News at NCH
NCH Healthcare System Named Among the Nation's 100 Top Performance Improvement Leader Hospitals

[Naples, Florida] - [August 7,2007] – The NCH Healthcare System was this week
named one of the nation's top 100 performance improvement leader hospitals by
Thomson Healthcare, a leading independent provider of healthcare services.

NCH was recognized for its progress in improving hospital-wide performance
over five consecutive years (2001-2005). The study rated 2,897 hospitals on
eight factors that reflect clinical outcomes and efficiency, financial strength, and
market growth – patient mortality, medical complications, patient safety, length of
stay, expenses, profitability, cash-to-debt ratio, and growth in patient volume.
Allen Weiss, MD, President and Chief Executive Officer of the NCH Healthcare
System, said, “We are so pleased that another nationally recognized,
independent study has confirmed that NCH’s operational performance and ability
to deliver quality patient care to the community is among the best in the nation.”
“All our care givers - physicians, nurses, technicians, therapists – as well as all
non-clinical members of the NCH team deserve full credit for this outstanding
achievement,” Weiss added.

According to Thomson, efforts at the NCH Healthcare System are part of a
broader, national movement to improve the quality and efficiency of healthcare
spurred by the Institute of Medicine’s 2001 publication of "Crossing the Quality
Chasm: A New Health System for the 21st Century," a book that that described
quality issues and proposed six goals for healthcare delivery.

Jean Chenoweth, senior vice president, 100 Top Hospitals programs, Center for
Healthcare Improvement, Thomson Healthcare, said, "The leadership of the
hospital and all of the people who work there have heard the national call to
increase the pace of improvement for patients across the nation. Their efforts to
improve performance have resulted in consistent year-over-year improvement
that is among the fastest rate in the nation for its type of hospital. This means
that your local hospital has found the key to continually improving the health
services for the people in the community."
 
Findings from the fourth edition of the Thomson 100 Top Hospitals®:
Performance Improvement Leaders study appear in the August 6, 2007, issue of
Modern Healthcare magazine

The winners of the 2006 Performance Improvement Leaders Award made the
following gains between 2001 and 2005:
 
  • Went from having more patient deaths, complications, and adverse safety
    events than expected to having fewer than expected
  • Increased their expenses by only 6 percent, a rate significantly below cost
    of living increases. Peer hospitals' expenses, meanwhile, increased 18
    percent
  • Grew their outpatient services more quickly and consistently than their
    peers.
  • Rose from being unprofitable to maintaining a healthy positive profit
    margin of 5.9 percent
  • Discharged patients almost a day earlier, despite increasing patient acuity
The Thomson 100 Top Hospitals: Performance Improvement Leaders study
analyzed acute care hospitals nationwide using detailed empirical performance
data from years 2001 through 2005, including publicly available Medicare
MedPAR data, Medicare cost reports, and Center for Medicare and Medicaid
Services (CMS) outpatient data. Facilities recognized on the PI Leader list are
represented across five hospital classes:

Major Teaching - 15
Teaching - 25
Large Community, 250+ Beds - 20
Medium Community, 100 to 249 Beds - 20
Small Community, 25 to 99 Beds - 20

The study looked at all U.S. hospitals licensed to treat Medicare patients. Eight
performance measures were examined at each hospital: risk-adjusted mortality
and complications, average length of stay, expenses, profitability, cash-to-debt
ratio, growth in patient volume, and risk-adjusted patient safety index. The study
used publicly available Medicare cost reports, MedPAR data, and CMS
outpatient data from 2001 – 2005.

About NCH Healthcare System
The NCH Healthcare System has been providing extraordinary healthcare
services to the residents and visitors of southwest Florida for more than 50 years.
The system includes the Downtown Naples Hospital campus and the North
Naples Hospital campus which provide the following services: cardiac surgery,
oncology, orthopedics, rehabilitation, general surgery, obstetrics and pediatrics,
among others. The NCH Healthcare System has been named, “Top 5% in the
Nation” for three consecutive years by HealthGrades, the leading healthcare
quality ratings organization.

About Thomson Healthcare
Thomson Healthcare is the leading provider of decision support solutions that
help organizations across the healthcare industry improve clinical and business
performance. Thomson Healthcare products and services help clinicians,
hospitals, employers, health plans, government agencies, and pharmaceutical
companies understand healthcare markets, access medical and drug
information, manage costs, and improve the quality of healthcare.
Thomson Healthcare is a part of The Thomson Corporation, a provider of valueadded
information, software tools and applications to professionals in the fields of
healthcare, law, tax, accounting, scientific research, and financial services. The
Corporation's common shares are listed on the New York and Toronto stock
exchanges (NYSE: TOC; TSX: TOC). For more information, visit
www.thomsonhealthcare.com.

More information on this study and other 100 Top Hospitals research is available
at www.100tophospitals.com.