The Posting of This List of Organizations That Have Submitted a NOIA Is Not a Confirmation of Eligibility

CMS INITIATIVE TO REDUCE AVOIDABLE HOSPITALIZATIONS AMONG NURSING FACILITY RESIDENTS

List of organizations that have submitted a Notice of Intent to Apply (NOIA) and have approved the posting of their information

Notes: The deadline for submitting a NOIA was May 7, 2012 by 3:00pm EST.

This list includes only those organizations that have granted permission for their information to be posted publicly. There are other organizations that have submitted a NOIA.

The list is sorted alphabetically by "Primary" State targeted for the proposed intervention.

A NOIA is non-binding and organizations that have submitted a NOIA may choose not to apply to the Initiative. Additionally, the target locations identified by organizations to implement their intervention may change. Information not associated with the proposed target location has been removed from certain fields.

The posting of this list of organizations that have submitted a NOIA is not a confirmation of eligibility.

The deadline for submitting a full application is June 14, 2012 by 3:00pm EST.

Please direct questions about the Initiative to [email protected]. Programmatic questions regarding this opportunity submitted after May 31, 2012 are not guaranteed a response.

More information on this Initiative can be found at the below websites: http://innovation.cms.gov/initiatives/rahnfr/ http://www.cms.gov/Medicare-Medicaid-Coordination/Medicare-and-Medicaid-Coordination/Medicare-Medicaid-Coordination- Office/ReducingPreventableHospitalizationsAmongNursingFacilityResidents.html List of Organizations that have Submitted a Notice of Intent to Apply (NOIA) and have Approved the Posting of their Information

Point of Contact's Business Information Proposed Implementation State(s) Proposed target geographic location of the Name of Applicant Organization Street Address City State Zip Code First Last Business Email Primary Secondary Tertiary proposed intervention. North Alabama Community Care, 228 Holmes Huntsville AL 35801 Dana Garrard [email protected] AL Madison, Limestone, Morgan and Cullman Inc. Avenue om counties in Alabama. Primary Care Providers of 4212 N Carmichael Montgomer AL 36016 Michael Reeves [email protected] AL Montgomery, Huntsvile, Mobile and America, LLC Dr y Birmingham, Alabama Premier Healthcare Solutions P.O Box 361003 Birmingha AL 35236 Gregory Ramsey [email protected] AL Jefferson County, State of Alabama Alabama Quality Assurance 2 Perimeter Park Birmingha AL 35243 Liz Prosch [email protected] AL Twenty-five (25) contiguous counties in Foundation (AQAF) South, Suite 200W m central/southeast Alabama spanning across five (5) Area Agency on Aging (AAA) service areas. East Arkansas Area Agency on 2005 East Highland Jonesboro AR 72403 Melissa Prater [email protected] AR Northeast Arkansas Counties Include: Clay, Aging, Inc. Drive, PO Box Randolph, Lawrence, Greene, Mississippi, 5035 Craighead, Poinsett, Cross, St. Francis, Crittenden, Lee and Phillips Business Process Excellence, LLC 3820 W Happy Glendale AZ 85310 Amy Bair [email protected] AZ FL Metro Phoenix and Southern Florida Valley Dr Ste 141- 128 City of Mesa Fire and Medical 13 W. 1st Street Mesa AZ 85201 TONY LO TONY.LOGIUDICE@MES AZ CITY OF MESA AND PHOENIX Department GIUDICE AAZ.GOV METROPOLITAN The list is sorted alphabetically by 2141 E. Broadway Tempe AZ 85282 April Bolles Abolles@palliativeconnectio AZ Maricopa County, Arizona "Primary" State targeted for the Rd. Suite 118 ns.com proposed intervention. IPC The Hospitalist Company dba 2510 W. Dunlap Phoenix AZ 85021 Saul Blair [email protected] AZ Maricopa, Yavapai and Coconino County Hospitalist of Arizona Avenue, Suite 290 Banner Health 1441 N 12th Street Phoenix AZ 85006 Karen Bangle karen.bangle@bannerhealth. AZ Marcopa Counties Pinal Counties com Dignity Health (DBA St. Joseph's 350 West Thomas Phoenix AZ 85013 Debra Mahan debra.mahan@dignityhealth. AZ Greater Phoenix Metropolitan Area to include Hospital and Medical Center) Road org Maricopa County and Northern Pinal County. People Helping People 7609 E felicity Tucson AZ 85750 Mary Hanna [email protected] AZ AZ place Sun Valley Internists LLC 14815 N Del Webb Sun City AZ 85351 Onkar Bhowra [email protected] AZ Maricopa County, Arizona Blvd Meridian Health Systems, P.C. 4477 west 118th Hawthorne CA 90250 323 2522784 [email protected] CA FL NC multi States Street Suite 304 USMDDIRECT,INC. 2021 SANTA SANTA CA 90404 FAWAD ZAFAR- [email protected] CA California -Santa Monica, West Los MONICA SUITE MONICA KHAN angels,Beverly hill, Hollywood Inglewood, long 710E beach, Los Angeles, Irvin, Northern California HealthCare Partners Affiliates 19191 South Torrance CA 90502 Jeremy Rich [email protected] CA NV FL Southern California (primary) May include Medical Group Vermont Ave. Suite m Nevada and Florida, if feasible. #200 Companion Management Group, 5 Hutton Centre Santa Ana CA 92707 Steve Nahm [email protected] CA The California counties of Los Angeles, Orange, LLC Drive, Suite 1110 Riverside, and San Bernardino. Milvali Healthcare Consulting 101 West Central Brea CA 92821 Mildred DeCastro mdecastro@milvalihealthcar CA NV MHCC plans to implement proposed Company (MHCC) Avenue #249 e.com interventions in California (Southern & Northern). Palo Alto Medical Foundation 795 El Camino Palo Alto CA 94301 Albert Lam [email protected] CA San Francisco South Bay Region from Palo Alto Real in the West to Sunnyvale in the East, and to the south in Santa Cruz. Jewish Family Service of Los 3580 Wilshire Los CA 90010 Eli Veitzer [email protected] CA County of Los Angeles Angeles Blvd. #700 Angeles Managed Care Systems/GEMCare 4550 California Bakersfield CA 93309 Michele Giboney mgiboney@managedcaresyst CA Kern County, Ventura County, San Luis Obispo Medical Associates Ave., Suite 500 ems.com County, potentially other Central California and California central coast counties.

2 List of Organizations that have Submitted a Notice of Intent to Apply (NOIA) and have Approved the Posting of their Information

Meadowood Health and 3110 Wagner Stockton CA 95209 Cathy Otte [email protected] CA Stockton, Lodi, Manteca, CA Rehabilitation Center Heights Rd California Alzheimer's Support 343 Park street #1 Redwood CA 94061 Monica Ewing [email protected] CA Redwood City, Palo Alto, San Francisco, San Services City Jose Salveo Inc. 2941 Fulton Sacramento CA 95821 David Klaeser dklaeser@interimhealthcare. CA Northern California Avenue Suite B com sigalit Marmorstein RN, MSN, 4535 Park allegra Calabasas CA 91302 David Tashman [email protected] CA Nursing home and long term care facilities in FNP-BC chief ER Nurse CA. Practitioner Verdugo Hills Hospital Snowline Hospice 6520 Pleasant Diamond CA 95619 530 621-7820 mschmidt@snowlinehospice. CA Sacramento County and El Dorado County in Valley Road Springs org Northern California Lorian Home Systems, Inc. 3570 Camino Del San Diego CA 92108 Julian Ahumada [email protected] CA IN NV Indiana, Southern California, and Nevada, Rio North, Suite including San Diego, Orange, Los Angeles, 201 Riverside, San Bernadino and Clark counties California Telehealth Network 2001 P Street, Ste Sacramento CA 95811 Cindy Morton [email protected] CA State of California 100 On Lok, inc. 1333 Bush St. San CA 94109 Susan Poor [email protected] CA San Francisco Bay Area Francisco West Coast Wound Care, Inc. 976 McLean Yonkers NY 10704 Craig Bunker [email protected] CA California Avenue, Suite 387 SCAN Health Plan 2501 Cherry Signal Hill CA 90755 Denise Likar [email protected] CA Our proposed geographic locations are Los Avenue Angeles County, a predominantly densely populated urban area and San Joaquin County, a predominately rural and less densely populated area. Access to Independence of San 8885 Rio San San Diego CA 92108 Louis Frick [email protected] CA San Diego and Imperial Counties Diego, Inc. Diego Dr., Ste. 131

