CMS

Certification Number (CCN) Reclassified for

FY 2013 Out-Migration

Adjustment Qualifying

County Name County Code 010005 * 0.0326 MARSHALL 01470 010008 0.0365 CRENSHAW 01200 010010 0.0326 MARSHALL 01470 010012 0.0177 DE KALB 01240 010015 0.0055 CLARKE 01120 010021 0.0062 DALE 01220 010022 * 0.0595 CHEROKEE 01090 010025 * 0.0207 CHAMBERS 01080 010027 0.0031 COFFEE 01150 010029 * 0.0525 LEE 01400 010032 0.0309 RANDOLPH 01550 010035 * 0.0220CULLMAN 01210 010038 0.0053 CALHOUN 01070 010040 * 0.0033 ETOWAH 01270 010045 * 0.0375 FAYETTE 01280 010046 * 0.0033 ETOWAH 01270 010047 0.0266 BUTLER 01060 010049 0.0031 COFFEE 01150 010052 0.0125TALLAPOOSA 01610 010059 * 0.0099 LAWRENCE 01390 010061 0.0575JACKSON 01350 010065 * 0.0125TALLAPOOSA 01610 010078 0.0053 CALHOUN 01070 010083 * 0.0153 BALDWIN 01010 010091 0.0055 CLARKE 01120 010100 * 0.0153 BALDWIN 01010 010101 * 0.0188TALLADEGA 01600 010109 0.0591 PICKENS 01530 010110 0.0450 BULLOCK 01050 010125 0.0425 WINSTON 01660 010128 0.0055 CLARKE 01120 010129 0.0153 BALDWIN 01010 010138 0.0089SUMTER 01590 010146 0.0053 CALHOUN 01070 010150 0.0266 BUTLER 01060 010158 * 0.0121 FRANKLIN 01290 010164 * 0.0188TALLADEGA 01600 012011 0.0053 CALHOUN 01070 013027 0.0153 BALDWIN 01010 013032 0.0033 ETOWAH 01270 014006 0.0033 ETOWAH 01270 014016 0.0220CULLMAN 01210 ADDENDUM L - FINAL CY 2013 OPPS OUT-MIGRATION ADJUSTMENT030067 0.0288 LAPAZ 03055

040014 * 0.0161WHITE 04720 040019 0.0253 ST. FRANCIS 04610 040039 * 0.0055 GREENE 04270 040047 0.0037 RANDOLPH 04600 040067 0.0046 COLUMBIA 04130 040071 * 0.0070JEFFERSON 04340 040076 * 0.0981 HOT SPRING 04290 042007 0.0070JEFFERSON 04340 042011 0.0161WHITE 04720 050002 * 0.0055ALAMEDA 05000 050007 0.0230SAN MATEO 05510 050009 * 0.0177 NAPA 05380 050013 * 0.0177 NAPA 05380 050014 * 0.0212AMADOR 05020 050042 * 0.0254TEHAMA 05620 050043 * 0.0055ALAMEDA 05000 050069 0.0031 ORANGE 05400 050070 0.0230SAN MATEO 05510 050073 * 0.0295 SOLANO 05580 050075 * 0.0055ALAMEDA 05000 050101 * 0.0295 SOLANO 05580 050113 0.0230SAN MATEO 05510 050133 0.0231YUBA 05680 050150 * 0.0445 NEVADA 05390 050168 0.0031 ORANGE 05400 050195 * 0.0055ALAMEDA 05000 050197 * 0.0230SAN MATEO 05510 050211 * 0.0055ALAMEDA 05000 050224 0.0031 ORANGE 05400 050226 0.0031 ORANGE 05400 050230 0.0031 ORANGE 05400 050264 0.0055ALAMEDA 05000 050283 * 0.0055ALAMEDA 05000 050289 0.0230SAN MATEO 05510 050305 * 0.0055ALAMEDA 05000 050320 * 0.0055ALAMEDA 05000 050325 0.0047TUOLUMNE 05650 050335 * 0.0047TUOLUMNE 05650 050348 0.0031 ORANGE 05400 050367 * 0.0295 SOLANO 05580 050426 0.0031 ORANGE 05400 050444 0.0287 MERCED 05340 050488 * 0.0055ALAMEDA 05000 050512 * 0.0055ALAMEDA 05000 050526 0.0031 ORANGE 05400 050528 * 0.0287 MERCED 05340050541 0.0230SAN MATEO 05510

