Ivantage Health Analytics and NOSORH Announce Top Performing Rural Hospitals November 15Th, 2013

iVantage Health Analytics and NOSORH Announce Top Performing Rural Hospitals November 15th, 2013

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 Alaska  Mississippi  Alabama  Montana  Arkansas  North Carolina  Arizona  North Dakota  California  Nebraska  Colorado  New Hampshire  Connecticut  New Mexico  Delaware  Nevada  Florida  New York  Georgia  Ohio  Hawaii  Oklahoma  Iowa  Oregon  Idaho  Pennsylvania  Illinois  South Carolina  Indiana  South Dakota  Kansas  Tennessee  Kentucky  Texas  Louisiana  Utah  Massachusetts  Virginia  Maryland  Vermont  Maine  Washington  Michigan  Wisconsin  Minnesota  West Virginia  Missouri  Wyoming

Alaska

On November 21st leaders of Rural Health from across the country will celebrate National Rural Health Day in recognition of the tremendous accomplishments that have been achieved in rural healthcare. In this spirit, iVantage Health Analytics offers a data-driven program to recognize excellence across a broad spectrum of indicators relevant to hospital performance and patient care.

The National Organization of State Offices of Rural Health (NOSORH) and iVantage Health Analytics recognizes Alaska as having 5 hospitals reach top quartile performance status in Quality, Outcomes, Patient Satisfaction, Efficiency and overall performance compared to all acute care hospitals in the nation. The rankings have been designated by the Hospital Strength IndexTM, the first rating system in the country to include all rural providers.

2013 3 Rural Hospitals are recognized for Overall Excellence – Top quartile performers based on the overall HSI ranking (Market, Value-Based and Financial Indicators).

 Central Peninsula General Hospital  Peacehealth Ketchikan Medical Center  South Peninsula Hospital

2 Rural Hospitals are recognized for Excellence in Quality – Top quartile performers in the Quality-Base pillar of the HSI (AMI, HF, PN, SCIP, OP Process of Care Scores)

 Central Peninsula General Hospital  Mount Edgecumbe Hospital

2 Rural Hospitals are recognized for Excellence in Outcomes – Top quartile performers in the Outcomes pillar of the HSI (Patient Safety Indicators, Readmissions, Mortality).

 South Peninsula Hospital  Yukon Kuskokwim Delta Regional Hospital

1 Rural Hospital is recognized for Excellence in Patient Satisfaction – Top quartile performers in the Patient Perspective pillar of the HSI (HCAHPS “Willingness to recommend” and “Overall Quality”).

 South Peninsula Hospital About iVantage Health Analytics iVantage Health Analytics™ is a privately held company serving more than 500 hospitals across the United States. iVantage Health provides comprehensive and objective information products to help hospitals and health systems improve performance our unique approach connects executive dashboards, hospital and system-level market analytics, clinical benchmarking, physician scorecards and off-quality cost analysis to deliver new perspectives for managing under the New Healthcare. Alabama

The National Organization of State Offices of Rural Health (NOSORH) and iVantage Health Analytics recognizes Alabama as having 24 hospitals reach top quartile performance status in Quality, Outcomes, Patient Satisfaction, Efficiency and overall performance compared to all acute care hospitals in the nation. The rankings have been designated by the Hospital Strength IndexTM, the first rating system in the country to include all rural providers.

2013

5 Rural Hospitals are recognized for Excellence in Quality – Top quartile performers in the Quality-Base pillar of the HSI (AMI, HF, PN, SCIP, OP Process of Care Scores)

 Andalusia Regional Hospital  LV Stabler Memorial Hospital  Northwest Medical Center  Pickens County Medical Center  Russellville Hospital

2 Rural Hospitals are recognized for Excellence in Patient Satisfaction – Top quartile performers in the Patient Perspective pillar of the HSI (HCAHPS “Willingness to recommend” and “Overall Quality”).

 Cherokee Medical Center  Fayette Medical Center

10 Rural Hospitals are recognized for Excellence in Efficiency – Top quartile performers in the Cost and Charge pillar of the HSI (Medicare IP and OP Costs and Charges).

 Bryan W Whitfield Memorial Hospital Inc.  Crenshaw Community Hospital  DW McMillan Memorial Hospital  Evergreen Medical Center  Grove Hill Memorial Hospital  Hill Hospital OF Sumter County  J Paul Jones Hospital  Mizell Memorial Hospital  Monroe County Hospital  Wedowee Hospital About iVantage Health Analytics iVantage Health Analytics™ is a privately held company serving more than 500 hospitals across the United States. iVantage Health provides comprehensive and objective information products to help hospitals and health systems improve performance our unique approach connects executive dashboards, hospital and system-level market analytics, clinical benchmarking, physician scorecards and off-quality cost analysis to deliver new perspectives for managing under the New Healthcare. Arkansas

The National Organization of State Offices of Rural Health (NOSORH) and iVantage Health Analytics recognizes Arkansas as having 23 hospitals reach top quartile performance status in Quality, Outcomes, Patient Satisfaction, Efficiency and overall performance compared to all acute care hospitals in the nation. The rankings have been designated by the Hospital Strength IndexTM, the first rating system in the country to include all rural providers.

2013 1 Rural Hospital is recognized for Overall Excellence – Top quartile performers based on the overall HSI ranking (Market, Value-Based and Financial Indicators).

 Howard Memorial Hospital

8 Rural Hospitals are recognized for Excellence in Quality – Top quartile performers in the Quality-Base pillar of the HSI (AMI, HF, PN, SCIP, OP Process of Care Scores)

 Crossridge Community Hospital  Dallas County Medical Center  Eureka Springs Hospital LLC  Five Rivers Medical Center  Harris Hospital  Lawrence Memorial Hospital  Ozark Health  Piggott Community Hospital

2 Rural Hospitals are recognized for Excellence in Outcomes – Top quartile performers in the Outcomes pillar of the HSI (Patient Safety Indicators, Readmissions, Mortality).

 Baptist Health Medical Center Heber Spings  Mercy Hospital Scott County

 Baptist Health Medical Center Heber Spings  Howard Memorial Hospital 15 Rural Hospitals are recognized for Excellence in Efficiency – Top quartile performers in the Cost and Charge pillar of the HSI (Medicare IP and OP Costs and Charges).

 Community Medical Center Izard County  Crossridge Community Hospital  Dallas County Medical Center  De Queen Medical Center Inc.  Delta Memorial Hospital  Drew Memorial Hospital  Fulton County Hospital  Hot Spring County Medical Center  Howard Memorial Hospital  Johnson Regional Medical Center  Lawrence Memorial Hospital  Ozark Health  Ozarks Community Hospital OF Gravette  Piggott Community Hospital  Stone County Medical Center

About iVantage Health Analytics iVantage Health Analytics™ is a privately held company serving more than 500 hospitals across the United States. iVantage Health provides comprehensive and objective information products to help hospitals and health systems improve performance our unique approach connects executive dashboards, hospital and system-level market analytics, clinical benchmarking, physician scorecards and off-quality cost analysis to deliver new perspectives for managing under the New Healthcare. Arizona

The National Organization of State Offices of Rural Health (NOSORH) and iVantage Health Analytics recognizes Arizona as having 10 hospitals reach top quartile performance status in Quality, Outcomes, Patient Satisfaction, Efficiency and overall performance compared to all acute care hospitals in the nation. The rankings have been designated by the Hospital Strength IndexTM, the first rating system in the country to include all rural providers.

2013 1 Rural Hospital is recognized for Overall Excellence – Top quartile performers based on the overall HSI ranking (Market, Value-Based and Financial Indicators).

 Cobre Valley Regional Medical Center

2 Rural Hospitals are recognized for Excellence in Quality – Top quartile performers in the Quality-Base pillar of the HSI (AMI, HF, PN, SCIP, OP Process of Care Scores)

 Carondelet Holy Cross Hospital  Page Hospital

8 Rural Hospitals are recognized for Excellence in Outcomes – Top quartile performers in the Outcomes pillar of the HSI (Patient Safety Indicators, Readmissions, Mortality).

 Benson Hospital  Chinle Comprehensive Health Care Facility  Cobre Valley Regional Medical Center  Copper Queen Community Hospital  Little Colorado Medical Center  Northern Cochise Community Hospital  Sage Memorial Hospital  Wickenburg Community Hospital

6 Rural Hospitals are recognized for Excellence in Efficiency – Top quartile performers in the Cost and Charge pillar of the HSI (Medicare IP and OP Costs and Charges).

 Benson Hospital  Cobre Valley Regional Medical Center  Copper Queen Community Hospital  Northern Cochise Community Hospital  Page Hospital  Wickenburg Community Hospital About iVantage Health Analytics iVantage Health Analytics™ is a privately held company serving more than 500 hospitals across the United States. iVantage Health provides comprehensive and objective information products to help hospitals and health systems improve performance our unique approach connects executive dashboards, hospital and system-level market analytics, clinical benchmarking, physician scorecards and off-quality cost analysis to deliver new perspectives for managing under the New Healthcare. California

The National Organization of State Offices of Rural Health (NOSORH) and iVantage Health Analytics recognizes California as having 16 hospitals reach top quartile performance status in Quality, Outcomes, Patient Satisfaction, Efficiency and overall performance compared to all acute care hospitals in the nation. The rankings have been designated by the Hospital Strength IndexTM, the first rating system in the country to include all rural providers.

2013

5 Rural Hospitals are recognized for Excellence in Quality – Top quartile performers in the Quality-Base pillar of the HSI (AMI, HF, PN, SCIP, OP Process of Care Scores)

 Frank R Howard Memorial Hospital  John C Fremont Healthcare District  Mammoth Hospital  Mercy Medical Center Mount Shasta  Saint Helena Hospital – Clearlake

6 Rural Hospitals are recognized for Excellence in Outcomes – Top quartile performers in the Outcomes pillar of the HSI (Patient Safety Indicators, Readmissions, Mortality).

 Kern Valley Healthcare District  Mammoth Hospital  Plumas District Hospital  Sutter Lakeside Hospital  Tahoe Forest Hospital  Trinity Hospital

5 Rural Hospitals are recognized for Excellence in Patient Satisfaction – Top quartile performers in the Patient Perspective pillar of the HSI (HCAHPS “Willingness to recommend” and “Overall Quality”).

 Frank R Howard Memorial Hospital  Healdsburg District Hospital  Mercy Medical Center Mount Shasta  Santa Ynez Valley Cottage Hospital  Tahoe Forest Hospital 3 Rural Hospitals are recognized for Excellence in Efficiency – Top quartile performers in the Cost and Charge pillar of the HSI (Medicare IP and OP Costs and Charges).

 Healdsburg District Hospital  Modoc Medical Center  Plumas District Hospital

The National Organization of State Offices of Rural Health (NOSORH) and iVantage Health Analytics recognizes Colorado as having 21 hospitals reach top quartile performance status in Quality, Outcomes, Patient Satisfaction, Efficiency and overall performance compared to all acute care hospitals in the nation. The rankings have been designated by the Hospital Strength IndexTM, the first rating system in the country to include all rural providers.

2013 6 Rural Hospitals are recognized for Overall Excellence – Top quartile performers based on the overall HSI ranking (Market, Value-Based and Financial Indicators).

 Aspen Valley Hospital  Gunnison Valley Hospital  Heart OF The Rockies Regional Medical Center  San Luis Valley Regional Medical Center  Valley View Hospital Association  Yampa Valley Medical Center

3 Rural Hospitals are recognized for Excellence in Quality – Top quartile performers in the Quality-Base pillar of the HSI (AMI, HF, PN, SCIP, OP Process of Care Scores)

 Southwest Memorial Hospital  Valley View Hospital Association  Yampa Valley Medical Center

9 Rural Hospitals are recognized for Excellence in Outcomes – Top quartile performers in the Outcomes pillar of the HSI (Patient Safety Indicators, Readmissions, Mortality).

 Arkansas Valley Regional Medical Center  Aspen Valley Hospital  Estes Park Medical Center  Family Health West Hospital  Grand River Medical Center  Pikes Peak Regional Hospital  San Luis Valley Regional Medical Center  Valley View Hospital Association  Yampa Valley Medical Center 9 Rural Hospitals are recognized for Excellence in Patient Satisfaction – Top quartile performers in the Patient Perspective pillar of the HSI (HCAHPS “Willingness to recommend” and “Overall Quality”).

