ACO Participants:

ACO Participants

ACO Participant in Joint Venture

FAMILY PHYSICIANS OF GREELEY LLP

No

GUTHRIE MEDICAL GROUP PC

No

OUR LADY OF LOURDES MEMORIAL HOSPITAL INC

No

SUMMIT MEDICAL GROUP, PLLC

No

ACO Governing Body:

Member First Name

Member Last Name

Member Title/Position

Member's Voting Power (Expressed as a percentage)

Membership Type

ACO Participant Legal Business Name, if applicable

Aaron

Jones

Practicing Physician

12.5%

ACO Participant Representative

SUMMIT MEDICAL GROUP, PLLC

Bhavana

Vora

Practicing Physician

12.5%

ACO Participant Representative

SUMMIT MEDICAL GROUP, PLLC

Frederick

Bloom

Chief Population Health Officer

12.5%

ACO Participant Representative

GUTHRIE MEDICAL GROUP PC

Jonathan

Laymance

Practicing Physician

12.5%

ACO Participant Representative

SUMMIT MEDICAL GROUP, PLLC

Ketan

Hira

Practicing Physician

12.5%

ACO Participant Representative

SUMMIT MEDICAL GROUP, PLLC

Oraida

Roman

Strategic Executive

9%

Community Stakeholder Representative

N/A

Robert

Kruklitis

Chief Clinical Officer

12.5%

ACO Participant Representative

GUTHRIE MEDICAL GROUP PC

Todd

Prewitt

Medical Director

8%

Community Stakeholder Representative

N/A

TBD

TBD

Medicare Beneficiary

TBD

Medicare Beneficiary Representative

TBD

Associated Committees and Committee Leadership:

Committee Name

Committee Leader Name and Position

N/A

N/A