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Fiscal Year 2017 Municipal Bond Audit Times Are Still Too Slow – Hospitals Second Most Timely Sector

 

Municipal Bond Audit Times Show Slight Improvement Since 2015 But Most Still Late to the Table  —  The County, State and City Sectors are the Least Timely

By Richard A. Ciccarone

Municipal bond analysts and investors are accustomed to waiting a lot longer for municipal bond financial audits to be completed after the close of the fiscal year than they would on a corporate bond.   While public corporations are required to file an annual audit within 60 to 90 days after the close of the year, municipal bond borrowers often finish their audited annual reports in close to twice that time and a large number take even much longer.

While investors need the audit documents for credit evaluation and securities pricing purposes, they are not the only stakeholders that have a need to see timely audited financial reports. Governing boards associated with public bodies and not-for-profit organizations need to review the audits in order to fulfill their duty for proper oversight.  Like municipal bond analysts and investors, they are better able to respond to issues disclosed in an audit if the documents are timelier.  Although this issue has been lingering for decades,  the time it takes to complete and sign an audit after the fiscal year has been completed hasn’t changed much over the last ten years.

Merritt Research Services, LLC,  an independent municipal bond credit data and research company based in Hiawatha, Iowa and Chicago, Illinois, has been tracking the time it takes municipal bond borrowers to complete their audits after the close of the their fiscal years since Merritt Research released its first report in 2010.   Its latest findings looked at over 10,500 Fiscal Year 2017 audits by credit sector and over 110,000 audits since 2008.

The Latest Results

The latest analysis focused on 2017 audits found a modicum of good news in that there was a modest improvement in completion time rates over the past two years as governmental audits have made the adjustments to more detailed pension reporting in line with changes in  GASB rules 67 and 68 that occurred mostly in the 2015 audits.  Audits form non-governmental municipal bond borrowers, such as power agencies, hospitals and private universities, finished much faster than those for governments.

As has been the case in other years, the median completion time for the governmental reports still hovers between 170 and 180 days.  That’s still a long way from the target reporting times in the corporate bond market and well below what the municipal bond industry considers to be a muni guideline of 120 days.

Merritt Research’s latest report continues to show that certain types of municipal bond borrowers, mostly associated with corporate like enterprise entities and not-for–profit organizations (issued under the IRS 501c-3 code), are consistently faster to finish their audits than the governmental state and local governmental sectors.  These non-governmental issuer sectors have median times which range from 99 days to 161 days.

Consistently placing fastest on the list of all municipal bond credit sectors are (1) public power wholesale electric agencies (also known as joint action agencies and quasi-government enterprises), (2) hospitals, (3) private higher education institutions and (4) Tollroads.  Each of these sectors show a median audit completion time of 120 days or less,  passing the unofficial municipal bond guideline most frequently cited as best practice.

Municipal Bond Audit Times

Audit Timing Trends by Municipal Bond Credit Sectors Source: Merritt Research Services, LLC

The Fastest Reporting Sectors for Fiscal Year 2017

Public Power Wholesale electric audits achieved the best sector reporting time, boasting a median completion time of 99 days after the close of the fiscal year.  Bonneville Power Administration, which registered an extremely low audit time of 27 days for FY 2017, may not be the perfect example of the municipal bond market since it is technically a federal power agency that serves as a wholesale electricity provider to municipal retail electric entities as well as other municipal joint action agencies and co-operatives.  Nevertheless, it is worth mentioning because it may be the fastest audited reporting agency associated with any federal government department or agency.

The wholesale electric sector has the distinction of holding the best showing of all municipal credit sectors when it comes to the percent of its entities that report audit completions in 120 days or less.  In FY 2017 with 88.6% of all wholesale electric entities able to get the job done, up from 68.5% in 2014.  Even more impressive is that forty-four percent of this sector was able to report its audits in 90 days or less.

Hospitals, which often carry higher interest rates since many consider them as one of the riskier major credit sectors in the muni market, annually place nearly as well as wholesale electric entities in the audit time contest.  As a group, they recorded a median audit completion time of 111 days, the same as the prior year. Since 2008, the hospital audit time median has remarkably ranged between 108 to 112 days.  The hospital category includes both large behemoth hospital systems to small independent community hospitals.  In FY 2017, the three best reporting hospital entities were the Kaiser Foundation Health Plan (CA) at 45 days, Mercy Health Corporation (IL) at 46 days and the Mayo Clinic (MN) at 50 days.   As a group, 70% of all hospital sector municipal bond borrowers finished their audits in 120 days.

