SAINT PETER’S UNIVERSITY HOSPITALFINANCIAL ASSISTANCE PROGRAMEffective Date: January 1, 2016

INTRODUCTION:

Saint Peter’s University Hospital (“SPUH”), and all substantially related entities, ensure that all patients receive essential emergency and other medically necessary healthcare services regardless of their ability to pay.

I. ELIGIBILITY:

A. Uninsured Patients

SPUH’s Resource Services reviews all accounts for uninsured (self-pay) patients. This process requires us to screen this patient population for potential eligibility for State or Federal assistance programs as well informing all patients, representatives, referring physicians, and SPUH employees that financial assistance may be requested.

Charity Care

Patients that do not meet the Medicaid/New Jersey Family Care requirements will then be screened for the New Jersey Charity Care Program:

Family income (based on family size) must be less than or equal two hundred percent of the federal poverty level (“FPL”) to be eligible for free care. For Individuals, assets must not exceed $7,500 and, for Family, assets must not exceed $15,000.

To complete the applications the applicant must provide the following documentation:

Proper patient and family identification documents; Proof of New Jersey residence (on the date of service) (Note: This is not required for

Emergency Care); Proof of gross income; and Proof of assets (on date of service).

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A complete list of documents required will be provided at time of application.

Upon completion of the application, SPUH will make a FAP-eligibility determination within ten (10) days. If the application is deemed incomplete, SPUH will issue a written denial which details the additional documentation needed to obtain approval. SPUH allows for a twenty-four (24) month period from the date of service to allow the applicant completion of the application. At the time of an eligibility decision we will review all account balances and make the required balance adjustments and refunds, if applicable.

Financial Assistance Program:

There is no written application required for our FAP, but we will utilize data captured (from all potential internal and external sources) in assessing eligibility for Charity Care or other Governmental programs in determining the appropriate amount to be charged based on the rate structure.

SPUH verifies eligibility for third-party coverage through Relay Health Clearance product.

All patients that remain self-pay due to ineligibility for State and Federal assistance programs, non-compliance, or inability to afford (or sign-up) for minimum essential coverage under the Affordable Care Act will be deemed presumptively eligible for Financial Assistance and have their charges reduced to the lesser of:

the amount as calculated per the New Jersey sliding scale if they fall within 201% to 300% of the “FPL”;

115% of Medicare rates if they are within 301% to 500% of the FPL; or The Amounts Generally Billed (“AGB”) percentages as defined in EXHIBIT I.

FAP-eligibility may be updated at any time in the billing and collection cycle.

An individual that is presumptively determined to receive less than the most generous assistance available under the FAP will be provided with the following:

Notification regarding the basis for the presumptive FAP-eligibility determination and explain how they can request more generous assistance;

A reasonable period of time, generally up to 30 days, to request more generous assistance before undertaking Extraordinary Collection Actions (“ECAs”); and

A re-determination of the individual’s FAP-eligibility status if a request for more generous assistance is received.

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B. Insured Patients

All FAP–eligible patients with active health care insurance will not be personally responsible for paying more than the AGB, defined below, not including all reimbursements by the health insurer have been applied to his/her account.In the event the patient is insured and the insurance does not cover 100% of the cost, the patient may also be eligible for free or discounted care.

II. BASIS FOR FEE CALCULATION For Financial Assistance Program – Amounts Generally Billed:

The basis for calculation of the AGB is based on utilizing the “Look-Back Method” calculated based on allowed claims (including both the insurer and individual’s responsibility) within a twelve- month period. The calculation and associated fees are detailed in EXHIBIT II for each of the entities covered under this policy.

The AGB determination and the method utilized will be defined and calculated, at a minimum, yearly.

FAP-eligible individuals will not be charged more for emergency and other medically necessary care than the AGB – thus SPUH will not apply gross charges to FAP-eligible individuals for any necessary medical care.

III. COLLECTION POLICY:

The following criteria has been established to ensure that all efforts have been exhausted to ensure that the patient is not eligible for a Governmental program, they do have access or means to obtain third-party health insurance coverage, and we have exhausted all reasonable efforts to collect the outstanding payment obligation – including FAP-eligibility status (and if eligible, ensure that fees/charges have been adjusted to the applicable levels). The criteria are inclusive of the following:

1) The accounts receivable balance must be confirmed as a patient (or guarantor) responsibility amount. If the account has a prior history of Medicaid or Charity Care eligibility we will make all efforts to review current documentation and check for potential eligibility.

2) There must be documentation in account notes that at least four (4) post-discharge billing statements with the confirmed patient balance have been sent to the current address on file. The messages on the statement are progressive in nature – with the last one providing a clear message that, after 30 days from the date of this notice, if the

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balance is not satisfied in full, or a payment plan established, the account qualifies for placement with one of our external collection agencies. Please note that this “30-day” notice must also:

Provide the individual with written notice that states financial assistance is available for eligible individuals;

Include a description of any other ECAs that SPUH intends on undertaking in addition to sending to an external collection agency (please refer to number 5 below); and

Include a copy of the PLS.

In addition, SPUH must make a reasonable effort to orally notify the individual about the FAP.

3) There must be a minimum span of 120 days, from the date of the first post-discharge billing statement, prior to any bad debt write-off and potential referral to one of our external collection agencies.

4) If at any time our external collection agency is notified that the patient/guarantor is FAP-eligible the hospital retains the option to:

a. Recall the account from the collection agency and re-start the collection process with the balance adjusted such that the patient/guarantor is paying no more than they are responsible for as a FAP-eligible individual and refund any payments already made in excess of the adjusted balance (if greater than $5); or

b. Have the collection agency retain the account and re-start the collection process with the balance adjusted such that the patient/guarantor is paying no more than they are responsible for as a FAP-eligible individual and refund any payments already made in excess of the adjusted balance (if greater than $5).

