THE WORLD’S BEST HOSPITALS 2021 This year’s ranking of the premier destinations for acute medical care around the globe and in the U.S., including the best American hospitals for infection prevention. GETTY CREDIT CREDIT

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METHODOLOGY THE EXPERTS Provided guidance and methodological input for the rankings

THE ‌‌‌WORLD’S ‌ BEST‌ ‌ HOSPITALS‌ ‌ same country, because dif- DAVID W. BATES, M.D. GREGORY KATZ ranking lists the best ferent sources for patient Brigham and Women’s University of Paris School hospitals in 25 countries: experience and medical Hospital, of Medicine, Paris USA, Germany, Japan, South KPIs were examined in Korea, France, Italy, United each country. Since it was Chief of the division of general internal A professor at the University of Paris medicine and primary care at Brigham School of Medicine, Gregory Katz holds Kingdom, Spain, Brazil, Can- not possible to harmonize and Women’s Hospital, Bates is also a the Chair of Innovation & Value in Health. ada, , Australia, Mexico, this data, cross-country professor at Harvard Medical School He is also president of PromTime, The Netherlands, Poland, comparisons of the scores and the Harvard School of Public Health a health data science company spe- Austria, Thailand, Swit- are not possible (example: and serves as medical director of clinical cialized in Value-Based Health Care, zerland, Sweden, Belgium, A score of 90 in country A and quality analysis for Partners Health- commissioned by the French Ministry Care in Boston. Internationally recog- of Health to incentivize practitioners on Finland, Norway, Denmark, doesn’t necessarily mean nized for his research on using medical high-value care. He served as director of Israel and Singapore. The that this hospital is better technology to improve safety and research & innovation at leading private countries were mainly select- than a hospital with a score patient outcomes, he has also served hospital groups in Europe. ed based on standard of liv- of 87 in country B). as external program lead for research ing/life expectancy, popula- ‌‌•‌ In the USA, hospitals in the World Health Organization’s Global Alliance for Patient Safety and is CHRISTOPH A. MEIER, M.D. tion size, number of hospitals which made the World’s Best the past president of the International University Hospital, and data availability. Hospitals ranking were also Society for Quality in Health Care. Zürich, Switzerland This is the third year that The lists are based on recognized with a Best-in- Newsweek has partnered with three data sources: State award in their respec- Director, Department of Internal Med- ‌•‌ ‌Recommendations from tive state (does not apply to JENS DEERBERG-WITTRAM, M.D. icine at University Hospital Zürich. He Statista, the respected global is active as a practicing internist and medical experts (doctors, specialized hospitals). This RoMed Kliniken, data research firm, to reveal Rosenheim, Germany serves on several boards, including hospitals managers, health distinction reflects the fact the Swiss Medical Board for Health the World’s Best Hospitals— care professionals) that these hospitals repre- CEO and president of RoMed, a Technology Assessments. Previous- and it may be our most im- ‌•‌ ‌Results from patient sent the best hospitals in the German nonprofit health system, ly, he was chief medical officer and surveys respective U.S. state. Deerberg-Wittram is the found- deputy CEO of the University Hospital portant ranking yet. As the ing president of the International where he implemented the ‌•‌ ‌Medical KPIs on ‌‌•‌ U.S. hospitals were also Consortium for Health Outcomes principles of value-based health care. events of 2020 made clear, hospitals awarded as best hospitals Measurement and a regular lecturer our lives and those of our The number of hospitals for infection prevention if on value-based health care. Previ- awarded in each country var- they performed above the ously, he worked as a health care EYAL ZIMLICHMAN, M.D. loved ones may rest on the kind of health care we have ies based on the number of national average based strategy consultant, served as the CEO Sheba Medical Center, of a German for-profit hospital and Ramat Gan, Israel access to. The 2,000 hospitals named in this list— hospitals and data availabil- on six different measures. taught at Harvard Business School. which covers 25 countries—stand out for their con- ity in the respective country. This recognition is based Deputy director general, chief medical USA had the most hospitals on data from 01/01/2019 officer and chief innovation officer at sistent excellence, including distinguished physicians, awarded with 350, while to 12/31/2019, published GARY S. KAPLAN, M.D. Sheba Medical Center, Zimlichman top-notch nursing care and state-of-the-art technology. Israel and Singapore were by CMS. Virginia Mason Health also holds an appointment at Brigham System, Seattle and Women’s Hospital and Harvard represented with 10 hos- ‌‌•‌ In addition to the country Of course we hope that we, and you, won’t need Medical School’s Center for Patient pitals each. In total, 2,000 lists, the study includes a Chairman and CEO of the Virginia Mason Safety Research and Practice. He to seek care or visit a friend or family member in hospitals were ranked in this Global Top 200 list. This list Health System and a practicing physi- is a founding member of the Inter- any hospital this year. But if you do, this ranking of third edition of the ranking. includes a ranking of the cian, Kaplan is an expert on patient safe- national Academy of Quality and ‌‌•‌ ‌Every hospital in each 100 best global hospitals, ty. He is the chair of the IHI Lucian Leape Safety in Health Care and was an the World’s Best Hospitals 2021 can help you feel Institute, a founding member of Health adviser to the Office of the National country is rated by a score. ranks 101-200 are sorted confident as you make a critical choice about medi- CEOs for Health Reform and has served Coordinator for Health Information Scores are only comparable alphabetically. The full meth- as chair of the Institute for Healthcare Technology in the U.S. Department cal care. —Nancy Cooper, Global Editor-in-Chief between hospitals in the odology is available online. Improvement’s board of directors. of Health and Human Services.

