Private Acute Care Hospital Supplemental Payments for Rate Enhancement - FY 2019 Payments Made February 1, 2019 (Reporting Period October 2018 Through December 2018)

Private Acute Care Hospital Supplemental Payments for Rate Enhancement - FY 2019 Payments made February 1, 2019 (Reporting Period October 2018 through December 2018)

FFS MCO TOTAL

Inpatient Outpatient Inpatient Outpatient Facility Non-Exp Exp Non-Exp Exp Non-Exp Exp Non-Exp Exp Non-Exp Exp TOTAL LewisGale Hospital Montgomery 86,906 - 59,344 - 374,347 - 397,438 - 918,035 - 918,035 Buchanan General Hospital 8,399 - 15,534 - 140,070 - 221,906 - 385,908 - 385,908 John Randolph Medical Center 94,904 - 69,385 - 683,036 - 764,625 - 1,611,949 - 1,611,949 LewisGale Hospital Pulaski 34,662 - 75,840 - 148,757 - 286,719 - 545,978 - 545,978 Southside Regional Medical Center 277,895 - 115,276 - 2,392,400 - 1,064,549 - 3,850,120 - 3,850,120 Southampton Memorial Hospital 11,855 - 16,475 - 200,679 - 210,120 - 439,128 - 439,128 Augusta Health 102,809 - 129,932 - 927,851 - 875,053 - 2,035,645 - 2,035,645 Inova Alexandria Hospital 854,994 - 73,987 - 1,566,041 - 769,478 - 3,264,500 - 3,264,500 Inova Fair Oaks Hospital 656,133 - 50,376 - 1,084,077 - 459,741 - 2,250,327 - 2,250,327 Inova Fairfax Hospital 5,392,211 - 345,547 - 7,992,445 - 1,989,398 - 15,719,602 - 15,719,602 Inova Loudoun Hospital 507,361 - 92,113 - 718,288 - 544,597 - 1,862,358 - 1,862,358 Inova Mount Vernon Hospital 61,380 - 46,870 - 481,953 - 410,947 - 1,001,151 - 1,001,151 Stone Springs Hospital Center 73,855 - 10,788 - 213,728 - 68,517 - 366,889 - 366,889 Sentara Leigh Hospital 435,843 - 103,298 - 2,127,435 - 776,688 - 3,443,264 - 3,443,264 Sentara RMH Medical Center 470,971 - 161,367 - 905,372 - 960,816 - 2,498,526 - 2,498,526 Sentara Careplex Hospital 192,607 - 102,189 - 1,170,191 - 1,087,885 - 2,552,872 - 2,552,872 Sentara Obici Hospital 310,271 - 67,342 - 1,833,013 - 767,133 - 2,977,759 - 2,977,759 Sentara Northern Virginia Medical Center 530,081 - 118,938 - 1,451,909 - 926,689 - 3,027,618 - 3,027,618 Wellmont Lonesome Pine Mt. View Hospital 6,650 - 62,408 - 328,349 - 764,865 - 1,162,272 - 1,162,272 Sentara Halifax Regional Hospital 129,596 - 42,468 - 293,074 - 571,439 - 1,036,576 - 1,036,576 Sentara Norfolk General Hospital 1,371,038 - 310,665 - 6,474,093 - 1,730,983 - 9,886,780 - 9,886,780 Sentara Virginia Beach General Hospital 323,916 - 57,567 - 1,055,898 - 579,417 - 2,016,798 - 2,016,798 Sentara Williamsburg Regional Medical Center 100,377 - 44,501 - 529,159 - 398,381 - 1,072,418 - 1,072,418 Sentara Princess Anne Hospital 213,360 - 60,078 - 953,842 - 529,209 - 1,756,489 - 1,756,489 Norton Community Hospital 33,494 - 39,895 - 582,164 - 491,678 - 1,147,231 - 1,147,231 Martha Jefferson Hospital 111,024 - 77,216 - 571,750 - 477,656 - 1,237,646 - 1,237,646 Johnston Memorial Hospital 83,877 - 87,681 - 1,163,938 - 911,605 - 2,247,101 - 2,247,101 Smyth County Community Hospital 8,517 - 35,118 - 175,844 - 274,834 - 494,313 - 494,313 Riverside Tappahannock Hospital 14,004 - 23,040 - 99,218 - 290,409 - 426,670 - 426,670 Riverside Regional Medical Center 732,196 - 240,132 - 2,556,765 - 2,023,829 - 5,552,922 - 5,552,922 Riverside Walter Reed Hospital 32,123 - 20,333 - 261,778 - 298,702 - 612,936 - 612,936 Riverside Shore Memorial Hospital 83,701 - 132,824 - 230,754 - 504,245 - 951,524 - 951,524 Riverside Doctors' Hospital Williamsburg - - 9,200 - 68,523 - 160,513 - 238,236 - 238,236 Russell County Medical Center 14,170 - 10,543 - 175,851 - 237,659 - 438,223 - 438,223 Southern Virginia Regional Medical Center 8,270 - 12,888 - 180,305 - 188,952 - 390,414 - 390,414 Henrico Doctors' Hospital 1,321,258 - 124,420 - 2,800,245 - 1,102,421 - 5,348,344 - 5,348,344 Haymarket Medical Center 41,282 - 27,559 - 323,102 - 153,346 - 545,289 - 545,289 Novant Health Prince William Medical Center 597,251 - 97,749 - 776,212 - 482,967 - 1,954,178 - 1,954,178 Bon Secours St. Mary's Hospital 455,621 - 142,834 - 2,909,169 - 1,312,791 - 4,820,415 - 4,820,415 Bon Secours Mary Immaculate Hospital 140,990 - 58,981 - 1,153,522 - 452,179 - 1,805,672 - 1,805,672 Twin County Regional Hospital 54,344 - 47,929 - 295,451 - 391,881 - 789,604 - 789,604 Wythe County Community Hospital 51,205 - 57,010 - 251,689 - 358,925 - 718,829 - 718,829 Fauquier Hospital - Hospital in Northern Virginia 117,782 - 36,022 - 364,364 - 332,676 - 850,844 - 850,844 Bon Secours Maryview Medical Center 194,236 - 143,712 - 1,794,370 - 1,330,095 - 3,462,413 - 3,462,413 Bon Secours Memorial Regional Medical Center 154,380 - 81,759 - 1,742,915 - 926,055 - 2,905,109 - 2,905,109 Bon Secours Richmond Community Hospital 18,196 - 211,386 - 403,756 - 1,138,637 - 1,771,976 - 1,771,976 Danville Regional Medical Center 311,636 - 249,835 - 1,563,150 - 1,653,202 - 3,777,823 - 3,777,823 Memorial Hospital of Martinsville & Henry County 281,932 - 128,219 - 380,111 - 426,330 - 1,216,591 - 1,216,591 Bon Secours DePaul Medical Center 163,877 - 72,033 - 1,027,472 - 551,822 - 1,815,205 - 1,815,205 Bon Secours St. Francis Medical Center 249,732 - 50,476 - 978,355 - 511,720 - 1,790,283 - 1,790,283 Virginia Hospital Center 585,537 - 43,659 - 1,224,842 - 344,788 - 2,198,826 - 2,198,826 LewisGale Medical Center 399,838 - 140,263 - 2,209,654 - 956,481 - 3,706,236 - 3,706,236 Carilion Franklin Memorial Hospital 29,026 - 37,208 - 150,089 - 234,993 - 451,315 - 451,315 Carilion Medical Center 3,114,192 - 417,338 - 9,166,840 - 2,570,538 - 15,268,907 - 15,268,907 Carilion New River Valley dba St. Albans 194,675 - 88,150 - 958,696 - 632,142 - 1,873,664 - 1,873,664 Carilion Tazewell Community Hospital 3,513 - 7,165 - 35,433 - 104,407 - 150,518 - 150,518 LewisGale Hospital - Alleghany 39,479 - 22,497 - 168,122 - 193,413 - 423,512 - 423,512 Stafford Hospital Center 127,237 - 39,890 - 390,629 - 308,680 - 866,436 - 866,436 Spotsylvania Regional Medical Center 206,702 - 48,004 - 938,786 - 494,576 - 1,688,067 - 1,688,067 Valley Health Warren Memorial Hospital 9,296 - 38,531 - 99,043 - 386,923 - 533,793 - 533,793 Valley Health Winchester Medical Center 718,863 - 137,389 - 1,784,058 - 728,491 - 3,368,802 - 3,368,802 Reston Hospital Center 374,148 - 31,894 - 712,725 - 227,777 - 1,346,545 - 1,346,545 Novant Health UVA Health System Culpeper Hospital 165,301 - 71,107 - 369,107 - 660,956 - 1,266,471 - 1,266,471 Centra Health - Virginia Baptist Hospital 838,468 - 220,860 - 3,304,110 - 1,288,727 - 5,652,165 - 5,652,165 Centra Southside Community Hospital 94,126 - 40,625 - 573,147 - 409,774 - 1,117,672 - 1,117,672 CJW Medical Center 2,139,776 - 296,302 - 5,943,391 - 1,902,016 - 10,281,485 - 10,281,485 Clinch Valley Medical Center 75,057 - 80,635 - 677,975 - 700,526 - 1,534,194 - 1,534,194 Mary Washington Hospital 935,993 - 132,688 - 2,235,002 - 937,599 - 4,241,281 - 4,241,281 Bedford Memorial Hospital 15,185 - 14,751 - 124,261 - 135,123 - 289,319 - 289,319 TOTAL 27,589,580 0 6,360,037 0 87,942,690 0 47,359,652 0 169,251,959 0 169,251,959 Source: MCO encounters, FFS claims, and BHSA claims payments October 2018 through December 2018 Notes: Totals are net of all encounter and claim payment adjustments; claims with dates of service prior to 4/1/2018 are excluded; encounters with denied/voided status are included; FAMIS claims are excluded Private Acute Care Hospital Supplemental Payments for Rate Enhancement - FY 2019 Payments made May 3, 2019 (Reporting Period January 2019 through February 2019)

