Charge Rank in Hospital Name System Name State to Cost State Ratio 1 GADSDEN REGIONAL MEDICAL CENTER Community Health Systems, Inc. Alabama 1128.00% 2 BROOKWOOD MEDICAL CENTER Corporation Alabama 952.00% 3 PARKWAY MEDICAL CENTER Huntsville Hospital Health System Alabama 949.00% 4 STRINGFELLOW MEMORIAL HOSPITAL Health Management Associates Alabama 907.00% RIVERVIEW REGIONAL MEDICAL 5 Health Management Associates Alabama 898.00% CENTER 6 TRINITY MEDICAL CENTER Community Health Systems, Inc. Alabama 858.00% 7 CRESTWOOD MEDICAL CENTER Community Health Systems, Inc. Alabama 833.00% SOUTH BALDWIN REGIONAL MEDICAL 8 Community Health Systems, Inc. Alabama 765.00% CENTE 9 FLOWERS HOSPITAL Community Health Systems, Inc. Alabama 753.00% 10 PRINCETON BAPTIST MEDICAL CENTER Baptist Health System Alabama 727.00%

1 ALASKA REGIONAL HOSPITAL HCA Alaska 416.00% 2 MAT-SU REGIONAL MEDICAL CENTER Community Health Systems, Inc. Alaska 403.00% 3 PROVIDENCE ALASKA MEDICAL CENTER Providence Health & Services Alaska 321.00% CENTRAL PENINSULA GENERAL 4 Alaska 197.00% HOSPITAL 5 FAIRBANKS MEMORIAL Banner Health Alaska 188.00% PROV. KODIAK ISLAND MEDICAL 6 Providence Health & Services Alaska 171.00% CENTER 7 KETCHIKAN MEDICAL CENTER PeaceHealth Alaska 170.00% 8 BARTLETT REGIONAL HOSPITAL QHR Alaska 153.00% 9 SOUTH PENINSULA HOSPITAL Alaska 131.00%

10 PETERSBURG MEDICAL CENTER Alaska 116.00%

WESTERN REGIONAL 1 Community Health Systems, Inc. Arizona 994.00% MEDICAL CENTER 2 PAYSON REGIONAL MEDICAL CENTER Community Health Systems, Inc. Arizona 858.00% 3 ST. LUKES MEDICAL CENTER IASIS Healthcare Arizona 639.00% CHANDLER REGIONAL MEDICAL 4 Dignity Health Arizona 616.00% CENTER 5 MERCY GILBERT MEDICAL CENTER Dignity Health Arizona 604.00% 6 MOUNTAIN VISTA MEDICAL CENTER IASIS Healthcare Arizona 596.00% 7 BANNER BAYWOOD HEART HOSPITAL Banner Health Arizona 583.00% ARIZONA ORTHOPEDIC SURGICAL United Surgical Partners 8 Arizona 580.00% HOSPITAL International 9 VALLEY VIEW MEDICAL CENTER LifePoint Hospitals, Inc. Arizona 574.00% 10 BANNER ESTRELLA MEDICAL CENTER Banner Health Arizona 566.00%

1 NATIONAL PARK MEDICAL CENTER Capella Healthcare 978.00%

Source: IHSP Calculations of Federal Hospital Cost Reports, FY 1996-1997 through 2011-2012. www.NationalNursesUnited.org

Charge Rank in Hospital Name System Name State to Cost State Ratio 2 ST. MARYS REGIONAL MEDICAL CENTER Capella Healthcare Arkansas 742.00% 3 HARRIS HOSPITAL Community Health Systems, Inc. Arkansas 687.00% 4 SUMMIT MEDICAL CENTER Health Management Associates Arkansas 665.00% NORTHWEST MEDICAL CENTER OF 5 Arkansas 651.00% WASHINGTON 6 MEDICAL CENTER OF ARKANSAS Community Health Systems, Inc. Arkansas 597.00% 7 SILOAM SPRINGS MEMORIAL HOSPITAL Community Health Systems, Inc. Arkansas 515.00% 8 HELENA REGIONAL MEDICAL CENTER Community Health Systems, Inc. Arkansas 508.00% 9 ARKANSAS HEART HOSPITAL Arkansas 476.00%

ST VINCENT MEDICAL CENTER 10 Catholic Health Initiatives Arkansas 471.00% SHERWOOD

1 OLYMPIA MEDICAL CENTER California 1034.00%

2 DOCTORS HOSPITAL OF MANTECA TENET Healthcare Corporation California 967.00% DOCTORS MEDICAL CENTER OF 3 TENET Healthcare Corporation California 957.00% MODESTO 4 BARSTOW COMMUNITY HOSPITAL Community Health Systems, Inc. California 872.00% 5 MONTEREY PARK HOSPITAL AHMC & Healthcare, Inc. California 860.00% 6 TWIN CITIES COMMUNITY HOSPITAL TENET Healthcare Corporation California 813.00% 7 LODI MEMORIAL HOSPITAL California 811.00%

PROVIDENCE HOLY CROSS MEDICAL 8 Providence Health & Services California 809.00% CENTER REGIONAL MEDICAL CENTER OF SAN 9 HCA California 804.00% JOSE COMMUNITY AND MISSION HOSPITAL 10 Avanti Hospitals California 783.00% OF HUNTINGTON PARK

1 NORTH SUBURBAN MEDICAL CENTER HCA 700.00% 2 SKY RIDGE MEDICAL CENTER HCA Colorado 680.00% 3 SWEDISH MEDICAL CENTER HCA Colorado 600.00% 4 THE MEDICAL CENTER OF AURORA HCA Colorado 587.00% 5 PARKVIEW MEDICAL CENTER QHR Colorado 582.00% 6 ROSE MEDICAL CENTER HCA Colorado 571.00% Adventist Health System Sunbelt 7 LITTLETON ADVENTIST HOSPITAL Colorado 549.00% Health Care Corporatio PRESBYTERIAN ST LUKES MEDICAL 8 HCA Colorado 512.00% CENTER Adventist Health System Sunbelt 9 PARKER ADVENTIST HOSPITAL Colorado 509.00% Health Care Corporatio EXEMPLA GOOD SAMARITAN MEDICAL 10 Exempla Healthcare, Inc. Colorado 478.00% CENTER

Source: IHSP Calculations of Federal Hospital Cost Reports, FY 1996-1997 through 2011-2012. www.NationalNursesUnited.org

Charge Rank in Hospital Name System Name State to Cost State Ratio 1 THE STAMFORD HOSPITAL Connecticut 424.00%

