IRFs That Successfully Met QRP Reporting Requirements for APU FY 2018

CMS populates the provider demographic information appearing on reports from the Automated Survey Processing Environment (ASPEN) system, which is updated by each state's CASPER/ASPEN coordinator and/or CMS Regional Office. If the information you see displayed is inaccurate, please contact your state’s CASPER/ASPEN coordinator or CMS Regional Office. To find your Regional Office, visit CMS’s Regional Office webpage and scroll down to the PDFs in the Downloads box. Additionally, to find your MAC, visit the interactive map of CMS contractors and select your state.

CCN Facility Name Facility Address 1 Facility Address 2 City State Zip 02T001 PROVIDENCE HEALTH SYSTEM WASHINGTON PROVIDENCE ALASKA REHAB 3200 PROVIDENCE DRIVE ANCHORAGE AK 99508 02T017 Alaska Regional Hospital 2801 DEBARR RD 5th Floor ANCHORAGE AK 99508 HEALTHSOUTH LAKESHORE REHABILITATION 013025 HOSPITAL 3800 RIDGEWAY DRIVE BIRMINGHAM AL 35209 013028 HealthSouth of Montgomery Inc 4465 Narrow Lane Road Montgomery AL 36116 013029 HealthSouth Rehabilitation Hosp of N AL 107 GOVERNOR DRIVE SW HUNTSVILLE AL 35801 013030 HealthSouth of Dothan Inc 1736 E MAIN STREET DOTHAN AL 36301 HealthSouth Rehabilitation Hospital of 013032 Gadsden 801 GOODYEAR AVENUE GADSDEN AL 35903 013033 Rehabilitation Hospital of Phenix City LLC 3715 HIGHWAY 280 PHENIX CITY AL 36869 01T011 St. Vincent's East REhabilitation Unit 50 MEDICAL PARK DRIVE EAST BUILDING 46, SUITE 310 BIRMINGHAM AL 35235 01T029 EAMC- LANIER 2000 PEPPERELL PARKWAY. OPELIKA AL 36801 01T033 University of Alabama at Birmingham 619 SOUTH 19TH STREET BIRMINGHAM AL 35249 01T092 DCH REGIONAL MEDICAL CENTER 2700 HOSPITAL DR NORTHPORT AL 35476 01T104 Trinity Med Ctr-Rehab Unit 3690 Grandview Parkway Birmingham AL 35243 MOBILE INFIRMARY MEDICAL CTR 01T113 REHABILITATION 5 MOBILE INFIRMARY CIRCLE P.O. BOX 2144 MOBILE AL 36607 995 9TH AVE SW, SECOND 01T114 Medical West an Affiliate of UAB Health Sys FLOOR BESSEMER AL 35022 2010 BROOKWOOD MED CTR 01T139 Brookwood Health Services Inc DR BIRMINGHAM AL 35209 01T144 Springhill Inpatient Rehab Center 3719 Dauphin St Mobile AL 36608 01T157 J.W. Sommer Rehabilitation Unit 201 AVALON AVENUE MUSCLE SHOALS AL 35661 043026 BAPTIST HEALTH REHABILITATION INSTITUTE 9601 INTERSTATE 630 EXIT 7 LITTLE ROCK AR 72205 043028 HealthSouth Rehab Hospital of Fort Smith 1401 SOUTH J STREET FORT SMITH AR 72901 043029 Healthsouth Rehab Hospital of Jonesboro 1201 FLEMING AVENUE JONESBORO AR 72401 043031 ST VINCENT REHABILITATION HOSPITAL 2201 WILDWOOD AVENUE SHERWOOD AR 72120 HEALTHSOUTH REHAB HOSPITAL OF 153 EAST MONTE PAINTER 043032 NORTHWEST AR DRIVE FAYETTEVILLE AR 72703 CONWAY REGIONAL REHABILITATION 043033 HOSPITAL 2210 ROBINSON AVENUE CONWAY AR 72034 - 1 - IRFs That Successfully Met QRP Reporting Requirements for APU FY 2018

CCN Facility Name Facility Address 1 Facility Address 2 City State Zip 2729 A HIGHWAY 82/65 043034 SOUTHEAST REHABILITATION HOSPITAL SOUTH LAKE VILLAGE AR 71653 Chi St Vincent Hot Springs Rehabilitation 043035 Hospital 1636 Higdon Ferry Road Hot Springs AR 71913 04R319 DEQUEEN REGIONAL MEDICAL CENTER REAH 1306 WEST COLLIN RAYE DRIVE DEQUEEN AR 71832 04T002 JOHNSON COUNTY MEDICAL CENTER REHAB 1100 EAST POPLAR STREET CLARKSVILLE AR 72830 04T014 White County Medical Center 1200 SOUTH MAIN SEARCY AR 72143 04T015 MENA REGIONAL HEALTH SYSTEM REHAB 311 NORTH MORROW MENA AR 71953 04T022 NW MED CTR OF WASHINGTON CO REHAB 609 WEST MAPLE STREET SPRINGDALE AR 72764 04T026 ST JOSEPH'S MERCY HEALTH REHAB 300 WERNER STREET HOT SPRINGS AR 71913 04T027 BAXTER COUNTY REGIONAL HOSPITAL REHAB 624 HOSPITAL DRIVE MOUNTAIN HOME AR 72653 04T036 BAPTIST HEALTH NORTH LITTLE ROCK REHAB 3333 SPRINGHILL DRIVE NORTH LITTLE ROCK AR 72117 04T039 AR METHODIST REHAB 900 WEST KINGSHIGHWAY PARAGOULD AR 72450 04T041 St Marys Regional Medical Center 1808 WEST MAIN RUSSELLVILLE AR 72801 04T062 ST EDWARD MERCY MEDICAL CENTER REHAB 7301 ROGERS AVENUE FORT SMITH AR 72903 JEFFERSON REGIONAL MEDICAL CENTER 04T071 REHAB. 1600 WEST 4OTH AVENUE PINE BLUFF AR 71603 04T078 National Park Medical Center 1910 MALVERN AVE HOT SPRINGS AR 71901 04T084 Saline Memorial Hospital - Rehab Unit 1 MEDICAL PARK DRIVE BENTON AR 72015 MEDICAL CENTER OF SOUTH AR 04T088 REHABILITATION 700 WEST GROVE EL DORADO AR 71731 04T118 New Baptist Memorial Hospital 4800 E Johnson Ave Jonesboro AR 72401 04T119 WHITE RIVER MEDICAL CENTER REHAB UNIT 1710 HARRISON STREET BATESVILLE AR 72501 04T154 BAPTIST HEALTH MEDICAL CENTER-CONWAY 1555 EXCHANGE AVENUE CONWAY AR 72032 033025 HealthSouth Scottsdale Rehabilitation Hospital 9630 EAST SHEA BLVD SCOTTSDALE AZ 85260 033028 HealthSouth Rehabilitation Institute of Tucson 2650 NORTH WYATT DRIVE TUCSON AZ 85712 HealthSouth Rehab Hospital of Southern 033029 Arizona 1921 WEST HOSPITAL DR TUCSON AZ 85704 033032 HealthSouth Valley of the Sun Rehabilitation 13460 NORTH 67TH AVENUE GLENDALE AZ 85304 033034 Yuma Rehabilitation Hospital 901 W 24TH STREET YUMA AZ 85364 033036 Mountain Valley Reg Rehabilitation Hospital 3700 NORTH WINDSONG DR. PRESCOTT VALLEY AZ 86314 033037 HealthSouth East Valley Rehabilitaion Hospital 5652 EAST BASELINE ROAD MESA AZ 85206 8850 EAST PIMA CENTER 033038 GlobalRehab - Scottsdale, LLC PARKWAY SCOTTSDALE AZ 85265 033039 COBALT REHABILTATION HOSPITAL 13060 W Bell Rd Surprise AZ 85378 - 2 - IRFs That Successfully Met QRP Reporting Requirements for APU FY 2018

CCN Facility Name Facility Address 1 Facility Address 2 City State Zip DIGNITY HEALTH EAST VALLEY 1515 WEST CHANDLER 033040 REHABILITATION HOSPITAL BOULEVARD CHANDLER AZ 85224 03T002 Banner-University Medical Center Phoenix 1012 E WILLETTA ST FLOOR 3 PHOENIX AZ 85006 03T010 Carondelet Health Network 1601 WEST ST MARYS TUCSON AZ 85745 03T011 Carondelet Health Network 350 NORTH WILMONT ROAD TUCSON AZ 85711 03T024 St. Joseph's Rehabilitation P.O. BOX 2071 PHOENIX AZ 85001 2000 West Bethany Home 03T030 Phoenix Baptist Hospital Road Phoenix AZ 85015 03T037 St. Luke's Medical Center 1800 E. VAN BUREN STREET PHOENIX AZ 85006 03T038 Scottsdale Memorial Rehab Unit 7400 EAST OSBORN ROAD SCOTTSDALE AZ 85251 03T055 Kingman Regional Medical Center 3801 SANTA ROSA DR KINGMAN AZ 86401 03T061 Banner Boswell Medical Center 10601 WEST SANTA FE DRIVE SUN CITY AZ 85351 03T085 Northwest Medical Center 6200 N LA CHOLLA BLVD TUCSON AZ 85741 03T088 John J Rhodes Rehabilitation Institute 6644 E BAYWOOD AVENUE MESA AZ 85206 14502 WEST MEEKER 03T093 Banner Del E Webb Medical Center BOULEVARD SUN CITY WEST AZ 85375 03T103 Mayo Clinic Hospital 5777 E. MAYO BLVD PHOENIX AZ 85054 03T114 Oro Valley Hospital 1551 E TANGERINE RD ORO VALLEY AZ 85755 053027 Casa Colina Hospital 255 EAST BONITA AVENUE POMONA CA 91769 HEALTHSOUTH BAKERSFIELD REGIONAL REHAB 053031 HOSP 5001 COMMERCE DRIVE BAKERSFIELD CA 93309 053032 7173 North Sharon Operating Co, LLC 7173 N SHARON AVE FRESNO CA 93720 053034 HealthSouth Tustin 14851 YORBA STREET TUSTIN CA 92780 053037 Ballard Rehabilitation Hospital 1760 WEST 16TH STREET SAN BERNARDINO CA 92411 053038 Totally Kids Rehabilitation Hospital 1720 Mountain View Ave Loma Linda CA 92354 053039 California Rehabilitation Institute LLC 2070 Century E Park Los Angeles CA 90067 053040 HEALTHSOUTH REHABILITATION HOSPITAL 1303 MABLE AVENUE MODESTO CA 95355 05R323 COLORADO RIVER MEDICAL CENTER 1401 BAILEY AVE NEEDLES CA 92363 05T006 St Joseph Hospital of Eureka 2700 DOLBEER ST EUREKA CA 95501 05T008 CA Pacific Medical Center-Davies Campus CASTRO AND DUBOCE STREETS SAN FRANCISCO CA 94114 05T009 Queen of the Valley Medical Center 1000 TRANCAS STREET NAPA CA 94558 05T017 Mercy General Hospital-Rehab Unit 4001 J STREET SACRAMENTO CA 95819 05T018 Pacific Alliance Medical Center 531 W. COLLEGE STREET LOS ANGELES CA 90012 05T024 Paradise Valley Hospital 2400 EAST FOURTH STREET NATIONAL CITY CA 91950

- 3 - IRFs That Successfully Met QRP Reporting Requirements for APU FY 2018

CCN Facility Name Facility Address 1 Facility Address 2 City State Zip 5555 GROSSMONT CENTER 05T026 Grossmont Hospital DRIVE LA MESA CA 91942 05T038 Santa Clara Valley Medical Center 751 SOUTH BASCOM AVENUE SAN JOSE CA 95128 05T039 Enloe Medical Center - Esplanade 1531 ESPLANADE CHICO CA 95926 Alta Bates Summit Medical Center Inpatient 05T043 Rehab Unit 350 Hawthorne Avenue Oakland CA 94609 05T057 Kaweah Delta District Hospital 400 W. MINERAL KING VISALIA CA 93291 05T058 Glendale Memorial Hospital & Health Center 1420 SOUTH CENTRAL AVENUE GLENDALE CA 91204 05T060 Fresno Community Hospital 2823 FRESNO STREET FRESNO CA 93721 05T063 CHA Hollywood Medical Center LP 1300 N VERMONT AVENUE LOS ANGELES CA 90027 05T073 Kaiser Foundation Hospitals 975 SERENO DRIVE VALLEJO CA 94589 PROVIDENCE HEALTH SYSTEM SOUTHERN PROV LTL CMP MARY SAN 05T078 CALIFORNIA PEDRO 1300 WEST 7TH STREET TORRANCE CA 90732 05T082 St. Johns Regional Medical Center Rehab 1600 NORTH ROSE AVENUE OXNARD CA 93030 05T100 Donald N Sharp Mem Hosp 7901 FROST STREET SAN DIEGO CA 92123 05T103 White Memorial Medical Center 1720 CESAR E. CHAVEZ AVE LOS ANGELES CA 90033 05T107 Marian Regional Medical Center 345 S HALCYON ROAD ARROYO GRANDE CA 93420 05T115 Palomar Medical Center 555 EAST VALLEY PARKWAY ESCONDIDO CA 92025 05T116 Northridge Hospital - Roscoe 18300 ROSCOE BOULEVARD NORTHRIDGE CA 91328 05T126 Valley Presbyterian Hospital 15107 VANOWEN STREET VAN NUYS CA 91405 05T128 Tri City Medical Center 4002 VISTA WAY OCEANSIDE CA 92056 05T135 Southern California Hospital at Culver City 3828 DELMAS TERRACE CULVER CITY CA 90231 Community Hospital of the Monterey 05T145 Peninsula 23625 HOLMAN HWY MONTEREY CA 93940 05T152 St. Francis Memorial Hospital 900 HYDE STREET SAN FRANCISCO CA 94109 05T158 Prime Healthcare Svcs Encino LLC 16237 VENTURA BLVD ENCINO CA 91436 05T167 SAN JOAQUIN GENERAL HOSPITAL 500 W. HOSPITAL ROAD FRENCH CAMP CA 95231 05T168 St. Jude Hospital 101 E. VALENCIA MESA DRIVE FULLERTON CA 92835 05T169 Presbyterian Intercomm Hosp 12401 WASHINGTON BLVD WHITTIER CA 90602 05T174 Santa Rosa Memorial Hospital 1165 MONTGOMERY DRIVE SANTA ROSA CA 95402 05T180 John Muir Medical Center, Rehab Unit 1601 YGNACIO VALLEY WALNUT CREEK CA 94598 05T191 St. Mary Medical Center Rehab 1050 LINDEN AVENUE LONG BEACH CA 90813 05T204 PALMDALE REGIONAL MEDICAL CTR 38600 MEDICAL CENTER DR PALMDALE CA 93551 05T235 Providence Saint Joseph Med Center-Rehab 501 S. BUENA VISTA BURBANK CA 91505 05T236 Simi Valley Hospital and Health Care Center 2975 NORTH SYCAMORE DRIVE SIMI VALLEY CA 93065 - 4 - IRFs That Successfully Met QRP Reporting Requirements for APU FY 2018

CCN Facility Name Facility Address 1 Facility Address 2 City State Zip 05T238 Methodist of Southern California 300 WEST HUNTINGTON DR ARCADIA CA 91007 05T239 Glendale Adventist Hospital 1509 WILSON TERRACE GLENDALE CA 91206 05T242 Dominican Santa Cruz Hospital 1555 SOQUEL DRIVE SANTA CRUZ CA 95065 1150 NORTH INDIAN CANYON 05T243 Tenet Healthsystem Desert Inc DRIVE PALM SPRINGS CA 92262 1441 CONSTITUTION 05T248 Natividad Medical Center BOULEVARD SALINAS CA 93906 05T262 UCLA Medical Center 10833 LECONTE AVENUE LOS ANGELES CA 90024 05T278 Providence Holy Cross Med Ctr Rehab 15031 RINALDI STREET MISSION HILLS CA 91345 05T281 Alhambra Hospital-Rehab 100 SOUTH RAYMOND STREET ALHAMBRA CA 91802 05T283 ValleyCare Health System 5555 WEST LAS POSITAS BLVD. PLEASANTON CA 94588 05T308 El Camino Los Gatos Rehabilitation Center 355 DARDANELLI LANE LOS GATOS CA 95032 Sutter Rehabilitation Institute at Sutter 05T309 Roseville Medical Center ONE MEDICAL PLAZA ROSEVILLE CA 95661 05T320 Alameda County Medical Center 15400 FOOTHILL BOULEVARD SAN LEANDRO CA 94578 05T327 Loma Linda Univ Hospital 25333 BARTON ROAD LOMA LINDA CA 92354 05T329 CORONA REGINAL MEDICAL CENTER 730 MAGNOLIA AVENUE CORONA CA 92882 800 S LOWER SACRAMENTO 05T336 Lodi Memorial Hospital Association Inc ROAD LODI CA 95242 05T348 University of California Irvine Medical Ctr 101 CITY DRIVE SOUTH ORANGE CA 92668 15891 LOS GATOS-ALMADEN 05T380 Good Samaritan Hospital ROAD LOS GATOS CA 95032 210 WEST SAN BERNARDINO 05T382 Citrus Valley Medical Center -IC Campus ROAD COVINA CA 91723 05T396 Santa Barbara Cottage Hospital Rehab Unit PUEBLO AT BATH STREET SANTA BARBARA CA 93105 05T417 SCH ACUTE REHAB CENTER 800 E WASHINGTON BLVD CRESCENT CITY CA 95531 05T438 Huntington Memorial Hospital 100 CONGRESS STREET PASADENA CA 91105 05T441 Stanford Hospital 300 PASTEUR DRIVE STANFORD CA 94305 05T457 St Marys Medical Center Rehabilitation Unit 450 STANYAN STREET SAN FRANCISCO CA 94117 05T471 GOOD SAMARITAN HOSPITAL 1225 WILSHIRE BLVD LOS ANGELES CA 90017 05T485 Memorial Med Ctr /Long Beach - Rehab 2801 ATLANTIC AVENUE LONG BEACH CA 90801 05T498 SUTTER AUBURN FAITH HOSPITAL 11815 EDUCATION STREET AUBURN CA 95603 05T502 St Vincent Medical Center Rehabilitation Unit 2131 WEST THIRD STREET LOS ANGELES CA 90057 05T503 Scripps Memorial Hospital 354 SANTA FE DRIVE ENCINITAS CA 92024 05T549 Los Robles Regional Medical Center E. Campus 215 WEST JANSS ROAD THOUSAND OAKS CA 91360 - 5 - IRFs That Successfully Met QRP Reporting Requirements for APU FY 2018

