2015 Cesarean Section Results ‐ ©The Leapfrog Group City State Cesarean Section Rate Cesarean Section Results Allegan General Hospital Allegan MI Declined to Respond Allegiance Health Jackson MI Declined to Respond Alpena Regional Medical Center Alpena MI Declined to Respond Aspirus Grand View Hospital Ironwood MI Declined to Respond Aspirus Keweenaw Hospital Laurium MI Declined to Respond Aspirus Ontonagon Hospital Ontonagon MI Declined to Respond Baraga County Memorial Hospital L'Anse MI Declined to Respond Beaumont Hospital ‐ Grosse Pointe Grosse Pointe MI Declined to Respond Beaumont Hospital ‐ Troy Troy MI Declined to Respond Beaumont Hospital, Royal Oak Royal Oak MI Declined to Respond Bell Hospital Ishpeming MI Declined to Respond Borgess Medical Center Kalamazoo MI Declined to Respond Borgess‐Lee Memorial Hospital Dowagiac MI Declined to Respond Botsford Hospital Farmington Hills MI Declined to Respond Bronson Battle Creek Battle Creek MI 21.6% Fully Meets Standard Bronson LakeView Hospital Paw Paw MI Declined to Respond Bronson Methodist Hospital Kalamazoo MI 25.8% Substantial Progress C.S. Mott Children's Hospital Ann Arbor MI 22.2% Fully Meets Standard Caro Community Hospital Caro MI Declined to Respond Carson City Hospital Carson City MI 29.1% Some Progress Charlevoix Area Hospital Charlevoix MI Declined to Respond Children's Hospital of Michigan Detroit MI Does Not Apply Clinton Memorial/Sparrow Clinton St Johns MI Declined to Respond Community Health Center of Branch County Coldwater MI Declined to Respond Covenant Medical Center Harrison Campus Saginaw MI Declined to Respond Crittenton Hospital Medical Center Rochester MI Declined to Respond Detroit Receiving Hospital and University Health Center Detroit MI Does Not Apply Dickinson County Healthcare System Iron Mountain MI 40.9% Willing to Report Doctors' Hospital of Michigan Pontiac MI Declined to Respond Eaton Rapids Medical Center Eaton Rapids MI Declined to Respond Forest Health Medical Center Ypsilanti MI Declined to Respond Garden City Hospital Garden City MI 18.0% Fully Meets Standard Genesys Regional Medical Center Grand Blanc MI Declined to Respond Harbor Beach Community Hospital Harbor Beach MI Declined to Respond Harper‐Hutzel Hospital Detroit MI 21.9% Fully Meets Standard Hayes Green Beach Memorial Hospital Charlotte MI Declined to Respond Helen DeVos Children's Hospital Grand Rapids MI Does Not Apply Helen Newberry Joy Hospital Newberry MI Declined to Respond

Data current as of September 30, 2015 This document may not be published in its entirety without written consent from The Leapfrog Group www.leapfroggroup.org/c‐section 2015 Cesarean Section Results ‐ Michigan ©The Leapfrog Group Hospital City State Cesarean Section Rate Cesarean Section Results Detroit MI 24.0% Substantial Progress Henry Ford Macomb Clinton Township MI 27.9% Some Progress Henry Ford West Bloomfield Hospital West Bloomfield MI 24.7% Substantial Progress Henry Ford Wyandotte Hospital Wyandotte MI 23.8% Fully Meets Standard Hills and Dales General Hospital Cass City MI Declined to Respond Hillsdale Community Health Center Hillsdale MI 33.3% Some Progress Holland Hospital Holland MI Declined to Respond Flint MI Declined to Respond Huron Medical Center Bad Axe MI Declined to Respond Huron Valley‐Sinai Hospital Commerce Township MI 26.4% Substantial Progress Kalkaska Memorial Health Center Kalkaska MI Declined to Respond Lake Huron Medical Center Port Huron MI Does Not Apply Lakeland Community Hospital Niles Niles MI Declined to Respond Lakeland Community Hospital, Watervliet Watervliet MI Declined to Respond Lakeland Regional Medical Center‐St. Joseph St. Joseph MI Declined to Respond Mackinac Straits Hospital & Health Center Saint Ignace MI Declined to Respond Marlette Regional Hospital Marlette MI Declined to Respond Marquette General Health System Marquette MI Declined to Respond McKenzie Memorial Hospital Sandusky MI Declined to Respond McLaren ‐ Bay Region Bay City MI Declined to Respond McLaren ‐ Greater Lansing Lansing MI Declined to Respond McLaren ‐ Lapeer Region Lapeer MI 28.8% Some Progress McLaren ‐ Northern Michigan Petoskey MI 37.8% Willing to Report McLaren ‐ Oakland Pontiac MI Does Not Apply McLaren Mount Pleasant MI Declined to Respond McLaren Flint Flint MI Declined to Respond McLaren Macomb Mount Clemens MI 15.0% Fully Meets Standard McLaren Port Huron Hospital Port Huron MI 28.5% Some Progress Memorial Healthcare Owosso MI Declined to Respond Mercy Health Hackley Campus Muskegon MI 22.1% Fully Meets Standard Mercy Health Lakeshore Campus Shelby MI Declined to Respond Mercy Health Mercy Campus Muskegon MI Does Not Apply Mercy Health Saint Mary's Grand Rapids MI 24.2% Substantial Progress Mercy Hospital of Cadillac Cadillac MI Declined to Respond Mercy Hospital of Grayling Grayling MI Declined to Respond Mercy Memorial Hospital Monroe MI Declined to Respond Wyoming MI 28.0% Some Progress MidMichigan Medical Center ‐ Gladwin Gladwin MI Declined to Respond