050543 0.0031 ORANGE 05400 050548 0.0031 ORANGE 05400 050551 0.0031 ORANGE 05400 050567 0.0031 ORANGE 05400 050570 0.0031 ORANGE 05400 050580 0.0031 ORANGE 05400 050589 0.0031 ORANGE 05400 050603 0.0031 ORANGE 05400 050609 0.0031 ORANGE 05400 050678 0.0031 ORANGE 05400 050680 * 0.0295 SOLANO 05580 050744 0.0031 ORANGE 05400 050745 0.0031 ORANGE 05400 050746 0.0031 ORANGE 05400 050747 0.0031 ORANGE 05400 050754 0.0230SAN MATEO 05510 050767 * 0.0295 SOLANO 05580 050768 0.0031 ORANGE 05400 050769 0.0031 ORANGE 05400 052034 0.0055ALAMEDA 05000 052035 0.0031 ORANGE 05400 052039 0.0031 ORANGE 05400 052053 0.0031 ORANGE 05400 053034 0.0031 ORANGE 05400 053301 0.0055ALAMEDA 05000 053304 0.0031 ORANGE 05400 053306 0.0031 ORANGE 05400 053308 0.0031 ORANGE 05400 054074 0.0295 SOLANO 05580 054110 0.0055ALAMEDA 05000 054122 0.0177 NAPA 05380 054135 0.0031 ORANGE 05400 054141 0.0295 SOLANO 05580 054146 0.0055ALAMEDA 05000 060001 * 0.0096WELD 06610 060003 0.0101 BOULDER 06060 060027 0.0101 BOULDER 06060 060103 0.0101 BOULDER 06060 060116 0.0101 BOULDER 06060 063033 0.0096WELD 06610 064007 0.0101 BOULDER 06060 070003 * 0.0170WINDHAM 07070 070004 * 0.0097 LITCHFIELD 07020 070011 * 0.0097 LITCHFIELD 07020 070015 * 0.0097 LITCHFIELD 07020 070020 0.0071 MIDDLESEX 07030070021 0.0170WINDHAM 07070

074003 0.0071 MIDDLESEX 07030 074007 0.0071 MIDDLESEX 07030 100014 * 0.0058VOLUSIA 10630 100017 * 0.0058VOLUSIA 10630 100023 * 0.0088 CITRUS 10080 100045 * 0.0058VOLUSIA 10630 100047 * 0.0028 CHARLOTTE 10070 100068 * 0.0058VOLUSIA 10630 100072 * 0.0058VOLUSIA 10630 100077 * 0.0028 CHARLOTTE 10070 100081 * 0.0170WALTON 10650 100118 * 0.0250 FLAGLER 10170 100139 * 0.0048 LEVY 10370 100232 * 0.0068 PUTNAM 10530 100236 * 0.0028 CHARLOTTE 10070 100249 * 0.0088 CITRUS 10080 100252 * 0.0258 OKEECHOBEE 10460 100290 * 0.0465 SUMTER 10590 100292 * 0.0170WALTON 10650 110023 * 0.0247 GORDON 11500 110029 0.0002 HALL 11550 110040 * 0.1219JACKSON 11610 110041 * 0.0704 HABERSHAM 11540 110100 0.0821JEFFERSON 11620 110101 0.0070COOK 11311 110142 0.0192 EVANS 11441 110146 0.0308 CAMDEN 11170 110150 0.0209 BALDWIN 11030 110187 * 0.0727 LUMPKIN 11701 110189 * 0.0046 FANNIN 11450 110190 * 0.0106 MACON 11710 110205 0.0466GILMER 11471 114018 0.0209 BALDWIN 11030 130003 * 0.0165 NEZ PERCE 13340 130049 * 0.0365 KOOTENAI 13270 130066 0.0365 KOOTENAI 13270 130067 * 0.1031 BINGHAM 13050 132001 0.0365 KOOTENAI 13270 134010 0.1031 BINGHAM 13050 140001 0.0321 FULTON 14370 140026 0.0302 LA SALLE 14580 140043 * 0.0036WHITESIDE 14988 140058 * 0.0119 MORGAN 14770 140110 * 0.0302 LA SALLE 14580 140116 0.0002 MC HENRY 14640 140160 * 0.0332 STEPHENSON 14970140161 * 0.0178 LIVINGSTON 14610