CCN Facility Name Facility Address 1 Facility Address 2 City State Zip 05T567 Mission Hospital Regional Medical Center 27700 MEDICAL CENTER ROAD MISSION VIEJO CA 92691 05T573 Eisenhower Medical Center Rehab Unit 39000 BOB HOPE DRIVE RANCHO MIRAGE CA 92270 05T580 Prime Healthcare La Palma LLC 7901 WALKER ST LA PALMA CA 90623 05T599 UC Davis Medical Center-Rehab Unit 2315 STOCKTON BLVD SACRAMENTO CA 95817 05T603 SADDLEBACK MEMORIAL MEDICAL CENTER 24451 HEALTH CENTER DRIVE LAGUNA HILLS CA 92653 05T624 Henry Mayo Newhall Memorial Hospital 23845 MCBEAN PARKWAY VALENCIA CA 91355 05T625 Cedars-Sinai Medical Center 8700 WEST BEVERLY BLVD LOS ANGELES CA 90048 375 LAGUNA HONDA 05T668 Laguna Honda Hospital BOULEVARD SAN FRANCISCO CA 94116 05T696 Keck Hospital of USC 1500 SAN PABLO STREET LOS ANGELES CA 90033 05T717 Rancho Los Amigos Medical Center 7601 EAST IMPERIAL HIGHWAY DOWNEY CA 90242 05T737 AHMC Garfield Medical Center LP 525 N GARFIELD AVE MONTEREY PARK CA 91754 05T739 Centinela Hospital Medical Center 555 EAST HARDY ST INGLEWOOD CA 90301 05T752 BROTMAN MEDICAL CENTER 3828 DELMAS TERRACE CULVER CITY CA 90231 05T757 Alvarado Hospital LLC 6645 ALVARADO ROAD SAN DIEGO CA 92120 CASA COLINA HOSPITAL AND CENTERS FOR 05T782 HEALTHCARE 255 E BONITA AVE POMONA CA 91767 063027 Spalding Rehabilitation Hospital 900 POTOMAC ST AURORA CO 80011 063030 Rehabilitation Hospital of Colorado Springs I 325 PARKSIDE DRIVE COLORADO SPRING CO 80910 063033 Northern Colorado Rehabilitation Hospital Inc 4401 UNION ST LOVELAND CO 80537 063034 Rehabilitation Hospital of Denver 1001 WEST MINERAL AVE LITTLETON CO 80120 06T001 NORTH COLORADO MEDICAL CENTER 1801 16TH STREET GREELEY CO 80631 06T006 Montrose Memorial Hospital 800 SOUTH 3RD ST MONTROSE CO 81401 06T010 POUDRE VALLEY HEALTH CARE INC 1024 SOUTH LEMAY AVE. FORT COLLINS CO 80524 06T011 Denver Health Medical Center - Rehab Unit 777 BANNOCK STREET DENVER CO 80204 06T012 Catholic Health Initiatives Colorado 1008 MINNEQUA AVE PUEBLO CO 81004 06T014 PRESBYTERIAN/ST LUKE'S MEDICAL CTR 1719 E 19TH AVE DENVER CO 80218 06T015 Catholic Health Initiatives Colorado ATTN CASHIERING DEPT 4231 W 16TH AVENUE DENVER CO 80204 06T020 Parkview Episcopal Rehab Unit 400 WEST 16TH STREET PUEBLO CO 81003 06T022 Memorial Hospital Central-Rehab Unit 1400 EAST BOULDER COLORADO SPRING CO 80909 06T023 St. Mary's Rehab Hospital 2635 NORTH 7TH STREET GRAND JUNCTION CO 81502 06T024 University Rehab Unit 4200 EAST NINTH AVENUE CAMPUS BOX F401 DENVER CO 80262 06T027 Boulder Community Hospital Rehab 1100 BALSAM AVENUE BOULDER CO 80304 COLORADO 06T031 Catholic Health Initiatives Colorado 2222 N NEVADA AVE SPRINGS CO 80907 - 6 - IRFs That Successfully Met QRP Reporting Requirements for APU FY 2018

CCN Facility Name Facility Address 1 Facility Address 2 City State Zip 06T034 HCA HealthONE LLC 501 E HAMPDEN AVE ENGLEWOOD CO 80113 06T064 Portercare Adventist Health System 2525 SOUTH DOWNING ST DENVER CO 80210 The Center of Rehabilitation at Littleton 06T113 Adventist Hospital 7700 SOUTH BROADWAY LITTLETON CO 80122 2500 ROCKY MOUNTAIN 06T119 Medical Center of the Rockies AVENUE LOVELAND CO 80538 073025 Mount Sinai Rehab Hospital, Inc. 490 Blue Hills Ave Hartford CT 06112 07T006 Stamford Hospital One Hospital Plaza Stamford CT 06902 Lawrence & Memorial Hospital Rehabilitation 07T007 Unit 365 Montauk Avenue New London CT 06320 07T022 Yale-New Haven Hospital 300 Seaside Avenue West Wing, 2nd Floor Milford CT 06460 07T028 St. Vincent's Medical Center 2800 Main Street Bridgeport CT 06606 07T033 Danbury Hospital 24 Hospital Avenue Danbury CT 06810 093025 National Rehabilitation Hospital Inc 102 IRVING STREET SW WASHINGTON DC 20010 09T001 George Washington University Hospital 901 23RD STREET N W SUITE 2500 WASHINGTON DC 20037 Healthsouth Rehabilitation Hospital of 083026 Middletown 250 East Hampden Road Middletown DE 19709 08T001 Christiana Cr Hlth Srvcs, Inc. 501 WEST 14TH ST WILMINGTON DE 19801 08T009 Bayhealth - Milford Memorial Hospital 21 WEST CLARKE AVENUE MILFORD DE 19963 1050 NORTHEAST 125TH 103026 St Catherine's Rehabilitation Hospital STREET NORTH MIAMI FL 33161 3075 NORTHWEST 35TH 103027 St. Johns Rehabilitation Hospital AVENUE LAUDERDALE LAKES FL 33311 103028 HealthSouth Sunrise Rehabilitation Hospital 4399 N NOB HILL RD SUNRISE FL 33351 103031 HealthSouth of Sarasota Ltd Partnership 6400 EDGELAKE DRIVE SARASOTA FL 34240 103032 HealthSouth Treasure Coast Rehabilitation Hos 1600 37TH ST VERO BEACH FL 32960 HEALTHSOUTH REHAB HOSPITAL OF 103033 TALLAHASSEE 1675 RIGGINS ROAD TALLAHASSEE FL 32308 103034 HEALTHSOUTH SEA PINES REHAB HOSPITAL 101 EAST FLORIDA AVENUE MELBOURNE FL 32901 103036 West Gables Rehabilitation Hospital LLC 2525 SW 75TH AVENUE MIAMI FL 33155 901 CLEARWATER LARGO RD 103037 HEALTHSOUTH REHABILITATION HOSPITAL NORTH LARGO FL 33770 103038 HealthSouth Rehabilitation Hospital of Miami 20601 OLD CUTLER ROAD MIAMI FL 33189 103039 Brooks Rehabilitation 3599 UNIVERSITY BLVD. SOUTH JACKSONVILLE FL 32216 103040 LAKESHORE SYSTEMS SERVICES OF FLORIDA 1847 FLORIDA AVE PANAMA CITY FL 32405 - 7 - IRFs That Successfully Met QRP Reporting Requirements for APU FY 2018

CCN Facility Name Facility Address 1 Facility Address 2 City State Zip 103042 HealthSouth of Spring Hill, Inc. 12440 CORTEZ BLVD BROOKSVILLE FL 34613 103043 Health South Rehabilitation Hospital of Ocala 2275 SW 22 LANE OCALA FL 34471 HealthSouth Rehabilitation Hospital at Martin 103044 Health 5850 SE COMMUNITY DRIVE STUART FL 34997 HealthSouth Rehabilitation Hospital of 103045 Altamonte Springs 831 South State Road 434 Altamonte Springs FL 32714 10T002 Bethesda Memorial Hospital 2815 SOUTH SEACREST BLVD BOYNTON BEACH FL 33435 10T006 Orlando Health 1414 KUHL AVENUE ORLANDO FL 32806 10T007 Florida Hospital 601 EAST ROLLINS ORLANDO FL 32803 10T008 Baptist Hospital of Miami 8900 SW 88TH STREET MIAMI FL 33156 10T012 Lee Memorial Hospital 2776 CLEVELAND AVENUE FORT MYERS FL 33901 NEW SMYRNA 10T014 BERT FISH MEDICAL CENTER 401 PALMETTO ST BEACH FL 32170 303 NORTH CLYDE MORRIS 10T017 Halifax Hospital Medical Center BLVD DAYTONA FL 32114 10T018 Naples Community Hospital 350 7TH STREET, NORTH NAPLES FL 34102 10T022 Jackson Memorial Hospital 1611 NW 12TH AVENUE MIAMI FL 33136 10T032 Bayfront Medical Center 701 6TH STREET, SOUTH ST PETERSBURG FL 33701 4300 ALTON 10T034 Mount Sinai Medical Center ROAD,ADMINISTRATION MIAMI BEACH FL 33140 10T038 Memorial Regional Hospital 3501 JOHNSON STREET HOLLYWOOD FL 33021 10T052 Winter Haven Hospital 200 AVENUE F, NE WINTER HAVEN FL 33881 6600 MADISON STREET, 10T063 North Bay Medical Center MS#800 NEW PORT RICHEY FL 34652 10T067 ST ANTHONY'S HOSPITAL 1200 7TH AVENUE NORTH SAINT PETERSBURG FL 33705 10T068 Memorial Hospital - Peninsula 264 SOUTH ATLANTIC AVENUE ORMOND BEACH FL 32176 4725 NORTH FEDERAL 10T073 Holy Cross Hospital HIGHWAY FORT LAUDERDALE FL 33308 10T084 Leesburg Regional Medical Center 600 EAST DIXIE AVENUE LEESBURG FL 34748 10T086 North Broward Medical Center 201 SAMPLE ROAD POMPANO BEACH FL 33064 10T087 Sarasota Memorial Hospital 1700 SOUTH TAMIAMI TRAIL SARASOTA FL 34239 10T113 Shands Hospital at the University of Florida 4101 NW 89TH BLVD. GAINESVILLE FL 32606 10T126 Palms of Pasadena Hospital 1501 PASADENA AVE S ST PETERSBURG FL 33707 10T128 Tampa General HealthCare 1 TAMPA GENERAL CIRCLE PO BOX 1289 TAMPA FL 33601 10T135 TALLAHASSEE MEMORIAL HEALTHCARE 1300 MICCOSUKEE RD TALLAHASSEE FL 32308 - 8 - IRFs That Successfully Met QRP Reporting Requirements for APU FY 2018

CCN Facility Name Facility Address 1 Facility Address 2 City State Zip 10T157 Lakeland Regional Medical Center 1324 Lakeland Hills Blvd Lakeland FL 33805 1401 W SEMINOLE 10T161 Central Florida Regional Hospital BOULEVARD SANFORD FL 32771 10T167 Plantation General Hospital 401 NW 42D AVENUE PLANTATION FL 33317 10T173 University Community Hospital 3100 EAST FLETCHER AVENUE TAMPA FL 33613 10T213 L. W. Blake Memorial Hospital 2020 59TH STREET WEST BRADENTON FL 34209 10T218 TAMPA GENERAL REHABILATION CTR PO BOX 1289 TAMPA FL 33601 The Rehabilitation Institute of Northwest 10T223 Florida 996 Airport Rd Destin FL 32541 10T226 Orange Park Inpatient Rehabilitation 1883 Kingsley Avenue Orange Park FL 32073 10T231 West Florida Hospital 8383 NORTH DAVIS HIGHWAY PENSACOLA FL 32514 10T236 Fawcett Memorial Hospital 21298 OLEAN BLVD PORT CHARLOTTE FL 33952 10T246 Lawnwood Regional Medical Center 1700 SOUTH 23RD STREET FORT PIERCE FL 34950 10T248 Largo Medical Center Indian Rocks 2025 INDIAN ROCKS RD S LARGO FL 33774 10T249 Seven Rivers Regional Medical Center 6201 N SUNCOAST BLVD CRYSTAL RIVER FL 34428 10T258 Delray Medical Center Inc 5360 LINTON BLVD DELRAY BEACH FL 33484 10T288 Tenet St Marys Inc 901 45TH STREET WEST PALM BEACH FL 33407 10T290 The Villages Regional Hospital 1451 El Camino Real The Villages FL 32159 Roosevelt Warm Springs Rehabilitation 113028 Hospital 6135 ROOSEVELT HWY WARM SPRINGS GA 31830 113029 Central Georgia Rehabilitation Hospital 3351 NORTHSIDE DRIVE MACON GA 31210 113030 HealthSouth Walton Rehabilitation Hospital 1355 INDEPENDENCE DRIVE AUGUSTA GA 30901 113031 Emory Rehabilitation Hospital 1441 Clifton Rd, NE Atlanta GA 30322 HEALTHSOUTH REHABILITATION HOSPITAL OF 2101 E NEWNAN CROSSING 113032 NEWNAN BLVD NEWNAN GA 30265 113033 Rehabilitation Hospital of Savannah 6510 Seawright Dr Savannah GA 31406 11T006 St. Mary's Hospital 1230 BAXTER STREET ATHENS GA 30606 11T007 Phoebe Putney Rehabilitation Unit 2000 Palmyra Rd ALBANY GA 31701 11T010 Emory University 1364 CLIFTON ROAD NE ATLANTA GA 30322 Tanner Medical Center Inpatient Rehabilitation 11T011 Facility 705 DIXIE ST CARROLLTON GA 30117 11T024 Candler General Hospital 5353 REYNOLDS STREET SAVANNAH GA 31406 11T029 Northeast Georgia Medical Center, Inc. 743 SPRING STREET NE GAINESVILLE GA 30501 11T035 Kennestone Hospital, Inc. 677 CHURCH STREET, NE MARIETTA GA 30060 11T038 John D. Archbold Memorial Hospital 915 Gordon Ave Thomasville GA 31792 - 9 - IRFs That Successfully Met QRP Reporting Requirements for APU FY 2018

CCN Facility Name Facility Address 1 Facility Address 2 City State Zip 11T043 St Josephs Hospital 11705 MERCY BOULEVARD SAVANNAH GA 31419 11T044 SUMTER REGIONAL HOSPITAL 100 WHEATLEY DRIVE AMERICUS GA 31709 11T054 Floyd Medical Center Rehab 304 TURNER MCCALL BLVD ROME GA 30161 11T076 Dekalb Medical Center, Inc. 2701 NORTH DECATUR ROAD DECATURR GA 30033 11T083 PIEDMONT HOSPITAL 1968 PEACHTREE RD. NW ATLANTA GA 30309 11T087 Gwinnett Medical Center 1000 MEDICAL CTR BLVD LAWRENCEVILLE GA 30245 11T095 SUMMIT REHAB 901 E 18TH STREET TIFTON GA 31794 11T115 WellStar Atlanta Medical Center 303 PARKWAY DR NE ATLANTA GA 30312 11T122 South Georgia Medical Center 2501 N. PATTERSON STREET VALDOSTA GA 31602 11T125 Fairview Park Hospital 200 INDUSTRIAL BLVD DUBLIN GA 31021 11T143 Cobb Hospital INC 3950 AUSTELL ROAD AUSTELL GA 30106 11T164 Coliseum Medical Centers 350 HOSPITAL DR MACON GA 31217 11 UPPER RIVERDALE ROAD, 11T165 Southern Regional Medical Center SW RIVERDALE GA 30274 11T168 Redmond Regional Medical Center 501 REDMOND RD NW ROME GA 30165 11T177 Doctors Hospital Augusta 3651 WHEELER RD AUGUSTA GA 30909 11T192 Eastside Medical Center 2160 FOUNTAIN DR SNELLVILLE GA 30078 11T198 North Fulton Medical Center Inc 3000 HOSPITAL BLVD ROSWELL GA 30076 11T200 Northside Medical Center 100 First Ct COLUMBUS GA 31909 123025 Rehabilitation Hospital of the Pacific 226 NORTH KUAKINI STREET HONOLULU HI 96817 16T030 Mary Greeley Medical Center 1111 DUFF AVE AMES IA 50010 16T033 Genesis Medical Center Davenport 1401 W CENTRAL PARK DAVENPORT IA 52804 16T045 St Lukes Hospital 1026 A AVENUE NE CEDAR RAPIDS IA 52402 16T057 Great River Medical Center 1221 S Gear Ave WEST BURLINGTON IA 52655 16T064 Mercy Medical Center-North Iowa 910 N EISENHOWER AVE MASON CITY IA 50401 16T067 Covenant Medical Center 3421 West Ninth Street WATERLOO IA 50702 16T069 Mercy Medical Center-Dubuque 250 MERCY DRIVE DUBUQUE IA 52001 16T079 Mercy Medical Center Cedar Rapids IA 701 10th St SE CEDAR RAPIDS IA 52403 16T082 Iowa Methodist Medical Center 1200 PLEASANT ST DES MOINES IA 50309 16T083 Mercy Inpatient Rehab Facility 1111 6TH AVENUE 4N MAIN DES MOINES IA 50314 16T089 Ottumwa Regional Health Center 1001 PENNSYLVANIA AVE OTTUMWA IA 52501 16T110 Allen Memorial Hospital 1825 LOGAN AVE WATERLOO IA 50703 16T117 The Finley Hospital 350 N GRANDVIEW AVE DUBUQUE IA 52001 16T146 St Lukes Regional Medical Center 2720 STONE PARK BLVD SIOUX CITY IA 51104

- 10 - IRFs That Successfully Met QRP Reporting Requirements for APU FY 2018

CCN Facility Name Facility Address 1 Facility Address 2 City State Zip 16T153 Mercy Medical Center Sioux City 801 5TH ST SIOUX CITY IA 51101 133027 Rehabilitation Hospital of the Northwest LLC 3372 E JENALAN AVE POST FALLS ID 83854 13T002 ST LUKES INPATIENT REHABILITATION UNIT 775OLE LINE RD W STE 307 TWIN FALLS ID 83301 St. Luke's Rehabilitation - Inpatient Acute Care 13T006 Unit 600 N Robbins Road Boise ID 83702 ST ALPHONSUS REGIONAL MEDICAL CENTER 13T007 INC 1055 NORTH CURTIS ROAD BOISE ID 83706 13T018 Eastern Idaho Regional Medical Center 3100 CHANNING WAY IDAHO FALLS ID 83404 PORTNEUF MEDICAL CENTER 13T028 PORTNEUF MEDICAL CENTER REHAB UNIT REHAB UNIT 777 HOSPITAL WAY POCATELLO ID 83201 143025 Schwab Rehab Center 1401 S CALIFORNIA CHICAGO IL 60608 143026 Rehabilitation Institute of Chicago 355 E Erie St Chicago IL 60611 143027 Marianjoy Rehabilitation Hospital 26W171 ROOSEVELT ROAD WHEATON IL 60187 143028 Van Matre Rehabilitation Center LLC 950 SOUTH MULFORD ROAD ROCKFORD IL 61108 14T007 Provena St. Joseph Medical Center 333 MADISON STREET JOLIET IL 60435 14T008 Loyola Gottlieb Memorial Hospital 701 W North Ave Melrose Park IL 60160 14T010 Northshore University Health System 2650 RIDGE AVENUE EVANSTON IL 60201 14T011 Herrin Hospital 201 SOUTH 14TH STREET HERRIN IL 62948 14T015 Blessing Hospital BROADWAY AT 14TH STREET QUINCY IL 62301 14T029 Copley Memorial Hospital 2000 OGDEN AVENUE AURORA IL 60504 14T033 Vista Medical Center West 2615 WASHINGTON ST WAUKEGAN IL 60085 14T046 Good Samaritan Regional Health Center 1 Good Samaritan Way Mt Vernon IL 62864 14T052 St. Anthony's Hospital 915 EAST FIFTH STREET ALTON IL 62002 14T054 MacNeal Acute Rehab 3249 S Oak Park Ave, 22 N Berwyn IL 60402 14T063 Oak Park Hospital 520 SOUTH MAPLE AVENUE OAK PARK IL 60304 14T065 Adventist La Grange Memorial Hospital 5101 Willow Springs Road La Grange IL 60525 14T067 Saint Francis Medical Center 530 NE GLEN OAK AVE PEORIA IL 61637 14T075 MICHAEL REESE HOSPITAL 2929 SOUTH ELLIS AVENUE CHICAGO IL 60616 14T082 VHS Acquisition Subsidiary Number 3 4646 NORTH MARINE DRIVE CHICAGO IL 60640 14T091 Carle Foundation Hospital 611 WEST PARK STREET URBANA IL 61801 14T100 MIDWESTERN REGION MED CENTER 2520 ELISHA AVENUE ZION IL 60099 14T113 Provena Covenant Medical Center 1400 WEST PARK STREET URBANA IL 61801 5145 NORTH CALIFORNIA 14T114 Swedish Covenant Hospital AVENUE CHICAGO IL 60625 14T116 Northern Illinois Medical Center Rehab Unit 4201 MEDICAL CENTER DRIVE MCHENRY IL 60050 - 11 - IRFs That Successfully Met QRP Reporting Requirements for APU FY 2018

