Peer Group New Peer Group All Hospitals 9.1% 9.1% 1.00 Rural CAH Adams County Hospital 7.8% 6.3% 1.24 Urban NORTHEAST Affinity Medical Center 9.

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1 All Hospitals 9.1% 9.1% 1.00 Rural CAH Adams County Hospital 7.8% 6.3% 1.24 Urban NORTHEAST Affinity Medical Center 9.7% 9.5% 1.03 Urban RURAL Ashtabula County Medical Center 9.4% 8.0% 1.17 Urban SOUTHWEST Atrium Medical Center 9.9% 9.8% 1.01 Urban CAH Barnesville Hospital Association 14.3% 7.8% 1.82 Urban NORTHWEST Bay Park Community Hospital 8.5% 8.2% 1.04 Rural RURAL Bellevue Hospital 9.1% 6.8% 1.34 Urban SOUTHEAST Belmont Community Hospital 10.2% 10.1% 1.01 Urban NORTHEAST Belmont Pines 11.5% 9.3% 1.23 Urban CAH Bucyrus Community Hospital 12.2% 11.3% 1.08 Urban CENTRAL Central Ohio Psych 12.3% 9.2% 1.34 Childrens CHILDRENS Children's Hospital Med Ctr Cincinnati 7.9% 7.0% 1.14 Teaching TEACHING Cleveland Clinic Hospital 10.8% 9.9% 1.09 Urban SOUTHEAST East Ohio Regional Hospital 11.6% 8.9% 1.30 Urban NORTHEAST EMH Regional Medical Center 11.0% 9.6% 1.14 Urban NORTHEAST Fairview Hospital 10.7% 10.1% 1.06 Rural RURAL Firelands Regional Medical Center 10.3% 9.0% 1.15 Rural RURAL Fisher-Titus Medical Center 7.9% 7.6% 1.04 Urban NORTHWEST Flower Hospital 11.3% 9.8% 1.16 Urban SOUTHWEST Fort Hamilton Hospital 10.8% 9.8% 1.10 Urban CAH Galion Community Hospital 8.9% 8.1% 1.10 Urban RURAL Genesis Healthcare System 9.5% 9.3% 1.03 Urban CENTRAL Grant Medical Center 9.3% 8.9% 1.05 Rural CAH H B Magruder Memorial Hospital 17.6% 9.5% 1.86 Rural CAH Highland District Hospital 9.9% 7.4% 1.35 Rural RURAL Holzer Medical Center 10.4% 9.4% 1.10 Rural CAH Holzer Medical Center - Jackson 12.0% 6.8% 1.75 Urban NORTHWEST Institute for Orthopedic Surgery 8.3% 3.9% 2.12 Urban SOUTHWEST Kettering Memorial Hospital 10.3% 9.7% 1.06 Urban NORTHEAST Laurelwood Hospital 12.5% 9.4% 1.33 Urban NORTHEAST Lutheran Hospital 12.2% 10.1% 1.21 Urban CENTRAL Madison County Hospital 12.5% 7.8% 1.60 Urban NORTHEAST Marymount Hospital 12.2% 11.0% 1.11 Urban NORTHEAST Massillon Hospital 25.0% 11.0% 2.28 Urban SOUTHWEST Medical Center at Elizabeth Place 4.3% 3.2% 1.36 Rural RURAL Mercer County Community Hospital 11.0% 6.7% 1.63 Urban CAH Mercy Allen Hospital 11.1% 10.0% 1.12 Urban SOUTHWEST Mercy Clermont Hospital 10.5% 10.3% 1.02 Urban SOUTHWEST Mercy Hospital Anderson 11.2% 9.6% 1.16 Ohio Department of Medicaid Page 1 of 5 July 26, 2017