140167 0.0769 IROQUOIS 14460 140176 0.0002 MC HENRY 14640 140234 0.0302 LA SALLE 14580 150022 0.0251 MONTGOMERY 15530 150030 * 0.0242 HENRY 15320 150072 0.0093 CASS 15080 150076 * 0.0296 MARSHALL 15490 150088 * 0.0038 MADISON 15470 150091 * 0.0095 HUNTINGTON 15340 150102 * 0.0179STARKE 15740 150113 * 0.0038 MADISON 15470 150133 * 0.0211 KOSCIUSKO 15420 150146 * 0.0130 NOBLE 15560 153040 0.0296 MARSHALL 15490 154014 0.0211 KOSCIUSKO 15420 154035 0.0093 CASS 15080 154047 0.0296 MARSHALL 15490 160013 0.0192 MUSCATINE 16690 160032 0.0349JASPER 16490 160080 * 0.0023 CLINTON 16220 170137 * 0.0237 DOUGLAS 17220 170150 0.0143 COWLEY 17170 180012 * 0.0094 HARDIN 18460 180017 * 0.0090 BARREN 18040 180049 * 0.0312 MADISON 18750 180064 0.0201 MONTGOMERY 18860 180066 0.0523 LOGAN 18700 180070 0.0112 GRAYSON 18420 180079 0.0166 HARRISON 18480 183028 0.0094 HARDIN 18460 184012 0.0094 HARDIN 18460 190003 * 0.0070 IBERIA 19220 190015 * 0.0237TANGIPAHOA 19520 190017 * 0.0156ST. LANDRY 19480 190034 0.0156VERMILION 19560 190044 0.0215ACADIA 19000 190050 0.0056 BEAUREGARD 19050 190053 0.0107JEFFRSON DAVIS 19260 190054 0.0070 IBERIA 19220 190086 * 0.0054 LINCOLN 19300 190088 0.0278WEBSTER 19590 190099 0.0108AVOYELLES 19040 190106 0.0082ALLEN 19010 190116 0.0074 MOREHOUSE 19330 190133 0.0082ALLEN 19010 190140 0.0030 FRANKLIN 19200190144 * 0.0278WEBSTER 19590

190145 0.0051 LA SALLE 19290 190184 0.0049 CALDWELL 19100 190190 0.0049 CALDWELL 19100 190257 0.0054 LINCOLN 19300 190303 0.0237TANGIPAHOA 19520 192022 0.0054 LINCOLN 19300 192026 0.0278WEBSTER 19590 192034 0.0156ST. LANDRY 19480 192036 0.0237TANGIPAHOA 19520 192040 0.0237TANGIPAHOA 19520 192050 0.0215ACADIA 19000 193036 0.0156ST. LANDRY 19480 193044 0.0237TANGIPAHOA 19520 193047 0.0156VERMILION 19560 193049 0.0156VERMILION 19560 193055 0.0049 CALDWELL 19100 193058 0.0074 MOREHOUSE 19330 193063 0.0237TANGIPAHOA 19520 193067 0.0107JEFFRSON DAVIS 19260 193068 0.0237TANGIPAHOA 19520 193069 0.0074 MOREHOUSE 19330 193073 0.0156ST. LANDRY 19480 193079 0.0237TANGIPAHOA 19520 193081 0.0215ACADIA 19000 193088 0.0215ACADIA 19000 193091 0.0070 IBERIA 19220 194047 0.0278WEBSTER 19590 194075 0.0107JEFFRSON DAVIS 19260 194077 0.0054 LINCOLN 19300 194081 0.0056 BEAUREGARD 19050 194082 0.0107JEFFRSON DAVIS 19260 194083 0.0074 MOREHOUSE 19330 194085 0.0215ACADIA 19000 194087 0.0054 LINCOLN 19300 194091 0.0237TANGIPAHOA 19520 194092 0.0030 FRANKLIN 19200 194095 0.0156ST. LANDRY 19480 194097 0.0215ACADIA 19000 200024 * 0.0131ANDROSCOGGIN 20000 200034 * 0.0131ANDROSCOGGIN 20000 200050 * 0.0169 HANCOCK 20040 210001 0.0096WASHINGTON 21210 210023 0.0035ANNE ARUNDEL 21010 210028 0.0247ST. MARYS 21180 210043 0.0035ANNE ARUNDEL 21010 210061 0.0200WORCESTER 21230212002 0.0096WASHINGTON 21210

