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ame and Location Integrated Health Collaborative, LLC c/o Aultman Health Foundation 2600 Sixth Street SW Canton, Ohio 44710 Primary Contact Primary Contact ame Matt Ritzert Primary Contact Phone umber 330-363-6349 Primary Contact Email Address ihc@aultman.com Organizational Information participants: s Chinyere Orafu MASSILLO FAMILY CARE IC Internal Medicine Clinic, Ltd LAWRECE PEVOSE DO Partners In Family Practice Kun am FAMILY MEDICIE IC Manal Assaad Union Physician Services Llc PIACLE CARE PROVIDERS, LLC Steven Chismar athan Samsa TOTAL WOME'S CARE, IC HEALTH PROFESSIOALS OF HOLMES COUTY, IC. CHRISTIE M. SAMSA, D.O., LLC OHIO PHYSICIA PROFESSIOAL CORPORATIO (AMG Aultman Family Medicine) (AMG Behavioral Health & Counseling Center) (AMG Brest Surgery Specialists) (AMG Canton Plastic Surgeons) (AMG Cardiovascular Consultants) (AMG Family Medicine of Carrollton) in Joint Venture (Enter Y or )

(AMG Heart Core) (AMG Inpatient Medicine) (AMG Maternal-Featal Medicine) (AMG Orrville Endocrinology) (AMG Women s Health Services) (Aultman Palliative Care) Pomerene Hospital (Holmes County Joel Pomerene Memorial Hospital) ITERAL MEDICIE ASSOCIATES OF CATO IC KURT C GARRE, M.D., IC. AULTMA HOSPITAL THE UIO HOSPITAL ASSOCIATIO ATRIUM OB/GY., IC. MASARD MEDICAL ASSOCIATES, IC. AULTMA ORTH CATO MEDICAL GROUP (AMG Bolivar Medical Center) (AMG Cancer Center) (AMG Canton South Medical Center) (AMG Canton Urology) (AMG General Surgery) (AMG Kevin Hill, M.D.) (AMG orth Canton Medical Center) (AMG Steven Weaver, MD) (AMG Suzanne Morgan, DO) RADIOLOGY ASSOCIATES OF CATO, IC STARK COUTY WOME'S CLIIC IC SUPPA FOOT AD AKLE CLIIC IC OHIO HEAD AD ECK SURGEOS, IC STARK RADIATIO OCOLOGY ICORPORATED EUROCARE CETER, IC. MICHAEL TIRMOIA, DO, IC Kun am (Stark County Physicians, LLC) LIFECARE HOSPICE Canton Aultman Emergency Physicians Inc BI COUTY FOOT CARE, LTD. BETHAY MEDICAL CETER IC MICHAEL BARAT MD IC.

WEST MEDICAL, IC. JACKSO FAMILY PRACTICE IC LAWRECE PEVOSE DO LITTLE FLOWER FAMILY PRACTICE ASTUTE MEDICAL ASSOCIATES IC TUSCARAWAS COUTY OB-GY IC. GASTROETEROLOGY SPECIALISTS IC HOLMES FAMILY MEDICIE IC EDGAR R DELACRUZ MD IC OHIO SPECIALTY PHYSICIAS CORPORATIO (AMG JC Tabet, M.D.) (AMG Mark Weiner, M.D.) GASTROETEROLOGY AD HEPATOLOGY SPECIALISTS IC OHIO HOSPITAL BASED PHYSICIA CORPORATIO MILLERSBURG CLIIC IC REGIOAL VASCULAR & VEI ISTITUTE IC UIO ITERAL MEDICIE SPECIALTIES LTD Manal H Assaad Steven Chismar STARK COUTY ITERAL MEDICIE IC THOMAS A PERKOWSKI DO LTD PREMIER GYECOLOGY, IC. Danielle Kiko Md Llc. (Generation Women s Health) Total Medical Care FOUDATIO FOOT & AKLE LLC athan Samsa ADREW J. WHERLEY, M.D., LTD. UROLOGY OE IC

