On behalf of the three partner hospitals, Western Maryland Regional Medical Center

Strategy 3 ROI: Decrease ED Potentially Avoidable Use (PAU)

	CY 2016, Year 1	CY 2016, Year 2	CY 2016, Year 3	CY 2016, Year 4	Years 1 - 4 Combined
A. Number of Patients	3,171	3,171	3,171	3,171	3,171
B. Number of Medicare and Dual Eligible	1,291	1,291	1,291	1,291	1,291
C. Annual Intervention Cost	$ 1,094,640	$ 1,193,955	$ 1,158,405	$ 1,158,405	$ 4,605,406
D. Annual Intervention Cost/Patient	$ 345.20	$ 376.52	$ 365.31	$ 365.31	$ 1,452.35
E. Annual Intervention Cost (B x D) For Medicare and Dual Eligible Patients	$ 445,657.81	$ 486,091	$ 471,618	$ 471,618	$ 1,874,985
F. Annual Charges (Baseline)	$ 10,485,129	$ 10,485,129	$ 10,485,129	$ 10,485,129	$ 41,940,516
G. Annual Charge Savings % Target	5%	8%	15%	15%	11%
H. Annual Gross Charge Savings (F x G)	$ 524,256	$ 838,810	$ 1,572,769	$ 1,572,769	$ 4,508,605
I. ROI: Gross Charge Savings Per Intervention Cost Invested (H / C)	$ 0.48	$ 0.70	$ 1.36	$ 1.36	$ 0.98
J. Variable Savings %	30%	40%	40%	40%	39%
K. Variable Savings (H x J)	$ 157,276	$ 335,524	$ 629,107	$ 629,107	$ 1,751,016

Attachment C – Governance Structure & Members

Members of the Alliance Governing Bodies

Members of the Alliance Governing Bodies
Alliance Governing Body	Name	Title	Organization
Alliance Board Chair	Ann-Herbert Rollins	FMH Board Chair	FRHS
Alliance Board & MSO Board	Tom Kleinhanzl	CEO	FRHS
Alliance Board	Jim Reinsch	FMH Board Vice-Chair	FRHS
Alliance Board & MSO Board	Joseph Ross	CEO	MMC
Alliance Board	James Stojak	MMC Board Chair	MMC
Alliance Board	Steven Hull	MMC Board Vice-Chair	MMC
Alliance Board & MSO Board	Barry Ronan	CEO	WMHC
Alliance Board	John Davis	WMHS Board Chair	WMHS
Alliance Board	Rolf Haarstad	WMHS Board Vice-Chair	WMHS
MSO Board	Michelle Mahan	CFO	FMHS
MSO Board	Tom Chan	CFO	MMC
MSO Board	Kim Repac	CFO	WMHC
Regional Partnership Care Transformation Executive Committee
Executive Committee	Gerald Goldstein	Senior Vice President/CMO	WMHS
Executive Committee	Nancy Adams	SVP, Chief Operating Officer/CNE	WMHS
Executive Committee	Eileen Jaskuta	VP Quality	MMC
Executive Committee	Raquel Samson	Exec. Director THP/ACO	MMC
Executive Committee	Jennifer Teeter	AVP, Payer Contracts	FRHS
Executive Committee	Manny Casiano, MD	Senior Vice President/CMO	FRHS
Executive Committee	Raymond Grahe	Staff	THA