ACO Name and Location. ACO Primary Contact. Organizational Information

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ACO ame and Location Central US ACO, LLC 2405 Aspen Rd Highlandville, Missouri 65669 ACO Primary Contact Primary Contact ame Greg Shockey Primary Contact Phone umber 417-224-8166 Primary Contact Email Address Greg@CentralUSaco.com Organizational Information ACO participants: ACO s Albaree Health Services LLC Mcpherson Medical And Diagnostic, Llc Steele Family Rural Health Clinic, Llc Scheidler Rural Health Clinic, LLC Midwest Therapy Services, Llc Advanced Senior Care, Inc. Legacy Hospice, Inc. Tri-County Home Health, Inc. Labone Llc Westwood Medical Clinic, Inc. Sgoh Acquisition Inc Vision Clinic PC Harris Pharmacy Medstop One Inc ACO in Joint Venture (Enter Y or )

Jackson Medical Center, PC Integrity Home Care, Inc. Ozark Physical Therapy, Llp Food Merchants, LLC Urgent Team of Arkansas Physicians, LLC Pulmonary and Sleep Physicians of Houston, P.A. Mountain Comprehensive Health Corporation Prime Care Medical Center, PC Volunteer Home Care of West Tennessee, Inc. Steven F Collier Pa Texas Gulf Coast Medical Group, PLLC Integrity Pharmacy, LLC ACO governing body: Member Last ame First ame Title/Position Member's Voting Power Membership Type McPherson Timothy CEO 28.35% ACO Williams Bobby Member 18.00% ACO Collier Steven Member 18.00% ACO Winfield Kevin Member 4.50% Community Stakeholder Bruggeman Jerry Member 4.05% ACO Dunlap Mike Member 13.05% ACO Scheidler Stefan Member 4.05% ACO ACO TI Legal Business ame/dba, if Applicable McPherson Medical and Diagnostics, LLC Legacy Hospice, Inc. Steven Collier /A Advanced Senior Care, Inc. Legacy Hospice, Inc. Scheidler Rural Health Clinic, LLC

Gamble Tommy Community Liaison 10% Medicare Beneficiary /A Key ACO clinical and administrative leadership: Timothy McPherson ACO Executive Timothy McPherson Medical Director Kris Gates Teresa Jennewein Compliance Officer Quality Assurance/Improvement Officer Associated committees and committee leadership: Committee ame Committee Leader ame and Position Finance Committee Timothy McPherson, DO Quality & Clinical Informatics Committee Kevin Winfield, MD Compliance Committee Stefan Scheidler, MD Membership Committee Bobby Williams, Phd Types of ACO participants, or combinations of participants, that formed the ACO: ACO professionals in a group practice arrangement etworks of individual practices of ACO professionals Rural Health Clinic (RHC) Shared Savings and Losses Amount of Shared Savings/Losses First Agreement Period o Performance Year 2016, $0 o Performance Year 2015, $0 o Performance Year 2014, $0 Shared Savings Distribution First Agreement Period o Performance Year 2016

Proportion invested in infrastructure: /A Proportion invested in redesigned care processes/resources: /A Proportion of distribution to ACO participants: /A o Performance Year 2015 Proportion invested in infrastructure: /A Proportion invested in redesigned care processes/resources: /A Proportion of distribution to ACO participants: /A o Performance Year 2014 Proportion invested in infrastructure: /A Proportion invested in redesigned care processes/resources: /A Proportion of distribution to ACO participants: /A Quality Performance Results 2016 Quality Performance Results: ACO# Measure ame Rate ACO Mean 1 CAHPS: Getting Timely Care, Appointments, and Information 79.21 80.51 2 CAHPS: How Well Your Providers Communicate 91.79 93.01 3 CAHPS: Patients Rating of Provider 90.39 92.25 4 CAHPS: Access to Specialists 83.55 83.49 5 CAHPS: Health Promotion and Education 57.35 60.32 6 CAHPS: Shared Decision Making 76.12 75.40 7 CAHPS: Health Status/Functional Status 70.35 72.30 34 CAHPS: Stewardship of Patient Resources 32.25 26.97 8 Risk Standardized, All Condition Readmission 16.31 14.70 35 36 37 Skilled ursing Facility 30-day All-Cause Readmission measure (SFRM) 20.29 18.17 All-Cause Unplanned Admissions for Patients with Diabetes 73.37 53.20 All-Cause Unplanned Admissions for Patients with Heart Failure 98.09 75.23

38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 76.94 59.81 9 10 Ambulatory Sensitive Condition Admissions: Chronic Obstructive Pulmonary Disease or Asthma in Older Adults (AHRQ Prevention Quality Indicator (PQI) #5) Ambulatory Sensitive Conditions Admissions: Heart Failure (AHRQ Prevention Quality Indicator (PQI) #8) 10.54 9.27 14.05 14.53 11 39 13 14 15 Percent of PCPs who Successfully Meet Meaningful Use Requirements 89.47 82.72 Documentation of Current Medications in the Medical Record 97.11 87.54 Falls: Screening for Future Fall Risk 68.11 64.04 Preventive Care and Screening: Influenza Immunization 77.34 68.32 Pneumonia Vaccination Status for Older Adults 73.76 69.21 16 17 18 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention Preventive Care and Screening: Screening for Clinical Depression and Followup Plan 87.23 74.45 95.06 90.98 60.11 53.63 19 20 Colorectal Cancer Screening 64.08 61.52 Breast Cancer Screening 70.58 67.61 21 Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 91.87 76.79 42 27 41 28 30 Statin therapy for the Prevention and Treatment of Cardiovascular Disease 90.39 77.72 Diabetes Mellitus: Hemoglobin A1c Poor Control 22.47 18.24 Diabetes: Eye Exam 42.20 44.94 Hypertension (HT): Controlling High Blood Pressure 80.60 70.69 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 92.13 85.05 31 Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD) 94.92 88.67

33 Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy - for patients with CAD and Diabetes or Left Ventricular Systolic Dysfunction (LVEF<40%) 85.33 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- Initiatives-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- Initiatives-Medicare-Shared-Savin/Medicare-Shared-Savings-Program-Accountable-Care-O/x8vaz7cu/data For 2014 Quality Performance Results please visit: https://data.cms.gov/special-programs- Initiatives-Medicare-Shared-Savin/Medicare-Shared-Savings-Program-Accountable-Care-O/uccehhpu/data ote: In the Quality Performance Results file(s) above, search for Central US ACO, LLC to view the quality performance results. This ACO can also be found by using the ACO ID A26254 in the public use files on data.cms.gov. Payment Rule Waivers o, our ACO does not use the SF 3-Day Rule Waiver.