Acute Response Team Inc 2951 Four Corners Chula Vista CA 91914 Guillerm Castillo drgcastillo@acuteresponsete CA Street o am.com Lumina Healthcare, LLC 2121 Rosecrans El Segundo CA 90245 Robert Mathuny rmathuny@luminahealthcare CA Los Angeles County Avenue, Suite 4325 .com

Kennedy Krieger Institute 707 N. Broadway Baltimore MD 21201 Karen Cox [email protected] CO Nursing facilities & hospitals in El Paso County, CO. Hospital Remedy 3453 S. Ammons Lakewood CO 80227 Teresa Freudig [email protected] CO Denver Metro area St. 2-8 Catholic Health Initiatives Colorado 6385 Corporate Colorado CO 80919 Jane Barnes [email protected] CO Colorado: Denver metro area, Colorado Springs, Foundation Drive, Suite 301 Springs Pueblo Hospice & Palliative Care of 3090 N 12th St Grand CO 81506 Christy Whitney [email protected] CO Mesa and Montrose County Western Colorado Junction Colorado Access 10065 E. Harvard Denver CO 80231 Ford Allison [email protected] CO Denver-Boulder Metropolitan area Ave, Suite 600 Agape Healthcare 6041 S Syracuse Greenwood CO 80111 Amanda Stanley astanley@agape- CO The target geographic location will be the greater Way Village healthcare.com Denver area (north, south, east and west along the Denver Front Range)

3 List of Organizations that have Submitted a Notice of Intent to Apply (NOIA) and have Approved the Posting of their Information

Point of Contact's Business Information Proposed Implementation State(s) Proposed target geographic location of the Name of Applicant Organization Street Address City State Zip Code First Last Business Email Primary Secondary Tertiary proposed intervention. Colorado Geriatric Care, PC 2001 Lincoln Street Denver CO 80202 Brenda Hernandez [email protected] CO Central Denver North Denver South Denver Suite 911 Boulder Kennedy Krieger Institute 707 North Baltimore MD 21201 Karen Cox [email protected] CO MD In Colorado Springs, Colorado. Broadway Evercare 6455 S Yosemite St Greenwood CO 80111 Peter Hansen [email protected] CO NM Colorado Village West Haven Medical Group 687 Campbell West CT 06516 Jana DeSilva jdesilva@westhavenmedical. CT State of Connecticut. Muliptle Longterm Care Avenue Haven com fascilities mostly located in Milford, Wallingford,Fairfield, New Haven. Danbury Hospital/Western CT 24 Hospital Avenue Danbury CT 06810 Joann Petrini [email protected] CT Western Connecticut Health Network Liberty Rehab & Patient Aid Center 650 Main Street #8 Monroe CT 06468 Marc Connolly mconnolly@libertyrehabpati CT MA Target area is the entire state of Connecticut we entaid.com currently cover the entire state. The New Haven County Area has the highest readmission rate in the state and our Derby office is in New Haven County Notre Dame Convalescent Home, 76 West Rocks Norwalk CT 06851 Dana Paul [email protected] CT Norwalk, Connecticut and surrounding area Inc. Road Robert C. Geer Memorial Hospital 99 South Canaan Canaan CT 06018 John Horstman [email protected] CT Litchfield County, Connecticut and surrounding d/b/a Geer Nursing and Road tri-state region Rehabilitation Center Care Transitions LLP 45 Ridge Street Waterbury CT 06706 Francine Du Verger [email protected] CT NY MA NorthEast USA CMS Region 1 Connecticut Community Care, Inc 43 Enterprise Drive Bristol CT 06010 Sherry Ostrout sherry.ostrout@ctcommunity CT Western Connecticut (CCCI) care.org Qualidigm 1111 Cromwell Rocky Hill CT 06067 Ann Spenard [email protected] CT Primary focus is planned for the Northwestern Ave, suite 201 region of CT. AFrame Digital, Inc. 1889 Preston White Reston VA 20191 571 308-0147 [email protected] DC VA Washington, DC and Virginia Drive Hospice by the Sea, Inc. 1531 West Boca Raton FL 33486 Cindy Hassett [email protected] FL Medicare-Medicaid Certified Skilled Nursing Palmetto Park Road Facilities located in Palm Beach and Broward Counties in South Florida Greystone Healthcare Management 4042 Park Oaks Tampa FL 33579 Chris Masterson [email protected] FL OH IN Florida - Covering the following counties - Blvd om Alachua, Flagler, Volusia, Pinellas, Sarasota, Charlotte, Lee, Broward, Miami-Dade, Lake, Marion, Sumter, Brevard, Manatee. Central Florida Inpatient Medicine 2180 West State Longwood FL 32779 Ana Handshuh [email protected] FL Orange, Osceola and Seminole Counties Road 434, Suite 2104 America Home Health Inc. 6595 NW 36th Miami FL 33166 Erika Bonilla [email protected] FL Miami Dade County Monroe County Street #2223 CareMasters 26150 SW 132nd Homestead FL 33032 Jasmin Holder [email protected] FL NY GA Florida-Miami Dade Place AGS Healthcare Specialists, Inc. 14902 Winding Tampa FL 33613 Vivienne Evans [email protected] FL NC Florida (mainly the west coast) is the target Creek Court 105C geographic location of the intervention, but the program can be replicated in North Carolina as well. Hope Hospice and Community 9470 HealthPark Fort Myers FL 33908 Ron Burris [email protected] FL Southwest Florida Services, Inc. Circle Moorings Park Healthy Living, Inc 111 Moorings Park Naples FL 34105 Michael Gloth [email protected] FL MD PA Naples, FL Dr

4 List of Organizations that have Submitted a Notice of Intent to Apply (NOIA) and have Approved the Posting of their Information

Accountable Care Medical Group 5200 Blue Lagoon Miami FL 33126 Chris Pertierra [email protected] FL We are starting in South Florida but currently of Florida, Inc. Drive Suite 100 engaging into out of state facilities for this initiative. Baba Healthcare,Inc 948, S. Wickham West FL 32904 Geetha Priyanka [email protected] FL Brevard county and Florida road ,suite103 Melbourne WellCare Innovation Institute 8735 Henderson Tampa FL 33634 Pamme Lyons [email protected] FL LA GA The targeted geographic location for the Road, Building 1, taylor m WellCare Innovation Institutes' proposal includes Third FL FL, GA, HI, IL, KY, LA, NY with expansion opportunities including KS, NJ and TN. East Coast Wound Care, P.C. 976 McLean Yonkers NY 10704 Craig Bunker [email protected] FL NJ New Jersey, Illinois, Florida, Georgia, Arkansas, Avenue, Suite 387 Texas The Hospice of the Florida 5771 Roosevelt Clearwater FL 33760 Molly Sipp [email protected] FL Pinellas County, Florida Suncoast (DBA Suncoast Hospice) Blvd Area Agency on Aging for 15201 N. Cleveland N Fort FL 33903 Leigh Wade- [email protected] FL The geographic location of the proposed Southwest Florida, Inc., d/b/a Ave. #1100 Myers Schield intervention will include Sarasota, Charlotte, Lee, Senior Choices for Southwest Fla. Collier, Glades, Hendry and DeSoto counties.