5) In addition to number four (detailed above – “4”), after determining FAP-eligibility SPUH can undertake additional ECAs including, but not limited to,:

a. Taking actions that require legal or judicial process – including liens, foreclosures, civil actions;

b. Reporting adverse information to credit agencies or bureaus; and

c. Deferring, denying, or requiring a payment before requiring non-medically necessary or emergent care because of non-payment for previously provided care that is covered under the FAP.

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IV. EMERGENCY MEDICAL CARE POLICY

Patients entering and being treated in the Emergency Department will receive appropriate care regardless of their ability to pay or eligibility for financial assistance. Examination or treatment will not be delayed in order to ascertain insurance, FAP-eligibility, or payment status in conformance with the Emergency Medical Treatment and Active Labor Act (EMTALA) regulations.

V. PROVIDERS, OTHER THAN HOSPITAL FACILITY WHO PROVIDE EMERGENCY OR OTHER MEDICALLY NECESSARY SERVICES AND WHETHER THEY ARE COVER UNDER SPUH’s FAP

See Exhibit III for a listing of providers, other than hospital facility, who provide emergency or other medically necessary services at the hospital facility, including whether or not they are covered under SPUH’s FAP. Please note that this Exhibit will be updated, at a minimum, on a quarterly basis, if necessary.

VI. NOTIFICATION / PUBLICIZING THE FAP

The following measures have been implemented to ensure that information regarding SPUH’s FAP is “widely publicized”, available, and calculated to reach those members that may seek our services.

a) SPUH’s FAP and a Plain Language Summary (“PLS”) of the FAP are all available via our website -- www.saintpetershcs.com.

b) Paper copies of the FAP and PLS are available upon request without charge by mail as well as provided in various areas throughout the hospital facilities – including Admissions, Patient Registration, Emergency Room Department, Resource Services, and Patient Discharge. All written requests should be sent to:

Saint Peter's University HospitalAttn: Resource Services254 Easton AvenueNew Brunswick, NJ 08901

c) Verbal requests for paper copies of the FAP and PLS will be available by contacting:

Saint Peter’s University HospitalDepartment: Resource ServicesTelephone #: 732.745.8600 Extension: 5019

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d) SPUH is committed to offering financial assistance to eligible patients who do not have the ability to pay for their medical services in whole or in part. In order to accomplish this charitable goal, SPUH, and all substantially related entities, will widely publicize this FAP and the PLS in the communities that we serve.

e) The FAP and the PLS are available in English and other languages that constitute the lesser of 5% or 1,000 individuals within SPUH’s primary service area.

f) Signage notifying patients/guarantors of our FAP will be placed in conspicuous locations, including the Admission Department, Ambulatory Services, and Emergency Room areas, and will provide a telephone number and office locations that can provide information on applying for our FAP.

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EXHIBIT I – AMOUNTS GENERALLY BILLED ( AGB) RATES / FEE SCHEDULES (as a percent of charges)

Saint Peter’s University Hospital

Labor & Delivery

o Mother – Case Rate

Vaginal Delivery: 17.5% C-Section Delivery: 19.8%

o Newborn – Per Diem

Nursery: 28.0% NICU: 18.2%

Medical / Surgical Bed: 13.7% of Charges

Same Day Surgical : 17.7%

Same Day Medical: 19.1%

Cardiac Catherization: 11.8%

Sleep Laboratory: 19.8%

Observation: 11.5%

Emergency Department:

o 281: 31.4%o 282: 44.5%o 283: 24.1%o 284: 10.8%o 285: 9.1%o Critical Care: 11.0%

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EXHIBIT I – AGB RATES / FEE SCHEDULES – Continued

Bariatric Surgery: 14.3%

Cyber Knife: 13.2%

Clinic Visits: 23.7%

Laboratory & Pathology Only: 18.9%

Radiology (excluding Cyber Knife): 18.9%

All other Out-patients: 20.2%

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EXHIBIT II – BASIS FOR FEE (AGB CALCULATION)

Saint Peter’s University Hospital (SPUH)

Saint Peter’s University Hospital has elected to utilize the “Look-back” Method for calculating the Amounts Generally Billed (“AGB”). The AGB percentage is calculated annually based on a prior 12 month period and includes the following payer groups:

1. Medicare Fee-for-Service; and

2. Private Health Insurers (including Medicare Advantage).

A FAP-eligible patient will not be charged more than the AGB for emergency or other medically necessary care.

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EXHIBIT III -- Financial Assistance Program (FAP)Covered Physician FAP Eligibility Determination Listing -- (Sorted by Last Name)

Last Name First NameMiddle Initial

Physician Main Title

Covered by FAP

Abdi Zahra J MD NoAbend Paul DO NoAbraham Daniel J MD NoAbraham Ruby MD NoAbreu Arnaldo MD NoAcharya Rashmi MD NoAddeo Jessica A DPM NoAdolfsen Stephen MD NoAgarwal Nalini MD NoAgarwala Ajay K MD NoAggarwal Roopali MD NoAgrin Richard MD NoAguh Chikezie J MD YesAhmad Mir S MD NoAhmad Khoshnood MD NoAhmadi David F MD NoAhmed Kamran MD YesAhuja Kavita B DO NoAhuja Naveen MD NoAkyar Selma E MD NoAlbert Aaron MD NoAlcid David MD YesAlexander Fred MD NoAllegar Nancy E MD NoAllende Jenys MD NoAlsheikh Huda Y MD NoAlter Mark MD NoAltmann Dory B MD NoAltobelli, III Anthony MD NoAlvaro Joseph MD NoAmara Shobha MD YesAmin Kunal DPM NoAmir Saba MD YesAmorosa Judith K MD NoAnderson Terry M MD NoAndrei Valeriu E MD No

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Last Name First NameMiddle Initial

