Organizational Structure and Key Leadership

ACO Participants:

ACO Participants	Joint Venture Participant (Yes/No)	Types of ACO Participants, or Combinations of Participants, That Formed the ACO
COLUMBIA BASIN HEALTH ASSOCIATION	No	Federally Qualified Health Center
COLUMBIA VALLEY COMMUNITY HEALTH	No	Federally Qualified Health Center
MARIPOSA COMMUNITY HEALTH CENTER, INC	No	Federally Qualified Health Center
SEA-MAR COMMUNITY HEALTH CENTER	No	Federally Qualified Health Center

ACO Governing Body:

First Name Last Name	Title/Position	Voting Power (%)	Membership Type, ACO Participant Legal Business Name, if applicable
Amy Taylor	CEO of MARIPOSA COMMUNITY HEALTH CENTER, INC	20%	ACO Participant Representative, MARIPOSA COMMUNITY HEALTH CENTER, INC
Felipe Gutierrez	Chief Medical Officer	0%	ACO Participant Representative, COLUMBIA VALLEY COMMUNITY HEALTH
Manuel Navarro	CEO of COLUMBIA VALLEY COMMUNITY HEALTH	20%	ACO Participant Representative, COLUMBIA VALLEY COMMUNITY HEALTH
Nieves Gomez	CEO of COLUMBIA BASIN HEALTH ASSOCIATION	20%	ACO Representative, COLUMBIA BASIN HEALTH ASSOCIATION
Nicholas Ramirez	Senior VP of SEA-MAR COMMUNITY HEALTH CENTER	20%	ACO Participant Representative, SEA-MAR COMMUNITY HEALTH CENTER
Deborah Buss	Beneficiary Representative	20%	Medicare Beneficiary Representative, N/A

Key ACO Clinical and Administrative Leadership:

CCCN ACO LLC

Benjamin Potter

ACO Executive

CCCN ACO LLC

Dr. Felipe Gutierrez

Medical Director

CCCN ACO LLC

Benjamin Potter

Compliance Officer

Associated Committees and Committee Leadership:

Committee Name	Committee Leader	Name and Position
Operations Committee	Benjamin Potter	ACO Operations Director
Compliance Committee	Benjamin Potter	ACO Compliance Officer