Level 10 Ambulatory State Avera Health SD PA Cedars-Sinai Medical Center CA Jackson Health System FL Lehigh Valley Health Network PA Parkview Health IN UPMC ( Medical Center) PA

Level 9 Ambulatory State Appalachian Regional Healthcare, Inc. KY Mt. San Rafael CO Baptist Health South Florida FL NorthShore University Health IL System Bon Secours Mercy Health Inc. OH Novant Health NC Children's Health System of Texas TX NYU Langone Health NY Children's Hospital Colorado CO Ohio State University Wexner OH Medical Center Cook Children's Health Care System TX Riverside Health System VA Deaconess Health System IN RWJ Barnabas Health Ambulatory NJ Care Center Duke University Health System NC SCL Health CO Essentia Health MN Southcoast Health System MA Faith Regional Health Services NE Spectrum Health MI Genesis HealthCare System OH Stratford Hospital PA Greater Baltimore Medical Center MD TriHealth Inc OH Guthrie Clinic PA Truman Medical Centers MO PA UC Davis Health CA Johns Hopkins Health System MD UCHealth CO Lucile Salter Packard Children's Hospital Stanford CA UCLA Health CA and Stanford Children's Health Memorial Healthcare System FL University of Texas Southwestern TX Medical Center Memorial Sloan Kettering Cancer Center NY UT Health Austin TX Mercy MO West Virginia University Health WV System Mercy Medical Center IA Yale New Haven Health CT

Level 8 Ambulatory State Memorial Hospital at Gulfport MS AdventHealth FL Metro Health - University of MI Michigan Health Albany Medical Center NY Monument Health SD Aleda E. Lutz Veterans Affairs Medical Center MI Mount Sinai Medical Center FL Allegheny Health Network PA Munson Healthcare MI Altru Health System ND Nebraska Medicine - Nebraska NE Medical Center AnMed Health SC Northwestern Memorial IL Healthcare Anne Arundel Medical Center MD Ochsner Health System LA Banner Health AZ Orlando Health FL Baptist Memorial Health Care Corporation TN OSF Healthcare IL Ambulatory Baystate Health, Inc. MA Owensboro Health KY Bozeman Health MT Parkland Health & Hospital TX System Bronson Healthcare MI Piedmont Healthcare GA Cape Fear Valley Health System NC PIH Health-PHP CA Carilion Clinic VA Rochester Regional Health NY Central Maine Healthcare ME Saint Luke's Health System MO Children's National Hospital DC Saratoga Hospital NY ChristianaCare DE Scripps Health CA Cleveland Clinic Health System OH Solutions Physician Practice OK Management Cleveland Clinic Martin Health FL SSM Health MO Cogdell Memorial Hospital TX St. Joseph's Health NY Concord Hospital NH St. Joseph's Healthcare System NJ Community Health Network IN St. Luke's Health System ID Community Healthcare System IN Stamford Health CT Connecticut Children's Medical Center CT Stanford Healthcare CA Covenant Healthcare MI Summa Health System OH CoxHealth MO The MetroHealth System OH Edward-Elmhurst Healthcare IL Titus Regional Medical Center TX FirstHealth of the Carolinas NC TMC HealthCare AZ Frederick Health Hospital MD Torrance Memorial Medical CA Center Grady Health System GA Tri-State Memorial Hospital WA Hawaii Pacific Health HI UCSF Medical Center CA Healthcare Authority of Baptist Health Al UnityPoint Health IA HealthPartners MN University Health System TX Henry Community Health IN University OH Henry Ford Health System MI University of Hospitals and IA Clinics Houston Methodist TX University of Faculty MD Physicians, Inc. HSHS Hospital Sisters Health System IL University of Missouri Health Care MO Indiana University Health IN University of Health PA System Intermountain Healthcare, Inc. UT University of Texas M.D. TX Anderson Cancer Center JCH Rural Health Clinics Ok University of Utah Health UT Lafayette General Health LA UPMC Western Maryland MD Lakeland Health MI Upstate University Hospital NY Lancaster General Hospital PA Vidant Medical Group NC LifeBridge Health MD Wake Forest Baptist Medical NC Center Loma Linda University Medical Center CA WellSpan Health PA Louisiana Children's Medical Center LA Yavapai Regional Medical Center AZ Main Line Health PA Mass General Brigham MA MedStar Health MD

Level 7 Ambulatory State MidMichigan Health MI Advocate Aurora Health Care IL Mosaic Life Care MO Ascension MO MultiCare Health System WA Ballad Health TN Nebraska Methodist Health NE System, Inc. Boulder Community Health CO Nemaha County Hospital NE Carle Foundation Hospital IL Nemours FL Children's Hospital & Medical Center NE New York-Presbyterian Hospital NY Children's Hospital of Orange County CA North Country Hospital and VT Health Center Children's Hospital of Philadelphia PA Olathe Medical Center KS Children's Mercy Hospital Kansas City MO Overlake Medical Center WA Confluence Health WA PeaceHealth WA Covenant Medical Group TN Penn State Health System PA DCH Health System AL Premier Health OH Elliot Hospital NH Presbyterian Healthcare Services NM Excela Health PA ProHealth Care, Inc. WI Fairfield Medical Center OH Reid Health Physician Associates IN Fitzgibbon Hospital MO Renown Health NV IA Rush Memorial Hospital IN H. Lee Moffitt Cancer Center and Research FL Sentara Healthcare VA Institute Hancock Regional Hospital IN Spartanburg Regional Healthcare SC System Harris Health System TX St. Charles Health System, Inc. OR Heritage Valley Health System PA Tower Health PA Holzer Health System OH Trinity Health ND Inspira Health Network NJ UC Health OH Jefferson Health- Northeast PA UCSF Benioff Children's Hospital CA Oakland Kettering Health Network OH UMass Memorial Health Care, Inc. MA Lakeland Regional Health FL Unity Health Network Ohio LMH Health KS University Medical Center TX MaineHealth ME University of Hospital WI and Clinics Marietta Memorial Hospital OH UPMC Hillman Cancer Center PA Memorial Healthcare MI UW Medicine/Valley Medical WA Center Memorial Hermann Health System Tx Virginia Mason Medical Center WA Mercy Health Saint Mary's MI Woman's Hospital LA