IL 20.7% Fully Meets Standard Taylorville Memorial Hospital Taylorville IL Declined to Respond Thorek Memorial Hospital Chicago IL Does Not Apply Touchette and Kenneth Hall Regional Hospitals Centreville IL Declined to Respond Trinity Moline Moline IL Declined to Respond Trinity Rock Island Rock Island IL Declined to Respond Union County Hospital Anna IL Declined to Respond UnityPoint Health ‐ Methodist Peoria IL 26.1% Substantial Progress UnityPoint Health ‐ Proctor Peoria IL Does Not Apply University of Chicago Medical Center Chicago IL 29.8% Some Progress University of Illinois Hospital Chicago IL Declined to Respond Valley West Community Hospital Sandwich IL Declined to Respond Vista Medical Center East Waukegan IL 11.5% Fully Meets Standard Vista Medical Center West Waukegan IL Declined to Respond

These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group. www.leapfroggroup.org/compare‐hospitals *Unusually high rate; could not be verified. 31 of 96 Cesarean Section Rates from the 2015 Leapfrog Hospital Survey Results reflect submissions received by December 31, 2015 Hospital City State Rate Performance Wabash General Hospital Mount Carmel IL Does Not Apply Washington County Hospital Nashville IL Declined to Respond Weiss Memorial Hospital Chicago IL Declined to Respond West Suburban Medical Center Oak Park IL 24.4% Substantial Progress Westlake Hospital Melrose Park IL 34.0% Willing to Report Bluffton Regional Medical Center Bluffton IN Declined to Respond Clark Memorial Hospital Jeffersonville IN Declined to Respond Columbus Regional Hospital Columbus IN Declined to Respond Community Hospital East Indianapolis IN Declined to Respond Community Hospital North Indianapolis IN Declined to Respond Community Hospital of Anderson and Madison County Anderson IN Declined to Respond Community Hospital of Munster Munster IN Declined to Respond Community Hospital South Indianapolis IN Declined to Respond Daviess Community Hospital Washington IN 20.2% Fully Meets Standard Deaconess Gateway Hospital Newburgh IN Does Not Apply Deaconess Hospital Evansville IN Does Not Apply Dearborn County Hospital Lawrenceburg IN Declined to Respond DeKalb Memorial Hospital Auburn IN Declined to Respond Dupont Hospital Fort Wayne IN 21.2% Fully Meets Standard Elkhart General Hospital Elkhart IN 16.1% Fully Meets Standard Eskenazi Health Indianapolis IN Declined to Respond Fayette Regional Health System Connersville IN Declined to Respond Floyd Memorial Hospital and Health Services New Albany IN Declined to Respond Franciscan Physicians Hospital Munster IN Declined to Respond Franciscan St. Anthony Health ‐ Crown Point Crown Point IN Declined to Respond Franciscan St. Anthony Health ‐ Michigan City Michigan City IN Declined to Respond Franciscan St. Elizabeth Health ‐ Crawfordsville Crawfordsville IN Declined to Respond Franciscan St. Elizabeth Health ‐ Lafayette East Lafayette IN Declined to Respond Franciscan St. Francis Health ‐ Carmel Carmel IN Declined to Respond Franciscan St. Francis Health ‐ Indianapolis Campus Indianapolis IN Declined to Respond Franciscan St. Francis Health ‐ Mooresville Mooresville IN Declined to Respond Franciscan St. Margaret Health ‐ Hammond Hammond IN Declined to Respond Franciscan St. Margaret Hospital Dyer Campus Dyer IN Declined to Respond Good Samaritan Hospital Vincennes IN 17.6% Fully Meets Standard Hancock Regional Hospital Greenfield IN Declined to Respond Hendricks Regional Health Danville IN 33.2% Some Progress Henry County Hospital New Castle IN 36.2% Willing to Report Howard Regional Health System Kokomo IN Declined to Respond Indiana University Goshen Hospital Goshen IN Declined to Respond Indiana University Health Arnett Lafayette IN 32.3% Some Progress

These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group. www.leapfroggroup.org/compare‐hospitals *Unusually high rate; could not be verified. 32 of 96 Cesarean Section Rates from the 2015 Leapfrog Hospital Survey Results reflect submissions received by December 31, 2015 Hospital City State Rate Performance Indiana University Health Ball Memorial Hospital Muncie IN Declined to Respond Indiana University Health Bloomington Hospital Bloomington IN Declined to Respond Indiana University Health Hospital Indianapolis IN Declined to Respond Indiana University Health La Porte Hospital La Porte IN Declined to Respond Indiana University Health Methodist Hospital Indianapolis IN Declined to Respond Indiana University Health Morgan Hospital Martinsville IN Declined to Respond Indiana University Health North Hospital Carmel IN Declined to Respond Indiana University Health Starke Hospital Knox IN Declined to Respond Indiana University Health West Hospital Avon IN Declined to Respond Johnson Memorial Hospital Franklin IN Declined to Respond Kentuckiana Medical Center Clarksville IN Declined to Respond King's Daughters' Hospital and Health Services Madison IN Declined to Respond Kosciusko Community Hospital Warsaw IN Declined to Respond Logansport Memorial Hospital Logansport IN Declined to Respond Lutheran Hospital of Indiana Fort Wayne IN Declined to Respond Major Hospital Shelbyville IN Declined to Respond Marion General Hospital Marion IN 33.1% Some Progress Memorial Hospital and Health Care Center Jasper IN 18.5% Fully Meets Standard Memorial Hospital of South Bend South Bend IN 22.0% Fully Meets Standard Monroe Hospital Bloomington IN Declined to Respond Parkview Huntington Hospital Huntington IN Declined to Respond Parkview Noble Hospital Kendallville IN Declined to Respond Parkview Regional Medical Center Fort Wayne IN 21.4% Fully Meets Standard Parkview Whitley Hospital Columbia City IN Declined to Respond Peyton Manning Children's Hospital Indianapolis IN Declined to Respond Physicians Medical Center of New Albany New Albany IN Declined to Respond Pinnacle Hospital Crown Point IN Declined to Respond Porter‐Valparaiso Hospital Campus Valparaiso IN Declined to Respond Reid Hospital and Health Care Services Richmond IN Declined to Respond Riley Hospital for Children at IU Health Indianapolis IN Declined to Respond Riverview Hospital Noblesville IN Declined to Respond Saint Joseph Regional Medical Center Mishawaka IN Declined to Respond Schneck Medical Center Seymour IN Declined to Respond St. Catherine Hospital of East Chicago East Chicago IN Declined to Respond St. Joseph Hospital and Health Center Kokomo IN 25.7% Substantial Progress St. Joseph Hospital of Fort Wayne Fort Wayne IN Declined to Respond St. Joseph's Regional Medical Center Plymouth Campus Plymouth IN Declined to Respond St. Mary Medical Center of Hobart Hobart IN Declined to Respond St. Mary's Warrick Hospital Boonville IN Does Not Apply St. Mary's Medical Center of Evansville Evansville IN 35.7% Willing to Report

These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group. www.leapfroggroup.org/compare‐hospitals *Unusually high rate; could not be verified. 33 of 96 Cesarean Section Rates from the 2015 Leapfrog Hospital Survey Results reflect submissions received by December 31, 2015 Hospital City State Rate Performance St. Vincent Anderson Regional Hospital Anderson IN Declined to Respond St. Vincent Carmel Hospital Carmel IN 22.8% Fully Meets Standard St. Vincent Fishers Hospital Fishers IN Declined to Respond St. Vincent Indianapolis Hospital Indianapolis IN Declined to Respond Sullivan County Community Hospital Sullivan IN 16.1% Fully Meets Standard Terre Haute Regional Hospital Terre Haute IN 30.9% Some Progress The Heart Hospital at Deaconess Gateway Newburgh IN Unable to Calculate Score The Methodist Hospitals of Merrillville Northlake Gary IN Declined to Respond The Methodist Hospitals of Merrillville Southlake Merrillville IN Declined to Respond The Women's Hospital of Newburgh Newburgh IN 27.0% Substantial Progress Union Hospital Terre Haute IN 23.4% Fully Meets Standard Union Hospital Clinton Clinton IN Does Not Apply Westview Hospital Indianapolis IN Declined to Respond Witham Memorial Hospital Lebanon IN Declined to Respond Allen County Regional Hospital Iola KS 63%* Willing to Report Bob Wilson Memorial Grant County Hospital Ulysses KS Declined to Respond Children's Mercy Hospital South Campus Overland Park KS Does Not Apply Coffey County Hospital Burlington KS Declined to Respond Coffeyville Regional Medical Center Coffeyville KS Declined to Respond Doctor's Hospital of Leawood Leawood KS Declined to Respond Geary Community Hospital Junction City KS Declined to Respond Hays Medical Center Hays KS Declined to Respond Hutchinson Regional Medical Center Hutchinson KS Declined to Respond Kansas City Orthopaedic Institute Leawood KS Declined to Respond Kansas Medical Center Andover KS Declined to Respond Kansas Surgery and Recovery Center Wichita KS Does Not Apply Labette Health Parsons KS Declined to Respond Lawrence Memorial Hospital Lawrence KS Declined to Respond McPherson Hospital Mcpherson KS Declined to Respond Menorah Medical Center Overland Park KS 36.4% Willing to Report Mercy Hospital Moundridge KS Declined to Respond Mercy Hospital Fort Scott Fort Scott KS Declined to Respond Mercy Hospital Independence Independence KS Declined to Respond Miami County Medical Center Paola KS Declined to Respond Morton County Health System Elkhart KS Declined to Respond Newton Medical Center Newton KS Declined to Respond Olathe Medical Center Olathe KS Declined to Respond Overland Park Regional Medical Center Overland Park KS 32.3% Some Progress Pratt Regional Medical Center Pratt KS 33.3% Some Progress Providence Medical Center of Kansas City Kansas City KS 13.0% Fully Meets Standard

These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group. www.leapfroggroup.org/compare‐hospitals *Unusually high rate; could not be verified. 34 of 96 Cesarean Section Rates from the 2015 Leapfrog Hospital Survey Results reflect submissions received by December 31, 2015 Hospital City State Rate Performance Ransom Memorial Hospital Ottawa KS Declined to Respond Saint Luke's Cushing Memorial Hospital Leavenworth KS Declined to Respond Salina Regional Health Center Salina KS Declined to Respond Shawnee Mission Medical Center Shawnee Mission KS 19.9% Fully Meets Standard South Central Kansas Medical Center Arkansas City KS Declined to Respond Southwest Medical Center Liberal KS Declined to Respond St. Catherine Hospital Garden City KS 11.2% Fully Meets Standard St. Francis Health Center Topeka KS 17.0% Fully Meets Standard St. John Hospital of Leavenworth Leavenworth KS Does Not Apply St. Luke's South Hospital Overland Park KS Declined to Respond Stormont‐Vail Healthcare Topeka KS Declined to Respond Sumner Regional Medical Center Wellington KS Declined to Respond Susan B. Allen Memorial Hospital El Dorado KS Declined to Respond The University of Kansas Hospital Kansas City KS Declined to Respond Via Christi Hospital Manhattan, Inc. Manhattan KS 23.6% Fully Meets Standard Via Christi Hospital Pittsburg Pittsburg KS 18.3% Fully Meets Standard Via Christi Hospital St. Teresa Wichita KS Does Not Apply Via Christi Hospital Wichita, St Joseph Wichita KS 24.8% Substantial Progress Via Christi Hospitals Wichita ‐ St Francis Wichita KS Does Not Apply Wesley Medical Center Wichita KS 23.6% Fully Meets Standard Wesley Woodlawn Hospital & ER Wichita KS Does Not Apply Western Plains Medical Complex Dodge City KS 28.3% Some Progress Baptist Health Corbin Corbin KY Declined to Respond Baptist Health Louisville Louisville KY Declined to Respond Baptist Health Madisonville Madisonville KY Declined to Respond Baptist Health Paducah Paducah KY Declined to Respond Baptist Health Richmond Richmond KY Declined to Respond Baptist Hospital Northeast La Grange KY Declined to Respond Bourbon Community Hospital Paris KY Does Not Apply Central Baptist Hospital Lexington KY Declined to Respond Clark Regional Medical Center Winchester KY 33.0% Some Progress Clinton County Hospital Albany KY Declined to Respond Crittenden County Hospital Marion KY Declined to Respond Ephraim McDowell Regional Medical Center Danville KY Declined to Respond Flaget Memorial Hospital Bardstown KY Declined to Respond Fleming County Hospital Flemingsburg KY Does Not Apply FRANKFORT REGIONAL MEDICAL CENTER FRANKFORT KY 29.8% Some Progress Georgetown Community Hospital Georgetown KY 25.4% Substantial Progress Greenview Regional Hospital BOWLING GREEN KY Does Not Apply Hardin Memorial Hospital Elizabethtown KY Declined to Respond

These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group. www.leapfroggroup.org/compare‐hospitals *Unusually high rate; could not be verified. 35 of 96 Cesarean Section Rates from the 2015 Leapfrog Hospital Survey Results reflect submissions received by December 31, 2015 Hospital City State Rate Performance Harlan ARH Hospital Harlan KY Declined to Respond Harrison Memorial Hospital Cynthiana KY Declined to Respond Hazard ARH Regional Medical Center Hazard KY Declined to Respond Highlands Regional Medical Center Prestonsburg KY Declined to Respond Jackson Purchase Medical Center Mayfield KY 38.1% Willing to Report Jennie Stuart Medical Center Hopkinsville KY Declined to Respond Jewish Hospital Louisville KY Declined to Respond Jewish Hospital‐Shelbyville Shelbyville KY Declined to Respond Kentucky River Medical Center Jackson KY Declined to Respond King's Daughters Medical Center Ashland KY 35.1% Willing to Report Kosair Children's Hospital Louisville KY Does Not Apply Lake Cumberland Regional Hospital Somerset KY 26.0% Substantial Progress Logan Memorial Hospital Russellville KY Does Not Apply Lourdes Hospital Paducah KY Declined to Respond Manchester Memorial Hospital Manchester KY 30.2% Some Progress Meadowview Regional Medical Center Maysville KY 24.5% Substantial Progress Medical Center at Bowling Green Bowling Green KY 31.6% Some Progress Methodist Hospital of Henderson Henderson KY Declined to Respond Middlesboro ARH Hospital Middlesboro KY Declined to Respond Monroe County Medical Center Tompkinsville KY Declined to Respond Muhlenberg Community Hospital Greenville KY Declined to Respond Murray‐Calloway County Hospital Murray KY Declined to Respond Norton Audubon Hospital Louisville KY Does Not Apply Norton Brownsboro Hospital Louisville KY Does Not Apply NORTON HOSPITAL LOUISVILLE KY 29.9% Some Progress Norton Women's & Children's Hospital Louisville KY 28.8% Some Progress Our Lady of Bellefonte Hospital Ashland KY Declined to Respond Owensboro Health Owensboro KY Declined to Respond Paul B. Hall Regional Medical Center Paintsville KY Declined to Respond Pikeville Medical Center Pikeville KY Declined to Respond Pineville Community Hospital Association Pineville KY Declined to Respond Rockcastle Hospital and Respiratory Care Center Mount Vernon KY Declined to Respond Saint Joseph ‐ London London KY Declined to Respond Saint Joseph East Lexington KY Declined to Respond Saint Joseph Hospital Lexington KY Declined to Respond Saint Joseph Mount Sterling Mount Sterling KY Declined to Respond Spring View Hospital Lebanon KY 32.1% Some Progress St. Claire Regional Medical Center Morehead KY Declined to Respond St. Elizabeth Healthcare ‐ Edgewood Edgewood KY Declined to Respond St. Elizabeth Healthcare ‐ Florence Florence KY Does Not Apply

These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group. www.leapfroggroup.org/compare‐hospitals *Unusually high rate; could not be verified. 36 of 96 Cesarean Section Rates from the 2015 Leapfrog Hospital Survey Results reflect submissions received by December 31, 2015 Hospital City State Rate Performance St. Elizabeth Healthcare ‐ Ft. Thomas Ft. Thomas KY Does Not Apply St. Elizabeth Healthcare ‐ Grant Williamstown KY Does Not Apply Sts. Mary & Elizabeth Hospital Louisville KY Declined to Respond T. J. Samson Community Hospital Glasgow KY Declined to Respond Taylor Regional Hospital Campbellsville KY 51.4% Willing to Report Three Rivers Medical Center Louisa KY Declined to Respond Twin Lakes Regional Medical Center Leitchfield KY Declined to Respond UK HealthCare Good Samaritan Hospital Lexington KY Declined to Respond University of Kentucky Albert B. Chandler Hospital Lexington KY Declined to Respond University of Louisville Hospital Louisville KY 27.6% Some Progress Westlake Regional Hospital Columbia KY Declined to Respond Whitesburg ARH Hospital Whitesburg KY Declined to Respond Williamson ARH Hospital South Williamson KY Declined to Respond Abbeville General Hospital Abbeville LA 27.9% Some Progress Acadia General Hospital (American Legion Hospital) Crowley LA Declined to Respond Allen Parish Hospital Kinder LA Declined to Respond Avoyelles Hospital Marksville LA Declined to Respond Baton Rouge General Medical Center Baton Rouge LA 22.6% Fully Meets Standard Beauregard Memorial Hospital De Ridder LA Declined to Respond Byrd Regional Hospital Leesville LA Declined to Respond Children's Hospital New Orleans LA Declined to Respond CHRISTUS Schumpert Medical Center Shreveport LA Declined to Respond CHRISTUS St. Frances Cabrini Hospital Alexandria LA Declined to Respond CHRISTUS St. Patrick Hospital of Lake Charles Lake Charles LA Declined to Respond Citizens Medical Center Columbia LA Declined to Respond Dauterive Hospital New Iberia LA Declined to Respond De Soto Regional Health System Mansfield LA Declined to Respond Doctors Hospital at Deer Creek Leesville LA Declined to Respond E. A. Conway Medical Center Monroe LA Declined to Respond East Jefferson General Hospital Metairie LA 33.3% Some Progress Fairway Medical Center Covington LA Declined to Respond Franklin Medical Center Winnsboro LA Declined to Respond Glenwood Regional Medical Center West Monroe LA 28.0% Some Progress Homer Memorial Hospital Homer LA Declined to Respond Iberia Medical Center New Iberia LA 30.0% Some Progress Jennings American Legion Hospital Jennings LA Declined to Respond Lafayette General Medical Center Lafayette LA 31.4% Some Progress Lake Charles Memorial Hospital Lake Charles LA 22.7% Fully Meets Standard Lakeview Regional Medical Center Covington LA 43.2% Willing to Report Lane Regional Medical Center Zachary LA Declined to Respond

These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group. www.leapfroggroup.org/compare‐hospitals *Unusually high rate; could not be verified. 37 of 96 Cesarean Section Rates from the 2015 Leapfrog Hospital Survey Results reflect submissions received by December 31, 2015 Hospital City State Rate Performance LaSalle General Hospital Jena LA Declined to Respond Leonard J. Chabert Medical Center Houma LA Does Not Apply Louisiana Medical Center and Heart Hospital Lacombe LA Declined to Respond LSU Bogalusa Medical Center Bogalusa LA Declined to Respond Mercy Regional Medical Center Ville Platte LA 35.7% Willing to Report Minden Medical Center Minden LA 21.5% Fully Meets Standard Morehouse General Hospital Bastrop LA Declined to Respond Natchitoches Regional Medical Center Natchitoches LA 27.3% Some Progress North Oaks Medical Center Hammond LA Declined to Respond Northern Louisiana Medical Center Ruston LA Declined to Respond Oakdale Community Hospital Oakdale LA Declined to Respond Ochsner Baptist Medical Center New Orleans LA 22.5% Fully Meets Standard Ochsner Medical Center ‐ Kenner Kenner LA Declined to Respond Ochsner Medical Center ‐ New Orleans New Orleans LA Does Not Apply Ochsner Medical Center ‐ North Shore Slidell LA Declined to Respond Ochsner Medical Center ‐ West Bank Gretna LA Declined to Respond Ochsner Medical Center‐Baton Rouge Baton Rouge LA Declined to Respond Ochsner St. Anne General Hospital Raceland LA Declined to Respond Opelousas General Health System Opelousas LA 22.6% Fully Meets Standard Our Lady of Lourdes Regional Medical Center Lafayette LA Does Not Apply Our Lady of The Lake Regional Medical Center Baton Rouge LA Does Not Apply P&S Surgical Hospital Monroe LA Does Not Apply Rapides Regional Medical Center Alexandria LA 35.0% Willing to Report Richardson Medical Center Rayville LA Declined to Respond Sabine Medical Center Many LA Declined to Respond Savoy Medical Center Mamou LA Declined to Respond Slidell Memorial Hospital Slidell LA 29.3% Some Progress South Cameron Memorial Hospital Cameron LA Declined to Respond Springhill Medical Center Springhill LA Declined to Respond St. Bernard Parish Hospital Chalmette LA Declined to Respond St. Charles Parish Hospital Luling LA Declined to Respond St. Elizabeth Hospital Gonzales LA Does Not Apply St. Francis Medical Center Monroe LA Declined to Respond St. Tammany Parish Hospital Covington LA 30.1% Some Progress Teche Regional Medical Center Morgan City LA 23.6% Fully Meets Standard Terrebonne General Medical Center Houma LA Declined to Respond The Regional Medical Center of Acadiana Lafayette LA Does Not Apply Thibodaux Regional Medical Center Thibodaux LA Declined to Respond Touro Infirmary New Orleans LA Declined to Respond Tulane Lakeside Hospital Metairie LA 30.5% Some Progress

These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group. www.leapfroggroup.org/compare‐hospitals *Unusually high rate; could not be verified. 38 of 96 Cesarean Section Rates from the 2015 Leapfrog Hospital Survey Results reflect submissions received by December 31, 2015 Hospital City State Rate Performance Tulane Medical Center New Orleans LA Does Not Apply University Health Shreveport Shreveport LA Declined to Respond University Medical Center at Lafayette Lafayette LA Declined to Respond University Medical Center New Orleans New Orleans LA Unable to Calculate Score West Calcasieu Cameron Hospital Sulphur LA Declined to Respond West Carroll Memorial Hospital Oak Grove LA Declined to Respond West Jefferson Medical Center Marrero LA Declined to Respond Willis‐Knighton Bossier Health Center Bossier City LA Declined to Respond Willis‐Knighton Medical Center Shreveport LA Declined to Respond Willis‐Knighton South & the Center for Women's Health Shreveport LA Declined to Respond Winn Parish Medical Center Winnfield LA Declined to Respond WK Pierremont Health Center Shreveport LA Declined to Respond Women and Children's Hospital Lake Charles LA Declined to Respond Women's & Children's Hospital Lafayette LA 35.9% Willing to Report Addison Gilbert Hospital Gloucester MA Does Not Apply Anna Jaques Hospital Newburyport MA 29.9% Some Progress Athol Memorial Hospital Athol MA Declined to Respond Baystate Franklin Medical Center Greenfield MA 29.7% Some Progress Baystate Mary Lane Hospital Ware MA Does Not Apply Baystate Medical Center Springfield MA 22.7% Fully Meets Standard Baystate Wing Hospital Palmer MA Does Not Apply Berkshire Medical Center Pittsfield MA 21.4% Fully Meets Standard Beth Israel Deaconess Hospital ‐ Needham Needham MA Does Not Apply Beth Israel Deaconess Hospital Plymouth Plymouth MA 24.1% Substantial Progress Beth Israel Deaconess Hospital‐Milton Milton MA Does Not Apply Beth Israel Deaconess Medical Center Boston MA 24.7% Substantial Progress Beverly Hospital Beverly MA 27.5% Some Progress Boston Children's Hospital Boston MA Does Not Apply Boston Medical Center Boston MA 29.6% Some Progress Brigham and Women's Faulkner Hospital Boston MA Does Not Apply Brigham And Women's Hospital Boston MA 19.5% Fully Meets Standard Cambridge Health Alliance: Cambridge Cambridge MA 18.5% Fully Meets Standard Cambridge Health Alliance: Whidden Everett MA Does Not Apply Cape Cod Hospital Hyannis MA 24.4% Substantial Progress Carney Hospital Dorchester MA Does Not Apply Charlton Memorial Hospital Fall River MA Declined to Respond Clinton Hospital Clinton MA Declined to Respond Cooley Dickinson Hospital Northampton MA 22.5% Fully Meets Standard Dana‐Farber Cancer Institute Boston MA Does Not Apply Emerson Hospital Concord MA 25.3% Substantial Progress