CCN Facility Name Facility Address 1 Facility Address 2 City State Zip 14T117 Resurrection Medical Center 7435 WEST TALCOTT AVENUE CHICAGO IL 60631 1653 WEST CONGRESS 14T119 Rush University Medical Center PARKWAY CHICAGO IL 60612 14T125 Gateway Regional Medical Center 2100 MADISON AVENUE GRANITE CITY IL 62040 14T127 BroMenn Hospital Rehab Unit VIRGINIA AT FRANKLIN NORMAL IL 61761 14T133 Holy Cross Hospital 2701 WEST 68TH STREET CHICAGO IL 60629 14T135 DECATUR MEMORIAL HOSPITAL 2300 NORTH EDWARD STREET DECATUR IL 62526 14T148 Memorial Medical Center 701 NORTH 1ST STREET SPRINGFIELD IL 62781 14T150 University of Illinois Hospital 1740 WEST TAYLOR AVENUE CHICAGO IL 60612 2525 SOUTH MICHIGAN 14T158 Mercy Hospital AVENUE CHICAGO IL 60616 14T166 St. Mary's Hospital 1800 EAST LAKE SHORE DRIVE DECATUR IL 62521 14T172 Franciscan Health Olympia Field 1423 Chicago Rd Chicago Heights IL 60411 Presence Saints Mary and Elizabeth Medical 14T180 Center 2233 W Division St Chicago IL 60622 836 WEST WELLINGTON 14T182 Advocate Northside Health System AVENUE CHICAGO IL 60657 14T186 Riverside Medical Center 350 NORTH WALL STREET BOX 749 KANKAKEE IL 60901 14T187 St. Elizabeth's Hospital 211 SOUTH THIRD STREET BELLEVILLE IL 62220 14T191 Ingalls Memorial Hospital Rehab Unit ONE INGALLS DRIVE HARVEY IL 60426 14T208 EHS Christ Hospital 4440 WEST 95TH STREET OAK LAWN IL 60453 221 NORTHEAST GLEN OAK 14T209 Methodist Medical Center of IL Rehab Unit AVENUE PEORIA IL 61636 14T213 Silver Cross Hospital Rehab 1900 SILVER CROSS BLVD NEW LENOX IL 60451 14T217 Provena St. Joseph Hospital Rehab 77 NORTH AIRLITE STREET ELIGN IL 60123 14T223 Lutheran General Hospital 1775 DEMPSTER STREET PARK RIDGE IL 60068 14T224 Presence St Joseph Hospital 2900 N Lake Shore Dr Chicago IL 60657 2400 NORTH ROCKTON 14T239 ROCKFORD MEMORIAL HOSPITAL AVENUE ROCKFORD IL 61103 14T240 Westlake Community Hospital 1225 SUPERIOR STREET MELROSE PARK IL 60160 14T252 NCH Rehabilitation Care Unit 800 W Central Rd Arlington Heights IL 60005 14T258 Alexian Brothers Medical 935 Beisner Rd Elk Grove Village IL 60007 14T276 Loyola University Medical Center 2160 SOUTH FIRST AVENUE MAYWOOD IL 60153 14T280 Trinity Rock Island 2701 17TH ST ROCK ISLAND IL 61201 14T289 The Rehabilitation Center-Anderson Hospital 6800 STATE ROUTE 162 P O BOX 1000 MARYVILLE IL 62062 - 12 - IRFs That Successfully Met QRP Reporting Requirements for APU FY 2018

CCN Facility Name Facility Address 1 Facility Address 2 City State Zip 153025 HealthSouth Deaconess Hospital 4100 COVERT AVENUE EVANSVILLE IN 47714 153028 Rehabilitation Hospital of Indiana 4141 Shore Dr INDIANAPOLIS IN 46254 Rehabilitation Hospital of Fort Wayne General 153030 Par 7970 W JEFFERSON BLVD FORT WAYNE IN 46804 153037 Southern Indiana Rehab Hospital 3104 BLACKISTON BLVD NEW ALBANY IN 47150 153039 Community Howard Specialty Hospital 829 N DIXON RD KOKOMO IN 46901 DOCTORS NEUROMEDICAL HOSPITAL & BRAIN 153040 INSTITUTE 411 S WHITLOCK ST BREMEN IN 46506 153042 Lafayette Regional Rehabilitation Hospital 950 PARK E BLVD LAFAYETTE IN 47905 Community Health Network Rehabilitation 153043 Hospital 7343 CLEARVISTA DR INDIANAPOLIS IN 46256 15T001 Todd-Aikens Acute Rehab Care 1125 W JEFFERSON ST FRANKLIN IN 46131 15T002 The Methodist Hospitals Inc 600 GRANT ST. GARY IN 46402 15T008 ST. CATHERINE HOSPITAL INC 4321 FIR STREET EAST CHICAGO IN 46312 15T010 ST. JOSEPH HOSPITAL & HEALTH CENTER Inc 1907 W. SYCAMORE STREET KOKOMO IN 46901 15T011 MARION GENERAL HOSPITAL-REHAB UNIT 441 NORTH WABASH AVENUE MARION IN 46952 15T012 Saint Joseph Rehabilitation Institute 60205 BODNAR BLVD MISHAWAKA IN 46544 15T015 Franciscan Health Michigan City 301 W HOMER ST MICHIGAN CITY IN 46360 15T018 ELKHART GENERAL HOSPITAL 600 EAST BLVD ELKHART IN 46514 15T021 Parkview Hospital Inc 2200 RANDALIA DR. FORT WAYNE IN 46805 15T023 Union Hospital Medical Rehabilitation Unit 1606 N 7th St TERRE HAUTE IN 47804 1500 SOUTH LAKE PARK 15T034 St Mary Medical Center Inc AVENUE HOBART IN 46342 15T035 PORTER REGIONAL HOSPITAL 3630 Willowcreek Rd Portage IN 46368 15T042 Good Samaritan Hospital 520 S 7th St VINCENNES IN 47591 15T046 Terre Haute Regional Hospital 3901 S 7TH ST TERRE HAUTE IN 47802 15T048 Reid Health 1100 REID PARKWAY RICHMOND IN 47374 15T051 IU Health Bloomington 601 W 2nd St BLOOMINGTON IN 47403 15T058 MEMORIAL HOSPITAL OF SOUTH BEND 615 N Michigan St SOUTH BEND IN 46601 15T059 RIVERVIEW HOSPITAL 395 Westfiled Rd Noblesville IN 46060 15T061 Daviess Community Hospital 1314 E WALNUT ST PO BOX 760 WASHINGTON IN 47501 15T064 FAYETTE MEMORIAL HOSPITAL 1941 VIRGINIA AVENUE CONNERSVILLE IN 47331 15T084 St. Vincent Hospital Rehab. Unit 2001 W. 86TH ST. INDIANAPOLIS IN 46260 15T088 St Vincent Anderson Regional Hospital Inc 2015 JACKSON ST ANDERSON IN 46016 15T089 I U Health Ball Memorial Hospital 2401 W UNIVERSITY AVE MUNCIE IN 47303 - 13 - IRFs That Successfully Met QRP Reporting Requirements for APU FY 2018

CCN Facility Name Facility Address 1 Facility Address 2 City State Zip 15T090 Franciscan Health Dyer 5454 HOHMAN AVE HAMMOND IN 46320 15T100 St Vincent Evansville 3700 WASHINGTON AVE EVANSVILLE IN 47714 15T109 St Elizabeth Inpatient Rehabilitation Center 1501 HARTFORD ST LAFAYETTE IN 47904 15T112 COLUMBUS REGIONAL HOSPITAL 2400 EAST 17TH ST. COLUMBUS IN 47201 MEMORIAL HOSPITAL and HEALTH CARE 15T115 CENTER 800 W 9TH ST JASPER IN 47546 The Rehabilitation Center at Community 15T125 Hospital 901 MACARTHUR BLVD. MUNSTER IN 46321 15T126 Franciscan St Anthony Health Crown Point 1201 S MAIN ST CROWN POINT IN 46307 15T162 Franciscan Health Indianapolis 8111 S EMERSON AVE INDIANAPOLIS IN 46237 173025 Kansas Rehabilitation Hospital 1504 SW 8TH AVE TOPEKA KS 66606 173026 Mid America Rehabilitation Hospital 5701 W 110TH ST OVERLAND PARK KS 66211 Wesley Rehabilitation Hospital an Affiliate of 173027 Healthsouth 8338 W 13TH ST N WICHITA KS 67212 173028 Via Christi Rehabilitation Hospital 1151 N ROCK RD WICHITA KS 67206 173032 Rehabilitation Hospital of Overland Park 5100 Indian Creek Pkwy Overland Park KS 66207 173033 Meadowbrook Rehabilitation Hospital 427 W Main St Gardner KS 66030 17R384 Newman Regional Medical 1201 W 12TH AVE EMPORIA KS 66801 17T006 Via Christi Hospital Pittsburg Inc 1 MT CARMEL WAY PITTSBURG KS 66762 17T012 Salina Regional Health Center Rehab 400 S SANTA FE SALINA KS 67401 17T016 St Francis Rehabilitation Unit 1700 SW 7TH ST TOPEKA KS 66606 17T020 Hutchinson Regional Medical Center Inc 1701 E 23RD AVE HUTCHINSON KS 67502 17T023 St Catherine Physical Rehabilitation Center 401 East Spruce St 3rd Floor Garden City KS 67846 17T040 The University of Kansas Hospital 3910 RAINBOW BLVD KANSAS CITY KS 66103 17T103 Newton Medical Center 600 MEDICAL CENTER DRIVE NEWTON KS 67114 17T120 Labette County Medical Center Rehab 1902 S HWY 59 BLDG A PARSONS KS 67357 17T137 Lawrence Memorial Hospital 325 MAINE ST LAWRENCE KS 66044 17T142 Via Christi Manhattan Inpatient Rehab Unit 1823 COLLEGE AVE MANHATTAN KS 66502 17T175 WESTERN PLAINS MEDICAL COMPLEX 3001 AVE A DODGE CITY KS 67801 17T182 Menorah Medical Center 5721 W 119TH ST OVERLAND PARK KS 66209 17T185 St Luke's South Hospital Inc 12300 METCALF AVE OVERLAND PARK KS 66213 17T200 Via Christi Hospital Wichita St Teresa Inc 14800 W SAINT TERESA ST WICHITA KS 67235 183026 Cardinal Hill Rehabilitation Hospital 2050 VERSAILLES RD LEXINGTON KY 40504 HealthSouth Northern Kentucky Rehab 183027 Hospital 201 MEDICAL VILLAGE DR EDGEWOOD KY 41017 - 14 - IRFs That Successfully Met QRP Reporting Requirements for APU FY 2018

CCN Facility Name Facility Address 1 Facility Address 2 City State Zip 183028 Healthsouth Rehab Hospital of Central Ky 134 HEARTLAND DR ELIZABETHTOWN KY 42701 183029 Southern KY Rehab Hosp 1300 CAMPBELL LANE BOWLING GREEN KY 42104 183030 Gateway Rehabilitation Hospital 5940 MERCHANTS STREET FLORENCE KY 41042 18T018 St. Claire Medical Center Rehab Unit 222 MEDICAL CENTER MOREHEAD KY 40351 18T027 Murray-Calloway County Hospital IP Rehab 803 POPLAR STREET MURRAY KY 42071 18T029 Appalachian Regional Healthcare, Inc. 100 MEDICAL CENTER DRIVE HAZARD KY 41701 18T038 Owensboro Medical Health System, Inc. 811 E PARRISH AVE OWENSBORO KY 42303 18T040 Jewish Hospital Rehab Unit 200 ABRAHAM FLEXNER WAY LOUISVILLE KY 40202 18T044 Pikeville Medical Center, Inc. 911 BYPASS RD PIKEVILLE KY 41501 18T056 METHODIST HOSPITAL 1305 N. ELM ST HENDERSON KY 42420 18T080 Baptist Regional Medical Center ONE TRILLIUM WAY CORBIN KY 40701 18T093 The Trover Clnic Foundation, Inc. 900 HOSPITAL DRIVE MADISONVILLE KY 42431 18T102 Mercy Health Partners Lourdes Inc 1530 LONE OAK ROAD PADUCAH KY 42003 18T130 Baptist Healthcare System, Inc. 4000 KRESGE WAY LOUISVILLE KY 40207 Lake Cumberland Regional Hospital/Rehab. 18T132 Unit 305 LANGDON STREET SOMERSET KY 42503 193028 Baton Rouge Rehabilitation Hospital, LLC 8595 UNITED PLAZA BLVD BATON ROUGE LA 70809 193031 Central Louisana Rehab Associates,L.P. 104 NORTH 3RD STREET ALEXANDRIA LA 71301 193044 North Oaks Rehabilitation Hospital, LLC 1900 SOUTH MORRISON BLVD HAMMOND LA 70403 193050 Tri Parish Rehabilitation Hospital, LLC 8088 HAWK ROAD LEESVILLE LA 71446 193058 Bastrop Rehabilitation Hospital - Monroe 4310 S GRAND ST MONROE LA 71202 193067 Rehabilitation Hospital of Jennings ONE HOSPITAL DRIVE SUITE 101 JENNINGS LA 70546 193069 Sterlington Critical Access Hospital, LLC 323 WEST WALNUT BASTROP LA 71220 193070 MMO Rehabilitation and Wellness Center 59215 RIVER WEST DRIVE PLAQUEMINE LA 70764 3201 WALL BOULEVARD, SUITE 193074 United Medical Healthwest-New Orleans, LLC B GRETNA LA 70056 193078 Sage Rehabilitation Hospital 8000 SUMMA AVENUE BATON ROUGE LA 70809 193079 United Medical Rehabilitation Hospital 15717 BELLE DRIVE HAMMOND LA 70403 193080 Specialty Rehabilitation Hospital 1110 RINGGOLD AVENUE COUSHATTA LA 71019 193086 Leesville Rehabilitation Hospital 900 S 6th St Leesville LA 71446 The Neuromedical Center Rehabilitation 10101 PLAZA ROWE BLVD 193090 Hospit SUITE 500 BATON ROUGE LA 70810 8225 SUMMA AVENUE, 193092 Bethesda Rehabilitation Hospital, Inc. BUILDING B BATON ROUGE LA 70809 193093 Lafayette Physical Rehabilitation Hospital 307 POLLY LANE LAFAYETE LA 70508 - 15 - IRFs That Successfully Met QRP Reporting Requirements for APU FY 2018

CCN Facility Name Facility Address 1 Facility Address 2 City State Zip 193094 Pathway Rehabilitation Hospital of Bossier,LL 4900 MEDICAL DRIVE BOSSIER CITY LA 71112 193096 Iberia Rehabilitation Hospital 532 Jefferson Terrance St New Iberia LA 70560 5025 Keystone Boulevard, 193097 Covington AMG Rehabilitation Hospital Suite 200 Covington LA 70433 COBALT REHABILITATION HOSPITAL NEW 193098 ORLEANS 3801 BIENVILLE STREET NEW ORLEANS LA 70119 2810 Ambassador Caffery 19T002 Lafayette General Southwest Pkwy LAFAYETTE LA 70506 19T004 Hospital Service District #3 602 NORTH ACADIA ROAD THIBODAUX LA 70301 19T005 MED CTR OF LA AT NEW ORLEANS 1532 TULANE AVE NEW ORLEANS LA 70112 19T008 Terrebonne Parish Hospital Service District # 8166 MAIN STREET HOUMA LA 70361 19T014 Teche Regional Medical Center 1125 MARGUERITE ST MORGAN CITY LA 70380 19T017 Opelousas General Hospital 539 E. PRUDHOMME LANE OPELOUSAS LA 70570 19T019 Christus St. Francis Cabrini Hospital 3330 MASONIC DRIVE ALEXANDRIA LA 71301 19T020 Hospital Service District 1 of East Baton Rou 6300 MAIN STREET ZACHARY LA 70791 19T025 Savoy Medical Management Group Inc 801 POINCIANA AVENUE MAMOU LA 70554 524 DR. MICHAEL DEBAKEY 19T027 Christus St. Patrick Hospital DRIVE LAKE CHARLES LA 70601 19T036 Ochsner Fondation Hospital Rehab 1516 JEFFERSON HIGHWAY NEW ORLEANS LA 70121 19T039 West Jefferson Medical Center Rehab. 1101 MEDICAL CENTER BLVD. MARRERO LA 70072 19T040 Slidell Memorial Hospital Rehabiliation Unit 1001 GAUSE BLVD. SLIDELL LA 70458 19T041 Christus Schumpert Rehab Center ONE ST. MARY PLACE SHREVEPORT LA 71101 19T045 St Tammany Parish Hospital 1202 S TYLER ST COVINGTON LA 70433 19T046 Touro Infirmary 1401 FOUCHER ST FLOORS M4 M9 W4 W6 NEW ORLEANS LA 70115 19T060 Lake Charles Memorial Hospital 1701 OAK PARK BLVD LAKE CHARLES LA 70601 19T064 Our Lady Of The Lake Regional Rehabilitation 5000 HENNESSEY BOULEVARD BATON ROUGE LA 70808 19T065 Baton Rouge General Rehab Unit 3600 FLORIDA BLVD. BATON ROUGE LA 70806 19T102 Our Lady Of Lourdes Regional Medical Center,I 611 ST. LANDRY ST. LAFAYETTE LA 70506 19T111 Willis Knighton Rehab 2600 GREENWOOD ROAD SHREVEPORT LA 71103 19T115 DO 1130 LOUISIANA AVE. SHREVEPORT LA 71101 19T125 St. Francis Medical Center 309 JACKSON STREET MONROE LA 71210 19T140 FRANKLIN MEDICAL CENTER 2106 LOOP ROAD WINNSBORO LA 71295 19T144 Minden Medical Center 1 Medical Plaza Pl MINDEN LA 71055 19T146 East Jefferson Rehabilitation Unit 4200 HOUMA BLVD. METAIRIE LA 70006 19T160 Glenwood Regional Medical Center 102 THOMAS RD SUITE 609 WEST MONROE LA 71291 - 16 - IRFs That Successfully Met QRP Reporting Requirements for APU FY 2018

