iVantage Health Analytics and NOSORH Announce 2014 ...About iVantage Health Analytics iVantage is a...

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iVantage Health Analytics and NOSORH Announce 2014 Performance Leadership Award November 20 th , 2014

Transcript of iVantage Health Analytics and NOSORH Announce 2014 ...About iVantage Health Analytics iVantage is a...

Page 1: iVantage Health Analytics and NOSORH Announce 2014 ...About iVantage Health Analytics iVantage is a leading business analytic and advisory services company applying AHT--Accelerated

iVantage Health Analytics

and NOSORH Announce

2014 Performance

Leadership Award

November 20th, 2014

Page 2: iVantage Health Analytics and NOSORH Announce 2014 ...About iVantage Health Analytics iVantage is a leading business analytic and advisory services company applying AHT--Accelerated

Click on your state to view your states Top Performers

Alabama

Alaska

Arizona

Arkansas

California

Colorado

Connecticut

Delaware

Florida

Georgia

Hawaii

Idaho

Illinois

Indiana

Iowa

Kansas

Kentucky

Louisiana

Maine

Maryland

Massachusetts

Michigan

Minnesota

Mississippi

Missouri

Montana

Nebraska

Nevada

New Hampshire

New Mexico

New York

North Carolina

North Dakota

Ohio

Oklahoma

Oregon

Pennsylvania

South Carolina

South Dakota

Tennessee

Texas

Utah

Vermont

Virginia

Washington

West Virginia

Wisconsin

Wyoming

Page 3: iVantage Health Analytics and NOSORH Announce 2014 ...About iVantage Health Analytics iVantage is a leading business analytic and advisory services company applying AHT--Accelerated

Alabama

On November 20, 2014, leaders from the rural health community from across the country will celebrate National Rural Health Day in recognition of the tremendous accomplishments that have been achieved in rural healthcare this year. In support of this recognition, iVantage Health Analytics has developed a data-driven program designed to identify excellence across a broad spectrum of indicators relevant to hospital performance and patient care. The National Organization of State Offices of Rural Health (NOSORH) and iVantage recognize Alabama as having 23 hospitals reach top quartile performance status in Quality, Outcomes, Patient Satisfaction, and Financial Stability compared to all acute care hospitals in the nation. The rankings have been designated by the Hospital Strength INDEXTM, the assessment of hospital performance in the country to include all rural providers.

2014

11 Rural Hospitals are recognized for Excellence in Quality – Top quartile performers in the Quality-Based pillar of INDEX (AMI, HF, PN, SCIP, OP Process of Care Scores)

Andalusia Regional Hospital

Coosa Valley Medical Center

Cullman Regional Medical Center

Dekalb Regional Medical Center

Fayette Medical Center

L V Stabler Memorial Hospital

Lakeland Community Hospital

Medical Center Enterprise

Russellville Hospital

South Baldwin Regional Medical Center

Vaughan Regional Medical Center Parkway 5 Rural Hospitals are recognized for Excellence in Outcomes – Top quartile performers in the Outcomes pillar of INDEX (Patient Safety Indicators, Readmissions, Mortality).

Andalusia Regional Hospital

Dale Medical Center

Grove Hill Memorial Hospital

Lake Martin Community Hospital

Marion Regional Medical Center

Page 4: iVantage Health Analytics and NOSORH Announce 2014 ...About iVantage Health Analytics iVantage is a leading business analytic and advisory services company applying AHT--Accelerated

5 Rural Hospitals are recognized for Excellence in Patient Satisfaction – Top quartile performers in the Patient Perspective pillar of INDEX (HCAHPS “Willingness to recommend”).

Cherokee Medical Center

Fayette Medical Center

Marion Regional Medical Center

Russell Hospital

Washington County Hospital 2 Rural Hospitals are recognized for Excellence in Financial Strength – Top quartile performers in the Financial Stability pillar of INDEX (Leverage, Liquidity, Capital Efficiency, and Resource Availability).

J Paul Jones Hospital

South Baldwin Regional Medical Center

About iVantage Health Analytics iVantage is a leading business analytic and advisory services company applying AHT--Accelerated Healthcare Transformation™ and the VantagePoints™ platform to drive sustained, evidence-based results. The company’s unique combination of technology, content, and expert advisory services accelerates decision making for the new healthcare. For more information please visit www.ivantagehealth.com.

Page 5: iVantage Health Analytics and NOSORH Announce 2014 ...About iVantage Health Analytics iVantage is a leading business analytic and advisory services company applying AHT--Accelerated

Alaska

On November 20, 2014, leaders from the rural health community from across the country willcelebrate National Rural Health Day in recognition of the tremendous accomplishments that havebeen achieved in rural healthcare this year. In support of this recognition, iVantage Health Analyticshas developed a data-driven program designed to identify excellence across a broad spectrum ofindicators relevant to hospital performance and patient care.

The National Organization of State Offices of Rural Health (NOSORH) and iVantage recognizeAlaska as having 7 hospitals reach top quartile performance status in Quality, Outcomes, PatientSatisfaction, and Financial Stability compared to all acute care hospitals in the nation. Therankings have been designated by the Hospital Strength INDEXTM, the assessment of hospitalperformance in the country to include all rural providers.

2014

3 Rural Hospitals are recognized for Excellence in Quality – Top quartile performers in theQuality-Based pillar of INDEX (AMI, HF, PN, SCIP, OP Process of Care Scores)

Central Peninsula General Hospital Providence Kodiak Island Medical Center South Peninsula Hospital

1 Rural Hospital is recognized for Excellence in Outcomes – Top quartile performers in theOutcomes pillar of INDEX (Patient Safety Indicators, Readmissions, Mortality).

Bartlett Regional Hospital

2 Rural Hospitals are recognized for Excellence in Patient Satisfaction – Top quartileperformers in the Patient Perspective pillar of INDEX (HCAHPS “Willingness to recommend”).

Central Peninsula General Hospital Mat-Su Regional Medical Center

4 Rural Hospitals are recognized for Excellence in Financial Strength – Top quartileperformers in the Financial Stability pillar of INDEX (Leverage, Liquidity, Capital Efficiency, andResource Availability).

Ketchikan Medical Center Central Peninsula General Hospital Bartlett Regional Hospital Mat-Su Regional Medical Center

Page 6: iVantage Health Analytics and NOSORH Announce 2014 ...About iVantage Health Analytics iVantage is a leading business analytic and advisory services company applying AHT--Accelerated

About iVantage Health AnalyticsiVantage is a leading business analytic and advisory services company applying AHT--Accelerated Healthcare Transformation™ and the VantagePoints™ platform to drive sustained,evidence-based results. The company’s unique combination of technology, content, and expertadvisory services accelerates decision making for the new healthcare. For more informationplease visit www.ivantagehealth.com.

Page 7: iVantage Health Analytics and NOSORH Announce 2014 ...About iVantage Health Analytics iVantage is a leading business analytic and advisory services company applying AHT--Accelerated

Arizona

On November 20, 2014, leaders from the rural health community from across the country willcelebrate National Rural Health Day in recognition of the tremendous accomplishments that havebeen achieved in rural healthcare this year. In support of this recognition, iVantage Health Analyticshas developed a data-driven program designed to identify excellence across a broad spectrum ofindicators relevant to hospital performance and patient care.

The National Organization of State Offices of Rural Health (NOSORH) and iVantage recognizeArizona as having 21 hospitals reach top quartile performance status in Quality, Outcomes,Patient Satisfaction, and Financial Stability compared to all acute care hospitals in the nation. Therankings have been designated by the Hospital Strength INDEXTM, the assessment of hospitalperformance in the country to include all rural providers.

2014

2 Rural Hospitals are recognized for Excellence in Quality – Top quartile performers in theQuality-Based pillar of INDEX (AMI, HF, PN, SCIP, OP Process of Care Scores)

Carondelet Holy Cross Hospital Page Hospital

8 Rural Hospitals are recognized for Excellence in Outcomes – Top quartile performers in theOutcomes pillar of INDEX (Patient Safety Indicators, Readmissions, Mortality).

Benson Hospital Cobre Valley Regional Medical Center Flagstaff Medical Center Payson Regional Medical Center Sierra Vista Regional Health Center Summit Healthcare Regional Medical Center Verde Valley Medical Center Wickenburg Community Hospital

4 Rural Hospitals are recognized for Excellence in Patient Satisfaction – Top quartileperformers in the Patient Perspective pillar of INDEX (HCAHPS “Willingness to recommend”).

Benson Hospital Copper Queen Community Hospital Flagstaff Medical Center Summit Healthcare Regional Medical Center

7 Rural Hospitals are recognized for Excellence in Financial Strength – Top quartileperformers in the Financial Stability pillar of INDEX (Leverage, Liquidity, Capital Efficiency, andResource Availability).

Page 8: iVantage Health Analytics and NOSORH Announce 2014 ...About iVantage Health Analytics iVantage is a leading business analytic and advisory services company applying AHT--Accelerated

Benson Hospital Cobre Valley Regional Medical Center Copper Queen Community Hospital Flagstaff Medical Center Payson Regional Medical Center Verde Valley Medical Center Wickenburg Community Hospital

About iVantage Health AnalyticsiVantage is a leading business analytic and advisory services company applying AHT--Accelerated Healthcare Transformation™ and the VantagePoints™ platform to drive sustained,evidence-based results. The company’s unique combination of technology, content, and expertadvisory services accelerates decision making for the new healthcare. For more informationplease visit www.ivantagehealth.com.

Page 9: iVantage Health Analytics and NOSORH Announce 2014 ...About iVantage Health Analytics iVantage is a leading business analytic and advisory services company applying AHT--Accelerated

Arkansas

On November 20, 2014, leaders from the rural health community from across the country willcelebrate National Rural Health Day in recognition of the tremendous accomplishments that havebeen achieved in rural healthcare this year. In support of this recognition, iVantage Health Analyticshas developed a data-driven program designed to identify excellence across a broad spectrum ofindicators relevant to hospital performance and patient care.

The National Organization of State Offices of Rural Health (NOSORH) and iVantage recognizeArkansas as having 23 hospitals reach top quartile performance status in Quality, Outcomes,Patient Satisfaction, and Financial Stability compared to all acute care hospitals in the nation. Therankings have been designated by the Hospital Strength INDEXTM, the assessment of hospitalperformance in the country to include all rural providers.

2014

11 Rural Hospitals are recognized for Excellence in Quality – Top quartile performers in theQuality-Based pillar of INDEX (AMI, HF, PN, SCIP, OP Process of Care Scores)

Chicot Memorial Medical Center Crossridge Community Hospital Forrest City Medical Center Helena Regional Medical Center Howard Memorial Hospital Lawrence Memorial Hospital Medical Center South Arkansas Mena Regional Health System Piggott Community Hospital St Vincent Morrilton White County Medical Center

1 Rural Hospital is recognized for Excellence in Outcomes – Top quartile performers in theOutcomes pillar of INDEX (Patient Safety Indicators, Readmissions, Mortality).

Baptist Health Medical Center Heber Spin

3 Rural Hospitals are recognized for Excellence in Patient Satisfaction – Top quartileperformers in the Patient Perspective pillar of INDEX (HCAHPS “Willingness to recommend”).

Baptist Health Medical Center Heber Spin Howard Memorial Hospital Nea Baptist Memorial Hospital

Page 10: iVantage Health Analytics and NOSORH Announce 2014 ...About iVantage Health Analytics iVantage is a leading business analytic and advisory services company applying AHT--Accelerated

8 Rural Hospitals are recognized for Excellence in Financial Strength – Top quartileperformers in the Financial Stability pillar of INDEX (Leverage, Liquidity, Capital Efficiency, andResource Availability).

Chicot Memorial Medical Center Drew Memorial Hospital Howard Memorial Hospital Medical Center South Arkansas Mercy Hospital Berryville Ozark Health Ozarks Community Hospital Of Gravette White County Medical Center

About iVantage Health AnalyticsiVantage is a leading business analytic and advisory services company applying AHT--Accelerated Healthcare Transformation™ and the VantagePoints™ platform to drive sustained,evidence-based results. The company’s unique combination of technology, content, and expertadvisory services accelerates decision making for the new healthcare. For more informationplease visit www.ivantagehealth.com.

Page 11: iVantage Health Analytics and NOSORH Announce 2014 ...About iVantage Health Analytics iVantage is a leading business analytic and advisory services company applying AHT--Accelerated

California

On November 20, 2014, leaders from the rural health community from across the country willcelebrate National Rural Health Day in recognition of the tremendous accomplishments that havebeen achieved in rural healthcare this year. In support of this recognition, iVantage Health Analyticshas developed a data-driven program designed to identify excellence across a broad spectrum ofindicators relevant to hospital performance and patient care.

The National Organization of State Offices of Rural Health (NOSORH) and iVantage recognizeCalifornia as having 31 hospitals reach top quartile performance status in Quality, Outcomes,Patient Satisfaction, and Financial Stability compared to all acute care hospitals in the nation. Therankings have been designated by the Hospital Strength INDEXTM, the assessment of hospitalperformance in the country to include all rural providers.

2014

5 Rural Hospitals are recognized for Excellence in Quality – Top quartile performers in theQuality-Based pillar of INDEX (AMI, HF, PN, SCIP, OP Process of Care Scores)

Barstow Community Hospital Glenn Medical Center Memorial Hospital Los Banos Santa Ynez Valley Cottage Hospital Sonora Regional Medical Center

6 Rural Hospitals are recognized for Excellence in Outcomes – Top quartile performers in theOutcomes pillar of INDEX (Patient Safety Indicators, Readmissions, Mortality).

Feather River Hospital John C Fremont Healthcare District Kern Valley Healthcare District Sonora Regional Medical Center St Elizabeth Community Hospital St Joseph Hospital

10 Rural Hospitals are recognized for Excellence in Patient Satisfaction – Top quartileperformers in the Patient Perspective pillar of INDEX (HCAHPS “Willingness to recommend”).

Bear Valley Community Hospital Feather River Hospital Frank R Howard Memorial Hospital Healdsburg District Hospital John C Fremont Healthcare District Mammoth Hospital

Page 12: iVantage Health Analytics and NOSORH Announce 2014 ...About iVantage Health Analytics iVantage is a leading business analytic and advisory services company applying AHT--Accelerated

Mercy Medical Center Mt Shasta Northern Inyo Hospital Santa Ynez Valley Cottage Hospital Tahoe Forest Hospital

10 Rural Hospitals are recognized for Excellence in Financial Strength – Top quartileperformers in the Financial Stability pillar of INDEX (Leverage, Liquidity, Capital Efficiency, andResource Availability).

Barstow Community Hospital Barton Memorial Hospital Colusa Regional Medical Center Frank R Howard Memorial Hospital Mammoth Hospital Mark Twain Medical Center Redwood Memorial Hospital Santa Ynez Valley Cottage Hospital St Elizabeth Community Hospital Tehachapi Hospital

About iVantage Health AnalyticsiVantage is a leading business analytic and advisory services company applying AHT--Accelerated Healthcare Transformation™ and the VantagePoints™ platform to drive sustained,evidence-based results. The company’s unique combination of technology, content, and expertadvisory services accelerates decision making for the new healthcare. For more informationplease visit www.ivantagehealth.com.

Page 13: iVantage Health Analytics and NOSORH Announce 2014 ...About iVantage Health Analytics iVantage is a leading business analytic and advisory services company applying AHT--Accelerated

Colorado

On November 20, 2014, leaders from the rural health community from across the country willcelebrate National Rural Health Day in recognition of the tremendous accomplishments that havebeen achieved in rural healthcare this year. In support of this recognition, iVantage Health Analyticshas developed a data-driven program designed to identify excellence across a broad spectrum ofindicators relevant to hospital performance and patient care.

The National Organization of State Offices of Rural Health (NOSORH) and iVantage recognizeColorado as having 42 hospitals reach top quartile performance status in Quality, Outcomes,Patient Satisfaction, and Financial Stability compared to all acute care hospitals in the nation. Therankings have been designated by the Hospital Strength INDEXTM, the assessment of hospitalperformance in the country to include all rural providers.

2014

6 Rural Hospitals are recognized for Excellence in Quality – Top quartile performers in theQuality-Based pillar of INDEX (AMI, HF, PN, SCIP, OP Process of Care Scores)

Estes Park Medical Center Pikes Peak Regional Hospital Sterling Regional Medcenter Valley View Hospital Association Wray Community District Hospital Yuma District Hospital

9 Rural Hospitals are recognized for Excellence in Outcomes – Top quartile performers in theOutcomes pillar of INDEX (Patient Safety Indicators, Readmissions, Mortality).

Arkansas Valley Regional Medical Center Centura Health-St Thomas More Hospital Estes Park Medical Center Heart Of The Rockies Regional Medical Center Mercy Regional Medical Center Pikes Peak Regional Hospital San Luis Valley Regional Medical Center St Anthony Summit Medical Center Yampa Valley Medical Center

Page 14: iVantage Health Analytics and NOSORH Announce 2014 ...About iVantage Health Analytics iVantage is a leading business analytic and advisory services company applying AHT--Accelerated

15 Rural Hospitals are recognized for Excellence in Patient Satisfaction – Top quartileperformers in the Patient Perspective pillar of INDEX (HCAHPS “Willingness to recommend”).

Aspen Valley Hospital East Morgan County Hospital Estes Park Medical Center Family Health West Hospital Gunnison Valley Hospital Haxtun Hospital District Heart Of The Rockies Regional Medical Center Mercy Regional Medical Center Pikes Peak Regional Hospital St Anthony Summit Medical Center St Mary’s Hospital And Medical Center Vail Valley Medical Center Valley View Hospital Association Wray Community District Hospital Yampa Valley Medical Center

12 Rural Hospitals are recognized for Excellence in Financial Strength – Top quartileperformers in the Financial Stability pillar of INDEX (Leverage, Liquidity, Capital Efficiency, andResource Availability).

