Pending Affiliation Agreement List Affiliation Agreement List 5/16/2018 Pending Agreements =...

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Pending Affiliation Agreement List 6/22/2018 Pending Agreements = Agreements in process. Once Agreement is completed they are moved to the active affiliation list. Renewal in process-expired Inactive Agreements = Agreement not reached, do not approach for 1 year from date listed. Numbers Pending Affiliations: 87th Medical Group Trenton, NJ 8/10/2017 Inactive 374th Medical Group Japan A Pending Affiliations: Absolute Quick Care Ocala, FL Access Community Health Care Spring Hill, Florida Renewal in process-expired Advocate Condell Medical Center Libertyville, IL 5/25/2018 6/15/2018 2 nd request Advocate Medical Group Chicago, IL 11/8/2017 Inactive

Transcript of Pending Affiliation Agreement List Affiliation Agreement List 5/16/2018 Pending Agreements =...

Page 1: Pending Affiliation Agreement List Affiliation Agreement List 5/16/2018 Pending Agreements = Agreements in process. Once Agreement is completed they are moved to the active affiliation

Pending Affiliation Agreement List 6/22/2018 Pending Agreements = Agreements in process. Once Agreement is completed they are moved to the active affiliation list. Renewal in process-expired Inactive Agreements = Agreement not reached, do not approach for 1 year from date listed.

Numbers

Pending Affiliations:

87th Medical Group Trenton, NJ 8/10/2017 Inactive

374th Medical Group Japan

A

Pending Affiliations:

Absolute Quick Care Ocala, FL

Access Community Health Care Spring Hill, Florida Renewal in process-expired Advocate Condell Medical Center Libertyville, IL 5/25/2018 6/15/2018 2nd request Advocate Medical Group Chicago, IL 11/8/2017 Inactive

Page 2: Pending Affiliation Agreement List Affiliation Agreement List 5/16/2018 Pending Agreements = Agreements in process. Once Agreement is completed they are moved to the active affiliation

Pending Affiliation Agreement List 6/22/2018 Pending Agreements = Agreements in process. Once Agreement is completed they are moved to the active affiliation list. Renewal in process-expired Inactive Agreements = Agreement not reached, do not approach for 1 year from date listed.

Pending Affiliations:

Advocate Good Samaritan Hospital Downers Grove, IL 7/17/2017 Inactive

Alabama Department of Rehabilitation Services Mobile, Alabama Renewal in process Agreement expired Alameda Health System Oakland, CA 12/19/2017 6/15/2018-2nd update request Allegan Healthcare Group Allegan, Michigan Renewal in process-expired

Allegheny Health Network Pittsburgh, PA 6/15/2018-2nd update request

AllWell Behavioral, LLC Warner Robbins, GA Renewal in process-expired

Altru Health Systems Grand Forks, North Dakota Renewal in process-expired 6/15/2018-update request Antelope Valley College Lancaster, CA 6/15/2018-request to move forward

Arizona’s Children Association Surprise, AZ- 11/3/2017 Inactive-Agency will not move forward with our request at this time.

Arkansas Health Group Little Rock, AR *6/14/2018

Page 3: Pending Affiliation Agreement List Affiliation Agreement List 5/16/2018 Pending Agreements = Agreements in process. Once Agreement is completed they are moved to the active affiliation

Pending Affiliation Agreement List 6/22/2018 Pending Agreements = Agreements in process. Once Agreement is completed they are moved to the active affiliation list. Renewal in process-expired Inactive Agreements = Agreement not reached, do not approach for 1 year from date listed.

Pending Affiliations:

Armstrong County Memorial Hospital Kittanning, PA 11/7/2017 6/15/2018-requested to move forward

B

Pending Affiliations:

Baldwin County Public Schools Fairhope, Alabama Renewal in process-expired 3/1/2018 6/15/2018-update request Baylor Scott & White Carrollton Carrollton, TX 2/21/2018 *3/13/2018 6/15/2018-update request Baynes-Army Community Hospital Fort Polk, LA 10/13/2017 6/15/2018-emailed new contact Behavior Health Services, San Luis Obispo County 2/20/2017 Inactive

Boca Raton Regional Hospital Boca Raton, Florida 5/18/2018 *5/25/2018 6/15/2018-update request Boulder Medical Center, P.C. Boulder, Co Renewal in process-expired 6/15/2018-updated request

Page 4: Pending Affiliation Agreement List Affiliation Agreement List 5/16/2018 Pending Agreements = Agreements in process. Once Agreement is completed they are moved to the active affiliation

Pending Affiliation Agreement List 6/22/2018 Pending Agreements = Agreements in process. Once Agreement is completed they are moved to the active affiliation list. Renewal in process-expired Inactive Agreements = Agreement not reached, do not approach for 1 year from date listed.

Pending Affiliations:

Brynn Marr Behavioral Healthcare System Jacksonville, North Carolina Renewal in process-expired

Butte Community College Oroville, CA 2/1/2018

C

Pending Affiliations:

Capital Regional Medical Group Tallahassee, Florida 11/3/2017 2nd request

Carilion Clinic Roanoke, VA Renewal in process-expired 5/31 *6/18/2018 Carondelet Health Network Tucson, Arizona Renewal in process-expired 2nd request 6/18/2018 Network split-3 different agreements (working on St. Joseph’s) Cedar Park Regional Medical Center Cedar Park, Texas 7/13/2015 10/13/2017 2nd request No response-please request Centennial Heart Nashville, TN Renewal in process-expired

Page 5: Pending Affiliation Agreement List Affiliation Agreement List 5/16/2018 Pending Agreements = Agreements in process. Once Agreement is completed they are moved to the active affiliation

Pending Affiliation Agreement List 6/22/2018 Pending Agreements = Agreements in process. Once Agreement is completed they are moved to the active affiliation list. Renewal in process-expired Inactive Agreements = Agreement not reached, do not approach for 1 year from date listed.

