ACO Public Reporting – On Belay Health Solutions

OBHS ACO 1, LLC

1. ACO Name and Location

- OBHS ACO 1, LLC
- Trade Name/DBA: On Belay Health Solutions
- 100 Summer Street, Suite 1600, Boston MA 02110

2. ACO Primary Contact

Andrea Osborne, Chief Operating Officer

a_osborne@obhs.com

1-617-917-4408

3. Organizational Information:

ACO Participants:

ACO Participant	ACO Participant in Joint Venture
ACCESS PRIMARY CARE INC	No
COMMUNITY MEDICAL ASSOCIATES, INC.	No
JASPER GENERAL HOSPITAL	No
LAWRENCE G KIDD MD PC	No
LAWRENCE HEALTH SOLUTIONS LLC	No
LONE STAR CIRCLE OF CARE	No
Northern Nevada HOPES	No
NORTHWEST COMMUNITY HEALTH CARE	No
PARADISE MEDICAL GROUP INC	No
RAPID CITY MEDICAL CENTER LLP	No
VK NEW ENGLAND MANAGEMENT LLC	No

SNF Affiliates:

None of the following participants are in a Joint Venture with On Belay

Governing Body

Member First Name	Member Last Name	Governing Body Member Title/Position	Member’s Voting Power (Expressed as a percentage)	Membership Type	ACO Participant Legal Business Name, if applicable
Andrew	Allison	Board Member	15.0%	Other	N/A
April	Horn	Board Member	15.0%	ACO Participant Representative	JASPER GENERAL HOSPITAL
Caitlin	Mundry	Board Member	15.0%	ACO Participant Representative	LAWRENCE HEALTH SOLUTIONS LLC
David	Hood	Board Member	5.0%	Community Stakeholder Representative	N/A
Heather	Bindel	Board Member	15.0%	ACO Participant Representative	RAPID CITY MEDICAL CENTER LLP
Nichole	Cook	Board Member	15.0%	ACO Participant Representative	LONE STAR CIRCLE OF CARE
Penny	Zvejnieks	Board Member	5.0%	Medicare Beneficiary Representative	N/A
Peter	Bancroft	Board Member	15.0%	ACO Participant Representative	Northwest Community Healthcare

Member’s voting power may have been rounded to reflect a total voting power of 100 percent.

Key ACO Clinical and Administrative Leadership:
- ACO Executive: Andrew Allison
- Medical Director: Robert LoNigro
- Compliance Officer: Shaquita Pack
- Quality Assurance/ Improvement Officer: Jodi Mueller Cabaluna
Associated Committees and Committee Leadership:
- Practice Transformation Workgroup: Diane Blackburn, Director Practice Transformation, Workgroup Leader
- Clinical Programming Workgroup: Bob LoNigro, MD, SVP Clinical Affairs, Workgroup Leader
- Compliance Workgroup: Shaquita Pack, Corporate Compliance and Privacy Officer, Workgroup Leader
- Financial Workgroup: Andrew Allison, CEO and Workgroup Leader
Types of ACO Participants, or Combinations of Participants, That Formed the ACO:
- Networks of individual practices of ACO professionals

4. Shared Savings/Losses

Amount of Shared Savings/Losses:
- Our ACO has not yet received financial reconciliation results; therefore, this section is not applicable at this time.
Shared Savings Distribution:
- Our ACO has not yet received financial reconciliation results; therefore, this section is not applicable at this time.

5. Quality Performance Results

2024 Quality Performance Results: Our ACO did not participate in the Shared Savings Program in this performance year, therefore, this section is not applicable at this time.

6. Payment Rule Waivers:

Skilled Nursing Facility (SNF) 3-Day Rule Waiver:
- Our ACO uses the SNF 3-Day Rule Waiver, pursuant to 42 CFR § 425.612.