Department of Health and Human Services 2020 Med Surg Hospital - EO Reduction Medicare Reduction Number Med Surg NPI Facility Name Amount 23-1328 1295803377 Allegan General Hospital $2,158 23-0254 1437176203 Ascension Crittenton Hospital $82,541 23-1318 1497750830 Aspirus Iron River Hospital & Clinics $2,925 23-1333 1649297342 Aspirus Ironwood Hospital $7,385 23-1319 1326115569 Aspirus Keweenaw Hospital $16,674 23-1309 1598818403 Aspirus Ontonagon Hospital $674 23-1307 1558479824 Baraga County Memorial Hospital $507 23-0297 1316900277 Barbara Ann Karmanos Cancer Hospital $44,531 23-0020 1740230119 Beaumont Hospital - Dearborn $1,478,423 23-0151 1336183367 Beaumont Hospital - Farmington Hills $304,578 23-0270 1487605168 Beaumont Hospital - Taylor $165,236 23-0176 1740230648 Beaumont Hospital - Trenton $116,610 23-0142 1295785285 Beaumont Hospital - Wayne $272,462 23-0089 1932396017 Beaumont Hospital, Grosse Pointe $199,996 23-0130 1689653305 Beaumont Hospital, Royal Oak $1,989,934 23-0269 1306825997 Beaumont Hospital, Troy $386,541 23-1321 1699101345 Bell Memorial Hospital $28,937 23-0117 1568416311 Ascension Borgess Hospital $317,523 23-2034 1154504892 Ascension Borgess Pipp Hospital $14,494 23-1315 1194771030 Ascension Borgess Lee Hospital $4,788 23-0075 1083644579 Bronson Battle Creek Hospital $233,827 23-1332 1962508259 Bronson Lake View Hospital $4,346 23-0017 1831116441 Bronson Methodist Hospital $1,381,861 23-0085 1346275856 Bronson South Haven Hospital $6,367 23-3300 1538471800 Children's Hospital of Michigan $3,292,040 23-0239 1295756948 Chippewa War Memorial Hospital $102,426 23-1326 1093809824 Clinton Memorial Hospital $4,698 23-0070 1588656946 Covenant Medical Center, Inc. $1,111,419 23-1311 1619095718 Deckerville Community Hospital $443 23-0273 1619289998 Detroit Receiving Hospital $703,352 23-0055 1801887013 Dickinson County Memorial Hospital $28,414 23-0013 1619125788 Pontiac General Hospital $10,612 23-1324 1417044660 Eaton Rapids Medical Center $1,361 23-0230 1073588711 Edward W. $1,421,993 23-0244 1043625940 Garden City Hospital $305,282 23-0197 1407877723 Genesys Regional Medical Center $484,579 23-0104 1427360700 Harper University Hospital $1,523,634 23-1327 1942254529 Hayes Green Beach Memorial Hospital $2,321 23-0275 1265426704 Healthsource Saginaw $3,765 23-1304 1497742050 Helen Newberry Joy Hospital $1,242 23-2036 1073588034 Henry Ford Allegiance CareLink $50,248 23-0092 1053403402 Henry Ford Allegiance Health $869,823