Pending Affiliations:

Centennial Primary Care Brentwood, TN 4/16/2018

CentraCare St. Cloud, MN 12/14/2017 5/16/18 Central Missouri Physicians for Women (Michael L. Burks, M.D., P.C.) Columbia, Missouri Renewal in process-expired Central Utah Health Clinic Renewal in process-expired

Centerstone Nashville, TN 11/3/2017

Chester Regional Hospital Chester, SC 10/4/2016 11/2/2017 CHI St. Alexis Health Bismarck, ND 12/8/2017

CHI St. Luke’s Sugar Land Hospital Sugarland, Texas Renewal in process-expired

CHI St. Vincent Hot Springs Hot Springs, AR Renewal in process-expired

Chickasaw Nation Ada, OK 3/13/2018

Page 6: Pending Affiliation Agreement List Affiliation Agreement List 5/16/2018 Pending Agreements = Agreements in process. Once Agreement is completed they are moved to the active affiliation

Pending Affiliation Agreement List 6/22/2018 Pending Agreements = Agreements in process. Once Agreement is completed they are moved to the active affiliation list. Renewal in process-expired Inactive Agreements = Agreement not reached, do not approach for 1 year from date listed.

Pending Affiliations:

Children’s Health System of Texas Dallas, Texas

Children’s Hospital Colorado Aurora, CO

Children’s Hospital of Philadelphia Philadelphia, PA 9/18/2017 Children’s Hospital of Wisconsin Milwaukee, Wisconsin Renewal in process-expired

Children’s Primary Care Medical Group San Diego, CA

Christus St. Patrick Hospital Lake Charles, Louisiana Renewal in process-expired

Christus Trinity Mother Frances Tyler, Texas

Citrus Valley Health Partners (facilities covered: Citrus Valley Medical Center-Queen of the Valley Campus, Citrus Valley Medical Center-Inter-Community Campus, Foothill Presbyterian Hospital, Citrus Valley Home Health and Hospice) Covina, California 6/18/2018 Agency declined to renew at this time, for lack of students. Please request if needed. City of Laredo Health Department Laredo, TX 2/27/2018

Page 7: Pending Affiliation Agreement List Affiliation Agreement List 5/16/2018 Pending Agreements = Agreements in process. Once Agreement is completed they are moved to the active affiliation

Pending Affiliation Agreement List 6/22/2018 Pending Agreements = Agreements in process. Once Agreement is completed they are moved to the active affiliation list. Renewal in process-expired Inactive Agreements = Agreement not reached, do not approach for 1 year from date listed.

Pending Affiliations:

Clear Lake Regional Medical Center Webster, Texas 7/26/2017 Inactive

Clearview Regional Medical Center Monroe, GA 11/17/2017 *2/21/2018 **2/26/2018-on hold until after April 1. Cleveland Clinic Cleveland, OH 9/22/2017 Coliseum Northside Hospital Macon, GA 2/9/2018

Colleton Medical Center Walterboro, SC 8/1/2017-Inactive

Colorado Health Medical Group Aurora, CO 10/13/2017-Inactive Workers’ Comp. Community HealthCare Tacoma, Washington Renewal in process-expired

Community Health Net Erie, PA 10/13/2017 11/27/2017-Inactive Community Medic al Center Missoula, MT 1/1/2017-Do not reach out to agency for one year.

Cookeville Regional Medical Center Cookeville, Tennessee Renewal in process.

Page 8: Pending Affiliation Agreement List Affiliation Agreement List 5/16/2018 Pending Agreements = Agreements in process. Once Agreement is completed they are moved to the active affiliation

Pending Affiliation Agreement List 6/22/2018 Pending Agreements = Agreements in process. Once Agreement is completed they are moved to the active affiliation list. Renewal in process-expired Inactive Agreements = Agreement not reached, do not approach for 1 year from date listed.

Pending Affiliations:

Cooley Dickinson Hospital Northampton, MA Renewal in process-expired.

Coolidge Emergency Group, LLC-Schumacher Group (in conjunction with the Lafayette General Medical Center agreement) Morgan City, Louisiana Renewal in process-expired Corizon Health Brentwood, TN 8/16/2017

Cornerstone Health Care, P.A. High Point, NC Renewal in process-expired

Correct Care Solutions, LLC (corporate office) Nashville, Tennessee Renewal in process, expired Corvallis Clinic Corvallis, OR 12/14/2017-Inactive

Covenant Health Lubbock, Texas 10/10/2017-Inactive

Cox Health (includes Lester E. Cox Medical Center) Expired.

Covington Women’s Health Specialists, LLC Covington, Georgia Renewal in process-expired

Crestwood Medical Center Huntsville, AL 12/8/2017

Page 9: Pending Affiliation Agreement List Affiliation Agreement List 5/16/2018 Pending Agreements = Agreements in process. Once Agreement is completed they are moved to the active affiliation

Pending Affiliation Agreement List 6/22/2018 Pending Agreements = Agreements in process. Once Agreement is completed they are moved to the active affiliation list. Renewal in process-expired Inactive Agreements = Agreement not reached, do not approach for 1 year from date listed.

D

Pending Affiliations:

Daughters of Charity Services New Orleans, LA 10/13/2017

Deaconess Health System, LLC Oklahoma City, OK Renewal in process

Desert Oasis Healthcare Palm Springs, CA 9/18/2017

Dickinson County Healthcare System Iron Mountain, MI 5/10/2018

Dignity Glendale Memorial Hospital Glendale, CA (renewal in process, expired)

Dignity Health San Francisco, CA 12/14/2017 1/12/2018 File Inactive. Doctors Community Hospital Lanham, Maryland Renewal in process-expired

Doctors Hospital of Sarasota Sarasota, Florida Renewal in process-expired.

Duke Regional Hospital Durham, NC 2/6/2018 4/30/2018 File Inactive

Page 10: Pending Affiliation Agreement List Affiliation Agreement List 5/16/2018 Pending Agreements = Agreements in process. Once Agreement is completed they are moved to the active affiliation

Pending Affiliation Agreement List 6/22/2018 Pending Agreements = Agreements in process. Once Agreement is completed they are moved to the active affiliation list. Renewal in process-expired Inactive Agreements = Agreement not reached, do not approach for 1 year from date listed.

Pending Affiliations:

Duke University Hospital Durham, NC 2/6/2018 4/30/2018 File Inactive

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Pending Affiliations:

E.A. Roberts Alzheimer’s Center Mobile, AL Renewal in process.

East Houston Medical Center Houston, TX

Eastern Connecticut Health Network, Manchester Memorial and Rockville General Hospitals Manchester, Connecticut

Eastern Shore Hospital Lexington, KY

Edward Health Ventures Naperville, IL

El Rio Health System Tucson, AZ

Emerald Coast Behavioral Hospital Panama City, FL

Page 11: Pending Affiliation Agreement List Affiliation Agreement List 5/16/2018 Pending Agreements = Agreements in process. Once Agreement is completed they are moved to the active affiliation

Pending Affiliation Agreement List 6/22/2018 Pending Agreements = Agreements in process. Once Agreement is completed they are moved to the active affiliation list. Renewal in process-expired Inactive Agreements = Agreement not reached, do not approach for 1 year from date listed.