 Aspen Valley Hospital  East Morgan County Hospital District  Gunnison Valley Hospital  Heart OF The Rockies Regional Medical Center  Keefe Memorial Hospital  Pikes Peak Regional Hospital  Pioneers Medical Center  Valley View Hospital Association  Yampa Valley Medical Center

6 Rural Hospitals are recognized for Excellence in Efficiency – Top quartile performers in the Cost and Charge pillar of the HSI (Medicare IP and OP Costs and Charges).

 East Morgan County Hospital District  Gunnison Valley Hospital  Pagosa Mountain Hospital  Prowers Medical Center  Rio Grande Hospital  San Luis Valley Regional Medical Center

The National Organization of State Offices of Rural Health (NOSORH) and iVantage Health Analytics recognizes Connecticut as having 2 hospitals reach top quartile performance status in Quality, Outcomes, Patient Satisfaction, Efficiency and overall performance compared to all acute care hospitals in the nation. The rankings have been designated by the Hospital Strength IndexTM, the first rating system in the country to include all rural providers.

2013

1 Rural Hospital is recognized for Excellence in Outcomes – Top quartile performers in the Outcomes pillar of the HSI (Patient Safety Indicators, Readmissions, Mortality).

 Day Kimball Hospital

1 Rural Hospital is recognized for Excellence in Efficiency – Top quartile performers in the Cost and Charge pillar of the HSI (Medicare IP and OP Costs and Charges).

 Charlotte Hungerford Hospital

About iVantage Health Analytics

™ iVantage Health Analytics is a privately held company serving more than 500 hospitals across the United States. iVantage Health provides comprehensive and objective information products to help hospitals and health systems improve performance our unique approach connects executive dashboards, hospital and system-level market analytics, clinical benchmarking, physician scorecards and off-quality cost analysis to deliver new perspectives for managing under the New Healthcare.

Delaware

The National Organization of State Offices of Rural Health (NOSORH) and iVantage Health Analytics recognizes Delaware as having 2 hospitals reach top quartile performance status in Quality, Outcomes, Patient Satisfaction, Efficiency and overall performance compared to all acute care hospitals in the nation. The rankings have been designated by the Hospital Strength IndexTM, the first rating system in the country to include all rural providers.

2013 2 Rural Hospitals are recognized for Overall Excellence – Top quartile performers based on the overall HSI ranking (Market, Value-Based and Financial Indicators).

 Nanticoke Memorial Hospital  Beebe Medical Center

1 Rural Hospital is recognized for Excellence in Quality – Top quartile performers in the Quality-Base pillar of the HSI (AMI, HF, PN, SCIP, OP Process of Care Scores)

 Beebe Medical Center

1 Rural Hospital is recognized for Excellence in Outcomes – Top quartile performers in the Outcomes pillar of the HSI (Patient Safety Indicators, Readmissions, Mortality).

 Nanticoke Memorial Hospital  Beebe Medical Center

About iVantage Health Analytics

Florida

The National Organization of State Offices of Rural Health (NOSORH) and iVantage Health Analytics recognizes Florida as having 10 hospitals reach top quartile performance status in Quality, Outcomes, Patient Satisfaction, Efficiency and overall performance compared to all acute care hospitals in the nation. The rankings have been designated by the Hospital Strength IndexTM, the first rating system in the country to include all rural providers.

2013 2 Rural Hospitals are recognized for Overall Excellence – Top quartile performers based on the overall HSI ranking (Market, Value-Based and Financial Indicators).

 Jackson Hospital  Sacred Heart Hospital On The Emerald Coast

1 Rural Hospital is recognized for Excellence in Quality – Top quartile performers in the Quality-Base pillar of the HSI (AMI, HF, PN, SCIP, OP Process of Care Scores)

 Shands Starke Regional Medical Center

2 Rural Hospitals are recognized for Excellence in Outcomes – Top quartile performers in the Outcomes pillar of the HSI (Patient Safety Indicators, Readmissions, Mortality).

 Florida Hospital Wauchula  Sacred Heart Hospital On The Emerald Coast

 Sacred Heart Hospital On The Emerald Coast

7 Rural Hospitals are recognized for Excellence in Efficiency – Top quartile performers in the Cost and Charge pillar of the HSI (Medicare IP and OP Costs and Charges).

 Calhoun - Liberty Hospital Inc.  Doctor's Memorial Hospital Inc.  George E Weems Memorial Hospital  Jackson Hospital  Madison County Memorial Hospital  Shands Live Oak Regional Medical Center  Tri County Hospital - Williston About iVantage Health Analytics iVantage Health Analytics™ is a privately held company serving more than 500 hospitals across the United States. iVantage Health provides comprehensive and objective information products to help hospitals and health systems improve performance our unique approach connects executive dashboards, hospital and system-level market analytics, clinical benchmarking, physician scorecards and off-quality cost analysis to deliver new perspectives for managing under the New Healthcare. Georgia

The National Organization of State Offices of Rural Health (NOSORH) and iVantage Health Analytics recognizes Georgia as having 31 hospitals reach top quartile performance status in Quality, Outcomes, Patient Satisfaction, Efficiency and overall performance compared to all acute care hospitals in the nation. The rankings have been designated by the Hospital Strength IndexTM, the first rating system in the country to include all rural providers.

2013

7 Rural Hospitals are recognized for Excellence in Quality – Top quartile performers in the Quality-Base pillar of the HSI (AMI, HF, PN, SCIP, OP Process of Care Scores)

 Chatuge Regional Hospital  Clinch Memorial Hospital  Effingham County Hospital  Fannin Regional Hospital  Good Samaritan Hospital Inc.  Grady General Hospital  Monroe County Hospital

6 Rural Hospitals are recognized for Excellence in Outcomes – Top quartile performers in the Outcomes pillar of the HSI (Patient Safety Indicators, Readmissions, Mortality).

 Charlton Memorial Hospital  Chestatee Regional Hospital  Donalsonville Hospital Inc.  Evans Memorial Hospital  Memorial Hospital OF Adel Inc.  Northridge Medical Center

4 Rural Hospitals are recognized for Excellence in Patient Satisfaction – Top quartile performers in the Patient Perspective pillar of the HSI (HCAHPS “Willingness to recommend” and “Overall Quality”).

 Brooks County Hospital  Clinch Memorial Hospital  Higgins General Hospital  Union General Hospital 13 Rural Hospitals are recognized for Excellence in Efficiency – Top quartile performers in the Cost and Charge pillar of the HSI (Medicare IP and OP Costs and Charges).

 Bleckley Memorial Hospital  Brooks County Hospital  Candler County Hospital  Charlton Memorial Hospital  Chatuge Regional Hospital  Dodge County Hospital  Higgins General Hospital  Jeff Davis Hospital  Lower Oconee Community Hospital Inc.  Peach Regional Medical Center  Putnam General Hospital  Taylor Regional Hospital  Washington County Regional Medical Center

The National Organization of State Offices of Rural Health (NOSORH) and iVantage Health Analytics recognizes Hawaii as having 2 hospitals reach top quartile performance status in Quality, Outcomes, Patient Satisfaction, Efficiency and overall performance compared to all acute care hospitals in the nation. The rankings have been designated by the Hospital Strength IndexTM, the first rating system in the country to include all rural providers.

2013

1 Rural Hospital is recognized for Excellence in Outcomes – Top quartile performers in the Outcomes pillar of the HSI (Patient Safety Indicators, Readmissions, Mortality).

 Kauai Veterans Memorial Hospital

The National Organization of State Offices of Rural Health (NOSORH) and iVantage Health Analytics recognizes Iowa as having 63 hospitals reach top quartile performance status in Quality, Outcomes, Patient Satisfaction, Efficiency and overall performance compared to all acute care hospitals in the nation. The rankings have been designated by the Hospital Strength IndexTM, the first rating system in the country to include all rural providers.

2013 7 Rural Hospitals are recognized for Overall Excellence – Top quartile performers based on the overall HSI ranking (Market, Value-Based and Financial Indicators).

 Alegent Health Community Memorial Hospital  Avera Holy Family Hospital  Burgess Health Center  Cass County Memorial Hospital  Myrtue Medical Center  Orange City Area Health System  Sioux Center Community Hospital & Health Center

15 Rural Hospitals are recognized for Excellence in Quality – Top quartile performers in the Quality-Base pillar of the HSI (AMI, HF, PN, SCIP, OP Process of Care Scores)

 Alegent Health Community Memorial Hospital  Alegent Health Mercy Hospital  Genesis Medical Center - Dewitt  Grinnell Regional Medical Center  Jackson County Regional Health Center  Lucas County Health Center  Mahaska Health Partnership  Marengo Memorial Hospital  Mercy Hospital OF Franciscan Sisters - Oelwein  Mercy Medical Center - New Hampton  Myrtue Medical Center  Palmer Lutheran Health Center  Sioux Center Community Hospital & Health Center  Winneshiek Medical Center  Wright Medical Center 7 Rural Hospitals are recognized for Excellence in Outcomes – Top quartile performers in the Outcomes pillar of the HSI (Patient Safety Indicators, Readmissions, Mortality).

 Alegent Health Community Memorial Hospital  Alegent Health Mercy Hospital  Avera Holy Family Hospital  Monroe County Hospital  Orange City Area Health System  Palo Alto County Hospital  Winneshiek Medical Center

27 Rural Hospitals are recognized for Excellence in Patient Satisfaction – Top quartile performers in the Patient Perspective pillar of the HSI (HCAHPS “Willingness to recommend” and “Overall Quality”).

 Alegent Health Community Memorial Hospital  Alegent Health Mercy Hospital  Audubon County Memorial Hospital  Avera Holy Family Hospital  Belmond Medical Center  Burgess Health Center  Clarke County Hospital  Dallas County Hospital  Floyd County Memorial Hospital  Floyd Valley Hospital  Grinnell Regional Medical Center  Grundy County Memorial Hospital  Hawarden Community Hospital  Hegg Memorial Health Center  Henry County Health Center  Jefferson County Health Center  Knoxville Hospital & Clinics  Madison County Memorial Hospital  Montgomery County Memorial Hospital  Osceola Community Hospital  Pella Regional Health Center  Saint Anthony Regional Hospital & Nursing Home  Sioux Center Community Hospital & Health Center  Stewart Memorial Community Hospital  Washington County Hospital  Waverly Health Center  Wright Medical Center

25 Rural Hospitals are recognized for Excellence in Efficiency – Top quartile performers in the Cost and Charge pillar of the HSI (Medicare IP and OP Costs and Charges).

 Burgess Health Center  Cherokee Regional Medical Center  Decatur County Hospital  Ellsworth Municipal Hospital  Floyd Valley Hospital  Genesis Medical Center - Dewitt  Hancock County Memorial Hospital  Hegg Memorial Health Center  Jackson County Regional Health Center  Jones Regional Medical Center  Loring Hospital  Manning Regional Healthcare Center  Marengo Memorial Hospital  Mercy Medical Center - Centerville  Myrtue Medical Center  Orange City Area Health System  Pella Regional Health Center  Pocahontas Community Hospital  Shenandoah Medical Center  Sioux Center Community Hospital & Health Center  Story County Hospital  Virginia Gay Hospital  Washington County Hospital  Waverly Health Center  Winneshiek Medical Center

The National Organization of State Offices of Rural Health (NOSORH) and iVantage Health Analytics recognizes Idaho as having 11 hospitals reach top quartile performance status in Quality, Outcomes, Patient Satisfaction, Efficiency and overall performance compared to all acute care hospitals in the nation. The rankings have been designated by the Hospital Strength IndexTM, the first rating system in the country to include all rural providers.

2013 1 Rural Hospital is recognized for Overall Excellence – Top quartile performers based on the overall HSI ranking (Market, Value-Based and Financial Indicators).

 Gritman Medical Center

3 Rural Hospitals are recognized for Excellence in Outcomes – Top quartile performers in the Outcomes pillar of the HSI (Patient Safety Indicators, Readmissions, Mortality).

 Saint Luke's McCall  Saint Lukes Wood River Medical Center  Steele Memorial Medical Center

 Gritman Medical Center  Saint Lukes Wood River Medical Center

2 Rural Hospitals are recognized for Excellence in Efficiency – Top quartile performers in the Cost and Charge pillar of the HSI (Medicare IP and OP Costs and Charges).

