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1 ACO Name and Location: Central US ACO, LLC 901 W. Commercial Street Kennett, MO ACO Primary Contact: Greg Shockey, Executive Consultant Organizational Information: ACO participants: 25/34 Plastic Surgery Associates, PC A Woman''s Healing Center LLC Adams & Giddings Physical Therapy, PC Adamson Medical Corporation Advanced Senior Care, Inc. Albaree Health Services LLC Allergy & Asthma Center of the Rockies PC Arthur C Sands MD Aspen Speech Therapy and Rehabilitation LLC Associates in Physical Therapy of Fort Collins, Inc. Berkana Rehabilitation LLC Boulder Endocrinology Physicians Boulder Management Services Organization Brad C Runyan MD PC Brad Runyan Carthage Vision Clinic LLC CCHMD Corp Choice Family Care, PC

2 Christian Healthcare Hospice, Inc. Colorado Center for Spine Medicine LLC Colorado Institute for Neuromuscular and Neurological Disorders, PLLC Colorado Physical Therapy Specialists, PLLC Community Hospices of America, LLC Cory Carroll Denis Gonyon Denson Home Health, Inc. Dermatology of Northern Colorado, PC Diamond Peak Physical Therapy, PC Dowtown Urgent Care Evergreen Family Medical Care Eyecare Associates, P.C. First-Care Physicians, LLP Foot & Ankle Center of Northern Colorado, PC Foothills Family Care, L.L.C. Foothills Orthopedic and Sport Therapy, PC Forsyth Manor, Inc. Fort Collins Pain Treatment Center, Inc Fort Collins Physical Therapy and Sports Center, Inc. Fort Collins Spine LLC Front Range Center for Brain & Spine Surgery, PC. Front Range Dermatology Associates Front Range Plastic & Reconstructive Surgery PC Get Well Physical Therapy Gloria Bachelder MD, PC Gregory Arends Growth Unlimited Professional LLC Harmony Hand and Physical Therapy Center, Inc. Harris Pharmacy Harvey E. Slusky MD PA Home Health Professionals, Inc. Integrity Home Care, Inc. Integrity Pharmacy LLC Intermountain Anesthesia Consultants Internal Medicine Clinic Inc.

3 Jan Hester MD PC Jarvis Family Eye Center, LLC Jesse Moore John Ray Juniper Health, Inc. Kevin Mott Kevin Scott Winfield, M.D., P.A. Labone LLC Laboratory Corporation of America Lafayette Pediatrics and Internal Medicine Lake Loveland Dermatology PC Legacy Hospice, Inc. Lisa Myers Longmont Hospitalist Group, LLC Longmont Integrative Family Practice Longmont Pulmonary and Critical Care Associates, PC Loveland Foot & Ankle Clinic, PC Mary Kirker Mcpherson Medical and Diagnostic Medidex, Inc. Medstop One Memphis Pathology Laboratory Midwest Therapy Services Mitchell Oxygen, LLC Mobile X-Ray Services LLC Mountain Comprehensive Health Corporation Mountain View Family Medicine, PC Mountaintop Physical Therapy N & R Of Christian Republic, LLC N & R Of Nixa, LLC N & R Of Springfield East, LLC North Bay General Hospital, Inc. North Colorado Spine Center, LLC North Vista Medical Partners Northern Colorado Plastic Surgery, PC Northwest Neurology PC

4 Ozark Physical Therapy Park Hospital District Pathways Hospice Paul Mackell MD PC Pearland Convalescent Center, Inc. Performance Physical Therapy and Rehabilitation, PC Peter Schultz Poudre Valley Foot and Ankle Clinic PC Preferred Hospice of Missouri Southwest LLC Prime Care Medical Center, PC Psychiatric Consulting Services Pulmonary and Sleep Physicians Of Houston, P.A. Pyramid Home Health Services, Jefferson City, Inc. Pyramid Home Healthcare, Inc. Rocky Mountain Associates in Orthopedic Medicine PC Rocky Mountain Family Practice Sage Family Medicine Sands & Associates Save Your Sole Foot and Ankle Specialists PC Scheidler Rural Health Clinic, LLC SGOH Acquisition Inc Sleep Management LLC Southern Illinois Medical Specialist, LLC Steele Family Rural Health Clinic Steven F Collier PA Sumner R Cullom MD PA Texas Gulf Coast Medical Group, PLLC The Ent Clinic Tri-County Home Health, Inc. Tri-County Medical Center P.C. Urgent Team of Arkansas Physicians, LLC Vision Clinic PC Volunteer Home Care Of West Tennessee, Inc. Warren H Valencia, MD, PC Warren Schutte Weekend Healthcare Clinic of Fort Collins

5 Westwood Medical Clinic, Inc. William Lanting William Ohalloran William Wagner Women's Health Wise Xermend, Inc.Dba Medxspine and Orthopedic Physical Therapy ACO participants in joint ventures between ACO professionals and hospitals: No participants are involved in a joint venture between ACO professionals and hospitals. ACO governing body: Dr. Timothy McPherson, Voting Member and Chair, McPherson Medical & Diagnostic Clinic Dr. Bobby Williams, Voting Member, Legacy Hospice Dr. Stefan Scheidler, Voting Member, Scheidler Family Clinic Dr. Sumner Cullom, Voting Member, Cullom Clinic Dr. Jerry Bruggeman, Voting Member, Advance Senior Care Paula Anderson, Voting Member, Community Stakeholder Dr. Steve Collier, Voting Member, Mr. Steve Collier, MD. Mr. Charles Sederstrom, Voting Member, Medicare Beneficiary Representative Key ACO clinical and administrative leadership: Timothy McPherson, D.O., Medical Director, CEO Teresa Jennewein, MHA, Executive Director, COO Greg Shockey, Executive Consultant