2 WATERBURY HOSPITAL Connecticut 417.00%

3 BRIDGEPORT HOSPITAL Yale New Haven Health System Connecticut 384.00% 4 GREENWICH HOSPITAL Yale New Haven Health System Connecticut 362.00% 5 MIDDLESEX HOSPITAL Connecticut 357.00%

6 YALE-NEW HAVEN HOSPITAL Yale New Haven Health System Connecticut 354.00% 7 THE GRIFFIN HOSPITAL Connecticut 347.00%

8 HOSPITAL OF SAINT RAPHAEL Connecticut 341.00%

9 ST. VINCENT S MEDICAL CENTER Ascension Health Connecticut 306.00% 10 NORWALK HOSPITAL Connecticut 303.00%

1 ST. FRANCIS HOSPITAL WILMINGTON Catholic Health East Delaware 368.00% 2 BEEBE MEDICAL CENTER Delaware 287.00%

3 NANTICOKE MEMORIAL HOSPITAL Delaware 245.00%

4 CHRISTIANA CARE HEALTH SYSTEM Christiana Care Health System Delaware 221.00%

District of 1 GEORGE WASHINGTON UNIV HOSPITAL Universal Health Services, Inc. 506.00% Columbia NOT-FOR-PROFIT HOSPITAL District of 2 357.00% CORPORATION Columbia District of 3 GEORGETOWN UNIVERSITY HOSPITAL MedStar Health 344.00% Columbia District of 4 PROVIDENCE HOSPITAL Ascension Health 300.00% Columbia District of 5 SIBLEY MEMORIAL HOSPITAL Johns Hopkins Health System 267.00% Columbia

1 ORANGE PARK MEDICAL CENTER HCA 1139.00% 2 NORTH OKALOOSA MEDICAL CENTER Community Health Systems, Inc. Florida 1137.00% 3 BROOKSVILLE REGIONAL HOSPITAL Health Management Associates Florida 1083.00% HEART OF FLORIDA REGIONAL 4 Health Management Associates Florida 1058.00% MEDICAL CENTER 5 OAK HILL HOSPITAL HCA Florida 1052.00% 6 ST. PETERSBURG GENERAL HCA Florida 1046.00% 7 FT. WALTON BEACH MEDICAL CENTER HCA Florida 1043.00% LAWNWOOD REGIONAL MEDICAL 8 HCA Florida 1001.00% CENTER NORTH FLORIDA REGIONAL MEDICAL 9 HCA Florida 973.00% CENTER 10 GULF COAST MEDICAL CENTER HCA Florida 927.00%

Source: IHSP Calculations of Federal Hospital Cost Reports, FY 1996-1997 through 2011-2012. www.NationalNursesUnited.org

Charge Rank in Hospital Name System Name State to Cost State Ratio 1 CARTERSVILLE MEDICAL CENTER HCA Georgia 771.00% 2 NORTH FULTON REGIONAL HOSPITAL TENET Healthcare Corporation Georgia 747.00% 3 DOCTORS HOSPITAL OF TATTNALL Georgia 739.00%

4 DOCTORS HOSPITAL OF AUGUSTA HCA Georgia 715.00% EAST GEORGIA REGIONAL MEDICAL 5 Health Management Associates Georgia 708.00% CENTER 6 SOUTH FULTON MEDICAL CENTER TENET Healthcare Corporation Georgia 700.00% 7 FAIRVIEW PARK HOSPITAL HCA Georgia 669.00% 8 SPALDING REGIONAL HOSPITAL TENET Healthcare Corporation Georgia 636.00% 9 EASTSIDE MEDICAL CENTER HCA Georgia 624.00% 10 BARROW REGIONAL MEDICAL CENTER Health Management Associates Georgia 621.00%

1 PALI MOMI MEDICAL CENTER Hawaii Pacific Health Hawaii 363.00% 2 WILCOX MEMORIAL HOSPTIAL Hawaii Pacific Health Hawaii 345.00% 3 STRAUB CLINIC & HOSPITAL Hawaii Pacific Health Hawaii 310.00% 4 CASTLE MEDICAL CENTER Adventist Health Hawaii 295.00% 5 THE QUEENS MEDICAL CENTER Queen's Health Systems Hawaii 275.00% 6 KUAKINI MEDICAL CENTER Hawaii 274.00%

7 KONA COMMUNITY HOSPITAL Hawaii Health Systems Corporation Hawaii 232.00% 8 MAUI MEMORIAL MEDICAL CENTER Hawaii Health Systems Corporation Hawaii 230.00% NORTH HAWAII COMMUNITY 9 Hawaii 229.00% HOSPITAL 10 HILO MEDICAL CENTER Hawaii Health Systems Corporation Hawaii 227.00%

EASTERN IDAHO REGIONAL MEDICAL 1 HCA Idaho 374.00% CENTER 2 WEST VALLEY MEDICAL CENTER HCA Idaho 355.00% 3 NORTHWEST SPECIALTY HOSPITAL National Surgical Hospitals Idaho 301.00% 4 TREASURE VALLEY HOSPITAL Idaho 293.00%

SAINT ALPHONSUS MEDICAL CENTER- 5 Trinity Health Idaho 288.00% NAMPA 6 PORTNEUF MEDICAL CENTER LHP Hospital Group Idaho 274.00% ST. JOSEPH REGIONAL MEDICAL 7 Ascension Health Idaho 250.00% CENTER ST. ALPHONSUS REGIONAL MED 8 Trinity Health Idaho 249.00% CENTER 9 KOOTENAI HOSPITAL DISTRICT Idaho 247.00%

10 MOUNTAIN VIEW HOSPITAL Idaho 239.00%

1 GATEWAY REGIONAL Community Health Systems, Inc. Illinois 881.00% 2 VISTA MEDICAL CENTER - EAST Community Health Systems, Inc. Illinois 738.00%

Source: IHSP Calculations of Federal Hospital Cost Reports, FY 1996-1997 through 2011-2012. www.NationalNursesUnited.org

Charge Rank in Hospital Name System Name State to Cost State Ratio 3 GALESBURG COTTAGE HOSPITAL Community Health Systems, Inc. Illinois 688.00% 4 CROSSROADS COMMUNITY HOSPITAL Community Health Systems, Inc. Illinois 666.00% 5 MARION MEMORIAL HOSPITAL Community Health Systems, Inc. Illinois 658.00% 6 COPLEY MEMORIAL HOSPITAL Rush University Medical Center Illinois 600.00% 7 GOTTLIEB MEMORIAL HOSPITAL Trinity Health Illinois 599.00% 8 SWEDISH COVENANT HOSPITAL Illinois 554.00%

9 VISTA MEDICAL CENTER WEST Community Health Systems, Inc. Illinois 544.00% 10 RED BUD REGIONAL HOSPITAL Community Health Systems, Inc. Illinois 539.00%

