HHSYOCR HILL-BURTON COMMUNITY SERVICE ASSURANCE REPORT - THIRD TRIENNIAL SYSTEM CYCLE LISTING PAGE: 29 ALPHABETICAL~LISTING OF FACILITIES BY FACILITY NAME WITHIN STATE STATE: FLORIDA

FACILTY NAME ID 1) CITY TYPE* ---^------B----m ------A G HOLLEY STATE HOSPIT 120119 LANTANA HOSPITAL A P COLES EASTER SEAL C 120233 TAMPA OTHER ABBIEJEAN RUSSELL CARE FT PIERCE NURSING ABILITIES REHAB CENTER : ;%a5 CLEARWATER OTHER . ADVENT CHRISTIAN NURSIN 120051 DOWLING PARK NURSING ALACHUA COUNTY PHC GAINESVILLE CLINIC ALACHUA GENERAL HOSPITA i IKX GAINESVILLE HOSPITAL ALL CHILDREN*S HOSPITAL 120217 ST PETERSBURG HOSPITAL ALL SAINTS NURSING HOME 120087 JACKSONVILLE NURSI NO AUBURNDALE AUX PHC 120004 AUBURNDALE CLINIC BAKER COUNTY NURSING HO 120125 MACCL ENNY NURSI NO BAKER COUNTY PUBLIC HEA 120126 MCCL ENNY CLINIC BALDWIN HEALTH CENTER 120006 JACKSONVILLE CLINIC BAPTIST HOSP OF MIAMI 120139 MIAMI HOSPITAL BAPTIST HOSPITAL INC 120187 PENSACOLA HOSPITAL BARTOW MEMORIAL HOSPITA 120007 BARTOW HOSPITAL BAY COUNTY PUBLIC HEALT 120184 PANAMA CITY CLINIC BAY MEDICAL CENTER 120185 PANAMA CITY HOSPITAL BAYFRONT MEDICAL CENTER 120218 ST PETERSBURG HOSPITAL BEACHES HOSPITAL JACKSONVILLE B HOSPITAL BETHESDA MEMORIAL HOSP : i58K BOYNTON BEACH OTHER BDCA RATON COMM HOSP BOCA RATON HOSPITAL BRADFORD HOSPITAL INC : E%f STARKE HOSPITAL BREVARD CO PH UNIT - ME 120138 MELBOURNE CLINIC BHEVARD COUNTY PHU - TI TITUSVILLE CLINIC BREVARD COUNTY PUBLIC H ; IES60 ROCK1 EDGE CLINIC BHEVARD CRIPLD CHILD 120265 MELBOURNE OTHER BROWARD GENERAL MEDICAL 120062 FT LAUDERDALE HOSPITAL CALHOUN COUNTY HOSP 120011 BLOUNTSTOWN HOSPITAL CALHOUN COUNTY PH UNIT BLOUTSTOWN CLINIC CALLAHAN HEALTH CENTER i fK5 CALLAHAN CLINIC CAMPBELLTON-GRACEVILLE 120075 GRACEVILLE HOSPITAL CAPE CANAVERAL HOSPITAL 120031 COCOA BEACH HOSPITAL CATHEDRAL CNVL CENTER JACKSONVILLE NURSI NO CENTRO ASTURIANO HOSP 1 EE: TAMPA HOSPITAL CCNTRO ESPANOL HOSPITAL 120229 TAMPA HOSPITAL CENTURY PUBLIC HEALTH C 120023 CENTURY CLINIC CHARLOTTE CO PUBLIC HLT 120199 PUNTA GORDA CLINIC

Y HHS/OCR HILL-BURTON COMMUNITY SERVICE ASSURANCE REPORT - THIRD TRIENNIAL SYSTEM CYCLE LISTING ALPHABETICAL LISTING OF FACILITIES BY FACILITY NAME WITHIN STATE STATE: FLORIDA

FACILTY NAME ID 8 CITY TYPEr ------CITRUS MEMORIAL HOSPITA 120086 INVERNESS HOSPITAL CLAY COUNTY PHC 120076 GREEN COVE SPR CLINIC CLAY MEMORIAL HOSPITAL 120077 GREEN COVE SPR HOSPITAL CLERMONT AUX PHC 120029 CL ERMONT CLINIC COLLIER CO AUX PHC 120084 IMMOKAL EE CLINIC COLLIER HEALTH SERVICES IMMOKALEE OTHER COLLIER PUBLIC HEALTH U : I%: NAP1 ES CLINIC COMMUNITY HEALTH-OF~SOU MIAMI OTHER CRYSTAL RIVER AUX PHC : 22%; CRYSTAL RIVER CLINIC DADE CITY PUBLIC HLTH C 120038 DADE CITY CLINIC DADE COUNTY PUBLIC HEAL 120145 MIAMI OTHER DESOTO MEMORIAL HOSPITA 120003 ARCADIA HOSPITAL DINSMORE HEALTH CENTER JACKSONVILLE DIXIE COUNTY PUBLIC HEA : z5: ;EW-; CITY EK:: DOCTORS MEMORIAL HOSPIT 120193 EARTHA M M WHITE NURSIN JACKSONVILLE tjK:;F EAST JACKSONVILLE COMP : IX JACKSONVILLE CLINIC EAST PASCO HED CTR 120039 DADE CITY HOSPITAL EASTER SEAL REHAB CTR 120266 PINELLAS PARK OTHER EASTER SEAL REHABILITAT TALLAHASSEE OTHER EASTER SEAL SOC OF DES0 ; X% SARASOTA OTHER EASTER SEAL SOCIETY OF 120147 MIAMI EASTER SEAL SOCIETY-BRO 120060 FORT LAUDERDAL 8TllE ED FRASER MEMORIAL HOSP 120127 MACCL ENNY HOSPITAL ENGLEWOOD AUX PHC ENGL EWOOD ESCAMBIA CO PUB HLTN UN 1 It% PENSACOLA EK ESCAMBIA COUNTY NURSING 120188 PENSACOLA NURSING EVERGLADES MEMORIAL HOS 120177 PAHOKEE HOSPITAL FAMILY PRACTICE CENTER GAINESVILLE OTHER FISH MEMORIAL HOSPITAL ; x NEW SMYRNA BCH HOSPITAL FISHERMENS HOSP MARATHON HOSPITAL FL COMM N C FT PIERCE ; ;x FT PIERCE HOSPITAL FLAG1 ER HOSPITAL, INC ST AUGUSTINE HOSPITAL FLORIDA A AND M COLLEGE i 2zz:: ;WWi;tSSEE HOSPITAL FLORIDA HOSP 120171 HOSPITAL FLORIDA KEYS MEMORIAL H 120111 FLORIDA LIVING NURSING 120057 ipEXp!iST Kiz~~L FLORIDA MANOR NURSING H 120170 ORLANDO NURSING FLORIDA STATE HOSPITAL 120024 CNATTAHOOCNEE HOSPITAL * HHSIOCR HILL-BURTON COMMUNITY SERVICE ASSURANCE REPORT - THIRD TRIENNIAL SYSTEM CYCLE LISTING PAGE: 31 ALPHABETICAle LISTING OF FACILITIES BY FACILITY NAME WITHIN STATE STATE: FLORIDA

FACILTY NAME ID I CITY TYPES ------_------m-m ------FRANKLIN CO PHC 120001 APALACHICOLA FROSTPROOF AUX PHC 120058 FROSTPROOF :: :NN:: GADSDEN couNTr PHc OurNcY CLINIC GADSDEN MEMORIAL HOSPIT '1228%: QUINCY HOSPITAL GEORGE E WEEHS MEMORIAL 120002 APALACHICOLA HOSPITAL GILCHRIST COUNTY PUBLIC 120241 TRENTON CLINIC GLADES GENERAL HOSPITAL 120010 BELLE GLADE HOSPITAL GULF BREEZE AUX PUBLIC 120078 GULF BREEZE GULF CO AUX PUBLIC HLTH WEWAHITCHKA GULF COUNTY PUBltC HEAL : ts PORT ST JOE CLINIC HALIFAX HOSPITAL MEDICA 120040 DAYTONA BEACH HOSPITAL HAMILTON COUNTY MEMORIA 120109 JASPER HOSPITAL HAMILTON COUNTY PUBLIC 120110 JASPER CLINIC HARDEE COUNTY PUBLIC HL 120252 WAUCHULA CLINIC HARDEE MEMORIAL HOSPITA 120253 WAUCHULA HOSPITAL HAVEN OUR LADY OF PEACE 120190 PENSACOLA NURSING HENDRY GENERAL HOSPITAL t20030 CLEWISTON HOSPITAL HIGHLANDS GEM HOSP 120210 SEBRING HILLSBOROUGH COMM MENTA 120231 TAMPA %sTAL HILLSBOROUGH COUNTY-HLT 120232 TAMPA CLINIC HOLMES CO AUX PHC BON1 FAY CLINIC HOLMES REGIONAL MEDICAL i fK MELBOURNE HOSPITAL HOLY CROSS HOSPITAL 120063 FT LAUDERDALE HOSPITAL HOPE HAVEN ASSOCIATION 120093 JACKSONVILLE OTHER INDIAN RIVER CO PUBLIC VERO BEACH CLINIC INDIAN RIVER MEMORIAL H 1300% VERO BEACH HOSPITAL JACKSON COUNTY PUBLIC H 120131 MARIANNA CLINIC JACKSON HOSPITAL 120132 MARIANNA HOSPITAL JACKSON MEMORIAL HOSPIT MIAMI HOSPITAL JACKSONVILLE PUBLIC HEA 1 xz JACKSONVILLE CLINIC JAMES A SMITH HOSPITAL i 20082 HOMESTEAD HOSPITAL JEAN JONES PERDUE MEDIC MIAMi NURSING JEFFERSON COUNTY PHC KX MONTICELLO CLINIC JESS PARRISH MEMORIAL N 120239 TITUSVILLE HOSPITAL JOHN KENNEDY HEM HOSP LAKE WORTH HOSPITAL JUPITER AUX PUBLIC HLTH 1 w W PALM BEACH CLINIC JUPITER CONVALESCENCE P JUPITER NURSING LAFAYETTE CO PH TRUST D : 22%: MAYO OTHER LAKE COUNTY AUX PHC 120121 LEESBURG CLINIC

Y HHS/OCR HILL-BURTON COMMUNITY SERVICE ASSURANCE REPORT - THIRD TRIENNIAL SYSTEM CYCLE LISTING PAGE: ALPHABETICAL LISTING OF FACILITIES BY FACILITY NAME WITHIN STATE STATE: FLORIDA

FACILTY NAME ID 8 CITY TYPEr ------w--e-- --v---B. LAKE COUNTY PHC 120238 TAVARES CLINIC LAKE SHORE HOSPITAL AUT 120113 LAKE CITY HOSPITAL LAKE WALES HOSPITAL ASS 120114 LAKE WALES HOSPITAL LAKELAND AUX PUBLIC HLT 120117 LAKELAND CLINIC LAKELAND REGIONAL MEDIC 120118 LAKELAND HOSPITAL LAKESHORE NURSING HOME CRESCENT CITY NURSING LEE MEMORIAL HOSPITAL : tx FORT MYERS HOSPITAL LEESBURG REGIONAL MEDIC 120122 1 EESBURG HOSPITAL LEON COUNTY PUBLIC HEAL 120225 TALLAHASSEE CLINIC LEVY COUNTY PUBLIC HlTH 120020 BRONSON CLINIC LIBERTY CO HLTH DEPT - 120083 HOSFORD CLINIC LIBERTY COUNTY HEALTH D 120019 BRISTOL CLINIC LONGMOOD AUX PUBLIC HLT 120124 LONGWOOD CLINIC LYKES MEMORIAL HOSPITAL 120021 BROOKSVILLE HOSPITAL MADISON CO HOSPITAL HLT 120128 MADISON HOSPITAL MADISON COUNTY PHC 120129 MADISON CLINIC MANATEE COUNTY PUBLIC H 120017 BRADENTON CLINIC MANATEE MEMORIAL HOSPIT 120018 BRADENTON HOSPITAL MARIANNA CONVALESCENT C 120133 MARIANNA NURSING MARIETTA COMPREHENSIVE 120095 JACKSONVILLE CLINIC MARION COUNTY PUBLIC HL 120167 OCALA CLINIC MARTIN MEMORIAL HOSPITA 120223 STUART HOSPITAL MEASE HOSP 8 CLINIC 120052 DUNEDIN HOSPITAL MEDICAL CENTER 120200 PUNTA GORDA HOSPITAL MEMORIAL HOSP 120207 SARASOTA HOSPITAL MEMORIAL HOSPITAL 120080 HOLLYWOOD HOSPITAL MEMORIAL MEDICAL CENTER 120096 JACKSONVILLE HOSPITAL MERCY MEDICAL CTR 120172 ORLANDO HOSPITAL METHODIST HOSP 120097 JACKSONVILLE HOSPITAL MIAMI BEACH HEALTH UNIT 120153 MIAMI BEACH CLINIC MIAMI HEART INSTITUTE 120154 MIAMI BEACH MIAMI JEWISH HOME HOSPI 120144 MIAMI KK:zY MORTON F PLANT HOSPITAL i 20028 CLEARWATER HOSPITAL MOUNT SINAI MEDICAL CTR 120155 MIAMI BEACH HOSPITAL MUNICIPAL HOSP 120198 PORT ST JOE HOSPITAL MUNROE REGIONAL MEDICAL 120168 OCALA HOSPITAL N E PALM BEACH AUX PHC 1201a1 E;;+EtALM BEAC CLINIC NAPLES COMM HOSP 120164 HOSPITAL NASSAU COUNTY PUBLIC HL 120056 FERNANDINA BCH CLINIC

Y HHSIOCR HILL-BURTON COMMUNITY SERVICE ASSURANCE REPORT - THIRD TRIENNIAL SYSTEM CYCLE LISTING PAGE: 3.’ ALPHABETICAL LISTING OF FACILITIES BY FACILITY NAME WITHIN STATE STATE: FLORIDA

