Colleen Olson (952) Rochelle Eicher (952) Andrew Barnes (952) Jenny Wiltse (952) Kim Schulte

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1 Contracting Entity Service Specialist Service Specialist Accra Home Care, Inc Accra Home Health, Inc Accurate Home Care, LLC Alere Women's and Children's Health, LLC Alliance Health Services Allina Health System Andrew Barnes (952) Jenny Wiltse (952) Kim Schulte Altru Health System Susie Beauvais (952) Ryan Moorse (952) Angels Care and Rehabilitation Center Area Nursing Home Inc Around The Clock Home Care Group, LLC Aspirus Network, Inc Katy Barto (952) Jinju Truong (952) Associated Eye Care Ambulatory Surgery Center LLC Assumption Home, Inc Augustana Dassel Lakeside Community Home, LLC Avera Health Baldwin Care Center, Inc BAYADA Home Health Care, Inc Benedictine Health Center of Minneapolis Benedictine Living Community of Mora Benedictine Living Community of Winsted Bethel Care Center Monday, June 22, 2015 Page 1 of 12

2 Contracting Entity Service Specialist Service Specialist Bethesda Blaine MN Multi Specialty ASC, LLC Brainerd Lakes Surgery Center Britton Healthcare, LLC Brookings Ambulatory Surgery Center LLP Colleen Olson (952) Yula Moua (952) Brown County Evaluation Center, Inc Buffalo Lake Healthcare Center Inc Burnett Medical Center Alex Larson (952) Gloria Jenson (952) C J Elmwood Partners, LP Jeff Brown (952) Gloria Jenson (952) Capitol View Transitional Care Center Katy Barto (952) Rhonda Klint (952) CareChoice CareFocus Corporation CarePlus Home Health Agency, Inc Cass County Health, Human & Veterans Services Catholic Charities of the Archdiocese of Minneapolis & St. Paul Catholic Charities of the Diocese St. Cloud CDC Centers, Inc CDI Twin Cities ASC, LLC Centennial Lakes Surgery Center Center for Alcohol and Drug Treatment CentraCare Health NR, LLC Colleen Olson (952) Jinju Truong (952) CentraCare Health Paynesville, LLC Colleen Olson (952) Jinju Truong (952) CentraCare Health Sauk Centre Colleen Olson (952) Jinju Truong (952) Monday, June 22, 2015 Page 2 of 12

3 Contracting Entity Service Specialist Service Specialist CentraCare Surgery Center, LLC Colleen Olson (952) Jinju Truong (952) Central Minnesota Mental Health Center Central Minnesota Surgical Center, LLC Cerenity Senior Care Chaska Plaza Surgery Center, LLC Sally Goodsell (952) Jinju Truong (952) Children's Care Hospital & School Alex Larson (952) Kim Schulte (952) Children's Health Care Colleen Olson (952) Ryan Moorse (952) Chippewa Manor Nursing Home Corporation Chris Jensen LLC Christian Community Home of Hudson, Inc Christian Community Home of Osceola, Inc Chu Surgery Center, LLC Clinicare Corporation Cokato Charitable Trust Community Memorial Home at Osakis Minnesota Incorporated Country Manor Campus LLC Katy Barto (952) County of Rusk Covenant Healthcare, LLC CRC Wisconsin RD LLC Crossroads Surgery Center Colleen Olson (952) Gloria Jenson (952) Crystal Care & Rehabilitation Center Dakota Boys & Girls Ranch Association Dakota County Receiving Center, Inc Monday, June 22, 2015 Page 3 of 12

4 Contracting Entity Service Specialist Service Specialist Deerfield Care Center, LLC Diversified Enterprises, Inc Divine Healthcare Corporation Divine Providence Community Home East Metro Endoscopy Center LLC Ecumen Katy Barto (952) Equity Services of St. Paul, Inc Extendicare Homes, Inc Fairview Health Services Sally Goodsell (952) Rhonda Klint (952) Fairview Maple Grove Surgery Center, LLC Sally Goodsell (952) Rhonda Klint (952) Fairview Red Wing Health Services dba Fairview Seminary Home Sally Goodsell (952) Rhonda Klint (952) Family Surgery Center, LLC Faribault Healthcare, LLC Foley Health Care Inc. Fond du Lac Reservation Business Committee David Ohmann (952) Rochelle Eicher (952) Gentiva Certified Health Care Corp GGNSC Administrative Services LLC Golden Age Manor Good Shepherd Lutheran Home of Sauk Rapids, MN Good Shepherd Lutheran Services Group Health Plan, Inc Guardian Angels Elim Home Care Inc Monday, June 22, 2015 Page 4 of 12