 Saint Marys Hospital  Steele Memorial Medical Center About iVantage Health Analytics iVantage Health Analytics™ is a privately held company serving more than 500 hospitals across the United States. iVantage Health provides comprehensive and objective information products to help hospitals and health systems improve performance our unique approach connects executive dashboards, hospital and system-level market analytics, clinical benchmarking, physician scorecards and off-quality cost analysis to deliver new perspectives for managing under the New Healthcare. Illinois

The National Organization of State Offices of Rural Health (NOSORH) and iVantage Health Analytics recognizes Illinois as having 34 hospitals reach top quartile performance status in Quality, Outcomes, Patient Satisfaction, Efficiency and overall performance compared to all acute care hospitals in the nation. The rankings have been designated by the Hospital Strength IndexTM, the first rating system in the country to include all rural providers.

2013 3 Rural Hospitals are recognized for Overall Excellence – Top quartile performers based on the overall HSI ranking (Market, Value-Based and Financial Indicators).

 Rochelle Community Hospital  Saint Joseph's Hospital  Taylorville Memorial Hospital

7 Rural Hospitals are recognized for Excellence in Quality – Top quartile performers in the Quality-Base pillar of the HSI (AMI, HF, PN, SCIP, OP Process of Care Scores)

 Hammond Henry Hospital  Hardin County General Hospital  Mason District Hospital  Mercy Harvard Hospital  Red Bud Regional Hospital  Union County Hospital  Valley West Community Hospital

3 Rural Hospitals are recognized for Excellence in Outcomes – Top quartile performers in the Outcomes pillar of the HSI (Patient Safety Indicators, Readmissions, Mortality).

 Saint Joseph Memorial Hospital  Saint Joseph's Hospital  Taylorville Memorial Hospital

9 Rural Hospitals are recognized for Excellence in Patient Satisfaction – Top quartile performers in the Patient Perspective pillar of the HSI (HCAHPS “Willingness to recommend” and “Overall Quality”).

 Abraham Lincoln Memorial Hospital  Carlinville Area Hospital  Gibson Community Hospital  Hammond Henry Hospital  Illini Community Hospital  Mason District Hospital  Osf Holy Family Medical Center  Rochelle Community Hospital  Saint Joseph Memorial Hospital

15 Rural Hospitals are recognized for Excellence in Efficiency – Top quartile performers in the Cost and Charge pillar of the HSI (Medicare IP and OP Costs and Charges).

 Carlinville Area Hospital  Clay County Hospital  Community Memorial Hospital  Ferrell Hospital Community Foundations  Hamilton Memorial Hospital District  Hardin County General Hospital  Iroquois Memorial Hospital  Lawrence County Memorial Hospital  Memorial Hospital  Mercy Harvard Hospital  Pana Community Hospital  Paris Community Hospital  Saint Joseph's Hospital  Sparta Community Hospital  Wabash General Hospital

The National Organization of State Offices of Rural Health (NOSORH) and iVantage Health Analytics recognizes Indiana as having 23 hospitals reach top quartile performance status in Quality, Outcomes, Patient Satisfaction, Efficiency and overall performance compared to all acute care hospitals in the nation. The rankings have been designated by the Hospital Strength IndexTM, the first rating system in the country to include all rural providers.

2013 2 Rural Hospitals are recognized for Overall Excellence – Top quartile performers based on the overall HSI ranking (Market, Value-Based and Financial Indicators).

 Decatur County Memorial Hospital  Margaret Mary Community Hospital Inc.

6 Rural Hospitals are recognized for Excellence in Quality – Top quartile performers in the Quality-Base pillar of the HSI (AMI, HF, PN, SCIP, OP Process of Care Scores)

 Decatur County Memorial Hospital  Dukes Memorial Hospital  Indiana University Health Bedford Hospital  Indiana University Health Blackford Hospital  Indiana University Health Tipton Hospital Inc.  Pulaski Memorial Hospital

2 Rural Hospitals are recognized for Excellence in Outcomes – Top quartile performers in the Outcomes pillar of the HSI (Patient Safety Indicators, Readmissions, Mortality).

 Jay County Hospital  Parkview Lagrange Hospital

 Indiana University Health Tipton Hospital Inc.  Margaret Mary Community Hospital Inc.  Parkview Lagrange Hospital  Wabash County Hospital 8 Rural Hospitals are recognized for Excellence in Efficiency – Top quartile performers in the Cost and Charge pillar of the HSI (Medicare IP and OP Costs and Charges).

 Adams Memorial Hospital  Indiana University Health Paoli Hospital  Indiana University Health White Memorial Hospital  Margaret Mary Community Hospital Inc.  Putnam County Hospital  Saint Vincent Dunn Hospital Inc.  Scott County Memorial Hospital Aka Scott Memorial  Sullivan County Community Hospital

The National Organization of State Offices of Rural Health (NOSORH) and iVantage Health Analytics recognizes Kansas as having 50 hospitals reach top quartile performance status in Quality, Outcomes, Patient Satisfaction, Efficiency and overall performance compared to all acute care hospitals in the nation. The rankings have been designated by the Hospital Strength IndexTM, the first rating system in the country to include all rural providers.

2013 1 Rural Hospital is recognized for Overall Excellence – Top quartile performers based on the overall HSI ranking (Market, Value-Based and Financial Indicators).

 Kingman Community Hospital

5 Rural Hospitals are recognized for Excellence in Quality – Top quartile performers in the Quality-Base pillar of the HSI (AMI, HF, PN, SCIP, OP Process of Care Scores)

 Allen County Hospital  Atchison Hospital  Nemaha Valley Community Hospital  Neosho Memorial Regional Medical Center  Sabetha Community Hospital

7 Rural Hospitals are recognized for Excellence in Outcomes – Top quartile performers in the Outcomes pillar of the HSI (Patient Safety Indicators, Readmissions, Mortality).

 Cheyenne County Hospital  Clara Barton Hospital  Clay County Medical Center  Greeley County Health Services  Hospital District #6 OF Harper County  Norton County Hospital  Rawlins County Health Center

12 Rural Hospitals are recognized for Excellence in Patient Satisfaction – Top quartile performers in the Patient Perspective pillar of the HSI (HCAHPS “Willingness to recommend” and “Overall Quality”).

 Anderson County Hospital  Coffey County Hospital  Community Hospital Onaga AND Saint Marys Campus  Ellsworth County Medical Center  Girard Medical Center  Meade District Hospital  Memorial Hospital  Neosho Memorial Regional Medical Center  Pratt Regional Medical Center  Sabetha Community Hospital  Wamego City Hospital  Wilson Medical Center

24 Rural Hospitals are recognized for Excellence in Efficiency – Top quartile performers in the Cost and Charge pillar of the HSI (Medicare IP and OP Costs and Charges).

 Coffey County Hospital  Community Memorial Healthcare Inc.  Goodland Regional Medical Center  Graham County Hospital  Hanover Hospital  Herington Municipal Hospital  Hiawatha Community Hospital  Holton Community Hospital  Horton Community Hospital  Kingman Community Hospital  Lindsborg Community Hospital  Logan County Hospital  Minneola District Hospital #2  Morton County Hospital  Nemaha Valley Community Hospital  Norton County Hospital  Osborne County Memorial Hospital  Oswego Community Hospital  Pratt Regional Medical Center  Rawlins County Health Center  Russell Regional Hospital  Sabetha Community Hospital  Trego County Lemke Memorial Hospital  William Newton Hospital

The National Organization of State Offices of Rural Health (NOSORH) and iVantage Health Analytics recognizes Kentucky as having 36 hospitals reach top quartile performance status in Quality, Outcomes, Patient Satisfaction, Efficiency and overall performance compared to all acute care hospitals in the nation. The rankings have been designated by the Hospital Strength IndexTM, the first rating system in the country to include all rural providers.

2013 4 Rural Hospitals are recognized for Overall Excellence – Top quartile performers based on the overall HSI ranking (Market, Value-Based and Financial Indicators).

 Marcum and Wallace Memorial Hospital  Saint Joseph Berea  Spring View Hospital  Twin Lakes Regional Medical Center

6 Rural Hospitals are recognized for Excellence in Quality – Top quartile performers in the Quality-Base pillar of the HSI (AMI, HF, PN, SCIP, OP Process of Care Scores)

 Ephraim McDowell Fort Logan Hospital  Harlan Appalachian Regional Healthcare Hospital  McDowell ARH Hospital  Paul B Hall Regional Medical Center  Three Rivers Medical Center  Twin Lakes Regional Medical Center

2 Rural Hospitals are recognized for Excellence in Outcomes – Top quartile performers in the Outcomes pillar of the HSI (Patient Safety Indicators, Readmissions, Mortality).

 Logan Memorial Hospital  Memorial Hospital

 Clinton County Hospital Inc.  Marcum AND Wallace Memorial Hospital  McDowell ARH Hospital  Pikeville Medical Center  Saint Elizabeth Grant  Saint Joseph Berea  Saint Joseph Martin  Westlake Regional Hospital  Whitesburg ARH Hospital

15 Rural Hospitals are recognized for Excellence in Efficiency – Top quartile performers in the Cost and Charge pillar of the HSI (Medicare IP and OP Costs and Charges).

 Caverna Memorial Hospital  Clinton County Hospital Inc.  Harrison Memorial Hospital  Highlands Regional Medical Center  Knox County Hospital  Livingston Hospital AND Healthcare Services Inc.  Marcum AND Wallace Memorial Hospital  Marshall County Hospital  Monroe County Medical Center  Ohio County Hospital  Russell County Hospital  Saint Joseph Berea  Trigg County Hospital  Twin Lakes Regional Medical Center  Wayne County Hospital

The National Organization of State Offices of Rural Health (NOSORH) and iVantage Health Analytics recognizes Louisiana as having 22 hospitals reach top quartile performance status in Quality, Outcomes, Patient Satisfaction, Efficiency and overall performance compared to all acute care hospitals in the nation. The rankings have been designated by the Hospital Strength IndexTM, the first rating system in the country to include all rural providers.

2013

4 Rural Hospitals are recognized for Excellence in Quality – Top quartile performers in the Quality-Base pillar of the HSI (AMI, HF, PN, SCIP, OP Process of Care Scores)

 Pointe Coupee General Hospital  Reeves Memorial Medical Center  Union General Hospital  West Feliciana Parish Hospital

4 Rural Hospitals are recognized for Excellence in Outcomes – Top quartile performers in the Outcomes pillar of the HSI (Patient Safety Indicators, Readmissions, Mortality).

 Caldwell Memorial Hospital  Hardtner Medical Center  Oakdale Community Hospital  Saint Martin Hospital

8 Rural Hospitals are recognized for Excellence in Patient Satisfaction – Top quartile performers in the Patient Perspective pillar of the HSI (HCAHPS “Willingness to recommend” and “Overall Quality”).

 Assumption Community Hospital  Caldwell Memorial Hospital  Citizens Medical Center  Lady OF The Sea General Hospital  Lallie Kemp Medical Center  Mercy Regional Medical Center  Richland Parish Hospital - Delhi  West Feliciana Parish Hospital 6 Rural Hospitals are recognized for Excellence in Efficiency – Top quartile performers in the Cost and Charge pillar of the HSI (Medicare IP and OP Costs and Charges).

 Assumption Community Hospital  East Carroll Parish Hospital  Hood Memorial Hospital  Lallie Kemp Medical Center  Pointe Coupee General Hospital  Richardson Medical Center

The National Organization of State Offices of Rural Health (NOSORH) and iVantage Health Analytics recognizes Massachusetts as having 4 hospitals reach top quartile performance status in Quality, Outcomes, Patient Satisfaction, Efficiency and overall performance compared to all acute care hospitals in the nation. The rankings have been designated by the Hospital Strength IndexTM, the first rating system in the country to include all rural providers.

2013 1 Rural Hospital is recognized for Overall Excellence – Top quartile performers based on the overall HSI ranking (Market, Value-Based and Financial Indicators).

 Martha's Vineyard Hospital Inc.

1 Rural Hospital is recognized for Excellence in Quality – Top quartile performers in the Quality-Base pillar of the HSI (AMI, HF, PN, SCIP, OP Process of Care Scores)

 Fairview Hospital

2 Rural Hospitals are recognized for Excellence in Outcomes – Top quartile performers in the Outcomes pillar of the HSI (Patient Safety Indicators, Readmissions, Mortality).