214001 0.0035ANNE ARUNDEL 21010 214003 0.0096WASHINGTON 21210 220002 0.0438 MIDDLESEX 22090 220010 * 0.0307 ESSEX 22040 220011 0.0438 MIDDLESEX 22090 220029 * 0.0307 ESSEX 22040 220033 * 0.0307 ESSEX 22040 220035 * 0.0307 ESSEX 22040 220049 0.0438 MIDDLESEX 22090 220063 0.0438 MIDDLESEX 22090 220070 0.0438 MIDDLESEX 22090 220080 * 0.0307 ESSEX 22040 220082 0.0438 MIDDLESEX 22090 220084 0.0438 MIDDLESEX 22090 220098 0.0438 MIDDLESEX 22090 220101 0.0438 MIDDLESEX 22090 220105 0.0438 MIDDLESEX 22090 220171 0.0438 MIDDLESEX 22090 220174 * 0.0307 ESSEX 22040 220175 0.0438 MIDDLESEX 22090 222000 0.0438 MIDDLESEX 22090 222003 0.0438 MIDDLESEX 22090 222026 0.0307 ESSEX 22040 222044 0.0307 ESSEX 22040 222047 0.0307 ESSEX 22040 223026 0.0438 MIDDLESEX 22090 223028 0.0307 ESSEX 22040 224007 0.0438 MIDDLESEX 22090 224033 0.0307 ESSEX 22040 224038 0.0438 MIDDLESEX 22090 224039 0.0307 ESSEX 22040 230002 * 0.0088WAYNE 23810 230003 * 0.0317 OTTAWA 23690 230005 0.0489 LENAWEE 23450 230013 * 0.0023 OAKLAND 23620 230015 0.0314ST. JOSEPH 23740 230019 * 0.0023 OAKLAND 23620 230020 * 0.0088WAYNE 23810 230021 * 0.0159 BERRIEN 23100 230022 * 0.0214 BRANCH 23110 230024 * 0.0088WAYNE 23810 230029 * 0.0023 OAKLAND 23620 230035 * 0.0144 MONTCALM 23580 230037 * 0.0235 HILLSDALE 23290 230047 0.0020 MACOMB 23490 230053 * 0.0088WAYNE 23810230071 * 0.0023 OAKLAND 23620

230072 * 0.0317 OTTAWA 23690 230075 0.0066 CALHOUN 23120 230078 * 0.0159 BERRIEN 23100 230089 * 0.0088WAYNE 23810 230092 * 0.0205JACKSON 23370 230093 0.0088 MECOSTA 23530 230096 * 0.0314ST. JOSEPH 23740 230099 * 0.0075 MONROE 23570 230104 * 0.0088WAYNE 23810 230121 * 0.0923 SHIAWASSEE 23770 230130 * 0.0023 OAKLAND 23620 230142 * 0.0088WAYNE 23810 230146 * 0.0088WAYNE 23810 230151 * 0.0023 OAKLAND 23620 230165 * 0.0088WAYNE 23810 230174 * 0.0317 OTTAWA 23690 230176 * 0.0088WAYNE 23810 230195 0.0020 MACOMB 23490 230207 * 0.0023 OAKLAND 23620 230208 * 0.0144 MONTCALM 23580 230217 0.0066 CALHOUN 23120 230222 * 0.0098 MIDLAND 23550 230227 0.0020 MACOMB 23490 230244 * 0.0088WAYNE 23810 230254 * 0.0023 OAKLAND 23620 230264 0.0020 MACOMB 23490 230269 * 0.0023 OAKLAND 23620 230270 * 0.0088WAYNE 23810 230273 * 0.0088WAYNE 23810 230277 * 0.0023 OAKLAND 23620 230297 * 0.0088WAYNE 23810 230301 * 0.0023 OAKLAND 23620 230302 * 0.0023 OAKLAND 23620 232019 0.0088WAYNE 23810 232023 0.0020 MACOMB 23490 232025 0.0159 BERRIEN 23100 232027 0.0088WAYNE 23810 232028 0.0066 CALHOUN 23120 232030 0.0023 OAKLAND 23620 232031 0.0088WAYNE 23810 232032 0.0088WAYNE 23810 232035 0.0066 CALHOUN 23120 232036 0.0205JACKSON 23370 232038 0.0088WAYNE 23810 233025 0.0066 CALHOUN 23120 233027 0.0088WAYNE 23810233028 0.0023 OAKLAND 23620