5 Contracting Entity Service Specialist Service Specialist Guild Incorporated David Ohmann (952) Josh Farmer (952) Haven Chemical Health Systems, LLC Hazelden Foundation Nick Michelson (952) Elizabeth Nelson (952) Health Dimensions Group HealthEast HealthQuest Inc Heartland Independent Provider Network Anne Ristow (952) Gloria Jenson (952) Hennepin Home Health Care, Inc Heyde Health System, Inc Hiawatha HomeCare High Pointe Surgery Center Highland Manor Inc Home Health Care, Inc Home Lab Partners, Inc Horseshoe Surgery Center, LLC Colleen Olson (952) Gloria Jenson (952) Hutchinson Health Jeff Brown (952) Jinju Truong (952) ILBNC, PA Therese Krech (952) Andy Bliese (952) Independent Healthcare Associates Sally Goodsell (952) Jinju Truong (952) Independent Surgery Center, LLC Colleen Olson (952) Roshelle Badu (952) Innovis Health, LLC Nick Michelson (952) Ryan Moorse (952) Interim HealthCare of the Twin Cities International Quality Homecare Corporation Monday, June 22, 2015 Page 5 of 12

6 Contracting Entity Service Specialist Service Specialist Intrepid of Golden Valley, Inc Intrepid of the Twin Cities, Inc Isanti County Public Health Services isurgery, LLC Kim Schulte (952) Yula Moua (952) Jacy II, LLC Jenkins Living Center, Inc JRK Services, Inc Kelly Norton Programs Inc Kenyon Sunset Home Kinnic Falls Alcohol and Drug Abuse Services, Inc Knute Nelson KWO 5 Star, Inc Lakewalk Surgery Center, Inc Leo A. Hoffmann Center, Inc Little Sisters of the Poor of St. Paul Lutheran Brethren Home Health Services, Inc Mankato Clinic Endoscopy Center, LLC Sherri Jasper (952) Rochelle Eicher (952) Mankato Surgery Center Marshfield Clinic Anne Ristow (952) Rhonda Klint (952) Mary T. Home Health Maxim Healthcare Services Inc Mayo Clinic Health System MN Susie Beauvais (952) Andy Bliese (952) Monday, June 22, 2015 Page 6 of 12

7 Contracting Entity Service Specialist Service Specialist Mayo Clinic Health System WI Susie Beauvais (952) Andy Bliese (952) Meridian Behavioral Health, LLC MeritCare Hospital Anne Ristow (952) Jinju Truong (952) MeritCare Medical Group Anne Ristow (952) Jinju Truong (952) Midsota Surgical Suites Midway Home Health Care Midwest Surgery Center Minneapolis Ophthalmology ASC, LLC Minnesota Eye Institute Surgery Center Kim Schulte (952) Gloria Jenson (952) Minnesota Eye Laser and Surgery Center Minnesota Orthopedic Surgery Center, LLC Minnesota Teen Challenge Minnesota Valley Surgery Center, LLC Minnesota Vascular Surgery Center, LLC Roshelle Badu (952) Roshelle Badu (952) Minnesota Visiting Nurse Agency Mission Inc., Programs Mitchell Healthcare LLC MNGI Endoscopy ASC Inc Mother of Mercy Campus of Care New Beginnings at Waverly, LLC North Dakota Surgery Center, LLP Colleen Olson (952) Yula Moua (952) North Memorial Ambulatory Surgical Center at Maple Grove LLC Monday, June 22, 2015 Page 7 of 12

8 Contracting Entity Service Specialist Service Specialist Northern Lights Health Care Center Sally Goodsell (952) Rochelle Eicher (952) Northern Lights Services Inc Northwest Passage, Ltd Oak Terrace Health Care Center of Gaylord, LLC Omegon, Inc On Belay of Minnesota, Inc. Pain Centers of Minnesota Mankato, LLC Palisade Healthcare Community, LLC Park Nicollet Health Services Brenda Thommen (952) Rhonda Klint (952) Pavilion Surgery Center, LLC People Incorporated Alex Larson (952) Josh Farmer (952) Perham Memorial Hospital and Home Pleasant Manor Healthcare Center Prairie Lakes Health Care System Susie Beauvais (952) Yula Moua (952) Prairie States Surgical Center Colleen Olson (952) Yula Moua (952) Premier Healthcare Management Services LLC Presbyterian Homes and Services Katy Barto (952) Pride Institute, Inc PrimeCare Health Group David Ohmann (952) Yula Moua (952) Ramsey Integrated Health Services Range Mental Health Center, Inc Alex Larson (952) Josh Farmer (952) Monday, June 22, 2015 Page 8 of 12