CCN Facility Name Facility Address 1 Facility Address 2 City State Zip 19T167 Mercy Regional Medical Center 800 E MAIN ST VILLE PLATTE LA 70586 19T176 Tulane Medical Center - Rehab 1415 TULANE AVENUE, HC 22 NEW ORLEANS LA 70112 19T190 Caldwell Memorial Rehabilitation Hospital 411 MAIN STREET COLUMBIA LA 71418 19T204 Ochsner Medical Center Northshore 100 MEDICAL CENTER DR SLIDELL LA 70461 223026 New England Rehabilitation Hospital 2 REHABILITATION WAY WOBURN MA 01801 223027 Braintree Rehabilitation Hospital 250 POND STREET BRAINTREE MA 02184 223029 New England Rehabilitation Services 189 MAY STREET WORCESTER MA 01602 223030 THE REHAB WEST 222 STATE STREET LUDLOW MA 01056 223032 Spaulding Rehab Cape Cod 311 SERVICE RD EAST SANDWICH MA 02537 223034 Spaulding Rehabilitation Boston 300 FIRST AVE CHARLESTOWN MA 02129 22T046 Berkshire Medical Center Inc 725 NORTH STREET PITTSFIELD MA 01201 22T051 NORTH ADAMS REGIONAL HOSPITAL HOSPITAL AVE NORTH ADAMS MA 01247 22T066 Weldon Rehabilitation Hospital 271 CAREW STREET SPRINGFIELD MA 01104 22T074 Southcoast Hospital Group 363 HIGHLAND AVE FALL RIVER MA 02720 213028 Rehabilition Hospital Corporation of America 220 TILGHMAN ROAD SALISBURY MD 21804 213029 Adventist Rehabilitation Hospital of Maryland 9909 MEDICAL CENTER DRIVE ROCKVILLE MD 20850 21T001 WASHINGTON COUNTY HOSPITAL KING & ANTIETAM STS HAGERSTOWN MD 21740 21T025 MEMORIAL HOSP & MED CTR CUMBERLAND 600 MEMORIAL AVE CUMBERLAND MD 21502 21T055 LAUREL REGIONAL HOSPITAL 7300 VAN DUSEN ROAD LAUREL MD 20707 203025 HealthSouth-Maine Medical Ctr, LLC 335 BRIGHTON AVE, UNIT 201 PORTLAND ME 04102 20T018 Aroostook Medical Center 140 ACADEMY STREET 1ST FLOOR PRESQUE ISLE ME 04769 20T024 Central Maine Medical Center 300 MAIN STREET LEWISTON ME 04240 20T033 Eastern Maine Medical Center - Rehabilitation 489 STATE STREET P.O. BOX 404 BANGOR ME 04402 20T039 MaineGeneral Medical Center-Rehabilitation 35 MEDICAL CENTER PKWY AUGUSTA ME 04330 Mary Free Bed Hospital and Rehabilitation 235 WEALTHY STREET 233026 Center SOUTHEAST GRAND RAPIDS MI 49503 233027 Rehabilitation Institute of Michigan 261 MACK AVE DETROIT MI 48201 23R334 HERRICK MEMORIAL HOSPITAL 500 EAST POTTAWATAMIE ST. TECUMSEH MI 49221 23T002 St Mary Mercy Hospital 36475 5 MILE RD LIVONIA MI 48154 23T004 MERCY GENERAL HEALTH PARTNERS 1700 OAK AVE MUSKEGON MI 49442 23T013 Doctors Hospital of Michigan 461 W HURON ST PONTIAC MI 48341 23T015 Three Rivers Health 701 S HEALTH PARKWAY THREE RIVERS MI 49093 23T019 Providence Hospital and Medical Centers 16001 WEST NINE MILE RAOD SOUTHFIELD MI 48075 23T021 Lakeland Hospital St Joseph 1234 NAPIER AVE SAINT JOSEPH MI 49085

- 17 - IRFs That Successfully Met QRP Reporting Requirements for APU FY 2018

CCN Facility Name Facility Address 1 Facility Address 2 City State Zip 23T024 Sinai-Grace Hospital 6071 W OUTER DR DETROIT MI 48235 23T029 St Joseph Mercy Oakland 44405 WOODWARD AVENUE PONTIAC MI 48341 23T030 MidMichigan Medical Center Gratiot 300E Warwick Drive ALMA MI 48801 23T031 Lake Huron Medical Center 2601 ELECTRIC AVE PORT HURON MI 48060 23T036 Alpena Regional Medical Center 1501 WEST CHISHOLM STREET ALPENA MI 49707 23T038 Spectrum Health Blodgett Hospital Rehab. Unit 1840 WEALTHY STREET SE MC 467 GRAND RAPIDS MI 49506 23T041 McLaren Bay Region 3250 E Midland Rd Bay City MI 48706 3621 SOUTH STATE 23T046 University of Michigan Rehab 700 KMS PLACE STREET ANN ARBOR MI 48108 23T047 Henry Ford Macomb Hospital 15855 19 MILE RD CLINTON TWP MI 48038 23T054 UP Health System Marquette 420 W Magnetic St Marquette MI 49855 23T066 Mercy Health Hackley Campus 1700 Clinton St Muskegon MI 49442 23T070 Covenant Healthcare 515 N MICHIGAN AVE SAGINAW MI 48602 23T077 ST MARY'S OF MICHIGAN MEDICAL CENTER 800 S WASHINGTON AVENU SAGINAW MI 48601 23T078 Lakeland Community Hospital Watervilet 400 MEDICAL PARK DRIVE WATERVLIET MI 49098 23T087 TRILLIUM HOSPITAL ACUTE MEDICAL REHABI 809 WEST ERIE STREET ALBION MI 49224 23T093 Spectrum Health Big Rapids Hospital 605 OAK ST BIG RAPIDS MI 49307 23T097 Munson Med Ctr-Rehab 1105 SIXTH STREET TRAVERSE CITY MI 49684 23T105 Northern Michigan Regional Hospital 416 CONNABLE AVE PETOSKEY MI 49770 23T117 BORGESS MEDICAL CENTER 1521 GULL ROAD KALAMAZOO MI 49005 23T130 Beaumont Hospital Royal Oak 3601 W 13 MILE RD ROYAL OAK MI 48073 23T132 Hurley Medical Center 1 HURLEY PLZ FLINT MI 48502 401 SOUTH BALLENGER 23T141 McLaren Flint HIGHWAY FLINT MI 48502 23T146 Henry Ford Wyandotte Hospital 2333 BIDDLE AVE WYANDOTTE MI 48192 23T151 Botsford General Hospital 28050 GRAND RIVER AVE FARMINGTON HILLS MI 48336 23T156 St Joseph Mercy Hospital 5301 E HURON RIVER DR YPSILANTI MI 48197 23T165 St John Hospital and Medical Center 22101 MOROSS RD DETROIT MI 48236 St John Macomb Oakland Hospital - Warren 11800 EAST TWELVE MILE 23T195 Campus ROAD WARREN MI 48093 23T197 Genesys Regional Medical Center ONE GENESYS PARKWAY GRAND BLANC MI 48439 23T207 McLaren Oakland 50 N PERRY ST PONTIAC MI 48342 23T230 EW Sparrow Rehab 1215 EAST MICHIGAN AVENUE LANSING MI 48909 23T244 Garden City Hospital 6245 North Inkster Road GARDEN CITY MI 48135 23T254 Crittenton Hospital Medical Center 1101 WEST UNIVERSITY DRIVE ROCHESTER MI 48307 - 18 - IRFs That Successfully Met QRP Reporting Requirements for APU FY 2018

CCN Facility Name Facility Address 1 Facility Address 2 City State Zip 23T259 St Joseph Mercy Chelsea 775 S MAIN ST CHELSEA MI 48118 23T269 Beaumont Hospital Troy 44201 DEQUINDRE ROAD 7th Floor TROY MI 48085 23T270 Oakwood Hospital Taylor 10000 TELEGRAPH RD TAYLOR MI 48180 23T275 Health Source Saginaw 3340 HOSPITAL ROAD SAGINAW MI 48608 23T301 SOUTHFIELD REHABILITATION COMPANY 22401 FOSTER WINTER DRIVE SOUTHFIELD MI 48075 MONTICELLO BIG LAKE COMM HOSPITAL 24R362 DISTRICT NEW RIVER MEDICAL CENTER 1013 HART BLVD MONTICELLO MN 55362 NORTH MEMORIAL MEDICAL CENTER - REHAB 24T001 UNIT 3220 LOWRY AVE N MINNEAPOLIS MN 55422 24T004 HENNEPIN HEALTHCARE SYSTEM INC 701 PARK AVE MINNEAPOLIS MN 55415 24T010 MAYO CLINIC ST MARYS HOSPITAL 1216 2 ST S W ROCHESTER MN 55902 24T019 ESSENTIA HEALTH DULUTH 502 E 2ND ST DULUTH MN 55805 24T038 ALLINA HEALTH SYSTEM UNITED HOSPITAL 333 NORTH SMITH AVE ST PAUL MN 55102 24T047 St Lukes Hospital of Duluth 915 E 1st St Duluth MN 55805 24T052 LAKE REGION HEALTHCARE CORPORATION 712 S CASCADE PO BOX 728 FERGUS FALLS MN 56538 ABBOTT NORTHWESTERN 24T057 ALLINA HEALTH SYSTEM HOSPITAL 800 E 28 ST MINNEAPOLIS MN 55407 24T063 ST JOSEPHS HOSPITAL 69 WEST EXCHANGE STREET SAINT PAUL MN 55102 UNIVERSITY OF MN MEDICAL CENTER REHAB FAIRVIEW ACUTE REHAB 24T080 UNIT CENTER 2512 7TH ST 5TH FL MINNEAPOLIS MN 55440 24T084 ESSENTIAL HEALTH VIRGINIA 901 9TH ST N VIRGINIA MN 55792 24T100 SANFORD BEMIDJI 1300 ANNE ST NW BEMIDJI MN 56601 24T106 REGIONS HOSPITAL 640 JACKSON ST ST PAUL MN 55101 24T196 PHILLIPHS EYE INSTITUTE 2215 PARK AVENUE SOUTH MINNEAPOLIS MN 55404 263027 Rusk Rehabilitation Center LLC 315 BUSINESS LOOP 70 WEST COLUMBIA MO 65203 263028 The Rehabilitation Institute of St. Louis 4455 DUNCAN AVE ST LOUIS MO 63110 263029 Mercy Rehabilitation Hospital St Louis 14561 N Outer 40 Rd CHESTERFIELD MO 63017 263030 St Lukes Rehabilitation Hospital 14709 OLIVE BLVD CHESTERFIELD MO 63017 RICHMOND 263031 SSM Rehabilitation Hospital Richmond Heights 1027 BELLEVUE AVE HEIGHTS MO 63117 5904 SOUTH SOUTHWOOD 263032 Mercy Rehabilitation Hospital Springfield ROAD SPRINGFIELD MO 65804 26T005 SSM Health St Joseph Hospital - St Charles 300 1ST CAPITAL DR SAINT CHARLES MO 63301 26T009 BOTHWELL REGIONAL HEALTH CENTER 601 E. 14TH ST. SEDALIA MO 65301 26T015 Twin Rivers Regional Medical Center 1301 FIRST STREET KENNETT MO 63857 - 19 - IRFs That Successfully Met QRP Reporting Requirements for APU FY 2018

CCN Facility Name Facility Address 1 Facility Address 2 City State Zip 26T017 Phelps County Regional Medical Center 1000 WEST 10TH STREET ROLLA MO 65401 26T023 Mercy Hospital Jefferson 1400 HIGHWAY 61 SOUTH FESTUS MO 63028 26T025 Hannibal Regional Inpatient Rehabilitation 6000 Hospital Dr Hannibal MO 63401 26T027 Research Medical Center 2316 EAST MEYER BLVD KANSAS CITY MO 64132 Cox Medical Centers Meyer Orthopedic and 26T040 Rehabilitation 3535 S NATIONAL AVE SPRINGFIELD MO 65807 26T047 Capital Region Medical Center 1125 MADISON ST JEFFERSON CITY MO 65101 26T057 Cameron Regional Medical Center Inc 1600 E EVERGREEN CAMERON MO 64429 26T062 St Luke's Northland Hospital 601 S US HIGHWAY 169 SMITHVILLE MO 64089 26T068 Boone Hospital Center 1600 EAST BROADWAY COLUMBIA MO 65201 26T074 MOBERLY REGIONAL MEDICAL CENTER 1515 UNION AVE MOBERLY MO 65270 26T077 St Anthonys Medical Center 10010 KENNERLY ROAD ST LOUIS MO 63128 26T081 SSM AT ST JOSEPH KIRKWOOD 525 COUCH AVE KIRKWOOD MO 63122 26T085 Saint Joseph Medical Center 1000 CARONDELET DRIVE KANSAS CITY MO 64114 26T091 SSM REHAB AT SMHC 6420 CLAYTON RD ST.LOUIS MO 63117 26T094 Cox Medical Center Branson 525 BRANSON LANDING BLVD BRANSON MO 65616 26T096 North Kansas City Hospital 2800 CLAY EDWARDS DRIVE N KANSAS CITY MO 64116 26T108 Missouri Baptist Medical Center 3015 N BALLAS RD ST LOUIS MO 63131 26T110 SoutheastHEALTH 1701 LACEY ST CAPE GIRARDEAU MO 63701 26T113 Missouri Delta Medical Center 1008 N MAIN ST SIKESTON MO 63801 26T119 Poplar Bluff Regional Medical Center 2620 N WESTWOOD BLVD POPLAR BLUFF MO 63901 26T137 Freeman Health System 932 E 34TH ST JOPLIN MO 64804 26T138 St Lukes Hospital of Kansas City 4401 WORNALL ROAD KANSAS CITY MO 64111 26T141 UNIV OF MISSOURI HOSPITAL & CLINICS 807 STADIUM RD COLUMBIA MO 65201 232 SOUTH WOODS MILL 26T179 ST. LUKE'S HOSPITAL ROAD CHESTERFIELD MO 63017 26T180 Christian Hospital 11133 DUNN RD Saint Louis MO 63136 26T183 St Francis Medical Center 211 ST FRANCIS DRIVE CAPE GIRARDEAU MO 63703 26T193 St. Marys Medical Center 201 W. R. D. MIZE ROAD BLUE SPRINGS MO 64014 25T004 North Mississippi Outpatient Rehabilitation 830 SOUTH GLOSTER ST. TUPELO MS 38801 25T009 MAGNOLIA REGIONAL HEALTH CENTER 611 ALCORN DRIVE CORINTH MS 38834 25T019 Memorial Hospital at Gulfport Rehabilitation 4500 THIRTEENTH ST. GULFPORT MS 39502 BAPTIST MEMORIAL HOSPITAL - NORTH 25T034 MISSISSIPPI 703 NORTH LAMAR OXFORD MS 38655 25T040 Singing River Health System 2809 DENNY AVENUE PASCAGOULA MS 39581 - 20 - IRFs That Successfully Met QRP Reporting Requirements for APU FY 2018

CCN Facility Name Facility Address 1 Facility Address 2 City State Zip 25T078 Forrest General Hospital Rehabilitation Unit 2807 W ARLINGTON LOOP HATTIESBURG MS 39482 Anderson Regional Medical Center South 25T081 Campus 1102 CONSTITUTION AVENUE MERIDIAN MS 39301 25T082 Delta Regional Medical Center Rehab Unit 300 S. WASHINGTON AVENUE GREENVILLE MS 38701 25T084 Natchez Regional Medical Center 54 SERGANT PRENTISS DRIVE NATCHEZ MS 39121 25T099 Greenwood Leflore Hospital 1401 RIVER ROAD GREENWOOD MS 38930 25T141 BAPTIST MEMORIAL HSOPITAL DESOTO INC. 7601 SOUTHCREST PARKWAY SOUTHHAVEN MS 38671 25T152 Mississippi Methodist Rehabiliatation Center 1350 WOODROW WILSON JACKSON MS 39216 27T012 Benefis Hospitals Inc 1101 26TH ST SOUTH GREAT FALLS MT 59403 27T014 ST PATRICK HOSPITAL 900 NORTH ORANGE STREET MISSOULA MT 59802 27T023 Community Medical Center Inc 2827 FORT MISSOULA ROAD MISSOULA MT 59804 27T049 NEW HOPE REGIONAL REHAB CENTER 1233 N 30TH ST BILLINGS MT 59107 27T087 The HealthCenter 320 Sunnyview Lane Kalispell MT 59901 343025 Community Carepartners Inc. 68 SWEETEN CREEK ROAD ASHEVILLE NC 28803 343026 Charlotte Institute of Rehabilitation. 1100 BLYTHE BLVD CHARLOTTE NC 28203 34R315 CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL 501 SOUTH POPLAR STREET ELIZABETHTOWN NC 28337 34T004 High Point Regional Health System 601 N ELM ST HIGH POINT NC 27262 34T008 Ctr for Inpatient Rehabilitation 500 EAST LAUCHWOOD DRIVE LAURINBURG NC 28352 34T014 Forsyth Medical Center Rehab Unit 3333 SILAS CREEK PKWY WINSTON SALEM NC 27103 ELIZ. C. STANBACK REHAB. 34T015 Rowan Regional Medical Center-Rehab Unit UNIT 612 MOCKSVILLE AVENUE SALISBURY NC 28144 34T027 Lenoir Memorial Hospital-Rehab Unit 100 AIRPORT ROAD KINSTON NC 28503 34T028 Cape Fear Valley Medical Center-Rehab Unit 1638 OWEN DRIVE BOX 2000 FAYETTEVILLE NC 28302 34T040 Pitt County Memorial Hospital-Rehab. Unit 2100 STANTONSBURG ROAD GREENVILLE NC 27834 34T047 N C Baptist Hosp. Rehabilitation Unit MEDICAL CENTER BOULEVARD WINSTON SALEM NC 27157 34T061 UNC Hospitals Rehab Unit 101 MANNING DRIVE CHAPEL HILL NC 27514 34T069 WakMed Raleigh Campus-Rehab Unit 3000 NEW BERN AVENUE RALEIGH NC 27610 34T091 Moses Cone Health System-Rehab Unit 1200 NORTH ELM STREET GREENSBORO NC 27401 34T097 Regional Rehab Center 180 PARKWOOD DRIVE ELKIN NC 28621 34T098 Carolinas Medical Center-Pineville 10648 PARK ROAD CHARLOTTE NC 28210 34T107 Heritage Hospital Rehab Unit 111 HOSPITAL DRIVE TARBORO NC 27886 34T113 Levine Rehabilitation 1000 BLYTHE BLVD CHARLOTTE NC 28203 34T115 FirstHealth Moore Regional Hospital Rehabilit 155 MEMORIAL DRIVE PINEHURST NC 28374 34T116 Frye Regional Medical Center Inc 420 NORTH CENTER STREET HICKORY NC 28601