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    Lawrence Memorial Hospital

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    Lawrence Memorial Hospital of Medford Inc

  • Legacy Health System & Affiliates

    Legacy Health System & Affiliates

  • Lehigh Valley Health Network & Component Entities

    Lehigh Valley Health Network & Component Entities

  • Lenox Hill Hospital

    Lenox Hill Hospital

  • Lexington County Health Service District Inc & Subs

    Lexington County Health Service District Inc & Subs

  • Licking Memorial Health Systems & Subs

    Licking Memorial Health Systems & Subs

  • Lifespan Corporation & Affiliates

    Lifespan Corporation & Affiliates

  • Lifespan of Massachusetts Inc

    Lifespan of Massachusetts Inc

  • Little Company of Mary Health Services & Affiliated Entities

    Little Company of Mary Health Services & Affiliated Entities

  • Loma Linda University Medical Center & Affiliates

    Loma Linda University Medical Center & Affiliates

  • Long Island College Hospital

    Long Island College Hospital

  • Long Island Jewish Medical Center & Affiliates

    Long Island Jewish Medical Center & Affiliates

  • Loudoun Hospital Center

    Loudoun Hospital Center

  • Louisiana Health System Corporation & Subsidiaries

    Louisiana Health System Corporation & Subsidiaries

  • Lowell General Hospital

    Lowell General Hospital

  • Loyola University Health System

    Loyola University Health System

  • LRG Healthcare

    LRG Healthcare, comrised of Lakes Regional General Hospital and Franklin Regional Hospital

  • Lutheran Medical Center & Affiliates

    Lutheran Medical Center & Affiliates

  • MacNeal Memorial Hospital Association

    MacNeal Memorial Hospital Association

  • Magee Rehabilitation Hospital & Affiliates

    Magee Rehabilitation Hospital & Affiliates

  • Magee Women’s Hospital

    Magee Women’s Hospital

  • Maimonides Medical Center

    Maimonides Medical Center

  • Maine Medical Center

    Maine Medical Center

  • MaineGeneral Medical Center

    MaineGeneral Medical Center

  • Manchester Memorial Hospital

    Manchester Memorial Hospital

  • Marquette General Health System

    Marquette General Health System

  • Marshfield Clinic

    Marshfield Clinic

  • Martin Memorial Medical Center Inc & Subs

    Martin Memorial Medical Center Inc & Subs

  • Mary Greeley Medical Center

    Mary Greeley Medical Center

  • Mary Hitchcock Memorial Hospital

    Mary Hitchcock Memorial Hospital

  • Mary Lanning Memorial Hospital Assoc & Affiliate

    Mary Lanning Memorial Hospital Assoc & Affiliate

  • Mary Washington Healthcare

    Mary Washington Healthcare, headquartered in Fredericksburg, Virginia

  • Massachusetts General Hospital & Affiliates

    Massachusetts General Hospital & Affiliates

  • Mayo Clinic

    Mayo Clinic

  • Mayo Foundation

    Mayo Foundation

  • McLaren Health Care Corporation & Subs

    McLaren Health Care Corporation & Subs

  • McLean Hospital Corp

    McLean Hospital Corp

  • Mcleod Regional Medical Center of the Pee Dee Inc

    Mcleod Regional Medical Center of the Pee Dee Inc

  • Meadville Medical Center & Sub

    Meadville Medical Center & Sub

  • Medcenter One Inc

    Medcenter One Inc

  • Medcentral Health System & Subs

    Medcentral Health System & Subs

  • Medical Center Hospital

    Medical Center Hospital (Odessa, Texas)

  • Medical College of Virginia Hospitals Authority

    Medical College of Virginia Hospitals Authority

  • Medina General Hospital & Subs

    Medina General Hospital & Subs

  • Medstar Health

    Medstar Health, formerly Medlantic Healthcare Group Inc & Subs and Helix Health

  • Melrose-Wakefield Healthcare Corp

    Hallmark Health, formerly Melrose-Wakefield Healthcare Corp

  • Memorial Health

    Memorial Health Center

  • Memorial Health System

    Memorial Health System (Colorado Springs, Colorado)

  • Memorial Health System Inc & Affiliated Corporations

    Memorial Health System Inc & Affiliated Corporations

  • Memorial Health System Obl Grp

    Memorial Health System Obl Grp

  • Memorial Health Systems Inc

    Memorial Health Systems Inc

  • Memorial Healthcare Center & Subs

    Memorial Healthcare Center & Subs (Owasso, MI)

  • Memorial Healthcare System

    Memorial Healthcare System (South Broward Hospital District)