FACI LTY NAME ID B CITY TYPE* ------^-^------_------NASSAU GENERAL HOSPITAL 120055 FERNANDINA BEA HOSPITAL NATIOtlAL PARKINSON FOUN 120146 MIAMI CLINIC NEW PORT RICHEY AUX PUB 120161 NEW PORT RICHE CLINIC NORTHVI EW COMMUNITY 120186 PENSACOLA OTHER NW HEALTH FACILITY 120059 FT LAUDERDALE NW JACKSONVILLE CDMP HL 120098 JACKSONVILLE :::K OCEANWAY HEALTH CENTER 120099 JACKSONVILLE CLINIC OKALOOSA CO PUBLIC HLTH CRESTVI EW CLINIC OKEECHOBEE CO PUBLIC HE : Ex OKEECHOBEE CLINIC ORANGE CO MEDICAL CLINI 120173 ORLANDO OTHER ORANGE COUNTY HLTH DEPT 120174 ORLANDO CLINIC ORLANDO REGIONAL MEDICA 120175 ORLANDO HOSPITAL OSCEOLA COUNTY PUBLIC H 120112 KISSIMMEE CLINIC PAHOKEE AUX PHC 120178 PAHOKEE CLINIC PALM BCH BD CO COMM PHC 120249 WEST PALM BEAC CLINIC PALM BEACH CO HOME 8 GE 120248 ;E;;;;GBEACH NURSING PALMS HEALTH CARE CENTE 120209 NURSING PINE FOREST COMPRHNSVE 120089 JACKSONVILLE CLINIC PINELLAS COUNTY HEALTH 120027 CLEARWATER CLINIC PINELLAS COUNTY HEALTH 120219 ST PETERSBURG CLINIC PLANT CITY AUX PUBLIC H 120194 TAMPA CLINIC POLK CO AUX PHC MU1 BERRY CLINIC POLK COUNTY AUX PUBLIC : %60a0 BARTOW CLINIC POLK COUNTY AUX PUBLIC 120079 HAINES CITY CLINIC POLK COUNTY AUX PUBLIC LAKE WALES CLINIC PUTNAM COMM HOSP 1%:: PALATKA HOSPITAL PUTNAM COUNTY PUBLIC HL 120179 PALATKA CLINIC REHAB CTR FOR CHILD I A 120183 PALM BEACH OTHER REHABILITATION CTR FOR 120041 DAYTONA BEACH OTHER RIVER GARDEN NURSING HO 120100 JACKSONVILLE NURSING RIVERSIDE HOSP 120101 JACKSONVILLE HOSPITAL S E PALM BEACH AUX PHC 120049 DELRAY BEACH CLINIC SANTA ROSA CO HOSP 120157 MILTON HOSPITAL SANTA ROSA CO PUBLIC HL 120158 MILTON CLINIC SARASOTA CO PUB HLTH UN 120243 VENICE SARASOTA COUNTY PUBLIC i 20208 SARASOTA XK SEMINOLE COUNTY PHC 120204 SANFORD CLINIC SHANDS TEACHING HOSP 8 120073 GAINESVILLE HOSPITAL SO FLORIDA BAPTIST HOSP 120195 PLANT CITY HOSPITAL HHSOCR HILL-BURTON COMMUNITY SERVICE ASSURANCE REPORT - THIRD TRIENNIAL SYSTEM CYCLE LISTING PAGE* 34 ALPHABETICAL LISTING OF FACILITIES BY FACILITY NAME WITHIN STATE . STATE8 FLORIDA

FACILTY NAME ID : CITY TYPE% ------m-e------SOUTEL HEALTH CENTER JACKSONVILLE CLINIC SOUTH BROWARD HEALTH CE 1 fX% PEMBROKE PINES CLINIC SOUTH MIAMI HEALTH UNIT 120211 SOUTH MIAMI CLINIC SOUTH SHORE HSP MED CTR 120156 MIAMI BEACH HOSPiTAL ST ANTHONY’S HOSPITAL 120220 2; ;:;E;SBURG HOSPITAL ST CLOUD HOSP 120215 HOSPITAL ST JOHNS COUNTY PUBLIC 120213 ST AUSUSTINE CLINIC ST JOSEPH’S HOSPITAL 120235 TAMPA HOSPITAL ST LUCIE CO PHC 120067 FT PIERCE CLINIC ST LUKES HOSP 120103 JACKSONVILlE HOSPITAL ST MARYS HOSPITAL’ INC 120251 WEST PALM BEAC HOSPITAL ST VIHCENT’S MEDICAL CE JACKSONVILLE HOSPITAL SUNLAHD CTR I %92 ;;;;A;tT;SEE HOSPITAL SUWANHEE COUNTY HOSPITA 120123 HOSPITAL SWANHOLM NRSG 8 REHAB C 120221 ST PETERSBURG NURSING TALLAHASSEE MEMORIAL RE 120227 TALLAHASSEE HOSPITAL TAMPA GEM HOSP 120236 TAMPA HOSPITAL TARPON SPRINGS GENERAL 120237 TARPON SPRINGS HOSPITAL THE MEDICAL CENTER 120242 TRENTON CLINIC UNITED CEREBRAL PALSY C 120149 MIAMI OTHER UNTV HOSP JACKSONVILLE 120105 JACKSONVILLE HOSPITAL UNIV OF MIAMI HOSPITAL 120150 MIAMI HOSPITAL UNIVERSITY HOSPITAL AND PENSACOLA HOSPITAL VARIETY CHILD HOSP lx: MIAMI HOSPITAL VENICE HOSPITAL 120244 VENICE HOSPITAL VILLA MARIA NRSG CTR/BO NORTH MIAMI NURSING VOLUSIA COUNTY PUBLIC H : ii”022 DAYTONA BEACH CLINIC VOLUSIA EASTER SEAL CEN 120043 DAYTONA BEACH OTHER WAKULLA COUNTY HLTH DEP 120032 CRAWFORDVILLE CLINIC WALKER MEMORIAL HOSPITA 120005 AVON PARK HOSPITAL WALTON CO HOSP 120047 DEFUNIAK SPGS HOSPITAL WALTON COUNTY PH DEPT 120048 DEFUNIAK SPRIN CLINIC WASH1 NGTON COUNTY HOSPI 120025 CHIPLEY HOSPITAL WASHINGTON COUNTY PHC 120026 CHIPLEY CLINIC WATERMAN MEDICAL CENTER EUSTIS HOSPITAL WESLEY MANOR NURSING HO 1 zs::: JACKSONVILLE NURSING WEST JACKSONVILLE COMP 120106 JACKSONVILLE CLINIC WEST ORANGE HEMORIAL HO 120256 WINTER GARDEN HOSPITAL WEST PALM BEACH CO MENT 120009 BELLE GLADE OTHER HHSt'OCR HILL-BURTON COMMUNITY SERVICE ASSURANCE REPORT - THIRD TRIENNIAL SYSTEM CYCLE LISTING PAGE: 35 ALPHABETICAL LISTING OF FACILITIES BY FACILITY NAME WITHIN STATE STATE: FLORIDA

FACILTY NAME ID # CITY TYPEw ------B-B WEST PASCO HOSP 120162 N PORT RICHEY HOSPITAL WEST VOLUSIA MEMORIAL H DELAND HOSPITAL WILLISTON MEMORIAL HOSP : :tz WILLISTON HOSPITAL WINTER HAVEN HOSPITAL, 120259 WINTER HAVEN HOSPITAL WOODLAND ACRES COMP HlT 120107 JACKSONVILLE CLINIC WUESTHOFF MEMORIAL HOSP 120203 ROCK1 EDGE HOSPITAL 239 FACILITIES TO BE SURVEYED IN FLORIDA

Y HHSOCR HILL-BURTON COMMUNITY SERVICE ASSURANCE REPORT - THIRD TRIENNIAL SYSTEM CYCLE LISTING PAGE : ALPHABETICAL LISTING OF FACILITIES BY FACILITY NAME WITHIN STATE STATE8

FACI 1 TY NAME ID 8 CITY TYPEw ---L------s--e ------A G RHODES NURSING HOME 13001a NURSING ADAMSVILLE PUBLIC HEALT 130019 KEk CLINIC ALDREDGE HEMORIAL HEALT 130020 ATLANTA CLINIC ANNIE EVITT HEALTH CENT 130239 RINGGOLD CLINIC APPLING COUNTY PUBLIC H 130057 BAXL EY CLINIC APPLING GENERAL HOSP 130051 BAXL EY HOSPITAL ATHENS GENERAL HOSP 130015 ATHENS HOSPITAL ATKINSON COUNTY HEALTH 130231 CLINIC BACON COUNTY HEALTH DEP 130006 KFIFoN CLINIC BACON COUNTY HOSPITAL 130007 ALMA HOSPITAL BALDWIN COUNTY HOSPITAL 130214 bl;;;;DGEVILLE HOSPITAL BANKS COUNTY PUBLIC HLT 13oial CLINIC BANKS JACKSON COMMERCE 130102 COMMERCE HOSPITAL BARROW COUNTY PHC i 30298 WINDER CLINIC BARTOW COUNTY PUBLIC HE CARTERSVILLE CLINIC BERRIEN COUNTY AUX PHC 1 JEZ NASHVILLE CLINIC BIBB COUNTY PUBLIC HLTH 130204 MACON CLINIC BLECKLEY COUNTY HOSP 130093 COCHRAN HOSPITAL BLECKLEY COUNTY PH DEPT CLINIC BROOKS CO AUX PUBLIC HL 13iE62 %Yi;i CLINIC BUFORD GEM HOSP 130197 LAWRENCEVILLE HOSPITAL BUFORD GENERAL HOSPITAL 130070 BUFORD HOSPITAL BULLOCH COUNTY PUBLIC H 130262 STATESBORO CLINIC BULLOCH MEMORIAL HOSPIT 13026 1 STATESBORO HOSPITAL BURKE COUNTY HOSPITAL 130294 WAYNESBORO HOSPITAL BURKE COUNTY PUBLIC HlT 130295 WAYNESBORO CLINIC BUTTS CO AUX PUBLIC HLT 130184 JACKSON CLINIC CALHOUN MEMORIAL HOSPIT ;;;;;iTON HOSPITAL CALHOUN NURSING HOME i XI NURSING CAMDEN CO AUX PUBLIC HL zE;;;;NE CLINIC CANDLER COUNTY HOSP 1 E3 HOSPITAL CANDLER GENERAL HOSPITA 130252 SAVANNAH HOSPITAL CARROLL CO COMMUNITY SR 130080 ;f;;;;;TON CLINIC CENTER HILL AUX PUBLIC 130023 CLINIC CENTRAL STATE HOSPITAL 130215 f;:;D;EVILLE OTHER CEREBRAL PALSY CENTER 0 130024 OTHER CHARLTON COUNTY HLTH CE 130150 FOLKSTON CHATHAM COUNTY PUBLIC H 130253 SAVANNAH %K .

. HHSOCR HILL-BURTON COMMUNITY SERVICE ASSURANCE REPORT - THIRD TRIENNIAL SYSTEM CYCLE LISTING PAGE: 37 ALPHABETICAL.LISTING OF FACILITIES BY FACILITY NAME WITHIN STATE STATE: GEORGIA

FACILTY MANE ID t CITY TYPEM ------L----LI_ ------CHATHAM NURSING HOME 130254 SAVANNAH NURSING CHATTOOGA COUNTY HOSPIT 130265 SUMMERVILLE HOSPITAL CHATTOOGA COUNTY PUBLIC 130264 SUMMERVILLE CLINIC CHEROKEE CO PUBLIC HEAL 130077 CANTON CLINIC CLARKE COUNTY HEALTH DE 130016 ATHENS CLINIC CLAY CO FT GAINES HOSP 130154 FORT GAINES HOSPITAL CLAYTON COUNTY PHC 130192 JONESBORO CLINIC CLAYTON GENERAL HOSP 130240 RIVERDALE HGSPiTAL CLINCH MEMORIAL HOSPITA 130182 HOMERVILLE HOSPITAL COBB COUNTY HEALTH DEPA 130208 MARIETTA CLINIC COBB GENERAL HOSPITAL 130053 AUSTELL HOSPITAL COBB MEM HOSP i 30248 ROYSTON HOSPITAL COFFEE COUNTY PUBLIC Hl 130129 DOUGLAS CLINIC COFFEE GENERAL HOSP 130130 DOUGLAS HOSPITAL COLLEGE PARK AUX PUBLIC 130094 COLLEGE PARK CLINIC COLOUITT COUNTY PUBLIC 130223 MOULTRIE CLINIC COLOUITT REGIONAL MEDIC MOULTRIE HOSPITAL COLUMBIA CO PHC : %:: APPL I NO CLINIC COLUMBUS DEPT OF PUBLIC 130097 COOK CO AUX PHC 130001 KYMBUS :: :rJ:: COWETA CO PHC 130225 NEWMAN CLINIC CRAWFORD W LONG MEMORIA 130026 ATLANTA HOSPITAL CRISP COUNTY HOSPITAL 130105 CORDEL E HOSPITAL CRISP COUNTY PUBLiC HlT 130106 CORDEL E CLINIC DADE CO AUX PUBLIC HEAt i 30278 TRENTON CLINIC DAWSON CO AUX PUBLIC HL 130123 DAWSONVILLE CLINIC DECATUR COUNTY PUBLIC H 130054 BAINBRIDGE CLINIC DEKALB CO AUX PHYSICAL ATLANTA CLINIC DEKALB CO CENTRAL PHYS 1x; DECATUR CLINIC DEKALB COUNTY PHYSICAL 130263 ;;;;fUrl’OUNTAIN CLINIC DEKALB GENERAL HOSPITAL 130126 HOSPITAL DODGE COUNTY AUX PUBLIC EASTMAN CLINIC DODGE COUNTY HOSPITAL Etll:; EASTMAN HOSPITAL DORMINY MEMORIAL HOSPIT i 30148 FITZGERALD HOSPITAL DOUGHERTY COUNTY PUBLIC 130004 ALBANY CLINIC DOUGLAS CO AUX PHC 130131 DOUGLASVILLE CLINIC DOUGLAS GENERAL HOSPITA ;f;~~;;VIlLE HOSPITAL EARLY COUNTY HEALTH CEN : ES CLINIC EARLY MEMORIAL HOSPITAL 130064 BLAKELY HOSPITAL _,,. HHSOCR HILL-BURTON COMMUNITY SERVICE ASSURANCE REPORT - THIRD TRIENNIAL SYSTEM CYCLE LISTING PAGE: 3 ALPHABETICAL LISTING OF FACILITIES BY FACILITY NAME WITHIN STATE . STATE: GEORGIA