FFS MCO TOTAL

Inpatient Outpatient Inpatient Outpatient Facility Non-Exp Exp Non-Exp Exp Non-Exp Exp Non-Exp Exp Non-Exp Exp TOTAL LewisGale Hospital Montgomery 16,555 3,981 35,783 8,779 269,584 8,312 195,014 8,494 516,936 29,566 546,502 Buchanan General Hospital 4,359 4,676 32,936 81,438 4,283 118,733 8,959 127,692 John Randolph Medical Center 109,435 32,091 32,583 23,355 484,444 41,171 386,292 31,529 1,012,754 128,147 1,140,901 LewisGale Hospital Pulaski 25,362 25,665 11,582 140,190 151,418 18,337 342,635 29,919 372,555 Southside Regional Medical Center 277,436 92,525 58,790 43,075 1,380,730 105,940 628,991 51,166 2,345,946 292,706 2,638,653 Southampton Memorial Hospital 12,960 1,181 6,497 7,626 49,632 7,727 131,181 11,436 200,270 27,970 228,240 Augusta Health 78,027 73,460 35,460 902,724 17,717 507,471 41,147 1,561,682 94,324 1,656,006 Inova Alexandria Hospital 246,823 6,586 34,744 10,240 1,032,927 14,107 438,189 36,099 1,752,684 67,032 1,819,715 Inova Fair Oaks Hospital 180,161 3,942 19,573 9,353 646,567 3,902 249,830 12,566 1,096,131 29,763 1,125,894 Inova Fairfax Hospital 2,744,894 90,765 108,342 29,064 4,431,744 17,945 1,152,211 51,742 8,437,191 189,517 8,626,708 Inova Loudoun Hospital 398,313 7,782 57,093 11,784 492,689 7,352 297,791 10,863 1,245,885 37,781 1,283,666 Inova Mount Vernon Hospital 45,314 6,814 9,916 3,517 277,976 6,169 261,928 14,159 595,134 30,660 625,794 Stone Springs Hospital Center 34,036 3,525 440 91,870 33,979 3,161 163,409 3,600 167,010 Sentara Leigh Hospital 238,602 15,416 32,543 24,884 1,810,117 25,090 550,400 52,590 2,631,662 117,980 2,749,643 Sentara RMH Medical Center 272,600 39,418 102,867 61,794 1,314,208 32,430 562,385 36,179 2,252,060 169,821 2,421,881 Sentara Careplex Hospital 151,323 31,110 31,433 13,132 1,159,254 16,129 625,665 52,940 1,967,676 113,312 2,080,988 Sentara Obici Hospital 93,641 15,349 30,984 11,119 1,467,182 20,868 481,285 32,916 2,073,092 80,251 2,153,343 Sentara Northern Virginia Medical Center 244,157 24,867 58,216 20,526 1,174,528 22,103 464,948 24,158 1,941,849 91,655 2,033,504 Wellmont Lonesome Pine Mt. View Hospital 4,581 25,741 29,453 288,227 415,433 19,611 733,983 49,064 783,047 Sentara Halifax Regional Hospital 19,518 11,641 27,355 13,341 518,764 3,410 318,050 25,284 883,687 53,676 937,364 Sentara Norfolk General Hospital 655,973 87,098 120,642 22,672 6,070,410 39,286 998,722 49,137 7,845,746 198,194 8,043,940 Sentara Virginia Beach General Hospital 71,554 39,893 30,184 11,297 1,162,397 19,179 371,427 33,142 1,635,563 103,510 1,739,073 Sentara Williamsburg Regional Medical Center 66,325 30,203 18,471 8,271 593,470 5,068 251,430 16,693 929,696 60,235 989,931 Sentara Princess Anne Hospital 127,168 17,534 22,243 7,510 1,071,514 5,205 270,904 26,786 1,491,829 57,035 1,548,864 Norton Community Hospital 14,919 4,332 18,590 10,168 437,417 224,141 33,643 695,067 48,143 743,210 Martha Jefferson Hospital 66,583 20,724 36,213 5,599 616,639 281,716 15,697 1,001,150 42,020 1,043,170 Johnston Memorial Hospital 83,194 5,723 23,586 29,112 973,194 33,164 501,470 38,175 1,581,443 106,175 1,687,618 Smyth County Community Hospital 9,882 10,486 88,804 10,906 130,173 14,983 228,859 36,376 265,234 Riverside Tappahannock Hospital 14,539 3,263 5,992 10,430 53,305 2,710 171,387 18,072 245,224 34,475 279,699 Riverside Regional Medical Center 321,554 49,294 85,837 45,924 2,092,798 61,651 1,250,956 93,069 3,751,145 249,939 4,001,084 Riverside Walter Reed Hospital 3,076 11,533 4,412 75,492 21,648 158,932 23,001 249,033 49,060 298,093 Riverside Shore Memorial Hospital 116,169 5,450 25,731 13,454 349,896 6,030 330,216 28,374 822,013 53,307 875,320 Riverside Doctors' Hospital Williamsburg 4,717 5,332 2,966 50,231 84,346 11,464 144,626 14,431 159,057 Russell County Medical Center 26,812 3,741 4,348 6,350 230,721 10,161 112,557 13,052 374,438 33,305 407,743 Southern Virginia Regional Medical Center 77,325 1,867 6,618 1,428 125,223 10,535 109,962 9,147 319,128 22,977 342,106 Henrico Doctors' Hospital 498,672 105,959 37,973 26,608 1,902,138 44,268 557,030 25,715 2,995,813 202,550 3,198,363 Haymarket Medical Center 12,774 13,649 15,972 3,116 151,570 2,853 87,342 3,138 267,658 22,755 290,413 Novant Health Prince William Medical Center 378,072 9,050 35,838 9,792 432,204 12,448 296,665 21,131 1,142,779 52,420 1,195,199 Bon Secours St. Mary's Hospital 261,335 41,929 59,827 14,286 2,300,602 17,511 758,370 34,954 3,380,135 108,680 3,488,815 Bon Secours Mary Immaculate Hospital 81,319 11,165 25,364 10,854 1,165,744 2,430 287,428 27,011 1,559,855 51,460 1,611,314 Twin County Regional Hospital 64,338 23,875 9,110 8,024 248,251 32,005 179,355 20,975 501,054 84,879 585,933 Wythe County Community Hospital 21,138 1,864 13,279 12,121 216,426 3,713 198,932 18,036 449,774 35,734 485,509 Fauquier Hospital - Hospital in Northern Virginia 48,073 4,445 16,858 6,615 241,498 4,518 163,421 9,945 469,850 25,523 495,373 Bon Secours Maryview Medical Center 90,951 4,956 52,426 17,434 1,940,146 37,592 940,309 72,271 3,023,832 132,253 3,156,085 Bon Secours Memorial Regional Medical Center 107,127 33,047 28,053 21,469 1,396,483 52,073 444,589 26,330 1,976,252 132,919 2,109,171 Bon Secours Richmond Community Hospital 74,342 90,161 14,287 315,037 13,498 637,077 33,248 1,116,617 61,034 1,177,650 Danville Regional Medical Center 85,812 18,455 55,224 24,878 1,801,055 19,357 846,574 58,356 2,788,665 121,046 2,909,712 Memorial Hospital of Martinsville & Henry County 80,167 11,772 33,974 16,935 408,515 3,077 301,528 18,980 824,183 50,764 874,948 Bon Secours DePaul Medical Center 67,532 20,085 39,498 15,166 1,066,612 28,092 368,017 51,982 1,541,659 115,325 1,656,985 Bon Secours St. Francis Medical Center 56,931 20,287 11,681 932,950 15,723 306,952 25,436 1,317,121 52,841 1,369,962 Virginia Hospital Center 336,828 4,230 35,087 4,714 615,425 14,845 292,190 17,768 1,279,530 41,556 1,321,086 LewisGale Medical Center 277,468 47,943 29,988 15,714 1,846,157 50,868 326,609 22,975 2,480,222 137,501 2,617,722 Carilion Franklin Memorial Hospital 14,116 10,256 12,795 9,197 100,675 133,075 19,004 260,661 38,457 299,118 Carilion Medical Center 1,362,474 255,012 125,776 55,677 7,518,453 49,723 1,476,103 76,983 10,482,807 437,395 10,920,202 Carilion New River Valley dba St. Albans 173,931 7,784 24,515 22,504 607,601 21,228 316,194 29,977 1,122,241 81,493 1,203,734 Carilion Tazewell Community Hospital 6,585 2,828 42,005 62,061 6,390 110,652 9,218 119,870 LewisGale Hospital - Alleghany 21,643 12,957 2,220 135,522 99,193 5,076 269,314 7,296 276,611 Stafford Hospital Center 99,907 16,750 26,639 7,866 415,862 5,866 254,105 14,127 796,512 44,610 841,122 Spotsylvania Regional Medical Center 125,204 5,419 32,117 10,634 796,305 72,845 255,470 16,683 1,209,095 105,581 1,314,676 Valley Health Warren Memorial Hospital 7,775 10,293 12,908 5,005 86,809 196,998 15,224 304,490 30,523 335,012 Valley Health Winchester Medical Center 351,689 147,329 83,693 23,291 1,375,230 18,731 603,666 29,408 2,414,277 218,759 2,633,037 Reston Hospital Center 156,884 9,628 13,336 5,770 350,104 111,375 5,011 631,700 20,409 652,109 Novant Health UVA Health System Culpeper Hospital 66,237 7,661 35,995 5,956 271,639 5,319 420,440 20,118 794,311 39,054 833,366 Centra Health - Virginia Baptist Hospital 712,250 31,716 240,662 51,672 3,484,668 79,333 1,019,702 42,933 5,457,281 205,653 5,662,934 Centra Southside Community Hospital 99,728 23,808 5,854 540,732 15,456 294,085 9,595 958,353 30,904 989,257 CJW Medical Center 572,419 66,248 106,054 36,540 5,409,193 91,564 1,016,950 44,691 7,104,615 239,043 7,343,658 Clinch Valley Medical Center 17,247 53,446 47,379 19,934 421,144 18,674 383,981 24,643 869,751 116,696 986,447 Mary Washington Hospital 892,790 30,643 102,010 42,058 2,359,994 59,263 808,429 32,554 4,163,224 164,518 4,327,742 Bedford Memorial Hospital 15,538 11,648 3,725 49,018 60,009 7,199 136,213 10,924 147,137 TOTAL 14,076,353 1,657,199 2,722,471 1,107,706 72,903,570 1,368,790 27,686,461 1,850,964 117,388,856 5,984,658 123,373,514 Source: MCO encounters, FFS claims, and BHSA claims payments January 2019 through February 2019 Notes: Totals are net of all encounter and claim payment adjustments; claims with dates of service prior to 4/1/2018 are excluded; encounters with denied/voided status are included; FAMIS claims are excluded Private Acute Care Hospital Supplemental Payments for Rate Enhancement - FY 2019