Physician Main Title

Covered by FAP

Angrist Richard C MD NoAnkamah Andrew K MD NoAnschel David J MD NoAntonacci Mark D MD NoAnwar Mujahid MD YesApelian Ara MD NoArabi Nida MD NoArkovitz Marc S. MD NoArmenti Ronald DPM NoAronson Scott L MD NoArora Tanisha MD NoArun Aparna MD NoArya Adarsh V MD NoAsprec Claro M MD NoAthouriste Olphabine DO NoAvendano Graciano F MD NoAvital Itzhak MD YesAzer Andrew E MD NoAzer George S MD NoAziz Shahid R DMD NoBabcock Karen R MD YesBabu Sarath MD NoBacus Saleem MD NoBagay Leslie A. MD NoBaione William A MD NoBakshi Neshi MD NoBalinski Beth A DO NoBallal Raj S MD NoBalog Joshua D MD NoBanbahji Salim MD NoBankole Bolaji MD NoBanzon Manuel T MD NoBaron Jeremy L MD NoBaron Phillip MD NoBarry Jena M DMD NoBasak Sandip MD NoBaxi Naimish G MD NoBeagin Erinn E MD YesBechler Jeffrey MD NoLast Name First Name Middle Physician Covered by

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InitialMain Title FAP

Becker Murray MD NoBehar Roger MD NoBeim Daniel S MD NoBeim Robert B MD YesBeiter Kyle MD YesBenoy Leena MD NoBergknoff Hugh MD NoBerkowitz Steven MD NoBerman Marc J DPM NoBernstein William R MD YesBertha Nicholas A DO NoBetz Randal R MD NoBhagwat Gauri MD NoBhalla Rohit DO NoBhargava Hema P MD NoBharucha Dilip MD NoBhatti Mohammad A MD NoBhoj Tanuja D MD NoBielicka Deidre L. MD NoBiener Robert MD NoBier Steven J MD NoBird Charrell MD NoBirotte Sanchez Maria J MD NoBlau Howard MD YesBloomstein Larry Z MD NoBlum Jay R MD NoBoateng Akwasi A MD NoBocage Jean-Philippe MD NoBodner Leonard J MD NoBohrer Michael K MD NoBooker Larnie J MD NoBordieri Joseph A DO NoBorromeo Lorenzo MD NoBotros Nashed G MD NoBoudwin James E MD NoBoutsikaris Amy S MD NoBoutsikaris Daniel G. MD NoBowe John A MD NoBramwit Mark P MD No

Last Name First NameMiddle Initial

Physician Main

Covered by FAP

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TitleBrauer Howard MD NoBrennan George G MD NoBrill Susan R MD YesBrnouti Fares MD YesBroder Arkady MD YesBrotman-O'Neill Alissa S DO NoBrown David P DO NoBuch Edward MD NoBuckle Christopher E MD NoBuckley Laura MD NoBukhari Amar MD YesBulahan Alvin A MD NoBunn Diane M MD NoBupathi Kavita MD NoBurns John J MD NoButler Mark S MD NoByahatti Pramila MD NoByrom Abbie R MD YesCaccavale Robert MD NoCalderwood Stanley MD YesCalimlim Grace T MD NoCallahan Richard A. MD NoCambria Lina MD NoCamerota Andrew M MD YesCarlucci Michael MD YesCarrozza Anthony V MD NoCasper Robert J MD NoCatanese Anthony MD NoCean Daniela DO NoCederbaum Neil K MD NoCensullo Michael MD NoCernadas Maureen MD NoChaaban Janti MD YesChai Bob B MD NoChai Yee Meen MD NoChalikonda Bhavani P MD YesChan Albert C MD NoChandra Shakuntala MD YesChang Eric I MD NoChannapragada Srinivas MD No

Last Name First NameMiddle Initial

Physician Main

Covered by FAP

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TitleChattha Navpreet K MD NoChaubal Abhijeet MD NoChen Deborah T MD NoChen Karl T MD NoChen William Y MD NoChennapragada Ravi S MD NoCherot Elizabeth K MD NoChiappetta Gino MD NoChien Jenny H. MD NoChin Deanna G MD NoChitkara Denesh K MD YesCho Chang-il MD NoChoi Jieun S MD NoChoubey Sheela MD NoChristian Derick MD YesChu Wei MD NoChutke Prashant V MD NoCiminello Frank S MD NoCoelho-D'Costa Vinette MD NoCogliani Ermes MD NoCohen Brad MD NoCohen Michele M DO NoColavita Richard D MD NoConcepcion Kristin MD NoConley Thomas E MD NoCook Stephen S MD NoCosta Jose C MD NoCovit Andrew B MD NoCoyle Michael P MD NoCruz Marcos MD NoCuddihy Laury A MD NoCurtiss Steven I MD NoDadhania Jayantilal P MD NoDadzie Kobena MD NoDahal Ranjan MD YesDaniels Lawrence B. MD NoDanish Shabbar F MD NoDas Arvind K MD NoDas Sudip MD No

Last Name First NameMiddle Initial

Physician Main Title

Covered by FAP

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Davanzo Lawrence D DO NoDavda Niyati MD NoDave Sangeeta MD NoDay-Salvatore Debra Lynn E MD YesDeak Steven T MD NoDeBellis Julia MD YesDeka Bharati MD NoDelmaestro Steven R MD NoDemesmin Didier A MD NoDeMoss Jeanne L DO NoDesai Aaditya A DO NoDesai Ashok G MD NoDesai Bijal MD NoDesai Darshana A MD NoDesai Gopal R MD NoDesai Sameer P MD YesDesai Deep W. DO NoDev Rajesh K MD YesDiCarlo Jilma P MD NoDixit Seema DO NoDixon Kim C MD YesDoherty Leo M.D. NoDonnenfeld Alan E MD NoDorazio John L MD NoDorfman Aaron MD NoDorfman Joseph C MD NoDoshi Arvind K MD NoDoshi Deepa MD NoDoumas Christopher MD NoDrabik Thomas E DO NoDravid Anjana MD NoDrezner Dean A. MD NoDribbon Steven M DPM NoDubov Glenn A MD NoDuffoo Frantz M MD YesDuhl Jozsef S MD NoDunn Anna M MD NoDwivedi Shaunak DO YesEardley Anna MD No