governing body: Last ame First ame Title/Position 's Voting Power Mirande Melanie Chair Voting McClain Brian Treasurer Voting Remark Chris Voting Duffy Brendan Voting Johns James Voting James R. Bruce Voting Kelly Steven Voting O Toole Timothy Voting Sabota Robert Voting Westerbeck John Voting Musa Roger Voting Hart Robert Voting Humble Lewis Voting Wilson James Voting Burrier Jeffrey Voting Zurick Andrew Voting Roth Ed Voting Degenhard Anthony Voting Blocker Douglas Voting ship Type Medicare Beneficiary Representative Other Other Other TI Legal Business ame/dba, if Applicable Family Medicine Inc Pinnacle Care Providers, LLC Aultman Hospital Ohio Physician Professional Corporation Little Flower Practice The Union Hospital Association Ohio Physician Professional Corporation Canton Aultman Emergency Physicians Inc Internal Medicine Associates of Canton Inc West Medical Inc Ohio Physician Professional Corporation Holmes Family Medicine Inc Aultman Medical Group Inpatient Medicine Atrium OB/Gyn., Inc. Union Physician Services LLC Aultman Health Foundation Kidney & Hypertension Consultants Children Physicians, Inc.

Key clinical and administrative leadership: Allison Oprandi Executive Eric ewsom Karen Wulff Eric ewsom Medical Director Compliance Officer Quality Assurance/Improvement Officer Associated committees and committee leadership: Committee ame Committee Leader ame and Position Performance Improvement & Quality James Johns, MD, Chair Finance & Contracting Brian McClain, MD, Chair Credentialing & Professional Standards Lewis Humble, MD, Chair ominating Committee John Westerbeck, MD, Chair Types of participants, or combinations of participants, that formed the : etworks of individual practices of professionals Partnerships or joint venture arrangements between hospitals and professionals Hospital employing professionals Shared Savings and Losses Amount of Shared Savings/Losses First Agreement Period o Performance Year 2016, $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 participants: /A

Quality Performance Results 2016 Quality Performance Results: # Measure ame Rate Mean 1 CAHPS: Getting Timely Care, Appointments, and Information 87.18 79.9 2 CAHPS: How Well Your Providers Communicate 92.87 92.63 3 CAHPS: Patients' Rating of Provider 91.94 91.93 4 CAHPS: Access to Specialists 77.43 83.52 5 CAHPS: Health Promotion and Education 59.23 60 6 CAHPS: Shared Decision Making 78.1 75.28 7 CAHPS: Health Status/Functional Status 73.65 71.82 34 CAHPS: Stewardship of Patient Resources 26.95 27.52 8 Risk-Standardized, All Condition Readmission 13.96 14.7 35 36 37 38 Skilled ursing Facility 30-Day All-Cause Readmission Measure (SFRM) 15.5 18.17 All-Cause Unplanned Admissions for Patients with Diabetes 58.37 53.2 All-Cause Unplanned Admissions for Patients with Heart Failure 79.08 75.23 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 64.34 59.81 9 10 Ambulatory Sensitive Conditions 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 ) 12.84 9.27 16.53 14.53 11 39 13 14 15 Percent of PCPs who Successfully Meet Meaningful Use Requirements 89.17 82.72 Documentation of Current Medications in the Medical Record 82.88 87.54 Falls: Screening for Future Fall Risk 43.84 64.04 Preventive Care and Screening: Influenza Immunization 67.2 68.32 Pneumonia Vaccination Status for Older Adults 73.98 69.21 16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow Up 57.96 74.45

17 18 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention Preventive Care and Screening: Screening for Clinical Depression and Followup Plan 90 90.98 34.77 53.63 19 20 Colorectal Cancer Screening 57.95 61.52 Breast Cancer Screening 64.04 67.61 21 Preventive Care and Screening: Screening for High Blood Pressure and Follow-up Documented 76.61 76.84 42 27 41 28 30 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 75.29 77.72 Diabetes Mellitus: Hemoglobin A1c Poor Control 15.37 18.24 Diabetes: Eye Exam 52.62 44.94 Hypertension (HT): Controlling High Blood Pressure 71.81 70.52 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 83.93 85.05 31 33 Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD) Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy for patients with CAD and Diabetes or Left Ventricular Systolic Dysfunction (LVEF<40%) 82.72 88.67 78.98 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 ote: In the Quality Performance Results file(s) above, search for Integrated Health Collaborative, LLC to view the quality performance results. This can also be found by using the ID A03133 in the public use files on data.cms.gov. Payment Rule Waivers o, our does not use the SF 3-Day Rule Waiver.