Payments made February 1, 2019 (Reporting Period October 2018 through December 2018) Payments made May 3, 2019 (Reporting Period January 2019 through February 2019)

FFS MCO FFS MCO TOTAL

Inpatient Outpatient Inpatient Outpatient Inpatient Outpatient Inpatient Outpatient

Facility Non-Exp Exp Non-Exp Exp Non-Exp Exp Non-Exp Exp Non-Exp Exp Non-Exp Exp Non-Exp Exp Non-Exp Exp Non-Exp Exp TOTAL LewisGale Hospital Montgomery 86,906 - 59,344 - 374,347 - 397,438 - 16,555 3,981 35,783 8,779 269,584 8,312 195,014 8,494 1,434,971 29,566 1,464,537 Buchanan General Hospital 8,399 - 15,534 - 140,070 - 221,906 - 4,359 4,676 32,936 81,438 4,283 504,641 8,959 513,600 John Randolph Medical Center 94,904 - 69,385 - 683,036 - 764,625 - 109,435 32,091 32,583 23,355 484,444 41,171 386,292 31,529 2,624,704 128,147 2,752,850 LewisGale Hospital Pulaski 34,662 - 75,840 - 148,757 - 286,719 - 25,362 25,665 11,582 140,190 151,418 18,337 888,613 29,919 918,532 Southside Regional Medical Center 277,895 - 115,276 - 2,392,400 - 1,064,549 - 277,436 92,525 58,790 43,075 1,380,730 105,940 628,991 51,166 6,196,066 292,706 6,488,772 Southampton Memorial Hospital 11,855 - 16,475 - 200,679 - 210,120 - 12,960 1,181 6,497 7,626 49,632 7,727 131,181 11,436 639,398 27,970 667,368 Augusta Health 102,809 - 129,932 - 927,851 - 875,053 - 78,027 73,460 35,460 902,724 17,717 507,471 41,147 3,597,327 94,324 3,691,651 Inova Alexandria Hospital 854,994 - 73,987 - 1,566,041 - 769,478 - 246,823 6,586 34,744 10,240 1,032,927 14,107 438,189 36,099 5,017,184 67,032 5,084,215 Inova Fair Oaks Hospital 656,133 - 50,376 - 1,084,077 - 459,741 - 180,161 3,942 19,573 9,353 646,567 3,902 249,830 12,566 3,346,458 29,763 3,376,221 Inova Fairfax Hospital 5,392,211 - 345,547 - 7,992,445 - 1,989,398 - 2,744,894 90,765 108,342 29,064 4,431,744 17,945 1,152,211 51,742 24,156,793 189,517 24,346,310 Inova Loudoun Hospital 507,361 - 92,113 - 718,288 - 544,597 - 398,313 7,782 57,093 11,784 492,689 7,352 297,791 10,863 3,108,243 37,781 3,146,024 Inova Mount Vernon Hospital 61,380 - 46,870 - 481,953 - 410,947 - 45,314 6,814 9,916 3,517 277,976 6,169 261,928 14,159 1,596,284 30,660 1,626,944 Stone Springs Hospital Center 73,855 - 10,788 - 213,728 - 68,517 - 34,036 3,525 440 91,870 33,979 3,161 530,298 3,600 533,899 Sentara Leigh Hospital 435,843 - 103,298 - 2,127,435 - 776,688 - 238,602 15,416 32,543 24,884 1,810,117 25,090 550,400 52,590 6,074,926 117,980 6,192,906 Sentara RMH Medical Center 470,971 - 161,367 - 905,372 - 960,816 - 272,600 39,418 102,867 61,794 1,314,208 32,430 562,385 36,179 4,750,585 169,821 4,920,407 Sentara Careplex Hospital 192,607 - 102,189 - 1,170,191 - 1,087,885 - 151,323 31,110 31,433 13,132 1,159,254 16,129 625,665 52,940 4,520,548 113,312 4,633,860 Sentara Obici Hospital 310,271 - 67,342 - 1,833,013 - 767,133 - 93,641 15,349 30,984 11,119 1,467,182 20,868 481,285 32,916 5,050,851 80,251 5,131,102 Sentara Northern Virginia Medical Center 530,081 - 118,938 - 1,451,909 - 926,689 - 244,157 24,867 58,216 20,526 1,174,528 22,103 464,948 24,158 4,969,467 91,655 5,061,122 Wellmont Lonesome Pine Mt. View Hospital 6,650 - 62,408 - 328,349 - 764,865 - 4,581 25,741 29,453 288,227 415,433 19,611 1,896,254 49,064 1,945,318 Sentara Halifax Regional Hospital 129,596 - 42,468 - 293,074 - 571,439 - 19,518 11,641 27,355 13,341 518,764 3,410 318,050 25,284 1,920,263 53,676 1,973,940 Sentara Norfolk General Hospital 1,371,038 - 310,665 - 6,474,093 - 1,730,983 - 655,973 87,098 120,642 22,672 6,070,410 39,286 998,722 49,137 17,732,526 198,194 17,930,720 Sentara Virginia Beach General Hospital 323,916 - 57,567 - 1,055,898 - 579,417 - 71,554 39,893 30,184 11,297 1,162,397 19,179 371,427 33,142 3,652,360 103,510 3,755,870 Sentara Williamsburg Regional Medical Center 100,377 - 44,501 - 529,159 - 398,381 - 66,325 30,203 18,471 8,271 593,470 5,068 251,430 16,693 2,002,114 60,235 2,062,349 Sentara Princess Anne Hospital 213,360 - 60,078 - 953,842 - 529,209 - 127,168 17,534 22,243 7,510 1,071,514 5,205 270,904 26,786 3,248,318 57,035 3,305,353 Norton Community Hospital 33,494 - 39,895 - 582,164 - 491,678 - 14,919 4,332 18,590 10,168 437,417 224,141 33,643 1,842,298 48,143 1,890,441 Martha Jefferson Hospital 111,024 - 77,216 - 571,750 - 477,656 - 66,583 20,724 36,213 5,599 616,639 281,716 15,697 2,238,797 42,020 2,280,817 Johnston Memorial Hospital 83,877 - 87,681 - 1,163,938 - 911,605 - 83,194 5,723 23,586 29,112 973,194 33,164 501,470 38,175 3,828,544 106,175 3,934,718 Smyth County Community Hospital 8,517 - 35,118 - 175,844 - 274,834 - 9,882 10,486 88,804 10,906 130,173 14,983 723,172 36,376 759,547 Riverside Tappahannock Hospital 14,004 - 23,040 - 99,218 - 290,409 - 14,539 3,263 5,992 10,430 53,305 2,710 171,387 18,072 671,894 34,475 706,369 Riverside Regional Medical Center 732,196 - 240,132 - 2,556,765 - 2,023,829 - 321,554 49,294 85,837 45,924 2,092,798 61,651 1,250,956 93,069 9,304,067 249,939 9,554,006 Riverside Walter Reed Hospital 32,123 - 20,333 - 261,778 - 298,702 - 3,076 11,533 4,412 75,492 21,648 158,932 23,001 861,969 49,060 911,029 Riverside Shore Memorial Hospital 83,701 - 132,824 - 230,754 - 504,245 - 116,169 5,450 25,731 13,454 349,896 6,030 330,216 28,374 1,773,536 53,307 1,826,844 Riverside Doctors' Hospital Williamsburg - - 9,200 - 68,523 - 160,513 - 4,717 5,332 2,966 50,231 84,346 11,464 382,863 14,431 397,294 Russell County Medical Center 14,170 - 10,543 - 175,851 - 237,659 - 26,812 3,741 4,348 6,350 230,721 10,161 112,557 13,052 812,661 33,305 845,966 Southern Virginia Regional Medical Center 8,270 - 12,888 - 180,305 - 188,952 - 77,325 1,867 6,618 1,428 125,223 10,535 109,962 9,147 709,543 22,977 732,520 Henrico Doctors' Hospital 1,321,258 - 124,420 - 2,800,245 - 1,102,421 - 498,672 105,959 37,973 26,608 1,902,138 44,268 557,030 25,715 8,344,157 202,550 8,546,707 Haymarket