 Fairview Hospital  Martha's Vineyard Hospital Inc.

3 Rural Hospitals are recognized for Excellence in Patient Satisfaction – Top quartile performers in the Patient Perspective pillar of the HSI (HCAHPS “Willingness to recommend” and “Overall Quality”).

 Fairview Hospital  Martha's Vineyard Hospital Inc.  Nantucket Cottage Hospital

3 Rural Hospitals are recognized for Excellence in Efficiency – Top quartile performers in the Cost and Charge pillar of the HSI (Medicare IP and OP Costs and Charges).

 Athol Memorial Hospital  Fairview Hospital  Martha's Vineyard Hospital Inc. About iVantage Health Analytics iVantage Health Analytics™ is a privately held company serving more than 500 hospitals across the United States. iVantage Health provides comprehensive and objective information products to help hospitals and health systems improve performance our unique approach connects executive dashboards, hospital and system-level market analytics, clinical benchmarking, physician scorecards and off-quality cost analysis to deliver new perspectives for managing under the New Healthcare. Maryland

The National Organization of State Offices of Rural Health (NOSORH) and iVantage Health Analytics recognizes Maryland as having 2 hospitals reach top quartile performance status in Quality, Outcomes, Patient Satisfaction, Efficiency and overall performance compared to all acute care hospitals in the nation. The rankings have been designated by the Hospital Strength IndexTM, the first rating system in the country to include all rural providers.

2013

1 Rural Hospital is recognized for Excellence in Outcomes – Top quartile performers in the Outcomes pillar of the HSI (Patient Safety Indicators, Readmissions, Mortality).

 Chester River Hospital Center

1 Rural Hospital is recognized for Excellence in Efficiency – Top quartile performers in the Cost and Charge pillar of the HSI (Medicare IP and OP Costs and Charges).

 Garrett County Memorial Hospital

The National Organization of State Offices of Rural Health (NOSORH) and iVantage Health Analytics recognizes Maine as having 19 hospitals reach top quartile performance status in Quality, Outcomes, Patient Satisfaction, Efficiency and overall performance compared to all acute care hospitals in the nation. The rankings have been designated by the Hospital Strength IndexTM, the first rating system in the country to include all rural providers.

2013 4 Rural Hospitals are recognized for Overall Excellence – Top quartile performers based on the overall HSI ranking (Market, Value-Based and Financial Indicators).

 Bridgton Hospital  Miles Memorial Hospital (Lincoln County Healthcare  Northern Maine Medical Center  Redington Fairview General Hospital

9 Rural Hospitals are recognized for Excellence in Quality – Top quartile performers in the Quality-Base pillar of the HSI (AMI, HF, PN, SCIP, OP Process of Care Scores)

 Bridgton Hospital  Down East Community Hospital  Maine Coast Memorial Hospital  Mayo Regional Hospital  Miles Memorial Hospital (Lincoln County Healthcare  Mount Desert Island Hospital  Penobscot Valley Hospital  Saint Andrews Hospital (Lincoln County Healthcare)  The Aroostook Medical Center

7 Rural Hospitals are recognized for Excellence in Outcomes – Top quartile performers in the Outcomes pillar of the HSI (Patient Safety Indicators, Readmissions, Mortality).

 Charles A Dean Memorial Hospital  Houlton Regional Hospital  Miles Memorial Hospital (Lincoln County Healthcare  Mount Desert Island Hospital  Northern Maine Medical Center  Redington Fairview General Hospital  The Aroostook Medical Center 9 Rural Hospitals are recognized for Excellence in Patient Satisfaction – Top quartile performers in the Patient Perspective pillar of the HSI (HCAHPS “Willingness to recommend” and “Overall Quality”).

 Blue Hill Memorial Hospital  Cary Medical Center  Charles A Dean Memorial Hospital  Maine Coast Memorial Hospital  Miles Memorial Hospital (Lincoln County Healthcare  Millinocket Regional Hospital  Mount Desert Island Hospital  Redington Fairview General Hospital  Saint Andrews Hospital (Lincoln County Healthcare)

8 Rural Hospitals are recognized for Excellence in Efficiency – Top quartile performers in the Cost and Charge pillar of the HSI (Medicare IP and OP Costs and Charges).

 Blue Hill Memorial Hospital  Bridgton Hospital  Down East Community Hospital  Mayo Regional Hospital  Millinocket Regional Hospital  Penobscot Valley Hospital  Rumford Hospital  Waldo County General Hospital

The National Organization of State Offices of Rural Health (NOSORH) and iVantage Health Analytics recognizes Michigan as having 41 hospitals reach top quartile performance status in Quality, Outcomes, Patient Satisfaction, Efficiency and overall performance compared to all acute care hospitals in the nation. The rankings have been designated by the Hospital Strength IndexTM, the first rating system in the country to include all rural providers.

2013 4 Rural Hospitals are recognized for Overall Excellence – Top quartile performers based on the overall HSI ranking (Market, Value-Based and Financial Indicators).

 Hayes Green Beach Memorial Hospital  Hillsdale Community Health Center  McLaren - Northern Michigan  Mercy Hospital – Grayling

10 Rural Hospitals are recognized for Excellence in Quality – Top quartile performers in the Quality-Base pillar of the HSI (AMI, HF, PN, SCIP, OP Process of Care Scores)

 Aspirus Grand View Hospital  Aspirus Keweenaw Hospital  Caro Community Hospital  Hayes Green Beach Memorial Hospital  Herrick Memorial Hospital  Hillsdale Community Health Center  Ionia County Memorial Hospital  Kalkaska Memorial Health Center  Mercy Hospital - Grayling  Midmichigan Medical Center - Gladwin

11 Rural Hospitals are recognized for Excellence in Outcomes – Top quartile performers in the Outcomes pillar of the HSI (Patient Safety Indicators, Readmissions, Mortality).

 Charlevoix Area Hospital  Hayes Green Beach Memorial Hospital  Marlette Regional Hospital  McKenzie Memorial Hospital  McLaren - Northern Michigan  Memorial Medical Center OF West Michigan  Mercy Hospital - Grayling  Saint Mary's Standish Community Hospital  Spectrum Health United Memorial - Kelsey Campus  Tawas Saint Joseph Hospital  West Branch Regional Medical Center

 Allegan General Hospital  Bronson Lakeview Hospital  Carson City Hospital  Clinton Memorial Hospital  Eaton Rapids Medical Center  Harbor Beach Community Hospital  McLaren - Northern Michigan  Saint Mary's Standish Community Hospital  Scheurer Hospital  Sheridan Community Hospital  Spectrum Health United Memorial - Kelsey Campus  Spectrum Health United Memorial - United Campus

30 Rural Hospitals are recognized for Excellence in Efficiency – Top quartile performers in the Cost and Charge pillar of the HSI (Medicare IP and OP Costs and Charges).

 Aspirus Grand View Hospital  Aspirus Keweenaw Hospital  Aspirus Ontonagon Hospital Inc.  Baraga County Memorial Hospital  Bell Memorial Hospital  Caro Community Hospital  Carson City Hospital  Charlevoix Area Hospital  Clinton Memorial Hospital  Eaton Rapids Medical Center  Hayes Green Beach Memorial Hospital  Hills & Dales General Hospital  Hillsdale Community Health Center  Huron Medical Center  Marlette Regional Hospital  McKenzie Memorial Hospital  McLaren - Northern Michigan  Mercy Health Partners Lakeshore Campus  Midmichigan Medical Center - Clare  Midmichigan Medical Center - Gladwin  Munising Memorial Hospital  Saint Mary's Standish Community Hospital  Scheurer Hospital  Schoolcraft Memorial Hospital  Spectrum Health - Reed City Campus  Spectrum Health United Memorial - Kelsey Campus  Spectrum Health United Memorial - United Campus  Tawas Saint Joseph Hospital  West Branch Regional Medical Center  West Shore Medical Center About iVantage Health Analytics iVantage Health Analytics™ is a privately held company serving more than 500 hospitals across the United States. iVantage Health provides comprehensive and objective information products to help hospitals and health systems improve performance our unique approach connects executive dashboards, hospital and system-level market analytics, clinical benchmarking, physician scorecards and off-quality cost analysis to deliver new perspectives for managing under the New Healthcare. Minnesota

The National Organization of State Offices of Rural Health (NOSORH) and iVantage Health Analytics recognizes Minnesota as having 53 hospitals reach top quartile performance status in Quality, Outcomes, Patient Satisfaction, Efficiency and overall performance compared to all acute care hospitals in the nation. The rankings have been designated by the Hospital Strength IndexTM, the first rating system in the country to include all rural providers.

2013 4 Rural Hospitals are recognized for Overall Excellence – Top quartile performers based on the overall HSI ranking (Market, Value-Based and Financial Indicators).

 Essentia Health Fosston  Fairview Northland Regional Hospital  Grand Itasca Clinic AND Hospital  New Ulm Medical Center

7 Rural Hospitals are recognized for Excellence in Quality – Top quartile performers in the Quality-Base pillar of the HSI (AMI, HF, PN, SCIP, OP Process of Care Scores)

 Essentia Health Fosston  Fairview Northland Regional Hospital  New Ulm Medical Center  Northern Pines Medical Center  Ortonville Area Health Services  Paynesville Area Hospital  Saint Elizabeth Medical Center

12 Rural Hospitals are recognized for Excellence in Outcomes – Top quartile performers in the Outcomes pillar of the HSI (Patient Safety Indicators, Readmissions, Mortality).

 Centracare Health System - Melrose Hospital  Essentia Health Saint Marys  Fairview Northland Regional Hospital  Mayo Clinic Health System - New Prague  Meeker Memorial Hospital  Mille Lacs Health System  Murray County Memorial Hospital  New River Medical Center  New Ulm Medical Center  Saint Elizabeth Medical Center  Saint Michaels Hospital & Nursing Home  Sleepy Eye Municipal Hospital

26 Rural Hospitals are recognized for Excellence in Patient Satisfaction – Top quartile performers in the Patient Perspective pillar of the HSI (HCAHPS “Willingness to recommend” and “Overall Quality”).

 Albany Area Hospital  Bigfork Valley Hospital  Cuyuna Regional Medical Center  Essentia Health Fosston  Fairview Northland Regional Hospital  Glacial Ridge Hospital  Johnson Memorial Hospital  Lakewood Health System  Mayo Clinic Health System - Lake City  Mayo Clinic Health System - Saint James  Mayo Clinic Health System - Springfield  Meeker Memorial Hospital  Ortonville Area Health Services  Paynesville Area Hospital  Perham Memorial Hospital & Home  Redwood Area Hospital  River's Edge Hospital & Clinic  Riverview Hospital  Riverwood Healthcare Center  Saint Elizabeth Medical Center  Saint Gabriels Hospital  Saint Josephs Area Health Services  Sanford Luverne Medical Center  Sanford Tracy  Sanford Westbrook Medical Center  United Hospital District

16 Rural Hospitals are recognized for Excellence in Efficiency – Top quartile performers in the Cost and Charge pillar of the HSI (Medicare IP and OP Costs and Charges).

 Albany Area Hospital  Fairview Northland Regional Hospital  Firstlight Health System  Grand Itasca Clinic AND Hospital  Lake View Memorial Hospital  Mayo Clinic Health System - Lake City  Mayo Clinic Health System - New Prague  Mayo Clinic Health System - Springfield  Mayo Clinic Health System - Waseca  New Ulm Medical Center  Pipestone County Medical Center Ashton Cc  Prairie Ridge Hospital AND Health Services  Rainy Lake Medical Center  Saint Gabriels Hospital  Sanford Luverne Medical Center  Sanford Medical Center Thief River Falls About iVantage Health Analytics iVantage Health Analytics™ is a privately held company serving more than 500 hospitals across the United States. iVantage Health provides comprehensive and objective information products to help hospitals and health systems improve performance our unique approach connects executive dashboards, hospital and system-level market analytics, clinical benchmarking, physician scorecards and off-quality cost analysis to deliver new perspectives for managing under the New Healthcare. Missouri

The National Organization of State Offices of Rural Health (NOSORH) and iVantage Health Analytics recognizes Missouri as having 21 hospitals reach top quartile performance status in Quality, Outcomes, Patient Satisfaction, Efficiency and overall performance compared to all acute care hospitals in the nation. The rankings have been designated by the Hospital Strength IndexTM, the first rating system in the country to include all rural providers.

