St. Vincent s Health Partners

St. Vincent s Health Partners St. Vincent s Health Partners is now working with your doctor to offer: Care Coordination Among All our Healthcare Providers St. Vincent s will work with all your providers to help them focus on your unique health needs. Community Resource Referrals We will suggest other resources, such as prescription assistance and community support programs. Disease Support Services Our Health Partners are glad to discuss any chronic conditions and develop a care plan to keep you moving toward better health. Post-Hospital Care Expect a call from a Health Partner as you return home from a hospital stay to help you put into practice new health goals. Smoking cessation and weight management coaching Our Health Partners will work with you to develop wellness goals and a plan to achieve them. What is an Accountable Care Organization? An Accountable Care Organization (ACO) is a group of doctors and other health care providers who voluntarily work together with Medicare to give you high quality of service and care at the right time in the right setting. Doctors participating in Medicare Shared Savings Program ACOs work closely with other doctors and providers in the ACO to coordinate care for Medicare beneficiaries, like yourself, who have traditional Medicare. For general questions or additional information about Accountable Care Organizations, please visit www.medicare.gov/acos.html or call 1-800-MEDCARE (1-800-633-4227) TT users should call 1-877-486-2048 ACO Name and Location

St Vincents Accountable Care Organization LLC 1 Shircliff Way Suite 1302 Attn: President ACO, Kyle Sanders Jacksonville, Florida 32204 ACO Primary Contact Primary Contact Name Kyle Sanders Primary Contact Phone Number 904-308-3704 Primary Contact Email Address Kyle.Sanders1@ascension.org Organizational nformation ACO participants: s in Joint Venture (Enter or N) Vincent Galiano M D P A St Lukes - St Vincents Healthcare Margarita M. Vendrell MD PA St. Vincent's First Care, LLC Peter Saliba

ST VNCENTS MEDCAL CENTER - CLA COUNT NC Bacon County Health Services, nc. ST VNCENTS MEDCAL CENTER NC ST VNCENT'S AMBULATOR CARE NC Physician Associates of Jacksonville, P.A. Arlene G. Schlumbohm, D.O., P.A. ACO governing body: Last Name First Name Title/Position 's Voting Power ship Type TN Legal Business Name/DBA, if Applicable Sanders Kyle President St. Lukes- St. Vincent s Healthcare nc Redmon Estrelitta Vice President St. Vincent s Ambulatory Care nc Hess Pam Treasurer St. Vincent s Medical Center- Clay County nc

Pate Latasha Secretrary St. Vincent s First Care, LLC Thorton Pat Board Medicare Beneficiary N/A Duffy Gavin Board Community Stakeholder N/A Pulido Danny Board Community Stakeholder N/A Butler Allison Board Other- Board Sponsor N/A Narvel Ravish Board Other- Board Sponsor N/A Vanosdol Thomas Board St. Vincent s Medical Center Meyer David Board Vincent Galiano, MD PA Middlebrooks Jeffrey Board Peter P. Saliba, MD Carey Ann Board Arlene G. Schlumbohm, DO PA

Mcnnes David Board Bacon County Health Services, nc Pennick Willie Board Physician Associates of Jacksonville, PA Sonntag Markus Board Margarita Vendrell, MD PA Nottmeier Eric Board Other- Board Sponsor N/A Key ACO clinical and administrative leadership: Kyle Sanders ACO Executive Frank Gilberstadt Medical Director Bill Mayher Compliance Officer Estrelitta Redmon Quality Assurance/mprovement Officer Associated committees and committee leadership:

Committee Name Committee Leader Name and Position Clinical Performance & Quality Assurance David Mcnnes, MD Care Coordination Committee Estrelitta Redmon, MD Finance Committee Pam Hess, CFO Types of ACO participants, or combinations of participants, that formed the ACO: Partnerships or joint venture arrangements between hospitals and ACO professionals Hospital employing ACO professionals Shared Savings and Losses Amount of Shared Savings/Losses First Agreement Period Performance ear 2016, $0 Performance ear 2015, $855,553

Performance ear 2014, $0 Shared Savings Distribution First Agreement Period Performance ear 2016 Proportion invested in infrastructure: N/A Proportion invested in redesigned care processes/resources: N/A Proportion of distribution to ACO participants: N/A Performance ear 2015 Proportion invested in infrastructure: Not et Determined Proportion invested in redesigned care processes/resources: Not et Determined Proportion of distribution to ACO participants: Not et Determined Performance ear 2014 Proportion invested in infrastructure: N/A Proportion invested in redesigned care processes/resources: N/A Proportion of distribution to ACO participants: N/A

