1. The Women's Care Source - Lifeline Medical Associates
The Women's Care Source is a group of 8 physicians, 3 midwives and a nurse practitioner. We have offices in Morristown, Denville and Bedminster.
2. The Women's Care Source - Real Patient Ratings
The Women's Care Source was founded in 1990 by Drs. Feltz and Ferrante with the common goal of continuing to improve women's healthcare. Their practice has ...
Read verified reviews from the real patients of The Women’s Care Source in Denville, Morristown & Bedminster, New Jersey.
3. The Women's Care source, Morristown, NJ - Healthgrades
The Women's Care source is a medical group practice located in Morristown, NJ that specializes in Obstetrics & Gynecology and Midwifery, and is open 7 days ...
The Women's Care source is a medical group practice located in Morristown, NJ that specializes in Obstetrics & Gynecology and Midwifery, and is open 7 days per week.
4. Women's Care Center- Dr. Ferrante, Dr. O'reilly, Dr. Austin
Read 92 customer reviews of Women's Care Center- Dr. Ferrante, Dr. O'reilly, Dr. Austin, one of the best Doctors businesses at 111 Madison Ave # 308, ...
Read 92 customer reviews of Women's Care Center- Dr. Ferrante, Dr. O'reilly, Dr. Austin, one of the best Doctors businesses at 111 Madison Ave # 308, Morristown, NJ 07960 United States. Find reviews, ratings, directions, business hours, and book appointments online.
5. Obstetrics & Gynecology in Bedminster, NJ - ProviderMatch
The Women's Care Source. 111 Madison Avenue, Suite 308, Morristown, NJ 07960 ... Sara O'Reilly, DO. Specialties. Obstetrics and Gynecology. Affiliations.
Obstetrics & Gynecology - ProviderMatch
6. Women's Care Center- Dr. Ferrante, Dr. O'reilly, Dr. Austin - BusinessYab
Find Address, Phone, Hours, Website, Reviews and other information for Womens Care Center- Dr. Ferrante, Dr. Oreilly, Dr. Austin at 111 Madison Ave # 308, ...
Find Address, Phone, Hours, Website, Reviews and other information for Womens Care Center- Dr. Ferrante, Dr. Oreilly, Dr. Austin at 111 Madison Ave # 308, Morristown, NJ 07960, USA.
7. Dr. Daniel Ferrante, DO - Obstetrics & Gynecology - Sharecare
Dr. Daniel Ferrante, DO is a obstetrics & gynecology specialist in Morristown, NJ. Dr. Ferrante completed a residency at Christiana Care Health Services, ...
Dr. Daniel Ferrante, DO is a obstetrics & gynecology specialist in Morristown, NJ. Dr. Ferrante completed a residency at Christiana Care Health Services, Inc. He currently practices at Practice and is affiliated with Morristown Medical Center. He accepts multiple insurance plans.
8. Women's Health Domain | Obstetrics & Gynecology located in Austin, TX
Awards. Dr. Handco*ck was one of Austin Monthly's top. doctors for 2022, 2021, 2020, 2019, 2018, and 2017.
Trusted Obstetrics & Gynecology serving the patients of Austin, TX. Contact us at 737-377-5129 or visit us at 12221 Renfert Way, Suite 330, Austin, TX 78758.
9. Jersey Women's Care Center | The New Review for you - Dew Treats
Jan 30, 2022 · Jersey women's care center is from the first healthcare centers for women ... Women's Care Center- Dr. Ferrante, Dr. O'reilly, Dr. Austin. The ...
Jersey women’s care center is from the first healthcare centers for women in OB & GYNs. They have many services to help you. Let’s know more about them!
10. Austin Area Obstetrics, Gynecology, and Fertility | OB-GYN | ,
Dr. Christopher Seeker and Dr. Robert Cowan have been named Austin Fit Magazine's Best of 2016 OB/GYN Doctor award winners! Their compassion for their patients, ...
Trusted OB-GYN serving , . Contact us at or visit us at , , , | Austin Area Obstetrics, Gynecology, and Fertility
11. [PDF] Department of Anesthesia, Critical Care and Pain Medicine
Center, Brigham and Women's, Massachusetts General Hospital (MGH),. Yale-New Haven Hospital, the University of Pittsburgh Medical Center, and the University ...
12. [PDF] non-participating providers - Yale New Haven Hospital
... Care. Connecticut Heart Group,. Connecticut Heart Group,. Connecticut Heart Group ... Dr. New Haven, CT 06510. Nathan. Wood. MD. Internal Medicine. 1450 Chapel St.
13. Paul M. Barr, M.D. | UR Medicine
Medical Director, Cancer Center Clinical Trials Office - Cancer Center. Professor ... care and have recommended Dr Barr to friends. Apr 20, 2022. Dr. Barr was ...
The University of Rochester Medical Center (URMC) is one of the nation’s leading academic medical centers. It forms the centerpiece of the University of Rochester’s health research, teaching and patient care missions. The University of Rochester Medical Center is a private, coeducational, nonsectarian, and nonprofit research university.
14. [PDF] BURLINGTON COUNTY - NJ.gov
... CENTER. ATTN LINDA G SISZ. BORDENTOWN. 34497459. A AND V fa*gERSTROM REV TR 02 01 2008. 52 ... DR. MOUNT LAUREL. 36454443. ZOE WILSON SALMAN MD LLC. STE 105.
15. [PDF] YNHHS Financial Assistance Non-Participating Providers
... Dr. New Haven, CT 06511. Ghaith. Abdulkarim. MD. Anesthesiology. 333 Cedar St. New Haven ... Center Palliative Care. YUSM Department of Neurology. YUSM Department ...
16. Editors | Scientific Reports - Nature
She has a PhD in Physical Sciences from Shivaji University and worked as Dr. D. S. Kothari postdoctoral fellow at S.P. Pune University, India with a background ...
Editors
17. HCRA Elector List - New York State Department of Health
Dec 1, 2023 · OB GYN ASSOCIATES WOMEN'S HEALTH INC, 005, A, A, FISHERSVILLE, VA, DEENA ... DR. TOM CULLINANE, (314)579-0909. APRIL 1, 2023, OPTICAL ILLUSION LLC ...
A list of organizations that have voluntarily elected to make public goods payments directly to the Department of Healths Pool Administrator
18. [XLS] Page1_1 - Mass.gov
... Women's Health Associates, 173 Worcester St. Wellesley ... Center, One Medical Center Drive, Lebanon, NH, 03756, Physician, 230034, Compensation for Bona Fide ...
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19. [PDF] Participating and Select Provider directory - Kaiser Permanente
Listed providers are part of Northwest. Permanente, P.C., Physicians and Surgeons, or. Kaiser Foundation Health Plan of the Northwest.
20. [PDF] Creating a Framework for the Future - Copley Hospital
renovate the Health Center Building located next to the hospital. Workforce ... The Women's Center (CHSLV). Jackie Bromley, CNM. Marjorie Kelso, CNM. Oncology ...
21. [PDF] Dear Dr. Marcus, On behalf of the Department of Family Medicine and ...
There is similar unmet demand for graduate training in the public health sciences. The MPH degree is highly sought after by undergraduates, medical students, ...
22. https://download.cms.gov/openpayments/PGYR20_P0630...
Jun 30, 2023 · ... Women's Healthcare, LP","FL","United States","No","Physician Covered ... Austin","TX","78701","United States",,,"Medical Doctor","Allopathic ...
Change_Type,Physician_Profile_ID,Physician_NPI,Physician_First_Name,Physician_Middle_Name,Physician_Last_Name,Physician_Name_Suffix,Recipient_Primary_Business_Street_Address_Line1,Recipient_Primary_Business_Street_Address_Line2,Recipient_City,Recipient_State,Recipient_Zip_Code,Recipient_Country,Recipient_Province,Recipient_Postal_Code,Physician_Primary_Type,Physician_Specialty,Record_ID,Program_Year,Total_Amount_Invested_USDollars,Value_of_Interest,Terms_of_Interest,Submitting_Applicable_Manufacturer_or_Applicable_GPO_Name,Applicable_Manufacturer_or_Applicable_GPO_Making_Payment_ID,Applicable_Manufacturer_or_Applicable_GPO_Making_Payment_Name,Applicable_Manufacturer_or_Applicable_GPO_Making_Payment_State,Applicable_Manufacturer_or_Applicable_GPO_Making_Payment_Country,Dispute_Status_for_Publication,Interest_Held_by_Physician_or_an_Immediate_Family_Member,Payment_Publication_Date "UNCHANGED","466516","1629299615","Lane",,"Rose",,"1131 Broad St","Ste 104","Shrewsbury","NJ","07702","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Psychiatry & Neurology|Child & Adolescent Psychiatry","749849271","2020",0.00,22500.00,"Common Shares","Innovation Technologies Inc","100000126370","Innovation Technologies Inc","GA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","301802","1649294448","Jay",,"Rubin",,"2685 SW 32ND PL STE 100",,"Ocala","FL","34474-7163","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neuromusculoskeletal Medicine & OMM","749849273","2020",0.00,180000.00,"Common Shares","Innovation Technologies Inc","100000126370","Innovation Technologies Inc","GA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","510330","1164483376","Paul",,"Rucinski",,"1710 SE 16TH AVE",,"OCALA","FL","34471-4656","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Family Medicine|Sports Medicine","749849275","2020",0.00,11851065.00,"Common Shares","Innovation Technologies Inc","100000126370","Innovation Technologies Inc","GA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","510330","1164483376","Paul",,"Rucinski",,"1710 SE 16TH AVE",,"OCALA","FL","34471-4656","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Family Medicine|Sports Medicine","749849277","2020",0.00,3375000.00,"Common Shares","Innovation Technologies Inc","100000126370","Innovation Technologies Inc","GA","United States","No","Immediate family member","06/30/2023" "UNCHANGED","4004105","1396188835","Maria",,"Rucinski",,"5201 HARRY HINES BLVD",,"DALLAS","TX","75235-7708","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Emergency Medicine","749849279","2020",0.00,3375000.00,"Common Shares","Innovation Technologies Inc","100000126370","Innovation Technologies Inc","GA","United States","No","Immediate family member","06/30/2023" "UNCHANGED","343732","1568438489","Christopher",,"Rumana",,"1401 CENTERVILLE RD SUITE 300",,"TALLAHASSEE","FL","32308-4675","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","749849281","2020",0.00,810000.00,"Common Shares","Innovation Technologies Inc","100000126370","Innovation Technologies Inc","GA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","343732","1568438489","Christopher",,"Rumana",,"1401 CENTERVILLE RD SUITE 300",,"TALLAHASSEE","FL","32308-4675","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","749849283","2020",0.00,90000.00,"Common Shares","Innovation Technologies Inc","100000126370","Innovation Technologies Inc","GA","United States","No","Immediate family member","06/30/2023" "UNCHANGED","554433","1720084544","Edward",,"Sambey",,"146 SW ORTHOPEDIC CT",,"Lake City","FL","32024-0672","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Family Medicine","749849285","2020",0.00,281250.00,"Common Shares","Innovation Technologies Inc","100000126370","Innovation Technologies Inc","GA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","106287","1356378723","Roman",,"Schwartsman",,"6590 NORWOOD DR",,"BOISE","ID","83704-8765","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","749849287","2020",0.00,140400.00,"Common Shares","Innovation Technologies Inc","100000126370","Innovation Technologies Inc","GA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","910149","1215978747","Paul","G","Smith",,"2121 N OCOEE ST SUITE 101",,"Cleveland","TN","37311-3953","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Family Medicine","749849291","2020",0.00,101250.00,"Common Shares","Innovation Technologies Inc","100000126370","Innovation Technologies Inc","GA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1040704","1780680504","John",,"Stevenson",,"4500 W NEWBERRY RD",,"Gainesville","FL","32607-2245","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","749849293","2020",0.00,270000.00,"Common Shares","Innovation Technologies Inc","100000126370","Innovation Technologies Inc","GA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","346869","1649386541","Jason",,"Surratt",,"9900 SW HALL BLVD SUITE 100",,"TIGARD","OR","97223","United States",,,"Doctor of Podiatric Medicine","Podiatric Medicine & Surgery Service Providers|Podiatrist","749849295","2020",0.00,22500.00,"Common Shares","Innovation Technologies Inc","100000126370","Innovation Technologies Inc","GA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","198360","1386619401","Arthur",,"Temlock",,"2341 MCCALLIE AVE SUITE 402",,"CHATTANOOGA","TN","37404","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Anesthesiology","749849297","2020",0.00,470250.00,"Common Shares","Innovation Technologies Inc","100000126370","Innovation Technologies Inc","GA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","137471","1043216864","Donald",,"Trimble",,"4500 W NEWBERRY RD",,"Gainesville","FL","32607-2245","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","749849299","2020",0.00,56250.00,"Common Shares","Innovation Technologies Inc","100000126370","Innovation Technologies Inc","GA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","67872","1508961756","Paul",,"Urban",,"2111 SW 20TH PL",,"Ocala","FL","34471-7734","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Interventional Cardiology","749849301","2020",0.00,112500.00,"Common Shares","Innovation Technologies Inc","100000126370","Innovation Technologies Inc","GA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","182414","1023083961","Daragh",,"Heitzman",,"6301 Gaston Avenue",,"Dallas","TX","75214","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Psychiatry & Neurology|Neurology","753245797","2020",18368.47,27873.85,"Physician is employed at outpatient neurology practice that owns a percentage of the GPO","NEUROLOGY PRACTICE CONSORTIUM GPO, LLC","100000181755","NEUROLOGY PRACTICE CONSORTIUM GPO, LLC","NY","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","271142","1972579449","Steven",,"Herzog",,"6301 Gaston Avenue",,"Dallas","TX","75214","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Psychiatry & Neurology|Neurology","753245825","2020",18368.47,27873.85,"Physician is employed at outpatient neurology practice that owns a percentage of the GPO","NEUROLOGY PRACTICE CONSORTIUM GPO, LLC","100000181755","NEUROLOGY PRACTICE CONSORTIUM GPO, LLC","NY","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","105638","1346217163","Nolan",,"Jenevein",,"6301 Gaston Avenue",,"Dallas","TX","75214","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Psychiatry & Neurology|Neurology","753245927","2020",5937.12,15442.50,"Physician is employed at outpatient neurology practice that owns a percentage of the GPO. Left the organization in 5/1/20","NEUROLOGY PRACTICE CONSORTIUM GPO, LLC","100000181755","NEUROLOGY PRACTICE CONSORTIUM GPO, LLC","NY","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","209044","1619943362","Alan",,"Martin",,"6301 Gaston Avenue",,"Dallas","TX","75214","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Psychiatry & Neurology|Neurology","753245961","2020",18368.47,27873.85,"Physician is employed at outpatient neurology practice that owns a percentage of the GPO","NEUROLOGY PRACTICE CONSORTIUM GPO, LLC","100000181755","NEUROLOGY PRACTICE CONSORTIUM GPO, LLC","NY","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","805375","1528293628","Frederic",,"Nguyen",,"6301 Gaston Avenue",,"Dallas","TX","75214","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Psychiatry & Neurology|Neurology","753245989","2020",18368.47,27873.85,"Physician is employed at outpatient neurology practice that owns a percentage of the GPO","NEUROLOGY PRACTICE CONSORTIUM GPO, LLC","100000181755","NEUROLOGY PRACTICE CONSORTIUM GPO, LLC","NY","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","928238","1841429057","Maria",,"Philip",,"6301 Gaston Avenue",,"Dallas","TX","75214","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Psychiatry & Neurology|Neurology","753246013","2020",18368.47,27873.85,"Physician is employed at outpatient neurology practice that owns a percentage of the GPO","NEUROLOGY PRACTICE CONSORTIUM GPO, LLC","100000181755","NEUROLOGY PRACTICE CONSORTIUM GPO, LLC","NY","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","37913","1821298399","Gincy",,"Samuel",,"6301 Gaston Avenue",,"Dallas","TX","75214","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Psychiatry & Neurology|Neurology","753246061","2020",18368.47,27873.85,"Physician is employed at outpatient neurology practice that owns a percentage of the GPO","NEUROLOGY PRACTICE CONSORTIUM GPO, LLC","100000181755","NEUROLOGY PRACTICE CONSORTIUM GPO, LLC","NY","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1370187","1861786576","Arun",,"Nagaraj",,"6301 Gaston Avenue",,"Dallas","TX","75214","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Psychiatry & Neurology|Neurology","753246101","2020",7421.40,7421.40,"Physician is employed at outpatient neurology practice that owns a percentage of the GPO. Joined practice 8/1/20","NEUROLOGY PRACTICE CONSORTIUM GPO, LLC","100000181755","NEUROLOGY PRACTICE CONSORTIUM GPO, LLC","NY","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1307389","1821064569","Joshua",,"Bederson",,"5 E 98TH ST","7TH FLOOR","NEW YORK","NY","10029","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","753246201","2020",0.00,51697.50,".","Imperative Care, Inc","100000521829","Imperative Care, Inc","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","171657","1790766848","Alejandro",,"Berenstein",,"1000 10TH AVE",,"NEW YORK","NY","10019","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Radiology|Vascular & Interventional Radiology","753246205","2020",0.00,51697.50,".","Imperative Care, Inc","100000521829","Imperative Care, Inc","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","63121","1396878013","Johanna",,"Fifi",,"1000 10TH AVE",,"NEW YORK","NY","10019","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Psychiatry & Neurology|Vascular Neurology","753246209","2020",0.00,51697.50,".","Imperative Care, Inc","100000521829","Imperative Care, Inc","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","767863","1205826583","Kamran",,"Haghighat",,"3010 W ORANGE AVE","SUITE 302","ANAHEIM","CA","92804","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine","753246213","2020",150000.00,153750.00,".","Imperative Care, Inc","100000521829","Imperative Care, Inc","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","6481","1154308237","David",,"Holmes",,"200 1ST ST SW",,"ROCHESTER","MN","55905","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Cardiovascular Disease","753246217","2020",0.00,290220.70,".","Imperative Care, Inc","100000521829","Imperative Care, Inc","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","88719","1952370116","Leo",,"Hopkins",,"875 ELLICOTT ST",,"BUFFALO","NY","14203","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","753246223","2020",0.00,3536793.20,".","Imperative Care, Inc","100000521829","Imperative Care, Inc","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","220079","1841267093","GEORGE","D.","DEMETRI",,"450 BROOKLINE AVE","DFCI, D1212","BOSTON","MA","02215-5418","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Medical Oncology","750725993","2020",103385.60,147140.80,"Publicly held company equity","Blueprint Medicines Corporation","100000756811","Blueprint Medicines Corporation","MA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","81587","1790852895","JOHN",,"MOORE",,"136 MIMOSA DR",,"ASHEVILLE","NC","28806-1719","United States",,,"Doctor of Podiatric Medicine","Podiatric Medicine & Surgery Service Providers|Podiatrist|Foot & Ankle Surgery","750733195","2020",12500.00,12500.00,"Private Placement Investment","Gramercy Extremity Orthopedics LLC","100000196819","Gramercy Extremity Orthopedics LLC","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","494742","1609974443","CHRISTOPHER",,"BIBBO",,"824 ILLINOIS AVE",,"STEVENS POINT","WI","54481-3112","United States",,,"Doctor of Osteopathy","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","750739525","2020",50000.00,50000.00,"Private Placement Investment","Gramercy Extremity Orthopedics LLC","100000196819","Gramercy Extremity Orthopedics LLC","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","439598","1679712152","ELIZABETH",,"Hewitt",,"1325 STRINGTOWN RD","STE 220","GROVE CITY","OH","43123-8911","United States",,,"Doctor of Podiatric Medicine","Podiatric Medicine & Surgery Service Providers|Podiatrist|Foot & Ankle Surgery","750745899","2020",50000.00,50000.00,"Private Placement Investment","Gramercy Extremity Orthopedics LLC","100000196819","Gramercy Extremity Orthopedics LLC","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","925891","1750623328","DERACE","LAN","SCHAFFER",,"2263 CLINTON AVE S",,"ROCHESTER","NY","14618","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Radiology|Diagnostic Radiology","750746919","2020",124986.60,338450.61,"Total stock holdings of 25,089 evaluated at Market Close 12/31/2020 at $13.49","Lantheus Medical Imaging, Inc.","100000005400","Lantheus Medical Imaging, Inc.","MA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","963747","1083916506","FREDERICK","A","ROBERTSON",,"600 HIGHLAND AVE",,"MADISON","WI","53792","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Anesthesiology","750747521","2020",153843.80,683389.91,"Total stock holdings of 50,569 evaluated at Market Close 12/31/2020 at $13.49","Lantheus Medical Imaging, Inc.","100000005400","Lantheus Medical Imaging, Inc.","MA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","638050","1659352904","JAMES","H","THRALL",,"55 FRUIT ST",,"BOSTON","MA","02114","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Radiology|Nuclear Radiology","750747571","2020",151788.80,268005.83,"Total stock holdings of 19,867 evaluated at Market Close 12/31/2020 at $13.49","Lantheus Medical Imaging, Inc.","100000005400","Lantheus Medical Imaging, Inc.","MA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","396552","1174595078","CLAIRE",,"POMEROY",,"4150 V ST STE 1100",,"SACRAMENTO","CA","95817","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Infectious Disease","750747623","2020",84.32,58637.12,"Vested Restricted Stock Units that were acquired as compensation for services as a member of board of directors and valued on December 31, 2020 based on trading price at close of trading","Haemonetics Corporation","100000000340","Haemonetics Corporation","MA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","396552","1174595078","CLAIRE",,"POMEROY",,"4150 V ST STE 1100",,"SACRAMENTO","CA","95817","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Infectious Disease","750747625","2020",40208.40,172601.20,"Vested Restricted Stock Units that were acquired as compensation for services as a member of board of directors and valued on December 31, 2020 based on trading price at close of trading","Haemonetics Corporation","100000000340","Haemonetics Corporation","MA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","247522","1467463802","Jonathan",,"Asp",,"4200 Dahlberg Drive Suite 300",,"Golden Valley","MN","55422-4840","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","750751821","2020",0.00,2628.80,"Stock purchased by physician","Responsive Arthroscopy LLC","100000291807","Responsive Arthroscopy LLC","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","615797","1871541672","Edward",,"Kelly",,"4200 DAHLBERG DR SUITE 300",,"Golden Valley","MN","55422-4840","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","750751851","2020",0.00,13409.31,"Stock purchased by physician","Responsive Arthroscopy LLC","100000291807","Responsive Arthroscopy LLC","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","196004","1316946619","Michael",,"Lee",,"5052 N Clinton St",,"Fort Wayne","IN","46825-5822","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","750758135","2020",75000.00,21859.31,"Stock purchased by physician","Responsive Arthroscopy LLC","100000291807","Responsive Arthroscopy LLC","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","130741","1871609412","John",,"Sherman",,"4200 DAHLBERG DR STE 300",,"Golden Valley","MN","55422-4841","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","750774771","2020",69474.00,21236.71,"Stock purchased by physician","Responsive Arthroscopy LLC","100000291807","Responsive Arthroscopy LLC","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","527690","1770762452","Rahul","S.","Nayak",,"2470 MT. ZION PARKWAY","KAISER PERMANENTE - SOUTHWOOD SPECIALTY OFFICE","Jonesboro","GA","30236","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Gastroenterology","752460373","2020",0.00,18383.37,"Represents value of physician's portion of shares of stock held by an LLC investor in the privately held company","ENDOTRONIX, INC.","100000801823","ENDOTRONIX, INC.","IL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","142998","1144209891","RICHARD","CHARLES","KOVACH",,"200 TRENTON RD",,"Browns Mills","NJ","08015-1705","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Cardiovascular Disease","752460385","2020",0.00,1100.00,"Common Stock, exercised stock options","Ostial Corporation","100000196867","Ostial Corporation","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","347154","1649290297","Robert",,"Salata",,"11100 EUCLID AVE",,"CLEVELAND","OH","44106-1716","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Infectious Disease","752460433","2020",249999.85,2180251.63,"Represents value of portion of shares of stock held, either directly or indirectly, by immediate family members in the privately held company","ENDOTRONIX, INC.","100000801823","ENDOTRONIX, INC.","IL","United States","No","Immediate family member","06/30/2023" "UNCHANGED","241323","1316938723","JIHAD","ALI","MUSTAPHA",,"5900 BYRON CENTER AVE SW",,"WYOMING","MI","49519-9606","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Cardiovascular Disease","752460437","2020",0.00,1100.00,"Common Stock, exercised stock options","Ostial Corporation","100000196867","Ostial Corporation","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","49236","1083612261","MARK","H","WHOLEY",,"320 E NORTH AVE",,"PITTSBURGH","PA","15212-4756","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Radiology|Vascular & Interventional Radiology","752463673","2020",0.00,50000.00,"Preferred stock, investment on 03/28/13","Ostial Corporation","100000196867","Ostial Corporation","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","312750","1891998944","Scott","M.","Silver",,"525 E BIG BEAVER RD SUITE 125",,"Troy","MI","48083-1364","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Surgery|Vascular Surgery","752467803","2020",0.00,30119.76,"Shares of stock and stock warrants held by an immediate family member in the privately held company","ENDOTRONIX, INC.","100000801823","ENDOTRONIX, INC.","IL","United States","No","Immediate family member","06/30/2023" "UNCHANGED","1011755","1780630038","STEPHEN","R","RAMEE",,"1514 JEFFERSON HWY",,"NEW ORLEANS","LA","70121-2429","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Interventional Cardiology","752467811","2020",0.00,28000.00,"Preferred stock, investment on 11/19/12","Ostial Corporation","100000196867","Ostial Corporation","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","671919","1821359415","Adam",,"DeBusk",,"840 Walnut Street",,"Philadelphia","PA","19107","United States",,,"Doctor of Osteopathy","Allopathic & Osteopathic Physicians|Ophthalmology|Neuro-ophthalmology","752468243","2020",0.00,4732575.00,"Physician has no ownership interest.","DeRoyal Industries, Inc.","100000141523","DeRoyal Industries, Inc.","TN","United States","No","Immediate family member","06/30/2023" "UNCHANGED","104201","1306832662","Soraya",,"Radfar",,"20 CEDAR BLVD",,"Mt Lebanon","PA","15228-1330","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Psychiatry & Neurology|Psychiatry","752468259","2020",0.00,294.03,"Shares of stock in the privately held company","ENDOTRONIX, INC.","100000801823","ENDOTRONIX, INC.","IL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","347045","1649254848","Utpal","H.","Pandya",,"20 GLENLAKE PARKWAY","KAISER PERMANENTE GLENLAKE MEDICAL CENTER","Atlanta","GA","30328","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Cardiovascular Disease","752468313","2020",0.00,18383.37,"Represents value of physician's portion of shares of stock held by an LLC investor in the privately held company","ENDOTRONIX, INC.","100000801823","ENDOTRONIX, INC.","IL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","123978","1740289446","Victor","Eugene","Corrigan",,"95 COLLIER RD NW SUITE 2065",,"Atlanta","GA","30309-1796","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Interventional Cardiology","752468815","2020",0.00,9103.00,"Shares of stock in the privately held company","ENDOTRONIX, INC.","100000801823","ENDOTRONIX, INC.","IL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","269198","1922117571","LOUIS","ALFRED","LOPEZ",,"604 W BERRY ST",,"FORTWAYNE","IN","46802-2106","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Cardiovascular Disease","752468865","2020",0.00,25000.00,"Preferred stock, investment on 01/31/14.","Ostial Corporation","100000196867","Ostial Corporation","CA","United States","No","Immediate family member","06/30/2023" "UNCHANGED","114929","1548213200","BARRY","S","WEINSTOCK",,"511 MEDICAL PLAZA DR STE 101",,"LEESBURG","FL","34748-7328","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Interventional Cardiology","752469237","2020",4999.20,4999.20,"Preferred stock, investment Dec 2020.","Ostial Corporation","100000196867","Ostial Corporation","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","88719","1952370116","LEO","NELSON","HOPKINS",,"875 ELLICOTT ST NEUROSURGERY",,"BUFFALO","NY","14203-1070","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","752469289","2020",135399.60,135399.60,"Preferred stock, investment Dec 2020","Ostial Corporation","100000196867","Ostial Corporation","CA","United States","No","Immediate family member","06/30/2023" "UNCHANGED","279945","1184604415","JAY",,"SMITH",,"200 1ST ST SW",,"ROCHESTER","MN","55905","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Physical Medicine & Rehabilitation","752857727","2020",3071.00,815618.10,"Common Stock","Sonex Health, Inc.","100000796824","Sonex Health, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","190975","1205800190","DARRYL","E","BARNES",,"200 1ST ST SW",,"ROCHESTER","MN","55905","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Family Medicine|Adolescent Medicine","752857733","2020",100000.00,33000.00,"Common Stock","Sonex Health, Inc.","100000796824","Sonex Health, Inc.","MN","United States","No","Immediate family member","06/30/2023" "UNCHANGED","828236","1336232255","Alisa",,"Niksch",,"750 Washington St The Floating Hospital for Children","#313","Boston","MA","02111","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Pediatrics|Pediatric Cardiology","752857783","2020",11865.00,11865.00,"2,625 options exercised for 2,625 shares of common stock","Genetesis, Inc.","100000806826","Genetesis, Inc.","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","290193","1386864734","Josef",,"Parvizi",,"300 PASTEUR DRIVE ROOM A343 - NEUROLOGY",,"STANFORD","CA","94305","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Psychiatry & Neurology|Clinical Neurophysiology","752857881","2020",0.00,6491889.00,"Stock","Ceribell, Inc.","100000196786","Ceribell, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","786027","1851369417","Randall",,"Wolf",,"6550 Fannin St STE 1401",,"Houston","TX","77030","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Thoracic Surgery (Cardiothoracic Vascular Surgery)","752915319","2020",100027.40,100027.40,"Purchased 12,468 shares of Series B preferred shares","Genetesis, Inc.","100000806826","Genetesis, Inc.","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","178771","1952310799","Babak",,"Baravarian",,"2121 WILSHIRE BLVD STE 101",,"SANTA MONICA","CA","90403","United States",,,"Doctor of Podiatric Medicine","Podiatric Medicine & Surgery Service Providers|Podiatrist","752945643","2020",0.00,30185.75,"STOCK SHARES","CROSSROADS EXTREMITY SYSTEMS, LLC","100000136521","CROSSROADS EXTREMITY SYSTEMS, LLC","TN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","228335","1043283047","Dominic",,"Rizzo",,"PO BOX 322",,"BATAVIA","OH","45103","United States",,,"Doctor of Podiatric Medicine","Podiatric Medicine & Surgery Service Providers|Podiatrist|Foot & Ankle Surgery","752945645","2020",0.00,12027.00,"STOCK SHARES","CROSSROADS EXTREMITY SYSTEMS, LLC","100000136521","CROSSROADS EXTREMITY SYSTEMS, LLC","TN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","105997","1336123603","Dipika",,"Patel",,"10530 WOLFPEN-PLEASANT HILL RD STE E",,"MILFORD","OH","45150","United States",,,"Doctor of Podiatric Medicine","Podiatric Medicine & Surgery Service Providers|Podiatrist|Foot & Ankle Surgery","752945647","2020",0.00,28358.75,"STOCK SHARES","CROSSROADS EXTREMITY SYSTEMS, LLC","100000136521","CROSSROADS EXTREMITY SYSTEMS, LLC","TN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","670637","1780640995","sh*tal",,"Pema",,"4441 FAR HILLS AVE",,"KITTERING","OH","45429","United States",,,"Doctor of Podiatric Medicine","Podiatric Medicine & Surgery Service Providers|Podiatrist|Primary Podiatric Medicine","752945649","2020",0.00,8922.00,"STOCK SHARES","CROSSROADS EXTREMITY SYSTEMS, LLC","100000136521","CROSSROADS EXTREMITY SYSTEMS, LLC","TN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","905186","1043299738","Bryan",,"Den Hartog",,"1701 Curve Crest Blvd W SUITE 104",,"STILLWATER","MN","55082","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Foot and Ankle Surgery","752945653","2020",0.00,190609.75,"STOCK SHARES","CROSSROADS EXTREMITY SYSTEMS, LLC","100000136521","CROSSROADS EXTREMITY SYSTEMS, LLC","TN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","193568","1275551699","JEFFREY",,"JOHNSON",,"4921 PARKVIEW PLACE STE 6A6B",,"SAINT LOUIS","MO","63110","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Foot and Ankle Surgery","752945655","2020",0.00,25191.75,"STOCK SHARES","CROSSROADS EXTREMITY SYSTEMS, LLC","100000136521","CROSSROADS EXTREMITY SYSTEMS, LLC","TN","United States","No","Immediate family member","06/30/2023" "UNCHANGED","566306","1144220666","Chad",,"Webster",,"8055 CLUB PKWY",,"CORDOVA","TN","38016","United States",,,"Doctor of Podiatric Medicine","Podiatric Medicine & Surgery Service Providers|Podiatrist","752945657","2020",0.00,4257.58,"STOCK SHARES","CROSSROADS EXTREMITY SYSTEMS, LLC","100000136521","CROSSROADS EXTREMITY SYSTEMS, LLC","TN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","86047","1891729000","JOHANNES",,"Coetzee",,"4010 W 65TH ST",,"MINNEAPOLIS","MN","55435","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Foot and Ankle Surgery","752945661","2020",0.00,36661.00,"STOCK SHARES","CROSSROADS EXTREMITY SYSTEMS, LLC","100000136521","CROSSROADS EXTREMITY SYSTEMS, LLC","TN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","265618","1841373438","VIRAK",,"Tan",,"90 BERGEN ST DOC 1200",,"NEWARK","NJ","07103","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Hand Surgery","752945664","2020",0.00,28943.75,"STOCK SHARES","CROSSROADS EXTREMITY SYSTEMS, LLC","100000136521","CROSSROADS EXTREMITY SYSTEMS, LLC","TN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","145686","1205833142","Heather",,"MELTON",,"1015 KELLY DR STE 200",,"PARIS","TN","38242","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","752945667","2020",0.00,2297.50,"STOCK SHARES","CROSSROADS EXTREMITY SYSTEMS, LLC","100000136521","CROSSROADS EXTREMITY SYSTEMS, LLC","TN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","88719","1952370116","Leo",,"Hopkins",,"875 ELLICOTT ST",,"BUFFALO","NY","14203","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","753246225","2020",0.00,791817.90,".","Imperative Care, Inc","100000521829","Imperative Care, Inc","CA","United States","No","Immediate family member","06/30/2023" "UNCHANGED","325273","1184683195","Elad",,"Levy",,"40 GEORGE KARL BLVD",,"WILLIAMSVILLE","NY","14221","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","753246229","2020",0.00,36185.20,".","Imperative Care, Inc","100000521829","Imperative Care, Inc","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","731023","1902122518","Michael",,"Mashaal",,"26 SYCAMORE DR",,"ROSLYN","NY","11576","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|General Practice","753246233","2020",0.00,256250.00,".","Imperative Care, Inc","100000521829","Imperative Care, Inc","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1276721","1932505864","Scott",,"McClary",,"4515 SPRUILL AVE",,"NORTH CHARLESTON","SC","29405","United States",,,"Medical Doctor","Dental Providers|Dentist|General Practice","753246237","2020",0.00,41358.00,".","Imperative Care, Inc","100000521829","Imperative Care, Inc","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","26828","1609868520","Antonio",,"Morreale",,"50505 SCHOENHERR RD","SUITE 300","SHELBY TOWNSHIP","MI","48315","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine","753246249","2020",0.00,36185.20,".","Imperative Care, Inc","100000521829","Imperative Care, Inc","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1011755","1780630038","Stephen",,"Ramee",,"1514 JEFFERSON HWY",,"NEW ORLEANS","LA","70121","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Interventional Cardiology","753246253","2020",0.00,255000.00,".","Imperative Care, Inc","100000521829","Imperative Care, Inc","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","25048","1558325951","Adnan",,"Siddiqui",,"100 HIGH STREET",,"NEW YORK","NY","14209","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","753246255","2020",0.00,3141418.20,".","Imperative Care, Inc","100000521829","Imperative Care, Inc","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","25048","1558325951","Adnan",,"Siddiqui",,"100 HIGH STREET",,"NEW YORK","NY","14209","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","753246259","2020",0.00,154500.00,".","Imperative Care, Inc","100000521829","Imperative Care, Inc","CA","United States","No","Immediate family member","06/30/2023" "UNCHANGED","301546","1649248519","AQUILLA",,"Turk",,"109 DOCTORS DR",,"GREENVILLE","SC","29605","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Radiology|Neuroradiology","753246263","2020",51000.00,3551568.20,".","Imperative Care, Inc","100000521829","Imperative Care, Inc","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","301546","1649248519","AQUILLA",,"Turk",,"109 DOCTORS DR",,"GREENVILLE","SC","29605","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Radiology|Neuroradiology","753246267","2020",0.00,102947.50,".","Imperative Care, Inc","100000521829","Imperative Care, Inc","CA","United States","No","Immediate family member","06/30/2023" "UNCHANGED","126698","1801958202","Vernice",,"Bates",,"3980 Sheridan Drive",,"Amherst","NY","14226","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Psychiatry & Neurology|Neurology","753246315","2020",20240.18,28874.70,"Physician is employed at outpatient neurology practice that owns a percentage of the GPO","NEUROLOGY PRACTICE CONSORTIUM GPO, LLC","100000181755","NEUROLOGY PRACTICE CONSORTIUM GPO, LLC","NY","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","123550","1710978598","Laszlo",,"Mechtler",,"3980 Sheridan Drive",,"Amherst","NY","14226","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Psychiatry & Neurology|Neurology","753246339","2020",15270.32,23904.84,"Physician is employed at outpatient neurology practice that owns a percentage of the GPO","NEUROLOGY PRACTICE CONSORTIUM GPO, LLC","100000181755","NEUROLOGY PRACTICE CONSORTIUM GPO, LLC","NY","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","216021","1770644528","Tomas",,"Holmlund",,"3980 Sheridan Drive",,"Amherst","NY","14226","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Psychiatry & Neurology|Neurology","753246365","2020",9258.38,17892.90,"Physician is employed at outpatient neurology practice that owns a percentage of the GPO","NEUROLOGY PRACTICE CONSORTIUM GPO, LLC","100000181755","NEUROLOGY PRACTICE CONSORTIUM GPO, LLC","NY","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","105179","1316155500","Bela",,"Ajtai",,"3980 Sheridan Drive",,"Amherst","NY","14226","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Psychiatry & Neurology|Neurology","753246383","2020",16532.82,25167.34,"Physician is employed at outpatient neurology practice that owns a percentage of the GPO","NEUROLOGY PRACTICE CONSORTIUM GPO, LLC","100000181755","NEUROLOGY PRACTICE CONSORTIUM GPO, LLC","NY","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","47415","1053475939","Horacio",,"Capote",,"3980 Sheridan Drive",,"Amherst","NY","14226","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Psychiatry & Neurology|Neurology","753246403","2020",6933.77,15568.28,"Physician is employed at outpatient neurology practice that owns a percentage of the GPO","NEUROLOGY PRACTICE CONSORTIUM GPO, LLC","100000181755","NEUROLOGY PRACTICE CONSORTIUM GPO, LLC","NY","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","232639","1134103633","Allan",,"Hunt",,"4200 Dahlberg Dr Suite 300",,"Golden Valley","MN","55422","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","750775047","2020",0.00,2628.80,"Stock purchased by physician","Responsive Arthroscopy LLC","100000291807","Responsive Arthroscopy LLC","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1309894","1265431720","Mark",,"Rasmussen",,"3651 College Blvd 100B",,"Leawood","KS","66211-1904","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","750775131","2020",75000.00,21859.31,"Stock purchased by physician","Responsive Arthroscopy LLC","100000291807","Responsive Arthroscopy LLC","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","957841","1881701829","Gregory",,"Lervick",,"6465 Wayzata Blvd Suite 900","Suite 900","St Louis Park","MN","55426-1728","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","750775151","2020",69474.00,21236.71,"Stock purchased by physician","Responsive Arthroscopy LLC","100000291807","Responsive Arthroscopy LLC","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1064921","1659348738","Leigh",,"Curl",,"2900 S Hanover Street",,"Baltimore","MD","21225-1232","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","750775179","2020",0.00,32110.00,"Stock purchased by physician","Responsive Arthroscopy LLC","100000291807","Responsive Arthroscopy LLC","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","86047","1891729000","Johannes",,"Coetzee",,"4200 Dahlberg Drive Suite 300",,"Golden Valley","MN","55422-4840","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Foot and Ankle Surgery","750791243","2020",50000.00,63093.28,"Stock purchased by physician","Responsive Arthroscopy LLC","100000291807","Responsive Arthroscopy LLC","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","84875","1881670776","John",,"Sperling",,"200 1st Street SW",,"Rochester","MN","55905-0001","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","750798461","2020",0.00,490100.00,"Stock purchased by physician","Responsive Arthroscopy LLC","100000291807","Responsive Arthroscopy LLC","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","327897","1225039753","Stephen",,"Wright",,"5052 N Clinton St",,"Fort Wayne","IN","46825-5822","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Sports Medicine","750803217","2020",75000.00,21859.31,"Stock purchased by physician","Responsive Arthroscopy LLC","100000291807","Responsive Arthroscopy LLC","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1079258","1154364669","Jeffrey",,"Mair",,"6465 Wayzata Blvd","Suite 900","St Louis Park","MN","55426-1728","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Sports Medicine","750803269","2020",69474.00,10456.20,"Stock purchased by physician","Responsive Arthroscopy LLC","100000291807","Responsive Arthroscopy LLC","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","282784","1225056039","Rick",,"Wright",,"719 Thompson Ln",,"Nashville","TN","37204-3609","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","750803489","2020",0.00,16900.00,"Stock purchased by physician","Responsive Arthroscopy LLC","100000291807","Responsive Arthroscopy LLC","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","157965","1497779128","Aaron",,"Krych",,"200 1st Street SW",,"Rochester","MN","55905-0001","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","750803523","2020",0.00,23660.00,"Stock purchased by physician","Responsive Arthroscopy LLC","100000291807","Responsive Arthroscopy LLC","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","350648","1720017544","Andrew",,"Arthur",,"6465 Wayzata Blvd","Suite 900","St Louis Park","MN","55426-1728","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","750803549","2020",0.00,2628.80,"Stock purchased by physician","Responsive Arthroscopy LLC","100000291807","Responsive Arthroscopy LLC","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","752766","1669585816","Christopher",,"Meyer",,"6465 Wayzata Blvd","Suite 900","St Louis Park","MN","55426-1728","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Sports Medicine","750804413","2020",69474.00,21236.71,"Stock purchased by physician","Responsive Arthroscopy LLC","100000291807","Responsive Arthroscopy LLC","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","7553","1154541035","Christie",,"Heikes",,"4200 Dahlberg Dr Suite 300",,"Golden Valley","MN","55422-4840","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","750804825","2020",0.00,2628.80,"Stock purchased by physician","Responsive Arthroscopy LLC","100000291807","Responsive Arthroscopy LLC","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","229431","1043445612","Brian",,"Bjerke",,"4200 Dahlberg Drive Suite 300",,"Golden Valley","MN","55422-4840","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Sports Medicine","750804841","2020",69474.00,10456.20,"Stock purchased by physician","Responsive Arthroscopy LLC","100000291807","Responsive Arthroscopy LLC","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","899673","1851350680","Charles",,"Peterson",,"805 Madison St Suite 901",,"Seattle","WA","98104-1172","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","750804881","2020",0.00,10314.58,"Stock purchase by physician","Responsive Arthroscopy LLC","100000291807","Responsive Arthroscopy LLC","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","91578","1023046174","Nancy",,"Cummings",,"181 Franklin Health Cmns",,"Farmington","ME","04938","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Allergy & Immunology","752628923","2020",0.00,10000.00,"Preferred Stock","Cardiosolutions, Inc.","100000000125","Cardiosolutions, Inc.","MA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","204654","1528040367","Philip",,"Davidson",,"2200 Park Ave","Bldg D","Park City","UT","84060","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Sports Medicine","752629059","2020",0.00,104680.00,"Preferred & Common Stock","Cardiosolutions, Inc.","100000000125","Cardiosolutions, Inc.","MA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","168633","1720083454","Anthony",,"Infante",,"959 Del Webb Blvd E",,"Sun City Center","FL","33573","United States",,,"Doctor of Osteopathy","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","752629085","2020",0.00,96524.51,"Preferred Stock","Cardiosolutions, Inc.","100000000125","Cardiosolutions, Inc.","MA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","172095","1780688135","Herman",,"Pang",,"8415 N. Pima Rd","Suite 100","Scottsdale","AZ","85258","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Surgery","752629115","2020",0.00,101753.42,"Preferred Stock","Cardiosolutions, Inc.","100000000125","Cardiosolutions, Inc.","MA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","103960","1285617696","John",,"Phillip",,"1524 Atwood Ave","Suite 245","Johnston","RI","02919","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Surgery","752629141","2020",0.00,7000.00,"Preferred Stock","Cardiosolutions, Inc.","100000000125","Cardiosolutions, Inc.","MA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","168681","1720086887","James",,"Phillip",,"2 Palisades Dr",,"Albany","NY","12205","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Cardiovascular Disease","752631487","2020",0.00,8300.00,"Preferred & Common Stock","Cardiosolutions, Inc.","100000000125","Cardiosolutions, Inc.","MA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","55278","1225134067","Thomas",,"Piemonte",,"Lahey Clinic","41 Mall Rd","Burlington","MA","01805","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Interventional Cardiology","752631519","2020",0.00,78947.95,"Preferred & Common Stock","Cardiosolutions, Inc.","100000000125","Cardiosolutions, Inc.","MA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","58169","1295702017","Alexandros",,"Powers",,"18109 Prince Phillip Dr.","Suite 300","Olney","MD","20832","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","752632973","2020",0.00,108376.55,"Preferred Stock","Cardiosolutions, Inc.","100000000125","Cardiosolutions, Inc.","MA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","134113","1952574634","Michael",,"Rocchio",,"530 E Shore Rd",,"Jamestown","RI","02835","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Surgery","752632987","2020",0.00,179421.92,"Preferred Stock","Cardiosolutions, Inc.","100000000125","Cardiosolutions, Inc.","MA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","33980","1750560389","Greg","S","KHOUNGANIAN",,"5525 Etiwanda Ave","Suite 311","Tarzana","CA","91356","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","752657595","2020",0.00,383335.00,"Traditional pro rata ownership interest; no special terms","Prosidyan, Inc","100000071362","Prosidyan, Inc","NJ","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","68860","1528006731","Hyun","W","Bae",,"1301 20th St","Suite 400","Santa Monica","CA","90404","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","752657597","2020",0.00,12500000.00,"Traditional pro rata ownership interest; no special terms","Prosidyan, Inc","100000071362","Prosidyan, Inc","NJ","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","282683","1225086903","Daxes","M","Banit",,"3051 Watson Blvd","Suite 525","Warner Robins","GA","31093","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","752657599","2020",0.00,2000000.00,"Traditional pro rata ownership interest; no special terms","Prosidyan, Inc","100000071362","Prosidyan, Inc","NJ","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","354745","1821042987","Ben","BHUPENDRA","PRADHAN",,"2624 E Washington Blvd",,"Pasadena","CA","91107","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","752657601","2020",0.00,250000.00,"Traditional pro rata ownership interest; no special terms","Prosidyan, Inc","100000071362","Prosidyan, Inc","NJ","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","217187","1780615336","RICK","BRIAN","DELAMARTER",,"1301 20th Street","Suite 400","Santa Monica","CA","90404","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","752657603","2020",0.00,783332.50,"Traditional pro rata ownership interest; no special terms.","Prosidyan, Inc","100000071362","Prosidyan, Inc","NJ","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","307372","1770515603","Timothy","T","Davis",,"2428 Santa Monica Blvd","Suite 208","Santa Monica","CA","90404","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Physical Medicine & Rehabilitation|Pain Medicine","752657605","2020",0.00,250000.00,"Traditional pro rata ownership interest; no special terms","Prosidyan, Inc","100000071362","Prosidyan, Inc","NJ","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","280524","1174613319","Patrick",,"McEneaney",,"113 W. Main St.",,"Cary","IL","60013","United States",,,"Doctor of Podiatric Medicine","Podiatric Medicine & Surgery Service Providers|Podiatrist|Foot & Ankle Surgery","752945671","2020",0.00,15818.50,"STOCK SHARES","CROSSROADS EXTREMITY SYSTEMS, LLC","100000136521","CROSSROADS EXTREMITY SYSTEMS, LLC","TN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","198346","1386687812","Mark",,"Myerson",,"301 Saint Paul Pl Main Floor",,"Baltimore","MD","21202","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","752945673","2020",0.00,13735.75,"STOCK SHARES","CROSSROADS EXTREMITY SYSTEMS, LLC","100000136521","CROSSROADS EXTREMITY SYSTEMS, LLC","TN","United States","No","Immediate family member","06/30/2023" "UNCHANGED","221166","1881852978","Loren",,"Spencer",,"2301 Indian Wells Rd STE A",,"Alamogordo","NM","88310","United States",,,"Doctor of Podiatric Medicine","Podiatric Medicine & Surgery Service Providers|Podiatrist","752945677","2020",0.00,6759.00,"STOCK SHARES","CROSSROADS EXTREMITY SYSTEMS, LLC","100000136521","CROSSROADS EXTREMITY SYSTEMS, LLC","TN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","256486","1649275058","Frank",,"Ognibene",,"2120 Exeter RD STE 220",,"Germantown","TN","38138","United States",,,"Doctor of Podiatric Medicine","Podiatric Medicine & Surgery Service Providers|Podiatrist|Foot & Ankle Surgery","752945682","2020",0.00,1800.50,"STOCK SHARES","CROSSROADS EXTREMITY SYSTEMS, LLC","100000136521","CROSSROADS EXTREMITY SYSTEMS, LLC","TN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","327485","1235101940","John",,"Anderson",,"2301 Indian Wells Rd STE A",,"Alamogordo","NM","88310","United States",,,"Doctor of Podiatric Medicine","Podiatric Medicine & Surgery Service Providers|Podiatrist","752945685","2020",0.00,20020.75,"STOCK SHARES","CROSSROADS EXTREMITY SYSTEMS, LLC","100000136521","CROSSROADS EXTREMITY SYSTEMS, LLC","TN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","256486","1649275058","Frank",,"Ognibene",,"2120 Exeter RD STE 220",,"Germantown","TN","38138","United States",,,"Doctor of Podiatric Medicine","Podiatric Medicine & Surgery Service Providers|Podiatrist|Foot & Ankle Surgery","752945689","2020",0.00,3600.75,"STOCK SHARES","CROSSROADS EXTREMITY SYSTEMS, LLC","100000136521","CROSSROADS EXTREMITY SYSTEMS, LLC","TN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","170285","1750598850","GREGORY",,"Witkowski",,"27650 FERRY RD STE 100",,"WARRENVILLE","IL","60555","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","752945691","2020",0.00,13213.25,"STOCK SHARES","CROSSROADS EXTREMITY SYSTEMS, LLC","100000136521","CROSSROADS EXTREMITY SYSTEMS, LLC","TN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","224456","1962472688","CRAIG",,"Breslauer",,"1050 SE Monterey Rd. Suite 400",,"Stuart","FL","34994","United States",,,"Doctor of Podiatric Medicine","Podiatric Medicine & Surgery Service Providers|Podiatrist|Foot & Ankle Surgery","752945695","2020",0.00,19821.00,"STOCK SHARES","CROSSROADS EXTREMITY SYSTEMS, LLC","100000136521","CROSSROADS EXTREMITY SYSTEMS, LLC","TN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","295683","1528051323","Terrence",,"Philbin",,"300 Polaris Pkwy suite 2000",,"Westerville","OH","43082","United States",,,"Doctor of Osteopathy","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Foot and Ankle Surgery","752945699","2020",0.00,3254.25,"STOCK SHARES","CROSSROADS EXTREMITY SYSTEMS, LLC","100000136521","CROSSROADS EXTREMITY SYSTEMS, LLC","TN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","289189","1386693752","STEPHEN","GLENN","SLADE",,"3900 ESSEX LN","SUITE 101","HOUSTON","TX","77027","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","752951833","2020",24500.00,49000.00,"Fully Vested Options","RxSight Inc","100000676811","RxSight Inc","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","139127","1073519989","VANCE","M","THOMPSON",,"3101 W 57TH ST",,"SIOUX FALLS","SD","57108","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","752951837","2020",49000.00,98000.00,"Fully Vested Options","RxSight Inc","100000676811","RxSight Inc","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","698243","1750345658","RICHARD","N","BAKER",,"3900 ESSEX LN","SUITE 101","HOUSTON","TX","77027","United States",,,"Doctor of Optometry","Eye and Vision Services Providers|Optometrist","752951839","2020",24500.00,49000.00,"Fully Vested Options","RxSight Inc","100000676811","RxSight Inc","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","16539","1366428856","STEVEN","J","DELL",,"1700 S MOPAC EXPWY",,"AUSTIN","TX","78746","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","752951843","2020",24750.00,24500.00,"Fully Vested Options","RxSight Inc","100000676811","RxSight Inc","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","259669","1720132962","KENNETH","J","MAVERICK",,"4775 HAMILTON WOLFE RD","BUILDING 2","SAN ANTONIO","TX","78229","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","752951847","2020",24750.00,24500.00,"Fully Vested Options","RxSight Inc","100000676811","RxSight Inc","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","219620","1851386395","THOMAS","H","NEWSOM",,"13904 N DALE MABRY HWY","SUITE 200","TAMPA","FL","33618","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","752951851","2020",24750.00,24500.00,"Fully Vested Options","RxSight Inc","100000676811","RxSight Inc","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","265525","1841256336","Marc",,"Frost",,"3980 Sheridan Drive",,"Amherst","NY","14226","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Psychiatry & Neurology|Neurology","753246429","2020",14348.49,22983.00,"Physician is employed at outpatient neurology practice that owns a percentage of the GPO","NEUROLOGY PRACTICE CONSORTIUM GPO, LLC","100000181755","NEUROLOGY PRACTICE CONSORTIUM GPO, LLC","NY","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","32436","1720229180","Xiuli",,"Li",,"3980 Sheridan Drive",,"Amherst","NY","14226","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Psychiatry & Neurology|Neurology","753247005","2020",8496.87,17131.39,"Physician is employed at outpatient neurology practice that owns a percentage of the GPO","NEUROLOGY PRACTICE CONSORTIUM GPO, LLC","100000181755","NEUROLOGY PRACTICE CONSORTIUM GPO, LLC","NY","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","65396","1437211414","Bennett",,"Myers",,"3980 Sheridan Drive",,"Amherst","NY","14226","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Psychiatry & Neurology|Neurology","753247151","2020",16292.35,24926.86,"Physician is employed at outpatient neurology practice that owns a percentage of the GPO","NEUROLOGY PRACTICE CONSORTIUM GPO, LLC","100000181755","NEUROLOGY PRACTICE CONSORTIUM GPO, LLC","NY","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","114077","1528074341","Mohammad",,"Qasaymeh",,"3980 Sheridan Drive",,"Amherst","NY","14226","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Psychiatry & Neurology|Neurology","753247175","2020",21101.90,29736.41,"Physician is employed at outpatient neurology practice that owns a percentage of the GPO","NEUROLOGY PRACTICE CONSORTIUM GPO, LLC","100000181755","NEUROLOGY PRACTICE CONSORTIUM GPO, LLC","NY","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","325220","1154482859","Lixin",,"Zhang",,"3980 Sheridan Drive",,"Amherst","NY","14226","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Psychiatry & Neurology|Neurology","753247263","2020",20099.91,28734.42,"Physician is employed at outpatient neurology practice that owns a percentage of the GPO","NEUROLOGY PRACTICE CONSORTIUM GPO, LLC","100000181755","NEUROLOGY PRACTICE CONSORTIUM GPO, LLC","NY","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","264689","1821228511","Nicolas",,"Saikali",,"3980 Sheridan Drive",,"Amherst","NY","14226","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Psychiatry & Neurology|Neurology","753247307","2020",7575.04,16209.56,"Physician is employed at outpatient neurology practice that owns a percentage of the GPO","NEUROLOGY PRACTICE CONSORTIUM GPO, LLC","100000181755","NEUROLOGY PRACTICE CONSORTIUM GPO, LLC","NY","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","29232","1649596495","Jennifer",,"McVige",,"3980 Sheridan Drive",,"Amherst","NY","14226","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Psychiatry & Neurology|Neurology","753247345","2020",8096.07,16730.59,"Physician is employed at outpatient neurology practice that owns a percentage of the GPO","NEUROLOGY PRACTICE CONSORTIUM GPO, LLC","100000181755","NEUROLOGY PRACTICE CONSORTIUM GPO, LLC","NY","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","332791","1326247594","Luisa",,"Rojas",,"3980 Sheridan Drive",,"Amherst","NY","14226","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Psychiatry & Neurology|Neurology","753247429","2020",7454.80,16089.32,"Physician is employed at outpatient neurology practice that owns a percentage of the GPO","NEUROLOGY PRACTICE CONSORTIUM GPO, LLC","100000181755","NEUROLOGY PRACTICE CONSORTIUM GPO, LLC","NY","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","33407","1740238906","Sanjay",,"Gupta",,"3980 Sheridan Drive",,"Amherst","NY","14226","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Psychiatry & Neurology|Neurology","753247447","2020",841.67,841.67,"Physician is employed at outpatient neurology practice that owns a percentage of the GPO","NEUROLOGY PRACTICE CONSORTIUM GPO, LLC","100000181755","NEUROLOGY PRACTICE CONSORTIUM GPO, LLC","NY","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","747147","1467765784","Anupama",,"Kale",,"3980 Sheridan Drive",,"Amherst","NY","14226","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Psychiatry & Neurology|Neurology","753247477","2020",6072.06,6072.06,"Physician is employed at outpatient neurology practice that owns a percentage of the GPO","NEUROLOGY PRACTICE CONSORTIUM GPO, LLC","100000181755","NEUROLOGY PRACTICE CONSORTIUM GPO, LLC","NY","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","40155","1902034531","Shivang",,"Joshi",,"3980 Sheridan Drive",,"Amherst","NY","14226","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Psychiatry & Neurology|Neurology","753248529","2020",9979.81,9979.81,"Physician is employed at outpatient neurology practice that owns a percentage of the GPO","NEUROLOGY PRACTICE CONSORTIUM GPO, LLC","100000181755","NEUROLOGY PRACTICE CONSORTIUM GPO, LLC","NY","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1388629","1477780054","Thomas",,"Pfiffner",,"3980 Sheridan Drive",,"Amherst","NY","14226","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Psychiatry & Neurology|Neurology","753254523","2020",11803.43,11803.43,"Physician is employed at outpatient neurology practice that owns a percentage of the GPO","NEUROLOGY PRACTICE CONSORTIUM GPO, LLC","100000181755","NEUROLOGY PRACTICE CONSORTIUM GPO, LLC","NY","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","270525","1952511297","Lawrence",,"Gulotta",,"954 Lexington Ave 166B",,"New York","NY","10021-5055","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","750804907","2020",0.00,25350.00,"Stock purchased by physician","Responsive Arthroscopy LLC","100000291807","Responsive Arthroscopy LLC","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","332866","1326154931","Frank",,"Norberg",,"6465 Wayzata Blvd","Suite 900","St Louis Park","MN","55426-1728","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","750804923","2020",50000.00,8262.13,"Stock purchased by physician","Responsive Arthroscopy LLC","100000291807","Responsive Arthroscopy LLC","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","32202","1700897162","Brian",,"O'Neill",,"4200 Dahlberg Dr Suite 300",,"Golden Valley","MN","55422-4840","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","750804943","2020",69474.00,21236.71,"Stock purchased by physician","Responsive Arthroscopy LLC","100000291807","Responsive Arthroscopy LLC","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","585884","1811968365","Corey",,"Wulf",,"4200 Dahlberg Dr Suite 300",,"Golden Valley","MN","55422-4840","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","750804961","2020",69474.00,21236.71,"Stock purchased by physician","Responsive Arthroscopy LLC","100000291807","Responsive Arthroscopy LLC","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","593454","1093738759","Randall",,"Lewis",,"4200 Dahlberg Drive Suite 300",,"Golden Valley","MN","55422-4840","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","750804973","2020",69474.00,10456.20,"Stock purchased by physician","Responsive Arthroscopy LLC","100000291807","Responsive Arthroscopy LLC","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1041871","1831205616","Loren",,"Vorlicky",,"6465 Wayzata Blvd","Suite 900","St Louis Park","MN","55426-1728","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","750805071","2020",69474.00,21236.71,"Stock purchased by physician","Responsive Arthroscopy LLC","100000291807","Responsive Arthroscopy LLC","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","252942","1568410454","Owen",,"O'Neill",,"4200 Dahlberg Dr Suite 300",,"Golden Valley","MN","55422-4840","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","750812949","2020",0.00,478833.28,"Stock purchased by physician","Responsive Arthroscopy LLC","100000291807","Responsive Arthroscopy LLC","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1250608","1184620858","Andrea",,"Saterbak",,"5803 Neal Ave N",,"Oak Park Heights","MN","55082-2177","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Sports Medicine","750819431","2020",20000.00,4882.13,"Stock purchased by physician","Responsive Arthroscopy LLC","100000291807","Responsive Arthroscopy LLC","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","157238","1477658771","Robert",,"Laprade",,"4200 Dahlberg Dr Ste 300",,"Golden Valley","MN","55422-4841","United States",,,"Medical Doctor",,"750819461","2020",219474.00,24727.40,"Stock purchased by physician.","Responsive Arthroscopy LLC","100000291807","Responsive Arthroscopy LLC","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","225787","1992710453","Frederick",,"St. Goar",,"2490 Hospital Dr",,"Mountain View","CA","94040","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Interventional Cardiology","750819475","2020",0.00,8405032.73,"Series A Preferred","HeartFlow, Inc.","100000136368","HeartFlow, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","225787","1992710453","Frederick",,"St. Goar",,"2490 Hospital Dr",,"Mountain View","CA","94040","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Interventional Cardiology","750819477","2020",958000.00,958000.00,"Common shares","HeartFlow, Inc.","100000136368","HeartFlow, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","477582","1003802026","Bertram",,"Zarins",,"6 Charles River Square",,"Boston","MA","02114","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Sports Medicine","750819479","2020",0.00,329312.10,"Seried D Preferred","HeartFlow, Inc.","100000136368","HeartFlow, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","576662","1497873350","George","C","Ellis",,"1185 Park Ave",,"New York","NY","10128","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Cardiovascular Disease","750819481","2020",0.00,408574.99,"Seried D Preferred","HeartFlow, Inc.","100000136368","HeartFlow, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","576662","1497873350","George","C","Ellis",,"1185 Park Ave",,"New York","NY","10128","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Cardiovascular Disease","750819483","2020",0.00,499997.09,"Seried E Preferred","HeartFlow, Inc.","100000136368","HeartFlow, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","477582","1003802026","Bertram",,"Zarins",,"6 Charles River Square",,"Boston","MA","02114","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Sports Medicine","750819485","2020",679978.82,799975.09,"Seried E Preferred","HeartFlow, Inc.","100000136368","HeartFlow, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","166272","1659454841","Babak",,"Barcohana",,"6815 Noble Ave",,"Van Nuys","CA","91405","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","752657607","2020",0.00,1000000.00,"Traditional pro rata ownership interest; no special terms","Prosidyan, Inc","100000071362","Prosidyan, Inc","NJ","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","56844","1255379939","Tooraj","T","Gravori",,"16311 Ventura Blvd","STE 1065","Encino","CA","91436","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","752657609","2020",0.00,733335.00,"Traditional pro rata ownership interest; no special terms","Prosidyan, Inc","100000071362","Prosidyan, Inc","NJ","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","341663","1518996859","Brian","S","Grossman",,"6815 Noble Ave",,"Van Nuys","CA","91405","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","752657611","2020",0.00,150000.00,"Traditional pro rata ownership interest; no special terms","Prosidyan, Inc","100000071362","Prosidyan, Inc","NJ","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","2632","1053369918","Harry","L","Shufflebarger",,"3100 SW 62nd Ave",,"Miami","FL","33155","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","752657613","2020",0.00,200000.00,"Traditional pro rata ownership interest; no special terms","Prosidyan, Inc","100000071362","Prosidyan, Inc","NJ","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","58059","1295725026","Tiffany",,"Rogers",,"3701 Skypark Dr","Suite 100","Torrnace","CA","90505","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","752657615","2020",0.00,250000.00,"Traditional pro rata ownership interest; no special terms","Prosidyan, Inc","100000071362","Prosidyan, Inc","NJ","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","855122","1265485155","Christopher",,"Ames",,"400 PARNASSUS AVE","3rd Floor","SAN FRANCISCO","CA","94143","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","752657617","2020",0.00,25000.00,"Traditional pro rata ownership interest; no special terms","Prosidyan, Inc","100000071362","Prosidyan, Inc","NJ","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","105603","1336193812","SIGURD",,"BERVEN",,"400 PARNASSUS AVE","3rd Floor","SAN FRANCISCO","CA","94143","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","752657619","2020",0.00,37500.00,"Traditional pro rata ownership interest; no special terms","Prosidyan, Inc","100000071362","Prosidyan, Inc","NJ","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","198950","1376653378","HARVINDER",,"SANDHU",,"535 E 70TH ST",,"NEW YORK","NY","10021","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","752657621","2020",0.00,75000.00,"Traditional pro rata ownership interest; no special terms","Prosidyan, Inc","100000071362","Prosidyan, Inc","NJ","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","275804","1083816193","SAFDAR","N","KHAN",,"543 TAYLOR AVE","1st Floor","COLUMBUS","OH","43203","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","752657623","2020",0.00,87500.00,"Traditional pro rata ownership interest; no special terms","Prosidyan, Inc","100000071362","Prosidyan, Inc","NJ","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","166272","1659454841","Babak",,"Barcohana",,"6815 Noble Ave",,"Van Nuys","CA","91405","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","752657625","2020",0.00,37500.00,"Traditional pro rata ownership interest; no special terms","Prosidyan, Inc","100000071362","Prosidyan, Inc","NJ","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","58656","1306848890","Brian",,"Kwon",,"125 Parker Hill Ave",,"Boston","MA","02120","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","752657627","2020",0.00,50000.00,"Traditional pro rata ownership interest; no special terms","Prosidyan, Inc","100000071362","Prosidyan, Inc","NJ","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","96386","1134247646","William",,"Lavelle",,"6620 Fly Road","Suite 200","East Syracuse","NY","13057","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","752657629","2020",0.00,50000.00,"Traditional pro rata ownership interest; no special terms","Prosidyan, Inc","100000071362","Prosidyan, Inc","NJ","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","180633","1962660175","Richard","Todd","Allen",,"200 W ARBOR DR",,"SAN DIEGO","CA","92103","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","752657631","2020",0.00,37500.00,"Traditional pro rata ownership interest; no special terms","Prosidyan, Inc","100000071362","Prosidyan, Inc","NJ","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","244279","1376572032","Edward",,"Chung",,"5210 Linton Boulevard",,"Del Ray","FL","33484","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","752657633","2020",0.00,37500.00,"Traditional pro rata ownership interest; no special terms","Prosidyan, Inc","100000071362","Prosidyan, Inc","NJ","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","83370","1831145937","Sanjay",,"Khurana",,"13160 MINDANAO WAY","SUITE 300","MARINA DEL REY","CA","90292","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","752657635","2020",250000.00,369393.00,"Traditional pro rata ownership interest; no special terms","Prosidyan, Inc","100000071362","Prosidyan, Inc","NJ","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","936134","1124065537","JOHN","A","VUKICH",,"10425 W NORTH AVE STE 140",,"WAUWATOSA","WI","53226","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","752951853","2020",24500.00,24500.00,"Fully Vested Options","RxSight Inc","100000676811","RxSight Inc","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","305603","1740259829","SHAMIK",,"BAFNA",,"2600 GREENBUSH STREET",,"LAFAYETTE","IN","47904","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","752951859","2020",0.00,24500.00,"Fully Vested Options","RxSight Inc","100000676811","RxSight Inc","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","130878","1871761577","JOHN","P","BERDAHL",,"3101 W 57TH ST",,"SIOUX FALLS","SD","57108","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","752951863","2020",0.00,24500.00,"Fully Vested Options","RxSight Inc","100000676811","RxSight Inc","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","59667","1316966138","DAVID","F","CHANG",,"762 ALTOS OAKS DR",,"LOS ALTOS","CA","94024","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","752951867","2020",0.00,2095833.00,"Options and Stock","RxSight Inc","100000676811","RxSight Inc","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","38206","1851384119","JOHN","F","DOANE",,"11500 GRANADA ST",,"LEAWOOD","KS","66211","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","752951871","2020",0.00,24500.00,"Fully Vested Options","RxSight Inc","100000676811","RxSight Inc","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","133252","1952305526","DANIEL","S","DURRIE",,"8300 COLLEGE BLVD STE 201",,"OVERLAND PARK","KS","66210","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","752951875","2020",0.00,9800.00,"Fully Vested Options","RxSight Inc","100000676811","RxSight Inc","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","356152","1851321277","JACK","T","HOLLADAY",,"6802 MAPLERIDGE ST","SUITE 200","BELLAIRE","TX","77401","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","752951879","2020",0.00,98000.00,"Fully Vested Options","RxSight Inc","100000676811","RxSight Inc","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","73016","1619910569","PAUL","M","KARPECKI",,"601 PERIMETER DR","SUITE 200","LEXINGTON","KY","40517","United States",,,"Medical Doctor","Eye and Vision Services Providers|Optometrist","752951883","2020",0.00,24500.00,"Fully Vested Options","RxSight Inc","100000676811","RxSight Inc","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","399612","1265588941","ROBERT","L","KRAMM",,"1281 S OCEAN DR",,"FT LAUDERDALE","FL","33316","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","752951885","2020",0.00,73500.00,"Partially vested options","RxSight Inc","100000676811","RxSight Inc","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","220521","1861432114","JAMES","D","LEHMANN","JR","4775 HAMILTON WOLFE RD STE 2",,"SAN ANTONIO","TX","78229","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","752951889","2020",0.00,24500.00,"Fully Vested Options","RxSight Inc","100000676811","RxSight Inc","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","169552","1740392901","DANIEL","M","SCHWARTZ",,"400 PARNASSUS AVE # 0344 #A-750",,"SAN FRANCISCO","CA","94143","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","752951891","2020",0.00,8796756.00,"Options and Stock","RxSight Inc","100000676811","RxSight Inc","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1340873","1942591839","OTIS","B","WALTON","IV","3900 ESSEX LN","STE 101","HOUSTON","TX","77027","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","752951895","2020",0.00,24500.00,"Fully Vested Options","RxSight Inc","100000676811","RxSight Inc","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","349209","1689687147","WILLIAM","F","WILEY",,"2740 CARNEGIE AVE",,"CLEVELAND","OH","44115","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","752951899","2020",0.00,24500.00,"Fully Vested Options","RxSight Inc","100000676811","RxSight Inc","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","287931","1356348452","MARGUERITE","B","MCDONALD",,"2860 LONG BEACH RD",,"OCEANSIDE","NY","11572","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","752951901","2020",0.00,76906.00,"Stock","RxSight Inc","100000676811","RxSight Inc","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","676710","1992863443","EDWARD","E","MANCHE",,"300 PASTEUR DR",,"STANFORD","CA","94305","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","752951905","2020",0.00,76906.00,"Stock","RxSight Inc","100000676811","RxSight Inc","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","269034","1922020270","ROBERT","K","MALONEY",,"10921 WILSHIRE BLVD","SUITE #900","LOS ANGELES","CA","90024","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","752951910","2020",0.00,2338430.00,"Stock","RxSight Inc","100000676811","RxSight Inc","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","249516","1518027366","DANIEL",,"PETERSON",,"801 W 38TH ST","SUITE 400","AUSTIN","TX","78705","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","752954515","2020",0.00,4098707.00,"Common Stock","Alafair Biosciences,Inc.","100000196813","Alafair Biosciences,Inc.","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","965617","1154406981","Joshua","O","Benditt",,"1959 NE PACIFIC ST",,"Seattle","WA","98195","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Pulmonary Disease","753280743","2020",0.00,64000.00,"$3,500.35 paid on Dec 9, 2020 to exercise 10,001 options & $10,499.65 paid on June 5, 2017 to exercise 29,999 options.","Ventec Life Systems, Inc.","100000826841","Ventec Life Systems, Inc.","WA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","332579","1336202118","Neil",,"MacIntyre",,"2100 ERWIN RD",,"DURHAM","NC","27710","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Critical Care Medicine","753281575","2020",0.00,9600.00,"$3,300 paid on Dec 17, 2020 to exercise 6,000 options","Ventec Life Systems, Inc.","100000826841","Ventec Life Systems, Inc.","WA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","773134","1396752481","Lewis",,"Rubinson",,"22 S GREENE ST",,"BALTIMORE","MD","21201","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Critical Care Medicine","753290265","2020",0.00,8000.00,"$2,750 paid on Dec 9, 2020 to exercise 5,000 options","Ventec Life Systems, Inc.","100000826841","Ventec Life Systems, Inc.","WA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","265014","1851334569","Dror",,"Paley",,"901 45th Street Kimmel Bldg",,"West Palm Beach","FL","33401","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","753290273","2020",150459.14,150459.14,"Common stock","Bionova Medical Inc","100000321811","Bionova Medical Inc","TN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","202887","1467557041","Jeff","A","Traub","MD","2801 N. Decautur Rd Suite 200",,"Decauter","GA","30033","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","753291767","2020",7981.25,7981.25,"common stock","Bionova Medical Inc","100000321811","Bionova Medical Inc","TN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","155546","1427153089","Maurice",,"Jove","MD","2801 N Decauter Rd Suite 200",,"Decauter","GA","30033","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","753291869","2020",7981.25,7981.25,"common stock","Bionova Medical Inc","100000321811","Bionova Medical Inc","TN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","154807","1407882921","David",,"Mayman",,"535 E 70th St",,"Bethelehem","NY","10021","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","753293855","2020",61999.96,61999.96,"Investment in Company","ORTHALIGN INC","100000010572","ORTHALIGN INC","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","151817","1356459093","Edwin",,"Su",,"535 E 70th Street",,"New York","NY","10021","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","753293857","2020",99999.93,99999.93,"Investment in Company","ORTHALIGN INC","100000010572","ORTHALIGN INC","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","171952","1780642884","William","D","Bugbee",,"10666 North Torrey Pines Rd",,"La Jolla","CA","92037","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Adult Reconstructive Orthopaedic Surgery","753293859","2020",27505.15,27505.15,"Investment in Company","ORTHALIGN INC","100000010572","ORTHALIGN INC","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","295991","1518937952","Eric","M","Heinrich",,"4611 Guadalupe St","#200","Austin","TX","78751","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","753293861","2020",49999.96,49999.96,"Investment in Company","ORTHALIGN INC","100000010572","ORTHALIGN INC","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","228895","1053400366","SRIDHAR",,"Durbhakula",,"10215 Fernwood Rd","Suite 506","Bethelehem","MD","20817","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","753293863","2020",108589.57,108589.57,"Investment in Company","ORTHALIGN INC","100000010572","ORTHALIGN INC","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","375467","1437123080","William","B","Lutes",,"10400 75th St",,"Kenosha","WI","53142","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","753293865","2020",283516.58,283516.85,"Investment in Company","ORTHALIGN INC","100000010572","ORTHALIGN INC","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","640313","1730184946","SURESH",,"NAYAK",,"7575 5 MILE RD",,"CINCINNATI","OH","45230","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","753293867","2020",19999.64,19999.64,"Investment in Company","ORTHALIGN INC","100000010572","ORTHALIGN INC","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","923994","1700033099","Bryan","C","Emmerson",,"5333 Hollister Ave","Ste 150","Santa Barbara","CA","93110","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","753293869","2020",20443.05,20443.05,"Investment in Company","ORTHALIGN INC","100000010572","ORTHALIGN INC","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","51582","1144425067","J",,"Mocco",,"3601 TVC",,"NASHVILLE","TN","37232","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","753298239","2020",0.00,92700.00,".","Imperative Care, Inc","100000521829","Imperative Care, Inc","CA","United States","No","Immediate family member","06/30/2023" "UNCHANGED","51582","1144425067","J",,"Mocco",,"3601 TVC",,"NASHVILLE","TN","37232","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","753298255","2020",0.00,3254915.70,".","Imperative Care, Inc","100000521829","Imperative Care, Inc","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","54250","1194717348","David",,"Brown",,"5167 Novajo Drive",,"Frisco","TX","75034","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Cardiovascular Disease","750819487","2020",0.00,151258.62,"Common shares","HeartFlow, Inc.","100000136368","HeartFlow, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","54250","1194717348","David",,"Brown",,"5167 Novajo Drive",,"Frisco","TX","75034","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Cardiovascular Disease","750819489","2020",0.00,699256.25,"Series A Preferred","HeartFlow, Inc.","100000136368","HeartFlow, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1169336","1285783472","Geoffrey",,"Rubin",,"6027 Old Field Dr",,"Chapel Hill","NC","27514","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Radiology|Diagnostic Radiology","750819491","2020",0.00,634675.00,"Common shares","HeartFlow, Inc.","100000136368","HeartFlow, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1147071","1528048584","MICHAEL","S","BERLIN",,"8733 BEVERLY BLVD","SUITE 301","WEST HOLLYWOOD","CA","90048-1800","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","750844765","2020",0.00,1053196.20,"Stock ownership","Ivantis, Inc","100000231809","Ivantis, Inc","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1055664","1326072539","Jocelyn",,"Chertoff",,"1 Medical Center Dr.- Department of Radiology",,"Lebanon","NH","03756","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Radiology|Diagnostic Radiology","750855719","2020",159975.00,337886.76,"Dollar Amount Invested = fair market value (FMV) on grant date of Deferred Stock Unit that vests after 1 year and is subject to deferred distribution. Vested DSUs are distributed upon earlier of (1) termination of service, (2) 3 years from grant date, (3) change in control, or (4) death. Value of Interest = FMV of all shares granted, whether vested or unvested, less shares sold. FMV determined by multiplying the number of shares by stock price on last trading day prior to end of reporting year.","Varex Imaging Corporation","100000196816","Varex Imaging Corporation","UT","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","201543","1447202049","Steven",,"Goldberg",,"5867 Whisperwood Ct",,"Naples","FL","34110","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","751146011","2020",100000.00,9219736.53,"Stock Ownership - Convertible Note $100,000","Catalyst OrthoScience","100000151617","Catalyst OrthoScience","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","925891","1750623328","Derace",,"Schaffer",,"1100 GRAND ISLE DR",,"Naples","FL","34108","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Radiology|Diagnostic Radiology","751146013","2020",300000.00,4130458.67,"Stock Ownership Convertible Note $300,000","Catalyst OrthoScience","100000151617","Catalyst OrthoScience","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","334910","1376599563","Marc",,"Goldberg",,"6 BRIGHTON RD","2ND FLOOR","Clifton","NJ","07012","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Rheumatology","751146015","2020",103212.00,593621.64,"Stock Ownership Convertible Note $103,212","Catalyst OrthoScience","100000151617","Catalyst OrthoScience","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","65891","1467514588","Keith",,"Johnson",,"6767 Lake Woodlands Drive","Suite F","The Woodlands","TX","77382","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Sports Medicine","751146017","2020",0.00,63654.26,"Stock Ownership","Catalyst OrthoScience","100000151617","Catalyst OrthoScience","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","174759","1841491396","Matthew",,"Kippe",,"535 Faunce Corner Rd",,"North Dartmouth","MA","02747","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Sports Medicine","751146079","2020",15000.00,97318.53,"Stock Ownership Convertible Note $15,000","Catalyst OrthoScience","100000151617","Catalyst OrthoScience","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","318929","1043292964","J Michael",,"Wiater",,"17877 W 14 Mile Rd",,"Beverly Hills","MI","48025","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","751146081","2020",0.00,187290.41,"Stock Ownership","Catalyst OrthoScience","100000151617","Catalyst OrthoScience","FL","United States","No","Immediate family member","06/30/2023" "UNCHANGED","687461","1376576421","Theodore",,"Blaine",,"800 Howard Ave",,"New Haven","CT","06519","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","751146087","2020",50000.00,195977.88,"Stock Ownership Convertible Note $50,000","Catalyst OrthoScience","100000151617","Catalyst OrthoScience","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","96211","1134138027","Rolando",,"Izquierdo",,"750 E Terra Cotta Ave",,"Crystal Lake","IL","60014","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","751146091","2020",0.00,63654.26,"Stock Ownership","Catalyst OrthoScience","100000151617","Catalyst OrthoScience","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","25067","1558326538","Henry",,"Biggs",,"1250 Pine Ridge Rd","#203","Naples","FL","34108","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Adult Reconstructive Orthopaedic Surgery","751146095","2020",0.00,51005.01,"Stock Ownership","Catalyst OrthoScience","100000151617","Catalyst OrthoScience","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","74209","1649353947","Jeffrey",,"Larson",,"3320 N GRAND MILL LN",,"COEUR D ALENE","ID","83814","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","752657637","2020",0.00,62500.00,"Traditional pro rata ownership interest; no special terms","Prosidyan, Inc","100000071362","Prosidyan, Inc","NJ","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","122045","1699704023","Wayne",,"Cheng",,"11370 ANDERSON ST","SUITE 1500","LOMA LINDA","CA","92354","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","752657639","2020",0.00,50000.00,"Traditional pro rata ownership interest; no special terms","Prosidyan, Inc","100000071362","Prosidyan, Inc","NJ","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","426693","1225291842","Luke",,"Macyszyn",,"5767 W CENTURY BLVD","SUITE 400","LOS ANGELES","CA","90045","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","752657641","2020",1250.00,1250.00,"Traditional pro rata ownership interest; no special terms","Prosidyan, Inc","100000071362","Prosidyan, Inc","NJ","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1371983","1972814069","Amandeep",,"Bhalla",,"3610 LONG BEACH BLVD","SUITE 202","LONG BEACH","CA","90807","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","752657643","2020",550000.00,550000.00,"Traditional pro rata ownership interest; no special terms","Prosidyan, Inc","100000071362","Prosidyan, Inc","NJ","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","272590","1013002625","Sarbpaul","S","Bhalla",,"3610 LONG BEACH BLVD","SUITE 202","LONG BEACH","CA","90807","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","752657645","2020",225000.00,225000.00,"Traditional pro rata ownership interest; no special terms","Prosidyan, Inc","100000071362","Prosidyan, Inc","NJ","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","298135","1568503472","Fatima",,"Garcia-Fedorowicz",,"84 Pearl St",,"Stoughton","MA","02072","United States",,,"Doctor of Optometry","Eye and Vision Services Providers|Optometrist","752657687","2020",0.00,44362.50,"Common Stock","Cardiosolutions, Inc.","100000000125","Cardiosolutions, Inc.","MA","United States","No","Immediate family member","06/30/2023" "UNCHANGED","283524","1255432266","Richard",,"Saxon",,"3156 Vista Way",,"Oceanside","CA","92056","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Radiology|Vascular & Interventional Radiology","752657737","2020",15000.00,769.32,"9% per year on $15,000 investment up until conversion to preferred shares.","Transit Scientific, LLC","100000826823","Transit Scientific, LLC","UT","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","264778","1831174523","James",,"Tibone",,"1520 San Pablo St",,"Los Angeles","CA","90033","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Sports Medicine","752657863","2020",0.00,25000.00,"Preferred Stock","Cardiosolutions, Inc.","100000000125","Cardiosolutions, Inc.","MA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","215154","1760441760","James",,"McGuckin",,"3450 HIGH POINT BLVD",,"BETHLEHEM","PA","18017","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Radiology|Vascular & Interventional Radiology","752658831","2020",375000.00,19658.22,"9% interest per year up until conversion to preferred shares.","Transit Scientific, LLC","100000826823","Transit Scientific, LLC","UT","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","251038","1548267529","Craig",,"Walker",,"225 Dunn St",,"Houma","LA","70360","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Interventional Cardiology","752659023","2020",0.00,53900.00,"Preferred & Common Stock","Cardiosolutions, Inc.","100000000125","Cardiosolutions, Inc.","MA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","24482","1538149950","Denis",,"Patterson",,"5578 Longley Lane",,"Reno","NV","89511-1825","United States",,,"Doctor of Osteopathy","Allopathic & Osteopathic Physicians|Physical Medicine & Rehabilitation","752663305","2020",63500.00,63500.00,"Exchanged value of consulting hours for equity per written agreement at fair market value for both the labor and equity.","Foundation Fusion Solutions, LLC","100000316827","Foundation Fusion Solutions, LLC","OK","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","125804","1760489728","David",,"Allie",,"2730 Ambassador Caffery Pkwy","Suite 202A","Lafayette","LA","70506","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Thoracic Surgery (Cardiothoracic Vascular Surgery)","752667519","2020",0.00,650.00,"Common Stock","Cardiosolutions, Inc.","100000000125","Cardiosolutions, Inc.","MA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","39400","1861424210","Timothy",,"Deer",,"400 COURT ST STE 100",,"CHARLESTON","WV","25301","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Pain Medicine|Interventional Pain Medicine","752668451","2020",15400.00,15400.00,"Exchanged value of consulting hours for equity per written agreement at fair market value for both the labor and equity.","Foundation Fusion Solutions, LLC","100000316827","Foundation Fusion Solutions, LLC","OK","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","48946","1083695779","John",,"Bookwalter",,"19 Belmont Aveq",,"Brattleboro","VT","05301","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Surgery","752693915","2020",0.00,1950.00,"Common Stock","Cardiosolutions, Inc.","100000000125","Cardiosolutions, Inc.","MA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","249516","1518027366","DANIEL",,"PETERSON",,"801 W 38TH ST","SUITE 400","AUSTIN","TX","78705","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","752968289","2020",0.00,318886.00,"Preferred Stock","Alafair Biosciences,Inc.","100000196813","Alafair Biosciences,Inc.","TX","United States","No","Immediate family member","06/30/2023" "UNCHANGED","249516","1518027366","DANIEL",,"PETERSON",,"801 W 38TH ST","SUITE 400","AUSTIN","TX","78705","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","752968327","2020",0.00,110393.00,"Preferred Stock","Alafair Biosciences,Inc.","100000196813","Alafair Biosciences,Inc.","TX","United States","No","Immediate family member","06/30/2023" "UNCHANGED","277172","1114945540","Paul",,"Santiago",,"660 S Euclid Ave. C B 8057",,"Saint Louis","MO","63110","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","752980275","2020",70000.00,522386.00,"3D Spine - Paul Santiago","CoreLink, LLC","100000011004","CoreLink, LLC","MO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","199675","1396763728","Todd",,"Stewart",,"4921 Parkview Pl.",,"Saint Louis","MO","63010","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","752980317","2020",70000.00,522386.00,"3D Spine - Todd Stewart Family","CoreLink, LLC","100000011004","CoreLink, LLC","MO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","163925","1629020292","RICARDO","R","GONZALEZ",,"6560 FANNIN ST STE 2100",,"HOUSTON","TX","77030","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","752980605","2020",0.00,124445.63,"Preferred Stock","PROCEPT BioRobotics Corporation","100000291810","PROCEPT BioRobotics Corporation","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","356052","1851349609","EDWARD",,"KARPMAN",,"2490 HOSPITAL DR","SUITE 210","MOUNTAIN VIEW","CA","94040-4122","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","752980607","2020",0.00,105540.09,"Common Stock; Preferred Stock and warrants to purchase Preferred Stock","PROCEPT BioRobotics Corporation","100000291810","PROCEPT BioRobotics Corporation","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","118707","1619012762","JAMES",,"NEWMAN",,"1795 EL CAMINO REAL","SUITE 200","PALO ALTO","CA","94306-1164","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Plastic Surgery","752980609","2020",10095.45,685585.98,"Preferred Stock and Warrants to purchase Preferred Stock","PROCEPT BioRobotics Corporation","100000291810","PROCEPT BioRobotics Corporation","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1313865","1700284023","RODNEY",,"PERKINS",,"2995 WOODSIDE RD","SUITE 100","WOODSIDE","CA","94062-2443","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Otolaryngology|Otology & Neurotology","752980611","2020",0.00,3466857.02,"Common Stock and Preferred Stock (excluding options)","PROCEPT BioRobotics Corporation","100000291810","PROCEPT BioRobotics Corporation","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","286115","1306286851","FREDERIC","H","MOLL",,"275 SHORELINE DR STE 100",,"REDWOOD CITY","CA","94065-1412","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|General Practice","752980615","2020",300000.34,2045681.08,"Preferred Stock and Warrants to purchase Preferred Stock (excluding options)","PROCEPT BioRobotics Corporation","100000291810","PROCEPT BioRobotics Corporation","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","2781396","1922140235","THOMAS","MURRAY","KRUMMEL",,"701B WELCH ROAD","SUITE 225","PALO ALTO","CA","94304","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Surgery|Pediatric Surgery","752980617","2020",0.00,333753.15,"Common Stock and Preferred Stock","PROCEPT BioRobotics Corporation","100000291810","PROCEPT BioRobotics Corporation","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","194331","1285854299","THOMAS","JAMES","FOGARTY",,"3270 ALPINE ROAD",,"PORTOLA VALLEY","CA","94028","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Thoracic Surgery (Cardiothoracic Vascular Surgery)","752980621","2020",17999.54,653575.78,"Preferred Stock and Warrants to purchase Preferred Stock","PROCEPT BioRobotics Corporation","100000291810","PROCEPT BioRobotics Corporation","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","269541","1942494349","HENRY","F.","LENARTZ",,"880 MERIDIAN BAY LN","SUITE #119","FOSTER CITY","CA","94404-4037","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","752980627","2020",0.00,352943.68,"Preferred Stock","PROCEPT BioRobotics Corporation","100000291810","PROCEPT BioRobotics Corporation","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","511163","1194062653","WILLIAM","K","MCGARVEY",,"1816 WOOD VALLEY DR",,"CARMEL","IN","46032-3561","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Otolaryngology","752980629","2020",0.00,47058.72,"Preferred Stock","PROCEPT BioRobotics Corporation","100000291810","PROCEPT BioRobotics Corporation","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","802335","1427059377","Jeffrey",,"Baron",,"6466 E Santa Aurelia",,"Tucson","AZ","85715","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","753003065","2020",35000.00,95559.00,"Investment value is residual value of entity at year end.","SYNERGY PRODUCTS LLC","100000005506","SYNERGY PRODUCTS LLC","AZ","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","40739","1891771440","Tim",,"Fischell",,"1722 Shaffer Street","Suite 1","Kalamazoo","MI","49048","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Interventional Cardiology","753298291","2020",36681.40,36681.40,"262,010 shares @ $0.17 per share. Most Recent Valuation = $0.17 per share.","Ablative Solutions, Inc.","100000076383","Ablative Solutions, Inc.","MA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","590236","1982762282","Suzanne","M","Miller",,"2115 1/2 O ST NW",,"WASHINGTON","DC","20037","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Emergency Medicine","753306835","2020",0.00,243820.80,"Dividend payment for152,388 shares","Ventec Life Systems, Inc.","100000826841","Ventec Life Systems, Inc.","WA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1077054","1073591228","ALVARO",,"PASCUAL-LEONE",,"210 Bear Hill Rd",,"Waltham","MA","02451","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Psychiatry & Neurology|Neurology","753803887","2020",0.00,10405.95,"Dr. Pascual-Leone is a co-founder of Linus Health, Inc and has equity interest valued at 10,405.95 as of 12/31/2020.","Linus Health, Inc.","100000911824","Linus Health, Inc.","MA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","286115","1306286851","FREDERIC","H","MOLL",,"275 SHORELINE DRIVE","Ste 100","REDWOOD CITY","CA","94065","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","753903507","2020",499999.86,499999.86,"$499,999.86 Total Paid; $1.91 Per Share","RefleXion Medical, Inc.","100000826839","RefleXion Medical, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","284494","1275669988","SANJIV",,"GAMBHIR",,"300 PASTEUR DR",,"STANFORD","CA","94305","United States",,,"Doctor of Osteopathy","Allopathic & Osteopathic Physicians|Ophthalmology","753910445","2020",144621.95,176388.50,"$92,350 Total Paid; $0.34 Per Share","RefleXion Medical, Inc.","100000826839","RefleXion Medical, Inc.","CA","United States","No","Immediate family member","06/30/2023" "UNCHANGED","664361","1578510749","RALPH",,"WEICHSELBAUM",,"5758 S MARYLAND AVE MC9006",,"CHICAGO","IL","60637","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","753910447","2020",24937.30,30414.84,"$5,477.54 Total Paid; $0.34 Per Share","RefleXion Medical, Inc.","100000826839","RefleXion Medical, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","664361","1578510749","RALPH",,"WEICHSELBAUM",,"5758 S MARYLAND AVE MC9006",,"CHICAGO","IL","60637","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","753910449","2020",19260.45,44260.43,"$24,999.98 Total Paid; $1.08 Per Share","RefleXion Medical, Inc.","100000826839","RefleXion Medical, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","664361","1578510749","RALPH",,"WEICHSELBAUM",,"5758 S MARYLAND AVE MC9006",,"CHICAGO","IL","60637","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","753910451","2020",19260.45,44260.43,"$24,999.98 Total Paid; $1.08 Per Share","RefleXion Medical, Inc.","100000826839","RefleXion Medical, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","230760","1083658926","Stephen",,"Schroeder",,"14811 SE Northshore Cir",,"Vancouver","WA","98683","United States",,,"Doctor of Podiatric Medicine","Podiatric Medicine & Surgery Service Providers|Podiatrist","753988992","2020",25000.00,25000.00,"Private Placement","Gramercy Extremity Orthopedics LLC","100000196819","Gramercy Extremity Orthopedics LLC","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","8005","1174725626","Rahim",,"Rahman",,"18 Grace Dr.",,"Powell","OH","43065","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Anesthesiology|Addiction Medicine","753993266","2020",25000.00,25000.00,"Private Placement","Gramercy Extremity Orthopedics LLC","100000196819","Gramercy Extremity Orthopedics LLC","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","4216445","1588084362","Stephen",,"Lazaroff",,"714 Chase pkwy",,"waterbury","CT","06708","United States",,,"Doctor of Podiatric Medicine","Podiatric Medicine & Surgery Service Providers|Podiatrist","753993268","2020",50000.00,50000.00,"Private Placement","Gramercy Extremity Orthopedics LLC","100000196819","Gramercy Extremity Orthopedics LLC","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","272005","1992834337","Jonathan",,"Sharpe",,"1679 S. Green Rd.",,"South Eucid","OH","44121","United States",,,"Doctor of Podiatric Medicine","Podiatric Medicine & Surgery Service Providers|Podiatrist|Foot & Ankle Surgery","753993270","2020",25000.00,25000.00,"Private Placement Investment","Gramercy Extremity Orthopedics LLC","100000196819","Gramercy Extremity Orthopedics LLC","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","159939","1518950203","Gregory",,"Berlet",,"350 W. Wilson Bridge Rd.",,"Worthington","OH","43085","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Foot