Level 10 Acute State/ Country Avera Health SD Lehigh Valley Health Network PA Cedars-Sinai Medical Center CA Parkview Health IN Geisinger Health System PA UCHealth CO Jackson Health System FL UPMC ( PA Medical Center)

Level 9 Acute State/ Country Baptist Health South Florida FL NorthShore University Health IL System Bayhealth Medical Center DE Novant Health NC Bon Secours Mercy Health Inc. OH NYU Langone Health NY Children's Health System of Texas TX Ohio State University Wexner OH Medical Center Children's Colorado CO Parkview Health IN Clara Maass Medical Center NJ PIH Health Hospital - Downey CA Martin Health FL PIH Health Hospital - Whittier CA Community Healthcare System IN Riverside Health System VA Community Medical Center NJ Robert Wood Johnson NJ University Hospital Cook Children's Health Care System TX Robert Wood Johnson NJ University Hospital Somerset Deaconess Health System IN Saint Barnabas Medical Center NJ Duke University Health System NC Sarasota Memorial Health Care FL System El Camino Hospital CA SCL Health CO Essentia Health MN Spectrum Health MI Faith Regional Health Services NE St. Clair Hospital PA Genesis HealthCare System OH St. Luke's University Health PA Network Greater Baltimore Medical Center MD Stamford Health CT Guthrie Clinic PA Stratford Hospital PA International Medical Center* SA Tampa General Hospital FL Jersey City Medical Center NJ Thomas Jefferson University PA Hospital Johns Hopkins Health System MD TriHealth Inc OH Lucile Salter Packard Children's Hospital CA Truman Medical Centers MO Stanford and Stanford Children's Health Mayo Clinic MN UC Davis Health CA Memorial Healthcare System FL UCLA Health CA Memorial Sloan Kettering Cancer Center NY UNC Health NC Mercy MO University Health System TX Mercy Medical Center IA University of Alabama at AL Birmingham Hospital Meritus Medical Center MD University of Texas TX Southwestern Medical Center Monmouth Medical Center, Long Branch NJ Valley Health System NJ Campus Monmouth Medical Center, Southern Campus NJ Virtua Health NJ Mt. San Rafael Hospital CO West Virginia University Health WV System Newark Beth Israel Medical Center NJ Yale New Haven Health CT Northeast Georgia Medical Center GA

Level 8 Acute State/ Jewish Medical NY Country Center AdventHealth FL Long Island Jewish Valley NY Stream Adventist Health CA Louisiana Children's Medical LA Center Advocate Aurora Health Care IL Lowell General Hospital MA Akron Children's Hospital OH Main Line Health PA NY Mass General Brigham MA Aleda E. Lutz Veterans Affairs Medical Center MI MedStar Health MD Allegheny Health Network PA Memorial Hospital at Gulfport MS Altru Health System ND Mercy Health Saint Mary's MI Ann & Robert H. Lurie Children's Hospital of IL Metro Health - University of MI Chicago Michigan Health Anne Arundel Medical Center MD Monument Health SD Apollo Enterprise Ltd* IND Mount Sinai Medical Center FL Appalachian Regional Healthcare, Inc. KY NY Ascension MO Munson Healthcare MI Atlantic Health System NJ MUSC Health (Medical SC University of South Carolina) Atrium Health NC Nebraska - Nebraska NE Medical Center Banner Health AZ North Shore University Hospital NY Baptist Health AR Northwestern Memorial IL HealthCare Baptist Memorial Health Care Corporation TN Norton Healthcare KY Baystate Health, Inc. MA Opelousas General Health LA System Bozeman Health MT Orlando Health FL Bronson Healthcare MI OSF Healthcare IL Cape Fear Valley Health System NC Owensboro Health KY Carilion Clinic VA Parkland Health & Hospital TX System Central Maine Healthcare ME Parkview Medical Center CO CentraState Healthcare System NJ Piedmont Healthcare GA Charleston Area Medical Center WV Plainview Hospital NY Children's Healthcare of Atlanta GA Rady Children's Hospital - San CA Diego Children's Hospital Los Angeles CA IL Children's National Hospital DC Robert Wood Johnson NJ University Hospital at Hamilton ChristianaCare DE Rochester Regional Health NY Cincinnati Children's Hospital Medical Center OH RWJBH Rahway NJ Cleveland Clinic Health System OH Saint Mary's Hospital CT Cogdell Memorial Hospital TX Saratoga Hospital NY Concord Hospital NH Scripps Health CA Connecticut Children's Medical Center CT Sharp HealthCare CA Cook County Health and Hospitals System IL Southcoast Health System MA Covenant Health TN Southside Hospital NY Covenant Healthcare MI SSM Health MO CoxHealth MO St. Dominic-Jackson Memorial MS Hospital DMC Detroit Medical Center MI St. Joseph Mercy Oakland MI Doylestown Hospital PA St. Joseph's Health NY Duncan Regional Hospital OK St. Joseph's Healthcare System NJ Edward-Elmhurst Healthcare IL St. Luke's Health System ID Englewood Hospital and Medical Center NJ St. Mary Mercy Hospital MI FirstHealth of the Carolinas NC Stanford Healthcare CA Forest Hills (Long Island Jewish Forest Hills) NY Staten Island University Hospital NY Franciscan Health IN Summa Health System OH Franciscan Missionaries of Our Lady Health LA Syosset Hospital NY System, Inc. Frederick Health Hospital MD Texas Children's Hospital TX Garnet Health Medical Center NY The MetroHealth System OH Garnet Health Medical Center Catskills NY Titus Regional Medical Center TX Glen Cove Hospital NY Torrance Memorial Medical CA Center Grady Health System GA TMC HealthCare AZ Hackensack Meridian Health NJ Tri-State Memorial Hospital WA Hawaii Pacific Health HI UAB Health System Ambulatory AL Clinics Healthcare Authority of Baptist Health Al UAMS Medical Center AR HealthPartners MN UC Health CA Hendrick Health System TX UCSF Medical Center CA Henry Community Health IN UnityPoint Health IA Henry Ford Health System MI University Hospitals OH Hoag Memorial Hospital Presbyterian CA University of Chicago Medical IL Center Houston Methodist TX University of Hospitals and IA Clinics HSHS Hospital Sisters Health System IL University of Missouri Health MO Care NY University of Pennsylvania PA Health System Indiana University Health IN University of Tennessee Medical TN Center Intermountain Healthcare, Inc. UT University of Texas M.D. TX Anderson Cancer Center Jefferson County Hospital OK University of Utah Health UT Johnson Memorial Medical Center CT UPMC Western MD Lafayette General Health LA Upstate University Hospital NY Lakeland Health MI Vidant Health NC Lancaster General Hospital PA Virginia Hospital Center - VA Arlington NY Wake Forest Baptist Medical NC Center Lexington Medical Center SC WellSpan Health PA LifeBridge Health MD WellStar Health System GA Lima Memorial Health System OH Loma Linda University Medical Center CA