Aspen Valley Hospital Colorado Plains Medical Center Grand River Medical Center Gunnison Valley Hospital Melissa Memorial Hospital Pikes Peak Regional Hospital Pioneers Medical Center Rio Grande Hospital St Anthony Summit Medical Center St Mary’s Hospital And Medical Center Vail Valley Medical Center Yampa Valley Medical Center

About iVantage Health AnalyticsiVantage is a leading business analytic and advisory services company applying AHT--Accelerated Healthcare Transformation™ and the VantagePoints™ platform to drive sustained,evidence-based results. The company’s unique combination of technology, content, and expertadvisory services accelerates decision making for the new healthcare. For more informationplease visit www.ivantagehealth.com.

Page 15: iVantage Health Analytics and NOSORH Announce 2014 ...About iVantage Health Analytics iVantage is a leading business analytic and advisory services company applying AHT--Accelerated

Connecticut

On November 20, 2014, leaders from the rural health community from across the country willcelebrate National Rural Health Day in recognition of the tremendous accomplishments that havebeen achieved in rural healthcare this year. In support of this recognition, iVantage Health Analyticshas developed a data-driven program designed to identify excellence across a broad spectrum ofindicators relevant to hospital performance and patient care.

The National Organization of State Offices of Rural Health (NOSORH) and iVantage recognizeConnecticut as having 1 hospital reach top quartile performance status in Quality compared to allacute care hospitals in the nation. The rankings have been designated by the Hospital StrengthINDEXTM, the assessment of hospital performance in the country to include all rural providers.

2014

1 Rural Hospital is recognized for Excellence in Quality – Top quartile performers in theQuality-Based pillar of INDEX (AMI, HF, PN, SCIP, OP Process of Care Scores)

Day Kimball Hospital

About iVantage Health AnalyticsiVantage is a leading business analytic and advisory services company applying AHT--Accelerated Healthcare Transformation™ and the VantagePoints™ platform to drive sustained,evidence-based results. The company’s unique combination of technology, content, and expertadvisory services accelerates decision making for the new healthcare. For more informationplease visit www.ivantagehealth.com.

Page 16: iVantage Health Analytics and NOSORH Announce 2014 ...About iVantage Health Analytics iVantage is a leading business analytic and advisory services company applying AHT--Accelerated

Delaware

On November 20, 2014, leaders from the rural health community from across the country willcelebrate National Rural Health Day in recognition of the tremendous accomplishments that havebeen achieved in rural healthcare this year. In support of this recognition, iVantage Health Analyticshas developed a data-driven program designed to identify excellence across a broad spectrum ofindicators relevant to hospital performance and patient care.

The National Organization of State Offices of Rural Health (NOSORH) and iVantage recognizeDelaware as having 3 hospitals reach top quartile performance status in Quality and Outcomes,compared to all acute care hospitals in the nation. The rankings have been designated by theHospital Strength INDEXTM, the assessment of hospital performance in the country to include allrural providers.

2014

1 Rural Hospital is recognized for Excellence in Quality – Top quartile performers in theQuality-Based pillar of INDEX (AMI, HF, PN, SCIP, OP Process of Care Scores)

Beebe Healthcare

2 Rural Hospitals are recognized for Excellence in Outcomes – Top quartile performers in theOutcomes pillar of INDEX (Patient Safety Indicators, Readmissions, Mortality).

Beebe Healthcare Nanticoke Memorial Hospital

About iVantage Health AnalyticsiVantage is a leading business analytic and advisory services company applying AHT--Accelerated Healthcare Transformation™ and the VantagePoints™ platform to drive sustained,evidence-based results. The company’s unique combination of technology, content, and expertadvisory services accelerates decision making for the new healthcare. For more informationplease visit www.ivantagehealth.com.

Page 17: iVantage Health Analytics and NOSORH Announce 2014 ...About iVantage Health Analytics iVantage is a leading business analytic and advisory services company applying AHT--Accelerated

Florida

On November 20, 2014, leaders from the rural health community from across the country willcelebrate National Rural Health Day in recognition of the tremendous accomplishments that havebeen achieved in rural healthcare this year. In support of this recognition, iVantage Health Analyticshas developed a data-driven program designed to identify excellence across a broad spectrum ofindicators relevant to hospital performance and patient care.

The National Organization of State Offices of Rural Health (NOSORH) and iVantage recognizeFlorida as having 26 hospitals reach top quartile performance status in Quality, Outcomes,Patient Satisfaction, and Financial Stability compared to all acute care hospitals in the nation. Therankings have been designated by the Hospital Strength INDEXTM, the assessment of hospitalperformance in the country to include all rural providers.

2014

8 Rural Hospitals are recognized for Excellence in Quality – Top quartile performers in theQuality-Based pillar of INDEX (AMI, HF, PN, SCIP, OP Process of Care Scores)

Fishermen's Hospital Hendry Regional Medical Center Highlands Regional Medical Center Lake City Medical Center Mariners Hospital Raulerson Hospital Sacred Heart Hospital On The Gulf Shands Starke Regional Medical Center

12 Rural Hospitals are recognized for Excellence in Outcomes – Top quartile performers inthe Outcomes pillar of INDEX (Patient Safety Indicators, Readmissions, Mortality).

Citrus Memorial Hospital Fishermen's Hospital Flagler Hospital Florida Hospital Heartland Medical Center Florida Hospital Wauchula Jackson Hospital Lake City Medical Center Mariners Hospital Sacred Heart Hospital On The Emerald Coast Sacred Heart Hospital On The Gulf Shands Lake Shore Regional Medical Center The Villages Regional Hospital

Page 18: iVantage Health Analytics and NOSORH Announce 2014 ...About iVantage Health Analytics iVantage is a leading business analytic and advisory services company applying AHT--Accelerated

4 Rural Hospitals are recognized for Excellence in Patient Satisfaction – Top quartileperformers in the Patient Perspective pillar of INDEX (HCAHPS “Willingness to recommend”).

Lake City Medical Center Mariners Hospital Sacred Heart Hospital On The Emerald Coast Sacred Heart Hospital On The Gulf

2 Rural Hospitals are recognized for Excellence in Financial Strength – Top quartileperformers in the Financial Stability pillar of INDEX (Leverage, Liquidity, Capital Efficiency, andResource Availability).

Florida Hospital Flagler Sacred Heart Hospital On The Emerald Coast

About iVantage Health AnalyticsiVantage is a leading business analytic and advisory services company applying AHT--Accelerated Healthcare Transformation™ and the VantagePoints™ platform to drive sustained,evidence-based results. The company’s unique combination of technology, content, and expertadvisory services accelerates decision making for the new healthcare. For more informationplease visit www.ivantagehealth.com.

Page 19: iVantage Health Analytics and NOSORH Announce 2014 ...About iVantage Health Analytics iVantage is a leading business analytic and advisory services company applying AHT--Accelerated

Georgia

On November 20, 2014, leaders from the rural health community from across the country willcelebrate National Rural Health Day in recognition of the tremendous accomplishments that havebeen achieved in rural healthcare this year. In support of this recognition, iVantage Health Analyticshas developed a data-driven program designed to identify excellence across a broad spectrum ofindicators relevant to hospital performance and patient care.

The National Organization of State Offices of Rural Health (NOSORH) and iVantage recognizeGeorgia as having 50 hospitals reach top quartile performance status in Quality, Outcomes,Patient Satisfaction, and Financial Stability compared to all acute care hospitals in the nation. Therankings have been designated by the Hospital Strength INDEXTM, the assessment of hospitalperformance in the country to include all rural providers.

2014

13 Rural Hospitals are recognized for Excellence in Quality – Top quartile performers in theQuality-Based pillar of INDEX (AMI, HF, PN, SCIP, OP Process of Care Scores)

Coffee Regional Medical Center Colquitt Regional Medical Center Crisp Regional Hospital Emory Johns Creek Hospital Fairview Park Hospital Fannin Regional Hospital Gordon Hospital Higgins General Hospital Jasper Memorial Hospital Miller County Hospital Mitchell County Hospital Southwest Georgia Regional Medical Center St Mary's Good Samaritan Hospital

15 Rural Hospitals are recognized for Excellence in Outcomes – Top quartile performers inthe Outcomes pillar of INDEX (Patient Safety Indicators, Readmissions, Mortality).

Chestatee Regional Hospital Cook Medical Center A Campus Of Tift R Donalsonville Hospital Inc Emory Johns Creek Hospital Fairview Park Hospital Gordon Hospital

Page 20: iVantage Health Analytics and NOSORH Announce 2014 ...About iVantage Health Analytics iVantage is a leading business analytic and advisory services company applying AHT--Accelerated

Habersham County Medical Center Oconee Regional Medical Center Phoebe Sumter Medical Center Phoebe Worth Medical Center Putnam General Hospital Ty Cobb Regional Medical Center Union General Hospital Wayne Memorial Hospital West Georgia Medical Center

7 Rural Hospitals are recognized for Excellence in Patient Satisfaction – Top quartileperformers in the Patient Perspective pillar of INDEX (HCAHPS “Willingness to recommend”).

Bacon County Hospital Clinch Memorial Hospital Emory Johns Creek Hospital Gordon Hospital John D Archbold Memorial Hospital Polk Medical Center Union General Hospital

15 Rural Hospitals are recognized for Excellence in Financial Strength – Top quartileperformers in the Financial Stability pillar of INDEX (Leverage, Liquidity, Capital Efficiency, andResource Availability).

Chatuge Regional Hospital Colquitt Regional Medical Center Gordon Hospital Grady General Hospital Higgins General Hospital Jasper Memorial Hospital John D Archbold Memorial Hospital Optim Medical Center - Tattnall Pioneer Community Hospital Of Early Southeast Georgia Health System- Brunswick Southeast Georgia Health System- Camden Sylvan Grove Hospital Tift Regional Medical Center Union General Hospital Upson Regional Medical Center

About iVantage Health AnalyticsiVantage is a leading business analytic and advisory services company applying AHT--Accelerated Healthcare Transformation™ and the VantagePoints™ platform to drive sustained,evidence-based results. The company’s unique combination of technology, content, and expertadvisory services accelerates decision making for the new healthcare. For more informationplease visit www.ivantagehealth.com.

Page 21: iVantage Health Analytics and NOSORH Announce 2014 ...About iVantage Health Analytics iVantage is a leading business analytic and advisory services company applying AHT--Accelerated

Hawaii

On November 20, 2014, leaders from the rural health community from across the country willcelebrate National Rural Health Day in recognition of the tremendous accomplishments that havebeen achieved in rural healthcare this year. In support of this recognition, iVantage Health Analyticshas developed a data-driven program designed to identify excellence across a broad spectrum ofindicators relevant to hospital performance and patient care.

The National Organization of State Offices of Rural Health (NOSORH) and iVantage recognizeHawaii as having 10 hospitals reach top quartile performance status in Quality, Outcomes,Patient Satisfaction, and Financial Stability compared to all acute care hospitals in the nation. Therankings have been designated by the Hospital Strength INDEXTM, the assessment of hospitalperformance in the country to include all rural providers.

2014

3 Rural Hospitals are recognized for Excellence in Quality – Top quartile performers in theQuality-Based pillar of INDEX (AMI, HF, PN, SCIP, OP Process of Care Scores)

Kauai Veterans Memorial Hospital Molokai General Hospital Wilcox Memorial Hospital

2 Rural Hospitals are recognized for Excellence in Outcomes – Top quartile performers in theOutcomes pillar of INDEX (Patient Safety Indicators, Readmissions, Mortality).

Hilo Medical Center North Hawaii Community Hospital

4 Rural Hospitals are recognized for Excellence in Patient Satisfaction – Top quartileperformers in the Patient Perspective pillar of INDEX (HCAHPS “Willingness to recommend”).

Kauai Veterans Memorial Hospital Molokai General Hospital North Hawaii Community Hospital Wilcox Memorial Hospital

1 Rural Hospital is recognized for Excellence in Financial Strength – Top quartile performersin the Financial Stability pillar of INDEX (Leverage, Liquidity, Capital Efficiency, and ResourceAvailability).

Molokai General Hospital

Page 22: iVantage Health Analytics and NOSORH Announce 2014 ...About iVantage Health Analytics iVantage is a leading business analytic and advisory services company applying AHT--Accelerated

About iVantage Health AnalyticsiVantage is a leading business analytic and advisory services company applying AHT--Accelerated Healthcare Transformation™ and the VantagePoints™ platform to drive sustained,evidence-based results. The company’s unique combination of technology, content, and expertadvisory services accelerates decision making for the new healthcare. For more informationplease visit www.ivantagehealth.com.

Page 23: iVantage Health Analytics and NOSORH Announce 2014 ...About iVantage Health Analytics iVantage is a leading business analytic and advisory services company applying AHT--Accelerated

Idaho

On November 20, 2014, leaders from the rural health community from across the country willcelebrate National Rural Health Day in recognition of the tremendous accomplishments that havebeen achieved in rural healthcare this year. In support of this recognition, iVantage Health Analyticshas developed a data-driven program designed to identify excellence across a broad spectrum ofindicators relevant to hospital performance and patient care.

The National Organization of State Offices of Rural Health (NOSORH) and iVantage recognizeIdaho as having 22 hospitals reach top quartile performance status in Quality, Outcomes, PatientSatisfaction, and Financial Stability compared to all acute care hospitals in the nation. Therankings have been designated by the Hospital Strength INDEXTM, the assessment of hospitalperformance in the country to include all rural providers.

2014

5 Rural Hospitals are recognized for Excellence in Quality – Top quartile performers in theQuality-Based pillar of INDEX (AMI, HF, PN, SCIP, OP Process of Care Scores)

Portneuf Medical Center St Luke's Magic Valley Rmc St Luke's Mccall St Luke's Wood River Medical Center Syringa General Hospital

5 Rural Hospitals are recognized for Excellence in Outcomes – Top quartile performers in theOutcomes pillar of INDEX (Patient Safety Indicators, Readmissions, Mortality).

Cassia Regional Medical Center North Canyon Medical Center Portneuf Medical Center St Luke's Mccall St Luke's Wood River Medical Center

7 Rural Hospitals are recognized for Excellence in Patient Satisfaction – Top quartileperformers in the Patient Perspective pillar of INDEX (HCAHPS “Willingness to recommend”).

Gritman Medical Center North Canyon Medical Center St Luke's Mccall St Luke's Wood River Medical Center St Mary's Hospital Steele Memorial Medical Center Syringa General Hospital

Page 24: iVantage Health Analytics and NOSORH Announce 2014 ...About iVantage Health Analytics iVantage is a leading business analytic and advisory services company applying AHT--Accelerated

5 Rural Hospitals are recognized for Excellence in Financial Strength – Top quartileperformers in the Financial Stability pillar of INDEX (Leverage, Liquidity, Capital Efficiency, andResource Availability).

Bear Lake Memorial Hospital Caribou Memorial Hospital Minidoka Memorial Hospital Shoshone Medical Center Steele Memorial Medical Center

About iVantage Health AnalyticsiVantage is a leading business analytic and advisory services company applying AHT--Accelerated Healthcare Transformation™ and the VantagePoints™ platform to drive sustained,evidence-based results. The company’s unique combination of technology, content, and expertadvisory services accelerates decision making for the new healthcare. For more informationplease visit www.ivantagehealth.com.

Page 25: iVantage Health Analytics and NOSORH Announce 2014 ...About iVantage Health Analytics iVantage is a leading business analytic and advisory services company applying AHT--Accelerated

Illinois

On November 20, 2014, leaders from the rural health community from across the country willcelebrate National Rural Health Day in recognition of the tremendous accomplishments that havebeen achieved in rural healthcare this year. In support of this recognition, iVantage Health Analyticshas developed a data-driven program designed to identify excellence across a broad spectrum ofindicators relevant to hospital performance and patient care.

The National Organization of State Offices of Rural Health (NOSORH) and iVantage recognizeIllinois as having 67 hospitals reach top quartile performance status in Quality, Outcomes, PatientSatisfaction, and Financial Stability compared to all acute care hospitals in the nation. Therankings have been designated by the Hospital Strength INDEXTM, the assessment of hospitalperformance in the country to include all rural providers.

2014

21 Rural Hospitals are recognized for Excellence in Quality – Top quartile performers in theQuality-Based pillar of INDEX (AMI, HF, PN, SCIP, OP Process of Care Scores)

Advocate Eureka Hospital Carlinville Area Hospital Clay County Hospital Fayette County Hospital FHN Memorial Hospital Hammond Henry Hospital Herrin Hospital Hillsboro Area Hospital Mason District Hospital Memorial Hospital of Carbondale Mercy Harvard Hospital OSF Holy Family Medical Center Red Bud Regional Hospital Saint James Hospital Sarah Bush Lincoln Health Center Sparta Community Hospital St Joseph Memorial Hospital St Joseph's Hospital St Margaret’s Hospital St Mary’s Hospital Valley West Community Hospital

Page 26: iVantage Health Analytics and NOSORH Announce 2014 ...About iVantage Health Analytics iVantage is a leading business analytic and advisory services company applying AHT--Accelerated

6 Rural Hospitals are recognized for Excellence in Outcomes – Top quartile performers in theOutcomes pillar of INDEX (Patient Safety Indicators, Readmissions, Mortality).