2 Urban NORTHEAST Mercy Regional Medical Center 11.5% 9.9% 1.15 Urban CENTRAL Mount Carmel Hospital 10.4% 10.2% 1.02 Urban NORTHEAST Northcoast Psych 22.0% 10.3% 2.13 Urban CENTRAL Ohio Hospital for Children & Adolescents 12.4% 10.3% 1.21 Teaching TEACHING Ohio State University Hospital 10.0% 9.7% 1.03 Urban SOUTHWEST Pauline Warfield Hospital 13.6% 11.5% 1.19 Urban CAH Selby General Hospital 8.1% 8.0% 1.01 Urban NORTHEAST South Pointe Hospital 12.5% 11.2% 1.11 Rural RURAL Southeast Psych 9.1% 9.0% 1.01 Rural RURAL Southern Ohio Medical Center 8.0% 7.2% 1.11 Urban NORTHEAST Southwest General Health Center 10.2% 10.1% 1.02 Urban SOUTHWEST Springfield Regional Medical Center 11.2% 10.2% 1.10 Urban NORTHWEST St. Charles Mercy Hospital 14.7% 10.0% 1.47 Urban NORTHEAST St. Elizabeth Health Center 10.4% 10.0% 1.04 Urban NORTHEAST St. John Medical Center 11.0% 10.0% 1.10 Urban NORTHWEST St. Rita's Medical Center 8.9% 8.7% 1.02 Urban NORTHEAST St. Vincent Charity Medical Center 9.2% 9.0% 1.02 Teaching TEACHING St. Vincent Mercy Medical Center 10.6% 9.0% 1.18 Urban NORTHEAST Surgical Hospital at Southwoods 9.4% 4.7% 2.01 Urban SOUTHWEST Sycamore Hospital 10.6% 9.7% 1.10 Rural CAH Twin City Hospital 8.7% 8.5% 1.02 Teaching TEACHING UH Case Medical Center 9.8% 9.3% 1.05 Urban NORTHEAST UH Geauga Regional Hospital 8.8% 8.3% 1.06 Teaching TEACHING University of Toledo Medical Center 9.5% 8.0% 1.18 Urban SOUTHWEST Upper Valley Medical Center 11.0% 8.6% 1.28 Rural RURAL Wayne Hospital Company 11.8% 9.9% 1.19 Urban NORTHWEST Wood County Hospital 7.4% 7.2% 1.04 Urban RURAL Adena Regional Medical Center 8.3% 9.4% 0.89 Urban NORTHEAST Akron General Medical Center 9.1% 10.6% 0.85 Urban NORTHEAST Alliance Community Hospital 6.5% 10.3% 0.63 Urban NORTHWEST Arrowhead Behavioral Health LLC 3.8% 7.5% 0.51 Urban NORTHEAST Aultman Hospital 7.0% 9.5% 0.74 Urban CENTRAL Berger Hospital 6.3% 8.8% 0.72 Urban SOUTHWEST Bethesda Hospital 8.1% 9.5% 0.86 Rural RURAL Blanchard Valley Regional Health Center 5.9% 8.7% 0.68 Childrens CHILDRENS Children's Hospital Med Ctr Akron 4.7% 6.3% 0.75 Childrens CHILDRENS Children's Medical Center Dayton 4.7% 5.0% 0.96 Urban SOUTHWEST Christ Hospital 10.2% 10.4% 0.98 Rural RURAL Clinton Memorial Hospital 9.3% 10.0% 0.93 Ohio Department of Medicaid Page 2 of 5 July 26, 2017

3 Rural RURAL Community Hospital of Williams County 6.2% 6.4% 0.96 Rural CAH Community Memorial Hospital 3.8% 7.8% 0.49 Urban RURAL Coshocton County Memorial Hospital 10.1% 10.2% 0.99 Urban NORTHEAST Crystal Clinic Orthopaedic Center 4.0% 4.1% 0.97 Rural CAH Defiance Hospital 7.0% 7.6% 0.93 Urban CENTRAL Doctor's Hospital - Columbus 9.7% 9.8% 1.00 Urban CENTRAL Dublin Methodist Hospital 8.7% 8.9% 0.98 Rural CAH Dunlap Memorial Hospital 4.8% 7.9% 0.60 Urban RURAL East Liverpool City Hospital 7.6% 8.9% 0.85 Urban NORTHEAST Euclid Hospital 9.9% 10.5% 0.95 Urban CENTRAL Fairfield Medical Center 8.6% 9.3% 0.93 Rural CAH Fayette County Memorial Hospital 6.4% 8.3% 0.77 Rural CAH Fostoria Community Hospital 6.2% 7.9% 0.78 Urban CAH Fulton County Health Center 5.3% 5.8% 0.90 Urban SOUTHWEST Good Samaritan Hospital - Cincinnati 8.5% 9.5% 0.90 Urban SOUTHWEST Good Samaritan Hospital - Dayton 8.9% 10.3% 0.87 Urban CENTRAL Grady Memorial Hospital 6.0% 9.3% 0.65 Urban SOUTHWEST Grandview Hospital & Medical Center 10.4% 10.5% 0.99 Urban SOUTHWEST Greene Memorial Hospital 9.3% 10.6% 0.88 Urban CAH Hardin Memorial Hospital 5.1% 7.8% 0.66 Rural CAH Henry County Hospital 0.0% 5.0% 0.00 Urban NORTHEAST Hillcrest Hospital 7.6% 8.8% 0.86 Rural CAH Hocking Valley Community Hospital 4.1% 8.4% 0.48 Urban SOUTHWEST Jewish Hospital 9.8% 10.3% 0.95 Urban RURAL Joint Township District Memorial Hospital 2.5% 8.1% 0.31 Rural RURAL Knox Community Hospital 5.9% 7.2% 0.82 Urban NORTHEAST Lake Hospital System 8.7% 9.8% 0.89 Urban CENTRAL Licking Memorial Health Systems 7.6% 8.4% 0.90 Urban NORTHWEST Lima Memorial Hospital 7.3% 9.2% 0.79 Urban RURAL Marietta Memorial Hospital 7.7% 10.0% 0.77 Urban RURAL Marion General Hospital 9.2% 9.6% 0.96 Rural RURAL Mary Rutan Hospital 5.2% 7.2% 0.72 Urban SOUTHWEST McCullough-Hyde Memorial Hospital 4.8% 6.8% 0.71 Urban NORTHEAST MedCentral Health System 8.1% 8.6% 0.95 Urban NORTHEAST Medina General Hospital 9.3% 10.7% 0.87 Rural RURAL Memorial Hospital - Fremont 4.5% 7.0% 0.65 Urban CENTRAL Memorial Hospital - Union County 4.7% 10.2% 0.46 Urban SOUTHWEST Mental Health Servics - Clark County 7.3% 9.8% 0.74 Urban SOUTHWEST Mercy Health - West 9.7% 9.7% 1.00 Ohio Department of Medicaid Page 3 of 5 July 26, 2017