and Ankle Surgery","753993272","2020",100000.00,100000.00,"Private Placement Investment","Gramercy Extremity Orthopedics LLC","100000196819","Gramercy Extremity Orthopedics LLC","TX","United States","No","Immediate family member","06/30/2023" "UNCHANGED","321186","1083727556","James",,"DeJesus",,"1183 New Haven Rd.",,"Naugatuck","CT","06770","United States",,,"Doctor of Podiatric Medicine","Podiatric Medicine & Surgery Service Providers|Podiatrist|Foot & Ankle Surgery","753993274","2020",25000.00,25000.00,"Private Placement Investment","Gramercy Extremity Orthopedics LLC","100000196819","Gramercy Extremity Orthopedics LLC","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","374047","1376754671","Raymond",,"Greiwe",,"560 S Loop Rd",,"Edgewood","KY","41017","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","751146099","2020",0.00,35907.53,"Stock Ownership","Catalyst OrthoScience","100000151617","Catalyst OrthoScience","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","214540","1740285584","Kevin",,"Setter",,"6620 Fly Rd","#100","East Syracuse","NY","13057","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Hand Surgery","751146169","2020",0.00,31827.13,"Stock Ownership","Catalyst OrthoScience","100000151617","Catalyst OrthoScience","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","165902","1669445243","Walter",,"Stanwood",,"95 Tremont St","#1","Duxbury","MA","02332","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neuromusculoskeletal Medicine, Sports Medicine","751146175","2020",0.00,31011.05,"Stock Ownership","Catalyst OrthoScience","100000151617","Catalyst OrthoScience","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","159867","1518976174","Lee",,"Kaback",,"121 EVERETT RD",,"Albany","NY","12205","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","751146183","2020",10000.00,38950.75,"Stock Ownership - Convertible Note $10,000","Catalyst OrthoScience","100000151617","Catalyst OrthoScience","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1210177","1740476191","Robert",,"Fullick",,"55 FRUIT STREET",,"Boston","MA","02114","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","751146193","2020",0.00,18361.80,"Stock Ownership","Catalyst OrthoScience","100000151617","Catalyst OrthoScience","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","87286","1922049956","Timothy",,"Reish",,"260 E 66TH ST","4TH FLOOR","New York","NY","10065","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","751146199","2020",0.00,18361.80,"Stock Ownership","Catalyst OrthoScience","100000151617","Catalyst OrthoScience","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","105420","1316900509","Anand",,"Murthi",,"2200 Kernan Dr","Suite 1154","Baltimore","MD","21270","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","751146203","2020",0.00,18361.80,"Stock Ownership","Catalyst OrthoScience","100000151617","Catalyst OrthoScience","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","334550","1386746675","Sean",,"Bak",,"23874 KEAN ST",,"Dearborn","MI","48124","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","751146207","2020",0.00,51821.09,"Stock Ownership","Catalyst OrthoScience","100000151617","Catalyst OrthoScience","FL","United States","No","Immediate family member","06/30/2023" "UNCHANGED","273880","1033192570","Mark",,"Rubin",,"9776 BONITA BEACH RD SE","#201A","Bonita Springs","FL","34135","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Hematology & Oncology","751146215","2020",300000.00,1096666.96,"Stock Ownership Convertible Note $300,000","Catalyst OrthoScience","100000151617","Catalyst OrthoScience","FL","United States","No","Immediate family member","06/30/2023" "UNCHANGED","325053","1154432714","Brett",,"Wiater",,"17877 W 14 MILE RD",,"Beverly Hills","MI","48025","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","751146219","2020",0.00,102418.07,"Stock Ownership","Catalyst OrthoScience","100000151617","Catalyst OrthoScience","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","82615","1811940042","Martin",,"Kaback",,"1240 NEW SCOTLAND RD","SUITE 201","SLINGERLANDS","NY","12159","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","751146223","2020",0.00,10201.00,"Stock Ownership","Catalyst OrthoScience","100000151617","Catalyst OrthoScience","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","88227","1942260021","Michael",,"Wolohan",,"5483 GRATIOT RD",,"Saginaw","MI","48638","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","751146227","2020",100000.00,462831.64,"Stock Ownership Convertible Note $100,000","Catalyst OrthoScience","100000151617","Catalyst OrthoScience","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","911141","1255331963","David",,"Baxendale",,"3625 UNIVERSITY BLVD S",,"Jacksonville","FL","32216","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Anesthesiology","751146233","2020",0.00,50188.93,"Stock Ownership","Catalyst OrthoScience","100000151617","Catalyst OrthoScience","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1090285","1538288337","David",,"Wang",,"2801 K ST","Suite 310","Sacramento","CA","95816","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","751146255","2020",50000.00,202186.16,"Stock Ownership - Convertible Note $50,000","Catalyst OrthoScience","100000151617","Catalyst OrthoScience","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","312144","1881692077","Dirk",,"Bakker",,"1445 SHELDON RD MI","SUITE G1","GRAND HAVEN","MI","49417","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","751146259","2020",0.00,50596.97,"Stock Ownership","Catalyst OrthoScience","100000151617","Catalyst OrthoScience","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","208118","1609006279","William",,"Kesto",,"26750 PROVIDENCE PKWY","STE 200","Novi","MI","48374","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Sports Medicine","751146267","2020",0.00,50188.93,"Stock Ownership","Catalyst OrthoScience","100000151617","Catalyst OrthoScience","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","77808","1720272800","Steven",,"Falowski",,"701 OSTRUM ST SUITE 302",,"Fountain Hill","PA","18015","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","752697355","2020",27000.00,27000.00,"Exchanged value of consulting hours for equity per written agreement at fair market value for both the labor and equity.","Foundation Fusion Solutions, LLC","100000316827","Foundation Fusion Solutions, LLC","OK","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","109692","1437156429","Peter",,"Fail",,"225 Dunn St",,"Houma","LA","70360","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Interventional Cardiology","752704879","2020",0.00,1300.00,"Common Stock","Cardiosolutions, Inc.","100000000125","Cardiosolutions, Inc.","MA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","354956","1811976533","Robert",,"Gannan",,"1135 116th Ave NE 560",,"Bellevue","WA","98004","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Gastroenterology","752704919","2020",0.00,1300.00,"Common Stock","Cardiosolutions, Inc.","100000000125","Cardiosolutions, Inc.","MA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","64065","1407891781","Anthony",,"Miniaci",,"9500 Euclid Ave",,"Cleveland","OH","44195","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","752705517","2020",0.00,325.00,"Common Stock","Cardiosolutions, Inc.","100000000125","Cardiosolutions, Inc.","MA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","92005","1043288160","Charles",,"Monier","Jr.","602 N Acadia Rd","Suite 101","Thibodaux","LA","70301","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Gastroenterology","752705593","2020",0.00,650.00,"Common Stock","Cardiosolutions, Inc.","100000000125","Cardiosolutions, Inc.","MA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","191494","1235108119","Louis",,"Keppler",,"6701 Rockside Road","Suite 200","Independence","OH","44131","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","752706067","2020",0.00,15000.00,"Class A Member","Back 2 Basics Direct, LLC","100000216810","Back 2 Basics Direct, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","266301","1861459588","Lars",,"Svensson",,"9500 Euclid Ave",,"Cleveland","OH","44195","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Thoracic Surgery (Cardiothoracic Vascular Surgery)","752717401","2020",0.00,20800.00,"Common Stock","Cardiosolutions, Inc.","100000000125","Cardiosolutions, Inc.","MA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","900328","1861574196","Scot","D.","Miller",,"3975 Embassy Pkwy",,"Akron","OH","44333","United States",,,"Doctor of Osteopathy","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","752717407","2020",0.00,15000.00,"Class A Member","Back 2 Basics Direct, LLC","100000216810","Back 2 Basics Direct, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","283049","1245273952","James",,"Schipani",,"One Snow Road",,"Marshfield","MA","02050","United States",,,"Medical Doctor","Dental Providers|Dentist","752717445","2020",0.00,25000.00,"Preferred Stock","Cardiosolutions, Inc.","100000000125","Cardiosolutions, Inc.","MA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","266944","1881602795","Naveed",,"Yousuf",,"1960 Mendon Road",,"Cumberland","RI","02864","United States",,,"Doctor of Dentistry","Dental Providers|Dentist","752723057","2020",0.00,25000.00,"Preferred Stock","Cardiosolutions, Inc.","100000000125","Cardiosolutions, Inc.","MA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","71570","1588712111","Steven",,"Struhl",,"57 W 57th Street","Suite 1406","New York","NY","10019-2802","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Sports Medicine","752725379","2020",100000.00,100000.00,"Convertible Note Investment","IntraVu Inc.","100000311807","IntraVu Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","111523","1457403834","Daniel",,"Allison",,"13351 RIVERSIDE DR","#615","Sherman Oaks","CA","91423-2542","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","752728233","2020",0.00,2100.00,"NSO Grant","IntraVu Inc.","100000311807","IntraVu Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","218677","1811105943","Igor","Johan","Barani",,"350 W THOMAS RD",,"PHOENIX","AZ","85013","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Radiology|Radiation Oncology","752748165","2020",17999.28,87566.67,"The physician was granted stock options for a consulting agreement he entered with the reporting entity.","Zap Surgical Systems, Inc.","100000741812","Zap Surgical Systems, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","71897","1588629893","William",,"Peaco*ck",,"6000 W Creek Rd","Suite 10","Independence","OH","44131","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Emergency Medicine","752758491","2020",0.00,12915.00,"Stock Options","Genetesis, Inc.","100000806826","Genetesis, Inc.","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","49606","1104871565","Margarita",,"Pena",,"18161 W 13 Mile Rd","Suite A-2","Southfield","MI","48076","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Emergency Medicine","752781839","2020",0.00,9686.25,"Stock Options","Genetesis, Inc.","100000806826","Genetesis, Inc.","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","795711","1194727578","Gerard",,"Jeong",,"6162 North Placita Pajaro",,"Tucson","AZ","85718","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","753003085","2020",35000.00,95559.00,"Investment value is residual value of entity at year end.","SYNERGY PRODUCTS LLC","100000005506","SYNERGY PRODUCTS LLC","AZ","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","26955","1609877596","Stephen",,"Curtin",,"5810 North Moccasin Trail",,"Tucson","AZ","85750","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","753003115","2020",35000.00,95559.00,"Investment value is residual value of entity at year end.","SYNERGY PRODUCTS LLC","100000005506","SYNERGY PRODUCTS LLC","AZ","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1107192","1124195417","Abraham",,"Scheer",,"1 W Elm St","Ste 100","Conshohocken","PA","19428-4108","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Psychiatry & Neurology|Psychiatry","753029857","2020",8750.00,43750.00,"Common Shares","Milestone Scientific Inc.","100000196807","Milestone Scientific Inc.","NJ","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","274672","1053318519","ANDREW",,"CAPPUCCINO",,"46 DAVISON CT",,"LOCKPORT","NY","14094-5370","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|General Practice","753033363","2020",0.00,340168.07,"Equity","Centinel Spine, LLC","100000010394","Centinel Spine, LLC","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","57596","1265476386","RICHARD",,"BALDERSTON",,"601 WALNUT ST","SUITE L50","PHILADELPHIA","PA","19106-3323","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","753033365","2020",0.00,500000.00,"Equity","Centinel Spine, LLC","100000010394","Centinel Spine, LLC","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","18118","1386910073","MAGDY",,"OSMAN",,"75 HAIL KNOB RD",,"SOMERSET","KY","42503-3434","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","753033375","2020",0.00,750000.00,"Equity","Centinel Spine, LLC","100000010394","Centinel Spine, LLC","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","131301","1891752176","JOHN",,"ANSON",,"8530 W SUNSET RD","SUITE 250","LAS VEGAS","NV","89113-2224","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","753033377","2020",0.00,524455.00,"Equity","Centinel Spine, LLC","100000010394","Centinel Spine, LLC","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","276426","1104853795","JACK",,"ZIGLER",,"6020 W PARKER RD","SUITE 200","PLANO","TX","75093-8171","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","753033379","2020",0.00,150000.00,"Equity","Centinel Spine, LLC","100000010394","Centinel Spine, LLC","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","98909","1174567721","RICHARD",,"GUYER",,"6020 W PARKER RD",,"PLANO","TX","75093-8171","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","753033381","2020",0.00,100000.00,"Equity","Centinel Spine, LLC","100000010394","Centinel Spine, LLC","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","41043","1912946831","SCOTT",,"BLUMENTHAL",,"6020 W PARKER RD","SUITE 200","PLANO","TX","75093-8171","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","753033383","2020",0.00,50000.00,"Equity","Centinel Spine, LLC","100000010394","Centinel Spine, LLC","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","253902","1609816479","FABIEN",,"BITAN",,"215 EAST 77TH STREET","GROUND LEVEL","NEW YORK","NY","10075-1851","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","753033385","2020",0.00,100000.00,"Equity","Centinel Spine, LLC","100000010394","Centinel Spine, LLC","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","66351","1457316374","Behrooz","A","Akbarnia",,"4130 La Jolla Village Dr","Suite 300","La Jolla","CA","92037-9121","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","753033523","2020",99999.90,99999.90,"Preferred Stock","Viseon, Inc.","100000826852","Viseon, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","51582","1144425067","J","Duffy","Mocco",,"3601 Tvc",,"Nashville","TN","37232-0001","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","753033525","2020",215192.16,215192.16,"Preferred Stock","Viseon, Inc.","100000826852","Viseon, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","51582","1144425067","J","Duffy","Mocco",,"3601 Tvc",,"Nashville","TN","37232-0001","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","753033527","2020",135000.00,135000.00,"Preferred Stock","Viseon, Inc.","100000826852","Viseon, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","900500","1871768556","Gabriel",,"Zada",,"Po Box 31309",,"Los Angeles","CA","90031-0309","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","753033529","2020",61560.00,61560.00,"Preferred Stock","Viseon, Inc.","100000826852","Viseon, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","900500","1871768556","Gabriel",,"Zada",,"Po Box 31309",,"Los Angeles","CA","90031-0309","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","753033531","2020",500000.40,500000.40,"Preferred Stock","Viseon, Inc.","100000826852","Viseon, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","234481","1184687147","Jeffrey",,"Recknagel",,"1400 MERCY DR.",,"MUSKEGON","MI","49444","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","753311169","2020",200000.00,406240.31,"Stock Ownership Convertible Note $200,000","Catalyst OrthoScience","100000151617","Catalyst OrthoScience","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","379870","1588738181","Gary",,"Heit",,"1150 VETERANS BLVD",,"Redwood City","CA","94063","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","753315671","2020",1400.00,11200.00,"Owner of common stock","Nalu Medical, Inc.","100000826844","Nalu Medical, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","795703","1194714774","Jeffrey",,"Tiede",,"3551 ROGER BROOKE DR",,"FORT SAM HOUSTON","TX","78234","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Anesthesiology|Pain Medicine","753315673","2020",700.00,5600.00,"Owner of common stock","Nalu Medical, Inc.","100000826844","Nalu Medical, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","165984","1669548640","Christopher",,"Summa",,"3035 N. MAIN STREET",,"SOQUEL","CA","95073","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","753315675","2020",1400.00,11200.00,"Owner of common stock","Nalu Medical, Inc.","100000826844","Nalu Medical, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1178031","1629133350","Stephen",,"Schendel",,"770 WELCH RD","SUITE 400","PALO ALTO","CA","94304","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Plastic Surgery","753315679","2020",175.00,1400.00,"Owner of common stock","Nalu Medical, Inc.","100000826844","Nalu Medical, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","265014","1851334569","Dror",,"Paley","MD","901 45th Street Kimmel Building",,"West Palm Beach","FL","33401","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","753318075","2020",0.00,35000.00,"common stock","Devise Ortho Inc","100000321810","Devise Ortho Inc","TN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","578918","1588606420","Edward",,"Vresilovic",,"1160 Manheim Pike",,"Lancaster","PA","17601","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","753332657","2020",500000.00,500000.00,"Promissory note","Philadelphia Medical Management Company LLC","100000361811","Philadelphia Medical Management Company LLC","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","906347","1083735401","Salvatore",,"Grimaldi",,"927 45th Street","Suite 101","West Palm Beach","FL","33407","United States",,,"Doctor of Osteopathy","Allopathic & Osteopathic Physicians|Otolaryngology|Facial Plastic Surgery","753332659","2020",300000.00,300000.00,"Promissory note","Philadelphia Medical Management Company LLC","100000361811","Philadelphia Medical Management Company LLC","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","269206","1922041128","Gary",,"Schmidt",,"1307 Federal Street","Suite 2","Pittsburgh","PA","15212","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","753332661","2020",250000.00,250000.00,"Promissory note","Philadelphia Medical Management Company LLC","100000361811","Philadelphia Medical Management Company LLC","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1301972","1134168982","SARBJEET","Singh","KUMAR","MD","2923 Old Hwy 31 South",,"Springfield","TN","37172","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Surgery","753381645","2020",0.00,907395.00,"Founder Owner","Nashville Surgical Instruments LLC","100000046283","Nashville Surgical Instruments LLC","TN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","257384","1679692008","Joseph",,"Ferro",,"1 Johnson Johnson Plaza","WH5G32","New Brunswick","NJ","08933","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine","753457957","2020",0.00,163575.00,"Series C Preferred Shares","SPR Therapeutics, Inc","100000151627","SPR Therapeutics, Inc","OH","United States","No","Immediate family member","06/30/2023" "UNCHANGED","230088","1063463099","Dharam",,"Mann",,"1100 Route 70",,"Whiting","NJ","08759","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|General Practice","753457959","2020",0.00,5842091.00,"Series C and C-1 Preferred Shares","SPR Therapeutics, Inc","100000151627","SPR Therapeutics, Inc","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","913090","1326098351","Scott",,"Woska",,"35 S Gilbert St",,"Tinton Falls","NJ","07701","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Physical Medicine & Rehabilitation","753457961","2020",0.00,5842091.00,"Series C and C-1 Preferred Shares","SPR Therapeutics, Inc","100000151627","SPR Therapeutics, Inc","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","272272","1003809484","Keith",,"Berend",,"7277 Smith's Mill Road","Suite 200","New Albany","OH","43054","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Adult Reconstructive Orthopaedic Surgery","753457963","2020",0.00,301906.00,"Series C Preferred Shares","SPR Therapeutics, Inc","100000151627","SPR Therapeutics, Inc","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","259334","1700879186","Adolph",,"Lombardi",,"7277 Smith's Mill Road","Suite 200","New Albany","OH","43054","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Adult Reconstructive Orthopaedic Surgery","753457965","2020",0.00,301906.00,"Series C Preferred Shares","SPR Therapeutics, Inc","100000151627","SPR Therapeutics, Inc","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","176784","1891758850","Mark",,"Moulton",,"1400 MERCY DR",,"Muskegon","MI","49444","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","751146273","2020",69391.95,399030.57,"Stock Ownership Convertible Note $69,391.35","Catalyst OrthoScience","100000151617","Catalyst OrthoScience","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","903132","1972589240","Paul",,"Chovaz",,"1500 E SHERMAN BLVD",,"Muskegon","MI","49444","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Anesthesiology","751146277","2020",0.00,50188.93,"Stock Ownership","Catalyst OrthoScience","100000151617","Catalyst OrthoScience","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","297911","1578536025","Paul",,"Sethi",,"6 GREENWICH OFFICE PARK",,"Greenwich","CT","06831","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","751146279","2020",0.00,40395.97,"Stock Ownership","Catalyst OrthoScience","100000151617","Catalyst OrthoScience","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","3504","1063510592","Ronald",,"Garry",,"1112 Goodlette Road","Suite 202","Naples","FL","34102","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Family Medicine|Geriatric Medicine","751146283","2020",21462.58,123578.54,"Stock Ownership Convertible Note $21462.58","Catalyst OrthoScience","100000151617","Catalyst OrthoScience","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","302733","1679795876","Matthew",,"Budge",,"10135 W TWAIN AVE","Suite 100","Las Vegas","NV","89147","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","751146287","2020",2133.59,12426.25,"Stock Ownership Convertible Note $2133.59","Catalyst OrthoScience","100000151617","Catalyst OrthoScience","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","254425","1598728016","Yousif",,"Hamati",,"1400 MERCY DR.","Suite 100","Muskegon","MI","49444","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","751146293","2020",100000.00,305459.66,"Stock Ownership Convertible Note $100,000","Catalyst OrthoScience","100000151617","Catalyst OrthoScience","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","138757","1053341115","Zachary",,"Leitze",,"652 S MEDICAL CENTER DR SUITE 120",,"St George","UT","84790","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","751151809","2020",0.00,61614.06,"Stock Ownership","Catalyst OrthoScience","100000151617","Catalyst OrthoScience","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1391370","1285892950","Catherine",,"Rapp",,"501 DISCOVERY DR",,"CHESAPEAKE","VA","23320","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","751151829","2020",20000.00,20837.26,"Convertible Note","Catalyst OrthoScience","100000151617","Catalyst OrthoScience","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","239504","1285903146","Brian",,"Burgess",,"2940 Rollingridge","Suite 102","Naperville","IL","60564","United States",,,"Medical Doctor","Podiatric Medicine & Surgery Service Providers|Podiatrist|Foot & Ankle Surgery","751153331","2020",25000.00,26013.70,"Convertible Note 25,000","Catalyst OrthoScience","100000151617","Catalyst OrthoScience","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","388152","1871757724","Joseph",,"Gentile",,"6909 PROSPERITY CHURCH RD",,"Huntersville","NC","28078","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","751153341","2020",100000.00,104054.79,"Convertible Note","Catalyst OrthoScience","100000151617","Catalyst OrthoScience","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1432902","1861782997","Daniel",,"Davis",,"925 CHESTNUT ST",,"Philadelphia","PA","19107","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","751153383","2020",10000.00,10387.95,"Convertible Note","Catalyst OrthoScience","100000151617","Catalyst OrthoScience","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","4213213","1952690257","Edward",,"Shields",,"1400 MERCY DR",,"Muskegon","MI","49444","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","751153645","2020",10000.00,10387.95,"Convertible Note","Catalyst OrthoScience","100000151617","Catalyst OrthoScience","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","614310","1821132374","Matthew",,"Walker",,"7650 E PARHAM RD",,"Richmond","VA","23294","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","751153655","2020",10000.00,10366.03,"Convertible Debt","Catalyst OrthoScience","100000151617","Catalyst OrthoScience","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","853473","1225340243","Zanita",,"Kassam",,"15151 NATIONAL AVE",,"Los Gatos","CA","95032","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","751153707","2020",35000.00,36250.41,"Convertible Debt","Catalyst OrthoScience","100000151617","Catalyst OrthoScience","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","122039","1699703157","George Russell",,"Huffman",,"3737 MARKET ST",,"Philadelphia","PA","19104","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","751153725","2020",25000.00,25821.92,"Convertible Note","Catalyst OrthoScience","100000151617","Catalyst OrthoScience","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","145878","1205818432","Charles",,"Stroud",,"4550 INVESTMENT DR",,"Troy","MI","48098","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","751153737","2020",25000.00,25054.79,"Convertible Note","Catalyst OrthoScience","100000151617","Catalyst OrthoScience","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","304548","1700831385","Robert",,"Takla",,"18161 W 13 Mile Rd",,"Southfield","MI","48076","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Emergency Medicine","752854445","2020",0.00,7533.75,"Stock Options","Genetesis, Inc.","100000806826","Genetesis, Inc.","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1220886","1124051487","Simon",,"Mahler",,"PO Box 344",,"Winston","NC","27102","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Emergency Medicine","752856459","2020",0.00,18655.00,"stock Options","Genetesis, Inc.","100000806826","Genetesis, Inc.","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1263257","1639216252","James","Victor","Quinn",,"701 WELCH RD BUILDING C",,"PALO ALTO","CA","94304","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Emergency Medicine","752857575","2020",0.00,34800.00,"Stock.","Ceribell, Inc.","100000196786","Ceribell, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1281820","1639575855","Douglas","Eric","Johnson",,"2080 Century Park East","Suite 1601","Los Angeles","CA","90067","United States",,,"Doctor of Dentistry","Dental Providers|Dentist","752857583","2020",1000.00,1000.00,"Common stock, no applicable terms of ownership or investment interest.","Teeth Power, Inc.","100000826851","Teeth Power, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","290193","1386864734","Josef",,"Parvizi",,"300 PASTEUR DRIVE ROOM A343 - NEUROLOGY",,"STANFORD","CA","94305","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Psychiatry & Neurology|Clinical Neurophysiology","752857587","2020",0.00,2307704.00,"Stock. Total for all immediate family members.","Ceribell, Inc.","100000196786","Ceribell, Inc.","CA","United States","No","Immediate family member","06/30/2023" "UNCHANGED","1156495","1851603161","ADAM","M","POURCHO",,"1600 E JEFFERSON ST STE 600",,"SEATTLE","WA","98122","United States",,,"Doctor of Osteopathy","Allopathic & Osteopathic Physicians|Physical Medicine & Rehabilitation|Sports Medicine","752857593","2020",53349.10,20059.71,"Common Stock","Sonex Health, Inc.","100000796824","Sonex Health, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","7508977","1336568724","ALEXANDRA",,"RITTS",,"3300 OAKDALE AVE N # 200",,"ROBBINSDALE","MN","55422","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Cardiovascular Disease","752857599","2020",18675.00,5219.28,"Common Stock","Sonex Health, Inc.","100000796824","Sonex Health, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","3064573","1124540919","ANDREW","J","COLE",,"388 SW 13TH ST",,"CHEHALIS","WA","98532","United States",,,"Doctor of Dentistry","Dental Providers|Dentist","752857605","2020",53321.02,20049.15,"Common Stock","Sonex Health, Inc.","100000796824","Sonex Health, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","788226","1922092741","ANTHONY","E","JOSEPH",,"2240 E CENTER ST",,"POCATELLO","ID","83201","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Family Medicine|Sports Medicine","752857611","2020",51677.20,19431.06,"Common Stock","Sonex Health, Inc.","100000796824","Sonex Health, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","677373","1023044500","CHRISTOPHER",,"JOBE",,"2809 OLIVE HWY","SUITE 230","OROVILLE","CA","95966","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","752857613","2020",51786.90,19472.31,"Common Stock","Sonex Health, Inc.","100000796824","Sonex Health, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","876651","1043299555","CRAIG","H","JOHNSON",,"280 SMITH AVE N STE 700",,"SAINT PAUL","MN","55102","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Plastic Surgery","752857619","2020",0.00,9046.29,"Common Stock","Sonex Health, Inc.","100000796824","Sonex Health, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","904476","1023013539","GRAHAM","D","RITTS",,"210 9TH ST SE",,"ROCHESTER","MN","55904","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","752857623","2020",41500.00,11598.18,"Common Stock","Sonex Health, Inc.","100000796824","Sonex Health, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","110982","1437260007","JASON","J","WILCOX",,"601 BROADWAY",,"SEATTLE","WA","98122","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","752857627","2020",53040.17,19943.55,"Common Stock","Sonex Health, Inc.","100000796824","Sonex Health, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","200880","1427044916","JEFFREY","L","ANDERSON",,"200 14TH ST NW",,"AUSTIN","MN","55912","United States",,,"Doctor of Optometry","Eye and Vision Services Providers|Optometrist","752857633","2020",53750.00,12495.45,"Common Stock","Sonex Health, Inc.","100000796824","Sonex Health, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","660992","1457336091","JOSEPH","M","ACCURSO",,"4500 SAN PABLO RD S",,"JACKSONVILLE","FL","32224","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Radiology|Diagnostic Radiology","752857639","2020",261250.00,70486.68,"Common Stock","Sonex Health, Inc.","100000796824","Sonex Health, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1169268","1295710853","KEITH","R","KLEIS",,"210 9TH ST SE",,"ROCHESTER","MN","55904","United States",,,"Doctor of Osteopathy","Allopathic & Osteopathic Physicians|Family Medicine","752857643","2020",50000.00,16500.00,"Common Stock","Sonex Health, Inc.","100000796824","Sonex Health, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1136114","1144205519","Pat","W","Whitworth",,"3024 Business Park Circle",,"Goodlettsville","TN","37072-3132","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Surgery|Surgical Oncology","753033533","2020",45354.96,45354.96,"Preferred Stock","Viseon, Inc.","100000826852","Viseon, Inc.","CA","United States","No","Immediate family member","06/30/2023" "UNCHANGED","234556","1174795116","Alfred","T","Ogden",,"710 W 168Th Street 5Th Floor","The Neurological Institute Spine Center","New York","NY","10032-0000","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","753033535","2020",148026.24,148026.24,"Preferred Stock","Viseon, Inc.","100000826852","Viseon, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","234556","1174795116","Alfred","T","Ogden",,"710 W 168Th Street 5Th Floor","The Neurological Institute Spine Center","New York","NY","10032-0000","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","753033537","2020",199999.80,199999.80,"Preferred Stock","Viseon, Inc.","100000826852","Viseon, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","25048","1558325951","Adnan","H","Siddiqui",,"40 George Karl Blvd",,"Williamsville","NY","14221-7183","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","753033539","2020",153817.20,153817.20,"Preferred Stock","Viseon, Inc.","100000826852","Viseon, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","148840","1295717205","Steven","L","Almany",,"4600 Investment Dr","Suite 200","Troy","MI","48098-6365","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Cardiovascular Disease","753033541","2020",32084.64,32084.64,"Preferred Stock","Viseon, Inc.","100000826852","Viseon, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","148840","1295717205","Steven","L","Almany",,"4600 Investment Dr","Suite 200","Troy","MI","48098-6365","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Cardiovascular Disease","753033543","2020",49999.50,49999.50,"Preferred Stock","Viseon, Inc.","100000826852","Viseon, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","363147","1992980973","Raymond","Dwight","Turner",,"1 Independence Pt Ste 212",,"Greenville","SC","29615-4536","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","753033545","2020",53469.36,53469.36,"Preferred Stock","Viseon, Inc.","100000826852","Viseon, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","329721","1275588246","FRANK",,"CAMMISA","JR.","523 E 72ND ST",,"NEW YORK","NY","10021-4099","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","753040969","2020",0.00,3600000.00,"Equity","Centinel Spine, LLC","100000010394","Centinel Spine, LLC","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1210920","1770703712","LORI",,"CALABRESE",,"1330 SULLIVAN AVE",,"SOUTH WINDSOR","CT","06074-2713","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Psychiatry & Neurology|Psychiatry","753040971","2020",0.00,300000.00,"Equity","Centinel Spine, LLC","100000010394","Centinel Spine, LLC","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","57596","1265476386","RICHARD",,"BALDERSTON",,"601 WALNUT ST","SUITE L50","PHILADELPHIA","PA","19106-3323","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","753040973","2020",0.00,1000000.00,"Equity","Centinel Spine, LLC","100000010394","Centinel Spine, LLC","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","253902","1609816479","FABIEN",,"BITAN",,"215 EAST 77TH STREET","GROUND LEVEL","NEW YORK","NY","10075-1851","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","753040975","2020",0.00,60000.00,"Equity","Centinel Spine, LLC","100000010394","Centinel Spine, LLC","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","329721","1275588246","FRANK",,"CAMMISA","JR.","523 E 72ND ST",,"NEW YORK","NY","10021-4099","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","753040977","2020",0.00,2400000.00,"Equity","Centinel Spine, LLC","100000010394","Centinel Spine, LLC","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1210920","1770703712","LORI",,"CALABRESE",,"1330 SULLIVAN AVE",,"SOUTH WINDSOR","CT","06074-2713","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Psychiatry & Neurology|Psychiatry","753040979","2020",0.00,100000.00,"Equity","Centinel Spine, LLC","100000010394","Centinel Spine, LLC","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","43254","1962481499","ANTHONY",,"PETROSINI",,"2315 RT 34 SO","STE D","MANASQUAN","NJ","08736","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Sports Medicine","753040981","2020",0.00,50000.00,"Equity","Centinel Spine, LLC","100000010394","Centinel Spine, LLC","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1387017","1316258015","STELIOS",,"KOUTSOUMBELIS",,"651 OLD COUNTRY RD",,"PLAINVIEW","NY","11803-4938","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","753040983","2020",0.00,50000.00,"Equity","Centinel Spine, LLC","100000010394","Centinel Spine, LLC","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","337837","1437212404","Giancarlo",,"Barolat-Romana",,"1721 East 19th Avenue","Suite 434","Denver","CO","80218","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","753457967","2020",0.00,118005.00,"Series C Preferred Shares","SPR Therapeutics, Inc","100000151627","SPR Therapeutics, Inc","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","222310","1912936162","Gordon",,"Donald",,"234 Industrial Way W","Suite A200","Eatontown","NJ","07724","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","753457969","2020",0.00,57389.00,"Series C Preferred Shares","SPR Therapeutics, Inc","100000151627","SPR Therapeutics, Inc","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","2650926","1598116998","Kylie",,"Liermann",,"982185 Nebraska Medical Ctr","SUITE 104","Omaha","NE","68198","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Pediatrics","753457971","2020",0.00,214774.00,"Series C and C-1 Preferred Shares","SPR Therapeutics, Inc","100000151627","SPR Therapeutics, Inc","OH","United States","No","Immediate family member","06/30/2023" "UNCHANGED","913608","1336248186","James",,"Howe",,"1 S Prospect St","MHMC PMR","Burlington","VT","05401","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Adult Reconstructive Orthopaedic Surgery","753457973","2020",0.00,25005.00,"Series C Preferred Shares","SPR Therapeutics, Inc","100000151627","SPR Therapeutics, Inc","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","280392","1174595466","Kamran",,"Tasharofi",,"300 South Ave","Suite 200","Garwood","NJ","07027","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine","753457975","2020",0.00,52751.00,"Series B, C, and C-1 Preferred Shares","SPR Therapeutics, Inc","100000151627","SPR Therapeutics, Inc","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1176699","1578516092","Terry",,"Bachow",,"5352 Linton Blvd","Radiology Dept","Delray Beach","FL","33484","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Radiology|Neuroradiology","753457977","2020",0.00,114578.00,"Series C and C-1 Preferred Shares","SPR Therapeutics, Inc","100000151627","SPR Therapeutics, Inc","OH","United States","No","Immediate family member","06/30/2023" "UNCHANGED","889382","1497042147","Anna",,"Strohl",,"3909 Orange Pl",,"Beachwood","OH","44122","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","753457979","2020",0.00,135743.00,"Series A Preferred Shares; Series B Preferred Shares","SPR Therapeutics, Inc","100000151627","SPR Therapeutics, Inc","OH","United States","No","Immediate family member","06/30/2023" "UNCHANGED","4677153","1699192781","Rachel",,"Zang",,"1 Cooper Plz","Suite 200","Camden","NJ","08103","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Emergency Medicine","753457981","2020",0.00,175787.00,"Series A and B Preferred Shares; Common Shares; Stock Options","SPR Therapeutics, Inc","100000151627","SPR Therapeutics, Inc","OH","United States","No","Immediate family member","06/30/2023" "UNCHANGED","8807128","1558747006","Petrus",,"Steyn",,"234 E 149th St","Box 30","Bronx","NY","10451","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|General Practice","753457983","2020",0.00,175787.00,"Series A and B Preferred Shares; Common Shares; Stock Options","SPR Therapeutics, Inc","100000151627","SPR Therapeutics, Inc","OH","United States","No","Immediate family member","06/30/2023" "UNCHANGED","29966","1659371748","Jeffrey",,"DeSantis",,"1038 E Chatman Avenue",,"Orange","CA","92866-2111","United States",,,"Doctor of Podiatric Medicine","Podiatric Medicine & Surgery Service Providers|Podiatrist|Foot & Ankle Surgery","753559799","2020",16666.66,16666.66,"This is investment in company. No return on investment is being guaranteed.","IQ Med LLC","100000166739","IQ Med LLC","IN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","807417","1619076429","Franklin",,"Kase",,"241 W. Olive Avenue",,"Burbank","CA","91502-1825","United States",,,"Doctor of Podiatric Medicine","Podiatric Medicine & Surgery Service Providers|Podiatrist","753559801","2020",16666.66,16666.66,"This is investment in company. No return on investment is being guaranteed.","IQ Med LLC","100000166739","IQ Med LLC","IN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","300715","1639172034","Patrick","A","DeHeer",,"1159 W Jefferson Street, #204",,"Franklin","IN","46131","United States",,,"Doctor of Podiatric Medicine","Podiatric Medicine & Surgery Service Providers|Podiatrist|Foot & Ankle Surgery","753559803","2020",157000.00,157000.00,"This is investment in company. No return on investment is being guaranteed.","IQ Med LLC","100000166739","IQ Med LLC","IN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","253320","1588667075","Ira","H","Kraus",,"2368 Battlefield Parkway",,"Ft Oglethorpe","GA","30742","United States",,,"Doctor of Podiatric Medicine","Podiatric Medicine & Surgery Service Providers|Podiatrist","753559805","2020",16666.66,16666.66,"This is investment in company. No return on investment is being guaranteed.","IQ Med LLC","100000166739","IQ Med LLC","IN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","459401","1376535880","Stephen","B","Sexson",,"18051 River Avenue, #100",,"Noblesville","IN","46062-7091","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","753559807","2020",50000.00,50000.00,"This is investment in company. No return on investment guaranteed.","IQ Med LLC","100000166739","IQ Med LLC","IN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1191251","1083762553","Christopher","John","Colloca",,"101 S Roosevelt Ave",,"Chandler","AZ","85226","United States",,,"Chiropractor","Chiropractic Providers|Chiropractor","751154827","2020",100000.00,1000000.00,"Christopher J. Colloca, DC, PhD is a Member and General Partner of The Bermuda Time Family Limited Parternship that has 100% ownership interest in Neuromechanical Innovations.","Neuromechanical Innovations, LLC","100000701811","Neuromechanical Innovations, LLC","AZ","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","66459","1487618302","KHALED",,"KEBAISH",,"601 N Caroline St","5th Floor","Baltimore","MD","21287","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Family Medicine","751309099","2020",0.00,14000.00,"Founders Equity","Avitus Orthopaedics, Inc.","100000281808","Avitus Orthopaedics, Inc.","CT","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","105201","1316915143","AKHIL",,"KHANNA",,"6420 Rockledge Dr","Suite 2200","Bethesda","MD","20817","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Family Medicine","751309103","2020",0.00,14000.00,"Founders Equity","Avitus Orthopaedics, Inc.","100000281808","Avitus Orthopaedics, Inc.","CT","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","71664","1588606628","LEE","H","RILEY","III","601 N Caroline St","5th Floor","Baltimore","MD","21287","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Family Medicine","751309107","2020",0.00,14000.00,"Founders Equity","Avitus Orthopaedics, Inc.","100000281808","Avitus Orthopaedics, Inc.","CT","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","178771","1952310799","Babak",,"Baravarian",,"2121 Wilshire Blvd Suite 101",,"Santa Monica","CA","90403","United States",,,"Doctor of Podiatric Medicine","Podiatric Medicine & Surgery Service Providers|Podiatrist","751349039","2020",117815.00,128941.00,"Equity Investment","OSSIO LTD","100000806851","OSSIO LTD",,"Israel","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","197618","1376526814","Peter",,"Blume",,"508 Blake ST",,"NEW HAVEN","CT","06515","United States",,,"Doctor of Podiatric Medicine","Podiatric Medicine & Surgery Service Providers|Podiatrist","751349075","2020",25000.00,25000.00,"EQUITY INVESTMENT","OSSIO LTD","100000806851","OSSIO LTD",,"Israel","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","224468","1962436311","KERRY",,"ASSIL",,"450 N. ROXBURY DR 3RD FL",,"Beverly Hills","CA","90210","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","751349093","2020",100000.00,155670.00,"EQUITY INVESTMENT","OSSIO LTD","100000806851","OSSIO LTD",,"Israel","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","301320","1659350379","BRIAN",,"COLE",,"1611 W HARRISON ST STE 400",,"CHICAGO","IL","60612","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Sports Medicine","751349103","2020",148312.00,182091.00,"EQUITY INVESTMENT","OSSIO LTD","100000806851","OSSIO LTD",,"Israel","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","381070","1639114283","PAYAM",,"KASHFIAN",,"7345 MEDICAL CENTER DR SUITE 130",,"WEST HILLS","CA","91307","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Radiology|Diagnostic Radiology","751349121","2020",100000.00,109730.00,"EQUITY INVESTMENT","OSSIO LTD","100000806851","OSSIO LTD",,"Israel","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1183540","1811261175","ANDREW",,"GELLER",,"8700 BEVERLY BLVD RM 4209",,"West Hollywood","CA","90048","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Anesthesiology","751349135","2020",41856.00,58744.00,"EQUITY INVESTMENT","OSSIO LTD","100000806851","OSSIO LTD",,"Israel","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","212181","1679627251","DAVID",,"HESKIAOFF",,"5170 SEPULVEDA BLVD SUITE 100",,"SHERMAN OAKS","CA","91403","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","751349145","2020",57815.00,68941.00,"EQUITY INVESTMENT","OSSIO LTD","100000806851","OSSIO LTD",,"Israel","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","315067","1942213384","Scott",,"Anseth",,"4200 Dahlberg Dr Ste 300",,"Golden Valley","MN","55422-4840","United States",,,"Medical Doctor",,"751525649","2020",69474.00,7827.40,"Stock purchased by physician.","Responsive Arthroscopy LLC","100000291807","Responsive Arthroscopy LLC","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","940142","1295830339","Jason",,"Barry",,"4200 Dahlberg Dr Ste 300",,"Golden Valley","MN","55422-4840","United States",,,"Medical Doctor",,"751525687","2020",69474.00,7827.40,"Stock purchased by physician.","Responsive Arthroscopy LLC","100000291807","Responsive Arthroscopy LLC","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","18882","1417044538","Richard",,"Davis",,"8170 33rd Ave S MS21110Q",,"Minneapolis","MN","55425-4516","United States",,,"Medical Doctor",,"751525717","2020",69474.00,7827.40,"Stock purchased by physician","Responsive Arthroscopy LLC","100000291807","Responsive Arthroscopy LLC","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","222070","1891802989","Jeffrey",,"Dick",,"4200 Dahlberg Dr Ste 300",,"Golden Valley","MN","55422-4840","United States",,,"Medical Doctor",,"751525747","2020",69474.00,7827.40,"Stock purchased by physician","Responsive Arthroscopy LLC","100000291807","Responsive Arthroscopy LLC","MN","United States","No","Physician Covered Recipient","06/30/2023" "CHANGED","37769","1821150376","Keith",,"Gottesdiener",,"534 Beacon Street",,"Boston","MA","02115","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Infectious Disease","751525757","2020",0.00,116020.30,"RSU granted 1595 on May 28, 2020.","INTERCEPT PHARMACEUTICALS, INC.","100000151645","INTERCEPT PHARMACEUTICALS, INC.","NJ","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","183697","1053473637","KURT","S","POTACH",,"607 1ST DR NW",,"AUSTIN","MN","55912","United States",,,"Doctor of Dentistry","Dental Providers|Dentist|General Practice","752857648","2020",76875.00,22747.89,"Common Stock","Sonex Health, Inc.","100000796824","Sonex Health, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","824959","1225015472","LAWRENCE","R","KEENAN",,"1000 1ST DR NW",,"AUSTIN","MN","55912","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Cardiovascular Disease","752857653","2020",100000.00,33000.00,"Common Stock","Sonex Health, Inc.","100000796824","Sonex Health, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","900595","1871559856","MANOJ",,"JAIN",,"4500 SAN PABLO RD S",,"JACKSONVILLE","FL","32224","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Radiology|Diagnostic Radiology","752857657","2020",10000.00,3300.00,"Common Stock","Sonex Health, Inc.","100000796824","Sonex Health, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","656529","1316921117","MATTHEW","J","KIRSCH",,"210 9TH ST SE",,"ROCHESTER","MN","55904","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","752857663","2020",258718.19,77249.37,"Common Stock","Sonex Health, Inc.","100000796824","Sonex Health, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","697542","1720068018","MATTHEW",,"KUMAR",,"2116 CRAIG RD",,"EAU CLAIRE","WI","54701","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Anesthesiology","752857667","2020",20000.00,6600.00,"Common Stock","Sonex Health, Inc.","100000796824","Sonex Health, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","231230","1093836728","MEDERIC","M","HALL",,"2701 PRAIRIE MEADOW DR",,"IOWA CITY","IA","52242","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Physical Medicine & Rehabilitation|Sports Medicine","752857673","2020",0.00,5232.48,"Common Stock","Sonex Health, Inc.","100000796824","Sonex Health, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","444242","1841279197","MICHAEL","T","ECKSTROM",,"404 W FOUNTAIN ST",,"ALBERT LEA","MN","56007","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","752857677","2020",155033.35,58293.84,"Common Stock","Sonex Health, Inc.","100000796824","Sonex Health, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","100821","1235114349","PAUL",,"PATERSON",,"462 GRIDER ST FL 3",,"BUFFALO","NY","14215","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Hand Surgery","752857679","2020",0.00,2192.52,"Common Stock","Sonex Health, Inc.","100000796824","Sonex Health, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","2740661","1871949255","RICHARD","B","YOUNG",,"4501 X ST STE 3016",,"SACRAMENTO","CA","95817","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine","752857681","2020",53750.00,12494.46,"Common Stock","Sonex Health, Inc.","100000796824","Sonex Health, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","157410","1477634590","RICHARD",,"MITCHELL",,"607 1ST DR NW",,"AUSTIN","MN","55912","United States",,,"Doctor of Dentistry","Dental Providers|Dentist|General Practice","752857687","2020",25000.00,8250.00,"Common Stock","Sonex Health, Inc.","100000796824","Sonex Health, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","873739","1932377900","SAM",,"CHEN",,"888 S KING ST",,"HONOLULU","HI","96813","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","752857691","2020",209963.96,78948.21,"Common Stock","Sonex Health, Inc.","100000796824","Sonex Health, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1242882","1891960290","SANJEEV",,"KAKAR",,"200 1ST ST SW",,"ROCHESTER","MN","55905","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Surgery|Surgery of the Hand","752857697","2020",10000.00,7281.78,"Common Stock","Sonex Health, Inc.","100000796824","Sonex Health, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","978015","1588648174","SCOTT","A","HOLTZ",,"200 1ST ST SW",,"ROCHESTER","MN","55905","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Family Medicine","752857701","2020",100000.00,33000.00,"Common Stock","Sonex Health, Inc.","100000796824","Sonex Health, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","163314","1598735094","TYSON","K","COBB",,"3385 DEXTER CT","SUITE 300","DAVENPORT","IA","52807","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Hand Surgery","752857711","2020",0.00,7848.72,"Common Stock","Sonex Health, Inc.","100000796824","Sonex Health, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","135875","1982664637","YALE",,"LIANG",,"831 NW COUNCIL DR STE 101",,"GRESHAM","OR","97030","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Family Medicine","752857717","2020",20000.00,6600.00,"Common Stock","Sonex Health, Inc.","100000796824","Sonex Health, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","190975","1205800190","DARRYL","E","BARNES",,"200 1ST ST SW",,"ROCHESTER","MN","55905","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Family Medicine|Adolescent Medicine","752857721","2020",3071.00,815618.10,"Common Stock","Sonex Health, Inc.","100000796824","Sonex Health, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","135561","1992769608","ANDREW",,"SAMA",,"535 EAST 70 ST",,"NEW YORK","NY","10021","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","753040985","2020",0.00,150000.00,"Equity","Centinel Spine, LLC","100000010394","Centinel Spine, LLC","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","47670","1043378169","GHASSAN","G","SINADA",,"6569 N CHARLES ST","PPW SUITE 601","BALTIMORE","MD","21204","United States",,,"Doctor of Dentistry","Dental Providers|Dentist|Oral and Maxillofacial Surgery","753052617","2020",0.00,0.01,"Profit interest with no current value","Longeviti Neuro Solutions LLC","100000281819","Longeviti Neuro Solutions LLC","MD","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","552423","1649487737","LINH",,"LUU",,"9742 KATY FWY SUITE 500",,"HOUSTON","TX","77055","United States",,,"Doctor of Dentistry","Dental Providers|Dentist|Pediatric Dentistry","753052619","2020",100000.00,0.00,"Profit interest with no current value","Longeviti Neuro Solutions LLC","100000281819","Longeviti Neuro Solutions LLC","MD","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","932555","1992751705","JUDY",,"HUANG",,"4940 EASTERN AVE",,"BALTIMORE","MD","21224","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","753052621","2020",0.00,0.01,"Profit interest with no current value","Longeviti Neuro Solutions LLC","100000281819","Longeviti Neuro Solutions LLC","MD","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","112898","1497808216","DENNIS",,"NORKIEWICZ",,"107 NELSON ST","SUITE 201","ROCKYVILLE","MD","20850","United States",,,"Doctor of Dentistry","Dental Providers|Dentist|General Practice","753052623","2020",0.00,0.01,"Profit interest with no current value","Longeviti Neuro Solutions LLC","100000281819","Longeviti Neuro Solutions LLC","MD","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","375828","1447250972","JAMES",,"HARKINS",,"3217 W CHESTER PIKE","SUITE B","NEWTON SQUARE","PA","19073","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine","753052625","2020",100000.00,0.00,"Profit interest with no current value","Longeviti Neuro Solutions LLC","100000281819","Longeviti Neuro Solutions LLC","MD","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","390185","1952583932","CHAD",,"GORDON",,"601 N. CAROLINE STREET","JHOC #8152F DEPARTMENT OF PLASTIC SURGERY","Baltimore","MD","21287","United States",,,"Doctor of Osteopathy","Allopathic & Osteopathic Physicians|Plastic Surgery","753052627","2020",0.00,0.01,"Profit interest with no current value","Longeviti Neuro Solutions LLC","100000281819","Longeviti Neuro Solutions LLC","MD","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","190559","1184800732","Jason",,"Tinley",,"6900 Harris Pkwy STE 310",,"Fort Worth","TX","76132-4261","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","753052645","2020",0.00,344943.50,"Stock","HD LifeSciences LLC","100000376810","HD LifeSciences LLC","MA","United States","No","Immediate family member","06/30/2023" "UNCHANGED","149396","1285643205","Dwight",,"Tyndall",,"730 45th St.",,"Munster","IN","46321-2818","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","753053735","2020",0.00,19870.53,"Stock","HD LifeSciences LLC","100000376810","HD LifeSciences LLC","MA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","292316","1437474608","Neil",,"Shah",,"6901 Harris PKWY STE 310",,"Fort Worth","TX","76132-4261","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","753053789","2020",0.00,48894.90,"Stock","HD LifeSciences LLC","100000376810","HD LifeSciences LLC","MA","United States","No","Immediate family member","06/30/2023" "UNCHANGED","96383","1134193667","Brett",,"Bolhofner",,"BAYFRONT MEDICAL CENTER INC","701 6th St. S.","Saint Petersburg","FL","33701","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Trauma","753054043","2020",0.00,89305.76,"Stock","HD LifeSciences LLC","100000376810","HD LifeSciences LLC","MA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","225760","1972510154","David",,"Helfet",,"535 E 70th St.",,"New York","NY","10021","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Trauma","753055103","2020",0.00,154052.44,"Stock","HD LifeSciences LLC","100000376810","HD LifeSciences LLC","MA","United States","No","Immediate family member","06/30/2023" "UNCHANGED","1387017","1316258015","STELIOS",,"KOUTSOUMBELIS",,"651 OLD COUNTRY RD",,"PLAINVIEW","NY","11803-4938","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","753056385","2020",8754.00,0.00,"Equity","Centinel Spine, LLC","100000010394","Centinel Spine, LLC","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","253902","1609816479","FABIEN",,"BITAN",,"215 EAST 77TH STREET","GROUND LEVEL","NEW YORK","NY","10075-1851","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","753058745","2020",100000.00,0.00,"Equity","Centinel Spine, LLC","100000010394","Centinel Spine, LLC","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","276426","1104853795","JACK",,"ZIGLER",,"6020 W PARKER RD","SUITE 200","PLANO","TX","75093-8171","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","753066179","2020",19474.00,0.00,"Equity","Centinel Spine, LLC","100000010394","Centinel Spine, LLC","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","348788","1699771865","Daniel",,"Logan",,"426A Beecher Rd.",,"Gahanna","OH","43230","United States",,,"Doctor of Podiatric Medicine","Podiatric Medicine & Surgery Service Providers|Podiatrist","753993414","2020",25000.00,25000.00,"Private Placement Investment","Gramercy Extremity Orthopedics LLC","100000196819","Gramercy Extremity Orthopedics LLC","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1194885","1215151741","Barrington",,"Arthurs",,"5350 Frantz Rd.",,"Dublin","OH","43016","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Anesthesiology","753993416","2020",25000.00,25000.00,"Private Placement Investment","Gramercy Extremity Orthopedics LLC","100000196819","Gramercy Extremity Orthopedics LLC","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1391865","1265799217","Amanda",,"Quisno",,"1920 Tamarack Rd.",,"Newark","OH","43055","United States",,,"Doctor of Podiatric Medicine","Podiatric Medicine & Surgery Service Providers|Podiatrist|Foot & Ankle Surgery","753993418","2020",25000.00,25000.00,"Private Placement Investment","Gramercy Extremity Orthopedics LLC","100000196819","Gramercy Extremity Orthopedics LLC","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","162921","1578721072","Allen",,"Ferrucci",,"2408 Whitney Ave",,"Hamden","CT","06518","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","753993420","2020",50000.00,50000.00,"Private Placement Investment","Gramercy Extremity Orthopedics LLC","100000196819","Gramercy Extremity Orthopedics LLC","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","855762","1295709004","Alan",,"Feldman",,"2499 Main Street",,"Stratford","CT","06615","United States",,,"Doctor of Podiatric Medicine","Podiatric Medicine & Surgery Service Providers|Podiatrist","753993422","2020",150000.00,150000.00,"Private Placement Investment","Gramercy Extremity Orthopedics LLC","100000196819","Gramercy Extremity Orthopedics LLC","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","52505","1154485514","Mark",,"Roberts",,"10150 SE 32nd Ave",,"Milwaukie","OR","97222","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Emergency Medicine","753993424","2020",50000.00,50000.00,"Private Placement Investment","Gramercy Extremity Orthopedics LLC","100000196819","Gramercy Extremity Orthopedics LLC","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","162921","1578721072","Allen",,"Ferrucci",,"2048 Whitney Ave",,"Hamden","CT","06518","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","753993426","2020",125000.00,125000.00,"Private Placement Investment","Gramercy Extremity Orthopedics LLC","100000196819","Gramercy Extremity Orthopedics LLC","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","260337","1740269273","Shane",,"Hollawell",,"2315 RT 34 SO STE D",,"Manasquuan","NJ","08736","United States",,,"Doctor of Podiatric Medicine","Podiatric Medicine & Surgery Service Providers|Podiatrist|Foot & Ankle Surgery","753993428","2020",35000.00,35000.00,"Private Placement Investmentt","Gramercy Extremity Orthopedics LLC","100000196819","Gramercy Extremity Orthopedics LLC","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","88670","1952578627","Michael",,"Shindle",,"140 Park Ave.",,"Florham Park","NJ","07932","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Sports Medicine","753993586","2020",100000.00,100000.00,"Private Placemen Investment","Gramercy Extremity Orthopedics LLC","100000196819","Gramercy Extremity Orthopedics LLC","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","747464","1487649000","Justin",,"Hudson",,"350 W Wilson Bridge Rd. Ste 200",,"Worthingtton","OH","43085","United States",,,"Doctor of Podiatric Medicine","Podiatric Medicine & Surgery Service Providers|Podiatrist|Foot & Ankle Surgery","753993588","2020",100000.00,100000.00,"Private Placement Investment","Gramercy Extremity Orthopedics LLC","100000196819","Gramercy Extremity Orthopedics LLC","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","92649","1033185152","Christopher",,"Hyer",,"350 W Wilson Bridge Rd. Ste 200",,"Worthington","OH","43085","United States",,,"Doctor of Podiatric Medicine","Podiatric Medicine & Surgery Service Providers|Podiatrist|Foot & Ankle Surgery","753993590","2020",100000.00,100000.00,"Private Placement Investment","Gramercy Extremity Orthopedics LLC","100000196819","Gramercy Extremity Orthopedics LLC","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","98035","1154505089","Kathren",,"McCarty",,"9150 Huebner Rd. Suite 200",,"San Antonio","TX","78240","United States",,,"Doctor of Podiatric Medicine","Podiatric Medicine & Surgery Service Providers|Podiatrist","753993592","2020",75000.00,75000.00,"Private Placement Investmentt","Gramercy Extremity Orthopedics LLC","100000196819","Gramercy Extremity Orthopedics LLC","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","162921","1578721072","Allen",,"Ferrucci",,"2408 Whitney Avenue",,"Hamden","CT","06518","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","753993754","2020",75000.00,75000.00,"Private Placement Investment","Gramercy Extremity Orthopedics LLC","100000196819","Gramercy Extremity Orthopedics LLC","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","924838","1720079163","james",,"Cottom",,"2030 Bee Ridge Road Suite B",,"Sarosota","FL","34239","United States",,,"Doctor of Podiatric Medicine","Podiatric Medicine & Surgery Service Providers|Podiatrist|Foot & Ankle Surgery","753993756","2020",25000.00,25000.00,"Private Placement Investment","Gramercy Extremity Orthopedics LLC","100000196819","Gramercy Extremity Orthopedics LLC","TX","United States","No","Physician Covered Recipient","06/30/2023" "CHANGED","37769","1821150376","Keith",,"Gottesdiener",,"534 Beacon Street",,"Boston","MA","02115","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Infectious Disease","751525795","2020",0.00,132253.94,"Stock Options granted 2,966 on May 28, 2020.","INTERCEPT PHARMACEUTICALS, INC.","100000151645","INTERCEPT PHARMACEUTICALS, INC.","NJ","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","108116","1376730069","Jason",,"Dieterle",,"5803 Neal Ave N",,"Oak Park Heights","MN","55082-2177","United States",,,"Medical Doctor",,"751525801","2020",20000.00,2253.33,"Stock purchased by physician","Responsive Arthroscopy LLC","100000291807","Responsive Arthroscopy LLC","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","242184","1336145952","Christian",,"Dubois",,"5803 Neal Ave N",,"Oak Park Heights","MN","55082-2177","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","751525837","2020",20000.00,2253.33,"Stock purchased by physician.","Responsive Arthroscopy LLC","100000291807","Responsive Arthroscopy LLC","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1020956","1093924276","Scott",,"Holthusen",,"560 S Maple St Suite 200",,"Waconia","MN","55387-1733","United States",,,"Medical Doctor",,"751527665","2020",30000.00,3380.00,"Stock purchased by physician.","Responsive Arthroscopy LLC","100000291807","Responsive Arthroscopy LLC","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","279032","1144243973","Neil",,"Johnson",,"4200 Dahlberg Dr Ste 300",,"Golden Valley","MN","55422-4840","United States",,,"Medical Doctor",,"751530617","2020",69474.00,7827.40,"Stock purchased by physician.","Responsive Arthroscopy LLC","100000291807","Responsive Arthroscopy LLC","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","967092","1205832896","Ryan",,"Karlstad",,"5803 Neal Ave N",,"Oak Park Heights","MN","55082-2177","United States",,,"Medical Doctor",,"751531415","2020",20000.00,2253.33,"Stock purchased by physician","Responsive Arthroscopy LLC","100000291807","Responsive Arthroscopy LLC","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","559801","1912190075","Daniel",,"Marek",,"4200 Dahlberg Dr Ste 300",,"Golden Valley","MN","55422-4840","United States",,,"Medical Doctor",,"751550879","2020",69474.00,7827.40,"Stock purchased by physician.","Responsive Arthroscopy LLC","100000291807","Responsive Arthroscopy LLC","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","626803","1295864809","K",,"Mopper",,"2601 COMPASS RD SUITE 100",,"Glenview","IL","60026","United States",,,"Doctor of Dentistry","Dental Providers|Dentist","751570617","2020",51.50,15000000.00,"Stock","Cosmedent, Inc.","100000010929","Cosmedent, Inc.","IL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","626803","1295864809","K",,"Mopper",,"2601 COMPASS RD SUITE 100",,"Glenview","IL","60026","United States",,,"Doctor of Dentistry","Dental Providers|Dentist","751570647","2020",0.00,31553.00,"Stock","Cosmedent, Inc.","100000010929","Cosmedent, Inc.","IL","United States","No","Immediate family member","06/30/2023" "UNCHANGED","543690","1346247665","Michael",,"Meisterling",,"5803 Neal Ave N",,"Oak Park Heights","MN","55082-2177","United States",,,"Medical Doctor",,"751580079","2020",69474.00,7827.40,"Stock purchased by physician.","Responsive Arthroscopy LLC","100000291807","Responsive Arthroscopy LLC","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","462135","1467660613","Steven",,"Meisterling",,"3545 Highway 61 N",,"Vadnais Heights","MN","55110-5223","United States",,,"Medical Doctor",,"751583279","2020",20000.00,2253.33,"Stock purchased by physician","Responsive Arthroscopy LLC","100000291807","Responsive Arthroscopy LLC","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","941834","1326060427","Stephen",,"Olmsted",,"4200 Dahlberg Dr Ste 300",,"Golden Valley","MN","55422-4840","United States",,,"Medical Doctor",,"751583323","2020",69474.00,7827.40,"Stock purchased by physician.","Responsive Arthroscopy LLC","100000291807","Responsive Arthroscopy LLC","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1235999","1659487239","Gary",,"Wyard",,"6465 Wayzata Blvd","Suite 900","St Louis Park","MN","55426-1728","United States",,,"Medical Doctor",,"751590143","2020",69474.00,7827.40,"Stock purchased by physician.","Responsive Arthroscopy LLC","100000291807","Responsive Arthroscopy LLC","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","63509","1396763314","Christopher",,"Larson",,"4200 Dahlberg Dr Ste 300",,"Golden Valley","MN","55422-4840","United States",,,"Medical Doctor",,"751590187","2020",100000.00,11266.67,"Stock purchased by physician.","Responsive Arthroscopy LLC","100000291807","Responsive Arthroscopy LLC","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","739228","1194827998","Mark",,"Simonson",,"1752 S VICTORIA AVE","SUITE # 220","VENTURA","CA","93003-6151","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Physical Medicine & Rehabilitation","751666809","2020",0.00,2750.00,"15.30% of company.","Kahtnu Surgical, Inc.","100000291813","Kahtnu Surgical, Inc.","AK","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","169589","1740270792","John",,"Andreshak",,"27650 FERRY Road","SUITE 100","WARRENVILLE","IL","60555-3845","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","751670473","2020",0.00,275.00,"2.9% of company.","Kahtnu Surgical, Inc.","100000291813","Kahtnu Surgical, Inc.","AK","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","622837","1124003892","MICHAEL","T.","KOVALCHIK",,"780 LITCHFIELD ST. SUITE 200",,"TORRINGTON","CT","06790","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Nephrology","748455571","2020",1774579.18,1774579.18,"Stock and stock options","ICU Medical Inc","100000010657","ICU Medical Inc","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","355094","1811083553","John",,"Steinmann",,"1901 W. Lugonia Ave Ste. 230",,"Redlands","CA","92374","United States",,,"Doctor of Osteopathy",,"748604695","2020",1371.94,9362.48,"Limited Liability Company Membership Interest","Senate Surgical Distribution, LLC","100000010971","Senate Surgical Distribution, LLC","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","355094","1811083553","John",,"Steinmann",,"1901 W. Lugonia Ave. Ste 230",,"Redlands","CA","92373","United States",,,"Doctor of Osteopathy",,"748604747","2020",143.42,978.72,"Limited Liability Company Membership Interest","Senate Surgical Distribution, LLC","100000010971","Senate Surgical Distribution, LLC","CA","United States","No","Immediate family member","06/30/2023" "UNCHANGED","445315","1871532960","Paul",,"Burton",,"1901 W. Lugonia Ave. Ste 230",,"Redlands","CA","92374","United States",,,"Doctor of Osteopathy",,"748604775","2020",93.25,636.33,"Limited Liability Company Membership Interest","Senate Surgical Distribution, LLC","100000010971","Senate Surgical Distribution, LLC","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","61179","1346336864","Gail",,"Hopkins",,"1901 W. Lugonia Ave. Ste 230",,"Redlands","CA","92373","United States",,,"Medical Doctor",,"748605253","2020",93.25,636.33,"Limited Liability Company Membership Interest","Senate Surgical Distribution, LLC","100000010971","Senate Surgical Distribution, LLC","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","109415","1407942113","James",,"Matiko",,"1901 W. Lugonia Ave. Ste 230",,"Redlands","CA","92374","United States",,,"Medical Doctor",,"748605281","2020",93.25,636.33,"Limited Liability Company Membership Interest","Senate Surgical Distribution, LLC","100000010971","Senate Surgical Distribution, LLC","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","566874","1164461224","John",,"Skubic",,"1901 W. Lugonia Ave. Ste 230",,"Redlands","CA","92374","United States",,,"Medical Doctor",,"748605449","2020",93.25,636.33,"Limited Liability Company Membership Interest","Senate Surgical Distribution, LLC","100000010971","Senate Surgical Distribution, LLC","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","89034","1982607867","Jonathan","J","Myer",,"4910 Directors place, suite 350",,"San Diego","CA","92121","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Sports Medicine","748605487","2020",0.00,19745.00,"Stock Options","OPUM Technologies","100000806843","OPUM Technologies",,"New Zealand","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","758310","1861464844","Douglas",,"Dodson",,"2301 Indian Wells Road. Suite A",,"Alamogordo","NM","88310","United States",,,"Doctor of Osteopathy",,"748605491","2020",93.25,636.33,"Limited Liability Company Membership Interest","Senate Surgical Distribution, LLC","100000010971","Senate Surgical Distribution, LLC","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","353961","1801840491","Thomas",,"Eickmann",,"80 Health Park Dr. Suite 230",,"Louisville","CO","80027","United States",,,"Medical Doctor",,"748615661","2020",93.25,636.33,"Limited Liability Company Membership Interest","Senate Surgical Distribution, LLC","100000010971","Senate Surgical Distribution, LLC","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","250311","1528051018","Anant",,"Kumar",,"7220 S Broadway Suite 240",,"Littleton","CO","80122","United States",,,"Medical Doctor",,"748633427","2020",93.25,636.33,"Limited Liability Company Membership Interest","Senate Surgical Distribution, LLC","100000010971","Senate Surgical Distribution, LLC","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","242579","1356388045","Bryan","A","Castro",,"80 Health Park Dr. Suite 230",,"Louisville","CO","80027","United States",,,"Medical Doctor",,"748658235","2020",93.25,636.33,"Limited Liability Company Membership Interest","Senate Surgical Distribution, LLC","100000010971","Senate Surgical Distribution, LLC","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","52794","1164418893","Michael",,"Fraipont",,"800 S Raymond",,"Pasadena","CA","91105","United States",,,"Medical Doctor",,"748689737","2020",2367.65,16157.42,"Limited Liability Company Membership Interest","Senate Surgical Distribution, LLC","100000010971","Senate Surgical Distribution, LLC","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","199876","1417943127","Richard",,"Diehl",,"800 S Raymond",,"Pasadena","CA","91105","United States",,,"Medical Doctor",,"748720547","2020",2367.65,16157.42,"Limited Liability Company Membership Interest","Senate Surgical Distribution, LLC","100000010971","Senate Surgical Distribution, LLC","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","232534","1134196256","WILLIAM","L","BARGAR",,"1020 29th Street Suite 450",,"SACRAMENTO","CA","95816","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Adult Reconstructive Orthopaedic Surgery","748811045","2020",55447.20,1.56,"311 shares of Common Stock","Consensus Orthopedics, Inc.","100000011052","Consensus Orthopedics, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","126650","1801815428","Thomas",,"Harris",,"800 S Raymond",,"Pasadena","CA","91105","United States",,,"Medical Doctor",,"748811563","2020",2367.65,16157.42,"Limited Liability Company Membership Interest","Senate Surgical Distribution, LLC","100000010971","Senate Surgical Distribution, LLC","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","112106","1477714665","Nirav",,"Amin",,"25455 BARTON RD","SUITE 102B","LOMA LINDA","CA","92354","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","753066191","2020",450000.00,533629.00,"Series C Stock","Trice Medical, Inc.","100000066357","Trice Medical, Inc.","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","368532","1184672453","MICHAEL",,"CANTRELL",,"927 FRANKLIN ST SE",,"HUNTSVILLE","AL","35801","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Trauma","753066193","2020",100000.00,100000.00,"Series C Stock","Trice Medical, Inc.","100000066357","Trice Medical, Inc.","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","87229","1922000942","Hunter",,"Greene",,"6403 COYLE AVE","Suite 170","CARMICHAEL","CA","95608","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Sports Medicine","753066195","2020",75000.00,75000.00,"Series C Stock","Trice Medical, Inc.","100000066357","Trice Medical, Inc.","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1145846","1477507150","John",,"Hoyt",,"1700 W TOWNLINE ST","SUITE 200","CRESTON","IA","50801","United States",,,"Doctor of Osteopathy","Allopathic & Osteopathic Physicians|Family Medicine","753066197","2020",50000.00,50000.00,"Series C Stock","Trice Medical, Inc.","100000066357","Trice Medical, Inc.","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","940541","1306849047","William",,"Jennings",,"1345 WESTGATE CENTER DR",,"WINSTON SALEM","NC","27103","United States",,,"Doctor of Osteopathy","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Sports Medicine","753066199","2020",30000.00,30000.00,"Series C Stock","Trice Medical, Inc.","100000066357","Trice Medical, Inc.","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","178964","1942243324","Ronald",,"Koe",,"1710 W HORIZON RIDGE PKWY","Suite 120","Henderson","NV","89012","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","753066201","2020",50000.00,50000.00,"Series C Stock","Trice Medical, Inc.","100000066357","Trice Medical, Inc.","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","923685","1689885816","Sean",,"McMillan",,"2103 BURLINGTON MOUNT HOLLY RD",,"BURLINGTON","NJ","08016","United States",,,"Doctor of Osteopathy","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","753066203","2020",80000.00,94868.00,"Series C Stock","Trice Medical, Inc.","100000066357","Trice Medical, Inc.","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","226778","1003851817","Samir",,"Mehta",,"3737 MARKET ST","7th Floor","PHILADELPHIA","PA","19104","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","753066205","2020",25000.00,25000.00,"Series C Stock","Trice Medical, Inc.","100000066357","Trice Medical, Inc.","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","337143","1427041557","Michael",,"Schwartz",,"4031 W PLANO PKWY","SUITE 100","PLANO","TX","75093","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Sports Medicine","753066207","2020",200000.00,200000.00,"Series C Stock","Trice Medical, Inc.","100000066357","Trice Medical, Inc.","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","169168","1720035926","Fotios",,"Tjoumakaris",,"833 CHESTNUT ST","Suite 1402","PHILADELPHIA","PA","19107","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","753066209","2020",100000.00,100000.00,"Series C Stock","Trice Medical, Inc.","100000066357","Trice Medical, Inc.","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","244278","1376571877","Matthew",,"Ramsey",,"925 CHESTNUT STREET",,"PHILADELPHIA","PA","19107","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","753066211","2020",7316.00,7316.00,"Stock option exercise","Trice Medical, Inc.","100000066357","Trice Medical, Inc.","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","155463","1427072495","Russell",,"Warren",,"535 E 70TH ST",,"New York","NY","10021","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","753066213","2020",3915.83,3915.83,"Stock option exercise","Trice Medical, Inc.","100000066357","Trice Medical, Inc.","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","333529","1346342045","John",,"Xerogeanes",,"59 EXECUTIVE PARK SOUTH NE","Suite 2096","Atlanta","GA","30329","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Sports Medicine","753066215","2020",3550.00,3550.00,"Stock option exercise","Trice Medical, Inc.","100000066357","Trice Medical, Inc.","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","253372","1588608731","Joseph",,"Abboud",,"925 CHESTNUT ST","5TH FLOOR","PHILADELPHIA","PA","19107","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Adult Reconstructive Orthopaedic Surgery","753066217","2020",0.00,674.08,"stock options","Trice Medical, Inc.","100000066357","Trice Medical, Inc.","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","241088","1316991136","Ken",,"Alleyne",,"2800 TAMARACK RD",,"SOUTH WINDSOR","CT","06074","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","753066219","2020",0.00,1141.07,"stock options","Trice Medical, Inc.","100000066357","Trice Medical, Inc.","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","241088","1316991136","Ken",,"Alleyne",,"2800 TAMARACK RD",,"SOUTH WINDSOR","CT","06074","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","753066221","2020",0.00,1521.42,"stock options","Trice Medical, Inc.","100000066357","Trice Medical, Inc.","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","926653","1780643460","Carlos","A","Valladares",,"5358 S EASTERN AVE",,"Las Vegas","NV","89119-2317","United States",,,"Doctor of Dentistry","Dental Providers|Dentist|General Practice","749849303","2020",0.00,495000.00,"Common Shares","Innovation Technologies Inc","100000126370","Innovation Technologies Inc","GA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","127680","1821081688","Ram",,"Vasudevan",,"1040 SW 2ND AVE",,"Ocala","FL","34474-4226","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Cardiovascular Disease","749849305","2020",0.00,90000.00,"Common Shares","Innovation Technologies Inc","100000126370","Innovation Technologies Inc","GA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1601","1043203888","Anju",,"Vasudevan",,"433 SW 10TH ST",,"Ocala","FL","34471-0209","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Hematology & Oncology","749849307","2020",0.00,90000.00,"Common Shares","Innovation Technologies Inc","100000126370","Innovation Technologies Inc","GA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","877474","1073565693","James",,"Vogler",,"4500 W NEWBERRY RD",,"Gainesville","FL","32607-2245","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Radiology|Diagnostic Radiology","749849309","2020",0.00,271490.00,"Common Shares","Innovation Technologies Inc","100000126370","Innovation Technologies Inc","GA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","797987","1306826946","Michael",,"Wieser",,"801 MEDICAL DR SUITE A",,"Lima","OH","45804-4099","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","749849311","2020",0.00,135000.00,"Common Shares","Innovation Technologies Inc","100000126370","Innovation Technologies Inc","GA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","911126","1255329009","Mark",,"Yap",,"1818 SW 15TH AVE",,"Ocala","FL","34474-3548","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Radiology|Vascular & Interventional Radiology","749849313","2020",0.00,1912500.00,"Common Shares","Innovation Technologies Inc","100000126370","Innovation Technologies Inc","GA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","606473","1548236383","Lawrence",,"Young",,"2341 MCCALLIE AVE SUITE 402",,"CHATTANOOGA","TN","37404-3239","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Anesthesiology","749849315","2020",2106.00,407106.00,"Common Shares","Innovation Technologies Inc","100000126370","Innovation Technologies Inc","GA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","320355","1073568903","Ronald",,"Hillock",,"7455 W WASHINGTON AVE",,"Las Vegas","NV","89128","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","749849317","2020",0.00,45000.00,"Stock Options","Innovation Technologies Inc","100000126370","Innovation Technologies Inc","GA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","601220","1366454944","Oscar",,"Menendez",,"2682 W LAKE RD",,"PALM HARBOR","FL","34684-3120","United States",,,"Doctor of Dentistry","Dental Providers|Dentist","749849319","2020",0.00,45000.00,"Stock Options","Innovation Technologies Inc","100000126370","Innovation Technologies Inc","GA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","212498","1699793661","Paul",,"Montalbano",,"6140 W CURTISIAN AVE SUITE 400",,"BOISE","ID","83704-8907","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","749849321","2020",0.00,45000.00,"Stock Options","Innovation Technologies Inc","100000126370","Innovation Technologies Inc","GA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","12313","1265520027","Mark",,"Oliver",,"1901 SE 18TH AVE SUITE 101",,"Ocala","FL","34471-8215","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","749849323","2020",0.00,45000.00,"Stock Options","Innovation Technologies Inc","100000126370","Innovation Technologies Inc","GA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","22947","1508863960","Mark",,"Petty",,"4500 W NEWBERRY RD",,"Gainesville","FL","32607-2245","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","749849325","2020",0.00,45000.00,"Stock Options","Innovation Technologies Inc","100000126370","Innovation Technologies Inc","GA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","510330","1164483376","Paul",,"Rucinski",,"1710 SE 16TH AVE",,"OCALA","FL","34471-4656","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Family Medicine|Sports Medicine","749849327","2020",0.00,405000.00,"Stock Options","Innovation Technologies Inc","100000126370","Innovation Technologies Inc","GA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","344365","1588660880","Richard",,"Rosenblum",,"1728 River Ct",,"Virginia Beach","VA","23454","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Plastic Surgery","749849329","2020",0.00,180000.00,"Stock Options","Innovation Technologies Inc","100000126370","Innovation Technologies Inc","GA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","177460","1912092800","Daniel",,"Refai",,"5240 Northside Dr. NW",,"Atlanta","GA","30327","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","749849387","2020",214015.21,192447.89,"Common Units (3345) & B units (10,931.55)","Nanovis LLC","100000071380","Nanovis LLC","IN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","20267","1447237045","Nizam",,"Razack",,"9568 Wickham Way",,"Orlando","FL","32836","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","749849881","2020",100000.00,99994.64,"B units","Nanovis LLC","100000071380","Nanovis LLC","IN","United States","No","Physician Covered Recipient","06/30/2023" "CHANGED","251038","1548267529","CRAIG",,"WALKER",,"225 DUNN ST",,"HOUMA","LA","70360","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Interventional Cardiology","751727687","2020",0.00,581803.00,"Preferred Stock Financing","CARDIVA MEDICAL, INC.","100000010856","CARDIVA MEDICAL, INC.","MA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","193430","1275574493","Paul",,"Jensen",,"2310 Peger Rd","Suite 106","Fairbanks","AK","99709","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","751793811","2020",0.00,406749.60,"Part owner of LLC who is entitled to distributions from the LLC.","Sixth Street Solutions, LLC","100000281815","Sixth Street Solutions, LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","193241","1255399549","Dennis",,"Crandall",,"1432 S DOBSON RD","Suite 201","Mesa","AZ","85202-4768","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","751814659","2020",111554.00,578854.00,"28% ownership. $ 0.00 profits distributed in 2020.","Ingeniumspine, LLC","100000221801","Ingeniumspine, LLC","AZ","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","32077","1700854296","Jason",,"Datta",,"1255 W RIO SALADO PKWY","Suite 107","Tempe","AZ","85281-2892","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","751814839","2020",55777.00,291181.00,"18% ownership of company. $0.00 profit distributed in 2020.","Ingeniumspine, LLC","100000221801","Ingeniumspine, LLC","AZ","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","34556","1770615288","TERRENCE",,"Crowder",,"2557 S VAL VISTA Drive","Suite 103","Gilbert","AZ","85295-6230","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","751827017","2020",55777.00,291181.00,"18% ownership of company. $0.00 profit distributed in 2020.","Ingeniumspine, LLC","100000221801","Ingeniumspine, LLC","AZ","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","52618","1154522910","Michael",,"Chang",,"1462 S. DOBSON ROAD","Suite 201","Mesa","AZ","85202","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","751830459","2020",55777.00,291181.00,"18% ownership of company. $0.00 profits distributed in 2020.","Ingeniumspine, LLC","100000221801","Ingeniumspine, LLC","AZ","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","53930","1194979427","Lyle",,"Young",,"1255 W RIO SALADO PKWY","Suite 107","Tempe","AZ","85281-2892","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","751830527","2020",55777.00,291181.00,"18% ownership of company. $0.00 profits distributed in 2020.","Ingeniumspine, LLC","100000221801","Ingeniumspine, LLC","AZ","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","246261","1437125564","Warren",,"Yu",,"2150 PENNSYLVANIA AVE",,"Washington","DC","20037","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","751872981","2020",214000.00,200000.00,"Stock Ownership","Spineart SA","100000151619","Spineart SA",,"Switzerland","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","194331","1285854299","Thomas",,"Fogarty",,"3270 Alpine Road",,"Portola Valley","CA","94028","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Thoracic Surgery (Cardiothoracic Vascular Surgery)","751938889","2020",0.00,5000.00,"Investment in Common Units","Collaborative Care Diagnostics, LLC","100000086367","Collaborative Care Diagnostics, LLC","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","543782","1346312345","Dan",,"Fischer",,"505 West Ultradent Drive",,"South Jordan","UT","84095","United States",,,"Doctor of Dentistry","Dental Providers|Dentist|General Practice","752046553","2020",2000.00,3000.00,"Additional instructions required from CMS for Company valuation procedures or calculations used for reporting purposes","Ultradent Products Inc","100000005497","Ultradent Products Inc","UT","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","535077","1033281027","Jaleena",,"Jessop",,"505 West Ultradent Drive",,"South Jordan","UT","84095","United States",,,"Doctor of Dentistry","Dental Providers|Dentist|General Practice","752048205","2020",150.00,300.00,"Additional instructions required from CMS for company valuation procedures or calculations used for reporting purposes.","Ultradent Products Inc","100000005497","Ultradent Products Inc","UT","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","232732","1134126501","BAHRAM",,"VARJAVAND",,"2801 L ST",,"SACRAMENTO","CA","95816-5615","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Radiology|Body Imaging","752048219","2020",0.00,10000.00,"Common Stock","Shape Memory Medical Inc.","100000256807","Shape Memory Medical Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","168760","1720097330","SAFA","S","KASSAB",,"44555 WOODWARD AVE","SUITE 105","PONTIAC","MI","48341-5031","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Adult Reconstructive Orthopaedic Surgery","752048221","2020",0.00,75000.00,"Preferred Stock","Shape Memory Medical Inc.","100000256807","Shape Memory Medical Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","731533","1912986621","CHENG",,"JI",,"4860 Y ST","SUITE 3100 ACC","SACRAMENTO","CA","95817-2307","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Radiology|Neuroradiology","752048223","2020",0.00,10000.00,"Common Stock","Shape Memory Medical Inc.","100000256807","Shape Memory Medical Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","315927","1972590610","Gregory",,"Adamson",,"800 S Raymond",,"Pasadena","CA","91105","United States",,,"Medical Doctor",,"748811607","2020",2367.65,16157.42,"Limited Liability Company Membership Interest","Senate Surgical Distribution, LLC","100000010971","Senate Surgical Distribution, LLC","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","31375","1699710483","Theodore",,"Homa",,"800 W Oakton St",,"Arlington Heights","IL","60004","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine","748811637","2020",0.00,33.00,"Common Stock","SRS Medical Systems, Inc.","100000000093","SRS Medical Systems, Inc.","MA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","339893","1487641114","James",,"Shankwiler",,"800 S Raymond",,"Pasadena","CA","91105","United States",,,"Medical Doctor",,"748811655","2020",2367.65,16157.42,"Limited Liability Company Membership Interest","Senate Surgical Distribution, LLC","100000010971","Senate Surgical Distribution, LLC","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","822353","1134131360","Murray",,"Salzman",,"3200 Grant St.",,"Evanston","IL","60201","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Pulmonary Disease","748811665","2020",0.00,33.00,"Common Stock","SRS Medical Systems, Inc.","100000000093","SRS Medical Systems, Inc.","MA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","127355","1821084641","William",,"Costigan",,"800 S Raymond",,"Pasadena","CA","91105","United States",,,"Medical Doctor",,"748811699","2020",2367.65,16157.42,"Limited Liability Company Membership Interest","Senate Surgical Distribution, LLC","100000010971","Senate Surgical Distribution, LLC","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","91986","1043286776","CHARLES","E","BRYANT",,"3433 NW 56th Street Suite 950",,"OKLAHOMA CITY","OK","73112","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Surgery","748811705","2020",124158.25,150188.76,"750 shares of Common Stock. 126,408 shares of Series B Preferred Stock, with liquidation preference and accrued but unpaid dividends at 4 percent per year. 217,977 shares of Series C Preferred Stock, with a liquidation preference and accrued but unpaid dividends at 4 percent per year.","Consensus Orthopedics, Inc.","100000011052","Consensus Orthopedics, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","469283","1720020043","G.","Gilbert","Johnston",,"1802 Yakima Ave ste 102",,"Tacoma","WA","98405","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Thoracic Surgery (Cardiothoracic Vascular Surgery)","748811759","2020",0.00,1500.00,"Common Stock","SRS Medical Systems, Inc.","100000000093","SRS Medical Systems, Inc.","MA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","345405","1619963444","Todd",,"Dietrick",,"800 S Raymond",,"Pasadena","CA","91105","United States",,,"Medical Doctor",,"748811771","2020",2367.65,16157.42,"Limited Liability Company Membership Interest","Senate Surgical Distribution, LLC","100000010971","Senate Surgical Distribution, LLC","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","256533","1669576682","Donald",,"Ostergard",,"9 Via Subida",,"Rancho Palos Verdes","CA","90275","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology|Gynecology","748811779","2020",0.00,3887.49,"Common Stock","SRS Medical Systems, Inc.","100000000093","SRS Medical Systems, Inc.","MA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","240256","1306958798","Thomas",,"Sultan",,"2150 Pfingsten Road, Suite 2250",,"Glenview","IL","60035","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine","748811801","2020",0.00,33.00,"Common Stock","SRS Medical Systems, Inc.","100000000093","SRS Medical Systems, Inc.","MA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","84094","1871528174","Kenneth",,"Sabbag",,"800 S Raymond",,"Pasadena","CA","91105","United States",,,"Medical Doctor",,"748811811","2020",2367.65,16157.42,"Limited Liability Company Membership Interest","Senate Surgical Distribution, LLC","100000010971","Senate Surgical Distribution, LLC","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","298709","1588646368","Roy",,"Ashford",,"800 S Raymond",,"Pasadena","CA","91105","United States",,,"Medical Doctor",,"748811849","2020",2367.65,16157.42,"Limited Liability Company Membership Interest","Senate Surgical Distribution, LLC","100000010971","Senate Surgical Distribution, LLC","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","230672","1083605463","Gary",,"Moscarello",,"800 S Raymond",,"Pasadena","CA","91105","United States",,,"Medical Doctor",,"748812145","2020",2367.65,16157.42,"Limited Liability Company Membership Interest","Senate Surgical Distribution, LLC","100000010971","Senate Surgical Distribution, LLC","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1138640","1235120635","John",,"Quigley",,"800 S Raymond",,"Pasadena","CA","91105","United States",,,"Medical Doctor",,"748812173","2020",2367.65,16157.42,"Limited Liability Company Membership Interest","Senate Surgical Distribution, LLC","100000010971","Senate Surgical Distribution, LLC","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","107015","1366601536","REGINALD","W","KAPTEYN",,"1400 MERCY DR.","SUITE 100","MUSKEGON","MI","49444","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Physical Medicine & Rehabilitation","748812195","2020",1250.00,1250.00,"From options exercised in 2020","HydroCision, Inc.","100000196859","HydroCision, Inc.","MA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","112106","1477714665","Nirav",,"Amin",,"25455 BARTON RD",,"LOMA LINDA","CA","92354","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","753066223","2020",0.00,462.13,"stock options","Trice Medical, Inc.","100000066357","Trice Medical, Inc.","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","112106","1477714665","Nirav",,"Amin",,"25455 BARTON RD",,"LOMA LINDA","CA","92354","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","753066225","2020",0.00,488.13,"stock options","Trice Medical, Inc.","100000066357","Trice Medical, Inc.","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","112106","1477714665","Nirav",,"Amin",,"25455 BARTON RD",,"LOMA LINDA","CA","92354","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","753066227","2020",0.00,611.55,"stock options","Trice Medical, Inc.","100000066357","Trice Medical, Inc.","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","259513","1720089899","Don",,"Buford",,"1015 N. CARROLL AVE","SUITE 200","DALLAS","TX","75204","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","753066229","2020",0.00,611.55,"stock options","Trice Medical, Inc.","100000066357","Trice Medical, Inc.","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","14727","1316105828","Avnish",,"Clerk",,"7 ALUMNI DR",,"EXETER","NH","03833","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Sports Medicine","753066231","2020",0.00,488.13,"stock options","Trice Medical, Inc.","100000066357","Trice Medical, Inc.","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","14727","1316105828","Avnish",,"Clerk",,"7 ALUMNI DR",,"EXETER","NH","03833","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Sports Medicine","753066233","2020",0.00,611.55,"stock options","Trice Medical, Inc.","100000066357","Trice Medical, Inc.","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","65582","1447214895","Alan",,"Davis",,"9500 Euclid Ave",,"Cleveland","OH","44195","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","753066235","2020",0.00,774.48,"stock options","Trice Medical, Inc.","100000066357","Trice Medical, Inc.","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","65582","1447214895","Alan",,"Davis",,"9500 Euclid Ave",,"Cleveland","OH","44195","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","753066237","2020",0.00,774.48,"stock options","Trice Medical, Inc.","100000066357","Trice Medical, Inc.","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","65582","1447214895","Alan",,"Davis",,"9500 Euclid Ave",,"Cleveland","OH","44195","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","753066239","2020",0.00,562.85,"stock options","Trice Medical, Inc.","100000066357","Trice Medical, Inc.","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","327184","1205815503","Carl",,"Deirmengian",,"925 CHESTNUT STREET, FL 5",,"PHILADELPHIA","PA","19107","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","753066241","2020",0.00,834.87,"stock options","Trice Medical, Inc.","100000066357","Trice Medical, Inc.","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","327184","1205815503","Carl",,"Deirmengian",,"925 CHESTNUT STREET, FL 5",,"PHILADELPHIA","PA","19107","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","753066243","2020",0.00,606.74,"stock options","Trice Medical, Inc.","100000066357","Trice Medical, Inc.","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","327184","1205815503","Carl",,"Deirmengian",,"925 CHESTNUT STREET, FL 5",,"PHILADELPHIA","PA","19107","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","753066245","2020",0.00,1521.42,"stock options","Trice Medical, Inc.","100000066357","Trice Medical, Inc.","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","189936","1194888297","JoshUA",,"Dines",,"333 EARLE OVINGTON BLVD",,"UNIONDALE","NY","11553","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Sports Medicine","753066247","2020",0.00,924.25,"stock options","Trice Medical, Inc.","100000066357","Trice Medical, Inc.","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","35985","1801859806","James",,"Gladstone",,"5 E 98TH ST",,"New York","NY","10029","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","753066249","2020",0.00,462.13,"stock options","Trice Medical, Inc.","100000066357","Trice Medical, Inc.","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","72166","1609845312","Gary",,"Harter",,"100 N ACADEMY AVE",,"DANVILLE","PA","17822","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","753066251","2020",0.00,3274.58,"stock options","Trice Medical, Inc.","100000066357","Trice Medical, Inc.","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","72166","1609845312","Gary",,"Harter",,"100 N ACADEMY AVE",,"DANVILLE","PA","17822","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","753066253","2020",0.00,280.84,"stock options","Trice Medical, Inc.","100000066357","Trice Medical, Inc.","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","341366","1528000379","John",,"Dorchak",,"1765 Central Church Rd",,"Midland","GA","31820","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","749850009","2020",226339.96,183243.08,"B units","Nanovis LLC","100000071380","Nanovis LLC","IN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1269158","1841257136","Douglas",,"Pahl",,"6262 VETERANS PKWY",,"Columbus","GA","31904","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","749850041","2020",443351.05,359523.73,"B units","Nanovis LLC","100000071380","Nanovis LLC","IN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","213837","1720263619","Abilio",,"Reis",,"512 S Gaskins Road",,"Henrico","VA","23238","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","749850061","2020",50000.00,49997.32,"B units","Nanovis LLC","100000071380","Nanovis LLC","IN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1182029","1760529432","David","R","Byrd",,"1959 NE Pacific St",,"Seattle","WA","98195","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Surgery","749916085","2020",0.00,160068.49,"(Value of Note + interest as of 12/31/2020.)","ExThera Medical Corporation","100000826828","ExThera Medical Corporation","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","254441","1619979275","David",,"Calcagno",,"2025 Technology Pkwy","Suite 304","Mechanicsburg","PA","17050","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Surgery|Vascular Surgery","749952473","2020",0.00,21728.77,"Value of note plus interest as of 12/31/2020","ExThera Medical Corporation","100000826828","ExThera Medical Corporation","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1178127","1629079314","Julie","A","Rothman",,"205 Grandview Ave","Suite 402","Camp Hill","PA","17011","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Nephrology","749954033","2020",0.00,111410.96,"Value of notes plus interest as of 12/31/2020","ExThera Medical Corporation","100000826828","ExThera Medical Corporation","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","61230","1346283348","Michael","Scott","Hisey",,"2817 S MAYHILL RD","SUITE 100","Denton","TX","76208","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","749968563","2020",0.00,132590.07,"PREFERRED STOCK","4WEB, Inc.","100000010575","4WEB, Inc.","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","153655","1407801970","LUIS",,"MIGNUCCI",,"6160 WINDHAVEN PKWY","STE 200","PLANO","TX","75093","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","749968565","2020",0.00,260056.83,"PREFERRED STOCK","4WEB, Inc.","100000010575","4WEB, Inc.","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1192125","1114925229","GREGORY",,"MISENHIMER",,"1720 MURCHISON",,"EL PASO","TX","79902","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","749968567","2020",0.00,264437.95,"PREFERRED STOCK","4WEB, Inc.","100000010575","4WEB, Inc.","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","63718","1417978016","CHRISTOPHER",,"MICHAEL",,"3600 GASTON AVE","STE 907","DALLAS","TX","75246","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","749968569","2020",0.00,91884.27,"PREFERRED STOCK","4WEB, Inc.","100000010575","4WEB, Inc.","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","82282","1821013020","KEITH",,"HEIER",,"4780 N JOSEY LN",,"CARROLTON","TX","75010","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Sports Medicine","749968571","2020",0.00,132834.96,"PREFERRED STOCK","4WEB, Inc.","100000010575","4WEB, Inc.","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","682197","1194742833","JEFFERY",,"MCNEELY",,"2126 50TH ST",,"LUBBOCK","TX","79412","United States",,,"Doctor of Podiatric Medicine","Podiatric Medicine & Surgery Service Providers|Podiatrist","749968573","2020",0.00,41450.36,"PREFERRED STOCK","4WEB, Inc.","100000010575","4WEB, Inc.","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","139338","1063452944","MARK",,"KAZEWYCH",,"800 ORTHOPEDIC WAY",,"ARLINGTON","TX","76015","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","749968575","2020",0.00,578710.04,"PREFERRED STOCK","4WEB, Inc.","100000010575","4WEB, Inc.","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","133519","1942205554","JOHN",,"CRATES",,"5228 W PLANO PKWY",,"PLANO","TX","75093","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Foot and Ankle Surgery","749968577","2020",0.00,229614.66,"COMMON & PREFERRED STOCK","4WEB, Inc.","100000010575","4WEB, Inc.","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","31596","1699725945","STEVEN",,"LEE",,"2405 SHADELANDS DR",,"WALNUT CREEK","CA","94598","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","749968579","2020",0.00,97818.03,"PREFERRED STOCK","4WEB, Inc.","100000010575","4WEB, Inc.","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","780044","1639358617","SAMUEL",,"ADAMS",,"1000 TRENT DR",,"DURHAM","NC","27710","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","749968581","2020",0.00,13015.01,"PREFERRED STOCK","4WEB, Inc.","100000010575","4WEB, Inc.","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","313594","1902853062","CHRISTIAN",,"PAVLOVICH",,"4940 EASTERN AVE",,"BALTIMORE","MD","21224-2735","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","752048225","2020",0.00,2000.00,"Common Stock","Shape Memory Medical Inc.","100000256807","Shape Memory Medical Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "CHANGED","124530","1730174061","GERALD","M","SYLVAIN",,"3233 W. CHARLESTON BLVD. STE. 101",,"LAS VEGAS","NV","89102-1923","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","752048227","2020",5000.00,35000.00,"Preferred Stock and Simple Agreement for Future Equity with Warrant","Shape Memory Medical Inc.","100000256807","Shape Memory Medical Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","195255","1306803366","ALAN",,"GLOWCZWSKI",,"700 E MARSHALL AVE",,"LONGVIEW","TX","75601-5580","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Radiology|Diagnostic Radiology","752048229","2020",0.00,51787.20,"Preferred Stock","Shape Memory Medical Inc.","100000256807","Shape Memory Medical Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","698761","1760560478","JONATHAN",,"HARTMAN",,"2025 MORSE AVE",,"SACRAMENTO","CA","95825-2115","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Radiology|Neuroradiology","752048231","2020",50000.00,180000.40,"Common Stock Preferred Stock and Simple Agreement for Future Equity","Shape Memory Medical Inc.","100000256807","Shape Memory Medical Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","88719","1952370116","LEO","NELSON","HOPKINS",,"875 ELLICOTT ST","NEUROSURGERY","BUFFALO","NY","14203-1070","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","752048233","2020",3857.24,28857.22,"Preferred Stock and Simple Agreement for Future Equity","Shape Memory Medical Inc.","100000256807","Shape Memory Medical Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","70565","1578541280","MICHAEL","KEITH","COHEN",,"2801 FRANCISCAN DR",,"BRYAN","TX","77802-2544","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Pathology|Anatomic Pathology & Clinical Pathology","752048235","2020",37500.00,91417.20,"Preferred Stock and Simple Agreement for Future Equity","Shape Memory Medical Inc.","100000256807","Shape Memory Medical Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","680170","1124018296","JANE","E","KRASNICK",,"37130 HOOVER RD","SUITE A","WARREN","MI","48093","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Allergy & Immunology","752048237","2020",0.00,20400.00,"Preferred Stock","Shape Memory Medical Inc.","100000256807","Shape Memory Medical Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","294047","1497765077","ROBERT","ALAN","KRASNICK",,"13850 E 12 MILE RD",,"WARREN","MI","48088-3730","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Physical Medicine & Rehabilitation","752048239","2020",0.00,20400.00,"Preferred Stock","Shape Memory Medical Inc.","100000256807","Shape Memory Medical Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","881799","1225065451","JOSEPH","A","HORTON",,"1214 COOLIDGE BLVD",,"LAFAYETTE","LA","70503-2621","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Radiology|Diagnostic Radiology","752048241","2020",50000.00,50000.00,"Simple Agreement for Future Equity","Shape Memory Medical Inc.","100000256807","Shape Memory Medical Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","293326","1457389009","Tony","M","Chou",,"400 Parnassus Ave","Fl. 5","San Francisco","CA","94143-2202","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Interventional Cardiology","752055099","2020",872093.62,1131902.43,"Physician is an employee of the Manufacturer. Investment amounts included his ownership in common stock and Series A, B and C preferred stock.","Route 92 Medical, Inc.","100000796823","Route 92 Medical, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","578867","1588629943","Christopher","John","Barry",,"1257 E 33rd St",,"Edmond","OK","73013","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","752075609","2020",50.00,0.00,"Company went out of business September 09/11/2020. Entity was closed.","Synergy Integrated Medical Solutions LLC","100000126367","Synergy Integrated Medical Solutions LLC","OK","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","578867","1588629943","Christopher","John","Barry",,"1257 E33rd St",,"Edmond","OK","73013","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","752075647","2020",50.00,0.00,"Company closed 09/11/2020.","Synergy Integrated Medical Solutions LLC","100000126367","Synergy Integrated Medical Solutions LLC","OK","United States","No","Immediate family member","06/30/2023" "UNCHANGED","322390","1093745028","Anthony","Ian","Nunez",,"737 W Oak St",,"Kissimmee","FL","34741-4937","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Thoracic Surgery (Cardiothoracic Vascular Surgery)","752232829","2020",100000.13,646199.53,"Shares of stock and stock warrants in the privately held company","ENDOTRONIX, INC.","100000801823","ENDOTRONIX, INC.","IL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1281759","1407252679","Bradley",,"Clark",,"450 Sutter St Suite 2109",,"San Francisco","CA","94108-4206","United States",,,"Doctor of Dentistry","Dental Providers|Dentist|Endodontics","752242983","2020",0.00,22230.00,"Shares of stock in the privately held company","ENDOTRONIX, INC.","100000801823","ENDOTRONIX, INC.","IL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","143505","1164642583","Rishi",,"Garg",,"800 S Raymond",,"Pasadena","CA","91105","United States",,,"Medical Doctor",,"748812203","2020",2367.65,16157.42,"Limited Liability Company Membership Interest","Senate Surgical Distribution, LLC","100000010971","Senate Surgical Distribution, LLC","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","307505","1760499818","RONALD","MERVIN","CARN",,"1755 East Street",,"REDDING","CA","96001","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","748818387","2020",11796.44,6675.14,"102,752 shares of Common Stock. 