Medical Center 41,282 - 27,559 - 323,102 - 153,346 - 12,774 13,649 15,972 3,116 151,570 2,853 87,342 3,138 812,947 22,755 835,702 Novant Health Prince William Medical Center 597,251 - 97,749 - 776,212 - 482,967 - 378,072 9,050 35,838 9,792 432,204 12,448 296,665 21,131 3,096,956 52,420 3,149,377 Bon Secours St. Mary's Hospital 455,621 - 142,834 - 2,909,169 - 1,312,791 - 261,335 41,929 59,827 14,286 2,300,602 17,511 758,370 34,954 8,200,550 108,680 8,309,230 Bon Secours Mary Immaculate Hospital 140,990 - 58,981 - 1,153,522 - 452,179 - 81,319 11,165 25,364 10,854 1,165,744 2,430 287,428 27,011 3,365,527 51,460 3,416,986 Twin County Regional Hospital 54,344 - 47,929 - 295,451 - 391,881 - 64,338 23,875 9,110 8,024 248,251 32,005 179,355 20,975 1,290,658 84,879 1,375,537 Wythe County Community Hospital 51,205 - 57,010 - 251,689 - 358,925 - 21,138 1,864 13,279 12,121 216,426 3,713 198,932 18,036 1,168,603 35,734 1,204,338 Fauquier Hospital - Hospital in Northern Virginia 117,782 - 36,022 - 364,364 - 332,676 - 48,073 4,445 16,858 6,615 241,498 4,518 163,421 9,945 1,320,694 25,523 1,346,217 Bon Secours Maryview Medical Center 194,236 - 143,712 - 1,794,370 - 1,330,095 - 90,951 4,956 52,426 17,434 1,940,146 37,592 940,309 72,271 6,486,245 132,253 6,618,498 Bon Secours Memorial Regional Medical Center 154,380 - 81,759 - 1,742,915 - 926,055 - 107,127 33,047 28,053 21,469 1,396,483 52,073 444,589 26,330 4,881,361 132,919 5,014,280 Bon Secours Richmond Community Hospital 18,196 - 211,386 - 403,756 - 1,138,637 - 74,342 90,161 14,287 315,037 13,498 637,077 33,248 2,888,593 61,034 2,949,626 Danville Regional Medical Center 311,636 - 249,835 - 1,563,150 - 1,653,202 - 85,812 18,455 55,224 24,878 1,801,055 19,357 846,574 58,356 6,566,489 121,046 6,687,535 Memorial Hospital of Martinsville & Henry County 281,932 - 128,219 - 380,111 - 426,330 - 80,167 11,772 33,974 16,935 408,515 3,077 301,528 18,980 2,040,775 50,764 2,091,539 Bon Secours DePaul Medical Center 163,877 - 72,033 - 1,027,472 - 551,822 - 67,532 20,085 39,498 15,166 1,066,612 28,092 368,017 51,982 3,356,864 115,325 3,472,189 Bon Secours St. Francis Medical Center 249,732 - 50,476 - 978,355 - 511,720 - 56,931 20,287 11,681 932,950 15,723 306,952 25,436 3,107,403 52,841 3,160,244 Virginia Hospital Center 585,537 - 43,659 - 1,224,842 - 344,788 - 336,828 4,230 35,087 4,714 615,425 14,845 292,190 17,768 3,478,356 41,556 3,519,912 LewisGale Medical Center 399,838 - 140,263 - 2,209,654 - 956,481 - 277,468 47,943 29,988 15,714 1,846,157 50,868 326,609 22,975 6,186,457 137,501 6,323,958 Carilion Franklin Memorial Hospital 29,026 - 37,208 - 150,089 - 234,993 - 14,116 10,256 12,795 9,197 100,675 133,075 19,004 711,976 38,457 750,433 Carilion Medical Center 3,114,192 - 417,338 - 9,166,840 - 2,570,538 - 1,362,474 255,012 125,776 55,677 7,518,453 49,723 1,476,103 76,983 25,751,714 437,395 26,189,109 Carilion New River Valley dba St. Albans 194,675 - 88,150 - 958,696 - 632,142 - 173,931 7,784 24,515 22,504 607,601 21,228 316,194 29,977 2,995,905 81,493 3,077,398 Carilion Tazewell Community Hospital 3,513 - 7,165 - 35,433 - 104,407 - 6,585 2,828 42,005 62,061 6,390 261,169 9,218 270,388 LewisGale Hospital - Alleghany 39,479 - 22,497 - 168,122 - 193,413 - 21,643 12,957 2,220 135,522 99,193 5,076 692,827 7,296 700,123 Stafford Hospital Center 127,237 - 39,890 - 390,629 - 308,680 - 99,907 16,750 26,639 7,866 415,862 5,866 254,105 14,127 1,662,948 44,610 1,707,558 Spotsylvania Regional Medical Center 206,702 - 48,004 - 938,786 - 494,576 - 125,204 5,419 32,117 10,634 796,305 72,845 255,470 16,683 2,897,163 105,581 3,002,744 Valley Health Warren Memorial Hospital 9,296 - 38,531 - 99,043 - 386,923 - 7,775 10,293 12,908 5,005 86,809 196,998 15,224 838,283 30,523 868,806 Valley Health Winchester Medical Center 718,863 - 137,389 - 1,784,058 - 728,491 - 351,689 147,329 83,693 23,291 1,375,230 18,731 603,666 29,408 5,783,079 218,759 6,001,838 Reston Hospital Center 374,148 - 31,894 - 712,725 - 227,777 - 156,884 9,628 13,336 5,770 350,104 111,375 5,011 1,978,245 20,409 1,998,654 Novant Health UVA Health System Culpeper Hospital 165,301 - 71,107 - 369,107 - 660,956 - 66,237 7,661 35,995 5,956 271,639 5,319 420,440 20,118 2,060,782 39,054 2,099,837 Centra Health - Virginia Baptist Hospital 838,468 - 220,860 - 3,304,110 - 1,288,727 - 712,250 31,716 240,662 51,672 3,484,668 79,333 1,019,702 42,933 11,109,446 205,653 11,315,099 Centra Southside Community Hospital 94,126 - 40,625 - 573,147 - 409,774 - 99,728 23,808 5,854 540,732 15,456 294,085 9,595 2,076,025 30,904 2,106,929 CJW Medical Center 2,139,776 - 296,302 - 5,943,391 - 1,902,016 - 572,419 66,248 106,054 36,540 5,409,193 91,564 1,016,950 44,691 17,386,101 239,043 17,625,144 Clinch Valley Medical Center 75,057 - 80,635 - 677,975 - 700,526 - 17,247 53,446 47,379 19,934 421,144 18,674 383,981 24,643 2,403,945 116,696 2,520,641 Mary Washington Hospital 935,993 - 132,688 - 2,235,002 - 937,599 - 892,790 30,643 102,010 42,058 2,359,994 59,263 808,429 32,554 8,404,505 164,518 8,569,023 Bedford Memorial Hospital 15,185 - 14,751 - 124,261 - 135,123 - 15,538 11,648 3,725 49,018 60,009 7,199 425,532 10,924 436,456 TOTAL 27,589,580 0 6,360,037 0 87,942,690 0 47,359,652 0 14,076,353 1,657,199 2,722,471 1,107,706 72,903,570 1,368,790 27,686,461 1,850,964 286,640,815 5,984,658 292,625,473 Source: MCO encounters, FFS claims, and BHSA claims payments October 2018 through December 2018 and January 2019 through February 2019 Notes: Totals are net of all encounter and claim payment adjustments; claims with dates of service prior to 4/1/2018 are excluded; encounters with denied/voided status are included; FAMIS claims are excluded Private Acute Care Hospital Supplemental Payments for Rate Enhancement - FY 2020 Payments made August 2, 2019 (Reporting Period March 2019 through May 2019)