36 NEWSWEEK.COM March 12, 2021 Portrait photo-illustrations by GLUEKIT THE FULL LIST IS AVAILABLE AT NEWSWEEK.COM/WBH-2021 WORLD’S BEST HOSPITALS 2021

CLEVELAND CLINIC THE CLEVELAND, OHIO Now in its 100th year, Cleveland Clinic has grown to include 18 hospitals with 6,000 beds and more than 220 outpatient locations in the U.S. and around the world. In 2019, Cleveland Clinic treated GLOBAL 22.4 million patients, with 309,000 admissions and observations, 255,000 surgeries and other procedures and 10 million outpatient visits. The Cleveland campus has been a leader in cardiology and LEADERS heart surgery since the 1950s and important advances were made in coronary bypass surgery during the 1960s. It is now home to a leading uterine transplant clinical trial, and in 2019, was Today there are no better the first hospital in the world to deliver a baby from a uterus places on earth for medical transplanted from a deceased donor. My.ClevelandClinic.org treatment than these 100:

Massachusetts General Hospital BOSTON, MASSACHUSETTS

Massachusetts General was founded 3in 1811, and is the first and largest teaching hospital of Harvard Med- ROCHESTER,MINNESOTA Mayo Clinic ical School and a leading research hospital. The efficacy of ether as a Founded in Rochester, Minnesota, in 1889 by a group of physicians that included brothers general anesthetic for surgery was William and Charles Mayo, the Clinic now has dozens of locations in five states and around first publicly demonstrated in the the world. The original Rochester location, which now employs about half of Mayo’s more hospital's "Ether Dome" surgical than 60,000 employees developed a reputation for excellence in treating complex illnesses, theater in 1846. Currently it has through its pioneering team approach and emphasis on research alongside treatment. In 9,500 researchers working on 138 February, Mayo surgeons in Minnesota performed successful liver transplant surgery on a projects. The hospital now has about college athlete who was also suffering from COVID-19, the first first known operation of its 1,000 beds and admits about 50,000

kind. MayoClinic.org CLINIC BENSON/CLEVELAND ROBERT GLOBE/GETTY; BOSTON BYUN/THE S. YOON AND PHOTOGRAPHY; CLEVELAND CLINIC CENTER FOR MEDICAL ART ARIANA LINDQUIST/BLOOMBERG/GETTY; LEFT: FROM CLOCKWISE patients per year. MassGeneral.org 1THE FULL LIST IS AVAILABLE AT NEWSWEEK.COM/WBH-2021 March 12, 2021 NEWSWEEK.COM 39 WORLD’S BEST HOSPITALS 2021

Toronto General Hospital CHARITÉ - UNIVERSITÄTSMEDIZIN BERLIN TORONTO, CANADA BERLIN, GERMANY

The hospital was founded in 1710 when bubonic plague threatened Berlin and is Founded in 1819, Toronto General is now the flag- now one of the largest university hospitals in Europe, affiliated with Humboldt ship of the University Health Network, which also University and Free University Berlin. Researchers here developed the first includes Toronto Western Hospital, the Princess diagnostic test to identify the COVID-19 coronavirus, and Russian opposition Margaret Cancer Centre, Toronto Rehabilitation In- leader Alexei Nalavny was treated here for poisoning in August 2020. Across stitute and The Michener Institute of Education. In its four Berlin campuses, the hospital now has 3,000 beds, 4,000 scientists 1922, insulin was developed and first clinically used and doctors and more than 4,500 nurses and caregivers. www.charite.de at Toronto Hospital. In 1986, the first double lung transplant was performed here. TGH is the largest transplant center in North America. In 2020, it had 456 beds and had more than 56,000 visits to 4its emergency room. Uhn.ca/OurHospitals/TGH 6

The Johns Hopkins Hospital BALTIMORE, MARYLAND 5The Johns Hopkins Hospital was found- ed in 1889 in Baltimore and has had a central role the history and develop- ment of American medical education. Among other firsts, in 1966 Johns Hopkins became the first hospital in the U.S. to perform male-to-female sex-reassignment surgery. Today the hospital has more than 2,400 full-time attending physicians, more than 1,000 beds and admits more than 43,000 pa-

tients annually. hopkinsmedicine.org ALLIANCE/GETTY ZINKEN/PICTURE PAUL HOPKINS HOSPITAL; KEITH WELLER/JOHNS NETWORK, TORONTO; UNIVERSITY HEALTH CAVOUK; LEFT: BOTTOM FROM CLOCKWISE

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SINGAPORE GENERAL HOSPITAL SINGAPORE

The oldest and largest hospital in this city-state, Singapore General is a teaching hospital for medical undergraduates 8and postgraduates and for the advanced training of specialist doctors and nurses. Sheba Medical Center It was founded 1821 and now RAMAT GAN, ISRAEL includes Singapore National 10 Eye Centre, the National Heart The Sheba Medical Center at Tel Centre Singapore, the National Hashomer, near Tel Aviv, is Israel’s Cancer Centre Singapore and largest hospital. It was founded in the National Dental Centre 1948 as the country’s first military Singapore. The hospital has hospital. Today, it has 159 medical about 1700 beds, total staff of centers and clinics, 1,425 physicians, 9,900 and sees over 1 million 2,740 nurses, more than 2,000 beds and treats more than 1 million patients patients a year. Sgh.com.sg a year. Its facilities include an acute care hospital, a rehabilitation hospi- tal, a women’s hospital, a children’s hospital, an eating disorders clinic, a post-traumatic stress disorder clinic for soldiers and an outpatient clinic. Its research specialties include cardiolo- gy, cancer, brain diseases, obstetrics and gynecology, genetics and medical education. www.ShebaOnline.org

Centre Hospitalier ORE GENERAL HOSPITAL (2); ERIC DEROZE/LAUSANNE UNIVERSITY HOSPITAL; GILLES WEBER/LAUSANNE UNIVERSITY HOSPITAL; SHEBA MEDICAL CENTER SHEBA UNIVERSITY HOSPITAL; GILLES WEBER/LAUSANNE UNIVERSITY HOSPITAL; (2); ERIC DEROZE/LAUSANNE ORE GENERAL HOSPITAL Universitaire Vaudois LAUSANNE, SWITZERLAND