6,438 shares of Series A-1 Preferred Stock, with a liquidation preference and accrued but unpaid dividends at 4 percent per year.","Consensus Orthopedics, Inc.","100000011052","Consensus Orthopedics, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","631942","1437313095","Joe",,"Lee",,"800 S Raymond",,"Pasadena","CA","91105","United States",,,"Medical Doctor",,"748825955","2020",2367.65,16157.42,"Limited Liability Company Membership Interest","Senate Surgical Distribution, LLC","100000010971","Senate Surgical Distribution, LLC","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","284150","1255334488","RONALD","D","GARDNER",,"2531 Cleveland Avenue Ste 1",,"FORT MYERS","FL","33901","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","748828965","2020",575500.00,907852.00,"1,100,000 shares of Common Stock. 2,850,000 shares of Series C Preferred Stock, with a liquidation preference and accrued but unpaid dividends at 4 percent per year.","Consensus Orthopedics, Inc.","100000011052","Consensus Orthopedics, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","147829","1245481266","Timothy",,"Jackson",,"800 S Raymond",,"Pasadena","CA","91105","United States",,,"Medical Doctor",,"748828981","2020",2367.65,16157.42,"Limited Liability Company Membership Interest","Senate Surgical Distribution, LLC","100000010971","Senate Surgical Distribution, LLC","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","129002","1851392369","EDUARDO",,"GOMEZ",,"8350 Riverwalk Park Blvd Suite 1",,"FORT MYERS","FL","33919","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","748828985","2020",150000.00,236515.00,"750,000 shares of Series C Preferred Stock, with a liquidation preference and accrued but unpaid dividends at 4 percent per year.","Consensus Orthopedics, Inc.","100000011052","Consensus Orthopedics, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","895209","1699901397","Steven",,"Lin",,"800 S Raymond",,"Pasadena","CA","91105","United States",,,"Medical Doctor",,"748836217","2020",2367.65,16157.42,"Limited Liability Company Membership Interest","Senate Surgical Distribution, LLC","100000010971","Senate Surgical Distribution, LLC","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","237825","1235310111","FREDERIC","J","GERGES",,"690 CANTON STREET","SUITE 325","WESTWOOD","MA","02090","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Pain Medicine|Interventional Pain Medicine","748836223","2020",250.00,250.00,"From options exercised in 2019","HydroCision, Inc.","100000196859","HydroCision, Inc.","MA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","998789","1285966903","Pamela",,"Luk",,"800 S Raymond",,"Pasadena","CA","91105","United States",,,"Medical Doctor",,"748836235","2020",2367.65,16157.42,"Limited Liability Company Membership Interest","Senate Surgical Distribution, LLC","100000010971","Senate Surgical Distribution, LLC","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","87344","1922012772","CHRISTOPHER","JAMES","LESLIE",,"226 E US Highway 54",,"CAMDENTON","MO","65020","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","748839189","2020",0.00,2500.00,"Option to purchase 250,000 shares of Common Stock, price 0.005 dollar per share, expires October 2022. Option to purchase 250,000 shares of Common Stock, price per share 0.005 dollar per share, expires November 2025.","Consensus Orthopedics, Inc.","100000011052","Consensus Orthopedics, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","265923","1871548933","MELVIN","LLOYD","PARNELL",,"4720 S 10 Service Road W Suite 301",,"Metairie","LA","70001","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","748839243","2020",38773.58,21210.81,"9,452 shares of Common Stock. 22,114 shares of Series A-1 Preferred Stock, with a liquidation preference and accrued but unpaid dividends at 4 percent per year","Consensus Orthopedics, Inc.","100000011052","Consensus Orthopedics, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","169862","1730364159","JEFFERY","K","TAYLOR",,"5502 W Saint Francis Circle",,"LOOMIS","CA","95650","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Adult Reconstructive Orthopaedic Surgery","748839529","2020",1832.23,271.81,"54,361 shares of Common Stock","Consensus Orthopedics, Inc.","100000011052","Consensus Orthopedics, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","49638","1104807429","JOHN","R","DORRIS","III","1010 PRINCE AVENUE","SUITE 115 SOUTH","ATHENS","GA","30606","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Sports Medicine","748841173","2020",179249.50,179249.50,"597,498 shares of Series F Preferred Stock with a liquidation preference, redemption right, and dividends of 14 percent per year, paid quarterly","Consensus Orthopedics, Inc.","100000011052","Consensus Orthopedics, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","72166","1609845312","Gary",,"Harter",,"100 N ACADEMY AVE",,"DANVILLE","PA","17822","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","753066255","2020",0.00,348.56,"stock options","Trice Medical, Inc.","100000066357","Trice Medical, Inc.","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","72166","1609845312","Gary",,"Harter",,"100 N ACADEMY AVE",,"DANVILLE","PA","17822","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","753066257","2020",0.00,1712.05,"stock options","Trice Medical, Inc.","100000066357","Trice Medical, Inc.","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","940541","1306849047","William",,"Jennings",,"1345 WESTGATE CENTER DR",,"WINSTON SALEM","NC","27103","United States",,,"Doctor of Osteopathy","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Sports Medicine","753066259","2020",0.00,818.65,"stock options","Trice Medical, Inc.","100000066357","Trice Medical, Inc.","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","940541","1306849047","William",,"Jennings",,"1345 WESTGATE CENTER DR",,"WINSTON SALEM","NC","27103","United States",,,"Doctor of Osteopathy","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Sports Medicine","753066261","2020",0.00,462.13,"stock options","Trice Medical, Inc.","100000066357","Trice Medical, Inc.","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","940541","1306849047","William",,"Jennings",,"1345 WESTGATE CENTER DR",,"WINSTON SALEM","NC","27103","United States",,,"Doctor of Osteopathy","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Sports Medicine","753066263","2020",0.00,488.13,"stock options","Trice Medical, Inc.","100000066357","Trice Medical, Inc.","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","940541","1306849047","William",,"Jennings",,"1345 WESTGATE CENTER DR",,"WINSTON SALEM","NC","27103","United States",,,"Doctor of Osteopathy","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Sports Medicine","753066265","2020",0.00,611.55,"stock options","Trice Medical, Inc.","100000066357","Trice Medical, Inc.","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","75523","1659480317","James",,"Krieg",,"833 CHESTNUT ST",,"PHILADELPHIA","PA","19107","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Trauma","753066267","2020",0.00,500.92,"stock options","Trice Medical, Inc.","100000066357","Trice Medical, Inc.","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","75523","1659480317","James",,"Krieg",,"833 CHESTNUT ST",,"PHILADELPHIA","PA","19107","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Trauma","753066269","2020",0.00,441.71,"stock options","Trice Medical, Inc.","100000066357","Trice Medical, Inc.","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","293893","1477564276","Donald",,"Mazur",,"925 CHESTNUT ST 5TH FLOOR",,"PHILADELPHIA","PA","19107","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","753066271","2020",0.00,500.92,"stock options","Trice Medical, Inc.","100000066357","Trice Medical, Inc.","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","293893","1477564276","Donald",,"Mazur",,"925 CHESTNUT ST 5TH FLOOR",,"PHILADELPHIA","PA","19107","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","753066273","2020",0.00,514.51,"stock options","Trice Medical, Inc.","100000066357","Trice Medical, Inc.","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","923685","1689885816","Sean",,"McMillan",,"2103 BURLINGTON MOUNT HOLLY RD",,"BURLINGTON","NJ","08016","United States",,,"Doctor of Osteopathy","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","753066275","2020",0.00,693.19,"stock options","Trice Medical, Inc.","100000066357","Trice Medical, Inc.","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","923685","1689885816","Sean",,"McMillan",,"2103 BURLINGTON MOUNT HOLLY RD",,"BURLINGTON","NJ","08016","United States",,,"Doctor of Osteopathy","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","753066277","2020",0.00,488.13,"stock options","Trice Medical, Inc.","100000066357","Trice Medical, Inc.","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","923685","1689885816","Sean",,"McMillan",,"2103 BURLINGTON MOUNT HOLLY RD",,"BURLINGTON","NJ","08016","United States",,,"Doctor of Osteopathy","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","753066279","2020",0.00,611.55,"stock options","Trice Medical, Inc.","100000066357","Trice Medical, Inc.","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","64065","1407891781","Anthony",,"Miniaci",,"6000 W CREEK RD",,"Independence","OH","44131","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","753066281","2020",0.00,462.13,"stock options","Trice Medical, Inc.","100000066357","Trice Medical, Inc.","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","64065","1407891781","Anthony",,"Miniaci",,"6000 W CREEK RD",,"Independence","OH","44131","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","753066283","2020",0.00,488.13,"stock options","Trice Medical, Inc.","100000066357","Trice Medical, Inc.","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1003057","1467675710","Hassan",,"Mir",,"13020 N TELECOM PKWY",,"TEMPLE TERRACE","FL","33637","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","753066285","2020",0.00,529.89,"stock options","Trice Medical, Inc.","100000066357","Trice Medical, Inc.","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","264982","1831147123","STEVEN",,"KANE",,"320 PARKWAY DR NE","STE 300","ATLANTA","GA","30312","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","749968583","2020",0.00,104120.06,"PREFERRED STOCK","4WEB, Inc.","100000010575","4WEB, Inc.","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","286502","1326058835","JOHN",,"NOACK",,"8440 WALNUT HILL LN","STE 110","DALLAS","TX","75231","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Foot and Ankle Surgery","749968585","2020",0.00,262999.24,"PREFERRED STOCK","4WEB, Inc.","100000010575","4WEB, Inc.","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","146721","1245283548","JOHN",,"PELOZA",,"17980 DALLAS PARKWAY","STE 300","DALLAS","TX","75287","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","749968587","2020",0.00,73513.74,"PREFERRED STOCK","4WEB, Inc.","100000010575","4WEB, Inc.","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","267637","1891734935","BRYAN",,"LAPINSKI",,"4115 FAIRVIEW AVE",,"DOWNERS GROVE","IL","60515","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","749968589","2020",0.00,33195.04,"PREFERRED STOCK","4WEB, Inc.","100000010575","4WEB, Inc.","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","644873","1881816197","KRIS",,"PARCHURI",,"9101 S TOLEDO AVE","STE B","TULSA","OK","74137","United States",,,"Doctor of Osteopathy","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","749968591","2020",0.00,223598.36,"PREFERRED STOCK","4WEB, Inc.","100000010575","4WEB, Inc.","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","254696","1619971249","MARK",,"SCIOLI",,"4642 N LOOP 289","STE 101","LUBBOCK","TX","79416","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","749968593","2020",0.00,414978.34,"PREFERRED STOCK","4WEB, Inc.","100000010575","4WEB, Inc.","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","78541","1740293216","JOHN",,"VELYVIS",,"1199 BUSH ST","STE 450","SAN FRANCISCO","CA","94109","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","749968595","2020",0.00,353440.26,"PREFERRED STOCK","4WEB, Inc.","100000010575","4WEB, Inc.","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","51092","1134127764","KENNETH",,"LEE",,"16659 SOUTHWEST FWY","STE 151","SUGAR LAND","TX","77479","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","749968597","2020",0.00,250929.80,"PREFERRED STOCK","4WEB, Inc.","100000010575","4WEB, Inc.","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","102420","1255399929","TONY",,"TANNOURY",,"725 ALBANY ST SHAPIRO 4","STE B","BOSTON","MA","02118","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","749968599","2020",0.00,712557.63,"PREFERRED STOCK","4WEB, Inc.","100000010575","4WEB, Inc.","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","174277","1851371769","BRIAN",,"IPSEN",,"444 FOUR STATES DR","STE 1","GALENA","KS","66739","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","749968601","2020",0.00,234927.74,"PREFERRED STOCK","4WEB, Inc.","100000010575","4WEB, Inc.","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","322683","1124067491","MICHAEL",,"SONG",,"343 ELM ST","STE 202","RENO","NV","89503","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","749968603","2020",0.00,234234.25,"PREFERRED STOCK","4WEB, Inc.","100000010575","4WEB, Inc.","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","345670","1619197621","CHADI",,"TANNOURY",,"725 ALBANY ST SHAPIRO 4","STE B","BOSTON","MA","02118","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","749968605","2020",0.00,56289.45,"PREFERRED STOCK","4WEB, Inc.","100000010575","4WEB, Inc.","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","123918","1740283431","JAMES",,"MALCOLM",,"300 TOWER RD NE","STE 200","MARIETTA","GA","30060","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","749968607","2020",0.00,1387891.93,"PREFERRED STOCK","4WEB, Inc.","100000010575","4WEB, Inc.","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","63814","1417950130","CRAIG",,"CHEBUHAR",,"5505 ROSWELL RD","STE 100","ATLANTA","GA","30342","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","749968609","2020",0.00,570973.34,"PREFERRED STOCK","4WEB, Inc.","100000010575","4WEB, Inc.","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","105216","1316057623","RAJESH",,"PATEL",,"215 BROOKSHIRE LN",,"BECKLEY","WV","25801","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","749968611","2020",0.00,28924.15,"PREFERRED STOCK","4WEB, Inc.","100000010575","4WEB, Inc.","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","31776","1710140595","HAMID",,"HASSANZADEH",,"415 RAY C. HUNT DR",,"CHARLOTTESVILLE","VA","22903","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","749968613","2020",0.00,57815.27,"PREFERRED STOCK","4WEB, Inc.","100000010575","4WEB, Inc.","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1067817","1740389501","Cynthia","L.","Deyling",,"9500 Euclid Ave",,"Cleveland","OH","44195-0001","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine","752244803","2020",0.00,11168.43,"Shares of stock held by an immediate family member in the privately held company","ENDOTRONIX, INC.","100000801823","ENDOTRONIX, INC.","IL","United States","No","Immediate family member","06/30/2023" "UNCHANGED","397447","1205898822","Edward","N.","Barthell",,"125 E BARKWOOD CT",,"Mequon","WI","53092-5893","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Emergency Medicine","752251223","2020",0.00,3665.25,"Represents value of portion of shares of stock held by an LLC investor in the privately held company","ENDOTRONIX, INC.","100000801823","ENDOTRONIX, INC.","IL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1004614","1518967751","Erik",,"Kulstad",,"5323 Harry Hines Blvd",,"Dallas","TX","75390","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Emergency Medicine","752251251","2020",0.00,3429.50,"Shares of stock in the privately held company","ENDOTRONIX, INC.","100000801823","ENDOTRONIX, INC.","IL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","243626","1366413023","JODI",,"LUCHS",,"1515 N FLAGLER DR","STE 500","WEST PALM BEACH","FL","33401","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","752251261","2020",104350.00,104350.00,"Equity interest","Eyevance Pharmaceuticals LLC","100000501814","Eyevance Pharmaceuticals LLC","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","87168","1932171147","MARK",,"MILNER",,"2880 OLD DIXWELL AVE",,"HAMDEN","CT","06518","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","752251263","2020",104350.00,104350.00,"Equity investments","Eyevance Pharmaceuticals LLC","100000501814","Eyevance Pharmaceuticals LLC","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","73016","1619910569","Paul",,"Karpecki",,"601 PERIMETER DR","SUITE 200","LEXINGTON","KY","40517","United States",,,"Medical Doctor","Eye and Vision Services Providers|Optometrist","752251265","2020",30000.00,30000.00,"Equity interest","Eyevance Pharmaceuticals LLC","100000501814","Eyevance Pharmaceuticals LLC","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","168461","1700840493","Cathleen",,"McCabe",,"6002 POINTE WEST BLVD",,"BRADENTON","FL","34209","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","752251267","2020",50000.00,50000.00,"Equity interest","Eyevance Pharmaceuticals LLC","100000501814","Eyevance Pharmaceuticals LLC","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","356775","1871538116","David",,"Goldman",,"3502 KYOTO GARDENS DR","STE B","PALM BEACH GARDENS","FL","33410","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","752251269","2020",75000.00,75000.00,"Equity interest","Eyevance Pharmaceuticals LLC","100000501814","Eyevance Pharmaceuticals LLC","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","97804","1164483301","Quentin",,"Allen",,"1050 SE MONTEREY RD","STE 104","STUART","FL","34994","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","752251271","2020",30000.00,30000.00,"Equity interest","Eyevance Pharmaceuticals LLC","100000501814","Eyevance Pharmaceuticals LLC","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","261208","1740453620","Elizabeth",,"Yeu-Lin",,"241 CORPORATE BLVD","STE. 210","NORFOLK","VA","23502","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","752251273","2020",50000.00,50000.00,"Equity interest","Eyevance Pharmaceuticals LLC","100000501814","Eyevance Pharmaceuticals LLC","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","162881","1588663702","John",,"Sheppard",,"241 CORPORATE BLVD",,"NORFOLK","VA","23502","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","752251275","2020",25000.00,25000.00,"Equity interest","Eyevance Pharmaceuticals LLC","100000501814","Eyevance Pharmaceuticals LLC","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","237339","1245223502","Melissa",,"Toyos",,"1365 S GERMANTOWN RD",,"GERMANTOWN","TN","38138","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","752251277","2020",25000.00,25000.00,"Equity interest","Eyevance Pharmaceuticals LLC","100000501814","Eyevance Pharmaceuticals LLC","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","315303","1962497826","Rolando",,"Toyos",,"1365 S GERMANTOWN RD",,"GERMANTOWN","TN","38138","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","752251279","2020",25000.00,25000.00,"Equity investments","Eyevance Pharmaceuticals LLC","100000501814","Eyevance Pharmaceuticals LLC","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","980337","1659529055","Walid",,"Mangal",,"1050 SE MONTEREY ROAD","SUITE #104 FLORIDA VISION INSTITUTE INC.","STUART","FL","34994","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology|Retina Specialist","752251281","2020",25000.00,25000.00,"Equity interest","Eyevance Pharmaceuticals LLC","100000501814","Eyevance Pharmaceuticals LLC","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","262479","1790772937","Denise",,"Visco",,"1880 KENNETH ROAD","SUITE 1","YORK","PA","17404","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","752251283","2020",50000.00,50000.00,"Equity interest","Eyevance Pharmaceuticals LLC","100000501814","Eyevance Pharmaceuticals LLC","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","523597","1629165618","DAVID","STEVEN","RYAN",,"1010 PRINCE AVENUE","SUITE 115 SOUTH","ATHENS","GA","30606","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","748841195","2020",44818.30,44818.30,"149,394 shares of Series F Preferred Stock, with a liquidation preference, redemption right, and dividends of 14 percent per year, paid quarterly","Consensus Orthopedics, Inc.","100000011052","Consensus Orthopedics, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","813242","1811006885","JOHN","K","MARIANI",,"4 Eves Drive A Suite 100",,"MARLTON","NJ","08053","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","748848573","2020",200000.00,283387.00,"571,428 shares of Series F2 Preferred Stock, with a liquidation preference, redemption right, and dividends of 14 percent per year","Consensus Orthopedics, Inc.","100000011052","Consensus Orthopedics, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","712559","1255329249","SHAWN","W","PALMER",,"650 S Randall Rd",,"Algonquin","IL","60102","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","748857219","2020",760000.00,1141293.00,"2,171,429 shares of Series F2 Preferred Stock, with a liquidation preference, redemption right and dividends of 14 percent per year","Consensus Orthopedics, Inc.","100000011052","Consensus Orthopedics, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","201270","1447274782","RAMIN",,"Ganjianpour",,"11550 Indian Hills Road","SUITE 241","MISSION HILLS","CA","91345","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","748859913","2020",0.00,1250.00,"Option to purchase 250,000 shares of Common Stock, price $0.005 per share, expires October 2029","Consensus Orthopedics, Inc.","100000011052","Consensus Orthopedics, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","291971","1447369376","Jeffrey","Mandume","Kerina",,"701 MEDICAL PLAZA DRIVE",,"LEESBURG","FL","34748","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","748865643","2020",0.00,2000.00,"Option to purchase 400,000 shares of Common Stock, price $0.005 per share, expires June 2029","Consensus Orthopedics, Inc.","100000011052","Consensus Orthopedics, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1157586","1891740148","SAMUEL","DAVID","STULBERG",,"680 N LAKESHORE DRIVE","SUITE 1028","CHICAGO","IL","60611","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","748873447","2020",1113281.81,104210.75,"3,180,716 shares of F2 Preferred Stock, with a liquidation preference, redemption right and dividends of 14 percent per year. Convertible notes to Series F2 Preferred Stock, with a liquidation preference, redemption right and dividends of 14 percent per year","Consensus Orthopedics, Inc.","100000011052","Consensus Orthopedics, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","773428","1407046402","Aravind",,"Swaminathan","MD","751 S Bascom Avenue",,"San Jose","CA","95128","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine","748886451","2020",111782.00,435007.00,"Common stock + Preferred stock","BioTrace Medical, Inc.","100000196811","BioTrace Medical, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","403625","1427116268","Craig",,"Peterson",,"400 E 3rd St",,"Duluth","MN","55805","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Anesthesiology","749039373","2020",0.00,113322.00,"Preferred stock","Preceptis Medical, Inc.","100000136436","Preceptis Medical, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1203123","1518167485","Eva",,"Luhman Cleet",,"400 E 3rd St",,"Duluth","MN","55805","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Anesthesiology","749046389","2020",0.00,230320.00,"Preferred stock","Preceptis Medical, Inc.","100000136436","Preceptis Medical, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","519220","1477660249","John",,"Morrison",,"915 E 1st St",,"Duluth","MN","55805","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Anesthesiology","749061975","2020",0.00,107362.00,"Preferred stock","Preceptis Medical, Inc.","100000136436","Preceptis Medical, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1206311","1619169646","Kristopher",,"Olson",,"400 E 3rd St",,"Duluth","MN","55805","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Anesthesiology","749063169","2020",0.00,78484.00,"Preferred stock","Preceptis Medical, Inc.","100000136436","Preceptis Medical, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1074552","1982643276","Michael",,"Loushin",,"640 Jackson St",,"Saint Paul","MN","55101","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Anesthesiology","749063243","2020",0.00,445900.00,"Common stock","Preceptis Medical, Inc.","100000136436","Preceptis Medical, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","541541","1285677393","Richard",,"Cochrane",,"640 Jackson St",,"Saint Paul","MN","55101","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Anesthesiology","749063307","2020",0.00,303669.00,"Preferred stock","Preceptis Medical, Inc.","100000136436","Preceptis Medical, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","591451","1023065182","Thomas",,"LaBerge",,"640 Jackson St",,"Saint Paul","MN","55101","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Anesthesiology","749063361","2020",0.00,146705.00,"Preferred stock","Preceptis Medical, Inc.","100000136436","Preceptis Medical, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","337143","1427041557","Michael",,"Schwartz",,"4031 W PLANO PKWY",,"PLANO","TX","75093","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Sports Medicine","753066287","2020",0.00,287.05,"stock options","Trice Medical, Inc.","100000066357","Trice Medical, Inc.","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","337143","1427041557","Michael",,"Schwartz",,"4031 W PLANO PKWY",,"PLANO","TX","75093","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Sports Medicine","753066289","2020",0.00,462.13,"stock options","Trice Medical, Inc.","100000066357","Trice Medical, Inc.","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","337143","1427041557","Michael",,"Schwartz",,"4031 W PLANO PKWY",,"PLANO","TX","75093","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Sports Medicine","753066291","2020",0.00,478.30,"stock options","Trice Medical, Inc.","100000066357","Trice Medical, Inc.","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","337143","1427041557","Michael",,"Schwartz",,"4031 W PLANO PKWY",,"PLANO","TX","75093","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Sports Medicine","753066293","2020",0.00,488.13,"stock options","Trice Medical, Inc.","100000066357","Trice Medical, Inc.","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","337143","1427041557","Michael",,"Schwartz",,"4031 W PLANO PKWY",,"PLANO","TX","75093","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Sports Medicine","753066295","2020",0.00,611.55,"stock options","Trice Medical, Inc.","100000066357","Trice Medical, Inc.","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","313915","1932105798","Joseph",,"Vernace",,"101 S BRYN MAWR AVE",,"BRYN MAWR","PA","19010","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","753066297","2020",0.00,818.65,"stock options","Trice Medical, Inc.","100000066357","Trice Medical, Inc.","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","313915","1932105798","Joseph",,"Vernace",,"101 S BRYN MAWR AVE",,"BRYN MAWR","PA","19010","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","753066299","2020",0.00,651.38,"stock options","Trice Medical, Inc.","100000066357","Trice Medical, Inc.","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","112106","1477714665","Nirav",,"Amin",,"25455 BARTON RD","SUITE 102B","LOMA LINDA","CA","92354","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","753066301","2020",0.00,351.00,"stock options","Trice Medical, Inc.","100000066357","Trice Medical, Inc.","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","923685","1689885816","Sean",,"McMillan",,"2103 BURLINGTON MOUNT HOLLY RD",,"BURLINGTON","NJ","08016","United States",,,"Doctor of Osteopathy","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","753066303","2020",0.00,351.00,"stock options","Trice Medical, Inc.","100000066357","Trice Medical, Inc.","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","333529","1346342045","John",,"Xerogeanes",,"59 EXECUTIVE PARK SOUTH NE","Suite 2096","Atlanta","GA","30329","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Sports Medicine","753066305","2020",0.00,351.00,"stock options","Trice Medical, Inc.","100000066357","Trice Medical, Inc.","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","112106","1477714665","Nirav",,"Amin",,"25455 BARTON RD",,"LOMA LINDA","CA","92354","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","753066307","2020",0.00,351.00,"stock options","Trice Medical, Inc.","100000066357","Trice Medical, Inc.","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","112106","1477714665","Nirav",,"Amin",,"25455 BARTON RD",,"LOMA LINDA","CA","92354","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","753066309","2020",0.00,351.00,"stock options","Trice Medical, Inc.","100000066357","Trice Medical, Inc.","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","112106","1477714665","Nirav",,"Amin",,"25455 BARTON RD",,"LOMA LINDA","CA","92354","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","753066311","2020",0.00,351.00,"stock options","Trice Medical, Inc.","100000066357","Trice Medical, Inc.","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","923685","1689885816","Sean",,"McMillan",,"2103 BURLINGTON MOUNT HOLLY RD",,"BURLINGTON","NJ","08016","United States",,,"Doctor of Osteopathy","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","753066313","2020",0.00,526.00,"stock options","Trice Medical, Inc.","100000066357","Trice Medical, Inc.","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","923685","1689885816","Sean",,"McMillan",,"2103 BURLINGTON MOUNT HOLLY RD",,"BURLINGTON","NJ","08016","United States",,,"Doctor of Osteopathy","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","753066315","2020",0.00,351.00,"stock options","Trice Medical, Inc.","100000066357","Trice Medical, Inc.","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","923685","1689885816","Sean",,"McMillan",,"2103 BURLINGTON MOUNT HOLLY RD",,"BURLINGTON","NJ","08016","United States",,,"Doctor of Osteopathy","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","753066317","2020",0.00,351.00,"stock options","Trice Medical, Inc.","100000066357","Trice Medical, Inc.","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","237401","1245296391","Brad",,"Prybis",,"150 CLINIC AVE","STE 101","CARROLLTON","GA","30117","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","749968615","2020",0.00,106884.53,"PREFERRED STOCK","4WEB, Inc.","100000010575","4WEB, Inc.","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","329721","1275588246","Frank","P","Cammisa","JR","523 E 72ND ST",,"New York","NY","10021","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","749968617","2020",0.00,133500.00,"COMMON STOCK","4WEB, Inc.","100000010575","4WEB, Inc.","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","344540","1609863802","Ali",,"Mortazavi",,"2041 MESA VALLEY WAY","SUITE 100","Austell","GA","30106","United States",,,"Doctor of Osteopathy","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","749968619","2020",0.00,114171.80,"PREFERRED STOCK","4WEB, Inc.","100000010575","4WEB, Inc.","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","119807","1649486994","Krishna","V","Gumidyala",,"300 TOWER RD NE","Suite 200","MARIETTA","GA","30060","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","749968621","2020",0.00,28203.93,"PREFERRED STOCK","4WEB, Inc.","100000010575","4WEB, Inc.","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","641321","1760460315","Ann","Marie","Madigan",,"39 GREEN ST",,"Milton","MA","02186","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Psychiatry & Neurology|Psychiatry","749994183","2020",0.00,100000.00,"Share Ownership","CLOZEX MEDICAL INC","100000786825","CLOZEX MEDICAL INC","MA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","328907","1265413439","Antolin",,"Alvarez Pont",,"1801 Ave Poince De Leon Santurce","Medical Mall Ste 213","Santurce","PR","00909","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","750018257","2020",51012.50,261530.00,"Common and Preferred Shares","Romark Laboratories, LC","100000011162","Romark Laboratories, LC","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","896512","1740236850","Richard",,"Beverly",,"3719 Dauphin St",,"Mobile","AL","36608","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Emergency Medicine","750018261","2020",93090.00,477096.00,"Common and Preferred Shares","Romark Laboratories, LC","100000011162","Romark Laboratories, LC","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","752675","1679537260","Sudip",,"Bose",,"9229 LBJ FWY",,"Dallas","TX","75243","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Emergency Medicine|Emergency Medical Services","750018267","2020",72900.00,320914.00,"Common and Preferred Shares","Romark Laboratories, LC","100000011162","Romark Laboratories, LC","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","244102","1386611960","Jaime",,"Bravo",,"1785 Carr 21","Hospital Metropolitano Suite 202","San Juan","PR","00921","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","750018271","2020",153037.50,784590.00,"Common and Preferred Shares","Romark Laboratories, LC","100000011162","Romark Laboratories, LC","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","868593","1760432223","Juan",,"Cancio",,"706 Calle Roosevelt Suite","1001 Norte","San Juan","PR","00907","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Radiology|Diagnostic Radiology","750018275","2020",51012.50,261530.00,"Common and Preferred Shares","Romark Laboratories, LC","100000011162","Romark Laboratories, LC","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","155230","1437179728","Kishore",,"Divan",,"30 S Cayuga Rd",,"Williamsville","NY","14221","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Anesthesiology","750018289","2020",112150.00,668360.00,"Common and Preferred Shares","Romark Laboratories, LC","100000011162","Romark Laboratories, LC","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","59516","1326023953","Kenton",,"Forte",,"964 Delaware Ave",,"Buffalo","NY","14209","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|General Practice","750018295","2020",262437.50,1343654.00,"Common and Preferred Shares","Romark Laboratories, LC","100000011162","Romark Laboratories, LC","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","264449","1841208964","Bijan",,"Ghatan",,"20401 Avalon Blvd","Suite B","Carson","CA","90746","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine","750018307","2020",36620.00,161324.00,"Common and Preferred Shares","Romark Laboratories, LC","100000011162","Romark Laboratories, LC","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1187636","1962422717","Dhananjaya",,"Kamisetti",,"30 S Cayuga Rd",,"Williamsville","NY","14221","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Anesthesiology","750018311","2020",115295.00,656068.00,"Common and Preferred Shares","Romark Laboratories, LC","100000011162","Romark Laboratories, LC","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","795781","1194774687","Sharad",,"Lakdawala",,"2908 W Waters Ave","101","Tampa","FL","33614","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Psychiatry & Neurology|Psychiatry","750018319","2020",51012.50,326530.00,"Common and Preferred Shares","Romark Laboratories, LC","100000011162","Romark Laboratories, LC","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","254992","1609957786","Neel",,"Desai",,"148 13TH ST SW",,"LARGO","FL","33770","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology|Retina Specialist","752251285","2020",25000.00,25000.00,"Equity interest","Eyevance Pharmaceuticals LLC","100000501814","Eyevance Pharmaceuticals LLC","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","285658","1306851183","Marian",,"MACSAI",,"2050 PFINGSTEN RD","SUITE 280 & 220","GLENVIEW","IL","60026","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","752251287","2020",25000.00,25000.00,"Equity interest","Eyevance Pharmaceuticals LLC","100000501814","Eyevance Pharmaceuticals LLC","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","220671","1851512354","Carlos",,"Buznego",,"8940 N KENDALL DR","SUITE 400-E","MIAMI","FL","33176","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology|Retina Specialist","752251289","2020",25000.00,25000.00,"Equity interest","Eyevance Pharmaceuticals LLC","100000501814","Eyevance Pharmaceuticals LLC","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","107121","1376541540","Gregg",,"Berdy",,"12990 MANCHESTER RD","SUITE 200","SAINT LOUIS","MO","63131","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology|Retina Specialist","752251291","2020",35000.00,35000.00,"Equity interest","Eyevance Pharmaceuticals LLC","100000501814","Eyevance Pharmaceuticals LLC","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","98958","1174689723","SHACHAR",,"TAUBER",,"1229 E SEMINOLE ST",,"SPRINGFIELD","MO","65804","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology|Retina Specialist","752251293","2020",25000.00,25000.00,"Equity interest","Eyevance Pharmaceuticals LLC","100000501814","Eyevance Pharmaceuticals LLC","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","197789","1376541664","Robert","J","Weinstock",,"148 13TH ST SW",,"LARGO","FL","33770","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology|Retina Specialist","752251295","2020",50000.00,50000.00,"Equity interest","Eyevance Pharmaceuticals LLC","100000501814","Eyevance Pharmaceuticals LLC","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","157064","1457383150","Richard",,"Najac",,"16110 UNION TPKE",,"FLUSHING","NY","11366","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","752251297","2020",30000.00,30000.00,"Equity interest","Eyevance Pharmaceuticals LLC","100000501814","Eyevance Pharmaceuticals LLC","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","310279","1821188996","Jesse",,"Dovich",,"555 N 13TH AVE",,"UPLAND","CA","91786","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology|Retina Specialist","752251299","2020",50000.00,50000.00,"Equity interest","Eyevance Pharmaceuticals LLC","100000501814","Eyevance Pharmaceuticals LLC","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","228296","1043206469","Jacqueline",,"Dauhajre",,"8201 37TH AVE","4TH FLOOR","JACKSON HEIGHTS","NY","11372","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology|Retina Specialist","752251301","2020",25000.00,25000.00,"Equity interest","Eyevance Pharmaceuticals LLC","100000501814","Eyevance Pharmaceuticals LLC","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","111804","1477587509","James","A","Katz",,"8901 W GOLF RD","# 300","DES PLAINES","IL","60016","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology|Retina Specialist","752251303","2020",25000.00,25000.00,"Equity interest","Eyevance Pharmaceuticals LLC","100000501814","Eyevance Pharmaceuticals LLC","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","68695","1528092657","Anish",,"Shah",,"79 WAWECUS ST","SUITE 105","NORWICH","CT","06360","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology|Retina Specialist","752251305","2020",50000.00,50000.00,"Equity interest","Eyevance Pharmaceuticals LLC","100000501814","Eyevance Pharmaceuticals LLC","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","929546","1881958254","Gregory",,"Hummer",,"19815 N PARK BLVD",,"SHAKER HEIGHTS","OH","44122-1827","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Emergency Medicine","752253823","2020",249999.85,2180251.63,"Represents value of portion of shares of stock held, either directly or indirectly, by immediate family members in the privately held company","ENDOTRONIX, INC.","100000801823","ENDOTRONIX, INC.","IL","United States","No","Immediate family member","06/30/2023" "UNCHANGED","425224","1174608442","James","P.","Kelly",,"51840 Summer Wood Court",,"Granger","IN","46530","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Thoracic Surgery (Cardiothoracic Vascular Surgery)","752282469","2020",0.00,30760.13,"Represents value of physician's portion of shares of stock held by LLC investors in the privately held company","ENDOTRONIX, INC.","100000801823","ENDOTRONIX, INC.","IL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","91825","1013995406","Janak","H.","Bhavsar",,"938 SAXON BLVD STE 101-C",,"ORANGE CITY","FL","32763-8305","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Interventional Cardiology","752287577","2020",0.00,18383.37,"Represents value of physician's portion of shares of stock held by an LLC investor in the privately held company","ENDOTRONIX, INC.","100000801823","ENDOTRONIX, INC.","IL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","163082","1609810183","JOHN","T.","ANDERSON",,"2401 GILLHAM RD",,"KANSAS CITY","MO","64108-4619","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","752288485","2020",50000.00,44000.00,"Common Stock","Spineology Inc.","100000011204","Spineology Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","193","1003830613","Thomas",,"Stealey",,"6545 France Ave S Suite 400",,"Edina","MN","55435","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Pediatrics","749063371","2020",0.00,50774.00,"Preferred stock","Preceptis Medical, Inc.","100000136436","Preceptis Medical, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1272643","1962477513","Won",,"Chung",,"640 Jackson St",,"Saint Paul","MN","55101","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Emergency Medicine","749063705","2020",0.00,207705.00,"Preferred stock","Preceptis Medical, Inc.","100000136436","Preceptis Medical, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","329728","1275643322","Daniel","J","Mastella",,"195 Eastern Blvd. Ste 200",,"Glastonbury","CT","06033","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Plastic Surgery|Surgery of the Hand","749419067","2020",47000.00,86000.00,"51% ownership interest","Joint Jack Company LLC","100000226831","Joint Jack Company LLC","CT","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1243744","1932218716","Harold","Kirk","Watson",,"195 Eastern Blvd. Ste 200",,"Glastonbury","CT","06033","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Surgery|Surgery of the Hand","749419087","2020",98000.00,82000.00,"49% ownership interest","Joint Jack Company LLC","100000226831","Joint Jack Company LLC","CT","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","139063","1073592606","MARK",,"GILLESPY",,"1075 MASON AVE",,"DAYTONA BEACH","FL","32117","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine","749444047","2020",0.00,62499.00,"Shares of Stock","Providence Medical Technology, Inc.","100000081368","Providence Medical Technology, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","27014","1609081900","DONALD",,"SACHS",,"2345 COLLINS LN",,"LAKELAND","FL","33803","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine","749444049","2020",0.00,50000.00,"Shares of Stock","Providence Medical Technology, Inc.","100000081368","Providence Medical Technology, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","164484","1639165483","PETER",,"WEBER",,"2100 WEBSTER ST 115",,"SAN FRANCISCO","CA","94115","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine","749444051","2020",0.00,79560.00,"Shares of Stock","Providence Medical Technology, Inc.","100000081368","Providence Medical Technology, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","960512","1972558922","JEROME",,"BARAKOS",,"PO BOX 6102",,"NOVATO","CA","94948","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine","749444053","2020",0.00,1894999.00,"Shares of Stock","Providence Medical Technology, Inc.","100000081368","Providence Medical Technology, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","850408","1124024088","RAE",,"GODSEY",,"1502 TUNNEL MILL RD",,"CHARLESTOWN","IN","47111","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine","749444055","2020",0.00,100000.00,"Shares of Stock","Providence Medical Technology, Inc.","100000081368","Providence Medical Technology, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","327485","1235101940","JOHN","J","ANDERSON",,"2301 Indian Wells Rd","Suite A","Alamogordo","NM","88310","United States",,,"Doctor of Podiatric Medicine","Podiatric Medicine & Surgery Service Providers|Podiatrist|Primary Podiatric Medicine","749583925","2020",360780.00,360780.00,"Shares","Ortho Solutions Inc","100000086388","Ortho Solutions Inc","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1034703","1588693386","PEDRO","E","COSCULLUELA",,"6550 Fannin St Ste 2600",,"Houston","TX","77030","United States",,,"Doctor of Podiatric Medicine","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Foot and Ankle Surgery","749583927","2020",41232.00,41232.00,"Shares","Ortho Solutions Inc","100000086388","Ortho Solutions Inc","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","198508","1386665735","JEFFREY","T","BRODIE",,"8322 Bellona Ave","Suite 100","Towson","MD","21204","United States",,,"Doctor of Podiatric Medicine","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Foot and Ankle Surgery","749583929","2020",39000.00,39000.00,"Shares","Ortho Solutions Inc","100000086388","Ortho Solutions Inc","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","221166","1881852978","LOREN","K","SPENCER",,"2301 Indian Wells Rd Ste A",,"Alamogordo","NM","88310","United States",,,"Doctor of Podiatric Medicine","Podiatric Medicine & Surgery Service Providers|Podiatrist","749583931","2020",52000.00,52000.00,"Shares","Ortho Solutions Inc","100000086388","Ortho Solutions Inc","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","262710","1780643395","SCOTT","N","MALING",,"1520 S Dobson Rd","Suite 307","Mesa","AZ","85202","United States",,,"Doctor of Podiatric Medicine","Podiatric Medicine & Surgery Service Providers|Podiatrist|Foot & Ankle Surgery","749583933","2020",31200.00,31200.00,"Shares","Ortho Solutions Inc","100000086388","Ortho Solutions Inc","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","156426","1467445064","Eric","A","Barp",,"6800 LAKE DRIVE","STE 250","WEST DES MOINES","IA","50266","United States",,,"Doctor of Podiatric Medicine","Podiatric Medicine & Surgery Service Providers|Podiatrist|Foot & Ankle Surgery","749583935","2020",35100.00,35100.00,"Shares","Ortho Solutions Inc","100000086388","Ortho Solutions Inc","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","20016","1457310179","GREGORY",,"ALBERTON",,"2929 HEALTH CENTER DR",,"SAN DIEGO","CA","92123","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Hand Surgery","753066319","2020",0.00,351.00,"stock options","Trice Medical, Inc.","100000066357","Trice Medical, Inc.","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","355737","1831128230","RICHARD",,"FERKEL",,"6815 NOBLE AVE",,"VAN NUYS","CA","91405","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Sports Medicine","753066321","2020",0.00,351.00,"stock options","Trice Medical, Inc.","100000066357","Trice Medical, Inc.","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","336611","1407865314","Jeffrey",,"Greenberg",,"8501 Harcourt Rd",,"INDIANAPOLIC","IN","46260","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","753066323","2020",0.00,351.00,"stock options","Trice Medical, Inc.","100000066357","Trice Medical, Inc.","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","538920","1174662936","JOHN",,"HILDENBRAND",,"726 N ACADIA RD","SUITE 1000","THIBODAUX","LA","70301","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Hand Surgery","753066325","2020",0.00,351.00,"stock options","Trice Medical, Inc.","100000066357","Trice Medical, Inc.","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","303637","1699821942","JEFFREY",,"YAO",,"450 BROADWAY STREET",,"REDWOOD CITY","CA","94063","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Hand Surgery","753066327","2020",0.00,351.00,"stock options","Trice Medical, Inc.","100000066357","Trice Medical, Inc.","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","98909","1174567721","RICHARD",,"GUYER",,"6020 W PARKER RD",,"PLANO","TX","75093-8171","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","753066387","2020",50000.00,0.00,"Equity","Centinel Spine, LLC","100000010394","Centinel Spine, LLC","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","57596","1265476386","RICHARD",,"BALDERSTON",,"601 WALNUT ST","SUITE L50","PHILADELPHIA","PA","19106-3323","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","753069573","2020",1000000.00,0.00,"Equity","Centinel Spine, LLC","100000010394","Centinel Spine, LLC","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","308111","1780683540","STEFAN","W","KREUZER",,"10496 KATY FWY","SUITE 101","HOUSTON","TX","77043","United States",,,"Doctor of Osteopathy","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","753077991","2020",178286.41,343892.81,"stock","OMNIlife science, Inc","100000010553","OMNIlife science, Inc","MA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","291335","1427255876","JONATHAN","MATTHEW","VIGDORCHIK",,"535 E 70TH ST",,"NEW YORK","NY","10021","United States",,,"Doctor of Osteopathy","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Adult Reconstructive Orthopaedic Surgery","753077993","2020",20516.76,20516.76,"stock","OMNIlife science, Inc","100000010553","OMNIlife science, Inc","MA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","427951","1275524647","DOUGLAS","ALAN","DENNIS",,"2425 S COLORADO BLVD","STE 270","DENVER","CO","80222","United States",,,"Doctor of Osteopathy","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","753077995","2020",249244.51,249244.51,"stock","OMNIlife science, Inc","100000010553","OMNIlife science, Inc","MA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","209314","1619037496","JAMES","IRVIN","HUDDLESTON",,"450 BROADWAY ST","DEPARTMENT OF ORTHOPAEDIC SURGERY","REDWOOD CITY","CA","94063","United States",,,"Doctor of Osteopathy","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Adult Reconstructive Orthopaedic Surgery","753077997","2020",246956.69,246956.69,"stock","OMNIlife science, Inc","100000010553","OMNIlife science, Inc","MA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","69040","1518914886","MATTHEW","STUART","AUSTIN",,"925 CHESTNUT ST","5TH FLOOR","PHILADELPHIA","PA","19107","United States",,,"Doctor of Osteopathy","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Adult Reconstructive Orthopaedic Surgery","753077999","2020",204600.00,204600.00,"stock","OMNIlife science, Inc","100000010553","OMNIlife science, Inc","MA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","43254","1962481499","ANTHONY",,"PETROSINI",,"2315 RT 34 SO","STE D","MANASQUAN","NJ","08736","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Sports Medicine","753078003","2020",25000.00,0.00,"Equity","Centinel Spine, LLC","100000010394","Centinel Spine, LLC","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1024917","1235251075","CARLOS",,"BROWN",,"601 E 15TH ST","UNIVERSITY MEDICAL CENTER BRACKENRIDGE","AUSTIN","TX","78701","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Surgery","753114599","2020",0.00,54980.00,"Common Stock","Alafair Biosciences,Inc.","100000196813","Alafair Biosciences,Inc.","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1112058","1306966916","WALTER",,"CAVEN",,"601 E 15TH ST","MEDICAL AFFAIRS BRACKENRIDGE HOSPITAL","AUSTIN","TX","78701","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Family Medicine","753114601","2020",0.00,77059.00,"Common Stock","Alafair Biosciences,Inc.","100000196813","Alafair Biosciences,Inc.","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1031473","1467643239","Kenneth",,"Liszewski",,"1880 Arlington St","Ste 205","Sarasota","FL","34239","United States",,,"Doctor of Dentistry","Dental Providers|Dentist","750018323","2020",102025.00,653060.00,"Common and Preferred Shares","Romark Laboratories, LC","100000011162","Romark Laboratories, LC","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","372257","1295736452","Jose",,"Matos",,"EDIF Capital Center","Hostos 239","San Juan","PR","00918","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","750018327","2020",76552.50,392346.00,"Common and Preferred Shares","Romark Laboratories, LC","100000011162","Romark Laboratories, LC","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","658330","1356394837","Mark",,"McCutcheon",,"5100 Rangeline Service Rd N","Tillman's Corner","Mobile","AL","36619","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Family Medicine","750018331","2020",46545.00,238548.00,"Common and Preferred Shares","Romark Laboratories, LC","100000011162","Romark Laboratories, LC","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","360559","1942270947","Janet",,"Reiser",,"7331 E Osborn Dr","Ste 250","Scottsdale","AZ","85251","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Gastroenterology","750018335","2020",22422.50,115074.00,"Common and Preferred Shares","Romark Laboratories, LC","100000011162","Romark Laboratories, LC","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","801535","1396704433","Anusuya",,"Sendos",,"6550 Mapleridge","#210","Houston","TX","77081","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Family Medicine","750018337","2020",203932.50,1108970.00,"Common and Preferred Shares","Romark Laboratories, LC","100000011162","Romark Laboratories, LC","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","558580","1861717423","Sendasaperumal",,"Sendos",,"2430 McClendon St",,"Houston","TX","77030","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Radiology|Diagnostic Radiology","750018343","2020",73192.50,374648.00,"Common and Preferred Shares","Romark Laboratories, LC","100000011162","Romark Laboratories, LC","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1174603","1497897854","Amzi",,"Sherling",,"19354 S Greeno Rd",,"Fairhope","AL","36532","United States",,,"Doctor of Dentistry","Dental Providers|Dentist|General Practice","750018347","2020",102025.00,523060.00,"Common and Preferred Shares","Romark Laboratories, LC","100000011162","Romark Laboratories, LC","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","389720","1932331055","Robert",,"Stone",,"1555 Sherman Ave","#142","Evanston","IL","60201","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","750018354","2020",345402.50,1828392.00,"Common and Preferred Shares","Romark Laboratories, LC","100000011162","Romark Laboratories, LC","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","171886","1780669879","Chelikani",,"Varma",,"6240 Transit Rd",,"Dewey","NY","14043","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Pediatrics|Adolescent Medicine","750018359","2020",141743.00,784388.00,"Common and Preferred Shares","Romark Laboratories, LC","100000011162","Romark Laboratories, LC","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1097543","1790747855","Wandsy",,"Velez",,"101 Ave San Patricio","Ste 990 Maramar Plaza","Guaynabo","PR","00968","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","750018363","2020",51012.50,261530.00,"Common and Preferred Shares","Romark Laboratories, LC","100000011162","Romark Laboratories, LC","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","460877","1437164225","Nallasivam",,"Vivekanandan",,"30 S Cayuga Rd",,"Williamsville","NY","14221","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Anesthesiology","750018367","2020",79620.00,473048.00,"Common and Preferred Shares","Romark Laboratories, LC","100000011162","Romark Laboratories, LC","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","340034","1487762001","Stoney",,"Williamson",,"100 Hospital Dr W",,"Hattiesburg","MS","39402","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","750018371","2020",55062.50,267650.00,"Common and Preferred Shares","Romark Laboratories, LC","100000011162","Romark Laboratories, LC","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","927432","1811080948","Jeffrey",,"Shambaugh",,"4341 Flagstaff CV",,"Fort Wayne","IN","46815","United States",,,"Medical Doctor","Dental Providers|Dentist|General Practice","750018375","2020",165690.00,1407400.00,"Common and Preferred Shares","Romark Laboratories, LC","100000011162","Romark Laboratories, LC","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","208495","1598820268","Christopher",,"Keller",,"1723 Broadway St Suite 220",,"Cape Girardeau","MO","63701","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Gastroenterology","750018381","2020",27000.00,156000.00,"Common and Preferred Shares","Romark Laboratories, LC","100000011162","Romark Laboratories, LC","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","340145","1487712295","Charles",,"Moon",,"1359 N Mount Auburn Rd",,"Cape Girardeau","MO","63701","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Dermatology","750018385","2020",128700.00,647256.00,"Common and Preferred Shares","Romark Laboratories, LC","100000011162","Romark Laboratories, LC","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","314782","1942478094","LYNN","LYELL","AULT",,"48 DELLWOOD AVE",,"SAINT PAUL","MN","55110","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","752288487","2020",50000.00,44000.00,"Common Stock","Spineology Inc.","100000011204","Spineology Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","88053","1942206610","BRUCE","J.","BARTIE",,"5803 NEAL AVE N",,"STILLWATER","MN","55082-2177","United States",,,"Doctor of Osteopathy","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","752288489","2020",150000.00,132000.00,"Common Stock","Spineology Inc.","100000011204","Spineology Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","356546","1841263381","BRADFORD","L.","CURRIER",,"200 1ST ST SW",,"ROCHESTER","MN","55905-0001","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","752288491","2020",25000.00,22000.00,"Common Stock","Spineology Inc.","100000011204","Spineology Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","232589","1134127178","MARK",,"DELAURENTIS",,"901 ROUTE 168 STE 301",,"BLACKWOOD","NJ","08012-3217","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Radiology|Diagnostic Radiology","752288493","2020",77000.00,154000.00,"Common Stock","Spineology Inc.","100000011204","Spineology Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","341366","1528000379","JOHN","D.","DORCHAK",,"6262 VETERANS PKWY",,"COLUMBUS","GA","31909-3540","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","752288495","2020",200000.00,275000.00,"Common Stock","Spineology Inc.","100000011204","Spineology Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","356609","1841268976","JOHN","A.","DOWDLE","JR.","17 EXCHANGE ST W STE 307",,"SAINT PAUL","MN","55102-1223","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","752288497","2020",50000.00,44000.00,"Common Stock","Spineology Inc.","100000011204","Spineology Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","154545","1417911884","MARK","C.","ENGASSER",,"1000 W 140TH ST # 202",,"BURNSVILLE","MN","55337-4480","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Sports Medicine","752288499","2020",50000.00,44000.00,"Common Stock","Spineology Inc.","100000011204","Spineology Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","309308","1811950058","JON","H.","ENGELKING",,"218 EASTBANK CT N",,"HUDSON","WI","54016-1083","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","752288503","2020",25000.00,22000.00,"Common Stock","Spineology Inc.","100000011204","Spineology Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","340465","1518048446","DAVEED","D.","FRAZIER",,"1921 OAK TREE RD",,"EDISON","NJ","08820-2073","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","752288505","2020",100000.00,137500.00,"Common Stock","Spineology Inc.","100000011204","Spineology Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","980345","1669417648","ROBERT","J.","HACKER",,"3355 RIVERBEND DR STE 400",,"SPRINGFIELD","OR","97477-8800","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","752288509","2020",25000.00,22000.00,"Common Stock","Spineology Inc.","100000011204","Spineology Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","202634","1487622510","PAUL","D.","HARTLEBEN",,"5803 NEAL AVE N",,"STILLWATER","MN","55082-2177","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","752288511","2020",25000.00,22000.00,"Common Stock","Spineology Inc.","100000011204","Spineology Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","3224","1063477131","KENNETH","B.","HEITHOFF",,"5775 WAYZATA BLVD STE 190",,"MINNEAPOLIS","MN","55416","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Radiology|Diagnostic Radiology","752288515","2020",50000.00,44000.00,"Common Stock","Spineology Inc.","100000011204","Spineology Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","268404","1902913957","DAVID","C.","HOLTE",,"4010 W 65TH ST",,"MINNEAPOLIS","MN","55435-1706","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","752288519","2020",50000.00,44000.00,"Common Stock","Spineology Inc.","100000011204","Spineology Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","350423","1720186588","RICHARD","F.","KYLE",,"825 S 8TH ST STE 504",,"MINNEAPOLIS","MN","55404-1217","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","752288521","2020",25000.00,22000.00,"Common Stock","Spineology Inc.","100000011204","Spineology Inc.","MN","United States","No","Immediate family member","06/30/2023" "UNCHANGED","162221","1568410629","CARL",,"LAURYSSEN",,"7900 FM 1826",,"AUSTIN","TX","78737-1407","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","752288525","2020",50000.00,44000.00,"Common Stock","Spineology Inc.","100000011204","Spineology Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","22376","1487793048","JAMES","H.","MAXWELL",,"2222 E HIGHLAND AVE STE 225",,"PHOENIX","AZ","85016-4877","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","752288527","2020",127541.00,209915.20,"Common Stock","Spineology Inc.","100000011204","Spineology Inc.","MN","United States","No","Immediate family member","06/30/2023" "UNCHANGED","236143","1215906029","John",,"Gorup",,"1345 Unity Place, Suite 310",,"Lafayette","IN","47905","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","749832307","2020",190028.00,170035.64,"Common Units","Nanovis LLC","100000071380","Nanovis LLC","IN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","27152","1598764128","Gregory",,"Hoffman",,"5050 North Clinton St",,"Fort Wayne","IN","46825","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","749836839","2020",131272.36,246859.11,"Common Units","Nanovis LLC","100000071380","Nanovis LLC","IN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","222434","1912906348","Alan",,"McGee",,"5050 North Clinton St",,"Fort Wayne","IN","46825","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","749843105","2020",50333.33,164031.38,"Common Units","Nanovis LLC","100000071380","Nanovis LLC","IN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","110359","1427059682","John",,"Williams",,"5050 North Clinton St",,"Fort Wayne","IN","46825","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","749847335","2020",50661.33,162878.71,"Common Units","Nanovis LLC","100000071380","Nanovis LLC","IN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","137135","1013906213","Jerome",,"Kolavo",,"27650 Ferry Road",,"Warrenville","IL","60555","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","749847397","2020",153013.18,99185.84,"Common Units (5000) & B units (2358)","Nanovis LLC","100000071380","Nanovis LLC","IN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1182441","1770570699","George",,"Miz",,"340 E Randolph St, #2001",,"Chicago","IL","60601","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","749848241","2020",122215.00,89615.04,"Common Units","Nanovis LLC","100000071380","Nanovis LLC","IN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","285541","1285691980","Perin",,"Alfred",,"6041 SW 73RD ST RD",,"Ocala","FL","34476-5608","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Interventional Cardiology","749849159","2020",0.00,580500.00,"Common Shares","Innovation Technologies Inc","100000126370","Innovation Technologies Inc","GA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1204701","1568403418","Roger",,"Brill",,"6520 NW 9TH BLVD",,"Gainesville","FL","32605-4205","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Plastic Surgery","749849161","2020",0.00,1139886.00,"Common Shares","Innovation Technologies Inc","100000126370","Innovation Technologies Inc","GA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1200652","1417952581","Tod",,"Bushman",,"3024","BUSINESS PARK CIR","GOODLETTSVILLE","TN","37072-3132","United States",,,"Medical Doctor","Podiatric Medicine & Surgery Service Providers|Podiatrist|Primary Podiatric Medicine","749849163","2020",0.00,45000.00,"Common Shares","Innovation Technologies Inc","100000126370","Innovation Technologies Inc","GA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","320936","1063498392","Harold",,"Cates",,"9430 PARK WEST BLVD SUITE 130",,"KNOXVILLE","TN","37923-4200","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","749849165","2020",225.00,45225.00,"Common Shares","Innovation Technologies Inc","100000126370","Innovation Technologies Inc","GA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1214077","1881773778","Mark",,"Clymer",,"1800 MALLORY LN STE A3",,"Brentwood","TN","37027","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Otolaryngology|Facial Plastic Surgery","749849167","2020",0.00,45000.00,"Common Shares","Innovation Technologies Inc","100000126370","Innovation Technologies Inc","GA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","100337","1205812948","Richard",,"Cunningham",,"9430 PARK WEST BLVD SUITE 130",,"KNOXVILLE","TN","37923","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Sports Medicine","749849169","2020",630.00,135630.00,"Common Shares","Innovation Technologies Inc","100000126370","Innovation Technologies Inc","GA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","25789","1568492049","Brandon",,"Downs",,"415 HENSLEE DR",,"Dickson","TN","37055-2166","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","749849171","2020",841.50,180841.50,"Common Shares","Innovation Technologies Inc","100000126370","Innovation Technologies Inc","GA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","857921","1386672889","Joel",,"Dunn",,"1000 MEDICAL CENTER BLVD",,"Lawrenceville","GA","30046","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Anesthesiology","749849173","2020",0.00,67500.00,"Common Shares","Innovation Technologies Inc","100000126370","Innovation Technologies Inc","GA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","439309","1679538060","Paul",,"Duryea",,"2595 TAMPA RD",,"PALM HARBOR","FL","34684-3131","United States",,,"Doctor of Dentistry","Dental Providers|Dentist|Orthodontics and Dentofacial Orthopedics","749849175","2020",0.00,337500.00,"Common Shares","Innovation Technologies Inc","100000126370","Innovation Technologies Inc","GA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","85118","1881623114","RICHARD",,"FLEMING",,"901 W 38TH ST","ST 200","AUSTIN","TX","78705","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Surgery","753114603","2020",0.00,143294.00,"Common Stock","Alafair Biosciences,Inc.","100000196813","Alafair Biosciences,Inc.","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","50792","1134289994","MATTHEW",,"HUMMELL",,"801 W 38TH ST","SUITE 400","AUSTIN","TX","78705","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","753114605","2020",0.00,92731.00,"Common Stock","Alafair Biosciences,Inc.","100000196813","Alafair Biosciences,Inc.","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","137378","1013930296","JOHN",,"BROPHY",,"6325 HUMPHREYS BLVD",,"MEMPHIS","TN","38120","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","753114607","2020",0.00,50019.00,"Preferred Stock","Alafair Biosciences,Inc.","100000196813","Alafair Biosciences,Inc.","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","137378","1013930296","JOHN",,"BROPHY",,"6325 HUMPHREYS BLVD",,"MEMPHIS","TN","38120","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","753114609","2020",0.00,517108.00,"Common and Preferred Stock","Alafair Biosciences,Inc.","100000196813","Alafair Biosciences,Inc.","TX","United States","No","Immediate family member","06/30/2023" "UNCHANGED","252858","1568465763","BRANNON",,"FRANK",,"2501 W WILLIAM CANNON DR","SUITE 401","AUSTIN","TX","78745","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Pain Medicine|Interventional Pain Medicine","753114611","2020",0.00,435860.00,"Preferred Stock","Alafair Biosciences,Inc.","100000196813","Alafair Biosciences,Inc.","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","91998","1043213259","ROBERT",,"WILLS",,"2000 S MAYS ST","STE 201","ROUND ROCK","TX","78664","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Pain Medicine|Interventional Pain Medicine","753114613","2020",0.00,435860.00,"Preferred Stock","Alafair Biosciences,Inc.","100000196813","Alafair Biosciences,Inc.","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","231822","1124026372","Bedros",,"Bakirtzian",,"271 Andrews St.",,"Massena","NY","13662","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","753114689","2020",670690.29,2326103.16,"None","Intellijoint Surgical Inc.","100000321808","Intellijoint Surgical Inc.",,"Canada","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","231822","1124026372","Bedros",,"Bakirtzian",,"271 Andrews St.",,"Massena","NY","13662","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","753114691","2020",260420.00,260419.80,"None","Intellijoint Surgical Inc.","100000321808","Intellijoint Surgical Inc.",,"Canada","No","Immediate family member","06/30/2023" "UNCHANGED","98327","1184679136","Javad",,"Parvizi",,"925 CHESTNUT ST","5th Floor","Philadelphia","PA","19107","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Adult Reconstructive Orthopaedic Surgery","753114693","2020",2780.59,2661.04,"None","Intellijoint Surgical Inc.","100000321808","Intellijoint Surgical Inc.",,"Canada","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","237698","1235397043","Michael",,"Cross",,"535 E 70TH ST.",,"New York","NY","10021","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","753114695","2020",2782.55,2281.72,"None","Intellijoint Surgical Inc.","100000321808","Intellijoint Surgical Inc.",,"Canada","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","155029","1407835135","Wayne",,"Paprosky",,"1 WESTBROOK CORPORATE CTR","#240","Westchester","IL","60154","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Adult Reconstructive Orthopaedic Surgery","753114697","2020",106548.48,135175.59,"None","Intellijoint Surgical Inc.","100000321808","Intellijoint Surgical Inc.",,"Canada","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","291335","1427255876","JONATHAN","MATTHEW","VIGDORCHIK",,"324 E 23RD ST",,"NEW YORK","NY","10010","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Adult Reconstructive Orthopaedic Surgery","753114699","2020",32950.00,32950.00,"None","Intellijoint Surgical Inc.","100000321808","Intellijoint Surgical Inc.",,"Canada","No","Immediate family member","06/30/2023" "UNCHANGED","1297074","1407016488","RAN",,"SCHWARZKOPF",,"101 THE CITY DR S PAVILION III| BUILDING 29",,"ORANGE","CA","92868","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Adult Reconstructive Orthopaedic Surgery","753114701","2020",84635.13,84635.11,"None","Intellijoint Surgical Inc.","100000321808","Intellijoint Surgical Inc.",,"Canada","No","Immediate family member","06/30/2023" "UNCHANGED","1297074","1407016488","RAN",,"SCHWARZKOPF",,"101 THE CITY DR S PAVILION III| BUILDING 29",,"ORANGE","CA","92868","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Adult Reconstructive Orthopaedic Surgery","753114703","2020",2437.30,1936.04,"None","Intellijoint Surgical Inc.","100000321808","Intellijoint Surgical Inc.",,"Canada","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","221546","1902805823","JAMES","F","FREEMAN",,"6485 POPLAR AVE",,"MEMPHIS","TN","38119","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","753116047","2020",4186000.00,2346925.00,"OWNERSHIP OF SHARES OF GRACE MEDICAL GROUP, INC. HELD BY PHYSICIAN'S PARENTS AND THE FAMILY TRUST OF WHICH HE IS A TRUSTEE, AS WELL AS DE MINIMIS INDIVIDUAL OPTIONS. VALUE OF INTEREST IS DERIVED FROM THE NUMBER OF SHARES + OPTIONS HELD MULTIPLIED BY THE BOOK VALUE PER SHARE OF THE COMPANY REDUCED BY 30% AS AN ASSUMED MINORITY SHARE DISCOUNT.","Grace Medical, Inc.","100000041242","Grace Medical, Inc.","TN","United States","No","Immediate family member","06/30/2023" "UNCHANGED","42824","1932264918","Robert",,"Meichner",,"8050 Springrun Road",,"Fairhope","AL","36532","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Gastroenterology","750018389","2020",24000.00,156000.00,"Common and Preferred Shares","Romark Laboratories, LC","100000011162","Romark Laboratories, LC","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","24607","1538159827","Harry","E","Rubash",,"55 FRUIT ST ORTHOPAEDIC ASSOCIATES",,"Boston","MA","02114","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","750055123","2020",0.00,193443.00,"Share Ownership","CLOZEX MEDICAL INC","100000786825","CLOZEX MEDICAL INC","MA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","218063","1821089921","John","B","Lazor",,"500 CONGRESS ST","SUITE 2B","QUINCY","MA","02169","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Otolaryngology","750055205","2020",0.00,200000.00,"Share Ownership","CLOZEX MEDICAL INC","100000786825","CLOZEX MEDICAL INC","MA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","955960","1821065848","Mark","D","Miller",,"400 RAY C HUNT DR","SUITE 330","CHARLOTTESVILLE","VA","22903","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Sports Medicine","750057229","2020",0.00,50000.00,"Share Ownership","CLOZEX MEDICAL INC","100000786825","CLOZEX MEDICAL INC","MA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","640271","1730105891","Richard","Joseph","Ehrlichman",,"75 FRANCIS ST","BRIGHAM AND WOMEN'S HOSPITAL","Boston","MA","02115","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Surgery|Plastic and Reconstructive Surgery","750057287","2020",0.00,110396.00,"Share Ownership","CLOZEX MEDICAL INC","100000786825","CLOZEX MEDICAL INC","MA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","161635","1578588067","William",,"Beliveau",,"1524 Atwood Ave","Suite 220","Johnston","RI","02919","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine","750427345","2020",0.00,224581.00,"Preferred Stock","Saphena Medical, Inc.","100000071374","Saphena Medical, Inc.","MA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","92005","1043288160","Charles","J","Monier","Jr","602 N Acadia Rd","Suite 101","Thibodaux","LA","70301","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Gastroenterology","750435207","2020",0.00,165658.00,"Preferred Stock","Saphena Medical, Inc.","100000071374","Saphena Medical, Inc.","MA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","55278","1225134067","Thomas",,"Piemonte",,"41 Mall Rd",,"Burlington","MA","01805","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Interventional Cardiology","750443945","2020",0.00,99999.50,"Preferred Stock","Saphena Medical, Inc.","100000071374","Saphena Medical, Inc.","MA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","841175","1790776987","Timothy","P","Murphy",,"20 Catamore Blvd",,"East Providence","RI","02914","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Radiology|Diagnostic Radiology","750444701","2020",0.00,82563.50,"Preferred Stock","Saphena Medical, Inc.","100000071374","Saphena Medical, Inc.","MA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","310154","1831157759","Anthony","Robert","Buonanno",,"1524 Atwood Ave",,"Johnston","RI","02919","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","750445745","2020",0.00,131036.00,"Preferred Stock","Saphena Medical, Inc.","100000071374","Saphena Medical, Inc.","MA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","134113","1952574634","Michael",,"Rocchio",,"530 E Shore Rd",,"Jamestown","RI","02835","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Surgery","750457177","2020",0.00,195451.00,"Preferred Stock","Saphena Medical, Inc.","100000071374","Saphena Medical, Inc.","MA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","133390","1942302773","Paul",,"Akerman",,"33 Staniford St",,"Providence","RI","02905","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Gastroenterology","750461459","2020",0.00,50000.00,"Preferred Stock","Saphena Medical, Inc.","100000071374","Saphena Medical, Inc.","MA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","58169","1295702017","Alexandros",,"Powers",,"4927 Auburn Ave","Suite T-50","Bethesda","MD","20814","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","750461471","2020",0.00,25000.00,"Preferred Stock","Saphena Medical, Inc.","100000071374","Saphena Medical, Inc.","MA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","787896","1902995897","Richard",,"D'Agostino",,"Lahey Clinic","41 Mall Rd","Burlington","MA","01805","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Thoracic Surgery (Cardiothoracic Vascular Surgery)","750461487","2020",0.00,32665.00,"Preferred Stock","Saphena Medical, Inc.","100000071374","Saphena Medical, Inc.","MA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","298135","1568503472","Fatima",,"Garcia-Fedorowicz",,"84 Pearl St",,"Stoughton","MA","02072","United States",,,"Doctor of Optometry","Eye and Vision Services Providers|Optometrist","750461495","2020",0.00,12862.00,"Preferred Stock","Saphena Medical, Inc.","100000071374","Saphena Medical, Inc.","MA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","274097","1033136866","PAUL","C.","MCAFEE",,"7505 OSLER DR STE 104",,"TOWSON","MD","21204-7737","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","752288531","2020",82000.00,81400.00,"Common Stock","Spineology Inc.","100000011204","Spineology Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","547101","1467458208","ROBERT","CLARENCE","MEISTERLING",,"1991 NORTHWESTERN AVE S",,"STILLWATER","MN","55082","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Sports Medicine","752288537","2020",105177.60,144619.20,"Common Stock","Spineology Inc.","100000011204","Spineology Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","104971","1326062332","LAURENCE","E.","MERMELSTEIN",,"763 LARKFIELD RD STE 201",,"COMMACK","NY","11725-3131","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","752288543","2020",25000.00,34375.00,"Common Stock","Spineology Inc.","100000011204","Spineology Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","345396","1619931847","MICHAEL","R.","MOONEY",,"920 E 28TH ST STE 300",,"MINNEAPOLIS","MN","55407-1195","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Interventional Cardiology","752288551","2020",299251.20,411470.40,"Common Stock","Spineology Inc.","100000011204","Spineology Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","290669","1417940750","PIERCE","D.","NUNLEY",,"1500 LINE AVE STE 200",,"SHREVEPORT","LA","71101-4643","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","752288557","2020",100000.00,137500.00,"Common Stock","Spineology Inc.","100000011204","Spineology Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","299431","1598761322","DAVID","H.","PALMER",,"5803 NEAL AVE N",,"STILLWATER","MN","55082-2177","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","752288563","2020",50000.00,44000.00,"Common Stock","Spineology Inc.","100000011204","Spineology Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","217154","1780651950","STEVEN","R.","POLLEI",,"33801 1ST WAY S STE 101",,"FEDERAL WAY","WA","98003-6219","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Radiology|Diagnostic Radiology","752288571","2020",94000.00,154000.00,"Common Stock","Spineology Inc.","100000011204","Spineology Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","170156","1750546057","ROBERT",,"PREMER",,"1 VETERANS DR",,"MINNEAPOLIS","MN","55417-2309","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","752288575","2020",25000.00,22000.00,"Common Stock","Spineology Inc.","100000011204","Spineology Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","83438","1851407589","THOMAS","J.","RAIH",,"4010 W 65TH ST",,"MINNEAPOLIS","MN","55435-1706","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","752288583","2020",51841.60,71282.20,"Common Stock","Spineology Inc.","100000011204","Spineology Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","341577","1518983832","K",,"RIEW",,"660 S EUCLID AVE",,"SAINT LOUIS","MO","63110-1010","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","752288589","2020",25000.00,22000.00,"Common Stock","Spineology Inc.","100000011204","Spineology Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","276015","1083625495","GAYLAN","L.","ROCKSWOLD",,"701 PARK AVE",,"MINNEAPOLIS","MN","55415-1623","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","752288593","2020",50000.00,44000.00,"Common Stock","Spineology Inc.","100000011204","Spineology Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","117132","1588795934","MICHAEL","T.","STECHISON",,"575 PROFESSIONAL DR STE 350",,"LAWRENCEVILLE","GA","30046-3347","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","752288599","2020",100000.00,137500.00,"Common Stock","Spineology Inc.","100000011204","Spineology Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","149396","1285643205","DWIGHT","S.","TYNDALL",,"730 45TH AVE",,"MUNSTER","IN","46321-2818","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","752288603","2020",400000.00,880000.00,"Common Stock","Spineology Inc.","100000011204","Spineology Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","268560","1932148798","ALEXANDER","R.","VACCARO",,"925 CHESTNUT ST FL 5",,"PHILADELPHIA","PA","19107-4206","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","752288605","2020",25000.00,35750.00,"Common Stock","Spineology Inc.","100000011204","Spineology Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","322643","1114992237","RAVISHANKAR",,"VEDANTAM",,"1050 REID PKWY STE 100",,"RICHMOND","IN","47374-1156","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","752288611","2020",25000.00,55000.00,"Common Stock","Spineology Inc.","100000011204","Spineology Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","10350","1215965090","JOSEPH","W.","YEDLICKA",,"7340 SHADELAND STA STE 200",,"INDIANAPOLIS","IN","46256-3980","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Radiology|Vascular & Interventional Radiology","752288617","2020",157500.00,165000.00,"Common Stock","Spineology Inc.","100000011204","Spineology Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","460792","1417954082","Frank",,"Ellis",,"4500 W NEWBERRY RD",,"Gainesville","FL","32607-2245","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","749849177","2020",0.00,475312.50,"Common Shares","Innovation Technologies Inc","100000126370","Innovation Technologies Inc","GA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","650661","1093701807","Edward",,"Feinberg",,"2005 BAY ST SUITE 201",,"TAUNTON","MA","02780","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","749849179","2020",0.00,225000.00,"Common Shares","Innovation Technologies Inc","100000126370","Innovation Technologies Inc","GA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","197371","1346345550","Robert",,"Feldman",,"125 SW 11TH ST",,"Ocala","FL","34471-0967","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Interventional Cardiology","749849181","2020",0.00,360000.00,"Common Shares","Innovation Technologies Inc","100000126370","Innovation Technologies Inc","GA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","127649","1821046459","James",,"Fish",,"394 HARDING PL SUITE 200",,"Nashville","TN","37211-3980","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","749849183","2020",0.00,180000.00,"Common Shares","Innovation Technologies Inc","100000126370","Innovation Technologies Inc","GA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","870367","1811977382","Frank",,"Fumich",,"801 MEDICAL DR SUITE A",,"Lima","OH","45804-4099","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","749849185","2020",0.00,45000.00,"Common Shares","Innovation Technologies Inc","100000126370","Innovation Technologies Inc","GA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","863208","1578538419","David","R","Hall",,"2341 MCCALLIE AVE SUITE 402",,"CHATTANOOGA","TN","37404-3239","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Anesthesiology","749849187","2020",0.00,90000.00,"Common Shares","Innovation Technologies Inc","100000126370","Innovation Technologies Inc","GA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","167643","1689770992","Bruce","W","Hallmann",,"5201 S WILLOW SPRINGS RD SUITE 220",,"LA GRANGE","IL","60525","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","749849189","2020",0.00,157500.00,"Common Shares","Innovation Technologies Inc","100000126370","Innovation Technologies Inc","GA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","100356","1205948254","John","D","Haltom",,"24 PHYSICIANS DR",,"JACKSON","TN","38305-2070","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Sports Medicine","749849191","2020",0.00,90000.00,"Common Shares","Innovation Technologies Inc","100000126370","Innovation Technologies Inc","GA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","231520","1093740367","Rickey",,"Hutcheson",,"2350 NORTH OCOEE STREET",,"Cleveland","TN","37311","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","749849193","2020",0.00,146250.00,"Common Shares","Innovation Technologies Inc","100000126370","Innovation Technologies Inc","GA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","954524","1770532012","Jong",,"Kim",,"6716 NW 11TH PLACE STE 200",,"Gainesville","FL","32605-4215","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Radiology|Diagnostic Radiology","749849195","2020",0.00,22500.00,"Common Shares","Innovation Technologies Inc","100000126370","Innovation Technologies Inc","GA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","288907","1366411514","Lance",,"Kim",,"2237 SW 19TH AVE RD SUITE 101",,"Ocala","FL","34471-7551","United States",,,"Doctor of Osteopathy","Allopathic & Osteopathic Physicians|Psychiatry & Neurology|Neurology","749849197","2020",0.00,135000.00,"Common Shares","Innovation Technologies Inc","100000126370","Innovation Technologies Inc","GA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","290353","1396793089","Richard",,"Kinard",,"4500 W NEWBERRY RD",,"Gainesville","FL","32607-2245","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Radiology|Diagnostic Radiology","749849199","2020",0.00,90000.00,"Common Shares","Innovation Technologies Inc","100000126370","Innovation Technologies Inc","GA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","288559","1376539387","Thomas",,"King",,"333 BORTHWICK AVE MEDICAL OFFICE BUILDING SUITE 301",,"PORTSMOUTH","NH","03801","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","749849201","2020",0.00,1759464.00,"Common Shares","Innovation Technologies Inc","100000126370","Innovation Technologies Inc","GA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","361614","1952468415","Thomas",,"Koenig",,"11808 KINGSTON PIKE SUITE 190",,"KNOXVILLE","TN","37934","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","749849203","2020",0.00,1247400.00,"Common Shares","Innovation Technologies Inc","100000126370","Innovation Technologies Inc","GA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","27371","1598753758","Michael",,"LaDouceur",,"3024 BUSINESS PARK CIR",,"GOODLETTSVILLE","TN","37072-3132","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","749849205","2020",0.00,90000.00,"Common Shares","Innovation Technologies Inc","100000126370","Innovation Technologies Inc","GA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","342101","1538168455","JOHN","M","FREEMAN",,"6485 POPLAR AVE",,"MEMPHIS","TN","38119","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","753116065","2020",4186000.00,2335209.00,"OWNERSHIP OF SHARES OF GRACE MEDICAL GROUP, INC. HELD BY PHYSICIAN'S PARENTS AND THE FAMILY TRUST OF WHICH HE IS A TRUSTEE. VALUE OF INTEREST IS DERIVED FROM THE NUMBER OF SHARES HELD MULTIPLIED BY THE BOOK VALUE PER SHARE OF THE COMPANY REDUCED BY 30% AS AN ASSUMED MINORITY SHARE DISCOUNT.","Grace Medical, Inc.","100000041242","Grace Medical, Inc.","TN","United States","No","Immediate family member","06/30/2023" "UNCHANGED","133883","1962504100","George",,"Adams",,"PO Box 17708",,"Raleigh","NC","27619","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Cardiovascular Disease","753150433","2020",1.00,1.00,"Stock option grant not in the money.","DeVoro Medical Inc.","100000826838","DeVoro Medical Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","131247","1902019771","Robert","Alex","Hirschl",,"89 W COPELAND DR",,"Orlando","FL","32806","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","753150757","2020",0.00,89006.48,"The surgeon owner's proportionate share of net equity for 2020 is reflected as the 2020 value of interest. Per communication on September 21, 2021 from CMS OP dollar amount invested was corrected to reflect dollar amount invested in reporting year, not total invested amount from the founding of the company.","HT Medical, LLC","100000216782","HT Medical, LLC","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","270585","1952475279","James","Kennedy","Wall",,"730 Welch Rd.","2nd Floor","Palo Alto","CA","94304","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Surgery","753150781","2020",0.00,23763.75,"Advisor for the company, including serving on the Board of Directors.","Novonate Inc","100000756812","Novonate Inc","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","50863","1134181191","Frank",,"Arko",,"18508 Balmore Pines",,"Cornelius","NC","28031","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Surgery|Vascular Surgery","753161029","2020",1.00,1.00,"Stock options not in the money.","DeVoro Medical Inc.","100000826838","DeVoro Medical Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","241203","1326068669","Jason",,"Highsmith",,"9313 MEDICAL PLAZA DRIVE","SUITE 305","N. CHARLESTOWN","SC","29406","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","753174243","2020",50000.00,50000.00,"Stock","Philadelphia Medical Management Company LLC","100000361811","Philadelphia Medical Management Company LLC","PA","United States","No","Immediate family member","06/30/2023" "UNCHANGED","292757","1467496828","Kornelis",,"Poelstra",,"340 DARDANELLI LN","STE 10","LOS GATOS","CA","95032","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","753174245","2020",200000.00,200000.00,"Stock","Philadelphia Medical Management Company LLC","100000361811","Philadelphia Medical Management Company LLC","PA","United States","No","Immediate family member","06/30/2023" "UNCHANGED","5644","1134295165","Tuan",,"Bui",,"771 OLD NORCROSS RD","SUITES 155 AND 390","LAWRENCEVILLE","GA","30046","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","753174247","2020",50000.00,50000.00,"Stock","Philadelphia Medical Management Company LLC","100000361811","Philadelphia Medical Management Company LLC","PA","United States","No","Immediate family member","06/30/2023" "UNCHANGED","101801","1245202274","James",,"Blankenship",,"2793 E MILLENNIUM","Suite 1","FAYETTEVILLE","AR","72703","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","753174249","2020",100000.00,100000.00,"Stock","Philadelphia Medical Management Company LLC","100000361811","Philadelphia Medical Management Company LLC","PA","United States","No","Immediate family member","06/30/2023" "UNCHANGED","1094975","1700072238","Jayme",,"Trahan",,"1000 W PINHOOK RD","STE 305","Lafayette","LA","70503","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","753174251","2020",100000.00,100000.00,"Stock","Philadelphia Medical Management Company LLC","100000361811","Philadelphia Medical Management Company LLC","PA","United States","No","Immediate family member","06/30/2023" "UNCHANGED","358403","1891917092","Michael",,"Fernandez",,"3399 TRINDLE ROAD",,"Camp Hill","PA","17011","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","753174253","2020",50000.00,50000.00,"Stock","Philadelphia Medical Management Company LLC","100000361811","Philadelphia Medical Management Company LLC","PA","United States","No","Immediate family member","06/30/2023" "UNCHANGED","578918","1588606420","Edward",,"Vresilovic",,"1160 MANHEIM PIKE",,"Pennsylvania","PA","17601","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","753174255","2020",100000.00,100000.00,"Stock","Philadelphia Medical Management Company LLC","100000361811","Philadelphia Medical Management Company LLC","PA","United States","No","Immediate family member","06/30/2023" "UNCHANGED","222434","1912906348","Alan",,"McGee",,"5050 N CLINTON ST",,"FORT WAYNE","IN","46825","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","753174257","2020",1200000.00,1200000.00,"Stock","Philadelphia Medical Management Company LLC","100000361811","Philadelphia Medical Management Company LLC","PA","United States","No","Immediate family member","06/30/2023" "UNCHANGED","180088","1972798379","Robert",,"Norton",,"670 GLADES RD","SUITE 200","BOCA RATON","FL","33431","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","753174259","2020",50000.00,50000.00,"Stock","Philadelphia Medical Management Company LLC","100000361811","Philadelphia Medical Management Company LLC","PA","United States","No","Immediate family member","06/30/2023" "UNCHANGED","81265","1801817937","Lishan",,"Aklog",,"500 W Thomas Rd",,"Phoenix","AZ","85013","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Thoracic Surgery (Cardiothoracic Vascular Surgery)","750462695","2020",0.00,327999.50,"Preferred Stock Common Stock","Saphena Medical, Inc.","100000071374","Saphena Medical, Inc.","MA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","234414","1184638264","Brian",,"deGuzman",,"6443 E Chaparral Rd",,"Paradise Valley","AZ","85253","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Thoracic Surgery (Cardiothoracic Vascular Surgery)","750462717","2020",0.00,320000.00,"Preferred Stock Common Stock","Saphena Medical, Inc.","100000071374","Saphena Medical, Inc.","MA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","69019","1528026812","Geoffrey",,"Stewart",,"1131 S Orange Avenue",,"Orlando","FL","32806","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","750484069","2020",200000.00,545616.00,"Capital