- 21 - IRFs That Successfully Met QRP Reporting Requirements for APU FY 2018

CCN Facility Name Facility Address 1 Facility Address 2 City State Zip 34T131 Craven Regional Medical Ctr Rehab Unit 2000 NEUSE BLVD NEW BERN NC 28560 34T132 Maria Parham Hospital-Rehabilitation 566 RUIN CREEK ROAD HENDERSON NC 27536 34T141 New Hanover Regional Medical Ctr Rehab Unit 2131 S. 17TH STREET P O BOX 9000 WILMINGTON NC 28402 810 FAIRGROVE CHURCH 34T143 Catawba Memorial Hospital Rehab Unit REHABILITATION UNIT RD HICKORY NC 28602 34T147 Nash Hospitals, Inc. 2460 CURTIS ELLIS DRIVE ROCKY MOUNT NC 27804 34T155 Durham Regional Hosp Rehabilitaiton Unit 3643 NORTH ROXBORO ROAD DURHAM NC 27704 35T002 ST ALEXIUS MEDICAL CENTER 900 E BROADWAY AVE BISMARCK ND 58501 35T006 TRINITY HOSPITALS 407 3RD ST SE PO BOX 5020 MINOT ND 58702 1720 UNIVERSITY DRIVE 35T011 SANFORD FARGO REHABILITATION SOUTH FARGO ND 58103 35T015 Medcenter One INC 300 N 7TH STREET BISMARCK ND 58506 35T019 ALTRU HEALTH SYSTEM 1200 SOUTH COLUMBIA ROAD PO BOX 6002 GRAND FORKS ND 58201 283025 Madonna Rehabilitation Hospital 5401 SOUTH ST LINCOLN NE 68506 283026 Madonna Rehabilitation Hospital Omaha 17500 Burke St Omaha NE 68118 28T003 Bryan Medical Center 2300 S 16TH STREET LINCOLN NE 68502 28T009 CHI Health Good Samaritan 10 E 31ST ST KEARNEY NE 68847 987400 NEBRASKA MEDICAL 28T013 NEBRASKA HEALTH SYSTEM CENTER OMAHA NE 68198 28T023 CHI Health St Francis 2620 W FAIDLEY AVE GRAND ISLAND NE 68803 28T032 Mary Lanning Healthcare 715 N ST JOSEPH AVE HASTINGS NE 68901 28T040 Nebraska Methodist Hospital 8303 DODGE ST OMAHA NE 68114 28T061 Regional West Medical Center 4021 AVENUE B SCOTTSBLUFF NE 69361 28T081 CHI Health Immanuel Rehabilitation Institute 6901 N 72ND STREET OMAHA NE 68122 28T125 Faith Regional Health Services 2700 W NORFOLK AVE NORFOLK NE 68701 303026 Neuro Rehab Associates, Inc. 70 BUTLER ST SALEM NH 03079 303027 HealthSouth Rehabilitation Hosp of Concord 254 PLEASANT STREET CONCORD NH 03301 30T011 St Joseph Hospital 172 KINSLEY ST NASHUA NH 03060 30T019 Cheshire Medical Center 580 COURT ST KEENE NH 03431 30T034 Catholic Medical Center 100 MCGREGOR ST MANCHESTER NH 03102 313025 Kessler Institute for Rehabilitation Inc 1199 PLEASANT VALLEY WAY WEST ORANGE NJ 07052 313027 St. Lawrence Rehabilitation 2381 LAWRENCEVILLE AVENUE LAWRENCEVILLE NJ 08648 313029 HealthSouth of Toms River LLC 14 HOSPITAL DRIVE TOMS RIVER NJ 08755 61 W. JIMMIE LEEDS 313030 Bacharach Institute for Rehabilitation P. O. BOX 723 ROAD POMONA NJ 08240 - 22 - IRFs That Successfully Met QRP Reporting Requirements for APU FY 2018

CCN Facility Name Facility Address 1 Facility Address 2 City State Zip 313032 Kessler Institute for Rehabilitation 92 BRICK RD MARLTON NJ 08053 313033 Shore Rehabilitation Institute 425 MARTIN BLVD BRICK NJ 08724 313035 The Rehabilitation Hospital of Tinton Falls 2 CENTRE PLAZA TINTON FALLS NJ 07724 313036 Healthsouth Rehab Hospital of South Jersey 1237 W SHERMAN AVENUE VINELAND NJ 08360 Medical Center @ Princeton-Rehabilitation 31T010 Unt 79 BAYARD LANE PRINCETON NJ 08540 31T015 AHS Hospital Corp 100 MADISON AVENUE MORRISTOWN NJ 07960 31T019 St. Joseph Wayne Hospital - Rehab Unit 224 HAMBURG TURNPIKE WAYNE NJ 07470 31T029 Our Lady of Lourdes Rehabilitation Unit 1600 HADDON AVENUE CAMDEN NJ 08103 31T034 Meridian Hospital Corp ONE RIVERVIEW PLAZA RED BANK NJ 07701 31T040 Hoboken University Medical Center 308 WILLOW AVENUE HOBOKEN NJ 07030 31T108 JFK Medical Center-Johnson Rehab Institute 65 JAMES STREET EDISON NJ 08820 31T118 Meadowlands Hospital Rehabilitation Unit 55 MEADOWLANDS PARKWAY SECAUCUS NJ 07094 323026 New Mexico Rehabilitation Center 72 GAIL HARRIS AVENUE ROSWELL NM 88203 7000 JEFFERSON STREET 323027 HealthSouth Rehabilitation Hospital of NM NORTHEAST ALBUQUERQUE NM 87109 323028 Lovelace Health System Inc 505 ELM STREET NE ALBUQUERQUE NM 87102 525 SOUTH SCHWARTZ 323029 San Juan Reg. Rehabilitation Hospital, Inc. AVENUE FARMINGTON NM 87401 323032 Rehabilitation Hospital of Southern N Mexico 4441 EAST LOHMAN AVE LAS CRUCES NM 88011 32T002 St Vincent Rehab 455 ST. MICHAEL'S DRIVE SANTA FE NM 87505 32T004 Gerald Champion Regional Medical Center 2669 NORTH SCENIC DRIVE ALAMOGORDO NM 88310 601 DR MARTIN LUTHER KING 32T009 ST JOSEPH MEDICAL CENTER JR AVE NE ALBUQUERQUE NM 87102 32T063 Carlsbad Medical Center 2430 WEST PIERCE STREET CARLSBAD NM 88220 32T065 LEA REGIONAL MEDICAL CENTER 5419 N LOVINGTON HWY HOBBS NM 88240 32T085 MOUNTAIN VIEW REGIONAL MEDICAL CENTER 4311 EAST LOHMAN AVENUE LAS CRUCES NM 88011 HealthSouth Rehabilitation Hospital of Las 1250 SOUTH VALLEY VIEW 293026 Vegas BLVD LAS VEGAS NV 89102 293032 Healthsouth of Henderson Inc 10301 JEFFREYS ST HENDERSON NV 89052 Healthsouth Desert Canyon Rehabilitation 293033 Hosp. 9175 OQENDO ROAD LAS VEGAS NV 89148 29T003 Sunrise Hospital and Medical Center LLC 3186 MARYLAND PARKWAY LAS VEGAS NV 89109 29T007 RANCHO REHABILITATION 4333 NORTH RANCHO DR. LAS VEGAS NV 89130 29T008 NORTHEASTERN NV REGIONAL HOSPITAL 2001 ERRECART BLVD ELKO NV 89801 - 23 - IRFs That Successfully Met QRP Reporting Requirements for APU FY 2018

CCN Facility Name Facility Address 1 Facility Address 2 City State Zip 29T009 Saint Marys Regional Medical Center 235 WEST SIXTH STREET RENO NV 89503 29T012 St. Rose Dominican Hosp. Rose de Lima 102 EAST LAKE MEAD DRIVE HENDERSON NV 89015 Valley Hospital Medical Center Rehabilitation 29T021 Unit 620 SHADOW LANE LAS VEGAS NV 89106 29T022 Desert Springs Hospital Rehab Unit 2075 EAST FLAMINGO ROAD LAS VEGAS NV 89119 29T032 Northern Nevada Medical Center 2375 EAST PRATER WAY SPARKS NV 89434 29T039 Mountainview Hospital - IRF Unit 3100 NORTH TENAYA WAY LAS VEGAS NV 89128 29T041 Summerlin Hospital Medical Center 657 TOWN CENTER DRIVE LAS VEGAS NV 89134 29T046 Spring Valley Medical Center 5400 S RAINBOW BLVD LAS VEGAS NV 89118 29T049 Renown South Meadows Medical Center 1495 MILL ST RENO NV 89502 Winifred Masterson Burke Rehabilitation 333030 Hospital 785 Mamaroneck Avenue White Plains NY 10605 33R319 Medina Memorial Hospital 200 Ohio Street Orleans NY 14103 33T005 Kaleida Health 100 High Street Buffalo NY 14203 33T013 Albany Medical Center 43 NEW SCOTLAND AVENUE MAIL CODE 114 ALBANY NY 12208 33T014 Jamaica Hospital 8900 VAN WYCK EXPY JAMAICA NY 11418 33T024 Mount Sinai Hospital 1 GUSTAVE L. LEVY PLACE NEW YORK NY 10029 33T027 Nassau University Medical Ctr 2201 HEMPSTEAD TURNPIKE EAST MEADOW NY 11554 33T028 SISTERS OF CHARITY MEDICAL CENTERD 75 VANDERBILT AVENUE STATEN ISLAND NY 10304 33T043 Southside Hospital 301 EAST MAIN STREET BAYSHORE NY 11706 33T044 Faxton-St Lukes Rehab 1676 SUNSET AVE UTICA NY 13502 33T046 St Luke's Roosevelt Hospital Center 1111 AMSTERDAM AVENUE NEW YORK NY 10025 33T047 St. Mary's Healthcare 4988 STATE HIGHWAY 30 AMSTERDAM NY 12010 33T049 Northern Dutchess Hospital 6511 SPRINGBROOK AVENUE RHINEBECK NY 12572 33T056 The Brooklyn Hospital Center 121 DEKALB AVENUE BROOKLYN NY 11201 33T057 ST. PETER`S HOSPITAL 315 SO. MANNING BLVD ALBANY NY 12208 33T058 Geneva General Hospital, Inc. 196 NORTH STREET GENEVA NY 14456 33T059 Montefiore Medical Center 600E 23rd Street BRONX NY 10466 33T078 Sisters of Charity Hosp Rehab 2157 MAIN STREET BUFFALO NY 14214 33T101 New York & Presbyterain Hosp 525 EAST 68TH STREET NEW YORK NY 10065 33T102 Kenmore Mercy Hospital 2950 ELMWOOD AVENUE KENMORE NY 14217 555 SAINT JOSEPHS 33T108 St. Joseph's Hospital BOULEVARD ELMIRA NY 14901 33T125 Rochester General Hospital 1425 PORTLAND AVE ROCHESTER NY 14621 33T126 Orange Regional Medical Center 707 EAST MAIN STREET MIDDLETOWN NY 10940 - 24 - IRFs That Successfully Met QRP Reporting Requirements for APU FY 2018

CCN Facility Name Facility Address 1 Facility Address 2 City State Zip 33T127 HHC Jacobi Medical Center 1400 PELHAM S PARKWAY 2 BRONX NY 10461 33T128 HHC Elmhurst Hospital 79-01 BROADWAY ELMHURST NY 11373 33T151 ST JAMES MERCY HOSPITAL 411 CANISTED ST HORNELL NY 14843 33T157 Samaritan Medical Center 830 WASHINGTON STREET WATERTOWN NY 13601 33T159 COMMUNITY GENERAL HOSPITAL 4900 BROAD ROAD SYRACUSE NY 13215 33T160 Staten Island University Hospital 475 SEAVIEW AVENUE STATEN ISLAND NY 10305 33T169 Beth Israel Medical Center FIRST AVENUE AT 16TH ST NEW YORK NY 10003 33T181 Glen Cove Hospital 101 SAINT ANDREWS LANE GLEN COVE NY 11542 33T191 Glens Falls Hospital 100 PARK STREET GLENS FALLS NY 12801 33T196 HHC Coney Island Hospital 2601 Ocean Parkway Suite 1101 Brooklyn NY 11235 33T199 HHC Metropolitan Hospital 1901 FIRST AVENUE ROOM 122 NEW YORK NY 10029 BLUMBERG BLDG, 6TH 33T201 Kingsbrook Jewish Medical Center 585 SCHENECTADY AVENUE FLOOR BROOKLYN NY 11203 C AND D BUILDING ROOM 33T204 HHC Bellevue Hospital 462 FIRST AVE 342 NEW YORK NY 10016 33T211 Claxton Hepburn Medical Center 214 KING STREET OGDENSBURG NY 13669 33T214 NYU Hospitals Center 550 1ST AVE NEW YORK NY 10016 33T219 Erie County Medical Center 462 GRIDER STREET BUFFALO NY 14215 33T224 Benedictine Hospital 105 MARY'S AVENUE KINGSTON NY 12401 33T226 The Unity Hospital of Rochester 1555 Long Pond Road Rochester NY 14626 33T231 HHC Queens Hospital 82-68 164TH STREET NEW YORK NY 11432 RM M-202, 2ND FLOOR 33T234 Westchester County Health Care Corporation 100 WOODS ROAD TAYLOR PAVILION VALHALLA NY 10595 33T236 New York Methodist Hospital 506 SIXTH STREET BROOKLYN NY 11215 Inpatient Medical 33T239 Women's Christian Association Hospital 207 Foote Avenue Rehabilitation Unit Jamestown NY 14701 33T240 HHC Harlem Hospital 506 Lenox Ave New York NY 10037 33T241 SUNY Health Science Center @ Syracuse 750 EAST ADAMS STREET FISCAL SERVICES DIVISION SYRACUSE NY 13210 33T246 St. Charles Hospital 200 BELLE TERRE ROAD PORT JEFFERSON NY 11777 33T259 Mercy Medical Center 1000 NORTH VILLAGE AVENUE ROCKVILLE CENTRE NY 11570 33T261 Phelps Memorial Hospital Association 701 NORTH BROADWAY SLEEPY HOLLOW NY 10591 33T279 Mercy Hospital of Buffalo 565 ABBOTT ROAD BUFFALO NY 14220 33T285 Strong Memorial Hospital 601 ELMWOOD AVENUE ROCHESTER NY 14642 33T290 ST VINCENTS HOSPITAL MANHATTAN 170 WEST 12TH ST. NEW YORK NY 10011 33T307 Cayuga Medical Center at Ithaca, Inc 101 DATES DRIVE ITHACA NY 14850 - 25 - IRFs That Successfully Met QRP Reporting Requirements for APU FY 2018

CCN Facility Name Facility Address 1 Facility Address 2 City State Zip 33T350 Downstate Medical Center 445 LENOX ROAD BROOKLYN NY 11203 33T394 United Health Services 10-42 MITCHELL AVE BINGHAMTON NY 13903 33T405 Helen Hayes Hospital ROUTE 9 WEST WEST HAVERSTRAW NY 10993 33T406 Sunnyview Hospital and Rehabilitation Center 1270 BELMONT AVENUE SCHENECTADY NY 12308 363026 Warren Ohio Rehab Hospital Company LLC 8747 SQUIRES LANE, N.E. WARREN OH 44483 363033 Reliant Rehabilitation Hospital Dayton ONE ELIZABETH PLACE DAYTON OH 45417 363034 HealthSouth Rehabilitation Hospital at Drake 151 WEST GALBRAITH ROAD CINCINNATI OH 45216 363035 Summa Rehab Hospital, LLC 29 NORTH ADAMS STREET AKRON OH 44304 363036 University Hospitals Rehabilitation Hospital 23333 HARVARD ROAD BEACHWOOD OH 44122 363037 OHRH, LLC 1087 DENNISON AVENUE COLUMBUS OH 43201 363038 Cleveland Clinic Rehabilitation Hospitals LLC 33355 Health Campus Blvd Avon OH 44011 University Hospitals Avon Rehabilitation 363039 Hospital 37900 Chester Road Avon OH 44011 REHABILITATION HOSPITAL OF NORTHWEST 363040 OHIO LLC 1455 W MEDICAL LOOP TOLEDO OH 43614 363041 Trihealth Rehabilitation Hospital 2155 Dana Ave Cincinnati OH 45207 36R319 Shelby General Hospital 1106 Colegate Dr. 1st Marietta OH 45750 36R325 Galion Community Hospital Rehab Unit 269 PORTLAND WAY SOUTH GALION OH 44833 COMMUNITY HOSPITALS AND WELLNESS 36R327 CENTERS 909 EAST SNYDER AVE MONTPELIER OH 43543 MERCY HEALTH ANDERSON HOSPITAL - REHAB 36T001 UNIT 7500 STATE ROAD CINCINNATI OH 45255 36T003 UNIVERSITY HOSPITAL, INC 234 GOODMAN STREET CINCINNATI OH 45267 36T008 Southern Ohio Medical Center 613 CENTER STREET WHEELERSBURG OH 45694 36T009 Lima Joint Operating Rehab Unit 1001 BELLEFONTAINE AVE. LIMA OH 45804 36T010 The Union Hospital Association 659 BOULEVARD ST DOVER OH 44622 36T016 Jewish Hospital - rehab Unit 4777 E Galbraith Road Cincinnati OH 45236 36T025 Firelands Reg Med Ctr-Main Campus 1101 DECATUR STREET SANDUSKY OH 44870 36T026 GREENE MEMORIAL HOSPITAL 1141 N MONROE DR XENIA OH 45385 36T032 Joint Township District Memorial Hospital 200 SAINT CLAIR AVE ST MARYS OH 45885 36T035 Mount Carmel Medical Center 793 WEST STATE STREET COLUMBUS OH 43222 36T036 Wooster Community Hospital 1761 BEALL AVENUE WOOSTER OH 44691 Parma Community General Hospital 36T041 Rehabilitation Unit 7007 POWERS BOULEVARD PARMA OH 44129 36T048 The University of Toledo 3355 GLENDALE AVENUE TOLEDO OH 43614 - 26 - IRFs That Successfully Met QRP Reporting Requirements for APU FY 2018