Jewish Community Services of 735 N.E. 125th North FL 33161 Fred Stock [email protected] FL Miami Dade County, Florida South Florida, Inc. Street Miami Soren Technology 817 S. University Plantation FL 33324 Faiz Fatteh [email protected] FL Florida markets to include South Florida (Dade, Drive, #106 Broward and Palm Beach Counties), Tampa area and Orlando area. American Radiologist Network 2298 NW 60th st Boca Raton FL 33496 Dr Mandell [email protected] FL NC Southern Florida Charles Sushoo Health information 948, S. Wickham West FL 32904 Geetha Priyanka [email protected] FL State of Florida with Focus on Brevard , Indian Excahnge road ,Suite 101 Melbourne River county, Osceola, Seminole ,Orlando area. L A Geriatric Consulting Services P O Box 30291 Savannah GA 31410 Linda Argrow [email protected] GA SC 1. Southeast region of Georgia to include the following counties. Chatham, Bryan, Bulloch, Effingham, Liberty and Glynn. 2. South Carolina to include Beaufort, Bluffton and Hilton Head. Association of Clinicians for the 1420 Spring Hill Tysons VA 22102 Kathie Westpheli [email protected] GA VA MO Chatham County, Georgia, including, but not Underserved, Inc. Road, Suite 600 Corner ng limited to, the City of Savannah Chatham County Safety Net 24 Oglethorpe Savannah GA 31406 Paula Reynolds [email protected] GA CT RI Chatham County, Georgia, including, but not Planning Council, Inc. Professional Bldg., limited to, the City of Savannah 3rd Floor Rural Health IT Corporation 1950 Lafayette Portsmouth NH 03801 E. Earle Rugg [email protected] GA CT MA Chatham County, Georgia, including, but not Road, Suite 201, limited to, the City of Savannah Box 1

5 List of Organizations that have Submitted a Notice of Intent to Apply (NOIA) and have Approved the Posting of their Information

Point of Contact's Business Information Proposed Implementation State(s) Proposed target geographic location of the Name of Applicant Organization Street Address City State Zip Code First Last Business Email Primary Secondary Tertiary proposed intervention. Reddy and associates LLC D/B/A 1061 dowdy road, Athens GA 30606 Ram Reddy rreddy@reddymedicalgroup. GA Several nursing homes in Northeast Georgia. Reddy health innovations suit 101 com Georgia Partnership For Telehealth 914 Memorial Waycross GA 31502 Paula Guy [email protected] GA AL FL The proposed target location is the middle Drive Georgia towns of Grey and Metter; northern Georgia towns of Alpharetta and Dalton. Community Health Services of 213 Third St. Macon GA 31202 Lorraine Taylor [email protected] GA Skilled nursing facilities across Georgia Georgia Pulmonary Diagnostic Testing, 3616 Steve Duluth GA 30096 Laurence Cox PulmonaryDiagnos@bellsout GA Metro Atlanta LLC Reynolds Blvd. h.net Schaller Anderson 11675 Great Oaks Alpharetta GA 30022 Jackie Jenkins [email protected] GA Statewide in Georgia Way Georgia Parent Support Network 1381 Metropolitan Atlanta GA 30310 Sue Smith [email protected] GA Persons who live in Fulton County Georgia and Parkway have a persistant mental health issues such that is has decreased functioning to significantly impact daily life. Ka pā hóōla Patient Centered 161 Waliea Ike Pl Waliea, OH 96753 William Johnson [email protected] HI HI Maui, Hawaii; Hawaii, Hawaii; Oahu, Hawaii Medical Home Hawaii and other islands solicited. Straub Clinic & Hospital 888 S. King Street Honolulu HI 96813 Glenda Kaalakea [email protected] HI 96813 and 96792 HCI Care Services 2910 Westown West Des IA 50266 Tray Wade [email protected] IA HCI Care Services will seek to impact nursing Parkway Moines facility residents throughout its 35 county service area located across 18,000 sqaure miles in central and southern Iowa. Healthy Aging and Memory Clinic 1300 50th Street - West Des IA 50266 Matthew Schemmel mschemmel@healthyagingio IA Des Moines, IA - Central Iowa Suite 104 Moines wa.org Nancy Thompson 6725 W Dry Creek Boise ID 83714 Nancy Thompson [email protected] ID Southwest Idaho Rd Life's Doors 420 S. Orchard Boise ID 83705 Tim Pape [email protected] ID ID ID South West Idaho, including but not limited to; Glenns Ferry, Mountain Home, Boise, Idaho City, Cascade, Meridian, Eagle, Kuna, Nampa, Marsing, Melba, Parma, Caldwell, Middleton, Emmett, Payette Stephenson Nursing Center 2946 South Walnut Freeport IL 61032 Darnell Fortney [email protected] IL 50,000 Road s University of Chicago Medical 5841 South Chicago IL 60637 William Dale [email protected] IL Chicago’s south side, an area heavily populated Center Maryland Ave, go.edu with low-income, minority populations, MC6098 accounting for approximately (2370/23,724) 10% and 27% (2968/11,169) of UCMC and MHMC 2011 hospital admissions. HRS Home Health 1806 S. Highland Lombard IL 60148 Robert Mikulak [email protected] IL Cook County and Chicago Metropolitan Market Ave and surrounding counties such as: Lake, Kane, Kendall, DuPage and Will. Advocate Health Care/Advocate 205 West Touhy Park Ridge IL 60068 Barbara Giloth barbara.giloth@advocateheal IL Chicago Metropolitan Area Bloomington/Normal Charitable Foundation Avenue, Suite 125 th.com University of Illinois at Chicago 840 S. Wood Street Chicago IL 60612 Donald Jurivich [email protected] IL AZ Urban and suburban locations in Illinois with Geriatric Medicine m/c 717 large (Chicago) and medium - sized population centers. Cardiomedix Inc. 1840 Oak Ave Evanston IL 60201 Zipora David [email protected] IL WI Illinois and Wisconsin Provena Resurrection Health 7435 W. Talcott Chicago IL 60631 Dan Liberty [email protected] IL The Chicago metropolitan area and East-Central Network Avenue g Illinois. Northwestern University Feinberg 211 East Ontario Chicago IL 60611 Mark Williams [email protected] IL Location: Illinois School of Medicine Street, Suite 700

6 List of Organizations that have Submitted a Notice of Intent to Apply (NOIA) and have Approved the Posting of their Information

Point of Contact's Business Information Proposed Implementation State(s) Proposed target geographic location of the Name of Applicant Organization Street Address City State Zip Code First Last Business Email Primary Secondary Tertiary proposed intervention. CriticalKey LLC 1415 W. 22nd St Oak Brook IL 60523 Gerald Galloway [email protected] IL NY Chicago metropolitan region including Cook Tower Floor County, DuPage County, Kane County, Lake County, McHenry County, Will County Illinois. New York, NY Visiting Nurses Association of the 4223 East State St. Rockford IL 61108 Denise Schrader [email protected] IL Northern Illinois counties of Winnebegao, Rockford Area Boone, and Ogle. Illinois is the #6 worst state ranking according to the Center for Stategic Planning for Dual Eligible Beneficiaries & PAH 9/11 report. Alden Management Services 4200 W. Peterson Chicago IL 60646 Bob Molitor bob.molitor@thealdennetwor IL WY Multiple locations (Chicagoland and Wisconsin Ave k.org area). Collaborative care processes. Post acute programs implemented including processes for prevention of unnecessary returns to the hospital. Health Resources Alliance, Inc. 1520 Kensington Oak Brook IL 60523 Jill Krueger [email protected] IL PA Illinois: Lake, Cook DuPage, Madison, Peoria, Road, Suite 110 and Sangamon Counties Western Pennsylvania: Erie, Crawford, Mercer, Venango, Jefferson, Allegheny, Fayette, Butler, Westmorland, Lawrence Counties Passages Hospice/Passages 515 Warrenville Lisle IL 60532 Seth Gillman [email protected] IL Illinois state wide, concentration in and around Palliative Care road the cities of Chicago Rockford Bloomington- Peoria Belleville Carbondale VoCare, Inc 5225 Exploration Indianapoli IN 46241 Patrick Malloy [email protected] IN IL Indiana Drive s In Touch Pharmaceuticals, Inc. 1150 Eastport Valparaiso IN 46383 Rick Rondinelli [email protected] IN Our service area is throughout Indiana. Centre Dr Silver Care Solutions 1001 Hawkins Nashville TN 37203 Frazer Buntin fbuntin@silvercaresolutions. IN MA For Indiana and Massachusetts states, we will Street com cover both urban and rural markets so as to be able to prove interventions across the realistic scope of the long-term care environment. Indiana University 980 Indiana Indianapoli IN 46202 John Talbott [email protected] IN Central Indiana: Urban and Suburban Avenue s Geriatric Providers of America, 5918 Mill Oak Noblesville IN 46062 Marc Hurst [email protected] IN SNFS that are located in rural, micropolitan and LLC Drive metropolitan area. ADVANTAGE Health Solutions 9045 River Road. Indianapoli IN 46240 John Hinton [email protected] IN Nursing facilities located in Central Indiana. Suite 200 s Pike Medical Consultants, P.C. 6040 W. 84th St. Indianapoli IN 46278 Benjami Worrell [email protected] IN North and west side Indianapolis skilled nursing DBA GeriCare Indy s n facilities with GeriCare Indy attending presence. Southewest Kansas Area Agency 236 San Jose Dodge City KS 67801 Janis DeBoer [email protected] KS State of Kansas with emphasis in the Kansas City on Aging, Inc. and Wichita metro areas. University of Kentucky Healthcare 800 Rose Street Lexington KY 40536 Gary Johnson [email protected] KY Within 125 miles of Lexington of Kentucky Manchester Memorial Hospital 210 Marie Langdon Manchester KY 40962 Arlene Zerbee [email protected] KY 100 mile radius of Manchester, Kentucky in Drive Southeast, KY Commonwealth Leverage LLC. 4965 US Highway Louisville KY 40222 Sheri Rose [email protected] KY Underserved rural populations across the 42, Suite 1000 Commonwealth of Kentucky will be targeted. For- profit, non-profit, corporate owned, and independently owned long-term care facilities will participate. Qualitas Geriatrics, LLC 143 East Main Georgetow KY 40324 Anthony Chase [email protected] KY IN TX Commonwealth of Kentucky - Group One State Street n of Indiana - Group Two (if allowed) The Wharton Health Care 3641 Locust Walk Philadelphi PA 19104 John Whitman [email protected] KY PA Kentucky Management Alumni Association a