These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group. www.leapfroggroup.org/compare‐hospitals *Unusually high rate; could not be verified. 39 of 96 Cesarean Section Rates from the 2015 Leapfrog Hospital Survey Results reflect submissions received by December 31, 2015 Hospital City State Rate Performance Fairview Hospital Great Barrington MA 15.2% Fully Meets Standard Falmouth Hospital Falmouth MA 30.2% Some Progress Hallmark Health System Lawrence Memorial Hospital of Medford Medford MA Does Not Apply Hallmark Health System Melrose‐Wakefield Hospital Melrose MA 26.9% Substantial Progress Harrington Memorial Hospital Southbridge MA 14.3% Fully Meets Standard HealthAlliance Hospital Leominster MA Declined to Respond Heywood Hospital Gardner MA 19.4% Fully Meets Standard Holy Family Hospital Methuen MA 42.7% Willing to Report Holy Family Hospital at Merrimack Valley Haverhill MA Does Not Apply Holyoke Medical Center Holyoke MA 19.7% Fully Meets Standard Lahey Hospital and Medical Center Burlington MA Does Not Apply Lawrence General Hospital Lawrence MA 22.4% Fully Meets Standard Leonard Morse Hospital Natick MA Does Not Apply Lowell General Hospital ‐ Main Campus Lowell MA 28.1% Some Progress Lowell General Hospital ‐ Saints Campus Lowell MA Does Not Apply Marlborough Hospital Marlborough MA Unable to Calculate Score Martha's Vineyard Hospital Oak Bluffs MA 33.3% Some Progress Massachusetts Eye And Ear Boston MA Does Not Apply Massachusetts General Hospital Boston MA Declined to Respond Mercy Medical Center of Springfield Springfield MA 25.1% Substantial Progress Metrowest Medical Center Framingham MA 27.4% Some Progress Milford Regional Medical Center Milford MA 24.3% Substantial Progress Morton Hospital Taunton MA 34.3% Willing to Report Mount Auburn Hospital Cambridge MA 20.9% Fully Meets Standard Nantucket Cottage Hospital Nantucket MA 22.0% Fully Meets Standard Nashoba Valley Medical Center Ayer MA Does Not Apply New England Baptist Hospital Boston MA Does Not Apply Newton‐Wellesley Hospital Newton MA 24.7% Substantial Progress Noble Hospital Westfield MA Does Not Apply North Shore Medical Center ‐ Salem Hospital Salem MA Declined to Respond North Shore Medical Center ‐ Union Hospital Lynn MA Declined to Respond Norwood Hospital Norwood MA 27.5% Some Progress Saint Anne's Hospital Fall River MA Does Not Apply Signature Healthcare Brockton Hospital Brockton MA 26.8% Substantial Progress South Shore Hospital South Weymouth MA 30.5% Some Progress St Vincent Hospital Worcester MA 27.4% Some Progress St. Elizabeth's Medical Center Boston MA 25.7% Substantial Progress St. Luke's Hospital New Bedford MA Declined to Respond Steward Good Samaritan Medical Center, Inc. Brockton MA 36.4% Willing to Report Sturdy Memorial Hospital Attleboro MA 30.8% Some Progress

These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group. www.leapfroggroup.org/compare‐hospitals *Unusually high rate; could not be verified. 40 of 96 Cesarean Section Rates from the 2015 Leapfrog Hospital Survey Results reflect submissions received by December 31, 2015 Hospital City State Rate Performance Tobey Hospital Wareham MA Declined to Respond Tufts Medical Center Boston MA 36.3% Willing to Report U Mass Memorial Medical Center ‐ Memorial Campus Worcester MA 21.5% Fully Meets Standard U Mass Memorial Medical Center ‐ University Campus Worcester MA Does Not Apply Winchester Hospital Winchester MA 33.3% Some Progress Anne Arundel Medical Center Annapolis MD 32.7% Some Progress Atlantic General Hospital Berlin MD Declined to Respond Bon Secours Baltimore Health System Baltimore MD Declined to Respond Calvert Memorial Hospital Prince Frederick MD Declined to Respond Carroll Hospital Center Westminster MD Declined to Respond Chester River Health System Chestertown MD Declined to Respond Doctors Community Hospital Lanham MD Does Not Apply Edward W. McCready Memorial Hospital Crisfield MD Declined to Respond Fort Washington Medical Center Fort Washington MD Declined to Respond Franklin Square Hospital Center Baltimore MD Declined to Respond Frederick Memorial Hospital Frederick MD Declined to Respond Garrett County Memorial Hospital Oakland MD Declined to Respond Good Samaritan Hospital of Maryland Baltimore MD Declined to Respond Greater Baltimore Medical Center Baltimore MD Declined to Respond Harbor Hospital Baltimore MD Declined to Respond Harford Memorial Hospital Havre De Grace MD Declined to Respond Holy Cross Hospital Silver Spring MD Declined to Respond Howard County General Hospital Columbia MD Declined to Respond JAMES LAWRENCE KERNAN HOSPITAL INC BALTIMORE MD Declined to Respond Johns Hopkins Bayview Medical Center Baltimore MD Declined to Respond Laurel Regional Hospital Laurel MD Declined to Respond Maryland General Hospital Baltimore MD Declined to Respond MedStar Southern Maryland Hospital Center Clinton MD Declined to Respond Memorial Hospital at Easton Maryland Easton MD Declined to Respond Mercy Medical Center Baltimore MD Declined to Respond Meritus Medical Center Hagerstown MD 26.0% Substantial Progress Montgomery General Hospital Olney MD Declined to Respond Mt. Washington Pediatric Hospital Baltimore MD Declined to Respond Northwest Hospital Randallstown MD Declined to Respond Peninsula Regional Medical Center Salisbury MD Declined to Respond Prince George's Hospital Center Cheverly MD Declined to Respond Shady Grove Adventist Hospital Rockville MD Declined to Respond Sinai Hospital of Baltimore Baltimore MD Declined to Respond St. Agnes Hospital Baltimore MD Declined to Respond St. Mary's Hospital of Leonardtown Leonardtown MD Declined to Respond

These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group. www.leapfroggroup.org/compare‐hospitals *Unusually high rate; could not be verified. 41 of 96 Cesarean Section Rates from the 2015 Leapfrog Hospital Survey Results reflect submissions received by December 31, 2015 Hospital City State Rate Performance Suburban Hospital Bethesda MD Declined to Respond The Johns Hopkins Hospital Baltimore MD 28.8% Some Progress UM Baltimore Washington Medical Center Glen Burnie MD 17.6% Fully Meets Standard Union Hospital Elkton MD Declined to Respond Union Memorial Hospital Baltimore MD Declined to Respond University of Maryland Charles Regional Medical Center La Plata MD Declined to Respond University of Maryland Medical Center Baltimore MD 24.3% Substantial Progress University of Maryland Shore Medical Center at Dorchester Cambridge MD Declined to Respond University of Maryland St. Joseph Medical Center Towson MD Declined to Respond Upper Chesapeake Medical Center Bel Air MD Declined to Respond Washington Adventist Hospital Takoma Park MD Declined to Respond Western Maryland Regional Medical Center Cumberland MD Declined to Respond Blue Hill Memorial Hospital Blue Hill ME Does Not Apply Bridgton Hospital Bridgton ME 36.2% Willing to Report Calais Regional Hospital Calais ME 42.9% Willing to Report Cary Medical Center Caribou ME 34.8% Willing to Report Central Maine Medical Center Lewiston ME 22.3% Fully Meets Standard Charles A. Dean Memorial Hospital Greenville ME Does Not Apply Down East Community Hospital Machias ME 26.8% Substantial Progress Eastern Maine Medical Center Bangor ME 20.0% Fully Meets Standard Franklin Memorial Hospital Farmington ME 29.8% Some Progress Houlton Regional Hospital Houlton ME 34.8% Willing to Report Inland Hospital Waterville ME 31.6% Some Progress LincolnHealth Damariscotta ME 8.9% Fully Meets Standard Maine Coast Memorial Hospital Ellsworth ME 12.4% Fully Meets Standard Maine General Medical Center Augusta ME 28.8% Some Progress Maine Medical Center Portland ME 26.6% Substantial Progress Mayo Regional Hospital Dover‐Foxcroft ME 24.3% Substantial Progress Mercy Hospital of Portland Portland ME 11.5% Fully Meets Standard Mid Coast Hospital Brunswick ME 22.7% Fully Meets Standard Millinocket Regional Hospital Millinocket ME Unable to Calculate Score Mount Desert Island Hospital Bar Harbor ME 30.6% Some Progress Northern Maine Medical Center Fort Kent ME 31.3% Some Progress Parkview Adventist Medical Center Brunswick ME Does Not Apply Pen Bay Medical Center Rockport ME 28.4% Some Progress Penobscot Valley Hospital Lincoln ME 33.3% Some Progress Redington‐Fairview General Hospital Skowhegan ME 21.3% Fully Meets Standard Rumford Hospital Rumford ME 14.3% Fully Meets Standard Sebasticook Valley Health Pittsfield ME Does Not Apply SMHC Biddeford Medical Center Biddeford ME 12.4% Fully Meets Standard

These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group. www.leapfroggroup.org/compare‐hospitals *Unusually high rate; could not be verified. 42 of 96 Cesarean Section Rates from the 2015 Leapfrog Hospital Survey Results reflect submissions received by December 31, 2015 Hospital City State Rate Performance St. Joseph Hospital of Bangor Bangor ME Does Not Apply St. Mary's Regional Medical Center of Maine Lewiston ME 26.2% Substantial Progress Stephens Memorial Hospital Norway ME 32.7% Some Progress The Aroostook Medical Center Presque Isle ME 30.0% Some Progress Waldo County General Hospital Belfast ME 32.6% Some Progress York Hospital York ME 15.3% Fully Meets Standard Allegan General Hospital Allegan MI Declined to Respond Allegiance Health Jackson MI Declined to Respond Alpena Regional Medical Center Alpena MI Declined to Respond Aspirus Grand View Hospital Ironwood MI Declined to Respond Aspirus Keweenaw Hospital Laurium MI Declined to Respond Aspirus Ontonagon Hospital Ontonagon MI Declined to Respond Baraga County Memorial Hospital L'Anse MI Declined to Respond Beaumont Hospital ‐ Grosse Pointe Grosse Pointe MI Declined to Respond Beaumont Hospital ‐ Troy Troy MI Declined to Respond Beaumont Hospital, Royal Oak Royal Oak MI Declined to Respond Bell Hospital Ishpeming MI Declined to Respond Borgess Medical Center Kalamazoo MI Declined to Respond Borgess‐Lee Memorial Hospital Dowagiac MI Declined to Respond Botsford Hospital Farmington Hills MI Declined to Respond Bronson Battle Creek Battle Creek MI 21.6% Fully Meets Standard Bronson LakeView Hospital Paw Paw MI Declined to Respond Bronson Methodist Hospital Kalamazoo MI 25.8% Substantial Progress C.S. Mott Children's Hospital Ann Arbor MI 22.2% Fully Meets Standard Caro Community Hospital Caro MI Declined to Respond Charlevoix Area Hospital Charlevoix MI Declined to Respond Children's Hospital of Michigan Detroit MI Does Not Apply Clinton Memorial/Sparrow Clinton St Johns MI Declined to Respond Community Health Center of Branch County Coldwater MI Declined to Respond Covenant Medical Center Harrison Campus Saginaw MI Declined to Respond Crittenton Hospital Medical Center Rochester MI Declined to Respond Detroit Receiving Hospital and University Health Center Detroit MI Does Not Apply Dickinson County Healthcare System Iron Mountain MI 40.9% Willing to Report Doctors' Hospital of Michigan Pontiac MI Declined to Respond Eaton Rapids Medical Center Eaton Rapids MI Declined to Respond Forest Health Medical Center Ypsilanti MI Declined to Respond Garden City Hospital Garden City MI 18.0% Fully Meets Standard Genesys Regional Medical Center Grand Blanc MI Declined to Respond Harbor Beach Community Hospital Harbor Beach MI Declined to Respond Harper‐Hutzel Hospital Detroit MI 21.9% Fully Meets Standard

These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group. www.leapfroggroup.org/compare‐hospitals *Unusually high rate; could not be verified. 43 of 96 Cesarean Section Rates from the 2015 Leapfrog Hospital Survey Results reflect submissions received by December 31, 2015 Hospital City State Rate Performance Hayes Green Beach Memorial Hospital Charlotte MI Declined to Respond Helen DeVos Children's Hospital Grand Rapids MI Does Not Apply Helen Newberry Joy Hospital Newberry MI Declined to Respond Henry Ford Hospital Detroit MI 24.0% Substantial Progress Henry Ford Macomb Hospitals Clinton Township MI 27.9% Some Progress Henry Ford West Bloomfield Hospital West Bloomfield MI 24.7% Substantial Progress Henry Ford Wyandotte Hospital Wyandotte MI 23.8% Fully Meets Standard Hills and Dales General Hospital Cass City MI Declined to Respond Hillsdale Community Health Center Hillsdale MI 33.3% Some Progress Holland Hospital Holland MI Declined to Respond Hurley Medical Center Flint MI Declined to Respond Huron Medical Center Bad Axe MI Declined to Respond Huron Valley‐Sinai Hospital Commerce Township MI 26.4% Substantial Progress Kalkaska Memorial Health Center Kalkaska MI Declined to Respond Lake Huron Medical Center Port Huron MI Does Not Apply Lakeland Community Hospital Niles Niles MI 42.9% Willing to Report Lakeland Community Hospital, Watervliet Watervliet MI Declined to Respond Lakeland Regional Medical Center‐St. Joseph St. Joseph MI 36.8% Willing to Report Mackinac Straits Hospital & Health Center Saint Ignace MI Declined to Respond Marlette Regional Hospital Marlette MI Declined to Respond McKenzie Memorial Hospital Sandusky MI Declined to Respond McLaren ‐ Bay Region Bay City MI Declined to Respond McLaren ‐ Greater Lansing Lansing MI Declined to Respond McLaren ‐ Lapeer Region Lapeer MI 28.8% Some Progress McLaren ‐ Northern Michigan Petoskey MI 37.8% Willing to Report McLaren ‐ Oakland Pontiac MI Does Not Apply McLaren Central Michigan Mount Pleasant MI Declined to Respond McLaren Flint Flint MI Declined to Respond McLaren Macomb Mount Clemens MI 15.0% Fully Meets Standard McLaren Port Huron Hospital Port Huron MI 28.5% Some Progress Memorial Healthcare Owosso MI Declined to Respond Mercy Health Hackley Campus Muskegon MI 22.1% Fully Meets Standard Mercy Health Lakeshore Campus Shelby MI Declined to Respond Mercy Health Mercy Campus Muskegon MI Does Not Apply Mercy Health Saint Mary's Grand Rapids MI 24.2% Substantial Progress Mercy Hospital of Cadillac Cadillac MI Declined to Respond Mercy Hospital of Grayling Grayling MI Declined to Respond Mercy Memorial Hospital Monroe MI Declined to Respond Metro Health Hospital Wyoming MI 28.0% Some Progress MidMichigan Medical Center ‐ Gladwin Gladwin MI Does Not Apply

These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group. www.leapfroggroup.org/compare‐hospitals *Unusually high rate; could not be verified. 44 of 96 Cesarean Section Rates from the 2015 Leapfrog Hospital Survey Results reflect submissions received by December 31, 2015 Hospital City State Rate Performance MidMichigan Medical Center‐Clare Clare MI Does Not Apply MidMichigan Medical Center‐Gratiot Alma MI 24.3% Substantial Progress MidMichigan Medical Center‐Midland Midland MI 30.8% Some Progress Munising Memorial Hospital Munising MI Declined to Respond Munson Medical Center Traverse City MI Declined to Respond North Ottawa Community Hospital Grand Haven MI Declined to Respond NORTHSTAR Health System Iron River MI Declined to Respond Oaklawn Hospital Marshall MI Declined to Respond Oakwood Annapolis Hospital Wayne MI Declined to Respond Oakwood Heritage Hospital Taylor MI Declined to Respond Oakwood Hospital & Medical Center‐Dearborn Dearborn MI Declined to Respond Oakwood Southshore Medical Center Trenton MI Declined to Respond OSF St. Francis Hospital Escanaba MI 10.8% Fully Meets Standard Otsego Memorial Hospital Gaylord MI Declined to Respond Paul Oliver Memorial Hospital Frankfort MI Declined to Respond ProMedica Bixby Hospital Adrian MI Declined to Respond ProMedica Herrick Hospital Tecumseh MI Declined to Respond Providence Hospital Southfield MI Declined to Respond Providence Park Hospital Novi MI Declined to Respond Scheurer Hospital Pigeon MI Declined to Respond Schoolcraft Memorial Hospital Manistique MI Declined to Respond Sheridan Community Hospital Sheridan MI Declined to Respond Sinai‐Grace Hospital Detroit MI 34.4% Willing to Report South Haven Community Hospital South Haven MI Declined to Respond Sparrow Carson Hospital Carson City MI 29.1% Some Progress Sparrow Hospital & Health System Lansing MI 25.2% Substantial Progress Sparrow Ionia Hospital Ionia MI Declined to Respond Spectrum Health Big Rapids Hospital Big Rapids MI Declined to Respond Spectrum Health Blodgett Hospital Grand Rapids MI Does Not Apply Spectrum Health Butterworth Hospital Grand Rapids MI 24.9% Substantial Progress Spectrum Health Gerber Memorial Fremont MI 26.9% Substantial Progress Spectrum Health Kelsey Hospital Lakeview MI Does Not Apply Spectrum Health Ludington Hospital Ludington MI 37.6% Willing to Report Spectrum Health Pennock Hastings MI 33.3% Some Progress Spectrum Health Reed City Hospital Reed City MI Does Not Apply Spectrum Health United Hospital Greenville MI 20.0% Fully Meets Standard Spectrum Health Zeeland Community Hospital Zeeland MI 11.9% Fully Meets Standard St. John Hospital and Medical Center Detroit MI Declined to Respond St. John Macomb Hospital Warren MI Declined to Respond St. John Oakland Hospital Madison Heights MI Declined to Respond

These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group. www.leapfroggroup.org/compare‐hospitals *Unusually high rate; could not be verified. 45 of 96 Cesarean Section Rates from the 2015 Leapfrog Hospital Survey Results reflect submissions received by December 31, 2015 Hospital City State Rate Performance St. John River District Hospital East China MI Declined to Respond St. Joseph Health System Tawas City MI Declined to Respond St. Joseph Mercy ‐ Chelsea Chelsea MI Does Not Apply St. Joseph Mercy Hospital, Ann Arbor Ypsilanti MI 26.4% Substantial Progress St. Joseph Mercy Livingston Hospital Howell MI Does Not Apply St. Joseph Mercy Oakland Pontiac MI 30.5% Some Progress St. Mary Mercy Hospital Livonia MI 22.8% Fully Meets Standard St. Mary's of Michigan of Saginaw Saginaw MI Declined to Respond St. Mary's of Michigan Standish Hospital Standish MI Declined to Respond Sturgis Hospital Sturgis MI Declined to Respond Three Rivers Health Three Rivers MI Declined to Respond University of Michigan Hospitals and Health Centers Ann Arbor MI Does Not Apply UP Health System ‐ Portage Hancock MI 36.5% Willing to Report UP Health System – Marquette Marquette MI 34.4% Willing to Report War Memorial Hospital Sault Sainte Marie MI 29.8% Some Progress West Branch Regional Medical Center West Branch MI Declined to Respond West Shore Medical Center Manistee MI Declined to Respond Abbott Northwestern Hospital Minneapolis MN Declined to Respond Albert Lea Medical Center ‐ Mayo Clinic Health System Albert Lea MN Declined to Respond Austin Medical Center ‐ Mayo Clinic Health System Austin MN Declined to Respond Buffalo Hospital Buffalo MN Declined to Respond Cambridge Medical Center Cambridge MN Declined to Respond Children's Hospitals and Clinics of Minnesota ‐ Minneapolis Minneapolis MN Does Not Apply Children's Hospitals and Clinics of Minnesota ‐ St. Paul St. Paul MN Does Not Apply District One Hospital Faribault MN Declined to Respond Douglas County Hospital Alexandria MN Declined to Respond Essentia Health ‐ Saint Joseph's Medical Center Brainerd MN Declined to Respond Essentia Health Saint Mary's Medical Center Duluth MN Declined to Respond Essentia Health St. Mary's ‐ Detroit Lakes Detroit Lakes MN Declined to Respond Essentia Health‐Virginia Virginia MN Declined to Respond Fairmont Medical Center ‐ Mayo Clinic Health System Fairmont MN Declined to Respond Fairview Lakes Regional Health Care Wyoming MN Declined to Respond Fairview Northland Medical Center Princeton MN Declined to Respond Fairview Ridges Hospital Burnsville MN Declined to Respond Fairview Southdale Hospital Edina MN Declined to Respond Fairview University Medical Center Mesabi Hibbing MN Declined to Respond Grand Itasca Clinic and Hospital Grand Rapids MN Declined to Respond Healtheast St. John's Hospital St. Paul MN Declined to Respond Healtheast St. Joseph's Hospital St. Paul MN Declined to Respond Hennepin County Medical Center Minneapolis MN 20.4% Fully Meets Standard

These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group. www.leapfroggroup.org/compare‐hospitals *Unusually high rate; could not be verified. 46 of 96 Cesarean Section Rates from the 2015 Leapfrog Hospital Survey Results reflect submissions received by December 31, 2015 Hospital City State Rate Performance Hutchinson Health Hospital Hutchinson MN Declined to Respond Lake Region Healthcare Fergus Falls MN Declined to Respond Lakeview Hospital Stillwater MN Declined to Respond Mankato Hospital ‐ Mayo Clinic Health System Mankato MN Declined to Respond Maple Grove Hospital Maple Grove MN Declined to Respond Mayo Clinic Health System In Red Wing Red Wing MN Declined to Respond Mayo Clinic Hospital ‐Rochester, Methodist Campus Rochester MN Declined to Respond Mayo Clinic Hospital‐ Rochester, Saint Marys Campus Rochester MN Declined to Respond Mercy Hospital of Coon Rapids Coon Rapids MN Declined to Respond North Memorial Medical Center Robbinsdale MN 16.7% Fully Meets Standard Northfield Hospital Northfield MN Declined to Respond Olmsted Medical Center Rochester MN Declined to Respond Owatonna Hospital Owatonna MN Declined to Respond Park Nicollet Methodist Hospital St. Louis Park MN 16.2% Fully Meets Standard Regina Medical Center Hastings MN Declined to Respond Regions Hospital St. Paul MN 22.8% Fully Meets Standard Rice Memorial Hospital Willmar MN Declined to Respond Ridgeview Medical Center Waconia MN Declined to Respond Sanford Bemidji Medical Center Bemidji MN Declined to Respond Sanford Worthington Medical Center Worthington MN Declined to Respond St. Cloud Hospital St. Cloud MN Declined to Respond St. Francis Regional Medical Center Shakopee MN Declined to Respond St. Luke's Hospital of Duluth Duluth MN Declined to Respond United Hospital of St. Paul St. Paul MN Declined to Respond Unity Hospital of Fridley Fridley MN Declined to Respond University of Minnesota Medical Center, Fairview ‐ West Bank Campus Minneapolis MN Declined to Respond Winona Health Winona MN Declined to Respond Woodwinds Health Campus Woodbury MN Declined to Respond Audrain Medical Center Mexico MO Declined to Respond Barnes‐Jewish Hospital St. Louis MO Declined to Respond Barnes‐Jewish St. Peters Hospital St. Peters MO Declined to Respond Barnes‐Jewish West County Hospital St. Louis MO Declined to Respond Bates County Memorial Hospital Butler MO Declined to Respond Belton Regional Medical Center Belton MO Does Not Apply Black River Medical Center Poplar Bluff MO Declined to Respond Boone Hospital Center Columbia MO Declined to Respond Bothwell Regional Health Center Sedalia MO Declined to Respond Callaway Community Hospital Fulton MO Declined to Respond Cameron Regional Medical Center Cameron MO Declined to Respond Capital Region Medical Center Jefferson City MO Declined to Respond

