| 1 | Colusa Medical Center Colusa, CA | 4 | 1 | -3 |
| 2 | Hill Regional Hospital Hillsboro, TX | 4 | 1 | -3 |
| 3 | Potomac Valley Hospital Keyser, WV | 4 | 1 | -3 |
| 4 | Richland Hospital Richland Center, WI | 4 | 1 | -3 |
| 5 | McPherson Hospital McPherson, KS | 5 | 2 | -3 |
| 6 | Tishomingo Health Services Inc Iuka, MS | 5 | 2 | -3 |
| 7 | Atrium Health Navicent Peach Byron, GA | 3 | 1 | -2 |
| 8 | Cameron Regional Medical Center Cameron, MO | 3 | 1 | -2 |
| 9 | Endless Mountains Health Systems Montrose, PA | 3 | 1 | -2 |
| 10 | Holy Cross Hospital a Div of Taos Health Systems Taos, NM | 3 | 1 | -2 |
| 11 | Kaiser Foundation Hospital - Antioch Antioch, CA | 3 | 1 | -2 |
| 12 | Mad River Community Hospital Arcata, CA | 3 | 1 | -2 |
| 13 | Manati Medical Center Dr Otero Lopez Manati, PR | 3 | 1 | -2 |
| 14 | Northwest Health - Starke Knox, IN | 3 | 1 | -2 |
| 15 | UCI Health - los Alamitos Los Alamitos, CA | 3 | 1 | -2 |
| 16 | University of MD Capital Region Medical Center Upper Marlboro, MD | 3 | 1 | -2 |
| 17 | Valleywise Health Medical Center Phoenix, AZ | 3 | 1 | -2 |
| 18 | Androscoggin Valley Hospital Berlin, NH | 4 | 2 | -2 |
| 19 | Athol Memorial Hospital Athol, MA | 4 | 2 | -2 |
| 20 | Baptist Medical Center-Leake Carthage, MS | 4 | 2 | -2 |
| 21 | Blount Memorial Hospital Maryville, TN | 4 | 2 | -2 |
| 22 | Bourbon Community Hospital Paris, KY | 4 | 2 | -2 |
| 23 | Crescent Medical Center Lancaster Lancaster, TX | 4 | 2 | -2 |
| 24 | Crisp Regional Hospital Cordele, GA | 4 | 2 | -2 |
| 25 | De Tar Hospital Navarro Victoria, TX | 4 | 2 | -2 |
| 26 | Dickinson County Memorial Hospital Iron Mountain, MI | 4 | 2 | -2 |
| 27 | Ellsworth County Medical Center Ellsworth, KS | 4 | 2 | -2 |
| 28 | Goodland Regional Medical Center Goodland, KS | 4 | 2 | -2 |
| 29 | Grinnell Regional Medical Center Grinnell, IA | 4 | 2 | -2 |
| 30 | Integris Health Edmond Hospital Edmond, OK | 4 | 2 | -2 |
| 31 | Kaiser Foundation Hospital and Rehab Center Vallejo, CA | 4 | 2 | -2 |
| 32 | Liberty Hospital Liberty, MO | 4 | 2 | -2 |
| 33 | Logan Regional Medical Center Logan, WV | 4 | 2 | -2 |
| 34 | Norton Scott Hospital Scottsburg, IN | 4 | 2 | -2 |
| 35 | Redington Fairview General Hospital Skowhegan, ME | 4 | 2 | -2 |
| 36 | Scott County Hospital Scott City, KS | 4 | 2 | -2 |
| 37 | Sparrow Ionia Hospital Ionia, MI | 4 | 2 | -2 |
| 38 | St Claire Regional Medical Center Morehead, KY | 4 | 2 | -2 |
| 39 | Taylorville Memorial Hospital Taylorville, IL | 4 | 2 | -2 |
| 40 | Wilson N Jones Regional Medical Center Sherman, TX | 4 | 2 | -2 |
| 41 | Asante Three Rivers Medical Center Grants Pass, OR | 5 | 3 | -2 |