Karolinska University Hospital Affiliated with the faculty of biology and medicine AFP/GETTY; SINGAP AFP/GETTY; KAROLINSKA, SWEDEN at the University of Lausanne as well as the Swiss Federal Institute of Technology, Lausanne Univer- sity Hospital is one of five university hospitals in This hospital, with about 15,800 employees and 1,600 beds, is affiliated with Switzerland. Located on the shore of Lake Geneva, 7the Karolinska Institute, which was founded in 1810 by King Karl XIII as a the 1,568-bed hospital is a part of the large cluster of school for military surgeons. Today it is one of the largest and most prestigious companies, research centers and treatment facilities medical schools in the world. The facility incorporates two children’s hospitals in the region that has been dubbed Switzerland's and is known for its specialties in reproductive medicine, fetal medicine, surgery, "Health Valley." It treats more than 78,000 people RANKINGS 11-100

urology and neurosurgery. Karolinska.se/en/Karolinska-University-Hospital NACKSTRAND/ JONATHAN LEFT: FROM per year. LausanneUniversityHospital.com/home 42 NEWSWEEK.COM March 12, 2021 9 THE FULL LIST IS AVAILABLE AT NEWSWEEK.COM/WBH-2021 11 AP-HP - Hôpital 45 Policlinico Universitario 60 Haukeland 74 Leids Universitair Universitaire Pitié A. Gemelli Universitetssykehus Medisch Centrum Salpêtrière ROMA, ITALY BERGEN, NORWAY LEIDEN, THE NETHERLANDS PARIS, FRANCE 46 Akademiska Sjukhuset 61 Hospital of the University 75 Rush University 89 The Catholic University 12 Universitätsspital Zürich UPPSALA, SWEDEN of Pennsylvania - Penn Medical Center Of Korea - Seoul St. ZÜRICH, SWITZERLAND Presbyterian CHICAGO, IL, USA Mary’s Hospital 47 Amsterdam UMC PHILADELPHIA, PA, USA SEOUL, SOUTH KOREA 13 Stanford Health Care - AMSTERDAM, THE 76 Severance Hospital - Stanford Hospital NETHERLANDS 62 Kyushu University Yonsei University 90 Universitätsklinikum STANFORD, CA, USA Hospital SEOUL, SOUTH KOREA Erlangen 48 University College FUKUOKA, JAPAN ERLANGEN, GERMANY 14 Universitätsklinikum Hospital 77 Universitätsklinikum Heidelberg , UNITED KINGDOM 63 Universitätsklinikum Freiburg 91 Kurashiki Central HEIDELBERG, GERMANY Tübingen FREIBURG, GERMANY Hospital 49 Landeskrankenhaus TÜBINGEN, GERMANY KURASHIKI, JAPAN 15 Rigshospitalet - Universitätskliniken 78 Hospital Moinhos København Innsbruck 64 Clinica Universidad de Vento 92 CHU Toulouse - KØBENHAVN, DENMARK INNSBRUCK, AUSTRIA de Navarra PORTO ALEGRE, BRAZIL Hôpital Purpan PAMPLONA/IRUÑA, SPAIN TOULOUSE, FRANCE 16 The University of 50 Cedars-Sinai 79 Istituto Clinico Tokyo Hospital Medical Center 65 UCSF Medical Center Humanitas 93 IRCCS Arcispedale TOKYO, JAPAN LOS ANGELES, CA, USA SAN FRANCISCO, CA, USA ROZZANO, ITALY Santa Maria Nuova REGGIO NELL'EMILIA, 17 Ronald Reagan UCLA 51 Hospital Universitario 66 Tampere University 80 Hôpital Paris ITALY Medical Center ► STATISTA publishes worldwide established rankings and company listings with high-profile media partners. La Paz Hospital Saint-Joseph LOS ANGELES, CA, USA This research and analysis service is based on the success of Statista.com. The leading data and business MADRID, SPAIN TAMPERE, FINLAND PARIS, FRANCE 94 Polyclinique Santé intelligence portal provides statistics, business relevant data and various market and consumer studies/surveys. Atlantique 18 St. Luke's International 52 Policlinico Sant'Orsola- 67 Hospital General 81 Royal Melbourne ST HERBLAIN, FRANCE Hospital Malpighi Universitario Hospital - Parkville TOKYO, JAPAN BOLOGNA, ITALY Gregorio Marañón PARKVILLE, AUSTRALIA 95 University of Washington MADRID, SPAIN Medical Center 19 The Mount Sinai Hospital 53 CHU Lille - Hôpital 82 Mayo Clinic - Jacksonville SEATTLE, WA, USA NEW YORK, NY, USA 25 Brigham And 31 UZ Leuven - Campus 38 Hospital Clínic Claude-Huriez 68 Universitätsklinikum JACKSONVILLE, FL, USA Women's Hospital Gasthuisberg de Barcelona LILLE, FRANCE Hamburg-Eppendorf 96 Hospital Universitario 20 AP-HP - Hôpital BOSTON, MA, USA LEUVEN, BELGIUM BARCELONA, SPAIN HAMBURG, GERMANY 83 Universitätsklinikum Köln 12 de Octubre Européen Georges 54 Turku University Hospital KÖLN, GERMANY MADRID, SPAIN Pompidou 26 Sunnybrook Health 32 Aarhus 39 Les Hôpitaux TURKU, FINLAND 69 Houston Methodist PARIS, FRANCE Sciences Centre Universitetshospital Universitaires de Genève Hospital 84 Kyoto University Hospital 97 Korea University - TORONTO, CANADA AARHUS, DENMARK (HUG) - Cluse-Roseraie 55 UCLA Medical Center HOUSTON, TX, USA KYOTO, JAPAN Anam Hospital 21 Helsinki University GENÈVE, SWITZERLAND - Santa Monica SEOUL, SOUTH KOREA Hospital 27 Allgemeines 33 New York-Presbyterian SANTA MONICA, CA, USA 70 CHU Bordeaux - Groupe 85 Universitätsklinikum HELSINKI, FINLAND Krankenhaus der Stadt Hospital-Columbia 40 Medizinische hospitalier Pellegrin Essen 98 Azienda Ospedaliera Wien - Medizinischer and Cornell Hochschule Hannover 56 The Royal Victoria BORDEAUX, FRANCE ESSEN, GERMANY di Padova 22 UMC Utrecht Universitätscampus NEW YORK, NY, USA HANNOVER, GERMANY Infirmary PADOVA, ITALY UTRECHT, THE WIEN, AUSTRIA NEWCASTLE UPON TYNE, 71 Center Hospital of 86 NYU Langone Hospitals NETHERLANDS 34 Asan Medical Center 41 Mayo Clinic - Phoenix UNITED KINGDOM the National Center NEW YORK, NY, USA 99 Hospital Universitari 28 Oslo Universitetssykehus SEOUL, SOUTH KOREA PHOENIX, AZ, USA for Global Health Vall d'Hebron 23 University of Michigan OSLO, NORWAY 57 The Alfred and Medicine 87 Seoul National University BARCELONA, SPAIN Hospitals - Michigan 35 Universitätsspital Basel 42 Seoul National MELBOURNE, AUSTRALIA TOKYO, JAPAN - Bundang Hospital Medicine 29 Klinikum rechts der BASEL, SWITZERLAND University Hospital SEONGNAM CITY, 100 Hospices Civils de ANN ARBOR, MI, USA Isar der Technischen SEOUL, SOUTH KOREA 58 Northwestern 72 Grande Ospedale SOUTH KOREA Lyon - Hôpital Lyon Sud Universität München 36 Hospital Israelita Memorial Hospital Metropolitano Niguarda PIERRE BENITE, FRANCE 24 Klinikum der MÜNCHEN, GERMANY Albert Einstein 43 Kameda Medical Center CHICAGO, IL, USA MILANO, ITALY 88 Ospedale San Raffaele Universität München SAO PAULO, BRAZIL KAMOGAWA, JAPAN - Gruppo San Donato MÜNCHEN, GERMANY 30 Mount Sinai Hospital 59 North York General 73 Samsung Medical Center MILANO, ITALY TORONTO, CANADA 37 Duke University Hospital 44 St Thomas' Hospital Hospital SEOUL, SOUTH KOREA DURHAM, NC, USA LONDON, UNITED KINGDOM TORONTO, CANADA