Pending Affiliations:

Emergency Physicians of Central Florida, LLC Orlando, FL Renewal in process-expired

Emir Primary Care Forest Park, GA

Evanston Clinic Corp. Evanston, Wyoming Renewal in Process-expired

Exempla Physician Network Broomfield, CO

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Pending Affiliations:

Family Health Center Laurel, MS 4/24/2018

Family Practice of South Nashua

Fawcett Memorial Hospital Port Charlotte, Florida Renewal in process-expired

Fetter Health Charleston, SC 1/30/2018

Page 12: Pending Affiliation Agreement List Affiliation Agreement List 5/16/2018 Pending Agreements = Agreements in process. Once Agreement is completed they are moved to the active affiliation

Pending Affiliation Agreement List 6/22/2018 Pending Agreements = Agreements in process. Once Agreement is completed they are moved to the active affiliation list. Renewal in process-expired Inactive Agreements = Agreement not reached, do not approach for 1 year from date listed.

Pending Affiliations:

First Health of the Carolinas Pinehurst, NC 5/29/2018-Inactive Five Rivers Health Center Dayton, OH 12/11/2017

Florida Department of Health- Bay County Panama City, FL Renewal in process-expired

Florida Department of Health, Jackson County Marianna, Florida 11/6/2017

Florida Hospital Waterman Tavares, FL 5/31/2018

Florida Hospital Medical Group Maitland, Florida 6/26/29/2017 File Inactive agency will not renew at this time due to restructuring of their program. Froedtert/Medical College of Wisconsin Milwaukee, WI 4/20/2017 update requested

Frontier Behavioral Health Spokane, WA 4/24/2017 11/6/2017 Frye Regional Medical Center Hickory, NC 3/23/2018

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Page 13: Pending Affiliation Agreement List Affiliation Agreement List 5/16/2018 Pending Agreements = Agreements in process. Once Agreement is completed they are moved to the active affiliation

Pending Affiliation Agreement List 6/22/2018 Pending Agreements = Agreements in process. Once Agreement is completed they are moved to the active affiliation list. Renewal in process-expired Inactive Agreements = Agreement not reached, do not approach for 1 year from date listed.

Pending Affiliations:

Genesis Health Care Severna Park Annapolis, MD Hold per agency7/7/2017

George Washington University Hospital Washington, DC 4/12/2018 4/13/2018 Georgia Regional Hospital Savannah, GA 6/16/2017

Good Shepherd Medical Center-Longview Longview, Texas Renewal in process-expired

Good Shepherd Medical Center-Marshall Marshall, Texas Renewal in process-expired

Gordon Oaks health and Rehab Mobile, AL Renewal in process-expired

Gov. Juan F. Luis Hospital and Medical Center Christiansted, VI Renewal in process-expired

Grace Medical Clinics, PA Charlotte, North Carolina Renewal in process-expired

Graves Gilbert Clinic Bowling Green, Kentucky Renewal in process-expired

Great Salt Plains Health Center Enid, Ok 5/25/2018

Page 14: Pending Affiliation Agreement List Affiliation Agreement List 5/16/2018 Pending Agreements = Agreements in process. Once Agreement is completed they are moved to the active affiliation

Pending Affiliation Agreement List 6/22/2018 Pending Agreements = Agreements in process. Once Agreement is completed they are moved to the active affiliation list. Renewal in process-expired Inactive Agreements = Agreement not reached, do not approach for 1 year from date listed.

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Pending Affiliations:

Hackensack University Medical Center Hackensack, New Jersey Renewal in process-expired

Halifax Health Daytona Beach, FL 1/5/2018 Agreement Terminated. Will not approach facility until January 2019. Harborview Medical Center Seattle, WA 2/27/2018 *5/8/2018 Harmon Hospital and Alliance Mental Health Las Vegas, NV *2/8/2017

Harris County Public Health and Environmental Services

Harris County Sheriff’s Office Houston, Texas

Harris Health System Houston, Texas 7/17/2017 Inactive-Agency denied request

HCA Physician Services Houston, TX 1/31/2018 resent

HealthEast Woodbury, MN 9/18/2017

Page 15: Pending Affiliation Agreement List Affiliation Agreement List 5/16/2018 Pending Agreements = Agreements in process. Once Agreement is completed they are moved to the active affiliation

Pending Affiliation Agreement List 6/22/2018 Pending Agreements = Agreements in process. Once Agreement is completed they are moved to the active affiliation list. Renewal in process-expired Inactive Agreements = Agreement not reached, do not approach for 1 year from date listed.

Pending Affiliations:

Health Care Network of Southwest Florida Immokalee, FL 5/10/2018

Health First Melbourne, FL

Health Net Inc. Indianapolis, IN

Health One/Presbyterian/St. Luke’s Presbyterian/St. Luke’s and Rocky Mountain Hospital for Children Denver, CO 2/9/2018 Health Partners Bloomington, MN

Henrico Doctors Hospital Richmond, VA 8/4/2017

High Point Regional Health System High Point, North Carolina

Highland Rivers Dalton, Georgia 4/24/2018

Hillcrest Baptist Medical Center Waco, Texas

Hollywood Presbyterian Medical Center Los Angeles, CA 2/27/2018 *6/5/2018

Page 16: Pending Affiliation Agreement List Affiliation Agreement List 5/16/2018 Pending Agreements = Agreements in process. Once Agreement is completed they are moved to the active affiliation

Pending Affiliation Agreement List 6/22/2018 Pending Agreements = Agreements in process. Once Agreement is completed they are moved to the active affiliation list. Renewal in process-expired Inactive Agreements = Agreement not reached, do not approach for 1 year from date listed.

Pending Affiliations:

Holy Spirit Health System-Geisinger Affiiate Camp Hill, PA

Hope Hospice and Community Services, Inc. Fort Myers, Florida Renewal in process-expired

Hospital Corporation of America (HCA) Riverside, California

Hospital Physician Services Southeast, Professional Corp. (Team Health)

Housecall Providers Portland, OR

Houston Methodist Hospital-Texas Medical Center Houston, Texas Inactive-we will not pursue again until after January 2019 *3/19/2018 Agency sent agreement for review. Houston Methodist Sugarland Sugarland, TX Inactive-we will not pursue again until after May 2018.