FACILTY NAME ID # CITY TYPES ------_I_ ----we w------ECHOLS COUNTY HEALTH DE STATENVILLE CLINIC EFFINGHAM CO AUX PUBLIC i 3t%i SPRINGFIELD ELBERT COUNTY PHC 130144 ELBERTON :: :E ELBERTON ELBERT COUNTY 130143 ELBERTON HOSPITAL ELKS AIDMORE CHILD HM i 30028 CONGERS HOSPITAL EMANUEL COUNTY HOSPITAL 130266 SWAINSBORO HOSPITAL EMORY UNIVERSITY HOSPIT 130029 ATLANTA HOSPITAL EVANS COUNTY PUBtIC HLT 130086 CLAXTON CLINIC FLOYD COUNTY PUBLIC HEA 130243 ROME Cl INIC 130244 ROME HOSPITAL FOREST PARK AUX PHC 130151 FOREST PARK CLINIC FORSYTH CO HOSP CUMMI NO HOSPITAL FORSYTH COUNTY PUBLIC H 13t; if CUMMI NG CLINIC FRAHKL IN COUNTY PUB1 XC 130079 ~+;;~;;ILLE CLINIC GEORGIA MENTAL HEALTH I 130032 HOSPITAL GILMER CO AUX PUBLIC HL ELLIJAY CLINIC GLYNH COUNTY PUBLIC HLT 1 f%75 BRUNSWICK CLINIC GLYNN-BRUNSWICK MEMORIA 130066 BRUNSWICK HOSPITAL GORDON HOSPITAL CALHOUN HOSPITAl GRACEWOOD STATE SCHOOL : 3% Ei:;;WOOD OTHER GRADY GENERAL HOSPITAL 130072 HOSPITAL GRADY MEM HOSP 130033 ATLANTA HOSPITAL GRIFFIN-SPALDING COUNTY 130167 SPA1 DING HOSPITAL GWINNETT COUNTY HEALTH 130199 LAWRENCEVILLE CLINIC LAWRENCEVILLE HOSPITAL HABERSHAM CO PUBLIC HLT t J8:Xt CLARKESVILLE CLINIC HABERSHAM COUNTY MEDICA 130128 DEMOREST HOSPITAL HABERSHAM COUNTY PUBLIC CORNEL IA HALL COUNTY PUBLIC HLTH EK ;;;;z;VILLE :t:E HAMILTON MEDICAL CENTER 130118 HOSPITAL HARALSON COUNTY PHC 130068 BUCHANAN HARRIS COUNTY AUX PHC 130170 HAMILTON 2 K HART COUNTY AUX PUBLIC 130171 HARTWELL CLINIC HART COUNTY HOSPITAL 130172 HARTWELL HOSPITAL HEARD COMM HOSPITAL 130157 FRANK1 IN HOSPITAL HENRY COUNTY AUX PHC 130210 ;;;;;;ltGH CLINIC HIGGINS GENERAL HOSPITA HIGHLAND HOUSE i %69d t1Kz HOUSTON COUNTY HEALTH D 130234 Ei:YBus CLINIC .

* HHS/OCR HILL-BURTON COMMUNITY SERVICE ASSURANCE REPORT - THIRD TRIENNIAL SYSTEM CYCLE LISTING PAGE1 39 ALPHABETICAL LISTING OF FACILITIES BY FACILITY NAME WITHIN STATE STATE: GEORGIA

FACILTY NAME ID B CITY TYPE% ------” --w--q ----_------HUTCHESON MEDICAL CENTE FORT OGLETHORP HOSPITAL IRWIN COUNTY AUX PUBLIC : 3Ef CLINIC IRWIN COUNTY HOSP 130228 8x: HOSPITAL J M MEADOWS MEMORIAL HO VIDALIA HOSPI f Ai JACKSON COUNTY PHC ; 3:::: JEFFERSON JASPER COUNTY HEALTH DE MONTICELLO %~E JASPER MEMORIAL HOSPITA : 3tz: MONTICELLO HOSPITAL JEFF DAVIS COUNTY HEALT HAZLEHURST CLINIC JEFF DAVIS HOSPITAL :3:x HAZELHURST HOSPITAL JEFFERSON CO PHC 130201 LOUISVIliE CLINIC JENKINS COUNTY AUXILIAR 130217 WILLEN CLINIC JERE WELLS COMMUNITY HL ATLANTA CLINIC JOAN GLANCY MEMORIAL HO : :00x DULUTH HOSPITAL JOHN D ARCHBOLD HEM HOS 130273 THOMASVILLE tW;;AL JOHNSON COUNTY HLTH DEP 130300 WRIGHTSVILLE JONES COUNTY HEALTH DEP GRAY CLINIC KATHERINE DORSEY AUX PH i 3tz CALHOUN CLINIC KENNESTONE HOSPITAL 130209 HOSPITAL LAKEWOOD AUX PHC KEiTXA LAMAR COUNTY HLTH DEPT 1 GE0 BARNESVILLE x:: LIBERTY CO PHYS 8 MENTA 130179 HINESVILLE CLINIC LIBERTY COUNTY PUBLIC H 130149 FLEMINGTON CLINIC LIBERTY MEMORIAL HOSPIT 130180 HINESVILLE HOSPITAL LONG COUNTY HEALTH DEPA LUDOWICI CLINIC LOWNDES COUNTY PHC ; 3:5a”: VA1 DOSTA CLINIC LUMPKIN COUNTY PUBLIC H DAHLONEGA CLINIC MACON COUNTY HEALTH DEP : 3:::: OGL ETHORPE CLINIC MAGNOLIA MANOR 130010 AMERICUS NURSING MANCHESTER HEALTH CENTE GREENVILLE CLINIC MARION ENNIS PUBLIC HLT : :x HILLEDGEVILlE CLINIC MARION MEMORIAL HOSP 130069 BUENA VISTA HOSPITAL MCDUFFIE COUNTY HOSPITA 130275 HOSPITAL MCINTOSH CO AUX PUBLIC TDEiN CLINIC MEDICAL CENTER : 3% CO1 UMBUS HOSPITAL MEDICAL CENTER OF HOUST 130286 ;tzftiR ROBINS HOSPITAL MEDICAL CTR OF CENTRAL HOSPITAL MEMORIAL HOSPITAL 1 flE BAINBRIDGE HOSPITAL I MEMORIAL HOSPITAL 130291 WAYCROSS HOSPITAL MEMORIAL MEDICAL CTR 130255 SAVANNAH HOSPITAL HHSOCR HILL-BURTON COMMUNITY SERVICE ASSURANCE REPORT - THIRD TRIENNIAL SYSTEM CYCLE LISTING PAGE: 4 ALPHABETICAL LISTING OF FACILITIES BY FACILITY NAME WITHIN STATE STATE: GEORGIA

FACILTY NAME ID 0 CITY TYPES ------MERIWETHER MEM HOSP 8 N WARM SPRXNGS HOSPITAL MILLER COUNTY HOSPITAL :x COLOUITT HOSPITAL MINNIE G BOSWELL MEM 130164 GREENSBORO HOSPITAL MITCHELL CO AUX PHC 130232 PELHAM CLINIC MITCHELL COUNTY HOSPITA 130075 ;f$“;AL MITCHELL COUNTY PHC 130076 El:% MONROE CO AUX PHC FORSYTH CLINIC MORGAN COUNTY HEALTH DE : 3t:z MADISON CLINIC MORGAN MEMORIAL HOSP 130207 MADISON HOSPITAL MURRAY COUNTY MEMORIAL 130016 CHATSWORTH HOSPITAL MUSCOGEE MANOR NURSING 130100 NURSING N W GEORGIA REG HOSP 130245 E:hFMBUS HOSPITAL NE GA REG TIED CTR 130160 ~:f~;;;ILlE HOSPITAL NEIGHBORHOOD UNION HLTH 130039 CLINIC NEWTON COUNTY HLTH DEPT COVINGTON CLINIC NEWTON COUNTY HOSP :3x% COVINGTON HOSPITAL NORTH CLAYTON AUX PUBLC 130095 :;I;;:; PARK NORTH DEKALB AUX PHYS H 130040 KG NORTHEAST AUX PUBLIC HL 130041 CLINIC 130042 XE HOSPITAL NW GRADY CLINIC 130030 ATLANTA OCONEE COUNTY HEALTH DE WATKINSVILLE f::K OGLETHORPE CO AUX PHC 13%: 1 EXINGTON CLINIC PALEMON GASKINS MEM NRS 130229 OCILLA NURSING PATTERSON HOSPITAL BURG EtJ;T;;RT NURSING PAULDING COUNTY AUX PHC :3”0:1: CLINIC PAULDING COUNTY MEMORIA 130116 DALLAS HOSPITAL PEACH COUNTY HEALTH DEP FORT VALLEY CLINIC PEACH COUNTY HOSPITAL EZ FORT VALLEY HOSPITAL PELHAM PARKWAY NURSING NURSING PERRY-HOUSTON COUNTY HO i :xz3: %i%” HOSPITAL PHOEBE PUTNEY MEMORIAL 130005 Al BANY HOSPITAL PICKENS CO PHYSICAL HLT JASPER CLINIC PICKENS GENERAL HOSP 131% JASPER HOSPITAL PIERCE COUNTY HOSPITAL 130059 BLACKSHEAR HOSPITAL PIERCE COUNTY PUBLIC HL BLACKSHEAR PIKE COUNTY HEALTH DEPT 1x ZEBULON xs m POLK COUNTY PUBLIC HCTH 130084 CEDARTOWN CLINIC POLK GENERAL HOSPITAL 130085 CEDARTOWN HOSPITAL ’ HHSOCR HILL-BURTON COMMUNITY SERVICE ASSURANCE REPORT - THIRD TRIENNIAL SYSTEM CYCLE LISTING PAGE1 41 ALPHABETICAL.LISTING OF FACILITIES BY FACILITY NAME WITHIN STATE STATE: GEORGIA

FACILTY NAME ID : CITY TYPEX ------v-w ------w---- PULASKI COUNTY HEALTH D 130173 HAWKINSVILLE CLINIC PUTNAM COUNTY HEALTH DE 130141 EATONTON CLINIC QUITMAN COUNTY PUBLIC H 130161 GEORGETOWN CLINIC R J TAYLOR MEMORIAL HOS 130174 HAWKINSVILLE HOSPITAL R T JONES MEMORIAL HOSP I 30078 CANTON HOSPITAL RABUN COUNTY HEALTH DEP 13ooa9 CLAYTON CLINIC RABUN COUNTY MEM HOSP 130090 CLAYTON HOSPITAL RICHMOND COUNTY PHC 130050 AUGUSTA CLINIC RIVERSIDE NURSING HOME 130292 WAYCROSS NURSING ROCKDALE COUNTY AUX HLT CONYERS CLINIC ROCKDALE COUNTY HOSPITA 1zKit CONYERS HOSPITAL ROCKMART-ARAGON HOSPITA 130242 ROCKMART HOSPITAL ROOSEVELT WARM SPRINGS 130284 WARM SPRINGS OTHER ROSSVILLE AUX PUBLIC HL 130246 ROSSVILLE CLINIC ROSWELL, AUX PUBLIC HEAL 130247 ROSWEL 1 CLINIC ROY W MCGEE AUX PUBLIC 130044 ATLANTA CLINIC SADIE 0 MAYS MEMORIAL N ATLANTA NURSING SAINT JOSEPH’S HOSPITAL 13Es5 ATLANTA HOSPITAL SAINT MARY’S HOSPITAL 0 130017 ATHENS HOSPITAL SAM HOWELL MEM HOSP CARTERSVILLE HOSPITAL SANDY SPRINGS COMM HLTH i 32:: SANDY SPRINGS CLINIC SCREVEN CO PHC 130268 SYLVANIA CLINIC SCREVEN COUNTY HOSP SYLVANIA HOSPITAL SOUTH FULTON HOSPITAL ; 3% EAST POINT HOSPITAL SOUTH FULTON PUBLIC HLT 130046 ATLANTA CLINIC SOUTH GEORGIA MEDICAL C 130281 VA1 DOSTA HOSPITAL SOUTHWEST COMM HOSP 130047 ATLANTA HOSPITAL SPALDING COUNTY PUBLIC GRIFFIN CLINIC ST FRANCIS HOSPITAL, IN : 3Ki HOSPITAL ST JOSEPH HOSPITAL 130051 :KE~:s HOSPITAL ST JOSEPH’S HOSPITAL SAVANNAH HOSPITAL ST JOSEPHS HOSP 1 JJ~~~f ATLANTA HOSPITAL ST JOSEPHS HOSPITAL DAHLONEGA HOSPITAL STEPHENS COUNTY HOSPITA i 55:::; TOCCOA HOSPITAL SUMTER REGIONAL HOSPITA 130009 HOSPITAL SW DEKALB AUX PHYSICAL 130127 ECEi%P CLINIC SW GA EASTER SEAL REHAB 130027 ALBANY OTHER SYLVAN GROVE HOSP 130185 JACKSON HOSPITAL TALBOT COUNTY PHC 130270 TAL BOTTOM CLINIC HHSIOCR HILL-BURTON COMMUNITY SERVICE ASSURANCE REPORT - THIRD TRIENNIAL SYSTEM CYClE LISTING PAGE: ’ ALPHABETXCAL LISTING OF FACILITIES BY FACILITY NAME WITHIN STATE . STATE: GEORGIA

FACILTY NAME ID 8 CITY TYPEr ------^------L----w ..-w----- TANNER MEDICAL CENTER i 30081 CARROLLTON HOSPITAL TANNER MEDICAL CENTER/V VILLA RICA HOSPITAL TATTNALL COUNTY PUBLIC : 31ta3; ;~:E3;;ILlE CLINIC TAYLOR CO HEALTH DEPT 130071 CLINIC TERRELL COUNTY PUBLIC H 130121 DAWSON CLINIC THOMAS COUNTY PUBLIC Hl THOMASVflLE CLINIC THREE RIVERS HOSPITAL 6. i 3ts:: MCRAE HOSPITAL TIFT GENERAL HOSPITAL 130276 TIFTON HOSPITAL TOOMBS COUNTY PUBLIC HL LYONS CLINIC TOWNS COUNTY HOSPITAL i 3% HI AWASSEE HOSPITAL TOWNS COUNTY PUBLIC HLT HIAWASSEE CLINIC TREUTLEN COUNTY HOSP i 3% SOPERTON HOSPITAL TROUP COUNTY PUBLIC HEA 130194 LA GRANGE CLINIC TUCKER AUX PHYSICAL HLT 130279 TUCKER TURHER CO AUX PUBLIC HC ASHBURN %K TURNER COUNTY HOSPITAL Et:: ASHBURN HOSPITAL TWIGGS COUNTY HLTH DEPT 130189 JEFFERSONVILLE CLINIC UNION COUNTY AUX PUBLIC 130061 BLAIRSVILLE CLINIC UNION GENERAL HOSPITAL BLAIRSVILLE HOSPITAL UNIVERSITY HDSP 15% AUGUSTA HOSPITAL UPSON COUNTY HlTH DEPT 130271 THOMASTON CLINIC UPSON COUNTY HOSPITAL THOMASTON HOSPITAL WALKER COUNTY PHC :x62 LAFAYETTE CLINIC WALTON CO HOSP I 30218 MONROE HOSPITAL WALTON COUNTY HEALTH DE 130219 MONROE CLINIC WARE COUNTY PUBLIC HEAL 130293 WAYCROSS CLINIC WARREN CO AUX PUBLIC HL 130287 WARRENTON WASHINGTON CO PHC SANDERSVILLE Ek :"N:: WASHINGTON MEMORIAL HOS : 5%: ;;:;fi;VILLE HOSPITAL WATKINS MEMORIAL HOSPIT 130146 HOSPITAL WAYNE COUNTY PUBLIC HLT JESUP CLINIC WAYNE MEMORIAL HOSP :3w JESUP WESLEY WOODS HEALTH CEN 130049 ATLANTA KG:2 WEST GEORGIA MEDICAL CE 130195 LA GRANGE HOSPITAL WHEELER COUNTY HLTH DEP 130003 ALAMO CL LNIC WHITE COUNTY PUBLIC HlT 130091 f:;EbAND CLINIC WHITFIELD CO PHYSICAL H 130119 CLINIC WILCOX COUNTY PUB HLTH 130241 ROCHELLE WILKES COUNTY PUBLIC HL i 30288 WASHINGTON K4:: .