44 NEWSWEEK.COM March 12, 2021 THE FULL LIST IS AVAILABLE AT NEWSWEEK.COM/WBH-2021 5 Hôpital Paris 10 CHU Grenoble - Site Nord FRANCE Saint-Joseph LA TRONCHE PARIS 1 AP-HP - Hôpital Universitaire Pitié 6 CHU Toulouse - 4 Istituto Clinico NATIONAL Salpêtrière Hôpital Purpan ITALY Humanitas PARIS TOULOUSE ROZZANO 1 Policlinico Universitario 2 AP-HP - Hôpital Européen 7 Polyclinique Santé A. Gemelli 5 Ospedale San Raffaele Georges Pompidou Atlantique ROMA - Gruppo San Donato CHAMPS PARIS ST HERBLAIN MILANO 2 Policlinico Sant'Orsola- 3 CHU Lille - Hôpital 8 Hospices Civils de Lyon Malpighi 6 IRCCS Arcispedale These are the leading general hospitals– those not specialized on a single type of illness, patient or body system– Claude-Huriez - Hôpital Lyon Sud BOLOGNA Santa Maria Nuova in 25 countries around the world. For most countries, you can find the top institutions listed below. LILLE PIERRE BENITE REGGIO NELL'EMILIA 3 Grande Ospedale 4 CHU Bordeaux - Groupe 9 CHU Strasbourg - Metropolitano Niguarda 7 Azienda Ospedaliera hospitalier Pellegrin Hôpital de Hautepierre MILANO di Padova BORDEAUX STRASBOURG PADOVA

8 Ospedale Papa Giovanni XXIII BERGAMO

9 Ospedale Policlinico 8 Universitätsklinikum 5 Center Hospital of 3 Samsung Medical Center San Matteo GERMANY Freiburg the National Center SEOUL PAVIA FREIBURG for Global Health 1 Charité - and Medicine 4 Severance Hospital 10 Ospedale Borgo Trento Universitätsmedizin 9 Universitätsklinikum Köln TOKYO - Yonsei University VERONA Berlin KÖLN SEOUL BERLIN 6 Kyoto University Hospital 10 Universitätsklinikum KYOTO 5 Seoul National University UNITED KINGDOM 2 Universitätsklinikum Essen - Bundang Hospital Heidelberg ESSEN 7 Kurashiki Central SEONGNAM CITY 1 St Thomas' Hospital HEIDELBERG Hospital LONDON KURASHIKI 6 The Catholic University 3 Klinikum der JAPAN Of Korea - Seoul St. 2 University College Universität München 8 Osaka University Hospital Mary’s Hospital Hospital MÜNCHEN 1 The University of OSAKA SEOUL LONDON Tokyo Hospital 4 Klinikum rechts der TOKYO 9 Nagoya University 7 Korea University - 3 The Royal Victoria Isar der Technischen Hospital Anam Hospital Infirmary Universität München 2 St. Luke's International NAGOYA SEOUL NEWCASTLE UPON TYNE MÜNCHEN Hospital TOKYO 10 Toranomon Hospital 8 Ajou University Hospital 4 Queen Elizabeth 5 Medizinische TOKYO SUWON CITY Hospital Birmingham Hochschule Hannover 3 Kameda Medical Center BIRMINGHAM HANNOVER KAMOGAWA 9 KyungHee University SOUTH KOREA Medical Center 5 Addenbrooke's 6 Universitätsklinikum 4 Kyushu University SEOUL CAMBRIDGE Tübingen Hospital 1 Asan Medical Center TÜBINGEN FUKUOKA SEOUL 10 Gangnam Severance 6 Freeman Hospital Hospital - Yonsei NEWCASTLE UPON TYNE 7 Universitätsklinikum 2 Seoul National University Hamburg-Eppendorf University Hospital SEOUL 7 St. Bartholomew's HAMBURG SEOUL Hospital