1 KOSCIUSKO COMMUNITY HOSPITAL Community Health Systems, Inc. Indiana 657.00% 2 LUTHERAN MUSCULOSKELETAL CENTER Community Health Systems, Inc. Indiana 585.00% 3 LUTHERAN HOSPITAL OF INDIANA Community Health Systems, Inc. Indiana 532.00% 4 DUPONT HOSPITAL Community Health Systems, Inc. Indiana 532.00% 5 PORTER MEMORIAL HOSPITAL Community Health Systems, Inc. Indiana 517.00% 6 TERRE HAUTE REGIONAL HOSPITAL HCA Indiana 498.00% 7 BLUFFTON REGIONAL MEDICAL CENTER Community Health Systems, Inc. Indiana 488.00% 8 PHYSICIANS MEDICAL CENTER Indiana 473.00%

9 ST JOSEPH MEDICAL CENTER Community Health Systems, Inc. Indiana 436.00% 10 INDIANA HEART HOSPITAL Community Health Network Indiana 427.00%

1 MERCY HOSPITAL COUNCIL BLUFFS Alegent Health Iowa 402.00% 2 MERCY MEDICAL CENTER-DES MOINES Catholic Health Initiatives Iowa 394.00% 3 IOWA METHODIST MEDICAL CENTER Iowa Health System Iowa 376.00% 4 MERCY MEDICAL CENTER Iowa 367.00%

5 MERCY MEDICAL CENTER - SIOUX CITY Trinity Health Iowa 351.00% 6 IOWA LUTHTERAN HOSPITAL Iowa Health System Iowa 348.00% 7 ST. LUKES METHODIST HOSPITAL Iowa Health System Iowa 337.00% 8 SARTORI MEMORIAL HOSPITAL Wheaton Franciscan Healthcare Iowa 332.00% 9 OTTUMWA REGIONAL HEALTH CENTER RegionalCare Hospital Partners Iowa 317.00% Nebraska Methodist Health 10 JENNIE EDMUNDSON MEMORIAL Iowa 313.00% System, Inc.

OVERLAND PARK REGIONAL MEDICAL 1 HCA Kansas 700.00% CENTER 2 WESLEY MEDICAL CENTER HCA Kansas 583.00% 3 DOCTORS HOSPITAL Kansas 550.00%

4 KANSAS SPINE HOSPITAL Kansas 546.00%

Adventist Health System Sunbelt 5 SHAWNEE MISSION MEDICAL CENTER Kansas 541.00% Health Care Corporatio 6 MENORAH MEDICAL CENTER HCA Kansas 508.00% 7 KANSAS CITY ORTHOPAEDIC INSTITUTE Kansas 474.00%

Source: IHSP Calculations of Federal Hospital Cost Reports, FY 1996-1997 through 2011-2012. www.NationalNursesUnited.org

Charge Rank in Hospital Name System Name State to Cost State Ratio 8 UNIVERSITY OF KANSAS HOSPITAL Kansas 467.00%

STORMONT-VAIL REGIONAL HEALTH 9 Kansas 444.00% CENTER Sisters of Charity of Leavenworth 10 PROVIDENCE MEDICAL CENTER Kansas 420.00% Health System

PAUL B. HALL REGIONAL MEDICAL 1 Health Management Associates Kentucky 1186.00% CENTER 2 KENTUCKY RIVER MEDICAL CENTER Community Health Systems, Inc. Kentucky 698.00% 3 THREE RIVERS MEDICAL CENTER Community Health Systems, Inc. Kentucky 648.00% 4 PIKEVILLE MEDICAL CENTER Kentucky 570.00%

5 UNIVERSITY OF LOUISVILLE HOSPITAL Kentucky 525.00%

LAKE CUMBERLAND REGIONAL 6 LifePoint Hospitals, Inc. Kentucky 508.00% HOSPITAL Jewish Hospital & St. Mary's 7 JEWISH HOSPITAL SHELBYVILLE Kentucky 501.00% HealthCare 8 FRANKFORT REGIONAL HCA Kentucky 480.00% 9 SPRING VIEW HOSPITAL LifePoint Hospitals, Inc. Kentucky 471.00% 10 GREENVIEW REGIONAL HOSPITAL HCA Kentucky 470.00%

1 WOMEN & CHILDRENS HOSPITAL Community Health Systems, Inc. 765.00% 2 NORTH OAKS MEDICAL CENTER North Oaks Health System Louisiana 712.00% 3 RAPIDES REGIONAL MEDICAL CENTER HCA Louisiana 703.00% 4 LAKEVIEW REGIONAL MEDICAL CENTER HCA Louisiana 696.00% 5 BYRD REGIONAL HOSPITAL Community Health Systems, Inc. Louisiana 695.00% OCHSNER MEDICAL CENTER -NORTH 6 Ochsner Health System Louisiana 656.00% SHORE REGIONAL HEALTH SYSTEM OF 7 HCA Louisiana 639.00% ACADIANA NORTHERN LOUISIANA MEDICAL 8 Community Health Systems, Inc. Louisiana 628.00% CENTER 9 DAUTERIVE HOSPITAL HCA Louisiana 605.00% GLENWOOD REGIONAL MEDICAL 10 IASIS Healthcare Louisiana 596.00% CENTER

ST. MARY S REGIONAL MEDICAL 1 Covenant Health Systems, Inc. Maine 275.00% CENTER 2 YORK HOSPITAL Maine 274.00%

3 MAINEGENERAL MEDICAL CENTER Maine 260.00%

PARKVIEW ADVENTIST MEDICAL 4 Maine 258.00% CENTER 5 MAINE MEDICAL CENTER MaineHealth Maine 244.00%

Source: IHSP Calculations of Federal Hospital Cost Reports, FY 1996-1997 through 2011-2012. www.NationalNursesUnited.org

Charge Rank in Hospital Name System Name State to Cost State Ratio 6 H. D. GOODALL HOSPITAL Maine 243.00%

7 CENTRAL MAINE MEDICAL CENTER Maine 238.00%

8 MAINE COAST MEMORIAL HOSPITAL Maine 230.00%

9 EASTERN MAINE MEDICAL CENTER Eastern Maine Healthcare Systems Maine 230.00% 10 SOUTHERN MAINE MEDICAL CENTER MaineHealth Maine 225.00%

1 BON SECOURS HOSPITAL Bon Secours Health System, Inc. Maryland 175.00% 2 ST. AGNES HOSPITAL Ascension Health Maryland 161.00% 3 SOUTHERN MARYLAND HOSPITAL Maryland 158.00%