CGH Medical Center Fairfield Memorial Hospital Iroquois Memorial Hospital Memorial Hospital of Carbondale Rochelle Community Hospital St Mary’s Hospital

14 Rural Hospitals are recognized for Excellence in Patient Satisfaction – Top quartileperformers in the Patient Perspective pillar of INDEX (HCAHPS “Willingness to recommend”).

Abraham Lincoln Memorial Hospital Carlinville Area Hospital Gibson Community Hospital Hammond Henry Hospital Herrin Hospital Hillsboro Area Hospital Illinois Valley Community Hospital Mason District Hospital Memorial Hospital Of Carbondale OSF Holy Family Medical Center St Joseph Memorial Hospital St Mary Medical Center St Mary’s Hospital Taylorville Memorial Hospital

26 Rural Hospitals are recognized for Excellence in Financial Strength – Top quartileperformers in the Financial Stability pillar of INDEX (Leverage, Liquidity, Capital Efficiency, andResource Availability).

Abraham Lincoln Memorial Hospital Crawford Memorial Hospital Crossroads Community Hospital Fayette County Hospital Galesburg Cottage Hospital Graham Hospital Association Heartland Regional Medical Center Herrin Hospital Hillsboro Area Hospital John & Mary Kirby Hospital Kewanee Hospital Memorial Hospital Of Carbondale OSF Holy Family Medical Center Pana Community Hospital Paris Community Hospital Passavant Area Hospital Pinckneyville Community Hospital Rochelle Community Hospital Sarah Bush Lincoln Health Center

Page 27: iVantage Health Analytics and NOSORH Announce 2014 ...About iVantage Health Analytics iVantage is a leading business analytic and advisory services company applying AHT--Accelerated

Sarah D Culbertson Memorial Hospital St Anthony’s Memorial Hospital St Francis Hospital St Mary Medical Center Taylorville Memorial Hospital Union County Hospital Valley West Community Hospital

About iVantage Health AnalyticsiVantage is a leading business analytic and advisory services company applying AHT--Accelerated Healthcare Transformation™ and the VantagePoints™ platform to drive sustained,evidence-based results. The company’s unique combination of technology, content, and expertadvisory services accelerates decision making for the new healthcare. For more informationplease visit www.ivantagehealth.com.

Page 28: iVantage Health Analytics and NOSORH Announce 2014 ...About iVantage Health Analytics iVantage is a leading business analytic and advisory services company applying AHT--Accelerated

Indiana

On November 20, 2014, leaders from the rural health community from across the country willcelebrate National Rural Health Day in recognition of the tremendous accomplishments that havebeen achieved in rural healthcare this year. In support of this recognition, iVantage Health Analyticshas developed a data-driven program designed to identify excellence across a broad spectrum ofindicators relevant to hospital performance and patient care.

The National Organization of State Offices of Rural Health (NOSORH) and iVantage recognizeIndiana as having 55 hospitals reach top quartile performance status in Quality, Outcomes,Patient Satisfaction, and Financial Stability compared to all acute care hospitals in the nation. Therankings have been designated by the Hospital Strength INDEXTM, the assessment of hospitalperformance in the country to include all rural providers.

2014

12 Rural Hospitals are recognized for Excellence in Quality – Top quartile performers in theQuality-Based pillar of INDEX (AMI, HF, PN, SCIP, OP Process of Care Scores)

Decatur County Memorial Hospital Dekalb Health Dukes Memorial Hospital Henry County Memorial Hospital Indiana University Health Starke Hospital Indiana University Health Tipton Hospital Kosciusko Community Hospital Memorial Hospital Parkview Noble Hospital Saint Joseph Regional Medical Center St Vincent Dunn Hospital Inc Union Hospital Clinton

11 Rural Hospitals are recognized for Excellence in Outcomes – Top quartile performers inthe Outcomes pillar of INDEX (Patient Safety Indicators, Readmissions, Mortality).

Cameron Memorial Community Hospital Inc Good Samaritan Hospital Jay County Hospital King's Daughters' Health Memorial Hospital Memorial Hospital And Health Care Center Parkview Huntington Hospital Parkview Lagrange Hospital

Page 29: iVantage Health Analytics and NOSORH Announce 2014 ...About iVantage Health Analytics iVantage is a leading business analytic and advisory services company applying AHT--Accelerated

Reid Hospital & Health Care Services Saint Joseph Regional Medical Center Schneck Medical Center

11 Rural Hospitals are recognized for Excellence in Patient Satisfaction – Top quartileperformers in the Patient Perspective pillar of INDEX (HCAHPS “Willingness to recommend”).

Good Samaritan Hospital Indiana University Health Bedford Hospital Margaret Mary Community Hospital Inc Memorial Hospital And Health Care Center Parkview Huntington Hospital Parkview Lagrange Hospital Parkview Noble Hospital Pulaski Memorial Hospital St Vincent Dunn Hospital Inc Union Hospital Clinton Woodlawn Hospital

21 Rural Hospitals are recognized for Excellence in Financial Strength – Top quartileperformers in the Financial Stability pillar of INDEX (Leverage, Liquidity, Capital Efficiency, andResource Availability).

Cameron Memorial Community Hospital Inc Dukes Memorial Hospital Henry County Memorial Hospital Indiana University Health Bedford Hospital Indiana University Health Paoli Hospital Indiana University Health Starke Hospital Jay County Hospital Kosciusko Community Hospital Margaret Mary Community Hospital Inc Marion General Hospital Memorial Hospital Parkview Huntington Hospital Parkview Noble Hospital Reid Hospital & Health Care Services Saint Joseph Regional Medical Center Schneck Medical Center St Vincent Clay Hospital Inc St Vincent Frankfort Hospital Inc St Vincent Randolph Hospital Inc St Vincent Williamsport Hospital Inc Union Hospital Clinton

Page 30: iVantage Health Analytics and NOSORH Announce 2014 ...About iVantage Health Analytics iVantage is a leading business analytic and advisory services company applying AHT--Accelerated

About iVantage Health AnalyticsiVantage is a leading business analytic and advisory services company applying AHT--Accelerated Healthcare Transformation™ and the VantagePoints™ platform to drive sustained,evidence-based results. The company’s unique combination of technology, content, and expertadvisory services accelerates decision making for the new healthcare. For more informationplease visit www.ivantagehealth.com.

Page 31: iVantage Health Analytics and NOSORH Announce 2014 ...About iVantage Health Analytics iVantage is a leading business analytic and advisory services company applying AHT--Accelerated

Iowa

On November 20, 2014, leaders from the rural health community from across the country willcelebrate National Rural Health Day in recognition of the tremendous accomplishments that havebeen achieved in rural healthcare this year. In support of this recognition, iVantage Health Analyticshas developed a data-driven program designed to identify excellence across a broad spectrum ofindicators relevant to hospital performance and patient care.

The National Organization of State Offices of Rural Health (NOSORH) and iVantage recognizeIowa as having 84 hospitals reach top quartile performance status in Quality, Outcomes, PatientSatisfaction, and Financial Stability compared to all acute care hospitals in the nation. Therankings have been designated by the Hospital Strength INDEXTM, the assessment of hospitalperformance in the country to include all rural providers.

2014

22 Rural Hospitals are recognized for Excellence in Quality – Top quartile performers in theQuality-Based pillar of INDEX (AMI, HF, PN, SCIP, OP Process of Care Scores)

Adair County Memorial Hospital Alegent Creighton Health Mercy Hospital Alegent Health Community Memorial Hospital Cass County Memorial Hospital Clarke County Hospital Dallas County Hospital Fort Madison Community Hospital Genesis Medical Center-Dewitt Grundy County Memorial Hospital Guttenberg Municipal Hospital Hancock County Health System Hegg Memorial Health Center Lucas County Health Center Mahaska Health Partnership Marshalltown Medical & Surgical Center Mercy Medical Center-Clinton Mercy Medical Center-New Hampton Mitchell County Regional Health Myrtue Medical Center Orange City Area Health System Trinity Muscatine Waverly Health Center

Page 32: iVantage Health Analytics and NOSORH Announce 2014 ...About iVantage Health Analytics iVantage is a leading business analytic and advisory services company applying AHT--Accelerated

10 Rural Hospitals are recognized for Excellence in Outcomes – Top quartile performers inthe Outcomes pillar of INDEX (Patient Safety Indicators, Readmissions, Mortality).

Alegent Health Community Memorial Hospital Avera Holy Family Hospital Iowa Specialty Hospital - Belmond Iowa Specialty Hospital-Clarion Jones Regional Medical Center Marshalltown Medical & Surgical Center Regional Medical Center Trinity Regional Medical Center Waverly Health Center Wayne County Hospital

27 Rural Hospitals are recognized for Excellence in Patient Satisfaction – Top quartileperformers in the Patient Perspective pillar of INDEX (HCAHPS “Willingness to recommend”).

Alegent Creighton Health Mercy Hospital Audubon County Memorial Hospital Burgess Health Center Clarke County Hospital Floyd County Memorial Hospital Floyd Valley Hospital Fort Madison Community Hospital Greater Regional Medical Center Grundy County Memorial Hospital Guttenberg Municipal Hospital Hawarden Community Hospital Hegg Memorial Health Center Iowa Specialty Hospital - Belmond Iowa Specialty Hospital-Clarion Jefferson County Health Center Madison County Memorial Hospital Marengo Memorial Hospital Orange City Area Health System Pella Regional Health Center Ringgold County Hospital Sanford Rock Rapids Medical Center Sioux Center Health Spencer Municipal Hospital St Anthony Regional Hospital & Nursing Home Stewart Memorial Community Hospital Story County Hospital Waverly Health Center

Page 33: iVantage Health Analytics and NOSORH Announce 2014 ...About iVantage Health Analytics iVantage is a leading business analytic and advisory services company applying AHT--Accelerated

25 Rural Hospitals are recognized for Excellence in Financial Strength – Top quartileperformers in the Financial Stability pillar of INDEX (Leverage, Liquidity, Capital Efficiency, andResource Availability).

Audubon County Memorial Hospital Avera Holy Family Hospital Buchanan County Health Center Buena Vista Regional Medical Center Burgess Health Center Dallas County Hospital Franklin General Hospital Genesis Medical Center-Dewitt Hawarden Community Hospital Hegg Memorial Health Center Henry County Health Center Humboldt County Memorial Hospital Jackson County Regional Health Center Jefferson County Health Center Jones Regional Medical Center Keokuk County Health Center Lakes Regional Healthcare Mercy Medical Center-Clinton Osceola Community Hospital Palo Alto County Hospital Regional Health Services Of Howard Count Spencer Municipal Hospital St Anthony Regional Hospital & Nursing Home Trinity Regional Medical Center Virginia Gay Hospital

About iVantage Health AnalyticsiVantage is a leading business analytic and advisory services company applying AHT--Accelerated Healthcare Transformation™ and the VantagePoints™ platform to drive sustained,evidence-based results. The company’s unique combination of technology, content, and expertadvisory services accelerates decision making for the new healthcare. For more informationplease visit www.ivantagehealth.com.

Page 34: iVantage Health Analytics and NOSORH Announce 2014 ...About iVantage Health Analytics iVantage is a leading business analytic and advisory services company applying AHT--Accelerated

Kansas

On November 20, 2014, leaders from the rural health community from across the country willcelebrate National Rural Health Day in recognition of the tremendous accomplishments that havebeen achieved in rural healthcare this year. In support of this recognition, iVantage Health Analyticshas developed a data-driven program designed to identify excellence across a broad spectrum ofindicators relevant to hospital performance and patient care.

The National Organization of State Offices of Rural Health (NOSORH) and iVantage recognizeKansas as having 40 hospitals reach top quartile performance status in Quality, Outcomes,Patient Satisfaction, and Financial Stability compared to all acute care hospitals in the nation. Therankings have been designated by the Hospital Strength INDEXTM, the assessment of hospitalperformance in the country to include all rural providers.

2014

4 Rural Hospitals are recognized for Excellence in Quality – Top quartile performers in theQuality-Based pillar of INDEX (AMI, HF, PN, SCIP, OP Process of Care Scores)

Allen County Regional Hospital Hutchinson Regional Medical Center Inc Lawrence Memorial Hospital Mercy Hospital

4 Rural Hospitals are recognized for Excellence in Outcomes – Top quartile performers in theOutcomes pillar of INDEX (Patient Safety Indicators, Readmissions, Mortality).

Clara Barton Hospital Labette Health McPherson Hospital Inc Norton County Hospital

17 Rural Hospitals are recognized for Excellence in Patient Satisfaction – Top quartileperformers in the Patient Perspective pillar of INDEX (HCAHPS “Willingness to recommend”).

Anderson County Hospital Citizens Medical Center Coffey County Hospital Community Hospital, Onaga and St Mary’s Ellsworth County Medical Center Girard Medical Center Kingman Community Hospital Meade District Hospital Mercy Hospital

Page 35: iVantage Health Analytics and NOSORH Announce 2014 ...About iVantage Health Analytics iVantage is a leading business analytic and advisory services company applying AHT--Accelerated

Morris County Hospital Neosho Memorial Regional Medical Center Republic County Hospital Sabetha Community Hospital Trego County Lemke Memorial Hospital Wamego Health Center William Newton Hospital Wilson Medical Center

15 Rural Hospitals are recognized for Excellence in Financial Strength – Top quartileperformers in the Financial Stability pillar of INDEX (Leverage, Liquidity, Capital Efficiency, andResource Availability).

Graham County Hospital Hodgeman County Health Center Hutchinson Regional Medical Center Inc Kiowa District Hospital Lawrence Memorial Hospital Mercy Hospital Mercy Hospital Independence Morris County Hospital Norton County Hospital Oswego Community Hospital Salina Regional Health Center Scott County Hospital Southwest Medical Center Stevens County Hospital Wamego Health Center

About iVantage Health AnalyticsiVantage is a leading business analytic and advisory services company applying AHT--Accelerated Healthcare Transformation™ and the VantagePoints™ platform to drive sustained,evidence-based results. The company’s unique combination of technology, content, and expertadvisory services accelerates decision making for the new healthcare. For more informationplease visit www.ivantagehealth.com.

Page 36: iVantage Health Analytics and NOSORH Announce 2014 ...About iVantage Health Analytics iVantage is a leading business analytic and advisory services company applying AHT--Accelerated

Kentucky

On November 20, 2014, leaders from the rural health community from across the country willcelebrate National Rural Health Day in recognition of the tremendous accomplishments that havebeen achieved in rural healthcare this year. In support of this recognition, iVantage Health Analyticshas developed a data-driven program designed to identify excellence across a broad spectrum ofindicators relevant to hospital performance and patient care.

The National Organization of State Offices of Rural Health (NOSORH) and iVantage recognizeKentucky as having 46 hospitals reach top quartile performance status in Quality, Outcomes,Patient Satisfaction, and Financial Stability compared to all acute care hospitals in the nation. Therankings have been designated by the Hospital Strength INDEXTM, the assessment of hospitalperformance in the country to include all rural providers.

2014

19 Rural Hospitals are recognized for Excellence in Quality – Top quartile performers in theQuality-Based pillar of INDEX (AMI, HF, PN, SCIP, OP Process of Care Scores)

Baptist Health Corbin Baptist Health Paducah Baptist Health Richmond Bluegrass Community Hospital Ephraim McDowell Fort Logan Hospital Frankfort Regional Medical Center Harlan Appalachian Regional Healthcare Harrison Memorial Hospital Kentucky River Medical Center Logan Memorial Hospital Mary Breckinridge ARH Hospital McDowell ARH Hospital Parkway Regional Hospital Paul B Hall Regional Medical Center Pikeville Medical Center Rockcastle County Hospital, Inc Saint Joseph Berea Three Rivers Medical Center Wayne County Hospital

Page 37: iVantage Health Analytics and NOSORH Announce 2014 ...About iVantage Health Analytics iVantage is a leading business analytic and advisory services company applying AHT--Accelerated

3 Rural Hospitals are recognized for Excellence in Outcomes – Top quartile performers in theOutcomes pillar of INDEX (Patient Safety Indicators, Readmissions, Mortality).

Logan Memorial Hospital Saint Joseph London T J Samson Community Hospital

16 Rural Hospitals are recognized for Excellence in Patient Satisfaction – Top quartileperformers in the Patient Perspective pillar of INDEX (HCAHPS “Willingness to recommend”).

Baptist Health Paducah Casey County Hospital Clinton County Hospital, Inc Harrison Memorial Hospital Marcum And Wallace Memorial Hospital McDowell ARH Hospital Morgan County ARH Hospital Pikeville Medical Center Rockcastle County Hospital, Inc Saint Joseph Berea Saint Joseph London Saint Joseph Martin Saint Joseph Mount Sterling St Elizabeth Grant Wayne County Hospital Westlake Regional Hospital

8 Rural Hospitals are recognized for Excellence in Financial Strength – Top quartileperformers in the Financial Stability pillar of INDEX (Leverage, Liquidity, Capital Efficiency, andResource Availability).

Ephraim McDowell Regional Medical Center Hazard ARH Regional Medical Center Lake Cumberland Regional Hospital Methodist Hospital Union County Rockcastle County Hospital, Inc St Elizabeth Grant Twin Lakes Regional Medical Center Whitesburg ARH Hospital

About iVantage Health AnalyticsiVantage is a leading business analytic and advisory services company applying AHT--Accelerated Healthcare Transformation™ and the VantagePoints™ platform to drive sustained,evidence-based results. The company’s unique combination of technology, content, and expertadvisory services accelerates decision making for the new healthcare. For more informationplease visit www.ivantagehealth.com.