Last Name First NameMiddle Initial

Physician Main Title

Covered by FAP

Ebel Keren MD No15

Eck Alieta R MD NoEdelman Bruce A MD NoEdelman Douglas J MD NoEl Banna Mahmoud MD YesEl Khashab Mostafa MD NoElshinawy Ashgan A. DO NoEngel John M MD NoEngel Philip S DMD NoEpstein Boris DO NoEpstein Robert E MD NoErlikhman Alla MD NoEsterov Elizabeth MD NoEtheridge Barbara A MD NoEuler Dillon C MD NoEvangelista Felix MD NoFactor Steven D MD NoFang Bruno S MD NoFanous Venis F MD NoFaro Revital D MD YesFarooqui Yusra MD NoFeder Marc MD NoFein Edward MD YesFein Robert P MD NoFeingold Aaron J MD NoFeinstein Richard S MD NoFeintisch Adam MD NoFeja Kristina N MD YesFeliksik Watorek Elzbieta B. MD NoFellenbaum Paul MD NoFerges Mitchell L MD NoFerges William J MD NoFerrante Robyn D MD NoFertig Joseph DDS NoFink Robert L DPM NoFinston Peggy MD NoFischer Joel M MD NoFischer John MD NoFischler David R MD No

Last Name First NameMiddle Initial

Physician Main Title

Covered by FAP

Fisher Bruce D MD NoFitzpatrick Maurice MD No

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Fleisher Michael H MD NoFlorou Vaia MD NoFofah Onajovwe MD No

Forbes DarleneHenderson MD No

Foroutan Janelle MD YesForster Judith K MD NoForster Susan A MD NoFortin Robert G MD NoFoster Ronald D MD NoFox Melissa D. MD YesFranco Charles D MD YesFreedman Andrew R MD NoFreiberg Evan MD NoFreis Peter C MD NoFrenia Douglas S MD YesFried Arno H MD NoFriedlander Devin S MD NoFrisoli Gaetano MD NoFritz Gerard D MD NoGabriel Ahab M MD NoGabriel John MD NoGajera Sangeeta MD NoGajula Ramarao S MD NoGallucci John G MD YesGalowitz Stacey L DO NoGamboa Elmer S MD NoGandhi Hans R MD NoGandhi Sanjay P DPM NoGandhi Roshni DPM NoGandhi Shefali DO NoGangaswamaiah Hamsa MD NoGannamani Vedavyas MD YesGanti Subrahmanyam MD NoGao Michael Y MD YesGargano Francesco MD NoGatt Charles J MD NoGavai Medha A MD No

Last Name First NameMiddle Initial

Physician Main Title

Covered by FAP

Gaviola Durga C MD NoGebre-Medhin Hanna MD No

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Geifman-Holtzman Ossie (Osnat) MD NoGeller Toby A MD NoGenco Thomas MD NoGengel Natalie K DO NoGeorge Tony K DO NoGervasoni James E MD YesGibbons Thomas J DPM NoGilbert Tricia T MD NoGill Rupinder K MD YesGinsberg Sanford MD NoGirgis Linda M MD NoGirgis Moris MD NoGirgis Wahid MD NoGittens Jade DPM NoGladstone Clifford MD NoGlass Robert M MD YesGlasser James G MD NoGlatter Fred G MD NoGleason Abigail H MD NoGleason Marie M MD NoGoh Jean L MD NoGokhale Rohit A. MD NoGoldman Iosif DO NoGoldman Jeffrey MD NoGoldsmith Joel W MD NoGoldstein Debra R MD YesGoldstein Mark P MD NoGoodman Arlene M MD YesGoodman Elizabeth MD NoGoodman Linnea R. MD NoGopal Manish MD NoGordina Alla MD NoGordon Stephen J MD NoGowda Subhashini MD NoGrasso Antonio M MD NoGreenberg Caroline M MD No

Last Name First NameMiddle Initial

Physician Main Title

Covered by FAP

Greenberg Eliot J MD NoGreenberg Leslie MD NoGrewal Roopinder K MD No

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Gribbin Christopher E MD NoGrinman Lev MD NoGu Lingping MD NoGubbi Renukamba N. MD YesGuirguis Sonia MD NoGujral Varun DPM NoGul Sheba MD NoGunawan Rita R MD NoGupta Aditi MD NoGupta Manjari MD NoGurland Ira A MD NoGuzman Edwin R MD YesGwozdz Paul W MD NoHaas Alexander Z MD NoHabib Michael G MD NoHabiel Miriam M MD NoHaim Sara Rose MD YesHakimzadeh Parisa DO NoHalofsky Martin DDS NoHamalian Gareen MD NoHamawy Adam H MD NoHanhan Stephanie B MD NoHanna Dina W MD NoHaq Mehnaz A MD NoHarangozo Andrea M MD NoHarnly Heather W MD NoHarris Russell H MD NoHarvey Karanja MD NoHarwood David A MD NoHaseeb Ateeq A MD NoHathaway Elaine G MD NoHaynes II Paul T MD NoHede Madan MD NoHeller Eliot N MD NoHelmrich Robert F MD NoHemrajani Payal MD No

Last Name First NameMiddle Initial

Physician Main Title

Covered by FAP

Henner Rochelle MD NoHenry Elizabeth MD NoHerbstman Robert MD NoHeresniak Victor A DO No