  • Memorial Hospital

    Memorial Hospital

  • Memorial Hospital & Medical Center of Cumberland Inc

    Memorial Hospital & Medical Center of Cumberland Inc

  • Memorial Hospital at Gulfport

    Memorial Hospital at Gulfport

  • Memorial Medical Center Inc

    Memorial Medical Center Inc

  • Memorial Sloan-Kettering Cancer Center & Affiliated Corporations

    Memorial Sloan-Kettering Cancer Center & Affiliated Corporations

  • Mercy General Health Partners

    Mercy General Health Partners

  • Mercy Health Services Inc & Subs

    Mercy Health Services Inc & Subs

  • Mercy Health Services Obl Grp

    Mercy Health Services Obl Grp

  • Mercy Health System Inc & Subs

    Mercy Health System Inc & Subs

  • Mercy Hospital & Medical Center & Affiliate

    Mercy Hospital & Medical Center & Affiliate

  • Mercy Hospital Inc & Sub

    Mercy Hospital Inc & Sub

  • Mercy Hospital Medical Center & Subs

    Mercy Hospital Medical Center & Subs

  • Mercy Hospital of Pittsburgh

    Mercy Hospital of Pittsburgh

  • Mercy Medical Center

    Mercy Medical Center

  • Meritcare Hospital

    Meritcare Hospital

  • Meriter Hospital Inc

    Meriter Hospital Inc

  • Methodist Health Care System

    Methodist Health Care System

  • Methodist Health Services Corporation & Related Organizations

    Methodist Health Services Corporation & Related Organizations

  • Methodist Healthcare & Certain Affiliates

    Methodist Healthcare & Certain Affiliates

  • Methodist Hospitals of Dallas

    Methodist Hospitals of Dallas

  • Metro Health

    Metro Health System (Cleveland, Ohio)

  • Metro Health Center & Subs

    Metro Health Center & Subs

  • Metro Nashville General Hospital

    Metro Nashville General Hospital

  • Metrocrest Hospital Authority

    Metrocrest owns two Texas hospitals, RHD Medical Center, Farmers Branch and Trinity Medical Center,Carrollton.

  • MetroHealth System

    MetroHealth System

  • Mid-Columbia Medical Center

    Mid-Columbia Medical Center

  • Middle Tennessee Medical Center

    Middle Tennessee Medical Center

  • Middletown Regional Health System & Controlled Entities

    Middletown Regional Health System & Controlled Entities

  • Midland County Hospital District

    Midland County Hospital District

  • MidMichigan Health

    MidMichigan Health

  • Milford Hospital

    Milford Hospital

  • Ministry Health Care Inc & Affiliates

    Ministry Health Care Inc & Affiliates

  • Mission Hospital Inc

    Mission Hospital Inc

  • Mission St Joseph’s Health System Inc & Affiliates

    Mission St Joseph’s Health System Inc & Affiliates

  • Mississippi Baptist Health System Inc & Subs

    Mississippi Baptist Health System Inc & Subs

  • Mississippi Methodist Hospital & Rehab Center Inc & Sub

    Mississippi Methodist Hospital & Rehab Center Inc & Sub

  • Mobile Infirmary Association

    Mobile Infirmary Association

  • Monongalia Health System

    Monongalia Health System (Mon Health)

  • Montefiore Medical Center

    Montefiore Medical Center

  • Montgomery County Memorial Hospital

    Montgomery County Memorial Hospital

  • Montgomery General Hospital Inc

    Montgomery General Hospital Inc

  • Montrose Memorial Hospital

    Montrose Memorial Hospital

  • Morehead Memorial Hospital

    Morehead Memorial Hospital

  • Morton Plant Mease Health Care Obl Grp

    Morton Plant Mease Health Care Obl Grp

  • Moses H Cone Memorial Hospital & Affiliates

    Moses H Cone Memorial Hospital & Affiliates

  • Moses Taylor Hospital

    Moses Taylor Hospital

  • Mother Frances Hospital Regional Health Care Center & Subs

    Mother Frances Hospital Regional Health Care Center & Subs

  • Mount Sinai & Miami Heart Institute

    Mount Sinai & Miami Heart Institute of Florida Inc & Subs

  • Mount Sinai NYU Health Obl Grp

    Mount Sinai NYU Health Obl Grp

  • Mountain States Health Alliance

    Mountain States Health Alliance

  • Mt Sinai Hospital Medical Center

    Mt Sinai Hospital Medical Center

  • Muhlenberg Regional Medical Center Inc

    Muhlenberg Regional Medical Center Inc

  • MultiCare Health System & Affiliates

    MultiCare Health System & Affiliates (headquartered in Tacoma, Washington)

  • Munson Healthcare & Subs

    Munson Healthcare & Subs

  • Nathan Littauer Hospital Association

    Nathan Littauer Hospital Association

  • National Assn of Secretaries of State

    National Association of Secretaries of State (NASS)- nonpartisan professional organization for state officials

  • National Jewish Medical & Research Center & Sub

    National Jewish Medical & Research Center & Sub

  • Navapache Regional Medical Center

    Navapache Regional Medical Center

  • Nebraska Methodist Hospital

    Nebraska Methodist Hospital

  • New Britain General Hospital

    New Britain General Hospital

  • New Hanover Regional Medical Center

    New Hanover Regional Medical Center (Wilmington, North Carolina)