Hudson Physicians Hudson, WI 10/13/2017

Hurlburt Field 1 Operation Medical Group

Huntsville Memorial Hospital Texas

Page 17: Pending Affiliation Agreement List Affiliation Agreement List 5/16/2018 Pending Agreements = Agreements in process. Once Agreement is completed they are moved to the active affiliation

Pending Affiliation Agreement List 6/22/2018 Pending Agreements = Agreements in process. Once Agreement is completed they are moved to the active affiliation list. Renewal in process-expired Inactive Agreements = Agreement not reached, do not approach for 1 year from date listed.

Pending Affiliations:

Hyatt Family Practice Dayton, OH

I

Pending Affiliations:

I.D. Medical Group of Atlanta

IASIS Glenwood Regional Medical Center d/b/a Glenwood Regional Medical Center West Monroe, LA Renewal in process.

I.D. Group of Atlanta Atlanta, GA Renewal in process, expired

Indiana University Health La Porte Physicians

Indiana University Health Physicians and West Hospital Indianapolis, IN 1/4/2018

Intermountain Hospital Boise, ID 8/26/2017

Ireland Army Health Clinic Fort Knox, KY

Page 18: Pending Affiliation Agreement List Affiliation Agreement List 5/16/2018 Pending Agreements = Agreements in process. Once Agreement is completed they are moved to the active affiliation

Pending Affiliation Agreement List 6/22/2018 Pending Agreements = Agreements in process. Once Agreement is completed they are moved to the active affiliation list. Renewal in process-expired Inactive Agreements = Agreement not reached, do not approach for 1 year from date listed.

J

Pending Affiliations:

Jackson County Health and Human Services Medford, OR

Jackson Health Systems Miami, Florida 5/25/2018-Inactive DO NOT APPROACH SITE TO ESTABLISH Jefferson Health Northeast Philadelphia, PA 5/23/2018 6/19/2018-Inactive (Governing Law) Jennings American Legion Hospital Jennings, Louisiana

Johns Hopkins Sibley Memorial Washington DC 8/25/2017

K

Pending Affiliations:

Kaiser Permanente Southern California 5/3/2017 12/5/2017 Inactive

Kinston Community Health Center, Inc. (renewal request sent, expired) Kinston, North Carolina

Page 19: Pending Affiliation Agreement List Affiliation Agreement List 5/16/2018 Pending Agreements = Agreements in process. Once Agreement is completed they are moved to the active affiliation

Pending Affiliation Agreement List 6/22/2018 Pending Agreements = Agreements in process. Once Agreement is completed they are moved to the active affiliation list. Renewal in process-expired Inactive Agreements = Agreement not reached, do not approach for 1 year from date listed.

Pending Affiliations:

Kootenai Health Coeur d’Alene, Idaho Renewal in process, expired

Keystone Healthcare Management Memphis, TN

Kennedy Health Alliance Turnerville, NJ 9/18/2017

Kennedy Krieger Institute Baltimore, MD

Kuakini Medical Center Honolulu, Hawaii 4/12/2018 4/13/2018-Inactive Kindred at Home Hospice Las Vegas, NV

L

Pending Affiliations:

Lafayette Health Ventures, Inc. Louisiana

Lake Area Medical Center Lake Charles, Louisiana Renewal in process-expired

Page 20: Pending Affiliation Agreement List Affiliation Agreement List 5/16/2018 Pending Agreements = Agreements in process. Once Agreement is completed they are moved to the active affiliation

Pending Affiliation Agreement List 6/22/2018 Pending Agreements = Agreements in process. Once Agreement is completed they are moved to the active affiliation list. Renewal in process-expired Inactive Agreements = Agreement not reached, do not approach for 1 year from date listed.

Pending Affiliations:

Lake Huron Medical Center Port Huron, MI

Lakeland Health Michigan *3/30/2018

Lakeway Regional Medical Center Lakeway, Texas

LewisGale Medical Center Salem, Virginia

LewisGale Physicians, LLC Salem, Virginia Renewal in process. Little River Healthcare Rockdale, Texas 6/2/2017 5/15/2018 *6/5/2018 Longview Regional Medical Center Longview, Texas

Louisiana Department of Health New Orleans, Louisiana Renewal in process- expired

Lourdes Health Pasco, WA 2/27/2018

Page 21: Pending Affiliation Agreement List Affiliation Agreement List 5/16/2018 Pending Agreements = Agreements in process. Once Agreement is completed they are moved to the active affiliation

Pending Affiliation Agreement List 6/22/2018 Pending Agreements = Agreements in process. Once Agreement is completed they are moved to the active affiliation list. Renewal in process-expired Inactive Agreements = Agreement not reached, do not approach for 1 year from date listed.

M

Pending Affiliations:

Maine Health Portland, ME *2/19/2018

Manatee County Rural Health Services Parrish, Florida 2/2017 2nd request

Marshfield Clinic Marshfield, Wisconsin

Mary Black Hospital Spartanburg, South Carolina

Mary Mahoney Memorial Health Center Oklahoma City, OK 8/11/2017

McAlester Regional Health Center (renewal request sent, expired) McAlester, Oklahoma

McDonald Army Health CenterFort Eustis, VA

McLaren Port Huron Port Huron, MI

McLeod Regional Medical Center Darlington, South Carolina Renewal in process-expired

Page 22: Pending Affiliation Agreement List Affiliation Agreement List 5/16/2018 Pending Agreements = Agreements in process. Once Agreement is completed they are moved to the active affiliation

Pending Affiliation Agreement List 6/22/2018 Pending Agreements = Agreements in process. Once Agreement is completed they are moved to the active affiliation list. Renewal in process-expired Inactive Agreements = Agreement not reached, do not approach for 1 year from date listed.

Pending Affiliations:

MedStar St, Mary’s Hospital Leonardtown, MD

MedStar Washington Hospital Center Washington, DC 1/25/2017-Inactive

Medical Center of Trinity Trinity, FL 8/4/2017

Medical College of Wisconsin Milwaukee, WI

Memorial Healthcare (South Broward) Miramar, Florida 2/2017-Inactive Neonatal Agreement still active Memorial Hermann The Woodlands Hospital The Woodlands, Texas Renewal in process-expired.