These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group. www.leapfroggroup.org/compare‐hospitals *Unusually high rate; could not be verified. 47 of 96 Cesarean Section Rates from the 2015 Leapfrog Hospital Survey Results reflect submissions received by December 31, 2015 Hospital City State Rate Performance Centerpoint Medical Center Independence MO 13.8% Fully Meets Standard Children's Mercy Hospitals and Clinics Kansas City MO Unable to Calculate Score Christian Hospital Northeast St. Louis MO Declined to Respond Citizens Memorial Hospital Bolivar MO Declined to Respond Cooper County Memorial Hospital Boonville MO Declined to Respond Cox Medical Center Branson Branson MO Declined to Respond Cox Medical Centers Springfield MO Declined to Respond Cox Monett Monett MO Declined to Respond Des Peres Hospital St. Louis MO Does Not Apply Fitzgibbon Hospital Marshall MO Declined to Respond Freeman Health System Joplin MO 33.3% Some Progress Golden Valley Memorial Healthcare Clinton MO 29.3% Some Progress Hannibal Regional Hospital Hannibal MO Declined to Respond Heartland Regional Medical Center of St. Joseph St. Joseph MO Declined to Respond Lafayette Regional Health Center Lexington MO Does Not Apply Lake Regional Health System Osage Beach MO Declined to Respond Lee's Summit Medical Center Lee'S Summit MO Does Not Apply Liberty Hospital Liberty MO 15.7% Fully Meets Standard Lincoln County Medical Center Troy MO Declined to Respond Mercy Hospital ‐ Springfield Springfield MO Declined to Respond Mercy Hospital Jefferson Crystal City MO 49.5% Willing to Report Mercy Hospital Joplin Joplin MO 13.4% Fully Meets Standard Mercy Hospital Lebanon Lebanon MO Declined to Respond Mercy Hospital St. Louis St. Louis MO 29.7% Some Progress Mercy Hospital Washington Washington MO 30.8% Some Progress Mineral Area Regional Medical Center Farmington MO Declined to Respond Missouri Baptist Medical Center St. Louis MO Declined to Respond Missouri Baptist Sullivan Hospital Sullivan MO Declined to Respond Missouri Delta Medical Center Sikeston MO Declined to Respond Moberly Regional Medical Center Moberly MO Declined to Respond Nevada Regional Medical Center Nevada MO Declined to Respond North Kansas City Hospital North Kansas City MO Declined to Respond Northeast Regional Medical Center Kirksville MO Declined to Respond Ozarks Community Hospital Springfield MO Declined to Respond Ozarks Medical Center West Plains MO Declined to Respond Parkland Health Center of Bonne Terre Bonne Terre MO Declined to Respond Parkland Health Center of Farmington Farmington MO Declined to Respond Pemiscot Memorial Health System Hayti MO Declined to Respond Phelps County Regional Medical Center Rolla MO Declined to Respond Poplar Bluff Regional Medical Center Poplar Bluff MO 21.8% Fully Meets Standard

These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group. www.leapfroggroup.org/compare‐hospitals *Unusually high rate; could not be verified. 48 of 96 Cesarean Section Rates from the 2015 Leapfrog Hospital Survey Results reflect submissions received by December 31, 2015 Hospital City State Rate Performance Progress West HealthCare Center O'Fallon MO Declined to Respond Research Medical Center Main Campus Kansas City MO 19.5% Fully Meets Standard Saint Francis Medical Center Cape Girardeau MO 26.0% Substantial Progress Saint Luke's East Hospital Lee'S Summit MO Declined to Respond Saint Luke's Hospital of Kansas City Kansas City MO Declined to Respond Saint Luke's North Hospital Kansas City MO Declined to Respond Southeast Health Center of Ripley County Doniphan MO Does Not Apply Southeast Health Center of Stoddard County Dexter MO Declined to Respond Southeast Hospital Cape Girardeau MO 20.9% Fully Meets Standard SSM Cardinal Glennon Children's Medical Center St. Louis MO Does Not Apply SSM DePaul Health Center Bridgeton MO 26.5% Substantial Progress SSM Health Saint Louis University Hospital St. Louis MO Declined to Respond SSM Health St. Mary's Hospital ‐ Jefferson City Jefferson City MO Declined to Respond SSM St. Clare Health Center Fenton MO Declined to Respond SSM St. Joseph Health Center St. Charles MO Declined to Respond SSM St. Joseph Health Center of Wentzville Wentzville MO Declined to Respond SSM St. Joseph Hospital West Lake St. Louis MO 20.2% Fully Meets Standard SSM St. Mary's Health Center St. Louis MO Declined to Respond St. Alexius Hospital ‐ Broadway Campus St. Louis MO Does Not Apply St. Anthony's Medical Center of St. Louis St. Louis MO 24.3% Substantial Progress St. Francis Hospital and Health Services Maryville MO Declined to Respond St. Joseph Medical Center Kansas City MO 23.4% Fully Meets Standard St. Louis Children's Hospital St. Louis MO Declined to Respond St. Luke's Hospital of Chesterfield Chesterfield MO Declined to Respond St. Mary's Medical Center Blue Springs MO Does Not Apply Texas County Memorial Hospital Houston MO Declined to Respond Truman Medical Center Hospital Hill Kansas City MO Declined to Respond Truman Medical Center Lakewood Kansas City MO Declined to Respond Twin Rivers Regional Medical Center Kennett MO Declined to Respond University of Missouri Hospital & Clinics Columbia MO Does Not Apply Washington County Memorial Hospital Potosi MO Declined to Respond Western Missouri Medical Center Warrensburg MO 16.9% Fully Meets Standard Women's and Children's Hospital Columbia MO 22.4% Fully Meets Standard Alliance HealthCare System Holly Springs MS Declined to Respond Anderson Regional Medical Center Meridian MS Declined to Respond Anderson Regional Medical Center‐South Campus Meridian MS Declined to Respond Baptist Memorial Hospital ‐ North Mississippi Oxford MS Declined to Respond Baptist Memorial Hospital DeSoto Southaven MS Declined to Respond Baptist Memorial Hospital Golden Triangle Columbus MS Declined to Respond Baptist Memorial Hospital of Union County New Albany MS Declined to Respond

These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group. www.leapfroggroup.org/compare‐hospitals *Unusually high rate; could not be verified. 49 of 96 Cesarean Section Rates from the 2015 Leapfrog Hospital Survey Results reflect submissions received by December 31, 2015 Hospital City State Rate Performance Baptist Memorial Hospital‐Booneville Booneville MS Declined to Respond Beacham Memorial Hospital Magnolia MS Declined to Respond Biloxi Regional Medical Center Biloxi MS Declined to Respond Bolivar Medical Center Cleveland MS 22.6% Fully Meets Standard Central Mississippi Medical Center Jackson MS Declined to Respond Crossgates River Oaks Hospital Brandon MS Declined to Respond Delta Regional Medical Center Greenville MS Declined to Respond Forrest General Hospital Hattiesburg MS Declined to Respond Garden Park Medical Center Gulfport MS 22.2% Fully Meets Standard George Regional Hospital Lucedale MS Declined to Respond Gilmore Memorial Regional Medical Center Amory MS Declined to Respond Greenwood Leflore Hospital Greenwood MS Declined to Respond Hancock Medical Center Bay Saint Louis MS Declined to Respond Highland Community Hospital Picayune MS Declined to Respond Jasper General Hospital Bay Springs MS Declined to Respond Jefferson County Hospital Fayette MS Declined to Respond Kilmichael Hospital Kilmichael MS Declined to Respond King's Daughters Medical Center Brookhaven MS Declined to Respond Madison River Oaks Medical Center Canton MS Declined to Respond Magee General Hospital Magee MS Declined to Respond Magnolia Regional Health Center Corinth MS Declined to Respond Marion General Hospital Columbia MS Declined to Respond Memorial Hospital at Gulfport Gulfport MS Declined to Respond Merit Health River Region Vicksburg MS Declined to Respond Merit Health Wesley Hattiesburg MS 20.0% Fully Meets Standard Methodist Olive Branch Hospital Olive Branch MS 21.8% Fully Meets Standard Mississippi Baptist Medical Center Jackson MS Declined to Respond Montfort Jones Memorial Hospital Kosciusko MS Declined to Respond Natchez Community Hospital Natchez MS Declined to Respond Natchez Regional Medical Center Natchez MS Declined to Respond Neshoba County General Hospital Philadelphia MS Declined to Respond North Mississippi Medical Center ‐ Eupora Eupora MS Declined to Respond North Mississippi Medical Center ‐ Iuka Iuka MS Declined to Respond North Mississippi Medical Center ‐ Tupelo Tupelo MS Declined to Respond North Mississippi Medical Center ‐ West Point West Point MS Declined to Respond North Oak Regional Medical Center Senatobia MS Declined to Respond Northwest Mississippi Regional Medical Center Clarksdale MS Declined to Respond Ocean Springs Hospital Ocean Springs MS Declined to Respond OCH Regional Medical Center Starkville MS 37.1% Willing to Report River Oaks Hospital Flowood MS Declined to Respond

These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group. www.leapfroggroup.org/compare‐hospitals *Unusually high rate; could not be verified. 50 of 96 Cesarean Section Rates from the 2015 Leapfrog Hospital Survey Results reflect submissions received by December 31, 2015 Hospital City State Rate Performance Rush Foundation Hospital Meridian MS Declined to Respond Sharkey‐Issaquena Community Hospital Rolling Fork MS Declined to Respond Singing River Health System Pascagoula MS Declined to Respond South Central Regional Medical Center Laurel MS Declined to Respond South Sunflower County Hospital Indianola MS Declined to Respond Southwest Mississippi Regional Medical Center Mccomb MS 38.6% Willing to Report St. Dominic‐Jackson Memorial Hospital Jackson MS 47.2% Willing to Report Tippah County Hospital Ripley MS Declined to Respond Trace Regional Hospital Houston MS Declined to Respond Tri‐Lakes Medical Center Batesville MS Declined to Respond University Hospitals and Health System, University of Mississippi Medical Center Jackson MS 36.2% Willing to Report University of Mississippi Medical Center Grenada Grenada MS Declined to Respond Wayne General Hospital Waynesboro MS Declined to Respond Winston Medical Center Louisville MS Declined to Respond Yalobusha General Hospital Water Valley MS Declined to Respond Benefis Hospitals Great Falls MT Declined to Respond Billings Clinic Billings MT 30.9% Some Progress Bozeman Deaconess Hospital Bozeman MT Declined to Respond Community Medical Center Missoula MT Declined to Respond HealthCenter Northwest Kalispell MT Declined to Respond Kalispell Regional Medical Center Kalispell MT Declined to Respond Northern Montana Hospital Havre MT Declined to Respond Providence St. Patrick Hospital Missoula MT Declined to Respond St. James Healthcare Butte MT 27.1% Some Progress St. Peter's Hospital Helena MT Declined to Respond St. Vincent Healthcare Billings MT 13.8% Fully Meets Standard Alamance Regional Medical Center Burlington NC 26.3% Substantial Progress Annie Penn Hospital Reidsville NC Does Not Apply Anson Community Hospital Wadesboro NC Declined to Respond Betsy Johnson Regional Hospital Dunn NC Declined to Respond Blue Ridge HealthCare Hospitals ‐ Morganton Morganton NC 25.2% Substantial Progress Blue Ridge Regional Hospital Spruce Pine NC Declined to Respond Caldwell Memorial Hospital Lenoir NC Declined to Respond Cape Fear Valley Medical Center Fayetteville NC 24.0% Substantial Progress CarolinaEast Medical Center New Bern NC Declined to Respond Carolinas Healthcare System ‐ Lincoln Lincolnton NC 21.9% Fully Meets Standard Carolinas Healthcare System ‐ NorthEast Concord NC 24.9% Substantial Progress Carolinas Healthcare System ‐ Pineville Charlotte NC 16.6% Fully Meets Standard Carolinas Healthcare System ‐ Union Monroe NC 19.2% Fully Meets Standard Carolinas Healthcare System ‐ University Charlotte NC 24.9% Substantial Progress

These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group. www.leapfroggroup.org/compare‐hospitals *Unusually high rate; could not be verified. 51 of 96 Cesarean Section Rates from the 2015 Leapfrog Hospital Survey Results reflect submissions received by December 31, 2015 Hospital City State Rate Performance Carolinas Healthcare System‐ Cleveland Shelby NC 27.2% Some Progress Carolinas Healthcare System‐ Kings Mountain Kings Mountain NC Does Not Apply Carolinas Medical Center Charlotte NC 23.9% Fully Meets Standard Carolinas Medical Center ‐ Mercy Charlotte NC Does Not Apply CaroMont Regional Medical Center GASTONIA NC 29.3% Some Progress Carteret General Hospital Morehead City NC Declined to Respond Catawba Valley Medical Center Hickory NC 16.6% Fully Meets Standard CENTRAL CAROLINA HOSPITAL SANFORD NC 27.1% Some Progress Chatham Hospital Siler City NC Declined to Respond Columbus Regional Healthcare Whiteville NC 24.7% Substantial Progress Cone Health ‐Moses H. Cone Memorial Hospital Greensboro NC Does Not Apply Davis Regional Medical Center Statesville NC Declined to Respond Duke Raleigh Hospital Raleigh NC Does Not Apply Duke Regional Hospital Durham NC 19.2% Fully Meets Standard Duke University Hospital Durham NC 32.0% Some Progress Duplin General Hospital Kenansville NC Declined to Respond FirstHealth Moore Regional Hospital Pinehurst NC Declined to Respond FirstHealth Richmond Memorial Hospital Rockingham NC Declined to Respond FRYE REGIONAL MEDICAL CENTER HICKORY NC 28.0% Some Progress Granville Medical Center Oxford NC Declined to Respond Halifax Regional Medical Center Roanoke Rapids NC Declined to Respond Harris Regional Hospital Sylva NC Declined to Respond Haywood Regional Medical Center Clyde NC 12.0% Fully Meets Standard Heritage Hospital Tarboro NC Declined to Respond High Point Regional UNC Health Care High Point NC 33.3% Some Progress Hugh Chatham Memorial Hospital Elkin NC 31.7% Some Progress Iredell Memorial Hospital Statesville NC Declined to Respond Johnston Health Smithfield NC Declined to Respond Kernersville Medical Center Kernersville NC Does Not Apply Lake Norman Regional Medical Center Mooresville NC Declined to Respond Lenoir Memorial Hospital, Inc. Kinston NC 21.4% Fully Meets Standard Margaret R. Pardee Memorial Hospital Hendersonville NC 23.1% Fully Meets Standard Maria Parham Medical Center Henderson NC Declined to Respond Martin General Hospital Williamston NC Declined to Respond McDowell Hospital Marion NC Declined to Respond Mission St. Joseph's Health System Asheville NC Declined to Respond Morehead Memorial Hospital Eden NC 20.5% Fully Meets Standard Murphy Medical Center Murphy NC Declined to Respond Nash Health Care Systems Rocky Mount NC Declined to Respond New Hanover Regional Medical Center Wilmington NC 15.9% Fully Meets Standard

These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group. www.leapfroggroup.org/compare‐hospitals *Unusually high rate; could not be verified. 52 of 96 Cesarean Section Rates from the 2015 Leapfrog Hospital Survey Results reflect submissions received by December 31, 2015 Hospital City State Rate Performance NORTHERN HOSPITAL OF SURRY COUNTY MOUNT AIRY NC 28.7% Some Progress Novant Health Brunswick Medical Center Bolivia NC 27.3% Some Progress Novant Health Forsyth Medical Center Winston‐Salem NC 21.7% Fully Meets Standard Novant Health Franklin Medical Center Louisburg NC Declined to Respond Novant Health Huntersville Medical Center Huntersville NC 22.4% Fully Meets Standard Novant Health Matthews Medical Center Matthews NC 21.7% Fully Meets Standard Novant Health Medical Park Hospital Winston‐Salem NC Does Not Apply Novant Health Presbyterian Medical Center Charlotte NC 29.6% Some Progress Novant Health Rowan Medical Center Salisbury NC 20.4% Fully Meets Standard Novant Health Thomasville Medical Center Thomasville NC 20.5% Fully Meets Standard ONSLOW MEMORIAL HOSPITAL JACKSONVILLE NC 24.6% Substantial Progress Park Ridge Health Hendersonville NC 33.2% Some Progress Person Memorial Hospital Roxboro NC Does Not Apply Randolph Hospital Asheboro NC Declined to Respond Rex Hospital, Inc. Raleigh NC 29.5% Some Progress Roanoke‐Chowan Hospital Ahoskie NC Declined to Respond Rutherford Hospital Rutherfordton NC 28.8% Some Progress Sampson Regional Medical Center Clinton NC Declined to Respond Sandhills Regional Medical Center Hamlet NC Declined to Respond Scotland Health Care System Laurinburg NC Declined to Respond Sentara Albemarle Medical Center Elizabeth City NC Declined to Respond Southeastern Regional Medical Center Lumberton NC 23.8% Fully Meets Standard Stanly Regional Medical Center Albemarle NC 19.7% Fully Meets Standard University of North Carolina Hospitals Chapel Hill NC 19.5% Fully Meets Standard Vidant Beaufort Hospital Washington NC Declined to Respond Vidant Medical Center Greenville NC 20.1% Fully Meets Standard Wake Forest Baptist Health‐Lexington Medical Center Lexington NC 21.5% Fully Meets Standard Wake Forest Baptist Medical Center WINSTON‐SALEM NC Does Not Apply WakeMed Cary Hospital Cary NC 33.0% Some Progress WakeMed Raleigh Campus Raleigh NC 17.6% Fully Meets Standard Watauga Medical Center Boone NC 22.3% Fully Meets Standard Wayne Memorial Hospital Goldsboro NC 34.2% Willing to Report Wesley Long Community Greensboro NC Does Not Apply Wilkes Regional Medical Center North Wilkesboro NC 25.1% Substantial Progress Wilson Medical Center Wilson NC 22.6% Fully Meets Standard Womens Hospital of Greensboro Greensboro NC 22.6% Fully Meets Standard Altru Health System Grand Forks ND 15.9% Fully Meets Standard Essentia Health ‐ Fargo Fargo ND Declined to Respond Medcenter One Bismarck ND Declined to Respond Sanford Medical Center Fargo ND Declined to Respond

These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group. www.leapfroggroup.org/compare‐hospitals *Unusually high rate; could not be verified. 53 of 96 Cesarean Section Rates from the 2015 Leapfrog Hospital Survey Results reflect submissions received by December 31, 2015 Hospital City State Rate Performance St. Alexius Medical Center Bismarck ND Declined to Respond Trinity Hospital Minot ND 20.4% Fully Meets Standard Bellevue Medical Center Bellevue NE Declined to Respond Bryanlgh Medical Center Lincoln NE Declined to Respond CHI Health Bergan Mercy Omaha NE Declined to Respond CHI Health Creighton University Medical Center Omaha NE Declined to Respond CHI Health Immanuel Omaha NE Declined to Respond CHI Health Lakeside Omaha NE Declined to Respond CHI Health Midlands Papillion NE Declined to Respond CHI Health St. Elizabeth Lincoln NE 20.2% Fully Meets Standard Children's Hospital & Medical Center Omaha NE Does Not Apply Columbus Community Hospital Columbus NE Declined to Respond Faith Regional Health Services Norfolk NE Declined to Respond Fremont Area Medical Center Fremont NE Declined to Respond Good Samaritan Hospital Kearney NE Declined to Respond Great Plains Regional Medical Center North Platte NE Declined to Respond Mary Lanning Healthcare Hastings NE Declined to Respond Nebraska Medical Center Omaha NE Declined to Respond Nebraska Methodist Hospital Omaha NE Declined to Respond OGALLALA COMMUNITY HOSPITAL OGALLALA NE 27.3% Some Progress Regional West Medical Center Scottsbluff NE Declined to Respond Saint Francis Medical Center Grand Island NE Declined to Respond Alice Peck Day Memorial Hospital Lebanon NH 15.1% Fully Meets Standard Androscoggin Valley Hospital Berlin NH Declined to Respond Catholic Medical Center Manchester NH Declined to Respond Cheshire Medical Center Keene NH Declined to Respond Concord Hospital Concord NH Declined to Respond Cottage Hospital of Woodsville Woodsville NH Declined to Respond Dartmouth‐Hitchcock Medical Center Lebanon NH 31.3% Some Progress Elliot Hospital Manchester NH Declined to Respond Exeter Hospital Exeter NH 22.7% Fully Meets Standard Franklin Regional Hospital Franklin NH Declined to Respond Frisbie Memorial Hospital Rochester NH Declined to Respond Huggins Hospital Wolfeboro NH Declined to Respond Lakes Region General Hospital Laconia NH Declined to Respond Littleton Regional Healthcare Littleton NH 13.6% Fully Meets Standard Memorial Hospital North Conway NH Declined to Respond Monadnock Community Hospital Peterborough NH Declined to Respond New London Hospital New London NH Declined to Respond Parkland Medical Center Derry NH 34.4% Willing to Report

These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group. www.leapfroggroup.org/compare‐hospitals *Unusually high rate; could not be verified. 54 of 96 Cesarean Section Rates from the 2015 Leapfrog Hospital Survey Results reflect submissions received by December 31, 2015 Hospital City State Rate Performance Portsmouth Regional Hospital Portsmouth NH 31.0% Some Progress Southern New Hampshire Medical Center Nashua NH 23.2% Fully Meets Standard Speare Memorial Hospital Plymouth NH Declined to Respond St. Joseph Hospital of Nashua Nashua NH Declined to Respond Upper Connecticut Valley Hospital Colebrook NH Declined to Respond Valley Regional Hospital Claremont NH Declined to Respond Weeks Medical Center Lancaster NH Declined to Respond Wentworth‐Douglass Hospital Dover NH 21.4% Fully Meets Standard Atlanticare Regional Medical Center ‐ City Campus Atlantic City NJ Declined to Respond Atlanticare Regional Medical Center‐Mainland Campus Pomona NJ Declined to Respond Bayshore Community Hospital Holmdel NJ Does Not Apply Cape Regional Medical Center Cape May Court House NJ 22.9% Fully Meets Standard Capital Health Medical Center ‐ Hopewell Pennington NJ 30.0% Some Progress Capital Health Regional Medical Center Trenton NJ 33.3% Some Progress CarePoint Health‐Bayonne Bayonne NJ Does Not Apply CarePoint Health‐Christ Hospital Jersey City NJ 14.1% Fully Meets Standard Carepoint Health‐Hoboken University Medical Center Hoboken NJ 35.0% Willing to Report CentraState Healthcare System Freehold NJ 33.5% Willing to Report Chilton Medical Center Pompton Plains NJ 27.1% Some Progress Clara Maass Medical Center Belleville NJ 32.9% Some Progress Community Medical Center of Toms River Toms River NJ 29.4% Some Progress Cooper University Health Care Camden NJ 27.5% Some Progress Deborah Heart and Lung Center Browns Mills NJ Does Not Apply East Orange General Hospital East Orange NJ Declined to Respond Englewood Hospital and Medical Center Englewood NJ 25.8% Substantial Progress Hackensack University Medical Center Hackensack NJ 41.8% Willing to Report HackensackUMC Mountainside Montclair NJ 29.8% Some Progress Hackettstown Regional Medical Center Hackettstown NJ 42.8% Willing to Report Holy Name Medical Center Teaneck NJ 16.1% Fully Meets Standard Hunterdon Medical Center Flemington NJ 29.7% Some Progress Inspira Medical Center Elmer Elmer NJ 13.6% Fully Meets Standard Inspira Medical Center Vineland Vineland NJ 37.1% Willing to Report Inspira Medical Center Woodbury Woodbury NJ 23.6% Fully Meets Standard Jersey City Medical Center‐Barnabas Health Jersey City NJ 35.0% Willing to Report Jersey Shore University Medical Center Neptune NJ 26.2% Substantial Progress JFK Medical Center Edison NJ 32.6% Some Progress Kennedy University Hospital ‐ Cherry Hill Cherry Hill NJ Does Not Apply Kennedy University Hospital ‐ Stratford Stratford NJ Does Not Apply Kennedy University Hospital ‐ Washington Township Turnersville NJ 30.2% Some Progress Lourdes Medical Center of Burlington County Willingboro NJ Does Not Apply