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Herman David MD NoHerman Jeffrey P MD NoHersh Joshua MD NoHiatt Mark MD YesHighstein Charles MD NoHip-Flores Julio MD NoHira Ajay MD NoHirsh Ellen J MD NoHochberg Michael L MD NoHock Doreen MD NoHopkins Lisa MD YesHorowitz Arnold A DPM NoHorowitz Jay B MD NoHoulihan Christopher M MD YesHousam Ryan A MD NoHsu Pochien G MD NoHuang Michael S DO NoHuang Michelle S MD NoHumoee Nidal M MD NoHussain Aijaz MD YesHussain Asad R MD YesHutt Douglas A MD NoHyman Joshua E MD NoIbrahim Zuhaib MD NoIlogu Noel O MD NoIoffreda Richard MD NoIsayeva Eleonora DO NoIvan Joseph R MD NoJacob David E MD YesJadhav Surekha A. MD NoJadhav Ashwin R MD YesJaffe Robert M. MD NoJain Ami J MD NoJain Deepak K MD NoJain Sandesh K MD No

Last Name First NameMiddle Initial

Physician Main Title

Covered by FAP

Jalil Kiran MD NoJalil Sheema MD NoJames John Joseph MD NoJaroslow Amy E MD NoJeganathan Narayanan MD No

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Jenci Joseph D MD YesJenkins Paul B MD NoJiang Li MD NoJoffe Sandor A MD NoJohn Sheryl M MD NoJohnson Jonathan M MD NoJoki Jaclyn B MD NoJonna Harsha MD NoJonna Siva P MD YesJonna Vaidehi MD NoJonnalagadda Balathripura MD NoJoseffer Seth S MD NoJoseph Anita MD NoJurema Marcus W MD NoJyonouchi Harumi MD YesKabaria Sunit P MD NoKabis Suzanne M MD NoKadivar Khadijeh MD NoKainth Inderjit S MD NoKaliyadan George J. MD NoKallich Marsha MD NoKalra Amit MD NoKalra Tamanna H MD NoKalyoussef Sabah DO YesKaplan Kenneth A MD NoKapoian Toros MD NoKapoor Kusum MD NoKapoor Anirudh MD NoKapoor Mariela MD YesKapoor Roopam MD NoKaranikolas Steve MD NoKarp George I MD NoKastuar Satya P MD NoKates Joel R DPM No

Last Name First NameMiddle Initial

Physician Main Title

Covered by FAP

Katseva Alla MD NoKatz Brian C MD NoKaufman Irving H MD NoKaufman Matthew R MD NoKaur Dvinder MD NoKaur Harleen MD No

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Kaur Harpreet MD YesKaur Harsohena MD YesKawadry Suraya MD NoKawashima Amie N. DO YesKayiaros Stephen MD NoKeller Irwin A MD NoKeller Malvin S MD NoKeller Deborah S MD NoKempf Jeffrey S MD NoKendall Roxanne E MD YesKennedy Eugene MD NoKerimoglu Beklen MD NoKesarwala Hemant MD NoKett Attila G MD NoKhalil Venus T MD NoKhan Imteyaz A MD YesKhan Imteyaz A. MD YesKhan Rizwana MD YesKhan Talha E. MD YesKhanna Pravien K MD NoKhosla Meenakshi MD YesKhullar Ritu MD NoKicenuik Michael MD NoKim Hei Y MD NoKim Hyon S MD NoKim Hyung G MD NoKim Joy DPM NoKim Maria B DO NoKim Steven E MD NoKim Sue MD NoKinsler Kristin J DO NoKirschenbaum David MD NoKishen Anita MD No

Last Name First NameMiddle Initial

Physician Main Title

Covered by FAP

Klein Kenneth S MD NoKlein Richard A MD NoKlitzman Donna L MD NoKlots Larisa DO NoKoduri Beaula MD NoKolasa Christopher MD NoKolli Sudha R MD No

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Kondratyeva Alexandra DO YesKonigsberg Stephen F MD NoKoota David H MD NoKorman Andrew S. MD YesKorn Elizabeth MD YesKostis John MD NoKotb Mohy Eldin A MD YesKothari Grace A MD NoKothari Nayan K MD YesKottahachchi Wijepala MD NoKowzun Maria J MD NoKrawet Steven H MD NoKrishnamoorthy Ambalavaner MD NoKrisiloff Edward B MD NoKruse Laurel A MD NoKu James C MD NoKuchipudi Solomon S MD NoKukafka Sheldon J MD NoKulischenko Alexander MD NoKulkarni Anand MD NoKullmann Valerie L MD NoKumar Akshat MD NoKumar Ashok MD NoKumar Nidhi MD NoKumar Rajat MD NoKumar Uday MD NoKumari Kalpana MD NoKung John S MD NoKurani Amit MD NoKurer Cheryl C MD NoKuriakose Marykutty K MD NoLabib Mina L. MD No

Last Name First NameMiddle Initial

Physician Main Title

Covered by FAP

Ladman Marten N DMD NoLaing Euton M MD NoLam Ling L. MD NoLampert Craig MD NoLand Warren K DO NoLapidus Neil R DPM NoLarose Jean Eddy DO YesLaskow David A MD Yes

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Lasser Michael S MD NoLastra Carlos R MD YesLau Ronald MD NoLaufer Samuel J MD NoLavine Ferne MD NoLazzara Elizabeth MD NoLebovic Richard DPM NoLebovicz Richard MD NoLebovitz Yaron MD NoLeddy Timothy P MD NoLee Anna F MD NoLee Dae Woo MD NoLee Ellen MD NoLee Henry MD NoLee Vincent M MD NoLee William MD NoLee Aleen J. MD NoLee Inna MD NoLefkowitz Miriam MD NoLeib Samantha MD YesLeibner Donald N MD NoLeitman Mark W MD NoLerner Emanuel MD NoLessing David MD NoLeva Ernest G MD NoLevine Charles MD NoLevine Lewis J MD NoLevinson Katharine T MD NoLevy-Kern Muriel MD NoLi Albert MD NoLi Yan MD No

