ACO Name and Location - mercy.net

1 ACO name and Location mercy Health ACO, LLC Previous Names: N/A 14528 South Outer Forty Suite 100 Chesterfield, MO 63017 ACO Primary Contact Primary Contact name Bonnie Aye Primary Contact Phone Number 314-364-3556 Primary Contact Email Address Organizational Information ACO participants: ACO Participants ACO Participant in Joint Venture (Enter Y or N) mercy Clinic Burn and Plastic Surgery LLC N mercy Clinic Trauma And General Surgery Llc N mercy Clinic Children's Respiratory And Sleep Medicine, Llc N mercy Clinic Childrens Heart Center LLC N mercy Clinic Adult Critical Care LLC N Memorial Medical Group Emergency Physicians Llc N mercy Neuropsychology Services LLC N mercy Clinic Fort Smith Communities N mercy Clinic Palliative Care LLC N mercy Clinic Adult Hospitalists - Washington LLC N mercy Hospital Healdton, Inc.

2 N mercy Clinic St Louis Cancer & Breast Institute LLC N mercy Clinic Kids GI LLC N mercy Clinic Pulmonology - St Louis LLC N mercy Clinic Gastroenterology LLC N PHYSICIANS OF ST ANTHONYS MEDICAL CENTER LC N mercy Clinic Oklahoma Communities N mercy Hospital Joplin N mercy Hospital Columbus N mercy Care LLC N mercy Clinic Oncology LLC N mercy Clinic Endocrinology LLC N Jefferson Regional Outpatient Facilities LLC N mercy Clinic Surgical Specialists LLC N mercy Hospital El Reno Inc N mercy Clinic Pulmonology Washington LLC N mercy Clinic Child Neurology LLC N mercy Hospital Tishomingo Inc N mercy Clinic GYN Oncology LLC N mercy Clinic Kids Plastic Surgery LLC N mercy Clinic Urology LLC N mercy Clinic Heart and Vascular LLC N mercy Hospitals East Communities N mercy Hospital Jefferson N ST.

3 ANTHONY'S MEDICAL CENTER N mercy Hospitals East Communities N mercy Clinic Springfield Communities N mercy Health Services LLC N mercy Hospital Lebanon N mercy Clinic East Communities N mercy Clinic Adult Hospitalists St. Louis LLC N mercy Clinic Child and Adolescent Psychiatry LLC N mercy Clinic Children's Cancer & Hematology Llc N mercy Hospital Aurora N mercy Hospital Cassville N mercy Hospital Springfield N mercy St. Francis Hospital N mercy Hospital Logan County, Inc N mercy Hospital Carthage N mercy Clinic Children's Palliative Care LLC N mercy Hospital Watonga Inc N mercy Clinic Dermatology LLC N mercy Clinic ENT LLC N mercy Clinic Ophthalmology LLC N mercy Clinic Podiatry LLC N mercy Womens Services LLC N mercy East Support Services Llc N mercy Clinic Infectious Disease LLC N mercy Hospital Ada Inc N mercy Clinic Adult Hospitalists Jefferson Llc N mercy Hospital Kingfisher Inc N mercy Clinic Pain Management LLC N mercy Hospital Booneville N mercy Clinic Hyperbaric and Wound Care LLC N mercy Clinic Nephrology LLC N mercy Hospital Lincoln N mercy Clinic Adult Psychiatry.

4 LLC N mercy Clinic Cardiovascular and Thoracic Surgery LLC N mercy Clinic Joplin LLC N mercy Health Northwest Arkansas Communities N mercy Hospital Fort Smith N mercy Hospital Rogers N mercy Hospital Waldron N mercy Hospital Paris N mercy Hospital Ozark N mercy Hospital Berryville N mercy Hospital Oklahoma City Inc N mercy Hospital Ardmore Inc N mercy Hospital St. Louis Professional Surgical Services, LLC N mercy East Ambulatory Services, LLC N mercy Clinic Specialists Services Illinois Llc N mercy SOUTHERN MISSOURI AMBULATORY SERVICES LLC N mercy OKLAHOMA AMBULATORY SERVICES LLC N mercy Clinic Neurology LLC N St. Anthony Physician Organization N St.

5 Anthony s Physician Organization Hospitalist Services N The Heart Specialty Associates LLC N mercy Northwest Arkansas Ambulatory Services, LLC N ACO governing body: Member Member's Voting Power Expressed as a percentage or number Membership Type - ACO Participant Legal Business name /DBA, if Applicable Last name First name Title/Position Campbell, MD Jesse Chair, Manager 1 vote ACO Participant Representative mercy Clinic Oklahoma Communities Chalk, MD David Manager 1 vote ACO Participant Representative mercy Clinic East Communities Ciaramita, MD Jeffrey Manager 1 vote ACO Participant Representative mercy Clinic East Communities Richardson, MD Michael Manager 1 vote ACO Participant mercy Clinic East Communities Representative Faddis.