4 HOLY CROSS HOSPITAL Trinity Health Maryland 155.00% University of Maryland Medical 5 MEMORIAL EASTON Maryland 152.00% System 6 ST. MARYS HOSPITAL MedStar Health Maryland 149.00% University of Maryland Medical 7 CHESTER RIVER HOSPITAL CENTER Maryland 149.00% System 8 CALVERT MEMORIAL HOSPITAL Maryland 146.00%

9 ATLANTIC GENERAL HOSPITAL Maryland 145.00%

GARRETT COUNTY MEMORIAL 10 Maryland 145.00% HOSPITAL

1 UMMHC~CLINTON HOSPITAL UMass Memorial Health Care, Inc. Massachusetts 396.00% 2 BRIGHAM AND WOMENS HOSPITAL Partners HealthCare System, Inc. Massachusetts 372.00% 3 MASSACHUSETTS GENERAL HOSPITAL Partners HealthCare System, Inc. Massachusetts 365.00% 4 ATHOL MEMORIAL HOSPITAL Massachusetts 363.00%

5 MARLBOROUGH HOSPITAL UMass Memorial Health Care, Inc. Massachusetts 346.00% 6 NORTH SHORE MEDICAL CENTER Partners HealthCare System, Inc. Massachusetts 335.00% 7 NEWTON WELLESLEY HOSPITAL Partners HealthCare System, Inc. Massachusetts 332.00% 8 NASHOBA VALLEY HOSPITAL Steward Health Care System, LLC Massachusetts 332.00% 9 FAULKNER HOSPITAL Partners HealthCare System, Inc. Massachusetts 326.00% 10 TUFTS MEDICAL CENTER Massachusetts 310.00%

1 BIXBY MEDICAL CENTER ProMedica Health System Michigan 453.00% 2 MEMORIAL HEALTHCARE Michigan 423.00%

OAKWOOD SOUTHSHORE MEDICAL 3 Oakwood Healthcare, Inc. Michigan 409.00% CENTER 4 BORGESS MEDICAL CENTER Ascension Health Michigan 407.00% 5 W.A. FOOTE MEMORIAL HOSPITAL Michigan 401.00%

6 ST. MARYS OF MICHIGAN Ascension Health Michigan 395.00% 7 OAKLAND REGIONAL HOSPITAL Michigan 394.00%

OAKWOOD HOSPITAL AND MEDICAL 8 Oakwood Healthcare, Inc. Michigan 384.00% CENTER

Source: IHSP Calculations of Federal Hospital Cost Reports, FY 1996-1997 through 2011-2012. www.NationalNursesUnited.org

Charge Rank in Hospital Name System Name State to Cost State Ratio 9 HURLEY MEDICAL CENTER Michigan 379.00%

10 OAKWOOD ANNAPOLIS HOSPITAL Oakwood Healthcare, Inc. Michigan 376.00%

1 MERCY HOSPITAL Allina Health Minnesota 411.00% 2 ABBOTT NORTHWESTERN HOSPITAL Allina Health Minnesota 408.00% 3 UNITY HOSPITAL Allina Health Minnesota 407.00% 4 UNITED HOSPITAL Allina Health Minnesota 404.00% 5 CAMBRIDGE MEDICAL CENTER Allina Health Minnesota 373.00% 6 NORTH MEMORIAL HEALTH CARE Minnesota 369.00%

7 PHILLIPS EYE INSTITUTE Allina Health Minnesota 351.00% 8 REGIONS HOSPITAL HealthPartners Minnesota 329.00% 9 HEALTHEAST WOODWINDS HOSPITAL HealthEast Care System Minnesota 323.00% 10 HEALTHEAST ST JOHNS HOSPITAL HealthEast Care System Minnesota 321.00%

1 NATCHEZ COMMUNITY HOSPITAL Health Management Associates Mississippi 805.00% 2 GARDEN PARK COMMUNITY HOSPITAL HCA Mississippi 736.00% 3 RANKIN MEDICAL CENTER Health Management Associates Mississippi 728.00% 4 RIVER OAKS HOSPITAL Health Management Associates Mississippi 694.00% 5 RIVER REGION MEDICAL CORP Community Health Systems, Inc. Mississippi 688.00% 6 BILOXI REGIONAL MEDICAL CENTER Health Management Associates Mississippi 674.00% 7 CENTRAL MISSISSIPPI MEDICAL CENTER Health Management Associates Mississippi 667.00% 8 WOMAN S HOSPITAL Health Management Associates Mississippi 601.00% 9 WESLEY MEDICAL CENTER Community Health Systems, Inc. Mississippi 574.00% NORTHWEST MS REGIONAL MEDICAL 10 Health Management Associates Mississippi 551.00% CENTER

TWIN RIVERS REGIONAL MEDICAL 1 Health Management Associates Missouri 744.00% CENTER 2 MOBERLY REGIONAL MEDICAL CENTER Community Health Systems, Inc. Missouri 681.00% 3 BELTON REGIONAL MEDICAL CENTER HCA Missouri 664.00% 4 CENTERPOINT MEDICAL CENTER HCA Missouri 629.00% 5 RESEARCH MEDICAL CENTER HCA Missouri 605.00% POPLAR BLUFF REGIONAL MEDICAL 6 Health Management Associates Missouri 591.00% CENTER NORTHEAST REGIONAL MEDICAL 7 Community Health Systems, Inc. Missouri 556.00% CENTER MINERAL AREA REGIONAL MEDICAL 8 Capella Healthcare Missouri 497.00% CENTER 9 SAINT LOUIS UNIVERSITY HOSPITAL TENET Healthcare Corporation Missouri 493.00% 10 FREEMAN OAK HILL HEALTH SYSTEM Freeman Health System Missouri 492.00%

Source: IHSP Calculations of Federal Hospital Cost Reports, FY 1996-1997 through 2011-2012. www.NationalNursesUnited.org

Charge Rank in Hospital Name System Name State to Cost State Ratio 1 ST PATRICK HOSPITAL Providence Health & Services Montana 288.00% Sisters of Charity of Leavenworth 2 ST. VINCENT HEALTHCARE Montana 254.00% Health System 3 BILLINGS CLINIC Montana 250.00%

4 BENEFIS HOSPITALS INC. Benefis Health System Montana 230.00% 5 CENTRAL MONTANA SURGICAL CENTER Montana 224.00%

Sisters of Charity of Leavenworth 6 SAINT JAMES COMMUNITY HOSPITAL Montana 221.00% Health System 7 KALISPELL REGIONAL MEDICAL CENTER Montana 220.00%