CCN Facility Name Facility Address 1 Facility Address 2 City State Zip 36T051 Miami Valley Hospital - Rehab Unit 1 WYOMING STREET DAYTON OH 45409 36T054 Holzer Hospital Foundation 100 JACKSON PIKE GALLIPOLIS OH 45631 36T056 The Sisters of Mercy of Hamilton, Ohio 3000 MACK ROAD FAIRFIELD OH 45014 36T059 MetroHealth Medical Center 2500 METRO HEALTH DRIVE CLEVELAND OH 44109 36T064 Humility of Mary Hlth Partners 1044 BELMONT AVE. YOUNGSTOWN OH 44504 36T066 St. Rita's Medical Center LLC 730 W. MARKET STREET LIMA OH 45801 36T070 Mercy Medical Center-Rehab Unit 1320 MERCY DR, NW CANTON OH 44708 36T074 Flower Memorial Hospital 5200 HARROUN RD SYLVANIA OH 43560 36T076 Atrium Medical Center - Rehabilitation Center 105 MCKNIGHT DRIVE MIDDLETOWN OH 45044 36T077 FAIRVIEW HOSPITAL 18101 LORAIN AVE CLEVELAND OH 44111 36T079 Kettering - Rehab Unit 3535 SOUTHERN BOULEVARD KETTERING OH 45429 36T081 St. Charles Hospital of Oregon Ohio 2600 NAVARRE AVENUE OREGON OH 43616 18901 LAKE SHORE 36T082 Euclid Hospital BOULEVARD EUCLID OH 44119 36T084 Aultman Rehabilitation Center 2600 SIXTH STREET, S.W. CANTON OH 44710 36T085 Ohio State University - Rehabilitation Unit 450 WEST TENTH AVENUE COLUMBUS OH 43210 36T086 Community Mercy Health Partners 100 W MCCREIGHT AVENUE SPRINGFIELD OH 45504 36T098 Lake Hospital System, Inc. 10977 CAPITAL PKWY CONCORD TWP OH 44077 36T118 OhioHealth MedCentral 335 GLESSNER AVENUE MANSFIELD OH 44903 COMMUNITY HOSPITALS OF WILLIAMS 36T121 COUNTY 433 WEST HIGH STREET BRYAN OH 43506 36T131 Alliance Community Hospital Rehab Unit 200 EAST STATE STREET ALLIANCE OH 44601 36T134 Good Samaritan - Rehabilitation Unit 3217 CLIFTON AVENUE CINCINNATI OH 45220 36T151 Doctors Hospital of Stark County 400 AUSTIN AVENUE MASSILLON OH 44646 36T153 Belmont Community Hospital 4697 HARRISON ST. P.O. BOX 653 BELLAIRE OH 43906 MIDDLEBURG 36T155 Southwest General Hospital 18697 BAGLEY ROAD HEIGHTS OH 44130 36T163 Christ Hospital - Rehab 2139 AUBURN AVENUE CINCINNATI OH 45219 Community Health Partners Regional Medical 36T172 Center 3700 KOLBE ROAD LORAIN OH 44053 36T174 Upper Valley Medical Center 3130 NORTH COUNTY RD 25A TROY OH 45373 36T179 Bethesda Hospital 619 OAK STREET CINCINNATI OH 45206 36T180 Cleveland Clinic 9500 EUCLID AVE CLEVELAND OH 44195 36T189 MADISON COUNTY INPATIENT REHAB 210 N MAIN ST LONDON OH 43140 36T211 Trinity Hospital Holding Company 380 SUMMIT AVENUE STEUBENVILLE OH 43952 - 27 - IRFs That Successfully Met QRP Reporting Requirements for APU FY 2018

CCN Facility Name Facility Address 1 Facility Address 2 City State Zip 36T218 Licking Memorial Hospital 1320 WEST MAIN STREET NEWARK OH 43055 36T234 Mercy Health - West Hospital LLC 2446 KIPLING AVENUE CINCINNATI OH 45239 36T241 Edwin Shaw Rehab, LLC 330 EAST BROADWAY ST CUYAHOGA FALLS OH 44221 373025 HCAP Venture Group LLC 700 NORTHWEST 7TH STREET OKLAHOMA CITY OK 73102 373026 Muscogee Creek Nation Physical Rehab Center 900 EAST AIRPORT ROAD OKMULGEE OK 74447 373033 Mercy Rehabilitation Hospital Oklahoma City 5401 WEST MEMORIAL ROAD OKLAHOMA CITY OK 73142 ST JOHN REHAB HOSPITAL AFFILIATED 1819 EAST 19TH STREET, 5TH 373034 W/HEALTHSOUTH FLOOR TULSA OK 74104 373035 PAM Rehabilitation Hospital of Tulsa 10020 East 91st Street Tulsa OK 74133 37T001 HILLCREST MEDICAL CENTER 1120 SOUTH UTICA AVE TULSA OK 74104 37T008 NORMAN REGIONAL HOSPITAL REHAB 901 NORTH PORTER NORMAN OK 73070 37T013 MERCY HEALTH CENTER 4300 WEST MEMORIAL ROAD OKLAHOMA CITY OK 73120 37T016 INTEGRIS BASS BAPTIST HEALTH CENTER 600 SOUTH MONROE ENID OK 73701 37T018 JANE PHILLIPS MEDICAL CENTER REHAB UNIT 3500 E FRANK PHILLIPS BLVD BARTLESVILLE OK 74006 37T020 VALLEY VIEW REG HOSP REHAB UINT 430 NORTH MONTE VISTA ADA OK 74820 37T023 DUNCAN REGIONAL HOSPITAL REHAB 1407 WHISENANT DRIVE DUNCAN OK 73533 MUSKOGEE REGIONAL MEDICAL CENTER - 37T025 REHAB UNIT 300 ROCKEFELLER DRIVE MUSKOGEE OK 74401 37T026 UHS of Oklahoma Inc 305 SOUTH 5TH STREET ENID OK 73701 37T029 AllianceHealth Clinton 100 N 30TH ST CLINTON OK 73601 37T032 DEACONESS HOSPITAL REHAB UNIT 5501 N PORTLAND AVENUE OKLAHOMA CITY OK 73312 MCALESTER REGIONAL HEALTH CENTER 37T034 REHAB ONE CLARK BASS BLVD MCALESTER OK 74501 37T037 ST ANTHONY HOSPITAL REHAB UNIT 1000 NORTH LEE OKLAHOMA CITY OK 73101 MERCY MEMORIAL HEALTH CENTER REHAB 37T047 UNIT 1012 14TH AVENUE NW ARDMORE OK 73401 37T049 STILLWATER MEDICAL CENTER REHAB 1323 WEST 6TH AVENUE STILLWATER OK 74076 37T056 COMANCHE COUNTY MEMORIAL HOSPITAL 3401 WEST GORE BLVD LAWTON OK 73502 37T089 TAHLEQUAH CITY HOSPITAL REHAB UNIT 1400 EAST DOWNING STREET TAHLEQUAH OK 74465 37T091 Saint Francis Hospital 6161 SOUTH YALE TULSA OK 74136 37T097 Southwestern Medical Center LIC 5602 S. W. LEE BLVD LAWTON OK 73506 37T106 Integris Jim Thorpe Inpatient Rehabilitation 4401 S WESTERN OKLAHOMA CITY OK 73109 37T114 ST. JOHN MEDICAL CENTER REHAB UNIT 1923 SOUTH UTICA AVENEU TULSA OK 74182 38T001 MID-COLUMBIA MEDICAL CENTER 1700 EAST 19TH STREET THE DALLES OR 97058

- 28 - IRFs That Successfully Met QRP Reporting Requirements for APU FY 2018

CCN Facility Name Facility Address 1 Facility Address 2 City State Zip LEGACY GOOD SAMARITAN HOSPITAL & MED 38T017 CENTER 1015 NE 22ND AVE PO BOX 4037 PORTLAND OR 97210 ROGUE VALLEY MEDICAL 38T018 ASANTE CENTER 2825 EAST BARNETT RD MEDFORD OR 97504 38T033 PEACEHEALTH SACRED HEART MEDICAL CTR 1255 HILYARD STREET EUGENE OR 97401 38T047 ST CHARLES HEALTH SYSTEM INC ST CHARLES MED CNT BEND 2500 NE NEFF ROAD BEND OR 97701 38T051 SALEM REHABILITATION UNIT 2561 CENTER STREET NE PO BOX 14001 SALEM OR 97309 PROVIDENCE PORTLAND 38T061 PROVIDENCE HEALTH & SERVICES OREGON MEDICAL CT 4805 NE GLISAN ST PORTLAND OR 97213 38T071 WILLAMETTE VALLEY MEDICAL CTR 2700 SE STRATUS AV MCMINNVILLE OR 97128 PROVIDENCE MEDFORD 1111 CRATER LAKE 38T075 PROVIDENCE HEALTH & SERVICES OREGON MEDICAL CTR AVENUE MEDFORD OR 97504 393025 Main Line Hospitals Inc 414 PAOLI PIKE MALVERN PA 19355 393026 HealthSouth Reading Rehabilitation Hospital 1623 MORGANTOWN RD READING PA 19607 393027 Healthsouth Harmarville Rehab Hospital 320 GUYS RUN ROAD PITTSBURGH PA 15238 475 MORGAN HIGHWAY, PO 393030 Allied Services Institute of Rehab. Medicine BOX 1103 SCRANTON PA 18501 393031 HealthSouth Rehabilitation of Mechanicsburg 175 LANCASTER BLVD MECHANICSBURG PA 17055 393035 Good Shepherd Rehabilitation Hospital GOOD SHEPHERD PLAZA 850 S. 5TH STREET ALLENTOWN PA 18103 100 ABINGTON EXECUTIVE 393036 John Heinz Institute for Rehab Medicine PARK CLARKS SUMMIT PA 18411 393037 HEALTHSOUTH REHAB HOSP OF YORK 1850 NORMANDIE DRIVE YORK PA 17404 393038 Magee Rehabilitation Center 6 FRANKLIN PLAZA PHILADELPHIA PA 19102 393039 HealthSouth of Nittany Valley Inc 550 WEST COLLEGE AVENUE PLEASANT GAP PA 16823 393040 HealthSouth Rehabilitation Hospital of Altoona 2005 VALLEY VIEW BLVD. ALTOONA PA 16602 393045 HealthSouth of Sewickley Inc 303 CAMPMEETING ROAD SEWICKLEY PA 15143 393046 HealthSouth of Erie 143 EAST 2ND ST ERIE PA 16507 PENN STATE GEISINGER REHABILITATION 393047 HOSPITAL 2 REHAB LANE DANVILLE PA 17821 393053 Penn State Hershey Rehabilitation LLC 1135 OLD W CHOCOLATE AVE HUMMELSTOWN PA 17036 393054 Lancaster Rehab Hospital 675 GOOD DRIVE LANCASTER PA 17601 1208 LANGHORNE-NEWTOWN 393055 St. Mary Rehabilitation Hospital ROAD LANGHORNE PA 19047 393056 Helen M. Simpson Rehabilitation Hospital 4300 Londonderry Road Harrisburg PA 17109 39T002 UPMC McKeesport Hospital - Rehab. Unit 1500 FIFTH AVENUE MCKEESPORT PA 15132 - 29 - IRFs That Successfully Met QRP Reporting Requirements for APU FY 2018

CCN Facility Name Facility Address 1 Facility Address 2 City State Zip 39T009 Saint Vincent Health Center - Rehab Unit 232 WEST 25TH STREET ERIE PA 16544 39T012 Lansdale Hospital Corporation 100 MEDICAL CAMPUS DRIVE LANSDALE PA 19446 39T013 Evangelical Community Hospital ONE HOSPITAL DRIVE LEWISBURG PA 17837 Jameson Memorial Hospital Rehabilitation 39T016 Unit 1211 WILMINGTON AVENUE NEW CASTLE PA 16105 39T027 Temple University Hospital Rehab Unit 3401 NORTH BROAD STREET PHILADELPHIA PA 19140 39T028 The Mercy Hospital Pgh - Rehabilitation Unit 1400 LOCUST STREET PITTSBURGH PA 15219 39T031 Good Samaritan Rehabilitation 700 EAST NORWEGIAN STREET POTTSVILLE PA 17901 39T036 Heritage Valley Beaver 1000 DUTCH RIDGE ROAD BEAVER PA 15009 39T037 Sewickley Valley Hosp - Rehabilitation Unit 720 BLACKBURN ROAD SEWICKLEY PA 15143 39T041 Uniontown Hospital 500 WEST BERKELEY STREET UNIONTOWN PA 15401 39T042 The Washington Hospital - Rehabilitation Unit 155 WILSON AVENUE WASHINGTON PA 15301 6TH AVENUE AND SPRUCE 39T044 The Reading Hospital and Medical Center STREET READING PA 19612 39T045 The Williamsport Hosp & Med Ctr - Rehab Unit 777 RURAL AVENUE WILLIAMSPORT PA 17701 39T049 St. Luke's Hospital & Health Network 801 OSTRUM STREET BETHLEHEM PA 18015 39T057 Grandview Hospital 700 LAWN AVENUE P.O. BOX 902 SELLERSVILLE PA 18960 39T058 Carlisle Regional Medical Center 361 ALEXANDER SPRING ROAD CARLISLE PA 17015 39T061 Lancaster Regional Medical Center PO BOX 3434 250 COLLEGE AVE LANCASTER PA 17604 39T066 Good Samaritan Hospital Lebanon - Rehab Unit FOURTH & WILLOW STREET GSH REHAB LEBANON PA 17046 100 WEST SPROUL RD. 39T081 Delaware County Hospital Rehab. Unit HEALTHPLEX PAVILON II 3RD FLOOR SPRINGFIELD PA 19064 39T086 DuBois Regional Medical Center - Rehab Unit 100 HOSPITAL AVENUE DUBOIS PA 15801 39T090 The Western Pennsylvania Hosp - Rehab Unit 4800 FRIENDSHIP AVENUE PITTSBURGH PA 15224 Northwest Medical Center-Rehab 39T091 Unit(Franklin) 100 FAIRFIELD DRIVE SENECA PA 16323 39T093 Clarion Hospital ONE HOSPITAL DRIVE CLARION PA 16214 39T102 UPMC St. Margaret Memorial - Rehab Unit 815 FREEPORT ROAD PITTSBURGH PA 15215 39T107 UPMC Passavant 9100 BABCOCK BLVD. PITTSBURGH PA 15237 39T110 Conemaugh Memorial Medical Center 1086 FRANKLIN STREET JOHNSTOWN PA 15905 39T111 Trustees of the University of Pennsylvania 1800 LOMBARD STREET 3RD & 4TH FLOORS PHILADELPHIA PA 19146 39T113 Meadville Medical Center - Rehab Unit 1034 GROVE STREET MEADVILLE PA 16335 39T125 Wayne Memorial Hospital 601 PARK STREET HONESDALE PA 18431 39T127 Regional Rehab Center at Phoenixville Hospital 140 NUTT RD PHOENIXVILLE PA 19460

- 30 - IRFs That Successfully Met QRP Reporting Requirements for APU FY 2018

CCN Facility Name Facility Address 1 Facility Address 2 City State Zip 1200 South Cedar Crest 39T133 Lehigh Valley Hospital Boulvard Allentown PA 18105 39T137 Wilkes-Barre General Hospital - Rehab Unit 575 NORTH RIVER STREET WILKES-BARRE PA 18764 39T142 Moss Rehabilitation Center 1200 WEST TABOR ROAD PHILADELPHIA PA 19141 WESTMORELAND HEALTH 532 WEST PITTSBURGH 39T145 Westmoreland Regional Hospital - Rehab Unit SYSTEM STREET GREENSBURG PA 15601 39T147 Monongahela Valley Hospital, Inc. Rehab Unit 1163 COUNTRY CLUB ROAD MONONGAHELA PA 15063 The Chambersburg Hospital-Rehabilitation 39T151 Unit 112 NORTH SEVENTH STREET CHAMBERSBURG PA 17201 39T156 Mercy Catholic Medical Center Rehab Unit ONE WEST ELM STREET CONSHOHOCKEN PA 19428 39T157 Ohio Valley General Hospital 25 HECKEL ROAD MCKEES ROCKS PA 15136 39T160 Allegheny Univ. Med. Ctrs. Canonsburg Hos. 100 MEDICAL BOULEVARD CANONSBURG PA 15317 39T162 Easton Hospital 250 S 21st St EASTON PA 18042 39T163 Armstrong County Memorial Hospital ONE NOLTE DRIVE KITTANNING PA 16201 8TH FLOOR FORBES 39T164 UPMC Presbyterian Shadyside PATIENT BUSINESS CENTER TOWERS PITTSBURGH PA 15213 39T173 Indiana Regional Medical Center 835 HOSPITAL ROAD PO BOX 788 INDIANA PA 15701 39T174 Thomas Jefferson University Hospital 111 S 11TH ST 2210 GIBBON BLDG PHILADELPHIA PA 19107 39T178 UPMC Horizon Hospital System, Inc. Rehab 110 NORTH MAIN STREET GREENVILLE PA 16125 100 WEST SPROUL RD. 39T180 Crozer Chester Rehabilitation Unit HEALTHPLEX PAVILON II 3RD FLOOR SPRINGFIELD PA 19064 39T185 Hazelton General Hospital 700 EAST BROAD STREET HAZLETON PA 18201 Dba: Gnaden Huetten Memorial Hospital 39T194 Rehab 211 NORTH 12TH. STREET LEHIGHTON PA 18235 39T198 MILLCREEK COMMUNITY HOSPITAL 5515 PEACH STREET ERIE PA 16509 39T204 Nazareth Hospital - Rehabilitation Unit 2601 HOLME AVENUE PHILADELPHIA PA 19152 39T211 Sharon Regional Health System 740 EAST STATE STREET SHARON PA 16146 39T225 Ephrata Community Hospital 169 MARTIN AVENUE PO BOX 1002 EPHRATA PA 17522 39T228 St. Clair Memorial Hospital 1000 BOWER HILL ROAD PITTSBURGH PA 15243 39T231 Abington Memorial Hospital FINANCE OFFICE 1200 OLD YORK ROAD ABINGTON PA 19001 39T265 Jefferson Regional Medical Center JEFFERSON HEALTH SERVICES P.O. BOX 18119 PITTSBURGH PA 15236 39T267 Forbes Regional Hospital 2570 HAYMAKER ROAD MONROEVILLE PA 15146 39T270 Geisinger Wyoming Valley Medical Center 1000 EAST MOUNTAIN DRIVE WILKES-BARRE PA 18711 39T288 CITY AVENUE HOSPITAL 4150 CITY AVENUE PHILADELPHIA PA 19131 39T304 Roxborough Memorial Hospital 5800 RIDGE AVE PHILADELPHIA PA 19128 - 31 - IRFs That Successfully Met QRP Reporting Requirements for APU FY 2018