4 Rural RURAL Mercy Hospital Defiance 9.6% 11.5% 0.84 Urban SOUTHWEST Mercy Hospital Fairfield 8.2% 9.0% 0.91 Rural RURAL Mercy Hospital Tiffin 4.5% 6.9% 0.65 Rural CAH Mercy Hospital Willard 6.3% 6.6% 0.95 Urban NORTHEAST Mercy Medical Center 9.1% 10.2% 0.88 Urban CAH Mercy Memorial Hospital 6.8% 11.5% 0.59 Teaching TEACHING MetroHealth Medical Center 8.5% 8.8% 0.97 Urban SOUTHWEST Miami Valley Hospital 8.4% 8.8% 0.95 Urban CAH Morrow County Hospital 4.3% 10.7% 0.41 Childrens CHILDRENS Nationwide Children's Hospital 5.4% 5.8% 0.94 Urban CENTRAL New Albany Surgical Hospital 3.3% 3.9% 0.85 Urban NORTHEAST Northside Medical Center 9.6% 9.7% 0.99 Rural RURAL O'Bleness Memorial Hospital 5.7% 8.4% 0.68 Urban SOUTHWEST Ohio Valley Medical Center 4.5% 5.2% 0.87 Urban NORTHEAST Parma Community General Hospital 8.8% 9.8% 0.90 Rural CAH Pike Community Hospital 12.2% 12.6% 0.97 Rural RURAL Pomerene Hospital 2.1% 8.0% 0.27 Urban CENTRAL Riverside Methodist Hospital 9.4% 9.6% 0.98 Urban RURAL Salem Community Hospital 5.9% 10.3% 0.57 Urban NORTHEAST Samaritan Regional Health System 8.1% 8.7% 0.93 Urban CAH Shelby Hospital - MedCentral Health System 6.1% 8.2% 0.74 Rural RURAL Southeastern Ohio Regional Medical Center 6.6% 9.0% 0.73 Urban NORTHWEST St. Anne Mercy Hospital 8.7% 10.0% 0.87 Urban CENTRAL St. Ann's Hospital 9.1% 9.8% 0.93 Urban NORTHEAST St. Elizabeth Boardman Health Center 7.9% 9.8% 0.81 Urban NORTHEAST St. Joseph's Health Center 9.3% 9.4% 0.98 Urban NORTHWEST St. Luke's Hospital 7.9% 8.8% 0.89 Teaching TEACHING Summa Health System 9.0% 10.0% 0.90 Urban NORTHEAST Summa Western Reserve Hospital 8.1% 10.5% 0.77 Rural RURAL Ten Lakes Hospital 9.2% 11.7% 0.79 Childrens CHILDRENS Toledo Children's Hospital 4.9% 5.1% 0.95 Urban NORTHWEST Toledo Hospital 7.8% 8.5% 0.91 Urban SOUTHEAST Trinity Hospital Holding Company 8.1% 9.4% 0.86 Urban NORTHEAST Trumbull Memorial Hospital 8.4% 10.1% 0.83 Urban NORTHEAST UH Ahuja Medical Center 9.2% 9.5% 0.97 Rural CAH UH Conneaut Medical Center 3.4% 8.4% 0.41 Rural CAH UH Geneva Medical Center 9.5% 12.4% 0.76 Childrens CHILDRENS UH Rainbow Babies & Children's Hospital 5.7% 5.8% 0.98 Urban NORTHEAST UH Regional Hospitals 8.8% 10.8% 0.82 Ohio Department of Medicaid Page 4 of 5 July 26, 2017

5 Rural RURAL Union Hospital 7.6% 9.6% 0.79 Teaching TEACHING University Hospital Cincinnati 9.8% 10.3% 0.96 Urban RURAL Van Wert County Hospital 3.0% 5.4% 0.56 Urban SOUTHWEST West Chester Medical Center 7.0% 8.9% 0.79 Rural RURAL Wilson Memorial Hospital 5.3% 8.5% 0.63 Urban RURAL Wooster Community Hospital 6.7% 9.1% 0.73 Rural CAH Wyandot Memorial Hospital 2.8% 6.8% 0.41 Notes: Robinson Memorial Hospital changed ownership during this four-year period. All data for the hospital under both owners is shown on the R Summa Barberton Citizens Hospital merged with Summa Health System. Data is shown on separate rows to reflect Summa Barbeton Citize Ohio Department of Medicaid Page 5 of 5 July 26, 2017