’ HHS/OCR HILL-BURTON COMMUNITY SERVICE ASSURANCE REPORT - THIRD TRIENNIAL SYSTEM CYCLE LISTING PAGE; 43 AlPHABETICAL~LISTING OF FACILITIES BY FACILITY NAME WITHIN STATE STATE 8 GEORGIA

FACILTY NAME ID # CITY TYPEn ------w------mw------WILKINSON COUNTY HLTH D 130183 IRWINTON CLINIC WILLS MEMORIAL HOSPITAL WASH1 NGTON HOSPITAL WORTH COMMUNITY HOSPITA 1%:x SYLVESTER HOSPITAL WT BROOKS HLTH CLINIC 130138 EAST POINT CLINIC 276 FACILITIES TO BE SURVEYED IN GEORGIA

, Y HHSOCR HILL-BURTON COMMUNITY SERVICE ASSURANCE REPORT - THIRD TRIENNIAL SYSTEM CYCLE LISTING PAG ALPHABETICAL LISTING OF FACILITIES BY FACILITY NAME WITHIN STATE STATE: GUAM .

FACILTY NAME ID # CITY TYPE+ -----I------. AGAT AUX PHC 660002 AGAT CLINIC ASAN AUX PHC 660003 ASAN CLINIC CENTRAL HEALTH SERVICES 660006 MANGILAO CLINIC DIAGNOSTIC TREAT CTR 660005 INARAJAN OTHER GUAM MEMORIAL HOSP 660001 AGANA HOSPITAL MERIZO AUX PHC 660008 CLINIC PIT1 AUX PHC 66 0009 EEZO CLINIC SANTA RITA AUX PHC 660010 SANTA RITA CLINIC TALOFOFO AUX PHC 660011 TALOFOFO YONA AUX PHC 660012 YONA s::% 10 FACILITIEi TO BE SURVEYED IN GUAM HHS/OCR HILL-BURTON COMMUNITY SERVICE ASSURANCE REPORT - THIRD TRIENNIAL SYSTEM CYCLE LISTING PAGE: 45 ALPHABETICAL.LISTING OF FACILITIES BY FACILITY NAME WITHIN STATE STATE: HAWAII

FACILTY NAME ID # CITY TYPE+ ------e-w -----s-m CASTLE MEDICAL CENTER 150021 HOSPITAL G N WILCOX MEMORIAL HOS fEJ”EA HALE MAKUA 1 ZK WAILUKU iK:2 HANA MEDICAL CENTER 150001 HANA OTHER HANAPEPE AUX PUBLIC HLT 150002 LIHUE CLINIC HAWAII STATE HOSPITAL KANEOHE HOSPITAL HILO HOSPITAL i Eff HI10 HOSPITAL HOOPONO CENTER FOR THE pUlll;lU OTHER KAHUKU HOSPITAL i 2tK HOSPITAL KAPIOLANI WOMENS k CHIL 150007 HOMO1 ULU HOSPITAL KAU HOSPITAL 150029 PAHAiA HOSPITAL KAUAI VETERANS MEMORIAl 150033 WAIMEA HOSPITAL KONA GENERAL HOSPITAL 150024 KEALAKEKUA HOSPITAL KONA HEALTH CENTER 150025 KEALAKEKULA CLINIC KUAKINI MEDICAL CENTER i 50008 HONOLULU HOSPITAL LANAI COMMUNITY HOSP 150026 LANAI CITY HOSPITAL LANAKILA PUBLIC HEALTH 150010 HONOLULU CLINIC LANAKILA REHABILITATION 150009 HONOLULU OTHER LEAHI HOSPITAL 150011 HONOLULU HOSPITAL LIHUE PUBLIC HEALTH CEN I 50028 LIHUE CLINIC MALUHIA HOSPITAL HONOLULU NURSI NO MAUI MEMORIAL HOSPITAL i Et:: WAILUKU HOSPI TAl MAUNALANI CONV HOSP HONOLULU NURSING bl;liK;lcGENERAL HOSP 1 %E KAUNAKAKAI HOSPITAL 150014 HONOLULU CLINIC QUEENS MEDICAL CENTER 150016 HONOLULU HOSPITAL REHAB HOSP OF THE PACIF 150017 HONOLULU HOSPITAL ST FRANCIS HOSPITAL 150018 HONOLULU HOSPITAL WAHIAWA GENERAL HOSPITA WAHIAWA HOSPITAL WAIAKEA HEALTH CENTER i K! HI10 CLINIC WAILUKU HLTH CTR 150020 WAILUKU CLINIC WAIPAHU PUBLIC HEALTH C 150034 WAIPAHU CLINIC 32 FACILITIES TO BE SURVEYED IN HAWAII HHSOCR HILL-BURTON COMMUNITY SERVICE ASSURANCE REPORT - THIRD TRIENNIAL SYSTEM CYCLE LISTING PAGE: 4C ALPHABETICAL LISTING OF FACILITIES BY FACILITY NAME WITHIN STATE . STATE: IDAHO

FACILTY NAME ID I) CITY TYPES ------e-m ------ASHTON MEMORIAL HOSPITA 160003 ASHTON HOSPITAL BANNOCK COUNTY NURSING 160063 POCATELLO NURSING DANNOCK REGIONAL MEDICA 160042 POCATELLO HOSPITAL BEAR LAKE MEMORIAL HOSP 160033 MONTPELIER HOSPITAL BENEWAH COMMUNITY HOSPI 160053 ST MARIES HOSPITAL BINGHAM MEM HOSP AND NH BLACKFOOT HOSPITAL BLAINE CO MED CTR ! S%z HAILEY HOSPITAL BONHER GENERAL HOSPITAL SANDPOINT HOSPITAL CARIBOU MEMORIAL HOSPIT : EK ;E;fE$PRINGS HOSPITAL CASSIA MEMORIAL HOSPITA HOSPITAL CLEARWATER VALLEY HOSPI IflK OROFINO HOSPITAL COMMUNITY HEALTH CLINIC 160039 NAMPA CLINIC COMMUNITY HOSP 8 BOUNDA 160012 BONNERS FERRY HOSPITAL COMNUNITY HOSPITAL 160018 COUNCI 1 HOSPITAL ELMORE MEMORIAL HOSPITA MOUNTAIN HOME HOSPITAL FRANK1 IN COUNTY MEDICAL 1 %E PRESTON HOSPITAL FREMONT GENERAL HOSPITA SAINT ANTHONY HOSPITAL GOODING COUNTY MEMORIAL : f!x GOODING HOSPITAL GRITMAN MEMORIAL HOSP 160034 MOSCOW HOSPITAL HARMS MEM HOSP 160001 AMERICAN FALLS HOSPITAL IDAHO COUNTY NURSING HO 160022 GRANGEVILLE NURSING IDAHO ELKS REHABILITATI 160008 BOISE HOSPITAL IDAHO FALLS CONS HOSPS 160025 IDAHO FALLS HOSPITAL IDAHO STATE SCHOOL AND 160040 NAMPA OTHER IDAHO STATE TB HOSP GOODING HOSPITAL IDAHO STATE UNIV-DEPT D 1 f:z POCATELLO OTHER KOOTENAI MEDICAL CENTER COEUR D ALENE HOSPITAL LATAH CARE CENTER, INC x:ss MOSCOW NURSING LATAH CO PHC 160035 MOSCOW CLINIC LOST RIVERS HOSPITAL ARC0 HOSPITAL MAGIC VALLEY REGIONAL M 1 f:% TWIN FALLS HOSPITAL MARSH VALLEY HOSP 160019 DOWNEY HOSPITAL MCCALL MEMORIAL HOSPITA MCCALL HOSPITAL MERCY MEDICAL CENTER xt3a2 NAMPA HOSPITAL MINIDOKA HEM HOSP 160047 RUPERT HOSPITAL MORITZ COMMUNITY HOSPIT 160054 SUN VALLEY HOSPITAL NORTH CENTRAL DIST HLTH 1 EWI STON CLINIC ONEIDA COUNTY HOSP ::x HALAD CITY HOSPITAL

HHS/OCR HILL-BURTON COMMUNITY SERVICE ASSURANCE REPORT - THIRD TRIENNIAL SYSTEM CYCLE LISTING PAGE: 48 ALPHABETICAL LISTING OF FACILITIES BY FACILITY NAME WITHIN STATE STATE: ILLINOIS

FACILTY NAME ID t CITY TYPE% -we------ABRAHAM LINCOLN HEH HOS LINCOLN HOSPITAL ADAMS COUNTY PHC KG: OUINCY CLINIC ALEXIAN BROTHER-MED CTR 170094 ELK GROVE HOSPITAL ALTON MEMORIAL HOSP ALTON HOSPITAL BEARDSTOWN HOSP : Et!: BEARDSTOWN HOSPITAL BEARDSTOWN HOSP NRSNG C 170208 BEARDSTOWN NURSING BLESSING HOSP 170175 HOSPITAL BROKAW HOSP 170150 KK HOSPITAL BURNHAM HOSPITAL 170031 CHAMPAIGN HOSPITAL CANTEEN PUBLIC HEALTH C EAST ST. LOUIS CLINIC CARLE FOUNDATION HOSPIT i ;x URBANA HOSPITAL CARLINVILLE AREA HOSPIT 170026 CARLINVILLE HOSPITAL CARMI TOWNSHIP HOSPITAL 170027 CARMI HOSPITAL CENTRAL DUPAGE HOSP 170204 WINFIELD HOSPITAL CENTREVILLE HC 170085 EAST ST. LOUIS CLINIC CHICAGO HEALTH 170035 CHICAGO OTHER CHICAGO OSTEOPATHIC MED 170036 CHICAGO HOSPITAL CHRIST HOSPITAL 170151 OAK LAWN HOSPITAL CHRISTAN ACT MNSTRY CTR 170037 CHICAGO NURSING CHRISTIAN NURSING HOME 170131 LINCOLN NURSING CLAY COUNTY HOSPITAL 170103 FLORA HOSPITAL COLES CNTY C M H BOARD 170033 CHAR1 ESTDN HOSPITAL COMM MEM GEN HOSP LA GRANGE HOSPITAL COMM MEM HOSP :x MONMOUTH HOSPITAL COMMUNITY GENERAL HOSPI 170193 STERLING HOSPITAL COMMUNITY HOSP OF EAST 170086 EAST ST. LOUIS HOSPITAL COMMUNITY HOSP OF OTTAW 170157 OTTAWA HOSPITAL CONDELL MEMORIAL HOSP 170129 LIBERTYVILLE HOSPITAL COPLEY MEMORIAL HOSPITA 170008 AURORA HOSPITAL CRAWFORD MEMORIAL HOSPI ROBINSON HOSPITAL DECATUR MEMORIAL HOSPIT 1 xi HOSPITAL DEKALB COUNTY NURSING H 170078 EEZXR NURSING DELNOR HOSPITAL 170192 ST CHARLES HOSPITAL DEWITT CO NRSNG HOME 170074 CL INTON NURSING DISTRICT HEALTH CENTER 170039 CHICAGO CLINIC DOUGLAS COUNTY JARMAN M TUSCOLA HOSPITAL EAST SIDE PUBLIC HEALTH 1 EE!: EAST ST LOUIS CLINIC EDWARD A UTLAUT HEM HOS 170112 GREENVILLE HOSPITAL .HHWOCR HILL-BURTON COMMUNITY SERVICE ASSURANCE REPORT - THIRD TRIENNIAL SYSTEM CYCLE LISTING PAGE: 49 ALPHABETICAL LISTING OF FACILITIES BY FACILITY NAME WITHIN STATE . STATE: ILLINOIS