CCN Facility Name Facility Address 1 Facility Address 2 City State Zip 39T327 Wellspan Surgery and Rehabilitation Hospital 55 MONUMENT ROAD YORK PA 17403 39T328 UPMC East 2775 MOSSIDE BOULEVARD MONROEVILLE PA 15146 Health South Rehabilitation Hospital of San UNIVERSITY DISTRICT 403025 Juan HOSPITAL, 3RD FLOOR SAN JUAN PR 00936 403026 Healthsouth Rehab Hospital of Manati, Inc. CARR 2K47 ALT DE LUCHETTI PR 00674 403027 Multy-Medical Facilities Corporation Munoz Rivera Avenue San Juan PR 00918 40T003 Dr. Pila Rehabilitation Unit PO BOX 1910 PONCE PR 00733 40T014 Bella Vista Hospital Rehab Unit STATE ROAD 349 KM 2.7 PO BOX 1750 MAYAGUEZ PR 00681 ROAD #2 KM 173.4 BO. CAIL 40T021 Hospital de la Concepcion ALTO SAN GERMAN PR 00683 116 EDDIE DOWLING 413025 Rehabilitation Hospital Of Rhode Island HIGHWAY NORTH SMITHFIELD RI 02896 41T001 Memorial Hospital 111 BREWSTER STREET PAWTUCKET RI 02860 NORTH 41T005 St. Joseph Health Services of Rhode Island 200 HIGH SERVICE AVE PROVIDENCE RI 02904 41T006 Newport Hospital-Vanderbilt Rehab. Unit 11 FRIENDSHIP ST NEWPORT RI 02840 593 EDDY STREET 5TH FLOOR 41T007 Rhode Island Hospital MAIN BUILDING REHABILITATION UNIT PROVIDENCE RI 02903 41T009 Kent County Memorial Hospital 455 TOLL GATE ROAD WARWICK RI 02886 423025 HEALTHSOUTH REHABILITATION HOSPITAL 2935 COLONIAL DRIVE COLUMBIA SC 29203 423026 HealthSouth Rehabilitation Center Inc 900 E CHEVES ST FLORENCE SC 29506 NORTH 423027 Trident Neurosciences Center LLC 9181 MEDCOM STREET CHARLESTON SC 29406 423028 Piedmont HealthSouth Rehabilitation LLC 1795 FRANK GASTON BLVD. ROCK HILL SC 29732 423029 AnMed HealthSouth Rehabilitation Hospital 1 SPRINGBACK WAY ANDERSON SC 29621 423030 Greenwood Regional Rehabilitation 1530 PARKWAY GREENWOOD SC 29646 423031 Spartanburg Rehabilitation Institute Inc. 160 HAROLD FLEMING COURT SPARTANBURG SC 29303 42T004 MEDICAL UNIVERSITY HOSPITAL 169 ASHLEY AV CHARLESTON SC 29425 42T023 St. Francis Hosp Rehab ONE ST. FRANCIS DRIVE GREENVILLE SC 29601 42T030 Colleton Medical Center 501 ROBERTSON BLVD WALTERBORO SC 29488 42T036 Springs Memorial Hospital 800 W MEETING ST LANCASTER SC 29720 42T067 Beaufort Memorial Hospital 955 RIBAUT ROAD BEAUFORT SC 29901 42T068 Reg Med Ctr/Orangeburg 3000 ST MATTHEWS RD ORANGEBURG SC 29118 42T070 Tuomey Regional Medical Center 129 NORTH WASHINGTON ST SUMTER SC 29150 42T078 Roger C Peace Rehab 701 GROVE ROAD GREENVILLE SC 29605 - 32 - IRFs That Successfully Met QRP Reporting Requirements for APU FY 2018

CCN Facility Name Facility Address 1 Facility Address 2 City State Zip 42T083 Mary Black Memorial Hospital 1700 SKYLYN DRIVE SPARTANBURG SC 29307 42T087 Roper Rehabilitation Hospital 316 CALHOUN STREET CHARLESTON SC 29401 42T091 QHC of South Carolina, Inc dba 121 EAST CEDAR STREET FLORENCE SC 29506 42T098 Waccamaw Communtiy Hospital 4070 HIGHWAY 17 BY-PASS PO DRAWER 3350 MURRELLS INLET SC 29576 42T101 COASTAL CAROLINA MEDICAL CENTER 1000 MEDICAL CENTER DRIVE HARDEEVILLE SC 29927 Avera McKennan Hospital & University Health 43T016 Center 1325 S CLIFF AVE SIOUX FALLS SD 57105 43T027 Sanford Medical Center 1305 WEST 18TH STREET SIOUX FALLS SD 57117 43T077 Regional Health Rehabilitation Center 1050 Fairmont Blvd Rapid City SD 57701 SISKIN HOSPITAL FOR PHYSICAL 443025 REHABILITATION ONE SISKIN PLAZA CHATTANOOGA TN 37403 443027 HealthSouth Rehabilitation Hospital 113 CASSELL DRIVE KINGSPORT TN 37660 443028 Vanderbilt Stallworth Rehabilitation Hospital 2201 CHILDREN'S WAY NASHVILLE TN 37212 443029 HealthSouth Rehabilitation Center 1282 UNION AVE. MEMPHIS TN 38104 443030 HealthSouth Cane Creek Rehab Hospital 180 MOUNT PELIA ROAD MARTIN TN 38237 443031 HealthSouth Methodist Rehabilitation Hospital 4100 AUSTIN PEAY HWY MEMPHIS TN 38128 HealthSouth Chattanooga Rehabilitation 443032 Hospital 2412 McCallie Avenue Chattanooga TN 37404 443033 Quillen Rehabilitation Hospital 2511 Wesley St Johnson City TN 37601 1240 SOUTH GERMANTOWN 443034 BAPTIST MEMORIAL REHAB HOSPITAL RD GERMANTOWN TN 38138 443035 HealthSouth Rehabilitation Hospital of Franklin 1000 Physicians Way Franklin TN 37067 44T002 West Tennessee Rehab Center 620 SKYLINE DRIVE JACKSON TN 38301 44T003 Sumner Regional Medical Center 555 HARTSVILLE PIKE GALLATIN TN 37066 44T006 SKYLINE MEDICAL CENTER REHABILITATION 3441 DICKERSON PIKE NASHVILLE TN 37207 44T035 CLARKSVILLE HEALTH SYSTEM G.P. 651 DUNLOP LANE CLARKSVILLE TN 37040 44T046 Tristar Horizon Medical Center 111 HIGHWAY 70 EAST DICKSON TN 37055 44T050 Takoma Advantist Hospital 401 TAKOMA AVENUE GREENVILLE TN 37743 Southern Tennessee Regional Helath System- 44T058 Winchester 185 HOSPITAL ROAD WINCHESTER TN 37398 44T059 COOKEVILLE REGIONAL MEDICAL CENTER 1 MEDICAL CENTER BLVD COOKEVILLE TN 38501 44T067 Lakeway Regional Hospital 726 MCFARLAND ST MORRISTOWN TN 37814 44T120 TENNOVA HEALTHCARE 900 E. OAK HILL AVENUE KNOXVILLE TN 37917 44T125 FT. SANDERS REGIONAL MEDICAL CENTER 1901 CLINCH AVENUE KNOXVILLE TN 37916

- 33 - IRFs That Successfully Met QRP Reporting Requirements for APU FY 2018

CCN Facility Name Facility Address 1 Facility Address 2 City State Zip SETON HOSPITAL D/B/A BAPTIST HOSP REHAB 44T133 UNIT 2000 CHURCH STREET NASHVILLE TN 37236 44T150 TRISTAR SUMMIT MEDICAL CENTER 5655 FIRST BOULEVARD HERMITAGE TN 37076 44T151 Saint Thomas River Park Hospital 1559 SPARTA STREET MCMINNVILLE TN 37110 ADAMS PAVILLION 3RD 44T152 THE REHABILITATION HOSPITAL OF MEMPHIS 842 JEFFERSON AVENUE FLOOR MEMPHIS TN 38107 44T156 Parkridge Medical Center 2333 MCCALLIE AVENUE CHATTANOOGA TN 37404 44T175 CROCKETT HOSPITAL LLC 1607 S. LOCUST AVNUE LAWRENCEBURG TN 38464 44T183 Amisub SFH Inc 5959 PARK AVE MEMPHIS TN 38119 44T187 LIVINGSTON REGIONAL REHAB UNIT 315 OAK STREET P O BOX 550 LIVINGSTON TN 38570 Tennova Healthcare McFarland Lebanon 44T193 Campus 500 Park Ave LEBANON TN 37087 44T197 Tristar Southern Hills Medical Center 391 WALLACE ROAD NASHVILLE TN 37211 44T200 Saint Thomas Stones River Hospital 324 DOOLITTLE ROAD WOODBURY TN 37190 44T231 TrustPoint Hospital 1009 NORTH THOMPSON LANE MURFREESBORO TN 37129 453025 TIRR Memorial Herman 1333 MOURSUND HOUSTON TX 77030 HEALTHSOUTH REHABILITATION HOSPITAL OF 453029 HUMBLE 19002 MCKAY DRIVE HUMBLE TX 77338 453031 HealthSouth of San Antonio, Inc. 9119 CINNAMON HILL SAN ANTONIO TX 78240 SIERRA PROVIDENCE PHYSICAL 453033 REHABILITATION HOSPITAL 1740 CURIE DRIVE EL PASO TX 79902 453035 Warm Springs Rehabilitation Hospital of S A 5101 MEDICAL DRIVE SAN ANTONIO TX 78209 453036 Baylor Institute For Rehabilitation 909 N. WASHINGTON AVENUE DALLAS TX 75246 453038 ST DAVID'S REHABILITATION CENTER 1005 EAST 32ND ST AUSTIN TX 78705 453040 HealthSouth Rehab Hospital of Arlington 3200 MATLOCK RD ARLINGTON TX 76015 453041 HEALTHSOUTH REHABILITATION HOSPITAL 1212 W LANCASTER AVE FORT WORTH TX 76102 453042 Tarrant County Rehabilitation Hospital Inc 6701 OAKMONT BLVD FORT WORTH TX 76132 453044 HealthSouth Rehabilitation Hospital of Austin 1215 RED RIVER STREET AUSTIN TX 78701 453047 Healthsouth Plano Rehab 2800 WEST 15TH STREET PLANO TX 75075 453048 PAM Rehabilitation Hospital of Beaumont 3340 PLAZA 10 DRIVE BEAUMONT TX 77707 453052 Kindred Rehabilitation Hospital Clear Lake 655 E Medical Center Blvd WEBSTER TX 77598 453053 HealthSouth of Texarkana 515 WEST 12TH STREET TEXARKANA TX 75501 453054 CMS Rehab of WF LP 3901 ARMORY ROAD WICHITA FALLS TX 76302 453056 Tyler Rehab Associates LP 3131 TROUP HIGHWAY TYLER TX 75701 453057 HealthSouth Rehabilitation Hospital 1800 HERITAGE BLVD MIDLAND TX 79707 - 34 - IRFs That Successfully Met QRP Reporting Requirements for APU FY 2018

CCN Facility Name Facility Address 1 Facility Address 2 City State Zip 453059 HealthSouth of Houston, Inc. 18550 IH 45S CONROE TX 77384 453065 Christus St. Michael Rehab Hospital 2400 ST. MICHAEL DRIVE TEXARKANA TX 75503 453072 East Tx Medical Ctr Rehabilitation Hospital 701 OLYMPIC PLAZA CIRCLE TYLER TX 75701 453086 HIGHLAND REHABILITATION HOSPITAL 1395 GEORGE DIETER DRIVE EL PASO TX 79936 453091 Weslaco Regional Rehabilitation Hospital LLC 906 S. JAMES STREET WESLACO TX 78596 453092 South Texas Rehabilitation Hospital LP 425 EAST ALTON GLOOR BLVD BROWNSVILLE TX 78526 453094 Kindred Rehabilitation Hospital Arlington 2601 W Randol Mill Rd Ste 101 ARLINGTON TX 76012 453096 Vibra Rehabilitation Hospital of Amarillo 7200 WEST 9TH AVE. AMARILLO TX 79124 673025 Warm Springs Rehabilitation Hospital of Allen 1001 RAINTREE CIRCLE ALLEN TX 75013 673026 GULF STATES LTAC OF NEW BRAUNFELS 1445 HANZ DRIVE NEW BRAUNFELS TX 78130 673027 Central Texas Rehabilitation Hospital 700 W. 45TH STREET AUSTIN TX 78705 673028 DALLAS LTACH LLC 8050 MEADOW ROAD DALLAS TX 75231 673029 Reliant Rehabilitation Hospital North Texas 3351 WATERVIEW PKWY. RICHARDSON TX 75080 2830 CALDER ST, 6TH FLOOR 673030 Kate Dishman Rehabilitation Hospital SOUTH BEAUMONT TX 77702 673031 Methodist Rehabilitation Hospital 3020 W WHEATLAND RD. DALLAS TX 75237 673032 Reliant Rehabilitation Hospital Central Texas 1400 HESTERS CROSSING ROUND ROCK TX 78681 BAYLOR INSTITUTE FOR REHABILITATION AT 673033 NORTHWEST DALLAS 1340 EMPIRE CENTRAL DRIVE DALLAS TX 75247 673034 Reliant Rehabilitation Hospital North Houston 117 VISION PARK BLVD. SHENANDOAH TX 77380 BAYLOR INSTITUTE FOR REHABILITATION AT 673035 FT. WORTH 6601 HARRIS PARKWAY FORT WORTH TX 76132 673036 Select Rehabilitation Hospital of Denton 2620 SCRIPTURE STREET DENTON TX 76207 Memorial Hermann Rehabilitation Hospital 21720 KINGSLAND BLVD, SUITE 673038 Katy 102 KATY TX 77450 673039 Reliant Rehabilitation Hospital Abilene 6401 DIRECTORS PARKWAY ABILENE TX 79606 673040 Global Rehabilitation San Antonio 19126 STONEHUE SAN ANTONIO TX 78258 1810 WEST HWY. 82, SUITE 673041 Carrus Rehabilitation Hospital 100 SHERMAN TX 75092 673042 HealthSouth Sugar Land Rehabilitation Hosp. 1325 HIGHWAY 6 SUGAR LAND TX 77478 673043 Reliant Rehabilitation Hospital Dallas 7950 NORTHHAVEN ROAD DALLAS TX 75230 673044 Reliant Rehabilitation Hospital Mid-Cities,LP 2304 HIGHWAY 121 BEDFORD TX 76021 673045 Mesquite Rehabilitation Institute 1023 N. BELTLINE ROAD MESQUITE TX 75149 BAYLOR INSTITUTE FOR REHABILITATION AT 673046 FRISCO 2990 LEGACY DR FRISCO TX 75034 - 35 - IRFs That Successfully Met QRP Reporting Requirements for APU FY 2018

CCN Facility Name Facility Address 1 Facility Address 2 City State Zip Continuum Rehabilitation Hospital of North 673047 Texas, LP 3100 PETERS COLONY ROAD FLOWER MOUND TX 75022 673048 TEXAS REHABILITATION HOSPITAL 425 ALABAMA AVENUE FORT WORTH TX 76104 673049 NEW BRAUNFELS REG REHAB HOSPITAL INC 2041 SUNDANCE PARKWAY NEW BRAUNFELS TX 78130 HEALTHSOUTH REHABILITATION HOSPITAL OF 673050 CYPRESS 13031 WORTHAM CENTER DR. HOUSTON TX 77065 Kindred Rehabilitation Hospital Northeast 673051 Houston 18839 MCKAY BOULEVARD HUMBLE TX 77338 20180 CHASEWOOD PARK 673052 RELIANT NORTHWEST HOUSTON DRIVE HOUSTON TX 77070 673053 Corpus Christi Rehabilitation Hospital, LLC 5726 ESPLANADE DRIVE CORPUS CHRISTI TX 78414 673054 Reliant Austin 330 W BEN WHITE BLVD AUSTIN TX 78704 673055 Accel Rehabilitation Hospital of Plano 2301 MARSH LANE SUITE PLANO TX 75093 Warm Springs Rehabilitation Hospital of 673056 Victoria 101 JAMES COLEMAN DRIVE VICTORIA TX 77904 673057 Warm Springs Rehabilitation Hospital of Kyle 5980 Kyle Parkway Kyle TX 78640 673058 Vibra Rehabilitation Hospital of Lake Travis 2000 Medical Drive Lakeway TX 78734 673059 Laredo Rehabilitation Hospital LLC 2005A E. Bustamante Street Laredo TX 78041 673060 Texas Rehabilitation Hospital of Arlington 900 W Arbrook Blvd Arlington TX 76015 673061 Bay Area Rehabilitation Hospital 110 East Medical Center Blvd Webster TX 77598 673062 Weatherford Rehabilitation Hospital LLC 703 Eureka Street Weatherford TX 76086 673063 Trustpoint Rehabilitation Hospital of Lubbock 4302 Princeton Lubbock TX 79415 673064 iCare Rehabilitation Hospital 3100 Peters Colony Road Flower Mound TX 75022 CHI ST JOSEPH HEALTHSOUTH 673065 REHABILITATION HOSPITAL 1600 JOSEPH DR BRYAN TX 77802 45T002 PROVIDENCE MEMORIAL HOSPITAL 2001 N OREGON ST EL PASO TX 79902 45T007 Sid Peterson Memorial Hospital 551 HILL COUNTRY DRIVE KERRVILLE TX 78028 45T011 St. Joseph Regional Rehab Center 1600 JOSEPH DRIVE BRYAN TX 77802 5201 HARRY HINES 45T015 Parkland Memorial Hospital BOULEVARD DALLAS TX 75235 45T032 Marshall Regional Medical Center 811 S. WASHINGTON MARSHALL TX 75670 45T033 VHS HARLINGEN HOSPITAL COMPANY, LLC 2101 PEASE STREET HARLINGEN TX 78550 45T035 St. Joseph Medical Center 1401 ST. JOSEPH PKWY HOUSTON TX 77002 45T037 Good Shepherd Medical Center 700 EAST MARSHALL AVENUE LONGVIEW TX 75601 45T040 Covenant Health System 3615 19TH STREET LUBBOCK TX 79410 - 36 - IRFs That Successfully Met QRP Reporting Requirements for APU FY 2018

CCN Facility Name Facility Address 1 Facility Address 2 City State Zip 45T046 Christus Spohn Memorial Hospital 600 ELIZABETH STREET CORPUS CHRISTI TX 78404 45T054 SCOTT & WHITE 2401 S. 31ST STREET TEMPLE TX 76508 45T058 Baptist Medical Center 111 DALLAS ST. SAN ANTONIO TX 78205 SYSTEM SERVICES RAC 45T068 Memorial Hermann - Texas Medical Center 6411 FANNIN AUDIT DEPARTMENT HOUSTON TX 77030 45T072 Brazosport Regional Health System 100 MEDICAL DRIVE LAKE JACKSON TX 77566 1901 N. MACARTHUR 45T079 Baylor Medical Center at Irving BOULEVARD IRVING TX 75061 45T080 Titus County Memorial Hospital 2001 N. JEFFERSON STREET MOUNT PLEASANT TX 75455 3333 N FOSTER MALDONADO 45T092 Fort Duncan Medical Center LP BLVD EAGLE PASS TX 78852 45T097 CHCA Bayshore LP 4000 SPENCER HIGHWAY PASADENA TX 77504 45T101 Hillcrest Baptist Medical Center 3000 HERRING AVE. WACO TX 76708 45T104 Guadalupe Regional Medical Center 1215 EAST COURT STREET SEGUIN TX 78155 45T107 El Paso Healthcare System Ltd 300 WAYMORE DRIVE EL PASO TX 79902 45T119 McAllen Hospitals LP 1102 W TRENTON ROAD EDINBURG TX 78539 45T130 Nix Health Care System 414 NAVARRO STREET SUITE 1720 SAN ANTONIO TX 78205 45T132 Hunt Regional Medical Center 500 WEST FOURTH STREET ODESSA TX 79761 45T137 All Saints Health System 1400 8TH AVENUE FORT WORTH TX 76104 45T147 Detar Hospital Navarro 506 E SAN ANTONIO ST VICTORIA TX 77901 45T165 SOUTH TEXAS REGIONAL SPECIALTY HOSPITAL 1604 HWY 97 E JOURDANTON TX 78026 45T176 Mission Hospital, Inc. 900 S. BRYAN RD MISSION TX 78752 SYSTEM SERVICES RAC 45T184 Memorial Hermann Hospital System 1635 NORTH LOOP WEST AUDIT DEPARTMENT HOUSTON TX 77008 45T193 St Lukes Episcopal Hospital 6720 BERTNER HOUSTON TX 77030 45T196 Essent PRMC LP 865 DESHONG DR PARIS TX 75460 1501 COULTER ROAD, PO BOX 45T209 Northwest Texas Hospital Rehab Unit 1110 AMARILLO TX 79106 45T211 Memorial Medical Center of East Texas 1201 FRANK STREET LUFKIN TX 75902 45T213 University Health System 4502 MEDICAL DR, MS 66 SAN ANTONIO TX 78229 45T222 Conroe Regional Medical Center 504 MEDICAL CENTER BLVD. CONROE TX 77034 45T229 Hendrick Medical Center 1900 PINE ABILENE TX 79601 45T231 Baptist St. Anthony's Health Systems 1600 WALLACE BLVD AMARILLO TX 79106 45T236 Hopkins County Hospital District 115 AIRPORT RD. SULPHUR SPRINGS TX 75482 45T271 Wise Regional Health System 2000 SOUTH FM 51 DECATUR TX 76234 - 37 - IRFs That Successfully Met QRP Reporting Requirements for APU FY 2018