Last Name First NameMiddle Initial

Physician Main Title

Covered by FAP

Lichtbroun Alan MD NoLicitra Edward J MD NoLin Lei MD NoLind Suzanne M MD NoLipani John MD NoLiu-Lee Shelley MD NoLo Jiun H MD NoLopez John P MD NoLore Abigail L MD No

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Lorthe Jacques Junior MD NoLouie Ted MD NoLowe, III William J MD YesLucas Michael MD YesLuciano Lisa A DO NoLue Deborah A MD NoLustiger Eliyahu Y. MD NoMackler Denise L MD NoMadhavan Arjun MD YesMaganti Sameera MD NoMagaziner Edward S MD NoMaggio Vijay MD NoMagliaro Thomas J MD YesMahajan Raakhee MD NoMahajan Rohini MD NoMaimon Olga MD NoMaitland Ralynne E DO NoMalberg Marc I MD YesMaleki Kataneh MD YesMalitzky Susan MD NoMammone Joseph F MD NoMandelbaum Bert MD NoManne Murali K MD YesManning Eric MD NoMansour Mervat B MD YesMansour Ayman M MD NoMariduena Joseph A MD NoMarin Adrian DO NoMarmora James J MD NoMartin Dean W MD No

Last Name First NameMiddle Initial

Physician Main Title

Covered by FAP

Martinez Tiffany A DO NoMascarinas Kristine DO NoMasia Shawn L MD NoMasterson Richard MD YesMastrovitch Todd A MD NoMatadial Manjushree DO NoMatera James J DO NoMathew Lovely S MD NoMathews Shyama S MD NoMatta Paul G. DO Yes

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Mattoo Deepali MD NoMazzoni Thomas F DO YesMazzoni-Clifford Jennifer M. DO NoMcDonnell Matthew MD NoMcDonnough-Genin Leisa MD NoMcInnes Andrew MD YesMcKeon John J MD NoMcLaughlin Mark R MD NoMcManus Susan A MD YesMcPartland Thomas G MD NoMedina Gladibel MD YesMehrotra Naveen MD NoMehta Ojas DO YesMehta Sadhana MD NoMehta Tejal MD YesMehta Vishal MD NoMehta Vishvesh M MD NoMelendez Jody M MD NoMemon Mohammad K MD NoMenken Matthew MD NoMerkel Ira MD NoMerlin Francky MD NoMermelstein Erwin MD NoMerola Rose M MD YesMesina Leon B MD NoMetz Rebecca L MD NoMikhail Salwa MD NoMilrod Lewis M MD Yes

Last Name First NameMiddle Initial

Physician Main Title

Covered by FAP

Miranda Matilda MD YesMiskin Chandrabhaga MD YesMisko Gary J MD NoMisra Manju MD YesMitchell Lamont L DO NoMobin-Uddin Omar MD NoMohan Janani MD YesMokrzycki Mark L MD NoMondrow Daniel MD NoMongia Rupa S MD NoMonica James MD No

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Moondra Palak DO YesMorag Eyal MD NoMorgan Nashaat L MD NoMorgan Suzana MD YesMoses Brett J MD NoMostafa John DPM NoMoubarak Issam F MD NoMoussa Alber MD NoMullarkey-Desapio Cathleen MD NoMumneh Nayla MD NoMurthy Meena S MD YesMustafa Rose E MD YesNadaraj Sumekala MD NoNaddelman Adam MD NoNadkarni Nutan MD NoNadkarni Swati G MD NoNahar Sudha MD NoNahass Ronald G MD NoNalaboff Kenneth MD NoNanavati Kartikey J MD NoNanavati Kaushal MD NoNaqui Mehdi H MD NoNaqui Nasreen MD NoNaqvi Fatima MD YesNardi Rebecca MD NoNath Ajay MD NoNee Patricia B MD No

Last Name First NameMiddle Initial

Physician Main Title

Covered by FAP

Needell Gary S MD NoNeedleman Jack MD NoNelson Elizabeth MD NoNihalani Anish B MD NoNini Kevin T MD NoNissenblatt Michael J MD NoNiu Jing MD NoNoronha Joaquim L MD NoNosher John L MD NoNosko Michael G MD NoNotardonato Henry MD NoNoveck Howard D MD No

27

Nudelman Jason DDS NoNuthakki Vimala MD NoOberweis Brandon S MD NoObias Primabel V MD NoOhngemach Christoph MD YesOliveros Elder A MD NoOlmo-Durham Zaida E MD NoOlson Robert MD NoO'Neill Anna M MD YesOwunna Uzoma I MD NoOza Palak MD YesPabbathi Pramod DO NoPalder Steven B MD YesPall Amandeep MD NoPalomares Kristy T. MD YesPandya Dipti MD NoPaolicchi Juliann M MD NoPappas Lara A MD YesPari Sadhana S MD NoParikh Sagar MD NoParikh Sudhir M MD NoParmar Archna DO YesParreno Maritza MD NoParsi Prakasham MD NoPassannante Anthony MD YesPassi Rakesh K MD NoPaster Lina MD No

Last Name First NameMiddle Initial

Physician Main Title

Covered by FAP

Patankar Sanjiv K MD NoPatel Ajitkumar G MD NoPatel Alpesh B MD NoPatel Archana MD NoPatel Arpit K MD NoPatel Arvind M MD NoPatel Atul V MD NoPatel Bhavi A MD NoPatel Bipinchandra N MD YesPatel Gaurang R MD NoPatel Himanshu A MD NoPatel Keyur MD NoPatel Kirit MD No