FACILTY NAME ID 8 CITY TYPE* ------MM e------EDWARD HOSPITAL 170148 NAPERVILLE HOSPITAL ENGLEWOOD NEIGHBORHOOD 170040 CHICAGO EURMA HAYES NGHBRHD MC 170025 CARBONDALE EtlT EVANSTON HOSP 170097 FAIR HAVENS CHRISTIAN H 170081 EKORN tlxTN~L FAIRFIELD HEM HOSP 170101 FAIRFIELD HOSPITAL FAYETTE COUNTY HOSPITAL 170199 VANDAL IA HOSPITAL FRANCISCAN MED CTR 170180 ROCK ISLAND HOSPITAL FRANK CUNEO MEMORIAL HO 170041 g;g" HOSPITAL FRANKLIN HOSPITAL 170017 HOSPITAL FREEPORT MEMORIAL’ HOSPI 1.70105 FREEPORT GALENA PARK HOME PEORIA HEIGHTS tjtEK2 GALENA STAUSS HOSPTTAL ~77%: GALENA HOSPITAL GALESBURG COTTAGE HOSPI 170107 f;;E;;;RG HOSPITAL GARFIELD PARK COMM HOSP 170042 HOSPITAL GIBSON COMMUNITY HOSP 170110 GIBSON CITY HOSPITAL GOOD SAMARITAN HOSP MT VERNON HOSPITAL GOTTLIEB MEMORIAL HOSP K564 tW;;E PARK HOSPITAL GRAHAM HOSPITAL ASSOCIA 170023 HOSPITAL GRANT HOSPITAL OF CHICA CHICAGO HOSPITAL HAMILTON MEMORIAL HOSPI : 300% Fl;;~;;iBORO HOSPITAL HAMMOND-HENRY DIST HOSP 170109 HOSPITAL HANCOCK COUNTY NURSING 170207 CARTHAGE NURSING HARDIN CO. GENERAL HOSP 170184 flg?;;.ARE HOSPITAL HERRIN HOSPITAL 170115 HOSPITAL HIGHLAND HOSPITAL BELVI DERE HOSPITAL HIGHLAND PARK HOSP xi65 HIGHLAND PARK HOSPITAL HINSDALE HOSP 170117 HINSDALE HOSPITAL HOLY CROSS HOSP 170044 CHICAGO HOSPITAL HOLY FAMILY HOSP DES PLAINES HOSPITAL HOOPESTON COMM HOSPITAL 1 T”oK HDOPESTON HOSPITAL ILLINOIS MASONIC HOSPIT 170045 CHICAGO HOSPITAL INGALLS MEMORIAL HOSP 170113 HARVEY HOSPITAL IROQUOIS MEMORIAL HGiiPI 170202 J SHOVER EASTER SEAL RE 170091 LENEKA K’E:TAL JACKSON COUNTY NURSING $;;;‘c;BORO NURSI NO JACKSON PARK HOSP 6 MED : %Z HOSPITAL KEWANEE PUBLIC HOSPITAL 170124 KEWANEE HOSPITAL LA RABIDA CHILD HOSP 170047 CHICAGO HOSPITAL HHS/OCR HILL-BURTON COMMUNITY SERVICE ASSURANCE REPORT - THIRD TRIENNIAL SYSTEM CYCLE LISTING PAGE: 50 ALPHABETICAL LISTING OF FACILITIES BY FACILITY NAME WITHIN STATE STATE: ILLINOIS

FACILTY NAME ID # CITY TYPEH ------w--w -----m-- LAKEVIEW MEDICAL CENTER DANVILLE HOSPITAL LAWRENCE COUNTY HOSP E% LAWRENCEVILLE LEYDEN EXTENDED CARE CE 170104 FRANKLIN PARK KzxL LITTLE COMPANY OF MARY EVERGREEN PARK HOSPITAL LORETTO HOSPITAL : ;x HOSPITAL LOUIS WEISS MEMORIAL HO EE8 HOSPITAL LOWER WEST SIDE NEIGHBO 1SX CHICAGO CLINIC LUTHERAN GEN HOST’ 170161 g;f;NRE’DGE HOSPITAL LUTHERAN HOSP 170140 MAPLE LAWN HOMES * 170095 EUREKA KK? MARION MEMORIAL HOSPITA 170133 MARION HOSPITAL MARSHALL BROWNING HOSPI DU OUOIN HOSPITAL MARY THOMPSIN HOSPITAL x: CHICAGO HOSPITAL MASSAC CO HOSP 170139 METROPOLIS HOSPITAL MCDONOUGH DISTRICT HOSP MACOMB HOSPITAL HEM HOSP OF CARBONDALE K%f CARBONDALE HOSPITAL MEMORIAL HOSP FOR MCHEN 170206 WOODSTOCK HOSPITAL MEMORIAL HOSPITAL BELLEVILLE HOSPITAL MEMORIAL HOSPITAL K% HOSPTTAL MEMORIAL HOSPITAL %TsKE HOSPITAL MEMORIAL MEDICAL CENTER : z;i SPRINGFIELD HOSPITAL MENDOTA COMMUNITY HOSPI 170138 MENDOTA HOSPITAL MENNONITE HOSP BLOOMINGTON HOSPITAL MERCER COUNTY HOSPITAL 1 x HOSPITAL MERCER COUNTY NURSING H %I! NURSING MERCY CENTER FOR HLTH C xt; HOSPITAL MERCY HOSP 170198 2%2 HOSPITAL MERCY HOSPITAL 8 WEDICA CHICAGO HOSPITAL METHODIST HOSP 1 x PEORIA HOSPITAL METHODIST SUNSET HOME 170176 OUINCY NURSING MICHAEL REESE HOSPITAL CHICAGO MISERICORDIA NOME : E45 CHICAGO IltEx~L MONROE COUNTY NURSING H 170201 ym~O0 NURSING MORRIS HOSPITAL 170142 HOSPITAL MT SINAI HOSP MED CTR 170055 CHICAGO HOSPITAL NORTHWEST COMM HOSP 170007 &W&ON HOTS HOSPITAL NORTHWESTERN HEM HDSP 170056 OTHER OAK GLEN HOME 170075 ~~~Lp~&LEY NURSING OAK PARK HOSPITAL 170153 HOSPITAL HHSIOCR HILL-BURTON COMMUNITY SERVICE ASSURANCE REPORT - THIRD TRIENNIAL SYSTEM CYCLE LISTING PAGE: 51 ALPHABETICAL LISTING OF FACILITIES BY FACILITY NAME WITHIN STATE . STATE: ILLINOIS

FACILTY NAME ID 8 CITY TYPEH ------s--e ------m-m--- OLYMPIA FIELDS OSTEO 170156 OLYMPIA FIELDS HOSPITAL PALOS COMMUNITY IiOSPITA 170159 PALOS HEIGHTS HOSPITAL PARIS COMMUNITY HOSP 170160 PARIS HOSPITAL PASSAVANT HEM HOSP 170119 JACKSONVILLE HOSPITAL PEACE MEMORIAL HOME 170100 EVERGREEN PARK NURSING PEKIN MEMORIAL HOSP PEKIN HOSPITAL PEORIA CITY/COUNTY HEAL 1;00:“6: PEORIA COUNTY TB TREATM 170167 EK %iK PERRY MEMORIAL HOSPITAL PRINCETON HOSPITAL PINCKNEYVILLE COMM HOSP XT PINCKNEYVILLE HOSPITAL PLEASANT VIEW LUTHER HO 170158 OTTAWA PRAIRIE VIEW HOME 170171 PU;E;ON SEEi PRESBYTERIAN ST LUKES 170057 HOSPITAL PROCTOR COMMUNITY HOSPI 170165 PEORIA HOSPITAL PROVIDENT HOSP 170058 CHICAGO HOSPITAL RAVENSWOOD HOSPITAL MED 170059 CHICAGO REHABILITATION EDUCATIO CHAMPAIGN KsTAL REHABILITATION INST OF : Ef CHICAGO HOSPITAL RESURRECTION HOSPITAL 170061 HOSPITAL RICHLAND MEMORIAL HOSP 170155 Ei!rfiEP” HOSPITAL RIVERSIDE HOSP KANKAKEE HOSPITAL ROCK ISLAND HC :3x ROCK ISLAND OTHER SAINT ANTHONYS HOSPITAL ALTON HOSPITAL SAINT FRANCIS HOSPITAL i Kt PEORIA HOSPITAL SAINT JOSEPH HOSPITAL 110066 HOSPITAL SAINT JOSEPH HOSPITAL 170093 EKG0 HOSPITAC SAINT JOSEPH MEDICAL CE 170121 JOCIET HOSPITAL SANDWICH COMMUNITY HOSP 170186 SANDWICH HOSPITAL SARAH BUSH LINCOLN HlTH 170134 MATTOON HOSPITAC SARAH D CULBERTSON MEM 170185 p;i;;~LE HOSPITAL SAVANNA CITY HOSPITAL 170187 HOSPITAL SCHWAB REHAB HOSP 170062 CHICAGO OTHER SHELBY MEMORIAL HOSPITA 170188 ;;~;;YVIllE HOSPITAL SHERMAN HOSP 170092 HOSPITAL SILVER CROSS HOSPITAL JO1 IET HOSPITAL SKOKIE VALLEY COMMUNITY Et SKOKIE HOSPITAL SOUTH SUBURBAN HOSP 170114 HAZEL CREST HOSPITAL SOUTHERN MEDICAL CENTER CAIRO HOSPITAL ST ANNES HOSP ; :0”0”623 CHICAGO HOSPITAL HHSIOCR HILL-BURTON COMMUNITY SERVICE ASSURANCE REPORT - THIRD TRIENNIAL SYSTEM CYCLE LISTING PAGE: 52 ALPHABETICAL LISTING OF FACILITIES BY FACILITY NAME WITHIN STATE STATE: ILLINOIS

FACILTY NAME ID I CITY TYPEH ------a------ANTHONY’S MEMORIAL 170090 EFFINGHAM HOSPITAL ANTHONYS HOSP ROCKFORD HOSPITAL BERNARD HOSPITAL 1T%Z CHICAGO HOSPITAL CLEMENT HOSPITAL 170178 RED BUD HOSPITAL ELIZABETH NED CTR 170111 GRANITE CITY HOSPITAL ELIZABETHS HOSP 170013 BELLEVILLE HOSPITAL ELIZABETHS HOSP 170065 CHICAGO HOSPITAL ELIZABETHS HOSP 170077 DANVILLE HOSPITAL FRANCIS HOSP 170098 EVANSTON HOSPITAL FRANCIS HOSPITAL. 170020 BLUE ISLAND HOSPITAL JAMES HOSP 170073 CHICAGO HOTS HOSPITAL JAMES HOSPITAL PONTIAC HOSPITAL JOHNS HOSPITAL x: SPRINGFIELD HOSPITAL JOSEPH’S HOSPITAL 170005 ALTON HOSPITAL JOSEPH’S HOSPITAL 170021 JOSEPH’S NURSING HOM 170126 f!AREEE KKP JOSEPHS HOSP MEDICAL BLOOMINGTON HOSPITAL JOSEPHS MEM HOSP ; %25 MURPHYSBORO HOSPITAL MARY OF NAZARETH 170067 CHICAGO HOSPITAL MARYS HOSP HOSPITAL MARYS HOSP %% HOSPITAL MARYS HOSP STREATOR HOSPITAL MARYS HOSPITAL EZ3 CENTRAL IA HOSPITAL MARYS HOSPITAL 170089 EAST ST LOUIS HOSPITAL MARYS HOSPITAL GAL ESBURG HOSPITAL PAULS HOME FOR THE A xt BELLEVILLE NURSING THERESE HOSP WAUKEGAN HOSPITAL ST VINCENT MEMORIAL HOS i EZ ;$;;ii;ILLE HOSPITAL STICKNEY PUBLIC HEALTH 170152 CLINIC SWEDISH AMERICAN HOSP ROCKFORD HOSPITAL SWEDISH COVENANT HOSPIT 1 Ef CHICAGO HOSPITAL THOS H BOYD MEMORIAL HO 170028 CARROLLTON HOSPITAL U M W A UNION HOSPITAL 170200 fH;Ei;;FORT HOSPITAL U OF CHICAGO HOSP HOSPITAL UNION COUNTY HOSPITAL x6069 ANNA HOSPITAL UNITED METHODIST VILLA0 170128 LAWRENCEVILLE OTHER UNIV OF ILLINOIS CHICAGO VISUALLY HANDICAPPED z%: CHICAGO !.KzTAL W MURRAY DEVELOP CTR 170145 MT VERNON HOSPITAL IHW6CR HILL-BURTON COMMUNITY SERVICE ASSURANCE REPORT - THIRD TRIENNIAL SYSTEM CYCLE LISTING PAGE: 53 ALPHABETICAL LISTING OF FACILITIES BY FACILITY NAME WITHIN STATE iTATE: ILLINOIS

FACILTY NAME ID t CITY TYPEr _------,------JABASH GENERAL HOSPITAL MT CARMEL HOSPITAL 4ASHINGTON CO HOSP DIST Ki:; NASHVILLE JAY-FAIR RESTORIUM, INC FAIRFIELD tjKz? JEST SUBURBAN HOSPITAL 1E2 HOSPITAL JEST TOWN NEIGHBORHOOD ECY%K CLINIC JESTLAKE COMMUNITY HOSP :;m MELROSE PARK HOSPITAL JINNING WHEELS INC 170173 PROPHETSTOWN NURSING JOOD RIVER TOWNSHIP HOS 170205 WOOD RIVER HOSPITAL 202 FACILITIES TO BE SURVEYED IN ILLINOIS HHSOCR HILL-BURTON COMMUNITY SERVICE ASSURANCE REPORT - THIRD TRIENNIAL SYSTEM CYCLE LISTING PAGE: 54 ALPHABETICA: LISTING OF FACILITIES BY FACILITY NAME WITHIN STATE STATE 8 INDIANA

FACILTY NAME ID : CITY TYPEH ------ADAMS COUNTY HEM HOSP 180019 DECATUR HOSPITAL BALL MEMORIAL HOSPITAL 180082 MUNCIE HOSPITAL BARTHOLOMEW COUNTY HOSP 180013 COLUMBUS HOSPITAL BLACKFORD COUNTY HOSPIT HARTFORD CITY HOSPITAL BLOOMINGTON HOSPITAL i Xoo~~S BLOOMINGTON HOSPITAL BROADWAY METHODIST HOSP 180077 MERRILLVILLE HOSPITAL BYRON HEALTH CENTER 180027 FORT WAYNE NURSING CLARK COUNTY MEM HOSP 180059 JEFFERSONVILLE HOSPITAL CLAY COUNTY HOSP 1 a0009 BRAZI 1 HOSPITAL CLINTON COUNTY HOSP FRANKFORT HOSPITAL COMM HOSP INDIANAPOLIS :KE INDIANAPOLIS HOSPITAL COMMUNITY HOSPITAL ASS0 la01 14 WILLIAMSPORT HOSPITAL CULVER UNION HOSP 180016 CRAWFORDSVILLE HOSPITAL DAVIESS COUNTY HOSPITAL 180113 WASHINGTON HOSPITAL DEACONESS HOSPITAL 180023 EVANSVILLE HOSPITAL DEARBORN COUNTY HOSPITA 180069 LAWRENCEBURG HOSPITAL DECATUR CO MEN HOSP 180044 GREENSBURG HOSPITAL DEKALB MEMORIAL HOSP 180002 AUBURN HOSPITAL DELAWARE CO ASSOC FOR R 1 a0083 MUNCIE OTHER DUKES MEMORIAL HOSP 180089 PERU HOSPITAL DUNN MEMORIAL HOSPITAL HOSPITAL ELKHART GENERAL HOSP : XE: KETD HOSPITAL FAYETTE HEM HOSP 180014 CONNERSVILLE HOSPITAL FORT WAYNE ST DEVELOPMN 180029 FORT WAYNE OTHER GARY PHC 180036 GARY CLINIC GEORGE ADE MEMORIAL HOS 180010 BROOK HOSPITAL GIBSON GENERAL HOSPITAL PRINCETON HOSPITAL G OOD- SAMARIT A N HoME 1 Kiss EVANSVILLE NURSING GOOD SAMARITAN HOSP 180111 VINCENNES HOSPITAL GOODWILL INDUSTRIES OF 180060 JEFFERSONVILLE 0,THER GOSHEN GENERAL HOSP GOSHEN HOSPITAL GRANT-BLACKFORD DEVELOP : tE74: MARION OTHER GREENCROFT NRSNG HOME 180041 NURSING GREENE COUNTY GENERAL H 180071 KE1 HOSPITAL HANCOCK MEMORIAL HOSPIT 180043 Ei;;ti;;EL D HOSPITAL HARRISON COUNTY HOSPITA HOSPITAL HEALTHWIN HOSPITAL E:E SOUTH BEND HOSPITAL HENDRICKS CO HOSP 180018 DANVILLE HOSPITAL L