Quality Performance Results 2016 Quality Performance Results: ACO# Measure Name Rate ACO Mean 1 CAHPS: Getting Timely Care, Appointments, and nformation 81.67 80.51 2 CAHPS: How Well our Providers Communicate 94.23 93.01 3 CAHPS: Patients Rating of Provider 93.97 92.25 4 CAHPS: Access to Specialists 84.81 83.49 5 CAHPS: Health Promotion and Education 58.84 60.32 6 CAHPS: Shared Decision Making 75.85 75.40 7 CAHPS: Health Status/Functional Status 71.12 72.30 34 CAHPS: Stewardship of Patient Resources 28.67 26.97 8 Risk Standardized, All Condition Readmission 14.81 14.70 35 Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM) 18.17 18.17 All-Cause Unplanned Admissions for Patients with Diabetes 60.29 53.20

36 37 All-Cause Unplanned Admissions for Patients with Heart Failure 77.82 75.23 38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 60.56 59.81 9 Ambulatory Sensitive Condition Admissions: Chronic Obstructive Pulmonary Disease or Asthma in Older Adults (AHRQ Prevention Quality ndicator (PQ) #5) 9.39 9.27 10 Ambulatory Sensitive Conditions Admissions: Heart Failure (AHRQ Prevention Quality ndicator (PQ) #8) 18.41 14.53 11 Percent of PCPs who Successfully Meet Meaningful Use Requirements 91.67 82.72 39 Documentation of Current Medications in the Medical Record 98.54 87.54 13 Falls: Screening for Future Fall Risk 64.40 64.04 14 Preventive Care and Screening: nfluenza mmunization 67.94 68.32 15 Pneumonia Vaccination Status for Older Adults 62.03 69.21 16 Preventive Care and Screening: Body Mass ndex (BM) Screening and Follow-Up 84.15 74.45

17 Preventive Care and Screening: Tobacco Use: Screening and Cessation ntervention 91.49 90.98 18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 50.20 53.63 19 Colorectal Cancer Screening 34.54 61.52 20 Breast Cancer Screening 71.88 67.61 21 Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 89.41 76.79 42 Statin therapy for the Prevention and Treatment of Cardiovascular Disease 82.31 77.72 27 Diabetes Mellitus: Hemoglobin A1c Poor Control 18.40 18.24 41 Diabetes: Eye Exam 39.24 44.94 28 Hypertension (HTN): Controlling High Blood Pressure 70.68 70.69 30 schemic Vascular Disease (VD): Use of Aspirin or Another Antithrombotic 85.95 85.05 31 Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD) 98.25 88.67

33 Angiotensin-Converting Enzyme (ACE) nhibitor or Angiotensin Receptor Blocker (ARB) Therapy - for patients with CAD and Diabetes or Left Ventricular Systolic Dysfunction (LVEF<40%) 77.84 79.67 Please note, the 40 Depression Remission at 12 months quality measure is not included in public reporting due to low samples. For 2016 Quality Performance Results please visit: https://data.cms.gov/special-programs-nitiatives- Medicare-Shared-Savin/2016-Shared-Savings-Program-SSP-Accountable-Care-O/3jk5-q6dr/data For 2015 Quality Performance Results please visit: https://data.cms.gov/special-programs-nitiatives- Medicare-Shared-Savin/Medicare-Shared-Savings-Program-Accountable-Care-O/x8va-z7cu/data For 2014 Quality Performance Results please visit: https://data.cms.gov/special-programs-nitiatives- Medicare-Shared-Savin/Medicare-Shared-Savings-Program-Accountable-Care-O/ucce-hhpu/data Note: n the Quality Performance Results file(s) above, search for St Vincents Accountable Care Organization LLC to view the quality performance results. This ACO can also be found by using the ACO D A22925 in the public use files on data.cms.gov. Payment Rule Waivers No, our ACO does not use the SNF 3-Day Rule Waiver. Services provided free-of-charge. Contact us at 1.855.529.5762 1 Shircliff Way, Jacksonville, FL 32204 904-308-7300

2018 St. Vincent's HealthCare