Organizational Structure and Key Leadership

ACO Participants:

Participant Name	Joint Venture Participant (Yes/No)	Participant Type
Columbia Basin Health Association	No	Federally Qualified Health Center
Columbia Valley Community Health	No	Federally Qualified Health Center
Mariposa Community Health Center	No	Federally Qualified Health Center
SeaMar 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
Manuel Navarro	Board Chair, CEO of Columbia Valley Community Health	20%	ACO Participant Representative Columbia Valley Community Health
Nieves Gomez	CEO of Columbia Basin Health Association	20%	ACO Participant Representative Columbia Basin Health Association
Amy Taylor	CEO of Mariposa Community Health Center	20%	ACO Participant Representative Mariposa Community Health Center
Nicholas Ramirez	SeaMar Community Health Centers	20%	ACO Representative SeaMar Community Health Centers
Phyllis Gleason	Beneficiary Representative/Consumer Advocate	20%	Beneficiary Representative N/A

Key ACO Clinical and Administrative Leadership:

CCCN ACO LLC

Benjamin Potter

ACO Executive

CCCN ACO LLC

[First Name] [Last Name]

Medical Director

CCCN ACO LLC

Benjamin Potter

Compliance Officer

Associated Committees and Committee Leadership:

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