Exhibit 1.

Changes In Hospitals’ Delivery Volume And Insurance Status In The Philadelphia Region, By County, 1995–2009

County	Hospital	Status	1995 Deliveries	2009 Deliveries	% Change Deliveries	% Change in Fed/Uninsured
Bucks	A	Open	1,051	1,363	29.69	247.72
	B	Open	1,107	1,596	44.17	61.39
	C	Open	1,390	1,128	−18.85	152.38
	D	Open	1,414	1,920	35.79	114.65
	E	Hospital Closed	142
Chester	F	Open	2,042	2,567	25.71	94.6
	G	Open		418
	H	Open	296	2,280	670.27	−30.76
	I	Open	1,209	924	−23.57	299.8
	J	Unit Closed	760
Delaware	K	Open	2,603	2,107	−19.05	447.26
	L	Open	1,226	1,657	35.15	987.16
	M	Open	814	833	2.33	199.02
	N	Unit Closed	1,319
Montgomery	O	Open	3,243	5,155	58.96	76.38
	P	Open	2,021	1,915	−5.24	−15.16
	Q	Open	1,791	2,770	54.66	746.7
	R	Open	1,714	2,666	55.54	57.91
	S	Open	674	776	15.13	309.14
	T	Open	773	694	−10.22	21.21
	U	Unit Closed	812
	V	Unit Closed	565
Philadelphia	W	Open	1,507	2,932	94.56	142.1
	X	Open	1,597	2,081	30.31	321.58
	Y	Open	2,307	4,004	73.56	110.99
	Z	Open	3,585	4,790	33.61	268.98
	AA	Open	1,644	3,171	92.88	122.45
	AB	Open	2,340	2,174	−7.09	21.3
	AC	Hospital Closed	476
	AD	Hospital Closed	1,034
	AE	Hospital Closed	967
	AF	Hospital Closed	844
	AG	Hospital Closed	771
	AH	Unit Closed	655
	AI	Unit Closed	279
	AJ	Unit Closed	1,264
	AK	Unit Closed	330
	AL	Unit Closed	1,208
	AM	Unit Closed	1,865
	AN	Unit Closed	711
	AO	Unit Closed	1,144

SOURCE Authors’ analysis of birth certificate records, Pennsylvania Department of Vital Statistics. NOTE Data confidentiality agreements precluded listing hospitals by name.