  • New York City Health & Hospitals Corp & Subs

    New York City Health & Hospitals Corp & Subs

  • Newark Beth Israel Medical Center

    Newark Beth Israel Medical Center

  • Newman Regional Health

    Newman Regional Health

  • Newton Health Systems Inc

    Newton Health Systems Inc

  • Newton Medical Center

    Newton Medical Center

  • Newton Memorial Hospital

    Newton Memorial Hospital

  • Newton-Wellesley Health Care System Inc & Affiliates

    Newton-Wellesley Health Care System Inc & Affiliates

  • North Broward Hospital District

    North Broward Hospital District

  • North Carolina Baptist Hospitals Inc & Affiliates

    North Carolina Baptist Hospitals Inc & Affiliates

  • North Colorado Medical Center

    North Colorado Medical Center, a unit of Banner Health

  • North Country Health Services

    North Country Health Services

  • North Iowa Mercy Health Center

    North Iowa Mercy Health Center

  • North Memorial Health Care

    North Memorial Medical Center

  • North Mississippi Health Services Obligated Group

    North Mississippi Health Services Obligated Group

  • North Mississippi Medical Center Inc Obl Grp

    North Mississippi Medical Center Inc Obl Grp

  • North Philadelphia Health System

    North Philadelphia Health System

  • North Shore Health System Obl Grp

    North Shore Health System Obl Grp, (Long Island Jewish Health System)

  • North Shore Medical Center & Subs

    North Shore Medical Center & Subs

  • North Valley Hospital & Sub

    North Valley Hospital & Sub

  • NorthBay Healthcare System

    NorthBay Healthcare System

  • Northeast Alabama Regional Medical Center & Affiliate

    Northeast Alabama Regional Medical Center & Affiliate

  • Northeast Georgia Health System Inc & Affiliates

    Northeast Georgia Health System Inc & Affiliates

  • Northeast Hospital Authority & Affiliate

    Northeast Hospital Authority & Affiliate

  • Northeast Hospital Corporation & Affiliates

    Northeast Hospital Corporation & Affiliates

  • Northern Arizona Healthcare Corporation Obligated Group

    Northern Arizona Healthcare Corporation Obligated Group

  • Northern Westchester Hospital Association & Subs

    Northern Westchester Hospital Association & Subs

  • Northside Hospital Inc & Sub

    Northside Hospital Inc & Sub

  • Northwest Community Healthcare & Affiliates

    Northwest Community Healthcare & Affiliates

  • Northwest Hospital

    Northwest Hospital

  • Northwestern Memorial Hospital

    Northwestern Memorial Hospital

  • Norton Healthcare Inc & Affiliates

    Norton Healthcare Inc & Affiliates

  • Norwalk Hospital Association

    Norwalk Hospital Association

  • Novant Health Inc & Affiliates

    Novant Health Inc & Affiliates

  • Nyack Hospital & Subs

    Nyack Hospital & Subs

  • Oakwood Healthcare Inc & Subs

    Oakwood Healthcare Inc & Subs

  • OhioHealth Corporation

    OhioHealth Corporation

  • Orlando Regional Health Care System Inc & Controlled Entities

    Orlando Regional Health Care System Inc & Controlled Entities

  • OSF Healthcare System & Sub

    OSF Healthcare System & Sub

  • Our Lady of Lourdes Regional Medical Center

    Our Lady of Lourdes Regional Medical Center

  • Our Lady of the Lake Regional Medical Center

    Our Lady of the Lake Regional Medical Center

  • Overlake Hospital Medical Center

    Overlake Hospital Medical Center

  • Owensboro Medical Health System

    Owensboro Medical Health System (Owensboro, Kentucky)

  • Ozarks Medical Center

    Ozarks Medical Center

  • Pallottine Health Services Inc & Subs

    Pallottine Health Services Inc & Subs

  • Palmerton Hospital

    Palmerton Hospital

  • Palmetto Health

    Palmetto Health

  • Palmetto Health Alliance

    Palmetto Health Alliance

  • Palomar Pomerado Health System

    Palomar Pomerado Health System

  • Pan American Hospital Corp

    Pan American Hospital Corp

  • Park Nicollet Health Services & Controlled Affiliates

    Park Nicollet Health Services & Controlled Affiliates

  • Parkview Health System

    Parkview Health System

  • Parkview Health System Inc & Subs

    Parkview Health System Inc & Subs

  • Partners Healthcare System Inc & Affiliates

    Partners Healthcare System Inc & Affiliates

  • Pascack Valley Hospital Association

    Pascack Valley Hospital Association

  • PeaceHealth

    PeaceHealth

  • Peninsula Regional Medical Center

    Peninsula Regional Medical Center

  • Pennsylvania Hospital

    Pennsylvania Hospital

  • Phelps Memorial Hospital

    Phelps Memorial Hospital

  • Phoebe Putney Health Systems Inc

    Phoebe Putney Health Systems Inc

  • Phoenix Baptist

    Phoenix Baptist Hospital

  • Phoenixville Hospital

    Phoenixville Hospital

  • Platte Valley Medical Center

    Platte Valley Medical Center

  • Plumas District Hospital

    Plumas District Hospital

  • Porter Memorial Health System

    Porter Memorial Health System

  • Portercare Adventist Health System

    Portercare Adventist Health System

  • Portneuf Medical Center

    Portneuf Medical Center

  • Poudre Valley Health System

    Poudre Valley Health System

  • Prairie Lakes Health Care System Inc

    Prairie Lakes Health Care System Inc

  • Pratt Regional Medical Center

    Pratt Regional Medical Center

  • Presbyterian Healthcare Services & Affiliates

    Presbyterian Healthcare Services & Affiliates

  • Presbyterian Intercommunity Hospital

    Presbyterian Intercommunity Hospital (Whittier, California)