2013

1 Rural Hospitals are recognized for Excellence in Quality – Top quartile performers in the Quality-Base pillar of the HSI (AMI, HF, PN, SCIP, OP Process of Care Scores)

 Lafayette Regional Health Center

8 Rural Hospitals are recognized for Excellence in Outcomes – Top quartile performers in the Outcomes pillar of the HSI (Patient Safety Indicators, Readmissions, Mortality).

 Barton County Memorial Hospital  Iron County Hospital  Mercy McCune Brooks Hospital  Mercy Saint Francis Hospital  Perry County Memorial Hospital  Pershing Memorial Hospital  Pike County Memorial Hospital  Ste Genevieve County Memorial Hospital

 Mercy McCune Brooks Hospital

12 Rural Hospitals are recognized for Excellence in Efficiency – Top quartile performers in the Cost and Charge pillar of the HSI (Medicare IP and OP Costs and Charges).

 Barton County Memorial Hospital  Cedar County Memorial Hospital  Cooper County Memorial Hospital  Freeman Neosho Hospital  Iron County Hospital  Macon County Samaritan Memorial Hospital  Pershing Memorial Hospital  Pike County Memorial Hospital  Ray County Memorial Hospital  Salem Memorial District Hospital  Sullivan County Memorial Hospital  Washington County Memorial Hospital

The National Organization of State Offices of Rural Health (NOSORH) and iVantage Health Analytics recognizes Mississippi as having 15 hospitals reach top quartile performance status in Quality, Outcomes, Patient Satisfaction, Efficiency and overall performance compared to all acute care hospitals in the nation. The rankings have been designated by the Hospital Strength IndexTM, the first rating system in the country to include all rural providers.

2013

3 Rural Hospitals are recognized for Excellence in Quality – Top quartile performers in the Quality-Base pillar of the HSI (AMI, HF, PN, SCIP, OP Process of Care Scores)

 Baptist Memorial Hospital Union County  Field Memorial Community Hospital  Pontotoc Health Service Critical Access Hospital

6 Rural Hospitals are recognized for Excellence in Patient Satisfaction – Top quartile performers in the Patient Perspective pillar of the HSI (HCAHPS “Willingness to recommend” and “Overall Quality”).

 Baptist Memorial Hospital Booneville  Gilmore Memorial Hospital  Kilmichael Hospital  North Sunflower Medical Center Critical Access Hospital  Tishomingo Health Services Inc.  Webster General Hospital / Swing Bed

5 Rural Hospitals are recognized for Excellence in Efficiency – Top quartile performers in the Cost and Charge pillar of the HSI (Medicare IP and OP Costs and Charges).

 Baptist Medical Center - Leake  Holmes County Hospital AND Clinics  Marion General Hospital  Tyler Holmes Memorial Hospital Critical Access Hospital  Wayne General Hospital About iVantage Health Analytics iVantage Health Analytics™ is a privately held company serving more than 500 hospitals across the United States. iVantage Health provides comprehensive and objective information products to help hospitals and health systems improve performance our unique approach connects executive dashboards, hospital and system-level market analytics, clinical benchmarking, physician scorecards and off-quality cost analysis to deliver new perspectives for managing under the New Healthcare. Montana

The National Organization of State Offices of Rural Health (NOSORH) and iVantage Health Analytics recognizes Montana as having 13 hospitals reach top quartile performance status in Quality, Outcomes, Patient Satisfaction, Efficiency and overall performance compared to all acute care hospitals in the nation. The rankings have been designated by the Hospital Strength IndexTM, the first rating system in the country to include all rural providers.

2013 2 Rural Hospitals are recognized for Overall Excellence – Top quartile performers based on the overall HSI ranking (Market, Value-Based and Financial Indicators).

 Barrett Memorial Hospital  Community Hospital of Anaconda

2 Rural Hospitals are recognized for Excellence in Quality – Top quartile performers in the Quality-Base pillar of the HSI (AMI, HF, PN, SCIP, OP Process of Care Scores)

 Community Hospital of Anaconda  Providence Saint Joseph Medical Center

 North Valley Hospital

11 Rural Hospitals are recognized for Excellence in Efficiency – Top quartile performers in the Cost and Charge pillar of the HSI (Medicare IP and OP Costs and Charges).

 Barrett Memorial Hospital  Central Montana Medical Center  Community Hospital of Anaconda  Livingston Healthcare  Marcus Daly Memorial Hospital - Critical Access Hospital  Missouri River Medical Center  Northern Rockies Medical Center  Poplar Community Hospital  Sidney Health Center  Saint Luke Community Hospital  Trinity Hospital

The National Organization of State Offices of Rural Health (NOSORH) and iVantage Health Analytics recognizes North Carolina as having 24 hospitals reach top quartile performance status in Quality, Outcomes, Patient Satisfaction, Efficiency and overall performance compared to all acute care hospitals in the nation. The rankings have been designated by the Hospital Strength IndexTM, the first rating system in the country to include all rural providers.

2013 4 Rural Hospitals are recognized for Overall Excellence – Top quartile performers based on the overall HSI ranking (Market, Value-Based and Financial Indicators).

 Columbus Regional Healthcare System  Granville Medical Center  Medwest Harris  Transylvania Regional Hospital Inc.

11 Rural Hospitals are recognized for Excellence in Quality – Top quartile performers in the Quality-Base pillar of the HSI (AMI, HF, PN, SCIP, OP Process of Care Scores)

 Granville Medical Center  Medwest Swain  Pender Memorial Hospital  Pioneer Community Hospital OF Stokes  Saint Lukes Hospital  The Outer Banks Hospital Inc.  Transylvania Regional Hospital Inc.  Vidant Bertie Hospital  Vidant Duplin Hospital  Vidant Pungo Hospital  Vidant Roanoke Chowan Hospital

6 Rural Hospitals are recognized for Excellence in Outcomes – Top quartile performers in the Outcomes pillar of the HSI (Patient Safety Indicators, Readmissions, Mortality).

 Ashe Memorial Hospital  Columbus Regional Healthcare System  Granville Medical Center  Medwest Harris  Sampson Regional Medical Center  Vidant Bertie Hospital

 Ashe Memorial Hospital  Chatham Hospital Inc.  The Outer Banks Hospital Inc.  Transylvania Regional Hospital Inc.  Vidant Bertie Hospital  Vidant Chowan Hospital

16 Rural Hospitals are recognized for Excellence in Efficiency – Top quartile performers in the Cost and Charge pillar of the HSI (Medicare IP and OP Costs and Charges).

 Alleghany County Memorial Hospital  Angel Medical Center  Ashe Memorial Hospital  Charles A Cannon Jr Memorial Hospital  Columbus Regional Healthcare System  Davie County Hospital  Granville Medical Center  Highlands Cashiers Hospital Inc.  J Arthur Dosher Memorial Hospital  Medwest Harris  Medwest Swain  Our Community Hospital  Sampson Regional Medical Center  Spruce Pine Community Hospital  Transylvania Regional Hospital Inc.  Yadkin Valley Community Hospital

The National Organization of State Offices of Rural Health (NOSORH) and iVantage Health Analytics recognizes North Dakota as having 19 hospitals reach top quartile performance status in Quality, Outcomes, Patient Satisfaction, Efficiency and overall performance compared to all acute care hospitals in the nation. The rankings have been designated by the Hospital Strength IndexTM, the first rating system in the country to include all rural providers.

2013 2 Rural Hospitals are recognized for Overall Excellence – Top quartile performers based on the overall HSI ranking (Market, Value-Based and Financial Indicators).

 Carrington Health Center  Mercy Medical Center

1 Rural Hospital is recognized for Excellence in Quality – Top quartile performers in the Quality-Base pillar of the HSI (AMI, HF, PN, SCIP, OP Process of Care Scores)

 Carrington Health Center

6 Rural Hospitals are recognized for Excellence in Outcomes – Top quartile performers in the Outcomes pillar of the HSI (Patient Safety Indicators, Readmissions, Mortality).

 Heart of America Medical Center  Mercy Hospital OF Valley City  Oakes Community Hospital  Sanford Mayville  Saint Joseph's Hospital & Health Center  West River Regional Medical Center - Critical Access Hospital

 Carrington Health Center  Heart of America Medical Center 18 Rural Hospitals are recognized for Excellence in Efficiency – Top quartile performers in the Cost and Charge pillar of the HSI (Medicare IP and OP Costs and Charges).

 Ashley Medical Center  Carrington Health Center  Hillsboro Medical Center - Critical Access Hospital  Heart of America Medical Center  Jacobson Memorial Hospital & Care Center  Jamestown Regional Medical Center  Linton Hospital - Critical Access Hospital  McKenzie County Healthcare Systems  Mercy Medical Center  Pembina County Memorial Hospital  Sakakawea Medical Center - Critical Access Hospital  Sanford Mayville  Saint Andrews Health Center - Critical Access Hospital  Saint Joseph's Hospital & Health Center  Tioga Medical Center  Towner County Medical Center  Unity Medical Center  West River Regional Medical Center - Critical Access Hospital

The National Organization of State Offices of Rural Health (NOSORH) and iVantage Health Analytics recognizes Nebraska as having 27 hospitals reach top quartile performance status in Quality, Outcomes, Patient Satisfaction, Efficiency and overall performance compared to all acute care hospitals in the nation. The rankings have been designated by the Hospital Strength IndexTM, the first rating system in the country to include all rural providers.

2013 5 Rural Hospitals are recognized for Overall Excellence – Top quartile performers based on the overall HSI ranking (Market, Value-Based and Financial Indicators).

 Box Butte General Hospital  Cherry County Hospital  Ogallala Community Hospital  Saint Francis Memorial Hospital  York General Hospital

10 Rural Hospitals are recognized for Excellence in Quality – Top quartile performers in the Quality-Base pillar of the HSI (AMI, HF, PN, SCIP, OP Process of Care Scores)

 Cherry County Hospital  Crete Area Medical Center  Gordon Memorial Hospital District  Johnson County Hospital  Lexington Regional Health Center  Memorial Community Hospital  Memorial Hospital  Ogallala Community Hospital  Saint Mary's Community Hospital  York General Hospital

8 Rural Hospitals are recognized for Excellence in Outcomes – Top quartile performers in the Outcomes pillar of the HSI (Patient Safety Indicators, Readmissions, Mortality).

 Alegent Health Memorial Hospital  Antelope Memorial Hospital  Box Butte General Hospital  Howard County Medical Center  Osmond General Hospital  Tilden Community Hospital  Tri Valley Health System  West Holt Memorial Hospital

15 Rural Hospitals are recognized for Excellence in Patient Satisfaction – Top quartile performers in the Patient Perspective pillar of the HSI (HCAHPS “Willingness to recommend” and “Overall Quality”).

 Alegent Health Memorial Hospital  Avera Creighton Hospital  Avera Saint Anthony's Hospital  Brodstone Memorial Hospital  Crete Area Medical Center  Gordon Memorial Hospital District  Howard County Medical Center  Kimball Health Services  Lexington Regional Health Center  Memorial Community Hospital  Osmond General Hospital  Pender Community Hospital  Perkins County Health Services  Phelps Memorial Health Center  Tri Valley Health System

2 Rural Hospitals are recognized for Excellence in Efficiency – Top quartile performers in the Cost and Charge pillar of the HSI (Medicare IP and OP Costs and Charges).

 Cherry County Hospital  Memorial Health Care Systems

The National Organization of State Offices of Rural Health (NOSORH) and iVantage Health Analytics recognizes New Hampshire as having 10 hospitals reach top quartile performance status in Quality, Outcomes, Patient Satisfaction, Efficiency and overall performance compared to all acute care hospitals in the nation. The rankings have been designated by the Hospital Strength IndexTM, the first rating system in the country to include all rural providers.

2013 3 Rural Hospitals are recognized for Overall Excellence – Top quartile performers based on the overall HSI ranking (Market, Value-Based and Financial Indicators).