FFS MCO TOTAL

Inpatient Outpatient Inpatient Outpatient Facility Non-Exp Exp Non-Exp Exp Non-Exp Exp Non-Exp Exp Non-Exp Exp TOTAL LewisGale Hospital Montgomery 51,465 43,503 25,068 41,317 719,843 116,415 378,352 121,384 1,174,728 322,619 1,497,348 Buchanan General Hospital 4,401 12,367 12,206 259,808 23,601 236,167 81,195 508,342 121,403 629,744 John Randolph Medical Center 82,256 190,615 39,653 89,119 939,893 417,131 756,552 251,500 1,818,354 948,366 2,766,720 LewisGale Hospital Pulaski 4,913 42,297 16,853 35,637 226,066 61,364 346,727 150,443 594,559 289,741 884,300 Southside Regional Medical Center 288,261 546,841 84,087 176,083 2,787,011 512,320 1,117,804 446,564 4,277,163 1,681,809 5,958,971 Southampton Memorial Hospital 22,312 19,640 16,005 19,311 233,939 93,790 244,559 92,528 516,814 225,269 742,083 Augusta Health 209,189 100,513 62,986 114,505 1,341,388 354,137 1,201,654 598,856 2,815,216 1,168,011 3,983,227 Inova Alexandria Hospital 464,761 110,731 61,993 40,581 1,346,390 145,061 791,980 326,473 2,665,124 622,846 3,287,971 Inova Fair Oaks Hospital 307,182 130,727 40,323 42,428 1,069,006 64,571 406,400 138,825 1,822,911 376,550 2,199,461 Inova Fairfax Hospital 3,770,487 921,411 247,007 163,625 8,222,338 1,042,718 2,318,493 613,994 14,558,326 2,741,748 17,300,074 Inova Loudoun Hospital 548,774 159,335 154,863 40,046 933,596 198,068 563,288 135,415 2,200,521 532,863 2,733,385 Inova Mount Vernon Hospital 54,565 82,298 24,444 14,514 443,789 129,934 438,572 177,424 961,370 404,169 1,365,539 Stone Springs Hospital Center 17,843 8,879 7,006 9,336 128,740 4,496 88,525 17,314 242,114 40,025 282,139 Sentara Leigh Hospital 208,884 278,621 50,078 87,601 3,182,366 662,569 1,108,333 502,275 4,549,661 1,531,066 6,080,726 Sentara RMH Medical Center 261,538 229,376 130,135 154,416 2,098,603 493,697 1,087,653 538,783 3,577,929 1,416,271 4,994,200 Sentara Careplex Hospital 188,884 238,375 72,130 65,680 1,677,261 610,007 1,406,520 520,256 3,344,795 1,434,318 4,779,113 Sentara Obici Hospital 209,508 156,983 58,591 46,477 2,447,684 630,055 924,709 369,585 3,640,491 1,203,100 4,843,591 Sentara Northern Virginia Medical Center 587,408 327,859 85,908 80,575 1,693,689 221,819 879,321 318,367 3,246,326 948,620 4,194,946 Wellmont Lonesome Pine Mt. View Hospital 13,376 24,621 70,494 574,578 102,887 838,145 285,916 1,450,721 459,298 1,910,018 Sentara Halifax Regional Hospital 66,234 60,493 46,558 60,363 702,833 62,721 654,009 263,340 1,469,634 446,917 1,916,550 Sentara Norfolk General Hospital 921,036 874,311 215,475 211,191 10,024,710 1,908,365 2,314,465 834,408 13,475,686 3,828,274 17,303,960 Sentara Virginia Beach General Hospital 146,674 252,477 48,189 77,435 1,994,305 597,816 694,105 370,233 2,883,272 1,297,961 4,181,233 Sentara Williamsburg Regional Medical Center 97,524 54,204 17,374 18,928 743,182 212,394 472,028 186,145 1,330,109 471,671 1,801,780 Sentara Princess Anne Hospital 135,565 116,556 32,478 40,857 1,980,702 430,818 691,961 263,448 2,840,706 851,680 3,692,386 Norton Community Hospital 10,660 49,640 19,699 43,771 792,275 126,755 470,095 200,288 1,292,729 420,454 1,713,182 Martha Jefferson Hospital 33,090 95,841 39,168 78,244 979,051 160,004 612,658 211,890 1,663,967 545,978 2,209,945 Johnston Memorial Hospital 55,960 129,558 52,466 81,671 1,800,791 374,303 1,013,022 528,742 2,922,239 1,114,274 4,036,513 Smyth County Community Hospital 10,715 5,192 10,457 24,667 175,759 57,262 260,242 133,542 457,173 220,664 677,837 Riverside Tappahannock Hospital 10,603 5,251 10,978 19,913 184,121 71,067 299,606 173,294 505,308 269,524 774,832 Riverside Regional Medical Center 419,888 451,878 134,192 203,494 4,055,196 1,100,869 2,280,569 922,402 6,889,845 2,678,643 9,568,488 Riverside Walter Reed Hospital 17,288 37,269 14,547 34,730 207,311 111,270 323,008 203,742 562,155 387,010 949,166 Riverside Shore Memorial Hospital 69,927 54,360 34,034 38,379 514,013 124,304 555,522 245,441 1,173,496 462,484 1,635,980 Riverside Doctors' Hospital Williamsburg 29,752 15,178 133,053 71,891 166,981 110,888 329,786 197,957 527,743 Russell County Medical Center 20,821 22,005 4,588 12,565 348,130 77,371 259,445 110,971 632,984 222,913 855,896 Southern Virginia Regional Medical Center 31,647 3,019 9,262 19,411 314,340 21,922 219,906 79,997 575,155 124,350 699,505 Henrico Doctors' Hospital 845,901 694,183 85,819 101,751 3,847,914 691,837 1,084,551 429,034 5,864,186 1,916,806 7,780,992 Haymarket Medical Center 42,911 29,460 25,884 21,647 408,604 13,106 196,666 56,095 674,066 120,307 794,373 Novant Health Prince William Medical Center 439,966 100,101 93,728 88,543 830,236 212,783 523,287 168,684 1,887,218 570,112 2,457,330 Bon Secours St. Mary's Hospital 1,186,344 393,996 122,426 101,313 4,259,599 585,092 1,492,681 437,464 7,061,051 1,517,865 8,578,916 Bon Secours Mary Immaculate Hospital 42,894 137,564 43,520 48,173 1,262,218 232,792 548,526 269,005 1,897,159 687,534 2,584,693 Twin County Regional Hospital 62,900 40,321 15,711 51,080 530,428 208,904 365,094 202,077 974,133 502,382 1,476,515 Wythe County Community Hospital 27,116 24,255 45,091 71,639 384,059 70,214 353,331 167,389 809,597 333,497 1,143,094 Fauquier Hospital - Hospital in Northern Virginia 164,748 89,588 97,516 38,690 398,481 98,223 397,149 126,607 1,057,894 353,108 1,411,002 Bon Secours Maryview Medical Center 257,696 355,415 72,676 150,583 2,760,936 962,778 1,672,223 684,945 4,763,531 2,153,721 6,917,252 Bon Secours Memorial Regional Medical Center 142,137 378,297 93,535 76,604 2,900,002 515,681 797,755 347,776 3,933,430 1,318,358 5,251,787 Bon Secours Richmond Community Hospital 59,551 40,159 224,278 175,520 613,631 131,927 1,423,652 440,869 2,321,112 788,475 3,109,587 Danville Regional Medical Center 89,433 278,951 73,692 144,107 2,403,435 486,763 1,496,998 531,718 4,063,559 1,441,538 5,505,096 Memorial Hospital of Martinsville & Henry County 68,225 229,906 35,204 133,182 1,261,629 308,125 748,323 223,665 2,113,381 894,877 3,008,258 Bon Secours DePaul Medical Center 203,246 259,121 64,705 96,782 1,364,756 370,044 699,632 448,942 2,332,339 1,174,890 3,507,229 Bon Secours St. Francis Medical Center 247,680 130,557 84,713 54,271 1,332,772 278,693 539,727 236,626 2,204,891 700,147 2,905,038 Virginia Hospital Center 556,231 49,474 46,441 14,991 1,489,495 315,521 482,519 202,852 2,574,685 582,839 3,157,524 LewisGale Medical Center 167,237 350,947 43,961 59,351 3,955,241 850,021 942,299 291,661 5,108,739 1,551,980 6,660,719 Carilion Franklin Memorial Hospital 8,456 10,822 25,233 44,277 198,565 58,678 315,425 130,894 547,679 244,671 792,350 Carilion Medical Center 1,667,560 1,752,641 175,947 385,421 14,530,770 1,954,464 3,086,365 937,325 19,460,642 5,029,852 24,490,494 Carilion New River Valley dba St. Albans 149,307 56,096 36,277 97,410 1,838,363 323,379 597,959 344,588 2,621,907 821,472 3,443,379 Carilion Tazewell Community Hospital 5,214 6,725 12,564 120,421 52,863 93,884 39,468 221,030 110,109 331,139 LewisGale Hospital - Alleghany 13,749 11,577 10,247 22,225 243,967 30,914 190,536 72,705 458,499 137,422 595,922 Stafford Hospital Center 218,894 59,593 73,651 59,040 519,091 107,532 377,296 169,181 1,188,933 395,346 1,584,279 Spotsylvania Regional Medical Center 146,248 342,372 31,120 55,743 1,459,965 744,020 456,915 214,651 2,094,249 1,356,786 3,451,035 Valley Health Warren Memorial Hospital 12,409 42,536 23,290 45,436 106,146 30,916 315,594 133,151 457,439 252,039 709,478 Valley Health Winchester Medical Center 339,141 687,797 104,318 145,809 2,556,661 818,631 1,040,323 422,260 4,040,444 2,074,497 6,114,941 Reston Hospital Center 112,017 57,484 24,157 27,568 850,277 154,384 271,284 106,430 1,257,735 345,867 1,603,601 Novant Health UVA Health System Culpeper Hospital 196,267 57,197 79,731 110,108 360,690 56,197 672,787 255,849 1,309,475 479,351 1,788,826 Centra Health - Virginia Baptist Hospital 656,865 439,669 289,280 271,954 7,084,021 1,249,665 2,602,554 845,253 10,632,719 2,806,540 13,439,260 Centra Southside Community Hospital 117,970 59,561 27,174 46,434 900,728 158,123 702,196 243,369 1,748,068 507,486 2,255,554 CJW Medical Center 956,261 1,118,360 169,071 185,749 8,065,764 1,387,728 1,790,247 611,057 10,981,342 3,302,894 14,284,236 Clinch Valley Medical Center 17,867 38,678 21,440 46,849 1,058,337 164,404 683,117 299,509 1,780,762 549,439 2,330,201 Mary Washington Hospital 1,115,632 619,990 155,746 251,710 4,319,080 777,699 1,312,347 451,775 6,902,805 2,101,174 9,003,979 Bedford Memorial Hospital 10,337 12,028 20,299 25,143 238,072 33,254 227,250 79,611 495,958 150,036 645,993 TOTAL 19,682,438 14,758,366 4,475,946 5,546,416 129,730,117 25,829,123 54,921,865 21,148,353 208,810,366 67,282,258 276,092,623

Source: MCO encounters, FFS claims, and BHSA claims payments March 2019 through May 2019 Notes: Totals are net of all encounter and claim payment adjustments; claims with dates of service prior to 4/1/2018 are excluded; encounters with denied/voided status are included; FAMIS claims are excluded Private Acute Care Hospital Supplemental Payments for Rate Enhancement - FY 2020 Payments made November 1, 2019 (Reporting Period June 2019 through August 2019)