8 MARCUS DALY MEMORIAL HOSPITAL Montana 219.00%

9 HEALTHCENTER NORTHWEST Montana 217.00%

10 COMMUNITY MEDICAL CENTER Montana 216.00%

CREIGHTON UNIVERSITY MEDICAL 1 TENET Healthcare Corporation Nebraska 640.00% CENTER 2 MIDWEST SURGICAL HOSPITAL Nebraska 393.00%

3 NEBRASKA SPINE HOSPITAL Nebraska 387.00%

4 LAKESIDE MEDICAL CENTER Alegent Health Nebraska 381.00% 5 MIDLANDS COMMUNITY HOSPITAL Alegent Health Nebraska 352.00% 6 BERGAN MERCY MEDICAL CENTER Alegent Health Nebraska 332.00% 7 THE NEBRASKA MEDICAL CENTER Nebraska 329.00%

SAINT ELIZABETH REGIONAL MEDICAL 8 Catholic Health Initiatives Nebraska 314.00% CENTER Nebraska Methodist Health 9 NEBRASKA METHODIST HOSPITAL Nebraska 311.00% System, Inc. 10 IMMANUEL MEDICAL CENTER Alegent Health Nebraska 306.00%

SPRING VALLEY HOSPITAL MEDICAL 1 Universal Health Services, Inc. 828.00% CENTER SUMMERLIN HOSPITAL MEDICAL 2 Universal Health Services, Inc. Nevada 776.00% CENTER DESERT SPRINGS HOSPITAL MEDICAL 3 Universal Health Services, Inc. Nevada 765.00% CENTER 4 VALLEY HOSPITAL MEDICAL CENTER Universal Health Services, Inc. Nevada 750.00% 5 MOUNTAIN VIEW HOSPITAL HCA Nevada 739.00% SUNRISE HOSPITAL AND MEDICAL 6 HCA Nevada 716.00% CENTER 7 CENTENNIAL HILLS HOSPITAL Universal Health Services, Inc. Nevada 710.00% 8 NORTH VISTA HOSPITAL IASIS Healthcare Nevada 620.00% 9 NORTHERN NEVADA MEDICAL CENTER Universal Health Services, Inc. Nevada 618.00% SOUTHERN HILLS HOSPITAL & MEDICAL 10 HCA Nevada 568.00% CENTER Source: IHSP Calculations of Federal Hospital Cost Reports, FY 1996-1997 through 2011-2012. www.NationalNursesUnited.org

Charge Rank in Hospital Name System Name State to Cost State Ratio

New 1 PORTSMOUTH REGIONAL HOSPITAL HCA 409.00% Hampshire New 2 PARKLAND MEDICAL CENTER HCA 378.00% Hampshire New 3 ST. JOSEPH HOSPITAL Covenant Health Systems, Inc. 314.00% Hampshire New 4 CATHOLIC MEDICAL CENTER 310.00% Hampshire New 5 LAKES REGION GENERAL HOSPITAL LRGHealthcare 287.00% Hampshire New 6 WENTWORTH-DOUGLASS HOSPITAL 276.00% Hampshire New 7 CONCORD HOSPITAL INC. 267.00% Hampshire MARY HITCHCOCK MEMORIAL New 8 266.00% HOSPITAL Hampshire New 9 FRISBIE MEMORIAL HOSPITAL 261.00% Hampshire New 10 SOUTHERN NH MEDICAL CENTER 255.00% Hampshire

MEADOWLANDS HOSPITAL MEDICAL 1 New Jersey 1192.00% CENTER 2 BAYONNE MEDICAL CENTER New Jersey 1084.00%

3 RANCOCAS HOSPITAL Catholic Health East New Jersey 853.00% 4 HELENE FULD MEDICAL CENTER Capital Health New Jersey 846.00% MEMORIAL HOSPITAL OF SALEM 5 Community Health Systems, Inc. New Jersey 809.00% COUNTY 6 WARREN HOSPITAL Luke's University Health Network New Jersey 793.00% Robert Wood Johnson Health 7 RWJ UNIVERSITY HOSPITAL HAMILTON New Jersey 769.00% System & Network OUR LADY OF LOURDES MEDICAL 8 Catholic Health East New Jersey 763.00% CENTER 9 CHRIST HOSPITAL New Jersey 763.00%

CAPITAL HEALTH MEDICAL CENTER - 10 Capital Health New Jersey 743.00% HOPEWELL

1 CARLSBAD MEDICAL CENTER Community Health Systems, Inc. New Mexico 692.00% 2 LEA REGIONAL HOSPITAL Community Health Systems, Inc. New Mexico 553.00% 3 ALTA VISTA REGIONAL HOSPITAL Community Health Systems, Inc. New Mexico 549.00%

Source: IHSP Calculations of Federal Hospital Cost Reports, FY 1996-1997 through 2011-2012. www.NationalNursesUnited.org

Charge Rank in Hospital Name System Name State to Cost State Ratio EASTERN NEW MEXICO MEDICAL 4 Community Health Systems, Inc. New Mexico 516.00% CENTER 5 LOVELACE WOMENS HOSPITAL Ardent Health Services New Mexico 500.00% LOVELACE MEDICAL CENTER- 6 Ardent Health Services New Mexico 487.00% DOWNTOWN MOUNTAIN VIEW REGIONAL MEDICAL 7 Community Health Systems, Inc. New Mexico 483.00% CENTER 8 LOVELACE WESTSIDE HOSPITAL Ardent Health Services New Mexico 451.00% 9 MEMORIAL MEDICAL CENTER LifePoint Hospitals, Inc. New Mexico 415.00% 10 HEART HOSPITAL OF NEW MEXICO New Mexico 406.00%

1 ST. ANTHONY S COMMUNITY HOSPITAL Bon Secours Health System, Inc. New York 578.00% 2 BON SECOURS COMMUNITY HOSPITAL Bon Secours Health System, Inc. New York 567.00% 3 GOOD SAMARITAN HOSPITAL Bon Secours Health System, Inc. New York 558.00% 4 BROOKHAVEN MEMORIAL HOSPITAL New York 527.00%

Catholic Health Services of Long 5 GOOD SAMARITAN HOSPITAL New York 437.00% Island New York Presbyterian Healthcare 6 NYACK HOSPITAL New York 436.00% System North Shore-Long Island Jewish 7 LENOX HILL HOSPITAL New York 433.00% Health System 8 MONTEFIORE MEDICAL CENTER New York 429.00%

9 WINTHROP UNIVERSITY HOSPITAL New York 411.00%

North Shore-Long Island Jewish 10 NORTH SHORE UNIVERSITY HOSPITAL New York 395.00% Health System