Page 38: iVantage Health Analytics and NOSORH Announce 2014 ...About iVantage Health Analytics iVantage is a leading business analytic and advisory services company applying AHT--Accelerated

Louisiana

On November 20, 2014, leaders from the rural health community from across the country willcelebrate National Rural Health Day in recognition of the tremendous accomplishments that havebeen achieved in rural healthcare this year. In support of this recognition, iVantage Health Analyticshas developed a data-driven program designed to identify excellence across a broad spectrum ofindicators relevant to hospital performance and patient care.

The National Organization of State Offices of Rural Health (NOSORH) and iVantage recognizeLouisiana as having 25 hospitals reach top quartile performance status in Quality, Outcomes,Patient Satisfaction, and Financial Stability compared to all acute care hospitals in the nation. Therankings have been designated by the Hospital Strength INDEXTM, the assessment of hospitalperformance in the country to include all rural providers.

2014

4 Rural Hospitals are recognized for Excellence in Quality – Top quartile performers in theQuality-Based pillar of INDEX (AMI, HF, PN, SCIP, OP Process of Care Scores)

Green Clinic Surgical Hospital Jennings American Legion Hospital Minden Medical Center Pointe Coupee General Hospital

3 Rural Hospitals are recognized for Excellence in Outcomes – Top quartile performers in theOutcomes pillar of INDEX (Patient Safety Indicators, Readmissions, Mortality).

Doctors Hospital At Deer Creek LLC Oakdale Community Hospital Riverside Medical Center

9 Rural Hospitals are recognized for Excellence in Patient Satisfaction – Top quartileperformers in the Patient Perspective pillar of INDEX (HCAHPS “Willingness to recommend”).

Assumption Community Hospital Citizens Medical Center Doctors Hospital At Deer Creek LLC Franklin Foundation Hospital Green Clinic Surgical Hospital Iberia General Hospital And Medical Center Richland Parish Hospital-Delhi Savoy Medical Center St James Parish Hospital

Page 39: iVantage Health Analytics and NOSORH Announce 2014 ...About iVantage Health Analytics iVantage is a leading business analytic and advisory services company applying AHT--Accelerated

9 Rural Hospitals are recognized for Excellence in Financial Strength – Top quartileperformers in the Financial Stability pillar of INDEX (Leverage, Liquidity, Capital Efficiency, andResource Availability).

Abrom Kaplan Memorial Hospital Assumption Community Hospital Byrd Regional Hospital Citizens Medical Center Natchitoches Regional Medical Center North Oaks Medical Center, LLC Pointe Coupee General Hospital St Helena Parish Hospital St James Parish Hospital

About iVantage Health AnalyticsiVantage is a leading business analytic and advisory services company applying AHT--Accelerated Healthcare Transformation™ and the VantagePoints™ platform to drive sustained,evidence-based results. The company’s unique combination of technology, content, and expertadvisory services accelerates decision making for the new healthcare. For more informationplease visit www.ivantagehealth.com.

Page 40: iVantage Health Analytics and NOSORH Announce 2014 ...About iVantage Health Analytics iVantage is a leading business analytic and advisory services company applying AHT--Accelerated

Maine

On November 20, 2014, leaders from the rural health community from across the country willcelebrate National Rural Health Day in recognition of the tremendous accomplishments that havebeen achieved in rural healthcare this year. In support of this recognition, iVantage Health Analyticshas developed a data-driven program designed to identify excellence across a broad spectrum ofindicators relevant to hospital performance and patient care.

The National Organization of State Offices of Rural Health (NOSORH) and iVantage recognizeMaine as having 31 hospitals reach top quartile performance status in Quality, Outcomes, PatientSatisfaction, and Financial Stability compared to all acute care hospitals in the nation. Therankings have been designated by the Hospital Strength INDEXTM, the assessment of hospitalperformance in the country to include all rural providers.

2014

14 Rural Hospitals are recognized for Excellence in Quality – Top quartile performers in theQuality-Based pillar of INDEX (AMI, HF, PN, SCIP, OP Process of Care Scores)

Aroostook Medical Center Blue Hill Memorial Hospital Calais Regional Hospital Cary Medical Center Down East Community Hospital Maine General Medical Center Mayo Regional Hospital Miles Memorial Hospital Inc (Lincoln County) Mount Desert Island Hospital Northern Maine Medical Center Penobscot Valley Hospital Rumford Hospital Sebasticook Valley Health Waldo County General Hospital

6 Rural Hospitals are recognized for Excellence in Outcomes – Top quartile performers in theOutcomes pillar of INDEX (Patient Safety Indicators, Readmissions, Mortality).

Aroostook Medical Center Maine Coast Memorial Hospital Miles Memorial Hospital Inc (Lincoln County) Northern Maine Medical Center Redington Fairview General Hospital Waldo County General Hospital

Page 41: iVantage Health Analytics and NOSORH Announce 2014 ...About iVantage Health Analytics iVantage is a leading business analytic and advisory services company applying AHT--Accelerated

10 Rural Hospitals are recognized for Excellence in Patient Satisfaction – Top quartileperformers in the Patient Perspective pillar of INDEX (HCAHPS “Willingness to recommend”).

Blue Hill Memorial Hospital Calais Regional Hospital Cary Medical Center Charles A Dean Memorial Hospital Inland Hospital Maine Coast Memorial Hospital Miles Memorial Hospital Inc (Lincoln County) Millinocket Regional Hospital Mount Desert Island Hospital Redington Fairview General Hospital

1 Rural Hospital is recognized for Excellence in Financial Strength – Top quartile performersin the Financial Stability pillar of INDEX (Leverage, Liquidity, Capital Efficiency, and ResourceAvailability).

Waldo County General Hospital

About iVantage Health AnalyticsiVantage is a leading business analytic and advisory services company applying AHT--Accelerated Healthcare Transformation™ and the VantagePoints™ platform to drive sustained,evidence-based results. The company’s unique combination of technology, content, and expertadvisory services accelerates decision making for the new healthcare. For more informationplease visit www.ivantagehealth.com.

Page 42: iVantage Health Analytics and NOSORH Announce 2014 ...About iVantage Health Analytics iVantage is a leading business analytic and advisory services company applying AHT--Accelerated

Maryland

On November 20, 2014, leaders from the rural health community from across the country willcelebrate National Rural Health Day in recognition of the tremendous accomplishments that havebeen achieved in rural healthcare this year. In support of this recognition, iVantage Health Analyticshas developed a data-driven program designed to identify excellence across a broad spectrum ofindicators relevant to hospital performance and patient care.

The National Organization of State Offices of Rural Health (NOSORH) and iVantage recognizeMaryland as having 3 hospitals reach top quartile performance status in Quality and FinancialStability compared to all acute care hospitals in the nation. The rankings have been designatedby the Hospital Strength INDEXTM, the assessment of hospital performance in the country toinclude all rural providers.

2014

1 Rural Hospital is recognized for Excellence in Quality – Top quartile performers in theQuality-Based pillar of INDEX (AMI, HF, PN, SCIP, OP Process of Care Scores)

Medstar Saint Mary's Hospital

2 Rural Hospitals are recognized for Excellence in Financial Strength – Top quartileperformers in the Financial Stability pillar of INDEX (Leverage, Liquidity, Capital Efficiency, andResource Availability).

Garrett County Memorial Hospital Medstar Saint Mary's Hospital

About iVantage Health AnalyticsiVantage is a leading business analytic and advisory services company applying AHT--Accelerated Healthcare Transformation™ and the VantagePoints™ platform to drive sustained,evidence-based results. The company’s unique combination of technology, content, and expertadvisory services accelerates decision making for the new healthcare. For more informationplease visit www.ivantagehealth.com.

Page 43: iVantage Health Analytics and NOSORH Announce 2014 ...About iVantage Health Analytics iVantage is a leading business analytic and advisory services company applying AHT--Accelerated

Massachusetts

On November 20, 2014, leaders from the rural health community from across the country willcelebrate National Rural Health Day in recognition of the tremendous accomplishments that havebeen achieved in rural healthcare this year. In support of this recognition, iVantage Health Analyticshas developed a data-driven program designed to identify excellence across a broad spectrum ofindicators relevant to hospital performance and patient care.

The National Organization of State Offices of Rural Health (NOSORH) and iVantage recognizeMassachusetts as having 7 hospitals reach top quartile performance status in Quality, Outcomes,Patient Satisfaction, and Financial Stability compared to all acute care hospitals in the nation. Therankings have been designated by the Hospital Strength INDEXTM, the assessment of hospitalperformance in the country to include all rural providers.

2014

1 Rural Hospital is recognized for Excellence in Quality – Top quartile performers in theQuality-Based pillar of INDEX (AMI, HF, PN, SCIP, OP Process of Care Scores)

Fairview Hospital

2 Rural Hospitals are recognized for Excellence in Outcomes – Top quartile performers in theOutcomes pillar of INDEX (Patient Safety Indicators, Readmissions, Mortality).

Cape Cod Hospital Fairview Hospital

3 Rural Hospitals are recognized for Excellence in Patient Satisfaction – Top quartileperformers in the Patient Perspective pillar of INDEX (HCAHPS “Willingness to recommend”).

Cape Cod Hospital Fairview Hospital Nantucket Cottage Hospital

1 Rural Hospital is recognized for Excellence in Financial Strength – Top quartile performersin the Financial Stability pillar of INDEX (Leverage, Liquidity, Capital Efficiency, and ResourceAvailability).

Nantucket Cottage Hospital

Page 44: iVantage Health Analytics and NOSORH Announce 2014 ...About iVantage Health Analytics iVantage is a leading business analytic and advisory services company applying AHT--Accelerated

About iVantage Health AnalyticsiVantage is a leading business analytic and advisory services company applying AHT--Accelerated Healthcare Transformation™ and the VantagePoints™ platform to drive sustained,evidence-based results. The company’s unique combination of technology, content, and expertadvisory services accelerates decision making for the new healthcare. For more informationplease visit www.ivantagehealth.com.

Page 45: iVantage Health Analytics and NOSORH Announce 2014 ...About iVantage Health Analytics iVantage is a leading business analytic and advisory services company applying AHT--Accelerated

Michigan

On November 20, 2014, leaders from the rural health community from across the country willcelebrate National Rural Health Day in recognition of the tremendous accomplishments that havebeen achieved in rural healthcare this year. In support of this recognition, iVantage Health Analyticshas developed a data-driven program designed to identify excellence across a broad spectrum ofindicators relevant to hospital performance and patient care.

The National Organization of State Offices of Rural Health (NOSORH) and iVantage recognizeMichigan as having 71 hospitals reach top quartile performance status in Quality, Outcomes,Patient Satisfaction, and Financial Stability compared to all acute care hospitals in the nation. Therankings have been designated by the Hospital Strength INDEXTM, the assessment of hospitalperformance in the country to include all rural providers.

2014

12 Rural Hospitals are recognized for Excellence in Quality – Top quartile performers in theQuality-Based pillar of INDEX (AMI, HF, PN, SCIP, OP Process of Care Scores)

Aspirus Grand View Hospital Carson City Hospital Charlevoix Area Hospital Harbor Beach Community Hospital Hayes Green Beach Memorial Hospital Kalkaska Memorial Health Center Mckenzie Health System Mercy Hospital - Grayling Midmichigan Medical Center-Gladwin Pennock Hospital Sparrow Clinton Hospital Spectrum Health Kelsey Hospital

27 Rural Hospitals are recognized for Excellence in Outcomes – Top quartile performers inthe Outcomes pillar of INDEX (Patient Safety Indicators, Readmissions, Mortality).

Alpena Regional Medical Center Aspirus Keweenaw Hospital Bell Hospital Charlevoix Area Hospital Emma L Bixby Medical Center Hayes Green Beach Memorial Hospital Hillsdale Community Health Center Lakeland Community Hospital, Watervliet Marlette Regional Hospital Marquette General Hospital

Page 46: iVantage Health Analytics and NOSORH Announce 2014 ...About iVantage Health Analytics iVantage is a leading business analytic and advisory services company applying AHT--Accelerated

Mckenzie Health System Mclaren - Northern Michigan Mclaren Central Michigan Memorial Medical Center Of West Michigan Mercy Hospital - Cadillac Mercy Hospital - Grayling Midmichigan Medical Center-Gratiot Midmichigan Medical Center-Midland Munson Medical Center Pennock Hospital Saint Mary'S Standish Community Hospital Sheridan Community Hospital Spectrum Health Big Rapids Hospital Spectrum Health Kelsey Hospital Spectrum Health United Memorial - United Tawas St Joseph Hospital West Branch Regional Medical Center

18 Rural Hospitals are recognized for Excellence in Patient Satisfaction – Top quartileperformers in the Patient Perspective pillar of INDEX (HCAHPS “Willingness to recommend” and“Overall Quality”).

Carson City Hospital Charlevoix Area Hospital Eaton Rapids Medical Center Hills & Dales General Hospital Lakeland Community Hospital, Watervliet Mackinac Straits Hospital And Health Center Marlette Regional Hospital Mclaren - Northern Michigan Mercy Hospital - Grayling Midmichigan Medical Center-Midland Munising Memorial Hospital Munson Medical Center Portage Health Scheurer Hospital Sheridan Community Hospital Sparrow Clinton Hospital Spectrum Health Big Rapids Hospital Spectrum Health United Memorial - United

14 Rural Hospitals are recognized for Excellence in Financial Strength – Top quartileperformers in the Financial Stability pillar of INDEX (Leverage, Liquidity, Capital Efficiency, andResource Availability).

Aspirus Grand View Hospital Emma L Bixby Medical Center Kalkaska Memorial Health Center Mclaren - Northern Michigan Memorial Healthcare Mercy Health Lakeshore Campus

Page 47: iVantage Health Analytics and NOSORH Announce 2014 ...About iVantage Health Analytics iVantage is a leading business analytic and advisory services company applying AHT--Accelerated

Mercy Hospital - Cadillac Midmichigan Medical Center-Gladwin Midmichigan Medical Center-Midland Munson Medical Center Pennock Hospital Portage Health Sparrow Clinton Hospital Spectrum Health Kelsey Hospital

About iVantage Health AnalyticsiVantage is a leading business analytic and advisory services company applying AHT--Accelerated Healthcare Transformation™ and the VantagePoints™ platform to drive sustained,evidence-based results. The company’s unique combination of technology, content, and expertadvisory services accelerates decision making for the new healthcare. For more informationplease visit www.ivantagehealth.com.

Page 48: iVantage Health Analytics and NOSORH Announce 2014 ...About iVantage Health Analytics iVantage is a leading business analytic and advisory services company applying AHT--Accelerated

Minnesota

On November 20, 2014, leaders from the rural health community from across the country willcelebrate National Rural Health Day in recognition of the tremendous accomplishments that havebeen achieved in rural healthcare this year. In support of this recognition, iVantage Health Analyticshas developed a data-driven program designed to identify excellence across a broad spectrum ofindicators relevant to hospital performance and patient care.

The National Organization of State Offices of Rural Health (NOSORH) and iVantage recognizeMinnesota as having 78 hospitals reach top quartile performance status in Quality, Outcomes,Patient Satisfaction, and Financial Stability compared to all acute care hospitals in the nation. Therankings have been designated by the Hospital Strength INDEXTM, the assessment of hospitalperformance in the country to include all rural providers.

2014

15 Rural Hospitals are recognized for Excellence in Quality – Top quartile performers in theQuality-Based pillar of INDEX (AMI, HF, PN, SCIP, OP Process of Care Scores)

Avera Marshall Regional Medical Center Centracare Health - Monticello Essentia Health Fosston Fairview Northland Regional Hospital Glencoe Regional Health Services Johnson Memorial Hospital Mayo Clinic Health System - Cannon Falls Mayo Clinic Health System - Lake City Mayo Clinic Health System - Waseca Mayo Clinic Health System In Red Wing New Ulm Medical Center Redwood Area Hospital River'S Edge Hospital & Clinic Sanford Luverne Medical Center St Elizabeth Medical Center

16 Rural Hospitals are recognized for Excellence in Outcomes – Top quartile performers inthe Outcomes pillar of INDEX (Patient Safety Indicators, Readmissions, Mortality).

Bigfork Valley Hospital Centra Care Health Paynesville Centracare Health - Monticello District One Hospital Douglas County Hospital

Page 49: iVantage Health Analytics and NOSORH Announce 2014 ...About iVantage Health Analytics iVantage is a leading business analytic and advisory services company applying AHT--Accelerated

Essentia Health St Joseph's Medical Center Essentia Health St Mary’s Fairview Northland Regional Hospital Lake Region Healthcare Corporation Mayo Clinic Health System - Fairmont Mayo Clinic Health System - New Prague New Ulm Medical Center Sanford Worthington Medical Center St Cloud Hospital St Elizabeth Medical Center Winona Health Services

25 Rural Hospitals are recognized for Excellence in Patient Satisfaction – Top quartileperformers in the Patient Perspective pillar of INDEX (HCAHPS “Willingness to recommend”).

Centra Care Health Paynesville Community Memorial Hospital Cuyuna Regional Medical Center Essentia Health Fosston Glacial Ridge Hospital Lakewood Health Center Lakewood Health System Mayo Clinic Health System - Lake City Mayo Clinic Health System - New Prague Meeker Memorial Hospital Mille Lacs Health System Northfield Hospital Ortonville Area Health Services Perham Health Pipestone County Medical Center River'S Edge Hospital & Clinic Riverview Hospital Riverwood Healthcare Center Sanford Luverne Medical Center Sanford Tracy Sanford Westbrook Medical Center St Cloud Hospital St Elizabeth Medical Center St Josephs Area Health Services Tyler Healthcare Center

22 Rural Hospitals are recognized for Excellence in Financial Strength – Top quartileperformers in the Financial Stability pillar of INDEX (Leverage, Liquidity, Capital Efficiency, andResource Availability).