FFS MCO TOTAL

Inpatient Outpatient Inpatient Outpatient Facility Non-Exp Exp Non-Exp Exp Non-Exp Exp Non-Exp Exp Non-Exp Exp TOTAL LewisGale Hospital Montgomery 37,661 53,156 19,679 39,340 381,080 129,030 275,186 172,266 713,607 393,791 1,107,398 Buchanan General Hospital 4,027 2,308 10,893 75,101 28,124 141,789 68,848 219,198 111,893 331,090 John Randolph Medical Center 88,563 279,397 29,777 88,065 695,298 437,937 574,756 306,048 1,388,394 1,111,447 2,499,841 LewisGale Hospital Pulaski 6,080 33,935 16,244 56,103 107,905 20,725 230,258 160,733 360,486 271,495 631,982 Southside Regional Medical Center 297,960 935,718 48,197 131,317 1,862,974 748,450 873,954 482,979 3,083,085 2,298,464 5,381,549 Southampton Memorial Hospital 39,972 22,392 4,364 15,414 150,223 117,899 154,685 103,828 349,244 259,533 608,777 Augusta Health 187,411 474,807 92,557 206,431 885,064 583,660 768,194 760,752 1,933,227 2,025,650 3,958,877 Inova Alexandria Hospital 484,915 239,636 49,024 40,015 1,293,406 371,274 609,623 383,681 2,436,967 1,034,605 3,471,572 Inova Fair Oaks Hospital 245,783 98,558 35,092 31,462 1,034,264 239,670 340,200 200,189 1,655,339 569,878 2,225,216 Inova Fairfax Hospital 5,340,290 1,823,536 193,520 165,942 6,827,201 1,533,346 1,880,643 682,409 14,241,654 4,205,233 18,446,887 Inova Loudoun Hospital 651,837 232,183 79,980 51,081 671,186 230,900 422,309 178,713 1,825,312 692,877 2,518,189 Inova Mount Vernon Hospital 47,060 104,436 21,244 18,222 356,378 426,517 347,736 169,926 772,417 719,101 1,491,519 Stone Springs Hospital Center 110,899 13,050 4,508 5,004 209,041 10,172 64,964 37,665 389,412 65,892 455,304 Sentara Leigh Hospital 173,253 341,363 32,340 73,497 2,073,868 1,074,976 845,455 548,868 3,124,917 2,038,704 5,163,621 Sentara RMH Medical Center 167,009 354,332 39,065 131,353 1,102,806 746,031 672,903 527,309 1,981,782 1,759,025 3,740,807 Sentara Careplex Hospital 73,107 310,014 33,926 64,179 1,129,575 883,387 865,933 549,621 2,102,540 1,807,202 3,909,742 Sentara Obici Hospital 148,839 261,565 30,840 44,334 1,619,456 679,009 658,074 410,936 2,457,208 1,395,845 3,853,053 Sentara Northern Virginia Medical Center 539,391 617,577 51,280 81,827 1,348,660 472,495 724,615 334,294 2,663,945 1,506,194 4,170,139 Wellmont Lonesome Pine Mt. View Hospital 28,092 15,643 9,773 25,502 286,164 44,224 474,803 213,085 798,832 298,454 1,097,286 Sentara Halifax Regional Hospital 48,927 62,453 21,630 51,434 550,505 253,115 407,785 290,663 1,028,847 657,666 1,686,513 Sentara Norfolk General Hospital 1,144,545 1,265,910 146,660 163,909 7,212,127 3,368,994 1,380,197 821,264 9,883,528 5,620,077 15,503,605 Sentara Virginia Beach General Hospital 242,107 594,196 29,930 56,281 1,311,588 1,074,137 523,715 430,831 2,107,340 2,155,445 4,262,785 Sentara Williamsburg Regional Medical Center 119,303 102,870 14,295 37,721 422,959 293,492 322,651 185,103 879,208 619,186 1,498,394 Sentara Princess Anne Hospital 155,468 273,892 29,037 32,475 1,224,577 516,113 447,340 283,771 1,856,422 1,106,250 2,962,672 Norton Community Hospital 4,675 22,244 11,309 15,695 702,377 194,432 297,257 205,657 1,015,618 438,028 1,453,646 Martha Jefferson Hospital 183,073 217,555 41,563 51,640 564,180 298,128 364,242 222,330 1,153,058 789,654 1,942,712 Johnston Memorial Hospital 60,905 125,241 24,417 55,966 991,350 410,794 662,746 462,345 1,739,419 1,054,347 2,793,765 Smyth County Community Hospital 17,013 7,578 8,401 18,397 111,283 45,293 190,067 130,374 326,764 201,641 528,405 Riverside Tappahannock Hospital 36,989 3,177 21,280 153,874 33,500 246,589 171,897 403,640 263,666 667,306 Riverside Regional Medical Center 602,037 1,211,270 81,147 188,815 2,833,703 1,271,062 1,799,643 1,056,374 5,316,530 3,727,520 9,044,050 Riverside Walter Reed Hospital 32,291 95,341 4,575 27,196 142,947 198,689 210,133 212,341 389,946 533,567 923,513 Riverside Shore Memorial Hospital 86,613 101,949 18,705 33,381 305,050 95,249 383,454 306,237 793,821 536,816 1,330,637 Riverside Doctors' Hospital Williamsburg 50,709 56,917 12,194 8,236 67,375 63,647 108,264 111,150 238,542 239,950 478,493 Russell County Medical Center 12,746 60,149 3,415 10,806 222,150 183,854 153,478 108,527 391,789 363,337 755,125 Southern Virginia Regional Medical Center 6,877 28,067 7,126 40,710 181,514 71,669 136,983 70,229 332,500 210,675 543,175 Henrico Doctors' Hospital 711,545 541,207 54,373 102,112 3,499,015 1,041,517 763,905 478,639 5,028,839 2,163,475 7,192,313 Haymarket Medical Center 86,977 70,171 14,207 17,852 392,977 78,665 134,180 55,570 628,341 222,257 850,598 Novant Health Prince William Medical Center 577,282 161,626 45,170 47,006 686,884 330,584 436,256 184,165 1,745,592 723,381 2,468,973 Bon Secours St. Mary's Hospital 682,738 478,513 106,743 97,056 3,568,788 1,030,855 1,017,194 466,209 5,375,464 2,072,632 7,448,096 Bon Secours Mary Immaculate Hospital 50,760 236,807 30,511 32,508 1,136,641 496,430 383,080 241,985 1,600,992 1,007,730 2,608,722 Twin County Regional Hospital 55,743 95,707 14,236 20,271 346,124 195,897 234,718 183,568 650,820 495,442 1,146,262 Wythe County Community Hospital 19,214 22,491 16,573 39,480 197,604 54,083 244,650 151,974 478,040 268,028 746,067 Fauquier Hospital - Hospital in Northern Virginia 63,989 40,720 27,420 47,937 236,346 72,645 251,457 151,688 579,212 312,990 892,202 Bon Secours Maryview Medical Center 200,732 531,943 68,378 130,645 1,796,026 1,243,636 1,149,327 759,204 3,214,463 2,665,427 5,879,891 Bon Secours Memorial Regional Medical Center 106,902 1,242,666 46,620 74,653 2,010,708 874,645 514,601 363,139 2,678,830 2,555,103 5,233,933 Bon Secours Richmond Community Hospital 145,384 132,391 71,421 95,887 410,352 186,090 967,255 464,365 1,594,411 878,733 2,473,144 Danville Regional Medical Center 125,795 274,530 52,366 74,759 1,555,036 561,709 1,029,239 631,727 2,762,436 1,542,724 4,305,160 Memorial Hospital of Martinsville & Henry County 55,809 209,458 23,079 72,571 277,550 304,050 531,504 342,524 887,942 928,603 1,816,545 Bon Secours DePaul Medical Center 346,652 238,388 29,069 61,383 754,615 400,434 508,519 424,464 1,638,855 1,124,668 2,763,523 Bon Secours St. Francis Medical Center 334,922 191,245 37,649 43,466 1,160,597 338,359 386,306 281,283 1,919,474 854,353 2,773,827 Virginia Hospital Center 595,798 75,191 27,075 26,095 1,516,868 894,723 364,842 244,937 2,504,584 1,240,946 3,745,530 LewisGale Medical Center 282,697 626,957 22,206 84,325 2,047,738 1,324,882 642,881 380,159 2,995,522 2,416,324 5,411,847 Carilion Franklin Memorial Hospital 4,976 26,480 10,123 30,294 120,728 111,473 260,518 166,140 396,345 334,386 730,731 Carilion Medical Center 2,275,893 2,482,993 126,022 274,440 12,042,891 3,329,234 2,516,545 1,258,203 16,961,351 7,344,870 24,306,220 Carilion New River Valley dba St. Albans 87,464 191,069 24,549 67,605 1,177,707 510,336 603,842 471,863 1,893,562 1,240,873 3,134,436 Carilion Tazewell Community Hospital 4,435 3,296 9,290 24,535 44,336 81,679 59,012 109,511 117,072 226,583 LewisGale Hospital - Alleghany 4,296 14,176 3,203 18,886 202,909 45,209 157,174 85,428 367,582 163,699 531,280 Stafford Hospital Center 157,953 128,953 42,541 40,933 650,396 155,145 331,718 169,634 1,182,608 494,665 1,677,273 Spotsylvania Regional Medical Center 184,338 399,085 22,679 74,706 1,085,350 703,040 317,077 217,915 1,609,444 1,394,746 3,004,189 Valley Health Warren Memorial Hospital 28,494 65,865 11,355 30,051 41,991 59,065 242,462 165,917 324,301 320,898 645,200 Valley Health Winchester Medical Center 494,132 871,683 51,529 87,262 2,239,931 1,073,481 630,467 517,080 3,416,058 2,549,505 5,965,563 Reston Hospital Center 45,168 93,883 16,761 21,162 1,079,350 392,160 203,657 114,550 1,344,937 621,756 1,966,692 Novant Health UVA Health System Culpeper Hospital 110,997 88,859 58,526 46,594 385,970 101,552 452,686 279,984 1,008,180 516,989 1,525,169 Centra Health - Virginia Baptist Hospital 569,285 906,484 142,076 210,084 5,015,636 2,057,899 1,652,649 938,875 7,379,647 4,113,341 11,492,988 Centra Southside Community Hospital 42,574 37,801 20,829 45,666 524,465 208,549 416,265 224,060 1,004,133 516,076 1,520,208 CJW Medical Center 748,992 1,483,945 109,504 172,796 5,955,200 2,474,340 1,430,468 732,080 8,244,165 4,863,161 13,107,326 Clinch Valley Medical Center 42,074 38,100 13,568 45,254 260,939 136,695 514,667 307,790 831,248 527,840 1,359,088 Mary Washington Hospital 940,258 1,066,751 89,810 144,245 2,570,333 1,324,425 870,566 549,872 4,470,968 3,085,293 7,556,260 Bedford Memorial Hospital 4,817 37,436 8,930 21,478 74,475 49,096 138,921 99,955 227,143 207,965 435,108 TOTAL 21,620,061 23,585,952 2,693,694 4,502,672 94,153,882 39,355,232 38,941,897 23,525,200 157,409,535 90,969,057 248,378,592 Source: MCO encounters, FFS claims, and BHSA claims payments June 2019 through August 2019 Notes: Totals are net of all encounter and claim payment adjustments; claims with dates of service prior to 4/1/2018 are excluded; encounters with denied/voided status Private Acute Care Hospital Supplemental Payments for Rate Enhancement - FY 2020