233300 0.0088WAYNE 23810 234011 0.0023 OAKLAND 23620 234021 0.0020 MACOMB 23490 234023 0.0023 OAKLAND 23620 234028 0.0088WAYNE 23810 234034 0.0088WAYNE 23810 234035 0.0088WAYNE 23810 234038 0.0088WAYNE 23810 234039 0.0020 MACOMB 23490 234040 0.0088WAYNE 23810 240018 0.0922 GOODHUE 24240 240044 0.0732WINONA 24840 240064 * 0.0227 ITASCA 24300 240069 * 0.0312 STEELE 24730 240071 * 0.0404 RICE 24650 240101 0.0146 BECKER 24020 240117 0.0614 MOWER 24490 250040 * 0.0195JACKSON 25290 250117 * 0.0726 PEARL RIVER 25540 250128 0.0445 PANOLA 25530 250162 0.0025 HANCOCK 25220 252011 0.0445 PANOLA 25530 260059 0.0044 LACLEDE 26520 260064 * 0.0038AUDRAIN 26030 260097 * 0.0358JOHNSON 26500 260116 * 0.0094ST. FRANCOIS 26930 260160 0.0159STODDARD 26985 260163 0.0094ST. FRANCOIS 26930 264005 0.0094ST. FRANCOIS 26930 280077 0.0084 DODGE 28260 290002 * 0.0148 LYON 29090 300011 0.0403 HILLSBOROUGH 30050 300012 0.0403 HILLSBOROUGH 30050 300017 0.0914 ROCKINGHAM 30070 300020 0.0403 HILLSBOROUGH 30050 300023 0.0914 ROCKINGHAM 30070 300029 0.0914 ROCKINGHAM 30070 300034 0.0403 HILLSBOROUGH 30050 303026 0.0914 ROCKINGHAM 30070 304001 0.0914 ROCKINGHAM 30070 310002 * 0.0315 ESSEX 31200 310009 * 0.0315 ESSEX 31200 310015 0.0254 MORRIS 31300 310017 0.0254 MORRIS 31300 310038 * 0.0239 MIDDLESEX 31270 310039 * 0.0239 MIDDLESEX 31270310050 0.0254 MORRIS 31300

310054 * 0.0315 ESSEX 31200 310070 * 0.0239 MIDDLESEX 31270 310076 * 0.0315 ESSEX 31200 310083 * 0.0315 ESSEX 31200 310096 * 0.0315 ESSEX 31200 310108 * 0.0239 MIDDLESEX 31270 310119 * 0.0315 ESSEX 31200 310129 0.0254 MORRIS 31300 312018 0.0239 MIDDLESEX 31270 312020 0.0254 MORRIS 31300 313025 0.0315 ESSEX 31200 313300 0.0239 MIDDLESEX 31270 314010 0.0315 ESSEX 31200 314011 0.0239 MIDDLESEX 31270 314016 0.0254 MORRIS 31300 314020 0.0315 ESSEX 31200 320003 * 0.0449SAN MIGUEL 32230 320011 0.0315 RIO ARRIBA 32190 330004 * 0.0916 ULSTER 33740 330008 * 0.0085 WYOMING 33900 330027 0.0207 NASSAU 33400 330033 0.0233 CHENANGO 33080 330047 0.0079 MONTGOMERY 33380 330073 * 0.0103 GENESEE 33290 330094 * 0.0579 COLUMBIA 33200 330103 * 0.0153 CATTARAUGUS 33040 330106 0.0207 NASSAU 33400 330126 * 0.0491 ORANGE 33540 330132 0.0153 CATTARAUGUS 33040 330135 * 0.0491 ORANGE 33540 330167 0.0207 NASSAU 33400 330175 0.0273 CORTLAND 33210 330181 0.0207 NASSAU 33400 330182 0.0207 NASSAU 33400 330191 0.0026WARREN 33750 330198 0.0207 NASSAU 33400 330205 * 0.0491 ORANGE 33540 330222 0.0016SARATOGA 33640 330224 * 0.0916 ULSTER 33740 330225 0.0207 NASSAU 33400 330235 * 0.0316 CAYUGA 33050 330259 0.0207 NASSAU 33400 330264 * 0.0491 ORANGE 33540 330276 0.0043 FULTON 33280 330331 0.0207 NASSAU 33400 330332 0.0207 NASSAU 33400330372 0.0207 NASSAU 33400