Contribution and Interest","Kalitec Direct LLC","100000121363","Kalitec Direct LLC","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","247418","1467453886","Cheng",,"Tao",,"201 Governors Drive",,"Huntsville","AL","35801","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","750484163","2020",63575.00,152448.00,"Capital contribution and interest","Kalitec Direct LLC","100000121363","Kalitec Direct LLC","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","62094","1356592919","Philip",,"Meinhardt",,"5831 Bee Ridge Road","Suite 300","Sarasota","FL","34233","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","750484225","2020",200000.00,545402.00,"Capital contribution and interest","Kalitec Direct LLC","100000121363","Kalitec Direct LLC","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","221007","1881705077","Michael","S","Salomon",,"4901 Peninsular Drive",,"Belleville","MI","48111","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Radiology|Vascular & Interventional Radiology","750484891","2020",10000.00,10000.00,"LLC membership units","Radux Devices LLC","100000301807","Radux Devices LLC","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","100018","1215930912","Paul",,"Pagano",,"4600 4th St N",,"St. Petersburg","FL","33703","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","750484893","2020",77275.00,177625.00,"Capital contribution and interest","Kalitec Direct LLC","100000121363","Kalitec Direct LLC","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","937652","1174635437","Hoyt","W","Nye",,"2140 Charlton Road",,"Sunfish Lake","MN","55118","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Anesthesiology","750485439","2020",290010.00,290010.00,"Membership interest in LLC","Radux Devices LLC","100000301807","Radux Devices LLC","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1107010","1124005756","Don","John","Hebel",,"2657 W. Logan Blvd",,"Chicago","IL","60647","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Radiology|Diagnostic Radiology","750486519","2020",80001.01,80001.01,"Membership units in LLC","Radux Devices LLC","100000301807","Radux Devices LLC","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","46968","1033159850","David","L","Vogel",,"2424 N. 154th Avenue",,"Omaha","NE","68116","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Surgery|Vascular Surgery","750486545","2020",25002.00,25002.00,"Membership units LLC","Radux Devices LLC","100000301807","Radux Devices LLC","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","139858","1093703571","John","S","Citow",,"81 Lakewood Drive",,"Glencoe","IL","60022","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","750488047","2020",249998.40,249998.40,"Membership units in LLC","Radux Devices LLC","100000301807","Radux Devices LLC","MN","United States","No","Immediate family member","06/30/2023" "UNCHANGED","1176809","1588615009","Marcie","H","Peterson",,"12859 Franklin Street",,"OMaha","NE","68154","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Radiology|Diagnostic Radiology","750488569","2020",10000.00,10000.00,"Membership Units in LLC","Radux Devices LLC","100000301807","Radux Devices LLC","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","54778","1205804267","Gregory","I","Gordon",,"9817 Westchester Drive",,"Omaha","NE","68114","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Radiology|Vascular & Interventional Radiology","750488667","2020",1279483.00,1279483.00,"Membership Units in LLC","Radux Devices LLC","100000301807","Radux Devices LLC","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","716560","1396743753","STEVEN",,"VYCE",,"950 CAMPBELL AVE","VACT, MS 112","WEST HAVEN","CT","06516-2770","United States",,,"Doctor of Podiatric Medicine","Podiatric Medicine & Surgery Service Providers|Podiatrist|Foot & Ankle Surgery","750488677","2020",50000.00,50000.00,"Private Placement Investment","Gramercy Extremity Orthopedics LLC","100000196819","Gramercy Extremity Orthopedics LLC","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","780044","1639358617","SAMUEL",,"ADAMS",,"1000 TRENT DR",,"DURHAN","NC","27710-0001","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","750489657","2020",25000.00,25000.00,"Private Placement Investment","Gramercy Extremity Orthopedics LLC","100000196819","Gramercy Extremity Orthopedics LLC","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","146318","1235113671","MARSHALL","E.","STAUBER",,"3702 WASHINGTON ST STE 101",,"HOLLYWOOD","FL","33021-8283","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","752288624","2020",27500.00,55000.00,"Common Stock","Spineology Inc.","100000011204","Spineology Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1166605","1215940838","HAROLD","G.","BACH",,"8200 OKEECHOBEE BLVD",,"WEST PALM BEACH","FL","33411-2099","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","752288631","2020",27500.00,55000.00,"Common Stock","Spineology Inc.","100000011204","Spineology Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","6576","1144481532","SIMON",,"CHAO",,"15 ROCHE BROTHERS WAY",,"NORTH EASTON","MA","02356-1000","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","752288635","2020",46700.00,49500.00,"Common Stock","Spineology Inc.","100000011204","Spineology Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","50283","1124065941","STEPHEN","H.","HOCHSCHULER",,"6020 W PARKER RD STE 200",,"PLANO","TX","75093-8172","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","752288641","2020",75000.00,103125.00,"Common Stock","Spineology Inc.","100000011204","Spineology Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","342862","1558344507","KARL","D.","SCHULTZ",,"1240 JESSE JEWELL PKWY SE",,"GAINESVILLE","GA","30501","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","752288649","2020",160000.00,220000.00,"Common Stock","Spineology Inc.","100000011204","Spineology Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","232080","1114065588","NED",,"WINDMILLER",,"1701 CURVE CREST BLVD W STE 100",,"STILLWATER","MN","55082-6181","United States",,,"Doctor of Dentistry","Dental Providers|Dentist|General Practice","752288655","2020",110000.00,121550.00,"Common Stock","Spineology Inc.","100000011204","Spineology Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","222070","1891802989","JEFFREY","C.","DICK",,"4010 W 65TH ST",,"MINNEAPOLIS","MN","55435-1706","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","752288663","2020",109640.00,117150.00,"Common Stock","Spineology Inc.","100000011204","Spineology Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","214553","1740220466","THOMAS","V.","RIESER",,"535 HOSPITAL RD",,"NEW RICHMOND","WI","54017-1449","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","752288669","2020",123750.00,247500.00,"Common Stock","Spineology Inc.","100000011204","Spineology Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","81057","1780649590","ROBERT","EDWARD","REPLOGLE",,"750 WELLINGTON AVE STE 3A",,"GRAND JUNCTION","CO","81501-6132","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","752288679","2020",110000.00,220000.00,"Common Stock","Spineology Inc.","100000011204","Spineology Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","115092","1538135868","JOHN","B.","LOGAN",,"29301 N DIXIE RANCH RD",,"LACOMBE","LA","70445-5403","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","752288685","2020",155000.00,200750.00,"Common Stock","Spineology Inc.","100000011204","Spineology Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","348701","1679582803","NITIN",,"KHANNA",,"730 45TH AVE",,"MUNSTER","IN","46321-2818","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","752288689","2020",100000.00,220000.00,"Common Stock","Spineology Inc.","100000011204","Spineology Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","52686","1154432425","STUART","G.","GOODMAN",,"2900 12TH AVE N STE 315W",,"BILLINGS","MT","59101-7513","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","752288695","2020",55000.00,110000.00,"Common Stock","Spineology Inc.","100000011204","Spineology Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","158724","1518034404","Matthew","J","Smith",,"1100 Virginia Ave",,"Columbia","MO","65212","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","752357911","2020",24250.00,880450.18,"Services for Equity","Ignite Orthopedics, LLC","100000191773","Ignite Orthopedics, LLC","IN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","118341","1629036603","Derek","Jason","Cuff",,"836 Sunset Lake Blvd","Building A Suite 205","Venice","FL","34292","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","752357921","2020",24250.00,2284066.04,"Services for Equity","Ignite Orthopedics, LLC","100000191773","Ignite Orthopedics, LLC","IN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","105420","1316900509","Anand","M","Murthi",,"2200 Kernan Dr","Suite 1154","Baltimore","MD","21207","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","752357963","2020",24250.00,1067520.89,"Services for Equity","Ignite Orthopedics, LLC","100000191773","Ignite Orthopedics, LLC","IN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","318929","1043292964","J","Michael","Wiater",,"17877 W 14 Mile Rd",,"Beverly Hills","MI","48025","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","752357979","2020",25500.00,1285402.65,"Services for Equity","Ignite Orthopedics, LLC","100000191773","Ignite Orthopedics, LLC","IN","United States","No","Immediate family member","06/30/2023" "UNCHANGED","128265","1841220480","David",,"Lammermeier",,"1511 SW 1ST AVE",,"Ocala","FL","34474-4001","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Thoracic Surgery (Cardiothoracic Vascular Surgery)","749849209","2020",0.00,184333.50,"Common Shares","Innovation Technologies Inc","100000126370","Innovation Technologies Inc","GA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","265346","1851398424","Timothy",,"Lane",,"1805 HENNEPIN AVE N",,"Gainesville","FL","32607-2245","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","749849211","2020",0.00,1091907.00,"Common Shares","Innovation Technologies Inc","100000126370","Innovation Technologies Inc","GA","United States","No","Immediate family member","06/30/2023" "UNCHANGED","171145","1760473987","Jeffrey",,"Lawrence",,"608 NORRIS AVE STE 510",,"Nashville","TN","37204-3708","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","749849213","2020",0.00,180000.00,"Common Shares","Innovation Technologies Inc","100000126370","Innovation Technologies Inc","GA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","93929","1063497428","Joseph",,"Locker",,"1710 SE 16TH AVE",,"Ocala","FL","34471-4656","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","749849215","2020",0.00,146250.00,"Common Shares","Innovation Technologies Inc","100000126370","Innovation Technologies Inc","GA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","362512","1982671053","James","T","Martin",,"1401 CENTERVILLE RD STE 300",,"TALLAHASSEE","FL","32308-4675","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Psychiatry & Neurology|Neurology","749849217","2020",0.00,540000.00,"Common Shares","Innovation Technologies Inc","100000126370","Innovation Technologies Inc","GA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","663024","1528094455","Brenton",,"McDonald",,"2807 Evangeline St",,"Monroe","LA","71201-3749","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Radiology|Diagnostic Radiology","749849219","2020",0.00,25312.50,"Common Shares","Innovation Technologies Inc","100000126370","Innovation Technologies Inc","GA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","145686","1205833142","Heather",,"Melton",,"1015 KELLEY DR SUITE 200",,"Paris","TN","38242-5819","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","749849221","2020",0.00,90000.00,"Common Shares","Innovation Technologies Inc","100000126370","Innovation Technologies Inc","GA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","601220","1366454944","Oscar",,"Menendez",,"2682 W LAKE RD",,"PALM HARBOR","FL","34684-3120","United States",,,"Doctor of Dentistry","Dental Providers|Dentist","749849223","2020",0.00,441315.00,"Common Shares","Innovation Technologies Inc","100000126370","Innovation Technologies Inc","GA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","601220","1366454944","Oscar",,"Menendez",,"2682 W LAKE RD",,"PALM HARBOR","FL","34684-3120","United States",,,"Doctor of Dentistry","Dental Providers|Dentist","749849225","2020",0.00,147861.00,"Common Shares","Innovation Technologies Inc","100000126370","Innovation Technologies Inc","GA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","601220","1366454944","Oscar",,"Menendez",,"2682 W LAKE RD",,"PALM HARBOR","FL","34684-3120","United States",,,"Doctor of Dentistry","Dental Providers|Dentist","749849227","2020",0.00,398092.50,"Common Shares","Innovation Technologies Inc","100000126370","Innovation Technologies Inc","GA","United States","No","Immediate family member","06/30/2023" "UNCHANGED","212498","1699793661","Paul",,"Montalbano",,"6140 W CURTISIAN AVE SUITE 400",,"BOISE","ID","83704-8907","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","749849229","2020",0.00,5107500.00,"Common Shares","Innovation Technologies Inc","100000126370","Innovation Technologies Inc","GA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","12313","1265520027","Mark",,"Oliver",,"1901 SE 18TH AVE SUITE 101",,"Ocala","FL","34471-8215","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","749849231","2020",0.00,4680000.00,"Common Shares","Innovation Technologies Inc","100000126370","Innovation Technologies Inc","GA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","526684","1740286566","Phillip",,"Parr",,"4500 W NEWBERRY RD",,"Gainesville","FL","32607-2245","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","749849233","2020",0.00,1620000.00,"Common Shares","Innovation Technologies Inc","100000126370","Innovation Technologies Inc","GA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","22947","1508863960","Mark",,"Petty",,"4500 W NEWBERRY RD",,"Gainesville","FL","32607-2245","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","749849235","2020",0.00,405000.00,"Common Shares","Innovation Technologies Inc","100000126370","Innovation Technologies Inc","GA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1113491","1346298916","Larry",,"Popeil",,"2203 SE 3RD AVE",,"Ocala","FL","34471-5117","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Family Medicine","749849237","2020",0.00,1282500.00,"Common Shares","Innovation Technologies Inc","100000126370","Innovation Technologies Inc","GA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1113491","1346298916","Larry",,"Popeil",,"2203 SE 3RD AVE",,"Ocala","FL","34471-5117","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Family Medicine","749849239","2020",0.00,28125.00,"Common Shares","Innovation Technologies Inc","100000126370","Innovation Technologies Inc","GA","United States","No","Immediate family member","06/30/2023" "UNCHANGED","260004","1710968185","Edward","Jeffrey","Donner",,"4795 LARIMER PKWY",,"JOHNSTOWN","CO","80534","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","753192593","2020",252525.00,3095103.71,"Member's Interest","SI-TECHNOLOGY, LLC","100000136433","SI-TECHNOLOGY, LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","16734","1366411019","Abhay",,"Sanan",,"2450 E River Road",,"Tucson","AZ","85718","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","753192755","2020",55012.50,83604.00,"VALUE OF INTEREST IS CALCULATED AS THE CARRYING VALUE OF THE ASSETS AT YEAR END.","Synapse Surgical LLC","100000151632","Synapse Surgical LLC","AZ","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","16734","1366411019","Abhay",,"Sanan",,"2450 E River Road",,"Tucson","AZ","85718","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","753192771","2020",55012.50,83604.00,"VALUE OF INTEREST IS CALCULATED AS THE CARRYING VALUE OF THE ASSETS AT YEAR END.","Synapse Surgical LLC","100000151632","Synapse Surgical LLC","AZ","United States","No","Immediate family member","06/30/2023" "UNCHANGED","135685","1982750576","Brian",,"Callahan",,"2450 E River Road",,"Tucson","AZ","85718","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","753196307","2020",110025.00,167158.00,"VALUE OF INTEREST IS CALCULATED AS THE CARRYING VALUE OF THE ASSETS AT YEAR END.","Synapse Surgical LLC","100000151632","Synapse Surgical LLC","AZ","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","469898","1730372731","Sergio",,"Rivero",,"2450 E River Road",,"Tucson","AZ","85718","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","753205579","2020",110025.00,167158.00,"VALUE OF INTEREST IS CALCULATED AS THE CARRYING VALUE OF THE ASSETS AT YEAR END.","Synapse Surgical LLC","100000151632","Synapse Surgical LLC","AZ","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","260004","1710968185","Edward","Jeffrey","Donner",,"4795 LARIMER PKWY",,"JOHNSTOWN","CO","80534","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","753212639","2020",0.00,129994.35,"Members' Interest","SI-TECHNOLOGY, LLC","100000136433","SI-TECHNOLOGY, LLC","CO","United States","No","Immediate family member","06/30/2023" "UNCHANGED","201602","1437238565","John",,"COSTOUROS",,"450 BROADWAY ST PAVILION",,"Redwood City","CA","94063","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","753214561","2020",0.00,92625.10,"Stock Ownership","Catalyst OrthoScience","100000151617","Catalyst OrthoScience","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","98264","1154463776","ROBERT","S","BRAY",,"13160 MINDANAO WAY","SUITE 300","MARINA DEL REY","CA","90292-6358","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","753223417","2020",0.00,94781.00,"LLC MEMBERSHIP INTERESTS","RSB Spine, LLC","100000010577","RSB Spine, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","95548","1114946860","MARSHALL",,"GRODE",,"444 S. SAN VICENTE BLVD","SUITE 800","LOS ANGELES","CA","90048-4165","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","753229087","2020",0.00,1145.00,"LLC MEMBERSHIP INTERESTS","RSB Spine, LLC","100000010577","RSB Spine, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","901130","1891885422","RONALD",,"APFELBAUM",,"100 N. MEDICAL DRIVE",,"SALT LAKE CITY","UT","84113-1103","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","753232483","2020",0.00,1145.00,"LLC MEMBERSHIP INTERESTS","RSB Spine, LLC","100000010577","RSB Spine, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","49375","1104812593","ROBERT",,"SPETZLER",,"2910 N. 3RD AVENUE",,"PHOENIX","AZ","85013-4434","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","753232503","2020",0.00,2720.00,"LLC MEMBERSHIP INTERESTS","RSB Spine, LLC","100000010577","RSB Spine, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","205368","1538291232","RANDY",,"ROSEN",,"120 S. SPALDING DRIVE","SUITE 310","BEVERLY HILLS","CA","90049-5131","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Anesthesiology|Pain Medicine","753242915","2020",0.00,7445.00,"LLC MEMBERSHIP INTERESTS","RSB Spine, LLC","100000010577","RSB Spine, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","295852","1528033362","Waleed",,"El-Feky",,"6301 Gaston Avenue",,"Dallas","TX","75214","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Psychiatry & Neurology|Neurology","753245751","2020",18368.47,27873.85,"Physician is employed at outpatient neurology practice that owns a percentage of the GPO","NEUROLOGY PRACTICE CONSORTIUM GPO, LLC","100000181755","NEUROLOGY PRACTICE CONSORTIUM GPO, LLC","NY","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","66824","1477528305","Charles",,"Greenfield",,"6301 Gaston Avenue",,"Dallas","TX","75214","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Psychiatry & Neurology|Neurology","753245769","2020",18368.47,27873.85,"Physician is employed at outpatient neurology practice that owns a percentage of the GPO","NEUROLOGY PRACTICE CONSORTIUM GPO, LLC","100000181755","NEUROLOGY PRACTICE CONSORTIUM GPO, LLC","NY","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","600713","1356328538","MARK",,"MENDESZOON",,"150 7TH AVE","SUITE 200","CHARDON","OH","44024-2908","United States",,,"Doctor of Podiatric Medicine","Podiatric Medicine & Surgery Service Providers|Podiatrist|Foot & Ankle Surgery","750489805","2020",25000.00,25000.00,"Private Placement Investment","Gramercy Extremity Orthopedics LLC","100000196819","Gramercy Extremity Orthopedics LLC","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","937043","1154371318","Donald","F","Orton",,"919 Fawn Parkway",,"Omaha","NE","68154","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Radiology|Diagnostic Radiology","750490427","2020",30000.00,30000.00,"Membership Units in LLC","Radux Devices LLC","100000301807","Radux Devices LLC","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","151628","1356375778","MICHAEL",,"FEIN",,"8 SCHOOL ST",,"BETHEL","CT","06801-1846","United States",,,"Doctor of Podiatric Medicine","Podiatric Medicine & Surgery Service Providers|Podiatrist","750491883","2020",50000.00,50000.00,"Private Placement Investment","Gramercy Extremity Orthopedics LLC","100000196819","Gramercy Extremity Orthopedics LLC","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","362357","1962648410","BRADLEY",,"COPPLE",,"7100 W CENTER RD",,"OMAHA","NE","68106-2700","United States",,,"Doctor of Podiatric Medicine","Podiatric Medicine & Surgery Service Providers|Podiatrist|Foot & Ankle Surgery","750491899","2020",50000.00,50000.00,"Private Placement Investment","Gramercy Extremity Orthopedics LLC","100000196819","Gramercy Extremity Orthopedics LLC","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","345774","1609943703","LILY",,"MOORE",,"136 MIMOSA DR",,"ASHEVILLE","NC","28806-1719","United States",,,"Doctor of Podiatric Medicine","Podiatric Medicine & Surgery Service Providers|Podiatrist","750491991","2020",12500.00,12500.00,"Private Placement Investment","Gramercy Extremity Orthopedics LLC","100000196819","Gramercy Extremity Orthopedics LLC","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","43918","1972866275","CHRISTOPHER",,"YARDAN",,"187 N MAIN ST",,"WALLINGFORD","CT","06492-3721","United States",,,"Doctor of Podiatric Medicine","Podiatric Medicine & Surgery Service Providers|Podiatrist","750492009","2020",40000.00,40000.00,"Private Placement Investment","Gramercy Extremity Orthopedics LLC","100000196819","Gramercy Extremity Orthopedics LLC","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","269002","1922014331","Miles",,"Cunningham",,"65 Leonard St MA-039",,"Belmont","MA","02478","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Psychiatry & Neurology|Psychiatry","750493049","2020",2212.97,2212.97,"Dividend payouts for stocks owned in the reporting entity.","FHC, Inc.","100000086381","FHC, Inc.","ME","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1035214","1598918922","Sheldon",,"Lerner",,"1636 E 14th St Suite 123",,"Brooklyn","NY","11229","United States",,,"Doctor of Dentistry","Dental Providers|Dentist|Periodontics","750516899","2020",25000.00,4264103.00,"Blue Sky Bio is a closely held company and has no market for it's ownership interests.","Blue Sky Bio, LLC","100000010698","Blue Sky Bio, LLC","IL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1276839","1548398365","Albert",,"Zickmann",,"1035 N. Dearborn 4th Floor",,"Chicago","IL","60010","United States",,,"Doctor of Dentistry","Dental Providers|Dentist|Oral and Maxillofacial Surgery","750531365","2020",25000.00,4271175.00,"Blue Sky Bio is a closely held company and has no market for it's ownership interests.","Blue Sky Bio, LLC","100000010698","Blue Sky Bio, LLC","IL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","358610","1891768404","Tudor","G","Jovin",,"3 Cooper Plaza","Room 104","Camden","NJ","08103-1407","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Psychiatry & Neurology|Neurocritical Care","750567977","2020",349999.56,404366.12,"Investments in Series B and C preferred stock","Route 92 Medical, Inc.","100000796823","Route 92 Medical, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","203618","1487681342","Blaise","W","Baxter",,"975 E 3rd St","Box 376","Chattanooga","TN","37403-2147","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Radiology|Diagnostic Radiology","750568035","2020",200000.50,235429.16,"Investment in Series B preferred stock","Route 92 Medical, Inc.","100000796823","Route 92 Medical, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","775431","1477579720","Joey","D","English",,"1100 Van Ness Ave",,"San Francisco","CA","94109-6978","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Radiology|Vascular & Interventional Radiology","750568269","2020",277226.44,313934.12,"Investments in common, Series A, Series B, and Series C.","Route 92 Medical, Inc.","100000796823","Route 92 Medical, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","304512","1700899721","Fady",,"Charbel",,"1020 Jackson Avenue",,"River Forest","IL","60305-1418","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","750686385","2020",3916.00,3916.00,"stock options","Transonic Systems Inc.","100000010833","Transonic Systems Inc.","NY","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","211916","1679668164","Nicholas",,"Califano",,"33 Staniford Street",,"Providence","RI","02905","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Gastroenterology","750704693","2020",0.00,50000.00,"Preferred Stock","Cardiosolutions, Inc.","100000000125","Cardiosolutions, Inc.","MA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","161601","1568671188","Andrew",,"Jawa",,"840 Winter Street",,"Waltham","MA","02451","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Hand Surgery","752357987","2020",24250.00,392121.80,"Services for Equity","Ignite Orthopedics, LLC","100000191773","Ignite Orthopedics, LLC","IN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","28669","1629195532","Luke","Stanford","Austin",,"925 Chestnut St","5th Floor","Philadelphia","PA","19107","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","752357993","2020",24250.00,1241076.66,"Services for Equity","Ignite Orthopedics, LLC","100000191773","Ignite Orthopedics, LLC","IN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","124615","1750521571","KETEVAN",,"VLADI",,"2925 Aventura Blvd",,"Aventura","FL","33180","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine","752373735","2020",0.00,6922500.00,"Equity","Royal Biologics","100000291829","Royal Biologics","NJ","United States","No","Immediate family member","06/30/2023" "UNCHANGED","33129","1740275908","Richard",,"Lindstrom",,"9801 Dupont Ave S","Suite 200","Bloomington","MN","55431","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","752408099","2020",138161.00,138161.00,"Ownership Interest","LENSAR, INC.","100000000220","LENSAR, INC.","FL","United States","No","Immediate family member","06/30/2023" "UNCHANGED","374314","1386810588","John","M.","Soderberg",,"7560 CARPENTER FIRE STATION RD STE 204",,"CARY","NC","27519-9637","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Dermatology","752414093","2020",0.00,30119.76,"Shares of stock and stock warrants held by an immediate family member in the privately held company","ENDOTRONIX, INC.","100000801823","ENDOTRONIX, INC.","IL","United States","No","Immediate family member","06/30/2023" "UNCHANGED","285193","1285746610","Marc","C.","Silver",,"2620 GENESYS PKWY",,"GRAND BLANC","MI","48439-7326","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Thoracic Surgery (Cardiothoracic Vascular Surgery)","752415115","2020",0.00,30119.76,"Shares of stock and stock warrants in the privately held company","ENDOTRONIX, INC.","100000801823","ENDOTRONIX, INC.","IL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1245231","1992713374","Marvin","D.","Silver",,"4309 COPPER CLIFF COURT",,"Bloomfield Hills","MI","48302-1923","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","752415715","2020",0.00,30119.76,"Shares of stock and stock warrants held by an immediate family member in the privately held company","ENDOTRONIX, INC.","100000801823","ENDOTRONIX, INC.","IL","United States","No","Immediate family member","06/30/2023" "UNCHANGED","471410","1790799872","Michael","Allan","Szymanski",,"N79W14756 APPLETON AVE SUITE 100",,"Menomonee Falls","WI","53051-4376","United States",,,"Doctor of Dentistry","Dental Providers|Dentist|General Practice","752417219","2020",366.06,8205.04,"Represents value of physician's portion of shares of stock and stock warrants held by LLC investors in the privately held company","ENDOTRONIX, INC.","100000801823","ENDOTRONIX, INC.","IL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","684297","1255446506","Milton","D.","Soderberg",,"1414 W FAIR AVE STE 109",,"Marquette","MI","49855-5404","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Dermatology","752417547","2020",0.00,30119.76,"Shares of stock and stock warrants held by an immediate family member in the privately held company","ENDOTRONIX, INC.","100000801823","ENDOTRONIX, INC.","IL","United States","No","Immediate family member","06/30/2023" "UNCHANGED","956424","1841274917","Neil",,"Tabakin",,"2323 N LAKE DR",,"MILWAUKEE","WI","53211-4508","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Anesthesiology","752446061","2020",0.00,293.80,"Represents value of physician's portion of shares of stock held by an LLC investor in the privately held company","ENDOTRONIX, INC.","100000801823","ENDOTRONIX, INC.","IL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","337375","1427057165","Nicolas","AF","Chronos",,"119 Harmony Crossing Suite 3",,"Eatonton","GA","30124","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Cardiovascular Disease","752446257","2020",0.00,9298.38,"Shares of stock in the privately held company","ENDOTRONIX, INC.","100000801823","ENDOTRONIX, INC.","IL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","88719","1952370116","LEO","NELSON","HOPKINS",,"875 ELLICOTT ST NEUROSURGERY",,"BUFFALO","NY","14203-1070","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","752460061","2020",0.00,163000.00,"Preferred stock, investment on 11/20/12 and 11/27/12","Ostial Corporation","100000196867","Ostial Corporation","CA","United States","No","Immediate family member","06/30/2023" "UNCHANGED","278601","1154303808","JOSEPH","MICHAEL","GARASIC",,"55 FRUIT ST CARDIAC CATHETERIZATION LAB MGH",,"BOSTON","MA","02114-2621","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Interventional Cardiology","752460133","2020",0.00,1100.00,"Common Stock, exercised stock options","Ostial Corporation","100000196867","Ostial Corporation","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","114929","1548213200","BARRY","S","WEINSTOCK",,"450 W CENTRAL PKWY",,"ALTAMONTE SPRINGS","FL","32714-2436","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Interventional Cardiology","752460335","2020",0.00,15000.00,"Preferred stock, investment on 11/15/12","Ostial Corporation","100000196867","Ostial Corporation","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1113491","1346298916","Larry",,"Popeil",,"2203 SE 3RD AVE",,"Ocala","FL","34471-5117","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Family Medicine","749849241","2020",0.00,28125.00,"Common Shares","Innovation Technologies Inc","100000126370","Innovation Technologies Inc","GA","United States","No","Immediate family member","06/30/2023" "UNCHANGED","1113491","1346298916","Larry",,"Popeil",,"2203 SE 3RD AVE",,"Ocala","FL","34471-5117","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Family Medicine","749849243","2020",0.00,28125.00,"Common Shares","Innovation Technologies Inc","100000126370","Innovation Technologies Inc","GA","United States","No","Immediate family member","06/30/2023" "UNCHANGED","1113491","1346298916","Larry",,"Popeil",,"2203 SE 3RD AVE",,"Ocala","FL","34471-5117","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Family Medicine","749849245","2020",0.00,28125.00,"Common Shares","Innovation Technologies Inc","100000126370","Innovation Technologies Inc","GA","United States","No","Immediate family member","06/30/2023" "UNCHANGED","82098","1821094632","Rodger",,"Powell",,"4500 W NEWBERRY RD",,"Gainesville","FL","32607-2245","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Hand Surgery","749849247","2020",0.00,56250.00,"Common Shares","Innovation Technologies Inc","100000126370","Innovation Technologies Inc","GA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","978338","1598970840","Catherine",,"Rainbow",,"14214 BALLANTYNE LAKE RD",,"Charlotte","NC","28277-3372","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Family Medicine|Sports Medicine","749849249","2020",2637.00,332113.50,"Common Shares","Innovation Technologies Inc","100000126370","Innovation Technologies Inc","GA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","978338","1598970840","Catherine",,"Rainbow",,"14214 BALLANTYNE LAKE RD",,"Charlotte","NC","28277-3372","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Family Medicine|Sports Medicine","749849251","2020",0.00,142056.00,"Common Shares","Innovation Technologies Inc","100000126370","Innovation Technologies Inc","GA","United States","No","Immediate family member","06/30/2023" "UNCHANGED","978338","1598970840","Catherine",,"Rainbow",,"14214 BALLANTYNE LAKE RD",,"Charlotte","NC","28277-3372","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Family Medicine|Sports Medicine","749849253","2020",0.00,24750.00,"Common Shares","Innovation Technologies Inc","100000126370","Innovation Technologies Inc","GA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","978338","1598970840","Catherine",,"Rainbow",,"14214 BALLANTYNE LAKE RD",,"Charlotte","NC","28277-3372","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Family Medicine|Sports Medicine","749849255","2020",0.00,22500.00,"Common Shares","Innovation Technologies Inc","100000126370","Innovation Technologies Inc","GA","United States","No","Immediate family member","06/30/2023" "UNCHANGED","978338","1598970840","Catherine",,"Rainbow",,"14214 BALLANTYNE LAKE RD",,"Charlotte","NC","28277-3372","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Family Medicine|Sports Medicine","749849257","2020",0.00,11250.00,"Common Shares","Innovation Technologies Inc","100000126370","Innovation Technologies Inc","GA","United States","No","Immediate family member","06/30/2023" "UNCHANGED","978338","1598970840","Catherine",,"Rainbow",,"14214 BALLANTYNE LAKE RD",,"Charlotte","NC","28277-3372","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Family Medicine|Sports Medicine","749849259","2020",0.00,11250.00,"Common Shares","Innovation Technologies Inc","100000126370","Innovation Technologies Inc","GA","United States","No","Immediate family member","06/30/2023" "UNCHANGED","978338","1598970840","Catherine",,"Rainbow",,"14214 BALLANTYNE LAKE RD",,"Charlotte","NC","28277-3372","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Family Medicine|Sports Medicine","749849261","2020",0.00,11250.00,"Common Shares","Innovation Technologies Inc","100000126370","Innovation Technologies Inc","GA","United States","No","Immediate family member","06/30/2023" "UNCHANGED","978338","1598970840","Catherine",,"Rainbow",,"14214 BALLANTYNE LAKE RD",,"Charlotte","NC","28277-3372","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Family Medicine|Sports Medicine","749849263","2020",0.00,11250.00,"Common Shares","Innovation Technologies Inc","100000126370","Innovation Technologies Inc","GA","United States","No","Immediate family member","06/30/2023" "UNCHANGED","453946","1184620999","Andrew",,"Rocca",,"4500 W NEWBERRY RD",,"Gainesville","FL","32607-2245","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","749849265","2020",0.00,652500.00,"Common Shares","Innovation Technologies Inc","100000126370","Innovation Technologies Inc","GA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","765996","1144237660","Marc",,"Rogers",,"1710 SE 16TH AVE",,"Ocala","FL","34471-4656","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","749849267","2020",337.50,73462.50,"Common Shares","Innovation Technologies Inc","100000126370","Innovation Technologies Inc","GA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","327302","1225097454","Michael",,"Rose",,"535 Sycamore Ave",,"Shrewsbury","NJ","07702","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Plastic Surgery","749849269","2020",0.00,22500.00,"Common Shares","Innovation Technologies Inc","100000126370","Innovation Technologies Inc","GA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","997719","1295994614","Jamie",,"Koprivnikar",,"39 High Street",,"Montclair","NJ","07042","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Hematology & Oncology","729093643","2020",0.00,9000.00,"Common Stock","Cornerstone Specialty Network LLC","100000216802","Cornerstone Specialty Network LLC","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","32057","1700882818","Peter",,"Kourlas",,"810 Jasonway Ave","Suite A","Columbus","OH","43214","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Hematology & Oncology","729093645","2020",0.00,9000.00,"Common Stock","Cornerstone Specialty Network LLC","100000216802","Cornerstone Specialty Network LLC","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","887574","1427294271","Gurpreet",,"Lamba",,"1 Milton Ct",,"Marlboro Township","NJ","07746","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Hematology & Oncology","729093649","2020",0.00,9000.00,"Common Stock","Cornerstone Specialty Network LLC","100000216802","Cornerstone Specialty Network LLC","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","138170","1063403509","Craig",,"Lampert",,"75 Veronica Ave","Suite 201","Somerset","NJ","08873","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Hematology & Oncology","729093653","2020",0.00,9000.00,"Common Stock","Cornerstone Specialty Network LLC","100000216802","Cornerstone Specialty Network LLC","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","285015","1295720563","Kenneth",,"Laughinghouse",,"3 Thunder Lane",,"Colts Neck","NJ","07722","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Hematology & Oncology","729093657","2020",0.00,5000.00,"Common Stock","Cornerstone Specialty Network LLC","100000216802","Cornerstone Specialty Network LLC","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","93382","1073527560","James",,"Lee",,"7 Brooks Road",,"Moorestown","NJ","08057","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Medical Oncology","729093663","2020",0.00,5000.00,"Common Stock","Cornerstone Specialty Network LLC","100000216802","Cornerstone Specialty Network LLC","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","221635","1902065857","Rachel",,"Levenbach",,"4 COLLAGE LANE",,"CHERRY HILL","NJ","08003","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine","729093665","2020",0.00,2000.00,"Common Stock","Cornerstone Specialty Network LLC","100000216802","Cornerstone Specialty Network LLC","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","24379","1538139548","Edward",,"Licitra",,"J2 Brier Hill Ct",,"East Brunswick","NJ","08816","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Hematology & Oncology","729093669","2020",0.00,9000.00,"Common Stock","Cornerstone Specialty Network LLC","100000216802","Cornerstone Specialty Network LLC","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","519621","1487603916","Gregory","J","Litton",,"1121 East 3900 South","Suite C230","Salt Lake City","UT","84124","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Medical Oncology","729093671","2020",0.00,7071.43,"Common Stock","Cornerstone Specialty Network LLC","100000216802","Cornerstone Specialty Network LLC","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","519621","1487603916","Gregory","J","Litton",,"1121 East 3900 South","Suite C230","Salt Lake City","UT","84124","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Medical Oncology","729093674","2020",0.00,800.00,"Common Stock","Cornerstone Specialty Network LLC","100000216802","Cornerstone Specialty Network LLC","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","706399","1033273040","Erin",,"Macrae",,"810 Jasonway Ave","Suite A","Columbus","OH","43214","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Medical Oncology","729093679","2020",0.00,9000.00,"Common Stock","Cornerstone Specialty Network LLC","100000216802","Cornerstone Specialty Network LLC","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","391928","1013178466","Joseph",,"McLaughlin",,"153 Chapel Street",,"Milford","CT","06460","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Medical Oncology","729093681","2020",0.00,5000.00,"Common Stock","Cornerstone Specialty Network LLC","100000216802","Cornerstone Specialty Network LLC","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","288207","1346247251","Rex",,"Mowat",,"4235 Secor Road",,"Toledo","OH","43623","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Hematology & Oncology","729093683","2020",1000.00,7000.00,"Common Stock","Cornerstone Specialty Network LLC","100000216802","Cornerstone Specialty Network LLC","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1058662","1437108974","William","E","Nibley",,"1121 East 3900 South","Suite C230","Salt Lake City","UT","84124","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Medical Oncology","729093687","2020",0.00,7071.43,"Common Stock","Cornerstone Specialty Network LLC","100000216802","Cornerstone Specialty Network LLC","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","155755","1447474523","Nseobong","I","Ntukidem",,"810 Jasonway Ave","Suite A","Columbus","OH","43214","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Hematology & Oncology","729093691","2020",0.00,9000.00,"Common Stock","Cornerstone Specialty Network LLC","100000216802","Cornerstone Specialty Network LLC","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","303525","1699760116","DAMLA",,"KARSAN",,"7400 FANNIN ST","SUITE 845","HOUSTON","TX","77054","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","735530645","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","761447","1982603593","KOTESWARA",,"KUNDA",,"2001 MEDICAL PKWY","SUITE C","SAN MARCOS","TX","78666","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","735530671","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","26120","1588678148","Jeffrey",,"Zarin",,"2020 Santa Monica Blvd., Ste. 400",,"Santa Monica","CA","90404","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","735530689","2020",50000.00,196680.41,"diluted estimate at present based upon contributions","Phasor Health, LLC","100000511827","Phasor Health, LLC","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","134308","1952382756","Tanaz",,"Ferzandi",,"2020 Zonal Avenue, IRD 220, Health Sciences Campus",,"Los Angeles","CA","90033","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology|Female Pelvic Medicine and Reconstructive Surgery","735531215","2020",50000.00,111916.35,"diluted estimate at present based upon contributions","Phasor Health, LLC","100000511827","Phasor Health, LLC","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1366568","1891086211","Yu",,"Lee",,"5940 W Parker Rd","#200","Plano","TX","75093","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","735531227","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1282546","1851614036","KRISTA",,"LEMLEY",,"706 EAST EUREKA STREET",,"WEATHERFORD","TX","76086","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","735531251","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","307167","1760602643","Samer",,"Elbabaa",,"1222 S. Orange Ave.",,"Orlando","FL","32806-1215","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","735531255","2020",100000.00,223832.70,"diluted estimate at present based upon contributions","Phasor Health, LLC","100000511827","Phasor Health, LLC","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","297619","1578574729","EDWIN",,"LOCKE",,"2500 WEST ILLINOS","SUITE 100","MIDLAND","TX","79701","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","735538539","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","141247","1124025036","STEVEN",,"MACDONALD",,"6124 W PARKER RD","SUITE 134","PLANO","TX","75093","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","735545013","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","594807","1144204603","Monica",,"Buescher",,"7801 York Road","Suite 133","Towson","MD","21204","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730279285","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","46739","1043309081","Andrei",,"Buna",,"390 Route 10","Suite 1","Randolph","NJ","07869","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730293751","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","172171","1801885835","Paul",,"Byrne",,"300 Old Country Road","Ste 400","Mineola","NY","11501","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730304711","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","230508","1083875223","Sidney",,"Callahan",,"719 Green Valley Rd","Suite 201","Greensboro","NC","27408","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730313809","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1303358","1073741351","Ilia",,"Calluzzo",,"3629 Bell Blvd",,"Bayside","NY","11361","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730322965","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","324576","1164468161","Amanda",,"Canova",,"380 Lafayette Rd","Suite 204","Sparta","NJ","07871","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730332069","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","84988","1881681880","Laura",,"Cauthen",,"574 Church Street",,"Marietta","GA","30060","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730341523","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1183532","1811943541","Anu",,"Chakraborty",,"224 Maple Avenue",,"Red Bank","NJ","07701","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730349679","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","122267","1699731562","Mark",,"Mokrzycki",,"620 Cranbury Rd","Suite 219","East Brunswick","NJ","08816","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731278965","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","40944","1912974965","Anita",,"Montes",,"915 Tate Blvd SE","Suite 170","Hickory","NC","28602","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731278975","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","94586","1083683734","Mary",,"Moody",,"901 Ridgefield Drive",,"Raleigh","NC","27609","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731278999","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","303340","1699744847","Bradley",,"Moore",,"4360 Chamblee Dunwoody Rd","Suite 370","Atlanta","GA","30341","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731279013","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","181956","1013020775","Ruchi",,"Moore",,"41 Oakland Road","Suite 200","Asheville","NC","28801","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731279037","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","81811","1801144225","Laura",,"Morley",,"101 Madison Ave","Suite 405","Morristown","NJ","07960","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731279237","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","355439","1831275494","Jeanine",,"Morris-Rush",,"40 Crossways Park Drive","Ste 101","Woodbury","NY","11797","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731281805","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","217355","1801825344","Robert",,"Nadell",,"877 Stewart Avenue","Ste 9","Garden City","NY","11530","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731282333","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1241511","1851417158","Wayne","D","Ormsby",,"1121 East 3900 South","Suite C230","Salt Lake City","UT","84124","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Medical Oncology","729093693","2020",0.00,7071.43,"Common Stock","Cornerstone Specialty Network LLC","100000216802","Cornerstone Specialty Network LLC","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","312117","1881851616","Mohammad",,"Pazooki",,"2 Sunningdale",,"Farmington","CT","06032","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Hematology & Oncology","729093697","2020",0.00,5000.00,"Common Stock","Cornerstone Specialty Network LLC","100000216802","Cornerstone Specialty Network LLC","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","43792","1972594414","Marcus",,"Porcelli",,"75 Veronica Ave","Suite 201","Somerset","NJ","08873","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Hematology & Oncology","729093699","2020",0.00,5000.00,"Common Stock","Cornerstone Specialty Network LLC","100000216802","Cornerstone Specialty Network LLC","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","248710","1467544312","Chitra",,"Rajagopal",,"18111 Prince Philip Dr",,"Olney","MD","20832","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Hematology & Oncology","729093702","2020",0.00,9000.00,"Common Stock","Cornerstone Specialty Network LLC","100000216802","Cornerstone Specialty Network LLC","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","271807","1992774434","Michael",,"Reale",,"32 Terrywood Rd",,"Wethersfield","CT","06109","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine","729093705","2020",0.00,9000.00,"Common Stock","Cornerstone Specialty Network LLC","100000216802","Cornerstone Specialty Network LLC","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","185191","1093703969","Phillip",,"Reid",,"J2 Brier Hill Ct",,"East Brunswick","NJ","08816","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Hematology & Oncology","729093709","2020",0.00,9000.00,"Common Stock","Cornerstone Specialty Network LLC","100000216802","Cornerstone Specialty Network LLC","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","290311","1396778148","Nathan","T","Rich",,"1121 East 3900 South","Suite C230","Salt Lake City","UT","84124","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Hematology & Oncology","729093711","2020",0.00,7071.43,"Common Stock","Cornerstone Specialty Network LLC","100000216802","Cornerstone Specialty Network LLC","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","226720","1003828823","Ellen",,"Ronnen",,"408 Quantuck Lane",,"Westfield","NJ","07090","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Hematology & Oncology","729093715","2020",0.00,9000.00,"Common Stock","Cornerstone Specialty Network LLC","100000216802","Cornerstone Specialty Network LLC","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","323566","1134107832","Jonathan","Z","Rosenbluth",,"25 Main Street","Suite 601","Hackensack","NJ","07601","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Hematology & Oncology","729093719","2020",0.00,9000.00,"Common Stock","Cornerstone Specialty Network LLC","100000216802","Cornerstone Specialty Network LLC","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","172954","1811986706","James",,"Salwitz",,"3 Crommelin Court",,"East Brunswick","NJ","08816","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Hematology & Oncology","729093723","2020",0.00,9000.00,"Common Stock","Cornerstone Specialty Network LLC","100000216802","Cornerstone Specialty Network LLC","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","731581","1922288588","Scott","J","Samuelson",,"3 Crommelin Court","Suite C230","Salt Lake City","UT","84124","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Medical Oncology","729093727","2020",0.00,7071.43,"Common Stock","Cornerstone Specialty Network LLC","100000216802","Cornerstone Specialty Network LLC","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","46796","1043205313","Richard",,"Scher",,"29 Blue Hills Road",,"Holmdel","NJ","07733","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Hematology & Oncology","729093729","2020",0.00,5000.00,"Common Stock","Cornerstone Specialty Network LLC","100000216802","Cornerstone Specialty Network LLC","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","179731","1952344277","Richard",,"Schuman",,"45 Templar Drive",,"Watchung","NJ","07069","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Hematology & Oncology","729093735","2020",0.00,5000.00,"Common Stock","Cornerstone Specialty Network LLC","100000216802","Cornerstone Specialty Network LLC","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","145954","1205148061","James","R","Shortridge",,"1121 East 3900 South","Suite C230","Salt Lake City","UT","84124","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Hematology & Oncology","729093737","2020",0.00,7071.43,"Common Stock","Cornerstone Specialty Network LLC","100000216802","Cornerstone Specialty Network LLC","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","246880","1457310815","David",,"Siegel",,"92 2nd Street",,"Hackensack","NJ","07601","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Hematology & Oncology","729093739","2020",0.00,9000.00,"Common Stock","Cornerstone Specialty Network LLC","100000216802","Cornerstone Specialty Network LLC","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","198395","1386757136","GARY",,"MADDEN",,"2500 W ILLINOIS AVE","SUITE 100","MIDLAND","TX","79701","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","735545027","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","434542","1497858294","Steven",,"Ojemann",,"1635 Aurora Ct.",,"Aurora","CO","80045","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","735545047","2020",25000.00,55958.18,"diluted estimate at present based upon contributions","Phasor Health, LLC","100000511827","Phasor Health, LLC","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","316404","1972532562","ROBERT",,"MARTIN",,"7777 FOREST LN","STE C630","DALLAS","TX","75230","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","735545053","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1399292","1124062179","ERIC","A.","ROSE",,"35 E 62ND ST",,"NEW YORK","NY","10065-8014","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Cardiovascular Disease","735545057","2020",0.00,331673.94,"Common Stock","ABIOMED","100000010740","ABIOMED","MA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","126622","1780624239","Murali",,"Guthikonda",,"Harper Bldg., Ste. 925, 4160 John R.",,"Detroit","MI","48201","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","735545141","2020",0.01,62673.16,"diluted estimate at present based upon contributions","Phasor Health, LLC","100000511827","Phasor Health, LLC","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","235879","1215197496","RONICA",,"MCBRAYER",,"2500 W ILLINOIS AVE","SUITE 100","MIDLAND","TX","79701","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology|Obstetrics","735545145","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","40129","1871773309","LINDSAY",,"MCBRIDE",,"706 EUREKA ST",,"WEATHERFORD","TX","76086","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","735545279","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","249916","1508818915","CHRISTOPHER",,"MCGUIRK",,"13215 DOTSON RD","SUITE 200","HOUSTON","TX","77070","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","735545297","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","174042","1821288465","KELLY",,"MONTIVILLE",,"602 HIGH TECH DR",,"GEORGETOWN","TX","78626","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","735545317","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","189626","1174590814","Pat",,"Chappell",,"120 Conner Drive","Suite 101","Chapel Hill","NC","27514","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730360273","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1131943","1992933857","Stephanie",,"Chase",,"1501 Tate Boulevard SE","Suite 201","Hickory","NC","28602","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730369125","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","268932","1922085554","Scott",,"Chatham",,"1501 Tate Boulevard SE","Suite 201","Hickory","NC","28602","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730378453","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","183020","1043310394","Lon",,"Weiner",,"130 E 77th St",,"New York","NY","10021-1851","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","730383351","2020",0.00,657972.00,"equity held in company","Nextremity Solutions Inc.","100000010459","Nextremity Solutions Inc.","IN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","737174","1124094677","Cynamon",,"Chawla",,"901 Ridgefield Drive",,"Raleigh","NC","27609","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730387825","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","107115","1366638439","Stuart",,"Katchis",,"130 E 77th St","12th Floor","New York","NY","10075","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","730395521","2020",0.00,657434.00,"equity held in company","Nextremity Solutions Inc.","100000010459","Nextremity Solutions Inc.","IN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","910039","1215222021","Dyanna",,"Clark",,"719 Green Valley Rd","Suite 201","Greensboro","NC","27408","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730398483","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","253682","1588601488","Selene",,"Parekh",,"101 Manning Dr",,"Chapel Hill","NC","27516","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","730406961","2020",0.00,5556.00,"equity held in company","Nextremity Solutions Inc.","100000010459","Nextremity Solutions Inc.","IN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","130715","1871574020","Erika",,"Clark",,"4414 Lake Boone Trail","Suite 205","Raleigh","NC","27607","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730408275","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","156778","1457350795","Jerry",,"Ninia",,"4 Roosevelt Avenue",,"Jefferson Station","NY","11776","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731282339","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","217200","1780753830","Scott",,"Nodelman",,"173 Mineola Blvd","Ste 200","Mineola","NY","11501","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731282349","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","46949","1033159124","Katherine",,"O'Brien",,"80 Eisenhower Drive","Suite 200","Paramus","NJ","07652","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731282361","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","570902","1275699365","Stacey",,"Olney",,"24 Medical Park Drive",,"Asheville","NC","28803","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731282375","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","2307","1053487413","Cem",,"Omay",,"16 Pocono Rd","Suite 106","Denville","NJ","07834","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731283009","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","129604","1871501775","Melissa",,"Oppenheim",,"40 Crossways Park Drive","Ste 101","Woodbury","NY","11797","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731283023","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","184650","1063623205","Sara",,"O'Reilly",,"111 Madison Ave","Suite 308","Morristown","NJ","07960","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731283035","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","335530","1407828445","Guillermo",,"Ortiz",,"249 South Main St","Suite 20","Wharton","NJ","07885","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731283049","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","514263","1316237860","Claire",,"Sellers",,"4414 Lake Boone Trail","Suite 308","Raleigh","NC","27607","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731304415","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","976465","1538112727","Yashica",,"Shah",,"900 Lanidex Plz","Ste 220","Parsippany","NJ","07054","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731304429","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","6862","1144289398","Khalida",,"Sharafi",,"101 Madison Ave","Suite 405","Morristown","NJ","07960","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731304451","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","43650","1952360455","Donia",,"Shaw",,"101 Madison Ave","Suite 405","Morristown","NJ","07960","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731304459","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","106186","1356331409","Stacee",,"Goodrich",,"111 HANESTOWN CT","Suite 151","Winston Salem","NC","27103","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731304477","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1387454","1982636882","Vijay",,"Sheshadri",,"600 New Waverly Place","Suite 310","Cary","NC","27518","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731304491","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","418042","1922055201","Fred",,"Silverberg",,"33 Main Street","Suite 200","Chatham","NJ","07928","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731304529","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","313691","1902864853","RICHARD",,"ONDRIZEK",,"11797 SOUTH FREEWAY","STE 242","BURLESON","TX","76028","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","735545337","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","83054","1831151513","MELANIE",,"PAGETTE",,"7700 CAT HOLLOW DR","STE 202","ROUND ROCK","TX","78681","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","735545349","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","700789","1831370055","CARRIE",,"PATTERSON",,"5757 WARREN PKWY","SUITE 310","FRISCO","TX","75034","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","735545363","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","64738","1427013200","BRUCE",,"RAJALA",,"5236 W UNIVERSITY DR","SUITE 3700","MCKINNEY","TX","75071","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","735548383","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","345550","1619975430","BETH",,"REID",,"1305 WONDER WORLD DR","#209","SAN MARCOS","TX","78666","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","735548399","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","895791","1710245535","KELLYN",,"RIELLY",,"17183 I 45 S","STE 610","SHENANDOAH","TX","77385","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","735548465","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1273","1023002227","SARA",,"ROBERT",,"7900 HENNEMAN WAY","SUITE 100","MCKINNEY","TX","75070","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","735548477","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","28788","1629076336","JOHN",,"ROBERTS",,"6124 W PARKER RD","SUITE 134","PLANO","TX","75093","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","735548527","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","229741","1073554473","Judith",,"Baumhauer",,"601 Elmwood Ave Box 665",,"Rochester","NY","14642","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Foot and Ankle Surgery","730418357","2020",0.00,25500.00,"Equity held in company","Nextremity Solutions Inc.","100000010459","Nextremity Solutions Inc.","IN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","60549","1336120583","Ann",,"Collins",,"4414 Lake Boone Trail","Suite 205","Raleigh","NC","27607","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730419151","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","229886","1063611101","Karen",,"Creed",,"980 Johnson Ferry Road NE","Suite 720","Atlanta","GA","30342","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730431715","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","157167","1487613659","Angelina",,"Culin",,"101 Madison Ave","Suite 405","Morristown","NJ","07960","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730440869","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","980087","1659357879","Phelicia",,"Flanagan",,"4414 Lake Boone Trail","Suite 210","Raleigh","NC","27606","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730451195","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","121604","1679514657","Nicole",,"Dandrea",,"3511 John Platt Drive",,"Morehead City","NC","28557","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730460061","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","76047","1679659346","Deborah",,"Davenport",,"100 S Jersey Avenue","Unit 16","East Setauket","NY","11733","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730470065","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","68879","1528008265","Alan",,"Davis",,"2029 Valley Gate Drive","Suite 101","Fayetteville","NC","28304","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730479601","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1289222","1740417633","Helen",,"Park",,"40 Crossways Park Drive","Ste 101","Woodbury","NY","11797","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731283069","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","145165","1194715839","Robert",,"Parker",,"111 HANESTOWN CT","Suite 151","Winston Salem","NC","27103","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731283077","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","364822","1053370262","Karen",,"Patrusky",,"401 S Van Brunt Street","Suite 405","Englewood","NJ","07631","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731283419","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","121801","1699852384","Dreux",,"Patton",,"12 Medical Drive",,"Port Jefferson Station","NY","11776","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731283435","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1602","1043204498","Denise",,"Pecht",,"601A Professional Drive","Suite 260","Lawrenceville","GA","30046","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731283451","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","98224","1154558856","Justin",,"Petrocelli",,"1615 Northern Blvd","Ste 106","Manhasset","NY","11030","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731283467","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","64280","1437159506","Bruce",,"Pierce",,"2 Princess Road","Suite C","Lawrenceville","NJ","08648","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731283481","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","198619","1386737070","Lorenza",,"Simmons",,"3886 Princeton Lakes Way","Suite 280","Atlanta","GA","30331","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731304541","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1177234","1598724692","Michelle",,"Simmons",,"143 Asheland Avenue",,"Asheville","NC","28801","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731304553","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","112099","1477635332","Kirsten",,"Smith",,"3706 Kennett Pike",,"Wilmington","DE","19807","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731304573","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1436998","1245599273","Jessica",,"Son",,"901 Ridgefield Drive",,"Raleigh","NC","27609","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731337615","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","81688","1790787687","Winifred",,"Soufi",,"980 Johnson Ferry Road NE","Suite 720","Atlanta","GA","30342","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731346575","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","217333","1801821657","Robert",,"Steer",,"60 Franklin St",,"Morristown","NJ","07960","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731355345","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","38550","1841288503","Elizabeth",,"Street",,"574 Church Street",,"Marietta","GA","30060","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731364831","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","241733","1336189505","Myron",,"Strickland",,"2029 Valley Gate Drive","Suite 101","Fayetteville","NC","28304","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731373813","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","32935","1710984653","DARRELL",,"ROBINS",,"6124 W PARKER RD","SUITE 134","PLANO","TX","75093","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","735548539","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","128819","1841635851","BRITTNEY",,"SCHUMANN",,"1441 N BECKLEY AVE",,"DALLAS","TX","75203","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","735548545","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","4379","1104859073","CHRISTINA",,"SEBESTYEN",,"12221 RENFERT WAY","STE 330","AUSTIN","TX","78758","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","735548673","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","266884","1871574590","JOHN",,"SHERMAN",,"602 HIGH TECH DR",,"GEORGETOWN","TX","78626","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","735549363","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","174279","1851372577","VINCENT",,"SHERMAN",,"602 HIGH TECH DR",,"GEORGETOWN","TX","78626","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","735549375","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1094080","1679537823","Charles",,"Weingarten",,"3633 W Lake Ave Ste 300",,"Glenview","IL","60026","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Otolaryngology","735549387","2020",0.00,172210.30,"Stock","SNAP Diagnostics LLC","100000011088","SNAP Diagnostics LLC","IL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","169637","1740274919","ANDREW",,"SHIMER",,"7900 HENNEMAN WAY","SUITE 100","MCKINNEY","TX","75070","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","735549389","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","191190","1205820404","TRICIA",,"SHIMER",,"8160 WALNUT HILL LN","SUITE LL001","DALLAS","TX","75231","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","735549407","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","75518","1659478691","Lisa",,"DeFalco",,"380 Lafayette Rd","Suite 204","Sparta","NJ","07871","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730489251","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","324538","1164652343","Philip",,"Deibel",,"2615 Lake Drive","Suite 201","Raleigh","NC","27607","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730498547","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","361114","1962473785","Steven",,"Isenberg",,"1400 N Ritter Ave Suite 221",,"Indianapolis","IN","46219-3052","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Otolaryngology|Otolaryngic Allergy","730500815","2020",146125.00,320083.00,"Equity held in company","Nextremity Solutions Inc.","100000010459","Nextremity Solutions Inc.","IN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","158000","1497712657","Gregory",,"Demeo",,"4745 OGLETOWN STANTON RD","Suite 106","Newark","DE","19713","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730509441","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","671815","1821397753","Ankita",,"Desai",,"209 E Carver Street",,"Durham","NC","27704","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730519241","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","23304","1528145059","Paul",,"Dicker",,"270 Old Hook Rd","2nd Floor","Westwood","NJ","07675","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730528769","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","122626","1710927363","Matthew",,"Dilena",,"877 Stewart Avenue","Ste 9","Garden City","NY","11530","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730539139","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","50032","1093779191","Naima",,"Dillard",,"3200 Northline Ave","Suite 130","Greensboro","NC","27408","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730549209","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1342361","1700026127","Walda",,"Pinn",,"3200 Northline Ave","Suite 130","Greensboro","NC","27408","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731283495","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","340443","1518043173","Henry",,"Prince",,"40 Crossways Park Drive","Ste 101","Woodbury","NY","11797","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731283517","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","186932","1114919123","Asha",,"Proctor",,"2 Princess Road","Suite C","Lawrenceville","NJ","08648","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731284811","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","143670","1154424786","Anthony",,"Quartell",,"316 Eisenhower Parkway","Suite 202","Livingston","NJ","07039","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731285379","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","213556","1700892510","Sreedevi",,"Rama",,"1 Ethel Rd","Suite 106B","Edison","NJ","08817","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731285389","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","468307","1699707497","Zubda",,"Rashid",,"4745 OGLETOWN STANTON RD","Suite 207","Newark","DE","19713","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731285399","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","925908","1760583348","Kathy",,"Richardson",,"510 N Elam Ave","Suite 101","Greensboro","NC","27403","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731285413","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","357680","1881621142","Wesley",,"Stuckey",,"1525 Chattanooga Road",,"Dalton","GA","30720","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731382257","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","377204","1497744619","Andrew",,"Sun",,"200 White Rd","Suite 105","Little Silver","NJ","07739","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731392031","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","51824","1144222951","Phoebe",,"Sun",,"980 Johnson Ferry Road NE","Suite 720","Atlanta","GA","30342","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731403233","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","96401","1134159742","John",,"Sutherland",,"222 Oak Avenue","3rd Floor","Toms River","NJ","08753","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731413635","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","260058","1720008204","Reetu",,"Syal",,"2945 HAZELWOOD ST","Suite 210","Maplewood","MN","55109","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731424895","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1304203","1205869096","Anna",,"Tatarchuk",,"4414 Lake Boone Trail","Suite 210","Raleigh","NC","27606","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731436991","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","315583","1952399305","Christopher",,"Thompson",,"4605 Country Club Road",,"Winston Salem","NC","27104","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731457587","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","37103","1811919285","MARK",,"SMITH",,"7100 OAKMONT BLVD","STE 108","FORT WORTH","TX","76132","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","735549441","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","176629","1902007222","STEPHEN",,"STAMATIS",,"706 E EUREKA ST",,"WEATHERFORD","TX","76086","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","735549447","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","395695","1144420167","ANGELA",,"STOEHR",,"4461 COIT RD","STE 401","FRISCO","TX","75035","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","735549461","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","101734","1235173915","STEVEN",,"SUBA",,"6100 HARRIS PKWY","#140","FORT WORTH","TX","76132","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","735549475","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","196080","1316095797","RAJENDER",,"SYAL",,"17183 I 45 S","STE 610","SHENANDOAH","TX","77385","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","735549487","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","50018","1093918039","MARCIA",,"TAYLOR",,"6124 W PARKER RD","SUITE 134","PLANO","TX","75093","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","735552471","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","571669","1336138064","JOHN",,"THOPPIL",,"6611 RIVER PLACE BLVD","SUITE 202","AUSTIN","TX","78730","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","735552479","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","99146","1205034766","REAGAN",,"VINEY",,"2500 W ILLINOIS AVE","SUITE 100","MIDLAND","TX","79701","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology|Obstetrics","735554183","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","207829","1578652707","Frank",,"Dolisi",,"394 Old Country Road",,"Garden City","NY","11530","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730558705","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","337330","1427096254","Steven",,"Domnitz",,"1777 Hamburg Turnpike","Suite 202","Wayne","NJ","07470","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730567891","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","97300","1144273681","Harold",,"Dufour",,"1501 Tate Boulevard SE","Suite 201","Hickory","NC","28602","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730577659","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","2963","1073544953","Jennifer",,"Elliott",,"5670 Peachtree Dunwoody Road","Suite 1240","Sandy Springs","GA","30342","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730586363","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","86637","1902892045","Laura",,"Faruque",,"915 Tate Blvd SE","Suite 170","Hickory","NC","28602","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730599799","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","27610","1619928934","John",,"Feltz",,"111 Madison Ave","Suite 308","Morristown","NJ","07960","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730608939","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","59598","1316998859","Daniel",,"Ferrante",,"111 Madison Ave","Suite 308","Morristown","NJ","07960","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730618157","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","497890","1720038136","Christin",,"Richardson",,"4414 Lake Boone Trail","Suite 308","Raleigh","NC","27607","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731285419","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1308972","1023072618","Sandra",,"Rivard",,"3200 Northline Ave","Suite 130","Greensboro","NC","27408","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731285427","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","157804","1477541134","Laurie",,"Robbins",,"574 Church Street",,"Marietta","GA","30060","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731285441","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1289343","1881658904","Angela",,"Roberts",,"3200 Northline Ave","Suite 130","Greensboro","NC","27408","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731285769","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","718689","1477558849","Andrea",,"Roche",,"4414 Lake Boone Trail","Suite 210","Raleigh","NC","27606","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731285781","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","73807","1629059704","Hans",,"Roethling",,"102 Handley Park Court",,"Goldsboro","NC","27534","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731285791","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1140005","1306923727","Ronald",,"Rogers",,"600 New Waverly Place","Suite 310","Cary","NC","27518","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731285803","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","334922","1376785881","Jacqueline",,"Roman",,"590 W Kennedy Blvd",,"Lakewood","NJ","08701","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731285819","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","151386","1336161561","Cindy",,"Tobin",,"40 Crossways Park Drive","Ste 101","Woodbury","NY","11797","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731468041","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","81509","1801849765","Nancy",,"Toy",,"1501 Tate Boulevard SE","Suite 201","Hickory","NC","28602","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731483425","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","233295","1154322295","Stacy",,"Travis",,"24 Medical Park Drive",,"Asheville","NC","28803","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731497713","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","854008","1245490085","Charis",,"Trench-Simmons",,"3886 Princeton Lakes Way","Suite 280","Atlanta","GA","30331","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731509843","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","618382","1962530923","Dawn",,"Trollip",,"4414 Lake Boone Trail","Suite 405","Raleigh","NC","27607","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731521377","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","150233","1326085895","Richard",,"Trongone",,"1615 Northern Blvd","Ste 106","Manhasset","NY","11030","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731531705","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","169876","1730189804","Kenneth",,"Ung",,"2 Princess Road","Suite C","Lawrenceville","NJ","08648","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731541277","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","494054","1598700072","Jack",,"Wagoner",,"205 N. East Ave.",,"Jackson","MI","49201-1753","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Anesthesiology","735554193","2020",166000.00,1312148.16,"diluted estimate at present based upon contributions","Smarter Devices, LLC","100000516811","Smarter Devices, LLC","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","221573","1891850905","Julie",,"Vu",,"5425 West Spring Creek Parkway","Suite 280","Plano","TX","75024","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","735565523","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","40747","1891806170","MYLINH",,"VU",,"7100 Oakmont Blvd","Suite 202","FORT WORTH","TX","76132","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","735583083","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","310866","1841493871","ANGELA",,"WATSON",,"6124 W PARKER RD","STE 134","PLANO","TX","75093","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","735585439","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","946264","1477581684","Michael",,"Sheth",,"923 Pasadena Fwy.",,"Pasadena","TX","77506","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Anesthesiology|Pain Medicine","735587709","2020",0.01,34765.80,"diluted estimate at present based upon contributions","Smarter Devices, LLC","100000516811","Smarter Devices, LLC","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","85794","1902801814","GWEN",,"WEBSTER",,"5940 W PARKER RD","STE 200","PLANO","TX","75093","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","735597237","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","492308","1528154440","JONATHAN",,"WEINSTEIN",,"5575 WARREN PKWY","SUITE 116","FRISCO","TX","75034","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","735603893","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","157930","1497704795","HOLLY",,"WESTMORELAND",,"17183 I 45 S","STE 610","SHENANDOAH","TX","77385","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","735609938","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","26120","1588678148","Jeffrey",,"Zarin",,"2020 Santa Monica Blvd., Ste. 400",,"Santa Monica","CA","90404","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","735610747","2020",50000.00,35656.74,"diluted estimate at present based upon contributions","Smarter Devices, LLC","100000516811","Smarter Devices, LLC","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1123646","1700177854","Jessica",,"Fischetti Galvin",,"831 Tennent Road",,"Manalapan","NJ","07726","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730628079","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","26404","1578724381","Natalia",,"Flores",,"48 Route 25A","Ste 207","Smithtown","NY","11787","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730639283","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","288688","1366456964","Gregory",,"Fountain",,"601A Professional Drive","Suite 260","Lawrenceville","GA","30046","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730653679","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","49471","1104892470","Frank",,"Frenduto",,"209 E Carver Street",,"Durham","NC","27704","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730666519","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","932132","1982663191","Harvey",,"Friedman",,"401 S Van Brunt Street","Suite 405","Englewood","NJ","07631","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730679567","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","46617","1043293624","Eugene",,"Gamburg",,"2 Princess Road","Suite C","Lawrenceville","NJ","08648","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730688187","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","82276","1811978067","Jerome",,"Gardner",,"4414 Lake Boone Trail","Suite 205","Raleigh","NC","27607","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730697747","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","198540","1386720910","Lewis",,"Rosenberg",,"8 Seitz Drive",,"Bethpage","NY","11714","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731285837","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","956650","1831319888","Kendra",,"Ross",,"719 Green Valley Rd","Suite 201","Greensboro","NC","27408","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731285857","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","441371","1740356195","Richard",,"Rothenberg",,"16 Pocono Rd","Suite 106","Denville","NJ","07834","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731285867","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","20233","1437233863","Randi",,"Rothstein",,"3629 Bell Blvd",,"Bayside","NY","11361","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731285887","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","176233","1871581363","Thomas",,"Russo",,"80 Eisenhower Drive","Suite 200","Paramus","NJ","07652","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731287077","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","246915","1447349295","Anita",,"Sadaty",,"55 Bryant Avenue",,"Roslyn","NY","11576","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731287089","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","816761","1932427507","Jennifer",,"Sandbulte",,"111 HANESTOWN CT","Suite 151","Winston Salem","NC","27103","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731287131","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","273328","1023018132","Bani",,"Sarma",,"2 Princess Road","Suite C","Lawrenceville","NJ","08648","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731287145","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","283761","1255418786","LYDIA",,"VALDERRAMA-KUNION",,"173 Mineola Blvd","Ste 200","Mineola","NY","11501","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731551385","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1192956","1144552027","Lindsay",,"Veazey",,"41 Oakland Road","Suite 200","Asheville","NC","28801","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731564549","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","64152","1417038373","Michael",,"Venanzi",,"390 Route 10","Suite 1","Randolph","NJ","07869","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731574121","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","612366","1760424733","Thomas",,"Vradelis",,"3511 John Platt Drive",,"Morehead City","NC","28557","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731583589","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","276369","1104885144","Spyro",,"Vulgaropulos",,"600 New Waverly Place","Suite 310","Cary","NC","27518","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731597193","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1210384","1760437859","Jason",,"Walker",,"1501 Tate Boulevard SE","Suite 201","Hickory","NC","28602","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731607905","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1111246","1285672154","Joseph",,"Wallis",,"111 Madison Ave","Suite 308","Morristown","NJ","07960","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731618315","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","292620","1467482067","MARY",,"WHITAKER",,"3612 SHANTARA LN",,"PLANO","TX","75093","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","735616949","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","182708","1013961481","MARLON",,"WHITE",,"13215 DOTSON RD","SUITE 200","HOUSTON","TX","77070","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","735627247","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","134308","1952382756","Tanaz",,"Ferzandi",,"2020 Zonal Avenue, IRD 220, Health Sciences Campus",,"Los Angeles","CA","90033","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology|Female Pelvic Medicine and Reconstructive Surgery","735633121","2020",50000.00,35656.74,"diluted estimate at present based upon contributions","Smarter Devices, LLC","100000516811","Smarter Devices, LLC","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","94973","1104867324","JOHN",,"WHITFIELD",,"1250 8TH AVE","SUITE 540","FORT WORTH","TX","76104","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","735640905","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","434542","1497858294","Steven",,"Ojemann",,"1635 Aurora Ct.",,"Aurora","CO","80045","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","735651129","2020",75000.00,53485.12,"diluted estimate at present based upon contributions","Smarter Devices, LLC","100000516811","Smarter Devices, LLC","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","2783662","1932493376","BEVERLY",,"YEE-WHIPPLE",,"2500 W ILLINOIS AVE","SUITE 100","Midland","TX","79701","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","735682855","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1265069","1699913343","Sandi",,"Lam",,"225 E. Chicago Ave.",,"Chicago","IL","60611","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","735683349","2020",50000.00,53378.61,"diluted estimate at present based upon contributions","Smarter Devices, LLC","100000516811","Smarter Devices, LLC","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","272406","1003868332","JENNIFER",,"ALLEN",,"4461 COIT RD","SUITE 205","FRISCO","TX","75035","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","735704327","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","46846","1043244403","JENNIFER",,"BAILEY",,"4461 COIT RD","SUITE 205","FRISCO","TX","75035","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","735717111","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1228999","1417166851","Sheli",,"Garrett-Albaugh",,"3511 John Platt Drive",,"Morehead City","NC","28557","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730708083","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","998977","1316956428","Paige",,"Gausmann",,"4414 Lake Boone Trail","Suite 308","Raleigh","NC","27607","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730719037","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","102540","1255301826","Patricia",,"Generelli",,"521 Newman Springs Rd","Suite 12","Lincroft","NJ","07738","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730728453","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","506422","1023259611","Summer",,"Gilmer",,"41 Oakland Road","Suite 200","Asheville","NC","28801","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730737141","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1460471","1427315779","Tristan",,"Gonzalez-Sanz",,"111 HANESTOWN CT","Suite 151","Winston Salem","NC","27103","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730747709","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1233432","1568689917","Mary",,"Goodwin",,"143 Asheland Avenue",,"Asheville","NC","28801","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730755813","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","54640","1205981230","Manish",,"Gopal",,"49 Veronica Ave","Suite 6802","Somerset","NJ","08873","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730764667","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","315552","1962490318","Kerri",,"Scherer",,"4605 Country Club Road",,"Winston Salem","NC","27104","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731287155","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1233012","1558320150","Hope",,"Schlossberg",,"401 S Van Brunt Street","Suite 405","Englewood","NJ","07631","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731289825","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","276581","1104903293","Philip",,"Schoenfeld",,"100 S Jersey Avenue","Unit 16","East Setauket","NY","11733","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731294941","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","768826","1235365446","Nicolette",,"Schreiber",,"209 E Carver Street",,"Durham","NC","27704","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731298185","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","203299","1497741581","Marlan",,"Schwartz",,"24 Stelton Rd","Ste C","Piscataway","NJ","08854","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731303075","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","50006","1093776551","Joseph",,"Scian",,"16 Pompton Ave",,"Pompton Lakes","NJ","07442","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731303865","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","150074","1306807854","John",,"Scian",,"16 Pompton Ave",,"Pompton Lakes","NJ","07442","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731303875","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","226694","1003816158","Alan",,"Segal",,"4414 Lake Boone Trail","Suite 405","Raleigh","NC","27607","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731303901","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","280895","1194790550","Belle",,"Wang",,"680 Kinderkamack Road","Suite 204","Oradell","NJ","07649","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731636941","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","91519","1033100177","Scott",,"Washburn",,"111 HANESTOWN CT","Suite 151","Winston Salem","NC","27103","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731655441","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1311105","1912967415","Eloise",,"Watson",,"4414 Lake Boone Trail","Suite 300","Raleigh","NC","27606","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731666009","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","85945","1891759684","Joshua",,"Weidman",,"841 Franklin Avenue","Suite 5","Franklin Lakes","NJ","07417","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731675789","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","86125","1891776969","John",,"Welsh",,"102 Handley Park Court",,"Goldsboro","NC","27534","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731689504","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","196324","1336195783","Susan",,"West",,"41 Oakland Road","Suite 200","Asheville","NC","28801","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731701781","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","280678","1194767244","Allison",,"Whitton",,"1501 Tate Boulevard SE","Suite 201","Hickory","NC","28602","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731713833","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","217301","1801886148","Craig",,"Wiener",,"2 Sears Drive","Suite 104","Paramus","NJ","07652","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731722163","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","7232944","1710321740","Anna",,"Ginter",,"Duke Eye Center, 2351 Erwin Rd.",,"Durham","NC","27705","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","735718783","2020",0.01,21033.31,"diluted estimate at present based upon contributions","Smarter Devices, LLC","100000516811","Smarter Devices, LLC","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","91748","1013948397","PAULINE",,"PETROVSKI",,"4461 COIT RD","STE 205","FRISCO","TX","75035","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","735724426","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","58220","1295737450","ALKA",,"ARYA-DEGAETANO",,"525 OAK CENTRE DR","STE 300","SAN ANTONIO","TX","78258","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","735736795","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","149520","1306848585","RICARDO",,"MUNOZ",,"525 OAK CENTRE DR","STE 300","SAN ANTONIO","TX","78258","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","735747193","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","78242","1710989983","CRISTINA",,"SIMPSON",,"414 NAVARRO ST","STE 1200","SAN ANTONIO","TX","78205","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","735750299","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","568585","1225010093","Michael","C","McQueen",,"7720 N 16TH ST #425",,"Phoenix","AZ","85020","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Pediatrics","735750349","2020",1045189.68,1842112.52,"Amount invested is the total dollar value of ownership interest gained by physician in reporting year and value of interest is dollar value of all shares or other ownership interests at the last date for which Applicable Manufacturer was aware of any physician holdings of stocks, stock options, or other ownership interest. Common stock.","Vapotherm Inc","100000071358","Vapotherm Inc","NH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","14444","1316937022","HEATHER",,"WILLIAMS",,"525 OAK CENTRE DR","STE 300","SAN ANTONIO","TX","78258","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","735750355","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","411850","1700904000","William","John","Cirksena","Sr","813 Coachway",,"Annapolis","MD","21401","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Nephrology","735750389","2020",178922.94,353920.14,"Amount invested is the total dollar value of ownership interest gained by physician in reporting year and value of interest is dollar value of all shares or other ownership interests at the last date for which Applicable Manufacturer was aware of any physician holdings of stocks, stock options, or other ownership interest. Common stock.","Vapotherm Inc","100000071358","Vapotherm Inc","NH","United States","No","Immediate family member","06/30/2023" "UNCHANGED","29876","1669662334","Shefali",,"Goyal",,"2 Princess Road","Suite C","Lawrenceville","NJ","08648","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730773615","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1296414","1548229586","Lisa",,"Grana",,"600 New Waverly Place","Suite 310","Cary","NC","27518","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730783387","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","878445","1104909365","Lindsay",,"Gray",,"2615 Lake Drive","Suite 201","Raleigh","NC","27607","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730796631","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","196924","1356425797","Gilad",,"Greenberg",,"3629 Bell Blvd",,"Bayside","NY","11361","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730799667","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","87488","1922068568","Amy",,"Groff",,"4414 Lake Boone Trail","Suite 300","Raleigh","NC","27606","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730799687","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","159537","1528054608","Michele",,"Grove",,"1100 Wescott Dr","Suite 105","Flemington","NJ","08822","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730799707","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","28431","1639145998","William",,"Gunter",,"209 E Carver Street",,"Durham","NC","27704","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730799913","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","353283","1790738318","Joshua",,"Hardison",,"120 Conner Drive","Suite 101","Chapel Hill","NC","27514","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730799933","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","109415","1407942113","James",,"Matiko",,"1901 W. Lugonia Ave. Ste 230",,"Redlands","CA","92374","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","721501169","2020",0.00,4838.81,"Limited Liability Company Membership Interest.","Midwest Surgical Alliance, LLC","100000010505","Midwest Surgical Alliance, LLC","KS","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","566874","1164461224","John",,"Skubic",,"1901 W. Lugonia Ave. Ste 230",,"Redlands","CA","92374","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","721501189","2020",0.00,4838.81,"Limited Liability Company Membership Interest.","Midwest Surgical Alliance, LLC","100000010505","Midwest Surgical Alliance, LLC","KS","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","758310","1861464844","Douglas",,"Dodson",,"2301 Indian Wells Road Suite A",,"Alamogordo","NM","88310","United States",,,"Doctor of Osteopathy","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","721501213","2020",0.00,4838.81,"Limited Liability Company Membership Interest.","Midwest Surgical Alliance, LLC","100000010505","Midwest Surgical Alliance, LLC","KS","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","353961","1801840491","Thomas",,"Eickmann",,"80 Health Park Dr. Suite 230",,"Louisville","CO","80027","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","721501221","2020",0.00,4838.81,"Limited Liability Company Membership Interest.","Midwest Surgical Alliance, LLC","100000010505","Midwest Surgical Alliance, LLC","KS","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","250311","1528051018","Anant",,"Kumar",,"7720 S Broadway Suite 240",,"Littleton","CO","80122","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","721501237","2020",0.00,4838.81,"Limited Liability Company Membership Interest.","Midwest Surgical Alliance, LLC","100000010505","Midwest Surgical Alliance, LLC","KS","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","242579","1356388045","Bryan","A","Castro",,"80 Health Park Suite 230",,"Louisville","CO","80027","United States",,,"Medical Doctor",,"721501253","2020",0.00,4838.81,"Limited Liability Company Membership Interest.","Midwest Surgical Alliance, LLC","100000010505","Midwest Surgical Alliance, LLC","KS","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","43644","1952527442","Tarun",,"Bhargava",,"1923 N. Webb Road",,"Wichita","KS","67206","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","721501283","2020",0.00,140373.09,"Limited Liability Company Membership Interest.","Midwest Surgical Alliance, LLC","100000010505","Midwest Surgical Alliance, LLC","KS","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","282444","1225059025","John",,"Dickerson",,"3223 N. Webb Rd.",,"Wichita","KS","67226","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","721501313","2020",0.00,140373.09,"Limited Liability Company Membership Interest.","Midwest Surgical Alliance, LLC","100000010505","Midwest Surgical Alliance, LLC","KS","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","61170","1346276961","Raymond",,"Grundmeyer","III","3223 N. Webb Road",,"Wichita","KS","67226","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","721501321","2020",0.00,140373.09,"Limited Liability Company Membership Interest.","Midwest Surgical Alliance, LLC","100000010505","Midwest Surgical Alliance, LLC","KS","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","5703","1134140932","Matthew",,"Henry",,"3223 N. Webb