HHS/OCR HILL-BURTON COMMUNITY SERVICE ASSURANCE REPORT - THIRD TRIENNIAL SYSTEM CYCLE LISTING PAGE: 55 ALPHABETICAL LISTING OF FACILITIES BY FACILITY NAME WITHIN STATE STATE: INDIANA

FACILTY NAME ID t TYPEB ------e------HLNRY COUNTY HEM HOSP 180085 NEW CASTLE HOSPITAL HOWARD COMM HOSP 180063 KOKOMO HOSPITAL HUNT1 NGTON HEM HOSP 180050 HUNTINGTON HOSPITAL INDIANA UNIV SPEECHfHEA 180007 BLOOMINGTON OTHER INDIANA UNIVERSITY HOSP 180054 INDIANAPOLIS HOSPITAL JACKSON CO SCHNECK MEMO 180099 SEYMOUR HOSPITAL JASPER COUNTY HOSPITAL 180093 RENSSELAER HOSPITAL JOHNSON COUNTY MEMORIAL 180035 FRANK1 IN HOSPITAL LAFAYETTE HOME HOSP 180066 LAFAYETTE HOSPITAL LAGRANGE HOSPITAL. 180068 HOSPITAL LAPORTE HOSPITAL INC 180065 K%::” LITTLE COMPANY OF MARY 180097 ;M;;RRE %xY LUTHERAN COMMUNITY HOME 180100 NURSING LUTHERAN HOSP OFMfi;Nt;; 1 a0030 FORT WAYNE HOSPITAL MARGARET MARY 180003 BATESVILLE HOSPITAL MARION GENERAL HOSP MARION HOSPITAL MARSHALL CO PKVIEW HOSP 1 X%~ PLYMOUTH HOSPITAL MARY SHERMAN HOSP 180105 SULLIVAN HOSPITAL MCCRAY MEMORIAL HOSPITA 180061 KENDALLVILLE HOSPITAL HEM HOSP OF SO BEND 180103 ;;;tXJ;RBEND HOSPITAL MEMORIAL HOSP 8 HLTH CA 180058 HOSPITAL MEMORIAL HOSP OF MICHIG 180078 MICHIGAN CITY HOSPITAL MEMORIAL HOSPITAL 180072 t. OGANSPORT HOSPITAL MEMORIAL HOSPITAL 180084 HOSPITAL METHODIST HOSP OF GARY %!YALBANY HOSPITAL MORGAN COUNTY MEMORIAL : KG: i;;;INSVILLE ‘d=‘;W NE LAKE COUNTY DAY CARE la0038 NH LAKE COUNTY DAY CARE 1 a0047 HIGHLAND OTHER OAKLAWN PSYCHIATRIC CEN ELKHART OTHER ORANGE COUNTY HOSPITAL ; X%sz PAOLI HOSPITAL OUR LADY OF MERCY HOSPI 180020 DYER HOSPITAL PARKVIEW MEM HOSP 180031 FORT WAYNE HOSPITAL PATHFINDER SERVICES,INC 180049 HUNTINGTON OTHER PERRY CO MEN HOSP 180106 TELL CITY HOSPITAL PORTER MEMORIAL HOSPITA la0110 VALPARAISO HOSPITAL PULASKI MEMORIAL HOSPIT 180115 WINAMAC HOSPITAL PUTNAM COUNTY HOSPITAL GREEN CASTLE HOSPITAL RANDOLPH COUNTY HOSPITA f Xf WINCHESTER HOSPITAL REHABILITATION CENTER, 180025 EVANSVILLE OTHER HHSIOCR HILL-BURTON COMMUNITY SERVICE ASSURANCE REPORT - THIRD TRIENNIAL SYSTEM CYCLE LISTING PAGE: 56 ALPHABETICAL LISTING OF FACILITIES BY FACILITY NAME WITHIN STATE StAlEi; IHDIANA

FACTLTY NAME ID 8 CITY TYPEM ____--___------a ------m--- REID MEMORIAL HOSP RICHMOND HOSPITAL RlVEHVfLCi HOSPITAL : ft% NOBLESVILLE HOSPITAL RUSH MfiMORIAL HOSPITAL 180095 RUSHVILLE HOSPITAL SAI tdr AWE HOME FORT WAYNE NURSING SCOTT COUIJTY MEN HOSP 1 ttz SCOTTSBURG HOSPITAL SOUIH 1 AKE COUNTY DAY C 180017 CROWN POINT OTHER ST ANTHONY HOSPITAL 180079 MICHIGAN CITY HOSPITAL ST ELIZABETH HOSP 180067 LAFAYETTE HOSPITAL ST JOHNS HICKEY MEMORIA 180001 ANDERSON HOSPITAL ST JOSEPH HOSP 180033 FORT WAYNE HOSPITAL ST JOSEPH HOSP ’ 180121 LOGANSPOKT HOSPITAL ST JOSEPH HOSP OF MISHA 180080 MI SHAWAKA HOSPITAL ST JOSEPH HEM HOSP KOKOMO HOSPITAL ST JOSEPHS MEDICAL CENT ‘t XXKS ;CI;A;N;END HOSPITAL ST MARGAKET HOSPITAL 1 a0045 HOSPITAL ST MARY MED CTR 180048 HOBART HOSPITAL ST MARY MEDICAL CENTER GARY HOSPITAL ST MARY’S MEDICAL CENTE : xi%: EVANSVILLE HOSPITAL STARKE MEMORIAl HOSPITA 180062 KNOX HOSPITAL SilISS VILLAGE, --INC BERNE NURSING THE INDIANAPOLIS JEWISH : OX INDIANAPOLIS NURSING THE KINGS DAUGHTERS HOS MADISON TIMBERCREST-CHURCH BRET 1 xix NORTH MANCHEST EKiY TIPTON COUNTY MEMORIAL 180108 TIPTON HOSPITAL UNION CITY MEMORIAL HOS UNION CITY HOSPITAL UNION HOSPITAL xi; TERRE HAUTE HOSPITAL UNIVERSITY HEIGHTS HOSP 180055 INDIANAPOLIS HOSPITAL VEKMILLION COUNTY HOSPI 180011 HOSPITAL WABASHmCOUNTY HOSPITAL la0112 Cw::KiN HOSPITAL WASHINGTON CO MEM HOSP 180096 SALEM HOSPITAL WELLS COMMUNITY HOSPITA 180008 BLUFFTON HOSPITAL WESTVIEW HOSPITAL 180056 INDIANAPOLIS HOSPITAL WHITE CO MEMORIAL HOSP 180081 MONTICELLO HOSPITAL WHITLEY COUNTY MEMORIAL 180012 COLUMBIA CITY HOSPITAL WILLIAM S MAJOR HOSP 180101 SHELBYVILLE HOSPITAL WISHARD MEMORIAL HOSPIT 180057 INDIANAPOLIS HOSPITAL WITHAM MEMORIAL HOSPITA 180070 LEBANON HOSPITAL 116_ _ _ FACILITIES__.---- .--. TO BE SURVEYED IN INDIANA HKS/OCR HILL-BURTON COMMUNITY SERVICE ASSURANCE REPORT - THIRD TRILNNIAL SYSTEM CYCLE LISTING PAGE1 51 ALPHABETICAL LISTINO OF FACILITIES BY FACILITY NAME NITHIN STATE STATE: IOWA

FACILTY NAME ID 9 CITY TYPEr ------s--B------ADAIK COUNTY MEMORIAL H GREENFIELD HOSPITAL ALLEN MEMORIAL HOSPITAL : GE; WATERLOO HOSPITAL ANAMOSA COMM HOSP 190002 ANAMOSA HOSPITAL AUDUBON couNTY MEMORIAL 190004 AUDUBON HOSPITAL BOONE CO HOSP 190006 BOONE HOSPITAL BROADLAWNS MEDICAL CENT 190034 DES MOINES HOSPITAL BUENA VISTA COUNTY HOSP 190104 STORM LAKE HOSPITAL BURGESS MEMORIAL HOSP i 90082 ONAWA HOSPITAL BURLINGTON MED CTR 190008 BURLINGTON HOSPITAL CASS COUNTY MEMORIAL HO 190003 ATLANTIC HOSPITAL CLARKE COUNTY HOSPITAL 190085 OSCEOLA HOSPITAL COMMUNITY HEALTH CARE, 190028 DAVENPORT OTHER COMMUNITY HEM HOSP 190057 HART1 EY HOSPITAL COMMUNITY MEM HOSP ;::;;;;I VALLE HOSPITAL COMMUNITY MEMORIAL HOSP : Et:; HOSPITAL COMMUNITY MEMORIAL HOSP 190092 POSTVILLE HOSPITAL COMMUNITY MEMORIAL HOSP 190096 SHELDON HOSPITAL CRAWFORD COUNTY MEMOKIA 190033 DENISON HOSPITAL DALLAS COUNTY HOSPITAL 190090 PERRY HOSPITAL DAVIS COUNTY HOSPITAL 190005 BLOOMFIELD HOSPITAL DECATUR COUNTY HOSP 190068 LEON HOSPITAL DELAWARE COUNTY MEMORIA 190069 ;;/;t;STER HOSPITAL DEWITT COMMUNITY HOSPIT 190041 HOSPITAL DICKINSON COUNTY MEMOKI 190103 S,F’;‘;; LAKE HOSPITAL ELDORA COMMUNITY HOSPIT 190043 HOSPITAL ELLSWORTH MUNICIPAL HOS 190062 IOWA FALLS HOSPITAL FLOYD COUNTY MEMORIAL H 190017 CHARLES CITY HOSPITAL FLOYD VALLEY HOSPITAL 190067 1 EMARS HOSPITAL FOREST CITY COMMUNITY H 190047 FOREST CITY HOSPITAL FORT MADISON COMMUNITY 190049 FORT MADISON HOSPITAL FRANKLIN GENERAL HOSPIT 190055 HAMFTON GOODWILL INDUST OF DES 190036 DES MOINES EiETAL GRAPE COMMUNITY HOSPITA 190054 HAMBURG HOSPITAL GREATER COMMUNITY HOSPI 190027 CRESTON HOSPITAL GREENE COUNTY MEDICAL C 190063 JEFFERSON HOSPITAL GKUNDY CO MEMORIAL HOSP 190051 GRUNDY CENTER HOSPITAL GUTHRIE COUNTY HOSPITAL GUTHRIE CENTER HOSPITAL GUTTENBERG HUN HOSP :x3 GUTTENBERG HOSPITAL

. HHSlOCR HILL-BURTON COMflUNXTY SERVICE ASSURANCE REPORT - THIRD TRIENNIAL SYSTEM CYCLE LISTING PAGE1 58 ALPHABETICAL LISTING OF FACILITIES BY FACILITY NAME WITHIN STATE STATE: IOWA

FACILTY NAME ID I) CITY TYPEM ------w----B ------HAMILTON CO PUBLIC HOSP 190111 HOSPITAL HANCOCK CO MEMORIAL HOS 190007 HOSPITAL HENRY COUNTY HLTH CENTE 190077 MT PLEASANT HOSPITAL HOLY FAMILY HOSP 190045 ESTHERVILLE HOSPITAL HORN MEMORIAL HOSP f 90058 IDA GROVE HOSPITAL HOWARD CO HOSP 190026 CRESCO HOSPITAL IOWA LUTHERAN HOSP 190037 DES MOINES HOSPITAL IOWA METHODIST MEDICAL i 90038 DES MOINES HOSPITAL IOWA STATE VOCATIONAL R 190035 DES MOINES OTHER JACKSON COUNTY PUBL*IC H MAQUOKETA HOSPITAL JANE LAMB HEALTH CENTER : XXt;: CLINTON ’ HOSPITAL JEFFERSON COUNTY HOSPIT 190046 FAIRFIELD HOSPITAL JENNI E EDMUNDSON MEH 190024 COUNCIL BLUFFS HOSPITAL JOHN MCDONALD HOSP 190075 MONTICELLO KAHL HOME FOR AGED 8 IN 190029 DAVENPORT FEEL KEOKUK AREA HOSP 190064 KEOKUK HOSPITAL KEOKUK COUNTY HOSPITAL 190099 SIGOURNEY HOSPITAL LORING HOSPITAL 190095 SAC CITY HOSPITAL LUCAS COUNTY MEMORIAL H 190016 CHARITON HOSPITAL MADISON CO MEM HOSPITAL W INTERSET HOSPITAL ‘MAHASKA COUNTY HOSPITAL 199002 OSKALOOSA HOSPITAL MARENGO MEM HOSPITAL 190071 MARENGO HOSPITAL MARSHALLTOWN COMM HOSP 190072 MARSHALLTOWN HOSPITAL MARY FRANCES SKIFF MEMO 190080 HOSPITAL MARY GREELEY HEM HOSP 190001 K!!T,oN HOSPITAL MERCY HLTH CTR, ST JOSE DUBUQUE HOSPITAL MERCY HOSP : 9’0°K CEDAR RAPIDS HOSPITAL MERCY HOSP OF FRANCISCA 190081 OELWEIN HOSPITAL MERCY HOSPITAL 190025 COUNCIL BLUFFS HOSPITAL MERCY HOSPITAL DAVENPORT HOSPITAL MERCY HOSPITAL : za: IOWA CITY HOSPITAL MERCY HOSPITAL MEDICAL 190039 DES MOINES HOSPITAL MERRILL PIONEER COMMUNI 190094 ;XCX;ERAPI DS HOSPITAL MITCHELL CO MEM HOSP 190084 HOSPITAL MONTGOMERY COUNTY MEHOR 190093 RED OAK HOSPITAL MUSCATINE GENERAL HDSPI 19007B MUSCATINE HOSPITAL NE AND SE NEIGHBORHOOD DES MOINES CLINIC OAKDAL E HOSP 199% OAKDAL E HOSPITAL OAKDALE MODEL RURAL WC 190119 OAKDALE HOSPITAL HHSOCR HILL-BURTON COMMUNITY SERVICE ASSURANCE REPORT - THIRD TRIENNIAL SYSTEM CYCLE LISTING PAGE: 59 ALPHABETICAL LFSTING OF FACILITIES BY FACILITY NAME WITHIN STATE STATE: IOWA

