Accountable Care Organization
ACO NAME AND LOCATION
Baptist Health Care ACO, LLC125 Baptist Way
Suite 6A
Pensacola, Florida 32503
ACO PRIMARY CONTACT
Primary Contact Name: Marlin SeayPrimary Contact Phone Number: 850.437.8600
Primary Contact Email Address: marlin.seay@bhcpns.org
ORGANIZATIONAL INFORMATION
ACO Participants:| Participant Name | ACO Participant in Joint Venture |
|---|---|
| Baptist Medical Group, LLC | N |
| Baptist Urgent Care, LLC | N |
| Member Last Name | Member First Name | Member Title/Position | Member’s Voting Power | Membership Type | ACO Participant TIN Legal Business Name/DBA, if Applicable |
|---|---|---|---|---|---|
| Terry | Andy | Voting Member | 20% | Medicare Beneficiary Representative | N/A |
| Wolverton | Caroline | Voting Member | 20% | ACO Participant Representative | Baptist Medical Group, LLC |
| Sontheimer | Dan | Voting Member | 20% | ACO Participant Representative | Baptist Medical Group, LLC |
| Harrison | Dana | Voting Member | 20% | ACO Participant Representative | Baptist Medical Group, LLC |
| Foust | Joseph | Voting Member | 20% | ACO Participant Representative | Baptist Medical Group, LLC |
| Leaders | Title/Position |
|---|---|
| Marlin Seay | ACO Executive |
| Dan Sontheimer, M.D. | Medical Director |
| Ruth Kinney | Compliance Officer |
| Jennifer Swann, Robert Lambrisky | Quality Assurance/Improvement Officer |
| Committee Name | Committee Leader Name and Position |
|---|---|
| NA | NA |
SHARED SAVINGS AND LOSSES INFORMATION
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.
Shared Savings Distribution
2024 Quality Performance Results:
Our ACO has not yet received financial reconciliation results; therefore, this section is not applicable at this time.
ADVANCE INVESTMENT PAYMENT (AIP)
In accordance with 42 CFR § 425.630(i)(1), an ACO must publicly report information about the ACO's use of advance investment payments for each performance year, as set forth in 42 CFR § 425.308(b)(8). Advance investment payments used for any expenses other than allowable uses under 42 CFR § 425.630(e)(1) are subject to compliance action.
Spend Plan:
| Payment Use | General Spend Category | General Spend Sub-Category | Projected Spending 2025 | Actual Spending 2025 | Projected Spending 2026 | Actual Spending 2026 | Projected Spending 2027 | Actual Spending 2027 | Projected Spending 2028 | Actual Spending 2028 | Projected Spending 2029 | Actual Spending 2029 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HIE Setup and Ongoing Participation Cost | Health Care Infrastructure | Health information exchange and health information network participation | $45,000.00 | $0.00 | $45,000.00 | $0.00 | $45,000.00 | $0.00 | $45,000.00 | $0.00 | $45,000.00 | $0.00 |
| EMR Vendor Engagement for Quality and PI Reporting | Health Care Infrastructure | Electronic Quality Reporting | $25,000.00 | $0.00 | $25,000.00 | $0.00 | $25,000.00 | $0.00 | $25,000.00 | $0.00 | $25,000.00 | $0.00 |
| Third Party Engagement for Attributed Patient Claims Data Processing and Benchmarking | Health Care Infrastructure | Other (explain in "Payment Use") | $155,000.00 | $50,000.00 | $155,000.00 | $0.00 | $155,000.00 | $0.00 | $155,000.00 | $0.00 | $155,000.00 | $0.00 |
| New Physician Leadership position to support advancement of the ACO's MSSP strategic priorities | Increased Staffing | Physician | $200,000.00 | $0.00 | $250,000.00 | $0.00 | $275,000.00 | $0.00 | $290,000.00 | $0.00 | $299,264.00 | $0.00 |
| Subtotals | $425,000.00 | $50,000.00 | $475,000.00 | $0.00 | $500,000.00 | $0.00 | $515,000.00 | $0.00 | $524,264.00 | $0.00 |
Projected Total Advance Investment Payments : $2,064,264.00
Actual Spending : $50,000.00
Future Projected Spending : $2,014,264.00
Remaining Funding to Allocate : $0.00
Total Advance Investment Payments Received : $1,365,834.00
Our ACO has established a separate designated account for the deposit and expenditure of all advance investment payments in accordance with
42 CFR 425.630(e)(4).