6 Associated committees and committee leadership: Quality and Finance Committee: Timothy McPherson, D.O., Chair Compliance Committee: Stefan Scheidler, M.D., Chair Membership Committee: Bobby Williams, Phd, Chair Medical Director: Timothy McPherson, D.O. Types of ACO participants, or combinations of participants, that formed the ACO: ACO professionals in a group practice arrangement Networks of individual practices of ACO professionals Hospital employing ACO professionals Critical Access Hospital (CAH) billing under Method II Federally Qualified Health Center (FQHC) Rural Health Clinic (RHC) Shared Savings and Losses: Amount of Shared Savings/Losses Performance Year 1: Not in Operations Performance Year 2014: $0 How Shared Savings Are Distributed Proportion invested in infrastructure: 25% Proportion invested in redesigned care processes/resources: 0% Proportion of distribution to ACO participants: 75%

7 Quality Performance Results Measure number ACO #1 ACO #2 Performance measure Getting Timely Care, Appointments, and Information How Well Your Doctors Communicate Quality Performance Results Table 2012 reporting period 2013 reporting period 2014 reporting period Not in Operations Not in Operations Not in Operations Not in Operations Not in Operations Not in Operations Not in Operations Not in Operations ACO #3 Patients Rating of Doctor Not in Operations Not in Operations Not in Operations Not in Operations ACO #4 Access to Specialists Not in Operations Not in Operations Not in Operations Not in Operations ACO #5 Health Promotion and Education Not in Operations Not in Operations Not in Operations Not in Operations ACO #6 Shared Decision Making Not in Operations Not in Operations Not in Operations Not in Operations ACO #7 Health Status/Functional Status Not in Operations Not in Operations Not in Operations Not in Operations ACO #8 ACO #9 Risk Standardized, All Condition Readmissions ASC Admissions: COPD or Asthma in Older Adults Not in Operations Not in Operations Not in Operations Not in Operations Not in Operations Not in Operations Not in Operations Not in Operations ACO #10 ASC Admission: Heart Failure Not in Operations Not in Operations Not in Operations Not in Operations ACO #11 Percent of PCPs who Qualified for EHR Incentive Payment Not in Operations Not in Operations Not in Operations Not in Operations ACO #12 Medication Reconciliation Not in Operations Not in Operations Not in Operations Not in Operations ACO #13 Falls: Screening for Fall Risk Not in Operations Not in Operations Not in Operations Not in Operations ACO #14 Influenza Immunization Not in Operations Not in Operations Not in Operations Not in Operations ACO #15 Pneumococcal Vaccination Not in Operations Not in Operations Not in Operations Not in Operations ACO #16 Adult Weight Screening and Follow-up ACO #17 Tobacco Use Assessment and Cessation Intervention Not in Operations Not in Operations Not in Operations Not in Operations Not in Operations Not in Operations Not in Operations Not in Operations ACO #18 Depression Screening Not in Operations Not in Operations Not in Operations Not in Operations ACO #19 Colorectal Cancer Screening Not in Operations Not in Operations Not in Operations Not in Operations ACO #20 Mammography Screening Not in Operations Not in Operations Not in Operations Not in Operations

8 Measure number Performance measure ACO #21 Proportion of Adults who had blood pressure screened in past 2 years ACO #22 Hemoglobin A1c Control (HbA1c) (<8 percent) ACO #23 Low Density Lipoprotein (LDL) (<100 mg/dl) Quality Performance Results Table 2012 reporting period 2013 reporting period 2014 reporting period Not in Operations Not in Operations Not in Operations Not in Operations Not in Operations Not in Operations Not in Operations Not in Operations N/A Not in Operations Not in Operations Not in Operations Not in Operations N/A N/A ACO #24 Blood Pressure (BP) <140/90 Not in Operations Not in Operations Not in Operations Not in Operations N/A ACO #25 Tobacco Non Use Not in Operations Not in Operations Not in Operations Not in Operations N/A ACO #26 Aspirin Use Not in Operations Not in Operations Not in Operations Not in Operations N/A ACO #27 Percent of beneficiaries with diabetes whose HbA1c in poor control (>9 percent) ACO #28 Percent of beneficiaries with hypertension whose BP <140/90 ACO #29 Percent of beneficiaries with IVD with complete lipid profile and LDL control <100mg/dl ACO #30 Percent of beneficiaries with IVD who use Aspirin or other antithrombotic Not in Operations Not in Operations Not in Operations Not in Operations Not in Operations Not in Operations Not in Operations Not in Operations Not in Operations Not in Operations Not in Operations Not in Operations N/A N/A Not in Operations Not in Operations Not in Operations Not in Operations ACO #31 Beta-Blocker Therapy for LVSD Not in Operations Not in Operations Not in Operations Not in Operations ACO #32 Drug Therapy for Lowering LDL Cholesterol ACO #33 ACE Inhibitor or ARB Therapy for Patients with CAD and Diabetes and/or LVSD Not in Operations Not in Operations Not in Operations Not in Operations N/A N/A Not in Operations Not in Operations Not in Operations Not in Operations N/A

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