Actuarial Division Page 1 of 5 Michigan Department of Health and Human Services 2020 Med Surg Hospital - EO Reduction Medicare Reduction Number Med Surg NPI Facility Name Amount 23-0053 1134144801 $2,250,140 23-0047 1023114634 Henry Ford Macomb Hospital $295,324 23-0302 1407867559 Henry Ford West Bloomfield Hospital $210,645 23-0146 1992725352 Henry Ford Wyandotte Hospital $258,772 23-1316 1154367001 Hills & Dales General Hospital $621 23-0037 1730115940 Hillsdale Hospital $25,829 23-0072 1871672618 Holland Community Hospital $239,238 23-0132 1598717480 $1,399,387 23-0118 1518991744 McLaren Thumb Region $26,312 23-0277 1922310200 Huron Valley - Sinai Hospital $95,820 23-1331 1700820065 Ionia County Memorial Hospital $2,064 23-1301 1497751309 Kalkaska Memorial Health Center $723 23-0031 1306227764 Lake Huron Medical Center $10,124 23-0021 1134220031 Lakeland Hospital - St. Joseph $457,904 23-0078 1700994845 Lakeland Hospital Watervliet $9,059 23-1306 1124283502 Mackinac Straits Hospital $2,320 23-1330 1346325214 Marlette Regional Hospital $972 23-0054 1568727048 Marquette General Hospital $215,165 23-3026 1730133463 Mary Free Bed Rehabilitation Hospital $56,784 23-1314 1497750608 McKenzie Memorial Hospital $575 23-0080 1619941317 McLaren - Central Michigan $66,504 23-0167 1134104672 McLaren - Greater Lansing $396,106 23-0041 1528031226 McLaren Bay Regional $231,576 23-2020 1962512863 McLaren Bay Special Care $890 23-0141 1902894512 McLaren Flint $338,943 23-0193 1205824737 McLaren Lapeer Region $61,914 23-0227 1316938327 McLaren Macomb $433,677 23-0207 1376564088 McLaren Oakland $110,565 23-0216 1982685384 McLaren Port Huron $186,408 23-0105 1992812580 McLaren-Northern Michigan $186,503 23-0121 1063414233 Memorial Healthcare $43,410 23-0066 1831132133 Mercy Health Muskegon $410,823 23-1320 1285662981 Mercy Health Partners - Lakeshore Campus $2,006 23-0236 1619923919 Metro Health Hospital $904,693 23-1325 1235248071 Mid Michigan Medical Center - Gladwin $1,784 23-0036 1619914652 MidMichigan Medical Center - Alpena $58,446 23-0180 1568414589 MidMichigan Medical Center - Clare $2,812 23-0030 1023097771 MidMichigan Medical Center - Gratiot $61,190 23-0222 1902841414 MidMichigan Medical Center - Midland $217,158 23-0095 1538566765 MidMichigan Medical Center - West Branch $12,084 23-1308 1417035536 Munising Memorial Hospital $1,298 23-0081 1841696754 Munson Healthcare Cadillac Hospital $53,230

Actuarial Division Page 2 of 5 Michigan Department of Health and Human Services 2020 Med Surg Hospital - EO Reduction Medicare Reduction Number Med Surg NPI Facility Name Amount 23-1322 1346260692 Munson Healthcare Charlevoix Hospital $14,758 23-0058 1083010953 Munson Healthcare Grayling Hospital $33,750 23-0303 1407949191 Munson Healthcare Manistee Hospital $20,003 23-0133 1124028972 Munson Healthcare Otsego Memorial Hospital $47,009 23-0097 1952307852 $639,734 23-0174 1942379284 North Ottawa Community Hospital $15,512 23-0217 1861475360 Oaklawn Hospital $112,388 23-2039 1629405626 Pioneer Specialty Hospital $51,548 23-0005 1972564730 Promedica Bixby Hospital $63,642 23-0022 1063471639 ProMedica Coldwater Regional Hospital $38,910 23-1334 1982665642 ProMedica Herrick Hospital $325 23-0099 1811097223 ProMedica Monroe Regional Hospital $98,763 23-0019 1144210253 Ascension Providence Hospital $804,726 23-3027 1871805150 Rehabilitation Institute $95,640 23-1305 1659465094 Saint Mary's Standish Community Hospital $946 23-1310 1437102993 Scheurer Hospital $1,746 23-1303 1700805157 Schoolcraft Memorial Hospital $2,298 23-2031 1881694230 Select Specialty Hospital - Downriver $14,377 23-2012 1912906934 Select Specialty Hospital - Flint $10,211 23-2023 1912907635 Select Specialty Hospital - Macomb County $8,067 23-2021 1245230671 Select Specialty Hospital - Muskegon $53,675 23-1312 1689618324 Sheridan Community Hospital $647 23-0024 1760794044 Sinai-Grace Hospital $1,012,750 23-0208 1336103043 Sparrow Carson Hospital $14,776 23-2037 1508869108 Sparrow Specialty Hospital $59,144 23-0038 1922090554 Spectrum Health $5,841,339 23-1323 1437259843 Spectrum Health - Reed City Campus $5,838 23-0093 1316945991 Spectrum Health Big Rapids $46,319 23-1338 1063836963 Spectrum Health Gerber Memorial $39,820 23-0110 1972589489 Spectrum Health Ludington Hospital $56,251 23-1339 1932695525 Spectrum Health Pennock $22,859 23-0035 1457304495 Spectrum Health United Hospital $58,089 23-0003 1275536344 Spectrum Health Zeeland Community Hospital $35,207 23-0259 1992761985 St Joseph Mercy Chelsea $11,591 23-1337 1922058551 St. Francis Hospital & Medical Group $36,550 23-0165 1023088168 St. John Hospital and Medical Center $1,754,990 23-0195 1124099858 Ascension Macomb Oakland Hospital, Warren Campus $578,439 23-0241 1619941333 Ascension River District Hospital $30,774 23-0156 1780658443 St. Joseph Mercy Hospital - Ann Arbor $851,237 23-0069 1093748642 St. Joseph Mercy Livingston Hospital $45,166 23-0029 1053356352 St. Joseph Mercy Oakland $582,035 23-0002 1790706901 St. Mary Mercy Hospital $231,570