7 List of Organizations that have Submitted a Notice of Intent to Apply (NOIA) and have Approved the Posting of their Information

Point of Contact's Business Information Proposed Implementation State(s) Proposed target geographic location of the Name of Applicant Organization Street Address City State Zip Code First Last Business Email Primary Secondary Tertiary proposed intervention. The TRECS Institute 105 Thatcher Court North PA 19454 John Whitman [email protected] KY PA Kentucky Wales Kentucky Hospital Association 2501 Nelson Miller Louisville KY 40253 Elizabeth Cobb [email protected] KY Kentucky Parkway, PO Box 436629 Norton Healthcare Foundation 234 East Gray Louisville KY 40202 Lynnie Meyer lynnie.meyer@nortonhealthc KY The proposed targeted locations are located in Street, Ste 450 are.org State of Kentucky with primary of Jefferson County; secondary of Oldham, Shelby, Spencer, Bullitt Counties; tertiary (throughout State of Kentucky). Kentuckiana Regional Planning and 11520 Louisville KY 40299 Barbara Gordon [email protected] KY Jefferson County, KY and 6 rural counties in Development Agency Commonwealth KIPDA region. Drive Hospice of the Bluegrass 2312 Alexandria Lexington KY 40504 Gretchen Brown [email protected] KY 17 central and northern Kentucky counties are Drive targeted. A mix of urban and rural sites and patients are included. Green River Area Development 300 GRADD Way Owensboro KY 42301 Vivian McNatton [email protected] KY KY The GRADD region which includes: Daviess, District Hancock, Henderson, McLean, Ohio, Union, and Webster Counties. TeleMD360, LLC 1704 Milan St New LA 70115 Ricardo Febry [email protected] LA 15 plus nursing facilities in Louisiana Orleans M.Sc., managed/operated independently by various M.D. management companies in the state. Cory L Cashman M.D. 1111 Medical Marrero LA 70072 504 328-5703 [email protected] LA Jefferson Parish Westbank Louisiana Center Blvd S340 St. Francis Medical Center, Inc. 309 Jackson St. Monroe LA 71201 318 966-4185 [email protected] LA While we are open to working with nursing homes and other partners throughout Region 8 in Northeast Louisiana, we will primarily focus our efforts in Ouachita Parish where we are located. Louisiana Senior Care Coalition 1409 North Baton LA 70802 Donnie Batie [email protected] LA LSCC proposes to engage 18 nursing homes in Acadian Thruway Rotieuge the Baton Rouge area. West Reliant Rehabilitation 5212 Village Creek Plano TX 75093 Stephani Necaise [email protected] LA TX Due to the diverse geographic locations and Drive e diversity within both Louisiana and Texas, we will choose facilities from all areas of each state. They will include a mix of rural and urban markets. CHRISTUS Central Louisiana - 3330 Masonic Alexandria LA 71301 Taj Bhaloo [email protected] LA The proposed intervention will take place in CHRISTUS St. Frances Cabrini Drive rg Louisiana in Rapides, Red River, Caddo, Hospital Calcasieu, Orleans, and Jefferson Parishes, encompassing the NW, SW, central, and SE areas of the state. MediPoint Staffing, LLC 1500 Lafayette Gretna LA 70053 Ronald McLendon rmclendon@medipointstaffin LA Rural and suburban areas of Louisiana Street, Suite 107 , Jr. g.com Spectrum Logic 3532 Garrett Road Monroe LA 71202 Harry Bruce [email protected] LA TX MS Louisiana om Irving Restituyo 651 orchad st New MA 02740 Irving Restituyo [email protected] MA The greater NB area Bedford Ideal Healthcare Solutions 19 Henry St Sharon MA 02067 Patricia Walker pwalker@idealhealthcaresolu MA Nursing facilities located in eastern tions.com Massachusetts

8 List of Organizations that have Submitted a Notice of Intent to Apply (NOIA) and have Approved the Posting of their Information

Point of Contact's Business Information Proposed Implementation State(s) Proposed target geographic location of the Name of Applicant Organization Street Address City State Zip Code First Last Business Email Primary Secondary Tertiary proposed intervention. Guardian Hospice of MA Inc., d/b/a 1214 Park Street, Stoughton MA 02072 Michele Clayborne [email protected] MA PA GA Initial geographic location Central Eastern Guardian Hospice & Palliative Care Suite 203 m Massachusetts. In addition, we propose expanding intervention to include nursing homes operated by The Guardian Foundation along Atlantic seaboard. Partners Continuing Care 125 Nashua Street Boston MA 02114 Timothy Lynch [email protected] MA Eastern Massachusetts DoctorDoctors LLC 444-A North Main East MA 01028 Osazee Osagie [email protected] MA 15 SNFs in Worcester, Middlesex, Essex, Street PMB 291 Longmeado m Berkshire & Suffolk counties, MA, with areas of w poverty, extreme rurality and limited access to providers, and upscale communities with access to the best MDs. Jewish Family & Children's Service 1430 Main Street Waltham MA 02451 Alan Jacobson [email protected] MA JF&CS will target nursing facility residents from selected Greater Boston nursing facilities for the Initiative. BergenCare Home Health, LLC 400 Old Hook Westwood NJ 07675 Danette Manzi [email protected] MA NJ CT We are anticipating partnering with nursing Road facilities in the following counties: Norfolk, Hampshire, Middlesex, Essex, Hampden, Worcester, Bristol, Essex, Berkshire New England Community Medical 120 Water Street, North MA 01845 Sawad Thotathil [email protected] MA The proposed intervention will affect residents in Services Suite 404 Andover northeastern Massachusetts including, but not limited to Medicare beneficiaries in Suffolk, Middlesex and Essex counties. East Longmeadow Skilled Nursing 305 Maple St. East MA 01028 Theresa Williams [email protected] MA CT East Longmeadow is located in Hampden County Facility Longmeado Mass. We receive admissions from Baystate w Medical Center, Mercy Medical Center, Holyoke Medical Center and some from Hartford Hosp.as we are near CT.. Affordable Healthcare Nurse 8238 Georgia Ave Silver MD 20886 Stella Jefferies healthcare@affordablenpclin MD DC The proposed target geographic location of the Practitioner Clinic Spring ic.com Proposed intervention: "The Practitionerlist Model" is the Medicare-Medicaid enrollee of the Washington Metropolitan area and Baltimore City Gilchrist Hospice Care 11311 McCormick Hunt MD 21031 Lori Mulligan [email protected] MD Central Maryland: Baltimore City, Baltimore Road, Suite 350 Valley rg County, Howard County, Harford County, Carroll County Adventist HealthCare, Inc. 1801 Research Rockville MD 20850 Terri Bennett [email protected] MD Montgomery County, Maryland and Prince Blvd, Suite 400 George's County, Maryland. The Coordinating Center 8258 Veterans Millersville MD 21108 Carol Marsiglia cmarsiglia@coordinatingcent MD Maryland Highway er.org ServarusRM 113450 Random Fairfax VA 22030 Kenita Hill [email protected] MD PA DC Nursing homes and hospitals in Washington, Hills Road, Suite C- DC, Maryland and Pennsylvania. 120 Omni Medical Systems, Inc. 115 Catamount Milton VT 05468 Lori Bello [email protected] MD PA NC Although we have representation across the Drive USA, our PACE group contact working out of John Hopkins University, Baltimore Maryland could be our proposed geographic target location.