Payments made August 2, 2019 (Reporting Period March 2019 through May 2019) Payments made November 1, 2019 (Reporting Period June 2019 through August 2019)

FFS MCO FFS MCO TOTAL

Inpatient Outpatient Inpatient Outpatient Inpatient Outpatient Inpatient Outpatient

Facility Non-Exp Exp Non-Exp Exp Non-Exp Exp Non-Exp Exp Non-Exp Exp Non-Exp Exp Non-Exp Exp Non-Exp Exp Non-Exp Exp TOTAL LewisGale Hospital Montgomery 51,465 43,503 25,068 41,317 719,843 116,415 378,352 121,384 37,661 53,156 19,679 39,340 381,080 129,030 275,186 172,266 1,888,335 716,410 2,604,745 Buchanan General Hospital 4,401 12,367 12,206 259,808 23,601 236,167 81,195 4,027 2,308 10,893 75,101 28,124 141,789 68,848 727,539 233,295 960,834 John Randolph Medical Center 82,256 190,615 39,653 89,119 939,893 417,131 756,552 251,500 88,563 279,397 29,777 88,065 695,298 437,937 574,756 306,048 3,206,748 2,059,813 5,266,560 LewisGale Hospital Pulaski 4,913 42,297 16,853 35,637 226,066 61,364 346,727 150,443 6,080 33,935 16,244 56,103 107,905 20,725 230,258 160,733 955,045 561,236 1,516,281 Southside Regional Medical Center 288,261 546,841 84,087 176,083 2,787,011 512,320 1,117,804 446,564 297,960 935,718 48,197 131,317 1,862,974 748,450 873,954 482,979 7,360,248 3,980,273 11,340,520 Southampton Memorial Hospital 22,312 19,640 16,005 19,311 233,939 93,790 244,559 92,528 39,972 22,392 4,364 15,414 150,223 117,899 154,685 103,828 866,058 484,802 1,350,860 Augusta Health 209,189 100,513 62,986 114,505 1,341,388 354,137 1,201,654 598,856 187,411 474,807 92,557 206,431 885,064 583,660 768,194 760,752 4,748,442 3,193,661 7,942,103 Inova Alexandria Hospital 464,761 110,731 61,993 40,581 1,346,390 145,061 791,980 326,473 484,915 239,636 49,024 40,015 1,293,406 371,274 609,623 383,681 5,102,092 1,657,451 6,759,543 Inova Fair Oaks Hospital 307,182 130,727 40,323 42,428 1,069,006 64,571 406,400 138,825 245,783 98,558 35,092 31,462 1,034,264 239,670 340,200 200,189 3,478,249 946,428 4,424,677 Inova Fairfax Hospital 3,770,487 921,411 247,007 163,625 8,222,338 1,042,718 2,318,493 613,994 5,340,290 1,823,536 193,520 165,942 6,827,201 1,533,346 1,880,643 682,409 28,799,980 6,946,981 35,746,960 Inova Loudoun Hospital 548,774 159,335 154,863 40,046 933,596 198,068 563,288 135,415 651,837 232,183 79,980 51,081 671,186 230,900 422,309 178,713 4,025,833 1,225,740 5,251,573 Inova Mount Vernon Hospital 54,565 82,298 24,444 14,514 443,789 129,934 438,572 177,424 47,060 104,436 21,244 18,222 356,378 426,517 347,736 169,926 1,733,788 1,123,271 2,857,058 Stone Springs Hospital Center 17,843 8,879 7,006 9,336 128,740 4,496 88,525 17,314 110,899 13,050 4,508 5,004 209,041 10,172 64,964 37,665 631,526 105,917 737,443 Sentara Leigh Hospital 208,884 278,621 50,078 87,601 3,182,366 662,569 1,108,333 502,275 173,253 341,363 32,340 73,497 2,073,868 1,074,976 845,455 548,868 7,674,577 3,569,770 11,244,348 Sentara RMH Medical Center 261,538 229,376 130,135 154,416 2,098,603 493,697 1,087,653 538,783 167,009 354,332 39,065 131,353 1,102,806 746,031 672,903 527,309 5,559,711 3,175,296 8,735,007 Sentara Careplex Hospital 188,884 238,375 72,130 65,680 1,677,261 610,007 1,406,520 520,256 73,107 310,014 33,926 64,179 1,129,575 883,387 865,933 549,621 5,447,336 3,241,520 8,688,856 Sentara Obici Hospital 209,508 156,983 58,591 46,477 2,447,684 630,055 924,709 369,585 148,839 261,565 30,840 44,334 1,619,456 679,009 658,074 410,936 6,097,699 2,598,945 8,696,644 Sentara Northern Virginia Medical Center 587,408 327,859 85,908 80,575 1,693,689 221,819 879,321 318,367 539,391 617,577 51,280 81,827 1,348,660 472,495 724,615 334,294 5,910,271 2,454,814 8,365,085 Wellmont Lonesome Pine Mt. View Hospital 13,376 24,621 70,494 574,578 102,887 838,145 285,916 28,092 15,643 9,773 25,502 286,164 44,224 474,803 213,085 2,249,553 757,752 3,007,305 Sentara Halifax Regional Hospital 66,234 60,493 46,558 60,363 702,833 62,721 654,009 263,340 48,927 62,453 21,630 51,434 550,505 253,115 407,785 290,663 2,498,480 1,104,583 3,603,063 Sentara Norfolk General Hospital 921,036 874,311 215,475 211,191 10,024,710 1,908,365 2,314,465 834,408 1,144,545 1,265,910 146,660 163,909 7,212,127 3,368,994 1,380,197 821,264 23,359,214 9,448,351 32,807,565 Sentara Virginia Beach General Hospital 146,674 252,477 48,189 77,435 1,994,305 597,816 694,105 370,233 242,107 594,196 29,930 56,281 1,311,588 1,074,137 523,715 430,831 4,990,612 3,453,406 8,444,018 Sentara Williamsburg Regional Medical Center 97,524 54,204 17,374 18,928 743,182 212,394 472,028 186,145 119,303 102,870 14,295 37,721 422,959 293,492 322,651 185,103 2,209,317 1,090,857 3,300,174 Sentara Princess Anne Hospital 135,565 116,556 32,478 40,857 1,980,702 430,818 691,961 263,448 155,468 273,892 29,037 32,475 1,224,577 516,113 447,340 283,771 4,697,128 1,957,929 6,655,057 Norton Community Hospital 10,660 49,640 19,699 43,771 792,275 126,755 470,095 200,288 4,675 22,244 11,309 15,695 702,377 194,432 297,257 205,657 2,308,347 858,482 3,166,829 Martha Jefferson Hospital 33,090 95,841 39,168 78,244 979,051 160,004 612,658 211,890 183,073 217,555 41,563 51,640 564,180 298,128 364,242 222,330 2,817,026 1,335,632 4,152,657 Johnston Memorial Hospital 55,960 129,558 52,466 81,671 1,800,791 374,303 1,013,022 528,742 60,905 125,241 24,417 55,966 991,350 410,794 662,746 462,345 4,661,658 2,168,621 6,830,279 Smyth County Community Hospital 10,715 5,192 10,457 24,667 175,759 57,262 260,242 133,542 17,013 7,578 8,401 18,397 111,283 45,293 190,067 130,374 783,938 422,305 1,206,242 Riverside Tappahannock Hospital 10,603 5,251 10,978 19,913 184,121 71,067 299,606 173,294 36,989 3,177 21,280 153,874 33,500 246,589 171,897 908,948 533,190 1,442,138 Riverside Regional Medical Center 419,888 451,878 134,192 203,494 4,055,196 1,100,869 2,280,569 922,402 602,037 1,211,270 81,147 188,815 2,833,703 1,271,062 1,799,643 1,056,374 12,206,375 6,406,163 18,612,538 Riverside Walter Reed Hospital 17,288 37,269 14,547 34,730 207,311 111,270 323,008 203,742 32,291 95,341 4,575 27,196 142,947 198,689 210,133 212,341 952,101 920,577 1,872,678 Riverside Shore Memorial Hospital 69,927 54,360 34,034 38,379 514,013 124,304 555,522 245,441 86,613 101,949 18,705 33,381 305,050 95,249 383,454 306,237 1,967,317 999,300 2,966,617 Riverside Doctors' Hospital Williamsburg 29,752 15,178 133,053 71,891 166,981 110,888 50,709 56,917 12,194 8,236 67,375 63,647 108,264 111,150 568,328 437,907 1,006,235 Russell County Medical Center 20,821 22,005 4,588 12,565 348,130 77,371 259,445 110,971 12,746 60,149 3,415 10,806 222,150 183,854 153,478 108,527 1,024,772 586,249 1,611,022 Southern Virginia Regional Medical Center 31,647 3,019 9,262 19,411 314,340 21,922 219,906 79,997 6,877 28,067 7,126 40,710 181,514 71,669 136,983 70,229 907,655 335,024 1,242,679 Henrico Doctors' Hospital 845,901 694,183 85,819 101,751 3,847,914 691,837 1,084,551 429,034 711,545 541,207 54,373 