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8 Guy's Hospital 5 St Vincent's LONDON BRAZIL INDIA Hospital - Fitzroy FITZROY 9 Salford Royal 1 Hospital Israelita 1 All India Institute of SALFORD Albert Einstein Medical Sciences - Delhi SAO PAULO DELHI MEXICO AMERICA’S 10 Chelsea and Westminster Hospital 2 Hospital Moinhos 2 Medanta The Medicity 1 Hospital Médica Sur LONDON de Vento GURGAON CIUDAD DE MÉXICO PORTO ALEGRE 3 Apollo Hospital - Chennai 2 Centro Médico ABC FINEST SPAIN 3 Hospital Sirio Libanes CHENNAI Campus Santa Fe SAO PAULO CIUDAD DE MÉXICO First class hospital care is available across the United States, not just in cities like Boston or 1 Hospital Clínic 4 The Christian with a long medical traditions. These are the 334 best general hospitals in the country. de Barcelona 4 Hospital Oswaldo Cruz Medical College 3 Hospitales Ángeles BARCELONA SAO PAULO VELLORE - Lomas CIUDAD DE MÉXICO 2 Hospital Universitario 5 Hospital Santa Catarina 5 PGIMER - Postgraduate La Paz SAO PAULO Institute of Medical 4 Centro Médico ABC MADRID Education and Research Campus Observatorio CHANDIGARH CIUDAD DE MÉXICO 3 Clinica Universidad CANADA de Navarra 5 IMSS - Centro Médico PAMPLONA/IRUÑA 1 Toronto General - AUSTRALIA Nacional Siglo XXI University Health Network CUAUHTEMOC 4 Hospital General TORONTO 1 The Alfred 9 Keck Hospital of USC 18 Kaiser Permanente Universitario MELBOURNE ALABAMA LOS ANGELES Woodland Hills Gregorio Marañón 2 Sunnybrook Health AUSTRIA Medical Center MADRID Sciences Centre 2 Royal Melbourne 1 UAB Hospital 1 Stanford Health Care - 10 Torrance Memorial WOODLAND HILLS TORONTO Hospital - Parkville 1 Allgemeines BIRMINGHAM Stanford Hospital Medical Center 5 Hospital Universitario PARKVILLE Krankenhaus der Stadt STANFORD TORRANCE 19 Mills-Peninsula 12 de Octubre 3 Mount Sinai Hospital Wien - Medizinischer 2 Fayette Medical Center Medical Center MADRID TORONTO 3 Royal Prince Universitätscampus FAYETTE 2 Ronald Reagan UCLA 11 BURLINGAME Alfred Hospital WIEN Medical Center SAN DIEGO 6 Hospital Universitari 4 North York General CAMPERDOWN 3 Clay County Hospital LOS ANGELES 20 Vall d'Hebron Hospital 2 Landeskrankenhaus ASHLAND 12 MemorialCare Long ESCONDIDO BARCELONA TORONTO 4 Royal North Shore Universitätskliniken 3 Cedars-Sinai Beach Medical Center Hospital Innsbruck 4 East Alabama Medical Center LONG BEACH 21 UC Irvine 7 Hospital Ramón y Cajal 5 Jewish General Hospital ST LEONARDS INNSBRUCK Medical Center LOS ANGELES Medical Center MADRID MONTREAL OPELIKA 13 Mission Hospital ORANGE 3 Landeskrankenhaus - 4 UCLA Medical Center - MISSION VIEJO 8 Hospital Universitario Universitätsklinikum Santa Monica 22 Sharp Chula Vista y Politécnico la Fe Graz ARIZONA SANTA MONICA 14 El Camino Hospital Medical Center VALENCIA GRAZ MOUNTAIN VIEW CHULA VISTA 1 Mayo Clinic - Phoenix 5 UCSF Medical Center 9 Hospital Universitario 4 Landeskrankenhaus PHOENIX SAN FRANCISCO 15 Hoag Memorial Hospital 23 St. Jude Medical Center Fundación Jiménez Díaz Salzburg - Presbyterian FULLERTON MADRID Universitätsklinikum 2 Banner University 6 - NEWPORT BEACH der PMU Medical Center Tucson Davis Medical Center 24 Santa Barbara 10 Hospital Clínico SALZBURG TUCSON SACRAMENTO 16 Kaiser Permanente Cottage Hospital San Carlos Santa Clara SANTA BARBARA MADRID 5 Ordensklinikum Linz 3 Dignity Health - Mercy 7 Scripps Memorial Medical Center Elisabethinen Gilbert Medical Center Hospital SANTA CLARA 25 John Muir Medical Center LINZ GILBERT LA JOLLA - Concord Campus 17 - CONCORD 8 UC San Diego Health - Walnut Creek Jacobs Medical Center Medical Center SAN DIEGO WALNUT CREEK