These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group. www.leapfroggroup.org/compare‐hospitals *Unusually high rate; could not be verified. 55 of 96 Cesarean Section Rates from the 2015 Leapfrog Hospital Survey Results reflect submissions received by December 31, 2015 Hospital City State Rate Performance Meadowlands Hospital Medical Center Secaucus NJ 24.5% Substantial Progress Memorial Hospital of Salem County Salem NJ Declined to Respond Monmouth Medical Center Long Branch NJ 22.9% Fully Meets Standard Monmouth Medical Center Southern Campus Lakewood NJ Does Not Apply Morristown Medical Center Morristown NJ 29.4% Some Progress Newark Beth Israel Medical Center Newark NJ 29.0% Some Progress Newton Medical Center Newton NJ 29.3% Some Progress Ocean Medical Center Brick NJ 11.5% Fully Meets Standard Our Lady of Lourdes Medical Center Camden NJ 28.6% Some Progress Overlook Medical Center Summit NJ 32.0% Some Progress Palisades Medical Center North Bergen NJ 21.4% Fully Meets Standard PSE&G Children's Specialized Hospital New Brunswick NJ Does Not Apply Raritan Bay Medical Center of Old Bridge Old Bridge NJ Does Not Apply Raritan Bay Medical Center of Perth Amboy Perth Amboy NJ 28.3% Some Progress Riverview Medical Center Red Bank NJ 34.6% Willing to Report Robert Wood Johnson University Hospital New Brunswick NJ 29.9% Some Progress Robert Wood Johnson University Hospital at Hamilton Hamilton NJ Does Not Apply Robert Wood Johnson University Hospital Rahway Rahway NJ Does Not Apply Robert Wood Johnson University Hospital Somerset Somerville NJ 22.1% Fully Meets Standard Saint Barnabas Medical Center Livingston NJ 23.0% Fully Meets Standard Saint Clare's Hospital of Denville Denville NJ 26.7% Substantial Progress Saint Clare's Hospital of Dover Dover NJ Does Not Apply Saint Michael's Medical Center Newark NJ Declined to Respond Saint Peter's University Hospital New Brunswick NJ 31.0% Some Progress Shore Medical Center Somers Point NJ 42.8% Willing to Report Southern Ocean Medical Center Manahawkin NJ 39.9% Willing to Report St. Francis Medical Center of Trenton Trenton NJ Does Not Apply St. Joseph's Regional Medical Center Paterson NJ 31.5% Some Progress St. Joseph's Wayne Hospital Wayne NJ Does Not Apply St. Luke's Warren Campus Phillipsburg NJ Declined to Respond St. Mary's General Hospital Passaic NJ 54.0% Willing to Report The Valley Hospital Ridgewood NJ 36.7% Willing to Report Trinitas Regional Medical Center Elizabeth NJ 18.9% Fully Meets Standard University Hospital Newark NJ 29.3% Some Progress University Medical Center of Princeton at Plainsboro Plainsboro NJ 23.4% Fully Meets Standard Virtua Marlton Hospital Marlton NJ Does Not Apply Virtua Memorial Hospital Mount Holly NJ 30.8% Some Progress Virtua Voorhees Hospital Voorhees NJ 21.4% Fully Meets Standard Alta Vista Regional Hospital Las Vegas NM Declined to Respond Artesia General Hospital Artesia NM Declined to Respond

These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group. www.leapfroggroup.org/compare‐hospitals *Unusually high rate; could not be verified. 56 of 96 Cesarean Section Rates from the 2015 Leapfrog Hospital Survey Results reflect submissions received by December 31, 2015 Hospital City State Rate Performance Carlsbad Medical Center Carlsbad NM Declined to Respond CHRISTUS St. Vincent Regional Medical Center Santa Fe NM Declined to Respond Dr. Dan C. Trigg Memorial Hospital Tucumcari NM Declined to Respond Eastern New Mexico Medical Center Roswell NM Declined to Respond Espanola Hospital Espanola NM Unable to Calculate Score GERALD CHAMPION REGIONAL MEDICAL CENTER Alamogordo NM Declined to Respond Gila Regional Medical Center Silver City NM Declined to Respond Guadalupe County Hospital Santa Rosa NM Declined to Respond Holy Cross Hospital Taos NM Declined to Respond Lea Regional Medical Center Hobbs NM Declined to Respond Los Alamos Medical Center Los Alamos NM 19.5% Fully Meets Standard Lovelace Medical Center‐Downtown Albuquerque NM Declined to Respond Lovelace Regional Hospital ‐ Roswell Roswell NM 24.2% Substantial Progress Lovelace Westside Hospital Albuquerque NM 12.9% Fully Meets Standard Lovelace Women's Hospital Albuquerque NM 13.3% Fully Meets Standard Memorial Medical Center Las Cruces NM 18.5% Fully Meets Standard Mountainview Regional Medical Center Las Cruces NM Declined to Respond Plains Regional Medical Center Clovis Clovis NM 12.3% Fully Meets Standard Presbyterian Hospital Albuquerque NM 19.8% Fully Meets Standard Presbyterian Rust Medical Center Rio Rancho NM 22.9% Fully Meets Standard Rehoboth McKinley Christian Health Services Hospital Gallup NM Declined to Respond Roosevelt General Hospital Portales NM Declined to Respond San Juan Regional Medical Center Farmington NM Declined to Respond University of New Mexico Hospital Albuquerque NM 20.0% Fully Meets Standard UNM Sandoval Rio Rancho NM Declined to Respond Banner Churchill Community Hospital Fallon NV 20.5% Fully Meets Standard Battle Mountain General Hospital Battle Mountain NV Declined to Respond Carson Tahoe Health Carson City NV Declined to Respond Carson Valley Medical Center Gardnerville NV Declined to Respond Centennial Hills Hospital Medical Center Las Vegas NV 24.1% Substantial Progress Desert Springs Hospital Medical Center Las Vegas NV Does Not Apply Humboldt General Hospital Winnemucca NV Declined to Respond Mountainview Hospital Las Vegas NV 32.9% Some Progress North Vista Hospital North Las Vegas NV Unable to Calculate Score Northeastern Nevada Regional Hospital Elko NV 23.8% Fully Meets Standard Northern Nevada Medical Center Sparks NV Does Not Apply Nye Regional Medical Center Tonopah NV Declined to Respond Pershing General Hospital Lovelock NV Declined to Respond Renown Regional Medical Center Reno NV Declined to Respond Renown South Meadows Medical Center Reno NV Declined to Respond

These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group. www.leapfroggroup.org/compare‐hospitals *Unusually high rate; could not be verified. 57 of 96 Cesarean Section Rates from the 2015 Leapfrog Hospital Survey Results reflect submissions received by December 31, 2015 Hospital City State Rate Performance South Lyon Medical Center Yerington NV Declined to Respond Southern Hills Hospital and Medical Center Las Vegas NV 40.6% Willing to Report Spring Valley Hospital Medical Center Las Vegas NV 28.3% Some Progress St. Mary's Regional Medical Center of Reno Reno NV 33.6% Willing to Report St. Rose Dominican Hospitals ‐ Rose De Lima Campus Henderson NV Does Not Apply St. Rose Dominican Hospitals ‐ San Martin Campus Las Vegas NV 27.0% Substantial Progress St. Rose Dominican Hospitals ‐ Siena Campus Henderson NV 37.7% Willing to Report Summerlin Hospital Medical Center Las Vegas NV 30.7% Some Progress Sunrise Hospital and Medical Center Las Vegas NV 28.9% Some Progress University Medical Center of Southern Nevada Las Vegas NV 22.8% Fully Meets Standard Valley Hospital Medical Center Las Vegas NV Does Not Apply William Bee Ririe Hospital Ely NV Declined to Respond Adirondack Medical Center Saranac Lake NY Declined to Respond Albany Medical Center Albany NY Declined to Respond Albany Memorial Hospital Albany NY Declined to Respond Alice Hyde Medical Center Malone NY 37.1% Willing to Report Arnot Ogden Medical Center Elmira NY Declined to Respond Auburn Community Hospital Auburn NY 19.3% Fully Meets Standard Aurelia Osborn Fox Memorial Hospital Oneonta NY 32.3% Some Progress Bellevue Hospital Center New York NY Declined to Respond Bellevue Women's Care Center Niskayuna NY Declined to Respond Bertrand Chaffee Hospital Springville NY Declined to Respond Blythedale Children's Hospital Valhalla NY Declined to Respond Bon Secours Community Hospital Port Jervis NY Declined to Respond Bronx Lebanon Hospital Center Concourse Campus Bronx NY 22.3% Fully Meets Standard Brookdale Hospital Medical Center Brooklyn NY 30.8% Some Progress Brookhaven Memorial Hospital Medical Center Patchogue NY Declined to Respond Brooks Memorial Hospital Dunkirk NY Declined to Respond Buffalo General Medical Center Buffalo NY Does Not Apply Canton‐Potsdam Hospital Potsdam NY 19.6% Fully Meets Standard Carthage Area Hospital Carthage NY Declined to Respond Catholic Health System ‐ Kenmore Mercy Hospital Kenmore NY Does Not Apply Catholic Health System ‐ Mercy Hospital of Buffalo Buffalo NY 24.0% Substantial Progress Catholic Health System ‐ Sisters of Charity Hospital Buffalo NY 26.4% Substantial Progress Catholic Health System ‐Sisters Hospital ‐ St. Joseph Campus Cheektowaga NY Does Not Apply Catskill Regional Medical Center of Callicoon Callicoon NY Declined to Respond Catskill Regional Medical Center of Harris Harris NY Declined to Respond Cayuga Medical Center at Ithaca Ithaca NY Declined to Respond Champlain Valley Physicians Hospital Medical Center Plattsburgh NY Declined to Respond Claxton‐Hepburn Medical Center Ogdensburg NY Declined to Respond

These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group. www.leapfroggroup.org/compare‐hospitals *Unusually high rate; could not be verified. 58 of 96 Cesarean Section Rates from the 2015 Leapfrog Hospital Survey Results reflect submissions received by December 31, 2015 Hospital City State Rate Performance Clifton Springs Hospital and Clinic Clifton Springs NY Declined to Respond Clifton‐Fine Hospital Star Lake NY Declined to Respond Cobleskill Regional Hospital Cobleskill NY Declined to Respond Columbia Memorial Health Hudson NY 22.1% Fully Meets Standard Community Memorial Hospital of Hamilton Hamilton NY Declined to Respond Coney Island Hospital Brooklyn NY 22.0% Fully Meets Standard Corning Hospital Corning NY Declined to Respond Cortland Regional Medical Center Cortland NY 23.9% Fully Meets Standard Crouse Hospital Syracuse NY 11.3% Fully Meets Standard Cuba Memorial Hospital Cuba NY Declined to Respond DeGraff Memorial Hospital North Tonawanda NY Does Not Apply Eastern Long Island Hospital Greenport NY Declined to Respond Eastern Niagara Hospital Inter‐Community Newfane NY Declined to Respond Eastern Niagara Hospital Lockport Lockport NY Declined to Respond Elizabethtown Community Hospital Elizabethtown NY Declined to Respond Ellenville Regional Hospital Ellenville NY Declined to Respond Ellis Medicine Schenectady NY Declined to Respond Elmhurst Hospital Center Elmhurst NY Declined to Respond Erie County Medical Center Buffalo NY Does Not Apply F.F. Thompson Hospital Canandaigua NY Declined to Respond Faxton St Luke's Healthcare Utica NY Declined to Respond Flushing Hospital Medical Center Flushing NY 26.0% Substantial Progress Geneva General Hospital Geneva NY Declined to Respond Glens Falls Hospital Glens Falls NY 30.1% Some Progress Good Samaritan Hospital Medical Center West Islip NY 45.9% Willing to Report Good Samaritan Regional Medical Center Suffern NY Declined to Respond Gouverneur Hospital Gouverneur NY Declined to Respond Harlem Hospital Center New York NY 27.9% Some Progress HealthAlliance of the Hudson Valley ‐ Broadway Campus Kingston NY Declined to Respond HealthAlliance of the Hudson Valley ‐ Mary's Ave. Campus Kingston NY Declined to Respond Highland Hospital of Rochester Rochester NY Declined to Respond Ira Davenport Memorial Hospital Bath NY Declined to Respond Jacobi Medical Center Bronx NY 17.7% Fully Meets Standard Jamaica Hospital Medical Center Jamaica NY 34.1% Willing to Report John T. Mather Memorial Hospital Port Jefferson NY Does Not Apply Jones Memorial Hospital Wellsville NY Declined to Respond Kings County Hospital Center Brooklyn NY 35.5% Willing to Report Kingsbrook Jewish Medical Center Brooklyn NY Does Not Apply Lewis County General Hospital Lowville NY Declined to Respond Lincoln Medical Center Bronx NY 21.7% Fully Meets Standard

These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group. www.leapfroggroup.org/compare‐hospitals *Unusually high rate; could not be verified. 59 of 96 Cesarean Section Rates from the 2015 Leapfrog Hospital Survey Results reflect submissions received by December 31, 2015 Hospital City State Rate Performance Little Falls Hospital Little Falls NY Declined to Respond Lutheran Medical Center Brooklyn NY Declined to Respond Maimonides Medical Center Brooklyn NY Declined to Respond Margaretville Hospital Margaretville NY Declined to Respond Mary Imogene Bassett Hospital Cooperstown NY 15.2% Fully Meets Standard Massena Memorial Hospital Massena NY Declined to Respond Medina Memorial Hospital Medina NY Declined to Respond Mercy Medical Center Rockville Centre NY 46.3% Willing to Report Metropolitan Hospital Center New York NY 24.9% Substantial Progress MidHudson Regional Hospital of Westchester Medical Center Poughkeepsie NY Declined to Respond Millard Fillmore Suburban Hospital Williamsville NY 26.7% Substantial Progress Monroe Community Hospital Rochester NY Declined to Respond Montefiore Einstein Campus Bronx NY 25.4% Substantial Progress Montefiore Moses Campus Bronx NY Does Not Apply Montefiore Mount Vernon Hospital Mount Vernon NY Declined to Respond Montefiore New Rochelle Hospital New Rochelle NY Declined to Respond Montefiore Wakefield Campus Bronx NY 26.2% Substantial Progress Moses Ludington Hospital Ticonderoga NY Declined to Respond Mount Sinai Beth Israel ‐ Petrie Division New York NY Declined to Respond Mount Sinai Beth Israel Brooklyn Brooklyn NY Declined to Respond Mount Sinai Hospital New York NY Declined to Respond Mount Sinai Queens Long Island City NY Declined to Respond Mount Sinai Roosevelt New York NY Declined to Respond Mount Sinai St. Luke's New York NY Declined to Respond Mount St. Mary's Hospital and Health Center Lewiston NY 38.8% Willing to Report Nassau University Medical Center East Meadow NY 22.0% Fully Meets Standard Nathan Littauer Hospital and Nursing Home Gloversville NY Declined to Respond New York Community Hospital Brooklyn NY Declined to Respond New York Hospital Queens Flushing NY Declined to Respond New York Methodist Hospital Brooklyn NY Declined to Respond New York‐Presbyterian Hospital Columbia University Medical Center New York NY Declined to Respond New York‐Presbyterian Hudson Valley Hospital Cortlandt Manor NY Declined to Respond New York‐Presbyterian Lawrence Hospital Bronxville NY Declined to Respond New York‐Presbyterian The Allen Hospital New York NY Declined to Respond New York‐Presbyterian Weill Cornell Medical Center New York NY Declined to Respond New York‐Presbyterian, Lower Manhattan Hospital New York NY Declined to Respond Newark‐Wayne Community Hospital Newark NY Declined to Respond Niagara Falls Memorial Medical Center Niagara Falls NY Declined to Respond Nicholas H. Noyes Memorial Hospital Dansville NY Declined to Respond North Central Bronx Hospital Bronx NY Does Not Apply

These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group. www.leapfroggroup.org/compare‐hospitals *Unusually high rate; could not be verified. 60 of 96 Cesarean Section Rates from the 2015 Leapfrog Hospital Survey Results reflect submissions received by December 31, 2015 Hospital City State Rate Performance North Shore Long Island Jewish Hospital System New Hyde Park NY Declined to Respond North Shore Long Island Jewish Hospital System ‐ Franklin Hospital Valley Stream NY Declined to Respond North Shore Long Island Jewish Hospital System ‐ Huntington Hospital Huntington NY 46.0% Willing to Report North Shore Long Island Jewish Hospital System ‐ Southside Hospital Bay Shore NY Declined to Respond North Shore Long Island Jewish Hospital System ‐ Staten Island University Hospital North Campus Staten Island NY Declined to Respond North Shore University Hospital Manhasset NY Declined to Respond North Shore‐Long Island Jewish Hospital System ‐ Forest Hills Hospital Forest Hills NY Declined to Respond North Shore‐Long Island Jewish Hospital System ‐ Glen Cove Glen Cove NY Declined to Respond North Shore‐Long Island Jewish Hospital System ‐ Lenox Hill New York NY Declined to Respond North Shore‐Long Island Jewish Hospital System ‐ Plainview Hospital Plainview NY Declined to Respond North Shore‐Long Island Jewish Hospital System ‐ Syosset Hospital Syosset NY Declined to Respond Northern Dutchess Hospital Rhinebeck NY 31.2% Some Progress Northern Westchester Hospital Mount Kisco NY Declined to Respond Nyack Hospital Nyack NY Declined to Respond NYU Langone Medical Center New York NY Declined to Respond O'Connor Hospital of Delhi Delhi NY Declined to Respond Olean General Hospital Olean NY Declined to Respond Oneida Healthcare Center Oneida NY Declined to Respond Orange Regional Medical Center Middletown NY Declined to Respond Oswego Hospital Oswego NY Declined to Respond Our Lady of Lourdes Memorial Hospital Binghamton NY Declined to Respond Peconic Bay Medical Center Riverhead NY 10.2% Fully Meets Standard Phelps Memorial Hospital Center Sleepy Hollow NY Declined to Respond Putnam Hospital Center Carmel NY 15.1% Fully Meets Standard Queens Hospital Center Jamaica NY 23.1% Fully Meets Standard RGHS ‐ Rochester General Hospital Rochester NY Declined to Respond Richmond University Medical Center Staten Island NY Declined to Respond Rome Memorial Hospital Rome NY Declined to Respond Roswell Park Cancer Institute Buffalo NY Does Not Apply Saint John's Riverside Hospital ‐ Dobbs Ferry Pavilion Dobbs Ferry NY Declined to Respond Samaritan Hospital of Troy Troy NY Declined to Respond Samaritan Medical Center Watertown NY Declined to Respond Saratoga Hospital Saratoga Springs NY Declined to Respond Schuyler Hospital Montour Falls NY Declined to Respond Soldiers and Sailors Memorial Hospital of Yates County Penn Yan NY Declined to Respond South Nassau Communities Hospital Oceanside NY 32.8% Some Progress Southampton Hospital Southampton NY 30.8% Some Progress St John's Riverside Hospital ‐ ParkCare Pavilion Yonkers NY Declined to Respond St. Anthony Community Hospital Warwick NY Declined to Respond St. Barnabas Hospital Bronx NY 32.0% Some Progress

These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group. www.leapfroggroup.org/compare‐hospitals *Unusually high rate; could not be verified. 61 of 96 Cesarean Section Rates from the 2015 Leapfrog Hospital Survey Results reflect submissions received by December 31, 2015 Hospital City State Rate Performance St. Catherine of Siena Medical Center Smithtown NY 51.8% Willing to Report St. Charles Hospital Port Jefferson NY 44.5% Willing to Report St. Elizabeth Medical Center of Utica Utica NY Declined to Respond St. Francis Hospital of Roslyn Roslyn NY Does Not Apply St. James Mercy Hospital Hornell NY Declined to Respond St. John's Episcopal Hospital Far Rockaway NY Declined to Respond St. John's Riverside Hospital Yonkers NY Declined to Respond St. Joseph Hospital Bethpage NY Does Not Apply St. Joseph's Hospital Health Center Syracuse NY 14.2% Fully Meets Standard St. Joseph's Hospital of Elmira Elmira NY Declined to Respond St. Joseph's Medical Center of Yonkers Yonkers NY Declined to Respond St. Luke's Cornwall Hospital Cornwall Campus Cornwall NY Declined to Respond St. Luke's Cornwall Hospital Newburgh Campus Newburgh NY Declined to Respond St. Mary's Hospital of Amsterdam Amsterdam NY Declined to Respond St. Mary's Hospital of Troy Troy NY Declined to Respond St. Peter's Hospital (Albany, NY) Albany NY 27.5% Some Progress Stony Brook University Hospital Stony Brook NY 21.0% Fully Meets Standard Strong Memorial Hospital of the University of Rochester Rochester NY Declined to Respond SUNY Downstate Medical Center University Hospital of Brooklyn Brooklyn NY Declined to Respond SUNY Upstate Medical University Hospital Syracuse NY Does Not Apply The Brooklyn Hospital Center Brooklyn NY Declined to Respond The River Hospital Alexandria Bay NY Declined to Respond TLC Health Network ‐ Lake Shore Campus Irving NY Declined to Respond UHS ‐ Binghamton General Hospital Binghamton NY Declined to Respond UHS Wilson Medical Center Johnson City NY Declined to Respond United Health Services ‐ Chenango Memorial Hospital Norwich NY Declined to Respond United Health Services ‐ Delaware Valley Hospital Walton NY Declined to Respond United Memorial Medical Center Batavia NY Declined to Respond Unity Hospital Rochester NY Declined to Respond Upstate University Hospital ‐ Community Campus Syracuse NY 24.5% Substantial Progress Vassar Brothers Medical Center Poughkeepsie NY 29.9% Some Progress Westchester Medical Center Valhalla NY Declined to Respond Westfield Memorial Hospital Westfield NY Declined to Respond White Plains Hospital White Plains NY Declined to Respond Winthrop‐University Hospital Mineola NY 37.2% Willing to Report Women's and Children's Hospital of Buffalo Buffalo NY 41.8% Willing to Report Women's Christian Association Hospital Jamestown NY Declined to Respond Woodhull Medical Center Brooklyn NY 22.0% Fully Meets Standard Wyckoff Heights Medical Center Brooklyn NY 20.1% Fully Meets Standard Wyoming County Community Hospital Warsaw NY Declined to Respond

These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group. www.leapfroggroup.org/compare‐hospitals *Unusually high rate; could not be verified. 62 of 96 Cesarean Section Rates from the 2015 Leapfrog Hospital Survey Results reflect submissions received by December 31, 2015 Hospital City State Rate Performance Adams County Regional Medical Center Seaman OH Declined to Respond Adena Greenfield Medical Center Greenfield OH Declined to Respond Adena Regional Medical Center Chillicothe OH 17.3% Fully Meets Standard Affinity Medical Center Massillon OH Declined to Respond Akron Children's Hospital Akron OH Declined to Respond Akron General Medical Center Akron OH Declined to Respond Alliance Community Hospital Alliance OH Declined to Respond Ashtabula County Medical Center Ashtabula OH Declined to Respond Atrium Medical Center Middletown OH Declined to Respond Aultman Hospital Canton OH 26.4% Substantial Progress Aultman Orrville Hospital Orrville OH Declined to Respond Barnesville Hospital Association Barnesville OH Declined to Respond Bay Park Community Hospital Oregon OH Declined to Respond Belmont Community Hospital Bellaire OH Declined to Respond Berger Health System Circleville OH 22.6% Fully Meets Standard Bethesda Butler Hospital Hamilton OH Declined to Respond Bethesda North Hospital Cincinnati OH Declined to Respond Blanchard Valley Hospital Findlay OH Declined to Respond Blanchard Valley Hospital of Bluffton Bluffton OH Declined to Respond Bryan Hospital Bryan OH Declined to Respond Bucyrus Community Hospital Bucyrus OH Declined to Respond CHWC Archbold Hospital & Medical Center Archbold OH Declined to Respond Cincinnati Children's Hospital Medical Center Cincinnati OH Does Not Apply Cleveland Clinic Foundation Cleveland OH 18.8% Fully Meets Standard Cleveland Clinic Health System ‐ Euclid Hospital Euclid OH Declined to Respond Cleveland Clinic Health System ‐ Fairview Hospital Cleveland OH Declined to Respond Cleveland Clinic Health System ‐ Hillcrest Hospital Mayfield Heights OH Declined to Respond Cleveland Clinic Health System ‐ Lakewood Hospital Lakewood OH Declined to Respond Cleveland Clinic Health System ‐ Lutheran Hospital Cleveland OH Declined to Respond Cleveland Clinic Health System ‐ Marymount Hospital Garfield Heights OH Declined to Respond Cleveland Clinic Health System ‐ Medina General Hospital Medina OH Declined to Respond Cleveland Clinic Health System ‐ South Pointe Hospital Warrensville Heights OH Declined to Respond Clinton Memorial Hospital Wilmington OH Declined to Respond Community Hospitals & Wellness Centers Snyder Campus Bryan OH Declined to Respond Community Memorial Hospital of Hicksville Hicksville OH Declined to Respond Community Mercy Health Partners ‐ Mercy Memorial Hospital Urbana OH Declined to Respond Coshocton County Memorial Hospital Coshocton OH Declined to Respond Defiance Regional Medical Center Defiance OH Declined to Respond Diley Ridge Medical Center Canal Winchester OH Declined to Respond Doctors Hospital of Columbus Ohio Columbus OH 23.5% Fully Meets Standard

