| Colusa Medical Center | Colusa | CA | 4 | 1 | -3 |
| Hill Regional Hospital | Hillsboro | TX | 4 | 1 | -3 |
| Potomac Valley Hospital | Keyser | WV | 4 | 1 | -3 |
| Richland Hospital | Richland Center | WI | 4 | 1 | -3 |
| McPherson Hospital | McPherson | KS | 5 | 2 | -3 |
| Tishomingo Health Services Inc | Iuka | MS | 5 | 2 | -3 |
| Atrium Health Navicent Peach | Byron | GA | 3 | 1 | -2 |
| Cameron Regional Medical Center | Cameron | MO | 3 | 1 | -2 |
| Endless Mountains Health Systems | Montrose | PA | 3 | 1 | -2 |
| Holy Cross Hospital a Div of Taos Health Systems | Taos | NM | 3 | 1 | -2 |
| Kaiser Foundation Hospital - Antioch | Antioch | CA | 3 | 1 | -2 |
| Mad River Community Hospital | Arcata | CA | 3 | 1 | -2 |
| Manati Medical Center Dr Otero Lopez | Manati | PR | 3 | 1 | -2 |
| Northwest Health - Starke | Knox | IN | 3 | 1 | -2 |
| UCI Health - los Alamitos | Los Alamitos | CA | 3 | 1 | -2 |
| University of MD Capital Region Medical Center | Upper Marlboro | MD | 3 | 1 | -2 |
| Valleywise Health Medical Center | Phoenix | AZ | 3 | 1 | -2 |
| Androscoggin Valley Hospital | Berlin | NH | 4 | 2 | -2 |
| Athol Memorial Hospital | Athol | MA | 4 | 2 | -2 |
| Baptist Medical Center-Leake | Carthage | MS | 4 | 2 | -2 |
| Blount Memorial Hospital | Maryville | TN | 4 | 2 | -2 |
| Bourbon Community Hospital | Paris | KY | 4 | 2 | -2 |
| Crescent Medical Center Lancaster | Lancaster | TX | 4 | 2 | -2 |
| Crisp Regional Hospital | Cordele | GA | 4 | 2 | -2 |
| De Tar Hospital Navarro | Victoria | TX | 4 | 2 | -2 |
| Dickinson County Memorial Hospital | Iron Mountain | MI | 4 | 2 | -2 |
| Ellsworth County Medical Center | Ellsworth | KS | 4 | 2 | -2 |
| Goodland Regional Medical Center | Goodland | KS | 4 | 2 | -2 |
| Grinnell Regional Medical Center | Grinnell | IA | 4 | 2 | -2 |
| Integris Health Edmond Hospital | Edmond | OK | 4 | 2 | -2 |
| Kaiser Foundation Hospital and Rehab Center | Vallejo | CA | 4 | 2 | -2 |
| Liberty Hospital | Liberty | MO | 4 | 2 | -2 |
| Logan Regional Medical Center | Logan | WV | 4 | 2 | -2 |
| Norton Scott Hospital | Scottsburg | IN | 4 | 2 | -2 |
| Redington Fairview General Hospital | Skowhegan | ME | 4 | 2 | -2 |
| Scott County Hospital | Scott City | KS | 4 | 2 | -2 |
| Sparrow Ionia Hospital | Ionia | MI | 4 | 2 | -2 |
| St Claire Regional Medical Center | Morehead | KY | 4 | 2 | -2 |
| Taylorville Memorial Hospital | Taylorville | IL | 4 | 2 | -2 |
| Wilson N Jones Regional Medical Center | Sherman | TX | 4 | 2 | -2 |
| Asante Three Rivers Medical Center | Grants Pass | OR | 5 | 3 | -2 |
| Ascension Seton Hays | Kyle | TX | 5 | 3 | -2 |
| Christus Spohn Hospital Alice | Alice | TX | 5 | 3 | -2 |
| Essentia Health St Joseph's Medical Center | Brainerd | MN | 5 | 3 | -2 |
| Holzer Medical Center Jackson | Jackson | OH | 5 | 3 | -2 |
| Indiana University Health Bedford Hospital | Bedford | IN | 5 | 3 | -2 |
| Indianapolis VA Medical Center | Indianapolis | IN | 5 | 3 | -2 |
| McCullough-Hyde Memorial Hospital | Oxford | OH | 5 | 3 | -2 |
| Medical City Alliance | Fort Worth | TX | 5 | 3 | -2 |
| Mercyone Dubuque Medical Center | Dubuque | IA | 5 | 3 | -2 |
