Medicare Shared Savings Program

ACO Name and Location

Essentia Health ACO Inc.
Previous Names: Essentia Health
502 E Second Street
Duluth, Minnesota 55805

ACO Primary Contact

Primary Contact Name	Jessica Martensen
Primary Contact Phone Number	218-786-6611
Primary Contact Email Address	[email protected]

Organizational Information

ACO participants:

ACO Participants	ACO Participant in Joint Venture
Bridges Medical Center	No
Innovis Health, LLC	No
Brainerd Medical Center, Inc.	No
Polinsky Medical Rehabilitation Center	No
St. Joseph's Medical Center	No
St. Mary's Medical Center	No
First Care Medical Services	No
Graceville Health Center	No
Northern Pines Medical Center	No
Deer River Healthcare Center, Inc.	No
The Duluth Clinic, Ltd.	No
St. Mary's Regional Health Center	No
St. Mary's Hospital of Superior	No
Essentia Health - Moose Lake	No
SMDC Medical Center	No
Pine Medical Center	No
Essentia Health Virginia, LLC	No

ACO governing body:

Member			Member's Voting Power - Expressed as a percentage or number	Membership Type	ACO Participant Legal Business Name/DBA, if Applicable
First Name	Last Name	Title/Position
Cathy	Cantor, MD	President	0%	ACO Participant Representative	St. Mary's Medical Center
Taylor	Mertz, MD	Member	11%	ACO Participant Representative	Innovis Health LLC
Jan	Baldwin, MD	Member	11%	ACO Participant Representative	Essentia Health Virginia LLC
Tanya	Diegel, MD	Vice Chair	11%	ACO Participant Representative	Innovis Health LLC
Sheila	Hart	Member	11%	Medicare Beneficiary & Community Stakeholder	N/A
Michael	Sterns,MD	Member	11%	ACO Participant Representative	St. Mary's Hospital Superior
Sarah	Nelson, MD	Member	11%	ACO Participant Representative	SMDC Medical Center
Michael	Haarstad, MD	Member	11%	ACO Participant Representative	SMDC Medical Center
Adam	Riutta, MD	Member	11%	ACO Participant Representative	St. Mary's Medical Center
Krista	Skorupa, MD	Chair	11%	ACO Participant Representative	SMDC Medical Center
Robert	Green	Treasurer	0%	ACO Participant Representative	St. Mary's Medical Center
Michael	Watters	Secretary	0%	ACO Participant Representative	St. Mary's Medical Center

Key ACO clinical and administrative leadership:

Dr. Cathy Cantor	ACO Executive
Dr. Sarah Nelson	Medical Director
Leah Schroeder	Compliance Officer
Jessica Martensen	Quality Assurance/Improvement Officer

Associated committees and committee leadership:

Committee Name	Committee Leader Name and Position
N/A	N/A

Types of ACO participants, or combinations of participants, that formed the ACO:

ACO professional in a group practice arrangement
Hospital employing ACO professionals
Critical Access Hospital (CAH) billing under Method II
Rural Health Clinic (RHC)

Shared Savings and Losses

Amount of Shared Savings/Losses:

Fourth Agreement Period
- Performance Year 2025: N/A

Shared Savings Distribution:

Fourth Agreement Period
- Performance Year 2025
  - Proportion invested in infrastructure: N/A
  - Proportion invested in redesign care processes/resources: N/A
  - Proportion of distribution to ACO participants: N/A

Note: Our ACO re-entered the Sgasred Savings Program in Performance Year 2025 under agreement period 4. Shared Savings/losses and shared savings distributions are therefore reported, beginning with this agreement period.

Quality Performance Results

2023 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.

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