330386 * 0.0853 SULLIVAN 33710 334017 0.0491 ORANGE 33540 334049 0.0016SARATOGA 33640 334061 0.0491 ORANGE 33540 340020 * 0.0163 LEE 34520 340021 * 0.0143 CLEVELAND 34220 340024 0.0143 SAMPSON 34810 340027 * 0.0164 LENOIR 34530 340037 * 0.0143 CLEVELAND 34220 340038 0.0329 BEAUFORT 34060 340039 0.0090 IREDELL 34480 340068 * 0.0111 COLUMBUS 34230 340069 0.0026WAKE 34910 340070 * 0.0289ALAMANCE 34000 340071 * 0.0260 HARNETT 34420 340073 0.0026WAKE 34910 340085 * 0.0259 DAVIDSON 34280 340096 * 0.0259 DAVIDSON 34280 340114 0.0026WAKE 34910 340126 * 0.0130WILSON 34970 340129 * 0.0090 IREDELL 34480 340133 0.0438 MARTIN 34580 340144 * 0.0090 IREDELL 34480 340145 * 0.0306 LINCOLN 34540 340151 0.0084 HALIFAX 34410 340173 0.0026WAKE 34910 340186 0.0329 BEAUFORT 34060 342019 0.0143 CLEVELAND 34220 344001 0.0026WAKE 34910 344011 0.0026WAKE 34910 344014 0.0026WAKE 34910 360002 0.0092ASHLAND 36020 360010 * 0.0012TUSCARAWAS 36800 360013 * 0.0135 SHELBY 36760 360025 * 0.0065 ERIE 36220 360036 * 0.0146WAYNE 36860 360040 0.0445 KNOX 36430 360044 0.0127 DARKE 36190 360058 0.0070 MERCER 36550 360065 * 0.0053 HURON 36400 360070 0.0004STARK 36770 360071 0.0071VAN WERT 36820 360084 0.0004STARK 36770 360086 * 0.0086 CLARK 36110 360096 0.0011 COLUMBIANA 36140 360107 0.0163 SANDUSKY 36730360125 * 0.0099ASHTABULA 36030

360131 0.0004STARK 36770 360151 0.0004STARK 36770 360156 0.0163 SANDUSKY 36730 360175 * 0.0192 CLINTON 36130 360185 * 0.0011 COLUMBIANA 36140 360245 * 0.0099ASHTABULA 36030 360355 * 0.0086 CLARK 36110 360356 0.0163 SANDUSKY 36730 362016 0.0004STARK 36770 362032 0.0004STARK 36770 364031 0.0004STARK 36770 364040 0.0086 CLARK 36110 364042 0.0012TUSCARAWAS 36800 364043 0.0071VAN WERT 36820 370014 * 0.0167 BRYAN 37060 370015 0.0388 MAYES 37480 370023 0.0071 STEPHENS 37680 370065 0.0102 CRAIG 37170 370072 0.0073 LATIMER 37380 370083 0.0014 PUSHMATAHA 37630 370100 0.0024CHOCTAW 37110 370149 * 0.0240 POTTAWATOMIE 37620 370156 0.0096GARVIN 37240 370169 0.0173 MCINTOSH 37450 370172 0.0073 LATIMER 37380 370214 0.0096GARVIN 37240 372017 0.0024CHOCTAW 37110 372019 0.0240 POTTAWATOMIE 37620 373032 0.0024CHOCTAW 37110 380022 * 0.0126 LINN 38210 390008 0.0011 LAWRENCE 39450 390016 * 0.0011 LAWRENCE 39450 390030 * 0.0099SCHUYLKILL 39650 390031 0.0099SCHUYLKILL 39650 390039 0.0007SOMERSET 39680 390044 * 0.0250 BERKS 39110 390052 0.0018 CLEARFIELD 39230 390056 0.0022 HUNTINGDON 39380 390065 * 0.0591ADAMS 39000 390066 * 0.0269 LEBANON 39460 390079 * 0.0015 BRADFORD 39130 390086 * 0.0018 CLEARFIELD 39230 390096 * 0.0250 BERKS 39110 390110 * 0.0006 CAMBRIA 39160 390112 0.0007SOMERSET 39680 390117 0.0008 BEDFORD 39100390130 * 0.0006 CAMBRIA 39160