| 42 | Ascension Seton Hays Kyle, TX | 5 | 3 | -2 |
| 43 | Christus Spohn Hospital Alice Alice, TX | 5 | 3 | -2 |
| 44 | Essentia Health St Joseph's Medical Center Brainerd, MN | 5 | 3 | -2 |
| 45 | Holzer Medical Center Jackson Jackson, OH | 5 | 3 | -2 |
| 46 | Indiana University Health Bedford Hospital Bedford, IN | 5 | 3 | -2 |
| 47 | Indianapolis VA Medical Center Indianapolis, IN | 5 | 3 | -2 |
| 48 | McCullough-Hyde Memorial Hospital Oxford, OH | 5 | 3 | -2 |
| 49 | Medical City Alliance Fort Worth, TX | 5 | 3 | -2 |
| 50 | Mercyone Dubuque Medical Center Dubuque, IA | 5 | 3 | -2 |
| 51 | Mymichigan Medical Center Alpena Alpena, MI | 5 | 3 | -2 |
| 52 | Prosser Memorial Hospital Prosser, WA | 5 | 3 | -2 |
| 53 | San Gorgonio Memorial Hospital Banning, CA | 5 | 3 | -2 |
| 54 | Sidney Health Center Sidney, MT | 5 | 3 | -2 |
| 55 | Tidalhealth Nanticoke, Inc. Seaford, DE | 5 | 3 | -2 |
| 56 | Alaska Regional Hospital Anchorage, AK | 2 | 1 | -1 |
| 57 | Albany Medical Center Hospital Albany, NY | 2 | 1 | -1 |
| 58 | Breckinridge Memorial Hospital Hardinsburg, KY | 2 | 1 | -1 |
| 59 | Brooks-Tlc Hospital System, Inc Dunkirk, NY | 2 | 1 | -1 |
| 60 | Brown University Health Morton Hospital Taunton, MA | 2 | 1 | -1 |
| 61 | Carepoint Health - Bayonne Medical Center Bayonne, NJ | 2 | 1 | -1 |
| 62 | Carlsbad Medical Center Carlsbad, NM | 2 | 1 | -1 |
| 63 | Cary Medical Center Caribou, ME | 2 | 1 | -1 |
| 64 | Cgh Medical Center Sterling, IL | 2 | 1 | -1 |
| 65 | Choctaw Memorial Hospital Hugo, OK | 2 | 1 | -1 |
| 66 | Columbia Memorial Hospital Hudson, NY | 2 | 1 | -1 |
| 67 | Crozer Chester Medical Center Upland, PA | 2 | 1 | -1 |
| 68 | Doctors' Center Hospital, Inc Manati, PR | 2 | 1 | -1 |
| 69 | Duke Health Lake Norman Hospital Mooresville, NC | 2 | 1 | -1 |
| 70 | Eastern New Mexico Medical Center Roswell, NM | 2 | 1 | -1 |
| 71 | Emory Hillandale Hospital Lithonia, GA | 2 | 1 | -1 |
| 72 | Ferrell Hospital Community Foundations Eldorado, IL | 2 | 1 | -1 |
| 73 | Hardin County General Hospital & Clinic Rosiclare, IL | 2 | 1 | -1 |
| 74 | HCA Florida Fawcett Hospital Port Charlotte, FL | 2 | 1 | -1 |
| 75 | HCA Florida Oak Hill Hospital Brooksville, FL | 2 | 1 | -1 |
| 76 | HCA Houston Healthcare West Houston, TX | 2 | 1 | -1 |
| 77 | Healthalliance Hospital Marys Avenue Campus Kingston, NY | 2 | 1 | -1 |
| 78 | Henry Ford Health St John Hospital Detroit, MI | 2 | 1 | -1 |
| 79 | Henry Ford Health Warren Hospital Warren, MI | 2 | 1 | -1 |
| 80 | Herrin Hospital Herrin, IL | 2 | 1 | -1 |
| 81 | Holy Cross Germantown Hospital Germantown, MD | 2 | 1 | -1 |