1 MARTIN GENERAL HOSPITAL Community Health Systems, Inc. North Carolina 579.00% SANDHILLS REGIONAL MEDICAL 2 Health Management Associates North Carolina 579.00% CENTER 3 CENTRAL CAROLINA HOSPITAL TENET Healthcare Corporation North Carolina 522.00% 4 FRYE REGIONAL MEDICAL CENTER TENET Healthcare Corporation North Carolina 519.00% 5 DAVIS REGIONAL MEDICAL CENTER Health Management Associates North Carolina 498.00% LAKE NORMAN REGIONAL MEDICAL 6 Health Management Associates North Carolina 491.00% CENTER CAROLINAS MEDICAL CENTER 7 Carolinas HealthCare System North Carolina 468.00% UNIVERSITY 8 VALDESE GENERAL HOSPITAL Carolinas HealthCare System North Carolina 435.00% 9 DUKE RALEIGH HOSPITAL Duke University Health System North Carolina 421.00% 10 WAKEMED RALEIGH CAMPUS WakeMed Health & Hospitals North Carolina 420.00%

ALTRU HEALTH SYSTEM-ALTRU 1 North Dakota 309.00% HOSPITAL

Source: IHSP Calculations of Federal Hospital Cost Reports, FY 1996-1997 through 2011-2012. www.NationalNursesUnited.org

Charge Rank in Hospital Name System Name State to Cost State Ratio 2 SANFORD MEDICAL CENTER - FARGO Sanford Health North Dakota 272.00% Benedictine Sisters of the 3 ST ALEXIUS MEDICAL CENTER North Dakota 271.00% Annunciation 4 TRINITY HOSPITALS/ST JOES North Dakota 267.00%

5 INNOVIS HOSPITAL Essentia Health North Dakota 232.00% 6 MERCY HOSPITAL Catholic Health Initiatives North Dakota 220.00% 7 CARRINGTON HEALTH CENTER Catholic Health Initiatives North Dakota 214.00% 8 MERCY MEDICAL CENTER Catholic Health Initiatives North Dakota 204.00% 9 MEDCENTER ONE INC Sanford Health North Dakota 197.00% 10 LISBON AREA HEALTH SERVICES Catholic Health Initiatives North Dakota 191.00%

1 SUMMA BARBERTON HOSPITAL Summa Health System Ohio 654.00% INSTITUTE FOR ORTHOPAEDIC 2 Catholic Health Partners Ohio 584.00% SURGERY 3 MERCY ST. ANNE HOSPITAL Catholic Health Partners Ohio 579.00% 4 SUMMA WESTERN RESERVE HOSPITAL Summa Health System Ohio 577.00% 5 GOOD SAMARITAN HOSPITAL Catholic Health Initiatives Ohio 575.00% 6 SYCAMORE HOSPITAL Kettering Health Network Ohio 551.00% 7 TRUMBULL MEMORIAL HOSPITAL Community Health Systems, Inc. Ohio 540.00% 8 GRANDVIEW HOSPITAL Kettering Health Network Ohio 530.00% 9 BAY PARK COMMUNITY HOSPITAL ProMedica Health System Ohio 524.00% 10 ATRIUM MEDICAL CENTER Ohio 509.00%

MEDICAL CENTER OF SOUTHEASTERN 1 Health Management Associates Oklahoma 887.00% OKLAHOMA 2 MIDWEST REGIONAL MEDICAL CENTER Health Management Associates Oklahoma 846.00% 3 SUMMIT MEDICAL CENTER Oklahoma 678.00%

4 OU MEDICAL CENTER HCA Oklahoma 577.00% 5 DEACONESS HOSPITAL Community Health Systems, Inc. Oklahoma 569.00% INTEGRIS SOUTHWEST MEDICAL 6 INTEGRIS Health Oklahoma 567.00% CENTER 7 SOUTHCREST HOSPITAL Ardent Health Services Oklahoma 528.00% 8 ORTHOPEDIC HOSPITAL Oklahoma 526.00%

9 INTEGRIS BAPTIST MEDICAL CENTER INTEGRIS Health Oklahoma 505.00% 10 PONCA CITY MEDICAL CENTER Community Health Systems, Inc. Oklahoma 501.00%

1 WILLAMETTE VALLEY MEDICAL CENTER Capella Healthcare Oregon 443.00% 2 MCKENZIE-WILLAMETTE HOSPITAL Community Health Systems, Inc. Oregon 356.00% 3 MERCY MEDICAL CENTER Catholic Health Initiatives Oregon 356.00% ADVENTIST MEDICAL CENTER- 4 Adventist Health Oregon 327.00% PORTLAND

Source: IHSP Calculations of Federal Hospital Cost Reports, FY 1996-1997 through 2011-2012. www.NationalNursesUnited.org

Charge Rank in Hospital Name System Name State to Cost State Ratio 5 THREE RIVERS COMMUNITY HOSPITAL Asante Health System Oregon 295.00% LEGACY MOUNT HOOD MEDICAL 6 Legacy Health Oregon 290.00% CENTER PROVIDENCE MEDFORD MEDICAL 7 Providence Health & Services Oregon 286.00% CENTER 8 SKY LAKES MEDICAL CENTER Oregon 286.00%

LEGACY EMANUEL HOSPITAL & HEALTH 9 Legacy Health Oregon 278.00% CENTER 10 LEGACY MERIDIAN PARK HOSPITAL Legacy Health Oregon 275.00%

1 CHESTNUT HILL HOSPITAL Community Health Systems, Inc. Pennsylvania 1058.00% 2 EASTON HOSPITAL Community Health Systems, Inc. Pennsylvania 988.00% 3 TEMPLE UNIVERSITY HOSPITAL Temple University Health System Pennsylvania 926.00% 4 BRANDYWINE HOSPITAL Community Health Systems, Inc. Pennsylvania 913.00% 5 PHOENIXVILLE HOSPITAL Community Health Systems, Inc. Pennsylvania 905.00% POTTSTOWN MEMORIAL MEDICAL 6 Community Health Systems, Inc. Pennsylvania 904.00% CENTER 7 UPMC - PRESBYTERIAN SHADYSIDE UPMC Pennsylvania 869.00% 8 JEANES HOSPITAL Temple University Health System Pennsylvania 851.00% Albert Einstein Healthcare 9 MONTGOMERY HOSPITAL Pennsylvania 830.00% Network 10 JENNERSVILLE REGIONAL HOSPITAL Community Health Systems, Inc. Pennsylvania 815.00%

1 DOCTOR S CENTER HOSPITAL Puerto Rico 314.00%

2 HOSPITAL PAVIA SANTURCE United Medical Corporation Puerto Rico 296.00% PROFESSIONAL HOSPITAL GUAYNABO 3 Puerto Rico 286.00% INC 4 MAYAGUEZ MEDICAL CENTER Puerto Rico 285.00%