Rd.",,"wichita","KS","67226","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","721501331","2020",0.00,140373.09,"Limited Liability Company Membership Interest.","Midwest Surgical Alliance, LLC","100000010505","Midwest Surgical Alliance, LLC","KS","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","324785","1164624516","Christian",,"Lothes",,"3223 N. Webb Rd.",,"Wichita","KS","67226","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","721501337","2020",0.00,140373.09,"Limited Liability Company Membership Interest.","Midwest Surgical Alliance, LLC","100000010505","Midwest Surgical Alliance, LLC","KS","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","640276","1730170903","Peter","Leonid","Althausen","Mr","555 N Arlington Ave",,"Reno","NV","89503","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Trauma","721503597","2020",12500.00,325000.00,"Common Stock","The Orthopaedic Implant Company","100000005539","The Orthopaedic Implant Company","NV","United States","No","Immediate family member","06/30/2023" "UNCHANGED","42523","1942291810","James","Joseph","Lynch","Mr","75 Pringle Way","Suite 605","Reno","NV","89502","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","721503599","2020",9250.00,240500.00,"Preferred Series A Stock","The Orthopaedic Implant Company","100000005539","The Orthopaedic Implant Company","NV","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","556533","1790766798","Martin","Jose","Arraiz","Mr","555 N Arlington Ave",,"Reno","NV","89503","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Physical Medicine & Rehabilitation","721503601","2020",5000.00,130000.00,"Preferred Series A Stock","The Orthopaedic Implant Company","100000005539","The Orthopaedic Implant Company","NV","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","136254","1003876509","Tammi",,"Williams",,"4414 Lake Boone Trail","Suite 300","Raleigh","NC","27606","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731731035","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","355595","1831113935","Cile",,"Williamson",,"3 Regional Circle","Suite B","Pinehurst","NC","28374","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731741313","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1288598","1881709640","Ruth",,"Wind",,"4414 Lake Boone Trail","Suite 300","Raleigh","NC","27606","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731752915","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1139953","1275573453","Brandt",,"Wood",,"2029 Valley Gate Drive","Suite 101","Fayetteville","NC","28304","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731767167","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","124240","1730148792","John",,"Wright",,"143 Asheland Avenue",,"Asheville","NC","28801","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731778675","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","864799","1629033352","Elita",,"Wyckoff",,"550 New Waverly PL","Suite 200","Cary","NC","27518","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731789287","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","276428","1104854173","James",,"Zolzer",,"235 Medical Park Rd","Suite 201","Mooresville","NC","28117","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731802499","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1274562","1922101161","Jeffrey",,"Silberberg",,"1 Milton Ct",,"Marlboro Township","NJ","07746","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Hematology & Oncology","729093741","2020",0.00,9000.00,"Common Stock","Cornerstone Specialty Network LLC","100000216802","Cornerstone Specialty Network LLC","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1013","1013976299","Joel",,"Silver",,"62 Coventry Lane",,"Avon","CT","06001","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Hematology & Oncology","729093743","2020",0.00,9000.00,"Common Stock","Cornerstone Specialty Network LLC","100000216802","Cornerstone Specialty Network LLC","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","252583","1578571576","Joseph",,"Sinning",,"836 Wolf Hill Road",,"Cheshire","CT","06410","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Hematology & Oncology","729093748","2020",0.00,5000.00,"Common Stock","Cornerstone Specialty Network LLC","100000216802","Cornerstone Specialty Network LLC","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","84128","1861501694","Jason","M","Stinnett",,"1121 East 3900 South","Suite C230","Salt Lake City","UT","84124","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Medical Oncology","729093751","2020",0.00,7071.43,"Common Stock","Cornerstone Specialty Network LLC","100000216802","Cornerstone Specialty Network LLC","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","171721","1790773356","David",,"Vesole",,"426 West 58th Street",,"New York","NY","10019","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Hematology & Oncology","729093753","2020",0.00,5000.00,"Common Stock","Cornerstone Specialty Network LLC","100000216802","Cornerstone Specialty Network LLC","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","6917","1144255498","Stephen",,"Wallace",,"126 Broome Lane",,"Merion Station","PA","19066","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Hematology & Oncology","729093759","2020",0.00,9000.00,"Common Stock","Cornerstone Specialty Network LLC","100000216802","Cornerstone Specialty Network LLC","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","301626","1649256066","Bruce","H","Wallach",,"18 Sahalee Dr",,"Monroe Township","NJ","08831","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Hematology & Oncology","729093761","2020",0.00,5000.00,"Common Stock","Cornerstone Specialty Network LLC","100000216802","Cornerstone Specialty Network LLC","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","244696","1396951299","Shalini",,"Chitneni",,"2514 East Dupont Road","Suite 100","Fort Wayne","IN","46825","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Hematology & Oncology","729093763","2020",9000.00,9000.00,"Common Stock","Cornerstone Specialty Network LLC","100000216802","Cornerstone Specialty Network LLC","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","131068","1891968301","Sunil",,"Babu",,"7910 West Jefferson Blvd","Suite 108","Fort Wayne","IN","46804","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Hematology & Oncology","729093769","2020",9000.00,9000.00,"Common Stock","Cornerstone Specialty Network LLC","100000216802","Cornerstone Specialty Network LLC","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","266144","1861441974","Jonathan",,"Whisenant",,"1121 East 3900 South","Suite C230","Salt Lake City","UT","84124","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Hematology & Oncology","729093771","2020",7071.00,7071.43,"Common Stock","Cornerstone Specialty Network LLC","100000216802","Cornerstone Specialty Network LLC","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","7170746","1073908828","Udoaku",,"Lintula",,"2131 S 17TH ST",,"Wilmington","NC","28401","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Hospitalist","729299477","2020",53688.19,463245.09,"Traditional purchase and option grant","Paragon 28, Inc.","100000010964","Paragon 28, Inc.","CO","United States","No","Immediate family member","06/30/2023" "UNCHANGED","244984","1386907186","Nicole",,"Brouyette",,"19401 HUBBARD DR SUITE 101",,"Dearborn","MI","48126","United States",,,"Doctor of Podiatric Medicine","Podiatric Medicine & Surgery Service Providers|Podiatrist|Foot & Ankle Surgery","729350133","2020",39000.00,148500.00,"Traditional share purchase and option grant.","Paragon 28, Inc.","100000010964","Paragon 28, Inc.","CO","United States","No","Immediate family member","06/30/2023" "UNCHANGED","341432","1518932896","Thomas",,"San Giovanni",,"1150 CAMPO SANO AVE SUITE 200",,"Coral Gables","FL","33146","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Foot and Ankle Surgery","729914481","2020",391944.90,4915365.51,"Traditional share purchase and agreement","Paragon 28, Inc.","100000010964","Paragon 28, Inc.","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1086062","1396807160","Andrew",,"Nardecchia",,"14201 NE 20th Ave","STE 2204","Vancouver","WA","98686","United States",,,"Doctor of Dentistry","Dental Providers|Dentist|General Practice","729914679","2020",385675.07,115806.00,"shares","Convergent Dental Inc.","100000000274","Convergent Dental Inc.","MA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","111100","1467417949","Andrew","Todd","Cheifetz",,"7 Route 101A","Colonial Park Suite D","Amherst","NH","03031","United States",,,"Doctor of Dentistry","Dental Providers|Dentist","729952761","2020",75000.00,38315.00,"shares","Convergent Dental Inc.","100000000274","Convergent Dental Inc.","MA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","41826","1932194743","Claire",,"Harraghy",,"915 Tate Blvd SE","Suite 170","Hickory","NC","28602","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730800265","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","209588","1639163561","Steven",,"Haskel",,"3699 US HIGHWAY 46",,"Parsippany","NJ","07054","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730800279","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","194100","1285893289","Amber",,"Hatch",,"111 HANESTOWN CT","Suite 151","Winston Salem","NC","27103","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730800291","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","209708","1639148935","Eric",,"Hawes",,"143 Asheland Avenue",,"Asheville","NC","28801","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730800305","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","314265","1922152909","Judith",,"Hersh",,"1 Robertson Drive","Suite 25","Bedminster","NJ","07921","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730800317","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","125508","1770667180","Richard",,"Herzog",,"3629 Bell Blvd",,"Bayside","NY","11361","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730807649","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","219366","1831145036","Robert",,"Highland",,"1501 Tate Boulevard SE","Suite 201","Hickory","NC","28602","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730816573","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","117409","1588657423","David",,"Hirsch",,"50 Cherry Hill Rd","Suite 303","Parsippany","NJ","07054","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730826194","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","250752","1518948512","Eric","Martin","Boyden","Mr","555 N Arlington Ave",,"Reno","NV","89503","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Adult Reconstructive Orthopaedic Surgery","721503603","2020",1250.00,32500.00,"Preferred Series A Stock","The Orthopaedic Implant Company","100000005539","The Orthopaedic Implant Company","NV","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","250752","1518948512","Eric","Martin","Boyden","Mr","555 N Arlington Ave",,"Reno","NV","89503","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Adult Reconstructive Orthopaedic Surgery","721503605","2020",250.00,6500.00,"Common Stock","The Orthopaedic Implant Company","100000005539","The Orthopaedic Implant Company","NV","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","119216","1639150568","Timothy","James","Bray","Mr","555 N Arlington Ave",,"Reno","NV","89503","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Trauma","721503607","2020",1250.00,32500.00,"Preferred Series A Stock","The Orthopaedic Implant Company","100000005539","The Orthopaedic Implant Company","NV","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","31458","1699723148","Ryan","Eric","Dobbs","Mr","555 N Arlington Ave",,"Reno","NV","89503","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Sports Medicine","721503609","2020",1250.00,32500.00,"Preferred Series A Stock","The Orthopaedic Implant Company","100000005539","The Orthopaedic Implant Company","NV","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","289221","1386625952","Kirk","Alan","Kaiser","Mr","555 N Arlington Ave",,"Reno","NV","89503","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Hand Surgery","721503611","2020",1250.00,32500.00,"Preferred Series A Stock","The Orthopaedic Implant Company","100000005539","The Orthopaedic Implant Company","NV","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","346216","1639150204","Brett","Gordon","Menmuir","Mr","555 N Arlington Ave",,"Reno","NV","89503","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","721503613","2020",1250.00,32500.00,"Preferred Series A Stock","The Orthopaedic Implant Company","100000005539","The Orthopaedic Implant Company","NV","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","235683","1194711879","Rafael",,"Neiman","Mr","6620 Coyle Ave","Suite 212","Carmichael","CA","95608","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Trauma","721503615","2020",1250.00,32500.00,"Preferred Series A Stock","The Orthopaedic Implant Company","100000005539","The Orthopaedic Implant Company","NV","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","107757","1386787984","Timothy","James","O'Mara","Mr","555 N Arlington Ave",,"Reno","NV","89503","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Trauma","721503617","2020",1250.00,32500.00,"Preferred Series A Stock","The Orthopaedic Implant Company","100000005539","The Orthopaedic Implant Company","NV","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","103873","1285639377","Renny","Ravinder-Singh","Uppal","Mr","555 N Arlington Ave",,"Reno","NV","89503","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Sports Medicine","721503619","2020",1250.00,32500.00,"Preferred Series A Stock","The Orthopaedic Implant Company","100000005539","The Orthopaedic Implant Company","NV","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","103873","1285639377","Renny","Ravinder-Singh","Uppal","Mr","555 N Arlington Ave",,"Reno","NV","89503","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Sports Medicine","721503621","2020",5000.00,130000.00,"Common Stock","The Orthopaedic Implant Company","100000005539","The Orthopaedic Implant Company","NV","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","146727","1245285394","Alan","T","Kawaguchi","Mr","2488 N California St","Alpine Orthopaedic Medical Group Inc.","Stockton","CA","95204","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","721503623","2020",1250.00,32500.00,"Preferred Series A Stock","The Orthopaedic Implant Company","100000005539","The Orthopaedic Implant Company","NV","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","8243","1174569529","Michael",,"Handy","Mr","3515 W. Market St","Suite 110","Greensboro","NC","27403","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Trauma","721503625","2020",2500.00,65000.00,"Preferred Series A Stock","The Orthopaedic Implant Company","100000005539","The Orthopaedic Implant Company","NV","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","126777","1801974571","Steven","H","Ryder","Mr","1600 Eureka Rd",,"Roseville","CA","95661","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","721503627","2020",1250.00,32500.00,"Preferred Series A Stock","The Orthopaedic Implant Company","100000005539","The Orthopaedic Implant Company","NV","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","244460","1376591735","John","Eric","Zebrack","Mr","555 N Arlington Ave",,"Reno","NV","89503","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Adult Reconstructive Orthopaedic Surgery","721503629","2020",1250.00,32500.00,"Preferred Series A Stock","The Orthopaedic Implant Company","100000005539","The Orthopaedic Implant Company","NV","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","138671","1053369348","PATRICK",,"ALLEN",,"7560 GLENVIEW DR.","STE. 106","RICHLAND HILLS","TX","76180","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","732055713","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","205741","1538167374","BRADLEY",,"AXLINE",,"2560 CENTRAL PARK AVE","#340","FLOWER MOUND","TX","75028","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","732080085","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","724015","1669421632","BRENDA",,"AXMANN",,"6124 W PARKER RD","STE 332","PLANO","TX","75093","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","732094471","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","340197","1487814562","CHRISTINE",,"BAIDWAN",,"7900 HENNEMAN WAY","STE 100","MCKINNEY","TX","75070","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","732110625","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","2561","1053364851","DUDLEY",,"BAKER",,"13215 DOTSON RD","SUITE 200","HOUSTON","TX","77070","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","732130721","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","294116","1497707723","TRACEY",,"BANKS",,"6609 VIRGINIA PARKWAY",,"MCKINNEY","TX","75071","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","732147257","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","108931","1396727814","JOAN",,"BERGSTROM",,"1001 N WALDROP DR","#505","ARLINGTON","TX","76012","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","732165973","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","452687","1134365869","BARRETT",,"BLAUE",,"1305 WONDER WORLD DR","STE 209","SAN MARCOS","TX","78666","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","732189479","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","923644","1689694143","Anthony","Lister","Hewlett",,"PO Box 100",,"Stanwood","WA","98292","United States",,,"Doctor of Dentistry","Dental Providers|Dentist|General Practice","729952771","2020",106477.63,29110.00,"shares","Convergent Dental Inc.","100000000274","Convergent Dental Inc.","MA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","164860","1629134176","Barry","Martin","Jaye",,"505 Tremont Street","Apt 809","Boston","MA","02116","United States",,,"Doctor of Dentistry","Dental Providers|Dentist","729952777","2020",325495.17,162396.00,"shares","Convergent Dental Inc.","100000000274","Convergent Dental Inc.","MA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","36135","1801840103","Daniel","Howard","Adler",,"1 Bluestone Path",,"Natick","MA","01760","United States",,,"Doctor of Dentistry","Dental Providers|Dentist","729952787","2020",46016.44,16923.00,"shares","Convergent Dental Inc.","100000000274","Convergent Dental Inc.","MA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","203773","1487790903","David",,"Fantarella",,"127 Washington Avenue",,"North Haven","CT","06473","United States",,,"Doctor of Dentistry","Dental Providers|Dentist","729952791","2020",319130.29,114719.00,"shares","Convergent Dental Inc.","100000000274","Convergent Dental Inc.","MA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","74755","1649292541","Donald","Ray","Ratliff",,"1303 Sunset Drive","STE 1","Johnson City","TN","37604","United States",,,"Doctor of Dentistry","Dental Providers|Dentist|General Practice","729952795","2020",10000.66,3581.00,"shares","Convergent Dental Inc.","100000000274","Convergent Dental Inc.","MA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","14550","1316158348","Fern",,"Selesnick",,"2 Hooper St",,"Marblehead","MA","01945","United States",,,"Doctor of Dentistry","Dental Providers|Dentist","729952801","2020",25000.00,19964.00,"shares","Convergent Dental Inc.","100000000274","Convergent Dental Inc.","MA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1280273","1689075350","Frederick",,"Worrell",,"3625 148th St SW","Ste B101","Lynnwood","WA","98087","United States",,,"Doctor of Dentistry","Dental Providers|Dentist","729952809","2020",10000.66,3581.00,"shares","Convergent Dental Inc.","100000000274","Convergent Dental Inc.","MA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","266590","1881808269","Gary",,"Reiser",,"90 Humphrey St",,"Swampscott","MA","01907","United States",,,"Doctor of Dentistry","Dental Providers|Dentist","729952813","2020",137314.35,71641.00,"shares","Convergent Dental Inc.","100000000274","Convergent Dental Inc.","MA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","360304","1942574736","Gino","Anthony","Brino",,"954 South Main Street",,"Plainfield","CT","06479","United States",,,"Doctor of Dentistry","Dental Providers|Dentist","729952819","2020",200002.91,71616.00,"shares","Convergent Dental Inc.","100000000274","Convergent Dental Inc.","MA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","138668","1053329821","Jan","Barry","Rozen",,"50 Salem St","Bldg A","Lynnfield","MA","01940","United States",,,"Doctor of Dentistry","Dental Providers|Dentist","729952823","2020",98175.81,57627.00,"shares","Convergent Dental Inc.","100000000274","Convergent Dental Inc.","MA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","660630","1437210606","Jarrett","Matthew","Burr",,"134 N Magnolia Street",,"Moorseville","NC","28115","United States",,,"Doctor of Dentistry","Dental Providers|Dentist|General Practice","729952829","2020",30001.98,10743.00,"shares","Convergent Dental Inc.","100000000274","Convergent Dental Inc.","MA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1313871","1740688050","Jeffrey","R","Dornbush",,"210 Humphrey St","#103","Marblehead","MA","01945","United States",,,"Doctor of Dentistry","Dental Providers|Dentist","729952835","2020",30000.00,23957.00,"shares","Convergent Dental Inc.","100000000274","Convergent Dental Inc.","MA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","66411","1477755924","Jeralyn",,"Fantarella",,"299 Washington Avenue",,"Hamden","CT","06518","United States",,,"Doctor of Dentistry","Dental Providers|Dentist","729952837","2020",31724.82,11807.00,"shares","Convergent Dental Inc.","100000000274","Convergent Dental Inc.","MA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","226408","1992827711","Joshua","Paul","Weintraub",,"7211 Park heights AVE","S4","Baltimore","MD","21208","United States",,,"Doctor of Dentistry","Dental Providers|Dentist","729956491","2020",60001.16,21485.00,"shares","Convergent Dental Inc.","100000000274","Convergent Dental Inc.","MA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","88112","1942263272","Kenneth","H","Kahn",,"1692 Hospital Dr","Suite 201B","Santa Fe","NM","87505","United States",,,"Doctor of Dentistry","Dental Providers|Dentist","729963471","2020",199365.07,94756.00,"shares","Convergent Dental Inc.","100000000274","Convergent Dental Inc.","MA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","555207","1750378931","Lawrence",,"Kotlow",,"340 Fuller Road",,"Albany","NY","12203","United States",,,"Doctor of Dentistry","Dental Providers|Dentist","729970375","2020",150000.00,97763.00,"shares","Convergent Dental Inc.","100000000274","Convergent Dental Inc.","MA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","247578","1467471946","Mark",,"Mizner",,"400 Commonwealth Ave",,"Natick","MA","01760","United States",,,"Doctor of Dentistry","Dental Providers|Dentist","729977517","2020",602943.18,262638.00,"shares","Convergent Dental Inc.","100000000274","Convergent Dental Inc.","MA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1059880","1467485243","Michelle",,"Homeister",,"4414 Lake Boone Trail","Suite 210","Raleigh","NC","27606","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730835445","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","383740","1720109556","Marin",,"Honore",,"980 Johnson Ferry Road NE","Suite 720","Atlanta","GA","30342","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730843679","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1301892","1013943901","Alyssa",,"Horowitz",,"971 US Highway 202 N",,"Branchburg","NJ","08876","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730855181","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","302755","1689628638","Michelle",,"Horvath",,"719 Green Valley Rd","Suite 201","Greensboro","NC","27408","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730872853","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","21829","1477512085","Clement",,"Hsiao",,"3180 North Point Pkwy","Bldg 200 Suite 205","Alpharetta","GA","30005","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730885031","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","203481","1497799563","Mary",,"Hunt",,"385 Morris Avenue",,"Springfield","NJ","07081","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730895885","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","777960","1568421667","Christi",,"Hunt",,"143 Asheland Avenue",,"Asheville","NC","28801","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730905005","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","138468","1053348755","Anthony","N","Brown","Mr","2301 25th St S",,"Fargo","ND","58103","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Trauma","721503631","2020",3750.00,97500.00,"Preferred Series A Stock","The Orthopaedic Implant Company","100000005539","The Orthopaedic Implant Company","NV","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","214274","1720036270","Gregory","Andrew","Lundeen","Mr","555 N Arlington Ave",,"Reno","NV","89503","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Foot and Ankle Surgery","721503633","2020",1250.00,32500.00,"Preferred Series A Stock","The Orthopaedic Implant Company","100000005539","The Orthopaedic Implant Company","NV","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","964287","1104946086","Corey","Michael","Lieber","Mr","1631 Hospital Dr","Suite 200","Santa Fe","NM","87505","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","721503635","2020",1250.00,32500.00,"Preferred Series A Stock","The Orthopaedic Implant Company","100000005539","The Orthopaedic Implant Company","NV","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","268636","1932190386","Stephen","R","Lindholm","Mr","440 Curry Ave","Suite A","Englewood","NJ","07631","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","721503637","2020",625.00,16250.00,"Preferred Series A Stock","The Orthopaedic Implant Company","100000005539","The Orthopaedic Implant Company","NV","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","73281","1619134285","Julie","Michelle","Keller","Mrs","113 W Essex ST","Suite 201","Maywood","NJ","07607","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Trauma","721503639","2020",625.00,16250.00,"Preferred Series A Stock","The Orthopaedic Implant Company","100000005539","The Orthopaedic Implant Company","NV","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","353531","1780676114","Mark","G","Luker","Mr","627 25 and One Half Rd",,"Grand Junction","CO","81505","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Sports Medicine","721503641","2020",1250.00,32500.00,"Preferred Series A Stock","The Orthopaedic Implant Company","100000005539","The Orthopaedic Implant Company","NV","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","353531","1780676114","Mark","G","Luker","Mr","627 25 and One Half Rd",,"Grand Junction","CO","81505","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Sports Medicine","721503643","2020",2500.00,65000.00,"Common Stock","The Orthopaedic Implant Company","100000005539","The Orthopaedic Implant Company","NV","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","4263","1104883040","Brett","D","Crist","Mr","1 Hospital Dr",,"Columbia","MO","65212","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","721503645","2020",1250.00,32500.00,"Preferred Series A Stock","The Orthopaedic Implant Company","100000005539","The Orthopaedic Implant Company","NV","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","184041","1053360016","Gregory","J","Della Rocca","Mr","1 Hospital Dr",,"Columbia","MO","65212","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","721503647","2020",1250.00,32500.00,"Preferred Series A Stock","The Orthopaedic Implant Company","100000005539","The Orthopaedic Implant Company","NV","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1233046","1558400572","Krishna","R","Tripuraneni","Mr","201 Cedar St","Suite 6600","Albuquerque","NM","87106","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Adult Reconstructive Orthopaedic Surgery","721503649","2020",1250.00,32500.00,"Preferred Series A Stock","The Orthopaedic Implant Company","100000005539","The Orthopaedic Implant Company","NV","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1233046","1558400572","Krishna","R","Tripuraneni","Mr","201 Cedar St","Suite 6600","Albuquerque","NM","87106","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Adult Reconstructive Orthopaedic Surgery","721503651","2020",294.12,7647.06,"Common Stock","The Orthopaedic Implant Company","100000005539","The Orthopaedic Implant Company","NV","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","209806","1629059969","John","William","Staeheli","Mr","875 Swift Blvd",,"Richland","WA","99352","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","721503653","2020",1250.00,32500.00,"Preferred Series A Stock","The Orthopaedic Implant Company","100000005539","The Orthopaedic Implant Company","NV","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","128147","1841204310","Michael","J","Bosse","Mr","1000 Blythe Blvd",,"Charlotte","NC","28203","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","721503655","2020",1250.00,32500.00,"Preferred Series A Stock","The Orthopaedic Implant Company","100000005539","The Orthopaedic Implant Company","NV","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","289987","1407825318","Thomas","M","Large","Mr","21 Hospital Dr",,"Asheville","NC","28801-4550","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","721503657","2020",1250.00,32500.00,"Preferred Series A Stock","The Orthopaedic Implant Company","100000005539","The Orthopaedic Implant Company","NV","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","803995","1477998672","LAURA",,"BRADLEY",,"5425 W SPRING CREEK PKWY","STE 280","PLANO","TX","75024","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","732212459","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1009793","1700917580","INGRID",,"BROWN",,"4112 LINKS LANE","SUITE 205","ROUND ROCK","TX","78664","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","732229179","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","181869","1003947870","KEVIN",,"BROWN",,"1490 RUSK RD.","STE 202","ROUND ROCK","TX","78665","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","732244057","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","68893","1518965219","RANDALL",,"BURT",,"6124 W PARKER RD","SUITE 134","PLANO","TX","75093","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","732262933","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","128656","1831138122","DARSHNA",,"CHANDRASEKHARA",,"1110 COTTONWOOD LANE","SUITE 200","IRVING","TX","75038","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","732279217","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","279308","1164684890","Linden",,"Collins",,"3801 Gaston Ave","Suite 200","Dallas","TX","75246","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","732279283","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","360998","1962463315","Alexander",,"Yevzlin",,"3927 County Road JJ",,"Black Earth","WI","53515","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Nephrology","732495873","2020",0.00,196523.02,"The value of interest consists of common stock, preferred stock, warrants to purchase preferred stock and options to purchase common stock. Options and Warrants are valued using the Black Scholes method.","Phraxis, Inc.","100000151551","Phraxis, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","325248","1184681421","MICHAEL",,"COWART",,"6617 HERITAGE PKWY","SUITE 100","ROCKWALL","TX","75087","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","733054141","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","341432","1518932896","Thomas",,"San Giovanni",,"1150 CAMPO SANO AVE SUITE 200",,"Coral Gables","FL","33146","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Foot and Ankle Surgery","729985149","2020",165592.73,1537248.57,"Traditional stock purchase.","Paragon 28, Inc.","100000010964","Paragon 28, Inc.","CO","United States","No","Immediate family member","06/30/2023" "UNCHANGED","226987","1003958182","Martha",,"Stark",,"3 Ripley St",,"Newton","MA","02459","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Psychiatry & Neurology|Psychiatry","729987579","2020",1623989.00,726210.00,"shares","Convergent Dental Inc.","100000000274","Convergent Dental Inc.","MA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1148183","1558586248","Michael","Frank","Contardo",,"26 2nd Ave NW","PO Box 728","Saint Joseph","MN","56374","United States",,,"Doctor of Dentistry","Dental Providers|Dentist|General Practice","729989877","2020",100001.00,35808.00,"shares","Convergent Dental Inc.","100000000274","Convergent Dental Inc.","MA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","109385","1407840580","Michael","T","Kelly",,"9377 E Bell Road","Suite 301","Scottsdale","AZ","85260","United States",,,"Doctor of Dentistry","Dental Providers|Dentist","729989885","2020",100001.00,35808.00,"shares","Convergent Dental Inc.","100000000274","Convergent Dental Inc.","MA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","44805","1982816500","Roger",,"Wise",,"90 Humphrey St",,"Swampscott","MA","01907","United States",,,"Doctor of Dentistry","Dental Providers|Dentist","729989891","2020",25000.00,19964.00,"shares","Convergent Dental Inc.","100000000274","Convergent Dental Inc.","MA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","72757","1619984788","Ronald",,"Plotka",,"29 Schooner Ridge",,"Marblehead","MA","01945","United States",,,"Doctor of Dentistry","Dental Providers|Dentist","729989895","2020",225060.25,116423.00,"shares","Convergent Dental Inc.","100000000274","Convergent Dental Inc.","MA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","370466","1245593334","Jeffrey",,"Rohde",,"1819 State Street","STE A","Santa Barbara","CA","93101","United States",,,"Doctor of Dentistry","Dental Providers|Dentist","729990445","2020",30001.98,10743.00,"shares","Convergent Dental Inc.","100000000274","Convergent Dental Inc.","MA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","728506","1811058969","Ronnie",,"Davidson",,"PO Box 688",,"Moorseville","NC","28117","United States",,,"Doctor of Dentistry","Dental Providers|Dentist|General Practice","729990449","2020",75000.75,26856.00,"shares","Convergent Dental Inc.","100000000274","Convergent Dental Inc.","MA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1216728","1982736682","J Steven",,"Tonelli",,"205 Main St","Ste 002","North Reading","MA","01864","United States",,,"Doctor of Dentistry","Dental Providers|Dentist","729990455","2020",116265.15,63657.00,"shares","Convergent Dental Inc.","100000000274","Convergent Dental Inc.","MA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1031322","1457414013","William","Martin","Huntzinger",,"210 W Airport HWY","PO Box 270","Swanton","OH","43558","United States",,,"Doctor of Dentistry","Dental Providers|Dentist|General Practice","729990459","2020",100537.20,36000.00,"shares","Convergent Dental Inc.","100000000274","Convergent Dental Inc.","MA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","990584","1023088408","Yooson","E","Kim",,"3411 Main Street",,"Morgantown","PA","19543","United States",,,"Doctor of Dentistry","Dental Providers|Dentist|General Practice","729990463","2020",150001.50,53712.00,"shares","Convergent Dental Inc.","100000000274","Convergent Dental Inc.","MA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","65166","1457300477","Jacob",,"Johnson",,"450 SUTTER ST RM 933 STE 933",,"San Francisco","CA","94108-3997","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Otolaryngology","730025735","2020",69002.14,96470.02,"exercised ordinary shares and preferred shares holdings","3NT Medical","100000806829","3NT Medical",,"Israel","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","157126","1477585107","Todd",,"Adams",,"235 Medical Park Rd","Suite 201","Mooresville","NC","28117","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730136627","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","506","1013022946","Matthew",,"Alvarez",,"2615 Lake Drive","Suite 201","Raleigh","NC","27607","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730144555","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","105506","1346203593","Matthew",,"Iammatteo",,"111 Madison Ave","Suite 311","Morristown","NJ","07960","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730915023","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","362636","1992796361","Jack",,"Inge",,"4414 Lake Boone Trail","Suite 300","Raleigh","NC","27606","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730925767","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","99764","1194721498","Bradley",,"Jacobs",,"111 HANESTOWN CT","Suite 151","Winston Salem","NC","27103","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730934939","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","296794","1538122148","Allison",,"Jaco*kes",,"901 Ridgefield Drive",,"Raleigh","NC","27609","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730943521","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","399550","1306007885","Nell",,"Johnson",,"111 HANESTOWN CT","Suite 151","Winston Salem","NC","27103","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730953919","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","963597","1083655161","Theresa",,"Johnson",,"3511 John Platt Drive",,"Morehead City","NC","28557","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730963123","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","124239","1730148545","Kathryn",,"Jones",,"101 Madison Ave","Suite 405","Morristown","NJ","07960","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730972403","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","20995","1457367286","Varqa",,"Rouhipour","Mr","3802 S. Bascom Ave","Suite 102","Campbell","CA","95008","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","721503659","2020",1250.00,32500.00,"Preferred Series A Stock","The Orthopaedic Implant Company","100000005539","The Orthopaedic Implant Company","NV","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","10045","1225233489","Austin","Daniel","Hill","Mr","1313 Red River St","Suite 200","Austin","TX","78701","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","721503661","2020",2500.00,65000.00,"Common Stock","The Orthopaedic Implant Company","100000005539","The Orthopaedic Implant Company","NV","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","545330","1396884391","Zachary","B","Adler","Mr","22 Corporate Plaza Dr",,"Newport Beach","CA","92660","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","721503663","2020",1250.00,32500.00,"Common Stock","The Orthopaedic Implant Company","100000005539","The Orthopaedic Implant Company","NV","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","832211","1477504066","John",,"Lopez",,"2310 Peger Road, Suite 106",,"Fairbanks","AK","99709","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","722690917","2020",0.00,256629.70,"Part owner of LLC who is entitled to distributions from the LLC.","Sixth Street Solutions, LLC","100000281815","Sixth Street Solutions, LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","359","1003901133","Douglas",,"Blacklidge",,"2330 S DIXON RD",,"Kokomo","IN","46902","United States",,,"Doctor of Podiatric Medicine","Podiatric Medicine & Surgery Service Providers|Podiatrist|Foot & Ankle Surgery","722691447","2020",50000.00,550000.11,"Traditional stock purchase","Paragon 28, Inc.","100000010964","Paragon 28, Inc.","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","359","1003901133","Douglas",,"Blacklidge",,"2330 S DIXON RD",,"Kokomo","IN","46902","United States",,,"Doctor of Podiatric Medicine","Podiatric Medicine & Surgery Service Providers|Podiatrist|Foot & Ankle Surgery","722691483","2020",0.00,66446.33,"Shares acquired through IP assignment and transfer agreement.","Paragon 28, Inc.","100000010964","Paragon 28, Inc.","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","349321","1699715920","Christopher",,"DiGiovanni",,"100 BUTLER DR",,"Providence","RI","02906","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Foot and Ankle Surgery","722691515","2020",24999.99,274999.89,"Tradtional stock purchase","Paragon 28, Inc.","100000010964","Paragon 28, Inc.","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","648997","1033139712","Raymond",,"Onders","MD","11100 Euclid Ave.",,"Cleveland","OH","44106-1716","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Surgery","722691519","2020",0.00,210795.00,"Preferred Stock","Synapse Biomedical Inc","100000011119","Synapse Biomedical Inc","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","648997","1033139712","Raymond",,"Onders","MD","11100 Euclid Ave.",,"Cleveland","OH","44106-1716","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Surgery","722691523","2020",0.00,221460.00,"Preferred Stock","Synapse Biomedical Inc","100000011119","Synapse Biomedical Inc","OH","United States","No","Immediate family member","06/30/2023" "UNCHANGED","648997","1033139712","Raymond",,"Onders","MD","11100 Euclid Ave.",,"Cleveland","OH","44106-1716","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Surgery","722691525","2020",0.00,11302.50,"Options","Synapse Biomedical Inc","100000011119","Synapse Biomedical Inc","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","588752","1932152360","Sungho","K","Cho","MD","300 Pasteur Rd.",,"Stanford","CA","94305-2200","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Psychiatry & Neurology|Neurology","722691529","2020",0.00,19587.00,"Preferred Stock","Synapse Biomedical Inc","100000011119","Synapse Biomedical Inc","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","110250","1427051291","Michael",,"Carroll",,"33 E COUNTY LINE RD SUITE B",,"Greenwood","IN","46143","United States",,,"Doctor of Podiatric Medicine","Podiatric Medicine & Surgery Service Providers|Podiatrist|Foot & Ankle Surgery","722691575","2020",49800.00,547800.00,"Traditional stock purchase","Paragon 28, Inc.","100000010964","Paragon 28, Inc.","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","174667","1841315736","Thomas",,"Chang",,"208 CONCOURSE BOULEVARD SUITE 1",,"Santa Rosa","CA","95403","United States",,,"Doctor of Podiatric Medicine","Podiatric Medicine & Surgery Service Providers|Podiatrist|Foot & Ankle Surgery","722691727","2020",350000.02,4277778.12,"Traditional stock purchase.","Paragon 28, Inc.","100000010964","Paragon 28, Inc.","CO","United States","No","Immediate family member","06/30/2023" "UNCHANGED","174667","1841315736","Thomas",,"Chang",,"208 CONCOURSE BOULEVARD SUITE 1",,"Santa Rosa","CA","95403","United States",,,"Doctor of Podiatric Medicine","Podiatric Medicine & Surgery Service Providers|Podiatrist|Foot & Ankle Surgery","722691783","2020",149999.99,1833333.15,"Traditional stock purchase.","Paragon 28, Inc.","100000010964","Paragon 28, Inc.","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","73552","1639135825","James",,"Good",,"2800 NE 60TH ST",,"Gladstone","MO","64119","United States",,,"Doctor of Podiatric Medicine","Podiatric Medicine & Surgery Service Providers|Podiatrist","722692089","2020",24999.99,274999.89,"Traditional stock purchase.","Paragon 28, Inc.","100000010964","Paragon 28, Inc.","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","355673","1821169228","SUSAN",,"CROCKETT",,"540 MADISON OAK","SUITE 450","SAN ANTONIO","TX","78258","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","733054153","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","355673","1821169228","SUSAN",,"CROCKETT",,"540 MADISON OAK","SUITE 450","SAN ANTONIO","TX","78258","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","733054357","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","153744","1407050099","HEATHER",,"DERRICK",,"7900 HENNEMAN WAY","SUITE 100","MCKINNEY","TX","75070","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","733067617","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","131617","1891706040","DAVID",,"DESHAN",,"2500 WEST ILLINOS","SUITE 100","MIDLAND","TX","79701","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","733073247","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","191634","1215948450","BEN",,"DOKE",,"2500 WEST ILLINOS","SUITE 100","MIDLAND","TX","79701","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","733077219","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","761703","1992125827","KAREN",,"EDWARDS-KEY",,"5425 W. SPRING CREEK PARKWAY","SUITE 280","PLANO","TX","75024","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","733088313","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","38854","1861509275","MALATHI",,"ELLIS",,"6750 N MACARTHUR BLVD","STE 206","IRVING","TX","75039","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","733102225","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","89268","1972622520","Lisa",,"Amorin",,"48 Route 25A","Ste 207","Smithtown","NY","11787","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730152573","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","252731","1568577245","Samantha",,"Anderson",,"4360 Chamblee Dunwoody Rd","Suite 370","Atlanta","GA","30341","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730152577","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","107607","1386616639","Mark",,"Anderson",,"719 Green Valley Rd","Suite 201","Greensboro","NC","27408","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730152585","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","131474","1891769154","Michael",,"Anthony",,"550 New Waverly PL","Suite 200","Cary","NC","27518","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730152591","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","866734","1699941989","Jessica",,"Apel",,"4755 OGLETOWN STANTON RD","Room 2A00","Newark","DE","19718","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730152593","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","349517","1700962495","Michael",,"Arato",,"2500 Nesonset Hwy","Bldg 20B","Stony Brook","NY","11790","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730152599","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","73335","1619053535","Yulia",,"Aronovich",,"40 Crossways Park Drive","Ste 101","Woodbury","NY","11797","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730152603","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1039988","1760603492","Suzanne",,"Kaminski",,"2304 Wesvill Court","Suite 210","Raleigh","NC","27607","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730982079","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","450337","1053487363","Rahab",,"Khalil",,"2080 State Route 35",,"Holmdel","NJ","07733","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730990381","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","482533","1184642134","ALEXANDER",,"KIRIFIDES",,"875 AAA Blvd","Suite B","Newark","DE","19713","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730999001","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1154381","1780908244","Catherine",,"Kurtz",,"143 Asheland Avenue",,"Asheville","NC","28801","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731029933","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","3255609","1437417136","Megan",,"Lambeth",,"3511 John Platt Drive",,"Morehead City","NC","28557","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731040799","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","537280","1114281755","Jon",,"Larrabee",,"143 Asheland Avenue",,"Asheville","NC","28801","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731050341","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","666644","1649538554","Diana",,"Leon",,"100 S Jersey Avenue","Unit 16","East Setauket","NY","11733","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731060243","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","132149","1902977796","Gary",,"Levine",,"173 Mineola Blvd","Ste 200","Mineola","NY","11501","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731070169","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","52826","1154396901","Jeffrey",,"Christensen",,"3131 NASSAU ST STE 101",,"Everett","WA","98201","United States",,,"Doctor of Podiatric Medicine","Podiatric Medicine & Surgery Service Providers|Podiatrist|Foot & Ankle Surgery","722702497","2020",50000.00,550000.11,"Traditional stock purchase.","Paragon 28, Inc.","100000010964","Paragon 28, Inc.","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","37605","1841222502","Jai",,"Parekh",,"1225 MCBRIDE AVE STE 204",,"Woodland Park","NJ","07424","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","722703061","2020",25000.00,274999.89,"Traditional stock purchase.","Paragon 28, Inc.","100000010964","Paragon 28, Inc.","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","253682","1588601488","Selene",,"Parekh",,"101 MANNING DR",,"Chapel Hill","NC","27599","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","722703393","2020",25000.00,274999.89,"Traditional stock purchase.","Paragon 28, Inc.","100000010964","Paragon 28, Inc.","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","220102","1841300571","Amar",,"Patel",,"120 NE SAINT LUKES BLVD STE 200",,"Lees Summit","MO","64086","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Foot and Ankle Surgery","722703785","2020",50000.00,550000.11,"Traditional stock purchase.","Paragon 28, Inc.","100000010964","Paragon 28, Inc.","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1135045","1104807411","Ronald",,"Ray",,"1301 11TH AVE S STE 6 EVERGREEN SQUARE",,"Great Falls","MT","59405","United States",,,"Doctor of Podiatric Medicine","Podiatric Medicine & Surgery Service Providers|Podiatrist","722703793","2020",50000.01,550000.11,"Traditional stock purchase.","Paragon 28, Inc.","100000010964","Paragon 28, Inc.","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","134699","1972698009","John",,"Miller",,"5250 E US HIGHWAY 36 SUITE 610",,"Avon","IN","46123","United States",,,"Doctor of Podiatric Medicine","Podiatric Medicine & Surgery Service Providers|Podiatrist|Foot & Ankle Surgery","722704547","2020",50000.00,550000.11,"Traditional stock purchase.","Paragon 28, Inc.","100000010964","Paragon 28, Inc.","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","492066","1518960970","STEVEN",,"BROOKS",,"1838 Greene Tree Rd Ste 535",,"Baltimore","MD","21208","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Cardiovascular Disease","722704557","2020",50.00,50.00,"Stock Options with 48-month vesting","Omera Medical, Inc.","100000806837","Omera Medical, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","326536","1184715187","John","P","Fezza",,"1360 E Venice Ave",,"Venice","FL","34285","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Cardiovascular Disease","722704563","2020",5.00,5.00,"Stock Options with 48-month vesting","Omera Medical, Inc.","100000806837","Omera Medical, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","157461","1477644334","NEIL",,"Friedman",,"900 Welch Road Ste 402",,"Palo Alto","CA","94304","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","722704569","2020",25.00,25.00,"Stock Options with 48-month vesting","Omera Medical, Inc.","100000806837","Omera Medical, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","40512","1881878262","sumit",,"Garg",,"118 MED SURGE 1",,"IRVINE","CA","92697","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","722704579","2020",15.00,15.00,"Stock Options with 48-month vesting","Omera Medical, Inc.","100000806837","Omera Medical, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","933511","1023285988","Preeya",,"Gupta",,"2351 Erwin Rd # DUMC3802",,"Durham","NC","27705","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","722704587","2020",15.00,15.00,"Stock Options with 48-month vesting","Omera Medical, Inc.","100000806837","Omera Medical, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","73016","1619910569","Paul",,"Karpecki",,"601 Perimeter Dr Ste 200",,"Lexington","KY","40517","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","722704595","2020",25.00,25.00,"Stock Options with 48-month vesting","Omera Medical, Inc.","100000806837","Omera Medical, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","825656","1245303056","Resa",,"Lewiss",,"1020 SANSOM ST STE 239",,"PHILADELPHIA","PA","19107","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Emergency Medicine","722705519","2020",0.00,2812.59,"10,417 shares of common stock. By their signatures below, Optionee and the Company agree that this Option is granted under and governed by this Notice of Stock Option Grant (this ""Grant Notice"") and by the provisions of the Plan and the Stock Option Agreement. The Plan and the Stock Option Agreement are incorporated herein by reference. Capitalized terms used but not defined herein shall have the meanings given to them in the Plan or in the Stock Option Agreement, as applicable. By signing be","EchoNous, Inc.","100000196873","EchoNous, Inc.","WA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","211790","1689635807","CYNTHIA",,"MATOSSIAN",,"2 CAPITAL WAY SUITE 326",,"PENNINGTON","NJ","08534","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","722705537","2020",25.00,25.00,"Stock Options with 48-month vesting","Omera Medical, Inc.","100000806837","Omera Medical, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","17610","1396893780","JENNIFER",,"EVERSON",,"17183 I 45 S","STE 610","SHENANDOAH","TX","77385","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","733117729","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","847878","1023236304","KARI",,"FAY",,"1305 WONDER WORLD DR","STE 209","SAN MARCOS","TX","78666","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","733127591","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","54655","1205906815","DAVID",,"FONG",,"2840 LEGACY DRIVE","SUITE 300","FRISCO","TX","75034","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","733127595","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","562053","1992761753","Elmer",,"Pinzon",,"10710 Murdock Drive","Suites 103-104","Knoxville","TN","37932","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Physical Medicine & Rehabilitation","733499475","2020",0.00,93.69,"2020 royalty payment.","IGIP, LLC","100000316812","IGIP, LLC","KY","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","266997","1871585018","Thomas",,"O'Daniel",,"132 Chenoweth Lane",,"Louisville","KY","40207","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Surgery|Plastic and Reconstructive Surgery","733499485","2020",0.00,93.69,"2020 royalty payment.","IGIP, LLC","100000316812","IGIP, LLC","KY","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","113353","1508873936","Andrea",,"Kristofy",,"7004 New Barn Court",,"Prospect","KY","40059","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Anesthesiology","733499493","2020",0.00,93.69,"2020 royalty payment.","IGIP, LLC","100000316812","IGIP, LLC","KY","United States","No","Immediate family member","06/30/2023" "UNCHANGED","72461","1598974719","Aniefiok",,"Uyoe",,"4106 Quail Hollow Rd",,"Albany","GA","31721","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","733499505","2020",0.00,93.69,"2020 royalty payment.","IGIP, LLC","100000316812","IGIP, LLC","KY","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","83568","1851386817","Samuel",,"Watkins",,"2704 Poplar Hill Court",,"Louisville","KY","40207","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","733499519","2020",0.00,93.69,"2020 royalty payment.","IGIP, LLC","100000316812","IGIP, LLC","KY","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1077636","1093767618","William",,"Hornung",,"2300 Gray Fox Road",,"Louisville","KY","40205","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Anesthesiology","733499531","2020",0.00,93.69,"2020 royalty payment.","IGIP, LLC","100000316812","IGIP, LLC","KY","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","245762","1417056565","John",,"Heymach",,"2036 Southgate Blvd",,"Houston","TX","77030","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine","733499549","2020",0.00,93.69,"2020 royalty payment.","IGIP, LLC","100000316812","IGIP, LLC","KY","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","93653","1073561999","Frank",,"Castro",,"834 Inspiration Way",,"Louisville","KY","40245","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","733500507","2020",0.00,2951.75,"2020 royalty payment.","IGIP, LLC","100000316812","IGIP, LLC","KY","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","119867","1659362994","Mohammad",,"Majd",,"3101 Waterglen Place",,"Louisville","KY","40222","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","733500519","2020",0.00,93.69,"2020 royalty payment.","IGIP, LLC","100000316812","IGIP, LLC","KY","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","201591","1447245394","Freddy","A","Achecar","Jr","2041 Mesa Valley Way","Suite 100","Austell","GA","30106","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","735004207","2020",0.00,1.00,"Shares","CeloNova BioSciences, Inc.","100000010417","CeloNova BioSciences, Inc.","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","239191","1265485650","Kimberlee",,"Austin",,"111 Madison Ave","Suite 308","Morristown","NJ","07960","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730152607","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","52476","1164639217","Wilhelmina",,"Azu",,"222 Oak Ave","3rd Floor","Toms River","NJ","08753","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730152609","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","334263","1356531255","Cecilia",,"Banga",,"510 N Elam Ave","Suite 101","Greensboro","NC","27403","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730152615","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1005615","1558340190","Tanneisha",,"Barlow",,"4414 Lake Boone Trail","Suite 205","Raleigh","NC","27607","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730152619","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","484581","1275500779","Katherine",,"Barrett",,"4414 Lake Boone Trail","Suite 308","Raleigh","NC","27607","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730152623","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","432870","1437264389","Zoe",,"Beatty",,"2615 Lake Drive","Suite 201","Raleigh","NC","27607","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730152633","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","286729","1316046824","Jeffrey",,"Beauchamp",,"1600 St. Georges Ave","Suite 216","Rathway","NJ","07065","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730152639","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","103843","1285636977","Brian",,"Levitt",,"4365 Johns Creek Parkway","Suite 430","Suwanee","GA","30024","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731080185","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","288727","1366464588","Jenna",,"Levy",,"831 Tennent Road",,"Manalapan","NJ","07726","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731089769","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1307238","1588692909","Frieda",,"Lewis",,"1259 US Highway 46",,"Parsippany","NJ","07054","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731098677","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","175809","1881675957","Stephen",,"Lies",,"102 Handley Park Court",,"Goldsboro","NC","27534","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731106625","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","160972","1558366278","William",,"Lindel",,"111 HANESTOWN CT","Suite 151","Winston Salem","NC","27103","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731116397","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","271973","1982694089","Robert",,"Littleton",,"4414 Lake Boone Trail","Suite 205","Raleigh","NC","27607","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731125029","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","134149","1952330318","Salvatore",,"LoPresti",,"877 Stewart Avenue","Ste 9","Garden City","NY","11530","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731134547","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","18101","1396710885","Jennifer",,"Lublin",,"385 Morris Avenue",,"Springfield","NJ","07081","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731146873","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","395994","1154399848","Richard",,"Hoppmann",,"1801 SUNSET DR",,"Columbia","SC","29203","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Rheumatology","722705807","2020",0.00,2249.64,"8,332 of common stock. By their signatures below, Optionee and the Company agree that this Option is granted under and governed by this Notice of Stock Option Grant (this ""Grant Notice"") and by the provisions of the Plan and the Stock Option Agreement. The Plan and the Stock Option Agreement are incorporated herein by reference. Capitalized terms used but not defined herein shall have the meanings given to them in the Plan or in the Stock Option Agreement, as applicable.","EchoNous, Inc.","100000196873","EchoNous, Inc.","WA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","54780","1205834439","Mark",,"Packer",,"1400 Bluebell Ave",,"Boulder","CO","80302","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","722705811","2020",150.00,150.00,"Stock Options with 48-month vesting","Omera Medical, Inc.","100000806837","Omera Medical, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","335201","1376755009","Laura",,"Periman",,"16150 NE 85th St Ste 206",,"Redmond","WA","98052","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","722705821","2020",1.00,15.00,"Stock Options with 48-month vesting","Omera Medical, Inc.","100000806837","Omera Medical, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","301524","1649602939","KAMBIZ",,"SILANI",,"212 ROBERTSON BLVD",,"BEVERLY HILLS","CA","90211","United States",,,"Medical Doctor","Eye and Vision Services Providers|Optometrist|Corneal and Contact Management","722705829","2020",15.00,15.00,"Stock Options with 48-month vesting","Omera Medical, Inc.","100000806837","Omera Medical, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","148409","1265612899","CHRISTOPHER",,"ZOUMALAN",,"9401 WILSHIRE BLVD SUITE 1105",,"BEVERLY HILLS","CA","90211","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Plastic Surgery|Plastic Surgery Within the Head and Neck","722705837","2020",900.00,900.00,"Founders Stock and Stock Options","Omera Medical, Inc.","100000806837","Omera Medical, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","732258","1942394432","Harold",,"Szerlip",,"855 MONTGOMERY ST",,"Fort Worth","TX","76107","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine","722705841","2020",0.00,3375.00,"12,500 common stock. By their signatures below, Optionee and the Company agree that this Option is granted under and governed by this Notice of Stock Option Grant (this ""Grant Notice"") and by the provisions of the Plan and the Stock Option Agreement. The Plan and the Stock Option Agreement are incorporated herein by reference. Capitalized terms used but not defined herein shall have the meanings given to them in the Plan or in the Stock Option Agreement, as applicable.","EchoNous, Inc.","100000196873","EchoNous, Inc.","WA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","613922","1811020936","BRAD",,"PICHA",,"6701 ROCKSIDE RD","STE 350","INDEPENDENCE","OH","44131","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","723047789","2020",0.00,460949.00,"STOCK","APPLIED MEDICAL TECHNOLOGY INC","100000005443","APPLIED MEDICAL TECHNOLOGY INC","OH","United States","No","Immediate family member","06/30/2023" "UNCHANGED","1296328","1417983032","B","Theo","Mellion",,"3223 N. Webb Road",,"Wichita","KS","67226","United States",,,"Medical Doctor",,"723128761","2020",0.00,140373.09,"Limited Liability Company Membership Interest.","Midwest Surgical Alliance, LLC","100000010505","Midwest Surgical Alliance, LLC","KS","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","862311","1538350830","James",,"Weimar",,"3223 N. Webb Rd.",,"Wichita","KS","67226","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","723128841","2020",0.00,140373.09,"Limited Liability Company Membership Interest.","Midwest Surgical Alliance, LLC","100000010505","Midwest Surgical Alliance, LLC","KS","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","613922","1811020936","BRAD",,"PICHA",,"6701 ROCKSIDE RD STE 350",,"INDEPENDENCE","OH","44131-2351","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","724386023","2020",411529.00,2818801.00,"STOCK","AMERICAN MEDICAL TECHNOLOGY INC","100000005448","AMERICAN MEDICAL TECHNOLOGY INC","OH","United States","No","Immediate family member","06/30/2023" "UNCHANGED","1170914","1366494858","B","Tucker","Woodson",,"9200 W Wisconsin Ave",,"Milwaukee","WI","53226","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Otolaryngology","725092755","2020",0.00,8700.00,"common stock","Siesta Medical, Inc.","100000010385","Siesta Medical, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","146285","1225143084","Jason",,"Van Tassel",,"2557 Mowry Ave Ste 30",,"Fremont","CA","94538","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Otolaryngology","725092761","2020",0.00,202409.04,"common and preferred stock","Siesta Medical, Inc.","100000010385","Siesta Medical, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","172052","1780684217","Tod",,"Huntley",,"12188 A N. Meridian St.","Suite 375","Carmel","IN","46032","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Otolaryngology","725092881","2020",0.00,8700.00,"common stock","Siesta Medical, Inc.","100000010385","Siesta Medical, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","975237","1467410977","Samuel",,"Mickelson",,"60 JOHNSON FERRY RD","Suite 200","Atlanta","GA","30342","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Otolaryngology|Sleep Medicine","725099045","2020",0.00,8700.00,"common stock","Siesta Medical, Inc.","100000010385","Siesta Medical, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","32747","1720076334","Mark","C","Bates",,"2345 Chesterfield Ave","Suite 302","Charleston","WV","25304","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Interventional Cardiology","735004211","2020",0.00,1.00,"Shares","CeloNova BioSciences, Inc.","100000010417","CeloNova BioSciences, Inc.","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","319296","1033159678","David","G","Ike",,"1083 Boiling Springs Road",,"Spartanburg","SC","29303","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Cardiovascular Disease","735004215","2020",0.00,1.00,"Shares","CeloNova BioSciences, Inc.","100000010417","CeloNova BioSciences, Inc.","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1274447","1356747596","Harry",,"Jacobson",,"3322 West End Avenue","Suite 1100","Nashville","TN","37203","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Nephrology","735004219","2020",0.00,1.00,"Shares","CeloNova BioSciences, Inc.","100000010417","CeloNova BioSciences, Inc.","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","133472","1942201504","Nelson","Marc","Karp",,"460 S Independence Blvd.",,"Virginia Beach","VA","23452","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Family Medicine","735004221","2020",0.00,1.00,"Shares","CeloNova BioSciences, Inc.","100000010417","CeloNova BioSciences, Inc.","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","61012","1356323414","Barry",,"Katzen",,"8900 N Kendall DR",,"Miami","FL","33176","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Radiology|Diagnostic Radiology","735004225","2020",0.00,1.00,"Shares","CeloNova BioSciences, Inc.","100000010417","CeloNova BioSciences, Inc.","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1201915","1467564872","Juha","P","Kokko",,"1364 Clifton Road NE 2D","Transplant Emory University Hospital - Nephrology","Atlanta","GA","30322","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Nephrology","735004227","2020",0.00,1.00,"Shares","CeloNova BioSciences, Inc.","100000010417","CeloNova BioSciences, Inc.","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","232786","1124096219","John","C","Lipman",,"3670 Highlands Pkwy SE",,"Smyrna","GA","30082","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Radiology|Vascular & Interventional Radiology","735004231","2020",0.00,1.00,"Shares","CeloNova BioSciences, Inc.","100000010417","CeloNova BioSciences, Inc.","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","920811","1598753014","Samuel","L","Ogden",,"109B Allen Memorial Drive",,"Bremen","GA","30110","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine","735004235","2020",0.00,1.00,"Shares","CeloNova BioSciences, Inc.","100000010417","CeloNova BioSciences, Inc.","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","41426","1902867286","George","E","Revtyak",,"1801 N Senate Blvd","Suite 310","Indianapolis","IN","46202","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Cardiovascular Disease","735004239","2020",0.00,1.00,"Shares","CeloNova BioSciences, Inc.","100000010417","CeloNova BioSciences, Inc.","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","379781","1588690051","Daniel",,"Loube",,"3622 Orbetello Court",,"Santa Rosa","CA","95404","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Critical Care Medicine","735279771","2020",259.08,456.62,"Amount invested is the total dollar value of ownership interest gained by physician in reporting year and value of interest is dollar value of all shares or other ownership interests at the end of the reporting year. Common stock.","Vapotherm Inc","100000071358","Vapotherm Inc","NH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","411850","1700904000","William","John","Cirksena","Sr","813 Coachway",,"Annapolis","MD","21401","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Nephrology","735281583","2020",31070.46,43689.78,"Amount invested is the total dollar value of ownership interest gained by physician in reporting year and value of interest is dollar value of all shares or other ownership interests at the last date for which Applicable Manufacturer was aware of any physician holdings of stocks, stock options, or other ownership interest. Common stock.","Vapotherm Inc","100000071358","Vapotherm Inc","NH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","838174","1699012005","Barry","S","Strauch",,"1468 Evans Farm Drive",,"McLean","VA","22101","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Nephrology","735281587","2020",474.60,1288.00,"Amount invested is the total dollar value of ownership interest gained by physician in reporting year and value of interest is dollar value of all shares or other ownership interests at the last date for which Applicable Manufacturer was aware of any physician holdings of stocks, stock options, or other ownership interest. Common stock.","Vapotherm Inc","100000071358","Vapotherm Inc","NH","United States","No","Immediate family member","06/30/2023" "UNCHANGED","357674","1881757268","Shabbar",,"Danish",,"10 Plum St., 5th Floor",,"New Brunswick","NJ","08901","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","735377537","2020",0.01,150785.37,"diluted estimate at present based upon contributions","Phasor Health, LLC","100000511827","Phasor Health, LLC","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","538075","1144286543","Robert",,"Beim",,"190 Greenbrook Road",,"North Planfield","NJ","07060","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730152645","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","418135","1932139631","Sardana",,"Belkin",,"831 Tennent Road",,"Manalapan","NJ","07726","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730152649","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","478960","1053375949","Lorena",,"Benavides",,"2304 Wesvill Court","Suite 210","Raleigh","NC","27607","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730152653","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","904422","1013921592","Christopher",,"Berard",,"200 W Main Street","Suite A103","Babylon","NY","11702","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730152661","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","110368","1447358700","Madhuri",,"Bewtra",,"401 S Van Brunt Street","Suite 405","Englewood","NJ","07631","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730152669","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","153490","1376576967","Pouru",,"Bhiwandi",,"3100 Duraleigh Road","Suite 307","Raleigh","NC","27612","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730152673","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","46729","1043270135","Elbridge",,"Bills",,"3180 North Point Pkwy","Bldg 200 Suite 205","Alpharetta","GA","30005","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730158459","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","211099","1669556718","Andrea",,"Lukes",,"249 E Nc Highway 54","Suite 330","Durham","NC","27713","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731157379","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","241946","1336168459","Karen",,"Lytle-Glover",,"4745 OGLETOWN STANTON RD","Suite 207","Newark","DE","19713","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731167075","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","342009","1548220197","Sarah",,"Maddison",,"4414 Lake Boone Trail","Suite 300","Raleigh","NC","27606","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731179623","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","242093","1336114826","Rhona",,"Magaril",,"530 Morris Avenue",,"Springfield","NJ","07081","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731190367","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","182040","1013075951","John",,"Marcus",,"89 North Maple Avenue",,"Ridgewood","NJ","07450","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731200471","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","21574","1467562645","Morisa",,"Marin",,"48 Route 25A","Ste 207","Smithtown","NY","11787","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731212423","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","280059","1184691156","STEFANIE",,"MARSHALL",,"4745 OGLETOWN STANTON RD","Suite 106","Newark","DE","19713","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731225077","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","145218","1194720565","Ann",,"Martin",,"4414 Lake Boone Trail","Suite 210","Raleigh","NC","27606","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731236653","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","271394","1982669222","Andrew",,"Goldberg",,"2380 Sutter Street 3rd Floor",,"San Francisco","CA","94143","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Otolaryngology","725112749","2020",0.00,17400.00,"common stock","Siesta Medical, Inc.","100000010385","Siesta Medical, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","116703","1568465912","Michael",,"Abidin",,"6355 Walker Ln",,"Alexandria","VA","22310","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Otolaryngology|Otolaryngology/Facial Plastic Surgery","725144245","2020",0.00,26100.00,"common stock","Siesta Medical, Inc.","100000010385","Siesta Medical, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","215154","1760441760","James","F","McGuckin","Jr","2929 Arch Street","Suite 1705","Philadelphia","PA","19104","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Radiology|Vascular & Interventional Radiology","725933347","2020",0.00,761157.12,"James F McGuckin Jr Family Trust owns 1,520,341 Preferred Shares of Summit Access, Inc. Monetary investment was made in prior years. No new investment in 2020.","Summit Access, Inc.","100000806839","Summit Access, Inc.","CO","United States","No","Immediate family member","06/30/2023" "UNCHANGED","47094","1033133996","DAVID","Y.","BADAWI",,"1614 W CENTRAL RD","SUITE 107","ARLINGTON HEIGHTS","IL","60005-2490","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","726158535","2020",0.00,9915428.48,"Common Stock","Sight Sciences, Inc.","100000136569","Sight Sciences, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","181047","1992768519","RAKESH",,"PATEL",,"5725 W LAS POSITAS BLVD","SUITE 100","PLEASANTON","CA","94588-4054","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Radiology|Radiation Oncology","726698471","2020",50000.00,123791.20,"Stock","iCAD, Inc","100000011069","iCAD, Inc","NH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","52618","1154522910","Michael","S","Chang",,"1462 S. Dobson Road, Suite 201",,"Mesa","AZ","85202","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","726902669","2020",0.00,79753.40,"LLC member entitled to distributions","WyCo Surgical Distribution LLC","100000336808","WyCo Surgical Distribution LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","193241","1255399549","Dennis","G","Crandall",,"1432 S. Dobson Road, Suite 201",,"Mesa","AZ","85202","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","726903089","2020",0.00,79753.40,"LLC member entitled to distributions.","WyCo Surgical Distribution LLC","100000336808","WyCo Surgical Distribution LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","32077","1700854296","Jason",,"Datta",,"1255 W RIO SALADO PKWY STE 107",,"Tempe","AZ","85281","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","726903103","2020",0.00,79753.40,"LLC member entitled to distributions.","WyCo Surgical Distribution LLC","100000336808","WyCo Surgical Distribution LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","223368","1922083310","Michael","E","Janssen",,"9005 Grant St #200",,"Thornton","CO","80229","United States",,,"Doctor of Osteopathy","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","726903119","2020",0.00,79753.40,"LLC member entitled to distributions","WyCo Surgical Distribution LLC","100000336808","WyCo Surgical Distribution LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","34556","1770615288","Terrence","T","Crowder",,"2557 S. Val Vista Drive, Suite 103",,"Gilbert","AZ","85295","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","726903133","2020",0.00,79753.40,"LLC member entitled to distributions","WyCo Surgical Distribution LLC","100000336808","WyCo Surgical Distribution LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","192103","1245260108","William",,"Adams",,"4787 ALBEN BARKLEY DRIVE",,"Paducah","KY","42002","United States",,,"Doctor of Podiatric Medicine","Podiatric Medicine & Surgery Service Providers|Podiatrist","728120305","2020",75000.00,412500.00,"Traditional stock purchase","Paragon 28, Inc.","100000010964","Paragon 28, Inc.","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","571","1013094978","Thomas",,"Childress",,"3 AUDUBON PLAZA DR SUITE 320",,"Louisville","KY","40217","United States",,,"Doctor of Podiatric Medicine","Podiatric Medicine & Surgery Service Providers|Podiatrist","728120323","2020",50000.00,275011.11,"Traditional stock purchase","Paragon 28, Inc.","100000010964","Paragon 28, Inc.","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","790874","1013990373","Michael",,"Houghton",,"2500 E PROSPECT RD",,"Fort Collins","CO","80525","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Foot and Ankle Surgery","728120349","2020",450000.00,5720008.47,"Traditional stock purchase and agreement.","Paragon 28, Inc.","100000010964","Paragon 28, Inc.","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","198346","1386687812","Mark",,"Myerson",,"301 SAINT PAUL PL MAIN FLOOR",,"Baltimore","MD","21202","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","728140945","2020",855000.00,1650000.00,"Traditional share purchase and agreement","Paragon 28, Inc.","100000010964","Paragon 28, Inc.","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1107553","1134383979","Scott",,"Mitchell",,"7200 Cambridge St. Ste. 10A",,"Houston","TX","77030","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","735400777","2020",0.01,42382.03,"diluted estimate at present based upon contributions","Phasor Health, LLC","100000511827","Phasor Health, LLC","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","128343","1831395219","ASHWIN",,"GAITONDE",,"3801 GASTON AVE","SUITE 200","DALLAS","TX","75246","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","735526941","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","278097","1134281405","MARK",,"GODAT",,"7777 FOREST LN","STE C218","DALLAS","TX","75230","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","735526961","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","69334","1548206824","LORI",,"HALDERMAN",,"6609 VIRGINIA PARKWAY",,"MCKINNEY","TX","75071","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","735526967","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","41093","1912985631","STEVEN",,"HARRIS",,"3801 GASTON AVE","SUITE 200","DALLAS","TX","75246","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","735526997","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","97058","1154309656","GLEN",,"HECKMAN",,"3801 GASTON AVENUE","SUITE 200","DALLAS","TX","75246","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","735527011","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","635786","1568783900","LAUREN",,"HERMANN",,"1305 WONDER WORLD DR","#209","SAN MARCOS","TX","78666","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","735527557","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","322179","1093759698","ROBERT",,"HOWELL",,"6100 HARRIS PKWY","#245","FORT WORTH","TX","76132","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","735527583","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","764303","1083607865","Craig",,"Bissinger",,"50 Cherry Hill Rd","Suite 303","Parsippany","NJ","07054","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730164041","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","164184","1619902293","Stephen",,"Blank",,"755 Mt Vernon Hwy NE","Suite 200","Atlanta","GA","30328","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730169983","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","306548","1750355186","Anne",,"Bonpain",,"550 New Waverly PL","Suite 200","Cary","NC","27518","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730176739","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","290997","1407891609","Marie",,"Bonvicino",,"222 Oak Avenue","3rd Floor","Toms River","NJ","08753","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730183939","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","172853","1790844256","Christine",,"Booth",,"2029 Valley Gate Drive","Suite 101","Fayetteville","NC","28304","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730192771","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","812915","1801087820","Jody",,"Bovard-Stuckert",,"510 N Elam Ave","Suite 101","Greensboro","NC","27403","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730200311","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","277182","1124014402","Mamie",,"Bowers",,"1100 Wescott Dr","Suite 105","Flemington","NJ","08822","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730207223","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","167441","1699763045","Anthony",,"Masciello",,"4605 Country Club Road",,"Winston Salem","NC","27104","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731245629","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1618","1043279292","Sharon",,"Mass",,"101 Madison Ave","Suite 405","Morristown","NJ","07960","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731254465","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","466655","1629398185","Kirk",,"Matthews",,"4414 Lake Boone Trail","Suite 210","Raleigh","NC","27606","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731265357","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","199168","1407820756","Noemi",,"Maydew",,"550 New Waverly PL","Suite 200","Cary","NC","27518","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731274537","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","279355","1164475166","Holly",,"McArthur",,"41 Oakland Road","Suite 200","Asheville","NC","28801","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731278231","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1126686","1811935828","Olivia",,"McCallum",,"3511 John Platt Drive",,"Morehead City","NC","28557","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731278571","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","921283","1609977388","Todd",,"Meisinger",,"510 N Elam Ave","Suite 101","Greensboro","NC","27403","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731278591","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","254278","1598849911","Christine",,"Melgar",,"3629 Bell Blvd",,"Bayside","NY","11361","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731278607","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","114250","1528277084","Christopher",,"Hodgkins",,"1150 CAMPO SANO AVE SUITE 200",,"Coral Gables","FL","33146","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","728170171","2020",50000.00,305555.58,"Traditional stock purchase","Paragon 28, Inc.","100000010964","Paragon 28, Inc.","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","183940","1053317479","Thomas",,"Hosey",,"42550 GARFIELD RD STE 103",,"Clinton Township","MI","48038","United States",,,"Doctor of Podiatric Medicine","Podiatric Medicine & Surgery Service Providers|Podiatrist|Primary Podiatric Medicine","728175099","2020",50000.00,132000.00,"Traditional stock purchase","Paragon 28, Inc.","100000010964","Paragon 28, Inc.","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","236744","1235102971","Robert",,"Olson",,"2345 COURT DRIVE",,"Gastonia","NC","28054","United States",,,"Doctor of Podiatric Medicine","Podiatric Medicine & Surgery Service Providers|Podiatrist|Foot & Ankle Surgery","728175123","2020",50000.01,137500.11,"Traditional share purchase","Paragon 28, Inc.","100000010964","Paragon 28, Inc.","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","119602","1629087242","Anthony",,"Ricciardi",,"7135 W SAHARA AVE SUITE 201",,"Las Vegas","NV","89117","United States",,,"Doctor of Podiatric Medicine","Podiatric Medicine & Surgery Service Providers|Podiatrist","728175153","2020",50000.00,330000.00,"Traditional stock purchase.","Paragon 28, Inc.","100000010964","Paragon 28, Inc.","CO","United States","No","Immediate family member","06/30/2023" "UNCHANGED","232873","1134113376","Bhavesh","V","Balar",,"326 Professional View Drive",,"Freehold","NJ","07728","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Hematology & Oncology","729093557","2020",0.00,9000.00,"Common Stock","Cornerstone Specialty Network LLC","100000216802","Cornerstone Specialty Network LLC","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","87582","1942392899","Paul","A","Bannen",,"1811 Prince Philip Drive","Suite 327","Olney","MD","20832","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Hematology & Oncology","729093559","2020",0.00,9000.00,"Common Stock","Cornerstone Specialty Network LLC","100000216802","Cornerstone Specialty Network LLC","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","59308","1326073677","Seth","H","Berk",,"564 Eaglebrook Drive",,"Moorestown","NJ","07751","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Hematology & Oncology","729093561","2020",0.00,9000.00,"Common Stock","Cornerstone Specialty Network LLC","100000216802","Cornerstone Specialty Network LLC","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","178232","1922004399","Scott",,"Blair",,"810 Jasonway Ave","Suite A","Columbus","OH","43214","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Hematology & Oncology","729093563","2020",0.00,9000.00,"Common Stock","Cornerstone Specialty Network LLC","100000216802","Cornerstone Specialty Network LLC","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","175674","1881663284","Ralph","V","Boccia",,"19735 Germantown Rd","Suite 255","Germantown","MD","20874","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Hematology & Oncology","729093565","2020",0.00,9000.00,"Common Stock","Cornerstone Specialty Network LLC","100000216802","Cornerstone Specialty Network LLC","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","765540","1124172697","Justin","A","Call",,"1121 East 3900 South","Suite C230","Salt Lake City","UT","84124","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Hematology & Oncology","729093567","2020",0.00,7071.43,"Common Stock","Cornerstone Specialty Network LLC","100000216802","Cornerstone Specialty Network LLC","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","216560","1760595516","Brian","F","Canavan",,"1510 Rahway Road",,"Scotch Plains","NJ","07076","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Hematology & Oncology","729093572","2020",0.00,5000.00,"Common Stock","Cornerstone Specialty Network LLC","100000216802","Cornerstone Specialty Network LLC","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","585367","1801845730","Nitin","B","Chandramouli",,"1121 East 3900 South","Suite C230","Salt Lake City","UT","84124","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Medical Oncology","729093575","2020",0.00,7071.43,"Common Stock","Cornerstone Specialty Network LLC","100000216802","Cornerstone Specialty Network LLC","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","235870","1215066980","Jumana","S","Chatiwala",,"5 Forest Hill Dr",,"Wayne","NJ","07470","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine","729093579","2020",0.00,9000.00,"Common Stock","Cornerstone Specialty Network LLC","100000216802","Cornerstone Specialty Network LLC","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","9023","1194753350","Aileen","Lim","Chen",,"1 Carla Court",,"Holmdel","NJ","07733","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Hematology & Oncology","729093581","2020",0.00,9000.00,"Common Stock","Cornerstone Specialty Network LLC","100000216802","Cornerstone Specialty Network LLC","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","202430","1457493967","Gregory","C","Chipman",,"1121 East 3900 South","Suite C230","Salt Lake City","UT","84124","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Medical Oncology","729093587","2020",0.00,7071.43,"Common Stock","Cornerstone Specialty Network LLC","100000216802","Cornerstone Specialty Network LLC","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","140021","1073719449","NORA",,"HSU",,"5425 W SPRING CREEK PKWY","STE 280","PLANO","TX","75024","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","735527589","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1276393","1477558401","SUSAN",,"HUNTER",,"626 N ED CAREY DR",,"HARLINGEN","TX","78550","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","735527599","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","161845","1578571998","FARHINA",,"IMTIAZ",,"9533 HUFFMEISTER RD",,"HOUSTON","TX","77095","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","735527849","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","329383","1255330064","TERESA",,"IRWIN",,"1305 WONDER WORLD DR","#209","SAN MARCOS","TX","78666","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","735527877","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","742139","1316102767","ROJINA",,"JASANI",,"8455 9TH AVE","STE A","PORT ARTHUR","TX","77642","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","735527897","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","100802","1225091481","RALPH",,"JOSEPH",,"5425 W. SPRING CREEK PKWY","SUITE 280","PLANO","TX","75024","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","735529687","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","5454","1114911310","SHEA",,"JOYNER",,"7900 HENNEMAN WAY",,"MCKINNEY","TX","75070","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","735530627","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1265069","1699913343","Sandi",,"Lam",,"225 E Chicago Ave.",,"Chicago","IL","60611","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","735530633","2020",0.01,211910.14,"diluted estimate at present based upon contributions","Phasor Health, LLC","100000511827","Phasor Health, LLC","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1058691","1427230291","Ray",,"Braquet",,"4605 Country Club Road",,"Winston Salem","NC","27104","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730215655","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","906333","1083686463","Daniel",,"Breazeale",,"2615 Lake Drive","Suite 201","Raleigh","NC","27607","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730223913","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","329684","1275583742","DEBRA",,"BRENIN-GOLDFISCHER",,"111 Madison Ave","Suite 308","Morristown","NJ","07960","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730230943","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","4218708","1134567787","Brian",,"Brimmage",,"4414 Lake Boone Trail","Suite 405","Raleigh","NC","27607","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730240031","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","905701","1053660530","JENIFER",,"BRISCOE-BRIMMAGE",,"4414 Lake Boone Trail","Suite 405","Raleigh","NC","27607","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730250447","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1076431","1053343863","Faith",,"Brosch",,"4745 OGLETOWN STANTON RD","Suite 207","Newark","DE","19713","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730257763","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","280060","1184691685","Michael",,"Buckley",,"4414 Lake Boone Trail","Suite 308","Raleigh","NC","27607","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","730268921","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","720712","1548232093","Marc",,"Messineo",,"200 W Main Street","Suite A103","Babylon","NY","11702","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731278633","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","341740","1548229461","Naomi",,"Miller",,"101 Madison Ave","Suite 405","Morristown","NJ","07960","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731278657","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","547836","1497726731","Ann",,"Miller",,"120 Conner Drive","Suite 101","Chapel Hill","NC","27514","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731278673","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","298210","1568572014","Jeffrey",,"Miller",,"877 Stewart Avenue","Ste 9","Garden City","NY","11530","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731278873","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","187927","1154310043","Jacqueline",,"Mims",,"111 HANESTOWN CT","Suite 151","Winston Salem","NC","27103","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731278889","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","99636","1194751016","Nina",,"Mohammed",,"1777 Hamburg Turnpike","Suite 202","Wayne","NJ","07470","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731278931","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","145657","1205919065","Robert",,"Mohr",,"390 Route 10","Suite 1","Randolph","NJ","07869","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731278943","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","130909","1871562009","Linda",,"Mohr",,"901 Ridgefield Drive",,"Raleigh","NC","27609","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","731278955","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","340104","1487776373","Sameer","P","Desai",,"16 Cottonwood Drive",,"Windsor","NJ","08550","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Hematology & Oncology","729093589","2020",0.00,5000.00,"Common Stock","Cornerstone Specialty Network LLC","100000216802","Cornerstone Specialty Network LLC","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","135810","1982692851","Bruno","S","Fang",,"J2 Brier Hill Ct",,"East Brunswick","NJ","08816","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Hematology & Oncology","729093595","2020",0.00,9000.00,"Common Stock","Cornerstone Specialty Network LLC","100000216802","Cornerstone Specialty Network LLC","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","353776","1801887286","Robert","P","Fein",,"75 Veronica Ave","Suite 201","Somerset","NJ","08873","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Hematology & Oncology","729093597","2020",0.00,5000.00,"Common Stock","Cornerstone Specialty Network LLC","100000216802","Cornerstone Specialty Network LLC","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","329074","1265427223","Denis",,"Fitzgerald",,"12 Oak Glen Lane",,"Colts Neck","NJ","07722","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Hematology & Oncology","729093599","2020",0.00,9000.00,"Common Stock","Cornerstone Specialty Network LLC","100000216802","Cornerstone Specialty Network LLC","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","592912","1073563516","Richard","N","Frame",,"1121 East 3900 South","Suite C230","Salt Lake City","UT","84124","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Medical Oncology","729093605","2020",0.00,7071.43,"Common Stock","Cornerstone Specialty Network LLC","100000216802","Cornerstone Specialty Network LLC","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","262739","1780645911","Loren",,"Godfrey",,"92 2nd Street",,"Hackensack","NJ","07601","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Radiology|Radiation Oncology","729093607","2020",0.00,9000.00,"Common Stock","Cornerstone Specialty Network LLC","100000216802","Cornerstone Specialty Network LLC","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","313325","1912903386","Andrew","V","Grainger",,"810 Jasonway Ave","Suite A","Columbus","OH","43214","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Hematology & Oncology","729093611","2020",0.00,9000.00,"Common Stock","Cornerstone Specialty Network LLC","100000216802","Cornerstone Specialty Network LLC","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","89716","1972554459","Xylina","T","Gregg",,"1121 East 3900 South","Suite C230","Salt Lake City","UT","84124","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Medical Oncology","729093615","2020",0.00,7071.43,"Common Stock","Cornerstone Specialty Network LLC","100000216802","Cornerstone Specialty Network LLC","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","104828","1326087917","Steven",,"Hager",,"7130 North Millbrook Avenue","Suite 100","Fresno","CA","93720","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Hematology & Oncology","729093617","2020",800.00,1400.00,"Common Stock","Cornerstone Specialty Network LLC","100000216802","Cornerstone Specialty Network LLC","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","83772","1841277803","Bohdan","E","Halibey",,"10 Old Coach Road",,"Randolph","NJ","07869","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Medical Oncology","729093621","2020",0.00,9000.00,"Common Stock","Cornerstone Specialty Network LLC","100000216802","Cornerstone Specialty Network LLC","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","150742","1316924772","Ian",,"Horkheimer",,"3 Thunder Lane",,"Colts Neck","NJ","07722","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Hematology & Oncology","729093624","2020",0.00,9000.00,"Common Stock","Cornerstone Specialty Network LLC","100000216802","Cornerstone Specialty Network LLC","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","168961","1710940127","Anthony",,"Ingenito",,"92 2nd Street",,"Hackensack","NJ","07601","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Radiology|Radiation Oncology","729093629","2020",0.00,9000.00,"Common Stock","Cornerstone Specialty Network LLC","100000216802","Cornerstone Specialty Network LLC","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","267446","1891754685","Charanjeev",,"Kapoor",,"15 Penwood Crossing",,"Glastonbury","CT","06033","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine","729093631","2020",0.00,9000.00,"Common Stock","Cornerstone Specialty Network LLC","100000216802","Cornerstone Specialty Network LLC","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","933678","1033293196","Stephan","Disean","Kendall",,"1121 East 3900 South","Suite C230","Salt Lake City","UT","84124","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Medical Oncology","729093635","2020",0.00,7071.43,"Common Stock","Cornerstone Specialty Network LLC","100000216802","Cornerstone Specialty Network LLC","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","134335","1952522732","Aysha",,"Khalid",,"1225 Kennedy Blvd",,"Bayonne","NJ","07002","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Hematology & Oncology","729093639","2020",0.00,5000.00,"Common Stock","Cornerstone Specialty Network LLC","100000216802","Cornerstone Specialty Network LLC","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","347588","1669661849","Shawn",,"Beck",,"1301 West Stewart Drive","Suite 402","Orange","CA","92868","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139331","2020",0.00,84937.17,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","964152","1104148014","Shahin",,"Chandrasoma",,"2601 West Alameda Ave","Suite 412","Burbank","CA","91505","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139333","2020",0.00,84937.17,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","184226","1073567434","Kambiz",,"Dardashti",,"23600 Telo Ave","Suite 220","Torrance","CA","90505","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139335","2020",3347.80,324305.56,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","246476","1427158245","Richard",,"David",,"5522 Sepulveda Blvd",,"Sherman Oaks","CA","91411","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139337","2020",3347.80,324305.56,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","696351","1689815458","Lawrence",,"Flechner",,"23600 Telo Avenue","Suite 220","Torrance","CA","90505","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139339","2020",3347.80,324305.56,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","270455","1952350829","Lamia",,"Gabal-Shehab",,"16300 Sand Canyon Ave","Suite 405","Irvine","CA","92618","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139341","2020",0.00,84937.17,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","294406","1487642492","Michael",,"Hyman",,"2601 West Alameda Ave","Suite 412","Burbank","CA","91505","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139343","2020",0.00,84937.17,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","33390","1740236066","Alec",,"Koo",,"3445 Pacific Coast Hwy","Suite 310","Torrance","CA","90505","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139345","2020",3347.80,324305.56,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","183604","1053436550","Timothy",,"Lesser",,"20911 Earl Street","Suite 140","Torrance","CA","90503","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139347","2020",3347.80,324305.56,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","351306","1740201623","Garrett",,"Matsunaga",,"20911 Earl Street","Suite 140","Torrance","CA","90503","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139349","2020",3347.80,324305.56,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","7029","1164666228","Shelby",,"Morrisroe",,"20911 Earl Street","Suite 