| Mymichigan Medical Center Alpena | Alpena | MI | 5 | 3 | -2 |
| Prosser Memorial Hospital | Prosser | WA | 5 | 3 | -2 |
| San Gorgonio Memorial Hospital | Banning | CA | 5 | 3 | -2 |
| Sidney Health Center | Sidney | MT | 5 | 3 | -2 |
| Tidalhealth Nanticoke, Inc. | Seaford | DE | 5 | 3 | -2 |
| Alaska Regional Hospital | Anchorage | AK | 2 | 1 | -1 |
| Albany Medical Center Hospital | Albany | NY | 2 | 1 | -1 |
| Breckinridge Memorial Hospital | Hardinsburg | KY | 2 | 1 | -1 |
| Brooks-Tlc Hospital System, Inc | Dunkirk | NY | 2 | 1 | -1 |
| Brown University Health Morton Hospital | Taunton | MA | 2 | 1 | -1 |
| Carepoint Health - Bayonne Medical Center | Bayonne | NJ | 2 | 1 | -1 |
| Carlsbad Medical Center | Carlsbad | NM | 2 | 1 | -1 |
| Cary Medical Center | Caribou | ME | 2 | 1 | -1 |
| Cgh Medical Center | Sterling | IL | 2 | 1 | -1 |
| Choctaw Memorial Hospital | Hugo | OK | 2 | 1 | -1 |
| Columbia Memorial Hospital | Hudson | NY | 2 | 1 | -1 |
| Crozer Chester Medical Center | Upland | PA | 2 | 1 | -1 |
| Doctors' Center Hospital, Inc | Manati | PR | 2 | 1 | -1 |
| Duke Health Lake Norman Hospital | Mooresville | NC | 2 | 1 | -1 |
| Eastern New Mexico Medical Center | Roswell | NM | 2 | 1 | -1 |
| Emory Hillandale Hospital | Lithonia | GA | 2 | 1 | -1 |
| Ferrell Hospital Community Foundations | Eldorado | IL | 2 | 1 | -1 |
| Hardin County General Hospital & Clinic | Rosiclare | IL | 2 | 1 | -1 |
| HCA Florida Fawcett Hospital | Port Charlotte | FL | 2 | 1 | -1 |
| HCA Florida Oak Hill Hospital | Brooksville | FL | 2 | 1 | -1 |
| HCA Houston Healthcare West | Houston | TX | 2 | 1 | -1 |
| Healthalliance Hospital Marys Avenue Campus | Kingston | NY | 2 | 1 | -1 |
| Henry Ford Health St John Hospital | Detroit | MI | 2 | 1 | -1 |
| Henry Ford Health Warren Hospital | Warren | MI | 2 | 1 | -1 |
| Herrin Hospital | Herrin | IL | 2 | 1 | -1 |
| Holy Cross Germantown Hospital | Germantown | MD | 2 | 1 | -1 |
| Jackson Purchase Medical Center | Mayfield | KY | 2 | 1 | -1 |
| Jefferson Medical Center | Ranson | WV | 2 | 1 | -1 |
| Jefferson Regional Medical Center | Pine Bluff | AR | 2 | 1 | -1 |
| Kern Medical Center | Bakersfield | CA | 2 | 1 | -1 |
| Kossuth Regional Health Center | Algona | IA | 2 | 1 | -1 |
| Lecom Medical Center and Behavioral Health Pav | Erie | PA | 2 | 1 | -1 |
| Littleton Regional Healthcare | Littleton | NH | 2 | 1 | -1 |
| Marshfield Medical Center | Marshfield | WI | 2 | 1 | -1 |
| McLaren Bay Region | Bay City | MI | 2 | 1 | -1 |
| Memorial Hospital of Carbondale | Carbondale | IL | 2 | 1 | -1 |
| Mercyone Des Moines Medical Center | Des Moines | IA | 2 | 1 | -1 |
| Middlesboro Arh Hospital | Middlesboro | KY | 2 | 1 | -1 |
| Neosho Memorial Regional Medical Center | Chanute | KS | 2 | 1 | -1 |
| North Country Hospital and Health Center | Newport | VT | 2 | 1 | -1 |
| North Memorial Health Hospital | Robbinsdale | MN | 2 | 1 | -1 |
| Palestine Regional Medical Center | Palestine | TX | 2 | 1 | -1 |
| Penn Highlands Mon Valley | Monongahela | PA | 2 | 1 | -1 |
| Promedica Monroe Regional Hospital | Monroe | MI | 2 | 1 | -1 |
| Regional One Health | Memphis | TN | 2 | 1 | -1 |