102,112 3,499,015 1,041,517 763,905 478,639 10,893,025 4,080,281 14,973,306 Haymarket Medical Center 42,911 29,460 25,884 21,647 408,604 13,106 196,666 56,095 86,977 70,171 14,207 17,852 392,977 78,665 134,180 55,570 1,302,407 342,564 1,644,971 Novant Health Prince William Medical Center 439,966 100,101 93,728 88,543 830,236 212,783 523,287 168,684 577,282 161,626 45,170 47,006 686,884 330,584 436,256 184,165 3,632,810 1,293,493 4,926,303 Bon Secours St. Mary's Hospital 1,186,344 393,996 122,426 101,313 4,259,599 585,092 1,492,681 437,464 682,738 478,513 106,743 97,056 3,568,788 1,030,855 1,017,194 466,209 12,436,514 3,590,497 16,027,012 Bon Secours Mary Immaculate Hospital 42,894 137,564 43,520 48,173 1,262,218 232,792 548,526 269,005 50,760 236,807 30,511 32,508 1,136,641 496,430 383,080 241,985 3,498,150 1,695,264 5,193,414 Twin County Regional Hospital 62,900 40,321 15,711 51,080 530,428 208,904 365,094 202,077 55,743 95,707 14,236 20,271 346,124 195,897 234,718 183,568 1,624,954 997,823 2,622,777 Wythe County Community Hospital 27,116 24,255 45,091 71,639 384,059 70,214 353,331 167,389 19,214 22,491 16,573 39,480 197,604 54,083 244,650 151,974 1,287,637 601,524 1,889,161 Fauquier Hospital - Hospital in Northern Virginia 164,748 89,588 97,516 38,690 398,481 98,223 397,149 126,607 63,989 40,720 27,420 47,937 236,346 72,645 251,457 151,688 1,637,105 666,098 2,303,203 Bon Secours Maryview Medical Center 257,696 355,415 72,676 150,583 2,760,936 962,778 1,672,223 684,945 200,732 531,943 68,378 130,645 1,796,026 1,243,636 1,149,327 759,204 7,977,995 4,819,149 12,797,143 Bon Secours Memorial Regional Medical Center 142,137 378,297 93,535 76,604 2,900,002 515,681 797,755 347,776 106,902 1,242,666 46,620 74,653 2,010,708 874,645 514,601 363,139 6,612,260 3,873,461 10,485,721 Bon Secours Richmond Community Hospital 59,551 40,159 224,278 175,520 613,631 131,927 1,423,652 440,869 145,384 132,391 71,421 95,887 410,352 186,090 967,255 464,365 3,915,524 1,667,208 5,582,732 Danville Regional Medical Center 89,433 278,951 73,692 144,107 2,403,435 486,763 1,496,998 531,718 125,795 274,530 52,366 74,759 1,555,036 561,709 1,029,239 631,727 6,825,994 2,984,262 9,810,256 Memorial Hospital of Martinsville & Henry County 68,225 229,906 35,204 133,182 1,261,629 308,125 748,323 223,665 55,809 209,458 23,079 72,571 277,550 304,050 531,504 342,524 3,001,322 1,823,480 4,824,802 Bon Secours DePaul Medical Center 203,246 259,121 64,705 96,782 1,364,756 370,044 699,632 448,942 346,652 238,388 29,069 61,383 754,615 400,434 508,519 424,464 3,971,194 2,299,559 6,270,752 Bon Secours St. Francis Medical Center 247,680 130,557 84,713 54,271 1,332,772 278,693 539,727 236,626 334,922 191,245 37,649 43,466 1,160,597 338,359 386,306 281,283 4,124,365 1,554,500 5,678,865 Virginia Hospital Center 556,231 49,474 46,441 14,991 1,489,495 315,521 482,519 202,852 595,798 75,191 27,075 26,095 1,516,868 894,723 364,842 244,937 5,079,269 1,823,785 6,903,054 LewisGale Medical Center 167,237 350,947 43,961 59,351 3,955,241 850,021 942,299 291,661 282,697 626,957 22,206 84,325 2,047,738 1,324,882 642,881 380,159 8,104,261 3,968,305 12,072,566 Carilion Franklin Memorial Hospital 8,456 10,822 25,233 44,277 198,565 58,678 315,425 130,894 4,976 26,480 10,123 30,294 120,728 111,473 260,518 166,140 944,024 579,057 1,523,081 Carilion Medical Center 1,667,560 1,752,641 175,947 385,421 14,530,770 1,954,464 3,086,365 937,325 2,275,893 2,482,993 126,022 274,440 12,042,891 3,329,234 2,516,545 1,258,203 36,421,993 12,374,722 48,796,714 Carilion New River Valley dba St. Albans 149,307 56,096 36,277 97,410 1,838,363 323,379 597,959 344,588 87,464 191,069 24,549 67,605 1,177,707 510,336 603,842 471,863 4,515,469 2,062,346 6,577,815 Carilion Tazewell Community Hospital 5,214 6,725 12,564 120,421 52,863 93,884 39,468 4,435 3,296 9,290 24,535 44,336 81,679 59,012 330,542 227,181 557,722 LewisGale Hospital - Alleghany 13,749 11,577 10,247 22,225 243,967 30,914 190,536 72,705 4,296 14,176 3,203 18,886 202,909 45,209 157,174 85,428 826,081 301,121 1,127,202 Stafford Hospital Center 218,894 59,593 73,651 59,040 519,091 107,532 377,296 169,181 157,953 128,953 42,541 40,933 650,396 155,145 331,718 169,634 2,371,541 890,011 3,261,552 Spotsylvania Regional Medical Center 146,248 342,372 31,120 55,743 1,459,965 744,020 456,915 214,651 184,338 399,085 22,679 74,706 1,085,350 703,040 317,077 217,915 3,703,692 2,751,531 6,455,224 Valley Health Warren Memorial Hospital 12,409 42,536 23,290 45,436 106,146 30,916 315,594 133,151 28,494 65,865 11,355 30,051 41,991 59,065 242,462 165,917 781,740 572,937 1,354,678 Valley Health Winchester Medical Center 339,141 687,797 104,318 145,809 2,556,661 818,631 1,040,323 422,260 494,132 871,683 51,529 87,262 2,239,931 1,073,481 630,467 517,080 7,456,502 4,624,002 12,080,504 Reston Hospital Center 112,017 57,484 24,157 27,568 850,277 154,384 271,284 106,430 45,168 93,883 16,761 21,162 1,079,350 392,160 203,657 114,550 2,602,671 967,622 3,570,293 Novant Health UVA Health System Culpeper Hospital 196,267 57,197 79,731 110,108 360,690 56,197 672,787 255,849 110,997 88,859 58,526 46,594 385,970 101,552 452,686 279,984 2,317,655 996,340 3,313,995 Centra Health - Virginia Baptist Hospital 656,865 439,669 289,280 271,954 7,084,021 1,249,665 2,602,554 845,253 569,285 906,484 142,076 210,084 5,015,636 2,057,899 1,652,649 938,875 18,012,366 6,919,881 24,932,247 Centra Southside Community Hospital 117,970 59,561 27,174 46,434 900,728 158,123 702,196 243,369 42,574 37,801 20,829 45,666 524,465 208,549 416,265 224,060 2,752,200 1,023,562 3,775,762 CJW Medical Center 956,261 1,118,360 169,071 185,749 8,065,764 1,387,728 1,790,247 611,057 748,992 1,483,945 109,504 172,796 5,955,200 2,474,340 1,430,468 732,080 19,225,507 8,166,055 27,391,562 Clinch Valley Medical Center 17,867 38,678 21,440 46,849 1,058,337 164,404 683,117 299,509 42,074 38,100 13,568 45,254 260,939 136,695 514,667 307,790 2,612,010 1,077,278 3,689,289 Mary Washington Hospital 1,115,632 619,990 155,746 251,710 4,319,080 777,699 1,312,347 451,775 940,258 1,066,751 89,810 144,245 2,570,333 1,324,425 870,566 549,872 11,373,773 5,186,466 16,560,240 Bedford Memorial Hospital 10,337 12,028 20,299 25,143 238,072 33,254 227,250 79,611 4,817 37,436 8,930 21,478 74,475 49,096 138,921 99,955 723,101 358,001 1,081,101 TOTAL 19,682,438 14,758,366 4,475,946 5,546,416 129,730,117 25,829,123 54,921,865 21,148,353 21,620,061 23,585,952 2,693,694 4,502,672 94,153,882 39,355,232 38,941,897 23,525,200 366,219,900 158,251,314 524,471,215

Source: MCO encounters, FFS claims, and BHSA claims payments March 2019 through May 2019 and June 2019 through August 2019 Notes: Totals are net of all encounter and claim payment adjustments; claims with dates of service prior to 4/1/2018 are excluded; encounters with denied/voided status are included; FAMIS claims are excluded