Actuarial Division Page 3 of 5 Michigan Department of Health and Human Services 2020 Med Surg Hospital - EO Reduction Medicare Reduction Number Med Surg NPI Facility Name Amount 23-0059 1639111057 St. Mary's Health Care (Grand Rapids) $636,496 23-0077 1871507509 St. Mary's of Michigan Medical Center $169,248 23-0096 1598099699 Sturgis Memorial Hospital $75,263 23-0100 1194713461 Tawas St. Joseph Hospital $23,848 23-0015 1568739423 Three Rivers Health $22,546 23-0046 1003878539 University of Michigan Health System $4,912,987 23-0108 1245667229 UP Health System - Portage $22,334 23-2019 1508027624 Vibra of Southeastern Michigan $22,255

Statewide Total $45,649,164

Actuarial Division Page 4 of 5 Michigan Department of Health and Human Services 2020 Rehab Hospital EO Reduction Medicare Reduction Number Rehab NPI Facility Name Amount 23-0117 1285766196 Ascension Borgess Hospital $1,937 23-0019 1255316584 Ascension Providence Hospital $1,647 23-0151 1154363406 Beaumont Hospital - Farmington Hills $7,643 23-0270 1225088966 Beaumont Hospital - Taylor $16,374 23-0130 1215916812 Beaumont Hospital, Royal Oak $17,621 23-0269 1679837207 Beaumont Hospital, Troy $3,174 23-3300 1427363936 Children's Hospital of Michigan $5,207 23-0070 1144254525 Covenant Medical Center, Inc. $8,876 23-0230 1477512424 Edward W. Sparrow Hospital $27,432 23-0244 1861807760 Garden City Hospital $1,924 23-0047 1942399829 Henry Ford Macomb Hospital $4,813 23-0146 1982853560 Henry Ford Wyandotte Hospital $1,859 23-0132 1851496210 Hurley Medical Center $25,128 23-0031 1356723027 Lake Huron Medical Center $192 23-0054 1134474737 Marquette General Hospital $1,999 23-0041 1801860218 McLaren Bay Regional $1,557 23-0207 1376564088 McLaren Oakland $1,849 23-0105 1942370754 McLaren-Northern Michigan $2,121 23-0066 1457383572 Mercy Health Muskegon $6,037 23-0036 1417994468 MidMichigan Medical Center - Alpena $6,722 23-0030 1508830175 MidMichigan Medical Center - Gratiot $5,613 23-0097 1952307852 Munson Medical Center $15,475 23-0024 1679885347 Sinai-Grace Hospital $10,903 23-0038 1649541343 Spectrum Health $7,169 23-0165 1023335544 St. John Hospital and Medical Center $7,507 23-0156 1497801518 St. Joseph Mercy Hospital - Ann Arbor $12,987 23-0015 1265704449 Three Rivers Health $1,864 23-0046 1891757944 University of Michigan Health System $17,566 Statewide Total $223,196

Actuarial Division Page 5 of 5