6 MD Lance Manager 1 vote ACO Participant Representative mercy Health Northwest Arkansas Communities Helton Gavin Manager 1 vote President, Contract Revenue NA Bergant Paul Beneficiary 1 vote Medicare Beneficiary Representative N/A Godfrey, MD Tracy Manager 1 vote ACO Participant Representative mercy Clinic Joplin, LLC Hand, MD Jason Manager 1 vote ACO Participant Representative mercy Clinic East Communities McNay, MD Jennifer Manager 1 vote ACO Participant Representative mercy Clinic Springfield Communities Rogers, MD James Manager 1 vote ACO Participant Representative mercy Clinic Springfield Communities Sock Shannon Manager 1 vote EVP, CFO and Strategies Specialty Council N/A Stewart, MD Roland Stewart Manager 1 vote ACO Participant Representative mercy Clinic Fort Smith Communities Key ACO clinical and administrative leadership: ACO Executive James Rogers Medical Director Jesse Campbell Compliance Officer Tony Krawat Quality Assurance/Improvement Officer Debra Barnhart Associated committees and committee leadership: Committee name Committee Leader name and Position mercy Clinic Leadership Council Fred McQuerey, MD, chair mercy ACT Transformation (MAT) Team James T.

7 Rogers and Christy Jackson, co-chairs mercy Clinic Community Operations Team St. Louis: John Humber, MD and Andy Runge Committee name Committee Leader name and Position Washington: David Chalk, MD and Andy Runge Joplin: Tracy Godfrey, MD and Rodney Haynes Northwest Arkansas: Steve Goss, MD and Andy Thompson Fort Smith, Arkansas: Cole Goodman, MD and Amy Fore West: Cullen Thompson, MD and Kevin Goodwin Springfield: Jennifer McNay and Aaron Carlson Types of ACO participants, or combinations of participants, that formed the ACO: Critical Access Hospital (CAH) billing under Method II ACO professionals in a group practice arrangement Rural Health Clinic (RHC) Shared Savings and Losses Amount of Shared Savings/Losses Second Agreement Period o Performance Year 2019, $24,248,252 Second Agreement Period o Performance Year 2018, $13,167,233 First Agreement Period o Performance Year 2017, $0 o Performance Year 2016, $0 o Performance Year 2015, $0 Shared Savings Distribution Third Agreement Period o Performance Year 2019 Proportion invested in infrastructure: Proportion invested in redesigned care processes/resources.

8 % Proportion of distribution to ACO participants: Second Agreement Period o Performance Year 2018 Proportion invested in infrastructure: Proportion invested in redesigned care processes/resources: Proportion of distribution to ACO participants: First Agreement Period o Performance Year 2017 Proportion invested in infrastructure: N/A Proportion invested in redesigned care processes/resources: N/A Proportion of distribution to ACO participants: N/A o Performance Year 2016 Proportion invested in infrastructure: N/A Proportion invested in redesigned care processes/resources: N/A Proportion of distribution to ACO participants: N/A o Performance Year 2015 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 2019 Quality Performance Results: ACO# Measure name Rate ACO Mean ACO-1 CAHPS: Getting Timely Care, Appointments, and Information ACO-2 CAHPS: How Well Your Providers Communicate ACO-3 CAHPS: Patients Rating of Provider ACO-4 CAHPS: Access to Specialists ACO-5 CAHPS: Health Promotion and Education ACO-6 CAHPS.

9 Shared Decision Making ACO-7 CAHPS: Health Status/Functional Status ACO-34 CAHPS: Stewardship of Patient Resources ACO-8 Risk Standardized, All Condition Readmission ACO-35 Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM) ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ Prevention Quality Indicator (PQI) #91) ACO-11 Use of Certified EHR Technology ACO-12 Medication Reconciliation Post-Discharge ACO-13 Falls.

10 Screening for Future Fall Risk ACO-44 Use of Imaging Studies for Low Back Pain ACO-14 Preventive Care and Screening: Influenza Immunization ACO-15 Pneumonia Vaccination Status for Older Adults ACO-16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow Up ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan ACO-19 Colorectal Cancer Screening ACO-20 Breast Cancer Screening ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control ACO-41 Diabetes: Eye Exam ACO-28 Hypertension (HTN): Controlling High Blood Pressure ACO-30 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size.