390138 * 0.0204 FRANKLIN 39350 390150 0.0005 GREENE 39370 390151 * 0.0204 FRANKLIN 39350 390162 * 0.0241 NORTHAMPTON 39590 390173 0.0020 INDIANA 39390 390183 * 0.0099SCHUYLKILL 39650 390201 0.0945 MONROE 39550 390236 0.0015 BRADFORD 39130 390313 * 0.0099SCHUYLKILL 39650 390316 * 0.0250 BERKS 39110 392031 0.0006 CAMBRIA 39160 392034 0.0241 NORTHAMPTON 39590 393026 0.0250 BERKS 39110 393050 0.0241 NORTHAMPTON 39590 394014 0.0250 BERKS 39110 394020 0.0269 LEBANON 39460 394052 0.0250 BERKS 39110 420005 0.0013 DILLON 42160 420007 * 0.0027SPARTANBURG 42410 420019 0.0170CHESTER 42110 420020 * 0.0029 GEORGETOWN 42210 420027 0.0157ANDERSON 42030 420030 * 0.0153 COLLETON 42140 420036 * 0.0075 LANCASTER 42280 420039 * 0.0223 UNION 42430 420043 0.0175 CHEROKEE 42100 420053 0.0111 NEWBERRY 42350 420054 0.0015 MARLBORO 42340 420055 0.0032 MARION 42330 420062 0.0097 CHESTERFIELD 42120 420068 * 0.0072 ORANGEBURG 42370 420069 * 0.0006 CLARENDON 42130 420070 * 0.0074SUMTER 42420 420083 * 0.0027SPARTANBURG 42410 420098 0.0029 GEORGETOWN 42210 420103 * 0.0027SPARTANBURG 42410 422004 0.0027SPARTANBURG 42410 423029 0.0157ANDERSON 42030 424011 0.0157ANDERSON 42030 424013 0.0072 ORANGEBURG 42370 430048 0.0353 LAWRENCE 43400 430094 0.0353 LAWRENCE 43400 440007 0.0179 COFFEE 44150 440008 0.0249 HENDERSON 44380 440016 0.0080CARROLL 44080 440031 0.0023 ROANE 44720440033 0.0033 CAMPBELL 44060

440035 0.0300 MONTGOMERY 44620 440047 0.0188GIBSON 44260 440051 0.0045 MC NAIRY 44540 440056 * 0.0055JEFFERSON 44440 440057 0.0025 CLAIBORNE 44120 440060 0.0188GIBSON 44260 440070 0.0060 DECATUR 44190 440081 0.0062 SEVIER 44770 440084 0.0030 MONROE 44610 440109 0.0039 HARDIN 44350 440115 0.0188GIBSON 44260 440137 0.0605 BEDFORD 44010 440144 * 0.0179 COFFEE 44150 440148 0.0242 DE KALB 44200 440174 0.0235 HAYWOOD 44370 440180 0.0033 CAMPBELL 44060 440181 0.0306 HARDEMAN 44340 440182 0.0080CARROLL 44080 440185 * 0.0254 BRADLEY 44050 444008 0.0306 HARDEMAN 44340 444019 0.0300 MONTGOMERY 44620 450032 * 0.0216 HARRISON 45620 450039 * 0.0054TARRANT 45910 450052 * 0.0333 BOSQUE 45160 450064 * 0.0054TARRANT 45910 450087 * 0.0054TARRANT 45910 450090 0.0711 COOKE 45340 450099 * 0.0085 GRAY 45563 450135 * 0.0054TARRANT 45910 450137 * 0.0054TARRANT 45910 450144 * 0.0447ANDREWS 45010 450163 0.0116 KLEBERG 45743 450192 0.0316 HILL 45651 450194 * 0.0053 CHEROKEE 45281 450210 0.0128 PANOLA 45842 450236 0.0426 HOPKINS 45654 450270 0.0316 HILL 45651 450283 * 0.0422VAN ZANDT 45947 450347 * 0.0396WALKER 45949 450348 * 0.0094 FALLS 45500 450370 0.0251 COLORADO 45312 450389 * 0.0413 HENDERSON 45640 450395 * 0.0472 POLK 45850 450419 * 0.0054TARRANT 45910 450438 0.0251 COLORADO 45312 450451 0.0524SOMERVELL 45893450460 0.0056TYLER 45942