140","Torrance","CA","90503","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139351","2020",3347.80,239368.39,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1308334","1114994274","Soheil",,"Niku",,"16661 VENTURA BOULEVARD",,"ENCINO","CA","91436","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139353","2020",0.00,84937.17,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","267904","1912983818","Brian",,"Norouzi",,"1301 West Stewart Drive","Suite 402","Orange","CA","92868","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139355","2020",0.00,84937.17,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","146340","1225059108","Farhad",,"Nowzari",,"3400 Lomita Blvd","Suite 502","Torrance","CA","90505","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139357","2020",3347.80,324305.56,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","60194","1336192301","Royal",,"Park",,"3445 Pacific Coast Hwy","Suite 310","Torrance","CA","90505","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139359","2020",3347.80,324305.56,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","302110","1669637013","Mayank",,"Patel",,"18370 Burbank Blvd","Suite 514","Tarzana","CA","91356","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139361","2020",3347.80,239368.39,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","70681","1578587366","Joy",,"Paul",,"20911 Earl Street","Suite 140","Torrance","CA","90503","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139363","2020",0.00,84937.17,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","9327","1215901574","DAVID","L","POLLIFRONE","MD","2512 E DUPONT RD SUITE 100",,"FORT WAYNE","IN","46825-1675","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748292231","2020",466.48,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","197081","1356447759","VIRGILIO","ARPON","PONFERRADA","MD","9163 NORTH COUNTY ROAD 25-A",,"PIQUA","OH","45356","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748292233","2020",824.81,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","361391","1952371924","MAHENDRA","M","PUJARA","MD","1630 MOUNT HOPE AVE",,"POTTSVILLE","PA","17901-1337","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748292237","2020",328.74,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","142554","1154302263","JOEL","F","RACH","MD","900 W MAIN ST",,"MONONGAHELA","PA","15063-2818","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748292239","2020",36.16,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","334471","1356479018","JAY","DILIP","RAMAN","M.D.","500 UNIVERSITY DR",,"HERSHEY","PA","17033-2360","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748292241","2020",328.74,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","44934","1992700975","MICHAEL","G","RASHID","MD","3500 EXECUTIVE PKWY",,"TOLEDO","OH","43606-1319","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748292243","2020",328.74,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","362630","1992762892","THOMAS","M","RASHID","MD","200 E PENNSYLVANIA AVE",,"PEORIA","IL","61603-3089","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748292247","2020",328.74,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","144260","1174591515","GERALD","ALAN","RAVITZ","M.D.","100 E UNION ST",,"POTTSVILLE","PA","17901-3519","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748292249","2020",328.74,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","319310","1033276902","PRAMOD","P","REDDY","MD","3333 BURNET AVENUE ML 5037",,"CINCINNATI","OH","45229-3039","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology|Pediatric Urology","748292251","2020",328.74,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","251940","1548297252","CHURPHENA",,"REID","M.D.","1001 MAIN ST SUITE 201",,"PEORIA","IL","61606-1907","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748292253","2020",127.06,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","360230","1922041938","BENJAMIN","KEONBOH","RHEE","M.D.","1725 COOK AVE",,"ORLANDO","FL","32086-2911","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748292257","2020",328.74,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","291411","1437116324","JOHN","C","RICHIER","MD","7309 N KNOXVILLE AVE",,"PEORIA","IL","61614-2085","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748292259","2020",328.74,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","17477","1376639385","MATTHEW","R.","RIEBEL","M.D.","350 W WILSON BRIDGE RD STE 100",,"WORTHINGTON","OH","43085-2590","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748292261","2020",369.83,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","337076","1427036664","Michael",,"Fabrizio",,"225 Clearfield Avenue",,"Virginia Beach","VA","23462","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139641","2020",0.00,849363.78,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","337076","1427036664","Michael",,"Fabrizio",,"225 Clearfield Avenue",,"Virginia Beach","VA","23462","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139643","2020",215528.76,215528.76,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","58982","1295839827","Allen","A","Futral",,"4181 Hospital Drive","Suite 303","Covington","GA","30014","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139645","2020",0.00,84936.38,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1055095","1285602151","Andrew",,"Grudzinski",,"10081 Beach Drive SW",,"Calabash","NC","28467","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139647","2020",0.00,84936.38,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1033629","1548279797","Brett",,"Trockman",,"610 E Roosevelt Rd","Suite 203","Wheaton","IL","60187","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139649","2020",0.00,84936.38,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","161867","1568412716","Christopher",,"Coogan",,"1725 W Harrison St","Suite 758","Chicago","IL","60612","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139651","2020",0.00,84936.38,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","175363","1861472961","Christopher",,"Graham",,"255 E Sonterra Blvd","Suites 200","San Antonio","TX","78258","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139653","2020",0.00,84936.38,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","134287","1952381063","Clayton",,"Hudnall",,"7909 Fredericksburg Rd","Suites 120","San Antonio","TX","78229","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139655","2020",0.00,84936.38,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1179193","1669403432","Daniel",,"Dalton",,"676 N St Clair","Suite 1835","Chicago","IL","60611","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139657","2020",0.00,84936.38,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","279955","1184680654","Daniel",,"Merrick",,"5215 N California","Suite F 803","Chicago","IL","60625","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139659","2020",0.00,84936.38,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","42094","1922088947","Daniel","R","Saltzstein",,"255 E Sonterra Blvd","Suites 200","San Antonio","TX","78258","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139661","2020",0.00,84936.38,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","34769","1770563173","David","R","Talley",,"12709 Toepperwein Rd","Suite 206","San Antonio","TX","78233","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139663","2020",0.00,84936.38,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","211072","1669480950","David",,"Zumerchik",,"9760 S Kedzie Ave","Suite 6","Evergreen Park","IL","60805","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139665","2020",0.00,84936.38,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","96209","1134137417","Frederick","E","Wohlberg",,"9760 S Kedzie Ave","Suite 6","Evergreen Park","IL","60805","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139667","2020",0.00,84936.38,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","199736","1417960758","George",,"Moran",,"5201 S Willow Springs Rd",,"LaGrange","IL","60525","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139669","2020",0.00,84936.38,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","178176","1932176195","Glenn",,"Gangi",,"2835 E Highway 76","Suite 3","Mullins","SC","29574","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139671","2020",0.00,84936.38,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","299854","1629032115","H","Merrill","Matschke",,"900 N Westmoreland","Suite 125","Lake Forest","IL","60045","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139673","2020",0.00,84936.38,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","758310","1861464844","Douglas",,"Dodson",,"2301 Indian Wells Road Suite A",,"Alamogordo","NM","88310","United States",,,"Doctor of Osteopathy",,"745341711","2020",23.17,1296.98,"Limited Liability Company Membership Interest","Sequoia Surgical Distributors, LLC","100000011099","Sequoia Surgical Distributors, LLC","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","353961","1801840491","Thomas",,"Eickmann",,"80 Health Park Dr. Suite 230",,"Louisville","CO","80027","United States",,,"Medical Doctor",,"745341731","2020",23.17,1296.98,"Limited Liability Company Membership Interest","Sequoia Surgical Distributors, LLC","100000011099","Sequoia Surgical Distributors, LLC","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","250311","1528051018","Anant",,"Kumar",,"7720 S Broadway Suite 240",,"Littleton","CO","80122","United States",,,"Medical Doctor",,"745341807","2020",23.17,1296.98,"Limited Liability Company Membership Interest","Sequoia Surgical Distributors, LLC","100000011099","Sequoia Surgical Distributors, LLC","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","242579","1356388045","Bryan","A","Castro",,"80 Health Park Dr. Suite 230",,"Louisville","CO","80027","United States",,,"Medical Doctor",,"745341823","2020",23.17,1296.98,"Limited Liability Company Membership Interest","Sequoia Surgical Distributors, LLC","100000011099","Sequoia Surgical Distributors, LLC","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","351488","1730281254","Frank",,"Feng",,"1337 S. Lovers Lane",,"Visalia","CA","93292","United States",,,"Doctor of Osteopathy",,"745347459","2020",2903.54,162534.19,"Limited Liability Company Membership Interest","Sequoia Surgical Distributors, LLC","100000011099","Sequoia Surgical Distributors, LLC","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","65688","1437269206","Burton",,"Redd",,"820 S Akers St. #220",,"Visalia","CA","93277","United States",,,"Medical Doctor",,"745366159","2020",183.77,10286.97,"Limited Liability Company Membership Interest","Sequoia Surgical Distributors, LLC","100000011099","Sequoia Surgical Distributors, LLC","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1310877","1588690556","John",,"Duda",,"60 TOWNSHIP LINE RD",,"Elkins Park","PA","19027","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Foot and Ankle Surgery","745468081","2020",9982.50,11979.00,"Traditional share purchase.","Paragon 28, Inc.","100000010964","Paragon 28, Inc.","CO","United States","No","Immediate family member","06/30/2023" "UNCHANGED","86225","1912969635","Ali",,"Araghi",,"10457 E. SUNNY SIDE DRIVE",,"SCOTTSDALE","AZ","85259","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","746398461","2020",0.00,400.00,"stock and or options","Spine Wave, Inc.","100000010549","Spine Wave, Inc.","CT","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","68860","1528006731","Hyun",,"Bae",,"211 MILLS",,"SANTA MONICA","CA","90405","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","746398463","2020",0.00,2166.60,"stock and or options","Spine Wave, Inc.","100000010549","Spine Wave, Inc.","CT","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","212261","1679523260","John","D","Barr",,"4058 LAGO DI GRATA CIRCLE",,"SAN DIEGO","CA","92130","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Radiology|Vascular & Interventional Radiology","746398465","2020",0.00,1200.00,"stock and or options","Spine Wave, Inc.","100000010549","Spine Wave, Inc.","CT","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","212671","1689756447","Christopher",,"Comey",,"146 SILVER BIRCH ROAD",,"LONGMEADOW","MA","01106","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","746398467","2020",0.00,2000.00,"stock and or options","Spine Wave, Inc.","100000010549","Spine Wave, Inc.","CT","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","238003","1265430029","Domagoj",,"Coric",,"225 BALDWIN AVE",,"CHARLOTTE","NC","28204","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","746398469","2020",0.00,209698.08,"stock and or options","Spine Wave, Inc.","100000010549","Spine Wave, Inc.","CT","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","325032","1164445847","Robert","V","Dawe",,"C/O OTHROPAEDIC SPECIALITY GROUP","305 BLACK ROCK TPKE","FAIRFIELD","CT","06825","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","746398471","2020",0.00,400.00,"stock and or options","Spine Wave, Inc.","100000010549","Spine Wave, Inc.","CT","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","179390","1962400861","Frederick","E","Finger",,"225 BALDWIN AVE",,"CHARLOTTE","NC","28204","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","746398473","2020",0.00,55679.78,"stock and or options","Spine Wave, Inc.","100000010549","Spine Wave, Inc.","CT","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","311622","1861451874","Kevin","T","Foley",,"9460 INGLEWOOD COVE",,"GERMANTOWN","TN","38139","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","746398475","2020",0.00,1568445.72,"stock and or options","Spine Wave, Inc.","100000010549","Spine Wave, Inc.","CT","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","127499","1811992449","Regis","W","Haid",,"76 MONTGOMERY FERRY DRIVE",,"ATLANTA","GA","30309","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","746398479","2020",0.00,116505.18,"stock and or options","Spine Wave, Inc.","100000010549","Spine Wave, Inc.","CT","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","168667","1720165640","William","A","Gray",,"100 E Lancaster Ave",,"Wynnewood","PA","19096","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Interventional Cardiology","748134339","2020",0.00,26699.75,"All Ownership repurchased in 2020 at original investment price","Contego Medical, Inc","100000506818","Contego Medical, Inc","NC","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","318693","1013915552","Benjamin","G","Atkeson",,"2076 NC Highway 42 W","#100","Clayton","NC","27520","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Cardiovascular Disease","748134341","2020",0.00,29999.98,"Preferred Stock Investment","Contego Medical, Inc","100000506818","Contego Medical, Inc","NC","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","322816","1104930338","Sorin","J","Brener",,"506 6th St",,"Brooklyn","NY","11215","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Cardiovascular Disease","748134345","2020",0.00,1700.00,"Common Stock","Contego Medical, Inc","100000506818","Contego Medical, Inc","NC","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","268527","1932104387","Gary","M","Ansel",,"3705 Olentangy River Rd","Suite 100","Columbus","OH","43214","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Interventional Cardiology","748134349","2020",0.00,1700.00,"Common Stock","Contego Medical, Inc","100000506818","Contego Medical, Inc","NC","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","864715","1629076161","Ravish",,"Sachar",,"3000 New Bern Ave","G-100","Raleigh","NC","27610","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Interventional Cardiology","748134351","2020",0.00,2678086.03,"Common and Preferred Stock","Contego Medical, Inc","100000506818","Contego Medical, Inc","NC","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","127963","1811089766","Sanjay","S","Yadav",,"275 Collier Rd NW","Suite 500","Atlanta","GA","30309","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Cardiovascular Disease","748134355","2020",0.00,1001844.58,"Common and Preferred Stock","Contego Medical, Inc","100000506818","Contego Medical, Inc","NC","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","878955","1124026695","James","Tift","Mann",,"3000 New Bern Ave","G-100","Raleigh","NC","27610","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Interventional Cardiology","748134357","2020",0.00,4080.00,"Common Stock","Contego Medical, Inc","100000506818","Contego Medical, Inc","NC","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","192162","1245269513","Pavan","K","Yerramsetty",,"1540 Sunday Dr",,"Raleigh","NC","27607","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Psychiatry & Neurology|Pain Medicine","748134361","2020",0.00,24999.75,"Preferred Stock Investment","Contego Medical, Inc","100000506818","Contego Medical, Inc","NC","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","216561","1790710812","Myles",,"Brager","MD","1 Village Sq",,"Westminster","MD","21157","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","748143823","2020",0.00,145.00,"Stock and or options","Advanced Vertebral Solutions LLC","100000061347","Advanced Vertebral Solutions LLC","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1013205","1821157041","Charles","J","Goodis","DDS","5600 Wyoming Blvd NE","Suite 100","Albuquerque","NM","87109","United States",,,"Doctor of Dentistry","Dental Providers|Dentist|Endodontics","748143825","2020",3580063.57,19602032.00,"42.415% Ownership in 2020","Edge Endo LLC","100000026244","Edge Endo LLC","NM","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","83390","1851369979","Randal",,"Betz","MD","3100 Princeton Pike",,"Lawrenceville","NJ","08648","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","748144031","2020",0.00,75.00,"Stock and or options","Advanced Vertebral Solutions LLC","100000061347","Advanced Vertebral Solutions LLC","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1210535","1750610689","Virinder",,"Nohria",,"195 Thomspon Place",,"Rosewell","GA","30076","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Psychiatry & Neurology|Neurology with Special Qualifications in Child Neurology","748252301","2020",0.00,58453.00,"Combination of preferred and common sock units.","Saol Therapeutics Inc.","100000151581","Saol Therapeutics Inc.","GA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","444939","1861542300","Barry",,"Bartee",,"4620 71st Street","Building 78","Lubbock","TX","79424","United States",,,"Doctor of Dentistry","Dental Providers|Dentist|General Practice","748252499","2020",1.00,2521277.50,"50% partner in ownership of company","Osteogenics Biomedical Inc.","100000000290","Osteogenics Biomedical Inc.","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","444939","1861542300","Barry",,"Bartee",,"4620 71st Street","Building 78","Lubbock","TX","79424","United States",,,"Doctor of Dentistry","Dental Providers|Dentist|General Practice","748252527","2020",1.00,2521277.50,"50% partner in ownership of company 2nd owner is Chaddick Bartee, brother of Barry Bartee; Chaddick is not a physician so I used Barry Bartee's information to input this information","Osteogenics Biomedical Inc.","100000000290","Osteogenics Biomedical Inc.","TX","United States","No","Immediate family member","06/30/2023" "UNCHANGED","304120","1700978871","HERBERT","WILLIAM","RIEMENSCHNEIDER","MD","4845 KNIGHTSBRIDGE BLVD SUITE 200","RIVERSIDE UROLOGY INC","COLUMBUS","OH","43214-2463","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748292265","2020",755.94,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","220455","1871557470","FRANCIS","M","ROMMEL","M.D.","2106 HARRISBURG PIKE SUITE 200",,"LANCASTER","PA","17601-2644","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748292267","2020",328.74,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","275666","1093710048","THOMAS","KOSTAS","ROSVANIS","M.D.","2580 HAYMAKER RD STE 401",,"MONROEVILLE","PA","15146-3500","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748292269","2020",132.48,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","110842","1447206933","RAYMOND","SCOTT","RUSSELL","M.D.","4000 MIAMISBURG CENTERVILLE RD SUITE 405",,"MIAMISBURG","OH","45342-7615","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748292271","2020",369.83,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","259976","1720041981","PAUL","J","RUSSINKO","M.D.","2106 HARRISBURG PIKE SUITE 200",,"LANCASTER","PA","17601-2644","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748292275","2020",227.98,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","316396","1962594325","TIMOTHY","GEORGE","SCHUSTER","MD","3500 EXECUTIVE PKWY",,"TOLEDO","OH","43606-1319","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748292277","2020",328.74,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","305219","1710983812","ASHWIN","H","SHAH","MD","730 N MACOMB ST STE 319",,"MONROE","MI","48162-2904","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748292279","2020",289.46,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","77777","1720087166","ARNOLD","J","SHOLDER","MD","1050 BOWER HILL RD",,"PITTSBURGH","PA","15243-1800","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748292281","2020",295.87,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","174335","1851375026","PAUL","R","SIEBER","M.D.","2106 HARRISBURG PIKE SUITE 200",,"LANCASTER","PA","17601-2644","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748292283","2020",328.74,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","209994","1629141577","ERROL","ONEIL","SINGH","M.D.","4845 KNIGHTSBRIDGE BLVD STE 100",,"COLUMBUS","OH","43214","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748292287","2020",466.48,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","107225","1366427197","AMY","D","SRODES","M.D.","3000 STONEWOOD DR SUITE 200",,"WEXFORD","PA","15090-8317","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748292289","2020",328.74,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","337729","1457312597","WILLIAM","ALVIN","STALLWORTH","M.D.","1272 W MAIN ST STE 401",,"NEWARK","OH","43055-2056","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748292291","2020",28.76,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","214228","1720029903","DAVID","W","STEWART","M.D.","701 TECH CENTER DR",,"GAHANNA","OH","43230-1987","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748292293","2020",526.15,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","172376","1801841523","James",,"Fogarty",,"394 Singleton Ridge Rd",,"Conway","SC","29526","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139675","2020",0.00,84936.38,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","63069","1396859039","John",,"Case",,"255 E Sonterra Blvd","Suites 200","San Antonio","TX","78258","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139677","2020",0.00,84936.38,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","2198","1053397851","John","J","Cudecki",,"2850 S Wabash Ave","Suite 106","Chicago","IL","60616","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139679","2020",0.00,84936.38,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","141800","1134143613","Joseph",,"Nuzzarello",,"610 E Roosevelt Rd","Suite 203","Wheaton","IL","60187","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139681","2020",0.00,84936.38,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","175798","1881640746","Joseph",,"Wood",,"394 Singleton Ridge Rd",,"Conway","SC","29526","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139683","2020",0.00,84936.38,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","77389","1700060704","Justin",,"Cohen",,"900 N Westmoreland","Suite 125","Lake Forest","IL","60045","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139685","2020",0.00,84936.38,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","303865","1699724138","Kalyan",,"Latchamsetty",,"1725 W Harrison St","Suite 758","Chicago","IL","60612","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139687","2020",0.00,84936.38,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","463896","1528216108","Kelly",,"Maxwell",,"676 N St Clair","Suite 1835","Chicago","IL","60611","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139689","2020",0.00,84936.38,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","39948","1871575100","Kenneth",,"Stallman",,"7909 Fredericksburg Rd","Suites 120","San Antonio","TX","78229","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139691","2020",0.00,84936.38,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1134207","1073577045","Kristopher","N","Atzeff",,"900 N Westmoreland","Suite 125","Lake Forest","IL","60045","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139693","2020",0.00,84936.38,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1231981","1518947613","Le Roy",,"Jones",,"7909 Fredericksburg Rd","Suites 120","San Antonio","TX","78229","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139695","2020",0.00,84936.38,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1066950","1710943220","Lester","J","Raff",,"2225 Enterprise Dr","2511","Westchester","IL","60154","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139697","2020",0.00,84936.38,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","264254","1811942600","Marek",,"Stobnicki",,"7900 N Milwaukee Ave","Suite 17","Niles","IL","60714","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139699","2020",0.00,84936.38,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","223762","1942419924","Rashel",,"Haverkorn",,"11212 State Hwy 151","Suite 180","San Antonio","TX","78251","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139701","2020",0.00,84936.38,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","133620","1942248794","Mark",,"Brandt",,"7900 N Milwaukee Ave","Suite 17","Niles","IL","60714","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139703","2020",0.00,84936.38,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","148067","1275599219","Matthew",,"Meadows",,"5215 N California","Suite F 803","Chicago","IL","60625","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139705","2020",0.00,84936.38,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","268660","1922277268","Michael","S","Gomez",,"2850 S Wabash Ave","Suite 106","Chicago","IL","60616","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139707","2020",0.00,84936.38,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","72692","1598758880","Wesley","J","Johnson",,"8091 SPRUCE TRAIL",,"EDEN PRAIRIE","MN","55347","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","746398481","2020",0.00,800.00,"stock and or options","Spine Wave, Inc.","100000010549","Spine Wave, Inc.","CT","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","93021","1053382366","Mark","R","McLaughlin",,"4547 PROVINCE LINE ROAD",,"PRINCETON","NJ","08540","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","746398483","2020",0.00,200.00,"stock and or options","Spine Wave, Inc.","100000010549","Spine Wave, Inc.","CT","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","222583","1912089582","Luiz","A","Pimenta",,"CB#7450 101 BRAUER HALL",,"CHAPEL HILL","NC","27599","United States",,,"Medical Doctor","Dental Providers|Dentist|General Practice","746398485","2020",0.00,1200.00,"stock and or options","Spine Wave, Inc.","100000010549","Spine Wave, Inc.","CT","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","112020","1487626768","William",,"Rosenberg",,"6420 PROSPECT AVE","SUITE T411","KANSAS CITY","MO","64132","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Psychiatry & Neurology|Pain Medicine","746398489","2020",0.00,2000.00,"stock and or options","Spine Wave, Inc.","100000010549","Spine Wave, Inc.","CT","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","198950","1376653378","Harvinder",,"Sandhu",,"523 E 72ND STREET","3RD FLOOR","NEW YORK","NY","10021","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","746398491","2020",0.00,293836.44,"stock and or options","Spine Wave, Inc.","100000010549","Spine Wave, Inc.","CT","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","266594","1881649689","Gary",,"Shapiro",,"2401 RAVINE WAY","SUITE 200","GLENVIEW","IL","60025","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","746398493","2020",0.00,55879.78,"stock and or options","Spine Wave, Inc.","100000010549","Spine Wave, Inc.","CT","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","816408","1912998600","Maurice","M","Smith",,"9285 OAK KNOLL COVE",,"CORDOVA","TN","38018","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","746398497","2020",0.00,99613.82,"stock and or options","Spine Wave, Inc.","100000010549","Spine Wave, Inc.","CT","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","53093","1184622060","Craig","Andrew","Vanderveer",,"4135 MOORLAND DRIVE",,"CHARLOTTE","NC","28226","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","746398499","2020",0.00,289028.10,"stock and or options","Spine Wave, Inc.","100000010549","Spine Wave, Inc.","CT","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","122750","1700884723","ANIS",,"MEKHAIL",,"7600 W College Drive",,"Palos Heights","IL","60463","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","746402127","2020",0.00,4191911.00,"PARTNERSHIP SHARES","SpineCraft, LLC","100000011058","SpineCraft, LLC","IL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","189678","1174519862","KAMAL",,"IBRAHIM",,"133 E Brush Hill Road",,"ELMHURST","IL","60126","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","746402129","2020",0.00,3143934.00,"PARTNERSHIP SHARES","SpineCraft, LLC","100000011058","SpineCraft, LLC","IL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","567429","1184610107","LUCY",,"IBRAHIM",,"1280 Windham Parkway",,"Romeoville","IL","60446","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Psychiatry & Neurology|Psychiatry","746402133","2020",0.00,3143934.00,"PARTNERSHIP SHARES","SpineCraft, LLC","100000011058","SpineCraft, LLC","IL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1015906","1922051648","STEVEN",,"MARDJETKO",,"9000 Waukegan Road",,"Morton Grove","IL","60053","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","746402135","2020",0.00,4191911.00,"PARTNERSHIP SHARES","SpineCraft, LLC","100000011058","SpineCraft, LLC","IL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","15914","1346236163","STEVEN",,"MATHER",,"4115 Fairview Avenue",,"Downers Grove","IL","60515","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","746402137","2020",0.00,4191911.00,"PARTNERSHIP SHARES","SpineCraft, LLC","100000011058","SpineCraft, LLC","IL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","206083","1558569087","Ronald","Todd","Plott",,"12469 Timberland Blvd","Suite 501","Keller","TX","76244","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Dermatology","746592249","2020",275000.00,99000.00,"Shares of Stock","Medimetriks Pharmaceuticals, Inc.","100000000134","Medimetriks Pharmaceuticals, Inc.","NJ","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","735958","1083632038","Steven",,"Arsht",,"10 UNION SQUARE- EAST","Suite 3M","New York","NY","10003","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","746592257","2020",41952.00,34848.00,"Shares of Stock","Medimetriks Pharmaceuticals, Inc.","100000000134","Medimetriks Pharmaceuticals, Inc.","NJ","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","138045","1033229588","Charles",,"Edwards","I","301 St Paul Place",,"Baltimore","MD","21202","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","748252673","2020",0.00,124699.00,"Limited Liability Company Membership Interest","Millennium Spine, LLC","100000011067","Millennium Spine, LLC","MD","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","329878","1265625941","Justin",,"Park",,"301 St Paul Place",,"Baltimore","MD","21202","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","748252699","2020",0.00,138555.00,"Limited Liability Company Membership Interest","Millennium Spine, LLC","100000011067","Millennium Spine, LLC","MD","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","51605","1144431180","Clayton",,"Dean",,"301 St Paul Place",,"Baltimore","MD","21202","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","748252717","2020",0.00,374097.00,"Limited Liability Company Membership Interest","Millennium Spine, LLC","100000011067","Millennium Spine, LLC","MD","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","298211","1568572030","Charles",,"Edwards","II","301 St Paul Place",,"Baltimore","MD","21202","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","748252735","2020",0.00,673375.36,"Limited Liability Company Membership Interest","Millennium Spine, LLC","100000011067","Millennium Spine, LLC","MD","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","298211","1568572030","Charles",,"Edwards","II","301 St Paul Place",,"Baltimore","MD","21202","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","748252759","2020",0.00,74819.48,"Limited Liability Company Membership Interest","Millennium Spine, LLC","100000011067","Millennium Spine, LLC","MD","United States","No","Immediate family member","06/30/2023" "UNCHANGED","298211","1568572030","Charles",,"Edwards","II","301 St Paul Place",,"Baltimore","MD","21202","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","748253663","2020",120018.00,52619.00,"Limited Liability Company Membership Interest","Calvary Spine, LLC","100000076381","Calvary Spine, LLC","MD","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","298211","1568572030","Charles",,"Edwards","II","301 St Paul Place",,"Baltimore","MD","21202","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","748257521","2020",400260.00,368333.00,"Limited Liability Company Membership Interest","Calvary Spine, LLC","100000076381","Calvary Spine, LLC","MD","United States","No","Immediate family member","06/30/2023" "UNCHANGED","229880","1063521904","ROBERT","S","CALL",,"9920 INDEPENDENCE PARK DR","SUITE 100","RICHMOND","VA","23233-1487","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Allergy & Immunology|Allergy","748291437","2020",0.00,846551.86,"Stock","kaleo, Inc.","100000071367","kaleo, Inc.","VA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1008618","1669412698","HEBER","C","CROCKETT",,"2810 W 35TH ST",,"KEARNEY","NE","68845-2909","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","748291441","2020",0.00,412404.96,"Stock","kaleo, Inc.","100000071367","kaleo, Inc.","VA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","347070","1649256561","MARK","A","DENNIS",,"601 E HAMPDEN AVE","NO 100","ENGLEWOOD","CO","80113-3781","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Radiology|Diagnostic Radiology","748291447","2020",0.00,541402.63,"Stock","kaleo, Inc.","100000071367","kaleo, Inc.","VA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","38312","1851361299","ALFRED","ALEXANDER","DESIMONE",,"1600 TOWN CENTER BLVD","SUITE C","WESTON","FL","33326-3641","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","748291451","2020",0.00,514768.72,"Stock","kaleo, Inc.","100000071367","kaleo, Inc.","VA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","403726","1437136298","ANDREW","JOEL","FISHER",,"501 E HAMPDEN AVE",,"ENGLEWOOD","CO","80113-2702","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Radiology|Diagnostic Radiology","748291455","2020",0.00,145762.25,"Stock","kaleo, Inc.","100000071367","kaleo, Inc.","VA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","403726","1437136298","ANDREW","JOEL","FISHER",,"501 E HAMPDEN AVE",,"ENGLEWOOD","CO","80113-2702","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Radiology|Diagnostic Radiology","748291461","2020",0.00,104115.89,"Stock","kaleo, Inc.","100000071367","kaleo, Inc.","VA","United States","No","Immediate family member","06/30/2023" "UNCHANGED","1203","1013913748","ROBERT","C","FLOREK",,"1108 JUNE ST",,"HOOD RIVER","OR","97031-1513","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Clinical Cardiac Electrophysiology","748291464","2020",0.00,165730.40,"Stock","kaleo, Inc.","100000071367","kaleo, Inc.","VA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","272400","1003865726","LAWRENCE","E","GELBER",,"9920 INDEPENDENCE PARK DR","SUITE 100","RICHMOND","VA","23233-1487","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Allergy & Immunology|Allergy","748291467","2020",0.00,846560.00,"Stock","kaleo, Inc.","100000071367","kaleo, Inc.","VA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","688380","1407851454","KATHY",,"GREWE",,"1304 MONTELLO AVE",,"HOOD RIVER","OR","97031-1544","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Cardiovascular Disease","748291473","2020",0.00,165730.40,"Stock","kaleo, Inc.","100000071367","kaleo, Inc.","VA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","484230","1245294404","ROBERT",,"STUART","M.D.","7309 N KNOXVILLE AVE",,"PEORIA","IL","61614-2085","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748292297","2020",328.74,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","138774","1053343152","DAVID","A","SVETEC","M.D.","2106 HARRISBURG PIKE SUITE 200",,"LANCASTER","PA","17601-3200","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748292299","2020",328.74,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","31245","1699766923","WALTER","NEAL","TAUBENSLAG","M.D.","20 MEDICAL PARK SUITE 201",,"WHEELING","WV","26003-6390","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748292301","2020",205.46,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","297162","1558527192","FREDERICK","LOUIS","TAYLOR","MD","701 TECH CENTER DR",,"GAHANNA","OH","43230-1987","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748292303","2020",328.74,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","80131","1770566382","CHRIS","G","THEODORAN","D.O.","2106 HARRISBURG PIKE SUITE 200",,"LANCASTER","PA","17601-2644","United States",,,"Doctor of Osteopathy","Allopathic & Osteopathic Physicians|Urology","748292307","2020",328.74,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","190990","1205920261","JAMES","P.","TIERNEY","DO","11 COURTNEY DRIVE",,"CHARLESTON","WV","25304","United States",,,"Doctor of Osteopathy","Allopathic & Osteopathic Physicians|Urology","748292309","2020",136.26,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","715353","1356315626","MARIANO","VILLALON","TOLENTINO","JR MD","1701 E COLLEGE AVE",,"BLOOMINGTON","IL","61704-2101","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748292311","2020",254.12,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","175593","1861491201","KEVIN",,"TRAUB","MD","200 DELAFIELD RD SUITE 3060",,"PITTSBURGH","PA","15215-3205","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748292313","2020",328.74,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","213649","1700804168","STEPHEN","R.","VIJAN","M.D.","350 W WILSON BRIDGE RD STE 100",,"WORTHINGTON","OH","43085-2590","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748292317","2020",466.48,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","237047","1225033996","MARK","A","WAINSTEIN","MD","3500 EXECUTIVE PKWY",,"TOLEDO","OH","43606-1319","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748292319","2020",328.74,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","99129","1194811182","ERIC","S.","WARD","M.D.","500 THOMAS LN SUITE 3G",,"COLUMBUS","OH","43214-1419","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748292321","2020",369.83,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","136782","1023059680","ADAM","C.","WEISER","M.D.","701 TECH CENTER DRIVE SUITE 250",,"COLUMBUS","OH","43230-1987","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748292323","2020",328.74,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","121179","1689632291","TIMOTHY","P","WEYRICH","MD","2000 WATERDAM PLAZA DRIVE STE 120",,"MCMURRAY","PA","15317","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748292325","2020",328.74,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","893818","1649271123","Nejd","F","Alsikafi",,"3 S Greenleaf","Suite J","Gurnee","IL","60031","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139709","2020",0.00,84936.38,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","24738","1558399816","Patricia",,"Cecconi",,"3327 Research Plaza","Suite 403","San Antonio","TX","78235","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139711","2020",0.00,84936.38,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","288369","1376523308","Patricia",,"Terry",,"255 E Sonterra Blvd","Suites 200","San Antonio","TX","78258","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139713","2020",0.00,84936.38,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","251619","1558356253","Paul",,"Yonover",,"1011 W Wellington Ave","Suite 200","Chicago","IL","60657","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139715","2020",0.00,84936.38,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","252716","1568455327","Raza","M","Khan",,"3 S Greenleaf","Suite J","Gurnee","IL","60031","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139717","2020",0.00,84936.38,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","78309","1710967732","Rene","A","Sepulveda",,"7400 Merton Minter",,"San Antonio","TX","78229","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139719","2020",0.00,84936.38,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","108040","1376706630","Risha",,"Foster",,"5201 Willow Springs Rd","Suite 380","LaGrange","IL","60525","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139721","2020",0.00,84936.38,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","318161","1023091667","Ronald",,"Lee",,"900 Rand Rd","Suite 120","Des Plaines","IL","60016","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139723","2020",0.00,84936.38,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","526233","1710996962","Robert","J","Challenger",,"610 E Roosevelt Rd","Suite 203","Wheaton","IL","60187","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139725","2020",0.00,84936.38,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","361979","1982643235","Robert",,"Kaplinsky",,"7900 N Milwaukee Ave","Suite 17","Niles","IL","60714","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139727","2020",0.00,84936.38,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","334202","1366435034","Robert",,"Saffrin",,"3 S Greenleaf","Suite J","Gurnee","IL","60031","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139729","2020",0.00,84936.38,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","128874","1851309041","Ronald","J","Bonaguro",,"9760 S Kedzie Ave","Suite 6","Evergreen Park","IL","60805","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139731","2020",0.00,84936.38,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","246894","1447451554","Ronald","J","Kim",,"900 N Westmoreland","Suite 228","Lake Forest","IL","60045","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139733","2020",0.00,84936.38,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1063895","1629027016","Steven",,"Dritz",,"675 W North Ave","Suite 605","Melrose Park","IL","60160","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139735","2020",0.00,84936.38,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","131010","1891955233","Thomas","A","Will",,"5201 Willow Springs Rd","Suite 380","LaGrange","IL","60525","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139737","2020",0.00,84936.38,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","239642","1295765402","Thomas",,"Cerasaro",,"580 Black River Rd",,"Georgetown","SC","29440","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139739","2020",0.00,84936.38,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","316993","1982684098","Timothy",,"Hlavinka",,"7909 Fredericksburg Rd","Suites 120","San Antonio","TX","78229","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139741","2020",0.00,84936.38,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","19711","1427029180","Robert","L","Buka",,"138 Broadway","Apt. 6G","Brooklyn","NY","11211","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","746592263","2020",43000.00,27720.00,"Shares of Stock","Medimetriks Pharmaceuticals, Inc.","100000000134","Medimetriks Pharmaceuticals, Inc.","NJ","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","295131","1508867235","Cory",,"Golloub",,"8 Smock Court",,"Towaco","NJ","07082","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Pediatrics","746592271","2020",32682.50,24753.96,"Shares of Stock","Medimetriks Pharmaceuticals, Inc.","100000000134","Medimetriks Pharmaceuticals, Inc.","NJ","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","75351","1659380244","James","J","George",,"530 East 90th Street","Apt. 2B","New York","NY","10128","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Gastroenterology","746592277","2020",25000.20,18333.48,"Shares of Stock","Medimetriks Pharmaceuticals, Inc.","100000000134","Medimetriks Pharmaceuticals, Inc.","NJ","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","19317","1437192457","John",,"Brummer",,"167 West 80th Street","Apt. 1D","New York","NY","10024","United States",,,"Doctor of Osteopathy","Podiatric Medicine & Surgery Service Providers|Podiatrist|Foot & Ankle Surgery","746592281","2020",17050.00,11220.00,"Shares of Stock","Medimetriks Pharmaceuticals, Inc.","100000000134","Medimetriks Pharmaceuticals, Inc.","NJ","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","450869","1073576633","Hal",,"Ornstein",,"5 Amanda Lane",,"Howell","NJ","07731","United States",,,"Doctor of Osteopathy","Podiatric Medicine & Surgery Service Providers|Podiatrist","746592289","2020",6250.00,3300.00,"Shares of Stock","Medimetriks Pharmaceuticals, Inc.","100000000134","Medimetriks Pharmaceuticals, Inc.","NJ","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","152714","1366470338","Michael","P","Tabibian",,"2733 Aqua Verde Circle",,"Los Angeles","CA","90077","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Dermatology","746592295","2020",8750.00,3300.00,"Shares of Stock","Medimetriks Pharmaceuticals, Inc.","100000000134","Medimetriks Pharmaceuticals, Inc.","NJ","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","127066","1790865970","Robert",,"Marinaro",,"2305 South Custer","Apt. 2007","McKinney","TX","75070","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Dermatology","746592297","2020",8750.00,3300.00,"Shares of Stock","Medimetriks Pharmaceuticals, Inc.","100000000134","Medimetriks Pharmaceuticals, Inc.","NJ","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","290964","1417042565","Yosef",,"Krespi",,"425 W 59th ST 10th Floor",,"New York","NY","10023","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Dermatology","746592301","2020",8750.00,3300.00,"Shares of Stock","Medimetriks Pharmaceuticals, Inc.","100000000134","Medimetriks Pharmaceuticals, Inc.","NJ","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","127875","1811959232","Jeanine","B","Downie",,"5 Pring Court",,"West Orange","NJ","07052","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Dermatology","746592307","2020",3942.50,2538.36,"Shares of Stock","Medimetriks Pharmaceuticals, Inc.","100000000134","Medimetriks Pharmaceuticals, Inc.","NJ","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","88855","1952382079","Wendy",,"Sadoff",,"31360 Northwestern Highway",,"Farmington Hills","MI","48334","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Dermatology","746592313","2020",3062.50,2145.00,"Shares of Stock","Medimetriks Pharmaceuticals, Inc.","100000000134","Medimetriks Pharmaceuticals, Inc.","NJ","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","53262","1174637433","Purvisha",,"Patel",,"7658 Poplar Pike",,"Germantown","TN","38138","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Dermatology","746592317","2020",3062.50,2145.00,"Shares of Stock","Medimetriks Pharmaceuticals, Inc.","100000000134","Medimetriks Pharmaceuticals, Inc.","NJ","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","224756","1952415705","Avery",,"Kuflik",,"623 Point Avenue",,"Brick","NJ","08724","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Dermatology","746592323","2020",2405.00,2030.16,"Shares of Stock","Medimetriks Pharmaceuticals, Inc.","100000000134","Medimetriks Pharmaceuticals, Inc.","NJ","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","48145","1073549176","Michael","H","Gold",,"2000 Richard Jones Road","Suite 220","Nashville","TN","37215","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Dermatology","746592327","2020",2405.00,2030.16,"Shares of Stock","Medimetriks Pharmaceuticals, Inc.","100000000134","Medimetriks Pharmaceuticals, Inc.","NJ","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","175161","1861541146","Lawrence",,"Meyers",,"3 Rose Court",,"Warren","NJ","07059","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Dermatology","746592329","2020",2405.00,2030.16,"Shares of Stock","Medimetriks Pharmaceuticals, Inc.","100000000134","Medimetriks Pharmaceuticals, Inc.","NJ","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","48250","1073520912","Robert",,"Zannella",,"2050 State Route 27","Suite 101","North Brunswick","NJ","08902","United States",,,"Doctor of Osteopathy","Podiatric Medicine & Surgery Service Providers|Podiatrist|Foot & Ankle Surgery","746592335","2020",3587.50,1947.00,"Shares of Stock","Medimetriks Pharmaceuticals, Inc.","100000000134","Medimetriks Pharmaceuticals, Inc.","NJ","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","267743","1891708665","WILLIAM","T","HARK",,"9920 INDEPENDENCE PARK DR","SUITE 100","RICHMOND","VA","23233-1487","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Allergy & Immunology|Allergy","748291475","2020",0.00,423280.00,"Stock","kaleo, Inc.","100000071367","kaleo, Inc.","VA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","201935","1467428573","MARK","L","HORNFELD",,"125 W 79TH STREET",,"NEW YORK","NY","10024-6454","United States",,,"Doctor of Osteopathy","Allopathic & Osteopathic Physicians|Ophthalmology","748291481","2020",0.00,24512.80,"Stock","kaleo, Inc.","100000071367","kaleo, Inc.","VA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","198178","1366414567","ROSEMARIE","Y","INGLETON",,"14 E 4TH ST","STE 505","NEW YORK","NY","10012","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Dermatology","748291485","2020",0.00,12256.40,"Stock","kaleo, Inc.","100000071367","kaleo, Inc.","VA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","771220","1316987936","JAMES","D","INGRAM",,"1056 E 19TH AVE","B125","DENVER","CO","80218-1007","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Radiology|Diagnostic Radiology","748291487","2020",0.00,478933.10,"Stock","kaleo, Inc.","100000071367","kaleo, Inc.","VA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","775480","1477530582","ERIC",,"LUTSKY",,"20 E 46TH ST","200","NEW YORK","NY","10017-2417","United States",,,"Doctor of Osteopathy","Allopathic & Osteopathic Physicians|Internal Medicine","748291493","2020",0.00,14707.68,"Stock","kaleo, Inc.","100000071367","kaleo, Inc.","VA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","379606","1588615975","JAMES","F","NELSON",,"8503 PATTERSON AVE","SUITE A","RICHMOND","VA","23229-6442","United States",,,"Doctor of Dentistry","Dental Providers|Dentist|Oral and Maxillofacial Surgery","748291497","2020",0.00,96550.64,"Stock","kaleo, Inc.","100000071367","kaleo, Inc.","VA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","379606","1588615975","JAMES","F","NELSON",,"8503 PATTERSON AVE","SUITE A","RICHMOND","VA","23229-6442","United States",,,"Doctor of Dentistry","Dental Providers|Dentist|Oral and Maxillofacial Surgery","748291501","2020",0.00,578147.57,"Stock","kaleo, Inc.","100000071367","kaleo, Inc.","VA","United States","No","Immediate family member","06/30/2023" "UNCHANGED","965674","1154534410","ARIEL",,"PABLOS-MENDEZ",,"622 W 168TH ST",,"NEW YORK","NY","10032-3720","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine","748291503","2020",0.00,56379.43,"Stock","kaleo, Inc.","100000071367","kaleo, Inc.","VA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1264827","1699712745","STEVE","A","PARKER",,"501 E HAMPDEN AVE",,"ENGLEWOOD","CO","80113-2702","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Radiology|Diagnostic Radiology","748291507","2020",0.00,1364402.38,"Stock","kaleo, Inc.","100000071367","kaleo, Inc.","VA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","805237","1528149713","EDWARD",,"READ",,"1250 E MARSHALL STREET","EMERGENCY MEDICINE","RICHMOND","VA","23298-0510","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Emergency Medicine","748291511","2020",0.00,206774.89,"Stock","kaleo, Inc.","100000071367","kaleo, Inc.","VA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","805237","1528149713","EDWARD",,"READ",,"1250 E MARSHALL STREET","EMERGENCY MEDICINE","RICHMOND","VA","23298-0510","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Emergency Medicine","748291513","2020",0.00,471175.56,"Stock","kaleo, Inc.","100000071367","kaleo, Inc.","VA","United States","No","Immediate family member","06/30/2023" "UNCHANGED","1477761","1043674062","KEITH","HARRISON","RUBIN",,"2100 N OCEAN BLVD","APT 501","FORT LAUDERDALE","FL","33305-1934","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine","748291517","2020",0.00,1198675.72,"Stock","kaleo, Inc.","100000071367","kaleo, Inc.","VA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1264859","1689670028","THEODORE","F","SCHLEGEL",,"8200 E BELLEVIEW AVE","STE 615","GREENWOOD VILLAGE","CO","80111-2808","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","748291521","2020",0.00,227627.24,"Stock","kaleo, Inc.","100000071367","kaleo, Inc.","VA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1264859","1689670028","THEODORE","F","SCHLEGEL",,"8200 E BELLEVIEW AVE","STE 615","GREENWOOD VILLAGE","CO","80111-2808","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","748291525","2020",0.00,232225.78,"Stock","kaleo, Inc.","100000071367","kaleo, Inc.","VA","United States","No","Immediate family member","06/30/2023" "UNCHANGED","970862","1346294733","STANLEY","F","SMAZAL",,"500 E HAMPDEN AVE",,"ENGLEWOOD","CO","80113-2703","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Radiology|Diagnostic Radiology","748291531","2020",0.00,73178.60,"Stock","kaleo, Inc.","100000071367","kaleo, Inc.","VA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","939959","1255385654","ANDREW","HOWARD","SONIN",,"8200 E BELLEVIEW AVE","NO 124","GREENWOOD VILLAGE","CO","80111-2803","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Radiology|Diagnostic Radiology","748291533","2020",0.00,83292.71,"Stock","kaleo, Inc.","100000071367","kaleo, Inc.","VA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","320991","1063468734","JOSEPH","R","STEELE",,"1515 HOLCOMBE BLVD",,"HOUSTON","TX","77030-4009","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Radiology|Diagnostic Radiology","748291537","2020",0.00,687164.88,"Stock","kaleo, Inc.","100000071367","kaleo, Inc.","VA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","56032","1245317882","ROBERT","V","WILSON","M.D.","2350 FREEDOM WAY SUITE 102",,"YORK","PA","17402","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748292329","2020",328.74,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","17839","1407827264","MICHAEL","A.","WODARCYK","M.D.","701 TECH CENTER DR",,"GAHANNA","OH","43230-1987","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748292331","2020",466.48,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","137566","1043269368","CHRISTOPHER","ARNOLD","WOODARD","M.D.","2106 HARRISBURG PIKE SUITE 200",,"LANCASTER","PA","17601-2644","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748292334","2020",328.74,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","176493","1891876470","SAFWAT","K.","ZAKI","M.D.","10 SOUTHMOOR CIR NW",,"KETTERING","OH","45429-2444","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748292337","2020",328.74,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","166246","1659378222","MOHAMMAD","MUNIR","ZAITOON","MD","1027 W MAIN ST",,"MT PLEASANT","PA","15666-1733","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748292339","2020",328.74,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","161635","1578588067","William",,"Beliveau",,"1524 Atwood Ave","Suite 220","Johnston","RI","02919","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine","748306325","2020",0.00,144381.51,"Preferred & Common Stock","Cardiosolutions, Inc.","100000000125","Cardiosolutions, Inc.","MA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","310154","1831157759","Anthony","Robert","Buonanno",,"1524 Atwood Ave","Suite 140","Johnston","RI","02919","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","748308865","2020",0.00,102754.11,"Preferred & Common Stock","Cardiosolutions, Inc.","100000000125","Cardiosolutions, Inc.","MA","United States","No","Physician Covered Recipient","06/30/2023" "CHANGED","276414","1104889054","Andrew",,"Beros",,"3811 Valley Centre Drive",,"San Diego","CA","92130","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Otolaryngology","748328865","2020",0.00,113435.00,"Series A Preferred Stock; Series B Preferred Stock","Calyxo, Inc.","100000786821","Calyxo, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "CHANGED","182012","1013043488","Brian",,"Eisner",,"55 Fruit Street",,"Boston","MA","02114","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748355459","2020",0.00,82125.00,"Common Stock","Calyxo, Inc.","100000786821","Calyxo, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","197368","1346284486","JEFFREY","S","ROH",,"550 17th Ave",,"Seattle","WA","98122","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","748369121","2020",0.00,6695700.00,"Common stock Value of interest based 409A valuation as of 12/31/20","Amplify Surgical, Inc.","100000636811","Amplify Surgical, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","197368","1346284486","JEFFREY","S","ROH",,"550 17th Ave",,"Seattle","WA","98122","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","748369133","2020",0.00,538955.15,"Common stock held by corporate entity Value of interest based 409A valuation as of 12/31/20","Amplify Surgical, Inc.","100000636811","Amplify Surgical, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","561008","1952454472","MATTHEW","W","HWANG",,"9353 IMPERIAL HWY KAISER PERMANENTE",,"DOWNEY","CA","90242","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","748369155","2020",0.00,33060.53,"Preferred Stock ownership portion in LLC Value of interest based 409A valuation as of 12/31/20","Amplify Surgical, Inc.","100000636811","Amplify Surgical, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","262147","1760696389","BENJAMIN","D","MACLENNAN",,"2751 NORTHGATE DR",,"IOWA CITY","IA","52245","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","748369159","2020",0.00,132242.10,"Preferred Stock ownership portion in LLC Value of interest based 409A valuation as of 12/31/20","Amplify Surgical, Inc.","100000636811","Amplify Surgical, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","189212","1174736599","STEFAN",,"RENAUD",,"706 SUMMIT CROSSING PL",,"GASTONIA","NC","28054","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","748369161","2020",0.00,49590.79,"Preferred Stock ownership portion in LLC Value of interest based 409A valuation as of 12/31/20","Amplify Surgical, Inc.","100000636811","Amplify Surgical, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","140538","1104806207","William",,"Harmon",,"7909 Fredericksburg Rd","Suites 120","San Antonio","TX","78229","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139743","2020",0.00,84936.38,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","374369","1396776209","William",,"Lin",,"676 N St Clair","Suite 1835","Chicago","IL","60611","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139745","2020",0.00,84936.38,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","125089","1750360806","Franklin",,"Gaylis",,"8851 Center Dr",,"La Mesa","CA","91942","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139747","2020",717966.00,717966.00,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "CHANGED","29138","1659361848","James","R","Kelly",,"901 Stewart Ave","Suite 255","Garden City","NY","11530","United States",,,"Doctor of Optometry","Allopathic & Osteopathic Physicians|Ophthalmology","737139751","2020",30000.00,35.70,"common stock","Rapid Pathogen Screening, Inc.","100000010778","Rapid Pathogen Screening, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","941773","1316948490","JAMES","C","FOLK",,"200 Hawkins Drive",,"Iowa City","IA","52242","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","737170165","2020",0.00,1349479.04,"Shares Owned","Digital Diagnostics Inc.","100000281817","Digital Diagnostics Inc.","IA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","941773","1316948490","JAMES","C","FOLK",,"200 Hawkins Drive",,"Iowa City","IA","52242","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","737170167","2020",0.00,1944531.36,"Shares Owned by Immediate Family","Digital Diagnostics Inc.","100000281817","Digital Diagnostics Inc.","IA","United States","No","Immediate family member","06/30/2023" "UNCHANGED","465082","1578564639","MICHAEL","D","ABRAMOFF",,"200 Hawkins Drive",,"Iowa City","IA","52242","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","737170169","2020",0.00,2000759.84,"Shares Owned","Digital Diagnostics Inc.","100000281817","Digital Diagnostics Inc.","IA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","760935","1952519993","SANDRA","D","ABRAMOFF MOEHADJIR",,"2591 Holiday Rd",,"Coralville","IA","52241","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Psychiatry & Neurology|Psychiatry","737170171","2020",0.00,2000759.84,"Shares Owned by Immediate Family","Digital Diagnostics Inc.","100000281817","Digital Diagnostics Inc.","IA","United States","No","Immediate family member","06/30/2023" "UNCHANGED","736223","1093033920","JENNIFER","A","TALMAGE",,"202 S. Park St","4 Tower","Madison","WI","53715","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Anesthesiology","737170173","2020",0.00,38965.08,"Shares Owned by Immediate Family","Digital Diagnostics Inc.","100000281817","Digital Diagnostics Inc.","IA","United States","No","Immediate family member","06/30/2023" "UNCHANGED","822938","1154366904","GAROLD",,"MOYER",,"2710 St Francis Dr",,"Waterloo","IA","50702","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Family Medicine","737170175","2020",0.00,38965.08,"Shares Owned by Immediate Family","Digital Diagnostics Inc.","100000281817","Digital Diagnostics Inc.","IA","United States","No","Immediate family member","06/30/2023" "UNCHANGED","1168797","1316269103","NAHID",,"VIDAL",,"200 1st Street Sw,",,"Rochester","MN","55905","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Dermatology","737170177","2020",0.00,21803.76,"Shares Owned by Immediate Family","Digital Diagnostics Inc.","100000281817","Digital Diagnostics Inc.","IA","United States","No","Immediate family member","06/30/2023" "UNCHANGED","646587","1942442231","ALINA","V","DUMITRESCU",,"200 Hawkins Drive",,"Iowa City","IA","52242","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","737170179","2020",0.00,88190.00,"Shares Owned by Immediate Family","Digital Diagnostics Inc.","100000281817","Digital Diagnostics Inc.","IA","United States","No","Immediate family member","06/30/2023" "UNCHANGED","1373798","1932410867","ASHLYNNE",,"CLARK",,"855 A Ave NE","Suite 120","Iowa City","IA","52402","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Dermatology","737170181","2020",0.00,80642.76,"Shares Owned by Immediate Family","Digital Diagnostics Inc.","100000281817","Digital Diagnostics Inc.","IA","United States","No","Immediate family member","06/30/2023" "UNCHANGED","1025870","1275523722","JAMES","B","HARRIS",,"211 N Eddy St",,"South Bend","IN","46617","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Allergy & Immunology","737170183","2020",0.00,80642.76,"Shares Owned by Immediate Family","Digital Diagnostics Inc.","100000281817","Digital Diagnostics Inc.","IA","United States","No","Immediate family member","06/30/2023" "UNCHANGED","890706","1538159207","HOLLY","L","HAKE HARRIS",,"211 N Eddy St",,"South Bend","IN","46617","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Dermatology","737170185","2020",0.00,80642.76,"Shares Owned by Immediate Family","Digital Diagnostics Inc.","100000281817","Digital Diagnostics Inc.","IA","United States","No","Immediate family member","06/30/2023" "UNCHANGED","2788842","1457611865","RACHAEL","A","HARRIS SPRUNGER",,"211 N Eddy St",,"South Bend","IN","46617","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Physical Medicine & Rehabilitation","737170187","2020",0.00,80642.76,"Shares Owned by Immediate Family","Digital Diagnostics Inc.","100000281817","Digital Diagnostics Inc.","IA","United States","No","Immediate family member","06/30/2023" "UNCHANGED","1288029","1063449700","Daniel",,"Kessel",,"1700 Whitehorse Hamilton Square Rd",,"Hamilton","NJ","08690","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Dermatology","746592337","2020",400000.00,132000.00,"Shares of Stock","Medimetriks Pharmaceuticals, Inc.","100000000134","Medimetriks Pharmaceuticals, Inc.","NJ","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","317684","1003853193","DAVID",,"BRADFORD",,"400 Parnassus Ave",,"San Francisco","CA","94143","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","746653223","2020",0.00,43546.00,"Common stockholder","Relievant Medsystems, Inc.","100000511825","Relievant Medsystems, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","623196","1134193030","CLIFFORD",,"ESKEY",,"1 Medical Center Dr",,"Lebanon","NH","03756","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Radiology|Diagnostic Radiology","746653225","2020",0.00,13361.00,"Common stockholder","Relievant Medsystems, Inc.","100000511825","Relievant Medsystems, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","194331","1285854299","THOMAS",,"FOGARTY",,"3270 Alpine Road",,"Portola Valley","CA","94028","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Thoracic Surgery (Cardiothoracic Vascular Surgery)","746653227","2020",0.00,56046.00,"Common stockholder","Relievant Medsystems, Inc.","100000511825","Relievant Medsystems, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","112581","1497770457","LARRY",,"KHOO",,"1245 Wilshire Blvd Suite 717",,"Los Angeles","CA","90017","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","746653229","2020",0.00,3777.04,"Common stockholder","Relievant Medsystems, Inc.","100000511825","Relievant Medsystems, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","551329","1609956325","MICHAEL",,"HEGGENESS",,"6620 Main St 13th Floor",,"Houston","TX","77030","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","746653231","2020",0.00,43951.56,"Common stockholder","Relievant Medsystems, Inc.","100000511825","Relievant Medsystems, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","151408","1326177171","CONOR",,"O NEILL",,"2100 Webster St Suite 518",,"San Francisco","CA","94115","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Pain Medicine|Interventional Pain Medicine","746653233","2020",0.00,2000.00,"Common stockholder","Relievant Medsystems, Inc.","100000511825","Relievant Medsystems, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","18376","1417929548","PAUL",,"SLOSAR",,"455 HICKEY BLVD STE 310",,"DALY CITY","CA","94015","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","746653235","2020",0.00,2000.00,"Common stockholder","Relievant Medsystems, Inc.","100000511825","Relievant Medsystems, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","50283","1124065941","STEPHEN",,"HOCHSCHULER",,"6020 W PARKER RD STE 200",,"PLANO","TX","75093","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","746653237","2020",0.00,9000.00,"Common stockholder","Relievant Medsystems, Inc.","100000511825","Relievant Medsystems, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","277939","1134153505","Stephen",,"Ryu",,"795 EL CAMINO REAL",,"PALO ALTO","CA","94301","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","747163913","2020",0.00,109956.00,"Share value","Aegis Spine, Inc.","100000136487","Aegis Spine, Inc.","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","327120","1205924784","Sean",,"Keem",,"904 7TH AVE",,"SEATTLE","WA","98104","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","747206089","2020",0.00,45815.00,"Share value","Aegis Spine, Inc.","100000136487","Aegis Spine, Inc.","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","50228","1114989555","Sunny",,"Kim",,"1601 HIGHWAY 13 E STE 211",,"BURNSVILLE","MN","55337","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","747239325","2020",0.00,36652.00,"Share value","Aegis Spine, Inc.","100000136487","Aegis Spine, Inc.","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","479642","1073738613","Anthony",,"Sin",,"1501 KINGS HWY",,"SHREVEPORT","LA","71103","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","747277743","2020",0.00,64141.00,"Share value","Aegis Spine, Inc.","100000136487","Aegis Spine, Inc.","CO","United States","No","Physician Covered Recipient","06/30/2023" "CHANGED","290021","1396859617","Alec",,"Rubin",,"3884 Central Sarasota Pkwy","Suite 429","Sarasota","FL","34238","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Family Medicine","747408105","2020",200000.00,35771.40,"common stock","Rapid Pathogen Screening, Inc.","100000010778","Rapid Pathogen Screening, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "CHANGED","210661","1649263450","Atul",,"Vaidya",,"5020 E 68th St",,"Tulsa","OK","74136","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Otolaryngology","747408141","2020",204950.00,71622.20,"common stock","Rapid Pathogen Screening, Inc.","100000010778","Rapid Pathogen Screening, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","317233","1992745913","JOHN",,"WRIGHT",,"3219 CENTRAL AVE","SUITE 102A","KEARNEY","NE","68847-2949","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","748291543","2020",0.00,412404.96,"Stock","kaleo, Inc.","100000071367","kaleo, Inc.","VA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","658949","1386684975","DALE","CHRISTOPHER","YOUNG",,"1115 BOULDERS PKWY","SUITE 100","NORTH CHESTERFIELD","VA","23225-4067","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","748291547","2020",0.00,481596.93,"Stock","kaleo, Inc.","100000071367","kaleo, Inc.","VA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","658949","1386684975","DALE","CHRISTOPHER","YOUNG",,"1115 BOULDERS PKWY","SUITE 100","NORTH CHESTERFIELD","VA","23225-4067","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","748291551","2020",0.00,578147.57,"Stock","kaleo, Inc.","100000071367","kaleo, Inc.","VA","United States","No","Immediate family member","06/30/2023" "UNCHANGED","278948","1144200270","MARC","STUART","ARNKOFF","MD","26400 W 12 MILE RD SUITE 70",,"SOUTHFIELD","MI","48034-1700","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748291739","2020",10000.00,8000.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000010521","Great Lakes Medical Services, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","8347","1174539167","EDWARD","E","BARTON","MD","26850 PROVIDENCE PARKWAY STE 470",,"NOVI","MI","48374","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748291743","2020",10000.00,8000.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000010521","Great Lakes Medical Services, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","128471","1831117522","AYOOLA","K","GOMIH","MD","398 W 80TH PL",,"MERRILLVILLE","IN","46410-5432","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748291745","2020",10000.00,8000.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000010521","Great Lakes Medical Services, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","152074","1346290673","RICHARD","GERALD","HARRIS","MD","501 W NORTH AVE STE 201",,"MELROSE PARK","IL","60160-1600","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748291747","2020",10000.00,8000.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000010521","Great Lakes Medical Services, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","305219","1710983812","ASHWIN","H","SHAH","MD","730 N MACOMB ST STE 319",,"MONROE","MI","48162-2904","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748291751","2020",10000.00,8000.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000010521","Great Lakes Medical Services, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","164360","1639157308","DAVID","W","TERHUNE","MD","815 ST. JOSEPH DRIVE",,"ST. JOSEPH","MI","49085-2529","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748291753","2020",10000.00,8000.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000010521","Great Lakes Medical Services, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","187739","1124124086","PHILLIP","GREGORY","WISE","MD","25 MICHIGAN ST NE SUITE 3300",,"GRAND RAPIDS","MI","49503-2515","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748291755","2020",10000.00,8000.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000010521","Great Lakes Medical Services, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","39526","1881669513","CALEB","B","BOZEMAN","MD","1300 CENTERVIEW DR",,"LITTLE ROCK","AR","72211-4349","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748291759","2020",38154.91,53000.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000010517","Cryo Specialty Medical, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","252577","1578538229","KEVIN","DOUGLAS","CLAYBROOK","MD","1300 CENTERVIEW DR",,"LITTLE ROCK","AR","72211-4349","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748291761","2020",38154.91,53000.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000010517","Cryo Specialty Medical, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","205735","1538134283","DAVID","MARK","COUSSENS","MD","1300 CENTERVIEW DR",,"LITTLE ROCK","AR","72211-4349","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748291763","2020",38154.91,53000.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000010517","Cryo Specialty Medical, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","57778","1275508939","EDWIN","A","DIAZ","MD","3401 SPRINGHILL DR SUITE345",,"NORTH LITTLE ROCK","AR","72117-2924","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748291767","2020",38154.91,53000.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000010517","Cryo Specialty Medical, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","27390","1598967911","NIMA",,"SALARI",,"1635 E MYRTLE AVE STE 400",,"PHOENIX","AZ","85020","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","748369165","2020",0.00,66121.05,"Preferred Stock ownership portion in LLC Value of interest based 409A valuation as of 12/31/20","Amplify Surgical, Inc.","100000636811","Amplify Surgical, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","112548","1477512614","Ash*t","C","PATEL",,"1231 116TH AVE NE SUITE 750",,"BELLEVUE","WA","98004","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","748369169","2020",0.00,99181.58,"Preferred Stock ownership portion in LLC Value of interest based 409A valuation as of 12/31/20","Amplify Surgical, Inc.","100000636811","Amplify Surgical, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","130409","1881806834","MARK","J","WANG",,"9735 N 90TH PL",,"SCOTTSDALE","AZ","85258","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","748369173","2020",0.00,66121.05,"Preferred Stock ownership portion in LLC Value of interest based 409A valuation as of 12/31/20","Amplify Surgical, Inc.","100000636811","Amplify Surgical, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","174277","1851371769","BRIAN",,"IPSEN",,"444 FOUR STATES DR STE 1",,"GALENA","KS","66739","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","748369177","2020",0.00,99181.58,"Preferred Stock ownership portion in LLC Value of interest based 409A valuation as of 12/31/20","Amplify Surgical, Inc.","100000636811","Amplify Surgical, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","226133","1992039044","GBOLABO","O","SOKUNBI",,"801 OSTRUM ST PPHP2",,"BETHLEHEM","PA","18015","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","748369179","2020",0.00,33060.53,"Preferred Stock ownership portion in LLC Value of interest based 409A valuation as of 12/31/20","Amplify Surgical, Inc.","100000636811","Amplify Surgical, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","52621","1164400610","SANJIV","R","PARIKH",,"19020 33RD AVE W SUITE 210",,"LYNNWOOD","WA","98036","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Radiology|Vascular & Interventional Radiology","748369183","2020",0.00,33060.53,"Preferred Stock ownership portion in LLC Value of interest based 409A valuation as of 12/31/20","Amplify Surgical, Inc.","100000636811","Amplify Surgical, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","320636","1073672648","CHRIS","W","TANG",,"1011 BALDWIN PARK BLVD",,"BALDWIN PARK","CA","91706","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","748369187","2020",0.00,13225.02,"Preferred Stock ownership portion in LLC Value of interest based 409A valuation as of 12/31/20","Amplify Surgical, Inc.","100000636811","Amplify Surgical, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","133016","1922038108","CRAIG","A","KUHNS",,"3000 N INTERSTATE 35 STE 708",,"AUSTIN","TX","78705","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","748369191","2020",0.00,33060.53,"Preferred Stock ownership portion in LLC Value of interest based 409A valuation as of 12/31/20","Amplify Surgical, Inc.","100000636811","Amplify Surgical, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1236909","1700047032","MOHAMMED","A","ALEEM",,"5201 HARRY HINES BLVD HOUSE STAFF & GME",,"DALLAS","TX","75235","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Anesthesiology","748369193","2020",0.00,66121.05,"Preferred Stock ownership portion in LLC Value of interest based 409A valuation as of 12/31/20","Amplify Surgical, Inc.","100000636811","Amplify Surgical, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","761194","1962799221","TAMIR",,"TAWFIK",,"2500 N STATE ST",,"JACKSON","MS","39216","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","748369197","2020",0.00,99181.58,"Preferred Stock ownership portion in LLC Value of interest based 409A valuation as of 12/31/20","Amplify Surgical, Inc.","100000636811","Amplify Surgical, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","219234","1831132422","PAYMAN","R","EMMANUEL",,"10750 WASHINGTON BLVD",,"CULVER CITY","CA","90232","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","748369201","2020",0.00,66121.05,"Preferred Stock ownership portion in LLC Value of interest based 409A valuation as of 12/31/20","Amplify Surgical, Inc.","100000636811","Amplify Surgical, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","450553","1063481588","GORDON",,"TANG",,"2999 REGENT ST SUITE 715",,"BERKELEY","CA","94705","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","748369205","2020",0.00,66121.05,"Preferred Stock ownership portion in LLC Value of interest based 409A valuation as of 12/31/20","Amplify Surgical, Inc.","100000636811","Amplify Surgical, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","51152","1124129473","ALI",,"NAJAFI",,"7130 N SHARON AVE #100",,"FRESNO","CA","93720","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","748369208","2020",0.00,66121.05,"Preferred Stock ownership portion in LLC Value of interest based 409A valuation as of 12/31/20","Amplify Surgical, Inc.","100000636811","Amplify Surgical, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","79579","1750318887","MICHAEL","E","AYERS",,"2 Pond Park Rd","#102","Hingham","MA","02043","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","737170189","2020",0.00,19126.80,"Shares Owned by Immediate Family","Digital Diagnostics Inc.","100000281817","Digital Diagnostics Inc.","IA","United States","No","Immediate family member","06/30/2023" "UNCHANGED","1168080","1255626685","SCOTT","R","OWEN",,"200 Hawkins Drive",,"Iowa City","IA","52242","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Otolaryngology|Facial Plastic Surgery","737170191","2020",0.00,16006.32,"Shares Owned by Immediate Family","Digital Diagnostics Inc.","100000281817","Digital Diagnostics Inc.","IA","United States","No","Immediate family member","06/30/2023" "UNCHANGED","107599","1386644227","TIMOTHY","GERARD","LEEDS",,"640 19th Street",,"Nevada","IA","50201","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","737170193","2020",0.00,300.96,"Shares Owned by Immediate Family","Digital Diagnostics Inc.","100000281817","Digital Diagnostics Inc.","IA","United States","No","Immediate family member","06/30/2023" "UNCHANGED","796376","1215909056","DENNIS","M","BRTVA",,"2109 N Veterans Pkwy","Ste 2","Bloomington","IL","61704","United States",,,"Medical Doctor","Eye and Vision Services Providers|Optometrist","737170195","2020",0.00,3904.56,"Shares Owned by Immediate Family","Digital Diagnostics Inc.","100000281817","Digital Diagnostics Inc.","IA","United States","No","Immediate family member","06/30/2023" "UNCHANGED","645013","1891788915","Young",,"Kwon",,"200 Hawkins Drive",,"Iowa City","IA","52242","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","737170197","2020",631.26,1217.40,"Shares Owned","Digital Diagnostics Inc.","100000281817","Digital Diagnostics Inc.","IA","United States","No","Physician Covered Recipient","06/30/2023" "CHANGED","710264","1174514830","Alexandre",,"Balaci",,"955 Berkshire Blvd","Suite 104","Wyomissing","PA","19610","United States",,,"Doctor of Dentistry","Dental Providers|Dentist|Oral and Maxillofacial Surgery","737178989","2020",149950.00,105.00,"common stock","Rapid Pathogen Screening, Inc.","100000010778","Rapid Pathogen Screening, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "CHANGED","132844","1922056712","Allen","C","Ho",,"910 E Willow Grove Ave",,"Wyndmoor","PA","19038","United States",,,"Doctor of Optometry","Allopathic & Osteopathic Physicians|Ophthalmology","737179013","2020",36750.00,50.40,"common stock","Rapid Pathogen Screening, Inc.","100000010778","Rapid Pathogen Screening, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "CHANGED","127177","1790887800","Rajesh","Kumar","Rajpal",,"5842 Hubbard Dr",,"Rockville","MD","20852","United States",,,"Doctor of Optometry","Allopathic & Osteopathic Physicians|Ophthalmology","737179701","2020",49950.00,18.90,"common stock","Rapid Pathogen Screening, Inc.","100000010778","Rapid Pathogen Screening, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "CHANGED","46009","1023106887","Anthony",,"Deboni",,"4403 Medical Center Dr",,"Fayeteville","NY","13066","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Plastic Surgery","737180091","2020",55000.00,2.10,"common stock","Rapid Pathogen Screening, Inc.","100000010778","Rapid Pathogen Screening, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "CHANGED","23406","1528090784","Arthur",,"Hengerer",,"601 Elmwood Ave","Box 629","Rochester","NY","14642","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Otolaryngology","737180109","2020",199850.00,92.40,"common stock","Rapid Pathogen Screening, Inc.","100000010778","Rapid Pathogen Screening, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "CHANGED","331095","1306862065","Barry",,"Severs",,"206 2nd St E",,"Bradenton","FL","34208","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Anesthesiology","737180145","2020",75000.00,29.40,"common stock","Rapid Pathogen Screening, Inc.","100000010778","Rapid Pathogen Screening, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "CHANGED","98082","1164401741","Brian","P","Connolly",,"160 Sawgrass Dr","Suite 200","Rochester","NY","14620","United States",,,"Doctor of Optometry","Allopathic & Osteopathic Physicians|Ophthalmology","737180207","2020",30000.00,69.30,"common stock","Rapid Pathogen Screening, Inc.","100000010778","Rapid Pathogen Screening, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "CHANGED","257569","1689674921","Bruce","Ira","Stark",,"915 Old Fern Hill Rd","Suite B200","West Chester","PA","19380","United States",,,"Doctor of Optometry","Allopathic & Osteopathic Physicians|Ophthalmology","737180523","2020",49950.00,18.90,"common stock","Rapid Pathogen Screening, Inc.","100000010778","Rapid Pathogen Screening, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "CHANGED","78390","1740248038","Carl","D","Regillo",,"910 E Willow Grove Ave",,"Wyndmoor","PA","19038","United States",,,"Doctor of Optometry","Allopathic & Osteopathic Physicians|Ophthalmology","737181129","2020",50000.00,56.70,"common stock","Rapid Pathogen Screening, Inc.","100000010778","Rapid Pathogen Screening, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "CHANGED","220671","1851512354","Carlos",,"Buznego",,"8940 N Kendall Dr","Suite 400E","Miami","FL","33176","United States",,,"Doctor of Optometry","Allopathic & Osteopathic Physicians|Ophthalmology","737229687","2020",91950.00,67.20,"common stock","Rapid Pathogen Screening, Inc.","100000010778","Rapid Pathogen Screening, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "CHANGED","254576","1629037296","Douglas","K","Devries",,"2285 Green Vista Dr",,"Sparks","NV","89431","United States",,,"Doctor of Optometry","Eye and Vision Services Providers|Optometrist","747417233","2020",410000.00,284337.90,"common stock","Rapid Pathogen Screening, Inc.","100000010778","Rapid Pathogen Screening, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "CHANGED","87289","1922085497","Saeed",,"Bajwa",,"46 Harrison St",,"Johnson City","NY","13790","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","747417249","2020",225000.00,284953.20,"common stock","Rapid Pathogen Screening, Inc.","100000010778","Rapid Pathogen Screening, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "CHANGED","909678","1205829181","Jeffrey",,"Gunzenhauser",,"1 Guthrie Dr",,"Corning","NY","14830","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Radiology|Vascular & Interventional Radiology","747417269","2020",633836.00,151624.20,"common stock","Rapid Pathogen Screening, Inc.","100000010778","Rapid Pathogen Screening, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "CHANGED","197049","1356343248","Mark",,"Blecher",,"1703 S Broad St",,"Philadelphia","PA","19148","United States",,,"Doctor of Optometry","Allopathic & Osteopathic Physicians|Ophthalmology","747617685","2020",60000.00,84.00,"common stock","Rapid Pathogen Screening, Inc.","100000010778","Rapid Pathogen Screening, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "CHANGED","61716","1376511980","Mark",,"Moster",,"101 E Olney Ave","Suite 400E","Philadelphia","PA","19120","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Psychiatry & Neurology|Neurology","747629685","2020",52500.00,31.50,"common stock","Rapid Pathogen Screening, Inc.","100000010778","Rapid Pathogen Screening, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "CHANGED","361157","1962475806","Marlene","R","Moster",,"100 Presidential Blvd","Suite 200","Bala Cynwyd","PA","19004","United States",,,"Doctor of Optometry","Allopathic & Osteopathic Physicians|Ophthalmology","747638455","2020",52500.00,12.60,"common stock","Rapid Pathogen Screening, Inc.","100000010778","Rapid Pathogen Screening, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","11706","1255355285","Eric",,"Boyd",,"6309 E BAYWOOD AVE",,"MESA","AZ","85206","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Anesthesiology|Pain Medicine","748019335","2020",0.00,600.00,"Share value","Stimwave Technologies Incorporated","100000136444","Stimwave Technologies Incorporated","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","105650","1336198209","Ali",,"Chahlavi",,"4205 BELFORT RD JOE ADAMS BUILDING SUITE 1100",,"Jacksonville","FL","32216","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","748019337","2020",0.00,5040.00,"Share value","Stimwave Technologies Incorporated","100000136444","Stimwave Technologies Incorporated","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","117473","1578632196","Abhinav",,"Chhabra",,"415 RAY C HUNT DR",,"Charlottesville","VA","22908","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Hand Surgery","748019339","2020",0.00,8389.56,"Share value","Stimwave Technologies Incorporated","100000136444","Stimwave Technologies Incorporated","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","150882","1336230416","CAREY-WALTER",,"Closson",,"16900 SCIENCE DR STE100",,"Bowie","MD","20715","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Pain Medicine|Interventional Pain Medicine","748019341","2020",0.00,1709.40,"Share value","Stimwave Technologies Incorporated","100000136444","Stimwave Technologies Incorporated","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","36777","1821095431","Mark",,"Coleman",,"1838 GREENE TREE RD SUITE 150",,"PIKESVILLE","MD","21208","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Pain Medicine|Interventional Pain Medicine","748019343","2020",0.00,16837.11,"Share value","Stimwave Technologies Incorporated","100000136444","Stimwave Technologies Incorporated","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","138474","1043356314","James",,"Conway",,"5051 GREENSPRING AVE SUITE 101",,"Baltimore","MD","21209","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","748019345","2020",0.00,8389.56,"Share value","Stimwave Technologies Incorporated","100000136444","Stimwave Technologies Incorporated","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","235793","1194721753","Michael",,"Daly",,"1600 CRAIN HWY S SUITE 301",,"GLEN BURNIE","MD","21061","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Pain Medicine|Interventional Pain Medicine","748019347","2020",0.00,5128.20,"Share value","Stimwave Technologies Incorporated","100000136444","Stimwave Technologies Incorporated","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","360434","1952308827","Ali",,"El-Mohandes",,"11350 MCCORMICK RD EXECUTIVE PLAZA 1, SUITE 501",,"Hunt Valley","MD","21031","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Pain Medicine|Interventional Pain Medicine","748019349","2020",0.00,8547.00,"Share value","Stimwave Technologies Incorporated","100000136444","Stimwave Technologies Incorporated","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","165953","1669476081","Amir",,"Fayyazi",,"250 CETRONIA RD SUITE 303",,"ALLENTOWN","PA","18104","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","748019351","2020",0.00,11329.11,"Share value","Stimwave Technologies Incorporated","100000136444","Stimwave Technologies Incorporated","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","297937","1578538252","TIMOTHY","C","GOODSON","MD","1300 CENTERVIEW DR",,"LITTLE ROCK","AR","72211-4349","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748291769","2020",38154.91,53000.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000010517","Cryo Specialty Medical, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","185155","1093735110","DAVID",,"JACKS","MD","4303 S MULBERRY ST",,"PINE BLUFF","AR","71603-7017","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748291771","2020",38154.91,53000.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000010517","Cryo Specialty Medical, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","267511","1891760583","RONALD","GRIFFIN","KUHN","MD","3401 SPRINGHILL DR SUITE 345",,"NORTH LITTLE ROCK","AR","72117-2924","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748291775","2020",38154.91,53000.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000010517","Cryo Specialty Medical, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","359413","1902871627","TIMOTHY","DEAN","LANGFORD","MD","1300 CENTERVIEW DR",,"LITTLE ROCK","AR","72211-4349","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748291777","2020",38154.91,53000.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000010517","Cryo Specialty Medical, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","148657","1275508897","DONALD","KEITH","MOONEY","MD","1300 CENTERVIEW DR",,"LITTLE ROCK","AR","72211-4349","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748291779","2020",38154.91,53000.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000010517","Cryo Specialty Medical, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","20626","1467427146","GAIL","REEDE","JONES","MD","1300 CENTERVIEW DR",,"LITTLE ROCK","AR","72211-4349","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748291781","2020",38154.91,53000.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000010517","Cryo Specialty Medical, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","264816","1831168913","HUNTER","LEE","BROWN","MD","501 VIRGINIA DR SUITE A",,"BATESVILLE","AR","72501-7317","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748291785","2020",10000.00,13000.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000010510","Ozark Cryosurgery, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","72997","1619945714","ROBERT","THOMAS","EMERY","MD","501 VIRGINIA DR STE A",,"BATESVILLE","AR","72501-7317","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748291787","2020",10100.00,13000.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000010510","Ozark Cryosurgery, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","182601","1013909316","DENNIS","W","JACKS","MD","1609 W 40TH AVE STE 301",,"PINE BLUFF","AR","71603-6329","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748291791","2020",10100.00,13000.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000010510","Ozark Cryosurgery, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","24831","1558673889","EMILY",,"JACOBS","MD","303 E MATTHEWS AVE SUITE 100",,"JONESBORO","AR","72401-3150","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748291793","2020",20000.00,13000.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000010510","Ozark Cryosurgery, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","507198","1053383174","JOSEPH","C","KUETER","MD","303 E MATTHEWS AVE SUITE 200",,"JONESBORO","AR","72401-3150","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748291797","2020",10100.00,13000.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000010510","Ozark Cryosurgery, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","10615","1245222553","DAVID","A","LUPO","MD","1609 W 40TH AVE STE 301",,"PINE BLUFF","AR","71603-6329","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748291799","2020",10100.00,13000.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000010510","Ozark Cryosurgery, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","357122","1861476897","NIRMAL","K","KILAMBI","MD","1300 E ZION RD",,"FAYETTEVILLE","AR","72703-5015","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748291801","2020",10100.00,13000.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000010510","Ozark Cryosurgery, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","6257","1134124035","CHARLES","DOUGLAS","DANIEL","MD","1234 FRANKLIN RD SW",,"ROANOKE","VA","24016-4606","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748291803","2020",10000.00,47000.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000010433","Roanoke Area Surgical Lasers, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","112581","1497770457","LARRY",,"KHOO",,"1245 Wilshire Blvd",,"Los Angeles","CA","90017","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","748369211","2020",0.00,56864.75,"Preferred Stock ownership portion in LLC Value of interest based 409A valuation as of 12/31/20","Amplify Surgical, Inc.","100000636811","Amplify Surgical, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","923107","1669760856","LAWRENCE","BELVIN","DANIELS",,"201 ROUTE 17 NORTH 5TH FLOOR",,"RUTHERFORD","NJ","07070","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","748369215","2020",0.00,33060.53,"Preferred Stock ownership portion in LLC Value of interest based 409A valuation as of 12/31/20","Amplify Surgical, Inc.","100000636811","Amplify Surgical, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","262098","1770524324","JUSTIN",,"FIELD",,"1635 E MYRTLE AVE SUITE 400",,"PHOENIX","AZ","85020","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","748369219","2020",0.00,159412.44,"Preferred Stock ownership portion in LLC Value of interest based 409A valuation as of 12/31/20","Amplify Surgical, Inc.","100000636811","Amplify Surgical, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","561008","1952454472","MATTHEW","W","HWANG",,"9353 IMPERIAL HWY KAISER PERMANENTE",,"DOWNEY","CA","90242","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","748369224","2020",0.00,223177.83,"Preferred Stock ownership portion in LLC Value of interest based 409A valuation as of 12/31/20","Amplify Surgical, Inc.","100000636811","Amplify Surgical, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","327120","1205924784","SEAN","K","KEEM",,"904 7TH AVE",,"SEATTLE","WA","98104","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","748369227","2020",0.00,31881.68,"Preferred Stock ownership portion in LLC Value of interest based 409A valuation as of 12/31/20","Amplify Surgical, Inc.","100000636811","Amplify Surgical, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","112581","1497770457","LARRY",,"KHOO",,"1245 Wilshire Blvd",,"Los Angeles","CA","90017","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","748369233","2020",0.00,127530.77,"Preferred Stock ownership portion in LLC Value of interest based 409A valuation as of 12/31/20","Amplify Surgical, Inc.","100000636811","Amplify Surgical, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","168992","1720053184","YONG","H","KIM",,"145 East 32nd St",,"New York","NY","10016","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","748369235","2020",0.00,95647.06,"Preferred Stock ownership portion in LLC Value of interest based 409A valuation as of 12/31/20","Amplify Surgical, Inc.","100000636811","Amplify Surgical, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","133016","1922038108","CRAIG","A","KUHNS",,"3000 N INTERSTATE 35 STE 708",,"AUSTIN","TX","78705","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","748369241","2020",0.00,156224.88,"Preferred Stock ownership portion in LLC Value of interest based 409A valuation as of 12/31/20","Amplify Surgical, Inc.","100000636811","Amplify Surgical, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","262147","1760696389","BENJAMIN","D","MACLENNAN",,"2751 NORTHGATE DR",,"IOWA CITY","IA","52245","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","748369243","2020",0.00,318824.89,"Preferred Stock ownership portion in LLC Value of interest based 409A valuation as of 12/31/20","Amplify Surgical, Inc.","100000636811","Amplify Surgical, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","189212","1174736599","STEFAN",,"RENAUD",,"706 SUMMIT CROSSING PL",,"GASTONIA","NC","28054","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","748369248","2020",0.00,191294.12,"Preferred Stock ownership portion in LLC Value of interest based 409A valuation as of 12/31/20","Amplify Surgical, Inc.","100000636811","Amplify Surgical, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","197368","1346284486","JEFFREY","S","ROH",,"550 17th Ave",,"Seattle","WA","98122","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","748369251","2020",0.00,318824.89,"Preferred Stock ownership portion in LLC Value of interest based 409A valuation as of 12/31/20","Amplify Surgical, Inc.","100000636811","Amplify Surgical, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","27390","1598967911","NIMA",,"SALARI",,"1635 E MYRTLE AVE STE 400",,"PHOENIX","AZ","85020","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","748369255","2020",0.00,79705.21,"Preferred Stock ownership portion in LLC Value of interest based 409A valuation as of 12/31/20","Amplify Surgical, Inc.","100000636811","Amplify Surgical, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","190916","1205864006","CHRISTOPHER",,"YEUNG",,"1635 E MYRTLE AVE SUITE 400",,"PHOENIX","AZ","85020","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","748369259","2020",0.00,318824.89,"Preferred Stock ownership portion in LLC Value of interest based 409A valuation as of 12/31/20","Amplify Surgical, Inc.","100000636811","Amplify Surgical, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "CHANGED","363025","1992703854","Walter","Enrique","Moscoso",,"5219 E State Road 64",,"Bradenton","FL","34208","United States",,,"Doctor of Optometry","Allopathic & Osteopathic Physicians|Ophthalmology","737247045","2020",15000.00,17.85,"common stock","Rapid Pathogen Screening, Inc.","100000010778","Rapid Pathogen Screening, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "CHANGED","20527","1467450205","Eric",,"Berman",,"217 Manatee Ave E",,"Bradenton","FL","34208","United States",,,"Doctor of Optometry","Allopathic & Osteopathic Physicians|Ophthalmology","737247333","2020",15000.00,17.85,"common stock","Rapid Pathogen Screening, Inc.","100000010778","Rapid Pathogen Screening, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "CHANGED","211868","1689674020","Bruce","R","Saran",,"915 Old Fern Hill Rd","Building B, Suite 200","West Chester","PA","19380","United States",,,"Doctor of Optometry","Allopathic & Osteopathic Physicians|Ophthalmology","737247347","2020",30000.00,35.70,"common stock","Rapid Pathogen Screening, Inc.","100000010778","Rapid Pathogen Screening, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "CHANGED","1169886","1326185760","Christian",,"Mangin",,"3582 Brodhead Rd",,"Monaca","PA","15061","United States",,,"Doctor of Dentistry","Dental Providers|Dentist|Endodontics","737247391","2020",25012.50,89.25,"common stock","Rapid Pathogen Screening, Inc.","100000010778","Rapid Pathogen Screening, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "CHANGED","423610","1114945904","John","A","Mangin",,"995 Beaver Grade Rd",,"Moon Township","PA","15108","United States",,,"Doctor of Dentistry","Dental Providers|Dentist|General Practice","737247393","2020",25012.50,89.25,"common stock","Rapid Pathogen Screening, Inc.","100000010778","Rapid Pathogen Screening, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "CHANGED","245920","1437157799","Christopher","J","Rapuano",,"840 Walnut St","Suite 920","Philadelphia","PA","19107","United States",,,"Doctor of Optometry","Allopathic & Osteopathic Physicians|Ophthalmology","737247397","2020",21000.00,44.10,"common stock","Rapid Pathogen Screening, Inc.","100000010778","Rapid Pathogen Screening, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","372916","1346205168","John","P","Cello",,"505 Parnassus Ave",,"San Francisco","CA","94143","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine","737303069","2020",0.00,112375.00,"cash paid for common shares","CapsoVision, Inc.","100000291839","CapsoVision, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","113134","1487698791","Stanley",,"Rogers",,"521 Parnassus Ave RM C341 UCSF Surgery",,"San Francisco","CA","94143","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Surgery","737303071","2020",0.00,112375.00,"cash paid for common shares","CapsoVision, Inc.","100000291839","CapsoVision, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","36340","1790865954","Venkataraman","Raman","Muthusamy",,"200 UCLA medical Plz 365A",,"Los Angeles","CA","90095","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Gastroenterology","737303073","2020",0.00,174000.00,"cash paid for common shares","CapsoVision, Inc.","100000291839","CapsoVision, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","82188","1821040734","Ian","M","Storch",,"2001 Marcus Ave Sute 240E",,"New Hyde Park","NY","11042","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Gastroenterology","737303077","2020",0.00,200001.40,"cash paid for preferred stock","CapsoVision, Inc.","100000291839","CapsoVision, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "CHANGED","230083","1063686186","Christopher",,"Janssen",,"1210 W 18th St","Suite 103","Sioux Falls","SD","57104","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Physical Medicine & Rehabilitation|Pain Medicine","737303287","2020",50025.00,18.90,"common stock","Rapid Pathogen Screening, Inc.","100000010778","Rapid Pathogen Screening, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "CHANGED","211790","1689635807","Cynthia",,"Matossian",,"2 Capital Way","Suite 326","Pennington","NJ","08534","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","737303297","2020",50000.00,14.70,"common stock","Rapid Pathogen Screening, Inc.","100000010778","Rapid Pathogen Screening, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "CHANGED","192182","1245271931","Daniel","Luis","Sambursky",,"48 Harrison St",,"Johnson City","NY","13790","United States",,,"Doctor of Optometry","Allopathic & Osteopathic Physicians|Ophthalmology","737303305","2020",213085.00,102.90,"common stock","Rapid Pathogen Screening, Inc.","100000010778","Rapid Pathogen Screening, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "CHANGED","275457","1063561744","David","E","Sperber",,"113 S Jensen Rd",,"Vestal","NY","13850","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","737303473","2020",288075.00,98.70,"common stock","Rapid Pathogen Screening, Inc.","100000010778","Rapid Pathogen Screening, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "CHANGED","122490","1710059175","David",,"Seiden",,"9960 NW 116th Way","Suite 13","Medley","FL","33178","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Psychiatry & Neurology|Neurology","737303487","2020",30000.00,35.70,"common stock","Rapid Pathogen Screening, Inc.","100000010778","Rapid Pathogen Screening, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","231000","1104894781","Ira",,"Garonzik",,"5051 GREENSPRING AVE SUITE 101",,"BALTIMORE","MD","21209","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","748019353","2020",0.00,8389.56,"Share value","Stimwave Technologies Incorporated","100000136444","Stimwave Technologies Incorporated","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","98909","1174567721","Richard",,"Guyer",,"6020 W PARKER RD SUITE 200",,"PLANO","TX","75093","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","748019355","2020",0.00,13092.03,"Share value","Stimwave Technologies Incorporated","100000136444","Stimwave Technologies Incorporated","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","151495","1336100379","Thomas",,"Haider",,"6276 RIVER CREST DR",,"RIVERSIDE","CA","92507","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","748019357","2020",0.00,16802.76,"Share value","Stimwave Technologies Incorporated","100000136444","Stimwave Technologies Incorporated","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","200366","1437156627","Standiford",,"Helm",,"24902 MOULTON PKWY SUITE 200",,"LAGUNA HILLS","CA","92637","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Pain Medicine|Interventional Pain Medicine","748019359","2020",13233.00,23538.47,"Share value","Stimwave Technologies Incorporated","100000136444","Stimwave Technologies Incorporated","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","50283","1124065941","Stephen",,"Hochschuler",,"6020 W PARKER RD SUITE 200",,"PLANO","TX","75093","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","748019361","2020",0.00,20086.98,"Share value","Stimwave Technologies Incorporated","100000136444","Stimwave Technologies Incorporated","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1152564","1710955448","Marc",,"Hungerford",,"5601 LOCH RAVEN BLVD POB-G1",,"Baltimore","MD","21239","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","748019363","2020",0.00,25262.96,"Share value","Stimwave Technologies Incorporated","100000136444","Stimwave Technologies Incorporated","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","105201","1316915143","Akhil",,"Khanna",,"5601 LOCH RAVEN BLVD POB, STE 204",,"Baltimore","MD","21239","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","748019365","2020",0.00,18962.96,"Share value","Stimwave Technologies Incorporated","100000136444","Stimwave Technologies Incorporated","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","251102","1548209547","Anil",,"Kumar",,"3 WOODLAND RD SUITE 322",,"STONEHAM","MA","02180","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Psychiatry & Neurology|Pain Medicine","748019367","2020",0.00,16777.61,"Share value","Stimwave Technologies Incorporated","100000136444","Stimwave Technologies Incorporated","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","156605","1467506220","Todd",,"Lanman",,"120 S SPALDING DR SUITE 400",,"BEVERLY HILLS","CA","90212","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Physical Medicine & Rehabilitation","748019369","2020",0.00,25200.00,"Share value","Stimwave Technologies Incorporated","100000136444","Stimwave Technologies Incorporated","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","333593","1346246089","Marc",,"Loev",,"11921 ROCKVILLE PIKE SUITE 505",,"ROCKVILLE","MD","20852","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Pain Medicine|Interventional Pain Medicine","748019371","2020",49995.00,38363.30,"Share value","Stimwave Technologies Incorporated","100000136444","Stimwave Technologies Incorporated","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","44097","1962568048","David",,"Maine",,"301 SAINT PAUL PL BURK BUILDING 321",,"Baltimore","MD","21202","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Anesthesiology|Pain Medicine","748019373","2020",0.00,9450.00,"Share value","Stimwave Technologies Incorporated","100000136444","Stimwave Technologies Incorporated","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","23346","1528154424","David",,"Mohler",,"300 PASTEUR DR ROOM, R111",,"Standford","CA","94305","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","748019375","2020",0.00,37800.00,"Share value","Stimwave Technologies Incorporated","100000136444","Stimwave Technologies Incorporated","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","246112","1437112810","Sunil",,"Panchal",,"4911 VAN DYKE ROAD",,"LUTZ","FL","33558","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Pain Medicine|Interventional Pain Medicine","748019377","2020",0.00,37800.00,"Share value","Stimwave Technologies Incorporated","100000136444","Stimwave Technologies Incorporated","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","2779411","1467748244","Anish",,"Patel",,"11958 W BROAD ST",,"Henrico","VA","23233","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","748019379","2020",0.00,854.60,"Share value","Stimwave Technologies Incorporated","100000136444","Stimwave Technologies Incorporated","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","39058","1871520593","Ralph",,"Rashbaum",,"6020 W PARKER RD SUITE 200",,"PLANO","TX","75093","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","748019381","2020",0.00,21490.77,"Share value","Stimwave Technologies Incorporated","100000136444","Stimwave Technologies Incorporated","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","113832","1508854027","DAVID","ANDREW","KAGEY","MD","102 HIGHLAND AVE SE SUITE 105",,"ROANOKE","VA","24013-2256","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748291807","2020",10000.00,47000.