Centracare Health - Monticello Centracare Health System - Long Prairie Centracare Health System - Melrose Hospital Centracare Health System - Sauk Centre Cook County Northshore Hospital Ely Bloomenson Community Hospital

Page 50: iVantage Health Analytics and NOSORH Announce 2014 ...About iVantage Health Analytics iVantage is a leading business analytic and advisory services company applying AHT--Accelerated

Glencoe Regional Health Services Hendricks Community Hospital Lifecare Medical Center Mayo Clinic Health System - Albert Lea Mayo Clinic Health System - Cannon Falls Mayo Clinic Health System - Waseca Murray County Memorial Hospital Ortonville Area Health Services Pipestone County Medical Center Redwood Area Hospital Renville County Hospital And Clinics Ridgeview Sibley Medical Center Sanford Jackson Medical Center St Cloud Hospital St Francis Medical Center Windom Area Hospital

About iVantage Health AnalyticsiVantage is a leading business analytic and advisory services company applying AHT--Accelerated Healthcare Transformation™ and the VantagePoints™ platform to drive sustained,evidence-based results. The company’s unique combination of technology, content, and expertadvisory services accelerates decision making for the new healthcare. For more informationplease visit www.ivantagehealth.com.

Page 51: iVantage Health Analytics and NOSORH Announce 2014 ...About iVantage Health Analytics iVantage is a leading business analytic and advisory services company applying AHT--Accelerated

Mississippi

On November 20, 2014, leaders from the rural health community from across the country willcelebrate National Rural Health Day in recognition of the tremendous accomplishments that havebeen achieved in rural healthcare this year. In support of this recognition, iVantage Health Analyticshas developed a data-driven program designed to identify excellence across a broad spectrum ofindicators relevant to hospital performance and patient care.

The National Organization of State Offices of Rural Health (NOSORH) and iVantage recognizeMississippi as having 21 hospitals reach top quartile performance status in Quality, Outcomes,Patient Satisfaction, and Financial Stability compared to all acute care hospitals in the nation. Therankings have been designated by the Hospital Strength INDEXTM, the assessment of hospitalperformance in the country to include all rural providers.

2014

6 Rural Hospitals are recognized for Excellence in Quality – Top quartile performers in theQuality-Based pillar of INDEX (AMI, HF, PN, SCIP, OP Process of Care Scores)

Baptist Mem Hosp/Golden Triangle Inc Baptist Memorial Hospital North MS Baptist Memorial Hospital Union County North Mississippi Medical Center River Oaks Hospital Tishomingo Health Services Inc

2 Rural Hospital is recognized for Excellence in Outcomes – Top quartile performers in theOutcomes pillar of INDEX (Patient Safety Indicators, Readmissions, Mortality).

George County Hospital Tishomingo Health Services Inc

4 Rural Hospitals are recognized for Excellence in Patient Satisfaction – Top quartileperformers in the Patient Perspective pillar of INDEX (HCAHPS “Willingness to recommend”).

Anderson Regional Medical Center Baptist Memorial Hospital Union County North Mississippi Medical Center Tishomingo Health Services Inc

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9 Rural Hospitals are recognized for Excellence in Financial Strength – Top quartileperformers in the Financial Stability pillar of INDEX (Leverage, Liquidity, Capital Efficiency, andResource Availability).

Anderson Regional Medical Center Baptist Memorial Hospital North MS Baptist Memorial Hospital Union County Neshoba County General Hospital Noxubee General Critical Access Hospital River Region Health System South Sunflower County Hospital Tri Lakes Medical Center Yalobusha General Hospital

About iVantage Health AnalyticsiVantage is a leading business analytic and advisory services company applying AHT--Accelerated Healthcare Transformation™ and the VantagePoints™ platform to drive sustained,evidence-based results. The company’s unique combination of technology, content, and expertadvisory services accelerates decision making for the new healthcare. For more informationplease visit www.ivantagehealth.com.

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Missouri

On November 20, 2014, leaders from the rural health community from across the country willcelebrate National Rural Health Day in recognition of the tremendous accomplishments that havebeen achieved in rural healthcare this year. In support of this recognition, iVantage Health Analyticshas developed a data-driven program designed to identify excellence across a broad spectrum ofindicators relevant to hospital performance and patient care.

The National Organization of State Offices of Rural Health (NOSORH) and iVantage recognizeMissouri as having 34 hospitals reach top quartile performance status in Quality, Outcomes,Patient Satisfaction, and Financial Stability compared to all acute care hospitals in the nation. Therankings have been designated by the Hospital Strength INDEXTM, the assessment of hospitalperformance in the country to include all rural providers.

2014

13 Rural Hospitals are recognized for Excellence in Quality – Top quartile performers in theQuality-Based pillar of INDEX (AMI, HF, PN, SCIP, OP Process of Care Scores)

Carroll County Memorial Hospital Cooper County Memorial Hospital Freeman Neosho Hospital Heartland Regional Medical Center Hedrick Medical Center Lafayette Regional Health Center Mercy St Francis Hospital Missouri Delta Medical Center Moberly Regional Medical Center Northeast Regional Medical Center Perry County Memorial Hospital Saint Genevieve County Memorial Hospital Twin Rivers Regional Medical Center

7 Rural Hospital is recognized for Excellence in Outcomes – Top quartile performers in theOutcomes pillar of INDEX (Patient Safety Indicators, Readmissions, Mortality).

Cox Medical Center Branson Hannibal Regional Hospital Mercy St Francis Hospital Moberly Regional Medical Center Parkland Health Center Perry County Memorial Hospital

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Pike County Memorial Hospital

4 Rural Hospitals are recognized for Excellence in Patient Satisfaction – Top quartileperformers in the Patient Perspective pillar of INDEX (HCAHPS “Willingness to recommend”).

Barton County Memorial Hospital Capital Region Medical Center Freeman Neosho Hospital Parkland Health Center

10 Rural Hospitals are recognized for Excellence in Financial Strength – Top quartileperformers in the Financial Stability pillar of INDEX (Leverage, Liquidity, Capital Efficiency, andResource Availability).

Cass Regional Medical Center Freeman Neosho Hospital Hedrick Medical Center Mercy Hospital Lebanon Moberly Regional Medical Center Northeast Regional Medical Center Perry County Memorial Hospital Phelps County Regional Medical Center Pike County Memorial Hospital Ray County Memorial Hospital

About iVantage Health AnalyticsiVantage is a leading business analytic and advisory services company applying AHT--Accelerated Healthcare Transformation™ and the VantagePoints™ platform to drive sustained,evidence-based results. The company’s unique combination of technology, content, and expertadvisory services accelerates decision making for the new healthcare. For more informationplease visit www.ivantagehealth.com.

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Montana

On November 20, 2014, leaders from the rural health community from across the country willcelebrate National Rural Health Day in recognition of the tremendous accomplishments that havebeen achieved in rural healthcare this year. In support of this recognition, iVantage Health Analyticshas developed a data-driven program designed to identify excellence across a broad spectrum ofindicators relevant to hospital performance and patient care.

The National Organization of State Offices of Rural Health (NOSORH) and iVantage recognizeMontana as having 12 hospitals reach top quartile performance status in Quality, Outcomes,Patient Satisfaction, and Financial Stability compared to all acute care hospitals in the nation. Therankings have been designated by the Hospital Strength INDEXTM, the assessment of hospitalperformance in the country to include all rural providers.

2014

3 Rural Hospitals are recognized for Excellence in Quality – Top quartile performers in theQuality-Based pillar of INDEX (AMI, HF, PN, SCIP, OP Process of Care Scores)

Clark Fork Valley Hospital Community Hospital Of Anaconda Providence St Joseph Medical Center

3 Rural Hospitals are recognized for Excellence in Outcomes – Top quartile performers in theOutcomes pillar of INDEX (Patient Safety Indicators, Readmissions, Mortality).

Benefis Hospitals Inc Bozeman Deaconess Hospital Kalispell Regional Medical Center

2 Rural Hospitals are recognized for Excellence in Patient Satisfaction – Top quartileperformers in the Patient Perspective pillar of INDEX (HCAHPS “Willingness to recommend”).

Frances Mahon Deaconess Hospital North Valley Hospital

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4 Rural Hospitals are recognized for Excellence in Financial Strength – Top quartileperformers in the Financial Stability pillar of INDEX (Leverage, Liquidity, Capital Efficiency, andResource Availability).

Bozeman Deaconess Hospital Frances Mahon Deaconess Hospital Phillips County Medical Center St Luke Community Hospital

About iVantage Health AnalyticsiVantage is a leading business analytic and advisory services company applying AHT--Accelerated Healthcare Transformation™ and the VantagePoints™ platform to drive sustained,evidence-based results. The company’s unique combination of technology, content, and expertadvisory services accelerates decision making for the new healthcare. For more informationplease visit www.ivantagehealth.com.

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Nebraska

On November 20, 2014, leaders from the rural health community from across the country willcelebrate National Rural Health Day in recognition of the tremendous accomplishments that havebeen achieved in rural healthcare this year. In support of this recognition, iVantage Health Analyticshas developed a data-driven program designed to identify excellence across a broad spectrum ofindicators relevant to hospital performance and patient care.

The National Organization of State Offices of Rural Health (NOSORH) and iVantage recognizeNebraska as having 87 hospitals reach top quartile performance status in Quality, Outcomes,Patient Satisfaction, and Financial Stability compared to all acute care hospitals in the nation. Therankings have been designated by the Hospital Strength INDEXTM, the assessment of hospitalperformance in the country to include all rural providers.

2014

14 Rural Hospitals are recognized for Excellence in Quality – Top quartile performers in theQuality-Based pillar of INDEX (AMI, HF, PN, SCIP, OP Process of Care Scores)

Avera Creighton Hospital Boone County Health Center Cherry County Hospital Columbus Community Hospital Community Hospital Faith Regional Health Services Gordon Memorial Hospital District Gothenburg Memorial Hospital Jefferson Community Health Center Johnson County Hospital Lexington Regional Health Center Memorial Hospital Thayer County Health Services York General Hospital

4 Rural Hospitals are recognized for Excellence in Outcomes – Top quartile performers in theOutcomes pillar of INDEX (Patient Safety Indicators, Readmissions, Mortality).

Alegent Creighton Health Memorial Hospital Boone County Health Center Howard County Medical Center Mary Lanning Healthcare

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38 Rural Hospitals are recognized for Excellence in Patient Satisfaction – Top quartileperformers in the Patient Perspective pillar of INDEX (HCAHPS “Willingness to recommend”).

Alegent Creighton Health Memorial Hospital Alegent Creighton Health Plainview Hospital Antelope Memorial Hospital Avera Creighton Hospital Avera St Anthony's Hospital Beatrice Community Hospital & Health Center Boone County Health Center Brodstone Memorial Hospital Brown County Hospital Butler County Health Care Center Community Hospital Community Medical Center, Inc Dundy County Hospital Garden County Health Services Good Samaritan Hospital Gothenburg Memorial Hospital Harlan County Health System Henderson Health Care Services Howard County Medical Center Jennie M Melham Memorial Medical Center Johnson County Hospital Kearney County Health Services Hospital Memorial Community Hospital Memorial Health Care Systems Memorial Hospital Nemaha County Hospital Ogallala Community Hospital Osmond General Hospital Pender Community Hospital Perkins County Health Services Phelps Memorial Health Center Rock County Hospital Saunders Medical Center St Francis Medical Center St Francis Memorial Hospital Thayer County Health Services Webster County Community Hospital West Holt Memorial Hospital

31 Rural Hospitals are recognized for Excellence in Financial Strength – Top quartileperformers in the Financial Stability pillar of INDEX (Leverage, Liquidity, Capital Efficiency, andResource Availability).

Annie Jeffrey Memorial County Health Center Brodstone Memorial Hospital Brown County Hospital Callaway District Hospital

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Cherry County Hospital Columbus Community Hospital Community Hospital Community Medical Center, Inc Cozad Community Hospital Crete Area Medical Center Fillmore County Hospital Fremont Health Medical Center Gothenburg Memorial Hospital Great Plains Health Henderson Health Care Services Jennie M Melham Memorial Medical Center Lexington Regional Health Center Memorial Community Hospital Memorial Health Care Systems Memorial Hospital Nemaha County Hospital Ogallala Community Hospital Pender Community Hospital Perkins County Health Services Phelps Memorial Health Center Providence Medical Center Sidney Regional Medical Center St Francis Medical Center St Francis Memorial Hospital Webster County Community Hospital York General Hospital

About iVantage Health AnalyticsiVantage is a leading business analytic and advisory services company applying AHT--Accelerated Healthcare Transformation™ and the VantagePoints™ platform to drive sustained,evidence-based results. The company’s unique combination of technology, content, and expertadvisory services accelerates decision making for the new healthcare. For more informationplease visit www.ivantagehealth.com.

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Nevada

On November 20, 2014, leaders from the rural health community from across the country willcelebrate National Rural Health Day in recognition of the tremendous accomplishments that havebeen achieved in rural healthcare this year. In support of this recognition, iVantage Health Analyticshas developed a data-driven program designed to identify excellence across a broad spectrum ofindicators relevant to hospital performance and patient care.

The National Organization of State Offices of Rural Health (NOSORH) and iVantage recognizeNevada as having 9 hospitals reach top quartile performance status in Quality, Outcomes, andFinancial Stability compared to all acute care hospitals in the nation. The rankings have beendesignated by the Hospital Strength INDEXTM, the assessment of hospital performance in thecountry to include all rural providers.

2014

2 Rural Hospitals are recognized for Excellence in Quality – Top quartile performers in theQuality-Based pillar of INDEX (AMI, HF, PN, SCIP, OP Process of Care Scores)

Desert View Regional Medical Center Mesa View Regional Hospital

2 Rural Hospitals are recognized for Excellence in Outcomes – Top quartile performers in theOutcomes pillar of INDEX (Patient Safety Indicators, Readmissions, Mortality).

Desert View Regional Medical Center Mesa View Regional Hospital

5 Rural Hospitals are recognized for Excellence in Financial Strength – Top quartileperformers in the Financial Stability pillar of INDEX (Leverage, Liquidity, Capital Efficiency, andResource Availability).

Carson Valley Medical Center Humboldt General Hospital Mount Grant General Hospital Northeastern Nevada Regional Hospital Nye Regional Medical Center

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About iVantage Health AnalyticsiVantage is a leading business analytic and advisory services company applying AHT--Accelerated Healthcare Transformation™ and the VantagePoints™ platform to drive sustained,evidence-based results. The company’s unique combination of technology, content, and expertadvisory services accelerates decision making for the new healthcare. For more informationplease visit www.ivantagehealth.com.

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New Hampshire

On November 20, 2014, leaders from the rural health community from across the country willcelebrate National Rural Health Day in recognition of the tremendous accomplishments that havebeen achieved in rural healthcare this year. In support of this recognition, iVantage Health Analyticshas developed a data-driven program designed to identify excellence across a broad spectrum ofindicators relevant to hospital performance and patient care.

The National Organization of State Offices of Rural Health (NOSORH) and iVantage recognizeNew Hampshire as having 18 hospitals reach top quartile performance status in Quality,Outcomes, Patient Satisfaction, and Financial Stability compared to all acute care hospitals in thenation. The rankings have been designated by the Hospital Strength INDEXTM, the assessment ofhospital performance in the country to include all rural providers.

2014

9 Rural Hospitals are recognized for Excellence in Quality – Top quartile performers in theQuality-Based pillar of INDEX (AMI, HF, PN, SCIP, OP Process of Care Scores)

Androscoggin Valley Hospital Cheshire Medical Center Cottage Hospital Huggins Hospital Littleton Regional Healthcare The Memorial Hospital Speare Memorial Hospital Valley Regional Hospital Weeks Medical Center

2 Rural Hospitals are recognized for Excellence in Outcomes – Top quartile performers in theOutcomes pillar of INDEX (Patient Safety Indicators, Readmissions, Mortality).

Speare Memorial Hospital Valley Regional Hospital

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6 Rural Hospitals are recognized for Excellence in Patient Satisfaction – Top quartileperformers in the Patient Perspective pillar of INDEX (HCAHPS “Willingness to recommend”).

Alice Peck Day Memorial Hospital Androscoggin Valley Hospital Concord Hospital Mary Hitchcock Memorial Hospital Monadnock Community Hospital Speare Memorial Hospital

1 Rural Hospital is recognized for Excellence in Financial Strength – Top quartile performersin the Financial Stability pillar of INDEX (Leverage, Liquidity, Capital Efficiency, and ResourceAvailability).

Speare Memorial Hospital

About iVantage Health AnalyticsiVantage is a leading business analytic and advisory services company applying AHT--Accelerated Healthcare Transformation™ and the VantagePoints™ platform to drive sustained,evidence-based results. The company’s unique combination of technology, content, and expertadvisory services accelerates decision making for the new healthcare. For more informationplease visit www.ivantagehealth.com.

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New Mexico

On November 20, 2014, leaders from the rural health community from across the country willcelebrate National Rural Health Day in recognition of the tremendous accomplishments that havebeen achieved in rural healthcare this year. In support of this recognition, iVantage Health Analyticshas developed a data-driven program designed to identify excellence across a broad spectrum ofindicators relevant to hospital performance and patient care.

The National Organization of State Offices of Rural Health (NOSORH) and iVantage recognizeNew Mexico as having 19 hospitals reach top quartile performance status in Quality, Outcomes,Patient Satisfaction, and Financial Stability compared to all acute care hospitals in the nation. Therankings have been designated by the Hospital Strength INDEXTM, the assessment of hospitalperformance in the country to include all rural providers.