These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group. www.leapfroggroup.org/compare‐hospitals *Unusually high rate; could not be verified. 63 of 96 Cesarean Section Rates from the 2015 Leapfrog Hospital Survey Results reflect submissions received by December 31, 2015 Hospital City State Rate Performance Dublin Methodist Hospital Dublin OH 23.1% Fully Meets Standard East Liverpool City Hospital East Liverpool OH Does Not Apply East Ohio Regional Hospital Martins Ferry OH 17.0% Fully Meets Standard Fairfield Medical Center Lancaster OH 21.8% Fully Meets Standard Fayette County Memorial Hospital Washington Court House OH Declined to Respond Firelands Regional Health System Sandusky OH Declined to Respond Fisher‐Titus Medical Center Norwalk OH Declined to Respond Flower Hospital Sylvania OH Declined to Respond Fort Hamilton Hospital Hamilton OH 23.5% Fully Meets Standard Fostoria Community Hospital Fostoria OH Declined to Respond Fulton County Health Center Wauseon OH Declined to Respond Galion Community Hospital Galion OH Declined to Respond Genesis Healthcare System Bethesda Campus Zanesville OH Declined to Respond Genesis HealthCare System Good Samaritan Campus Zanesville OH Does Not Apply Good Samaritan Hospital & Health Center Dayton OH Declined to Respond Good Samaritan Hospital of Cincinnati Cincinnati OH Declined to Respond Grady Memorial Hospital Delaware OH 21.1% Fully Meets Standard Grant Medical Center Columbus OH 23.5% Fully Meets Standard H. B. Magruder Memorial Hospital Port Clinton OH Declined to Respond Hardin Memorial Hospital Kenton OH Does Not Apply Harrison Community Hospital Cadiz OH Declined to Respond Henry County Hospital Napoleon OH Declined to Respond Highland District Hospital Hillsboro OH Declined to Respond Hocking Valley Community Hospital Logan OH Declined to Respond Holzer Medical Center Gallipolis OH Declined to Respond Holzer Medical Center of Jackson Jackson OH Declined to Respond James Cancer Hospital and Solove Research Institute Columbus OH Does Not Apply Jewish Hospital Cincinnati OH Declined to Respond Joint Township District Memorial Hospital St. Marys OH Declined to Respond Kettering Health Network ‐ Grandview Medical Center Dayton OH 31.1% Some Progress Kettering Health Network ‐ Greene Memorial Hospital Xenia OH Does Not Apply Kettering Health Network ‐ Kettering Medical Center Kettering OH 28.2% Some Progress Kettering Health Network ‐ Sycamore Medical Center Miamisburg OH Does Not Apply Knox Community Hospital Mount Vernon OH Declined to Respond Lake Health TriPoint Medical Center Concord Twp OH 29.5% Some Progress Lake Health West Medical Center Willoughby OH 23.4% Fully Meets Standard Licking Memorial Hospital Newark OH 16.2% Fully Meets Standard Lima Memorial Health System Lima OH Declined to Respond Lodi Community Hospital Lodi OH Declined to Respond Madison Health London OH 24.3% Substantial Progress

These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group. www.leapfroggroup.org/compare‐hospitals *Unusually high rate; could not be verified. 64 of 96 Cesarean Section Rates from the 2015 Leapfrog Hospital Survey Results reflect submissions received by December 31, 2015 Hospital City State Rate Performance Marietta Memorial Hospital Marietta OH Declined to Respond Mary Rutan Hospital Bellefontaine OH 33.0% Some Progress McCullough‐Hyde Memorial Hospital Oxford OH Declined to Respond MEDICAL CENTER AT ELIZABETH PLACE DAYTON OH Declined to Respond Memorial Health Marysville OH 24.5% Substantial Progress Mercer County Joint Township Community Hospital Coldwater OH Declined to Respond Mercy Allen Hospital Oberlin OH Declined to Respond Mercy Health ‐ Anderson Hospital Cincinnati OH Declined to Respond Mercy Health ‐ West Hospital Cincinnati OH Declined to Respond Mercy Hospital Clermont Batavia OH Declined to Respond Mercy Hospital Fairfield Fairfield OH Declined to Respond Mercy Hospital of Defiance Defiance OH Declined to Respond Mercy Hospital of Willard Willard OH Declined to Respond Mercy Medical Center Canton OH 17.9% Fully Meets Standard Mercy Regional Medical Center of Lorain Lorain OH Declined to Respond Mercy St. Anne Hospital Toledo OH Declined to Respond Mercy St. Charles Hospital Oregon OH Declined to Respond Mercy St. Vincent Medical Center Toledo OH Declined to Respond Mercy Tiffin Hospital Tiffin OH Declined to Respond MetroHealth Medical Center Cleveland OH 19.8% Fully Meets Standard Miami Valley Hospital Dayton OH Declined to Respond Morrow County Hospital Mount Gilead OH Declined to Respond Mount Carmel East Hospital Columbus OH 24.6% Substantial Progress Mount Carmel New Albany Surgical Hospital New Albany OH Does Not Apply Mount Carmel St. Ann's Hospital Westerville OH 20.1% Fully Meets Standard Mount Carmel West Hospital Columbus OH 21.0% Fully Meets Standard Nationwide Children's Hospital Columbus OH Does Not Apply Northside Medical Center Youngstown OH Declined to Respond Ohio Health ‐ Marion General Hospital Marion OH 19.5% Fully Meets Standard Ohio Health ‐ MedCentral ‐ Shelby Hospital Shelby OH 15.4% Fully Meets Standard OhioHealth ‐ O'Bleness Hospital Athens OH 15.6% Fully Meets Standard OhioHealth MedCentral Mansfield Hospital Mansfield OH 15.0% Fully Meets Standard Paulding County Hospital Paulding OH Declined to Respond Pike Community Hospital Waverly OH Declined to Respond Pomerene Hospital Millersburg OH Declined to Respond ProMedica Memorial Hospital Fremont OH 25.0% Substantial Progress Promedica Toledo Children's Hospital Toledo OH Declined to Respond Riverside Methodist Hospital Columbus OH 24.8% Substantial Progress Robinson Memorial Hospital Ravenna OH Declined to Respond Salem Community Hospital Salem OH Declined to Respond

These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group. www.leapfroggroup.org/compare‐hospitals *Unusually high rate; could not be verified. 65 of 96 Cesarean Section Rates from the 2015 Leapfrog Hospital Survey Results reflect submissions received by December 31, 2015 Hospital City State Rate Performance Samaritan Hospital Ashland OH Declined to Respond Selby General Hospital Marietta OH Declined to Respond Soin Medical Center Beavercreek OH 28.0% Some Progress Southeastern Ohio Regional Medical Center Cambridge OH Declined to Respond Southern Ohio Medical Center Portsmouth OH 19.2% Fully Meets Standard Southview Hospital Dayton OH Declined to Respond Southwest General Health Center Middleburg Heights OH 23.9% Fully Meets Standard Springfield Regional Medical Center Springfield OH Declined to Respond St. Elizabeth Boardman Health Center Youngstown OH Declined to Respond St. Elizabeth Health Center Youngstown OH Declined to Respond St. John Medical Center Westlake OH 22.1% Fully Meets Standard St. Joseph Health Center Warren OH Declined to Respond St. Luke's Hospital of Maumee Maumee OH Declined to Respond St. Rita's Medical Center Lima OH Declined to Respond St. Vincent Charity Medical Center Cleveland OH Does Not Apply St. Vincent Mercy Children's Hospital Toledo OH Declined to Respond Summa ‐ Akron City Hospital Akron OH Declined to Respond Summa ‐ Barberton Citizens Hospital Barberton OH Declined to Respond Summa ‐ St. Thomas Hospital Akron OH Declined to Respond Summa ‐ Wadsworth‐Rittman Hospital Wadsworth OH Declined to Respond Summa ‐ Western Reserve Hospital Cuyahoga Falls OH Declined to Respond The Bellevue Hospital Bellevue OH 22.6% Fully Meets Standard The Children's Medical Center of Dayton Dayton OH Declined to Respond The Christ Hospital Cincinnati OH 27.3% Some Progress The Ohio State University Hospital East Columbus OH Does Not Apply The Ohio State University Wexner Medical Center Columbus OH 24.3% Substantial Progress The Toledo Hospital Toledo OH Declined to Respond The University Hospital Cincinnati OH Declined to Respond TriHealth Evendale Hospital Cincinnati OH Declined to Respond Trinity Health System of Steubenville Steubenville OH Declined to Respond Trumbull Memorial Hospital Warren OH Declined to Respond Twin City Hospital Dennison OH Declined to Respond Union Hospital of Dover Dover OH Declined to Respond University Hospitals ‐ Rainbow Babies and Children's Hospital Cleveland OH Does Not Apply University Hospitals Ahuja Medical Center Beachwood OH Does Not Apply University Hospitals Bedford Medical Center Bedford OH Does Not Apply University Hospitals Case Medical Center Cleveland OH 28.3% Some Progress University Hospitals Conneaut Medical Center Conneaut OH Does Not Apply University Hospitals Elyria Medical Center Elyria OH 23.5% Fully Meets Standard University Hospitals Geauga Medical Center Chardon OH 13.1% Fully Meets Standard

These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group. www.leapfroggroup.org/compare‐hospitals *Unusually high rate; could not be verified. 66 of 96 Cesarean Section Rates from the 2015 Leapfrog Hospital Survey Results reflect submissions received by December 31, 2015 Hospital City State Rate Performance University Hospitals Geneva Medical Center Geneva OH Does Not Apply University Hospitals Parma Medical Center Parma OH 21.9% Fully Meets Standard University Hospitals Richmond Medical Center Richmond Heights OH Does Not Apply University of Toledo Medical Center Toledo OH Declined to Respond Upper Valley Medical Center Troy OH Declined to Respond Van Wert County Hospital Van Wert OH 25.5% Substantial Progress Wayne HealthCare Greenville OH 28.2% Some Progress West Chester Hospital West Chester OH Declined to Respond Wilson Memorial Hospital Sidney OH Declined to Respond Wood County Hospital Bowling Green OH Declined to Respond Wooster Community Hospital Wooster OH Declined to Respond Wyandot Memorial Hospital Upper Sandusky OH Declined to Respond AllianceHealth Durant Durant OK Declined to Respond Bailey Medical Center LLC Owasso OK 12.7% Fully Meets Standard Bristow Medical Center Bristow OK Declined to Respond Community Hospital Oklahoma City OK Declined to Respond Craig General Hospital Vinita OK Declined to Respond Cushing Regional Hospital Cushing OK Declined to Respond Deaconess Hospital Oklahoma City OK Declined to Respond Duncan Regional Hospital Duncan OK Declined to Respond Eastar East Campus Muskogee OK Declined to Respond Eastern Oklahoma Medical Center Poteau OK Declined to Respond Elkview General Hospital Hobart OK Declined to Respond Epic Medical Center Eufaula OK Declined to Respond Grady Memorial Hospital Chickasha OK Declined to Respond Great Plains Regional Medical Center Elk City OK Declined to Respond Harmon Memorial Hospital Hollis OK Declined to Respond Hillcrest Hospital Claremore Claremore OK Declined to Respond Hillcrest Hospital Henryetta Henryetta OK Declined to Respond Hillcrest Hospital South Tulsa OK Declined to Respond Hillcrest Medical Center Tulsa OK Declined to Respond INTEGRIS Baptist Medical Center Oklahoma City OK Declined to Respond INTEGRIS Baptist Regional Health Center Miami OK Declined to Respond INTEGRIS Bass Baptist Health Center Enid OK Declined to Respond INTEGRIS Blackwell Regional Hospital Blackwell OK Declined to Respond INTEGRIS Canadian Valley Hospital Yukon OK Declined to Respond INTEGRIS Clinton Regional Hospital Clinton OK Declined to Respond INTEGRIS Grove General Hospital Grove OK Declined to Respond INTEGRIS Health Edmond Edmond OK Declined to Respond INTEGRIS Mayes County Medical Center Pryor OK Declined to Respond

These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group. www.leapfroggroup.org/compare‐hospitals *Unusually high rate; could not be verified. 67 of 96 Cesarean Section Rates from the 2015 Leapfrog Hospital Survey Results reflect submissions received by December 31, 2015 Hospital City State Rate Performance INTEGRIS Seminole Medical Center Seminole OK Declined to Respond INTEGRIS Southwest Medical Center Oklahoma City OK Declined to Respond Jackson County Memorial Hospital Altus OK Declined to Respond Jane Phillips Medical Center Bartlesville OK Declined to Respond Latimer County General Hospital Wilburton OK Declined to Respond Lindsay Municipal Hospital Lindsay OK Declined to Respond McAlester Regional Health Center McAlester OK 38.5% Willing to Report McCurtain Memorial Hospital Idabel OK Declined to Respond Memorial Hospital Stilwell OK Declined to Respond Memorial Hospital and Physician Group Frederick OK Declined to Respond Memorial Hospital of Texas County Guymon OK Declined to Respond Mercy Hospital Ada Ada OK 25.5% Substantial Progress Mercy Hospital Ardmore Ardmore OK 27.5% Some Progress Mercy Hospital El Reno El Reno OK Does Not Apply Mercy Hospital Oklahoma City Oklahoma City OK 34.5% Willing to Report Midwest Regional Medical Center Midwest City OK Declined to Respond Muscogee Creek Nation Medical Center Okmulgee OK Declined to Respond Newman Memorial Hospital Shattuck OK Declined to Respond Norman Regional Hospital Norman OK Declined to Respond Oklahoma Heart Hospital Oklahoma City OK Declined to Respond Oklahoma State University Medical Center Tulsa OK Declined to Respond Oklahoma Surgical Hospital Tulsa OK Does Not Apply OU Medical Center Oklahoma City OK 28.1% Some Progress OU Medical Center Edmond Edmond OK 22.7% Fully Meets Standard Pauls Valley General Hospital Pauls Valley OK Declined to Respond Perry Memorial Hospital Perry OK Declined to Respond Ponca City Medical Center Ponca City OK Declined to Respond Purcell Municipal Hospital Purcell OK Declined to Respond Saint Francis Hospital Tulsa OK Declined to Respond Saint Francis Hospital South Tulsa OK Declined to Respond Sayre Memorial Hospital Sayre OK Declined to Respond Share Medical Center Alva OK Declined to Respond Southwestern Medical Center Lawton OK Declined to Respond Southwestern Regional Medical Center Tulsa OK Does Not Apply St. Anthony Hospital Oklahoma City OK 34.1% Willing to Report St. Anthony Shawnee Hospital Shawnee OK Declined to Respond St. John Broken Arrow Broken Arrow OK Declined to Respond St. John Medical Center Tulsa OK Declined to Respond St. John Owasso Owasso OK Declined to Respond St. Mary's Regional Medical Center Enid OK Declined to Respond

These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group. www.leapfroggroup.org/compare‐hospitals *Unusually high rate; could not be verified. 68 of 96 Cesarean Section Rates from the 2015 Leapfrog Hospital Survey Results reflect submissions received by December 31, 2015 Hospital City State Rate Performance Stillwater Medical Center Stillwater OK Declined to Respond Tahlequah City Hospital Tahlequah OK Declined to Respond Wagoner Community Hospital Wagoner OK Declined to Respond Woodward Regional Hospital Woodward OK Declined to Respond Adventist Medical Center Portland OR 22.0% Fully Meets Standard Asante Ashland Community Hospital Ashland OR 17.3% Fully Meets Standard Asante Rogue Valley Medical Center Medford OR 25.8% Substantial Progress Asante Three Rivers Medical Center Grants Pass OR 10.4% Fully Meets Standard Bay Area Hospital Coos Bay OR Declined to Respond Good Samaritan Regional Medical Ctr Corvallis OR Declined to Respond Holy Rosary Medical Center Ontario OR Declined to Respond Kaiser Sunnyside Medical Center Clackamas OR 21.2% Fully Meets Standard Kaiser Westside Medical Center Hillsboro OR 17.7% Fully Meets Standard Legacy Emanuel Hospital & Health Ctr Portland OR Declined to Respond Legacy Good Samaritan Hosp & Med Ctr Portland OR Declined to Respond Legacy Meridian Park Hospital Tualatin OR Declined to Respond Legacy Mount Hood Medical Center Gresham OR Declined to Respond McKenzie ‐ Willamette Medical Center Springfield OR Declined to Respond Mercy Medical Center Roseburg OR Declined to Respond Mid‐Columbia Medical Center The Dalles OR Declined to Respond Oregon Health & Science University Hospitals and Clinics Portland OR Declined to Respond Providence Medford Medical Center Medford OR 20.4% Fully Meets Standard Providence Milwaukie Hospital Milwaukie OR Does Not Apply Providence Newberg Medical Center Newberg OR 18.8% Fully Meets Standard Providence Portland Medical Center Portland OR 22.4% Fully Meets Standard Providence St. Vincent Medical Center Portland OR 23.8% Fully Meets Standard Providence Willamette Falls Medical Center Oregon City OR 21.0% Fully Meets Standard Sacred Heart Medical Center Eugene OR Declined to Respond Sacred Heart Medical Center at Riverbend Springfield OR Declined to Respond Salem Hospital Salem OR Declined to Respond Samaritan Albany General Hospital Albany OR Declined to Respond Santiam Memorial Hospital Stayton OR Declined to Respond Silverton Hospital Silverton OR Declined to Respond Sky Lakes Medical Center Klamath Falls OR Declined to Respond St. Charles Medical Center Bend OR Declined to Respond St. Charles Medical Center, Redmond Redmond OR Declined to Respond Tuality Healthcare Hillsboro OR 17.6% Fully Meets Standard Willamette Valley Medical Ctr Mcminnville OR Declined to Respond Abington Health Lansdale Hospital Lansdale PA Declined to Respond Abington Memorial Hospital Abington PA 24.7% Substantial Progress

These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group. www.leapfroggroup.org/compare‐hospitals *Unusually high rate; could not be verified. 69 of 96 Cesarean Section Rates from the 2015 Leapfrog Hospital Survey Results reflect submissions received by December 31, 2015 Hospital City State Rate Performance ACMH Hospital Kittanning PA 36.6% Willing to Report ALLEGHENY GENERAL HOSPITAL PITTSBURGH PA Declined to Respond Allegheny Valley Hospital Natrona Heights PA Declined to Respond Aria Health ‐ Bucks County Division Langhorne PA Does Not Apply Aria Health ‐ Frankford Division Philadelphia PA Does Not Apply Aria Health ‐ Torresdale Division Philadelphia PA Does Not Apply Berwick Hospital Center Berwick PA Declined to Respond Bradford Regional Medical Center Bradford PA Declined to Respond Brandywine Hospital Coatesville PA Declined to Respond Bryn Mawr Hospital Bryn Mawr PA Declined to Respond Butler Memorial Hospital Butler PA Declined to Respond Cancer Treatment Centers of America at Eastern Regional Medical Center PHILADELPHIA PA Does Not Apply Canonsburg General Hospital Canonsburg PA Declined to Respond Carlisle Regional Medical Center Carlisle PA Declined to Respond Chambersburg Hospital Chambersburg PA 12.8% Fully Meets Standard Chester County Hospital West Chester PA Declined to Respond Chestnut Hill Hospital Philadelphia PA Declined to Respond CHILDREN'S HOSP OF PITTSBURGH OF UPMC PITTSBURGH PA Does Not Apply CHILDREN'S HOSPITAL OF PHILADELPHIA PHILADELPHIA PA Declined to Respond Clarion Hospital Clarion PA 15.3% Fully Meets Standard Conemaugh Memorial Medical Center Johnstown PA 13.1% Fully Meets Standard Crozer Chester Medical Center Upland PA 26.0% Substantial Progress Crozer Keystone Health System ‐ Delaware County Memorial Hospital Drexel Hill PA 38.5% Willing to Report Crozer Keystone Health System ‐ Springfield Hospital Springfield PA Does Not Apply Crozer Keystone Health System ‐ Taylor Hospital Ridley Park PA Does Not Apply Doylestown Hospital Doylestown PA 34.5% Willing to Report Easton Hospital Easton PA 34.9% Willing to Report Einstein Medical Center Philadelphia PA Declined to Respond Einstein Medical Center ‐ Elkins Park Elkins Park PA Declined to Respond Einstein Medical Center Montgomery East Norriton PA Declined to Respond Ellwood City Hospital Ellwood City PA Does Not Apply Ephrata Community Hospital Ephrata PA Declined to Respond Evangelical Community Hospital Lewisburg PA Declined to Respond Forbes Regional Hospital Monroeville PA Declined to Respond Fox Chase Cancer Center‐American Oncologic Hospital Philadelphia PA Declined to Respond Frick Hospital Mt. Pleasant PA Does Not Apply Geisinger ‐ Shamokin Area Community Hospital Coal Township PA Declined to Respond Geisinger Bloomsburg Hospital Bloomsburg PA 29.5% Some Progress Geisinger Community Medical Center Scranton PA Does Not Apply Geisinger Lewistown Hospital Lewistown PA Declined to Respond

These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group. www.leapfroggroup.org/compare‐hospitals *Unusually high rate; could not be verified. 70 of 96 Cesarean Section Rates from the 2015 Leapfrog Hospital Survey Results reflect submissions received by December 31, 2015 Hospital City State Rate Performance Geisinger Medical Center Danville PA 19.4% Fully Meets Standard Geisinger Wyoming Valley Wilkes‐Barre PA 21.8% Fully Meets Standard GETTYSBURG HOSPITAL Gettysburg PA Declined to Respond Gnaden Huetten Memorial Hospital Lehighton PA Declined to Respond Grand View Hospital Sellersville PA 23.7% Fully Meets Standard Grove City Medical Center Grove City PA Declined to Respond HAHNEMANN UNIVERSITY HOSPITAL PHILADELPHIA PA 17.9% Fully Meets Standard Hanover Hospital Hanover PA Declined to Respond Heart of Lancaster Regional Medical Center Lititz PA Declined to Respond Heritage Valley Beaver Beaver PA 33.8% Willing to Report Heritage Valley Sewickley Sewickley PA 41.6% Willing to Report Highlands Hospital Connellsville PA Declined to Respond Holy Redeemer Hospital and Medical Center Meadowbrook PA Declined to Respond Holy Spirit Hospital Camp Hill PA 24.4% Substantial Progress Hospital of the University of Pennsylvania Philadelphia PA Declined to Respond INDIANA REGIONAL MEDICAL CENTER INDIANA PA 13.9% Fully Meets Standard J. C. Blair Memorial Hospital Huntingdon PA Declined to Respond Jameson Hospital ‐ North Campus New Castle PA Declined to Respond Jeanes Hospital Philadelphia PA Does Not Apply Jefferson Regional Medical Center Jefferson Hills PA Declined to Respond Jennersville Regional Hospital West Grove PA Declined to Respond Kane Community Hospital Kane PA Declined to Respond Kensington Hospital Philadelphia PA Declined to Respond LANCASTER GENERAL HOSPITAL LANCASTER PA 25.7% Substantial Progress Lancaster Regional Medical Center Lancaster PA Declined to Respond Lankenau Medical Center Wynnewood PA Declined to Respond Latrobe Hospital Latrobe PA Does Not Apply Lehigh Valley Hospital Allentown PA 26.0% Substantial Progress Lehigh Valley Hospital ‐ Hazleton Hazleton PA Declined to Respond Lehigh Valley Hospital‐Muhlenberg Bethlehem PA Does Not Apply Lock Haven Hospital Lock Haven PA Declined to Respond Lower Bucks Hospital Bristol PA Does Not Apply Meadville Medical Center Meadville PA 27.0% Substantial Progress Memorial Hospital York PA Declined to Respond Memorial Hospital ‐ Towanda Towanda PA Declined to Respond Mercy Fitzgerald Hospital Darby PA Does Not Apply Mercy Health System ‐ Nazareth Hospital Philadelphia PA Does Not Apply Mercy Philadelphia Hospital Philadelphia PA Does Not Apply Mercy Suburban Hospital East Norriton PA Does Not Apply Millcreek Community Hospital Erie PA Declined to Respond

