Accountable Care Organization

ACO NAME AND LOCATION

Baptist Health Care ACO, LLC
125 Baptist Way
Suite 6A
Pensacola, Florida 32503

ACO PRIMARY CONTACT

Primary Contact Name: Marlin Seay
Primary 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
ACO Governing Body:
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
Key ACO Clinical and Administrative Leadership:
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
Associated Committees and Committee Leadership:
Committee Name Committee Leader Name and Position
NA NA
Types of ACO participants, or combinations of participants, that formed the ACO:

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).