| Saint Francis Bartlett Medical Center | Bartlett | TN | 2 | 1 | -1 |
| Samaritan Pacific Community Hospital | Newport | OR | 2 | 1 | -1 |
| Singing River Health System | Pascagoula | MS | 2 | 1 | -1 |
| St Francis Hospital | Memphis | TN | 2 | 1 | -1 |
| Stonewall Jackson Memorial Hospital | Weston | WV | 2 | 1 | -1 |
| Sweetwater Hospital Association | Sweetwater | TN | 2 | 1 | -1 |
| Tri-City Medical Center | Oceanside | CA | 2 | 1 | -1 |
| University of Mississippi Medical Center- Grenada | Grenada | MS | 2 | 1 | -1 |
| Upson Regional Medical Center | Thomaston | GA | 2 | 1 | -1 |
| Valley Presbyterian Hospital | Van Nuys | CA | 2 | 1 | -1 |
| Weirton Medical Center, Inc | Weirton | WV | 2 | 1 | -1 |
| Wilson Medical Center | Wilson | NC | 2 | 1 | -1 |
| Adventhealth Lake Wales | Lake Wales | FL | 3 | 2 | -1 |
| Alaska Native Medical Center | Anchorage | AK | 3 | 2 | -1 |
| Albany VA Medical Center | Albany | NY | 3 | 2 | -1 |
| Amery Hospital & Clinic | Amery | WI | 3 | 2 | -1 |
| Archbold Memorial Hospital | Thomasville | GA | 3 | 2 | -1 |
| Arkansas Heart Hospital-Encore | Bryant | AR | 3 | 2 | -1 |
| Ascension All Saints Hospital | Racine | WI | 3 | 2 | -1 |
| Ascension St Vincent Hospital | Indianapolis | IN | 3 | 2 | -1 |
| Ascension Via Christi Hospitals Wichita, Inc. | Wichita | KS | 3 | 2 | -1 |
| Athens Limestone Hospital | Athens | AL | 3 | 2 | -1 |
| Avera St Mary's Hospital | Pierre | SD | 3 | 2 | -1 |
| Banner Heart Hospital | Mesa | AZ | 3 | 2 | -1 |
| Banner Wyoming Medical Center | Casper | WY | 3 | 2 | -1 |
| Baptist Health Deaconess Madisonville | Madisonville | KY | 3 | 2 | -1 |
| Baptist Health Medical Center- Conway | Conway | AR | 3 | 2 | -1 |
| Boca Raton Regional Hospital | Boca Raton | FL | 3 | 2 | -1 |
| Buena Vista Regional Medical Center | Storm Lake | IA | 3 | 2 | -1 |
| Byrd Regional Hospital | Leesville | LA | 3 | 2 | -1 |
| California Hospital Medical Center la | Los Angeles | CA | 3 | 2 | -1 |
| Camden Clark Medical Center | Parkersburg | WV | 3 | 2 | -1 |
| Cape Cod Hospital | Hyannis | MA | 3 | 2 | -1 |
| Capital Health Medical Center - Hopewell | Pennington | NJ | 3 | 2 | -1 |
| Carle Foundation Hospital | Urbana | IL | 3 | 2 | -1 |
| Carolina Pines Regional Medical Center | Hartsville | SC | 3 | 2 | -1 |
| Carson Tahoe Regional Medical Center | Carson City | NV | 3 | 2 | -1 |
| Castleview Hospital | Price | UT | 3 | 2 | -1 |
| Catawba Valley Medical Center | Hickory | NC | 3 | 2 | -1 |
| Chan Soon- Shiong Medical Center at Windber | Windber | PA | 3 | 2 | -1 |
| CHI St Joseph Health Regional Hospital | Bryan | TX | 3 | 2 | -1 |
| CHI St Lukes Health Memorial Lufkin | Lufkin | TX | 3 | 2 | -1 |
| Chinese Hospital | San Francisco | CA | 3 | 2 | -1 |
| Clearwater Valley Hospital & Clinics | Orofino | ID | 3 | 2 | -1 |
| Cobre Valley Regional Medical Center | Globe | AZ | 3 | 2 | -1 |
| Conway Regional Medical Center, Inc | Conway | AR | 3 | 2 | -1 |
| Cooley Dickinson Hospital Inc,the | Northampton | MA | 3 | 2 | -1 |
| Copley Hospital | Morrisville | VT | 3 | 2 | -1 |
| Dameron Hospital | Stockton | CA | 3 | 2 | -1 |
| Davis Medical Center | Elkins | WV | 3 | 2 | -1 |