  • Princeton Healthcare System

    Princeton Healthcare System

  • ProMedica Healthcare Obl Grp

    ProMedica Healthcare Obl Grp

  • Provena Health & Affiliates

    Provena Health & Affiliates

  • Providence Health System

    Providence Health System

  • Putnam Hospital Center

    Putnam Hospital Center

  • Queen’s Health Systems Obl Grp

    Queen’s Health Systems Obl Grp

  • Randolph Hospital Inc & Affil

    Randolph Hospital Inc & Affil

  • Rapid City Regional Hospital Inc & Subs

    Rapid City Regional Hospital Inc & Subs

  • Reading Hospital & Medical Center

    Reading Hospital & Medical Center

  • Regional Medical Center of Orangeburg & Calhoun Counties & Subs

    Regional Medical Center of Orangeburg & Calhoun Counties & Subs

  • Regional Medical Center at Memphis

    Regional Medical Center at Memphis

  • Regions Hospital

    Regions Hospital

  • Reid Hospital & Health Care Services Inc

    Reid Hospital & Health Care Services Inc

  • Renown Health System

    Renown Health System

  • Resurrection Health Care & Affiliates

    Resurrection Health Care & Affiliates

  • Rex Healthcare Inc & Subs

    Rex Healthcare Inc & Subs

  • Ridgeview Medical Center & Affiliates

    Ridgeview Medical Center & Affiliates

  • Riverside Health System Inc

    Riverside Health System Inc

  • Riverview Hospital Association

    Riverview Hospital Association

  • Robert Wood Johnson University Hospital

    Robert Wood Johnson University Hospital

  • Rockford Memorial Hospital & Rockford Memorial Health Svcs Obl Grp

    Rockford Memorial Hospital & Rockford Memorial Health Svcs Obl Grp

  • Roger Williams Hospital

    Roger Williams Hospital

  • Rush University Medical Center

    Rush University Medical Center

  • Rush-Presbyterian-St Lukes Medical Center & Affiliates

    Rush-Presbyterian-St Lukes Medical Center & Affiliates

  • Russell Hospital Corporation

    Russell Medical Center

  • Rutherford Hospital Inc & Affiliates

    Rutherford Hospital Inc & Affiliates

  • RWJ Health Care Corp at Hamilton & Subs

    RWJ Health Care Corp at Hamilton & Subs

  • Sacred Heart Hospital

    Sacred Heart Hospital

  • Salem Hospital

    Salem Hospital

  • Salina Regional Health Center Inc & Subs

    Salina Regional Health Center Inc & Subs

  • Saline Memorial Hospital

    Saline Memorial Hospital

  • Samaritan Health System

    Samaritan Health System

  • Samaritan Healthcare

    Samaritan Healthcare

  • San Antonio Community Hospital & Subs

    San Antonio Community Hospital & Subs

  • Santa Barbara Cottage Hospital and Affiliate

    Santa Barbara Cottage Hospital and Affiliate

  • Santa Clara Valley Health & Hospital System

    Santa Clara Valley Health & Hospital System

  • Santa Marta Hospital

    Santa Marta Hospital

  • Santa Teresita Hospital

    Santa Teresita Hospital

  • Sarasota County Public Hospital Board & Affiliates

    Sarasota County Public Hospital Board & Affiliates

  • Scott & White Memorial Hospital & Scott Sherwood & Brindley Foundation

    Scott & White Memorial Hospital & Scott Sherwood & Brindley Foundation

  • Scottsdale Healthcare Corp

    Scottsdale Healthcare Corp

  • Scripps Health

    Scripps Health

  • Seacoast Regional Health Systems Inc

    Seacoast Regional Health Systems Inc

  • Sentara Healthcare & Subs

    Sentara Healthcare & Subs

  • Seton Health System Inc

    Seton Health System Inc

  • Shands at AGH

    Shands at AGH

  • Sharp Healthcare

    Sharp Healthcare

  • Shenandoah Medical Center

    Shenandoah Medical Center

  • Shepherd Center Inc & Sub

    Shepherd Center Inc & Sub

  • Sherman Health Systems

    Sherman Health Systems

  • Shore Memorial Hospital

    Shore Memorial Hospital

  • Sierra View Local Hospital District

    Sierra View District Hospital is an acute care facility within the Southern Sequoia region of California’s San Joaquin […]