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26 Providence Little 4 Sky Ridge 3 Kaiser Permanente Company of Mary Medical Center Moanalua (Hawaii) Medical Center LONE TREE Medical Center TORRANCE HONOLULU 5 Porter Adventist Hospital 10 AMITA Health 27 Kaiser Permanente San DENVER 4 Pali Momi Adventist Medical Diego Medical Center & Medical Center Center Zion Medical Center 6 The Medical Center AIEA HINSDALE SAN DIEGO of Aurora AURORA 11 Advocate Christ 28 Kaiser Permanente Los IDAHO Medical Center Angeles Medical Center 7 Health One - Rose OAK LAWN LOS ANGELES Medical Center 1 St. Luke's Regional DENVER Medical Center 12 Edward Hospital 29 Huntington Memorial BOISE NAPERVILLE Hospital 8 Good Samaritan PASADENA Medical Center 2 St. Luke's Magic Valley 13 Evanston Hospital LAFAYETTE Medical Center EVANSTON 30 Scripps Green Hospital TWIN FALLS LA JOLLA 9 UCHealth - Medical 14 Advocate Illinois Center of The Rockies Masonic Medical Center 31 California Pacific LOVELAND ILLINOIS CHICAGO Medical Center SAN FRANCISCO 1 Northwestern 15 Northwestern Lake CONNECTICUT Memorial Hospital Forest Hospital 32 Sharp Coronado Hospital CHICAGO LAKE FOREST CORONADO 1 Yale New Haven Hospital NEW HAVEN 2 Rush University 16 St. Joseph Medical 33 Dignity Health - Medical Center Center Northridge Hospital 2 St. Francis Hospital CHICAGO BLOOMINGTON Medical Center & Medical Center NORTHRIDGE HARTFORD 3 University of Chicago 17 Advocat Sherman Medical Center Hospital 34 Community Hospital of 3 Griffin Hospital CHICAGO ELGIN the Monterey Peninsula DERBY MONTEREY 4 Loyola University 18 Presence Saints Medical Center Mary And Elizabeth 35 Barton Memorial Hospital WASHINGTON DC MAYWOOD Medical Center SOUTH LAKE TAHOE 3 Tampa General 8 Baptist Hospital 5 Northside Hospital CHICAGO 1 MedStar Georgetown Hospital of Miami GEORGIA Forsyth 5 Advocate Good 36 Dignity Health - University Hospital TAMPA MIAMI CUMMING Samaritan Hospital 19 Elmhurst Memorial Sequoia Hospital WASHINGTON 1 Emory University DOWNERS GROVE Hospital REDWOOD CITY 4 Sarasota Memorial 9 Holy Cross Hospital Hospital 6 Fairview Park Hospital ELMHURST Hospital FORT LAUDERDALE ATLANTA DUBLIN 6 Northwestern Medicine DELAWARE SARASOTA Central DuPage Hospital 20 Northwestern Medicine COLORADO 10 Baptist Medical 2 Emory Saint 7 Wellstar Paulding WINFIELD Mchenry Hospital 1 ChristianaCare 5 St. Joseph's Hospital - Center - Beaches Joseph's Hospital Hospital MCHENRY 1 University of NEWARK BayCare JACKSONVILLE BEACH ATLANTA HIRAM 7 Advocate Lutheran Colorado Hospital TAMPA General Hospital 21 AMITA Health - AURORA 11 Cape Canaveral Hospital 3 Emory Johns PARK RIDGE Adventist Medical FLORIDA 6 Adventhealth Orlando COCOA BEACH Creek Hospital HAWAII Center La Grange 2 Parker Adventist Hospital ORLANDO JOHNS CREEK 8 Northwestern Medicine - LA GRANGE PARKER 1 Mayo Clinic - 12 BayCare - Mease 1 Queen's Medical Center Delnor Hospital Jacksonville 7 Morton Plant Hospital Dunedin Hospital 4 Union General Hospital HONOLULU GENEVA 22 SSM Health - St. 3 UCHealth Poudre JACKSONVILLE CLEARWATER DUNEDIN BLAIRSVILLE Mary's Hospital Valley Hospital 2 Straub Clinic 9 Silver Cross Hospital CENTRALIA FORT COLLINS 2 Cleveland Clinic - Florida 13 Jupiter Medical Center And Hospital NEW LENOX WESTON JUPITER HONOLULU

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3 Mary Greeley 2 Willis Knighton 2 University of Maryland 9 Lahey Hospital and Medical Center Medical Center Medical Center Medical Center AMES SHREVEPORT BALTIMORE BURLINGTON

4 Mercy Iowa City 3 Mercy Regional 3 Johns Hopkins Bayview 10 Southcoast IOWA CITY Medical Center Medical Center Hospitals Group INDIANA VILLE PLATTE BALTIMORE FALL RIVER 5 MercyOne Dubuque 1 Indiana University Medical Center 4 Ochsner Lafayette 4 Anne Arundel 11 Cape Cod Hospital Health - North Hospital DUBUQUE General Medical Center Medical Center HYANNIS CARMEL LAFAYETTE ANNAPOLIS