Level 7 Acute State/ Memorial Healthcare MI Country Alfred Health* AU Memorial Hermann Health TX System AnMed Health SC MidMichigan Health MI Atrium Health NC Montefiore Medical Center NY Auburn Community Hospital NY Mosaic Life Care MO Ballad Health TN MultiCare Health System WA Beebe Healthcare DE Nanticoke Memorial Hospital DE Boulder Community Health CO Nebraska Methodist Health NE System, Inc. Broadlawns Medical Center IA Nemaha County Hospital NE Cambridge University Hospitals NHS UK Nemours FL Foundation Trust* Carle Foundation Hospital IL New York-Presbyterian Hospital NY Carle Hoopeston Regional Health Center IL North Country Hospital and VT Health Center Carle Richland Memorial Hospital IL Northwestern Medical Center VT Carroll County Memorial Hospital MO Ochsner Health System LA Centra Health, Inc. VA Olathe Medical Center KS Cheyenne Regional Medical Center WY PeaceHealth WA Children's Hospital & Medical Center NE Peninsula Regional Medical MD Center Children's Hospital of Orange County CA Penn State Health System PA Children's Hospital of Philadelphia PA Perham Health MN Children's Mercy Hospital Kansas City MO Premier Health OH Christ Hospital OH Presbyterian Healthcare NM Services Citizens Memorial Hospital MO ProHealth Care, Inc. WI City of Hope's Helford Clinical Research CA Reid Health IN Hospital Cleveland Clinic Abu Dhabi* UAE Renown Health NV Community Health Network IN Rush Memorial Hospital IN Community Hospital NE Rush University Medical Center IL Community Hospital of the Monterey CA Saint Francis Hospital and CT Peninsula Medical Center Confluence Health WA Saint Luke's Health System MO DCH Health System AL Sentara Healthcare VA Elliot Hospital NH South Shore Hospital MA Emerson Hospital MA Spartanburg Regional SC Healthcare System Excela Health PA St. Charles Health System, Inc. OR Fairfield Medical Center OH St. Elizabeth Edgewood KY Fitzgibbon Hospital MO St. Luke's Cornwall Hospital NY IA St. Luke's Hospital MO Grande Ronde Hospital OR Tower Health PA H. Lee Moffitt Cancer Center and Research FL Trinity Health ND Institute Hancock Regional Hospital IN UC Health OH Harris Health System TX UCSF Benioff Children's Hospital CA Oakland Hartford HealthCare CT UI Health IL Heritage Valley Health System PA UMass Memorial Health Care, MA Inc. Holzer Health System OH University Medical Center TX Hospital for Special NY University of Kansas Health KS System Ingalls Memorial Hospital IL University of Miami Health FL System Inspira Health Network NJ University of New Mexico NM Hospitals Keck Medicine of USC CA University of Wisconsin Hospital WI and Clinics Kettering Health Network OH UW Medicine/Valley Medical WA Center King Faisal Specialist Hospital & Research SA Valley Health System VA Centre* Lakeland Regional Health FL Vanderbilt University Medical TN Center Licking Memorial Hospital OH Virginia Mason Medical Center WA LMH Health KS Westchester Medical Center NY Mackenzie Health* CAN Western Reserve Hospital OH Maimonides Medical Center NY Woman's Hospital LA MaineHealth ME Yavapai Regional Medical Center AZ Marietta Memorial Hospital OH Yuma Regional Medical Center AZ Medical Center Health System TX Memorial Health System IL

*International recipient