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000010433","Roanoke Area Surgical Lasers, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","277574","1114919776","RODNEY","J","POFFENBERGER","MD","1234 FRANKLIN RD SW",,"ROANOKE","VA","24016-4606","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748291809","2020",10000.00,47000.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000010433","Roanoke Area Surgical Lasers, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","273416","1023000684","MARK","A","SCHMIDT","MD","1234 FRANKLIN RD SW",,"ROANOKE","VA","24016-4606","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748291811","2020",10000.00,47000.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000010433","Roanoke Area Surgical Lasers, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","26790","1609863513","ROBERT","ANDREW","WHISNANT","MD","102 HIGHLAND AVE SE SUITE 105",,"ROANOKE","VA","24013-2256","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748291815","2020",10000.00,47000.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000010433","Roanoke Area Surgical Lasers, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","267325","1891891594","DAVID","L","CUNNINGHAM","MD","1901 SE 18TH AVE BLDG 300",,"OCALA","FL","34471-8215","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748291817","2020",11422.81,10500.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000010524","Laser Specialty Medical, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","160681","1538119151","MARK","W","DERSCH","MD","1901 SE 18TH AVE BLDG 300",,"OCALA","FL","34471-8215","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748291819","2020",11422.81,10500.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000010524","Laser Specialty Medical, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","124743","1760455042","PARESHKUMAR","G","DESAI","MD","3475 S SUNCOAST BLVD",,"hom*oSASSA","FL","34448-2322","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748291823","2020",11422.81,10500.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000010524","Laser Specialty Medical, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","83294","1831161660","MICHAEL","G","DESAUTEL","MD","609 W HIGHLAND BLVD",,"INVERNESS","FL","34452-4638","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748291825","2020",11422.81,10500.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000010524","Laser Specialty Medical, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","302228","1669430088","PAUL","D","JO","MD","2301 SE 3RD AVE BLDG 100 SUITE A",,"OCALA","FL","34471","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748291827","2020",11422.81,10500.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000010524","Laser Specialty Medical, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","54782","1205834728","EDWARD","D","KING","MD","1901 SE 18TH AVE BLDG 300",,"OCALA","FL","34471-8215","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748291829","2020",11422.81,10500.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000010524","Laser Specialty Medical, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","309799","1841207370","UDAYA",,"KUMAR","MD","3264 W AUDUBON PARK PATH",,"LECANTO","FL","34461-8450","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748291831","2020",11422.81,10500.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000010524","Laser Specialty Medical, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","92470","1033169859","DINESH","S","RAO","MD","1901 SE 18TH AVE BLDG 300",,"OCALA","FL","34471-8215","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748291833","2020",11422.81,10500.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000010524","Laser Specialty Medical, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","223974","1942271481","MANUEL","A","SENERIZ","MD","609 W HIGHLAND BLVD",,"INVERNESS","FL","34452-4638","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748291835","2020",11422.81,10500.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000010524","Laser Specialty Medical, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","78878","1730155672","ANDREW","B","SHER","MD","616 N PALMETTO ST",,"LEESBURG","FL","34748-4417","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748291837","2020",11422.81,10500.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000010524","Laser Specialty Medical, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","761194","1962799221","TAMIR",,"TAWFIK",,"2500 N STATE ST",,"JACKSON","MS","39216","United States",,,"Doctor of Osteopathy","Allopathic & Osteopathic Physicians|Neurological Surgery","748369263","2020",50000.00,33159.95,"Preferred Stock Value of interest based 409A valuation as of 12/31/20","Amplify Surgical, Inc.","100000636811","Amplify Surgical, Inc.","CA","United States","No","Immediate family member","06/30/2023" "UNCHANGED","609408","1659466266","ALEXANDER",,"WOLFSON",,"253 WITHERSPOON ST",,"PRINCETON","NJ","08540","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Anesthesiology","748369267","2020",50000.00,50000.00,"SAFE Investment","Amplify Surgical, Inc.","100000636811","Amplify Surgical, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","86225","1912969635","ALI",,"ARAGHI",,"18444 N 25TH AVE STE 210",,"PHOENIX","AZ","85023","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","748369271","2020",25000.00,25000.00,"SAFE Investment","Amplify Surgical, Inc.","100000636811","Amplify Surgical, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","51152","1124129473","ALI",,"NAJAFI",,"7130 N SHARON AVE #100",,"FRESNO","CA","93720","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","748369275","2020",100000.00,100000.00,"SAFE Investment","Amplify Surgical, Inc.","100000636811","Amplify Surgical, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","321023","1083878227","ANTULIO","BENJAMIN","AROCHE","JR.","1100 PASEO CAMARILLO",,"CAMARILLO","CA","93010","United States",,,"Doctor of Osteopathy","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","748369279","2020",75000.00,75000.00,"SAFE Investment","Amplify Surgical, Inc.","100000636811","Amplify Surgical, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","321023","1083878227","ANTULIO","BENJAMIN","AROCHE","JR.","1100 PASEO CAMARILLO",,"CAMARILLO","CA","93010","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","748369285","2020",75000.00,75000.00,"SAFE Investment","Amplify Surgical, Inc.","100000636811","Amplify Surgical, Inc.","CA","United States","No","Immediate family member","06/30/2023" "UNCHANGED","262147","1760696389","BENJAMIN","D","MACLENNAN",,"2751 NORTHGATE DR",,"IOWA CITY","IA","52245","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","748369289","2020",100000.00,100000.00,"SAFE Investment","Amplify Surgical, Inc.","100000636811","Amplify Surgical, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1171693","1396047783","BRIAN",,"HART",,"424 S MAIN ST",,"NORTH FORK","NJ","08731","United States",,,"Medical Doctor","Chiropractic Providers|Chiropractor","748369293","2020",130000.00,130000.00,"SAFE Investment","Amplify Surgical, Inc.","100000636811","Amplify Surgical, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","320636","1073672648","CHRIS","W","TANG",,"1011 BALDWIN PARK BLVD",,"BALDWIN PARK","CA","91706","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","748369299","2020",25000.00,25000.00,"SAFE Investment","Amplify Surgical, Inc.","100000636811","Amplify Surgical, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","133016","1922038108","CRAIG","A","KUHNS",,"3000 N INTERSTATE 35 STE 708",,"AUSTIN","TX","78705","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","748369301","2020",50000.00,50000.00,"SAFE Investment","Amplify Surgical, Inc.","100000636811","Amplify Surgical, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","827362","1275606188","EDWARD",,"IM",,"1200 112TH AVE NE SUITE C-222",,"BELLEVUE","WA","98004","United States",,,"Medical Doctor","Dental Providers|Dentist|General Practice","748369307","2020",100000.00,100000.00,"SAFE Investment","Amplify Surgical, Inc.","100000636811","Amplify Surgical, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","450553","1063481588","GORDON",,"TANG",,"2999 REGENT ST SUITE 715",,"BERKELEY","CA","94705","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","748369311","2020",50000.00,50000.00,"SAFE Investment","Amplify Surgical, Inc.","100000636811","Amplify Surgical, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","243936","1386658011","JEFFREY","S","ABRAMS",,"325 PRINCETON AVE",,"PRINCETON","NJ","08540","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","748369317","2020",50000.00,50000.00,"SAFE Investment","Amplify Surgical, Inc.","100000636811","Amplify Surgical, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","187551","1124289780","JOSEPH","KIM","LEE",,"658 WHITE PLAINS RD",,"TARRYTOWN","NY","10591","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","748369323","2020",50000.00,50000.00,"SAFE Investment","Amplify Surgical, Inc.","100000636811","Amplify Surgical, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","561008","1952454472","MATTHEW","W","HWANG",,"9353 IMPERIAL HWY KAISER PERMANENTE","DEPT. ORTHOPEDIC-SPINE","DOWNEY","CA","90242","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","748369325","2020",70000.00,70000.00,"SAFE Investment","Amplify Surgical, Inc.","100000636811","Amplify Surgical, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "CHANGED","342282","1538186218","Dean","G","Consiglio",,"6225 E State Road 64",,"Bradenton","FL","34208","United States",,,"Doctor of Optometry","Eye and Vision Services Providers|Optometrist","737303759","2020",45100.00,25.20,"common stock","Rapid Pathogen Screening, Inc.","100000010778","Rapid Pathogen Screening, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "CHANGED","62788","1376592741","Pooja",,"Khator",,"217 Manatee Ave E",,"Bradenton","FL","34208","United States",,,"Doctor of Optometry","Allopathic & Osteopathic Physicians|Ophthalmology","737309475","2020",55000.00,18.90,"common stock","Rapid Pathogen Screening, Inc.","100000010778","Rapid Pathogen Screening, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "CHANGED","67358","1497763031","Derrick","Wade","Shindler",,"8420 Ocean Gtwy",,"Easton","MD","21601","United States",,,"Doctor of Optometry","Allopathic & Osteopathic Physicians|Ophthalmology","737319515","2020",75000.00,86.10,"common stock","Rapid Pathogen Screening, Inc.","100000010778","Rapid Pathogen Screening, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "CHANGED","252710","1568624468","Douglas",,"Blackmon",,"1670 Clairmont Rd",,"Decatur","GA","30033","United States",,,"Doctor of Optometry","Allopathic & Osteopathic Physicians|Ophthalmology","737324771","2020",49950.00,18.90,"common stock","Rapid Pathogen Screening, Inc.","100000010778","Rapid Pathogen Screening, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "CHANGED","474659","1902804347","Jason",,"Kooch",,"2300 Highland Ave",,"Bethlehem","PA","18020","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Physical Medicine & Rehabilitation","737340117","2020",150000.00,14.70,"common stock","Rapid Pathogen Screening, Inc.","100000010778","Rapid Pathogen Screening, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "CHANGED","163932","1619912292","Christian",,"Tvetenstrand",,"30 Harrison St","Suite 320","Johnson City","NY","13790","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Surgery","737343701","2020",140000.00,98.70,"common stock","Rapid Pathogen Screening, Inc.","100000010778","Rapid Pathogen Screening, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "CHANGED","40572","1891790770","Eric","David","Donnenfeld",,"711 Steward Ave","Suite 160","Garden City","NY","11530","United States",,,"Doctor of Optometry","Allopathic & Osteopathic Physicians|Ophthalmology","737343711","2020",399975.00,37.80,"common stock","Rapid Pathogen Screening, Inc.","100000010778","Rapid Pathogen Screening, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "CHANGED","359005","1912988981","Parag",,"Majmudar",,"1585 Barrington Rd","Suite 502","Hoffman Estates","IL","60169","United States",,,"Doctor of Optometry","Allopathic & Osteopathic Physicians|Ophthalmology","737343723","2020",100000.00,50.40,"common stock","Rapid Pathogen Screening, Inc.","100000010778","Rapid Pathogen Screening, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "CHANGED","337250","1427087725","Swati",,"Parekh",,"1031 McBride Ave","Suite D106","Woodland Park","NJ","07424","United States",,,"Doctor of Optometry","Allopathic & Osteopathic Physicians|Ophthalmology","737343737","2020",150000.00,28.35,"common stock","Rapid Pathogen Screening, Inc.","100000010778","Rapid Pathogen Screening, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "CHANGED","37605","1841222502","Jai",,"Parekh",,"1031 McBride Ave","Suite D106","Woodland Park","NJ","07424","United States",,,"Doctor of Optometry","Allopathic & Osteopathic Physicians|Ophthalmology","737343743","2020",300000.00,28.35,"common stock","Rapid Pathogen Screening, Inc.","100000010778","Rapid Pathogen Screening, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "CHANGED","239967","1285634105","Robert","Charles","Sergott",,"840 Walnut St","Suite 930","Philadelphia","PA","19107","United States",,,"Doctor of Optometry","Allopathic & Osteopathic Physicians|Ophthalmology","737343801","2020",168000.00,304.50,"common stock","Rapid Pathogen Screening, Inc.","100000010778","Rapid Pathogen Screening, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "CHANGED","162881","1588663702","John","D","Sheppard",,"241 Corporate Blvd",,"Norfolk","VA","23502","United States",,,"Doctor of Optometry","Allopathic & Osteopathic Physicians|Ophthalmology","737343807","2020",49950.00,18.90,"common stock","Rapid Pathogen Screening, Inc.","100000010778","Rapid Pathogen Screening, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "CHANGED","130878","1871761577","John",,"Berdahl",,"1310 W 22nd St",,"Sioux Falls","SD","57105","United States",,,"Doctor of Optometry","Allopathic & Osteopathic Physicians|Ophthalmology","737343809","2020",49950.00,18.90,"common stock","Rapid Pathogen Screening, Inc.","100000010778","Rapid Pathogen Screening, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "CHANGED","86232","1912097171","John",,"Destafeno",,"915 Old Fern Hill Rd","Suite B200","West Chester","PA","19380","United States",,,"Doctor of Optometry","Allopathic & Osteopathic Physicians|Ophthalmology","737343865","2020",99900.00,37.80,"common stock","Rapid Pathogen Screening, Inc.","100000010778","Rapid Pathogen Screening, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "CHANGED","286723","1316909955","John","V","Vilasi",,"8330 Lakewood Ranch Blvd",,"Bradenton","FL","34202","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Anesthesiology","737343867","2020",75000.00,29.40,"common stock","Rapid Pathogen Screening, Inc.","100000010778","Rapid Pathogen Screening, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","326925","1205826377","Aneesh",,"Singla",,"11921 ROCKVILLE PIKE SUITE 505",,"ROCKVILLE","MD","20852","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Pain Medicine|Interventional Pain Medicine","748019383","2020",0.00,20610.66,"Share value","Stimwave Technologies Incorporated","100000136444","Stimwave Technologies Incorporated","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","46246","1013939198","Abdul",,"Soudan",,"7120 MINSTREL WAY STE 106",,"Columbia","MD","21045","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Pain Medicine|Interventional Pain Medicine","748019385","2020",0.00,5938.80,"Share value","Stimwave Technologies Incorporated","100000136444","Stimwave Technologies Incorporated","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1294418","1760619282","Xi",,"Wang",,"3601 W 13 Mile Road,",,"Royal Oak","MI","48073","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Pathology|Anatomic Pathology & Clinical Pathology","748019387","2020",0.00,16777.61,"Share value","Stimwave Technologies Incorporated","100000136444","Stimwave Technologies Incorporated","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","94333","1093701872","RICHARD",,"Weiner",,"8230 WALNUT HILL LANE SUITE 220",,"DALLAS","TX","75231","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","748019389","2020",0.00,12600.00,"Share value","Stimwave Technologies Incorporated","100000136444","Stimwave Technologies Incorporated","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","309144","1821034356","Anthony",,"Yeung",,"1635 E MYRTLE AVE STE 400",,"Phoenix","AZ","85020","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Physical Medicine & Rehabilitation","748019391","2020",0.00,75300.89,"Share value","Stimwave Technologies Incorporated","100000136444","Stimwave Technologies Incorporated","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","44706","1992797013","Hansen",,"Yuan",,"550 Harrison Street Suite 130",,"Syracuse","NY","13202","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","748019393","2020",0.00,22583.36,"Share value","Stimwave Technologies Incorporated","100000136444","Stimwave Technologies Incorporated","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","809354","1679557615","James",,"Yue",,"1 GREENWICH PL 889 BRIDGEPORT AVE",,"SHELTON","CT","06484","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","748019395","2020",0.00,18938.58,"Share value","Stimwave Technologies Incorporated","100000136444","Stimwave Technologies Incorporated","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","276426","1104853795","Jack",,"Zigler",,"6020 W PARKER RD SUITE 200",,"PLANO","TX","75093","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","748019397","2020",0.00,13092.03,"Share value","Stimwave Technologies Incorporated","100000136444","Stimwave Technologies Incorporated","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","173096","1811999196","LESTER",,"Zuckerman",,"11921 ROCKVILLE PIKE SUITE 505",,"ROCKVILLE","MD","20852","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Pain Medicine|Interventional Pain Medicine","748019399","2020",0.00,12820.40,"Share value","Stimwave Technologies Incorporated","100000136444","Stimwave Technologies Incorporated","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","147483","1265437628","Mitchell","J","Silver",,"3705 Olentangy River Rd","Suite 100","Columbus","OH","43214","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Interventional Cardiology","748134321","2020",0.00,218290.98,"Common and Preferred Stock","Contego Medical, Inc","100000506818","Contego Medical, Inc","NC","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1077718","1093785974","Matthew","A","Hook",,"3000 New Bern Ave","Suite G-100","Raleigh","NC","27610","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Interventional Cardiology","748134325","2020",0.00,135970.10,"Preferred Stock","Contego Medical, Inc","100000506818","Contego Medical, Inc","NC","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","141838","1134327745","Kenneth",,"Rosenfield",,"55 Fruit St #800","MAILSTOP 843","Boston","MA","02114","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Cardiovascular Disease","748134329","2020",0.00,135658.94,"Common and Preferred Stock Investment","Contego Medical, Inc","100000506818","Contego Medical, Inc","NC","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","172034","1780682484","Eric","M","Janis",,"910 Berkshire Rd",,"Smithfield","NC","27577","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Cardiovascular Disease","748134331","2020",0.00,101599.33,"Preferred Stock Investment","Contego Medical, Inc","100000506818","Contego Medical, Inc","NC","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","336678","1437157138","Joel","E","Schneider",,"3000 New Bern Ave","Suite G-100","Raleigh","NC","27610","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Interventional Cardiology","748134335","2020",0.00,109811.78,"Preferred Stock Investment","Contego Medical, Inc","100000506818","Contego Medical, Inc","NC","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","76293","1679523294","HARVEY","C","TAUB","MD","1901 SE 18TH AVE BLDG 300",,"OCALA","FL","34471-8215","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748291839","2020",11422.81,10500.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000010524","Laser Specialty Medical, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","158382","1487693156","AHMAD",,"ABOUHOSSEIN","MD","9000 N MAIN ST STE 333",,"ENGLEWOOD","OH","45415-1185","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748291841","2020",328.74,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","68139","1508812546","HOWARD","B","ABROMOWITZ","MD","9000 N MAIN ST STE 333",,"ENGLEWOOD","OH","45415-1185","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748291843","2020",328.74,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","284936","1285783282","JAMES","EDGAR","ALLEN","MD","1200 BROOKS LN SUITE 220",,"CLAIRTON","PA","15025-3747","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748291845","2020",16.44,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","284936","1285783282","JAMES","EDGAR","ALLEN","MD","1200 BROOKS LN SUITE 220",,"CLAIRTON","PA","15025-3747","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748291847","2020",312.30,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","247958","1457447336","SETH","ADAM","ALPERT","MD","700 CHILDRENS DR",,"COLUMBUS","OH","43205","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology|Pediatric Urology","748291851","2020",51.45,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","160862","1558393611","VICTOR","F","ALTADONNA","MD","2106 HARRISBURG PIKE SUITE 200",,"LANCASTER","PA","17601-2644","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748291853","2020",136.26,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","136496","1013011170","THANGARAJ",,"AMARAN","MD","950 SOUTH MAIN ST SUITE 5",,"CELINA","OH","45822","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748291855","2020",670.30,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","134787","1982603668","ROGER","G","AMIGO","DO","2160 EWING CRAWFIS CIR",,"BELLEFONTAINE","OH","43311-9042","United States",,,"Doctor of Osteopathy","Allopathic & Osteopathic Physicians|Urology","748291859","2020",495.25,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","127330","1790779437","HUGO","J","ANDREINI","MD","1800 FRANKLIN ST",,"TORONTO","OH","43964-1949","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748291861","2020",328.74,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","272565","1003981168","ANANTH",,"ANNAMRAJU","MD","1164 E HOME RD",,"SPRINGFIELD","OH","45503-2726","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748291865","2020",378.05,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","338367","1467463695","PHILIP","CONSTANDI","ASCHI","DO","1150 W LOCUST STREET SUITE 600",,"WILMINGTON","OH","45177-2063","United States",,,"Doctor of Osteopathy","Allopathic & Osteopathic Physicians|Urology","748291869","2020",328.74,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","102145","1255480398","VIJAY","SATAPPA","ATHANI","MD","1200 BROOKS LN SUITE 220",,"CLAIRTON","PA","15025-3747","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748291873","2020",16.44,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","790694","1013116722","MICHAEL","D","CHO",,"1959 NE PACIFIC ST BOX 356428, UOFW RHEUMATOLOGY",,"SEATTLE","WA","98195","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Rheumatology","748369331","2020",50000.00,50000.00,"SAFE Investment","Amplify Surgical, Inc.","100000636811","Amplify Surgical, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1349243","1487894820","MOHAMMED","F","KHAN",,"680 KINDERKAMACK RD STE 300",,"ORADELL","NJ","07649","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","748369335","2020",50000.00,50000.00,"SAFE Investment","Amplify Surgical, Inc.","100000636811","Amplify Surgical, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","827716","1285845404","NAMATH",,"HUSSAIN",,"25455 BARTON RD STE 108A",,"LOMA LINDA","CA","92354","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","748369341","2020",100000.00,100000.00,"SAFE Investment","Amplify Surgical, Inc.","100000636811","Amplify Surgical, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","219033","1831106756","ROBERT",,"HART",,"550 17TH AVE 5TH FL",,"SEATTLE","WA","98122","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","748369343","2020",50000.00,50000.00,"SAFE Investment","Amplify Surgical, Inc.","100000636811","Amplify Surgical, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","373411","1356400543","ROBERT","D","THOMPSON",,"424 S MAIN ST",,"FORKED RIVER","NJ","08731","United States",,,"Medical Doctor","Chiropractic Providers|Chiropractor","748369349","2020",525000.00,525000.00,"SAFE Investment","Amplify Surgical, Inc.","100000636811","Amplify Surgical, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","225045","1972762276","RONNIEL",,"NAZARIAN",,"325 PRINCETON AVE",,"PRINCETON","NJ","08540","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","748369353","2020",50000.00,50000.00,"SAFE Investment","Amplify Surgical, Inc.","100000636811","Amplify Surgical, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","105784","1336455112","SAMAH",,"MOHIUDDIN",,"1340 WASHINGTON ST",,"WATERTOWN","NY","13601","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Psychiatry & Neurology|Neurology","748369357","2020",275000.00,275000.00,"SAFE Investment","Amplify Surgical, Inc.","100000636811","Amplify Surgical, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","189212","1174736599","STEFAN",,"RENAUD",,"706 SUMMIT CROSSING PL",,"GASTONIA","NC","28054","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","748369365","2020",50000.00,50000.00,"SAFE Investment","Amplify Surgical, Inc.","100000636811","Amplify Surgical, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","761194","1962799221","TAMIR",,"TAWFIK",,"2500 N STATE ST",,"JACKSON","MS","39216","United States",,,"Doctor of Osteopathy","Allopathic & Osteopathic Physicians|Neurological Surgery","748369371","2020",100000.00,100000.00,"SAFE Investment","Amplify Surgical, Inc.","100000636811","Amplify Surgical, Inc.","CA","United States","No","Immediate family member","06/30/2023" "UNCHANGED","761194","1962799221","TAMIR",,"TAWFIK",,"2500 N STATE ST",,"JACKSON","MS","39216","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","748369375","2020",145000.00,145000.00,"SAFE Investment","Amplify Surgical, Inc.","100000636811","Amplify Surgical, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1395146","1508123167","TYLER","ALAN","CARSON",,"1120 W AVENUE M4",,"PALMDALE","CA","93551","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","748369379","2020",75000.00,75000.00,"SAFE Investment","Amplify Surgical, Inc.","100000636811","Amplify Surgical, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "CHANGED","333309","1356393458","Devraj",,"Lahiri",,"97 Cedar Grove Ln","Suite 203","Somerset","NJ","08873","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine","748374689","2020",0.00,113435.00,"Series A Preferred Stock; Series B Preferred Stock","Calyxo, Inc.","100000786821","Calyxo, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "CHANGED","693141","1578666806","Ryan",,"Pham",,"2934 Ingelow St",,"San Diego","CA","92106","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Nuclear Medicine","748374785","2020",0.00,41890.00,"Series A Preferred Stock; Series B Preferred Stock","Calyxo, Inc.","100000786821","Calyxo, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "CHANGED","899840","1851316954","Tony",,"Maung",,"4653 Carmel Mountain Road",,"San Diego","CA","92130","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Radiology|Diagnostic Radiology","748378735","2020",0.00,113435.00,"Series A Preferred Stock; Series B Preferred Stock","Calyxo, Inc.","100000786821","Calyxo, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1028290","1346444767","Robert",,"Hershberg",,"1959 NE Pacific St",,"Seattle","WA","98195","United States",,,"Medical Doctor",,"748378777","2020",0.00,2047168.96,"Equity Granted","NanoString Technologies, Inc.","100000136376","NanoString Technologies, Inc.","WA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1315076",,"GEORGE",,"LOPEZ",,"166 EMERALD BAY",,"LAGUNA BEACH","CA","92651","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine","748408397","2020",290386425.13,290386425.13,"Stock and stock options","ICU Medical Inc","100000010657","ICU Medical Inc","CA","United States","No","Physician Covered Recipient","06/30/2023" "CHANGED","577735","1538485289","Jonathan","B","Rosefsky",,"1164 Saint Andrews Rd",,"Bryn Mawr","PA","19010","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Pediatrics","737343873","2020",30000.00,35.70,"common stock","Rapid Pathogen Screening, Inc.","100000010778","Rapid Pathogen Screening, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "CHANGED","359270","1902891617","Jose",,"Erbella","Jr","250 2nd St E","Suite 1A","Bradenton","FL","34208","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Surgery","737356581","2020",484911.00,216.30,"common stock","Rapid Pathogen Screening, Inc.","100000010778","Rapid Pathogen Screening, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "CHANGED","57329","1275538902","Joseph","J","Maguire",,"4060 Butler Pike","Suite 200","Plymouth Meeting","PA","19462","United States",,,"Doctor of Optometry","Allopathic & Osteopathic Physicians|Ophthalmology","737356587","2020",22500.00,54.60,"common stock","Rapid Pathogen Screening, Inc.","100000010778","Rapid Pathogen Screening, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "CHANGED","85321","1871622845","Kenneth",,"Beck",,"3920 Bee Ridge Rd","Building A","Sarasota","FL","34233","United States",,,"Doctor of Optometry","Eye and Vision Services Providers|Optometrist","737356649","2020",152320.00,94.50,"common stock","Rapid Pathogen Screening, Inc.","100000010778","Rapid Pathogen Screening, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "CHANGED","19593","1427019207","Kenneth",,"Morgenstern",,"123 Bloomington Ave","Suite 102","Wayne","PA","19087","United States",,,"Doctor of Optometry","Allopathic & Osteopathic Physicians|Ophthalmology|Ophthalmic Plastic and Reconstructive Surgery","737356655","2020",49950.00,18.90,"common stock","Rapid Pathogen Screening, Inc.","100000010778","Rapid Pathogen Screening, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "CHANGED","109085","1417932559","Lee","Joseph","Raykovicz",,"724 Arden Ln","Suite 120","Rock Hill","SC","29732","United States",,,"Doctor of Optometry","Eye and Vision Services Providers|Optometrist","737356659","2020",99950.00,33.60,"common stock","Rapid Pathogen Screening, Inc.","100000010778","Rapid Pathogen Screening, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "CHANGED","702206","1881670917","Luiz","A","Grajwer",,"2801 N State Road 7",,"Margate","FL","33063","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Pediatrics","737356663","2020",231226.00,168.00,"common stock","Rapid Pathogen Screening, Inc.","100000010778","Rapid Pathogen Screening, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "CHANGED","92688","1053759241","Bhagwan","W","Gajwani",,"508 Meeker Rd",,"Vestal","NY","13850","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Hematology & Oncology","737356667","2020",75000.00,29.40,"common stock","Rapid Pathogen Screening, Inc.","100000010778","Rapid Pathogen Screening, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "CHANGED","67504","1487912275","Stanley",,"Spielman",,"7950 SW 125th St",,"Miami","FL","33156","United States",,,"Doctor of Optometry","Allopathic & Osteopathic Physicians|Ophthalmology","737356675","2020",94000.00,96.60,"common stock","Rapid Pathogen Screening, Inc.","100000010778","Rapid Pathogen Screening, Inc.","CA","United States","No","Immediate family member","06/30/2023" "CHANGED","184383","1073583902","Mark",,"Dipillo",,"2630 Westview Dr",,"Wyomissing","PA","19610","United States",,,"Doctor of Optometry","Allopathic & Osteopathic Physicians|Ophthalmology","737356679","2020",60000.00,23.10,"common stock","Rapid Pathogen Screening, Inc.","100000010778","Rapid Pathogen Screening, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "CHANGED","49616","1104804640","Neil","J","Feldman",,"299 Lincoln St","Suite 202","Worcester","MA","01605","United States",,,"Medical Doctor","Podiatric Medicine & Surgery Service Providers|Podiatrist|Foot Surgery","737356697","2020",30000.00,35.70,"common stock","Rapid Pathogen Screening, Inc.","100000010778","Rapid Pathogen Screening, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "CHANGED","358895","1912943028","Michael","S","Varone",,"7503 Abbey Gln",,"Lakewood Ranch","FL","34202","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Anesthesiology","737356777","2020",150000.00,56.70,"common stock","Rapid Pathogen Screening, Inc.","100000010778","Rapid Pathogen Screening, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "CHANGED","44434","1972509297","Nicholas",,"Anderson",,"1124 E Weisgarber Rd","Suite 207","Knoxville","TN","37909","United States",,,"Doctor of Optometry","Allopathic & Osteopathic Physicians|Ophthalmology","737356785","2020",429800.00,310.80,"common stock","Rapid Pathogen Screening, Inc.","100000010778","Rapid Pathogen Screening, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "CHANGED","210366","1659327922","Niraj",,"Patel",,"369 Springfield Ave","Suite 2","Berkeley Heights","NJ","07922","United States",,,"Doctor of Optometry","Allopathic & Osteopathic Physicians|Internal Medicine","737356789","2020",50000.00,14.70,"common stock","Rapid Pathogen Screening, Inc.","100000010778","Rapid Pathogen Screening, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "CHANGED","8701","1194723841","Peter",,"Laibson",,"840 Walnut St","Suite 920","Philadelphia","PA","19107","United States",,,"Doctor of Optometry","Allopathic & Osteopathic Physicians|Ophthalmology","737356791","2020",30000.00,69.30,"common stock","Rapid Pathogen Screening, Inc.","100000010778","Rapid Pathogen Screening, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1017822","1992707293","WENDY",,"WARREN",,"94 OLD SHORT HILLS RD","STE 402","LIVINGSTON","NJ","07039","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology|Maternal & Fetal Medicine","735750395","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","250977","1548262819","RICHARD",,"MILLER",,"94 OLD SHORT HILLS RD EAST WING","SUITE 402","LIVINGSTON","NJ","07039","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology|Maternal & Fetal Medicine","735750655","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1016096","1922233824","JONATHAN",,"O'BRIEN",,"94 OLD SHORT HILLS RD",,"LIVINGSTON","NJ","07039","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology|Maternal & Fetal Medicine","735750669","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","979610","1639366362","LINDA",,"PELAEZ",,"94 OLD SHORT HILLS RD EAST WING","SUITE 402","LIVINGSTON","NJ","07039","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology|Maternal & Fetal Medicine","735750691","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1230643","1467454751","LEON",,"SMITH",,"94 OLD SHORT HILLS RD","STE 402","LIVINGSTON","NJ","07039","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology|Maternal & Fetal Medicine","735750717","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1310301","1750383048","DOM",,"TERRONE",,"94 OLD SHORT HILLS RD EAST WING","SUITE 402","LIVINGSTON","NJ","07039","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology|Maternal & Fetal Medicine","735750739","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1043239","1881696185","EDWARD",,"WOLF",,"94 OLD SHORT HILLS RD EAST WING","SUITE 402","LIVINGSTON","NJ","07039","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology|Maternal & Fetal Medicine","735750763","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","102145","1255480398","VIJAY","SATAPPA","ATHANI","MD","1200 BROOKS LN SUITE 220",,"CLAIRTON","PA","15025-3747","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748291877","2020",312.30,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","356390","1841282969","SCOTT","D","BARKIN","DO","701 TECH CENTER DR",,"GAHANNA","OH","43230-1987","United States",,,"Doctor of Osteopathy","Allopathic & Osteopathic Physicians|Urology","748291879","2020",495.25,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","156450","1467484527","JOHN","D","BARTGES","MD","2106 HARRISBURG PIKE STE 200",,"LANCASTER","PA","17601-3200","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748291881","2020",328.74,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","56804","1255418885","EDGAR","C","BASELLI","MD","2350 FREEDOM WAY SUITE 102",,"YORK","PA","17402","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748291885","2020",328.74,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","291488","1437124112","WILLIAM","HENRICHS","BATTEN","MD","1500 E MAIN STREET SUITE D",,"LANCASTER","OH","43130","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748291891","2020",495.25,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","262792","1780612911","MICHAEL","SCOTT","BELTZ","MD","735 NORMAN DR SUITE B",,"LEBANON","PA","17042-7497","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748291895","2020",328.74,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1047172","1023013505","WILLIAM","E","BLOCH","M.D.","350 W WILSON BRIDGE RD",,"WORTHINGTON","OH","43085-2217","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748291897","2020",328.74,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","392419","1023269073","JASON","S","BONSLAVER","MD","2350 FREEDOM WAY SUITE 102",,"YORK","PA","17402-8200","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748291901","2020",126.40,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","18570","1417915851","STUART","L","BOWERS","MD","5141 W BROAD ST SUITE 180",,"COLUMBUS","OH","43228-1992","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748291903","2020",328.74,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","218157","1811992654","EMMETT","T","BOYLE","JR MD","3500 EXECUTIVE PKWY",,"TOLEDO","OH","43606-1319","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748291907","2020",328.74,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","84655","1861415176","STEPHEN","L","BREWER","MD","7370 TURFWAY RD SUITE 350",,"FLORENCE","KY","41042-4895","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748291909","2020",178.01,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","297913","1578536181","DAVID","H","BROWN","MD","430 ALTAIR PKWY STE 200",,"WESTERVILLE","OH","43082-7647","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748291915","2020",569.71,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","290774","1417990565","ROY","REGINALD","BROWN","JR MD","701 TECH CENTER DR STE 100",,"GAHANNA","OH","43230-1987","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748291917","2020",328.74,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","227149","1013097534","Mark",,"Sender",,"23823 Valencia Blvd","Suite 130","Santa Clarita","CA","91355","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139365","2020",3347.80,324305.56,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","261172","1750379764","Philip",,"Weintraub",,"2601 West Alameda Ave","Suite 412","Burbank","CA","91505","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139367","2020",0.00,84937.17,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","75509","1669426078","Fredrick",,"Wolk",,"3445 Pacific Coast Hwy","Suite 310","Torrance","CA","90505","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139369","2020",0.00,84937.17,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","152074","1346290673","Richard",,"Harris",,"675 W North Ave","Suite 605","Melrose Park","IL","60160","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139371","2020",0.00,3482423.93,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","313551","1902884133","Victor",,"Brugh",,"225 Clearfield Avenue",,"Virginia Beach","VA","23462","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139373","2020",0.00,159257.29,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","105342","1316927163","Gregg",,"Eure",,"225 Clearfield Avenue",,"Virginia Beach","VA","23462","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139375","2020",0.00,159257.29,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","337076","1427036664","Michael",,"Fabrizio",,"225 Clearfield Avenue",,"Virginia Beach","VA","23462","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139377","2020",0.00,159257.29,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","347520","1669450680","Robert",,"Given",,"225 Clearfield Avenue",,"Virginia Beach","VA","23462","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139379","2020",0.00,159257.29,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","92391","1033198072","Nathan",,"Goldin",,"225 Clearfield Avenue",,"Virginia Beach","VA","23462","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139381","2020",0.00,159257.29,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","94654","1083659007","John",,"Lasater",,"225 Clearfield Avenue",,"Virginia Beach","VA","23462","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139383","2020",0.00,159257.29,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","166533","1679676720","Jefferson",,"Lin",,"225 Clearfield Avenue",,"Virginia Beach","VA","23462","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139385","2020",0.00,159257.29,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","156614","1467431403","John",,"Liu",,"225 Clearfield Avenue",,"Virginia Beach","VA","23462","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139387","2020",0.00,159257.29,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","342520","1558582692","John",,"Malcolm",,"225 Clearfield Avenue",,"Virginia Beach","VA","23462","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139389","2020",0.00,159257.29,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","163407","1598743692","Kurt",,"McCammon",,"225 Clearfield Avenue",,"Virginia Beach","VA","23462","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139391","2020",0.00,159257.29,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","144390","1174527113","Bruce",,"Rosenfeld",,"225 Clearfield Avenue",,"Virginia Beach","VA","23462","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139393","2020",0.00,159257.29,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","150348","1326026451","Kevin","W","Sanders",,"4000 COLISEUM DR","SUITE 300","Virginia Beach","VA","23666","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139395","2020",0.00,159257.29,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","263861","1821076860","Lawrence",,"Volz",,"225 Clearfield Avenue",,"Virginia Beach","VA","23462","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139397","2020",0.00,159257.29,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "CHANGED","243626","1366413023","Jodi","Ian","Luchs",,"2185 Wantagh Ave",,"Wantagh","NY","11793","United States",,,"Doctor of Optometry","Allopathic & Osteopathic Physicians|Ophthalmology","737356797","2020",50000.00,14.70,"common stock","Rapid Pathogen Screening, Inc.","100000010778","Rapid Pathogen Screening, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "CHANGED","1216848","1982641049","Pranay",,"Gupta",,"3666 Boulevard","Suite K","Colonial Heights","VA","23834","United States",,,"Doctor of Optometry","Allopathic & Osteopathic Physicians|Ophthalmology","737356803","2020",50000.00,14.70,"common stock","Rapid Pathogen Screening, Inc.","100000010778","Rapid Pathogen Screening, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "CHANGED","281093","1184832313","Robert","E","Edelman",,"20046 Lake Chabot Rd",,"Castro Valley","CA","94546","United States",,,"Doctor of Optometry","Allopathic & Osteopathic Physicians|Ophthalmology","737356809","2020",30000.00,35.70,"common stock","Rapid Pathogen Screening, Inc.","100000010778","Rapid Pathogen Screening, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "CHANGED","138273","1063412161","Robert",,"Liss",,"915 Old Fern Hill Rd","Building B, Suite 200","West Chester","PA","19380","United States",,,"Doctor of Optometry","Allopathic & Osteopathic Physicians|Ophthalmology","737356811","2020",262500.00,98.70,"common stock","Rapid Pathogen Screening, Inc.","100000010778","Rapid Pathogen Screening, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "CHANGED","203133","1477541639","Robert","Paul","Sambursky",,"217 Manatee Ave E",,"Bradenton","FL","34208","United States",,,"Doctor of Optometry","Allopathic & Osteopathic Physicians|Ophthalmology","737356817","2020",251860.00,117.60,"common stock","Rapid Pathogen Screening, Inc.","100000010778","Rapid Pathogen Screening, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "CHANGED","3849","1093704405","Rod",,"Foroozan",,"6560 Fannin St","Suite 2200","Houston","TX","77030","United States",,,"Doctor of Optometry","Allopathic & Osteopathic Physicians|Ophthalmology","737356823","2020",105000.00,14.70,"common stock","Rapid Pathogen Screening, Inc.","100000010778","Rapid Pathogen Screening, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "CHANGED","144433","1174531081","Ronald",,"Sambursky",,"205 Oakdale Rd",,"Johnson City","NY","13790","United States",,,"Doctor of Dentistry","Dental Providers|Dentist|Prosthodontics","737356825","2020",165610.00,98.70,"common stock","Rapid Pathogen Screening, Inc.","100000010778","Rapid Pathogen Screening, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "CHANGED","35667","1780637942","Sadeer",,"Hannush",,"400 Middletown Blvd","Suite 110","Langhorne","PA","19047","United States",,,"Doctor of Optometry","Allopathic & Osteopathic Physicians|Ophthalmology","737356829","2020",49950.00,18.90,"common stock","Rapid Pathogen Screening, Inc.","100000010778","Rapid Pathogen Screening, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "CHANGED","211331","1659378248","Barry",,"Wasserman",,"3 Cooper Plaza","Room 510","Camden","NJ","08103","United States",,,"Doctor of Optometry","Allopathic & Osteopathic Physicians|Ophthalmology","737356833","2020",25000.00,18.90,"common stock","Rapid Pathogen Screening, Inc.","100000010778","Rapid Pathogen Screening, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "CHANGED","132360","1932104221","Stephen",,"Lane",,"2950 Curve Crest Blvd W",,"Stillwater","MN","55082","United States",,,"Doctor of Optometry","Allopathic & Osteopathic Physicians|Ophthalmology","737356839","2020",100050.00,37.80,"common stock","Rapid Pathogen Screening, Inc.","100000010778","Rapid Pathogen Screening, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "CHANGED","171253","1770512899","Steven","Ira","Urken",,"1670 Clairmont Rd",,"Decatur","GA","30030","United States",,,"Doctor of Optometry","Allopathic & Osteopathic Physicians|Ophthalmology","737356841","2020",49950.00,18.90,"common stock","Rapid Pathogen Screening, Inc.","100000010778","Rapid Pathogen Screening, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "CHANGED","6891","1144213976","Sumblina","A","Chaudhary",,"1 Guthrie Square",,"Sayre","PA","18840","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Radiology|Diagnostic Radiology","737356845","2020",25000.00,18.90,"common stock","Rapid Pathogen Screening, Inc.","100000010778","Rapid Pathogen Screening, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "CHANGED","689363","1437186350","Thomas",,"Clinch",,"4500 N Park Ave","Suite 801","Chevy Chase","MD","20815","United States",,,"Doctor of Optometry","Allopathic & Osteopathic Physicians|Ophthalmology","737356849","2020",70000.00,21.00,"common stock","Rapid Pathogen Screening, Inc.","100000010778","Rapid Pathogen Screening, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "CHANGED","360573","1942389168","Todd",,"Michener",,"915 Old Fern Hill Rd","Suite 1 B-A","West Chester","PA","19380","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","737356855","2020",49950.00,18.90,"common stock","Rapid Pathogen Screening, Inc.","100000010778","Rapid Pathogen Screening, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "CHANGED","103814","1285604918","W","Reed","Kindermann",,"3001 Chapel Ave W","Suite 200","Cherry Hill","NJ","08002","United States",,,"Doctor of Optometry","Allopathic & Osteopathic Physicians|Ophthalmology","737356857","2020",144000.00,296.10,"common stock","Rapid Pathogen Screening, Inc.","100000010778","Rapid Pathogen Screening, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1076431","1053343863","FAITH",,"BROSCH",,"4745 OGLETOWN STANTON RD MAP1","SUITE 207","NEWARK","DE","19713","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","735750991","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","158000","1497712657","GREGORY",,"DEMEO",,"4745 OGLETOWN STANTON RD","SUITE 106","NEWARK","DE","19713","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","735751005","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","482533","1184642134","ALEXANDER",,"KIRIFIDES",,"875 AAA BLVD","SUITE B","NEWARK","DE","19713","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","735751021","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","241946","1336168459","KAREN",,"LYTLE-GLOVER",,"4745 OGLETOWN STANTON RD","Suite 207","Newark","DE","19713","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","735755405","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","280059","1184691156","STEFANIE",,"MARSHALL",,"4745 OGLETOWN STANTON RD","SUITE 106","Newark","DE","19713","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","735769893","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","866734","1699941989","JESSICA",,"APEL",,"4755 OGLETOWN STANTON RD","ROOM 2A00","NEWARK","DE","19718","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","735785433","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","468307","1699707497","ZUBDA",,"RASHID",,"4745 OGLETOWN STANTON RD","Suite 207","Newark","DE","19713","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","735796327","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","270748","1982622353","JOHN","K","BURGERS","MD","350 W WILSON BRIDGE RD",,"WORTHINGTON","OH","43085-2217","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748291921","2020",328.74,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","253871","1609875905","STEPHEN","DUFFIELD","CAMPANELLA","MD","480 E JEFFERSON ST SUITE C",,"BUTLER","PA","16001-4780","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748291923","2020",328.74,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","178944","1942241260","JEFFREY","M","CAREY","MD","701 TECH CENTER DR STE 100",,"GAHANNA","OH","43230-1987","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748291929","2020",328.74,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","359906","1922083708","RONALD","G","CERCONE","MD","3000 STONEWOOD DR SUITE 200",,"WEXFORD","PA","15090-8317","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748291933","2020",328.74,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","275426","1063451367","ANDY","J","CHO","MD","701 TECH CENTER DR STE 100",,"GAHANNA","OH","43230-1987","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748291937","2020",402.71,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","312505","1871591818","DOMINGO","T","CHUA","MD","1092 HARRISON AVE",,"ELKINS","WV","26241-3671","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748291943","2020",160.26,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","176149","1871699652","SCOTT","D","COHEN","M.D.","950 S MAIN ST STE 10",,"CELINA","OH","45822-2475","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748291945","2020",328.74,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","97608","1164463451","EVAN","B.","COHN","M.D.","701 TECH CENTER DR",,"GAHANNA","OH","43230-1987","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748291949","2020",328.74,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","21742","1477539062","DANIEL","J","COLE","MD","3000 STONEWOOD DR SUITE 200",,"WEXFORD","PA","15090-8317","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748291952","2020",328.74,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","257741","1679537831","GIOVANNI",,"COLOMBO","MD","7309 N KNOXVILLE AVE",,"PEORIA","IL","61614-2085","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748291955","2020",328.74,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","125800","1770524951","ROBERTO","S","CONCEPCION","MD","1040 DELAWARE AVENUE",,"MARION","OH","43301-1814","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748291961","2020",526.15,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","61504","1366515405","MICHAEL","F","CUNNINGHAM","M.D.","350 W WILSON BRIDGE RD",,"WORTHINGTON","OH","43085-2217","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748291967","2020",369.83,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","172147","1780663229","CHARLES","MUNFORD","DALTON","M.D.","905 UNIVERSITY DR STE 2",,"STATE COLLEGE","PA","16801-6626","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748291971","2020",136.26,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","12841","1295058394","Michael",,"Williams",,"225 Clearfield Avenue",,"Virginia Beach","VA","23462","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139399","2020",0.00,159257.29,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","299840","1619956661","James",,"Young",,"225 Clearfield Avenue",,"Virginia Beach","VA","23462","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139401","2020",0.00,159257.29,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","23759","1518978204","Bryan",,"Mehlhaff",,"2400 Hartman Lane",,"Springfield","OR","97477","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139403","2020",0.00,2123427.47,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","347807","1659457455","Wesley",,"Brookover",,"10901 East 48th Street South",,"Tulsa","OK","74146","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139405","2020",0.00,84937.14,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","336357","1407877970","Robert",,"Bruce",,"10901 East 48th Street South",,"Tulsa","OK","74146","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139407","2020",0.00,84937.14,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","132942","1922028828","Jeremy",,"Carrico",,"10901 East 48th Street South",,"Tulsa","OK","74146","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139409","2020",0.00,84937.14,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","73334","1619053410","David",,"Confer",,"10901 East 48th Street South",,"Tulsa","OK","74146","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139411","2020",0.00,84937.14,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","310861","1841345709","Stephen",,"Confer",,"10901 East 48th Street South",,"Tulsa","OK","74146","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139413","2020",0.00,84937.14,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","161599","1578583423","William",,"Cook",,"10901 East 48th Street South",,"Tulsa","OK","74146","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139415","2020",0.00,84937.14,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","145580","1205975224","Cole",,"Davis",,"10901 East 48th Street South",,"Tulsa","OK","74146","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139417","2020",0.00,84937.14,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","348186","1679694822","Sean",,"Doyle",,"10901 East 48th Street South",,"Tulsa","OK","74146","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139419","2020",0.00,84937.14,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","327970","1225050768","John",,"Forrest",,"10901 East 48th Street South",,"Tulsa","OK","74146","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139421","2020",0.00,84937.14,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1073","1013983741","Kevin",,"Gancarczyk",,"10901 East 48th Street South",,"Tulsa","OK","74146","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139423","2020",0.00,84937.14,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","361720","1972764496","Sean",,"Grewal",,"10901 East 48th Street South",,"Tulsa","OK","74146","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139425","2020",0.00,84937.14,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","230469","1093737538","Jack",,"Miller",,"10901 East 48th Street South",,"Tulsa","OK","74146","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139427","2020",0.00,84937.14,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","103426","1295757607","Oren",,"Miller",,"10901 East 48th Street South",,"Tulsa","OK","74146","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139429","2020",0.00,84937.14,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","178834","1952323362","Marc",,"Milsten",,"10901 East 48th Street South",,"Tulsa","OK","74146","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139431","2020",0.00,84937.14,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1064629","1649224635","James",,"Blount",,"3700 NW Cary Pkwy","Ste 110","Cary","NC","27513","United States",,,"Doctor of Osteopathy","Allopathic & Osteopathic Physicians|Family Medicine","737356991","2020",23189.00,132000.00,"375 Shares of Stock","The North Carolina Mutual Wholesale Drug Company Inc","100000005657","The North Carolina Mutual Wholesale Drug Company Inc","NC","United States","No","Immediate family member","06/30/2023" "UNCHANGED","28095","1619904786","Terry","Odell","Bowman",,"45 Anderson St",,"Denton","NC","27239","United States",,,"Doctor of Dentistry","Dental Providers|Dentist|General Practice","737356995","2020",32593.50,70048.00,"199 Shares of Stock","The North Carolina Mutual Wholesale Drug Company Inc","100000005657","The North Carolina Mutual Wholesale Drug Company Inc","NC","United States","No","Immediate family member","06/30/2023" "UNCHANGED","297244","1548475783","Natalia",,"Thomas",,"1111 48th Ave","Ste 115","Myrtle Beach","SC","29577","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine","737357001","2020",45233.00,70400.00,"200 Shares of Stock","The North Carolina Mutual Wholesale Drug Company Inc","100000005657","The North Carolina Mutual Wholesale Drug Company Inc","NC","United States","No","Immediate family member","06/30/2023" "UNCHANGED","122860","1700863404","Jason","R","Dameron",,"704 Medical Park Dr",,"Hartsville","SC","29550","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Surgery","737357003","2020",49394.50,92928.00,"264 Shares of Stock","The North Carolina Mutual Wholesale Drug Company Inc","100000005657","The North Carolina Mutual Wholesale Drug Company Inc","NC","United States","No","Immediate family member","06/30/2023" "UNCHANGED","1210299","1750348777","Lenwood",,"Smith",,"2325 Stantonsburg Rd","ECU Neurological and Spine Center","Greenville","NC","27834","United States",,,"Doctor of Osteopathy","Allopathic & Osteopathic Physicians|Surgery","737357005","2020",41639.00,72512.00,"206 Shares of Stock","The North Carolina Mutual Wholesale Drug Company Inc","100000005657","The North Carolina Mutual Wholesale Drug Company Inc","NC","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","340052","1487766697","Tony","Martin","Cranford",,"208 South Main St",,"Denton","NC","27239","United States",,,"Doctor of Osteopathy","Eye and Vision Services Providers|Optometrist","737357011","2020",51945.50,75680.00,"215 Shares of Stock","The North Carolina Mutual Wholesale Drug Company Inc","100000005657","The North Carolina Mutual Wholesale Drug Company Inc","NC","United States","No","Immediate family member","06/30/2023" "UNCHANGED","270253","1952399784","Tanvir","Anwar","Chodri",,"610 N Fayetteville St","Ste 300","Asheboro","NC","27203","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Pulmonary Disease","737357013","2020",50286.00,71808.00,"204 Shares of Stock","The North Carolina Mutual Wholesale Drug Company Inc","100000005657","The North Carolina Mutual Wholesale Drug Company Inc","NC","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","265802","1861704082","Jill","Braddy","McLeod",,"1801 Sunset Dr","Womens Center 2nd Floor","Columbia","SC","29203","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","737357019","2020",70488.00,92928.00,"264 Shares of Stock","The North Carolina Mutual Wholesale Drug Company Inc","100000005657","The North Carolina Mutual Wholesale Drug Company Inc","NC","United States","No","Immediate family member","06/30/2023" "UNCHANGED","325088","1154546869","Richard","Benjamin","Bradley","Jr","187 S Main St",,"Halifax","VA","24558","United States",,,"Doctor of Dentistry","Dental Providers|Dentist|General Practice","737357033","2020",55284.50,64416.00,"183 Shares of Stock","The North Carolina Mutual Wholesale Drug Company Inc","100000005657","The North Carolina Mutual Wholesale Drug Company Inc","NC","United States","No","Immediate family member","06/30/2023" "UNCHANGED","1137816","1205034576","Julie","S","Erwin",,"913 E Arlington Blvd",,"Greenville","NC","27858","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Pediatrics","737357039","2020",40844.00,46112.00,"131 Shares of Stock","The North Carolina Mutual Wholesale Drug Company Inc","100000005657","The North Carolina Mutual Wholesale Drug Company Inc","NC","United States","No","Immediate family member","06/30/2023" "UNCHANGED","257720","1679569263","David","A","Wimmer",,"2203 Graves Mill Rd","Ste E","Forest","VA","24551","United States",,,"Chiropractor","Chiropractic Providers|Chiropractor","737357041","2020",64270.00,70048.00,"199 Shares of Stock","The North Carolina Mutual Wholesale Drug Company Inc","100000005657","The North Carolina Mutual Wholesale Drug Company Inc","NC","United States","No","Immediate family member","06/30/2023" "UNCHANGED","2557","1053320275","Sailaja","Devi","Valiveti",,"203 Bennington Ter",,"Paramus","NJ","07652","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Psychiatry & Neurology|Geriatric Psychiatry","737357045","2020",70280.00,79904.00,"227 Shares of Stock","The North Carolina Mutual Wholesale Drug Company Inc","100000005657","The North Carolina Mutual Wholesale Drug Company Inc","NC","United States","No","Immediate family member","06/30/2023" "UNCHANGED","313960","1932109717","Anthony",,"Masciarelli",,"217 N. Main Street","Ste 102","Cape May","NJ","08210","United States",,,"Doctor of Osteopathy","Allopathic & Osteopathic Physicians|Internal Medicine|Gastroenterology","737357853","2020",36306.00,39072.00,"111 Shares of Stock","The North Carolina Mutual Wholesale Drug Company Inc","100000005657","The North Carolina Mutual Wholesale Drug Company Inc","NC","United States","No","Immediate family member","06/30/2023" "UNCHANGED","359679","1932115342","Thomas","W","Price","IV","3314 Healy Dr","Ste 102","Winston Salem","NC","27103","United States",,,"Doctor of Podiatric Medicine","Podiatric Medicine & Surgery Service Providers|Podiatrist","737357855","2020",29642.00,30272.00,"86 Shares of Stock","The North Carolina Mutual Wholesale Drug Company Inc","100000005657","The North Carolina Mutual Wholesale Drug Company Inc","NC","United States","No","Immediate family member","06/30/2023" "UNCHANGED","112099","1477635332","KIRSTEN",,"SMITH",,"3706 KENNETT PIKE",,"WILMINGTON","DE","19807","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","735810047","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","214233","1720060197","DAVID",,"BROWN",,"9021 PARK ROYAL DR",,"FORT MYERS","FL","33908","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","735831983","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","9175","1215919006","ANITA",,"DEL BIANCO",,"9021 PARK ROYAL DR",,"FORT MYERS","FL","33908","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","735849387","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","162512","1588776348","SARAH",,"DIGIORGI",,"9021 PARK ROYAL DR",,"FORT MYERS","FL","33908","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","735871435","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","320836","1063452464","APARNA",,"ELIGETI",,"1265 VISCAYA PKWY",,"CAPE CORAL","FL","33990","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","735895317","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","11411","1265414437","KEVIN",,"FLEISHMAN",,"9021 PARK ROYAL DR",,"FORT MYERS","FL","33908","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","735916491","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","161560","1578545380","PAUL",,"JOSLYN",,"1265 VISCAYA PKWY",,"CAPE CORAL","FL","33990","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","735944275","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","324815","1174505341","BLAISE",,"KOVAZ",,"9021 PARK ROYAL DR",,"FORT MYERS","FL","33908","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","735966945","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","158619","1508869496","GEORGE","F","DANIELS","JR MD","104 TECHNOLOGY DRIVE SUITE 204",,"BUTLER","PA","16001-1801","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748291977","2020",16.44,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","359336","1902864796","ALAN",,"DEBORD","MD","200 E PENNSYLVANIA AVE",,"PEORIA","IL","61603-3089","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748291979","2020",254.12,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","264034","1811917420","WILLIAM","R","DEFOOR","MD","3333 BURNET AVE ML 5037",,"CINCINNATI","OH","45229-3039","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology|Pediatric Urology","748291983","2020",328.74,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","150610","1316052673","MANUEL","LOW","DE LA SERNA","MD","960 W WOOSTER ST SUITE 101",,"BOWLING GREEN","OH","43402-2644","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748291985","2020",290.11,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","609252","1649257536","STEPHEN","LOUIS","DONA","DO","8934 KINGSRIDGE DR SUITE 102",,"CENTERVILLE","OH","45458-1633","United States",,,"Doctor of Osteopathy","Allopathic & Osteopathic Physicians|Urology","748291989","2020",232.58,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","268848","1932175924","SOPHIA",,"DRINIS","MD","400 HICKORY ST NW SUITE 200",,"ALBANY","OR","97321-1700","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748291993","2020",328.74,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","177839","1932141991","PATRICK","P","DUGAN","MD","604 ANN ST",,"PARKERSBURG","WV","26101-5122","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748291997","2020",32.87,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","48685","1093710162","GREGOR","K","EMMERT","JR MD","3500 EXECUTIVE PKWY",,"TOLEDO","OH","43606-1319","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748292001","2020",289.46,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","328838","1265405914","ERIC",,"ESPINOSA",,"1164 E HOME RD SUITE J",,"SPRINGFIELD","OH","45503-2726","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748292005","2020",369.83,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","32075","1700854064","JAVIER","A","FELIPE-MORALES","MD","1400 GRAND AVE",,"NEWPORT","KY","41071-2570","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748292009","2020",329.07,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","333107","1356416507","DOMINIC","N","FERRERA","MD","1 ROSS PARK BLVD SUITE 103",,"STEUBENVILLE","OH","43952-2681","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748292015","2020",127.39,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","294190","1497783609","LEONARD","PETER","FERRARA","MD","815 NORMAN DR",,"LEBANON","PA","17042-7445","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748292019","2020",328.74,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","233787","1164472775","DAVID",,"FITKIN","MD","1040 DELAWARE AVENUE",,"MARION","OH","43301-1814","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Pediatrics","748292021","2020",495.25,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","190274","1184818551","Sunshine",,"Murray",,"10901 East 48th Street South",,"Tulsa","OK","74146","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139433","2020",0.00,84937.14,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","358879","1912978511","Curtis",,"Powell",,"10901 East 48th Street South",,"Tulsa","OK","74146","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139435","2020",0.00,84937.14,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","329783","1275654246","Charles",,"Pritchard",,"10901 East 48th Street South",,"Tulsa","OK","74146","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139437","2020",0.00,84937.14,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","130053","1861414302","Michael",,"Wilkin",,"10901 East 48th Street South",,"Tulsa","OK","74146","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139439","2020",0.00,84937.14,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","61394","1346260361","Andrew",,"Wright",,"10901 East 48th Street South",,"Tulsa","OK","74146","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139441","2020",0.00,84937.14,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","305980","1730283284","Vahan","S","Kassabian",,"5670 Peachtree Dunwood Road","Suite 1250","Atlanta","GA","30342","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139443","2020",0.00,1358992.86,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","149618","1306862206","Dawn",,"Bodell",,"2400 Hartman Lane",,"Springfield","OR","97477","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139445","2020",0.00,84937.10,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","217096","1780604454","Mark",,"Carson",,"2400 Hartman Lane",,"Springfield","OR","97477","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139447","2020",0.00,84937.10,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","445820","1891712477","Constance",,"DiMarco",,"2400 Hartman Lane",,"Springfield","OR","97477","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139449","2020",0.00,84937.10,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","280606","1174540751","David",,"DiMarco",,"2400 Hartman Lane",,"Springfield","OR","97477","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139451","2020",0.00,84937.10,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","149554","1306956065","David",,"Esrig",,"2400 Hartman Lane",,"Springfield","OR","97477","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139453","2020",0.00,84937.10,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","215025","1730370743","Genoa",,"Ferguson",,"2400 Hartman Lane",,"Springfield","OR","97477","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139455","2020",0.00,84937.10,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","34468","1740596105","Kevin",,"Forsythe",,"2400 Hartman Lane",,"Springfield","OR","97477","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139457","2020",0.00,84937.10,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","262931","1801815519","Douglas",,"Hoff",,"2400 Hartman Lane",,"Springfield","OR","97477","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139459","2020",0.00,84937.10,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","157922","1497771182","Thomas",,"Kollmorgen",,"2400 Hartman Lane",,"Springfield","OR","97477","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139461","2020",0.00,84937.10,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","99168","1205037587","Christopher",,"Kyle",,"2400 Hartman Lane",,"Springfield","OR","97477","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139463","2020",0.00,84937.10,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","81235","1801815592","Roger",,"McKimmy",,"2400 Hartman Lane",,"Springfield","OR","97477","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139465","2020",0.00,84937.10,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","344508","1609829233","Alisa","B","Cahill",,"8708 West 135th",,"Overland Park","KS","66221","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Family Medicine","737357859","2020",45198.00,47520.00,"135 Shares of Stock","The North Carolina Mutual Wholesale Drug Company Inc","100000005657","The North Carolina Mutual Wholesale Drug Company Inc","NC","United States","No","Immediate family member","06/30/2023" "UNCHANGED","1212176","1801997317","Tuong","D","Nguyen",,"6404 Albemarle Road","Ste J","Charlotte","NC","28212","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine","737357867","2020",33500.00,35552.00,"101 Shares of Stock","The North Carolina Mutual Wholesale Drug Company Inc","100000005657","The North Carolina Mutual Wholesale Drug Company Inc","NC","United States","No","Immediate family member","06/30/2023" "UNCHANGED","139277","1063533560","James","Alan","Ray",,"131 East Main Court","Ste A","Burnsville","NC","28714","United States",,,"Doctor of Dentistry","Dental Providers|Dentist|General Practice","737357879","2020",67365.00,70752.00,"201 Shares of Stock","The North Carolina Mutual Wholesale Drug Company Inc","100000005657","The North Carolina Mutual Wholesale Drug Company Inc","NC","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","182509","1013980002","Ronald","James","McVicar",,"2295 Henry Tecklenburg Dr",,"Charleston","SC","29414","United States",,,"Doctor of Osteopathy","Allopathic & Osteopathic Physicians|Otolaryngology","737362645","2020",28399.00,29920.00,"85 Shares of Stock","The North Carolina Mutual Wholesale Drug Company Inc","100000005657","The North Carolina Mutual Wholesale Drug Company Inc","NC","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","46736","1043308448","Mark","Drury","Ghegan",,"2295 Henry Tecklenburg Dr",,"Charleston","SC","29414","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Otolaryngology","737368699","2020",28399.00,29920.00,"85 Shares of Stock","The North Carolina Mutual Wholesale Drug Company Inc","100000005657","The North Carolina Mutual Wholesale Drug Company Inc","NC","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","141564","1114074937","Erik","R","Swanson",,"2295 Henry Tecklenburg Dr",,"Charleston","SC","29414","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Otolaryngology","737375723","2020",28399.00,29920.00,"85 Shares of Stock","The North Carolina Mutual Wholesale Drug Company Inc","100000005657","The North Carolina Mutual Wholesale Drug Company Inc","NC","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","188192","1144228438","Matthew","D","Scarlett",,"2295 Henry Tecklenburg Dr",,"Charleston","SC","29414","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Otolaryngology","737381055","2020",28399.00,29920.00,"85 Shares of Stock","The North Carolina Mutual Wholesale Drug Company Inc","100000005657","The North Carolina Mutual Wholesale Drug Company Inc","NC","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","51799","1154361624","Thomas","Oma","Hester",,"2295 Henry Tecklenburg Dr",,"Charleston","SC","29414","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Otolaryngology|Otology & Neurotology","737387367","2020",28399.00,29920.00,"85 Shares of Stock","The North Carolina Mutual Wholesale Drug Company Inc","100000005657","The North Carolina Mutual Wholesale Drug Company Inc","NC","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","101523","1245238930","Eugene","G","Brown",,"2295 Henry Tecklenburg Dr",,"Charleston","SC","29414","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Otolaryngology","737395659","2020",28399.00,29920.00,"85 Shares of Stock","The North Carolina Mutual Wholesale Drug Company Inc","100000005657","The North Carolina Mutual Wholesale Drug Company Inc","NC","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","288480","1376500504","Michael","Curran","Noone",,"2295 Henry Tecklenburg Dr",,"Charleston","SC","29414","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Otolaryngology","737405108","2020",28399.00,29920.00,"85 Shares of Stock","The North Carolina Mutual Wholesale Drug Company Inc","100000005657","The North Carolina Mutual Wholesale Drug Company Inc","NC","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","207341","1568469435","Carl","Willy","Schwenzfeier",,"2295 Henry Tecklenburg Dr",,"Charleston","SC","29414","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Otolaryngology","737415857","2020",28399.00,29920.00,"85 Shares of Stock","The North Carolina Mutual Wholesale Drug Company Inc","100000005657","The North Carolina Mutual Wholesale Drug Company Inc","NC","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","27789","1619067949","Thomas","Slade","Dozier",,"2295 Henry Tecklenburg Dr",,"Charleston","SC","29414","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Otolaryngology","737426493","2020",28399.00,29920.00,"85 Shares of Stock","The North Carolina Mutual Wholesale Drug Company Inc","100000005657","The North Carolina Mutual Wholesale Drug Company Inc","NC","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","256355","1649291436","Joanna","C","Ghegan",,"1300 Hospital Dr","Ste 310","Mt Pleasant","SC","29464","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Pediatrics","737436593","2020",28399.00,29920.00,"85 Shares of Stock","The North Carolina Mutual Wholesale Drug Company Inc","100000005657","The North Carolina Mutual Wholesale Drug Company Inc","NC","United States","No","Immediate family member","06/30/2023" "UNCHANGED","166002","1669479986","Edward","G","Behrens",,"2295 Henry Tecklenburg Dr",,"Charleston","SC","29414","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Otolaryngology","737446653","2020",28399.00,29920.00,"85 Shares of Stock","The North Carolina Mutual Wholesale Drug Company Inc","100000005657","The North Carolina Mutual Wholesale Drug Company Inc","NC","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","315759","1952383341","SARAH",,"KRAUSS",,"1265 VISCAYA PKWY",,"CAPE CORAL","FL","33990","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","735984775","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","187347","1134128259","KATHLEEN",,"SHIMP",,"9021 PARK ROYAL DR",,"FORT MYERS","FL","33908","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","735999659","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","137421","1033380597","ERIK",,"HASENBOEHLER",,"601 N CAROLINE ST",,"BALTIMORE","MD","21287","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Trauma","736113185","2020",168575.00,168575.00,"Privately Held Company","OsteoCentric Technologies, Inc.","100000136547","OsteoCentric Technologies, Inc.","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","93758","1063624658","JOSHUA","L.","GARY",,"6400 FANNIN ST STE 1700",,"HOUSTON","TX","77030","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Trauma","736113197","2020",82453.00,82453.00,"Privately Held Company","OsteoCentric Technologies, Inc.","100000136547","OsteoCentric Technologies, Inc.","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","184846","1063638633","KURTIS","S.","STAPLES",,"3126 N CIVIC CENTER PLZ",,"SCOTTSDALE","AZ","85251-6912","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Trauma","736113201","2020",294843.00,294843.00,"Privately Held Company","OsteoCentric Technologies, Inc.","100000136547","OsteoCentric Technologies, Inc.","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","322095","1093851123","MARK","Q.","PARRELLA",,"1015 E 32ND ST STE 101",,"AUSTIN","TX","78705-2700","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Trauma","736113205","2020",580747.00,580747.00,"Privately Held Company","OsteoCentric Technologies, Inc.","100000136547","OsteoCentric Technologies, Inc.","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","54797","1205806171","DOUGLAS",,"ELENZ",,"900 W 38TH ST STE 300",,"AUSTIN","TX","78705-1130","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Sports Medicine","736113207","2020",167783.00,167783.00,"Privately Held Company","OsteoCentric Technologies, Inc.","100000136547","OsteoCentric Technologies, Inc.","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","281834","1205923810","CLAUDE","THURMAN","MOORMAN","III","1025 MOREHEAD MEDICAL DR STE 300",,"CHARLOTTE","NC","28204-2966","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","736113211","2020",75177.00,75177.00,"Privately Held Company","OsteoCentric Technologies, Inc.","100000136547","OsteoCentric Technologies, Inc.","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1277222","1285639955","LORI","KAY","REED",,"2500 N STATE ST",,"JACKSON","MS","39216-4500","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Foot and Ankle Surgery","736113217","2020",64996.00,64996.00,"Privately Held Company","OsteoCentric Technologies, Inc.","100000136547","OsteoCentric Technologies, Inc.","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","744398","1376598615","THOMAS","F.","HIGGINS",,"590 S WAKARA WAY",,"SALT LAKE CITY","UT","84108","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","736113223","2020",172993.00,172993.00,"Privately Held Company","OsteoCentric Technologies, Inc.","100000136547","OsteoCentric Technologies, Inc.","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","111516","1457324816","MARK","RAY","DALTON",,"901 W 38TH ST STE 301",,"AUSTIN","TX","78705-1166","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Foot and Ankle Surgery","736113227","2020",1127476.00,1127476.00,"Privately Held Company","OsteoCentric Technologies, Inc.","100000136547","OsteoCentric Technologies, Inc.","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","293321","1457348153","EDWARD","A.","PEREZ",,"7545 AIRWAYS BLVD",,"SOUTHAVEN","MS","38671-5806","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Trauma","736113233","2020",105770.00,105770.00,"Privately Held Company","OsteoCentric Technologies, Inc.","100000136547","OsteoCentric Technologies, Inc.","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","894490","1679538235","EDMUND","B.","ROWLAND",,"660 GOLDEN RIDGE RD STE 250",,"GOLDEN","CO","80401-9541","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Hand Surgery","736113237","2020",104034.00,104034.00,"Privately Held Company","OsteoCentric Technologies, Inc.","100000136547","OsteoCentric Technologies, Inc.","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","277348","1124026851","BRUCE","B","FRANTZ","D.O.","500 UNIVERSITY DR",,"HERSHEY","PA","17033-2360","United States",,,"Doctor of Osteopathy","Allopathic & Osteopathic Physicians|Urology","748292027","2020",328.74,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","109630","1417060757","KRISHNANATH",,"GAITONDE","MD","222 PIEDMONT AVE STE. 7000",,"CINCINNATI","OH","45219-4231","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748292031","2020",65.91,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","231786","1124024146","LOUIS","C","GALDIERI","MD","741 NORTHFIELD AVE STE 206",,"WEST ORANGE","NJ","07052-1104","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748292033","2020",495.25,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","88697","1952367641","MICHAEL","T","GAMBLA","MD","350 W WILSON BRIDGE RD STE 100",,"WORTHINGTON","OH","43085-2590","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748292037","2020",369.83,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","75497","1659476224","NORMAN","P","GEBROSKY","MD","911 LIGONIER ST STE 104",,"LATROBE","PA","15650-1805","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748292039","2020",8.22,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","265391","1841239142","WILLIAM","P","GIANAKOPOULOS","MD","701 TECH CENTER DR",,"GAHANNA","OH","43230-1987","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748292045","2020",495.25,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","334582","1386618833","SAMUEL","ANTHONY","GRAMPSAS","M.D.","1701 E COLLEGE AVE",,"BLOOMINGTON","IL","61704-2101","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748292049","2020",328.74,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","12901","1295701860","FRANK","DOMINIC","GRECO","MD","100 DELAFIELD RD SUITE 312",,"PITTSBURGH","PA","15215-3247","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748292051","2020",328.74,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","125457","1770554826","RICHARD","A","GRECO","D.O.","4203 HOSPITAL RD",,"COAL TOWNSHIP","PA","17866-9668","United States",,,"Doctor of Osteopathy","Allopathic & Osteopathic Physicians|Urology","748292055","2020",318.55,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","105941","1336148774","DANIEL","I","GUP","MD","200 DELAFIELD RD SUITE 3060",,"PITTSBURGH","PA","15215-3205","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748292057","2020",328.74,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","195214","1295849982","JOHN","WALTON","HANNAH","MD","4610 KANAWHA AVE SW SUITE 401",,"SOUTH CHARLESTON","WV","25309-1367","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748292061","2020",136.26,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","212376","1699749424","JEFFREY","D","HARBRECHT","MD","500 THOMAS LN SUITE 3C",,"COLUMBUS","OH","43214-1419","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748292065","2020",695.12,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","342185","1538145560","GREGORY","DEAN","HASELHUHN","M.D.","2000 REGENCY CT SUITE 200",,"TOLEDO","OH","43623-3090","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748292069","2020",328.74,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","23759","1518978204","Bryan",,"Mehlhaff",,"2400 Hartman Lane",,"Springfield","OR","97477","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139467","2020",0.00,84937.10,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","106810","1346300530","Brady",,"Walker",,"2400 Hartman Lane",,"Springfield","OR","97477","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139469","2020",0.00,84937.10,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","139396","1063572238","Jeffrey",,"Woolsey",,"2400 Hartman Lane",,"Springfield","OR","97477","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139471","2020",0.00,84937.10,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","603785","1457356933","Mark",,"Callaway",,"255 Bert Kouns Industrial Loop",,"Shreveport","LA","71106","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139473","2020",0.00,169832.62,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","383146","1699770107","Kevin",,"Cline",,"255 Bert Kouns Industrial Loop",,"Shreveport","LA","71106","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139475","2020",0.00,84916.28,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","681317","1164427621","Ralph",,"Henderson",,"255 Bert Kouns Industrial Loop",,"Shreveport","LA","71106","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139477","2020",0.00,84916.31,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","917967","1497750970","James",,"Moss",,"255 Bert Kouns Industrial Loop",,"Shreveport","LA","71106","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139479","2020",0.00,84916.31,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","929795","1902801467","James",,"Noble",,"255 Bert Kouns Industrial Loop",,"Shreveport","LA","71106","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139481","2020",0.00,84916.31,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","812496","1780651489","Adam","Christopher","Stage",,"255 Bert Kouns Industrial Loop",,"Shreveport","LA","71106","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139483","2020",0.00,84916.31,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","38649","1841294501","PAUL","M","ARNOLD",,"12109 County Road 103",,"Oxford","FL","34484","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139485","2020",0.00,16502.96,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","17486","1376740415","YASER","S","BASSEL",,"12109 County Road 103",,"Oxford","FL","34484","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139487","2020",0.00,16502.96,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","220452","1871557165","ROBERT","S","BRADFORD",,"12109 County Road 103",,"Oxford","FL","34484","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139489","2020",0.00,16502.96,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","94562","1083678254","JOSEPH","L","CAMPS",,"12109 County Road 103",,"Oxford","FL","34484","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139491","2020",0.00,16502.96,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","150216","1316978737","TONY","L","CANTWELL",,"12109 County Road 103",,"Oxford","FL","34484","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139493","2020",0.00,16502.96,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","267325","1891891594","DAVID","L","CUNNINGHAM",,"12109 County Road 103",,"Oxford","FL","34484","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139495","2020",0.00,16502.96,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","325817","1174574180","JEFFREY","ARTHUR","DANN",,"12109 County Road 103",,"Oxford","FL","34484","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139497","2020",0.00,16502.96,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1383976","1699092056","KENNETH","JACKSON","DELAY",,"12109 County Road 103",,"Oxford","FL","34484","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139499","2020",0.00,16502.96,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","263023","1801894506","Edward","L","McNellis",,"2295 Henry Tecklenburg Dr",,"Charleston","SC","29414","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Otolaryngology","737454227","2020",28399.00,29920.00,"85 Shares of Stock","The North Carolina Mutual Wholesale Drug Company Inc","100000005657","The North Carolina Mutual Wholesale Drug Company Inc","NC","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","130584","1871676684","Leslie","Chardkoff","Scarlett",,"2861 Tricom St",,"N Charleston","SC","29406","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","737467257","2020",28399.00,29920.00,"85 Shares of Stock","The North Carolina Mutual Wholesale Drug Company Inc","100000005657","The North Carolina Mutual Wholesale Drug Company Inc","NC","United States","No","Immediate family member","06/30/2023" "UNCHANGED","177902","1932106747","Shaun","N","Scott",,"2295 Henry Tecklenburg Dr",,"Charleston","SC","29414","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Otolaryngology","737479335","2020",28399.00,29920.00,"85 Shares of Stock","The North Carolina Mutual Wholesale Drug Company Inc","100000005657","The North Carolina Mutual Wholesale Drug Company Inc","NC","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","100145","1205156858","Adaorah","Elizabeth","Okafor",,"3333 Silas Creek Pkwy",,"Winston Salem","NC","27103","United States",,,"Doctor of Osteopathy","Allopathic & Osteopathic Physicians|Internal Medicine","737496195","2020",29776.00,30976.00,"88 Shares of Stock","The North Carolina Mutual Wholesale Drug Company Inc","100000005657","The North Carolina Mutual Wholesale Drug Company Inc","NC","United States","No","Immediate family member","06/30/2023" "UNCHANGED","658446","1366503344","Rajeshri",,"Patel",,"430 E Bay Dr",,"Long Beach","NY","11561","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Pulmonary Disease","737507955","2020",37996.00,39424.00,"112 Shares of Stock","The North Carolina Mutual Wholesale Drug Company Inc","100000005657","The North Carolina Mutual Wholesale Drug Company Inc","NC","United States","No","Immediate family member","06/30/2023" "UNCHANGED","614726","1831392174","Challie","A","Minton",,"113 Scenic Outlet Ln","STE 1","Mount Airy","NC","27030","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Family Medicine","737520917","2020",3520.00,3520.00,"10 Shares of Stock","The North Carolina Mutual Wholesale Drug Company Inc","100000005657","The North Carolina Mutual Wholesale Drug Company Inc","NC","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","267406","1902804677","Hal",,"Brown",,"1265 36th Street",,"Vero Bach","FL","32960-6574","United States",,,"Medical Doctor",,"739521251","2020",2856.00,0.00,"N/A","SWAN VALLEY MEDICAL INCORPORATED","100000011169","SWAN VALLEY MEDICAL INCORPORATED","MT","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","269583","1942236609","Matthew",,"Hepler",,"2828 S. Seacrest Blvd","Suite 216","Boynton Beach","FL","33435-7944","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","739555911","2020",30100.00,0.00,"N/A","SWAN VALLEY MEDICAL INCORPORATED","100000011169","SWAN VALLEY MEDICAL INCORPORATED","MT","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1240862","1831230291","Paul","Joel","Maes",,"2480 Tracy Drive",,"Helena","MT","59604-4907","United States",,,"Doctor of Dentistry","Dental Providers|Dentist|General Practice","739633925","2020",74970.00,0.00,"N/A","SWAN VALLEY MEDICAL INCORPORATED","100000011169","SWAN VALLEY MEDICAL INCORPORATED","MT","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","397806","1215995469","Wayne",,"Moesching",,"175 SW 28th Street",,"Okeechobee","FL","34974-5903","United States",,,"Doctor of Dentistry","Dental Providers|Dentist|General Practice","739633955","2020",21000.00,0.00,"N/A","SWAN VALLEY MEDICAL INCORPORATED","100000011169","SWAN VALLEY MEDICAL INCORPORATED","MT","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","495143","1629287727","Neal",,"Rogers",,"202 S Montana St",,"Butte","MT","59701-1646","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Otolaryngology","739633973","2020",350.00,0.00,"N/A","SWAN VALLEY MEDICAL INCORPORATED","100000011169","SWAN VALLEY MEDICAL INCORPORATED","MT","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","171","1003818816","Stuart",,"Shafer",,"1040 37th Place - Suite 201",,"Vero Beach","FL","32960-4818","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Psychiatry & Neurology|Neurology","739633983","2020",6244.00,0.00,"N/A","SWAN VALLEY MEDICAL INCORPORATED","100000011169","SWAN VALLEY MEDICAL INCORPORATED","MT","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","889717","1497860613","David",,"Wemmer",,"2025 Hwy 441 North",,"Okeechobee","FL","34972","United States",,,"Doctor of Dentistry","Dental Providers|Dentist","739633995","2020",52528.00,0.00,"N/A","SWAN VALLEY MEDICAL INCORPORATED","100000011169","SWAN VALLEY MEDICAL INCORPORATED","MT","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","889717","1497860613","David",,"Wemmer",,"2025 HWY 441 North",,"Okeechobee","FL","34972","United States",,,"Doctor of Dentistry","Dental Providers|Dentist","739634003","2020",7000.00,0.00,"N/A","SWAN VALLEY MEDICAL INCORPORATED","100000011169","SWAN VALLEY MEDICAL INCORPORATED","MT","United States","No","Immediate family member","06/30/2023" "UNCHANGED","84927","1881709111","Andre",,"D'Avila",,"185 Pilgrim Road","Baker 4","Boston","MA","02215","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Clinical Cardiac Electrophysiology","739873231","2020",99580.00,99580.00,"Equity interest = 2.79%","Manual Surgical Sciences, LLC","100000806858","Manual Surgical Sciences, LLC","UT","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","383746","1720013519","DANIEL","B.","ROBERTSON",,"3043 NE 28TH ST",,"LINCOLN CITY","OR","97367-4518","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","736113245","2020",260912.00,260912.00,"Privately Held Company","OsteoCentric Technologies, Inc.","100000136547","OsteoCentric Technologies, Inc.","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","131726","1912977794","ROBERT","A.","JOSEY","III","4611 GUADALUPE ST STE 200",,"AUSTIN","TX","78751-2928","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","736113249","2020",1296599.00,1296599.00,"Privately Held Company","OsteoCentric