 Monadnock Community Hospital  Speare Memorial Hospital  Valley Regional Hospital

6 Rural Hospitals are recognized for Excellence in Quality – Top quartile performers in the Quality-Base pillar of the HSI (AMI, HF, PN, SCIP, OP Process of Care Scores)

 Alice Peck Day Memorial Hospital  Huggins Hospital  Littleton Regional Hospital  New London Hospital  Valley Regional Hospital  Weeks Medical Center

1 Rural Hospital is recognized for Excellence in Outcomes – Top quartile performers in the Outcomes pillar of the HSI (Patient Safety Indicators, Readmissions, Mortality).

 Alice Peck Day Memorial Hospital

2 Rural Hospital is recognized for Excellence in Patient Satisfaction – Top quartile performers in the Patient Perspective pillar of the HSI (HCAHPS “Willingness to recommend” and “Overall Quality”).

 Monadnock Community Hospital  Valley Regional Hospital

10 Rural Hospitals are recognized for Excellence in Efficiency – Top quartile performers in the Cost and Charge pillar of the HSI (Medicare IP and OP Costs and Charges).

 Alice Peck Day Memorial Hospital  Androscoggin Valley Hospital  Cottage Hospital  Huggins Hospital  The Memorial Hospital  Monadnock Community Hospital  New London Hospital  Speare Memorial Hospital  Valley Regional Hospital  Weeks Medical Center

New Mexico

The National Organization of State Offices of Rural Health (NOSORH) and iVantage Health Analytics recognizes New Mexico as having 5 hospitals reach top quartile performance status in Quality, Outcomes, Patient Satisfaction, Efficiency and overall performance compared to all acute care hospitals in the nation. The rankings have been designated by the Hospital Strength IndexTM, the first rating system in the country to include all rural providers.

2013 3 Rural Hospitals are recognized for Excellence in Quality – Top quartile performers in the Quality-Base pillar of the HSI (AMI, HF, PN, SCIP, OP Process of Care Scores)

 Dr Dan C Trigg Memorial Hospital  Lincoln County Medical Center  Socorro General Hospital

 Guadalupe County Hospital  Nor - Lea Hospital District  Socorro General Hospital

1 Rural Hospital is recognized for Excellence in Efficiency – Top quartile performers in the Cost and Charge pillar of the HSI (Medicare IP and OP Costs and Charges).

 Nor - Lea Hospital District

The National Organization of State Offices of Rural Health (NOSORH) and iVantage Health Analytics recognizes Nevada as having 2 hospitals reach top quartile performance status in Quality, Outcomes, Patient Satisfaction, Efficiency and overall performance compared to all acute care hospitals in the nation. The rankings have been designated by the Hospital Strength IndexTM, the first rating system in the country to include all rural providers.

2013

1 Rural Hospital is recognized for Excellence in Quality – Top quartile performers in the Quality-Base pillar of the HSI (AMI, HF, PN, SCIP, OP Process of Care Scores)

 Mesa View Regional Hospital

1 Rural Hospital is recognized for Excellence in Efficiency – Top quartile performers in the Cost and Charge pillar of the HSI (Medicare IP and OP Costs and Charges).

 Desert View Regional Medical Center

The National Organization of State Offices of Rural Health (NOSORH) and iVantage Health Analytics recognizes New York as having 11 hospitals reach top quartile performance status in Quality, Outcomes, Patient Satisfaction, Efficiency and overall performance compared to all acute care hospitals in the nation. The rankings have been designated by the Hospital Strength IndexTM, the first rating system in the country to include all rural providers.

2013 1 Rural Hospital is recognized for Overall Excellence - Top quartile performers based on the overall HSI ranking (Market, Value-Based and Financial Indicators).  Jones Memorial Hospital

4 Rural Hospitals are recognized for Excellence in Quality – Top quartile performers in the Quality-Base pillar of the HSI (AMI, HF, PN, SCIP, OP Process of Care Scores)

 Catskill Regional Medical Center - G Hermann Site  Ellenville Regional Hospital  Jones Memorial Hospital  Schuyler Hospital Inc.

3 Rural Hospitals are recognized for Excellence in Outcomes – Top quartile performers in the Outcomes pillar of the HSI (Patient Safety Indicators, Readmissions, Mortality).

 Clifton Fine Hospital  Jones Memorial Hospital  Lewis County General Hospital

 Clifton Fine Hospital  Delaware Valley Hospital Inc.  Lewis County General Hospital  Margaretville Memorial Hospital  River Hospital Inc.

8 Rural Hospitals are recognized for Excellence in Efficiency – Top quartile performers in the Cost and Charge pillar of the HSI (Medicare IP and OP Costs and Charges).

 Clifton Fine Hospital  Cuba Memorial Hospital Inc.  Delaware Valley Hospital Inc.  Jones Memorial Hospital  O'Connor Hospital  River Hospital Inc.  Schuyler Hospital Inc.  Soldiers AND Sailors Memorial Hospital of Yates

Ohio

The National Organization of State Offices of Rural Health (NOSORH) and iVantage Health Analytics recognizes Ohio as having 27 hospitals reach top quartile performance status in Quality, Outcomes, Patient Satisfaction, Efficiency and overall performance compared to all acute care hospitals in the nation. The rankings have been designated by the Hospital Strength IndexTM, the first rating system in the country to include all rural providers.

2013 5 Rural Hospitals are recognized for Overall Excellence – Top quartile performers based on the overall HSI ranking (Market, Value-Based and Financial Indicators).

 Barnesville Hospital Association Inc.  Bluffton Hospital  HB Magruder Memorial Hospital  Mercy Allen Hospital  Wyandot Memorial Hospital

9 Rural Hospitals are recognized for Excellence in Quality – Top quartile performers in the Quality-Base pillar of the HSI (AMI, HF, PN, SCIP, OP Process of Care Scores)

 Bluffton Hospital  Defiance Regional Medical Center  Fostoria Community Hospital  Hardin Memorial Hospital  Lodi Community Hospital  Mercy Allen Hospital  Pomerene Hospital  UHHS Memorial Hospital OF Geneva  University Hospitals Conneaut Medical Center

6 Rural Hospitals are recognized for Excellence in Outcomes – Top quartile performers in the Outcomes pillar of the HSI (Patient Safety Indicators, Readmissions, Mortality).

 Galion Community Hospital  HB Magruder Memorial Hospital  Medcentral Health System Shelby Hospital  Mercy Memorial Hospital  Mercy Willard Hospital  UHHS Memorial Hospital OF Geneva

13 Rural Hospitals are recognized for Excellence in Patient Satisfaction – Top quartile performers in the Patient Perspective pillar of the HSI (HCAHPS “Willingness to recommend” and “Overall Quality”).

 Barnesville Hospital Association Inc.  Bluffton Hospital  Community Memorial Hospital  Defiance Regional Medical Center  Doctors Hospital OF Nelsonville  HB Magruder Memorial Hospital  Henry County Hospital Inc.  Hocking Valley Community Hospital  MedCentral Health System Shelby Hospital  Mercy Allen Hospital  Mercy Willard Hospital  UHHS Memorial Hospital OF Geneva  University Hospitals Conneaut Medical Center

16 Rural Hospitals are recognized for Excellence in Efficiency – Top quartile performers in the Cost and Charge pillar of the HSI (Medicare IP and OP Costs and Charges).

 Adams County Regional Medical Center  Aultman Orrville Hospital  Barnesville Hospital Association Inc.  Bluffton Hospital  Bucyrus Community Hospital  Galion Community Hospital  HB Magruder Memorial Hospital  Harrison Community Hospital  Greenfield Area Medical Center  Harrison Community Hospital  Highland District Hospital  Hocking Valley Community Hospital  MedCentral Health System Shelby Hospital  Morrow County Hospital  Paulding County Hospital  Pike Community Hospital  Pomerene Hospital  Trinity Hospital Twin City  Wyandot Memorial Hospital

Oklahoma

The National Organization of State Offices of Rural Health (NOSORH) and iVantage Health Analytics recognizes Oklahoma as having 25 hospitals reach top quartile performance status in Quality, Outcomes, Patient Satisfaction, Efficiency and overall performance compared to all acute care hospitals in the nation. The rankings have been designated by the Hospital Strength IndexTM, the first rating system in the country to include all rural providers.

2013 1 Rural Hospital is recognized for Overall Excellence – Top quartile performers based on the overall HSI ranking (Market, Value-Based and Financial Indicators).

 Elkview General Hospital

3 Rural Hospitals are recognized for Excellence in Quality – Top quartile performers in the Quality-Base pillar of the HSI (AMI, HF, PN, SCIP, OP Process of Care Scores)

 Carnegie Tri - County Municipal Hospital  Okeene Municipal Hospital  Watonga Municipal Hospital

2 Rural Hospitals are recognized for Excellence in Outcomes – Top quartile performers in the Outcomes pillar of the HSI (Patient Safety Indicators, Readmissions, Mortality).

 Fairview Regional Medical Center  Newman Memorial Hospital

 Cimarron Memorial Hospital  Cordell Memorial Hospital  Integris Seminole Medical Center  Okeene Municipal Hospital  Roger Mills Memorial Hospital 18 Rural Hospitals are recognized for Excellence in Efficiency – Top quartile performers in the Cost and Charge pillar of the HSI (Medicare IP and OP Costs and Charges).

 Atoka County Medical Center  Choctaw Memorial Hospital  Drumright Regional Hospital  Elkview General Hospital  Epic Medical Center  Holdenville General Hospital  Jefferson County Hospital  Lindsay Municipal Hospital  Mary Hurley Hospital  McCurtain Memorial Hospital  Memorial Hospital & Physician Group  Memorial Hospital OF Stilwell  Mercy Hospital Tishomingo  Okeene Municipal Hospital  Seiling Community Hospital  Share Memorial Hospital  Saint John Sapulpa  Watonga Municipal Hospital

The National Organization of State Offices of Rural Health (NOSORH) and iVantage Health Analytics recognizes Oregon as having 10 hospitals reach top quartile performance status in Quality, Outcomes, Patient Satisfaction, Efficiency and overall performance compared to all acute care hospitals in the nation. The rankings have been designated by the Hospital Strength IndexTM, the first rating system in the country to include all rural providers.

2013 2 Rural Hospitals are recognized for Overall Excellence – Top quartile performers based on the overall HSI ranking (Market, Value-Based and Financial Indicators).

 Cottage Grove Community Hospital  Wallowa Memorial Hospital

6 Rural Hospitals are recognized for Excellence in Quality – Top quartile performers in the Quality-Base pillar of the HSI (AMI, HF, PN, SCIP, OP Process of Care Scores)

 Cottage Grove Community Hospital  Peace Harbor Hospital  Providence Hood River Memorial Hospital  Saint Anthony Hospital  Samaritan Lebanon Community Hospital  West Valley Hospital

2 Rural Hospital is recognized for Excellence in Outcomes – Top quartile performers in the Outcomes pillar of the HSI (Patient Safety Indicators, Readmissions, Mortality).

 Cottage Grove Community Hospital  Wallowa Memorial Hospital

 Cottage Grove Community Hospital  Providence Hood River Memorial Hospital  Samaritan Pacific Communities Hospital  Wallowa Memorial Hospital

4 Rural Hospitals are recognized for Excellence in Efficiency – Top quartile performers in the Cost and Charge pillar of the HSI (Medicare IP and OP Costs and Charges).

 Coquille Valley Hospital District  Curry General Hospital  Lower Umpqua Hospital District  West Valley Hospital

Pennsylvania

The National Organization of State Offices of Rural Health (NOSORH) and iVantage Health Analytics recognizes Pennsylvania as having 13 hospitals reach top quartile performance status in Quality, Outcomes, Patient Satisfaction, Efficiency and overall performance compared to all acute care hospitals in the nation. The rankings have been designated by the Hospital Strength IndexTM, the first rating system in the country to include all rural providers.

2013 3 Rural Hospitals are recognized for Overall Excellence – Top quartile performers based on the overall HSI ranking (Market, Value-Based and Financial Indicators).

 Muncy Valley Hospital  Soldiers and Sailors Memorial Hospital  UPMC Bedford

3 Rural Hospitals are recognized for Excellence in Quality – Top quartile performers in the Quality-Base pillar of the HSI (AMI, HF, PN, SCIP, OP Process of Care Scores)

 Muncy Valley Hospital  Soldiers and Sailors Memorial Hospital  Tyrone Hospital

4 Rural Hospitals are recognized for Excellence in Outcomes – Top quartile performers in the Outcomes pillar of the HSI (Patient Safety Indicators, Readmissions, Mortality).