9 List of Organizations that have Submitted a Notice of Intent to Apply (NOIA) and have Approved the Posting of their Information

Kansas City Quality Improvement 6000 North Oak Kansas MO 64118 Catherin Davis [email protected] MO KS Greater Kansas City Bi-State (Kansas and Consortium Trafficway, Suite City e Missouri)- Cass, Clay, Jackson, and Platte 300 Counties/MO & Johnson and Wyandotte Counties/ KS. Adjacent counties may be included in the application St. Andrew's Management Services 6633 Delmar Blvd. St. Louis MO 63130 Diane Meatheany [email protected] MO Greater Saint Louis Metropolitan Area m Evercare 3720 DaVinci Norcross GA 30092 Tyler Grisham [email protected] MO TX NJ MO, TX, NJ, FL, PA, LA, KY, AL, GA, TN (St Court; Suite 400 Louis, Kansas City, Houston, Miami, Pittsburgh, Baton Rouge, New Orleans, Lafayette, Louisville, Lexington, Birmingham, Huntsville, Montgomery,Savannah, Augusta) Paris Pharmacy 223 N. Main Paris MO 65275 660 3274514 [email protected] MO Monroe County, MO

10 List of Organizations that have Submitted a Notice of Intent to Apply (NOIA) and have Approved the Posting of their Information

Point of Contact's Business Information Proposed Implementation State(s) Proposed target geographic location of the Name of Applicant Organization Street Address City State Zip Code First Last Business Email Primary Secondary Tertiary proposed intervention. Disability Resource Association, 420-B South Crystal City MO 63019 Craig Henning craigh@disabilityresourceass MO The geographic location is the greater St. Louis Inc. Truman Blvd. ociation.org metropolitan area, including St. Louis City, St. Louis County, and Jefferson County, Missouri CareLinc Options, LLC 2127 Innerbelt St Louis MO 63114 Catherin Dulle [email protected] MO IL KS St Louis, Missouri and surrounding community Business Center e is our primary market. The Kansas City, Drive, Suite 107 Missouri/Kansas market would be our secondary market. MD MedicStats 7111 W. 151st. St., Overland KS 66223 Randy Miller [email protected] MO State of Missouri Suite 311 Park Skaggs Regional Medical Center 251 Skaggs Rd. Branson MO 65616 Heather Zoromski [email protected] MO Southwest Missouri (Taney, Stone, Christian, Ozark, Webster and Greene counties) Burrell, Inc. 1300 E. Bradford Springfield MO 65804 Holly Jones [email protected] MO TX DMH Service Areas 10 and 12, Missouri, 17 Parkway m counties total with operational hubs in Springfield and Columbia. These regions contain multiple 120+ bed facilities. Stonebridge Maryland Heights 2963 Doddridge Maryland MO 63043 Susan McClenah smcclenahan@stonebridgese MO Stonebridge Maryland Heights is a SNF serving Avenue Heights an niorliving.com more than 200 seniors in Maryland Heights. We have implemented a process for reducing readmissions and our outcomes reveal improvement. SSM Healthcare – St. Louis 1173 Corporate St. Louis, MO 63141 Lorraine Yehlen [email protected] MO The proposed intervention includes SSM St. Lake Dr. MO 63132 m Louis’ 5 adult hospitals which cover 7 Missouri counties including St. Louis City, St. Louis County, Franklin, Warren, Jefferson, St. Charles and Lincoln. Mobile Wound Solutions, LLC 16657 East 23rd Independen MO 64055 Martha Kelso marthakelso@mobilewounds MO KS Greater Kansas City Metro area, St. Joseph Street, #254 ce olutions.com Missouri, Maryville Missouri, Greater St. Louis area, Boonville Missouri, Milan Missouri, Grandview Missouri, Belton Missouri,Greater Kansas City Kansas area Schaller Anderson 2404 Forum Blvd Columbia MO 65203 Pamela Johnson [email protected] MO Throughout the State of Missouri Medical Mall Health Services of 350 W. Woodrow Jackson MS 39216 Timothy McNeill [email protected] MS Our integrated care coordination model to reduce Mississippi Wilson Ave m avoidable hospitalizations among nursing home residents will serve Central and Southern Mississippi - from Hinds County south to Biloxi, MS. Christian Healthcare Case 125 Avian Lane Jackson MS 39204 Jerriesue Williams [email protected] MS Nursing Home Residents in the Hinds, Madison, Management and Rankin Counties. Community Care of Western North 53 South French Asheville NC 28801 Wendy Sause [email protected] NC Western North Carolina Carolina Broad Avenue, Suite 300 University of North Carolina at 725 Martin Luther Chapel Hill NC 27599 Sheryl Zimmerma [email protected] NC Thirty nursing homes in eight counties (Orange, Chapel Hill King Jr., Blvd n u Wake, Nash, Wilson, Richmond, Robeson, Davidson, Rockingham) served by eight hospitals identified as those with the highest rehospitalization rates. Medicine Mart Long Term Care, 214 South Main Tabor City NC 28463 Sterling Koonce sterling@kooncedrugcompan NC SC VA We service NC, SC, and VA. LLC Street y.com

11 List of Organizations that have Submitted a Notice of Intent to Apply (NOIA) and have Approved the Posting of their Information

Valley Health System 15 Essex Road Paramus NJ 07652 Gail Callandrill [email protected] NJ Bergen and Passaic Counties, NJ o Care Group Foundation, Inc. 173 Bridge Plaza Fort Lee NJ 07024 Danette Manzi [email protected] NJ CT MA Our proposed market will cover nursing facility North partners in the following counties in NJ: Bergen, Middlesex, Burlington, Mercer, Monmouth, Ocean, Essex, Morris, Somerset, Camden, Passaic Rutgers University- College of 180 University Newark NJ 07102 Deanna Gray- [email protected] NJ 15 long term care nurisng facilities providing Nursing Avenue Miceli skilled nursing care (average of 120 bed size capacity) within the 21 counties of New Jersey. HealthInsight Nevada 6830 W. Oquendo Las Vegas NV 89118 Jackie Buttaccio [email protected] NV Proposed target area spreads across the state of Road Ste #102 Nevada.