2014

7 Rural Hospitals are recognized for Excellence in Quality – Top quartile performers in theQuality-Based pillar of INDEX (AMI, HF, PN, SCIP, OP Process of Care Scores)

Alta Vista Regional Hospital Dr. Dan C Trigg Memorial Hospital Holy Cross Hospital A Div. Of Taos Health Lea Regional Medical Center Lincoln County Medical Center Socorro General Hospital Union County General Hospital

3 Rural Hospitals are recognized for Excellence in Outcomes – Top quartile performers in theOutcomes pillar of INDEX (Patient Safety Indicators, Readmissions, Mortality).

Los Alamos Medical Center Presbyterian Espanola Hospital St Vincent Hospital

2 Rural Hospitals are recognized for Excellence in Patient Satisfaction – Top quartileperformers in the Patient Perspective pillar of INDEX (HCAHPS “Willingness to recommend”).

Guadalupe County Hospital Socorro General Hospital

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7 Rural Hospitals are recognized for Excellence in Financial Strength – Top quartileperformers in the Financial Stability pillar of INDEX (Leverage, Liquidity, Capital Efficiency, andResource Availability).

Alta Vista Regional Hospital Carlsbad Medical Center Cibola General Hospital Eastern New Mexico Medical Center Guadalupe County Hospital Lea Regional Medical Center Los Alamos Medical Center

About iVantage Health AnalyticsiVantage is a leading business analytic and advisory services company applying AHT--Accelerated Healthcare Transformation™ and the VantagePoints™ platform to drive sustained,evidence-based results. The company’s unique combination of technology, content, and expertadvisory services accelerates decision making for the new healthcare. For more informationplease visit www.ivantagehealth.com.

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New York

On November 20, 2014, leaders from the rural health community from across the country willcelebrate National Rural Health Day in recognition of the tremendous accomplishments that havebeen achieved in rural healthcare this year. In support of this recognition, iVantage Health Analyticshas developed a data-driven program designed to identify excellence across a broad spectrum ofindicators relevant to hospital performance and patient care.

The National Organization of State Offices of Rural Health (NOSORH) and iVantage recognizeNew York as having 24 hospitals reach top quartile performance status in Quality, Outcomes,Patient Satisfaction, and Financial Stability compared to all acute care hospitals in the nation. Therankings have been designated by the Hospital Strength INDEXTM, the assessment of hospitalperformance in the country to include all rural providers.

2014

5 Rural Hospitals are recognized for Excellence in Quality – Top quartile performers in theQuality-Based pillar of INDEX (AMI, HF, PN, SCIP, OP Process of Care Scores)

Chenango Memorial Hospital, Inc Claxton-Hepburn Medical Center Ira Davenport Memorial Hospital, Inc Jones Memorial Hospital Massena Memorial Hospital

7 Rural Hospitals are recognized for Excellence in Outcomes – Top quartile performers in theOutcomes pillar of INDEX (Patient Safety Indicators, Readmissions, Mortality).

Canton-Potsdam Hospital Cobleskill Regional Hospital Corning Hospital Delaware Valley Hospital, Inc Margaretville Memorial Hospital Samaritan Medical Center St Mary'S Hospital At Amsterdam

7 Rural Hospitals are recognized for Excellence in Patient Satisfaction – Top quartileperformers in the Patient Perspective pillar of INDEX (HCAHPS “Willingness to recommend”).

Clifton Fine Hospital Delaware Valley Hospital, Inc Elizabethtown Community Hospital Margaretville Memorial Hospital

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O'Connor Hospital River Hospital, Inc Westfield Memorial Hospital, Inc

5 Rural Hospitals are recognized for Excellence in Financial Strength – Top quartileperformers in the Financial Stability pillar of INDEX (Leverage, Liquidity, Capital Efficiency, andResource Availability).

Catskill Regional Medical Center Corning Hospital Elizabethtown Community Hospital Ira Davenport Memorial Hospital, Inc O'Connor Hospital

About iVantage Health AnalyticsiVantage is a leading business analytic and advisory services company applying AHT--Accelerated Healthcare Transformation™ and the VantagePoints™ platform to drive sustained,evidence-based results. The company’s unique combination of technology, content, and expertadvisory services accelerates decision making for the new healthcare. For more informationplease visit www.ivantagehealth.com.

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North Carolina

On November 20, 2014, leaders from the rural health community from across the country willcelebrate National Rural Health Day in recognition of the tremendous accomplishments that havebeen achieved in rural healthcare this year. In support of this recognition, iVantage Health Analyticshas developed a data-driven program designed to identify excellence across a broad spectrum ofindicators relevant to hospital performance and patient care.

The National Organization of State Offices of Rural Health (NOSORH) and iVantage recognizeNorth Carolina as having 48 hospitals reach top quartile performance status in Quality,Outcomes, Patient Satisfaction, and Financial Stability compared to all acute care hospitals in thenation. The rankings have been designated by the Hospital Strength INDEXTM, the assessment ofhospital performance in the country to include all rural providers.

2014

15 Rural Hospitals are recognized for Excellence in Quality – Top quartile performers in theQuality-Based pillar of INDEX (AMI, HF, PN, SCIP, OP Process of Care Scores)

Alleghany County Memorial Hospital Cleveland Regional Medical Center Davis Regional Medical Center Firsthealth Montgomery Memorial Hospital Lake Norman Regional Medical Center Medwest Swain Novant Health Rowan Medical Center Novant Health Thomasville Medical Center Pender Memorial Hospital Spruce Pine Community Hospital St Luke’s Hospital The Outer Banks Hospital, Inc Transylvania Regional Hospital, Inc Vidant Bertie Hospital Vidant Roanoke Chowan Hospital

15 Rural Hospitals are recognized for Excellence in Outcomes – Top quartile performers inthe Outcomes pillar of INDEX (Patient Safety Indicators, Readmissions, Mortality).

Betsy Johnson Regional Hospital Carolinas Medical Center-Lincoln Firsthealth Montgomery Memorial Hospital Firsthealth Moore Regional Hospital Hugh Chatham Memorial Hospital

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Iredell Memorial Hospital Inc J. Arthur Dosher Memorial Hospital Lake Norman Regional Medical Center Murphy Medical Center Inc Sampson Regional Medical Center Scotland Memorial Hospital Spruce Pine Community Hospital Stanly Regional Medical Center Transylvania Regional Hospital, Inc Wilkes Regional Medical Center

8 Rural Hospitals are recognized for Excellence in Patient Satisfaction – Top quartileperformers in the Patient Perspective pillar of INDEX (HCAHPS “Willingness to recommend”).

Alleghany County Memorial Hospital Carolinas Medical Center-Lincoln Chatham Hospital Inc Firsthealth Moore Regional Hospital Hugh Chatham Memorial Hospital St Luke’s Hospital The Outer Banks Hospital, Inc Vidant Bertie Hospital

10 Rural Hospitals are recognized for Excellence in Financial Strength – Top quartileperformers in the Financial Stability pillar of INDEX (Leverage, Liquidity, Capital Efficiency, andResource Availability).

Carteret General Hospital Cleveland Regional Medical Center Firsthealth Moore Regional Hospital J Arthur Dosher Memorial Hospital Novant Health Rowan Medical Center Southeastern Regional Medical Center The Outer Banks Hospital, Inc Vidant Chowan Hospital Watauga Medical Center Wayne Memorial Hospital

About iVantage Health AnalyticsiVantage is a leading business analytic and advisory services company applying AHT--Accelerated Healthcare Transformation™ and the VantagePoints™ platform to drive sustained,evidence-based results. The company’s unique combination of technology, content, and expertadvisory services accelerates decision making for the new healthcare. For more informationplease visit www.ivantagehealth.com.

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North Dakota

On November 20, 2014, leaders from the rural health community from across the country willcelebrate National Rural Health Day in recognition of the tremendous accomplishments that havebeen achieved in rural healthcare this year. In support of this recognition, iVantage Health Analyticshas developed a data-driven program designed to identify excellence across a broad spectrum ofindicators relevant to hospital performance and patient care.

The National Organization of State Offices of Rural Health (NOSORH) and iVantage recognizeNorth Dakota as having 17 hospitals reach top quartile performance status in Quality, Outcomes,and Patient Satisfaction compared to all acute care hospitals in the nation. The rankings havebeen designated by the Hospital Strength INDEXTM, the assessment of hospital performance inthe country to include all rural providers.

2014

4 Rural Hospitals are recognized for Excellence in Quality – Top quartile performers in theQuality-Based pillar of INDEX (AMI, HF, PN, SCIP, OP Process of Care Scores)

Mercy Hospital Of Valley City Presentation Medical Center Sanford Mayville St Joseph's Hospital & Health Center

3 Rural Hospitals are recognized for Excellence in Outcomes – Top quartile performers in theOutcomes pillar of INDEX (Patient Safety Indicators, Readmissions, Mortality).

Mercy Hospital Of Valley City St Joseph's Hospital & Health Center West River Regional Medical Center

10 Rural Hospitals are recognized for Excellence in Patient Satisfaction – Top quartileperformers in the Patient Perspective pillar of INDEX (HCAHPS “Willingness to recommend”).

Ashley Medical Center Carrington Health Center First Care Health Center Jamestown Regional Medical Center Nelson County Health System Northwood Deaconess Health Center Southwest Healthcare Services St Andrews Health Center

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Tioga Medical Center West River Regional Medical Center

About iVantage Health AnalyticsiVantage is a leading business analytic and advisory services company applying AHT--Accelerated Healthcare Transformation™ and the VantagePoints™ platform to drive sustained,evidence-based results. The company’s unique combination of technology, content, and expertadvisory services accelerates decision making for the new healthcare. For more informationplease visit www.ivantagehealth.com.

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Ohio

On November 20, 2014, leaders from the rural health community from across the country willcelebrate National Rural Health Day in recognition of the tremendous accomplishments that havebeen achieved in rural healthcare this year. In support of this recognition, iVantage Health Analyticshas developed a data-driven program designed to identify excellence across a broad spectrum ofindicators relevant to hospital performance and patient care.

The National Organization of State Offices of Rural Health (NOSORH) and iVantage recognizeOhio as having 77 hospitals reach top quartile performance status in Quality, Outcomes, PatientSatisfaction, and Financial Stability compared to all acute care hospitals in the nation. Therankings have been designated by the Hospital Strength INDEXTM, the assessment of hospitalperformance in the country to include all rural providers.

2014

18 Rural Hospitals are recognized for Excellence in Quality – Top quartile performers in theQuality-Based pillar of INDEX (AMI, HF, PN, SCIP, OP Process of Care Scores)

Ashtabula County Medical Center Blanchard Valley Hospital Bluffton Hospital Bucyrus Community Hospital Community Hospitals And Wellness Centers Defiance Regional Medical Center Fostoria Community Hospital Hardin Memorial Hospital Henry County Hospital, Inc Lodi Community Hospital Marion General Hospital Mary Rutan Hospital Mercy Memorial Hospital Pomerene Hospital Southern Ohio Medical Center UHHS Memorial Hospital Of Geneva Union Hospital University Hospitals Conneaut Medical Center

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22 Rural Hospitals are recognized for Excellence in Outcomes – Top quartile performers inthe Outcomes pillar of INDEX (Patient Safety Indicators, Readmissions, Mortality).

Ashtabula County Medical Center Barnesville Hospital Association, Inc Bellevue Hospital Blanchard Valley Hospital Community Memorial Hospital Fisher-Titus Hospital Galion Community Hospital Genesis Healthcare System Grand Lake Health System H. B. Magruder Memorial Hospital Marion General Hospital Medcentral Health System Shelby Hospital Memorial Hospital Mercer County Joint Township Community Mercy Memorial Hospital Mercy Tiffin Hospital Salem Regional Medical Center Samaritan Regional Health System Southern Ohio Medical Center UHHS Memorial Hospital Of Geneva Union Hospital Wooster Community Hospital

16 Rural Hospitals are recognized for Excellence in Patient Satisfaction – Top quartileperformers in the Patient Perspective pillar of INDEX (HCAHPS “Willingness to recommend”).

Bellevue Hospital Bluffton Hospital Community Memorial Hospital Defiance Regional Medical Center Doctors Hospital Of Nelsonville H. B. Magruder Memorial Hospital Henry County Hospital, Inc Holzer Medical Center Jackson Lodi Community Hospital Medcentral Health System Shelby Hospital Mercy Willard Hospital Paulding County Hospital Trinity Hospital Twin City UHHS Memorial Hospital Of Geneva University Hospitals Conneaut Medical Center Wooster Community Hospital

21 Rural Hospitals are recognized for Excellence in Financial Strength – Top quartileperformers in the Financial Stability pillar of INDEX (Leverage, Liquidity, Capital Efficiency, andResource Availability).

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Blanchard Valley Hospital Community Hospitals And Wellness Centers Defiance Regional Medical Center Fisher-Titus Hospital Fostoria Community Hospital Grand Lake Health System H. B. Magruder Memorial Hospital Hardin Memorial Hospital Marion General Hospital Mercy Allen Hospital Mercy Hospital Of Defiance Mercy Memorial Hospital Mercy Tiffin Hospital O'Bleness Memorial Hospital Samaritan Regional Health System Southern Ohio Medical Center Van Wert County Hospital Wayne Hospital Wilson Memorial Hospital Wooster Community Hospital Wyandot Memorial Hospital

About iVantage Health AnalyticsiVantage is a leading business analytic and advisory services company applying AHT--Accelerated Healthcare Transformation™ and the VantagePoints™ platform to drive sustained,evidence-based results. The company’s unique combination of technology, content, and expertadvisory services accelerates decision making for the new healthcare. For more informationplease visit www.ivantagehealth.com.

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Oklahoma

On November 20, 2014, leaders from the rural health community from across the country willcelebrate National Rural Health Day in recognition of the tremendous accomplishments that havebeen achieved in rural healthcare this year. In support of this recognition, iVantage Health Analyticshas developed a data-driven program designed to identify excellence across a broad spectrum ofindicators relevant to hospital performance and patient care.

The National Organization of State Offices of Rural Health (NOSORH) and iVantage recognizeOklahoma as having 28 hospitals reach top quartile performance status in Quality, Outcomes,Patient Satisfaction, and Financial Stability compared to all acute care hospitals in the nation. Therankings have been designated by the Hospital Strength INDEXTM, the assessment of hospitalperformance in the country to include all rural providers.

2014

4 Rural Hospitals are recognized for Excellence in Quality – Top quartile performers in theQuality-Based pillar of INDEX (AMI, HF, PN, SCIP, OP Process of Care Scores)

Epic Medical Center Ponca City Medical Center St Anthony Shawnee Hospital Woodward Regional Hospital

6 Rural Hospitals are recognized for Excellence in Outcomes – Top quartile performers in theOutcomes pillar of INDEX (Patient Safety Indicators, Readmissions, Mortality).

Grady Memorial Hospital Hillcrest Hospital Cushing Integris Seminole Medical Center Jackson County Memorial Hospital Quartz Mountain Medical Center Tahlequah City Hospital

7 Rural Hospitals are recognized for Excellence in Patient Satisfaction – Top quartileperformers in the Patient Perspective pillar of INDEX (HCAHPS “Willingness to recommend” and“Overall Quality”).

Cordell Memorial Hospital Harper County Community Hospital Newman Memorial Hospital Okeene Municipal Hospital Perry Memorial Hospital

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St Mary'S Regional Medical Center Stillwater Medical Center

11 Rural Hospitals are recognized for Excellence in Financial Strength – Top quartileperformers in the Financial Stability pillar of INDEX (Leverage, Liquidity, Capital Efficiency, andResource Availability).

Beaver County Memorial Hospital Choctaw Memorial Hospital Cordell Memorial Hospital Elkview General Hospital Integris Bass Baptist Health Center Jane Phillips Nowata Health Center Mercy Hospital Ada, Inc Mercy Hospital Watonga Okeene Municipal Hospital Ponca City Medical Center Stillwater Medical Center

About iVantage Health AnalyticsiVantage is a leading business analytic and advisory services company applying AHT--Accelerated Healthcare Transformation™ and the VantagePoints™ platform to drive sustained,evidence-based results. The company’s unique combination of technology, content, and expertadvisory services accelerates decision making for the new healthcare. For more informationplease visit www.ivantagehealth.com.

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Oregon

On November 20, 2014, leaders from the rural health community from across the country willcelebrate National Rural Health Day in recognition of the tremendous accomplishments that havebeen achieved in rural healthcare this year. In support of this recognition, iVantage Health Analyticshas developed a data-driven program designed to identify excellence across a broad spectrum ofindicators relevant to hospital performance and patient care.

The National Organization of State Offices of Rural Health (NOSORH) and iVantage recognizeOregon as having 18 hospitals reach top quartile performance status in Quality, Outcomes,Patient Satisfaction, and Financial Stability compared to all acute care hospitals in the nation. Therankings have been designated by the Hospital Strength INDEXTM, the assessment of hospitalperformance in the country to include all rural providers.

2014

3 Rural Hospitals are recognized for Excellence in Quality – Top quartile performers in theQuality-Based pillar of INDEX (AMI, HF, PN, SCIP, OP Process of Care Scores)

Peace Harbor Medical Center Providence Hood River Memorial Hospital Tillamook Regional Medical Center

4 Rural Hospitals are recognized for Excellence in Outcomes – Top quartile performers in theOutcomes pillar of INDEX (Patient Safety Indicators, Readmissions, Mortality).

Peace Harbor Medical Center Samaritan Albany General Hospital Samaritan Lebanon Community Hospital St Charles Medical Center – Redmond

5 Rural Hospitals are recognized for Excellence in Patient Satisfaction – Top quartileperformers in the Patient Perspective pillar of INDEX (HCAHPS “Willingness to recommend”).