Mercy Carthage Carthage, MO 8/28/2017

Mercy Ada Hospital/Mercy Clinic Ada, OK

Merit Health Medical Group (Natchez OB-GYN) Natchez, MS

Merit Health Medical Group-Madison Madison, MS

Page 23: Pending Affiliation Agreement List Affiliation Agreement List 5/16/2018 Pending Agreements = Agreements in process. Once Agreement is completed they are moved to the active affiliation

Pending Affiliation Agreement List 6/22/2018 Pending Agreements = Agreements in process. Once Agreement is completed they are moved to the active affiliation list. Renewal in process-expired Inactive Agreements = Agreement not reached, do not approach for 1 year from date listed.

Pending Affiliations:

Merit Health Natchez Natchez, MS 10/6/2017

Merit Health River Region Vicksburg, MS *4/25/2018

Mercy Health Saint Mary’s Campus Grand Rapids, MI

Mercy Medical Center Rogers, AR

Methodist LeBonheur Healthcare (covers: University, Germantown, North, South, Olive Branch, and Le Bonheur Chidlren’s Hospital, and many clinics) (Request in process-expired)

Methodist Physician Practice San Antonio, TX

Metrocare Services Dallas, TX

MHM Correctional Services-PA Pennsylvania site 2/26/2017

Midland Memorial Hospital Midland, Texas

Mile Bluff Medical Center Mauston, WI 5/25/2018

Page 24: Pending Affiliation Agreement List Affiliation Agreement List 5/16/2018 Pending Agreements = Agreements in process. Once Agreement is completed they are moved to the active affiliation

Pending Affiliation Agreement List 6/22/2018 Pending Agreements = Agreements in process. Once Agreement is completed they are moved to the active affiliation list. Renewal in process-expired Inactive Agreements = Agreement not reached, do not approach for 1 year from date listed.

Pending Affiliations:

Minnie Jones Health Center/Western North Carolina Community Health Services Asheville, NC 10/13/2017 10/17/2017-Inactive Mission Medical Associates (All Sites) Asheville, NC

MMA-Vista Family Health, Inc. Asheville, North Carolina

Renewal in process, expired. MMO Greenbrier Hospital Covington, Louisiana

Montevista Hospital Las Vegas, NV

Monterey County Health Department Salinas, CA

Florida Hospital Medical Group (Mount Dora Pediatrics) Mt. Dora, FL 8/4/2017

MAHEC (Mountain Area Education Center) Asheville, North Carolina Renewal in process-expired

Montana State Hospital Warm Springs, MT 2/27/2018 2/28/2018 Inactive

Page 25: Pending Affiliation Agreement List Affiliation Agreement List 5/16/2018 Pending Agreements = Agreements in process. Once Agreement is completed they are moved to the active affiliation

Pending Affiliation Agreement List 6/22/2018 Pending Agreements = Agreements in process. Once Agreement is completed they are moved to the active affiliation list. Renewal in process-expired Inactive Agreements = Agreement not reached, do not approach for 1 year from date listed.

Pending Affiliations:

MonteVista Hospital Las Vegas, NV Renewal in process-expired

Mountain States Medical Group (MSMG) Abingdon, VA

Mountain States Neonatology, Inc. Phoenix, AZ Renewal in process-expired

MountainView Hospital Las Vegas, Nevada Renewal in process, expired MutliCare Good Samaritan Pyuallup, WA 10/19/2017

Multnomah County Health Department Portland, OR

Municipality of Anchorage-Health Department Anchorage, AK

N

Page 26: Pending Affiliation Agreement List Affiliation Agreement List 5/16/2018 Pending Agreements = Agreements in process. Once Agreement is completed they are moved to the active affiliation

Pending Affiliation Agreement List 6/22/2018 Pending Agreements = Agreements in process. Once Agreement is completed they are moved to the active affiliation list. Renewal in process-expired Inactive Agreements = Agreement not reached, do not approach for 1 year from date listed.

Pending Affiliations:

Natchez Regional Medical Center Standard Agreement

Natchitoches Regional Medical Center Natchitoches, Louisiana Renewal in process-expired

Naval Health Clinic New England Renewal in process-expired

Naval Health Clinic Quantico Quantico, VA

Naval Hospital Jacksonville Jacksonville, Florida

Neighborhood Health Nashville, TN 12/19/2017

Neighorhood Medical Center, Inc. Tallahassee, FL

Neonatology Associates Monroe, LA 10/13/2017

Neshoba County General Hospital Philadelphia, MS 2/27/2018

New London Hospital Association New London, NH

Page 27: Pending Affiliation Agreement List Affiliation Agreement List 5/16/2018 Pending Agreements = Agreements in process. Once Agreement is completed they are moved to the active affiliation

Pending Affiliation Agreement List 6/22/2018 Pending Agreements = Agreements in process. Once Agreement is completed they are moved to the active affiliation list. Renewal in process-expired Inactive Agreements = Agreement not reached, do not approach for 1 year from date listed.

Pending Affiliations:

North Dakota State Hospital Jamestown, North Dakota Renewal in process-expired

Northeast Georgia Medical Center Gainesville, GA Renewal in process-expired

Northeast Human- Service Center Grand Forks, ND Renewal in process-expired

Northeast Valley Health Corp. San Fernando, CA 8/11/2017 Inactive

Northcrest Physician Services Springfield, TN

Northern Arizona University Flagstaff, AZ 8/25/2017

Northridge Medical Center Commerce, GA 4/30/2018

Northwest Arkansas Hospitals Johnson, AR Renewal in process-expired

Northwest Physicians, LLC-Benton County Physician Services Springdale, AR Renewal in progress-expired.

Northwest Health System-Arkansas

Page 28: Pending Affiliation Agreement List Affiliation Agreement List 5/16/2018 Pending Agreements = Agreements in process. Once Agreement is completed they are moved to the active affiliation

Pending Affiliation Agreement List 6/22/2018 Pending Agreements = Agreements in process. Once Agreement is completed they are moved to the active affiliation list. Renewal in process-expired Inactive Agreements = Agreement not reached, do not approach for 1 year from date listed.