12 List of Organizations that have Submitted a Notice of Intent to Apply (NOIA) and have Approved the Posting of their Information

Greater New York Hospital 555 W. 57th Street New York NY 10019 Tim Johnson [email protected] NY The target geographic location of the proposed Association intervention is New York City and the greater metropolitan area, including but not limited to Nassau, Suffolk, and Westchester Counties. Ocean Therapy Group INC 129 Melissa Ct Lakewood NJ 08701 Jason Hersko [email protected] NY NJ New York, New Jersey Cogent Healthcare, Inc. 5410 Maryland Brentwood TN 37027 Beth Hawley [email protected] NY New York Way, Ste. 300 m Comprehensive Geriatric Medicine 7104 Fort Hamilton Brooklyn NY 11228 Paul Rosenstoc [email protected] NY NJ CT New York, New Jersey, Connecticut P.C. Parkway k MD Internal Medicine Center of 2823 Aaronwood Massillon OH 44646 Jennifer Spoonemo [email protected] OH The target geographic location for the Massillon/Jackson Ave., NE re intervention will be primarily in northeast and northwest portions of Ohio, and will include populations from the Youngstown, Akron, Cleveland, and Toledo areas. Summa Health System 525 East Market St. Akron OH 44304 Kathy Blake [email protected] OH Northeastern Ohio

Health Care Management Group 12100 Reed Cincinnati OH 45241 Kim Barrows [email protected] OH KY Greater Cincinnati, Ohio area. Hartman Hwy

13 List of Organizations that have Submitted a Notice of Intent to Apply (NOIA) and have Approved the Posting of their Information

Point of Contact's Business Information Proposed Implementation State(s) Proposed target geographic location of the Name of Applicant Organization Street Address City State Zip Code First Last Business Email Primary Secondary Tertiary proposed intervention. Accelecare 10900 NE 4th Bellevue WA 98004 Tod Smith [email protected] OH TX IN Central Ohio, Columbus Ohio, Down the I-70 Street, Suite 1920 corridor to Dayton Ohio. Then Extending North to along the I-75 hwy, ending in the North West region of Toledo Ohio . ViaQuest 525 Metro Place Dublin OH 43017 Chris Wolf [email protected] OH PA Columbus, Ohio - Cleveland, Ohio - Cincinnati, North suite 300 Ohio - Dayton, Ohio - Pittsburgh, Pennsylvania Area Office on Aging of NW Ohio, 2155 Arlington Toledo OH 43609 Emilie Owens [email protected] OH The proposed target geographic location will be Inc. Avenue om Northwest Ohio which includes the following counties: Erie, Defiance, Fulton, Henry, Lucas, Ottawa, Paulding, Sandusky, Williams, and Wood Case Western Reserve University 111000 Euclid Cleveland OH 44106 George Kikano, [email protected] OH Northeast Ohio/Ohio School of Medicine Avenue, Lerner MD Tower 1056 Benjamin Rose Institute on Aging 11900 Fairhill Cleveland OH 44120 Farida Ejaz [email protected] OH Counties in Ohio that are NOT participating in Road, Suite 300 the proposed Ohio State Demonstration to Integrate Care for Medicare-Medicaid Enrollees, submitted to the Center for Medicare and Medicaid Innovation. Premier Health Advocates, LLC 3401 Enterprise Beachwood OH 44122 Arman Askari [email protected] OH Our proposed target geographic location is Parkway, suite 340 Midwest, specifically, the State of Ohio. United MedicDirect 297 Woodland Columbus OH 43215 William Johnson [email protected] OH OH Franklin County/Columbus, Ohio; Summit Avenue County/ Akron, Ohio, Jackson, Ohio, Hamilton County; Montgomery County and selected rural areas currently solicited in Southern, Ohio. Mosaic Community Health Center 1293 Jackson Hole Gahanna, OH 43004 William Johnson [email protected] OH OH Franklin County/Columbus, Ohio; Summit Ohio County/ Akron, Ohio, Jackson, Ohio, Hamilton County; Montgomery County and selected rural areas currently solicited in Southern, Ohio. Gateway Health and Wellness 112 Jefferson Gahanna, OH 43215 William Johnson [email protected] OH OH Franklin County/Columbus, Ohio; Summit Avenue Ohio County/ Akron, Ohio, Jackson, Ohio, Hamilton County; Montgomery County and selected rural areas currently solicited in Southern, Ohio. Greater Cincinnati Health Council 2100 Sherman Cincinnati OH 45221 Nancy Strassel [email protected] OH Hamilton County and potentially some of the Avenue Suite 100 surrounding counties. Advanced Specialty Hospital 1015 Garden Lake Toledo OH 43614 Charles Stoltz [email protected] OH MD PA Ohio (statewide), Western Pennsylvania, Parkway Maryland (central) and Missouri (East - St. Louis) Pembrooke place 850 East Youngstow OH 44502 Lori Ference [email protected] OH OH Mahoning County Midlothian blvd n om Omnicare, Inc. 100 East Covington KY 41011 Gary Erwin [email protected] OH Northeast Ohio RiverCenter Boulevard, Suite 1600 HCR ManorCare Services of 3425 Executive Toledo OH 43606 Karen Severance kseverance@hcr- OH 45243 45239 45014 45342 45331 45429 45320 Florida, LLC d/b/a Heartland Care Parkway Suite 131 manorcare.com 45503 45432 45356 45640 43011 45750 45662 Partners 45601 45133 43215 45680 43302 43078 44820

Providence Medical Group, Inc 2912 Springboro Dayton OH 45439 Cheryl Burns [email protected] OH Within the Dayton, Ohio MSA W, Suite 201

14 List of Organizations that have Submitted a Notice of Intent to Apply (NOIA) and have Approved the Posting of their Information

Point of Contact's Business Information Proposed Implementation State(s) Proposed target geographic location of the Name of Applicant Organization Street Address City State Zip Code First Last Business Email Primary Secondary Tertiary proposed intervention. ADS Partners, LLC 100 West Big Troy MI 48084 Greg Moore [email protected] OH MI KY Beaver, Suite 655 Integrity Health Partners, Inc 88 North Fifth Columbus OH 43215 Gil Snyder gilsnyder@integrityhealthpar OH Northeast and Central Ohio Street tners.com Valley Medical Primary CAre 6611 Clyo Rd Suite Dayton OH 45459 Anton Vasiliu [email protected] OH E Senior Class Living 401 South Boston Tulsa OK 74103 Rusty McMurray [email protected] OK Greater Tulsa, OK area AND Greater Oklahoma Suite 301 m City, OK area including rural nursing facilities within a 50 mile radius of Tulsa and Oklahoma City. Including Veterans Centers in Claremore and Norman Tulsa Health Innovation Zone 4502 East 41st Tulsa OK 74135 Matthew Clark [email protected] OK State of Oklahoma Street, Suite 2G10 My Health 16 East 16th Street, Tulsa OK 74119 Matthew Clark [email protected] OK State of Oklahoma Suite 405 Community Services Council of 16 East 16th Street, Tulsa OK 74119 Matthew Clark [email protected] OK State of Oklahoma Greater Tulsa Suite 202 University of Oklahoma, School of 4502 East 41st Tulsa OK 74135 Matthew Clark [email protected] OK State of Oklahoma Community Medicine Street, Suite 2G10 OU Sooner Health Access Network 4502 East 41st Tulsa OK 74135 Matthew Clark [email protected] OK State of Oklahoma Street, Suite 2G10 Yeaman Consulting 1218 W Rock Norman OK 73069 Brian Yeaman [email protected] OK State of Oklahoma, with primary focus in Creek Rd Central, Eastern and Northeastern parts of the state. Point of contact phone # 405-204-3369 Crozer-Keystone Health System Pavilion II, 100 W. Springfield PA 19064 Barbara Looby [email protected] PA The nursing homes that will be participation are Sproul Road located in Southeastern Pennsylvania Kendal Outreach LLC 1107 E Baltimore Kennett PA 19348 Beryl Goldman [email protected] PA Several counties throughout the Commonwealth. PIke Square rg Primary targets will be the Pittsburgh and Philadelphia regions. The ElderCare Companies, Inc. 2517 Hwy 35, Suite Manasquan NJ 08736 Kamien Lowe klowe@eldercarecompanies. PA Philadelphia, Lancaster, Montgomery, Delaware, J203 com Bucks, Chester, Lebanon, Luzerne, Lehigh, Dauphin, York, Berks , Northumberland, Allegheny, Butler, Erie, Washington, Beaver Counties University of Pittsburgh Medical Forbes Tower, Pittsburgh PA 15213 Mary Sander [email protected] PA We propose to implement the initiative to reduce Center (UPMC) Community Suite 10055, 200 Ann avoidable hospitalizations in western Provider Services (CPS) Aging Lothrop Street Pennsylvania, including in-state portions of the Institute (AI) d/b/a the Aging Pittsburgh and Erie Hospital Referral Regions. Institute of UPMC Senior Services and the University of Pittsburgh Temple University Healt System 3401 North Broad Philadelphi PA 19140 Steven Carson [email protected] PA The target geographic location will include the Street a du North Philadelpia corridor and mid to lower Northeast Philadelphia area. WellSpan Health 45 Monument Road York PA 17403 Nancy Newton [email protected] PA South Central Pennsylvania, primarily York and Adams Counties. Geisinger Health System 100 N. Academy Danville PA 17822 Lyn Boocock- [email protected] PA PA The intervention will serve Northeastern and Ave. Taylor u Central Pennsylvania Westmoreland Regional Hospital 532 West Greensburg PA 15601 Polly Benning [email protected] PA The proposed project location is Southwest Pittsburgh Street Pennsylvania with a primary focus in Westmoreland County and the surrounding areas of Allegheny, Indiana, and Fayette Counties.