2 Indiana University KANSAS 5 Ochsner University 5 Saint Joseph MICHIGAN Health West Hospital Hospital & Clinics Medical Center AVON 1 University of LAFAYETTE TOWSON 1 University of Michigan Kansas Hospital Hospitals - Michigan 3 Indiana University KANSAS CITY 6 Thibodaux Regional 6 MedStar Good Medicine Health Medical Center Medical Center Samaritan Hospital ANN ARBOR INDIANAPOLIS 2 AdventHealth THIBODAUX BALTIMORE Shawnee Mission 2 St. Joseph Mercy Chelsea 4 Community Hospital SHAWNEE MISSION 7 MedStar Union CHELSEA East Memorial Hospital INDIANAPOLIS MAINE BALTIMORE 3 Henry Ford Hospital KENTUCKY DETROIT 5 Memorial Hospital 1 Maine Medical Center of South Bend 1 University of PORTLAND MASSACHUSETTS 4 Beaumont Hospital SOUTH BEND Kentucky - Albert B. ROYAL OAK Chandler Hospital 2 Northern Light 1 Massachusetts 6 St. Vincent Indianapolis LEXINGTON Mercy Hospital General Hospital 5 Sparrow Hospital Hospital PORTLAND BOSTON LANSING 2 CentraCare - St. 9 Park Nicollet 7 SSM Health - St. INDIANAPOLIS 2 Baptist Health Lexington Cloud Hospital Methodist Hospital Mary's Hospital LEXINGTON 2 Brigham And 6 Beaumont Hospital SAINT CLOUD SAINT LOUIS PARK JEFFERSON CITY 7 Ascension St. Vincent MARYLAND Women's Hospital GROSSE POINTE Carmel Hospital BOSTON 3 University of Minnesota 10 Perham Health Clinic 8 Missouri Baptist CARMEL LOUISIANA 1 The Johns Hopkins 7 Holland Hospital Medical Center PERHAM Medical Center Hospital 3 Beth Israel Deaconess HOLLAND MINNEAPOLIS TOWN AND COUNTRY 8 Sidney & Lois 1 Tulane Medical Center BALTIMORE Medical Center Eskenazi Hospital NEW ORLEANS BOSTON 8 Beaumont Hospital 4 Abbott Northwestern MISSOURI 9 Saint Luke's INDIANAPOLIS TROY Hospital East Hospital 4 Tufts Medical Center MINNEAPOLIS 1 Barnes-Jewish Hospital LEES SUMMIT 9 Community BOSTON 9 Henry Ford West SAINT LOUIS Hospital South Bloomfield Hospital 5 Regions Hospital INDIANAPOLIS 5 Brigham And Women's WEST BLOOMFIELD SAINT PAUL 2 Mercy Hospital St. Louis MONTANA Faulkner Hospital SAINT LOUIS 10 Memorial Hospital And BOSTON 10 Mclaren Northern 6 Fairview Southdale 1 St. Patrick Hospital Health Care Center Michigan Hospital 3 St. Luke's Hospital MISSOULA JASPER 6 Newton-Wellesley PETOSKEY EDINA of Kansas City Hospital KANSAS CITY 2 St. Vincent Healthcare NEWTON 11 St. Joseph Mercy 7 Fairview Ridges Hospital BILLINGS IOWA Hospital BURNSVILLE 4 Boone Hospital Center 7 Umass Memorial ANN ARBOR COLUMBIA 3 Billings Clinic Hospital 1 University of Iowa Medical Center 8 Mayo Clinic Health BILLINGS Hospitals and Clinics WORCESTER System - Albert 5 St. Lukes Hospital IOWA CITY MINNESOTA Lea And Austin CHESTERFIELD 4 Kalispell Regional 8 Baystate Medical Center ALBERT LEA Medical Center 2 UnityPoint Health - SPRINGFIELD 1 Mayo Clinic - Rochester 6 University of Missouri KALISPELL St. Luke's Hospital ROCHESTER Health Care CEDAR RAPIDS COLUMBIA

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4 North Shore 5 Carolina East 10 Johnston Health 2 University Hospitals 17 Aultman Hospital NEBRASKA University Hospital NORTH CAROLINA Medical Center SMITHFIELD Cleveland Medical Center CANTON MANHASSET NEW BERN CLEVELAND 1 Nebraska Medicine - 1 Duke University 11 Atrium Health Lincoln 18 OhioHealth Riverside Nebraska Medical Center 5 Strong Memorial Hospital 6 Carolinas Medical Center LINCOLNTON 3 Cleveland Clinic Methodist Hospital 6 Providence Medford OMAHA Hospital - University DURHAM CHARLOTTE Fairview Hospital COLUMBUS Medical Center of Rochester 12 Catawba Valley CLEVELAND MEDFORD ROCHESTER 2 UNC REX Hospital 7 Mission Hospital Medical Center 19 Kettering Health - NEW HAMPSHIRE RALEIGH ASHEVILLE HICKORY 4 Miami Valley Hospital Sycamore Medical Center 6 Saratoga Hospital DAYTON MIAMISBURG PENNSYLVANIA 1 Dartmouth-Hitchcock SARATOGA SPRINGS 3 The Moses H. Cone 8 Duke Regional Hospital Medical Center Memorial Hospital DURHAM OHIO 5 Ohio State University - 20 Lutheran Health Network 1 Hospital of the University LEBANON GREENSBORO Wexner Medical Center - Lutheran Hospital of Pennsylvania - 9 Firsthealth Moore 1 Cleveland Clinic COLUMBUS CLEVELAND Penn Presbyterian 2 Wentworth-Douglass 4 University of North Regional Hospital CLEVELAND PHILADELPHIA Hospital Carolina Hospitals PINEHURST 6 Christ Hospital 21 Cleveland Clinic DOVER CHAPEL HILL CINCINNATI Avon Hospital 2 UPMC Presbyterian AVON & Shadyside 3 Catholic Medical Center 7 Cleveland Clinic PITTSBURGH MANCHESTER Akron General 22 Firelands Regional AKRON Medical Center 3 Jefferson Health - SANDUSKY Thomas Jefferson NEW JERSEY 8 ProMedica Toledo University Hospitals Hospital PHILADELPHIA 1 Morristown TOLEDO OKLAHOMA Medical Center 4 Penn State Health MORRISTOWN 9 University of Cincinnati 1 Saint Francis Hospital - Milton S. Hershey Medical Center TULSA Medical Center 2 Hackensack University CINCINNATI HERSHEY Medical Center 2 St. Mary's Regional HACKENSACK 10 Cleveland Clinic - Medical Center 5 Penn Medicine Chester Hillcrest Hospital ENID County Hospital 3 Valley Hospital MAYFIELD HEIGHTS WEST CHESTER RIDGEWOOD 3 Stillwater Medical Center 11 Mercy St. Anne Hospital STILLWATER 6 Reading Hospital 4 Overlook Medical TOLEDO READING Center SUMMIT 12 Jewish Hospital - OREGON 7 St. Luke's Hospital Mercy Health Bethlehem 5 Newark Beth Israel CINCINNATI 1 OHSU Hospital BETHLEHEM Medical Center PORTLAND NEWARK 13 Blanchard Valley 8 Doylestown Hospital Hospital 2 Providence St. Vincent DOYLESTOWN FINDLAY Medical Center NEW YORK PORTLAND 9 Lancaster General 14 Fulton County Hospital 1 The Mount Health Center 3 Providence Portland LANCASTER Sinai Hospital WAUSEON Medical Center NEW YORK PORTLAND 10 Lankenau Medical 15 Southwest General - Center 2 New York-Presbyterian Middleburg Heights 4 Salem Hospital WYNNEWOOD Hospital-Columbia Medical Center SALEM and Cornell MIDDLEBURG HEIGHTS 11 Main Line Hospital NEW YORK 5 Asante Rogue Regional PAOLI 16 Wooster Community Medical Center 3 NYU Langone Hospitals Hospital MEDFORD 12 Mount Nittany NEW YORK WOOSTER Medical Center