O

Pending Affiliations:

Agreement will expire on 12/31/2016 and not renew at this time. Oakwood Healthcare, Inc. (including, OHI, Oakwood, OH and Medical Center-Dearborn, Oakwood Heritage, Oakwood Annapolis, Oakwood Southshore Medical Center, and Ambulatory Dearborn, Michigan Ocala Regional Medical Center and West Marion Community Hospital Ocala, Florida

O’Connor Hospital San Jose, CA 12/12/2017

Ocean Behavioral Hospital Fort Worth, TX

Ohio County Hospital Hartford, KY

OKC County Health Dept. OKC, OK

Oklahoma City Indian Clinic Oklahoma City, OK Renewal in process-expired

Ollie Steele Burden Manor, Inc., d/b/a St. Clare Manor Baton Rouge, LA

Oneida Community Health Center Oneida, Wisconsin Renewal in process-expired.

Page 29: Pending Affiliation Agreement List Affiliation Agreement List 5/16/2018 Pending Agreements = Agreements in process. Once Agreement is completed they are moved to the active affiliation

Pending Affiliation Agreement List 6/22/2018 Pending Agreements = Agreements in process. Once Agreement is completed they are moved to the active affiliation list. Renewal in process-expired Inactive Agreements = Agreement not reached, do not approach for 1 year from date listed.

Pending Affiliations:

Onslow Memorial Hospital Jacksonville, NC

Screven County Hospital Optim Primary Care-Millen Millen, GA 2/9/2018 *2/19/2018 Orlando Health, Inc. Orlando, Florida Agency Employees ONLY 5/1/2018-STUDENTS DO NOT APPROACH THIS SITE FOR ANY ROTATIONS. EITHER WITH A TWO PAGE OR REQUEST TO ESTABLISH. THEY WILL NOT ACCEPT. Overland Park Regional Medical Center Overland Park, KS

P

Pending Affiliations:

PACE of Baton Rouge

Parkridge Medical Center Chattanooga, TN 8/4/2017 8/9/2017-ON HOLD per Agency Peacehealth Southwest Medical Center Vancouver, WA 6/18/2018

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Pending Affiliation Agreement List 6/22/2018 Pending Agreements = Agreements in process. Once Agreement is completed they are moved to the active affiliation list. Renewal in process-expired Inactive Agreements = Agreement not reached, do not approach for 1 year from date listed.

Pending Affiliations:

Peak Vista ON HOLD per Agency. Limon, CO

Pediatrix Medical Group of South Carolina, PA and Palmetto Health Columbia, South Carolina Renewal in process-expired Pen Bay Medical Center Rockport, Maine Renewal in process-expired Penn Highlands-DuBois DuBois, PA

Penn Presbyterian Medical Center Philadelphia, PA 4/20/2017 update requested

Pennsylvania Hospital Philadelphia, PA 6/18/2018

Piedmont Medical Center Rock Hill, SC 8/25/2017

Planned Parenthood Of Greater Washington And North Idaho Yakima, WA *6/20/2018 Platee Valley Medical Center Brighton, CO

Pontotoc-North Mississippi Medical Center

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Pending Affiliation Agreement List 6/22/2018 Pending Agreements = Agreements in process. Once Agreement is completed they are moved to the active affiliation list. Renewal in process-expired Inactive Agreements = Agreement not reached, do not approach for 1 year from date listed.

Pending Affiliations:

Practice Plus (Managing Agency) Little Rock, AR *6/14/2018

Premier Community Healthcare Dade City, Florida Renewal in process-expired

Progency Psychiatric Group Irvine, CA

Promise Hospital of Louisiana Shreveport, LA Renewal in process-expired

Providence Health Services East Spokane, WA 2/28/2018

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Pending Affiliations:

Quad Medical

R

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Pending Affiliation Agreement List 6/22/2018 Pending Agreements = Agreements in process. Once Agreement is completed they are moved to the active affiliation list. Renewal in process-expired Inactive Agreements = Agreement not reached, do not approach for 1 year from date listed.

Pending Affiliations:

Redmond Regional Medical Center Rome, GA

Regency Hospital Company of Meridian Meridian, MS 10/4/2017

Regional Medical Center of Orangeburg and Calhoun Counties Georgia 8/21/2017

Regional Medical Center of San Jose San Jose, CA

Reliant Medical Group Westborough, MA

Research Medical Center Kansas City, MO 9/2/2016 7/10/2017 Inacitve Revere Health Provo, Utah 9/19/2017

RHA Behavioral Health Lenoir, NC 11/21/2017

River Crest Hospital San Angela, Texas

River Region Health Center -sent 1/27/17 with new contact info Montgomery, AL

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Pending Affiliation Agreement List 6/22/2018 Pending Agreements = Agreements in process. Once Agreement is completed they are moved to the active affiliation list. Renewal in process-expired Inactive Agreements = Agreement not reached, do not approach for 1 year from date listed.

Pending Affiliations:

Riverside University Health Systems Moreno Valley, CA 4/12/2018

Roper St. Francis Healthcare Charleston, SC Renewal in process-expired

Rush Oak Park Hospital Oak Park, Illinois Renewal in process-expired.

Rush University Medical Center Chicago, Ill Renewal in process-expired. Rutherford Regional Medical Center Rutherfordton, NC 11/20/2017

S

Pending Affiliations:

Saad’s Health Care Mobile, AL Renewal in process-expired

Saint Agnes Medical Center Fresno, CA 1/8/2017 3/14/2018 Inactive Saint Joseph Health System, Inc. Louisville, KY 4/20/2017 update requested

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Pending Affiliation Agreement List 6/22/2018 Pending Agreements = Agreements in process. Once Agreement is completed they are moved to the active affiliation list. Renewal in process-expired Inactive Agreements = Agreement not reached, do not approach for 1 year from date listed.

Pending Affiliations:

Saint Lazarus Behavioral Health, Inc. Macon, Georgia Renewal in process-expired Salvation Army Mobile, AL Renewal in process-expired

Samaritan Health Washington

San Joaquin Community Hospital Bakersfield, California Renewal in process-expired Sanctuary for Healing & Integration Salt Lake City, Utah

Santa Clara Valley Medical Center San Jose, CA

Saraland Senior Center Saraland, AL 5/12/2017

Schwartz and Promes, LLC Winter Park, Florida

Scripps Health (to include: Scripps Clinic, Coastal Medical Center, Scripps Green Hospital, Scripps Home Health, Scripps Memorial Hospital Encinitas, Scripps memorial Hospital LaJolla, Scripps Mercy Hospital Chula Vista, Scripps Mercy Hospital) San Diego, CA Renewal in process-expired

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Pending Affiliation Agreement List 6/22/2018 Pending Agreements = Agreements in process. Once Agreement is completed they are moved to the active affiliation list. Renewal in process-expired Inactive Agreements = Agreement not reached, do not approach for 1 year from date listed.