15 List of Organizations that have Submitted a Notice of Intent to Apply (NOIA) and have Approved the Posting of their Information

Point of Contact's Business Information Proposed Implementation State(s) Proposed target geographic location of the Name of Applicant Organization Street Address City State Zip Code First Last Business Email Primary Secondary Tertiary proposed intervention. Robert Morris University 6001 University Moon PA 15108 Joseph Angelelli [email protected] PA The proposed project will involve enhanced care Blvd Township, and coordination providers in the western half of PA 15108- the Pittsburgh MSA - Counties include 1189 Washington, Allegheny (south suburbs of PGH), Beaver & Lawrence Healthcare Ventures Alliance 4631 West Lake Erie PA 16505 Michael Gallagher [email protected] PA IL Western Pennsylvania: Erie, Crawford, Mercer, Road Venango, Jefferson, Allegheny, Fayette, Butler, Westmorland, Lawrence Counties. Illinois: Lake, Cook adn DuPage Counties. Lehigh Valley Hospital, Inc. 1200 S. Cedar Allentown PA 18103 Mary Herzog [email protected] PA Lehigh Valley, PA, and surrounding areas. Crest Boulevard Ellen Geisinger Health System 100 N. Academy Danville PA 17822 Lyn Boocock- [email protected] PA PA The intervention will serve Northeastern and Ave. Taylor u Central Pennsylvania The Institute of Consultative 217 Constance Dr McKees PA 15136 Mitch Gennuso [email protected] PA Western Pennsylvania Bioethics Rocks om The Wharton Health Care 3641 Locust Walk Philadelphi PA 19104 John Whitman [email protected] PA The proposed interventions will target 10 for- Management Alumni Associaiton a profit and 10 not-for-profit nursing facilities located throughout Pennsylvania with a focus on the Philadelphia, Harrisburg and Pittsburgh markets. The TRECS Institute 105 Thatcher Court North PA 19454 John Whitman JohnWhitman@TheTRECSI PA The proposed interventions will target 10 for- Wales nstitute.org profit and 10 not-for-profit nursing facilities located throughout Pennsylvania with a focus on the Philadelphia, Harrisburg and Pittsburgh markets. Accountable Physician Associates 1000 Dunham Dunmore PA 18512 Brian Ebersole [email protected] PA Northeastern Pennsylvania to include Drive rg Lackawanna and Luzerne counties and the surrounding area serviced by our operating partners Schaller Anderson 2000 Market Street, Philadelphi PA 19103 Deborah Nichols [email protected] PA Throughout the State of Pennsylvania Suite 850 a Schaller Anderson 2000 Market Street, Philadelphi PA 19103 Deborah Nichols [email protected] PA Throughout the State of Pennsylvania Suite 850 a excelleRx, Inc. 1601 Cherry Street, Philadelphi PA 19102 Kate Woods [email protected] PA NJ NJ Philadelphia Metropolitan Area and/or Newark Suite 1700 a Metropolitan Area Nalari Health, LLC 18 Maple Ave, Barrington, RI 02806 Lisa Hofer [email protected] RI MA We will be targeting the entire State of Rhode Suite 103 RI Island and into Southern Massachusetts. CareLink, Inc. 225 Chapman Providence RI 02905 401 490-7610 [email protected] RI MA CT The proposed target geographic location is the Street State of RI. Depending on interest, we may partner with CT or MA. Gentle Touch 111 D. J. Eboni Summervill SC 29483 Katrina Deas [email protected] SC Charleston, Berkley, Beaufort, Orangeburg, Lane e m Sumter, Colleton,Florence and Georgetown counties Senior Health Associates, PA 335 Pleasant Point Beaufort SC 29907 Keith Guest, MD [email protected] SC State of South Carolina Drive Lewis & Clark Health Education 1000 West 4th Yankton SD 57078 Sandy Williams [email protected] SD NE 57031, 57037, 57040, 57045, 57046, 57059, and Service Agency: dba Avera Street, Suite 9 57062, 57063, 57066, 57067, 57069, 57072, Education & Staffing Solutions 57073, 57078, 57079, 57315, 68727,68730,68736, 68739, 68760, 68774, 68792

16 List of Organizations that have Submitted a Notice of Intent to Apply (NOIA) and have Approved the Posting of their Information

Point of Contact's Business Information Proposed Implementation State(s) Proposed target geographic location of the Name of Applicant Organization Street Address City State Zip Code First Last Business Email Primary Secondary Tertiary proposed intervention. Provider Health Services 9155 Crestwyn Memphis TN 38125 Mark Smith mark.smith@providerhealths TN TN TN We will be working with 15-20 nursing homes Hills Drive ervices.net across the state of Tennessee. Healthcare Education Systems, 115 North Spring Livingston TN 38570 Zachary Gantt [email protected] TN GA KY Fifteen or more Skilled Nursing Facilities LLC DBA Progressive Healthcare Street throughout TN, representing each grand division Solutions of the state. ETHRA / East Tennessee Area 9111 Cross Park Knoxville TN 37923 Aaron Bradley [email protected] TN Knox / Union / Anderson / Roane / Loudon / Agency on Aging and Disability Drive, Suite D-100 Blount / Sevier / Jefferson / Grainger counties. All in Tennessee. 15 nursing facilities in these 9 counties. Tempus Healthcare, LLC 235 Noah Drive Franklin TN 37064 Bart Cunningha bcunningham@tempushealth TN TN Cites: Celina, Jonesborough, Clarksville, m care.com Oneida, McMinnville, Soddy-Daisy, Franklin, Elizabethton, Adamsville, Cordova, Woodbury, Sneedville, Whites Creek, Knoxville, and Jackson Medalogix, LLC 2202 Belmont Blvd Nashville TN 37212 Dan Hogan [email protected] TN OH FL We are based in Tennessee and will make that our primary geographic location. However, we have developed some valuable relationships with providers in Ohio and Florida as well. Advanced Living Technologies, 10415 Morado Austin TX 78759 Paul Gray [email protected] TX Central Texas Inc. Circle St 120 Baylor Research Institute 3310 Live Oak, Ste. Dallas TX 75204 Deborah Price [email protected] TX Dallas and Ft. Worth, Texas 501 TrueMedicine P.A. 2800 E State Trophy TX 76262 Doug Kelly [email protected] TX North Texas area with a focus on: Dallas, Ft Highway 114, Suite Club Worth, Plano, McKinney, Frisco, Richardson, 130 Trophy Club, Southlake, Westlake, Keller, Garland, Mesquite, Allen, The Colony, Lewisville, Denton, Corinth ADVault, Inc. dba 17304 Preston Dallas TX 75252 Scott Brown [email protected] TX OK LA If required to focus on specific geographic MyDirectives.com Road, Suite 800 location, MyDirectives would focus on Texas, Oklahoma and Louisiana; however, we could also envisage other states across the US b/c cloud- based solution. US Telehealth 1180 Seton Kyle TX 78640 Lauren Brandt [email protected] TX Primarily rural and underserved areas of Texas, Parkway Ste 300 but would consider urban areas where it is difficult to obtain physician specialist coverage. Elite Patient Care 7500 Rialto Blvd. Austin TX 78735 Antonio Gamba [email protected] TX Austin and adjacent cities including Pflugerville, Suite 140 m Elgin, and Round Rock. Texas Tech University Health 3601 4th Street Lubbock TX 79430 Pearl Merritt [email protected] TX TX TX Complete State of Texas Sciences Center Houston-Galveston Area Council 3555 Timmons Houston TX 77027 Lisa Hayes [email protected] TX The HGAC Area Agency on Aging provides care Area Agency on Aging Lane, Suite 120 coordination and long-term care ombudsman programs across the 10,722 sq. miles of the 12 county service area surrounding Harris Co., TX.