450497 0.0516 MONTAGUE 45800 450539 0.0139 HALE 45582 450563 * 0.0054TARRANT 45910 450565 0.0438 PALO PINTO 45841 450573 0.0133JASPER 45690 450596 * 0.0727 HOOD 45653 450597 0.0004 DE WITT 45420 450615 0.0051 CASS 45260 450639 * 0.0054TARRANT 45910 450641 0.0516 MONTAGUE 45800 450672 * 0.0054TARRANT 45910 450675 * 0.0054TARRANT 45910 450677 * 0.0054TARRANT 45910 450698 0.0264 LAMB 45751 450747 * 0.0031ANDERSON 45000 450755 0.0575 HOCKLEY 45652 450770 * 0.0219 MILAM 45795 450779 * 0.0054TARRANT 45910 450813 0.0031ANDERSON 45000 450872 * 0.0054TARRANT 45910 450880 * 0.0054TARRANT 45910 450886 * 0.0054TARRANT 45910 450888 * 0.0054TARRANT 45910 452018 0.0054TARRANT 45910 452019 0.0054TARRANT 45910 452028 0.0054TARRANT 45910 452088 0.0054TARRANT 45910 452099 0.0054TARRANT 45910 452110 0.0054TARRANT 45910 453040 0.0054TARRANT 45910 453041 0.0054TARRANT 45910 453042 0.0054TARRANT 45910 453089 0.0031ANDERSON 45000 453094 0.0054TARRANT 45910 453300 0.0054TARRANT 45910 454009 0.0053 CHEROKEE 45281 454012 0.0054TARRANT 45910 454101 0.0139 HALE 45582 454113 0.0054TARRANT 45910 460001 0.0019 UTAH 46240 460013 0.0019 UTAH 46240 460017 * 0.0229 BOX ELDER 46010 460023 0.0019 UTAH 46240 460039 * 0.0229 BOX ELDER 46010 460043 0.0019 UTAH 46240 460052 0.0019 UTAH 46240462005 0.0019 UTAH 46240

464014 0.0019 UTAH 46240 490018 * 0.0218AUGUSTA 49070 490019 * 0.1048 CULPEPER 49230 490084 0.0236 ESSEX 49280 490110 0.0176 MONTGOMERY 49600 493026 0.0218AUGUSTA 49070 500003 * 0.0270SKAGIT 50280 500007 * 0.0270SKAGIT 50280 500019 0.0166 LEWIS 50200 500024 * 0.0064THURSTON 50330 500039 * 0.0182 KITSAP 50170 500041 * 0.0055 COWLITZ 50070 500139 * 0.0064THURSTON 50330 510012 0.0110 MASON 51260 510018 * 0.0106JACKSON 51170 510047 * 0.0233 MARION 51240 520009 0.0027 OUTAGAMIE 52430 520028 * 0.0413 GREEN 52220 520035 0.0112 SHEBOYGAN 52580 520044 0.0112 SHEBOYGAN 52580 520057 0.0268SAUK 52550 520059 * 0.0291 RACINE 52500 520071 * 0.0267JEFFERSON 52270 520076 0.0219 DODGE 52130 520088 0.0084 FOND DU LAC 52190 520095 0.0268SAUK 52550 520096 * 0.0291 RACINE 52500 520102 0.0599WALWORTH 52630 520116 * 0.0267JEFFERSON 52270 520160 0.0027 OUTAGAMIE 52430 522005 0.0291 RACINE 52500 524025 0.0084 FOND DU LAC 52190 670023 * 0.0054TARRANT 45910 670046 * 0.0054TARRANT 45910 670067 * 0.0054TARRANT 45910 670071 0.0054TARRANT 45910 673035 0.0054TARRANT 45910 673044 0.0054TARRANT 45910 673048 0.0054TARRANT 45910

* :Asterisk indicates hospitals that have already been reclassified under section 1886(d)(10) of the Act or redesignated under section 1886(d)(8)(B) of the Act for CY 2013.