These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group. www.leapfroggroup.org/compare‐hospitals *Unusually high rate; could not be verified. 71 of 96 Cesarean Section Rates from the 2015 Leapfrog Hospital Survey Results reflect submissions received by December 31, 2015 Hospital City State Rate Performance Miners Medical Center Hastings PA Declined to Respond Monongahela Valley Hospital Monongahela PA Declined to Respond Moses Taylor Hospital Scranton PA Declined to Respond Mount Nittany Medical Center State College PA Declined to Respond Nason Hospital Roaring Spring PA 19.2% Fully Meets Standard North Philadelphia Health System ‐ St. Joseph's Hospital Philadelphia PA Declined to Respond Ohio Valley General Hospital Mckees Rocks PA Declined to Respond Palmerton Hospital Palmerton PA Declined to Respond Paoli Hospital Paoli PA Declined to Respond Penn Highlands Clearfield Clearfield PA Declined to Respond Penn Highlands DuBois DuBois PA Declined to Respond Penn Highlands Elk Saint Marys PA Declined to Respond Penn Presbyterian Medical Center Philadelphia PA Declined to Respond Penn State Milton S. Hershey Medical Center Hershey PA 26.5% Substantial Progress Pennsylvania Hospital Philadelphia PA Declined to Respond Phoenixville Hospital Phoenixville PA Declined to Respond Pinnacle Health at Community General Osteopathic Hospital Harrisburg PA Does Not Apply Pinnacle Health at Harrisburg Hospital Harrisburg PA 22.0% Fully Meets Standard PinnacleHealth West Shore Hospital Mechanisburg PA Does Not Apply Pocono Medical Center East Stroudsburg PA 19.6% Fully Meets Standard Pottstown Memorial Medical Center Pottstown PA Declined to Respond Punxsutawney Area Hospital Punxsutawney PA Declined to Respond Reading Hospital West Reading PA 23.3% Fully Meets Standard Regional Hospital of Scranton Scranton PA Declined to Respond Riddle Hospital Media PA Declined to Respond Robert Packer Hospital Sayre PA Declined to Respond Roxborough Memorial Hospital Philadelphia PA Does Not Apply Sacred Heart Hospital Allentown PA 28.9% Some Progress Saint Luke's Hospital ‐ Allentown Campus Allentown PA Declined to Respond Saint Luke's Hospital ‐ Anderson Campus Easton PA Declined to Respond Saint Vincent Health Center Erie PA Declined to Respond Schuylkill Medical Center ‐ East Norwegian St Pottsville PA Declined to Respond Schuylkill Medical Center ‐ South Jackson St Pottsville PA Declined to Respond Sharon Regional Health System Sharon PA Declined to Respond SOLDIERS AND SAILORS MEMORIAL HOSPITAL Wellsboro PA Declined to Respond Somerset Hospital Somerset PA 45.3% Willing to Report Southwest Regional Medical Center Waynesburg PA Declined to Respond ST CHRISTOPHER'S HOSPITAL FOR CHILDREN PHILADELPHIA PA Does Not Apply St. Clair Hospital Pittsburgh PA 22.9% Fully Meets Standard St. Joseph Regional Health Network Reading PA Declined to Respond

These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group. www.leapfroggroup.org/compare‐hospitals *Unusually high rate; could not be verified. 72 of 96 Cesarean Section Rates from the 2015 Leapfrog Hospital Survey Results reflect submissions received by December 31, 2015 Hospital City State Rate Performance St. Luke's Miners Memorial Hospital Coaldale PA Declined to Respond St. Luke's Quakertown Hospital Quakertown PA Declined to Respond St. Luke's University Hospital ‐ Bethlehem Campus Bethlehem PA 28.5% Some Progress St. Mary Medical Center Langhorne PA 30.1% Some Progress Sunbury Community Hospital Sunbury PA Declined to Respond Temple University Hospital Philadelphia PA 21.6% Fully Meets Standard The Good Samaritan Hospital Lebanon PA Declined to Respond Thomas Jefferson University Hospital Philadelphia PA Declined to Respond Thomas Jefferson University Hospital ‐ Methodist Hospital Campus Philadelphia PA Does Not Apply Titusville Area Hospital Titusville PA Declined to Respond TYLER MEMORIAL HOSPITAL Tunkhannock PA Declined to Respond Uniontown Hospital Uniontown PA Declined to Respond University of Pittsburgh Medical Center ‐ East Campus Monroeville PA Declined to Respond UPMC Altoona Altoona PA Declined to Respond UPMC Bedford Memorial Everett PA Declined to Respond UPMC Hamot ERIE PA Declined to Respond UPMC Horizon Greenville PA Declined to Respond UPMC McKeesport Mckeesport PA Declined to Respond UPMC Mercy Pittsburgh PA Declined to Respond UPMC Northwest Seneca PA Declined to Respond UPMC PASSAVANT Pittsburgh PA Declined to Respond UPMC Presbyterian Pittsburgh PA Declined to Respond UPMC ST MARGARET PITTSBURGH PA Declined to Respond Warren General Hospital Warren PA Declined to Respond Washington Hospital Washington PA Declined to Respond Wayne Memorial Hospital Honesdale PA Declined to Respond WAYNESBORO HOSPITAL Waynesboro PA 15.2% Fully Meets Standard Western Pennsylvania Hospital Pittsburgh PA Declined to Respond Westmoreland Hospital Greensburg PA 19.8% Fully Meets Standard Williamsport Regional Medical Center Williamsport PA 25.9% Substantial Progress Windber Medical Center Windber PA Declined to Respond Wyoming Valley Health Care System Wilkes‐Barre PA Declined to Respond York Hospital York PA Declined to Respond Kent County Memorial Hospital Warwick RI 37.0% Willing to Report Landmark Medical Center Woonsocket RI 24.0% Substantial Progress Memorial Hospital of Rhode Island Pawtucket RI Declined to Respond Newport Hospital Newport RI 38.9% Willing to Report Rhode Island Hospital Providence RI Does Not Apply Roger Williams Medical Center Providence RI Declined to Respond South County Hospital Wakefield RI 20.7% Fully Meets Standard

These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group. www.leapfroggroup.org/compare‐hospitals *Unusually high rate; could not be verified. 73 of 96 Cesarean Section Rates from the 2015 Leapfrog Hospital Survey Results reflect submissions received by December 31, 2015 Hospital City State Rate Performance St. Joseph Health Services of Rhode Island North Providence RI Declined to Respond The Miriam Hospital Providence RI Does Not Apply Westerly Hospital Westerly RI Declined to Respond Women & Infants Hospital of Rhode Island Providence RI 25.3% Substantial Progress Abbeville Area Medical Center Abbeville SC Declined to Respond Aiken Regional Medical Centers Aiken SC Declined to Respond Allendale County Hospital Fairfax SC Declined to Respond AnMed Health Medical Center Anderson SC Does Not Apply AnMed Health Women's and Children's Hospital Anderson SC 27.7% Some Progress Baptist Easley Hospital Easley SC 21.8% Fully Meets Standard Barnwell County Hospital Barnwell SC Declined to Respond Beaufort Memorial Hospital Beaufort SC 21.2% Fully Meets Standard Bon Secours St. Francis Hospital Charleston SC 22.9% Fully Meets Standard Cannon Memorial Hospital Pickens SC Declined to Respond Carolina Pines Regional Medical Center Hartsville SC Declined to Respond Carolinas Hospital System Florence SC 38.0% Willing to Report Chester Regional Medical Center Chester SC Declined to Respond Chesterfield General Hospital Cheraw SC Declined to Respond Clarendon Memorial Hospital Manning SC 23.6% Fully Meets Standard Coastal Carolina Hospital Hardeeville SC 10.5% Fully Meets Standard Colleton Medical Center Walterboro SC 25.5% Substantial Progress Conway Medical Center Conway SC Declined to Respond East Cooper Medical Center Mount Pleasant SC 43.0% Willing to Report Edgefield County Hospital Edgefield SC Declined to Respond Fairfield Memorial Hospital Winnsboro SC Declined to Respond GHS Laurens County Memorial Hospital Clinton SC Unable to Calculate Score Grand Strand Medical Center Myrtle Beach SC 41.2% Willing to Report Greenville Memorial Hospital Greenville SC 26.3% Substantial Progress Greer Memorial Hospital Greer SC 12.7% Fully Meets Standard Hampton Regional Medical Center Varnville SC Declined to Respond Hillcrest Hospital Simpsonville SC Does Not Apply Hilton Head Hospital Hilton Head Island SC 13.5% Fully Meets Standard KershawHealth Medical Center Camden SC Declined to Respond Lake City Community Hospital Lake City SC Declined to Respond Lexington Medical Center West Columbia SC 28.0% Some Progress Marion County Medical Center Mullins SC Declined to Respond Marlboro Park Hospital Bennettsville SC Declined to Respond Mary Black Memorial Hospital Spartanburg SC Declined to Respond McLeod Loris Loris SC 35.6% Willing to Report McLeod Medical Center Darlington Darlington SC Declined to Respond

These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group. www.leapfroggroup.org/compare‐hospitals *Unusually high rate; could not be verified. 74 of 96 Cesarean Section Rates from the 2015 Leapfrog Hospital Survey Results reflect submissions received by December 31, 2015 Hospital City State Rate Performance McLeod Medical Center Dillon Dillon SC Declined to Respond McLeod Regional Medical Center of the Pee Dee Florence SC 33.6% Willing to Report McLeod Seacoast Little River SC Does Not Apply Medical University of South Carolina University Medical Center Charleston SC 28.6% Some Progress Mount Pleasant Hospital Mt. Pleasant SC 29.0% Some Progress Newberry County Memorial Hospital Newberry SC Declined to Respond Novant Health Gaffney Medical Center Gaffney SC Declined to Respond Oconee Medical Center Seneca SC 15.8% Fully Meets Standard Palmetto Baptist Medical Center Columbia Columbia SC 33.5% Willing to Report Palmetto Richland Memorial Hospital Columbia SC 27.3% Some Progress Patewood Memorial Hospital Greenville SC Does Not Apply Pelham Medical Center Greer SC Does Not Apply Piedmont Medical Center Rock Hill SC 27.9% Some Progress Providence Hospital Columbia SC Does Not Apply Providence Orthopedic Hospital Columbia SC Does Not Apply Regional Medical Center of Orangeburg and Calhoun Counties Orangeburg SC 20.8% Fully Meets Standard Roper Hospital Charleston SC Does Not Apply Self Regional Healthcare Greenwood SC 32.2% Some Progress Spartanburg Regional Medical Center Spartanburg SC 18.8% Fully Meets Standard Springs Memorial Hospital Lancaster SC Declined to Respond St. Francis Eastside Greenville SC 24.6% Substantial Progress St. Francis Hospital ‐ Downtown Greenville SC Does Not Apply Summerville Medical Center Summerville SC 36.7% Willing to Report Tidelands Georgetown Memorial Hospital Georgetown SC 16.0% Fully Meets Standard Tidelands Waccamaw Community Hospital Murrells Inlet SC 19.9% Fully Meets Standard Trident Medical Center Charleston SC 36.7% Willing to Report Tuomey Healthcare System Sumter SC 19.5% Fully Meets Standard Wallace Thomson Hospital Union SC Declined to Respond Williamsburg Regional Hospital Kingstree SC Declined to Respond Avera McKennan Hospital and University Health Center Sioux Falls SD Declined to Respond Avera Queen of Peace Health Services Mitchell SD Declined to Respond Avera Sacred Heart Hospital Yankton SD Declined to Respond Avera St. Luke's Aberdeen SD Declined to Respond Avera St. Mary's Healthcare Center Pierre SD Declined to Respond Brookings Health System Brookings SD Declined to Respond Lead‐Deadwood Regional Hospital Deadwood SD Declined to Respond Prairie Lakes Healthcare System Watertown SD Declined to Respond Rapid City Regional Hospital Rapid City SD 18.0% Fully Meets Standard Sanford Aberdeen Medical Center Aberdeen SD Declined to Respond Sanford University of South Dakota Medical Center Sioux Falls SD Declined to Respond

These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group. www.leapfroggroup.org/compare‐hospitals *Unusually high rate; could not be verified. 75 of 96 Cesarean Section Rates from the 2015 Leapfrog Hospital Survey Results reflect submissions received by December 31, 2015 Hospital City State Rate Performance Spearfish Regional Hospital Spearfish SD 9.1% Fully Meets Standard Baptist Memorial Hospital ‐ Union City Union City TN Declined to Respond Baptist Memorial Hospital for Women Memphis TN Declined to Respond Baptist Memorial Hospital of Collierville Collierville TN Declined to Respond Baptist Memorial Hospital of Huntingdon Huntingdon TN Declined to Respond Baptist Memorial Hospital of Memphis Memphis TN Declined to Respond Baptist Memorial Hospital Tipton Covington TN Declined to Respond Blount Memorial Hospital Maryville TN 10.3% Fully Meets Standard Bolivar General Hospital Bolivar TN Does Not Apply Camden General Hospital Camden TN Does Not Apply Children's Hospital at Erlanger Chattanooga TN Does Not Apply Claiborne Medical Center Tazewell TN Does Not Apply Cookeville Regional Medical Center Cookeville TN Declined to Respond Copper Basin Medical Center Copperhill TN Declined to Respond Cumberland Medical Center Crossville TN 14.6% Fully Meets Standard Cumberland River Hospital Celina TN Declined to Respond Decatur County General Hospital Parsons TN Does Not Apply DeKalb Community Hospital Smithville TN Declined to Respond Delta Medical Center Memphis TN Declined to Respond Dyersburg Regional Medical Center Dyersburg TN Declined to Respond East Tennessee Children's Hospital Knoxville TN Declined to Respond Erlanger Baroness Hospital Chattanooga TN 26.0% Substantial Progress Erlanger Bledsoe Hospital Pikeville TN Declined to Respond Erlanger East Hospital Chattanooga TN 22.6% Fully Meets Standard Erlanger North Hospital Chattanooga TN Does Not Apply Fort Loudoun Medical Center Lenoir City TN Does Not Apply Fort Sanders Regional Medical Center Knoxville TN 22.7% Fully Meets Standard Franklin Woods Community Hospital Johnson City TN 39.3% Willing to Report Gateway Medical Center Clarksville TN Declined to Respond Hardin Medical Center Savannah TN 39.1% Willing to Report Harton Regional Medical Center Tullahoma TN Declined to Respond Henderson County Community Hospital Lexington TN Declined to Respond Henry County Medical Center Paris TN 21.6% Fully Meets Standard Heritage Medical Center Shelbyville TN Declined to Respond Highlands Medical Center Sparta TN Declined to Respond Indian Path Medical Center Kingsport TN 36.3% Willing to Report Jackson‐Madison County General Hospital Jackson TN 25.5% Substantial Progress Jamestown Regional Medical Center Jamestown TN Declined to Respond Jefferson Memorial Hospital Jefferson City TN Declined to Respond Jellico Community Hospital Jellico TN Declined to Respond

These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group. www.leapfroggroup.org/compare‐hospitals *Unusually high rate; could not be verified. 76 of 96 Cesarean Section Rates from the 2015 Leapfrog Hospital Survey Results reflect submissions received by December 31, 2015 Hospital City State Rate Performance Johnson City Medical Center Johnson City TN 14.1% Fully Meets Standard Johnson County Community Hospital Mountain City TN Does Not Apply Lakeway Regional Hospital Morristown TN Declined to Respond Lauderdale Community Hospital Ripley TN Declined to Respond Laughlin Memorial Hospital Greeneville TN 16.5% Fully Meets Standard Le Bonheur Children's Hospital Memphis TN Does Not Apply LeConte Medical Center Sevierville TN 17.2% Fully Meets Standard Lincoln Medical Center Fayetteville TN 11.8% Fully Meets Standard Livingston Regional Hospital Livingston TN 24.5% Substantial Progress Macon County General Hospital Lafayette TN Declined to Respond Marshall Medical Center Lewisburg TN Declined to Respond Maury Regional Hospital Columbia TN 33.3% Some Progress McKenzie Regional Hospital McKenzie TN Declined to Respond McNairy Regional Hospital Selmer TN Declined to Respond Medical Center of Manchester Manchester TN Declined to Respond Memorial Hixson Hospital Hixson TN Does Not Apply Memorial Hospital Chattanooga Chattanooga TN Does Not Apply Methodist Le Bonheur Germantown Hospital Germantown TN 37.5% Willing to Report Methodist Medical Center of Oak Ridge Oak Ridge TN 32.0% Some Progress Methodist North Hospital Memphis TN Does Not Apply Methodist South Hospital Memphis TN 30.0% Some Progress Methodist University Hospital Memphis TN Does Not Apply Milan General Hospital Milan TN Does Not Apply Monroe Carell Jr. Children's Hospital at Vanderbilt Nashville TN Does Not Apply Morristown‐Hamblen Healthcare System Morristown TN 19.6% Fully Meets Standard Nashville General Hospital Nashville TN Declined to Respond Newport Medical Center Newport TN Declined to Respond North Knoxville Medical Center Knoxville TN Does Not Apply Northcrest Medical Center Springfield TN 29.5% Some Progress Parkridge East Hospital Chattanooga TN 26.7% Substantial Progress Parkridge Medical Center Chattanooga TN Does Not Apply Parkwest Medical Center Knoxville TN 22.0% Fully Meets Standard Perry Community Hospital Linden TN Declined to Respond Physicians Regional Medical Center Knoxville TN 30.0% Some Progress Pioneer Community Hospital of Scott Oneida TN Unable to Calculate Score Regional Hospital of Jackson Jackson TN Declined to Respond Regional One Health Memphis TN 27.0% Substantial Progress Rhea Medical Center Dayton TN Declined to Respond River Park Hospital McMinnville TN Declined to Respond Riverview Regional Medical Center Carthage TN Declined to Respond

These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group. www.leapfroggroup.org/compare‐hospitals *Unusually high rate; could not be verified. 77 of 96 Cesarean Section Rates from the 2015 Leapfrog Hospital Survey Results reflect submissions received by December 31, 2015 Hospital City State Rate Performance Roane Medical Center Harriman TN Does Not Apply Saint Francis Hospital ‐ Bartlett Bartlett TN 22.7% Fully Meets Standard Saint Francis Hospital ‐Memphis Memphis TN 29.1% Some Progress Saint Thomas Hickman Hospital Centerville TN Declined to Respond Saint Thomas Midtown Hospital Nashville TN 33.9% Willing to Report Saint Thomas Rutherford Hospital Murfreesboro TN 32.5% Some Progress Saint Thomas West Hospital Nashville TN Does Not Apply Skyridge Medical Center Main Campus Cleveland TN Declined to Respond Skyridge Medical Center West Side Campus Cleveland TN Declined to Respond Southern Tennessee Medical Center Winchester TN 21.8% Fully Meets Standard Southern Tennessee Regional Health System ‐ Lawrenceburg Lawrenceburg TN 24.4% Substantial Progress Southern Tennessee Regional Health Systems Pulaski Pulaski TN 33.3% Some Progress St. Jude Children's Research Hospital Memphis TN Does Not Apply Starr Regional Medical Center Athens TN 42.3% Willing to Report Starr Regional Medical Center ‐ Etowah Etowah TN Does Not Apply StoneCrest Medical Center Smyrna TN 39.5% Willing to Report Stones River Hospital Woodbury TN Declined to Respond Sumner Regional Medical Center Gallatin TN 9.1% Fully Meets Standard Sweetwater Hospital Sweetwater TN Declined to Respond Sycamore Shoals Hospital Elizabethton TN Does Not Apply Takoma Regional Hospital Greeneville TN 29.7% Some Progress Tenova Healthcare ‐ LaFollette Medical Center La Follette TN Declined to Respond The University of Tennessee Medical Center Knoxville TN 23.7% Fully Meets Standard Three Rivers Hospital Waverly TN Declined to Respond Tristar Ashland City Medical Center Ashland City TN Does Not Apply Tristar Centennial Medical Center Nashville TN 35.9% Willing to Report Tristar Hendersonville Medical Center Hendersonville TN 37.2% Willing to Report Tristar Horizon Medical Center Dickson TN 24.0% Substantial Progress Tristar Skyline Medical Center Nashville TN Does Not Apply TriStar Southern Hills Medical Center Nashville TN Does Not Apply TriStar Summit Medical Center Hermitage TN 31.1% Some Progress Trousdale Medical Center Hartsville TN Declined to Respond Turkey Creek Medical Center Knoxville TN 41.6% Willing to Report Unicoi County Memorial Hospital Erwin TN Does Not Apply United Regional Medical Center Manchester TN Declined to Respond University Medical Center Lebanon TN Declined to Respond Vanderbilt University Hospital Nashville TN 30.0% Some Progress Volunteer Community Hospital Martin TN Declined to Respond Wayne Medical Center Waynesboro TN Declined to Respond Wellmont Bristol Regional Medical Center Bristol TN 25.1% Substantial Progress

These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group. www.leapfroggroup.org/compare‐hospitals *Unusually high rate; could not be verified. 78 of 96 Cesarean Section Rates from the 2015 Leapfrog Hospital Survey Results reflect submissions received by December 31, 2015 Hospital City State Rate Performance Wellmont Hancock County Hospital Sneedville TN Does Not Apply Wellmont Hawkins County Memorial Hospital Rogersville TN Does Not Apply Wellmont Holston Valley Medical Center Kingsport TN 47.6% Willing to Report Williamson Medical Center Franklin TN 24.2% Substantial Progress Abilene Regional Medical Center Abilene TX Declined to Respond Angleton Danbury Medical Center Angleton TX Declined to Respond Anson General Hospital Anson TX Declined to Respond Arise Austin Medical Center Austin TX Declined to Respond Atrium Medical Center of Corinth Corinth TX Declined to Respond Baptist Beaumont Hospital of Southeast Texas Beaumont TX Declined to Respond Baptist Medical Center San Antonio TX 23.5% Fully Meets Standard Baptist Orange Hospital of Southeast Texas Orange TX Declined to Respond Baptist St. Anthony's Health System Amarillo TX Declined to Respond Basin Healthcare Center Odessa TX Declined to Respond Baylor Jack and Jane Hamilton Heart and Vascular Hospital Dallas TX Does Not Apply Baylor Medical Center at Carrollton Carrollton TX 24.1% Substantial Progress Baylor Medical Center at Frisco Frisco TX 25.1% Substantial Progress Baylor Medical Center at Garland Garland TX Does Not Apply Baylor Medical Center at McKinney McKinney TX 34.5% Willing to Report Baylor Medical Center at Trophy Club Trophy Club TX Declined to Respond Baylor Medical Center at Uptown DALLAS TX Does Not Apply Baylor Regional Medical Center at Grapevine Grapevine TX 29.8% Some Progress Baylor Regional Medical Center at Plano Plano TX Does Not Apply Baylor Scott & White All Saints Medical Center ‐ Fort Worth Fort Worth TX 30.8% Some Progress Baylor Scott & White Health ‐ College Station College Station TX 28.5% Some Progress Baylor Scott & White Health ‐ Llano Llano TX 19.0% Fully Meets Standard Baylor Scott & White Medical Center ‐ Irving Irving TX 34.4% Willing to Report Baylor Scott & White Medical Center ‐ Round Rock Round Rock TX 16.4% Fully Meets Standard Baylor Scott & White Medical Center ‐ Waxahachie Waxahachie TX Does Not Apply Baylor University Medical Center Dallas TX 31.2% Some Progress Bayshore Medical Center Pasadena TX 34.4% Willing to Report Bellville General Hospital Bellville TX Declined to Respond Bowie Memorial Hospital Bowie TX Declined to Respond Brazosport Regional Health System Lake Jackson TX Declined to Respond Brownfield Regional Medical Center Brownfield TX Declined to Respond Brownwood Regional Medical Center Brownwood TX Declined to Respond Care Regional Medical Center Aransas Pass TX Declined to Respond Cedar Park Regional Medical Center Cedar Park TX Declined to Respond Centennial Medical Center Frisco TX 21.0% Fully Meets Standard Central Texas Medical Center San Marcos TX 31.3% Some Progress