Coquille Valley Hospital District Lake District Hospital Providence Hood River Memorial Hospital St Charles Medical Center - Redmond Wallowa Memorial Hospital

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6 Rural Hospitals are recognized for Excellence in Financial Strength – Top quartileperformers in the Financial Stability pillar of INDEX (Leverage, Liquidity, Capital Efficiency, andResource Availability).

Coquille Valley Hospital District Good Shepherd Medical Center Grande Ronde Hospital Pioneer Memorial Hospital St Anthony Hospital Wallowa Memorial Hospital

About iVantage Health AnalyticsiVantage is a leading business analytic and advisory services company applying AHT--Accelerated Healthcare Transformation™ and the VantagePoints™ platform to drive sustained,evidence-based results. The company’s unique combination of technology, content, and expertadvisory services accelerates decision making for the new healthcare. For more informationplease visit www.ivantagehealth.com.

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Pennsylvania

On November 20, 2014, leaders from the rural health community from across the country willcelebrate National Rural Health Day in recognition of the tremendous accomplishments that havebeen achieved in rural healthcare this year. In support of this recognition, iVantage Health Analyticshas developed a data-driven program designed to identify excellence across a broad spectrum ofindicators relevant to hospital performance and patient care.

The National Organization of State Offices of Rural Health (NOSORH) and iVantage recognizePennsylvania as having 47 hospitals reach top quartile performance status in Quality, Outcomes,Patient Satisfaction, and Financial Stability compared to all acute care hospitals in the nation. Therankings have been designated by the Hospital Strength INDEXTM, the assessment of hospitalperformance in the country to include all rural providers.

2014

8 Rural Hospitals are recognized for Excellence in Quality – Top quartile performers in theQuality-Based pillar of INDEX (AMI, HF, PN, SCIP, OP Process of Care Scores)

Gettysburg Hospital Lock Haven Hospital Memorial Hospital, Inc - Towanda Mid-Valley Hospital Muncy Valley Hospital Penn Highlands Dubois Sunbury Community Hospital Waynesboro Hospital

17 Rural Hospitals are recognized for Excellence in Outcomes – Top quartile performers inthe Outcomes pillar of INDEX (Patient Safety Indicators, Readmissions, Mortality).

Chambersburg Hospital Ellwood City Hospital Evangelical Community Hospital Geisinger - Bloomsburg Hospital Hanover Hospital Indiana Regional Medical Center Jameson Memorial Hospital Kane Community Hospital Lock Haven Hospital Muncy Valley Hospital Penn Highlands Dubois Pocono Medical Center

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Robert Packer Hospital Somerset Hospital UPMC Bedford Memorial Warren General Hospital Wayne Memorial Hospital

9 Rural Hospitals are recognized for Excellence in Patient Satisfaction – Top quartileperformers in the Patient Perspective pillar of INDEX (HCAHPS “Willingness to recommend”).

Bucktail Medical Center Evangelical Community Hospital Geisinger Medical Center Mid-Valley Hospital Muncy Valley Hospital Penn Highlands Dubois Titusville Hospital Tyrone Hospital Windber Hospital

13 Rural Hospitals are recognized for Excellence in Financial Strength – Top quartileperformers in the Financial Stability pillar of INDEX (Leverage, Liquidity, Capital Efficiency, andResource Availability).

Berwick Hospital Center Chambersburg Hospital Ellwood City Hospital Evangelical Community Hospital Gettysburg Hospital Kane Community Hospital Muncy Valley Hospital Pocono Medical Center Robert Packer Hospital Soldiers And Sailors Memorial Hospital UPMC Bedford Memorial UPMC Northwest Waynesboro Hospital

About iVantage Health AnalyticsiVantage is a leading business analytic and advisory services company applying AHT--Accelerated Healthcare Transformation™ and the VantagePoints™ platform to drive sustained,evidence-based results. The company’s unique combination of technology, content, and expertadvisory services accelerates decision making for the new healthcare. For more informationplease visit www.ivantagehealth.com.

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South Carolina

On November 20, 2014, leaders from the rural health community from across the country willcelebrate National Rural Health Day in recognition of the tremendous accomplishments that havebeen achieved in rural healthcare this year. In support of this recognition, iVantage Health Analyticshas developed a data-driven program designed to identify excellence across a broad spectrum ofindicators relevant to hospital performance and patient care.

The National Organization of State Offices of Rural Health (NOSORH) and iVantage recognizeSouth Carolina as having 11 hospitals reach top quartile performance status in Quality,Outcomes, Patient Satisfaction, and Financial Stability compared to all acute care hospitals in thenation. The rankings have been designated by the Hospital Strength INDEXTM, the assessment ofhospital performance in the country to include all rural providers.

2014

5 Rural Hospitals are recognized for Excellence in Quality – Top quartile performers in theQuality-Based pillar of INDEX (AMI, HF, PN, SCIP, OP Process of Care Scores)

Beaufort County Memorial Hospital Chesterfield General Hospital Colleton Medical Center Marlboro Park Hospital Springs Memorial Hospital

3 Rural Hospitals are recognized for Excellence in Outcomes – Top quartile performers in theOutcomes pillar of INDEX (Patient Safety Indicators, Readmissions, Mortality).

Clarendon Memorial Hospital Colleton Medical Center McLeod Medical Center – Dillon

2 Rural Hospitals are recognized for Excellence in Patient Satisfaction – Top quartileperformers in the Patient Perspective pillar of INDEX (HCAHPS “Willingness to recommend”).

Abbeville Area Medical Center Waccamaw Community Hospital

1 Rural Hospital is recognized for Excellence in Financial Strength – Top quartile performersin the Financial Stability pillar of INDEX (Leverage, Liquidity, Capital Efficiency, and ResourceAvailability).

Oconee Medical Center

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About iVantage Health AnalyticsiVantage is a leading business analytic and advisory services company applying AHT--Accelerated Healthcare Transformation™ and the VantagePoints™ platform to drive sustained,evidence-based results. The company’s unique combination of technology, content, and expertadvisory services accelerates decision making for the new healthcare. For more informationplease visit www.ivantagehealth.com.

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South Dakota

On November 20, 2014, leaders from the rural health community from across the country willcelebrate National Rural Health Day in recognition of the tremendous accomplishments that havebeen achieved in rural healthcare this year. In support of this recognition, iVantage Health Analyticshas developed a data-driven program designed to identify excellence across a broad spectrum ofindicators relevant to hospital performance and patient care.

The National Organization of State Offices of Rural Health (NOSORH) and iVantage recognizeSouth Dakota as having 34 hospitals reach top quartile performance status in Quality, Outcomes,Patient Satisfaction, and Financial Stability compared to all acute care hospitals in the nation. Therankings have been designated by the Hospital Strength INDEXTM, the assessment of hospitalperformance in the country to include all rural providers.

2014

6 Rural Hospitals are recognized for Excellence in Quality – Top quartile performers in theQuality-Based pillar of INDEX (AMI, HF, PN, SCIP, OP Process of Care Scores)

Avera Queen Of Peace Avera Sacred Heart Hospital Avera St Mary'S Hospital Brookings Hospital Custer Regional Hospital Sanford Canton-Inwood Medical Center

2 Rural Hospitals are recognized for Excellence in Outcomes – Top quartile performers in theOutcomes pillar of INDEX (Patient Safety Indicators, Readmissions, Mortality).

Avera Queen Of Peace Avera St. Lukes

12 Rural Hospitals are recognized for Excellence in Patient Satisfaction – Top quartileperformers in the Patient Perspective pillar of INDEX (HCAHPS “Willingness to recommend” and“Overall Quality”).

Avera Dells Area Hospital Avera Desmet Memorial Hospital Avera Flandreau Hospital Avera St Benedict Health Center Custer Regional Hospital Lead - Deadwood Regional Hospital Marshall County Healthcare Center Platte Health Center

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Sanford Canton-Inwood Medical Center Sanford Clear Lake Medical Center Sanford Hospital Webster St Michael's Hospital

14 Rural Hospitals are recognized for Excellence in Financial Strength – Top quartileperformers in the Financial Stability pillar of INDEX (Leverage, Liquidity, Capital Efficiency, andResource Availability).

Avera Desmet Memorial Hospital Avera Flandreau Hospital Avera Queen Of Peace Avera Sacred Heart Hospital Avera St Benedict Health Center Brookings Hospital Community Memorial Hospital Douglas County Memorial Hospital Huron Regional Medical Center Madison Community Hospital Marshall County Healthcare Center Prairie Lakes Hospital Rapid City Regional Hospital St Michael's Hospital

About iVantage Health AnalyticsiVantage is a leading business analytic and advisory services company applying AHT--Accelerated Healthcare Transformation™ and the VantagePoints™ platform to drive sustained,evidence-based results. The company’s unique combination of technology, content, and expertadvisory services accelerates decision making for the new healthcare. For more informationplease visit www.ivantagehealth.com.

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Tennessee

On November 20, 2014, leaders from the rural health community from across the country willcelebrate National Rural Health Day in recognition of the tremendous accomplishments that havebeen achieved in rural healthcare this year. In support of this recognition, iVantage Health Analyticshas developed a data-driven program designed to identify excellence across a broad spectrum ofindicators relevant to hospital performance and patient care.

The National Organization of State Offices of Rural Health (NOSORH) and iVantage recognizeTennessee as having 30 hospitals reach top quartile performance status in Quality, Outcomes,Patient Satisfaction, and Financial Stability compared to all acute care hospitals in the nation. Therankings have been designated by the Hospital Strength INDEXTM, the assessment of hospitalperformance in the country to include all rural providers.

2014

13 Rural Hospitals are recognized for Excellence in Quality – Top quartile performers in theQuality-Based pillar of INDEX (AMI, HF, PN, SCIP, OP Process of Care Scores)

Baptist Memorial Hospital Huntingdon Baptist Memorial Hospital Union City Bolivar General Hospital Dyersburg Regional Medical Center Haywood Park Community Hospital Henderson County Community Hospital Heritage Medical Center Johnson County Community Hospital Livingston Regional Hospital McKenzie Regional Hospital Riverview Regional Medical Center Stones River Hospital and Dekalb Community Tristar Ashland City Medical Center

6 Rural Hospitals are recognized for Excellence in Outcomes – Top quartile performers in theOutcomes pillar of INDEX (Patient Safety Indicators, Readmissions, Mortality).

Hillside Hospital Leconte Medical Center Maury Regional Hospital Roane Medical Center Takoma Regional Hospital United Regional Medical Center

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7 Rural Hospitals are recognized for Excellence in Patient Satisfaction – Top quartileperformers in the Patient Perspective pillar of INDEX (HCAHPS “Willingness to recommend”).

Camden General Hospital Cookeville Regional Medical Center Copper Basin Medical Center Jellico Community Hospital Tristar Ashland City Medical Center Trousdale Medical Center Wellmont Hancock County Hospital

4 Rural Hospitals are recognized for Excellence in Financial Strength – Top quartileperformers in the Financial Stability pillar of INDEX (Leverage, Liquidity, Capital Efficiency, andResource Availability).

Camden General Hospital Cookeville Regional Medical Center Milan General Hospital Sweetwater Hospital Association

About iVantage Health AnalyticsiVantage is a leading business analytic and advisory services company applying AHT--Accelerated Healthcare Transformation™ and the VantagePoints™ platform to drive sustained,evidence-based results. The company’s unique combination of technology, content, and expertadvisory services accelerates decision making for the new healthcare. For more informationplease visit www.ivantagehealth.com.

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Texas

On November 20, 2014, leaders from the rural health community from across the country willcelebrate National Rural Health Day in recognition of the tremendous accomplishments that havebeen achieved in rural healthcare this year. In support of this recognition, iVantage Health Analyticshas developed a data-driven program designed to identify excellence across a broad spectrum ofindicators relevant to hospital performance and patient care.

The National Organization of State Offices of Rural Health (NOSORH) and iVantage recognizeTexas as having 108 hospitals reach top quartile performance status in Quality, Outcomes,Patient Satisfaction, and Financial Stability compared to all acute care hospitals in the nation. Therankings have been designated by the Hospital Strength INDEXTM, the assessment of hospitalperformance in the country to include all rural providers.

2014

14 Rural Hospitals are recognized for Excellence in Quality – Top quartile performers in theQuality-Based pillar of INDEX (AMI, HF, PN, SCIP, OP Process of Care Scores)

Ballinger Memorial Hospital Big Bend Regional Medical Center Childress Regional Medical Center Hill Country Memorial Hospital Inc Lake Granbury Medical Center Madison St Joseph Health Center Memorial Medical Center Moore County Hospital District Nacogdoches Medical Center Rolling Plains Memorial Hospital Scott & White Hospital-Llano Seton Edgar B Davis Hospital St Marks Medical Center Woodland Heights Medical Center

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22 Rural Hospitals are recognized for Excellence in Outcomes – Top quartile performers inthe Outcomes pillar of INDEX (Patient Safety Indicators, Readmissions, Mortality).

Christus Jasper Memorial Hospital Christus Spohn Hospital Alice Christus Spohn Hospital Kleberg East Texas Medical Center - Fairfield East Texas Medical Center Athens Faith Community Hospital Good Shepherd Medical Center Marshall Graham Regional Medical Center Gulf Coast Medical Center Hamlin Memorial Hospital Hill Country Memorial Hospital Inc Hopkins County Memorial Hospital Memorial Medical Center Of East Texas Mother Frances Hospital Jacksonville Pampa Regional Medical Center Peterson Regional Medical Center Scott & White Hospital-Llano Seton Highland Lakes Swisher Memorial Hospital Titus Regional Medical Center Ward Memorial Hospital Woodland Heights Medical Center

22 Rural Hospitals are recognized for Excellence in Patient Satisfaction – Top quartileperformers in the Patient Perspective pillar of INDEX (HCAHPS “Willingness to recommend”).

Big Bend Regional Medical Center Childress Regional Medical Center Columbus Community Hospital East Texas Medical Center Mount Vernon East Texas Medical Center Pittsburg East Texas Medical Center Quitman East Texas Medical Center Trinity Glen Rose Medical Center Graham Regional Medical Center Hamilton General Hospital Hamlin Memorial Hospital Hansford County Hospital Hill Country Memorial Hospital Inc Rollins Brook Community Hospital Seton Edgar B Davis Hospital St Marks Medical Center Stephens Memorial Hospital Swisher Memorial Hospital Texas Health Harris Methodist Hospital W J Mangold Memorial Hospital Woodland Heights Medical Center Yoakum County Hospital

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50 Rural Hospitals are recognized for Excellence in Financial Strength – Top quartileperformers in the Financial Stability pillar of INDEX (Leverage, Liquidity, Capital Efficiency, andResource Availability).

Brownfield Regional Medical Center Brownwood Regional Medical Center Childress Regional Medical Center Christus Spohn Hospital Kleberg Columbus Community Hospital Concho County Hospital Coryell Memorial Healthcare System Crane County Hospital District East Texas Medical Center - Fairfield Eastland Memorial Hospital Etmc Carthage Faith Community Hospital Frio Regional Hospital Glen Rose Medical Center Hamlin Memorial Hospital Hansford County Hospital Haskell Memorial Hospital Heart Of Texas Memorial Hospital Hill Country Memorial Hospital Inc Hopkins County Memorial Hospital Knox County Hospital Lake Granbury Medical Center Lynn County Hospital District Madison St Joseph Health Center Martin County Hospital District Memorial Medical Center Of East Texas Mitchell County Hospital District Moore County Hospital District Nacogdoches Medical Center Navarro Regional Hospital Nocona General Hospital North Runnels Hospital Ochiltree General Hospital Otto Kaiser Memorial Hospital Palo Pinto General Hospital Parmer County Community Hospital Permian Regional Medical Center Andrews Peterson Regional Medical Center Plains Memorial Hospital Reeves County Hospital District Refugio County Memorial Hospital Rice Medical Center Rollins Brook Community Hospital Seymour Hospital Starr County Memorial Hospital Texas Health Harris Methodist Hospital

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Tyler County Hospital Uvalde Memorial Hospital Val Verde Regional Medical Center Woodland Heights Medical Center

About iVantage Health AnalyticsiVantage is a leading business analytic and advisory services company applying AHT--Accelerated Healthcare Transformation™ and the VantagePoints™ platform to drive sustained,evidence-based results. The company’s unique combination of technology, content, and expertadvisory services accelerates decision making for the new healthcare. For more informationplease visit www.ivantagehealth.com.

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Utah

On November 20, 2014, leaders from the rural health community from across the country willcelebrate National Rural Health Day in recognition of the tremendous accomplishments that havebeen achieved in rural healthcare this year. In support of this recognition, iVantage Health Analyticshas developed a data-driven program designed to identify excellence across a broad spectrum ofindicators relevant to hospital performance and patient care.

The National Organization of State Offices of Rural Health (NOSORH) and iVantage recognizeUtah as having 23 hospitals reach top quartile performance status in Quality, Outcomes, PatientSatisfaction, and Financial Stability compared to all acute care hospitals in the nation. Therankings have been designated by the Hospital Strength INDEXTM, the assessment of hospitalperformance in the country to include all rural providers.

2014

2 Rural Hospitals are recognized for Excellence in Quality – Top quartile performers in theQuality-Based pillar of INDEX (AMI, HF, PN, SCIP, OP Process of Care Scores)

Bear River Valley Hospital Garfield Memorial Hospital

2 Rural Hospitals are recognized for Excellence in Outcomes – Top quartile performers in theOutcomes pillar of INDEX (Patient Safety Indicators, Readmissions, Mortality).