Alamo Area Council of 8700 Tesoro Drive, San TX 78217 Stan Livengood [email protected] TX AACOG is headquartered in San Antonio, Texas Governments Suite 700 Antonio and serve the 12 counties that include Atascosa, Bandera, Bexar, Comal, Frio, Gillespie, Guadalupe, Karnes, Kendall, Kerr, Medina, and Wilson Counties. Alta Vista Rehab and Health Care. 510 Paredes Line Brownsvill TX 78521 Lorenzo Pelly MD, [email protected] TX Rio Grande Valley, Brownsville Texas in Rd. e CMD Cameron County

17 List of Organizations that have Submitted a Notice of Intent to Apply (NOIA) and have Approved the Posting of their Information

Brighter Day Health, LLC 2400 Augusta Houston TX 77057 Al Forcella forcellaa@brighterdayhealth. TX IA NE Rural counties Drive, Suite 326 com Your Doctor Program, LP 6800 West Loop Houston TX 77401 Priscilla Goode pgoode@yourdoctorprogram TX North and East regions of Texas South, Suite 180 .com Emergency Medical Services 6200 S. Syracuse Greenwood CO 80111 Steve Murphy [email protected] TX FL CA Greater Dallas Metroplex Area Corporation Way, Suite 200 Village Empirica Psychiatric Services, LLC 3905 Hedgcoxe Plano TX 75025 Rubin Bhatia [email protected] TX North Texas- Dallas Fort Worth area Road, # 250487 CHRISTUS St Michael Health 2600 St Michael Texarkana TX 75503 Mike Finley [email protected] TX AR The area considered as North East Texas and System Drive rg Southwest Arkansas to include contiguous counties in both states TeleCog, Inc. 331 Avenue L Dickinson TX 77539 Arman Bajwa [email protected] TX IL Nursing facility residents throughout the state of Texas, focusing on the Houston, Austin and Dallas metropolitan areas The University of Texas Health 6901 Bertner Houston TX 77030 Carmen Castro [email protected] TX Nurisng facilities in Harris County and Houston, Science Center at Houston TX Valley Doctors Clinic 864 Central Blvd Brownsvill TX 78520 Lorenzo Pelly [email protected] TX CA AZ We are proposing to work w/ approx. 18-20 Suite 2500 e SNFs in Texas that are part of one umbrella organzation. DocTalker Family Medicine 370 Maple Avenue, Vienna VA 22180 Jodi Lyons jodi@continuumofcareconsu VA MD DC Fairfax, Arlington & Loudoun Counties, VA. Suite V ltants.com Montgomery County, MD. Congressional Districts: VA-8 (Moran). VA-10th (Wolfe). VA- 11 (Connolly). MD-3 (Sarbanes). MD- 7(Cummings). MD-8 (van Hollen). ClickMedix 4019 Thistlebridge Rockville MD 20853 Ting Shih [email protected] VA MD DC Fairfax, Arlington & Loudoun Counties, VA. Way Montgomery County, MD. Congressional Districts: VA-8 (Moran). VA-10th (Wolfe). VA- 11 (Connolly). MD-3 (Sarbanes). MD- 7(Cummings). MD-8 (van Hollen). Continuum of Care Consultants 7019 Metropolitan Falls VA 22043 Jodi Lyons jodi@continuumofcareconsu VA MD DC Fairfax, Arlington & Loudoun Counties, VA. Place 302 Church ltants.com Montgomery County, MD. Congressional Districts: VA-8 (Moran). VA-10th (Wolfe). VA- 11 (Connolly). MD-3 (Sarbanes). MD- 7(Cummings). MD-8 (van Hollen).

18 List of Organizations that have Submitted a Notice of Intent to Apply (NOIA) and have Approved the Posting of their Information

Point of Contact's Business Information Proposed Implementation State(s) Proposed target geographic location of the Name of Applicant Organization Street Address City State Zip Code First Last Business Email Primary Secondary Tertiary proposed intervention. Kinergy Health 10115 Mill Wheel Vienna VA 22182 Gail Embt [email protected] VA MD DC Fairfax, Arlington & Loudoun Counties, VA. Lane m Montgomery County, MD. Congressional Districts: VA-8 (Moran). VA-10th (Wolfe). VA- 11 (Connolly). MD-3 (Sarbanes). MD- 7(Cummings). MD-8 (van Hollen). Inova Health System 8110 Gatehouse Falls VA 22042 Julie Garcia [email protected] VA Northern Virginia (Fairfax County, Arlington Road Church County, Loudoun County, Alexandria City, Prince William County) Capital Caring 2900 Telestar Court Falls VA 22042 Malene Davis [email protected] VA MD Capital Caring seeks to implement the proposed Church intervention in Northern Virginia in the following regions: Manassas, Arlington, Alexandria, Leesburg and Falls Church. AréA Health Solutions, LLC 5679 Styers Ferry Clemmons NC 27012 Timothy Taylor timtaylor@areahealthsolution VA This region includes the Richmond, Virginia Road s.org Metropolitan Statistical Area (MSA) with a population over 907,000. The MSA includes the City of Richmond, and Chesterfield, Hanover, and Henrico Counties. Wireless MedCARE, LLC 10 Church Street Roanoke VA 24011 Daniel Wrappe [email protected] VA WV Mid- Atlantic region. SE, Suite 202 om University of Virginia Center for 1215 Lee Street Charlottesv VA 22908 Karen Rheuban [email protected] VA Central and Western Virginia Telehealth ille U S Therapeutics, Inc 4828 Lake Virginia VA 23455 SyEd Absar [email protected] VA FL NV Southeastern Virginia: Richmond, Petersburg, Bradford Lane Beach rg Williamsburg, Newport News, Virginia Beach, Norfolk, Chesapeake, Suffolk, Franklin, Windsor, Emporia, Lawrenceville, Blackstone, Eastern Shore of Virginia. Sentara Healthcare 6015 Poplar Hall Norfolk VA 23502 Bruce Robertson [email protected] VA At least 20 nursing facilities in Virginia Dr. Tidewater Community College 1700 College Virginia VA 23453 Gretchen LeFever [email protected] VA The project will service the seven cities in Crescent Beach Hampton Roads, Virginia -- Virginia Beach, Norfolk, Portsmouth, Sufolk, Chesapeake, Hampton, and Newport News -- with possible expansion across the state. Long Term Care of Tidewater, PC 110 Kingsley Lane, Norfolk VA 23505 Jill Mitchell [email protected] VA Southeastern Virginia Suite 106 Vermont Program for Quality In 132 Main Street Montpelier VT 05602 Catherin Fulton [email protected] VT The targeted geographic location for the Health Care e proposed intervention will be to serve all interested long term care nursing home facilities within the borders of the State of Vermont. MultiCare Health System 315 Martin Luther Tacoma WA 98405 Cathy Brewis [email protected] WA Pierce, South King, Kitsap, Thurston, Lewis King Junior Way Counties Genelex Corp. 3101 Western Ave Seattle WA 98121 Paul Verbeurgt [email protected] WA OR ID Washington state with possible expansion to Suite 100 Oregon and Idaho. Island Hospital 1211 24th Street Anacortes WA 98221 Anthony Young [email protected] WA The target geographic location is Washington State in the counties of Skagit, Whatcom, Island, and San Juan. The HOPE of Wisconsin 3240 University Madison WI 53705 Melanie Ramey [email protected] WI The State of Wisconsin or substantial portions Avenue, Ste 2 thereof. Community Care, Inc. 1555 S. Layton Milwaukee WI 53215 Rob McComm rob.mccommons@communit WI Eastern and Central Wisconsin Blvd. ons ycareinc.org

19 List of Organizations that have Submitted a Notice of Intent to Apply (NOIA) and have Approved the Posting of their Information