 Brookville Hospital  Muncy Valley Hospital  Troy Community Hospital  UPMC Bedford

12 Rural Hospitals are recognized for Excellence in Efficiency – Top quartile performers in the Cost and Charge pillar of the HSI (Medicare IP and OP Costs and Charges).

 Brookville Hospital  Bucktail Medical Center  Charles Cole Memorial Hospital  Clarion Hospital  Corry Memorial Hospital  Endless Mountains Health Systems  Jersey Shore Hospital  Muncy Valley Hospital  Punxsutawney Area Hospital  Southwest Regional Medical Center  Tyrone Hospital  UPMC Bedford

South Carolina

The National Organization of State Offices of Rural Health (NOSORH) and iVantage Health Analytics recognizes South Carolina as having 4 hospitals reach top quartile performance status in Quality, Outcomes, Patient Satisfaction, Efficiency and overall performance compared to all acute care hospitals in the nation. The rankings have been designated by the Hospital Strength IndexTM, the first rating system in the country to include all rural providers.

2013 1 Rural Hospital is recognized for Excellence in Quality – Top quartile performers in the Quality-Base pillar of the HSI (AMI, HF, PN, SCIP, OP Process of Care Scores)

 Edgefield County Hospital

1 Rural Hospital is recognized for Excellence in Outcomes – Top quartile performers in the Outcomes pillar of the HSI (Patient Safety Indicators, Readmissions, Mortality).

 Abbeville Area Medical Center

 Abbeville Area Medical Center  Hampton Regional Medical Center

16 Rural Hospitals are recognized for Excellence in Efficiency – Top quartile performers in the Cost and Charge pillar of the HSI (Medicare IP and OP Costs and Charges).

 Fairfield Memorial Hospital About iVantage Health Analytics iVantage Health Analytics™ is a privately held company serving more than 500 hospitals across the United States. iVantage Health provides comprehensive and objective information products to help hospitals and health systems improve performance our unique approach connects executive dashboards, hospital and system-level market analytics, clinical benchmarking, physician scorecards and off-quality cost analysis to deliver new perspectives for managing under the New Healthcare. South Dakota

The National Organization of State Offices of Rural Health (NOSORH) and iVantage Health Analytics recognizes South Dakota as having 21 hospitals reach top quartile performance status in Quality, Outcomes, Patient Satisfaction, Efficiency and overall performance compared to all acute care hospitals in the nation. The rankings have been designated by the Hospital Strength IndexTM, the first rating system in the country to include all rural providers.

2013 1 Rural Hospital is recognized for Overall Excellence - Top quartile performers based on the overall HSI ranking (Market, Value-Based and Financial Indicators).

 Sanford Hospital Webster - Critical Access Hospital

1 Rural Hospital is recognized for Excellence in Quality - Top quartile performers in the Quality-Base pillar of the HSI (AMI, HF, PN, SCIP, OP Process of Care Scores)

 Sanford Hospital Webster - Critical Access Hospital

5 Rural Hospitals are recognized for Excellence in Outcomes – Top quartile performers in the Outcomes pillar of the HSI (Patient Safety Indicators, Readmissions, Mortality).

 Avera Hand County Memorial Hospital and Clinic  Community Memorial Hospital - Critical Access Hospital  Faulkton Area Medical Center  Lead - Deadwood Regional Hospital - Critical Access Hospital  Saint Michael's Hospital - Critical Access Hospital

10 Rural Hospitals are recognized for Excellence in Patient Satisfaction – Top quartile performers in the Patient Perspective pillar of the HSI (HCAHPS “Willingness to recommend” and “Overall Quality”).

 Avera Dells Area Hospital - Critical Access Hospital  Avera Desmet Memorial Hospital - Critical Access Hospital  Avera Flandreau Hospital - Critical Access Hospital  Avera Gregory Hospital  Avera Saint Benedict Health Center - Critical Access Hospital  Custer Regional Hospital - Critical Access Hospital  Sanford Hospital Webster - Critical Access Hospital  Saint Michael's Hospital - Critical Access Hospital  Sturgis Regional Hospital  Wagner Community Memorial Hospital - Critical Access Hospital

14 Rural Hospitals are recognized for Excellence in Efficiency – Top quartile performers in the Cost and Charge pillar of the HSI (Medicare IP and OP Costs and Charges).

 Avera Dells Area Hospital - Critical Access Hospital  Avera Flandreau Hospital - Critical Access Hospital  Avera Gregory Hospital  Avera Hand County Memorial Hospital and Clinic  Bowdle Hospital - Critical Access Hospital  Coteau Des Prairies Hospital  Custer Regional Hospital - Critical Access Hospital  Freeman Medical Center - Critical Access Hospital  Huron Regional Medical Center  Madison Community Hospital - Critical Access Hospital  Milbank Area Hospital / Avera Health - Critical Access Hospital  Sanford Canton - Inwood Medical Center - Critical Access Hospital  Sanford Hospital Webster - Critical Access Hospital  Sanford Vermillion Hospital

Tennessee

The National Organization of State Offices of Rural Health (NOSORH) and iVantage Health Analytics recognizes Tennessee as having 22 hospitals reach top quartile performance status in Quality, Outcomes, Patient Satisfaction, Efficiency and overall performance compared to all acute care hospitals in the nation. The rankings have been designated by the Hospital Strength IndexTM, the first rating system in the country to include all rural providers.

2013 4 Rural Hospital is recognized for Overall Excellence – Top quartile performers based on the overall HSI ranking (Market, Value-Based and Financial Indicators).

 Rhea Medical Center

7 Rural Hospitals are recognized for Excellence in Quality – Top quartile performers in the Quality-Base pillar of the HSI (AMI, HF, PN, SCIP, OP Process of Care Scores)

 Baptist Memorial Hospital Huntingdon  Centennial Medical Center of Ashland City  Henderson County Community Hospital  Jamestown Regional Medical Center  Johnson County Community Hospital  Lauderdale Community Hospital  Wellmont Hancock County Hospital

1 Rural Hospital is recognized for Excellence in Outcomes – Top quartile performers in the Outcomes pillar of the HSI (Patient Safety Indicators, Readmissions, Mortality).

 Hillside Hospital

 Trousdale Medical Center  Wellmont Hancock County Hospital 13 Rural Hospitals are recognized for Excellence in Efficiency – Top quartile performers in the Cost and Charge pillar of the HSI (Medicare IP and OP Costs and Charges).

 Bolivar General Hospital  Camden General Hospital  Claiborne County Hospital  Copper Basin Medical Center  Cumberland River Hospital  Decatur County General Hospital  Hardin Medical Center  Macon County General Hospital  Medical Center of Manchester  Patients' Choice Medical Center of Erin  Rhea Medical Center  Stones River Hospital and Dekalb Community Hospital  Three Rivers Hospital

The National Organization of State Offices of Rural Health (NOSORH) and iVantage Health Analytics recognizes Texas as having 45 hospitals reach top quartile performance status in Quality, Outcomes, Patient Satisfaction, Efficiency and overall performance compared to all acute care hospitals in the nation. The rankings have been designated by the Hospital Strength IndexTM, the first rating system in the country to include all rural providers.

2013 7 Rural Hospitals are recognized for Overall Excellence – Top quartile performers based on the overall HSI ranking (Market, Value-Based and Financial Indicators).

 Childress Regional Medical Center  Columbus Community Hospital  Graham Regional Medical Center  Hamilton General Hospital  Pecos County Memorial Hospital  Rollins Brook Community Hospital  Seton Highland Lakes

11 Rural Hospitals are recognized for Excellence in Quality – Top quartile performers in the Quality-Base pillar of the HSI (AMI, HF, PN, SCIP, OP Process of Care Scores)

 Big Bend Regional Medical Center  Burleson Saint Joseph Health Center  Childress Regional Medical Center  Electra Memorial Hospital  Frio Regional Hospital  Hill Regional Hospital  Hunt Regional Community Hospital  Mother Frances Hospital Jacksonville  Otto Kaiser Memorial Hospital  Seton Edgar B Davis Hospital  Seton Highland Lakes 9 Rural Hospitals are recognized for Excellence in Outcomes – Top quartile performers in the Outcomes pillar of the HSI (Patient Safety Indicators, Readmissions, Mortality).

 Bayside Community Hospital  Community General Hospital  Electra Memorial Hospital  Faith Community Hospital  Graham Regional Medical Center  Lake Whitney Medical Center  Rollins Brook Community Hospital  Seymour Hospital  W J Mangold Memorial Hospital

19 Rural Hospitals are recognized for Excellence in Patient Satisfaction – Top quartile performers in the Patient Perspective pillar of the HSI (HCAHPS “Willingness to recommend” and “Overall Quality”).

 Big Bend Regional Medical Center  Childress Regional Medical Center  Columbus Community Hospital  East Texas Medical Center Pittsburg  Electra Memorial Hospital  Graham Regional Medical Center  Hamilton General Hospital  Hansford County Hospital  Hemphill County Hospital  Knox County Hospital  Plains Memorial Hospital  Rollins Brook Community Hospital  Seton Edgar B Davis Hospital  Seton Highland Lakes  Saint Marks Medical Center  Stamford Memorial Hospital  Swisher Memorial Hospital  W J Mangold Memorial Hospital  Yoakum County Hospital 21 Rural Hospitals are recognized for Excellence in Efficiency – Top quartile performers in the Cost and Charge pillar of the HSI (Medicare IP and OP Costs and Charges).

 Bayside Community Hospital  Central Texas Hospital  Columbus Community Hospital  Community General Hospital  Crosbyton Clinic Hospital  Dimmit County Memorial Hospital  Eastland Memorial Hospital  Haskell Memorial Hospital  Knox County Hospital  Lake Whitney Medical Center  Liberty Dayton Regional Medical Center LLC  Medina Regional Hospital  Memorial Hospital  Muleshoe Area Medical Center  Otto Kaiser Memorial Hospital  Palacios Community Medical Center  Reeves County Hospital District  Saint Marks Medical Center  Stephens Memorial Hospital  Sweeny Community Hospital  Ward Memorial Hospital

Utah

The National Organization of State Offices of Rural Health (NOSORH) and iVantage Health Analytics recognizes Utah as having 8 hospitals reach top quartile performance status in Quality, Outcomes, Patient Satisfaction, Efficiency and overall performance compared to all acute care hospitals in the nation. The rankings have been designated by the Hospital Strength IndexTM, the first rating system in the country to include all rural providers.

2013 2 Rural Hospitals are recognized for Overall Excellence - Top quartile performers based on the overall HSI ranking (Market, Value-Based and Financial Indicators).

 Central Valley Medical Center - Critical Access Hospital  Sevier Valley Medical Center

2 Hospitals are recognized for Excellence in Outcomes – Top quartile performers in the Outcomes pillar of the HSI (Patient Safety Indicators, Readmissions, Mortality).

 Central Valley Medical Center - Critical Access Hospital  Sevier Valley Medical Center

 Beaver Valley Hospital  Central Valley Medical Center - Critical Access Hospital  Fillmore Community Medical Center  Garfield Memorial Hospital  Heber Valley Medical Center  Sevier Valley Medical Center

6 Rural Hospitals are recognized for Excellence in Efficiency – Top quartile performers in the Cost and Charge pillar of the HSI (Medicare IP and OP Costs and Charges).

 Delta Community Medical Center  Gunnison Valley Hospital  Heber Valley Medical Center  San Juan Hospital  Sevier Valley Medical Center  Uintah Basin Medical Center

Virginia

The National Organization of State Offices of Rural Health (NOSORH) and iVantage Health Analytics recognizes Virginia as having 13 hospitals reach top quartile performance status in Quality, Outcomes, Patient Satisfaction, Efficiency and overall performance compared to all acute care hospitals in the nation. The rankings have been designated by the Hospital Strength IndexTM, the first rating system in the country to include all rural providers.

2013 2 Rural Hospitals are recognized for Overall Excellence – Top quartile performers based on the overall HSI ranking (Market, Value-Based and Financial Indicators).

 Halifax Regional Hospital  Southside Community Hospital Inc.