9 Contracting Entity Service Specialist Service Specialist Recover Health of Minnesota, Inc Red Wing Health Center Reentry House, Inc Regency Home Healthcare Services LLC Regional Eye Surgery Center Regional Health Colleen Olson (952) Jinju Truong (952) Regions Hospital Alex Larson (952) Andy Bliese (952) Sally Goodsell (952) Rhonda Klint (952) Renville Health Services ResCare Minnesota, Inc Rhinelander Healthcare Operator 100 LLC Rhinelander Healthcare Operator 150, LLC Rice County Public Health Nursing Service Richard P. Stadter Psychiatric Center River Falls Healthcare, LLC River Valley Home Care, Inc. Riverside Endoscopy Center Rule 36 Limited Partnership of Duluth III Sanford Bismarck Anne Ristow (952) Jinju Truong (952) Sanford Health Anne Ristow (952) Jinju Truong (952) Sanford Health of Northern Minnesota Anne Ristow (952) Jinju Truong (952) Senior Care Communities, Inc Senior Health Management, Inc Monday, June 22, 2015 Page 9 of 12

10 Contracting Entity Service Specialist Service Specialist Simon/Wisconsin Rapids Properties, LLC Siouxland Surgery Center, LP Colleen Olson (952) Yula Moua (952) Siouxland Urology Center, LLC Colleen Olson (952) Yula Moua (952) Sisters of Mary of the Presentation SMP Prairieland Home Health Snowhill Healthcare LLC South Central Surgical Center, LLC South Metro Human Services Alex Larson (952) Josh Farmer (952) Southview Acres Health Care Center Southwest Minnesota Surgical Center, Inc Colleen Olson (952) Gloria Jenson (952) Southwest Surgical Center LLC Kim Schulte (952) Jenny Wiltse (952) Spooner Health System, Inc Alex Larson (952) Roshelle Badu (952) St. Anthony Nursing Home Limited Partnership St. Anthony Park Home St. Cloud Hospital Colleen Olson (952) Jinju Truong (952) St. Cloud MN Ophthalmology ASC, LLC Sherri Jasper (952) Roshelle Badu (952) St. Cloud OP Surgery, LTD St. Croix Health Center St. Croix Valley Shared Services, Inc St. Gertrude's Health Center St. Luke's Hospital Katy Barto (952) Jinju Truong (952) St. Mary's Regional Health Center Nick Michelson (952) Ryan Moorse (952) Stanley Jones & Associates Inc Steele County Public Health Nursing Monday, June 22, 2015 Page 10 of 12

11 Contracting Entity Service Specialist Service Specialist Strand Kjorsvig Community Rest Home Summit Orthopedics, Ltd Sunnyside Care Center Sunrise Health Services, Inc Superior Home Health Care, Inc Surgical Associates Endoscopy Clinic LLC Roshelle Badu (952) Yula Moua (952) Talahi Nursing & Rehab Center, LLC Tealwood Care Centers The Edina MN Ophthalmology ASC, LLC The Emily Program David Ohmann (952) Josh Farmer (952) The Evangelical Lutheran Good Samaritan Society Katy Barto (952) The Homestead at Anoka, Inc, VOA Care Centers, Minnesota The Lutheran Home Association: Belle Plaine, LLC Tioga Medical Center Sherri Jasper (952) Yula Moua (952) TMS Treatment Center Inc Touchstone Mental Health Alex Larson (952) Josh Farmer (952) Transitions at Oakwood, LLC Traveling Angel, PC TRIA Orthopaedic Center ASC, LLC Brenda Thommen (952) Rhonda Klint (952) Trinity Health Anne Ristow (952) Yula Moua (952) Tweeten Lutheran Healthcare Center, Inc United Hospital District Blue Earth Monday, June 22, 2015 Page 11 of 12

12 Contracting Entity Service Specialist Service Specialist Universal Nursing Services, LTD Victory Through Faith Recovery Services, Inc Vietnamese Minnesotans Association Villa at St. Louis Park LLC Vinland National Center Volunteers of America Minnesota Walker Senior Services Walker Thompson Hill, LLC Wausau Surgery Center Colleen Olson (952) Roshelle Badu (952) Wayside House, Inc, The Willmar Surgery Center Winona Health Services Jeff Brown (952) Jenny Wiltse (952) Woodbury Ambulatory Surgery Center Wright County Public Health Yankton Medical Clinic, PC Sally Goodsell (952) Yula Moua (952) Monday, June 22, 2015 Page 12 of 12

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