  • Sierra Vista Regional Health Center Inc

    Sierra Vista Regional Health Center Inc

  • Silver Cross Health System & Silver Cross Hospital & Medical Centers

    Silver Cross Health System & Silver Cross Hospital & Medical Centers

  • Sinai Hospital of Baltimore Inc

    Sinai Hospital of Baltimore Inc

  • Singing River Hospital System & Sub

    Singing River Hospital System & Sub

  • Sioux Valley Hospitals & Health System

    Sioux Valley Hospitals & Health System

  • Sisters of Charity of Leavenworth Health Services Corporation & Affiliates

    Sisters of Charity of Leavenworth Health Services Corporation & Affiliates

  • Sisters of Mercy Health System St Louis Inc & Subs

    Sisters of Mercy Health System St Louis Inc & Subs

  • Sisters of St. Francis Health System

    Sisters of St. Francis Health System (headquartered in Mishawaka, Indiana)

  • Sky Lakes Medical Center

    Sky Lakes Medical Center (formerly Merle West Medical Center) located in Klamath Falls, Oregon

  • Slidell Memorial Hospital & Medical Center

    Slidell Memorial Hospital & Medical Center

  • Society of the New York Hospital

    Society of the New York Hospital

  • Society of the Valley Hospital

    Society of the Valley Hospital

  • Sonoma Valley Health Care District & Subordinate Corp

    Sonoma Valley Health Care District & Subordinate Corp

  • Sound Shore Medical Center of Westchester

    Sound Shore Medical Center of Westchester

  • South County Hospital Healthcare System & Affiliates

    South County Hospital Healthcare System & Affiliates

  • South Fulton Medical Center (GIHA)

    South Fulton Medical Center (GIHA)

  • South Georgia Medical Center

    South Georgia Medical Center

  • South Shore Hospital Inc

    South Shore Hospital Inc

  • Southeast Alabama Medical Center

    Southeast Alabama Medical Center

  • Southeast Missouri Hospital Association

    Southeast Missouri Hospital Association

  • Southern Illinois Hospital Services

    Southern Illinois Hospital Services

  • Southern Ocean County Hospital

    Southern Ocean County Hospital

  • Southwest Louisiana Health Care System Inc

    Southwest Louisiana Health Care System Inc

  • Southwest Washington Medical Center

    Southwest Washington Medical Center

  • Sparks Regional Medical Center

    Sparks Regional Medical Center

  • Spaulding Rehab Hospital Corp

    Spaulding Rehab Hospital Corp

  • Spectrum Health Obligated Group

    Spectrum Health Obligated Group

  • SSM Health Care Credit Group

    SSM Health Care Credit Group

  • St Alexius Medical Center & Subs

    St Alexius Medical Center & Subs

  • St Charles Medical Center

    St Charles Medical Center

  • St Francis Hospital & Medical Center

    St Francis Hospital & Medical Center

  • St Francis Hospital Inc

    St Francis Hospital Inc

  • St Francis Medical Center & St Francis Medical Center West

    St Francis Medical Center & St Francis Medical Center West

  • St John Health System

    St John Health System

  • St John Health System Inc & Subs

    St John Health System Inc & Subs

  • St John Medical Center Obligated Group

    St John Medical Center Obligated Group

  • St Johns Lutheran Hospital Inc

    St Johns Lutheran Hospital Inc

  • St Joseph Health Services of Rhode Island

    St Joseph Health Services of Rhode Island

  • St Joseph Health System & Affiliates

    St Joseph Health System & Affiliates

  • St Joseph Hospital

    St Joseph Hospital

  • St Joseph Medical Center Inc & Subs

    St Joseph Medical Center Inc & Subs

  • St Joseph’s Hospital

    St Joseph’s Hospital

  • St Joseph’s Hospital & Medical Center

    St Joseph’s Hospital & Medical Center

  • St Joseph’s Hospital Bluemound

    St Joseph’s Hospital Bluemound

  • St Joseph’s Medical Ctr-Catholic Health

    St Joseph’s Medical Center — part of the Catholic Healthcare West Group

  • St Joseph’s Mercy Health Center

    St Joseph’s Regional Health Center & Sub

  • St Louis University Hospitals

    St Louis University Hospitals

  • St Luke’s Episcopal Health System

    St Luke’s Episcopal Health System

  • St Luke’s Health Network Inc & Controlled Entities

    St Luke’s Health Network Inc

  • St Luke’s Hospital Association

    St Luke’s Hospital Association, a unit of the Mayo Clinic

  • St Luke’s Hospital of Duluth & Sub

    St Luke’s Hospital of Duluth & Sub

  • St Luke’s Hospital of Kansas City – Obl Grp

    St Luke’s Hospital of Kansas City – Obl Grp

  • St Luke’s Methodist Hospital

    St Luke’s Methodist Hospital

  • St Luke’s Regional Medical Center & Subs

    St Luke’s Regional Medical Center & Subs

  • St Margaret’s Hospital

    St Margaret’s Hospital

  • St Mary’s Health Network

    St Mary’s Health Network

  • St Mary’s Hospital Corp

    St Mary’s Hospital Corp

  • St Marys Hospital

    St Marys Hospital

  • St Rose Hospital

    St Rose Hospital

  • St Vincent Health System & Subs

    St Vincent Health System & Subs

  • St Vincent Hospital

    St Vincent Hospital

  • St Vincent Hospital & Sub

    St Vincent Hospital & Sub

  • St Vincent’s Medical Center

    St Vincent’s Medical Center

  • St. Bernards Medical Center

    St. Bernards Medical Center

  • St. Lukes Episcopal Health System

    St. Lukes Episcopal Health System (Houston, Texas)