| 82 | Jackson Purchase Medical Center Mayfield, KY | 2 | 1 | -1 |
| 83 | Jefferson Medical Center Ranson, WV | 2 | 1 | -1 |
| 84 | Jefferson Regional Medical Center Pine Bluff, AR | 2 | 1 | -1 |
| 85 | Kern Medical Center Bakersfield, CA | 2 | 1 | -1 |
| 86 | Kossuth Regional Health Center Algona, IA | 2 | 1 | -1 |
| 87 | Lecom Medical Center and Behavioral Health Pav Erie, PA | 2 | 1 | -1 |
| 88 | Littleton Regional Healthcare Littleton, NH | 2 | 1 | -1 |
| 89 | Marshfield Medical Center Marshfield, WI | 2 | 1 | -1 |
| 90 | McLaren Bay Region Bay City, MI | 2 | 1 | -1 |
| 91 | Memorial Hospital of Carbondale Carbondale, IL | 2 | 1 | -1 |
| 92 | Mercyone Des Moines Medical Center Des Moines, IA | 2 | 1 | -1 |
| 93 | Middlesboro Arh Hospital Middlesboro, KY | 2 | 1 | -1 |
| 94 | Neosho Memorial Regional Medical Center Chanute, KS | 2 | 1 | -1 |
| 95 | North Country Hospital and Health Center Newport, VT | 2 | 1 | -1 |
| 96 | North Memorial Health Hospital Robbinsdale, MN | 2 | 1 | -1 |
| 97 | Palestine Regional Medical Center Palestine, TX | 2 | 1 | -1 |
| 98 | Penn Highlands Mon Valley Monongahela, PA | 2 | 1 | -1 |
| 99 | Promedica Monroe Regional Hospital Monroe, MI | 2 | 1 | -1 |
| 100 | Regional One Health Memphis, TN | 2 | 1 | -1 |
| 101 | Saint Francis Bartlett Medical Center Bartlett, TN | 2 | 1 | -1 |
| 102 | Samaritan Pacific Community Hospital Newport, OR | 2 | 1 | -1 |
| 103 | Singing River Health System Pascagoula, MS | 2 | 1 | -1 |
| 104 | St Francis Hospital Memphis, TN | 2 | 1 | -1 |
| 105 | Stonewall Jackson Memorial Hospital Weston, WV | 2 | 1 | -1 |
| 106 | Sweetwater Hospital Association Sweetwater, TN | 2 | 1 | -1 |
| 107 | Tri-City Medical Center Oceanside, CA | 2 | 1 | -1 |
| 108 | University of Mississippi Medical Center- Grenada Grenada, MS | 2 | 1 | -1 |
| 109 | Upson Regional Medical Center Thomaston, GA | 2 | 1 | -1 |
| 110 | Valley Presbyterian Hospital Van Nuys, CA | 2 | 1 | -1 |
| 111 | Weirton Medical Center, Inc Weirton, WV | 2 | 1 | -1 |
| 112 | Wilson Medical Center Wilson, NC | 2 | 1 | -1 |
| 113 | Adventhealth Lake Wales Lake Wales, FL | 3 | 2 | -1 |
| 114 | Alaska Native Medical Center Anchorage, AK | 3 | 2 | -1 |
| 115 | Albany VA Medical Center Albany, NY | 3 | 2 | -1 |
| 116 | Amery Hospital & Clinic Amery, WI | 3 | 2 | -1 |
| 117 | Archbold Memorial Hospital Thomasville, GA | 3 | 2 | -1 |
| 118 | Arkansas Heart Hospital-Encore Bryant, AR | 3 | 2 | -1 |
| 119 | Ascension All Saints Hospital Racine, WI | 3 | 2 | -1 |
| 120 | Ascension St Vincent Hospital Indianapolis, IN | 3 | 2 | -1 |
| 121 | Ascension Via Christi Hospitals Wichita, Inc. Wichita, KS | 3 | 2 | -1 |