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Patel Meghal MD NoPatel Nilesh R DMD NoPatel Pratik B MD YesPatel Rekha A MD NoPatel Shyam R DO YesPatel Suresh MD NoPatel Trupti MD NoPatel Tushar R MD NoPatel Ushma K MD YesPatel Rakesh B. MD NoPatel Aruna G MD YesPatel Nikesh MD NoPatel Ragin C MD NoPatel Samir N MD NoPatil Pooja M MD NoPatterson George A MD NoPellegrino Peter P MD NoPelliccia Frances B MD YesPeng Hsin MD NoPennington Demetria MD NoPerel Elliott M DPM NoPerisic Dusan MD YesPerosi Joseph J MD NoPhillips Bradley MD NoPickover Lawrence M MD NoPierson David S MD No

Last Name First NameMiddle Initial

Physician Main Title

Covered by FAP

Piezas Sylvia MD NoPinchuck Curt P. MD NoPineda Jean DO YesPiskun Andrew MD NoPitchumoni Capecomorin S MD YesPittarelli Lisa A MD NoPlumser Allan B MD NoPoelstra Beverly MD NoPolakoff Donald R MD NoPolam Sharadha MD YesPolonet David MD NoPompy Amrita MD NoPonce Marie Grace MD NoPonnapalli Madhavi MD No

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Poonai Devindra DPM NoPorcelli Marcus MD YesPorur Evalappan Sathesh MD NoPotluri Haritha MD NoPrabhuram Nagarathna MD NoPragaspathy Bhavadarani M MD NoProdromo Paul E MD NoQureshi Nazer H. MD NoRabin Andrew M MD NoRadhakrishna Vijaya MD NoRaghunathan Susheela MD NoRahman Attique MD NoRajakumar Nirmala MD NoRajan-Mohandas Niranjana MD NoRama Sreedevi MD NoRamachandran Jaishree MD NoRamadan Soheir S MD NoRamakrishnan Vivek DO NoRana Haris MD YesRanjini Mary P MD YesRanzini Angela MD YesRao Aruna MD NoRao Megha N MD YesRao Niranjan V MD NoRapisarda Alexander F MD No

Last Name First NameMiddle Initial

Physician Main Title

Covered by FAP

Raska Karel MD NoRathmann Allison DO NoRauch David DDS NoRauch Eden MD NoRavi Anita MD NoReddy Nishant P. MD NoRedel Henry MD NoRegulapati Saritha MD NoReich Steven M MD NoReid Phillip D MD NoReisler Scott MD NoResnikoff Leonard MD NoRichards Christopher F MD NoRichards David A MD NoRichards Steven L MD No

30

Richardson Michael J MD NoRicks Sandy MD NoRihacek Gregory MD NoRisin Michael S MD NoRizvi Nazia MD NoRizvi Tariq MD NoRoberti M. Isabel MD NoRoca-Piccini Elsie I MD NoRodriguez Ramon E MD NoRodriguez-Frank Laura V MD NoRojas Paulina E MD YesRondel Mikhail MD NoRonnen Ellen A MD NoRosen Scott F MD NoRosenthal Marnie E DO YesRothstein Daniel MD NoRousta Sepideh T MD NoRoy Roopa MD YesRoychowdhury Sudipta MD NoRubin Elliot H MD NoRuda William A MD NoRuedy Krista MD NoRusso Eileen S MD YesRyan Sharon MD No

Last Name First NameMiddle Initial

Physician Main Title

Covered by FAP

Sabin Steven L MD NoSabzwari Tabassum A. DO YesSachdev Rahul MD NoSagebien Carlos A MD NoSaif Rashida T MD NoSalas Max MD YesSalmieri Karen H MD NoSalston Robert S MD NoSalwitz James C MD NoSamuel Salim MD NoSamuels Paul L MD NoSanchez Guillermo R MD NoSanchez Sergio MD NoSandhu Bhavna MD NoSandhu Sarbjit S MD NoSantangelo Alfred J MD No

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Sarwar Samina DO NoSaviano George J MD NoSavla Jayshree S MD NoSchaefer Robert M MD NoSchaer David H MD NoSchaer Teresa M MD NoSchaible Derek D MD NoScharf Henry J MD NoScheiner Marc A MD NoSchiano Catherine J DO NoSchleicher Pooja K MD NoSchmierer Andrew L DPM NoSchneider Lisa F MD NoSchneider Stephen MD NoSchoenfeld Howard A. DO NoSchonfeld Steven M MD NoSchottenfeld Mark A MD NoSchram Adriann S MD NoSchwartzer Thomas MD NoSchwarz Karl O MD NoSechser Perl Anna MD YesSeenivasan Meena MD NoSeenivasan Thangamani MD No

Last Name First NameMiddle Initial

Physician Main Title

Covered by FAP

Segal Robert E MD NoSegarra Michael L MD NoSelby Ronald M MD NoSenator Laura J MD NoSengupta Shyamashree MD YesShah Amisha A MD NoShah Chirag H DO YesShah Himani MD NoShah Manish A MD NoShah Namrata MD NoShah Nihir B MD YesShah Nirav K MD NoShah Nrupa DPM NoShah Sonal A DO NoShah Jatin MD YesShah Ashish C MD NoShah Hinna E MD No

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Shah Jaimin D MD NoShaikh Harris MD NoShaiman Alan MD NoShamilov Maasi D MD NoShamim Syed Q MD NoShamim Tasneem F MD NoShankar Sujatha MD NoSharma Bhudev MD NoSharma Priti MD NoShastri Shefali MD NoSheen Jerry MD NoShell Roger MD NoShen-Schwarz Susan C MD NoSherrow Keith I MD NoSheth Manoj MD NoShih Henry T MD NoShindler Daniel MD NoShoen Steven L MD NoShonowo Owobamishola A MD NoShukla Nimisha J MD NoShulman Leon H MD NoShulman Lois E MD No