Pending Affiliations:

Scott & White Memorial Hospital Temple, Texas Renewal in process-expired

Seattle Children’s Hospital Seattle, Washington

Select Specialty Tulsa, Oklahoma

Select Specialty Hospital-Madison Madison, WI

Seminole Medical Center Seminole, Oklahoma Renewal in process-expired

Shelby County Health Department Memphis, TN

Sheridan Children’s Healthcare - NNP (for Arlington Medical Center) Plano, Texas

Shodair Children’s Hospital Helena, MT 3/7/2018

Sierra Vista Family Medical Clinic Simi Valley, CA 8/28/2017

Signature Healthcare Louisville, KY

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Pending Affiliation Agreement List 6/22/2018 Pending Agreements = Agreements in process. Once Agreement is completed they are moved to the active affiliation list. Renewal in process-expired Inactive Agreements = Agreement not reached, do not approach for 1 year from date listed.

Pending Affiliations:

Silver Lake Medical Center Los Angeles, CA Renewal in process-expired

SIMED Gainesville, FL 4/12/2018

Sinai Hospital of Baltimore Baltimore, MD 9/18/2017

Sixteenth Street Community Health Center Milwaukee, WI

Sky Ridge and Rose Medial Centers Denver, CO 7/24/2017 Inactive

SOMI Mobile, AL

South Arkansas Emergency Physicians Group South Central Hospitalists (ECI)

Southeastern Emergency Physicians, LLC Knoxville, TN 5/25/2018

Southern Behavioral Health System Georgia 8/21/2017

Southern Hills Hospital Las Vegas, Nevada 1/1/2017

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Pending Affiliation Agreement List 6/22/2018 Pending Agreements = Agreements in process. Once Agreement is completed they are moved to the active affiliation list. Renewal in process-expired Inactive Agreements = Agreement not reached, do not approach for 1 year from date listed.

Pending Affiliations:

SIU-Southern Illinois University-School of Medicine Springfield, IL 10/13/2017

Southwestern Medical Center Lawton, OK

Spectrum Health Grand Rapids, MI

Springbook Behavioral Health System Travelers Rest, SC 11/20/2017 2/12/2018 File Inactive SRP Oceans Hospital of Fort Worth, LLC Fort Worth, Texas

St. Croix Regional Medical Center St. Croix Falls, WI 11/3/2017

St. Elizabeth Healthcare Kentucky 8/15/2017

St. Francis Medical Center Monroe, LA

St. Joseph Heritage Healthcare Santa Rosa, CA 1/24/2018 3/22/2018 Inactive We will not approach again until Spring 2019. St. Joseph’s Hospital Tucson, AZ Previously Carondelet *6/22/2018

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Pending Affiliation Agreement List 6/22/2018 Pending Agreements = Agreements in process. Once Agreement is completed they are moved to the active affiliation list. Renewal in process-expired Inactive Agreements = Agreement not reached, do not approach for 1 year from date listed.

Pending Affiliations:

St. Joseph’s Hospital & Medical Center Campus Phoenix, AZ

St. Jude Children’s Research Hospital Memphis, Tennessee Renewal in process-expired

St. Lucie Medical Center Port St. Lucie, Florida

St. Mark’s Hospital Salt Lake City, UT

St. Mary Emergency Group, LLC at Teche Regional Medical Center Lafayette, LA

St. Mary’s Hospital Decatur, Illinois Renewal in process-expired

St. Mary’s Hospital & Healthcare Athens, GA

St. Mary’s Regional Medical Center Enid, Oklahoma

St. Rose Dominican Hospital Henderson, NV 3/15/2017 Inactive We will not approach again until Spring 2018. Stanford Health Care Palo Alto, CA

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Pending Affiliation Agreement List 6/22/2018 Pending Agreements = Agreements in process. Once Agreement is completed they are moved to the active affiliation list. Renewal in process-expired Inactive Agreements = Agreement not reached, do not approach for 1 year from date listed.

Pending Affiliations:

Summerville Medical Center Summerville, SC

Sunrise Hospital Las Vegas, NV 8/11/2016 Inactive 3/14/2017 Inactive We will not approach this agency again until after Spring 2018. Sutter Medical Foundation Vacaville, California

Swedish Medical Center Seattle, WA Renewal in process-expired

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Pending Affiliations:

Talbert House Cincinnati, OH 6/2/2017

Tallahassee Memorial HealthCare, Inc. Tallahassee, Florida Renewal in process-expired

Tampa General Medical Group Tampa, FL 2/26/2018

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Pending Affiliation Agreement List 6/22/2018 Pending Agreements = Agreements in process. Once Agreement is completed they are moved to the active affiliation list. Renewal in process-expired Inactive Agreements = Agreement not reached, do not approach for 1 year from date listed.

Pending Affiliations:

TECHE Action Clinic Franklin, LA 1/5/2018

Tennova Healthcare Clarksville, TN 7/18/2017

Tennova Healthcare Cleveland, TN 8/4/2017

Texoma Medical Center Denison, TX 12/11/2017

The Carle Foundation Urbana, IL 11/3/2017

The Corvallis Clinic Corvallis, OR 11/17/2017

The Diabetes Center Ocean Springs, MS Renewal in process-expired

The First Clinic Nashville, TN

The Perinatal Center, PA Orlando, FL

The Women’s Hospital Newburgh, IN

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Pending Affiliation Agreement List 6/22/2018 Pending Agreements = Agreements in process. Once Agreement is completed they are moved to the active affiliation list. Renewal in process-expired Inactive Agreements = Agreement not reached, do not approach for 1 year from date listed.

Pending Affiliations:

Tidwater Physicians Multispecialty Newport News, VA 5/29/2018

Tidewell Hospice Sarasota, FL

Tower Medical Group/Chestnut Hill Hospital Philadelphia, PA 4/27/2018

Travis County Sheriff’s Office Del Valle, TX

TriCounty Primary Care

Trinity Health Minot, North Dakota 8/9/2017 Inactive 8/30/2017 Trinity Hospital of Augusta (renewal request sent, expired) Augusta, Georgia

Trios Health Kennewick, Washington 4/24/2018

Truman Medical Centers Kansas City, MO

Tufts Medical Center Boston, MA

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Pending Affiliation Agreement List 6/22/2018 Pending Agreements = Agreements in process. Once Agreement is completed they are moved to the active affiliation list. Renewal in process-expired Inactive Agreements = Agreement not reached, do not approach for 1 year from date listed.