  • Stamford Hospital

    Stamford Hospital

  • Stillwater Medical Center

    Stillwater Medical Center

  • Stonewall Jackson Hospital Inc

    Stonewall Jackson Hospital Inc

  • Stormont-Vail Healthcare Inc & Affiliates

    Stormont-Vail Healthcare Inc & Affiliates

  • Suburban Hospital Healthcare System Inc

    Suburban Hospital Healthcare System Inc

  • Summa Health System Hospitals

    Summa Health System Hospitals

  • Summit Medical Center & Subordinate Corporations

    Summit Medical Center & Subordinate Corporations

  • Sun Health Corporation & Sun Health Properties Inc

    Sun Health Corporation & Sun Health Properties Inc

  • Sunbury Community Hospital & Affiliate

    Sunbury Community Hospital & Affiliate

  • Susan B Allen Memorial Hospital

    Susan B Allen Memorial Hospital

  • Susquehanna Health System

    Susquehanna Health System — Divine Providence Hospital of the Strs of Charity & Muncy Valley Hospital

  • Sutter Health

    Sutter Health

  • Sutter Health & Affiliates

    Sutter Health & Affiliates

  • Swedish Health Services & Affiliates

    Swedish Health Services & Affiliates

  • Syosset Community Hospital

    Syosset Community Hospital

  • Tahoe Forest Hospital District

    Tahoe Forest Hospital District

  • Tampa General Healthcare

    Tampa General Healthcare

  • Tehachapi Valley Healthcare District

    Rural hospital serving the City of Tehachapi and surrounding area

  • Temple University Hospital Obligated Group

    Temple University Hospital Obligated Group

  • Terrebonne General Medical Center

    Terrebonne General Medical Center

  • Texas Childrens Hospital

    Texas Children’s Hospital (affiliated with Baylor College of Medicine)

  • Texas Health Resources

    Texas Health Resources

  • ThedaCare

    ThedaCare, community health system consisting of four hospitals

  • Thomas Hospital & Affils

    Thomas Hospital & Affils

  • Thomas Jefferson University Hospital

    Thomas Jefferson University Hospital

  • Thorek Hospital & Medical Center & Sub

    Thorek Hospital & Medical Center & Sub

  • Tidewater Health Care & Subs

    Tidewater Health Care & Subs

  • TMC Healthcare & Subs

    TMC Healthcare & Subs

  • Torrance Memorial Medical Center

    Torrance Memorial Medical Center

  • Touro Infirmary & Subs

    Touro Infirmary & Subs

  • Tri-City Healthcare District

    Tri-City Healthcare District

  • Trinity Health

    Trinity Health

  • Trinity Medical Center

    Trinity Medical Center

  • Trinity Regional Health System & Subs

    Trinity Regional Health System & Subs

  • Trover Foundation

    Trover Foundation

  • Tuomey Healthcare System

    Tuomey Healthcare System

  • UCLA Medical Center

    UCLA Medical Center

  • UCSF Stanford Healthcare & Subs

    UCSF Stanford Healthcare & Subs

  • Union Hospital Inc & Sub

    Union Hospital Inc & Sub

  • Union Hospital of Cecil County Inc

    Union Hospital of Cecil County Inc

  • United Health Services Hospitals Inc

    United Health Services Hospitals Inc

  • Unity Health System Inc

    Unity Health System Inc

  • Univ Of Louisville Hospital

    Univ Of Louisville Hospital

  • University Community Hospital Inc

    University Community Hospital Inc

  • University Health Care System (Georgia)

    University Health Care System (Augusta, Georgia)

  • University Health System

    University Health System (Bexar County Hospital District, Texas)

  • University Hospitals Health System Inc & Subs

    University Hospitals Health System Inc & Subs

  • University Medical Center

    University Medical Center Corporation & Subs, Tucson, Arizona

  • University of Alabama Hospital

    University of Alabama Hospital

  • University of CA – San Francisco Medical Center

    University of CA – San Francisco Medical Center

  • University of Chicago Hospitals & Related Organizations

    University of Chicago Hospitals & Related Organizations

  • University of Florida Proton Therapy Institute

    University of Florida Proton Therapy Institute

  • University of Kentucky Albert B Chandler Medical Center University Hospital

    University of Kentucky Albert B Chandler Medical Center University Hospital

  • University of Maryland Medical System Corp Obl Grp

    University of Maryland Medical System Corp Obl Grp

  • University of Michigan Hospitals & Health Centers

    University of Michigan Hospitals & Health Centers

  • University of Mississippi Medical Center

    University of Mississippi Medical Center

  • University of Missouri Health System

    University of Missouri Health System

  • University of Nebraska Medical Center

    University of Nebraska Medical Center

  • University of North Carolina Hospitals

    University of North Carolina Hospitals

  • University of Pennsylvania Health System

    University of Pennsylvania Health System

  • University of Pittsburgh Medical Center Health System

    University of Pittsburgh Medical Center Health System

  • University of Tennessee Memorial Hospital

    University of Tennessee Memorial Hospital

  • University of Utah Hospital

    University of Utah Hospital — part of the University of Utah Health Sciences Center