These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group. www.leapfroggroup.org/compare‐hospitals *Unusually high rate; could not be verified. 79 of 96 Cesarean Section Rates from the 2015 Leapfrog Hospital Survey Results reflect submissions received by December 31, 2015 Hospital City State Rate Performance CHI St. Luke's Health Baylor College of Medicine Medical Center Houston TX Does Not Apply CHI St. Luke's Health The Woodlands Hospital The Woodlands TX Declined to Respond Children's Health ‐ Children's Medical Center Plano Plano TX Does Not Apply Children's Health‐Children's Medical Center Dallas Dallas TX Does Not Apply Childress Regional Medical Center Childress TX Declined to Respond CHRISTUS Hospital ‐ St. Elizabeth Beaumont TX 48.9% Willing to Report CHRISTUS Hospital ‐ St. Mary Port Arthur TX Declined to Respond CHRISTUS Jasper Memorial Hospital Jasper TX Declined to Respond CHRISTUS Santa Rosa Children's Hospital San Antonio TX Declined to Respond CHRISTUS Santa Rosa Health Care ‐ Medical Center San Antonio TX Declined to Respond CHRISTUS Santa Rosa Hospital ‐ New Braunfels New Braunfels TX Declined to Respond CHRISTUS Santa Rosa Hospital ‐ Westover Hills San Antonio TX Declined to Respond CHRISTUS Spohn Hospital Alice Alice TX Declined to Respond CHRISTUS Spohn Hospital Beeville Beeville TX Declined to Respond CHRISTUS Spohn Hospital Corpus Christi ‐ Shoreline Corpus Christi TX Declined to Respond CHRISTUS Spohn Hospital Corpus Christi ‐ South Corpus Christi TX Declined to Respond CHRISTUS Spohn Hospital Corpus Christi Memorial Corpus Christi TX Declined to Respond CHRISTUS Spohn Hospital Kleberg Kingsville TX Declined to Respond CHRISTUS St. Catherine Hospital Katy TX Declined to Respond CHRISTUS St. Michael Health System Texarkana TX 26.5% Substantial Progress CHRISTUS St. Michael Hospital ‐ Atlanta Atlanta TX Declined to Respond Citizens Medical Center Victoria TX Declined to Respond Clear Lake Regional Medical Center Webster TX 34.5% Willing to Report Cleveland Regional Medical Center Cleveland TX Declined to Respond Cogdell Memorial Hospital Snyder TX Declined to Respond College Station Medical Center College Station TX Declined to Respond Columbus Community Hospital Columbus TX Declined to Respond Connally Medical Center Floresville TX Declined to Respond Conroe Regional Medical Center Conroe TX 29.9% Some Progress Cook Children's Medical Center Fort Worth TX Does Not Apply Cornerstone Regional Hospital Edinburg TX Does Not Apply Corpus Christi Medical Center Corpus Christi TX 23.4% Fully Meets Standard Covenant Children's Hospital Lubbock TX Declined to Respond Covenant Hospital Plainview Plainview TX Declined to Respond Covenant Hospital‐Levelland Levelland TX Declined to Respond Covenant Medical Center Lubbock TX 41.6% Willing to Report Cuero Community Hospital Cuero TX Declined to Respond Cypress Fairbanks Medical Center Hospital Houston TX 36.4% Willing to Report Dallas Medical Center Dallas TX 13.6% Fully Meets Standard Dallas Regional Medical Center Mesquite TX Does Not Apply

These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group. www.leapfroggroup.org/compare‐hospitals *Unusually high rate; could not be verified. 80 of 96 Cesarean Section Rates from the 2015 Leapfrog Hospital Survey Results reflect submissions received by December 31, 2015 Hospital City State Rate Performance Del Sol Medical Center El Paso TX 35.8% Willing to Report Dell Children's Medical Center of Central Texas Austin TX Does Not Apply Denton Regional Medical Center Denton TX 25.0% Substantial Progress Detar Healthcare System Victoria TX Declined to Respond Dimmit County Memorial Hospital Carrizo Springs TX Declined to Respond Doctor's Hospital ‐ Tidwell Houston TX Declined to Respond Doctors Hospital at Renaissance Edinburg TX 35.3% Willing to Report Doctors Hospital at White Rock Lake Dallas TX 12.6% Fully Meets Standard Doctors Hospital of Laredo Laredo TX Declined to Respond Driscoll Childrens Hospital Corpus Christi TX Declined to Respond East El Paso Physicians Medical Center El Paso TX Declined to Respond East Houston Regional Medical Center Houston TX 20.8% Fully Meets Standard East Texas Medical Center Carthage Carthage TX Declined to Respond East Texas Medical Center Clarksville Clarksville TX Declined to Respond East Texas Medical Center Crockett Crockett TX Declined to Respond East Texas Medical Center Fairfield Fairfield TX Declined to Respond East Texas Medical Center Henderson Henderson TX Declined to Respond East Texas Medical Center Jacksonville Jacksonville TX Declined to Respond East Texas Medical Center of Athens Athens TX Declined to Respond East Texas Medical Center of Quitman Quitman TX Declined to Respond East Texas Medical Center Trinity Trinity TX Declined to Respond East Texas Medical Center Tyler Tyler TX Declined to Respond Eastland Memorial Hospital Eastland TX Declined to Respond El Campo Memorial Hospital El Campo TX Declined to Respond Ennis Regional Medical Center Ennis TX 23.4% Fully Meets Standard Faith Community Hospital Jacksboro TX Declined to Respond Falls Community Hospital and Clinic Marlin TX Declined to Respond First Street Hospital Bellaire TX Declined to Respond Fort Duncan Regional Medical Center Eagle Pass TX 43.5% Willing to Report Frio Regional Hospital Pearsall TX Declined to Respond Glen Rose Medical Center Glen Rose TX Declined to Respond Good Shepherd Medical Center Longview TX Declined to Respond Good Shepherd Medical Center‐Marshall Marshall TX Declined to Respond Goodall‐Witcher Hospital Authority Clifton TX Declined to Respond Grace Medical Center Lubbock TX Does Not Apply Graham Regional Medical Center Graham TX Declined to Respond Guadalupe Regional Medical Center Seguin TX Declined to Respond Gulf Coast Medical Center Wharton TX Declined to Respond Hamilton General Hospital Hamilton TX Declined to Respond Hamlin Memorial Hospital Hamlin TX Declined to Respond

These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group. www.leapfroggroup.org/compare‐hospitals *Unusually high rate; could not be verified. 81 of 96 Cesarean Section Rates from the 2015 Leapfrog Hospital Survey Results reflect submissions received by December 31, 2015 Hospital City State Rate Performance Harlingen Medical Center Harlingen TX 39.1% Willing to Report Harris County Hospital District Houston TX Declined to Respond Healthbridge Children's Hospital of Houston Houston TX Declined to Respond Heart Hospital of Austin Austin TX Declined to Respond Hemphill County Hospital Canadian TX Declined to Respond Hendrick Health System Abilene TX 23.8% Fully Meets Standard Hereford Regional Medical Center Hereford TX Declined to Respond Hill Country Memorial Fredericksburg TX 19.6% Fully Meets Standard Hill Regional Hospital Hillsboro TX Declined to Respond Hillcrest Baptist Medical Center Waco TX 18.9% Fully Meets Standard Hopkins County Memorial Hospital Sulphur Springs TX Declined to Respond Houston Methodist Hospital Houston TX 36.4% Willing to Report Houston Methodist San Jacinto Hospital Baytown TX Declined to Respond Houston Methodist St. John Hospital Nassau Bay TX Declined to Respond Houston Methodist West Hospital Houston TX Declined to Respond Houston Methodist Willowbrook Hospital Houston TX Declined to Respond Houston Northwest Medical Center Houston TX 23.7% Fully Meets Standard Hunt Regional Medical Center of Greenville Greenville TX Declined to Respond Huntsville Memorial Hospital Huntsville TX Declined to Respond John Peter Smith Hospital Fort Worth TX 17.4% Fully Meets Standard Kell West Regional Hospital Wichita Falls TX Declined to Respond Kingwood Medical Center Kingwood TX 28.3% Some Progress Knapp Medical Center Weslaco TX 22.7% Fully Meets Standard Knox County Hospital Knox City TX Declined to Respond Lake Granbury Medical Center Granbury TX Declined to Respond Lake Pointe Medical Center Rowlett TX 28.6% Some Progress Lake Whitney Medical Center Whitney TX Declined to Respond Lakeway Regional Medical Center Lakeway TX Declined to Respond Lamb Healthcare Center Littlefield TX Declined to Respond Laredo Medical Center Laredo TX Declined to Respond Las Colinas Medical Center Irving TX 46.4% Willing to Report Las Palmas Medical Center El Paso TX 38.0% Willing to Report Longview Regional Medical Center Longview TX 30.3% Some Progress Mainland Medical Center Texas City TX 43.8% Willing to Report Matagorda Regional Medical Center Bay City TX Declined to Respond McLane Children's Hospital BaylorScott&White Healthcare Temple TX Does Not Apply Medical Arts Hospital Lamesa TX Declined to Respond Medical Center Arlington Arlington TX 30.8% Some Progress Medical Center Hospital Odessa TX 28.7% Some Progress Medical Center of Lewisville Lewisville TX 30.3% Some Progress

These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group. www.leapfroggroup.org/compare‐hospitals *Unusually high rate; could not be verified. 82 of 96 Cesarean Section Rates from the 2015 Leapfrog Hospital Survey Results reflect submissions received by December 31, 2015 Hospital City State Rate Performance Medical Center of McKinney McKinney TX 45.9% Willing to Report Medical Center of Plano Plano TX 39.1% Willing to Report Medical City Dallas Hospital Dallas TX 36.3% Willing to Report Memorial Health System of East Texas Lufkin TX Declined to Respond Memorial Hermann ‐ Texas Medical Center Houston TX Declined to Respond Memorial Hermann Katy Hospital Katy TX Declined to Respond Memorial Hermann Memorial City Medical Center Houston TX Declined to Respond Memorial Hermann Northeast Humble TX Declined to Respond Memorial Hermann Northwest Hospital Houston TX Declined to Respond Memorial Hermann Southeast Houston TX Declined to Respond Memorial Hermann Southwest Hospital Houston TX Declined to Respond Memorial Hermann Sugar Land Hospital Sugar Land TX Declined to Respond Memorial Hermann The Woodlands Hospital The Woodlands TX Declined to Respond Memorial Hospital Gonzales TX Declined to Respond Memorial Medical Center ‐ Livingston Livingston TX Declined to Respond Methodist Ambulatory Surgery Hosp NW San Antonio TX Does Not Apply Methodist Charlton Medical Center Dallas TX 20.2% Fully Meets Standard Methodist Children's Hospital of South Texas San Antonio TX Declined to Respond Methodist Dallas Medical Center Dallas TX 17.6% Fully Meets Standard Methodist Hospital & Methodist Children's Hospital San Antonio TX 32.8% Some Progress Methodist Mansfield Medical Center Mansfield TX 23.7% Fully Meets Standard Methodist McKinney Hospital Mckinney TX Declined to Respond Methodist Richardson Medical Center Richardson TX 29.0% Some Progress Methodist Specialty & Transplant Hospital San Antonio TX Does Not Apply Methodist Stone Oak Hospital San Antonio TX 40.2% Willing to Report Methodist Sugar Land Hospital Sugar Land TX Declined to Respond Methodist Texsan Hospital San Antonio TX Does Not Apply Metroplex Hospital Killeen TX 29.0% Some Progress Metropolitan Methodist Hospital San Antonio TX 37.4% Willing to Report Midland Memorial Hospital Midland TX 14.0% Fully Meets Standard Mission Regional Medical Center Mission TX 42.7% Willing to Report Mission Trail Baptist Hospital San Antonio TX Does Not Apply Moore County Hospital District Dumas TX Declined to Respond Mother Frances Hospital Regional Health Care Center Tyler TX 23.8% Fully Meets Standard Nacogdoches Medical Center Nacogdoches TX 48.0% Willing to Report Nacogdoches Memorial Hospital Nacogdoches TX 28.6% Some Progress Navarro Regional Hospital Corsicana TX Declined to Respond Nix Community General Hospital Dilley TX Declined to Respond Nix Medical Center San Antonio TX Does Not Apply Nocona General Hospital Nocona TX Declined to Respond

These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group. www.leapfroggroup.org/compare‐hospitals *Unusually high rate; could not be verified. 83 of 96 Cesarean Section Rates from the 2015 Leapfrog Hospital Survey Results reflect submissions received by December 31, 2015 Hospital City State Rate Performance North Central Baptist Hospital San Antonio TX 32.0% Some Progress North Cypress Medical Center Cypress TX Does Not Apply North Hills Hospital North Richland Hills TX 33.6% Willing to Report North Texas Medical Center Gainesville TX Declined to Respond Northeast Baptist Hospital San Antonio TX 38.2% Willing to Report Northeast Methodist Hospital Live Oak TX Does Not Apply Northwest Texas Healthcare System Amarillo TX Declined to Respond Oakbend Medical Center Richmond TX 29.3% Some Progress Odessa Regional Medical Center Odessa TX 45.1% Willing to Report Our Children's House at Baylor Dallas TX Declined to Respond Palestine Regional Medical Center‐East Palestine TX 34.9% Willing to Report Palo Pinto General Hospital Mineral Wells TX Declined to Respond Pampa Regional Medical Center Pampa TX 36.0% Willing to Report Paris Regional Medical Center Paris TX Declined to Respond Park Plaza Hospital Houston TX Does Not Apply Parkland Health & Hospital System Dallas TX 25.1% Substantial Progress Parkview Regional Hospital Mexia TX Declined to Respond Pecos County Memorial Hospital Fort Stockton TX Declined to Respond Permian Regional Medical Center Andrews TX Declined to Respond Peterson Regional Medical Center Kerrville TX 14.1% Fully Meets Standard Pine Creek Medical Center Dallas TX Declined to Respond Plaza Medical Center of Fort Worth Fort Worth TX Does Not Apply Providence Health Center Waco TX Declined to Respond Resolute Health New Braunfels TX Declined to Respond Rio Grande Regional Hospital McAllen TX 39.2% Willing to Report Rolling Plains Memorial Hospital Sweetwater TX Declined to Respond Rollins Brook Community Hospital Lampasas TX Does Not Apply San Angelo Community Medical Center San Angelo TX Declined to Respond Scenic Mountain Medical Center Big Spring TX Declined to Respond Scott & White Hospital ‐ Brenham Brenham TX 13.6% Fully Meets Standard Scott & White Memorial Hospital Temple TX 22.4% Fully Meets Standard Seton Medical Center Austin Austin TX 31.5% Some Progress Seton Medical Center Harker Heights Harker Heights TX Declined to Respond Seton Medical Center Hays Kyle TX 31.3% Some Progress Seton Medical Center Williamson Round Rock TX 22.0% Fully Meets Standard Seton Northwest Hospital Austin TX 28.2% Some Progress Seton Southwest Healthcare Center Austin TX Declined to Respond Seymour Hospital Seymour TX Declined to Respond Shannon Medical Center San Angelo TX Declined to Respond Smithville Regional Hospital Smithville TX Declined to Respond

These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group. www.leapfroggroup.org/compare‐hospitals *Unusually high rate; could not be verified. 84 of 96 Cesarean Section Rates from the 2015 Leapfrog Hospital Survey Results reflect submissions received by December 31, 2015 Hospital City State Rate Performance South Texas Health System Edinburg TX Declined to Respond South Texas Regional Medical Center Jourdanton TX Declined to Respond Southwest General Hospital San Antonio TX 17.4% Fully Meets Standard St Luke's Hospital at the Vintage Houston TX Declined to Respond St Luke's Sugar Land Hospital Sugar Land TX Declined to Respond St. Anthony's Hospital Houston TX Declined to Respond St. David's Georgetown Hospital Georgetown TX 23.9% Fully Meets Standard St. David's Medical Center Austin TX 30.5% Some Progress St. David's North Austin Medical Center Austin TX 34.3% Willing to Report St. David's Round Rock Medical Center Round Rock TX 27.6% Some Progress St. David's South Austin Medical Center Austin TX 39.3% Willing to Report St. Joseph Medical Center Houston TX 21.1% Fully Meets Standard St. Joseph Regional Health Center Bryan TX Declined to Respond St. Luke's Baptist Hospital San Antonio TX 30.9% Some Progress St. Luke's Lakeside Hospital The Woodlands TX Declined to Respond St. Luke's Patients Medical Center Pasadena TX Declined to Respond St. Mark's Medical Center La Grange TX Declined to Respond Stamford Memorial Hospital Stamford TX Declined to Respond Starr County Memorial Hospital Rio Grande City TX Declined to Respond Stephens Memorial Hospital Breckenridge TX Does Not Apply Texas Children's Hospital Houston TX Does Not Apply Texas Children's Hospital Pavilion for Women Houston TX 27.1% Some Progress Texas Children's Hospital West Campus Houston TX Does Not Apply Texas General Hospital Grand Prairie TX Declined to Respond Texas Health Arlington Memorial Hospital Arlington TX 20.8% Fully Meets Standard Texas Health Harris Methodist Hospital Alliance Fort Worth TX 23.0% Fully Meets Standard Texas Health Harris Methodist Hospital Azle Azle TX Does Not Apply Texas Health Harris Methodist Hospital Cleburne Cleburne TX 21.2% Fully Meets Standard Texas Health Harris Methodist Hospital Fort Worth Fort Worth TX 22.0% Fully Meets Standard Texas Health Harris Methodist Hospital Hurst‐Euless‐Bedford Bedford TX 34.0% Willing to Report Texas Health Harris Methodist Hospital Southlake Southlake TX Declined to Respond Texas Health Harris Methodist Hospital Southwest Fort Worth Fort Worth TX 28.8% Some Progress Texas Health Harris Methodist Hospital Stephenville Stephenville TX 13.1% Fully Meets Standard Texas Health Huguley Hospital Burleson TX 18.6% Fully Meets Standard Texas Health Presbyterian Hospital Allen Allen TX 38.0% Willing to Report Texas Health Presbyterian Hospital Dallas Dallas TX 32.9% Some Progress Texas Health Presbyterian Hospital Denton DENTON TX 17.9% Fully Meets Standard Texas Health Presbyterian Hospital Flower Mound Flower Mound TX 39.0% Willing to Report Texas Health Presbyterian Hospital Kaufman Kaufman TX 13.6% Fully Meets Standard Texas Health Presbyterian Hospital Plano Plano TX 31.8% Some Progress

These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group. www.leapfroggroup.org/compare‐hospitals *Unusually high rate; could not be verified. 85 of 96 Cesarean Section Rates from the 2015 Leapfrog Hospital Survey Results reflect submissions received by December 31, 2015 Hospital City State Rate Performance Texas Health Presbyterian Hospital Rockwall Rockwall TX 21.7% Fully Meets Standard Texas Orthopedic Hospital Houston TX Does Not Apply Texas Regional Medical Center Sunnyvale TX 29.5% Some Progress Texoma Medical Center Denison TX Declined to Respond The Heart Hospital Baylor Denton Denton TX Does Not Apply The Heart Hospital Baylor Plano Plano TX Does Not Apply The Hospital at Westlake Medical Center Austin TX Declined to Respond The Hospitals of Providence East Campus El Paso TX 33.8% Willing to Report The Hospitals of Providence Memorial Campus El Paso TX 44.9% Willing to Report The Hospitals of Providence Sierra Campus El Paso TX 44.9% Willing to Report The Medical Center of Southeast Texas Port Arthur TX 21.8% Fully Meets Standard The Physicians Centre Hospital Bryan TX Declined to Respond The University of Texas Health Science Center at Tyler Tyler TX Declined to Respond The Woman's Hospital of Texas Houston TX 40.7% Willing to Report Titus Regional Medical Center Mount Pleasant TX Declined to Respond Tomball Regional Hospital Tomball TX Declined to Respond Tyler County Hospital Woodville TX Declined to Respond United Regional Health Care System Wichita Falls TX 16.9% Fully Meets Standard University General Hospital Houston TX Declined to Respond University Health System San Antonio TX 33.8% Willing to Report University Medical Center Lubbock TX 20.2% Fully Meets Standard University Medical Center at Brackenridge Austin TX 21.1% Fully Meets Standard University Medical Center of El Paso El Paso TX Declined to Respond University of Texas Medical Branch Hospitals Galveston TX 36.1% Willing to Report USMD Hospital at Arlington Arlington TX Does Not Apply UT Southwestern University Hospital ‐ Zale Lipshy Campus Dallas TX Declined to Respond Uvalde County Hospital Authority Uvalde TX Declined to Respond Val Verde Regional Medical Center Del Rio TX Declined to Respond Valley Baptist Medical Center‐Brownsville Brownsville TX 48.2% Willing to Report Valley Baptist Medical Center‐Harlingen Harlingen TX 27.1% Some Progress Valley Regional Medical Center Brownsville TX 43.6% Willing to Report Victory Medical Center Mid‐Cities‐Hurst Hurst TX Declined to Respond Wadley Regional Medical Center Texarkana TX 38.9% Willing to Report Weatherford Regional Medical Center Weatherford TX Declined to Respond West Houston Medical Center Houston TX 31.2% Some Progress Wilbarger General Hospital Vernon TX Declined to Respond William P. Clements Jr. University Hospital Dallas TX Declined to Respond Wilson N. Jones Regional Medical Center Sherman TX Declined to Respond Wise Regional Health System ‐ Bridgeport Bridgeport TX Declined to Respond Wise Regional Health System ‐ East Campus Decatur Decatur TX 19.7% Fully Meets Standard

These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group. www.leapfroggroup.org/compare‐hospitals *Unusually high rate; could not be verified. 86 of 96 Cesarean Section Rates from the 2015 Leapfrog Hospital Survey Results reflect submissions received by December 31, 2015 Hospital City State Rate Performance Woodland Heights Medical Center Lufkin TX Declined to Respond Alta View Hospital Sandy UT 18.7% Fully Meets Standard American Fork Hospital American Fork UT 18.7% Fully Meets Standard Ashley Regional Medical Center Vernal UT 25.6% Substantial Progress Bear River Valley Hospital Tremonton UT Declined to Respond Beaver Valley Hospital Beaver UT Declined to Respond Brigham City Community Hospital Brigham City UT 18.5% Fully Meets Standard Cache Valley Hospital North Logan UT Does Not Apply Castleview Hospital Price UT 15.9% Fully Meets Standard Davis Hospital and Medical Center Layton UT 19.3% Fully Meets Standard Dixie Regional Medical Center Saint George UT Declined to Respond Garfield Memorial Hospital Panguitch UT Declined to Respond Intermountain Medical Center Murray UT 22.0% Fully Meets Standard Jordan Valley Medical Center West Jordan UT 12.2% Fully Meets Standard Jordan Valley Medical Center, West Valley Campus West Valley City UT 13.6% Fully Meets Standard Lakeview Hospital Bountiful UT 14.0% Fully Meets Standard LDS Hospital Salt Lake City UT 18.6% Fully Meets Standard Logan Regional Hospital Logan UT Declined to Respond Lone Peak Hospital Draper UT 19.8% Fully Meets Standard McKay‐Dee Hospital Center Ogden UT 18.2% Fully Meets Standard Mountain View Hospital Payson UT 18.6% Fully Meets Standard Mountain West Medical Center Tooele UT Declined to Respond Ogden Regional Medical Center Ogden UT 13.7% Fully Meets Standard Orem Community Hospital Orem UT Declined to Respond Park City Medical Center Park City UT Declined to Respond Primary Children's Medical Center Salt Lake City UT Declined to Respond Riverton Hospital Riverton UT 18.3% Fully Meets Standard Salt Lake Regional Medical Center Salt Lake City UT 29.8% Some Progress Sevier Valley Medical Center Richfield UT Declined to Respond St. Mark's Hospital Salt Lake City UT 27.4% Some Progress Timpanogos Regional Hospital Orem UT 15.0% Fully Meets Standard Uintah Basin Medical Center Roosevelt UT Declined to Respond University of Utah Health Care ‐ Hospital and Clinics Salt Lake City UT Declined to Respond Utah Valley Regional Medical Center Provo UT 13.3% Fully Meets Standard Valley View Medical Center Cedar City UT Declined to Respond Augusta Medical Center Fishersville VA Declined to Respond Bath Community Hospital Hot Springs VA Declined to Respond Bedford Memorial Hospital Bedford VA Declined to Respond Bon Secours DePaul Medical Center Norfolk VA 20.5% Fully Meets Standard Bon Secours Mary Immaculate Hospital Newport News VA 24.6% Substantial Progress