| Day Kimball Hospital | Putnam | CT | 3 | 2 | -1 |
| Dekalb Regional Medical Center | Fort Payne | AL | 3 | 2 | -1 |
| Dukes Memorial Hospital | Peru | IN | 3 | 2 | -1 |
| Fairbanks Memorial Hospital | Fairbanks | AK | 3 | 2 | -1 |
| Fitzgibbon Hospital | Marshall | MO | 3 | 2 | -1 |
| Garden Grove Hospital & Medical Center | Garden Grove | CA | 3 | 2 | -1 |
| Geisinger-Community Medical Center | Scranton | PA | 3 | 2 | -1 |
| Good Samaritan Hospital | Vincennes | IN | 3 | 2 | -1 |
| Grady Memorial Hospital | Chickasha | OK | 3 | 2 | -1 |
| Grant Medical Center | Columbus | OH | 3 | 2 | -1 |
| Great Falls Clinic Hospital | Great Falls | MT | 3 | 2 | -1 |
| Greeneville Community Hospital | Greeneville | TN | 3 | 2 | -1 |
| Harrisburg Medical Center | Harrisburg | IL | 3 | 2 | -1 |
| HCA Florida Gulf Coast Hospital | Panama City | FL | 3 | 2 | -1 |
| HCA Florida Poinciana Hospital | Kissimmee | FL | 3 | 2 | -1 |
| HCA Florida South Shore Hospital | Sun City Center | FL | 3 | 2 | -1 |
| HCA Healthone Presbyterian St Luke's | Denver | CO | 3 | 2 | -1 |
| HCA Houston Healthcare Northwest | Houston | TX | 3 | 2 | -1 |
| Henry County Hospital, Inc | Napoleon | OH | 3 | 2 | -1 |
| Heywood Hospital - | Gardner | MA | 3 | 2 | -1 |
| Hmhp St Elizabeth Boardman Health Center | Boardman | OH | 3 | 2 | -1 |
| Humboldt General Hospital | Winnemucca | NV | 3 | 2 | -1 |
| Hunt Regional Medical Center | Greenville | TX | 3 | 2 | -1 |
| Huntsville Memorial Hospital | Huntsville | TX | 3 | 2 | -1 |
| Hutchinson Regional Medical Center Inc | Hutchinson | KS | 3 | 2 | -1 |
| Iberia Medical Center | New Iberia | LA | 3 | 2 | -1 |
| Indiana Regional Medical Center | Indiana | PA | 3 | 2 | -1 |
| Integris Health Ponca City | Ponca City | OK | 3 | 2 | -1 |
| Integris Southwest Medical Center | Oklahoma City | OK | 3 | 2 | -1 |
| John F Kennedy Memorial Hospital | Indio | CA | 3 | 2 | -1 |
| John H Stroger Jr Hospital | Chicago | IL | 3 | 2 | -1 |
| John Muir Medical Center - Walnut Creek Campus | Walnut Creek | CA | 3 | 2 | -1 |
| Kaiser Foundation Hosp So Sacramento | Sacramento | CA | 3 | 2 | -1 |
| Kaiser Foundation Hospital-Santa Clara | Santa Clara | CA | 3 | 2 | -1 |
| Lexington Memorial Hospital Inc | Lexington | NC | 3 | 2 | -1 |
| Lovelace Medical Center | Albuquerque | NM | 3 | 2 | -1 |
| Loyola University Medical Center | Maywood | IL | 3 | 2 | -1 |
| Magnolia Regional Health Center | Corinth | MS | 3 | 2 | -1 |
| Marshfield Medical Center - Beaver Dam (Mmc-Bd) | Beaver Dam | WI | 3 | 2 | -1 |
| Mary Lanning Healthcare | Hastings | NE | 3 | 2 | -1 |
| Maui Memorial Medical Center | Wailuku | HI | 3 | 2 | -1 |
| Memorial Hospital of South Bend | South Bend | IN | 3 | 2 | -1 |
| Mercy Hospital Perry | Perryville | MO | 3 | 2 | -1 |
| Mercy Hospital South | Saint Louis | MO | 3 | 2 | -1 |
| Mercy Hospital Stoddard | Dexter | MO | 3 | 2 | -1 |
| Mercyone North Iowa Medical Center | Mason City | IA | 3 | 2 | -1 |
| Merrimack Health Lawrence Hospital | Lawrence | MA | 3 | 2 | -1 |
| Methodist Fremont Health | Fremont | NE | 3 | 2 | -1 |
| Minden Medical Center | Minden | LA | 3 | 2 | -1 |
| Montefiore St Luke's Cornwall | Newburgh | NY | 3 | 2 | -1 |