CREDIT CREDIT STATE COLLEGE

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4 St. Francis Downtown 14 Texas Health Southwest - 6 Aurora Baycare GREENVILLE TEXAS Harris Methodist Hospital Medical Center FORT WORTH GREEN BAY 13 Main Line Hospital - 1 Houston Methodist Bryn Mawr Campus SOUTH DAKOTA Hospital 15 Methodist Willowbrook 7 Bellin Memorial Hospital BRYN MAWR HOUSTON Hospital GREEN BAY 1 Sanford USD HOUSTON 14 Geisinger Medical Medical Center 2 Baylor St. Luke's 8 Community Memorial Center SIOUX FALLS Medical Center 16 Seton Medical Hospital DANVILLE HOUSTON Center Hays MENOMONEE FALLS 2 Avera McKennan KYLE 15 St. Clair Hospital Hospital and University 3 UT Southwestern 9 Southwest Health PITTSBURGH Health Center Medical Center 17 Shannon Medical Center Center - Platteville SIOUX FALLS DALLAS SAN ANGELO PLATTEVILLE

RHODE ISLAND 3 Brookings Hospital 4 Baylor University 18 Baylor Scott & White - 10 SSM Health St. Mary's BROOKINGS Medical Center Waxahachie Hospital - Madison 1 Lifespan - Newport DALLAS Medical Center MADISON Hospital WAXAHACHIE NEWPORT TENNESSEE 5 Memorial Hermann- 11 Mayo Clinic Healthcare Texas Medical Center 19 St. David's - North System - Franciscan 1 Vanderbilt University HOUSTON Austin Medical Center Medical Center SOUTH CAROLINA Medical Center AUSTIN LA CROSSE NASHVILLE 6 Medical City 2 Inova Fairfax Hospital 12 Inova Mount 6 Harborview 1 MUSC Health-University Dallas Hospital 20 Christus Mother FALLS CHURCH Vernon Hospital Medical Center 12 Gundersen Lutheran Medical Center 2 Saint Thomas DALLAS Frances - Hospital Tyler ALEXANDRIA SEATTLE Medical Center CHARLESTON West Hospital TYLER 3 VCU Medical Center LA CROSSE NASHVILLE 7 Memorial Hermann - RICHMOND 13 Sentara - Martha 7 Confluence Health - Central 2 Roper Hospital Memorial City Jefferson Hospital Washington Hospital 13 Health One - The Medical CHARLESTON 3 Williamson Medical Center UTAH 4 Inova Alexandria Hospital CHARLOTTESVILLE WENATCHEE Center of Aurora Medical Center HOUSTON ALEXANDRIA GRAFTON 3 Bon Secours St. FRANKLIN 1 University of 14 Sentara Leigh Hospital 8 Kadlec Regional Francis Hospital 8 Baylor Scott & White Utah Hospital 5 Sentara Williamsburg NORFOLK Medical Center 14 Aurora Sheboygan CHARLESTON Medical Center SALT LAKE CITY Regional Medical Center RICHLAND Memorial Medical Center TEMPLE WILLIAMSBURG SHEBOYGAN 2 Intermountain WASHINGTON 9 Baylor Scott & White Medical Center 6 Sentara Norfolk 15 ProHealth - Waukesha Medical Center MURRAY General Hospital 1 University of Washington WISCONSIN Memorial Hospital PLANO NORFOLK Medical Center WAUKESHA 3 Utah Valley Hospital SEATTLE 1 University of 10 United Regional PROVO 7 Inova Fair Oaks Hospital Wisconsin Hospitals 16 HSHS - St. Josephs Hospital Health Care System FAIRFAX 2 Virginia Mason MADISON CHIPPEWA FALLS WICHITA FALLS 4 LDS Hospital Medical Center SALT LAKE CITY 8 Henrico Doctors' Hospital SEATTLE 2 Aurora St. Luke's 11 St. David's Medical RICHMOND Medical Center WEST VIRGINIA Center 5 Logan Regional Hospital 3 Swedish Medical Center MILWAUKEE AUSTIN LOGAN 9 Sentara Princess SEATTLE 1 WVU Medicine Anne Hospital 3 Mayo Clinic - Health MORGANTOWN 12 University of Texas Health 6 St. George Regional VIRGINIA BEACH 4 EvergreenHealth System In Eau Claire Science Center at Tyler Hospital River Road Medical Center EAU CLAIRE TYLER ST GEORGE 10 Virginia Hospital Center KIRKLAND WYOMING ARLINGTON 4 UnityPoint Health - Meriter 13 Baylor Scott & White - 5 Legacy Salmon Creek MADISON 1 St. Johns Medical Center Round Rock VIRGINIA 11 Inova Loudoun Hospital Medical Center JACKSON Medical Center LEESBURG VANCOUVER 5 Froedtert Hospital ROUND ROCK 1 University of Virginia and the Medical Medical Center College of Wisconsin CHARLOTTESVILLE MILWAUKEE

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