5 HOSPITAL UPR Puerto Rico 281.00%

DOCTOR S CENTER HOSPITAL SAN JUAN 6 Puerto Rico 279.00% I 7 HOSPITAL BUEN SAMARITANO Puerto Rico 275.00%

8 HOSPITAL METRO HATO REY INC. United Medical Corporation Puerto Rico 265.00% 9 HOSPITAL ALEJANDRO OTERO Puerto Rico 259.00%

10 HOSPITAL DR. SUSONI Puerto Rico 243.00%

1 THE MIRIAM HOSPITAL Lifespan Corporation Rhode Island 415.00% 2 LANDMARK MEDICAL CENTER Rhode Island 372.00%

3 RHODE ISLAND HOSPITAL Lifespan Corporation Rhode Island 339.00% 4 KENT COUNTY MEMORIAL HOSPITAL Care New England Health System Rhode Island 329.00% 5 SOUTH COUNTY HOSPITAL Rhode Island 281.00%

Source: IHSP Calculations of Federal Hospital Cost Reports, FY 1996-1997 through 2011-2012. www.NationalNursesUnited.org

Charge Rank in Hospital Name System Name State to Cost State Ratio ST. JOSEPH HEALTH SERVICE OF RHODE 6 Rhode Island 281.00% ISLAND MEMORIAL HOSPITAL OF RHODE 7 Rhode Island 256.00% ISLAND 8 ROGER WILLIAMS HOSPITAL Rhode Island 254.00%

9 THE WESTERLY HOSPITAL Rhode Island 249.00%

10 WOMEN & INFANTS HOSPITAL Care New England Health System Rhode Island 241.00%

1 SPRINGS MEMORIAL HOSPITAL Community Health Systems, Inc. South Carolina 863.00% 2 CAROLINAS HOSPITAL SYSTEM Community Health Systems, Inc. South Carolina 776.00% 3 TRIDENT REGIONAL MEDICAL CENTER HCA South Carolina 700.00% 4 GRAND STRAND REG MEDICAL CENTER HCA South Carolina 657.00% 5 MARY BLACK MEMORIAL HOSPITAL Community Health Systems, Inc. South Carolina 592.00% 6 ST FRANCIS HOSPITAL INC Bon Secours Health System, Inc. South Carolina 574.00% CAROLINA PINES REGIONAL MEDICAL 7 Health Management Associates South Carolina 556.00% CENTER 8 CHESTERFIELD GENERAL Community Health Systems, Inc. South Carolina 544.00% 9 MCLEOD MEDICAL CENTER - DILLON South Carolina 490.00%

10 HILLCREST HOSPITAL Greenville Hospital System South Carolina 486.00%

1 SIOUX FALLS SURGICAL HOSPITAL South Dakota 414.00%

2 SIOUXLAND SURGERY CENTER South Dakota 408.00%

3 DAKOTA PLAINS SURGICAL CENTER LLP South Dakota 368.00%

4 SANFORD USD MEDICAL CENTER Sanford Health South Dakota 366.00% 5 AVERA MCKENNAN Avera Health South Dakota 359.00% AVERA HEART HOSPITAL OF SOUTH 6 South Dakota 350.00% DAKOTA 7 LEWIS AND SPECIALTY HOSPITAL South Dakota 340.00%

8 BLACK HILLS SURGICAL HOSPITAL LLP South Dakota 331.00%

9 ST. MARYS HEALTHCARE CENTER Catholic Health Initiatives South Dakota 327.00% 10 SAME DAY SURGERY CENTER South Dakota 312.00%

1 LAKEWAY REGIONAL HOSPITAL Community Health Systems, Inc. Tennessee 925.00% 2 REGIONAL HOSPITAL OF JACKSON Community Health Systems, Inc. Tennessee 887.00% DYERSBURG REGIONAL MEDICAL 3 Community Health Systems, Inc. Tennessee 864.00% CENTER 4 MCNAIRY REGIONAL HOSPITAL Community Health Systems, Inc. Tennessee 810.00% 5 SKYRIDGE MEDICAL CENTER Community Health Systems, Inc. Tennessee 795.00% 6 HENDERSON COUNTY HOSPITAL Community Health Systems, Inc. Tennessee 759.00% 7 MCKENZIE REGIONAL HOSPITAL Community Health Systems, Inc. Tennessee 749.00%

Source: IHSP Calculations of Federal Hospital Cost Reports, FY 1996-1997 through 2011-2012. www.NationalNursesUnited.org

Charge Rank in Hospital Name System Name State to Cost State Ratio ST. FRANCIS BARTLETT MEDICAL 8 TENET Healthcare Corporation Tennessee 717.00% CENTER 9 VOLUNTEER COMMUNITY HOSPITAL Community Health Systems, Inc. Tennessee 712.00% 10 HENDERSONVILLE MEDICAL CENTER HCA Tennessee 699.00%

1 SOUTH HEALTH SYSTEM Universal Health Services, Inc. Texas 876.00% 2 LAS PALMAS MEDICAL CENTER HCA Texas 854.00% 3 LAREDO MEDICAL CENTER Community Health Systems, Inc. Texas 850.00% 4 ST ANTHONYS HOSPITAL Renaissance Healthcare Systems Texas 835.00% 5 ABILENE REGIONAL MEDICAL CENTER Community Health Systems, Inc. Texas 823.00% 6 SIERRA MEDICAL CENTER TENET Healthcare Corporation Texas 820.00% 7 VALLEY REGIONAL MEDICAL CENTER HCA Texas 812.00% 8 LAKE GRANBURY MEDICAL CENTER Community Health Systems, Inc. Texas 809.00% WEBSTER SURGICAL SPECIALTY 9 Texas 795.00% HOSPITAL 10 RIO GRANDE REGIONAL HOSPITAL HCA Texas 782.00%

1 ST. MARKS HOSPITAL HCA 437.00% 2 OGDEN REGIONAL MEDICAL CENTER HCA Utah 428.00% 3 LAKEVIEW HOSPITAL HCA Utah 388.00% 4 DAVIS HOSPITAL & MEDICAL CENTER IASIS Healthcare Utah 350.00% 5 CASTLEVIEW HOSPITAL LifePoint Hospitals, Inc. Utah 349.00% 6 JORDAN VALLEY MEDICAL CENTER IASIS Healthcare Utah 345.00% 7 BRIGHAM CITY COMMUNITY HOSPITAL HCA Utah 344.00% 8 ASHLEY REGIONAL MEDICAL CENTER LifePoint Hospitals, Inc. Utah 334.00% 9 MOUNTAIN VIEW HOSPITAL HCA Utah 333.00% 10 TOOELE VALLEY HOSPITAL Community Health Systems, Inc. Utah 332.00%