Last Name First NameMiddle Initial

Physician Main Title

Covered by FAP

Shulman Sabra W MD NoSiddiqui Maaz MD NoSiegel Scott S MD NoSieler Shawn D MD NoSimkhayev Lev MD NoSimoes deCarvalho Victor MD NoSimon Elisabeth MD NoSimon Mitchell MD NoSimon Riya J DO NoSimos Constantine DMD NoSinclair Melissa R DO NoSingal Dinesh K MD YesSingh Amita MD NoSingh Anup MD YesSingh Archana MD YesSingh Mukesh MD NoSingh Anita J. MD No

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Sinha Binod MD NoSinofsky Francine E MD NoSio Reymond MD NoSiu Dwayne W DO NoSmith Arien J MD NoSmith Daniel B MD NoSmith Elton J MD NoSmith Gregory S. MD NoSnepar Richard MD NoSnyder Craig A MD NoSokol Levi O MD NoSolages Joseph MD NoSoliman Youstina MD NoSonavane Vidya MD NoSong Sang DO NoSong Young MD NoSoni Meetu DMD NoSonnenberg Edith MD NoSophocles Maria E MD NoSorkin Norman S MD NoSpeesler Matthew J MD No

Last Name First NameMiddle Initial

Physician Main Title

Covered by FAP

Sperrazza James C MD NoSpierer Robert MD NoSpiler Ira J MD NoSrichai Manakan B MD NoSrivastav Sushmita MD YesSrivastava Nilam MD YesStanford Brian DO NoStanford Ala MD YesSteinbach Gary B MD NoSterman Paul L MD YesStern Michael E DMD NoStern Richard K DDS NoStewart Richard A DO YesStoev Borislav DO NoStojadinovic Alexander MD YesStorch Marc I MD NoStridiron Marissa L MD NoStroh Jack A MD NoSun Nancy MD No

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Sundararajan Sri Hari MD NoSung Boram MD NoSurgan Victoria MD YesSussman Amado R MD NoSwan Kenneth MD NoTadros Carmen E MD YesTang Lin-Lan MD NoThacker Sunil R MD NoThakker Urvi DO NoThe' Tiong G MD YesTherrien Philip J MD NoThirumavalavan Vallur S MD NoThomas Antonio MD NoThomas Cherryl L MD NoTiefenbrunn Larry J MD NoTobiasson Mary DO YesTomlinson Michelle DO NoTong Shiwei MD NoTormenti Matthew J MD NoTorok Geza MD No

Last Name First NameMiddle Initial

Physician Main Title

Covered by FAP

Torrei Payam MD NoTran-Hoppe Ngoc Q MD NoTreiser Susan L MD NoTrend Carolyn MD NoTria Alfred J MD YesTrogan Igor MD NoTsai Henry MD NoTuason Dominick A MD NoTucci Mauro A MD NoTuck Michele P MD NoTunc Feza S MD NoTurcanu Dumitru S MD YesTurcios Nelson L MD NoTutela Rocco R MD NoTutela John Paul MD NoUndavia Samir S. MD NoUnderberg-Davis Sharon MD NoUppal Vijay L MD NoUrman Felix MD NoUustal Heikki MD No

35

Vagaonescu Tudor D MD NoVaghasiya Rick MD NoVaidya Ketankumar N MD NoVallabhaneni Purnima MD NoVan Hoven Anne Marie MD YesVarrell James R MD NoVarughese Joyce MD YesVasani Devang MD NoVates Thomas S MD NoVeerappan Sutharsanam MD YesVega-Bermudez Francisco MD NoVelpari Sugirdhana MD YesVenkat Anu MD YesVerma Madhoolika MD NoVieira Pedro MD NoVietla Bhavani D MD YesVisveswaran Gautam K MD YesVolshteyn Boris MD NoVyas Shefali MD No

Last Name First NameMiddle Initial

Physician Main Title

Covered by FAP

Wagner Wendy J MD YesWaksman Howard K MD NoWallach Jonathan B MD YesWalor David M MD NoWang Aijuan MD NoWang Mei-Hui MD NoWang Qi MD NoWang Zheng MD NoWang-Epstein Christina C MD NoWarmouth Grant M MD NoWasilewski Stan J MD NoWasserman Barry N MD YesWeingarten Harvey S MD NoWeisfogel Gerald MD NoWeisman David S MD NoWeiss Richard G MD NoWenger Peter N MD YesWer Arrivillaga Santiago MD YesWey Philip MD NoWhite Edward C MD NoWhite Sanford F MD No

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Wimmers Eric G MD NoWinchman Heidi K MD NoWishnie Peter A DPM NoWittenborn John R MD NoWolfson Natasha MD NoWoltz Ayanna R MD NoWorley Michael J MD YesWu Xinye MD NoXu Weizhen MD YesYager Scott MD NoYakobashvili David MD NoYalamanchili Praveen K MD NoYang Charles MD NoYanow Jennifer H MD NoYau Assumpta K MD NoYegneswaran Balaji MD YesYerramilli Ramalakshmi V MD NoYih Melissa C MD No

Last Name First NameMiddle Initial

Physician Main Title

Covered by FAP

Yorke Eric MD NoYousef Mona MD NoYoussef Nader MD NoYu Chung Chi MD NoYudd Anthony P MD NoZaghloul Nibal MD YesZakir Ramzan M MD YesZalewitz Jodi M MD NoZannella Robert DPM NoZavotsky Jeffry MD NoZayoud Rajaa MD NoZemsky Lewis M MD NoZetkulic Marygrace M MD YesZheng Shao MD NoZhou Ren MD NoZicherman Barry A MD NoZimmerman Stanley R MD NoZivin-Tutela Tracy H MD YesZuckerman Gary B MD No

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