FACILTY NAME ID B CITY TYPEH ------a- e------ORANGE CITY MUNICIPAL H 190083 ORANGE CITY HOSPITAL OSCEOLA COMMUNITY HOSP 190098 SIBLEY HOSPITAL DTTUMWA REGIO NAL HEALTH 190087 OTTUHWA HOSPITAL l%hlER MEtiORiAl-HOSPITA 190112 WEST BUNION HOSPITAL PALO ALTO COUNTY HOSP 190044 ;Pllf;SBURG HOSPITAL PELLA COMMUNITY HOSP 190089 HOSPITAL PEOPLES MEMORIAL HOSPIT 190059 INDEPENDENCE HOSPITAL PLEASANT HI11 TREAT CTR 190073 MARSHALLTOWN OTHER POLK CITY FAMILY CENTER 190091 POLK CITY CLINIC RINGGOLD COUNTY HDSPITA 190076 MOUNT AYR HOSPITAL ROSARY HOSP 190022 CORNING HOSPITAL SARTORI MEMORIAL HOSPIT 190011 CEDAR FALLS HOSPITAL SCHOITZ MEMORIAL HOSP 190108 WATERLOO HOSPITAL SHELBY CO MYRTUE MEMORI 190056 HARLAN HOSPITAL SHENANDOAH MEM HOSP 190097 SHENANDOAH HOSPITAL SIOUX CENTER COMMUNITY 190100 SIOUX CENTER HOSPITAL SIOUX VALLEY MEMORIAL H 190018 CHEROKEE HOSPITAL SPENCER MUNICIPAL HOSP SPENCER HOSPITAL ST ANTHONY REGIONAL HOS i xi CARROLL HOSPITAL ST FRANCIS NURSING HOME 190009 BURLINGTON NURSING ST JOSEPH COMM HDSP 190079 td;GS’d;;;PTON HOSPITAL ST JOSEPHS HDSP HOSPITAL ST JOSEPHS MERCY HOSP 1 XX CL INTON HOSPITAL ST JOSEPHS MERCY HOSPIT CENTERVILLE HOSPITAL ST LUKE’S METHODIST HOS :Xt~~~ CEDAR RAPIDS HOSPITAL ST LUKES HOSP 190031 DAVENPORT HOSPITAL ST LUKES MEDICAL CTR 190101 SIOUX CITY HOSPITAL STEWART MEMORIAL COMM H 190066 LAKE CITY TAYLOR SCHOOL 190013 CEDAR RAPIDS KPEIAL TRINITY REGIONAL HOSPIT i 90048 FORT DODGE HOSPITAL U OF IOWA HOSP 8 CLINIC 190061 IOWA CITY HOSPITAL VAN BUREN COUNTY MEMORI 190065 KEOSAUQUA HOSPITAL VETERANS MEM HOSP 190109 WAUKON HOSPITAL VIRGINIA GAY HOSPITAL 190105 VINTON HOSPITAL WASHINGTON COUNTY HOSPI 190106 WASHINGTON HOSPITAL WAVERLY MUNICIPAL HOSP 190110 HOSPITAL WAYNE COUNTY HOSP 190023 !%vEK HOSPITAL WINNESHIEK CO HEM HOSPI 190032 DECORAH HOSPITAL 115 FACILITIES TO BE SURVEYED IN IOWA

, HHS/OCR HILL-BURTON COMMUNITY SERVICE ASSURANCE REPORT - THIRD TRIENNIAL SYSTEM CYCLE LISTING PAGE: 60 ALPHABETICAL LISTING OF FACILITIES BY FACILITY NAME WITHIN STATE STATE : KANSAS

FACILTY NAME ID (1 CITY TYPES ------ALLEN COUNTY HOSPITAL 200035 IOLA HOSPITAL ANDERSON COUNTY HOSP 200024 GARNETT HOSPITAL ANTHONY HOSP 200002 ANTHONY HOSPITAL ASBURY HOSP 200078 SALINA HOSPITAL ATCHISON HOSPITAL 200004 ATCHISON ATCHISON SENIOR VILLAGE 200003 ATCHISON KKKfiL BETHANY MEDICAL CENTER 200038 KANSAS CITY HOSPITAL BETHEL DEACONESS HOSP NEWTON HOSPITAL CANEY MUNICIPAL HOSPITA zt:i! CANEY HOSPITAL CAPPER FOUND - CRIPP.LED 200084 TOPEKA OTHER CEDAR VIEW NURSING HOME 200092 WELLINGTON NURSING CENTRAL KANSAS NED CTR 200026 GREAT BEND HOSPITAL CHILDRENS REHABILITATIO 200039 KANSAS CITY OTHER CLAY COUNTY HOSP 200011 CLAY CENTER HOSPITAL COFFEY COUNTY HOSPITAL 200009 BURLINGTON HOSPITAL COFFEYVILLE MEN HOSP 200012 COFFEYVILLE HOSPITAL COMANCHE COUNTY HOSPITA 200013 CO1 DWATER HOSPITAL COMMUNITY MEMORIAL HOSP 200058 MARYSVILLE HOSPITAL COVE CO HOSP 200076 OUINTER HOSPITAL CUSHING MEMORIAL HOSP 200049 LEAVENWORTH HOSPITAL DECATUR COUNTY HOSPITAL 200066 OBERLIN NURSING DOUGLASS NURSING HOME 200040 KANSAS CITY NURSING EDWARDS-COUNTY HOSPITAL 200045 HOSPITAL FOWLER NURSING HOME 200021 KK’ NURSING GEARY COUNTY HOSP 200037 JUNCTION CITY HOSPITAL GRISELL MEMORIAL HOSPIT 200077 RANSDN HOSPITAL HADLEY REGIONAL MEDICAL 200030 HAYS HOSPITAL HALSTEAD HOSPITAL 200028 HALSTEAD HOSPITAL HAMILTON COUNTY HOSPITA SYRACUSE HOSPITAL HIGH PLAIN COMP MENTAL SES: HAYS OTHER HODGEMAN CO HLTH CTR 200036 JETMDRE HOSPITAL HORTON COMMUNITY HOSP HORTON HOSPITAL HUTCHINSON HOSPITAL EtE HUTCHINSON HOSPITAL JEWEL1 COUNTY HOSPITAL 200056 MANKATO HOSPITAL KANSAS CITY-WYANDOTTE H 200041 KANSAS CITY CLINIC KINGMAN COMMUNITY HOSP KINGMAN HOSPITAL KIOWA CO. MEMORIAL HOSP %% ;t;g;;:URG HOSPITAL LABETTE CO MEDICAL CTR 200069 HOSPITAL HHSiOCR HILL-BURTON COMMUNITY SERVICE ASSURANCE REPORT - THIRD TRIENNIAL SYSTEM CYCLE LISTING PAGE: 61 ALPHABETICAC LlSTINO OF FACILITIES BY FACILITY NAME HITHIN STATE STATE: KANSAS

FACILTY NAME ID # CITY TYPEn ------^e -w------LANE COUNTY HOSP 200017 DIGHTON HOSPITAL LAWRENCE MEMORIAL HOSPI 200048 LAWRENCE HOSPITAL LINCOLN COUNTY HOSPITAL 200052 LINCOLN HOSPITAL LINDSBORO COMMUNITY HOS 200053 LINDSBORO HOSPITAL LOS CINCO PUEBLOS HC 200008 BONNER SPRINGS OTHER MAUDE NORTON MEMORIAL H 200014 COLUMBUS HOSPITAL MEDICINE LODGE MEMORIAL 200060 lM”E;;E LODGE HOSPITAL MEMORIAL HOSP 200001 HOSPITAL MEMORIAL HOSPITAL,+INC 200059 MCPHERSON HOSPITAL MENNINGER FOUNDTN CHILD 200085 TOPEKA HOSPITAL MERCY HOSP 200020 FORT SCOTT HOSPITAL MERCY HOSP 200034 INDEPENDENCE HOSPITAL MERCY NURSING SCHOOL 200101 FORT SCOTT HOSPITAL MIAMI COUNTY HOSPITAL 20006a PAOLA HOSPITAL MITCHELL COUNTY HOSPITA 200007 BELOIT HOSPITAL MORRIS COUNTY HOSP 200016 COUNCI 1 GROVE HOSPITAL MT CARMEL MEDICAL CENTE 200073 PITTSBURO HOSPITAL MT JOSEPH 200015 CONCORDIA NURSING NEWMAN MEMORIAL COUNTY 200019 EMPORIA HOSPITAL NORTH WEST KANSAS REON 200025 OOODLAND HOSPITAL NORTON COUNTY HOSPITAL 200065 NORTON ORCHARD LANE NURSING FA 200005 BALDWIN riFz~2 OTTAWA COUNTY CONV HOSP 200061 y~~~oLIs HOSPITAL PARSONS STATE HOSP 200070 OTHER PEABODY MEMORIAL NURSIN 200071 PEABODY NURSING PHILLIPS COUNTY HOSPITA PHILLIPSBURG HOSPITAL PLAINVILLE RURAL HOSPIT %t52 PLAINVILLE HOSPITAL PRATT REGIONAL MEDICAL 200075 PRATT HOSPITAL PRESBYTERIAN MANOR 200064 NEWTON NURSING PROV-ST MARGARET HLTH C KANSAS CITY HOSPITAL RANSOM MEMORIAL HOSPITA %% OTTAWA HOSPITAL REPUBLIC COUNTY HOSPITA 200006 BELLEVILLE HOSPITAL RILEY COUNTY HOSP 200054 MANHATTAN HOSPITAL RUSH COUNTY MEMORIAL HO 200046 LA CROSSE HOSPITAL SAINT JOSEPH MEMORIAL H 200047 LARNED HOSPITAL SHAWNEE MISSION MEDICAL 200080 HERR I AH HOSPITAL SMITH COUNTY MEM. HOSP. 200081 SMITH CENTER HOSPITAL SOUTHWEST MEDICAL CENTE 200051 LIBERAL HOSPITAL ST CATHERINE HOSP 200023 GARDEN CITY HOSPITAL HHSfOCR HILL-BURTON COMMUNITY SERVICE ASSURANCE REPORT - THIRD TRIENNIAL SYSTEM CYCLE lISTIN PAOEt 62 ALPHABETICAL LISTING OFFACILITIES BY FACILITY NAME WITHIN STAlE STATE: KANSAS

FACILTY NAME ID t CITY TYPEM ---_------ST FRANCIS HOSP 200095 WICHITA ST FRANCIS HOSP 8 MEDIC 200086 TOPEKA KEX ST JOHNS HOSP 200050 :kt;ZtjWORTH HOZPITAL ST JOHNS HOSPITAL 200079 HOSPITAL ST JOSEPH MED CTR 200096 WIdHITA HOSPITAL ST JOSEPHS MEDICAL CENT 200094 OTHER ST LUKES HOSPITAL 200057 KKA HOSPITAL ST LUKES HOSPITAL 200093 WEllINGTON HOSPITAL ST MAROARETS MERCY HOSP 200022 FREDONIA HOSPITAL ST HARYS HOSP 200055 MANHATTAN HOSPITAL STAFFORD CO HOSP DIST 4 200082 ;;;;;iRD HOSPITAL STORMONT-VAIL REGIONAL 200088 HOSPITAL SUSAN B ALLEN MEMORIAL 200018 El DORADO HOSPITAL TOPEKA SHAWNEE PHC 200089 TOPEKA CLINIC TREOO CO LEMKE HEHORIAL 200090 WAKEENEY HOSPITAL U OF KANSAS MED CENTER lmm;;RcITY HOSPITAL WASHINGTON CO HOSPITAL %it;; HOSPITAL WASHINGTON COUNTY HOSPI 200091 WASHINGTON HOSPITAL WICHITA SEDOWICU PHC 200098 WICHITA CLINIC WILLIAM NEWTON MEMORIAL 200099 WINFIELD HOSPITAL WILSON COUNTY HOSPITAL NEODESHA WINFIELD STATE HOSP 8 T xo2 WINFIELD iEiTAL 99 FACILITIES TO BE SURVEYED IN UANSAS

.- .