Data current as of September 30, 2015 This document may not be published in its entirety without written consent from The Leapfrog Group www.leapfroggroup.org/c‐section 2015 Cesarean Section Results ‐ Michigan ©The Leapfrog Group Hospital City State Cesarean Section Rate Cesarean Section Results MidMichigan Medical Center‐Clare Clare MI Declined to Respond MidMichigan Medical Center‐Gratiot Alma MI Declined to Respond MidMichigan Medical Center‐Midland Midland MI Declined to Respond Munising Memorial Hospital Munising MI Declined to Respond Traverse City MI Declined to Respond NORTHSTAR Health System Iron River MI Declined to Respond North Ottawa Community Hospital Grand Haven MI Declined to Respond OSF St. Francis Hospital Escanaba MI 42.0% Willing to Report Oaklawn Hospital Marshall MI Declined to Respond Oakwood Annapolis Hospital Wayne MI Declined to Respond Oakwood Heritage Hospital Taylor MI Declined to Respond Oakwood Hospital & Medical Center‐Dearborn Dearborn MI Declined to Respond Oakwood Southshore Medical Center Trenton MI Declined to Respond Otsego Memorial Hospital Gaylord MI Declined to Respond Paul Oliver Memorial Hospital Frankfort MI Declined to Respond Pennock Hospital Hastings MI 33.3% Some Progress Portage Health Hancock MI Declined to Respond ProMedica Bixby Hospital Adrian MI Declined to Respond ProMedica Herrick Hospital Tecumseh MI Declined to Respond Providence Hospital Southfield MI Declined to Respond Providence Park Hospital Novi MI Declined to Respond Scheurer Hospital Pigeon MI Declined to Respond Schoolcraft Memorial Hospital Manistique MI Declined to Respond Sheridan Community Hospital Sheridan MI Declined to Respond Sinai‐Grace Hospital Detroit MI 34.4% Willing to Report South Haven Community Hospital South Haven MI Declined to Respond & Health System Lansing MI 25.2% Substantial Progress Sparrow Ionia Hospital Ionia MI Declined to Respond Spectrum Health Big Rapids Hospital Big Rapids MI Declined to Respond Spectrum Health Blodgett Hospital Grand Rapids MI Does Not Apply Spectrum Health Butterworth Hospital Grand Rapids MI 23.3% Fully Meets Standard Spectrum Health Gerber Memorial Fremont MI 26.9% Substantial Progress Spectrum Health Kelsey Hospital Lakeview MI Does Not Apply Spectrum Health Ludington Hospital Ludington MI 36.6% Willing to Report Spectrum Health Reed City Hospital Reed City MI Does Not Apply Spectrum Health United Hospital Greenville MI 24.0% Substantial Progress Spectrum Health Zeeland Community Hospital Zeeland MI 11.9% Fully Meets Standard St. John Hospital and Medical Center Detroit MI Declined to Respond

Data current as of September 30, 2015 This document may not be published in its entirety without written consent from The Leapfrog Group www.leapfroggroup.org/c‐section 2015 Cesarean Section Results ‐ Michigan ©The Leapfrog Group Hospital City State Cesarean Section Rate Cesarean Section Results St. John Macomb Hospital Warren MI Declined to Respond St. John Oakland Hospital Madison Heights MI Declined to Respond St. John River District Hospital East China MI Declined to Respond St. Joseph Health System Tawas City MI Declined to Respond St. Joseph Mercy ‐ Chelsea Chelsea MI Does Not Apply St. Joseph Mercy Hospital, Ann Arbor Ypsilanti MI 26.4% Substantial Progress St. Joseph Mercy Livingston Hospital Howell MI Does Not Apply St. Joseph Mercy Oakland Pontiac MI 30.5% Some Progress St. Mary Mercy Hospital Livonia MI 22.8% Fully Meets Standard St. Mary's of Michigan Standish Hospital Standish MI Declined to Respond St. Mary's of Michigan of Saginaw Saginaw MI Declined to Respond Sturgis Hospital Sturgis MI Declined to Respond Three Rivers Health Three Rivers MI Declined to Respond University of Michigan Hospitals and Health Centers Ann Arbor MI Does Not Apply War Memorial Hospital Sault Sainte Marie MI 29.8% Some Progress West Branch Regional Medical Center West Branch MI Declined to Respond West Shore Medical Center Manistee MI Declined to Respond

Data current as of September 30, 2015 This document may not be published in its entirety without written consent from The Leapfrog Group www.leapfroggroup.org/c‐section