CCN Facility Name Facility Address 1 Facility Address 2 City State Zip 45T289 Harris County Hospital District 2525 HOLLY HALL ROAD HOUSTON TX 77054 45T324 Reba McEntire Center for Rehabilitation 1200 REBA MCENTIRE LANE DENISON TX 75020 45T346 Memorial Hermann Baptist Beaumont Hospital 3080 COLLEGE STREET BEAUMONT TX 77701 45T347 Huntsville Memorial Hospital 110 MEMORIAL HOSPITAL DR. HUNTSVILLE TX 77342 45T352 Hunt Regional Medical Center 4215 JOE RAMSEY BLVD. PO DRAWER 1059 GREENVILLE TX 75401 45T358 The Methodist Hospital 6565 FANNIN HOUSTON TX 77030 Methodist Healthcare System of San Antonio 45T388 Lt 8026 FLOYD CURL DR SAN ANTONIO TX 78229 130 SOUTH CENTRAL 45T403 Columbia Medical Center of McKinney Suby LP EXPRESSWAY MCKINNEY TX 75070 San Jacinto Methodist Hospital Alexander 45T424 Camp 1700 JAMES BOWIE DR. BAYTOWN TX 77521 45T431 St Davids Healthcare Partnership LP LLP 2000 SCENIC DRIVE GEORGETOWN TX 78626 COMPLIANCE E. 45T462 Presbyterian Hospital of Dallas 8200 WALNUT HILL LANE ANDERSON DALLAS TX 75231 505 SOUTH JOHN REDDITT 45T484 WOODLAND HEIGHTS MEDICAL CENTER DRIVE LUFKIN TX 75904 45T508 Memorial Hospital Cecil R. Bamar Rehab 707 WOODS STREET NACOGDOCHES TX 75961 45T518 The Medical Center of Southeast Texas LP 2555 JIMMY JOHNSON BLVD PORT ARTHUR TX 77640 45T563 Baylor Regional Medical Center at Grapevine 1650 W. College Street Grapevine TX 76051 45T571 Shannon West Texas Memorial Hosp 2018 Pulliam St SAN ANGELO TX 76905 45T617 CHCA Clear Lake LP 500 MEDICAL CENTER BLVD WEBSTER TX 77598 45T638 Houston Northwest Medical Center 710 FM 1960 West Houston TX 77090 45T643 Laredo Regional Medical Center LP 10700 MCPHERSON ROAD LAREDO TX 78542 45T644 CHCA West Houston LP 12141 RICHMOND AVE HOUSTON TX 77082 45T647 Medical City Dallas 7777 Forest Lane Dallas TX 75230 45T651 Medical Center of Plano 3901 W. 15th St Plano TX 75075 45T661 Odessa Regional Hospital LP 520 E 6TH ST ODESSA TX 79761 45T668 Sierra Medical Center - Rehab Unit 1625 MEDICAL CENTER DRIVE EL PASO TX 79902 45T669 MEDICAL CENTER OF LEWISVILLE 500 WEST MAIN STREET LEWISVILLE TX 75057 45T670 Tomball Regional Hospital 605 HOLDERRIETH TOMBALL TX 77375 45T672 Plaza Medical Center 900 8th Avenue Ft Worth TX 76104 45T697 SOUTHWEST GENERAL HOSPITAL LP 7400 BARLITE BLVD SAN ANTONIO TX 78224 45T716 CYPRESS FAIRBANKS 10655 STEEPLETOP DRIVE HOUSTON TX 77065 45T718 ROUND ROCK MEDICAL CENTER 2400 ROUND ROCK AVENUE ROUND ROCK TX 78681 - 38 - IRFs That Successfully Met QRP Reporting Requirements for APU FY 2018

CCN Facility Name Facility Address 1 Facility Address 2 City State Zip 45T733 NORTHEAST METHODIST HOSPITAL 12412 JUDSON LIVE OAK TX 78233 Palestine Regional Medical Center - 45T747 Rehabilitation Campus 4000 S. LOOP 256 PALESTINE TX 75801 45T766 UT Southwestern University Hospital - Zale 5151 HARRY HINES BLVD. DALLAS TX 75235 45T775 KPH Consolidation Inc 22999 US HWY 59 N KINGWOOD TX 77339 45T788 Corpus Christi Medical Center 7101 S PADRE ISLAND DRIVE CORPUS CHRISTI TX 78412 45T809 St Davids Healthcare Partnership LP LLP 12221 N MO PAC EXPY AUSTIN TX 78758 45T811 REHABILITATION INSTITUTE OF MCALLEN 1421 EAST JACKSON AVENUE MCALLEN TX 78503 St. Luke's Community Medical Center-The 45T862 Woodlands 17200 St. Luke's Way, Floor 5 The Woodlands TX 77384 45T869 Doctors Hospital at Renaissance 5501 SOUTH MCCOLL RD. EDINBURG TX 78539 463025 Healthsouth Rehabilitation Hospital of Utah 8074 SOUTH 1300 EAST SANDY UT 84094 463027 Northern Utah Rehabilitation Hospital LLC 5825 Harrison Blvd South Ogden UT 84403 46T001 UTAH VALLEY REHAB UNIT 1034 NORTH 500 WEST PROVO UT 84601 46T003 SALT LAKE REGIONAL MEDICAL CENTER 1050 EAST SOUTH TEMPLE SALT LAKE CITY UT 84102 46T004 IHC Health Services Inc 4401 HARRISON BOULEVARD OGDEN UT 84403 46T005 OGDEN REGIONAL MEDICAL CENTER 5475 S. 500 E. OGDEN UT 84405 46T009 University of Utah 50 NORTH MEDICAL DRIVE SALT LAKE CITY UT 84132 46T010 IHC Health Services Inc 5121 S COTTONWOOD ST MURRAY UT 84157 DIXIE REGIONAL MEDICAL CENTER REHAB 46T021 UNIT 544 SOUTH 400 EAST ST. GEORGE UT 84770 46T041 Davis Hospital & Medical Center 1600 WEST ANTELOPE DRIVE LAYTON UT 84041 46T047 St Mark's Hospital 1200 E 3900 S SALT LAKE CITY UT 84124 46T051 Jordan Valley Medical Center LP 3580 WEST 9000 S WEST JORDAN UT 84088 493025 Sheltering Arms Hospital 8254 Atlee Road Mechanicsville VA 23116 493027 Riverside Rehabilitation 245 Chesapeake Drive Newport News VA 23607 493028 Rehabilitation Hospital Corporation of America 5700 FITZHUGH AVE. RICHMOND VA 23226 493029 University of Virginia HealthSouth LLC 515 RAY C HUNT DRIVE CHARLOTTESVILLE VA 22903 493030 SHELTERING ARMS HOSPITAL SOUTH, INC. 13700 SAINT FRANCIS BLVD SUITE 400 MIDLOTHIAN VA 23114 493031 Rehabilitation Hospital of Petersburg, Inc. 95 MEDICAL PARK BLVD PETERSBURG VA 23805 493032 Rehabilitation Hospital of Fredericksburg, In 300 PARK HILL DRIVE FREDERICKSBURG VA 22401 493033 Heatlhsouth Rehabilitation Hospital of N VA 24430 MILLSTREAM DR ALDIE VA 20105 493034 The Rehab Hosp of SW VA 103 NORTH ST BRISTOL VA 24201 49T001 Norton Community Hospital Rehab. Unit 100 15TH STREET, N. W. NORTON VA 24273 49T005 WINCHESTER MEDICAL CENTER - EXCL REHAB 1840 AMHERST STREET WINCHESTER VA 22601 - 39 - IRFs That Successfully Met QRP Reporting Requirements for APU FY 2018

CCN Facility Name Facility Address 1 Facility Address 2 City State Zip SENTARA NORFOLK GENERAL HOSPITAL - EXCL 49T007 REHAB 600 GRESHAM DR. NORFOLK VA 23507 MARYVIEW MED CTR/PORTSMOUTH HOSP - 49T017 EXCL REHAB 3636 HIGH ST. PORTSMOUTH VA 23707 49T018 AUGUSTA MEDICAL CENTER - EXCL REHAB 78 MEDICAL CENTER DRIVE FISHERSVILLE VA 22939 49T021 Virginia Baptist Hospital - Excluded Rehab 3300 RIVERMONT AVENUE LYNCHBURG VA 24503 2017 SOUTH JEFFERSON 49T024 Carilion Medical Center - Excl. Rehab. MISSING STREET ROANOKE VA 24014 VA COMM UNIVERSITY SYS HEALTH - EXCL 49T032 REHAB 1300 E. MARSHALL ST. NORTH HOSPITAL RICHMOND VA 23298 49T038 Southwest Virginia Inpatient Rehabilitation 245 MEDICAL PARK DRIVE MARION VA 24354 49T048 Lewis Gale Medical Center, LLC, Rehab. 1900 ELECTRIC ROAD SALEM VA 24153 VIRGINIA HOSPITAL CENTER ARLINGTON 49T050 REHAB UNIT 1701 N GEORGE MASON DR. ARLINGTON VA 22205 49T057 Sentara Virginia Beach General Hospital-Rehab 1060 FIRST COLONIAL ROAD VIRGINIA BEACH VA 23454 49T060 Columbia Clinch Valley Medical Center-Rehab 2949 WEST FRONT STREET RICHLANDS VA 24641 49T066 Sentara Williamsburg Regional Medical Center 100 SENTARA CIRCLE WILLIAMSBURG VA 23188 DANVILLE REGIONAL MEDICAL CENTER - EXCL 49T075 REHAB 142 SOUTH MAIN STREET DANVILLE VA 24541 CHIPPENHAM/JOHNSTON-WILLIS HOSPITAL-EX 49T112 REHAB 7101 JAHNKE ROAD RICHMOND VA 23225 49T118 HENRICO DOCTORS HOSPITAL - REHAB 1602 SKIPWITH ROAD RICHMOND VA 23229 49T122 MOUNT VERNON HOSPITAL - EXCL REHAB PATIENT ACCOUNTS, SUITE 204 2501 PARKER LANE ALEXANDRIA VA 22306 Mt Ascutney Hospital 47R302 Windsor Hospital Corporation 289 County Road Rehab Unit Windsor VT 05089 University of Vermont Medical Center 47T003 Inpatient Rehabilitation Unit 790 COLLEGE PARKWAY COLCHESTER VT 05446 ST LUKES REHABILITATION 503025 INLAND NORTHWEST HEALTH SERVICES INST 711 S COWLEY ST SPOKANE WA 99202 50R337 LOURDES MEDICAL CENTER 520 N 4TH AVE PO BOX 2568 PASCO WA 99302 PROVIDENCE HEATLH & SERVICES 50T002 WASHINGTON 401 WEST POPLAR WALLA WALLA WA 99362 50T008 UNIVERSITY OF WASHINTON UNIVERSITY OF WA REHAB 1959 NE PACIFIC ST SEATTLE WA 98195 50T012 Yakima Regional Medical and Cardiac Center 110 S 9th Ave YAKIMA WA 98902

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CCN Facility Name Facility Address 1 Facility Address 2 City State Zip PROVIDENCE HEALTH & SERVICES 50T014 WASHINGTON PROV REG MED CNTR EVERETT 1321 COLBY AVENUE EVERETT WA 98201 50T024 Providence St. Peter Rehab Unit 413 N LILLY RD OLYMPIA WA 98506 50T025 Swedish Medical Center Cherry Hill 500 17TH AVENUE SEATTLE WA 98112 50T030 ST JOSEPH MEDICAL CENTER ST JOSEPH MEDICAL CENTER 809 CHESTNUT ST BELLINGHAM WA 98225 50T050 PEACEHEALTH SOUTHWEST MEDICAL CENTER 3400 MAIN STREET PO BOX 1600 VANCOUVER WA 98668 50T051 OVERLAKE HOSPITAL MEDICAL CENTER REHAB SERVICES BELLEVUE WA 98004 50T058 KADLEC REGIONAL MEDICAL CENTER 888 SWIFT BLVD RICHLAND WA 99352 50T064 HARBORVIEW MEDICAL CENTER 325 9TH AVE SEATTLE WA 98104 MULTICARE GOOD SAMARITAN 401 15TH AVENUE 50T079 MULTICARE GOOD SAMARITAN HOSPITAL REHAB SOUTHEAST PUYALLUP WA 98372 50T108 ST JOSEPH MEDICAL CENTER ST JOSEPH MEDICAL CENTER PO BOX 2197 TACOMA WA 98405 50T124 EVERGREENHEALTH MEDICAL CENTER EVERGREEN INPATIENT REHAB 12040 NE 128TH STREET KIRKLAND WA 98034 50T148 Confluence Health Wenatchee Valley Hospital 820 N CHELAN ST WENATCHEE WA 98801 523025 Sacred Heart Rehabilitation 2323 N. LAKE DRIVE MILWAUKEE WI 53211 1625 COLDWATER CREEK 523027 Rehabilitation Hospital of WI, LLC DRIVE WAUKESHA WI 53188 523028 UW Health Rehabilitation Hospital 5115 N. Biltmore Lane Madison WI 53718 52T008 WAUKESHA MEMORIAL HOSPITAL 725 AMERICAN AVENUE WAUKESHA WI 53188 52T009 ST. ELIZABETH HOSPITAL 1506 S. ONEIDA ST. APPLETON WI 54915 900 WEST CLAIREMONT 52T013 Sacred Heart Hospital of The Hospital Sisters AVENUE EAU CLAIRE WI 54701 52T030 Wausau Hospitals, Inc. 333 PINE RIDGE BOULEVARD WAUSAU WI 54401 AURORA SHEBOYGAN MEMORIAL MEDICAL 52T035 CENTER REHAB UNI 2629 N. SEVENTH ST. SHEBOYGAN WI 53083 52T037 St. Joseph's Hospital of Marshfield, Inc. 611 N. SAINT JOSEPH AVENUE MARSHFIELD WI 54449 52T045 Theda Clark Memorial Hospital 130 SECOND STREET NEENAH WI 54956 52T048 Mercy Medical Center 500 S. OAKWOOD ROAD OSHKOSH WI 54904 52T049 Bellin Memorial Hospital Rehabilitation Unit 725 SOUTH WEBSTER AVENUE GREEN BAY WI 54301 52T051 ST MARYS HOSPITAL OF MILWAUKEE 53 2323 N LAKE DRIVE MILWAUKEE WI 53211 52T066 Mercy Hospital 1000 MINERAL POINT AVENUE JANESVILLE WI 53548 835 SOUTH VAN BUREN 52T075 St. Vincent Hospital STREET GREEN BAY WI 54301 52T087 La Crosse Lutheran Hospital 1910 SOUTH AVENUE LA CROSSE WI 54601 52T088 St Agnes Hospital 430 EAST DIVISION STREET FOND DU LAC WI 54936 - 41 - IRFs That Successfully Met QRP Reporting Requirements for APU FY 2018

CCN Facility Name Facility Address 1 Facility Address 2 City State Zip 52T089 Meriter Hospital, Inc. 202 SOUTH PARK STREET MADISON WI 53715 52T091 HOWARD YOUNG MEDICAL CENTER PO BOX 470 WOODRUFF WI 54568 52T096 Wheaton Franciscan Healthcare-All Saints 3801 SPRING STREET MOUNT PLEASANT WI 53405 52T098 Univ of WI Hospitals & Clinics Authority 600 HIGHLAND AVENUE MADISON WI 53075 52T100 BELOIT MEMORIAL HOSPITAL 1969 WEST HART ROAD BELOIT WI 53511 52T102 Lakeland Medical Center W3985 COUNTY ROAD NN ELKHORN WI 53121 W180 N8085 TOWN HALL MENOMONEE 52T103 Community Memorial Hospital ROAD FALLS WI 53051 52T136 Wheaton Franciscan Healthcare 19333 W. North Ave Brookfield WI 53045 2900 WEST OKLAHOMA 52T138 St Lukes Medical Center AVENUE MILWAUKEE WI 53215 52T140 COLUMBIA HOSPITAL INC 2025 EAST NEWPORT AVENUE MILWAUKEE WI 53211 9200 WEST WISCONSIN 52T177 Froedtert Memorial Lutheran Hospital, Inc. AVENUE MILWAUKEE WI 53226 52T193 BayCare Aurora Rehab 2845 GREENBRIER ROAD GREEN BAY WI 54311 52T206 Aurora Health Care Southern Lakes, Inc 36500 AURORA DR SUMMIT WI 53066 513025 Guardian ElderCare at Wheeling, LLC HOMESTEAD AVENUE WHEELING WV 26003 513026 Rehabilitation Hospital Corporation of America 120 12TH STREET PRINCETON WV 24740 513027 Rehabilitation Hospital Corporation of America 3 WESTERN HILLS DRIVE PARKERSBURG WV 26105 513028 Huntington Rehabilitation Hospital 6900 COUNTRY CLUB DRIVE HUNTINGTON WV 25705 HealthSouth Mountainview Regional Rehab 513030 Hosp 1160 VAN VOORHIS RD MORGANTOWN WV 26505 51T022 Charleston Area Medical Center Rehab. Unit 501 MORRIS STREET CHARLESTON WV 25301 51T023 Weirton Medical Center Inc. 601 COLLIERS WAY WEIRTON WV 26062 51T048 Logan Regional Medical Ctr Rehab 20 HOSPITAL DRIVE LOGAN WV 25601 533027 Elkhorn Valley Rehabilitation Hospital LLC 5715 E 2ND STREET CASPER WY 82609 53T008 SageWest Health Care - Lander 1320 Bishop Randall Drive Lander WY 82520 53T014 United Medical Center Rehabilitation Unit 214 E 23 STREET CHEYENNE WY 82001

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