HHS/OCR HILL-BURTON COMMUNITY SERVICE ASSURANCE REPORT - THIRD TRItWIAl SYSTEH CYClf llS11~0 ALPHABETICAL LISTING OF FACILITIES BY FACILITY NAME MllHIN STAIE STATE 1 KENTUCKY

FACILTY NAME ID Q CITY TYPEU ------w--e------m------m ALLEN COUNTY PUBLIC HLT SCOTTSVILLE CLINIC ALLEN COUNTY WAR MEMORI ZfS SCOTTSVILLE HOSPITAL APPALACHIAN REO HOSP, i 210131 fif;‘l;l;BORO HOSPITAL ASHLAND-BOYD COUNTY HEA CLINIC BALLARD CO FILTH DEPT 2 i%: LA CENTER BARREN COUNTY PUBLIC HL 210065 GLASGOW Z% BELL COUNTY PHC 210156 ;:;E;ILLE BEREA HOSP SKILLED NRSN 210015 E5iiY BOONE COUNTY HLTH CTR FLORENCE BOWLING GREEN-WARREN CO z: 8E BOWLING GREEN x2 BOYLE COUNTY HLTH DEPT DANVILLE CLINIC BRACKEN COUNTY HEALTH C is: 8::; BROOKSVILLE BREATHITT CO PHC 210090 JACKSON si:: BRECKENRIDOE MEMORIAL H 210071 HARDINSBURO HOSPITAL BRESCIA SPEECH 8 HEARIN 210144 OWENSBORO OTHER BULLITT COUNTY PHC SHEPHEROSVILLE CLINIC BUTLER COUNTY PUBLIC HL ‘21 x2 HOROANTOWN CLINIC CAD12 TRIO0 COUNTY PHC 210021 CAD12 CLINIC CAL DWEL 1 COUNTY HOSPITA PRINCETON HOSPITAL CALDWELL COUNTY PHC ZW PRINCETON CLINIC CALLOWAY COUNTY HEALTH 210140 MURRAY CLINIC CARLISLE COUNTY HEALTH 210009 BARDWELL CLINIC CARROLL COUNTY MEMORIAL 210029 CARROLLTON HOSPITAL CASEY COUNTY WAR HEMORI 210103 1 IBERTY HOSPITAL CAVERNA MEMORIAL HOSPIT HORSE CAVE HOSPITAL CENTRAL STATE HOSP isi tXt2 ANCHORAGE OTHER CHtLDREN’S PSYCH HOSP-N 210036 CDVI NOTON HOSPITAL CLARK COUNTY HLTH DEPT 210187 WINCHESTER CLINIC CLARK COUNTY HOSPITAL 210186 WINCHESTER HOSPITAL CLAY COUNTY PUBLIC HEAL 210124 ?+;;+;;ST’R CLINIC CLINTON COUNTY HOSPITAL 210001 HOSPITAL CL tNfON-HICKMAN COUNTY 210031 NURSING CLOVER FORK OUTPATIENT KEN OTHER COMMUNITY UNITED METHOD 2 8175: HENDERSON HOSPITAL CRITTENDEN COUNTY PHC 210126 MARION CLINIC CUMBERLAND COUNTY HOSPI 210020 BURKESVILLE HOSPITAL CYNTHIANA HARRISON PUBL 210041 CYNTHIANA CLINIC EPHRAIH MCDOWELL HEM 210044 DANVILLE HOSPITAL ;1

. HHS/OCR HILL-BURTON COMMUNITY SERVICE ASSURANCE REPORT - THIRD TRIENNIAL SYSTEM CYCLE LISTING PAGE: 64 ALPHABETICAL LISTING OF FACILITIES BY FACILITY NAME WITHIN STATE STATE t KENTUCKY

FACILTY NAME ID @ CITY TYPEU ------e-s ------EST111 COUNTY HEALTH DE 210089 IRVINE CLINIC FAMILY HEALTH CENTER-PO 210113 1OUISVILlE CLINIC FLAGET MEMORIAL HOSPITA 210007 BARDSTOWN HOSPITAL FLEMING COUNTY HEALTH D 210053 FLEHINOSBURO CLINIC FLEMING COUNTY HOSPITAL 210052 FLEHINGSBURO HOSPITAL FLOYD COUNTY HEALTH CEN 210151 PRESTONSBURO CLINIC FORT LOGAN HOSPITAL 210175 STANFORD HOSPITAL FRANKLIN COUNTY PUBLIC 210057 FRANKFORT CLINIC FRAZIER REHAB CENTER IN 210108 p;;;;LLE HOSPITAL FULTON CO HLTH DEPT. 210080 FULTON COUNTY HLTH DEPT 210062 FULTON WE OARRARD CO HEM SKILLED 210093 LANCASTER NURSING GARRARD COUNTY HLTH DEP 210094 LANCASTER CLINIC GOOD SAMARITAN HOSPITAL 210099 LEXINGTON HOSPITAL GRANT COUNTY HOSPITAL 210185 WILLIAMSTOWN HOSPITAL ORAYSON COUNTY HOSPITAL 210097 LEITCHFIELD HOSPITAL ORAYSON COUNTY PUBLIC H 210098 LEITCHFIELD CLINIC GREEN COUNTY PUBLIC HEA 210067 g;lt;;;;URO CLINIC OREENUP COUNTY HEALTH D 210069 CLINIC HANCOCK COUNTY PHC 210076 HAWESVILLE CLINIC HARDIN COUNTY PUBLIC HE 210048 ELIZABETHTOWN CLINIC HARDIN MEMORIAL HOSPITA 210049 ELIZABETHTOWN HOSPITAL HARLAN APPALACHIAN REOI HARLAN HOSPITAL HARLAN COUNTY HEALTH CE Ii tt39 HARLAN CLINIC HAZARD APPALACHIAN REOI 210077 HAZARD HOSPITAL HENRY COUNTY HLTH DEPT 210142 NEWCASTLE HICKMAN COUNTY PUBLIC H 210032 Cl INTON SE HIGHLANDS REO HED CTR 210159 PRESTONSBURO HOSPITAL INDUSTRIES FOR BLIND 210058 FRANKFORT OTHER JACKSON COUNTY PUBLIC H 210130 MCKEE CLINIC JANE TODD CRAWFORD MEMO 210068 OREENSBURO HOSPITAL JENNIE STUART MEDICAL C 210083 HOPKINSVILLE HOSPITAL JESSAMINE COUNTY HEALTH 210143 NICHOLASVILLE CLINIC JEWISH HOSPITAL 210109 LOUISVILLE HOSPITAL JOHN 0 FORD HEM HOSP GEORGETOWN tlFlI;:;AL JOHNSON COUNTY HEALTH D $1 t:4: PAINTSVILLE KINGS DAUGHTERS HOME 210110 lm~;m;;;lLE NURSING KINGS DAUGHTERS HOSP 210004 HOSPITAL KINGS DAUGHTERS HOSPITA 210169 SHELBYVILLE HOSPITAL

Y HHbOCR HILL-BURTON COMMUNITY SERVICE ASSURANCE REPORT - THIRD TRIENNIAL SYSTEM CYCLE LISTING PAGE: 65 ALPHABETICAL LISTING OF FACILITIES BY FACILITY NAME WITHIN STATE STATE: KENTUCKY

FACILTY NAME ID : CITY TYPES ------KNOTT COUNTY HEALTH CEN 210081 HINDHAN CLINIC KNOX COUNTY HEALTH DEPT BARBOURVILLE CLINIC KNOX COUNTY HOSPITAL OP z: 88ta5 BARBOURVILLE HOSPITAL LARUE COUNTY PUBLIC HEA r;i;;;VIlLE LAUREL CO HEALTH :i 8% :KK LAWRENCE COUNTY HEALTH 210106 LOUISA CLINIC LEE COUNTY HEALTH CENTE 210010 BEATTYVILLE CLINIC LESLIE COUNTY HEALTH CE 210086 HYDEN LETCHER COUNTY HEALTH d zioiaz WHITESBURG :KJIs LEWIS COUNTY PHC * 210178 VANCEBURG LEXINGTON FAYETTE CO HL I. EXINGTON El:: LIVINGSTON COUNTY PHC iSw SMITHLAND CLINIC LOGAN COUNTY HOSP 210164 RUSSELLVILLE HOSPITAL LOGAN COUNTY PUBLIC HLT RUSSELLVILLE CLINIC LOUISVILLE GENERAL HOSP :w LOUISVILLE HOSPITAL lOUISVILlE-JEFFERSON HC LOUISVILLE CLINIC LOURDES HOSP SX PADUCAH HOSPITAL LYON COUNTY PHC 210046 EDDYVILLE CLINIC MADISON CO HLTH DEPT RICHMOND CLINIC MADONNA MANOR :; z3 COVINGTON NURSING HAOOFFIN COUNTY HEALTH 210166 SALYERSVILLE CLINIC MARCUM 8 WALLACE MEMORI 210088 IRVINE HOSPITAL MARION COUNTY PUBLIC HE LEBANON CLINIC MARSHALL COUNTY HLTH DE 2; tz: BENTON ND MAR CLINIC MARSHALL COUNTY HOSPITA 210013 BENTON HOSPITAL MARTIN COUNTY PUBLIC HL 210087 INEZ CLINIC MARY CHILES HOSPITAL 210137 MOUNT STERLING HOSPITAL MARYMOUNT HOSPITAL 210105 LONDON HOSPITAL MASON COUNTY HEALTH CEN MAYSVILLE CLINIC MAYFIELD GRAVES PUBLIC SfiE HAYFIELD CLINIC HCCREARY COUNTY HEALTH 210183 WHITL EY CITY CLINIC MCLEAN COUNTY HOSPITAL 210023 CALHOUN HOSPITAL MCLEAN COUNTY PHC 210024 CALHOUN CLINIC MEMORIAL HOSP 210125 MANCHESTER HOSPITAL MENIFEE CO HED CENTER 210060 FRENCHBURG OTHER MERCER COUNTY HEALTH DE 210074 HARRODSBURG CLINIC MERCY HOSPITAL OF OWENS OWENSBORO HOSPITAL METCALFE COUNTY PUBLIC Ii x::; EDMONTON CLINIC METHODIST EVANGELICAL 210114 LOuISVILLE HOSPITAL HHS/OCR HILL-BURTON COMMUNITY SERVICE ASSURANCE REPORT - THIRD TRIENNIAL SYSTEM CYCLE LISTING PAGE* 66 ALPHABETICAL LISTING OF FACILITIES BY FACILITY NAHE WITHIN STATE . STATE: KENTUCKY

FACILTY NAME ID : CITY TYPEr ------e---m------m---w------METHODIST HOSPITAL OF K PIKEVILLE HOSPITAL MONROE CO WAR MEM Ix; TOHPKINSVILLE HOSPITAL MORGAN CO APPAL REO HOS 210181 WEST LIBERTY HOSPITAL MUHLENBERO CO PUBLIC Hl CENTRAL CITY CLINIC HUHLENBERO COMMUNITY HO 5: it;: GREENVILLE HOSPITAL MURRAY CALLOWAY CO. HOS 210139 MURRAY HOSPITAL NELSON COUNTY HEALTH DE BARDSTOWN CLINIC NICHOLAS COUNTY HOSPITA 31 iEf CARLISLE HOSPITAL NICHOLAS COUNTY PUBLIC 210028 CARLISLE CLINIC NKC HOSPITALS INC. 210115 LOUISVILLE HOSPITAL OHIO COUNTY HOSPITAL HARTFORD HOSPITAL OLDHAM COUNTY PUBLIC HL 5: % LA ORANGE CLINIC OUR 1ADY OF BEllEFONTE BELLEFONTE HOSPITAL OWEN COUNTY MEMORIAL HO $I it% OWENTON tNJil;;;Al OWENSBORO DAVIESS CO HC OWENSBORO OWENSBORO DAVIESS COUNT 2zx OWENSBO HOSPITAL OWSLEY COUNTY HEALTH CE 210016 ;I;EW;LT E CLINIC PADUCAH-MCCRACKEN CO Hl 210150 PARIS-BOURBON CO PUBLIC 210153 PARIS E:K PATTIE A CLAY HOSP 210163 ;:;M;;ND HOSPITAL PERRY COUNTY HEALTH CEN 210078 CLINIC PIKE COUNTY HEALTH DEPT 210155 PIKEVILLE CLINIC PINEVILLE COMH HOSP ASS PINEVILLE HOSPITAL POWELL COUNTY HEALTH DE %1’15i STANTON PULASKI COUNTY HEALTH C SOMERSET RED CROSS HOSP %K3 LOUISVILLE HOSPITAL REDWOOD SCHOOL 8 REHAB 210055 FT MITCHELL OTHER REO MED CENTER OF HOPKI 210122 HADISONVILLE HOSPITAL ROCKCASTLE CO HOSP 210138 MT VERNON HOSPITAL ROWAN COUNTY HEALTH CEN 210134 MOREHEAD SCOTT COUNTY PUBLIC HLT 210064 g;i;f;TOWN GE SOUTHEASTERN KY BAPTIST 210034 HOSPI TAl SPEECH AND HEARING CTR 210141 MURRAY OTHER ST ANTHONYS HOSP 2ioiia LOUISVIlLE HOSPITAL ST CHARLES NURSING HOME 210038 COVINGTON NURSING ST CLAIRE MEDICAL CENTE 210135 HOREHEAD HOSPITAL ST ELIZABETH MEDICAL CE COVINGTON HOSPITAL ST JOSEPH HOSPITAL 22: “0:;; LEXINGTON HOSPITAL ST LUKE CARE UNIT 210051 FALMOUTH HOSPITAL IHWQCR HILL-BURTON COMMUNITY SERVICE ASSURANCE REPORT - THIRD TRIENNIAL SYSTEH CYCLE LISTING PAGE: 67 ALPHABETICAL LISTING OF FACILITIES BY FACILITY NAME WITHIN STATE iTATE: KENTUCKY

FACILTY NAME ID : CITY TYPEX .------m---w iT LUKE HOSPITAL INC 210056 FORT THOMAS HOSPITAL iT MARY 8 ELIZABETH HOS 210117 LOUISVILLE HOSPITAL iTATE TB SANATORIUM 210192 HOSPITAL iTATE TB SANATORIUM 210194 EGO:: HOSPITAL iTATE TB SANATORIUM 210197 PARIS HOSPITAL iTATE TB SANATORIUM LONDON HOSPITAL iAYLOR MANOR INC %E VERSAILLES NURSING ‘HE MEDICAL CTR AT BOWL 210017 BOWLING GREEN HOSPITAL ‘J SAMSON COMMUNITY HOS 210066 GLASGOW HOSPITAL 'RIO0 COUNTY HOSPITAL CADIZ HOSPITAL ‘RIMBLE COUNTY HEALTH C 9: xi:: B EDFORD CLINIC t LOUISVILLE DEPT OPTHA 210121 LOUISVILLE OTHER INIV CANCER CTR 210119 LOUISVILLE HOSPITAL LNIVERSITY HOSPITAL 210102 LEXINOTdN,- HOSPITAL INIVERSITY HOSPITAL 210120 LOUISVILLE HOSPITAL lAYHE COUNTY HOSPITAL 210132 MONTICELLO HOSPITAL JAYNE COUNTY PUBLIC HEA 210133 MONTICELLO JEBSTER COUNTY PUBLIC H 210045 DIXON ZE JESTERN STATE HOSPITAL 210084 HOPKINSVILLE OTHER JESTLAKE CUMBERLAND HOS COLUMBIA HOSPITAL JHITLEY COUNTY HEALTH C 22; x WILLIAMSBURG CLINIC 4ILlIAHSON APPALACHIAN 210172 SO WILLIAMSON HOSPITAL JM BOOTH MEMORIAL HOSPI 210040 FLORENCE HOSPITAL JOLFE COUNTY HEALTH CEN 210026 CAMPTON CLINIC 179 FACILITIES TO BE SURVEYED IN KENTUCKY