| 122 | Athens Limestone Hospital Athens, AL | 3 | 2 | -1 |
| 123 | Avera St Mary's Hospital Pierre, SD | 3 | 2 | -1 |
| 124 | Banner Heart Hospital Mesa, AZ | 3 | 2 | -1 |
| 125 | Banner Wyoming Medical Center Casper, WY | 3 | 2 | -1 |
| 126 | Baptist Health Deaconess Madisonville Madisonville, KY | 3 | 2 | -1 |
| 127 | Baptist Health Medical Center- Conway Conway, AR | 3 | 2 | -1 |
| 128 | Boca Raton Regional Hospital Boca Raton, FL | 3 | 2 | -1 |
| 129 | Buena Vista Regional Medical Center Storm Lake, IA | 3 | 2 | -1 |
| 130 | Byrd Regional Hospital Leesville, LA | 3 | 2 | -1 |
| 131 | California Hospital Medical Center la Los Angeles, CA | 3 | 2 | -1 |
| 132 | Camden Clark Medical Center Parkersburg, WV | 3 | 2 | -1 |
| 133 | Cape Cod Hospital Hyannis, MA | 3 | 2 | -1 |
| 134 | Capital Health Medical Center - Hopewell Pennington, NJ | 3 | 2 | -1 |
| 135 | Carle Foundation Hospital Urbana, IL | 3 | 2 | -1 |
| 136 | Carolina Pines Regional Medical Center Hartsville, SC | 3 | 2 | -1 |
| 137 | Carson Tahoe Regional Medical Center Carson City, NV | 3 | 2 | -1 |
| 138 | Castleview Hospital Price, UT | 3 | 2 | -1 |
| 139 | Catawba Valley Medical Center Hickory, NC | 3 | 2 | -1 |
| 140 | Chan Soon- Shiong Medical Center at Windber Windber, PA | 3 | 2 | -1 |
| 141 | CHI St Joseph Health Regional Hospital Bryan, TX | 3 | 2 | -1 |
| 142 | CHI St Lukes Health Memorial Lufkin Lufkin, TX | 3 | 2 | -1 |
| 143 | Chinese Hospital San Francisco, CA | 3 | 2 | -1 |
| 144 | Clearwater Valley Hospital & Clinics Orofino, ID | 3 | 2 | -1 |
| 145 | Cobre Valley Regional Medical Center Globe, AZ | 3 | 2 | -1 |
| 146 | Conway Regional Medical Center, Inc Conway, AR | 3 | 2 | -1 |
| 147 | Cooley Dickinson Hospital Inc,the Northampton, MA | 3 | 2 | -1 |
| 148 | Copley Hospital Morrisville, VT | 3 | 2 | -1 |
| 149 | Dameron Hospital Stockton, CA | 3 | 2 | -1 |
| 150 | Davis Medical Center Elkins, WV | 3 | 2 | -1 |
| 151 | Day Kimball Hospital Putnam, CT | 3 | 2 | -1 |
| 152 | Dekalb Regional Medical Center Fort Payne, AL | 3 | 2 | -1 |
| 153 | Dukes Memorial Hospital Peru, IN | 3 | 2 | -1 |
| 154 | Fairbanks Memorial Hospital Fairbanks, AK | 3 | 2 | -1 |
| 155 | Fitzgibbon Hospital Marshall, MO | 3 | 2 | -1 |
| 156 | Garden Grove Hospital & Medical Center Garden Grove, CA | 3 | 2 | -1 |
| 157 | Geisinger-Community Medical Center Scranton, PA | 3 | 2 | -1 |
| 158 | Good Samaritan Hospital Vincennes, IN | 3 | 2 | -1 |
| 159 | Grady Memorial Hospital Chickasha, OK | 3 | 2 | -1 |
| 160 | Grant Medical Center Columbus, OH | 3 | 2 | -1 |
| 161 | Great Falls Clinic Hospital Great Falls, MT | 3 | 2 | -1 |