Ashley Regional Medical Center Valley View Medical Center

9 Rural Hospitals are recognized for Excellence in Patient Satisfaction – Top quartileperformers in the Patient Perspective pillar of INDEX (HCAHPS “Willingness to recommend” and“Overall Quality”).

Bear River Valley Hospital Beaver Valley Hospital Central Valley Medical Center Delta Community Medical Center Dixie Regional Medical Center Fillmore Community Medical Center Garfield Memorial Hospital Heber Valley Medical Center Valley View Medical Center

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10 Rural Hospitals are recognized for Excellence in Financial Strength – Top quartileperformers in the Financial Stability pillar of INDEX (Leverage, Liquidity, Capital Efficiency, andResource Availability).

Ashley Regional Medical Center Bear River Valley Hospital Beaver Valley Hospital Castleview Hospital Central Valley Medical Center Gunnison Valley Hospital Heber Valley Medical Center Sevier Valley Medical Center Uintah Basin Medical Center Valley View Medical Center

About iVantage Health AnalyticsiVantage is a leading business analytic and advisory services company applying AHT--Accelerated Healthcare Transformation™ and the VantagePoints™ platform to drive sustained,evidence-based results. The company’s unique combination of technology, content, and expertadvisory services accelerates decision making for the new healthcare. For more informationplease visit www.ivantagehealth.com.

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Vermont

On November 20, 2014, leaders from the rural health community from across the country willcelebrate National Rural Health Day in recognition of the tremendous accomplishments that havebeen achieved in rural healthcare this year. In support of this recognition, iVantage Health Analyticshas developed a data-driven program designed to identify excellence across a broad spectrum ofindicators relevant to hospital performance and patient care.

The National Organization of State Offices of Rural Health (NOSORH) and iVantage recognizeVermont as having 10 hospitals reach top quartile performance status in Quality, Outcomes,Patient Satisfaction, and Financial Stability compared to all acute care hospitals in the nation. Therankings have been designated by the Hospital Strength INDEXTM, the assessment of hospitalperformance in the country to include all rural providers.

2014

3 Rural Hospitals are recognized for Excellence in Quality – Top quartile performers in theQuality-Based pillar of INDEX (AMI, HF, PN, SCIP, OP Process of Care Scores)

Gifford Medical Center Rutland Regional Medical Center Springfield Hospital

1 Rural Hospital is recognized for Excellence in Outcomes – Top quartile performers in theOutcomes pillar of INDEX (Patient Safety Indicators, Readmissions, Mortality).

Porter Hospital, Inc

4 Rural Hospitals are recognized for Excellence in Patient Satisfaction – Top quartileperformers in the Patient Perspective pillar of INDEX (HCAHPS “Willingness to recommend”).

Mt Ascutney Hospital Southwestern Vermont Medical Center Copley Hospital Northwestern Medical Center Inc

2 Rural Hospitals are recognized for Excellence in Financial Strength – Top quartileperformers in the Financial Stability pillar of INDEX (Leverage, Liquidity, Capital Efficiency, andResource Availability).

Gifford Medical Center Northwestern Medical Center Inc

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About iVantage Health AnalyticsiVantage is a leading business analytic and advisory services company applying AHT--Accelerated Healthcare Transformation™ and the VantagePoints™ platform to drive sustained,evidence-based results. The company’s unique combination of technology, content, and expertadvisory services accelerates decision making for the new healthcare. For more informationplease visit www.ivantagehealth.com.

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Virginia

On November 20, 2014, leaders from the rural health community from across the country willcelebrate National Rural Health Day in recognition of the tremendous accomplishments that havebeen achieved in rural healthcare this year. In support of this recognition, iVantage Health Analyticshas developed a data-driven program designed to identify excellence across a broad spectrum ofindicators relevant to hospital performance and patient care.

The National Organization of State Offices of Rural Health (NOSORH) and iVantage recognizeVirginia as having 32 hospitals reach top quartile performance status in Quality, Outcomes,Patient Satisfaction, and Financial Stability compared to all acute care hospitals in the nation. Therankings have been designated by the Hospital Strength INDEXTM, the assessment of hospitalperformance in the country to include all rural providers.

2014

12 Rural Hospitals are recognized for Excellence in Quality – Top quartile performers in theQuality-Based pillar of INDEX (AMI, HF, PN, SCIP, OP Process of Care Scores)

Augusta Health Buchanan General Hospital Clinch Valley Medical Center Community Memorial Healthcenter, Inc Dickenson Community Hospital Lewisgale Hospital Alleghany Lewisgale Hospital Pulaski Mary Washington Hospital, Inc Riverside Tappahannock Hospital Rockingham Memorial Hospital Smyth County Community Hospital Twin County Regional Hospital

9 Rural Hospitals are recognized for Excellence in Outcomes – Top quartile performers in theOutcomes pillar of INDEX (Patient Safety Indicators, Readmissions, Mortality).

Augusta Health Centra Health, Inc Halifax Regional Hospital Lewisgale Hospital Alleghany Norton Community Hospital Riverside Tappahannock Hospital Rockingham Memorial Hospital Smyth County Community Hospital

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Wythe County Community Hospital

3 Rural Hospitals are recognized for Excellence in Patient Satisfaction – Top quartileperformers in the Patient Perspective pillar of INDEX (HCAHPS “Willingness to recommend”).

Carilion Giles Community Hospital Centra Health, Inc Winchester Medical Center

8 Rural Hospitals are recognized for Excellence in Financial Strength – Top quartileperformers in the Financial Stability pillar of INDEX (Leverage, Liquidity, Capital Efficiency, andResource Availability).

Augusta Health Bath Community Hospital Buchanan General Hospital Dickenson Community Hospital Rockingham Memorial Hospital Southside Community Hospital, Inc Wellmont Lonesome Pine Hospital Winchester Medical Center

About iVantage Health AnalyticsiVantage is a leading business analytic and advisory services company applying AHT--Accelerated Healthcare Transformation™ and the VantagePoints™ platform to drive sustained,evidence-based results. The company’s unique combination of technology, content, and expertadvisory services accelerates decision making for the new healthcare. For more informationplease visit www.ivantagehealth.com.

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Washington

On November 20, 2014, leaders from the rural health community from across the country willcelebrate National Rural Health Day in recognition of the tremendous accomplishments that havebeen achieved in rural healthcare this year. In support of this recognition, iVantage Health Analyticshas developed a data-driven program designed to identify excellence across a broad spectrum ofindicators relevant to hospital performance and patient care.

The National Organization of State Offices of Rural Health (NOSORH) and iVantage recognizeWashington as having 30 hospitals reach top quartile performance status in Quality, Outcomes,Patient Satisfaction, and Financial Stability compared to all acute care hospitals in the nation. Therankings have been designated by the Hospital Strength INDEXTM, the assessment of hospitalperformance in the country to include all rural providers.

2014

6 Rural Hospitals are recognized for Excellence in Quality – Top quartile performers in theQuality-Based pillar of INDEX (AMI, HF, PN, SCIP, OP Process of Care Scores)

Columbia Basin Hospital Kittitas Valley Community Hospital Lincoln Hospital Ocean Beach Hospital Providence St Joseph Hospital Summit Pacific Medical Center

9 Rural Hospitals are recognized for Excellence in Outcomes – Top quartile performers in theOutcomes pillar of INDEX (Patient Safety Indicators, Readmissions, Mortality).

Grays Harbor Community Hospital Kittitas Valley Community Hospital Providence Centralia Hospital Providence Mount Carmel Hospital Providence St Joseph Hospital Skyline Hospital Sunnyside Community Hospital Walla Walla General Hospital Whidbey General Hospital

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9 Rural Hospitals are recognized for Excellence in Patient Satisfaction – Top quartileperformers in the Patient Perspective pillar of INDEX (HCAHPS “Willingness to recommend” and“Overall Quality”).

Dayton General Hospital Lincoln Hospital Newport Community Hospital Peacehealth United General Medical Center Providence Mount Carmel Hospital Pullman Regional Hospital St Elizabeth Hospital Tri-State Memorial Hospital Whitman Hospital And Medical Center

6 Rural Hospitals are recognized for Excellence in Financial Strength – Top quartileperformers in the Financial Stability pillar of INDEX (Leverage, Liquidity, Capital Efficiency, andResource Availability).

Othello Community Hospital Providence Mount Carmel Hospital Samaritan Hospital Sunnyside Community Hospital Tri-State Memorial Hospital Whitman Hospital And Medical Center

About iVantage Health AnalyticsiVantage is a leading business analytic and advisory services company applying AHT--Accelerated Healthcare Transformation™ and the VantagePoints™ platform to drive sustained,evidence-based results. The company’s unique combination of technology, content, and expertadvisory services accelerates decision making for the new healthcare. For more informationplease visit www.ivantagehealth.com.

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West Virginia

On November 20, 2014, leaders from the rural health community from across the country willcelebrate National Rural Health Day in recognition of the tremendous accomplishments that havebeen achieved in rural healthcare this year. In support of this recognition, iVantage Health Analyticshas developed a data-driven program designed to identify excellence across a broad spectrum ofindicators relevant to hospital performance and patient care.

The National Organization of State Offices of Rural Health (NOSORH) and iVantage recognizeWest Virginia as having 14 hospitals reach top quartile performance status in Quality, Outcomes,Patient Satisfaction, and Financial Stability compared to all acute care hospitals in the nation. Therankings have been designated by the Hospital Strength INDEXTM, the assessment of hospitalperformance in the country to include all rural providers.

2014

7 Rural Hospitals are recognized for Excellence in Quality – Top quartile performers in theQuality-Based pillar of INDEX (AMI, HF, PN, SCIP, OP Process of Care Scores)

Fairmont General Hospital Hampshire Memorial Hospital Jefferson Medical Center Plateau Medical Center Pleasant Valley Hospital Stonewall Jackson Memorial Hospital United Hospital Center

1 Rural Hospital is recognized for Excellence in Outcomes – Top quartile performers in theOutcomes pillar of INDEX (Patient Safety Indicators, Readmissions, Mortality).

Davis Memorial Hospital

1 Rural Hospital is recognized for Excellence in Patient Satisfaction – Top quartileperformers in the Patient Perspective pillar of INDEX (HCAHPS “Willingness to recommend”).

Broaddus Hospital Association, Inc

5 Rural Hospitals are recognized for Excellence in Financial Strength – Top quartileperformers in the Financial Stability pillar of INDEX (Leverage, Liquidity, Capital Efficiency, andResource Availability).

Greenbrier Valley Medical Center Plateau Medical Center Princeton Community Hospital United Hospital Center

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War Memorial Hospital Inc

About iVantage Health AnalyticsiVantage is a leading business analytic and advisory services company applying AHT--Accelerated Healthcare Transformation™ and the VantagePoints™ platform to drive sustained,evidence-based results. The company’s unique combination of technology, content, and expertadvisory services accelerates decision making for the new healthcare. For more informationplease visit www.ivantagehealth.com.

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Wisconsin

On November 20, 2014, leaders from the rural health community from across the country willcelebrate National Rural Health Day in recognition of the tremendous accomplishments that havebeen achieved in rural healthcare this year. In support of this recognition, iVantage Health Analyticshas developed a data-driven program designed to identify excellence across a broad spectrum ofindicators relevant to hospital performance and patient care.

The National Organization of State Offices of Rural Health (NOSORH) and iVantage recognizeWisconsin as having 89 hospitals reach top quartile performance status in Quality, Outcomes,Patient Satisfaction, and Financial Stability compared to all acute care hospitals in the nation. Therankings have been designated by the Hospital Strength INDEXTM, the assessment of hospitalperformance in the country to include all rural providers.

2014

20 Rural Hospitals are recognized for Excellence in Quality – Top quartile performers in theQuality-Based pillar of INDEX (AMI, HF, PN, SCIP, OP Process of Care Scores)

Aurora Lakeland Medical Center Bellin Health Oconto Hospital Calumet Medical Center Howard Young Medical Center Hudson Hospital Ladd Memorial Hospital Lakeview Medical Center Mayo Clinic Health System Northland Mayo Clinic Health System Franciscan Memorial Health Center Ministry Sacred Heart Hospital Ministry St Michaels Hospital Of Stevens Richland Hospital Ripon Medical Center River Falls Area Hospital Sauk Prairie Hospital Shawano Medical Center St. Clare Hospital Health Services Stoughton Hospital Waupun Mem Hospital

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13 Rural Hospitals are recognized for Excellence in Outcomes – Top quartile performers inthe Outcomes pillar of INDEX (Patient Safety Indicators, Readmissions, Mortality).

Aurora Medical Center Manitowoc County Bay Area Medical Center Beaver Dam Com Hospital Good Samaritan Health Center Howard Young Medical Center Memorial Health Center Ministry Door County Medical Center Ministry Saint Mary’s Hospital Ministry St Michaels Hospital Of Stevens Riverview Hospital Association Sauk Prairie Hospital St Clare Hospital Health Services The Monroe Clinic

21 Rural Hospitals are recognized for Excellence in Patient Satisfaction – Top quartileperformers in the Patient Perspective pillar of INDEX (HCAHPS “Willingness to recommend”).

Aurora Medical Center Manitowoc County Black River Memorial Hospital Edgerton Hospital And Health Services Grant Regional Health Center Hudson Hospital Ladd Memorial Hospital Lakeview Medical Center Langlade Hospital Mayo Clinic Health System Red Cedar Mayo Clinic Health System Oakridge Memorial Hospital Lafayette County Ministry Door County Medical Center Prairie Du Chien Memorial Hospital River Falls Area Hospital Sauk Prairie Hospital St Clare Hospital Health Services Stoughton Hospital The Monroe Clinic Tri County Memorial Hospital Upland Hills Health Vernon Memorial Hospital

35 Rural Hospitals are recognized for Excellence in Financial Strength – Top quartileperformers in the Financial Stability pillar of INDEX (Leverage, Liquidity, Capital Efficiency, andResource Availability).

Aurora Lakeland Medical Center Aurora Medical Center Manitowoc County Baldwin Area Medical Center Black River Memorial Hospital Calumet Medical Center Columbus Community Hospital

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Grant Regional Health Center Hayward Area Memorial Hospital Holy Family Memorial Howard Young Medical Center Lakeview Medical Center Langlade Hospital Mayo Clinic Health System Red Cedar Memorial Health Center Memorial Medical Center Ministry Door County Medical Center Ministry Sacred Heart Hospital Ministry Saint Mary’s Hospital Ministry St Michaels Hospital Of Stevens New London Family Medical Center Prairie Du Chien Mem Hospital Reedsburg Area Medical Center Richland Hospital River Falls Area Hospital Riverside Medical Center Riverview Hospital Assoc. Spooner Health System St Agnes Hospital St Clare Hospital Health Services St Mary’s Hospital Superior Tomah Mem Hospital Upland Hills Health UW Health Partners Watertown Regional Med Vernon Memorial Hospital Waupun Memorial Hospital

About iVantage Health AnalyticsiVantage is a leading business analytic and advisory services company applying AHT--Accelerated Healthcare Transformation™ and the VantagePoints™ platform to drive sustained,evidence-based results. The company’s unique combination of technology, content, and expertadvisory services accelerates decision making for the new healthcare. For more informationplease visit www.ivantagehealth.com.

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Wyoming

On November 20, 2014, leaders from the rural health community from across the country willcelebrate National Rural Health Day in recognition of the tremendous accomplishments that havebeen achieved in rural healthcare this year. In support of this recognition, iVantage Health Analyticshas developed a data-driven program designed to identify excellence across a broad spectrum ofindicators relevant to hospital performance and patient care.

The National Organization of State Offices of Rural Health (NOSORH) and iVantage recognizeWyoming as having 25 hospitals reach top quartile performance status in Quality, Outcomes,Patient Satisfaction, and Financial Stability compared to all acute care hospitals in the nation. Therankings have been designated by the Hospital Strength INDEXTM, the assessment of hospitalperformance in the country to include all rural providers.

2014

4 Rural Hospitals are recognized for Excellence in Quality – Top quartile performers in theQuality-Based pillar of INDEX (AMI, HF, PN, SCIP, OP Process of Care Scores)

Community Hospital Memorial Hospital Of Converse County Platte County Memorial Hospital Washakie Medical Center

2 Rural Hospital is recognized for Excellence in Outcomes – Top quartile performers in theOutcomes pillar of INDEX (Patient Safety Indicators, Readmissions, Mortality).

Cheyenne Regional Medical Center St Johns Medical Center

5 Rural Hospitals are recognized for Excellence in Patient Satisfaction – Top quartileperformers in the Patient Perspective pillar of INDEX (HCAHPS “Willingness to recommend”).

Memorial Hospital Of Converse County South Lincoln Medical Center St Johns Medical Center Star Valley Medical Center Washakie Medical Center

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14 Rural Hospitals are recognized for Excellence in Financial Strength – Top quartileperformers in the Financial Stability pillar of INDEX (Leverage, Liquidity, Capital Efficiency, andResource Availability).

Campbell County Memorial Hospital Evanston Regional Hospital Ivinson Memorial Hospital Johnson County Healthcare Center Memorial Hospital Of Converse County Memorial Hospital Sweetwater County North Big Horn Hospital District Sheridan Memorial Hospital South Big Horn County South Lincoln Medical Center St Johns Medical Center Star Valley Medical Center West Park Hospital District Weston County Health Services

About iVantage Health AnalyticsiVantage is a leading business analytic and advisory services company applying AHT--Accelerated Healthcare Transformation™ and the VantagePoints™ platform to drive sustained,evidence-based results. The company’s unique combination of technology, content, and expertadvisory services accelerates decision making for the new healthcare. For more informationplease visit www.ivantagehealth.com.