  • University of Virginia Medical Center

    University of Virginia Medical Center

  • University of Washington Medical Center

    University of Washington Medical Center

  • UPMC Health System

    UPMC Health System of Pittsburgh

  • UPMC Horizon & Subs

    UPMC Horizon & Subs

  • Upper Valley Medical Center

    Upper Valley Medical Center

  • Vail Valley Medical Center

    Vail Valley Medical Center

  • Valley Baptist Health System

    Valley Baptist Health System

  • Valley Children’s Hospital & Valley Children’s Hospital Foundation

    Valley Children’s Hospital & Valley Children’s Hospital Foundation

  • Valley Health System

    Hospital system serving California.

  • Valley Medical Center

    Valley Medical Center

  • Valley Regional Health System Inc & Affiliates

    Valley Regional Health System Inc & Affiliates

  • Valley View Hospital

    Community hospital localted in Glenwood Springs CO

  • Vanderbilt University Hospital & Clinic

    Vanderbilt University Hospital & Clinic

  • Via Christi Health System Inc & Subs

    Via Christi Health System Inc & Subs

  • Virginia Hospital Center

    Virginia Hospital Center(formerly Arlington Hospital Association)

  • Virginia Mason Medical Center

    Virginia Mason Medical Center

  • WakeMed

    WakeMed

  • Washington County Hospital Association

    Washington County Hospital Association

  • Washington Hospital

    Washington Hospital

  • Washington Hospital Healthcare System

    Washington Hospital Healthcare System (Fremont, California)

  • Washington Regional Medical Center

    Washington Regional Medical Center

  • Washoe Medical Center Inc

    Washoe Medical Center Inc

  • Watauga Medical Center Inc & Affiliate

    Watauga Medical Center Inc & Affiliate

  • Waterbury Hospital

    Waterbury Hospital

  • Watsonville Community Hospital

    Watsonville Community Hospital

  • Waukesha Memorial Hospital Inc

    Waukesha Memorial Hospital Inc

  • Wayne Memorial Hospital

    Wayne Memorial Hospital

  • Welborn Memorial Baptist Hospital Inc & Subs

    Welborn Memorial Baptist Hospital Inc & Subs

  • Wellmont Health System

    Wellmont Health System

  • West Jersey Health System

    West Jersey Health System, Virtua Health

  • West Orange Healthcare District

    West Orange Healthcare District

  • West Penn Allegheny Health System

    West Penn Allegheny Health System- consolidated hospital system in the Pittsburgh area

  • West River Regional Medical Center

    West River Regional Medical Center

  • West Suburban Hospital Medical Center

    West Suburban Hospital Medical Center

  • West Tennessee Healthcare & Related Affiliates

    West Tennessee Healthcare & Related Affiliates

  • West Virginia University Hospitals Inc

    West Virginia University Hospitals Inc

  • Western Reserve Care System

    Western Reserve Care System

  • Westmoreland Health System Obl Grp

    Westmoreland Health System Obl Grp

  • Wheeling Hospital

    Wheeling Hospital

  • White River Health System Inc

    White River Health System Inc

  • Wilcox Memorial Hospital & GN Wilcox Health Center Properties

    Wilcox Memorial Hospital & GN Wilcox Health Center Properties

  • William Beaumont Hospital & Consolidated Subs

    William Beaumont Hospital & Consolidated Subs

  • Willis-Knighton Medical Center & Subs

    Willis-Knighton Medical Center & Subs

  • Wills Eye Hospital

    Wills Eye Hospital

  • Winchester Hospital

    Winchester Hospital

  • Winchester Medical Center Inc

    Winchester Medical Center Inc

  • Windham Community Memorial Hospital Inc

    Windham Community Memorial Hospital Inc

  • Woman’s Health Foundation

    Woman’s Health Foundation

  • Woman’s Hospital

    Woman’s Hospital (Baton Rouge, Louisiana)

  • Women & Infants Hospital of Rhode Island & Subsidiary

    Women & Infants Hospital of Rhode Island & Subsidiary

  • Wuesthoff Health Systems Inc Obl Grp

    Wuesthoff Health Systems Inc Obl Grp

  • Wyckoff Heights Medical Center

    Wyckoff Heights Medical Center

  • Yale New Haven Hospital Inc

    Yale New Haven Hospital Inc

  • York Hospital

    York Hospital

  • Yuma Regional Medical Center

    Yuma Regional Medical Center