NORTH COUNTRY HOSPITAL & HEALTH 1 Vermont 221.00% CENTER 2 NORTHWESTERN MEDICAL CENTER QHR Vermont 215.00% 3 FLETCHER ALLEN HEALTH CARE Vermont 212.00%

4 CENTRAL VERMONT HOSPITAL Vermont 211.00%

5 RUTLAND REGIONAL MEDICAL CENTER Vermont 207.00%

SOUTHWESTERN VERMONT MEDICAL 6 Vermont 206.00% CENTER 7 SPRINGFIELD HOSPITAL Vermont 205.00%

8 BRATTLEBORO MEMORIAL HOSPITAL Vermont 201.00%

NORTHEASTERN VT REGIONAL 9 Vermont 196.00% HOSPITAL 10 PORTER HOSPITAL Vermont 193.00%

Source: IHSP Calculations of Federal Hospital Cost Reports, FY 1996-1997 through 2011-2012. www.NationalNursesUnited.org

Charge Rank in Hospital Name System Name State to Cost State Ratio

SOUTHSIDE REGIONAL MEDICAL 1 Community Health Systems, Inc. Virginia 831.00% CENTER 2 CJW MEDICAL CENTER HCA Virginia 824.00% 3 HENRICO DOCTORS HOSPITAL HCA Virginia 715.00% 4 JOHN RANDOLPH MEDICAL CENTER HCA Virginia 693.00% SOUTHERN VIRGINIA REGIONAL 5 Community Health Systems, Inc. Virginia 654.00% MEDICAL CENTER 6 CLINCH VALLEY MEDICAL CENTER LifePoint Hospitals, Inc. Virginia 566.00% 7 LEWIS GALE MEDICAL CENTER HCA Virginia 558.00% 8 LEWISGALE HOSPITAL-PULASKI HCA Virginia 527.00% 9 LEWISGALE HOSPITAL - MONTGOMERY HCA Virginia 518.00% 10 NORTON COMMUNITY HOSPITAL INC. Mountain States Health Alliance Virginia 501.00%

1 ST CLARE HOSPITAL Catholic Health Initiatives Washington 548.00% YAKIMA REGIONAL MEDICAL & 2 Health Management Associates Washington 490.00% CARDIAC CENTER 3 ST JOSEPH MEDICAL CENTER Catholic Health Initiatives Washington 475.00% 4 CAPITAL MEDICAL CENTER Capella Healthcare Washington 460.00% 5 ST FRANCIS HOSPITAL Catholic Health Initiatives Washington 456.00% 6 ST ANTHONY HOSPITAL Catholic Health Initiatives Washington 450.00% 7 AUBURN REGIONAL MEDICAL CENTER Universal Health Services, Inc. Washington 446.00% 8 TOPPENISH COMMUNITY HOSPITAL Health Management Associates Washington 444.00% SWEDISH MEDICAL CENTER CHERRY 9 Swedish Health Services Washington 437.00% HILL 10 PROVIDENCE ST. PETER HOSPITAL Providence Health & Services Washington 407.00%

1 PLATEAU MEDICAL CENTER Community Health Systems, Inc. West Virginia 442.00% 2 LOGAN REGIONAL MEDICAL CENTER LifePoint Hospitals, Inc. West Virginia 431.00% 3 GREENBRIER VALLEY MEDICAL CENTER Community Health Systems, Inc. West Virginia 358.00% 4 RALEIGH GENERAL HOSPITAL LifePoint Hospitals, Inc. West Virginia 354.00% 5 BLUEFIELD REGIONAL MEDICAL CENTER Community Health Systems, Inc. West Virginia 322.00% Ohio Valley Health Services and 6 OHIO VALLEY GENERAL HOSPITAL West Virginia 313.00% Education Corporation 7 WILLIAMSON MEMORIAL HOSPITAL Health Management Associates West Virginia 303.00% West Virginia United Health 8 CAMDEN-CLARK MEMORIAL HOSPITAL West Virginia 298.00% System STONEWALL JACKSON MEMORIAL 9 West Virginia 298.00% HOSPITAL 10 JACKSON GENERAL HOSPITAL West Virginia 296.00%

Source: IHSP Calculations of Federal Hospital Cost Reports, FY 1996-1997 through 2011-2012. www.NationalNursesUnited.org

Charge Rank in Hospital Name System Name State to Cost State Ratio 1 AURORA MEDICAL CENTER KENOSHA Aurora Health Care Wisconsin 414.00% MIDWEST ORTHOPEDIC SPECIALTY 2 Wheaton Franciscan Healthcare Wisconsin 386.00% HOSP 3 AURORA HEALTH CARE METRO INC. Aurora Health Care Wisconsin 384.00% 4 WEST ALLIS MEMORIAL HOSPITAL Aurora Health Care Wisconsin 370.00% ORTHOPAEDIC HOSPITAL OF 5 Wisconsin 369.00% WISCONSIN 6 MEMORIAL HOSPITAL OF BURLINGTON Aurora Health Care Wisconsin 369.00% 7 MERCY HEALTH SYSTEM CORPORATION Mercy Health System Wisconsin 353.00% COLUMBIA ST. MARYS OZAUKEE 8 Ascension Health Wisconsin 347.00% CAMPUS 9 AURORA LAKELAND MEDICAL CENTER Aurora Health Care Wisconsin 345.00% 10 ST. MARYS HOSPITAL MEDICAL CENTER Hospital Sisters Health System Wisconsin 345.00%

1 LANDER REGIONAL MEDICAL CENTER LifePoint Hospitals, Inc. Wyoming 426.00% 2 RIVERTON MEMORIAL HOSPITAL LifePoint Hospitals, Inc. Wyoming 356.00% 3 EVANSTON REGIONAL Community Health Systems, Inc. Wyoming 308.00% 4 MOUNTAIN VIEW REGIONAL HOSPITAL Wyoming 275.00%

5 WYOMING MEDICAL CENTER Wyoming 274.00%

CHEYENNE REGIONAL MEDICAL 6 Wyoming 269.00% CENTER 7 IVINSON MEMORIAL HOSPITAL Wyoming 229.00%

MEMORIAL HOSPTIAL OF 8 Wyoming 201.00% SWEETWATER COUNTY MEMORIAL HOSPITAL OF SHERIDAN 9 Wyoming 198.00% COUNTY 10 WEST PARK HOSPITAL QHR Wyoming 197.00%

Source: IHSP Calculations of Federal Hospital Cost Reports, FY 1996-1997 through 2011-2012. www.NationalNursesUnited.org