4 Rural Hospitals are recognized for Excellence in Quality – Top quartile performers in the Quality-Base pillar of the HSI (AMI, HF, PN, SCIP, OP Process of Care Scores)

 Community Memorial Healthcenter Inc.  Lewisgale Hospital Alleghany  Riverside Shore Memorial Hospital  Riverside Tappahannock Hospital

6 Rural Hospitals are recognized for Excellence in Outcomes – Top quartile performers in the Outcomes pillar of the HSI (Patient Safety Indicators, Readmissions, Mortality).

 Carilion Giles Community Hospital  Lewisgale Hospital Alleghany  Norton Community Hospital  Smyth County Community Hospital  Wellmont Lonesome Pine Hospital  Wythe County Community Hospital 1 Rural Hospital is recognized for Excellence in Patient Satisfaction – Top quartile performers in the Patient Perspective pillar of the HSI (HCAHPS “Willingness to recommend” and “Overall Quality”).

 Carilion Giles Community Hospital

4 Rural Hospitals are recognized for Excellence in Efficiency – Top quartile performers in the Cost and Charge pillar of the HSI (Medicare IP and OP Costs and Charges).

 Page Memorial Hospital Inc.  Shenandoah Memorial Hospital  Southside Community Hospital Inc.  Wellmont Lonesome Pine Hospital

The National Organization of State Offices of Rural Health (NOSORH) and iVantage Health Analytics recognizes Vermont as having 7 hospitals reach top quartile performance status in Quality, Outcomes, Patient Satisfaction, Efficiency and overall performance compared to all acute care hospitals in the nation. The rankings have been designated by the Hospital Strength IndexTM, the first rating system in the country to include all rural providers.

2013 1 Rural Hospital is recognized for Overall Excellence – Top quartile performers based on the overall HSI ranking (Market, Value-Based and Financial Indicators).

 Copley Hospital

3 Rural Hospitals are recognized for Excellence in Quality – Top quartile performers in the Quality-Base pillar of the HSI (AMI, HF, PN, SCIP, OP Process of Care Scores)

 Gifford Medical Center  Northeastern Vermont Regional Hospital  Springfield Hospital

3 Rural Hospitals are recognized for Excellence in Outcomes – Top quartile performers in the Outcomes pillar of the HSI (Patient Safety Indicators, Readmissions, Mortality).

 Mount Ascutney Hospital  Porter Hospital Inc.  Springfield Hospital

 Copley Hospital  Grace Cottage Hospital  Mount Ascutney Hospital 4 Rural Hospitals are recognized for Excellence in Efficiency – Top quartile performers in the Cost and Charge pillar of the HSI (Medicare IP and OP Costs and Charges).

 Copley Hospital  Gifford Medical Center  Porter Hospital Inc.  Springfield Hospital

The National Organization of State Offices of Rural Health (NOSORH) and iVantage Health Analytics recognizes Washington as having 20 hospitals reach top quartile performance status in Quality, Outcomes, Patient Satisfaction, Efficiency and overall performance compared to all acute care hospitals in the nation. The rankings have been designated by the Hospital Strength IndexTM, the first rating system in the country to include all rural providers.

2013 1 Rural Hospital is recognized for Overall Excellence – Top quartile performers based on the overall HSI ranking (Market, Value-Based and Financial Indicators).

 Kittitas Valley Community Hospital  Providence Mount Carmel Hospital.

8 Rural Hospitals are recognized for Excellence in Quality – Top quartile performers in the Quality-Base pillar of the HSI (AMI, HF, PN, SCIP, OP Process of Care Scores)

 Columbia Basin Hospital  Jefferson Healthcare Hospital  Kittitas Valley Community Hospital  Lincoln Hospital  Mark Reed Hospital & Healthcare Clinic  Morton General Hospital  Prosser Memorial Hospital  Willapa Harbor Hospital

8 Rural Hospitals are recognized for Excellence in Outcomes – Top quartile performers in the Outcomes pillar of the HSI (Patient Safety Indicators, Readmissions, Mortality).

 East Adams Rural Hospital  Kittitas Valley Community Hospital  Lourdes Medical Center  North Valley Hospital  Prosser Memorial Hospital  Providence Mount Carmel Hospital  Providence Saint Joseph Hospital  Skyline Hospital

7 Rural Hospitals are recognized for Excellence in Patient Satisfaction – Top quartile performers in the Patient Perspective pillar of the HSI (HCAHPS “Willingness to recommend” and “Overall Quality”).

 Jefferson Healthcare Hospital  Kittitas Valley Community Hospital  Lincoln Hospital  Providence Mount Carmel Hospital  Pullman Regional Hospital  Saint Elizabeth Hospital  Whitman Hospital AND Medical Center

7 Rural Hospitals are recognized for Excellence in Efficiency – Top quartile performers in the Cost and Charge pillar of the HSI (Medicare IP and OP Costs and Charges).

 Columbia Basin Hospital  Lake Chelan Community Hospital  Mid Valley Hospital  North Valley Hospital  Newport Community Hospital  Prosser Memorial Hospital  Tri - State Memorial Hospital

Wisconsin

The National Organization of State Offices of Rural Health (NOSORH) and iVantage Health Analytics recognizes Wisconsin as having 41 hospitals reach top quartile performance status in Quality, Outcomes, Patient Satisfaction, Efficiency and overall performance compared to all acute care hospitals in the nation. The rankings have been designated by the Hospital Strength IndexTM, the first rating system in the country to include all rural providers.

2013 15 Rural Hospitals are recognized for Overall Excellence – Top quartile performers based on the overall HSI ranking (Market, Value-Based and Financial Indicators).

 Black River Memorial Hospital  Calumet Medical Center  Good Samaritan Health Center  Hudson Hospital  Lakeview Medical Center  Mayo Clinic Health System - Red Cedar Inc.  Memorial Health Center  Ministry Door County Medical Center  Ministry Saint Mary’s Hospital  Richland Hospital  River Falls Area Hospital  Tomah Memorial Hospital  Upland Hills Health  Waupun Memorial Hospital  Westfields Hospital

15 Rural Hospitals are recognized for Excellence in Quality – Top quartile performers in the Quality-Base pillar of the HSI (AMI, HF, PN, SCIP, OP Process of Care Scores)

 Calumet Medical Center  Cumberland Memorial Hospital  Good Samaritan Health Center  Howard Young Medical Center  Lakeview Medical Center  Mayo Clinic Health System - Red Cedar Inc.  Mayo Clinic Health System Franciscan Health Care - Sparta  Memorial Health Center  Ministry Eagle River Memorial Hospital  Ministry Saint Mary’s Hospital  Our Lady OF Victory Hospital  River Falls Area Hospital  Sacred Heart Hospital  Spooner Health System  Tomah Memorial Hospital

11 Rural Hospitals are recognized for Excellence in Outcomes – Top quartile performers in the Outcomes pillar of the HSI (Patient Safety Indicators, Readmissions, Mortality).

 Boscobel Area Health Care  Good Samaritan Health Center  Hudson Hospital  Mayo Clinic Health System - Red Cedar Inc.  Memorial Health Center  Ministry Door County Medical Center  Ministry Eagle River Memorial Hospital  Ripon Medical Center  Rusk County Memorial Hospital  Waupun Memorial Hospital  Westfields Hospital

23 Rural Hospitals are recognized for Excellence in Patient Satisfaction – Top quartile performers in the Patient Perspective pillar of the HSI (HCAHPS “Willingness to recommend” and “Overall Quality”).

 Black River Memorial Hospital  Edgerton Hospital AND Health Services  Flambeau Hospital  Grant Regional Health Center  Hudson Hospital  Ladd Memorial Hosptial Inc.  Lakeview Medical Center  Mayo Clinic Health System - Oakridge Inc.  Mayo Clinic Health System - Red Cedar Inc.  Memorial Hospital Lafayette City  Ministry Door County Medical Center  Our Lady OF Victory Hospital  Prairie du Chien Memorial Hospital  Richland Hospital  River Falls Area Hospital  Sacred Heart Hospital  Saint Croix Regional Medical Center  Stoughton Hospital  Southwest Health Center Inc.  Tomah Memorial Hospital  Upland Hills Health  Vernon Memorial Hospital  Waupun Memorial Hospital

22 Rural Hospitals are recognized for Excellence in Efficiency – Top quartile performers in the Cost and Charge pillar of the HSI (Medicare IP and OP Costs and Charges).

 Berlin Memorial Hospital  Calumet Medical Center  Community Memorial Hospital  Good Samaritan Health Center  Hudson Hospital  Langlade Hospital  Mayo Clinic Health System - Oakridge Inc.  Mayo Clinic Health System - Red Cedar Inc.  Memorial Health Center  Mercy Walworth Hospital & Medical Center  Moundview Memorial Hospital AND Clinics  New London Family Medical Center  Reedsburg Area Medical Center  River Falls Area Hospital  Riverside Medical Center  Shawano Medical Center  Spooner Health System  Saint Croix Regional Medical Center  Saint Mary’s Hospital Superior  Tomah Memorial Hospital  Westfields Hospital  Wild Rose Community Memorial Hospital Inc.

West Virginia

The National Organization of State Offices of Rural Health (NOSORH) and iVantage Health Analytics recognizes West Virginia as having 18 hospitals reach top quartile performance status in Quality, Outcomes, Patient Satisfaction, Efficiency and overall performance compared to all acute care hospitals in the nation. The rankings have been designated by the Hospital Strength IndexTM, the first rating system in the country to include all rural providers.

2013 2 Rural Hospitals are recognized for Overall Excellence – Top quartile performers based on the overall HSI ranking (Market, Value-Based and Financial Indicators).

 Greenbrier Valley Medical Center  Logan Regional Medical Center

4 Rural Hospitals are recognized for Excellence in Quality – Top quartile performers in the Quality-Base pillar of the HSI (AMI, HF, PN, SCIP, OP Process of Care Scores)

 Greenbrier Valley Medical Center  Logan Regional Medical Center  Stonewall Jackson Memorial Hospital  Williamson Memorial Hospital

1 Rural Hospitals is recognized for Excellence in Outcomes – Top quartile performers in the Outcomes pillar of the HSI (Patient Safety Indicators, Readmissions, Mortality).

 Potomac Valley Hospital

17 Rural Hospitals are recognized for Excellence in Efficiency – Top quartile performers in the Cost and Charge pillar of the HSI (Medicare IP and OP Costs and Charges).

 Boone Memorial Hospital  Braxton County Memorial Hospital  Broaddus Hospital Association Inc.  Davis Memorial Hospital  Grant Memorial Hospital  Greenbrier Valley Medical Center  Hampshire Memorial Hospital  Jefferson Memorial Hospital  Logan Regional Medical Center  Montgomery General Hospital Inc.  Potomac Valley Hospital  Sistersville General Hospital  Saint Joseph Hospital  Stonewall Jackson Memorial Hospital  Summersville Regional Medical Center  Webster County Memorial Hospital  Wetzel County Hospital

The National Organization of State Offices of Rural Health (NOSORH) and iVantage Health Analytics recognizes Wyoming as having 9 hospitals reach top quartile performance status in Quality, Outcomes, Patient Satisfaction, Efficiency and overall performance compared to all acute care hospitals in the nation. The rankings have been designated by the Hospital Strength IndexTM, the first rating system in the country to include all rural providers.

2013 4 Rural Hospitals are recognized for Overall Excellence – Top quartile performers based on the overall HSI ranking (Market, Value-Based and Financial Indicators).

 Star Valley Medical Center  Washakie Medical Center

4 Rural Hospitals are recognized for Excellence in Quality – Top quartile performers in the Quality-Base pillar of the HSI (AMI, HF, PN, SCIP, OP Process of Care Scores)

 Community Hospital  Hot Springs County Memorial Hospital  Powell Valley Hospital  South Lincoln Medical Center - Critical Access Hospital

2 Rural Hospitals are recognized for Excellence in Outcomes – Top quartile performers in the Outcomes pillar of the HSI (Patient Safety Indicators, Readmissions, Mortality).

 Community Hospital  West Park Hospital District

 Platte County Memorial Hospital  South Lincoln Medical Center - Critical Access Hospital  Star Valley Medical Center 1 Rural Hospitals are recognized for Excellence in Efficiency – Top quartile performers in the Cost and Charge pillar of the HSI (Medicare IP and OP Costs and Charges).

 Weston County Health Services