Pending Affiliations:

Twin Cities Community Hospital Templeton, CA

U

Pending Affiliations:

UCH-MHS Colorado Springs, CO Inactive 10/25/2017 Workers’ Compensation requirement, non-negotiable.

UC Health Colorado Inactive-we will not pursue again until after May 2018

UNC School of Medicine Chapel Hill, NC 9/18/2017 10/10/2017 Inactive United Emergency Services of Mississippi, LLC (in conjunction with the Baptist Memorial Hospital Golden Triangle agreement) Renewal in process-expired

United Healthcare Optum Birmingham, AL

United Medical Center Washington, DC 6/18/2018 6/22/2018 Agency declined request University of Arkansas Medical Science South Central

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Pending Affiliation Agreement List 6/22/2018 Pending Agreements = Agreements in process. Once Agreement is completed they are moved to the active affiliation list. Renewal in process-expired Inactive Agreements = Agreement not reached, do not approach for 1 year from date listed.

Pending Affiliations:

University of California UCLA Los Angeles, CA 8/28/2017 10/13/2017 Received Agreement from Agency University of California-San Diego San Diego, CA 2/14/2018

University of Colorado Hospital Aurora, Colorado Renewal in process-expired

University of Kansas Medical Center Kansas City, KS

University of Mississippi Medical Center-Grenada Grenada, MS 10/26/2017 11/6/2017 Inactive University of New Mexico-Sandoval Regional Medical Center (renewal request sent, expired) Rio Rancho, New Mexico

University of North Carolina Pembroke Pembroke, NC Renewal in process, expired.

UNC-University of North Carolina School of Medicine Chapel Hill, NC 10/5/2017 University of North Texas Health Science Center Fort Worth Fort Worth, Texas 9/15/2017

University of Oklahoma, School of Community Medicine Tulsa, OK Renewal in process-expired

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Pending Affiliation Agreement List 6/22/2018 Pending Agreements = Agreements in process. Once Agreement is completed they are moved to the active affiliation list. Renewal in process-expired Inactive Agreements = Agreement not reached, do not approach for 1 year from date listed.

Pending Affiliations:

University of Pittsburgh Medical Center (UPMC) Pittsburgh, PA STUDENTS MAY NOT USE THIS SITE OR SYSTEM AT ALL * DO NOT APPROACH WITH A TWO PAGE AGREEMENT* University of Vermont Medical Center (formerly Fletcher Allen Health) Burlington, Vermont

Upson Regional Medical Center (covers Upson Clinics also) Thomaston, Georgia Renewal in process-expired

Upson Surgical Associates, LLC Thomaston, Georgia Renewal in process-expired

US Air Force-RAF Alconbury UK

US Naval Hospital-Guam

US Naval Hospital Naples, Italy (Renewal in process, expired) US Naval Hospital Japan Yokosuka, Japan (Renewal in process-expired)

USMD Irving, Texas 2/9/2018

UTMB-School of Nursing Galveston, Texas 10/6/2017

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Pending Affiliation Agreement List 6/22/2018 Pending Agreements = Agreements in process. Once Agreement is completed they are moved to the active affiliation list. Renewal in process-expired Inactive Agreements = Agreement not reached, do not approach for 1 year from date listed.

V

Pending Affiliations:

VA Medical Center Fayetteville Fayetteville, AR

VA Medical Center Lexington Lexington, KY

VA El Paso El Paso, Texas 5/9/2018

VA Salem Medical Center Salem, VA Renewal of PLA in process-expired

VA San Diego Healthcare San Diego, CA 6/5/2018

VA Medical Center-Spokane Spokane, WA

Valley Care Clinic Edinburg, TX

Variety Care OKC, OK 2/9/2018

Via Health and Fitness Enrichment Center Mobile, AL 5/26/2017

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Pending Affiliation Agreement List 6/22/2018 Pending Agreements = Agreements in process. Once Agreement is completed they are moved to the active affiliation list. Renewal in process-expired Inactive Agreements = Agreement not reached, do not approach for 1 year from date listed.

Pending Affiliations:

Victory Health Partners Mobile, AL

Virtua Health, Inc. (includes: Virtua-West Jersey Health and Virtua-Memorial Hospital Burlington County) Marlton, NJ Renewal in process-expired Virtua Medical Group, PA Marlton, NJ Renewal in process-expired

Village Health Center: A Family Practice

Vitas Healthcare Daytona Beach, FL 4/28/2017

W

Pending Affiliations:

Washington Adventist Hospital Tacoma Park, Maryland 8/31/2017

Washington University School of Medicine St. Louis, MO 9/15/2017

Weatherford Health Services, LLC Weatherford, Texas Renewal in process-expired

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Pending Affiliation Agreement List 6/22/2018 Pending Agreements = Agreements in process. Once Agreement is completed they are moved to the active affiliation list. Renewal in process-expired Inactive Agreements = Agreement not reached, do not approach for 1 year from date listed.

Pending Affiliations:

Weeds Army Hospital

West Central Georgia Health District Columbus, GA

West Oaks Hospital Houston, Texas Resent 2/9/2018 West Valley Medical Center Caldwell, ID

West Valley Medical Group

Westfield Hospital & Clinic New Richmond, WI 10/13/2017west

Westside Regional Medical Center Plantation, Florida 9/18/2017

Williamson County Hospital District Franklin, Tennessee

Williamson Medical Center Tennessee 2/10/2017 Inactive

Women’s Care Florida, LLC Clearwater, FL 5/4/2017 Inactive

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Pending Affiliation Agreement List 6/22/2018 Pending Agreements = Agreements in process. Once Agreement is completed they are moved to the active affiliation list. Renewal in process-expired Inactive Agreements = Agreement not reached, do not approach for 1 year from date listed.

Pending Affiliations:

Woman’s Hospital Baton Rouge, LA Renewal in process-expired

Wuesthoff Health System Rockledge, FL

Wyoming Medical Center Casper, WY

Y

Pending Affiliations:

Yavapai Regional Medical Center Prescott, AZ 3/10/2017 Inactive