| 162 | Greeneville Community Hospital Greeneville, TN | 3 | 2 | -1 |
| 163 | Harrisburg Medical Center Harrisburg, IL | 3 | 2 | -1 |
| 164 | HCA Florida Gulf Coast Hospital Panama City, FL | 3 | 2 | -1 |
| 165 | HCA Florida Poinciana Hospital Kissimmee, FL | 3 | 2 | -1 |
| 166 | HCA Florida South Shore Hospital Sun City Center, FL | 3 | 2 | -1 |
| 167 | HCA Healthone Presbyterian St Luke's Denver, CO | 3 | 2 | -1 |
| 168 | HCA Houston Healthcare Northwest Houston, TX | 3 | 2 | -1 |
| 169 | Henry County Hospital, Inc Napoleon, OH | 3 | 2 | -1 |
| 170 | Heywood Hospital - Gardner, MA | 3 | 2 | -1 |
| 171 | Hmhp St Elizabeth Boardman Health Center Boardman, OH | 3 | 2 | -1 |
| 172 | Humboldt General Hospital Winnemucca, NV | 3 | 2 | -1 |
| 173 | Hunt Regional Medical Center Greenville, TX | 3 | 2 | -1 |
| 174 | Huntsville Memorial Hospital Huntsville, TX | 3 | 2 | -1 |
| 175 | Hutchinson Regional Medical Center Inc Hutchinson, KS | 3 | 2 | -1 |
| 176 | Iberia Medical Center New Iberia, LA | 3 | 2 | -1 |
| 177 | Indiana Regional Medical Center Indiana, PA | 3 | 2 | -1 |
| 178 | Integris Health Ponca City Ponca City, OK | 3 | 2 | -1 |
| 179 | Integris Southwest Medical Center Oklahoma City, OK | 3 | 2 | -1 |
| 180 | John F Kennedy Memorial Hospital Indio, CA | 3 | 2 | -1 |
| 181 | John H Stroger Jr Hospital Chicago, IL | 3 | 2 | -1 |
| 182 | John Muir Medical Center - Walnut Creek Campus Walnut Creek, CA | 3 | 2 | -1 |
| 183 | Kaiser Foundation Hosp So Sacramento Sacramento, CA | 3 | 2 | -1 |
| 184 | Kaiser Foundation Hospital-Santa Clara Santa Clara, CA | 3 | 2 | -1 |
| 185 | Lexington Memorial Hospital Inc Lexington, NC | 3 | 2 | -1 |
| 186 | Lovelace Medical Center Albuquerque, NM | 3 | 2 | -1 |
| 187 | Loyola University Medical Center Maywood, IL | 3 | 2 | -1 |
| 188 | Magnolia Regional Health Center Corinth, MS | 3 | 2 | -1 |
| 189 | Marshfield Medical Center - Beaver Dam (Mmc-Bd) Beaver Dam, WI | 3 | 2 | -1 |
| 190 | Mary Lanning Healthcare Hastings, NE | 3 | 2 | -1 |
| 191 | Maui Memorial Medical Center Wailuku, HI | 3 | 2 | -1 |
| 192 | Memorial Hospital of South Bend South Bend, IN | 3 | 2 | -1 |
| 193 | Mercy Hospital Perry Perryville, MO | 3 | 2 | -1 |
| 194 | Mercy Hospital South Saint Louis, MO | 3 | 2 | -1 |
| 195 | Mercy Hospital Stoddard Dexter, MO | 3 | 2 | -1 |
| 196 | Mercyone North Iowa Medical Center Mason City, IA | 3 | 2 | -1 |
| 197 | Merrimack Health Lawrence Hospital Lawrence, MA | 3 | 2 | -1 |
| 198 | Methodist Fremont Health Fremont, NE | 3 | 2 | -1 |
| 199 | Minden Medical Center Minden, LA | 3 | 2 | -1 |
| 200 | Montefiore St Luke's Cornwall Newburgh, NY | 3 | 2 | -1 |