These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group. www.leapfroggroup.org/compare‐hospitals *Unusually high rate; could not be verified. 87 of 96 Cesarean Section Rates from the 2015 Leapfrog Hospital Survey Results reflect submissions received by December 31, 2015 Hospital City State Rate Performance Bon Secours Maryview Medical Center Portsmouth VA 25.9% Substantial Progress Bon Secours Memorial Regional Medical Center Mechanicsville VA 38.0% Willing to Report Bon Secours Richmond Community Hospital Richmond VA Does Not Apply Bon Secours St. Francis Medical Center Midlothian VA 27.3% Some Progress Bon Secours St. Mary's Hospital of Richmond Richmond VA 16.5% Fully Meets Standard Buchanan General Hospital Grundy VA Declined to Respond Carilion Franklin Memorial Hospital Rocky Mount VA Declined to Respond Carilion Giles Memorial Hospital Pearisburg VA Declined to Respond Carilion New River Valley Medical Center Christiansburg VA 14.5% Fully Meets Standard Carilion Roanoke Memorial Hospital Roanoke VA 23.3% Fully Meets Standard Carilion Stonewall Jackson Hospital Lexington VA Declined to Respond Carilion Tazewell Community Hospital Tazewell VA Declined to Respond Centra Lynchburg General Hospital Lynchburg VA Declined to Respond Centra Southside Community Hospital Farmville VA Declined to Respond Centra Virginia Baptist Hospital Lynchburg VA Declined to Respond Chesapeake Regional Medical Center Chesapeake VA Declined to Respond Children's Hospital of Richmond at VCU Richmond VA Declined to Respond Children's Hospital of The King's Daughters Norfolk VA Declined to Respond CJW Medical Center ‐ Chippenham Campus Richmond VA 32.9% Some Progress CJW Medical Center ‐ Johnston‐Willis Campus Richmond VA 27.4% Some Progress Clinch Valley Medical Center Richlands VA 36.0% Willing to Report Community Memorial Healthcenter South Hill VA Declined to Respond Danville Regional Medical Center Danville VA Declined to Respond Dickenson Community Hospital Clintwood VA Does Not Apply Fauquier Hospital Warrenton VA 29.0% Some Progress Henrico Doctors' Hospital Richmond VA 34.4% Willing to Report Inova Alexandria Hospital Alexandria VA 34.8% Willing to Report Inova Fair Oaks Hospital Fairfax VA 31.1% Some Progress Inova Fairfax Hospital Falls Church VA Declined to Respond Inova Loudoun Hospital Leesburg VA 25.4% Substantial Progress Inova Mount Vernon Hospital Alexandria VA Does Not Apply John Randolph Medical Center Hopewell VA Does Not Apply Johnston Memorial Hospital Abingdon VA 28.1% Some Progress LewisGale Hospital ‐ Alleghany Low Moor VA Does Not Apply LewisGale Hospital ‐ Montgomery Blacksburg VA 36.7% Willing to Report LewisGale Hospital ‐ Pulaski Pulaski VA Does Not Apply LewisGale Medical Center Salem VA 24.9% Substantial Progress Martha Jefferson Hospital Charlottesville VA 20.0% Fully Meets Standard Mary Washington Hospital Fredericksburg VA 36.6% Willing to Report Memorial Hospital of Martinsville Martinsville VA 21.4% Fully Meets Standard

These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group. www.leapfroggroup.org/compare‐hospitals *Unusually high rate; could not be verified. 88 of 96 Cesarean Section Rates from the 2015 Leapfrog Hospital Survey Results reflect submissions received by December 31, 2015 Hospital City State Rate Performance Mountain View Regional Medical Center Norton VA Does Not Apply Norton Community Hospital Norton VA 36.0% Willing to Report Novant Health Prince William Medical Center Manassas VA 20.9% Fully Meets Standard Page Memorial Hospital Luray VA Declined to Respond Parham Doctors' Hospital Richmond VA Does Not Apply Pioneer Community Hospital of Patrick County Stuart VA Declined to Respond Rappahannock General Hospital Kilmarnock VA Declined to Respond Reston Hospital Center Reston VA 32.0% Some Progress Retreat Doctors' Hospital Richmond VA Does Not Apply Riverside Doctors Hospital of Williamsburg Williamsburg VA Declined to Respond Riverside Regional Medical Center Newport News VA Declined to Respond Riverside Shore Memorial Hospital Nassawadox VA Declined to Respond Riverside Tappahannock Hospital Tappahannock VA Declined to Respond Riverside Walter Reed Hospital Gloucester VA Declined to Respond Russell County Medical Center Lebanon VA Does Not Apply Sentara CarePlex Hospital Hampton VA Does Not Apply Sentara Halifax Regional Hospital South Boston VA 31.6% Some Progress Sentara Leigh Hospital Norfolk VA 29.0% Some Progress Sentara Norfolk General Hospital Norfolk VA 26.4% Substantial Progress Sentara Northern Virginia Medical Center Woodbridge VA 28.2% Some Progress Sentara Obici Hospital Suffolk VA 24.7% Substantial Progress Sentara Princess Anne Hospital Virginia Beach VA 20.5% Fully Meets Standard Sentara RMH Medical Center Harrisonburg VA 28.2% Some Progress Sentara Virginia Beach General Hospital Virginia Beach VA Does Not Apply Sentara Williamsburg Regional Medical Center Williamsburg VA 19.7% Fully Meets Standard Shenandoah Memorial Hospital Woodstock VA Declined to Respond Smyth County Community Hospital Marion VA Does Not Apply Southampton Memorial Hospital Franklin VA Declined to Respond Southern Virginia Regional Medical Center Emporia VA Declined to Respond Southside Regional Medical Center Petersburg VA Declined to Respond Spotsylvania Regional Medical Center Fredericksburg VA 40.0% Willing to Report Stafford Hospital Stafford VA 31.9% Some Progress Twin County Regional Healthcare Galax VA 44.7% Willing to Report University of Virginia Medical Center Charlottesville VA 15.7% Fully Meets Standard UVA Culpeper Hospital Culpeper VA 22.2% Fully Meets Standard VCU Health System Richmond VA Declined to Respond Virginia Hospital Center‐‐Arlington Health System Arlington VA 33.3% Some Progress Warren Memorial Hospital Front Royal VA Declined to Respond Wellmont Lonesome Pine Hospital Big Stone Gap VA 22.0% Fully Meets Standard Winchester Medical Center Winchester VA 29.8% Some Progress

These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group. www.leapfroggroup.org/compare‐hospitals *Unusually high rate; could not be verified. 89 of 96 Cesarean Section Rates from the 2015 Leapfrog Hospital Survey Results reflect submissions received by December 31, 2015 Hospital City State Rate Performance Wythe County Community Hospital Wytheville VA 44.8% Willing to Report Brattleboro Memorial Hospital Brattleboro VT Declined to Respond Central Vermont Medical Center Berlin VT Declined to Respond Fletcher Allen Health Care Burlington VT Declined to Respond Northwestern Medical Center Saint Albans VT Declined to Respond Rutland Regional Medical Center Rutland VT Declined to Respond Southwestern Vermont Medical Center Bennington VT Declined to Respond Capital Medical Center Olympia WA Declined to Respond Cascade Valley Hospital and Clinics Arlington WA Declined to Respond Central Washington Hospital Wenatchee WA Declined to Respond Deaconess Medical Center Spokane WA Declined to Respond EvergreenHealth Kirkland WA 26.7% Substantial Progress Grays Harbor Community Hospital Aberdeen WA Declined to Respond Harborview Medical Center Seattle WA Does Not Apply Harrison Medical Center Bremerton WA Does Not Apply Harrison Medical Center ‐ Silverdale Silverdale WA 22.2% Fully Meets Standard Highline Medical Center Burien WA 18.9% Fully Meets Standard Island Hospital Anacortes WA Declined to Respond Kadlec Regional Medical Center Richland WA Declined to Respond Kennewick General Hospital Kennewick WA Declined to Respond Legacy Salmon Creek Hospital Vancouver WA Declined to Respond Mary Bridge Children's Hospital and Health Center Tacoma WA Declined to Respond Mason General Hospital Shelton WA Declined to Respond Mid‐Valley Hospital Omak WA 28.4% Some Progress MultiCare Allenmore Hospital Tacoma WA Declined to Respond MultiCare Auburn Medical Center Auburn WA Declined to Respond Multicare Good Samaritan Hospital Puyallup WA Declined to Respond Northwest Hospital and Medical Center Seattle WA 29.4% Some Progress Olympic Medical Center Port Angeles WA Declined to Respond Overlake Hospital Medical Center Bellevue WA 30.6% Some Progress Peace Health St. John Medical Center Longview WA Declined to Respond Providence Centralia Hospital Centralia WA 20.0% Fully Meets Standard Providence Holy Family Hospital Spokane WA Declined to Respond Providence Regional Medical Center Everett Everett WA 19.6% Fully Meets Standard Providence Sacred Heart Medical Center Spokane WA Declined to Respond Providence St. Mary Medical Center Walla Walla WA Declined to Respond Providence St. Peter Hospital Olympia WA 20.4% Fully Meets Standard Samaritan Hospital Moses Lake WA 15.6% Fully Meets Standard Seattle Children's Hospital Seattle WA Does Not Apply Skagit Regional Health Mount Vernon WA 22.1% Fully Meets Standard

These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group. www.leapfroggroup.org/compare‐hospitals *Unusually high rate; could not be verified. 90 of 96 Cesarean Section Rates from the 2015 Leapfrog Hospital Survey Results reflect submissions received by December 31, 2015 Hospital City State Rate Performance Snoqualmie Valley Hospital Snoqualmie WA Declined to Respond Southwest Washington Medical Center Vancouver WA Declined to Respond St. Anthony Hospital Gig Harbor WA Unable to Calculate Score St. Clare Hospital Lakewood WA Does Not Apply St. Elizabeth Hospital Enumclaw WA 24.8% Substantial Progress St. Francis Hospital of Federal Way Federal Way WA 24.9% Substantial Progress St. Joseph Hospital of Bellingham Bellingham WA Declined to Respond St. Joseph Medical Center of Tacoma Tacoma WA 26.9% Substantial Progress Swedish Edmonds Hospital Edmonds WA 26.7% Substantial Progress Swedish Health Services ‐ Issaquah Issaquah WA 24.3% Substantial Progress Swedish Medical Center Ballard Seattle WA 24.5% Substantial Progress Swedish Medical Center Cherry HIll Seattle WA Does Not Apply Swedish Medical Center First Hill Seattle WA 26.3% Substantial Progress Tacoma General Hospital Tacoma WA Declined to Respond Toppenish Community Hospital Toppenish WA Declined to Respond United General Hospital Sedro Woolley WA Declined to Respond University of Washington Medical Center Seattle WA 32.4% Some Progress Valley General Hospital Monroe WA Declined to Respond Valley Hospital of Spokane Valley Spokane Valley WA Declined to Respond Valley Medical Center Renton WA 32.1% Some Progress Virginia Mason Medical Center Seattle WA Does Not Apply Walla Walla General Hospital Walla Walla WA Declined to Respond Wenatchee Valley Hospital Wenatchee WA Declined to Respond Whidbey General Hospital Coupeville WA Declined to Respond Yakima Regional Medical and Cardiac Center Yakima WA Declined to Respond Yakima Valley Memorial Hospital Yakima WA Declined to Respond Amery Regional Medical Center Amery WI Declined to Respond Appleton Medical Center Appleton WI Declined to Respond Aspirus Wausau Hospital Wausau WI Declined to Respond Aurora BayCare Medical Center Green Bay WI Declined to Respond Aurora Lakeland Medical Center Elkhorn WI Declined to Respond AURORA MEDICAL CENTER GRAFTON WI Declined to Respond Aurora Medical Center of Kenosha Kenosha WI Declined to Respond Aurora Medical Center of Oshkosh Oshkosh WI Declined to Respond Aurora Medical Center of Two Rivers Two Rivers WI Declined to Respond Aurora Medical Center of Washington County Hartford WI Declined to Respond Aurora Medical Center Summit Summit WI Declined to Respond Aurora Memorial Hospital of Burlington Burlington WI Declined to Respond Aurora Sheboygan Memorial Medical Center Sheboygan WI Declined to Respond Aurora Sinai Medical Center Milwaukee WI Declined to Respond

These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group. www.leapfroggroup.org/compare‐hospitals *Unusually high rate; could not be verified. 91 of 96 Cesarean Section Rates from the 2015 Leapfrog Hospital Survey Results reflect submissions received by December 31, 2015 Hospital City State Rate Performance Aurora St. Luke's Medical Center Milwaukee WI Declined to Respond Aurora St. Luke's South Shore Cudahy WI Declined to Respond Aurora West Allis Medical Center West Allis WI Declined to Respond Baldwin Area Medical Center Baldwin WI Declined to Respond Bay Area Medical Center Marinette WI 32.4% Some Progress Beaver Dam Community Hospitals, Inc. Beaver Dam WI 18.3% Fully Meets Standard Bellin Health Oconto Hospital Oconto WI Declined to Respond Bellin Memorial Hospital Green Bay WI 15.9% Fully Meets Standard Beloit Memorial Hospital Beloit WI Declined to Respond Berlin Memorial Hospital Berlin WI Declined to Respond Black River Memorial Hospital Black River Falls WI Declined to Respond Burnett Medical Center Grantsburg WI Declined to Respond Calumet Medical Center Chilton WI Declined to Respond Children's Hospital of Wisconsin Milwaukee WI Declined to Respond Children's Hospital of Wisconsin Fox Valley Campus Neenah WI Declined to Respond Chippewa Valley Hospital and Oakview Care Center Durand WI Declined to Respond Columbia St Marys Hospital Milwaukee Milwaukee WI Declined to Respond Columbia St. Mary's Ozaukee Hospital Mequon WI Declined to Respond Columbus Community Hospital Columbus WI Declined to Respond Community Memorial Hospital of Oconto Falls Oconto Falls WI Declined to Respond Crossing Rivers Health Prairie Du Chien WI Declined to Respond Cumberland Memorial Hospital Cumberland WI Declined to Respond Divine Savior Healthcare, Inc. Portage WI Declined to Respond Edgerton Hospital and Health Services Edgerton WI Declined to Respond Flambeau Hospital Park Falls WI Declined to Respond Fort HealthCare Fort Atkinson WI Declined to Respond Froedtert & The Medical College of Wisconsin Community Memorial Hospital Menomonee Falls WI Declined to Respond Froedtert & The Medical College of Wisconsin Froedtert Hospital Milwaukee WI Declined to Respond Froedtert & The Medical College of Wisconsin St. Joseph's Hospital West Bend WI Declined to Respond Grant Regional Health Center Lancaster WI Declined to Respond Gundersen Boscobel Hospital & Clinics Boscobel WI Declined to Respond Gundersen Lutheran Medical Center La Crosse WI Declined to Respond Gundersen Tri County Hospital & Clinics Whitehall WI Declined to Respond Hayward Area Memorial Hospital and Nursing Home Hayward WI Declined to Respond Holy Family Memorial Medical Center Manitowoc WI 30.8% Some Progress Howard Young Medical Center Woodruff WI Declined to Respond HSHS Sacred Heart Hospital Eau Claire WI 15.8% Fully Meets Standard HSHS St. Mary's Hospital of Green Bay Green Bay WI 18.0% Fully Meets Standard HSHS St. Nicholas Hospital Sheboygan WI 22.8% Fully Meets Standard HSHS St. Vincent Hospital of Green Bay Green Bay WI 20.0% Fully Meets Standard

These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group. www.leapfroggroup.org/compare‐hospitals *Unusually high rate; could not be verified. 92 of 96 Cesarean Section Rates from the 2015 Leapfrog Hospital Survey Results reflect submissions received by December 31, 2015 Hospital City State Rate Performance Hudson Hospital Hudson WI Declined to Respond Indianhead Medical Center Shell Lake WI Declined to Respond Lakeview Medical Center Rice Lake WI Declined to Respond Langlade Memorial Hospital Antigo WI Declined to Respond Mayo Clinic Health System ‐ Chippewa Valley in Bloomer BLOOMER WI Declined to Respond Mayo Clinic Health System ‐ Franciscan Healthcare in LaCrosse La Crosse WI Declined to Respond Mayo Clinic Health System ‐ Franciscan Healthcare in Sparta Sparta WI Declined to Respond Mayo Clinic Health System ‐ Northland in Barron Barron WI Declined to Respond Mayo Clinic Health System ‐ Oakridge in Osseo Osseo WI Declined to Respond Mayo Clinic Health System ‐ Red Cedar in Menomonie Menomonie WI Declined to Respond Mayo Clinic Health System in Eau Claire EAU CLAIRE WI Declined to Respond Memorial Health Center of Medford Medford WI Declined to Respond Memorial Hospital of Lafayette County Darlington WI Declined to Respond Memorial Medical Center ‐ Ashland Ashland WI Declined to Respond Memorial Medical Center ‐ Neillsville Neillsville WI Declined to Respond Mercy Health System Corporation Janesville WI Declined to Respond Mercy Medical Center of Oshkosh Oshkosh WI Declined to Respond Mercy Walworth Hospital and Medical Center Lake Geneva WI Declined to Respond Meriter Hospital Madison WI 16.9% Fully Meets Standard Mile Bluff Medical Center Mauston WI Declined to Respond MINISTRY ‐ ST JOSEPHS HOSPITAL MARSHFIELD WI Declined to Respond Ministry Door County Medical Center Sturgeon Bay WI Declined to Respond Ministry Eagle River Memorial Hospital Eagle River WI Declined to Respond Ministry Good Samaritan Health Center Merrill WI Declined to Respond Ministry Health Care ‐ Our Lady of Victory Hospital Stanley WI Declined to Respond Ministry Health Care ‐ Sacred Heart ‐ St. Mary's Hospital Rhinelander WI Declined to Respond Ministry Health Care ‐ Sacred Heart Hospital of Tomahawk Tomahawk WI Declined to Respond Ministry Health Care ‐ St. Clare's Hospital Weston WI Declined to Respond Ministry Health Care ‐ St. Michael's Hospital of Stevens Point Stevens Point WI Declined to Respond Monroe Clinic Monroe WI Declined to Respond Moundview Memorial Hospital and Clinics Friendship WI Declined to Respond New London Family Medical Center New London WI Declined to Respond Oakleaf Surgical Hospital Altoona WI Declined to Respond Oconomowoc Memorial Hospital Oconomowoc WI Declined to Respond Osceola Medical Center Osceola WI 45.5% Willing to Report Reedsburg Area Medical Center Reedsburg WI Declined to Respond Richland Hospital Richland Center WI Declined to Respond Ripon Medical Center Ripon WI Declined to Respond River Falls Area Hospital River Falls WI Declined to Respond Riverside Medical Center Waupaca WI Declined to Respond

These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group. www.leapfroggroup.org/compare‐hospitals *Unusually high rate; could not be verified. 93 of 96 Cesarean Section Rates from the 2015 Leapfrog Hospital Survey Results reflect submissions received by December 31, 2015 Hospital City State Rate Performance Riverview Hospital Association Wisconsin Rapids WI Declined to Respond Rusk County Memorial Hospital Ladysmith WI Declined to Respond Sauk Prairie Memorial Hospital & Clinics Prairie Du Sac WI Declined to Respond Shawano Medical Center Shawano WI Declined to Respond Southwest Health Center Platteville WI Declined to Respond Spooner Health System Spooner WI Declined to Respond St. Agnes Hospital Fond du Lac WI Declined to Respond St. Clare Hospital Baraboo WI Declined to Respond St. Croix Regional Medical Center St. Croix Falls WI Declined to Respond St. Elizabeth Hospital of Appleton Appleton WI Declined to Respond St. Joseph's Health Services Hillsboro WI Declined to Respond St. Joseph's Hospital Chippewa Falls WI Declined to Respond St. Mary's Hospital Madison WI Declined to Respond St. Mary's Hospital of Superior Superior WI Declined to Respond St. Mary's Janesville Janesville WI Declined to Respond Stoughton Hospital Stoughton WI Declined to Respond Theda Clark Medical Center Neenah WI Declined to Respond Tomah Memorial Hospital Tomah WI Declined to Respond United Health System‐Kenosha Campus Kenosha WI Declined to Respond United Hospital System, St. Catherine's Medical Center Campus Pleasant Prairie WI Declined to Respond University of Wisconsin Hospital and Clinics Madison WI Declined to Respond Upland Hills Health Center Dodgeville WI Declined to Respond Vernon Memorial Hospital Viroqua WI Declined to Respond Watertown Regional Medical Center Watertown WI 34.4% Willing to Report Waukesha Memorial Hospital Waukesha WI Declined to Respond Waupun Memorial Hospital Waupun WI Declined to Respond Westfields Hospital New Richmond WI Declined to Respond Wheaton Franciscan Healthcare ‐ All Saints Racine WI Declined to Respond Wheaton Franciscan Healthcare ‐ Elmbrook Memorial Hospital Brookfield WI Declined to Respond Wheaton Franciscan Healthcare ‐ Franklin Franklin WI Declined to Respond Wheaton Franciscan Healthcare ‐ St. Francis Milwaukee WI Declined to Respond Wheaton Franciscan Healthcare ‐ St. Joseph Milwaukee WI Declined to Respond Wild Rose Community Memorial Hospital Wild Rose WI Declined to Respond Beckley ARH Hospital Beckley WV Declined to Respond Berkeley Medical Center Martinsburg WV Declined to Respond Bluefield Regional Medical Center Bluefield WV Declined to Respond Cabell Huntington Hospital Huntington WV Declined to Respond CAMC Teays Valley Hospital Hurricane WV Declined to Respond Camden‐Clark Memorial Hospital Parkersburg WV Declined to Respond Charleston Area Medical Center Charleston WV Declined to Respond

These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group. www.leapfroggroup.org/compare‐hospitals *Unusually high rate; could not be verified. 94 of 96 Cesarean Section Rates from the 2015 Leapfrog Hospital Survey Results reflect submissions received by December 31, 2015 Hospital City State Rate Performance Davis Memorial Hospital Elkins WV Declined to Respond Fairmont General Hospital Fairmont WV Declined to Respond Greenbrier Valley Medical Center Ronceverte WV Declined to Respond Logan Regional Medical Center Logan WV 37.5% Willing to Report Monongalia General Hospital Morgantown WV Declined to Respond Ohio Valley Medical Center Wheeling WV 29.7% Some Progress Pleasant Valley Hospital Point Pleasant WV Declined to Respond Pocahontas Memorial Hospital Buckeye WV Unable to Calculate Score Princeton Community Hospital Princeton WV Declined to Respond Raleigh General Hospital Beckley WV 20.6% Fully Meets Standard Reynolds Memorial Hospital Glen Dale WV Declined to Respond Saint Francis Hospital Charleston WV Declined to Respond St. Joseph's Hospital of Buckhannon Buckhannon WV Declined to Respond St. Mary's Medical Center Huntington WV Declined to Respond Stonewall Jackson Memorial Hospital Weston WV Declined to Respond Summersville Regional Medical Center Summersville WV Declined to Respond Thomas Memorial Hospital South Charleston WV Declined to Respond United Hospital Center Bridgeport WV Declined to Respond Weirton Medical Center Weirton WV Declined to Respond Welch Community Hospital Welch WV Declined to Respond West Virginia University Hospitals, Inc Morgantown WV Declined to Respond Wetzel County Hospital New Martinsville WV Declined to Respond Wheeling Hospital Wheeling WV Declined to Respond Williamson Memorial Hospital Williamson WV Declined to Respond Campbell County Health Gillette WY 11.3% Fully Meets Standard Cheyenne Regional Medical Center Cheyenne WY 18.0% Fully Meets Standard Crook County Memorial Hospital Sundance WY Declined to Respond Evanston Regional Hospital Evanston WY Declined to Respond Hot Springs County Memorial Hospital Thermopolis WY Declined to Respond Ivinson Memorial Hospital Laramie WY 12.3% Fully Meets Standard Johnson County Healthcare Center Buffalo WY Declined to Respond Memorial Hospital of Carbon County Rawlins WY Declined to Respond Memorial Hospital of Converse County Douglas WY Declined to Respond Memorial Hospital of Sheridan County Sheridan WY Declined to Respond Memorial Hospital of Sweetwater County Rock Springs WY Declined to Respond Mountain View Regional Hospital Casper WY Declined to Respond Niobrara Health and Life Center Lusk WY Declined to Respond North Big Horn Hospital District Lovell WY Declined to Respond Platte County Memorial Hospital Wheatland WY 55.6%* Willing to Report Powell Valley Healthcare Powell WY Declined to Respond

These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group. www.leapfroggroup.org/compare‐hospitals *Unusually high rate; could not be verified. 95 of 96 Cesarean Section Rates from the 2015 Leapfrog Hospital Survey Results reflect submissions received by December 31, 2015 Hospital City State Rate Performance SageWest Health Care ‐ Lander Lander WY 23.8% Fully Meets Standard SageWest Health Care ‐ Riverton Riverton WY 21.6% Fully Meets Standard South Big Horn County Hospital Basin WY Does Not Apply South Lincoln Medical Center Kemmerer WY Declined to Respond St. John's Medical Center and Living Center Jackson WY Declined to Respond Star Valley Medical Center Afton WY Declined to Respond Torrington Community Hospital Torrington WY 32.0% Some Progress Washakie Medical Center Worland WY 15.4% Fully Meets Standard West Park Hospital Cody WY Declined to Respond Weston County Health Services Newcastle WY Declined to Respond Wyoming Medical Center Casper WY 19.3% Fully Meets Standard

These results cannot be re‐printed, distributed, or re‐published without the express permission of The Leapfrog Group. www.leapfroggroup.org/compare‐hospitals *Unusually high rate; could not be verified. 96 of 96