Technologies, Inc.","100000136547","OsteoCentric Technologies, Inc.","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","135197","1972507853","SCOTT","A.","SMITH",,"2120 N MAYS ST STE 100",,"ROUND ROCK","TX","78664-2107","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","736113253","2020",228853.00,228853.00,"Privately Held Company","OsteoCentric Technologies, Inc.","100000136547","OsteoCentric Technologies, Inc.","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","190372","1194706754","Wilson","T","Asfora",,"6709 S Minnesota Ave","Suite 206A","Sioux Falls","SD","57108","United States",,,"Doctor of Osteopathy","Allopathic & Osteopathic Physicians|Neurological Surgery","736542661","2020",0.00,78951.00,"Limited Liability Partnership Interest","Medical Designs, LLC","100000216773","Medical Designs, LLC","SD","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","190372","1194706754","Wilson","T","Asfora",,"6709 S Minnesota Ave","Suite 206A","Sioux Falls","SD","57108","United States",,,"Doctor of Osteopathy","Allopathic & Osteopathic Physicians|Neurological Surgery","736542679","2020",0.00,78951.00,"Limited Liability Partnership Interest","Medical Designs, LLC","100000216773","Medical Designs, LLC","SD","United States","No","Immediate family member","06/30/2023" "UNCHANGED","190372","1194706754","Wilson","T","Asfora",,"6709 S Minnesota Ave","Suite 206A","Sioux Falls","SD","57108","United States",,,"Doctor of Osteopathy","Allopathic & Osteopathic Physicians|Neurological Surgery","736548685","2020",0.00,0.01,"Limited Liability Partnership Interest","Sicage, LLC","100000326807","Sicage, LLC","SD","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","45170","1992902878","Lisa","Brintnall","Cronk",,"6545 France Ave S suite 400",,"Minneapolis","MN","55435","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Pediatrics","736568011","2020",0.00,125915.02,"Common and preferred stock","CVRx, Inc.","100000010805","CVRx, Inc.","MN","United States","No","Immediate family member","06/30/2023" "UNCHANGED","1183948","1831168368","Kimberly","Moore","Dalal",,"1501 Trousdale Dr",,"Burlingame","CA","94010","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Surgery|Surgical Oncology","736572969","2020",0.00,9255.09,"common stock","CVRx, Inc.","100000010805","CVRx, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","305157","1720021199","Edward","J","Holland",,"580 S Loop Rd","Suite 200","Edgewood","KY","41017","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","736582285","2020",1998.60,1998.60,"Vested Stock Options; use Black-Scholes Valuation to determine value of interest and dollar amount invested","EyePoint Pharmaceuticals US, Inc.","100000316826","EyePoint Pharmaceuticals US, Inc.","MA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","40572","1891790770","Eric",,"Donnenfeld",,"711 Stewart Ave","Ste 160","Garden City","NY","11530","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","736582287","2020",40789.79,40789.79,"Vested Stock Options; use Black-Scholes Valuation to determine value of interest and dollar amount invested","EyePoint Pharmaceuticals US, Inc.","100000316826","EyePoint Pharmaceuticals US, Inc.","MA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","211790","1689635807","Cynthia",,"Matossian",,"2 Capital Way","Suite 326","Pennington","NJ","08534","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","736582289","2020",29999.53,59992.07,"Stock Option Grant and Vested Stock Options; use Black-Scholes Valuation to determine value of interest and dollar amount invested","EyePoint Pharmaceuticals US, Inc.","100000316826","EyePoint Pharmaceuticals US, Inc.","MA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","159093","1508820838","Jay","S","Duker",,"800 Washington St","# 450","Boston","MA","02111","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology|Uveitis and Ocular Inflammatory Disease","736582291","2020",43286.31,68072.22,"Stock Option Grant and Vested Stock Options to Board of Director Member at time of grant; use Black-Scholes Valuation to determine value of interest and dollar amount invested","EyePoint Pharmaceuticals US, Inc.","100000316826","EyePoint Pharmaceuticals US, Inc.","MA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","159093","1508820838","Jay","S","Duker",,"800 Washington St","# 450","Boston","MA","02111","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology|Uveitis and Ocular Inflammatory Disease","736582293","2020",0.00,24510.00,"Restricted Stock Unit grant to a Board of Director member on 28 February 2020 use Black-Scholes valuation to determine value of interest","EyePoint Pharmaceuticals US, Inc.","100000316826","EyePoint Pharmaceuticals US, Inc.","MA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","175418","1851506661","JED","WILLIAM","HENRY","MD","1330 COSHOCTON AVE",,"MOUNT VERNON","OH","43050","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748292073","2020",369.83,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","293986","1477574234","JAY","BERNARD","HERMAN","MD","532 S AIKEN AVE SUITE 210",,"PITTSBURGH","PA","15232","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748292077","2020",328.74,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","283972","1255390852","GEORGE","T","HO","MD","500 EAST MAIN ST STE 220",,"COLUMBUS","OH","43215","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748292079","2020",233.24,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","283972","1255390852","GEORGE","T","HO","MD","500 EAST MAIN ST STE 220",,"COLUMBUS","OH","43215","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748292083","2020",28.76,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","91440","1023072477","ROBERT","D","HONG","M.D.","2106 HARRISBURG PIKE SUITE 200",,"LANCASTER","PA","17601-2644","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748292085","2020",328.74,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","90926","1003893413","CARIN","V","HOPPS","M.D.","2120 W CENTRAL AVE",,"TOLEDO","OH","43606-3834","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748292087","2020",328.74,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","73752","1639179054","MOHAMMED","BELAYET","HUSSAIN","MD","3130 N DIXIE HWY STE. 205",,"TROY","OH","45373-1337","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748292093","2020",670.30,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","2027","1053512822","JASON","THOMAS","JANKOWSKI","M.D.","11100 EUCLID AVE",,"CLEVELAND","OH","44106-1716","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748292095","2020",369.83,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","285289","1285666347","MARK","V","JAROWENKO","MD","2106 HARRISBURG PIKE STE 200",,"LANCASTER","PA","17601-3200","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748292097","2020",328.74,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","490115","1447346317","VENKATA","RAMAKRISHNA","JAYANTHI","M.D.","555 S 18TH ST SUITE 6 D",,"COLUMBUS","OH","43205-2654","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology|Pediatric Urology","748292103","2020",328.74,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","277089","1114974110","NICOLETTE","M.","JONES","M.D.","100 JACKSON PIKE",,"GALLIPOLIS","OH","45631-1560","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748292107","2020",8.22,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","267587","1891794111","RICHARD","E","JONES","M.D.","195 STOCK ST SUITE 206",,"HANOVER","PA","17331-2266","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748292109","2020",68.21,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","70320","1548382062","SARASWATHI",,"KALVAKOTA","M.D.","2115 LEITER RD",,"MIAMISBURG","OH","45342-3600","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine","748292115","2020",863.11,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","160681","1538119151","MARK","W","DERSCH",,"12109 County Road 103",,"Oxford","FL","34484","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139501","2020",0.00,16502.96,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","124743","1760455042","PARESHKUMAR","G","DESAI",,"12109 County Road 103",,"Oxford","FL","34484","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139503","2020",0.00,16502.96,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","83294","1831161660","MICHAEL","G","DESAUTEL",,"12109 County Road 103",,"Oxford","FL","34484","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139505","2020",0.00,16502.96,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","776186","1508816463","Martin","K","Dineen",,"12109 County Road 103",,"Oxford","FL","34484","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139507","2020",0.00,16502.96,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","106390","1356347280","David","J","Dipiazza",,"12109 County Road 103",,"Oxford","FL","34484","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139509","2020",0.00,16502.96,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","79785","1750376323","JEANNE","N","EISENBROWN",,"12109 County Road 103",,"Oxford","FL","34484","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139511","2020",0.00,16502.96,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","331331","1295786242","Howard","B","Epstein",,"12109 County Road 103",,"Oxford","FL","34484","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139513","2020",0.00,16502.96,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1304638","1790949873","Evan","M","Fynes",,"12109 County Road 103",,"Oxford","FL","34484","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139515","2020",0.00,16502.96,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","103992","1306888334","Carole","L","Gordon",,"12109 County Road 103",,"Oxford","FL","34484","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139517","2020",0.00,16502.96,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","71725","1588614374","Michael","S","Grable",,"12109 County Road 103",,"Oxford","FL","34484","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139519","2020",0.00,16502.96,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","66091","1457355059","Brian","D","Hale",,"12109 County Road 103",,"Oxford","FL","34484","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139521","2020",0.00,16502.96,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","99800","1215913975","David","S","Harris",,"12109 County Road 103",,"Oxford","FL","34484","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139523","2020",0.00,16502.96,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","171186","1760477343","DENIS","EDWARD","HEALEY",,"12109 County Road 103",,"Oxford","FL","34484","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139525","2020",0.00,16502.96,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","233932","1164486262","SEAN",,"HERON",,"12109 County Road 103",,"Oxford","FL","34484","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139527","2020",0.00,16502.96,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","151569","1356302897","Warren","T","Hitt",,"12109 County Road 103",,"Oxford","FL","34484","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139529","2020",0.00,16502.96,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1327150","1639494255","Chad",,"Hubsher",,"12109 County Road 103",,"Oxford","FL","34484","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139531","2020",0.00,16502.96,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","654468","1225088305","Jonathan","K","Jay",,"12109 County Road 103",,"Oxford","FL","34484","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139533","2020",0.00,16502.96,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","137622","1043274152","Ketan",,"Kapadia",,"12109 County Road 103",,"Oxford","FL","34484","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139535","2020",0.00,16502.96,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","119199","1639176167","Shephal",,"Doshi","MD","2001 Santa Monica Blvd","STE 280W","Santa Monica","CA","90404","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Clinical Cardiac Electrophysiology","739921133","2020",135288.00,135288.00,"equity interest 3.77%","Manual Surgical Sciences, LLC","100000806858","Manual Surgical Sciences, LLC","UT","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","233626","1144259433","Srinivas",,"Dukkipati",,"5 E 98th Street","3rd Floor","New York","NY","10029","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Clinical Cardiac Electrophysiology","739973395","2020",418889.00,418889.00,"equity interest = 7.69%","Manual Surgical Sciences, LLC","100000806858","Manual Surgical Sciences, LLC","UT","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","215154","1760441760","James",,"McGuckin","Jr.","4220 Market Street","2nd Floor","Philadelphia","PA","19104","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Radiology|Vascular & Interventional Radiology","739999927","2020",1048030.00,1048030.00,"equity interest 13.83%","Manual Surgical Sciences, LLC","100000806858","Manual Surgical Sciences, LLC","UT","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","257970","1679557243","Alexander",,"Mittnacht","MD","100 Woods Road",,"Valhalla","NY","10595","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Anesthesiology","740038715","2020",136352.00,136352.00,"equity interest = 2.34%","Manual Surgical Sciences, LLC","100000806858","Manual Surgical Sciences, LLC","UT","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","214322","1720069040","Ashok",,"Reddy","MD","44344 Dequindre Road","Suite 210","Sterling Heights","MI","48081","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","740064521","2020",111011.00,111011.00,"equity interest = 3.2%","Manual Surgical Sciences, LLC","100000806858","Manual Surgical Sciences, LLC","UT","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","230570","1083672463","Vivek",,"Reddy","MD","5 E 98th Street","3rd Floor","New York","NY","10029","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Clinical Cardiac Electrophysiology","740086241","2020",297518.00,297518.00,"equity interest = 20.5%","Manual Surgical Sciences, LLC","100000806858","Manual Surgical Sciences, LLC","UT","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","154807","1407882921","David",,"Mayman",,"535 E 70TH ST",,"NEW YORK","NY","10021","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","740849207","2020",35000.00,100000.00,"Convertible Promissory Note","Insight Medical Systems, Inc.","100000196847","Insight Medical Systems, Inc.","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1032300","1497744635","Prabhat","K","Ahluwalia",,"4401 Middle Settlement Rd",,"New Hartford","NY","13413","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","742019459","2020",430000.00,770000.00,"Series A Preferred ($250,000) and simple agreement for future equity ($180,000)","ClearPath Surgical, Inc.","100000161743","ClearPath Surgical, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1032300","1497744635","Prabhat","K","Ahluwalia",,"4401 Middle Settlement Rd",,"New Hartford","NY","13413","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","742019461","2020",250.00,328900.00,"restriced common stock","ClearPath Surgical, Inc.","100000161743","ClearPath Surgical, Inc.","CA","United States","No","Immediate family member","06/30/2023" "UNCHANGED","355094","1811083553","John",,"Steinmann",,"1901 W. Lugonia Ave Ste 230",,"Redlands","CA","92374","United States",,,"Doctor of Osteopathy","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","742481687","2020",0.00,8205.30,"Limited Liability Company Membership Interest","North Idaho Surgical Cooperative, LLC","100000010507","North Idaho Surgical Cooperative, LLC","ID","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","355094","1811083553","John",,"Steinmann",,"1901 W. Lugonia Ave. ste 230",,"Redlands","CA","92374","United States",,,"Doctor of Osteopathy",,"742481691","2020",0.00,857.76,"Limited Liability Company Membership Interest","North Idaho Surgical Cooperative, LLC","100000010507","North Idaho Surgical Cooperative, LLC","ID","United States","No","Immediate family member","06/30/2023" "UNCHANGED","445315","1871532960","Paul",,"Burton",,"1901 W. Lugonia Ave. Ste 230",,"Redlands","CA","92374","United States",,,"Doctor of Osteopathy",,"742481695","2020",0.00,557.68,"Limited Liability Company Membership Interest","North Idaho Surgical Cooperative, LLC","100000010507","North Idaho Surgical Cooperative, LLC","ID","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","61179","1346336864","Gail",,"Hopkins",,"1901 W. Lugonia Ave. ste 230",,"Redlands","CA","92374","United States",,,"Medical Doctor",,"742482067","2020",0.00,557.68,"Limited Liability Company Membership Interest","North Idaho Surgical Cooperative, LLC","100000010507","North Idaho Surgical Cooperative, LLC","ID","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","109415","1407942113","James",,"Matiko",,"1901 W. Lugonia Ave. ste 230",,"Redlands","CA","92374","United States",,,"Medical Doctor",,"742482073","2020",0.00,557.68,"Limited Liability Company Membership Interest","North Idaho Surgical Cooperative, LLC","100000010507","North Idaho Surgical Cooperative, LLC","ID","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","566874","1164461224","John",,"Skubic",,"1901 W. Lugonia ave. Ste 230",,"Redlands","CA","92374","United States",,,"Medical Doctor",,"742482081","2020",0.00,557.68,"Limited Liability Company Membership Interest","North Idaho Surgical Cooperative, LLC","100000010507","North Idaho Surgical Cooperative, LLC","ID","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1059917","1467873760","David",,"Guyer",,"1 Penn Plz","Suite 3508","New York","NY","10119","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","736582295","2020",76202.11,100988.02,"Stock Option Grant and Vested Stock Options to Board of Director Member; use Black-Scholes Valuation to determine value of interest and dollar amount invested","EyePoint Pharmaceuticals US, Inc.","100000316826","EyePoint Pharmaceuticals US, Inc.","MA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1059917","1467873760","David",,"Guyer",,"1 Penn Plz","Suite 3508","New York","NY","10119","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","736582297","2020",0.00,24510.00,"Restricted Stock Unit grant to a Board of Director member on 28 February 2020 use Black-Scholes valuation to determine value of interest","EyePoint Pharmaceuticals US, Inc.","100000316826","EyePoint Pharmaceuticals US, Inc.","MA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","216801","1790735892","Lois",,"Lenarz",,"2450 Riverside Ave",,"Minneapolis","MN","55454","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Family Medicine","736750919","2020",0.00,4820.33,"common stock","CVRx, Inc.","100000010805","CVRx, Inc.","MN","United States","No","Immediate family member","06/30/2023" "UNCHANGED","345396","1619931847","Michael","Richard","Mooney",,"920 East 28th St Ste 300",,"Minneapolis","MN","55407","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Interventional Cardiology","736751225","2020",0.00,1581.32,"common stock","CVRx, Inc.","100000010805","CVRx, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","566533","1144436957","Austin","W","Feeney",,"45 Pine Street",,"New Canaan","CT","06840","United States",,,"Doctor of Dentistry","Dental Providers|Dentist|Orthodontics and Dentofacial Orthopedics","736752433","2020",0.00,3679.39,"common stock","CVRx, Inc.","100000010805","CVRx, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","138011","1033290861","Margaret","Levin","Lenarz",,"400 Water Ave",,"Hillsboro","WI","54634","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Family Medicine","736752483","2020",0.00,4620.33,"common stock","CVRx, Inc.","100000010805","CVRx, Inc.","MN","United States","No","Immediate family member","06/30/2023" "UNCHANGED","18145","1386932200","Caley","McNeill","Castelein",,"36 White Street",,"San Francisco","CA","94109","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|General Practice","736752625","2020",0.00,42682.90,"common stock","CVRx, Inc.","100000010805","CVRx, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1375341","1679849962","Christopher","Thomas","Martin",,"701 Park Avenue",,"Minneapolis","MN","55415","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine","736752685","2020",0.00,3900.00,"common stock","CVRx, Inc.","100000010805","CVRx, Inc.","MN","United States","No","Immediate family member","06/30/2023" "UNCHANGED","1300935","1700856911","Douglas","Martin","Griffin",,"736 Broadway N",,"Fargo","ND","58102","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Family Medicine","736752759","2020",0.00,7347.08,"common stock","CVRx, Inc.","100000010805","CVRx, Inc.","MN","United States","No","Immediate family member","06/30/2023" "UNCHANGED","5699262","1053765982","Paul","Robert","Bruhnding",,"420 Delaware St SE",,"Minneapolis","MN","55455","United States",,,"Doctor of Osteopathy","Allopathic & Osteopathic Physicians|Physical Medicine & Rehabilitation","736752813","2020",0.00,29041.09,"common stock","CVRx, Inc.","100000010805","CVRx, Inc.","MN","United States","No","Immediate family member","06/30/2023" "UNCHANGED","330298","1295714954","Christopher","Leeds","Tillotson",,"7505 Metro Blvd Ste 400",,"Minneapolis","MN","55455","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Radiology|Diagnostic Radiology","736752859","2020",0.00,1581.32,"common stock","CVRx, Inc.","100000010805","CVRx, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","8804973","1093169773","Aubree",,"Bruhnding",,"500 SE Harvard St",,"Minneapolis","MN","55455","United States",,,"Doctor of Osteopathy","Allopathic & Osteopathic Physicians|Psychiatry & Neurology|Neurology","736752907","2020",0.00,29041.09,"common stock","CVRx, Inc.","100000010805","CVRx, Inc.","MN","United States","No","Immediate family member","06/30/2023" "UNCHANGED","557081","1811926017","ROBERT","SEAN","CHURCHILL",,"975 PORT WASHINGTON ROAD","SUITE 110","GRAFTON","WI","53024-9201","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","737131275","2020",32166.84,303369.30,"Shoulder Innovations is a c-corp. Series B Preferred Shares purchased at $.372 per share.","Shoulder Innovations, Inc.","100000176745","Shoulder Innovations, Inc.","MI","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","285510","1285613034","STEPHEN","BURKE","GUNTHER",,"595 MARTHA JEFFERSON DR","STE 180","CHARLOTTESVILLE","VA","22911-4669","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","737134361","2020",99999.92,2952361.08,"Shoulder Innovations is a c-corp. Series B Preferred Shares purchased at $.372 per share.","Shoulder Innovations, Inc.","100000176745","Shoulder Innovations, Inc.","MI","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1205586","1598721722","PETRONIO","C","YADAO",,"15350 TRENTON RD",,"SOUTHGATE","MI","48195-2027","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Pediatrics","737134751","2020",38526.86,96607.67,"Shoulder Innovations is a c-corp. Series B Preferred Shares purchased at $.372 per share. Series C preferred shares purchased at $.43 per share.","Shoulder Innovations, Inc.","100000176745","Shoulder Innovations, Inc.","MI","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","100075","1215908074","PAUL","N","KAUFMAN","M.D.","701 TECH CENTER DR",,"GAHANNA","OH","43230-1987","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748292117","2020",28.76,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","100075","1215908074","PAUL","N","KAUFMAN","M.D.","701 TECH CENTER DR",,"GAHANNA","OH","43230-1987","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748292121","2020",369.83,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","110356","1427032515","JAMES","NICHOLAS","KENNY","JR MD","200 E PENNSYLVANIA AVE SUITE 201",,"PEORIA","IL","61603-3089","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748292123","2020",328.74,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","22498","1518075936","DAVID","W","KEY","M.D.","9000 N MAIN ST SUITE 333",,"DAYTON","OH","45415-1180","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748292127","2020",217.79,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","322760","1114971512","RICHARD",,"KLUMP","M.D.","701 TECH CENTER DR",,"GAHANNA","OH","43230-1987","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748292131","2020",495.25,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","319423","1033284286","GREGORY","S","KNUDSON","M.D.","551 W CENTRAL AVE STE 102",,"DELAWARE","OH","43015","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748292134","2020",495.25,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","98959","1174689814","LEE","HARRY","KOSTER","M.D.","634 4TH AVE",,"NEW KENSINGTON","PA","15068-6505","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748292137","2020",328.74,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","24886","1558372789","CHRISTOPHER","DONALD","LAWLEY","DO","1150 W LOCUST ST STE 600",,"WILMINGTON","OH","45177-2063","United States",,,"Doctor of Osteopathy","Allopathic & Osteopathic Physicians|Urology","748292139","2020",328.74,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","135657","1992736169","KENNETH","D","LESSANS","MD","2106 HARRISBURG PIKE SUITE 200",,"LANCASTER","PA","17604-3200","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748292145","2020",328.74,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","43953","1972617314","DONALD","J","LEWIS","MD","1902 TAMARACK RD",,"NEWARK","OH","43055","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748292147","2020",369.83,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","117052","1588774327","RONG-CHUNG",,"LIN","MD","829 WOOD STREET",,"PITTSBURGH","PA","15221","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748292151","2020",113.58,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","139674","1083722409","LAWRENCE","J","LITSCHER","MD","2350 MIAMI VALLEY DR SUITE 500",,"CENTERVILLE","OH","45459-4778","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748292156","2020",328.74,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","483689","1225072325","MICHAEL",,"MAGGIO","MD","4466 DARROW RD SUITE 2",,"STOW","OH","44224-1866","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine","748292159","2020",178.01,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","430985","1376747162","Saumikumar",,"Karavadia",,"12109 County Road 103",,"Oxford","FL","34484","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139537","2020",0.00,16502.96,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","54782","1205834728","Edward","D","King",,"12109 County Road 103",,"Oxford","FL","34484","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139539","2020",0.00,16502.96,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","95507","1114980315","Mitchell",,"Klavans",,"12109 County Road 103",,"Oxford","FL","34484","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139541","2020",0.00,16502.96,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","64413","1437141645","Lonnie","T","Klein",,"12109 County Road 103",,"Oxford","FL","34484","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139543","2020",0.00,16502.96,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","309799","1841207370","Udaya",,"Kumar",,"12109 County Road 103",,"Oxford","FL","34484","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139545","2020",0.00,16502.96,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","207196","1568425742","Carolyn","F","Langford",,"12109 County Road 103",,"Oxford","FL","34484","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139547","2020",0.00,16502.96,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1388557","1598054751","Samuel","M","Lawindy",,"12109 County Road 103",,"Oxford","FL","34484","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139549","2020",0.00,16502.96,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","228109","1033401997","Rishi",,"Modh",,"12109 County Road 103",,"Oxford","FL","34484","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139551","2020",0.00,16502.96,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","158195","1497731343","John","C","Pearson",,"12109 County Road 103",,"Oxford","FL","34484","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139553","2020",0.00,16502.96,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","161617","1578583829","Judson","D","Rackley",,"12109 County Road 103",,"Oxford","FL","34484","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139555","2020",0.00,16502.96,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1346413","1306074646","Arash",,"Rafiei",,"12109 County Road 103",,"Oxford","FL","34484","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139557","2020",0.00,16502.96,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","114652","1518953090","Carlos","A","Ramos",,"12109 County Road 103",,"Oxford","FL","34484","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139559","2020",0.00,16502.96,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","92470","1033169859","Dinesh","S","Rao",,"12109 County Road 103",,"Oxford","FL","34484","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139561","2020",0.00,16502.96,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","101530","1245281179","Terrence","C","Regan",,"12109 County Road 103",,"Oxford","FL","34484","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139563","2020",0.00,16502.96,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","244237","1386607117","James","E","Renehan",,"12109 County Road 103",,"Oxford","FL","34484","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139565","2020",0.00,16502.96,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","119879","1659363851","Martin","B","Richman",,"12109 County Road 103",,"Oxford","FL","34484","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139567","2020",0.00,16502.96,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","285931","1295786093","Rolando",,"Rivera",,"12109 County Road 103",,"Oxford","FL","34484","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139569","2020",0.00,16502.96,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1205676","1588766125","Richard","M","Roach",,"12109 County Road 103",,"Oxford","FL","34484","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139571","2020",0.00,16502.96,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","758310","1861464844","Douglas",,"Dodson",,"2301 Indian Wells rd. suite A",,"Alamogordo","NM","88310","United States",,,"Doctor of Osteopathy",,"742482091","2020",0.00,557.68,"Limited Liability Company Membership Interest","North Idaho Surgical Cooperative, LLC","100000010507","North Idaho Surgical Cooperative, LLC","ID","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","353961","1801840491","Thomas",,"Eickmann",,"80 Health Park Dr. Suite 230",,"Louisville","CO","80027","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","742482097","2020",0.00,557.68,"Limited Liability Company Membership Interest","North Idaho Surgical Cooperative, LLC","100000010507","North Idaho Surgical Cooperative, LLC","ID","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","250311","1528051018","Anant",,"Kumar",,"7720 S. Broadway suite 240",,"Littleton","CO","80122","United States",,,"Medical Doctor",,"742482109","2020",0.00,557.68,"Limited Liability Company Membership Interest","North Idaho Surgical Cooperative, LLC","100000010507","North Idaho Surgical Cooperative, LLC","ID","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","242579","1356388045","Bryan","A","Castro",,"80 Health Park Dr. Suite 230",,"louisville","CO","80027","United States",,,"Medical Doctor",,"742482473","2020",0.00,557.68,"Limited Liability Company Membership Interest","North Idaho Surgical Cooperative, LLC","100000010507","North Idaho Surgical Cooperative, LLC","ID","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","619372","1003029034","Joseph",,"Bowen",,"1296 E. Polston Ave. ste B",,"Post Falls","ID","83854","United States",,,"Medical Doctor",,"742482481","2020",0.00,70602.44,"Limited Liability Company Membership Interest","North Idaho Surgical Cooperative, LLC","100000010507","North Idaho Surgical Cooperative, LLC","ID","United States","No","Immediate family member","06/30/2023" "UNCHANGED","492066","1518960970","STEVEN",,"BROOKS",,"1838 Greene Tree Rd Ste 535",,"Baltimore","MD","21208","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Cardiovascular Disease","742482489","2020",50.00,50.00,"Stock Options with 48-month vesting.","Arya Medical, Inc.","100000811819","Arya Medical, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","148409","1265612899","CHRISTOPHER",,"ZOUMALAN",,"9401 WILSHIRE BLVD SUITE 1105",,"BEVERLY HILLS","CA","90211","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Plastic Surgery|Plastic Surgery Within the Head and Neck","742482859","2020",900.00,900.00,"Stock Options with 48-month vesting","Arya Medical, Inc.","100000811819","Arya Medical, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","326536","1184715187","John","P","Fezza",,"1360 E Venice Ave",,"Venice","FL","34285","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Cardiovascular Disease","742482869","2020",1750.00,1750.00,"Common Stock and Stock Options","Arya Medical, Inc.","100000811819","Arya Medical, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","76804","1689699704","Abraham","A","Glazer",,"2615 CULVER RD","SUITE 100","Rochester","NY","14609","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","744347263","2020",0.00,45355.00,"Series A Preferred Shares; Series B Preferred Shares","SPR Therapeutics, Inc","100000151627","SPR Therapeutics, Inc","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","126948","1801810296","Edward","Marshall","Hollander",,"8 N POINTE CT",,"GREENSBORO","NC","27408","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|General Practice","744347265","2020",0.00,193600.00,"Series A, B, C, and C-1 Preferred Shares; Common Shares","SPR Therapeutics, Inc","100000151627","SPR Therapeutics, Inc","OH","United States","No","Immediate family member","06/30/2023" "UNCHANGED","139174","1063475069","Michael",,"Hausman",,"5 E 98th St","Box 1188","New York","NY","10029","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Hand Surgery","744347267","2020",0.00,320941.00,"Series A, B, and C Preferred Shares; Common Shares","SPR Therapeutics, Inc","100000151627","SPR Therapeutics, Inc","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","439955","1699719443","Raymond","R","Rackley",,"9500 EUCLID AVE",,"Cleveland","OH","44195","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","744347271","2020",0.00,292917.00,"Series A Preferred Shares; Series C Preferred Shares","SPR Therapeutics, Inc","100000151627","SPR Therapeutics, Inc","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","242424","1356304398","Kenneth","F","Langer",,"3407 wilkens Ave","SUITE 210","Baltimore","MD","21229","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","744347273","2020",0.00,239692.00,"Series A, B, C, and C-1 Preferred Shares","SPR Therapeutics, Inc","100000151627","SPR Therapeutics, Inc","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","420520","1013017821","Myra",,"Strother",,"1200 SCHWEGLER DR",,"Lawerence","KS","66045","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Family Medicine","744347275","2020",0.00,436411.00,"Series A, B, C, and C-1 Preferred Shares; Common Shares; Stock Options","SPR Therapeutics, Inc","100000151627","SPR Therapeutics, Inc","OH","United States","No","Immediate family member","06/30/2023" "UNCHANGED","15584","1356306328","Sandip","P","Vasavada",,"9500 EUCLID AVE",,"Cleveland","OH","44195","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","744347277","2020",0.00,171003.00,"Series A, B, C, and C-1 Preferred Shares","SPR Therapeutics, Inc","100000151627","SPR Therapeutics, Inc","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","104186","1306917372","VIVEK",,"MOHAN",,"441 N LAKEVIEW AVE",,"ANAHEIM","CA","92807-3028","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neuromusculoskeletal Medicine & OMM","737138529","2020",17244.80,79888.84,"Shoulder Innovations is a c-corp. Series B Preferred Shares purchased at $.372 per share.","Shoulder Innovations, Inc.","100000176745","Shoulder Innovations, Inc.","MI","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","251663","1558467027","MICHAEL","M","ALEXIADES",,"523 E 72ND ST","7TH FLOOR","NEW YORK","NY","10021-4099","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","737138993","2020",56999.70,88939.91,"Shoulder Innovations is a c-corp. Series B Preferred Shares purchased at $.372 per share.","Shoulder Innovations, Inc.","100000176745","Shoulder Innovations, Inc.","MI","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","233098","1154376325","Christen",,"Alevizatos",,"25 Crossroads Dr","Suite 306","Owings Mills","MD","21117","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139235","2020",0.00,90358.69,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","59168","1306021076","Jordan",,"Angell",,"410 Malcolm D","Ste A","Westminster","MD","21157","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139237","2020",0.00,90358.69,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","258600","1699727370","Daniel",,"Arrison",,"25 Crossroads Dr","Suite 306","Owings Mills","MD","21117","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139239","2020",0.00,90358.69,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","297307","1558324657","Bruce",,"Berger",,"25 Crossroads Dr","Suite 306","Owings Mills","MD","21117","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139241","2020",0.00,90358.69,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","347233","1649237066","Karen",,"Boyle",,"25 Crossroads Dr","Suite 306","Owings Mills","MD","21117","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139243","2020",0.00,90358.69,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","662352","1508817412","Robert",,"Chiaramonte",,"7704 Matapeake Business Dr","Suite 310","Brandywine","MD","20613","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139245","2020",0.00,90358.69,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","206615","1548343064","Julio",,"Davalos",,"25 Crossroads Dr","Suite 306","Owings Mills","MD","21117","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139247","2020",0.00,90358.69,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","630760","1407026487","Rian",,"Dickstein",,"7580 Buckingham Blvd","Suite 110","Hanover","MD","21076","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139249","2020",0.00,90358.69,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","23665","1528015914","Daniel",,"Dietrick",,"25 Crossroads Dr","Suite 306","Owings Mills","MD","21117","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139251","2020",0.00,90358.69,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","289840","1407808991","William",,"Dowling",,"25 Crossroads Dr","Suite 306","Owings Mills","MD","21117","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139253","2020",0.00,90358.69,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","292402","1437318557","David",,"Fenig",,"25 Crossroads Dr","Suite 306","Owings Mills","MD","21117","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139255","2020",0.00,90358.69,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","882299","1245214964","Peter",,"Filderman",,"25 Crossroads Dr","Suite 306","Owings Mills","MD","21117","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139257","2020",0.00,90358.69,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","350966","1740243906","David",,"Goldstein",,"25 Crossroads Dr","Suite 306","Owings Mills","MD","21117","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139259","2020",0.00,90358.69,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","77327","1700951456","Lisa",,"Hawes",,"7625 Maple Lawn Blvd","Suite 210","Fulton","MD","20759","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139261","2020",0.00,90358.69,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","97753","1164511945","CYRUS","J","MALI","M.D.","3100 MACCORKLE AVE SE SUITE 500",,"CHARLESTON","WV","25304-1223","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748292163","2020",113.58,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","206456","1548374234","JOHN","HENRY","MANI","MD","4610 KANAWHA AVE SW SUITE 401",,"SOUTH CHARLESTON","WV","25309-1367","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748292165","2020",113.58,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","110782","1437224508","VLADA","W","MARDOVIN","M.D.","1164 E HOME RD",,"SPRINGFIELD","OH","45503-2726","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748292167","2020",369.83,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","164307","1609893221","BENJAMIN","J","MARTIN","MD","701 TECH CENTER DR",,"GAHANNA","OH","43230-1987","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748292171","2020",328.74,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","329148","1255311619","ALFRED","WALTER","MAZUR","M.D.","200 DOCTORS DR SUITE 220",,"DOUGLAS","GA","31533-2201","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748292173","2020",328.74,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","67691","1487639209","JAMES","J","MCCAGUE","M.D.","1350 LOCUST ST SUITE 311",,"PITTSBURGH","PA","15219-4738","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748292175","2020",328.74,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","57140","1255374856","DAVID","C.","MENDOZA","M.D.","604 ANN ST",,"PARKERSBURG","WV","26101-5122","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748292177","2020",28.76,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","207537","1598704207","DANIEL","B","MILLER","M.D.","9000 N. MAIN ST. SUITE 333",,"DAYTON","OH","45415","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748292181","2020",561.32,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","789878","1982787768","EUGENE","A","MINEVICH","M.D.","3333 BURNET AVE ML 5037",,"CINCINNATI","OH","45229-3039","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology|Pediatric Urology","748292183","2020",328.74,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","257080","1659458891","HOWARD","A","MIRSKY","M.D.","2350 FREEDOM WAY SUITE 102",,"YORK","PA","17402","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748292185","2020",328.74,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","242188","1326156746","MARK","A","MONSOUR","M.D.","2350 MIAMI VALLEY DR SUITE 500",,"CENTERVILLE","OH","45459-4778","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748292187","2020",328.74,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","110386","1447255906","ROCCO","A","MORABITO","M.D.","2900 1ST AVE OPC SUITE 230",,"HUNTINGTON","WV","25702-1453","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748292191","2020",368.52,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","16426","1366649642","ROCCO","ANTHONY","MORABITO","JR MD","2860 3RD AVE SUITE 230",,"HUNTINGTON","WV","25702-1454","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748292193","2020",328.74,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","223974","1942271481","Manuel","A","Seneriz",,"12109 County Road 103",,"Oxford","FL","34484","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139573","2020",0.00,16502.96,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","78878","1730155672","Andrew","B","Sher",,"12109 County Road 103",,"Oxford","FL","34484","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139575","2020",0.00,16502.96,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1341634","1851616635","Christopher","M","Sherman",,"12109 County Road 103",,"Oxford","FL","34484","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139577","2020",0.00,16502.96,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","142319","1124316088","Nicole",,"Szell",,"12109 County Road 103",,"Oxford","FL","34484","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139579","2020",0.00,16502.96,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","76293","1679523294","Harvey","C","Taub",,"12109 County Road 103",,"Oxford","FL","34484","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139581","2020",0.00,16502.96,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","134470","1952365611","Jean-Paul",,"Tran",,"12109 County Road 103",,"Oxford","FL","34484","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139583","2020",0.00,16502.96,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","274929","1073564910","Stephen","G","Weiss",,"12109 County Road 103",,"Oxford","FL","34484","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139585","2020",0.00,16502.96,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","109611","1407905847","David","R","Wilkinson",,"12109 County Road 103",,"Oxford","FL","34484","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139587","2020",0.00,16502.96,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","214432","1740244565","Shaw","W","Zhou",,"12109 County Road 103",,"Oxford","FL","34484","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139589","2020",0.00,16502.96,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","99310","1194841452","David",,"Morris",,"2801 Charlotte Ave",,"Nashville","TN","37209","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139591","2020",0.00,71948.28,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","342215","1538146568","Charles",,"Eckstein",,"2801 Charlotte Ave",,"Nashville","TN","37209","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139593","2020",0.00,71948.28,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","22015","1497721526","JOHN","MATTHEW","HASSAN",,"1909 Mallory Lane","Suite 110","Franklin","TN","37067","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139595","2020",0.00,71948.28,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","428410","1265669683","Gautam",,"Jayram",,"2801 Charlotte Ave",,"Nashville","TN","37209","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139597","2020",0.00,47768.94,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","77743","1720245301","Christopher",,"Hawkins",,"5651 Frist Blvd","Suite 616","Hermitage","TN","37076","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139599","2020",0.00,47768.94,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","697120","1710118682","Michael",,"Belsante",,"5651 Frist Blvd","Suite 616","Hermitage","TN","37076","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139601","2020",0.00,47768.94,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","529732","1851352009","Sriram",,"Dasari",,"2801 Charlotte Ave",,"Nashville","TN","37209","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139603","2020",0.00,47768.94,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","186292","1124005145","Douglas",,"Altenbern",,"393 Wallace Rd","Suite A400","Nashville","TN","37211","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139605","2020",0.00,47768.94,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","164611","1639175375","Jeffrey","Alan","Chaitoff",,"6563 WILSON MILLS RD","SUITE 104","MAYFIELD VILLAGE","OH","44143","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine","744347279","2020",0.00,2368427.00,"Series A, B, C, and C-1 Preferred Shares; Common Shares; Stock Options","SPR Therapeutics, Inc","100000151627","SPR Therapeutics, Inc","OH","United States","No","Immediate family member","06/30/2023" "UNCHANGED","325080","1154436137","JOHN",,"CHAE",,"2500 MetroHealth Dr","MHMC PMR","Cleveland","OH","44109","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Physical Medicine & Rehabilitation","744347281","2020",0.00,32280.00,"Stock Options","SPR Therapeutics, Inc","100000151627","SPR Therapeutics, Inc","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1267043","1760667810","Jason","M","Hurst",,"7277 Smith's Mill Road","Suite 200","New Albany","OH","43054","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Adult Reconstructive Orthopaedic Surgery","744347283","2020",0.00,295032.00,"Series C Preferred Shares","SPR Therapeutics, Inc","100000151627","SPR Therapeutics, Inc","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","353531","1780676114","Mark","G","Luker",,"627 25 1/2 Rd",,"Grand Junction","CO","81505","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Sports Medicine","744347285","2020",0.00,234472.00,"Series C Preferred Shares","SPR Therapeutics, Inc","100000151627","SPR Therapeutics, Inc","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","164028","1619003589","Stuart",,"Markowitz",,"777 Glades Road",,"Boca Raton","FL","33431","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine","744347287","2020",0.00,142815.00,"Series C Preferred Shares","SPR Therapeutics, Inc","100000151627","SPR Therapeutics, Inc","OH","United States","No","Immediate family member","06/30/2023" "UNCHANGED","204244","1497899223","Michael","J","Morris",,"7277 Smith's Mill Road","Suite 200","New Albany","OH","43054","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Adult Reconstructive Orthopaedic Surgery","744347289","2020",0.00,296094.00,"Series C Preferred Shares","SPR Therapeutics, Inc","100000151627","SPR Therapeutics, Inc","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1219814","1083723324","John","L","Ohman","Jr","800 Washington ST","Box 30","Boston","MA","02111","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Allergy & Immunology","744347291","2020",0.00,147112.00,"Series C and C-1 Preferred Shares","SPR Therapeutics, Inc","100000151627","SPR Therapeutics, Inc","OH","United States","No","Immediate family member","06/30/2023" "UNCHANGED","806893","1588675243","Anup","K","Singh",,"2410 Samaritan Drive","Suite 101","San Jose","CA","95124","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Radiology|Diagnostic Radiology","744347293","2020",0.00,57389.00,"Series C Preferred Shares","SPR Therapeutics, Inc","100000151627","SPR Therapeutics, Inc","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","549058","1528211927","Thomas","B","Strandness",,"1400 E Boulder Street",,"Colorado Springs","CO","80909","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Anesthesiology|Pediatric Anesthesiology","744347295","2020",0.00,80411.00,"Series C Preferred Shares","SPR Therapeutics, Inc","100000151627","SPR Therapeutics, Inc","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","281469","1215078647","Jason",,"Pope",,"416 Aviation Blvd","Suite B","Santa Rosa","CA","95403","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Anesthesiology|Pain Medicine","744347299","2020",0.00,8070.00,"Stock Options","SPR Therapeutics, Inc","100000151627","SPR Therapeutics, Inc","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","8578","1194942219","Dawood",,"Sayed",,"UNIVERSITY OF KANSAS MEDICAL CENTER 3901 BLVD",,"KANSAS CITY","KS","66160","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Anesthesiology|Pain Medicine","744347301","2020",0.00,8070.00,"Stock Options","SPR Therapeutics, Inc","100000151627","SPR Therapeutics, Inc","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","39400","1861424210","Timothy",,"Deer",,"400 COURT ST STE 100",,"CHARLESTON","WV","25301","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Pain Medicine|Interventional Pain Medicine","744347303","2020",0.00,69585.00,"Stock Options","SPR Therapeutics, Inc","100000151627","SPR Therapeutics, Inc","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","77808","1720272800","Steven",,"Falowski",,"701 Ostrum St",,"Bethlehem","PA","18015","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","744347305","2020",0.00,17133.00,"Stock Options","SPR Therapeutics, Inc","100000151627","SPR Therapeutics, Inc","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","227778","1013909340","Peter",,"Staats",,"160 Avenue at the CMN Suite 1",,"Shrewsbury","NJ","07702","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Anesthesiology|Pain Medicine","744347307","2020",0.00,64805.00,"Stock Options","SPR Therapeutics, Inc","100000151627","SPR Therapeutics, Inc","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","322938","1114045341","Mehul",,"Desai",,"2141 K ST NW",,"Washington","DC","20037","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Physical Medicine & Rehabilitation|Pain Medicine","744347309","2020",0.00,10770.00,"Stock Options","SPR Therapeutics, Inc","100000151627","SPR Therapeutics, Inc","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","90349","1982661211","Thomas",,"Huisman",,"7704 Matapeake Business Dr","Suite 310","Brandywine","MD","20613","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139263","2020",0.00,90358.69,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","168964","1710940812","Steven",,"Jaskulsky",,"25 Crossroads Dr","Suite 306","Owings Mills","MD","21117","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139265","2020",0.00,90358.69,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","40011","1871732503","Kelly",,"Johnson",,"21 Crossroads Dr","Suite 200","Owings Mills","MD","21117","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139267","2020",0.00,90358.69,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","68162","1508812991","Sankar",,"Kausik",,"25 Crossroads Dr","Suite 306","Owings Mills","MD","21117","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139269","2020",0.00,90358.69,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","242424","1356304398","Kenneth",,"Langer",,"25 Crossroads Dr","Suite 306","Owings Mills","MD","21117","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139271","2020",0.00,90358.69,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","334693","1386700789","Nicholas",,"Leone",,"25 Crossroads Dr","Suite 306","Owings Mills","MD","21117","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139273","2020",0.00,90358.69,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","297186","1558346809","Brad",,"Lerner",,"25 Crossroads Dr","Suite 306","Owings Mills","MD","21117","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139275","2020",0.00,90358.69,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","52319","1164479507","Brian",,"Levin",,"25 Crossroads Dr","Suite 306","Owings Mills","MD","21117","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139277","2020",0.00,90358.69,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","306387","1760466486","Richard",,"Levin",,"25 Crossroads Dr","Suite 306","Owings Mills","MD","21117","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139279","2020",0.00,90358.69,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1205167","1578584959","Benjamin",,"Lowentritt",,"25 Crossroads Dr","Suite 306","Owings Mills","MD","21117","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139281","2020",0.00,90358.69,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","318664","1023018074","Kannan",,"Manickam",,"25 Crossroads Dr","Suite 306","Owings Mills","MD","21117","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139283","2020",0.00,90358.69,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","884924","1336113893","Keith",,"OReilly",,"410 Malcolm Dr","Suite A","Westminster","MD","21157","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139285","2020",0.00,90358.69,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1229445","1437106820","Kaiser",,"Robertson",,"25 Crossroads Dr","Suite 306","Owings Mills","MD","21117","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139287","2020",0.00,90358.69,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","13940","1295901999","Marnie",,"Robinson",,"1838 Greene Tree Rd","Suite 460","Baltimore","MD","21237","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139289","2020",0.00,90358.69,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","305296","1720035116","Jonathan",,"Rubenstein",,"25 Crossroads Dr","Suite 306","Owings Mills","MD","21117","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139291","2020",0.00,90358.69,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","849928","1104114875","Robert",,"Segal",,"5601 Loch Raven Blvd","Ste 307","Baltimore","MD","21239","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139293","2020",0.00,90358.69,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","220593","1851494777","Anup",,"Shah",,"6820 Hospital Dr","Suite 210","Baltimore","MD","21237","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139295","2020",0.00,90358.69,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","114830","1548265721","DANIEL","S.","MURTAGH","MD","3500 EXECUTIVE PKWY",,"TOLEDO","OH","43606-1319","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748292197","2020",328.74,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","162684","1588663926","MARK",,"MUSMANNO",,"480 E JEFFERSON ST SUITE C",,"BUTLER","PA","16001-4780","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748292199","2020",328.74,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","228599","1033223318","CRAIG","ALAN","NICHOLSON","M.D.","1258 BELLEFONTAINE ST",,"WAPAKONETA","OH","45895-9775","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748292201","2020",328.74,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","274499","1053497453","ROSS","SAMUEL","OLIVER","JR MD","2335 CHESTERFIELD AVENUE, SUITE 101",,"CHARLESTON","WV","25304-1066","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748292205","2020",136.26,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","311762","1861463721","LINDA","S.","OSBORNE","D.O.","701 TECH CENTER DR",,"GAHANNA","OH","43230-1987","United States",,,"Doctor of Osteopathy","Allopathic & Osteopathic Physicians|Urology","748292207","2020",369.83,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","154262","1396721486","PRADEEP","K","PANDYA","M.D.","131 N EWING ST UNIT A",,"LANCASTER","OH","43130-3383","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748292209","2020",1348.01,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","234462","1184686107","MADHUKAR","R","PATEL","M.D.","815 NORMAN DR",,"LEBANON","PA","17042-7445","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748292211","2020",328.74,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","59254","1295775930","RASHMI","I.","PATEL","M.D.","701 TECH CENTER DR",,"GAHANNA","OH","43230-1987","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748292213","2020",402.71,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","145654","1205873502","DAVID","BRICE","PATRICK","MD","1700 3RD ST",,"BEAVER","PA","15009-1715","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748292215","2020",233.24,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","252789","1568460970","THOMAS","H","PATTERSON","MD","834 N SEMINARY ST SUITE 502",,"GALESBURG","IL","61401-2852","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748292219","2020",328.74,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","40411","1891895538","JOHN","W","PECK","II MD","2212 MIFFLIN AVE SUITE 130",,"ASHLAND","OH","44805-8848","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748292221","2020",369.83,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","357698","1881691640","SALVADOR","E","PERON","M.D.","3436 GRANITE CIR",,"TOLEDO","OH","43617-1160","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748292223","2020",289.46,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","231136","1104873744","EDWARD","BRADLEY","PEWITT","M.D.","701 TECH CENTER DR",,"GAHANNA","OH","43230-1987","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748292225","2020",402.71,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1182","1013912096","ERIC","A","PIZZA","MD","3500 EXECUTIVE PKWY",,"TOLEDO","OH","43606-1319","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748292229","2020",328.74,0.00,"Membership Units in Limited Liability Company-Ownership Interest","Innovative Medical Technologies, LLC","100000066363","Innovative Medical Technologies, LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","353738","1780662221","Jeff",,"Whitfield",,"393 Wallace Rd","Suite A400","Nashville","TN","37211","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139607","2020",0.00,47768.94,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","543274","1336126887","Robert",,"Webb",,"107 Glen Oaks Blvd","Suite 100","Hendersonville","TN","37075","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139609","2020",0.00,47768.94,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","61973","1356538904","David",,"Duong",,"2801 Charlotte Ave",,"Nashville","TN","37209","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139611","2020",0.00,47768.94,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1384333","1104187632","Jay",,"Sulek",,"5651 Frist Blvd","Suite 616","Hermitage","TN","37076","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139613","2020",0.00,47768.94,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","914130","1366429813","Christopher",,"Hill",,"2801 Charlotte Ave",,"Nashville","TN","37209","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139615","2020",0.00,47768.94,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","306322","1760460208","Walter",,"Little",,"107 Glen Oaks Blvd","Suite 100","Hendersonville","TN","37075","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139617","2020",0.00,47768.94,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","579109","1598743031","Vivek",,"Narain",,"107 Glen Oaks Blvd","Suite 100","Hendersonville","TN","37075","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139619","2020",0.00,47768.94,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","276023","1083668594","William",,"Tissot",,"4601 Carothers Pkwy","Suite 475","Franklin","TN","37067","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139621","2020",0.00,47768.94,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1384272","1043584949","Alberic",,"Rogman",,"2801 Charlotte Ave",,"Nashville","TN","37209","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139623","2020",0.00,47768.94,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","773959","1417906330","Cynthia",,"Fairfax",,"2855 East Magic View Drive",,"Meridian","ID","83642","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139625","2020",14760.28,106274.00,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","219860","1841280872","William",,"Fredriksson",,"2855 East Magic View Drive",,"Meridian","ID","83642","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139627","2020",14760.28,106274.00,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1227487","1356393227","John",,"Greer",,"2855 East Magic View Drive",,"Meridian","ID","83642","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139629","2020",14760.28,106274.00,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","464917","1568413763","Dawn",,"King",,"2855 East Magic View Drive",,"Meridian","ID","83642","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139631","2020",14760.28,106274.00,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","658054","1346407921","Helen",,"Kuo",,"2855 East Magic View Drive",,"Meridian","ID","83642","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139633","2020",14760.28,106274.00,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1220449","1104877299","Todd",,"Waldmann",,"2855 East Magic View Drive",,"Meridian","ID","83642","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139635","2020",14760.28,106274.00,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","653693","1194777060","Joseph",,"Williams",,"2855 East Magic View Drive",,"Meridian","ID","83642","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139637","2020",14760.28,106274.00,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","348006","1659663482","Lisa",,"Parrillo",,"2855 East Magic View Drive",,"Meridian","ID","83642","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139639","2020",14760.28,106274.00,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","245560","1407840770","Luis",,"Scheker",,"225 ABRAHAM FLEXNER WAY STE 700",,"Louisville","KY","40202-1846","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Plastic Surgery|Surgery of the Hand","744391793","2020",2282747.50,2282747.50,"Dr. Luis Scheker is the majority owner of Aptis Medical with a 55% ownership stake in the company. This ownership in 2020 was valued at $2282747.50 dollars according to our internal calculations","Aptis Medical, LLC","100000010554","Aptis Medical, LLC","KY","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","191630","1225064884","PEJMAN","E.","COHAN",,"150 N ROBERTSON BLVD STE 210",,"BEVERLY HILLS","CA","90211-2157","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Endocrinology, Diabetes & Metabolism","745338953","2020",116250.00,358750.00,"0","Corcept Therapeutics","100000000247","Corcept Therapeutics","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","262562","1780779934","David",,"Earle",,"2 Medical Center Dr","Suite 308","Springfield","MA","01199","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Surgery","745339799","2020",95280.00,47640.00,"Profit Unit Grants ($7.94 per unit base value, 12,000 units total, 6,000 units vested as of 12/31/20)","Colorado Therapeutics LLC","100000321807","Colorado Therapeutics LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","157812","1477576510","Joseph",,"Talarico",,"350 Parrish Street",,"Canandaigua","NY","14424","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Surgery","745339811","2020",95280.00,47640.00,"Profit Unit Grants ($7.94 per unit base value, 12,000 units total, 6,000 units vested as of 12/31/20)","Colorado Therapeutics LLC","100000321807","Colorado Therapeutics LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","278487","1154364073","Jarrod",,"Kaufman",,"525 Route 70","Suite 1B","Brick","NJ","08723","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Surgery","745339817","2020",111160.00,37063.92,"Profit Unit Grants ($7.94 per unit base value, 14,000 units total, 4,668 units vested as of 12/31/20)","Colorado Therapeutics LLC","100000321807","Colorado Therapeutics LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","157812","1477576510","Joseph",,"Talarico",,"350 Parrish Street",,"Canandaigua","NY","14424","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Surgery","745339819","2020",79400.00,79400.00,"Profit Unit Grants ($7.94 per unit base value, 10,000 units total, fully vested immediately)","Colorado Therapeutics LLC","100000321807","Colorado Therapeutics LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","102476","1245546894","Amarjit","David","Peter",,"335 Parrish Street",,"Canandaigua","NY","14424","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Surgery","745339821","2020",79400.00,15880.00,"Profit Unit Grants ($7.94 per unit base value, 10,000 units total, 2,000 units vested as of 12/31/20)","Colorado Therapeutics LLC","100000321807","Colorado Therapeutics LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","255580","1639100845","John","Clarence","Lipham",,"1450 San Pablo Street","Suite 6200","Los Angeles","CA","90033","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Surgery","745339823","2020",39700.00,7940.00,"Profit Unit Grants ($7.94 per unit base value, 5,000 units total, 1000 units vested as of 12/31/20)","Colorado Therapeutics LLC","100000321807","Colorado Therapeutics LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","355094","1811083553","John",,"Steinmann",,"1901 W. Lugonia Ave. Ste 230",,"Redlands","CA","92374","United States",,,"Doctor of Osteopathy",,"745340089","2020",340.90,19082.75,"Limited Liability Company Membership Interest","Sequoia Surgical Distributors, LLC","100000011099","Sequoia Surgical Distributors, LLC","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","355094","1811083553","John",,"Steinmann",,"1901 W. Lugonia Ave. Ste 230",,"Redlands","CA","92374","United States",,,"Doctor of Osteopathy",,"745340103","2020",35.64,1994.85,"Limited Liability Company Membership Interest","Sequoia Surgical Distributors, LLC","100000011099","Sequoia Surgical Distributors, LLC","CA","United States","No","Immediate family member","06/30/2023" "UNCHANGED","445315","1871532960","Paul",,"Burton",,"1901 W. Lugonia Ave. ste 230",,"Redlands","CA","92374","United States",,,"Doctor of Osteopathy",,"745340123","2020",23.17,1296.98,"Limited Liability Company Membership Interest","Sequoia Surgical Distributors, LLC","100000011099","Sequoia Surgical Distributors, LLC","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","61179","1346336864","Gail",,"Hopkins",,"1901 W. Lugonia Ave. Ste 230",,"Redlands","CA","92374","United States",,,"Medical Doctor",,"745340141","2020",23.17,1296.98,"Limited Liability Company Membership Interest","Sequoia Surgical Distributors, LLC","100000011099","Sequoia Surgical Distributors, LLC","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","109415","1407942113","James",,"Matiko",,"1901 W. Lugonia Ave. Ste 230",,"Redlands","CA","92374","United States",,,"Medical Doctor",,"745340161","2020",23.17,1296.98,"Limited Liability Company Membership Interest","Sequoia Surgical Distributors, LLC","100000011099","Sequoia Surgical Distributors, LLC","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","566874","1164461224","John",,"Skubic",,"1901 W. Lugonia Ave. Ste 230",,"Redlands","CA","92374","United States",,,"Medical Doctor",,"745341679","2020",23.17,1296.98,"Limited Liability Company Membership Interest","Sequoia Surgical Distributors, LLC","100000011099","Sequoia Surgical Distributors, LLC","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","109364","1407874852","Andrew","Marc","Shapiro",,"21 Crossroads Dr","Suite 200","Owings Mills","MD","21117","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139297","2020",0.00,90358.69,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","292156","1457308843","Nikhil",,"Sheth",,"25 Crossroads Dr","Suite 306","Owings Mills","MD","21117","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139299","2020",0.00,90358.69,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1192996","1144486044","Cheryl",,"Shih",,"3801 International Dr","Suite 310","Silver Spring","MD","20906","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139301","2020",0.00,90358.69,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","61647","1376506477","Sanford",,"Siegel",,"25 Crossroads Dr","Suite 306","Owings Mills","MD","21117","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139303","2020",0.00,90358.69,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","920278","1578547287","Marc",,"Siegelbaum",,"25 Crossroads Dr","Suite 306","Owings Mills","MD","21117","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139305","2020",0.00,90358.69,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","60803","1356304497","David",,"Sigman",,"25 Crossroads Dr","Suite 306","Owings Mills","MD","21117","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139307","2020",0.00,90358.69,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","184894","1063472421","Geoffrey",,"Sklar",,"25 Crossroads Dr","Suite 306","Owings Mills","MD","21117","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139309","2020",0.00,90358.69,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","164356","1639126022","James",,"Smolev",,"25 Crossroads Dr","Suite 306","Owings Mills","MD","21117","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139311","2020",0.00,90358.69,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","237288","1245286251","Thomas",,"Smyth",,"25 Crossroads Dr","Suite 306","Owings Mills","MD","21117","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139313","2020",0.00,90358.69,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","296025","1528011129","Victoria",,"Staiman",,"25 Crossroads Dr","Suite 306","Owings Mills","MD","21117","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139315","2020",0.00,90358.69,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","140792","1093799710","David",,"Stampfer",,"25 Crossroads Dr","Suite 306","Owings Mills","MD","21117","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139317","2020",0.00,90358.69,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","284752","1265495204","Ronald",,"Tutrone",,"25 Crossroads Dr","Suite 306","Owings Mills","MD","21117","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139319","2020",0.00,90358.69,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","41177","1912176702","Jayant",,"Uberoi",,"25 Crossroads Dr","Suite 306","Owings Mills","MD","21117","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139321","2020",0.00,90358.69,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","991844","1063672871","Vikrant",,"Uberoi",,"7704 Matapeake Business Dr","Suite 310","Brandywine","MD","20613","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139323","2020",0.00,90358.69,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","61855","1366464257","Paul",,"Van Zijl",,"25 Crossroads Dr","Suite 306","Owings Mills","MD","21117","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139325","2020",0.00,90358.69,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","135997","1992951586","Anup",,"Vora",,"3801 International Dr","Suite 310","Silver Spring","MD","20906","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139327","2020",0.00,90358.69,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","253727","1609834217","J Antonio",,"Alarcon",,"2133 West Beverly Blvd","Suite 200","Montebello","CA","90640","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","737139329","2020",0.00,84937.17,"Common Stock","UroGPO LLC","100000046250","UroGPO LLC","OH","United States","No","Physician Covered Recipient","06/30/2023" "NEW","268984","1922054998","Hugh","F","Smisson","III","840 Pine Street","Ste. 880","Macon","GA","31201","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","882476843","2020",0.00,393112.92,"This interest is held as Class A Units by Smisson Family Investments, LP. Dr. Smisson is the managing partner of that entity.","Smisson-Cartledge Biomedical","100000316816","Smisson-Cartledge Biomedical","GA","United States","No","Physician Covered Recipient","06/30/2023" "NEW","268984","1922054998","Hugh","F","Smisson","III","840 Pine Street","Ste. 880","Macon","GA","31201","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","882482269","2020",0.00,6836.75,"Interest is held by Trimax Medical Management which Dr. Smisson is the sole owner.","Smisson-Cartledge Biomedical","100000316816","Smisson-Cartledge Biomedical","GA","United States","No","Physician Covered Recipient","06/30/2023" "NEW","64909","1417994096","Kim","W","Johnston",,"840 Pine Street","Ste. 880","Macon","GA","31201","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","882487251","2020",0.00,20510.24,"Dr. Johnston is an investor in the company.","Smisson-Cartledge Biomedical","100000316816","Smisson-Cartledge Biomedical","GA","United States","No","Physician Covered Recipient","06/30/2023" "NEW","133127","1942281076","Mark","E","Grossnickle",,"770 Pine Street",,"Macon","GA","31201","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Radiology|Diagnostic Radiology","882505907","2020",0.00,1281.89,"Dr. Grossnickle is an investor in the company.","Smisson-Cartledge Biomedical","100000316816","Smisson-Cartledge Biomedical","GA","United States","No","Physician Covered Recipient","06/30/2023" "NEW","1145303","1457341265","David","J","Frolich",,"770 Pine Street","Ste. 290","Macon","GA","31201","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Radiology|Diagnostic Radiology","882512691","2020",0.00,6744.88,"Dr. Frolich is an investor in the company.","Smisson-Cartledge Biomedical","100000316816","Smisson-Cartledge Biomedical","GA","United States","No","Physician Covered Recipient","06/30/2023" "NEW","251263","1538131313","Davey","R","Deal","Jr","310 Hospital Drive","Ste. 305","Macon","GA","31217","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Gastroenterology","882578849","2020",0.00,712.30,"Dr. Deal, jr. is an investor in the company.","Smisson-Cartledge Biomedical","100000316816","Smisson-Cartledge Biomedical","GA","United States","No","Physician Covered Recipient","06/30/2023" "NEW","10296","1225075815","Joe","S","Robinson","Jr","840 Pine Street","Ste. 880","Macon","GA","31201","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","882588383","2020",0.00,4272.97,"Dr. Robinson is an investor in the company.","Smisson-Cartledge Biomedical","100000316816","Smisson-Cartledge Biomedical","GA","United States","No","Physician Covered Recipient","06/30/2023" "NEW","709539","1144285750","Michael",,"Schurr",,"1 Hospital Dr Fl 4",,"Asheville","NC","28801","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Surgery","884993051","2020",25800.00,429074.00,"For his services as a Medical Director of the Company and a member of the Company's Board of Directors, Dr. Schurr vested stock options to purchase shares of common stock of the Company over FY 2020.","Imbed Biosciences Inc.","100001116889","Imbed Biosciences Inc.","WI","United States","No","Physician Covered Recipient","06/30/2023" "NEW","806115","1558410498","Gary","Steven","Fanton",,"1000 Welch Road",,"Palo Alto","CA","94304-1811","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Sports Medicine","889233039","2020",0.00,99999.41,"Held 39,862 Series B shares of company which were purchased in 2015","entrotech life sciences inc.","100000971855","entrotech life sciences inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "NEW","141667","1114010097","CHARLES","EDWARD","MILLER",,"120 OSLER DRIVE","SUITE 100","NAPERVILLE","IL","60540-7429","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","957798861","2020",0.00,50399.97,"Investment","Gynesonics, Inc.","100000216788","Gynesonics, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "NEW","835160","1588621999","ELIZABETH","A","STEWART",,"200 1ST ST SW","CHARLTON 3A","ROCHESTER","MN","55905-0001","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology|Reproductive Endocrinology","957798865","2020",0.00,62.50,"Investment","Gynesonics, Inc.","100000216788","Gynesonics, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "NEW","418637","1942367040","GREGORY","P","BALLARD",,"19550 E 39TH ST S","SUITE 230","INDEPENDENCE","MO","64057-2303","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","962535097","2020",0.00,173333.32,"Investment","Spinal Simplicity, LLC","100000136573","Spinal Simplicity, LLC","KS","United States","No","Physician Covered Recipient","06/30/2023" "NEW","310792","1841276169","CHARLES","L","BARNES",,"2 SHACKLEFORD WEST BLVD",,"LITTLE ROCK","AR","72211-3755","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","962535101","2020",0.00,100002.50,"Investment","Spinal Simplicity, LLC","100000136573","Spinal Simplicity, LLC","KS","United States","No","Physician Covered Recipient","06/30/2023" "NEW","101027","1215968433","JOSEPH","RALPH","BARNTHOUSE",,"1010 CARONDELET DR","SUITE 401","KANSAS CITY","MO","64114-4859","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|General Practice","962535103","2020",0.00,203125.00,"Investment","Spinal Simplicity, LLC","100000136573","Spinal Simplicity, LLC","KS","United States","No","Physician Covered Recipient","06/30/2023" "NEW","101027","1215968433","JOSEPH","RALPH","BARNTHOUSE",,"1010 CARONDELET DR","SUITE 401","KANSAS CITY","MO","64114-4859","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|General Practice","962535105","2020",0.00,5259.96,"Employment Agreement","Spinal Simplicity, LLC","100000136573","Spinal Simplicity, LLC","KS","United States","No","Immediate family member","06/30/2023" "NEW","925457","1750374724","DARREN","A","BOYACK",,"9100 W 74TH ST",,"SHAWNEE MISSION","KS","66204-4004","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Emergency Medicine","962535109","2020",0.00,55250.00,"Investment","Spinal Simplicity, LLC","100000136573","Spinal Simplicity, LLC","KS","United States","No","Physician Covered Recipient","06/30/2023" "NEW","178885","1942274105","ABRAM","HANS","BURGHER",,"2525 W GREENWAY RD STE 125",,"PHOENIX","AZ","85023-4226","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Pain Medicine|Interventional Pain Medicine","962535113","2020",50000.00,50000.02,"Investment","Spinal Simplicity, LLC","100000136573","Spinal Simplicity, LLC","KS","United States","No","Physician Covered Recipient","06/30/2023" "NEW","1204516","1558321422","CINDY","C","CHANG",,"7900 LEES SUMMIT RD",,"KANSAS CITY","MO","64139-1236","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Family Medicine","962535115","2020",0.00,9999.99,"Investment","Spinal Simplicity, LLC","100000136573","Spinal Simplicity, LLC","KS","United States","No","Physician Covered Recipient","06/30/2023" "NEW","661484","1477535649","STEVEN","G","COHN",,"5721 W 119TH ST",,"OVERLAND PARK","KS","66209-3722","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Anesthesiology","962535119","2020",0.00,32500.00,"Investment","Spinal Simplicity, LLC","100000136573","Spinal Simplicity, LLC","KS","United States","No","Physician Covered Recipient","06/30/2023" "NEW","1232542","1538367040","BRENDAN","D","CONNEALY",,"717 N 190TH PLZ","SUITE 2400","ELKHORN","NE","68022-3913","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology|Maternal & Fetal Medicine","962535123","2020",75000.00,74999.99,"Investment","Spinal Simplicity, LLC","100000136573","Spinal Simplicity, LLC","KS","United States","No","Physician Covered Recipient","06/30/2023" "NEW","834975","1578567384","LARRY","D","CORDELL",,"3901 RAINBOW BLVD","MS 3017","KANSAS CITY","KS","66160","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","962535127","2020",0.00,110861.43,"Investment","Spinal Simplicity, LLC","100000136573","Spinal Simplicity, LLC","KS","United States","No","Physician Covered Recipient","06/30/2023" "NEW","53253","1174587422","MICHAEL","R","DRIKS",,"4601 W 109TH ST STE 100",,"OVERLAND PARK","KS","66211-1313","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Infectious Disease","962535129","2020",0.00,73677.50,"Investment","Spinal Simplicity, LLC","100000136573","Spinal Simplicity, LLC","KS","United States","No","Physician Covered Recipient","06/30/2023" "NEW","39642","1881680726","TRAVIS","S","FOXX",,"6500 W 143RD ST STE A",,"OVERLAND PARK","KS","66223-2186","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Anesthesiology|Pain Medicine","962535133","2020",1250000.00,1773000.04,"Investment","Spinal Simplicity, LLC","100000136573","Spinal Simplicity, LLC","KS","United States","No","Physician Covered Recipient","06/30/2023" "NEW","39642","1881680726","TRAVIS","S","FOXX",,"6500 W 143RD ST STE A",,"OVERLAND PARK","KS","66223-2186","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Anesthesiology|Pain Medicine","962535135","2020",0.00,50000.02,"Investment","Spinal Simplicity, LLC","100000136573","Spinal Simplicity, LLC","KS","United States","No","Immediate family member","06/30/2023" "NEW","74298","1659351674","PAUL","R","FREWIN",,"5100 N TOWNE CENTRE DR",,"OZARK","MO","65721-7479","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","962535139","2020",0.00,243032.50,"Investment","Spinal Simplicity, LLC","100000136573","Spinal Simplicity, LLC","KS","United States","No","Physician Covered Recipient","06/30/2023" "NEW","3622906","1740624451","ANTHONY","T","GIUFFRIDA",,"3000 BAYVIEW DR",,"FORT LAUDERDALE","FL","33306","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Physical Medicine & Rehabilitation","962535141","2020",25000.00,25000.01,"Investment","Spinal Simplicity, LLC","100000136573","Spinal Simplicity, LLC","KS","United States","No","Physician Covered Recipient","06/30/2023" "NEW","12629","1295708584","BRADLY","SEAN","GOODMAN",,"1801 GADSDEN HIGHWAY",,"BIRMINGHAM","AL","35235-3134","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Physical Medicine & Rehabilitation","962535145","2020",50000.00,50000.02,"Investment","Spinal Simplicity, LLC","100000136573","Spinal Simplicity, LLC","KS","United States","No","Physician Covered Recipient","06/30/2023" "NEW","348138","1679684591","MICHAEL","E","GORTON",,"2521 GLENN HENDREN DR","SUITE 306","LIBERTY","MO","64068-3388","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Thoracic Surgery (Cardiothoracic Vascular Surgery)","962535149","2020",0.00,121722.84,"Investment","Spinal Simplicity, LLC","100000136573","Spinal Simplicity, LLC","KS","United States","No","Physician Covered Recipient","06/30/2023" "NEW","655715","1275532327","ROBERT","S","HEIDT","JR.","7575 5 MILE RD",,"CINCINNATI","OH","45230-4346","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Sports Medicine","962535151","2020",0.00,280000.01,"Investment","Spinal Simplicity, LLC","100000136573","Spinal Simplicity, LLC","KS","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","88670","1952578627","Michael",,"Shindle",,"1 Diamond Hill Road",,"Berkeley Heights","NJ","07922","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Sports Medicine","753993758","2020",40000.00,40000.00,"Private Placement Investment","Gramercy Extremity Orthopedics LLC","100000196819","Gramercy Extremity Orthopedics LLC","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1260254","1538107867","Michael",,"Farber",,"20 Prospect Ave.",,"Hackensack","NJ","07601","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine","753993760","2020",25000.00,25000.00,"Private Placement Investment","Gramercy Extremity Orthopedics LLC","100000196819","Gramercy Extremity Orthopedics LLC","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1234228","1598924920","Rull James",,"Toussaint",,"4500 W. Newberry Road",,"Gainesville","FL","32607","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","753993762","2020",30000.00,30000.00,"Private Placement Investmentt","Gramercy Extremity Orthopedics LLC","100000196819","Gramercy Extremity Orthopedics LLC","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1174749","1497915698","Joseph",,"Wilson",,"120 William Penn Plaza",,"Durham","NC","27704","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","753993764","2020",75000.00,75000.00,"Private Placement Investment","Gramercy Extremity Orthopedics LLC","100000196819","Gramercy Extremity Orthopedics LLC","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1185130","1871623827","Marshall",,"Kuremsky",,"3100 Duraleigh Road Suite 100",,"Raleigh","NC","27612","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Hand Surgery","753993832","2020",40000.00,40000.00,"Private Placement Investment","Gramercy Extremity Orthopedics LLC","100000196819","Gramercy Extremity Orthopedics LLC","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","693809","1598853863","Riley",,"Williams",,"535 East 70th Street Site 108",,"New York","NY","10021","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Sports Medicine","753993834","2020",50000.00,50000.00,"Private Placement Investment","Gramercy Extremity Orthopedics LLC","100000196819","Gramercy Extremity Orthopedics LLC","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","294069","1497734156","Carroll",,"Jones",,"2001 Vail Avenue Suite 200B",,"Charlottte","NC","28207","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","753993836","2020",25000.00,25000.00,"Private Placement Investment","Gramercy Extremity Orthopedics LLC","100000196819","Gramercy Extremity Orthopedics LLC","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","979758","1649356486","Andrew",,"Elliott",,"523 E 72nd Street 5th Floor",,"New York","NY","10021","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","753993892","2020",25000.00,25000.00,"Private Placement Investment","Gramercy Extremity Orthopedics LLC","100000196819","Gramercy Extremity Orthopedics LLC","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","739198","1194801944","Martin",,"O'Malley",,"420 E. 72nd Street",,"New York","NY","10021","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","753993894","2020",25000.00,25000.00,"Private Placement Investment","Gramercy Extremity Orthopedics LLC","100000196819","Gramercy Extremity Orthopedics LLC","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","80690","1790767093","William",,"Spielfogel",,"369 93rd Street",,"New York","NY","11209","United States",,,"Doctor of Podiatric Medicine","Podiatric Medicine & Surgery Service Providers|Podiatrist|Foot & Ankle Surgery","753994806","2020",100000.00,100000.00,"Private Placement Investment","Gramercy Extremity Orthopedics LLC","100000196819","Gramercy Extremity Orthopedics LLC","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","52826","1154396901","Jeffrey",,"Christensen",,"3131 Nassau Street Suite 101",,"Everett","WA","98201","United States",,,"Doctor of Podiatric Medicine","Podiatric Medicine & Surgery Service Providers|Podiatrist|Foot & Ankle Surgery","753994808","2020",50000.00,50000.00,"Private Placement Investment","Gramercy Extremity Orthopedics LLC","100000196819","Gramercy Extremity Orthopedics LLC","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","330209","1265510804","John",,"Schuberth",,"2200 O'farrell Street",,"San Francisco","CA","94115","United States",,,"Doctor of Podiatric Medicine","Podiatric Medicine & Surgery Service Providers|Podiatrist","753994812","2020",25000.00,25000.00,"Private Placement Investment","Gramercy Extremity Orthopedics LLC","100000196819","Gramercy Extremity Orthopedics LLC","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1058328","1417155474","Brian",,"McVay",,"3100 East Fletcher Avenue",,"Tampa","FL","33613","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Anesthesiology","753994814","2020",60000.00,60000.00,"Private Placement Investment","Gramercy Extremity Orthopedics LLC","100000196819","Gramercy Extremity Orthopedics LLC","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","563721","1053335083","Sanjay",,"Patel",,"309 Seaside Avenue",,"Milford","CT","06460","United States",,,"Doctor of Podiatric Medicine","Podiatric Medicine & Surgery Service Providers|Podiatrist","753994816","2020",150000.00,150000.00,"Private Placement Investment","Gramercy Extremity Orthopedics LLC","100000196819","Gramercy Extremity Orthopedics LLC","TX","United States","No","Physician Covered Recipient","06/30/2023" "NEW","10515","1215983481","HAROLD","ALBAN","HESS",,"8575 W 110TH ST","SUITE 205","OVERLAND PARK","KS","66210-1865","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","962535155","2020",0.00,167709.96,"Employment Agreement","Spinal Simplicity, LLC","100000136573","Spinal Simplicity, LLC","KS","United States","No","Immediate family member","06/30/2023" "NEW","50283","1124065941","STEPHEN","H","HOCHSCHULER",,"6020 W PARKER RD","SUITE 200","PLANO","TX","75093-8171","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","962535159","2020",0.00,50000.02,"Investment","Spinal Simplicity, LLC","100000136573","Spinal Simplicity, LLC","KS","United States","No","Physician Covered Recipient","06/30/2023" "NEW","223124","1932157732","STEWART","M","KERR",,"2409 N 45TH ST",,"SEATTLE","WA","98103-6907","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","962535161","2020",0.00,51300.00,"Consulting Medical Advisory Board","Spinal Simplicity, LLC","100000136573","Spinal Simplicity, LLC","KS","United States","No","Physician Covered Recipient","06/30/2023" "NEW","21181","1487610275","KAVEH",,"KHAJAVI",,"2001 PEACHTREE RD NE","SUITE 550","ATLANTA","GA","30309-1476","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","962535165","2020",0.00,85500.00,"Purchase of Patent","Spinal Simplicity, LLC","100000136573","Spinal Simplicity, LLC","KS","United States","No","Physician Covered Recipient","06/30/2023" "NEW","29262","1639345242","RHETT","B","LAKIN",,"3231 S NATIONAL AVE","STE 160","SPRINGFIELD","MO","65807-7304","United States",,,"Doctor of Podiatric Medicine","Podiatric Medicine & Surgery Service Providers|Podiatrist|Foot & Ankle Surgery","962535169","2020",0.00,30000.00,"Investment","Spinal Simplicity, LLC","100000136573","Spinal Simplicity, LLC","KS","United States","No","Physician Covered Recipient","06/30/2023" "NEW","1056274","1336257427","DAVID","K","LAUER",,"8200 W CENTRAL AVE","SUITE 1","WICHITA","KS","67212-9503","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Family Medicine","962535171","2020",0.00,162500.00,"Investment","Spinal Simplicity, LLC","100000136573","Spinal Simplicity, LLC","KS","United States","No","Physician Covered Recipient","06/30/2023" "NEW","325071","1164439550","WILLIAM","R","LEAHY",,"7500 HANOVER PKWY","SUITE 201","GREENBELT","MD","20770-2010","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Psychiatry & Neurology|Neurology with Special Qualifications in Child Neurology","962535175","2020",10000.00,35000.00,"Investment","Spinal Simplicity, LLC","100000136573","Spinal Simplicity, LLC","KS","United States","No","Physician Covered Recipient","06/30/2023" "NEW","325071","1164439550","WILLIAM","R","LEAHY",,"7500 HANOVER PKWY","SUITE 201","GREENBELT","MD","20770-2010","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Psychiatry & Neurology|Neurology with Special Qualifications in Child Neurology","962535177","2020",10000.00,35000.00,"Investment","Spinal Simplicity, LLC","100000136573","Spinal Simplicity, LLC","KS","United States","No","Immediate family member","06/30/2023" "NEW","180177","1982637831","ADAM","I","LEWIS",,"1545 HAND AVE STE A1",,"ORMOND BEACH","FL","32174-1140","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","962535181","2020",0.00,34200.00,"Consulting Medical Advisory Board","Spinal Simplicity, LLC","100000136573","Spinal Simplicity, LLC","KS","United States","No","Physician Covered Recipient","06/30/2023" "NEW","5424","1114919982","SCOTT","RAYMOND","LUALLIN",,"7900 LEES SUMMIT RD",,"KANSAS CITY","MO","64139-1236","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Sports Medicine","962535183","2020",200000.00,326750.00,"Investment","Spinal Simplicity, LLC","100000136573","Spinal Simplicity, LLC","KS","United States","No","Physician Covered Recipient","06/30/2023" "NEW","268923","1922005354","JAMES","R","MCATEE",,"1600 CHARLES PL",,"MANHATTAN","KS","66502-2750","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","962535187","2020",0.00,139425.00,"Investment","Spinal Simplicity, LLC","100000136573","Spinal Simplicity, LLC","KS","United States","No","Physician Covered Recipient","06/30/2023" "NEW","931946","1972581353","THOMAS","JOSEPH","MCCORMACK",,"7900 LEES SUMMIT RD",,"KANSAS CITY","MO","64139-1236","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","962535191","2020",0.00,250000.01,"Investment","Spinal Simplicity, LLC","100000136573","Spinal Simplicity, LLC","KS","United States","No","Physician Covered Recipient","06/30/2023" "NEW","931946","1972581353","THOMAS","JOSEPH","MCCORMACK",,"7900 LEES SUMMIT RD",,"KANSAS CITY","MO","64139-1236","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","962535193","2020",0.00,57014.82,"Consulting Medical Advisory Board","Spinal Simplicity, LLC","100000136573","Spinal Simplicity, LLC","KS","United States","No","Physician Covered Recipient","06/30/2023" "NEW","931946","1972581353","THOMAS","JOSEPH","MCCORMACK",,"7900 LEES SUMMIT RD",,"KANSAS CITY","MO","64139-1236","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","962535197","2020",0.00,100000.00,"Investment","Spinal Simplicity, LLC","100000136573","Spinal Simplicity, LLC","KS","United States","No","Immediate family member","06/30/2023" "NEW","830649","1427086933","PAUL",,"NASSAB",,"19550 E 39TH ST S STE 410",,"INDEPENDENCE","MO","64057-2307","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Hand Surgery","962535199","2020",345949.50,634949.87,"Investment","Spinal Simplicity, LLC","100000136573","Spinal Simplicity, LLC","KS","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","174947","1841269958","George",,"Liu",,"1801 Inwood Rd.",,"Dallas","TX","75390","United States",,,"Doctor of Podiatric Medicine","Podiatric Medicine & Surgery Service Providers|Podiatrist|Foot & Ankle Surgery","753994818","2020",100000.00,100000.00,"Private Placement Investment","Gramercy Extremity Orthopedics LLC","100000196819","Gramercy Extremity Orthopedics LLC","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","855762","1295709004","Alan",,"Feldman",,"800 Howard Avenue",,"New Haven","CT","06519","United States",,,"Doctor of Podiatric Medicine","Podiatric Medicine & Surgery Service Providers|Podiatrist","753994820","2020",100000.00,100000.00,"Private Placement Investment","Gramercy Extremity Orthopedics LLC","100000196819","Gramercy Extremity Orthopedics LLC","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","343186","1568673911","William",,"Smith",,"14 Richland Medical Park Suite 200",,"Columbia","SC","29203","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","753994822","2020",25000.00,25000.00,"Private Placement Investment","Gramercy Extremity Orthopedics LLC","100000196819","Gramercy Extremity Orthopedics LLC","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","230760","1083658926","Stephen",,"Schroeder",,"14811 SE Northshore Circle",,"Vancouver","WA","98683","United States",,,"Doctor of Podiatric Medicine","Podiatric Medicine & Surgery Service Providers|Podiatrist","753994824","2020",100000.00,100000.00,"Private Placement Investment","Gramercy Extremity Orthopedics LLC","100000196819","Gramercy Extremity Orthopedics LLC","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","82282","1821013020","Keith",,"Heier",,"4780 North Josey Lane",,"Carrollton","TX","75010","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","753994826","2020",50000.00,50000.00,"Private Placement Investment","Gramercy Extremity Orthopedics LLC","100000196819","Gramercy Extremity Orthopedics LLC","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","260337","1740269273","Shane",,"Hollawell",,"2315 RT 34 SO Suite D",,"Manasquan","NJ","08736","United States",,,"Doctor of Podiatric Medicine","Podiatric Medicine & Surgery Service Providers|Podiatrist|Foot & Ankle Surgery","753994828","2020",50000.00,50000.00,"Private Placement Investment","Gramercy Extremity Orthopedics LLC","100000196819","Gramercy Extremity Orthopedics LLC","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","205160","1518976547","Naohiro",,"Shibuya",,"2401 S 31st Street",,"Temple","TX","76508","United States",,,"Doctor of Podiatric Medicine","Podiatric Medicine & Surgery Service Providers|Podiatrist","753994830","2020",50000.00,50000.00,"Private Placement Investment","Gramercy Extremity Orthopedics LLC","100000196819","Gramercy Extremity Orthopedics LLC","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","209029","1629012208","John",,"Clements",,"3 Riverside Circle",,"Roanoke","VA","24016","United States",,,"Doctor of Podiatric Medicine","Podiatric Medicine & Surgery Service Providers|Podiatrist","753994832","2020",100000.00,100000.00,"Private Placement Investment","Gramercy Extremity Orthopedics LLC","100000196819","Gramercy Extremity Orthopedics LLC","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","197618","1376526814","Peter",,"Blume",,"79 Melba Street",,"Milford","CT","06460","United States",,,"Doctor of Podiatric Medicine","Podiatric Medicine & Surgery Service Providers|Podiatrist","753994834","2020",250000.00,250000.00,"Private Placement Investment","Gramercy Extremity Orthopedics LLC","100000196819","Gramercy Extremity Orthopedics LLC","TX","United States","No","Immediate family member","06/30/2023" "UNCHANGED","1308571","1457312589","Rakesh",,"Patel",,"1 W Ridgewood Avenue Suite 106",,"Paramus","NJ","07652","United States",,,"Doctor of Optometry","Allopathic & Osteopathic Physicians|Otolaryngology","753994836","2020",25000.00,25000.00,"Private Placement Investment","Gramercy Extremity Orthopedics LLC","100000196819","Gramercy Extremity Orthopedics LLC","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","52505","1154485514","Mark",,"Roberts",,"9340 SW Barnes Road Suite 202",,"Portland","OR","97225","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Emergency Medicine","753994838","2020",75000.00,75000.00,"Private Placement Investment","Gramercy Extremity Orthopedics LLC","100000196819","Gramercy Extremity Orthopedics LLC","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","266713","1881691244","Edward",,"Jaffe",,"4500 W. Newberry Rd.",,"Gainesville","FL","32607","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","753994860","2020",30000.00,30000.00,"Private Placement Investment","Gramercy Extremity Orthopedics LLC","100000196819","Gramercy Extremity Orthopedics LLC","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","215154","1760441760","James","FREDERICK","MCGUCKIN","Jr","4220 MARKET ST FL 2",,"PHILADELPHIA","PA","19104","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Radiology|Vascular & Interventional Radiology","753994884","2020",500000.00,628853.54,"Loan to company converted to shares","HydroCision, Inc.","100000196859","HydroCision, Inc.","MA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","765006","1104846229","John",,"Schuller","DPM","3003 W Good Hope Rd",,"Milwaukee","WI","53209-2042","United States",,,"Doctor of Podiatric Medicine","Podiatric Medicine & Surgery Service Providers|Podiatrist","753996212","2020",0.00,191540.92,"Shoulder Innovations is a c-corp. Series B Preferred Shares purchased at $.372 per share.","Shoulder Innovations, Inc.","100000176745","Shoulder Innovations, Inc.","MI","United States","No","Physician Covered Recipient","06/30/2023" "NEW","830649","1427086933","PAUL",,"NASSAB",,"19550 E 39TH ST S STE 410",,"INDEPENDENCE","MO","64057-2307","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Hand Surgery","962535203","2020",121497.50,288330.48,"Investment","Spinal Simplicity, LLC","100000136573","Spinal Simplicity, LLC","KS","United States","No","Immediate family member","06/30/2023" "NEW","362422","1992843510","RICHARD","MARTIN","OAKLEY",,"5811 NALL AVE",,"MISSION","KS","66202-2731","United States",,,"Doctor of Dentistry","Dental Providers|Dentist|Oral and Maxillofacial Surgery","962535205","2020",0.00,46266.87,"Investment","Spinal Simplicity, LLC","100000136573","Spinal Simplicity, LLC","KS","United States","No","Physician Covered Recipient","06/30/2023" "NEW","220102","1841300571","AMAR",,"PATEL",,"120 NE SAINT LUKES BLVD STE 200",,"LEES SUMMIT","MO","64086-6011","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Foot and Ankle Surgery","962535209","2020",0.00,7041.68,"Consulting","Spinal Simplicity, LLC","100000136573","Spinal Simplicity, LLC","KS","United States","No","Physician Covered Recipient","06/30/2023" "NEW","1379457",,"DOUGLAS",,"PEREDNIA",,"4637 SW FAIRHAVEN DR",,"PORTLAND","OR","97221-2611","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|General Practice","962535211","2020",0.00,25000.01,"Investment","Spinal Simplicity, LLC","100000136573","Spinal Simplicity, LLC","KS","United States","No","Physician Covered Recipient","06/30/2023" "NEW","318704","1013996701","FRANK",,"PHILLIPS",,"1611 W HARRISON ST","STE 400","CHICAGO","IL","60612-3841","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","962535215","2020",0.00,246775.23,"Consulting Medical Advisory Board","Spinal Simplicity, LLC","100000136573","Spinal Simplicity, LLC","KS","United States","No","Physician Covered Recipient","06/30/2023" "NEW","317577","1003810896","RICHARD","B","PRICE",,"5370 COLLEGE BLVD STE 100",,"OVERLAND PARK","KS","66211-1891","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Otolaryngology|Plastic Surgery within the Head & Neck","962535217","2020",0.00,60861.42,"Investment","Spinal Simplicity, LLC","100000136573","Spinal Simplicity, LLC","KS","United States","No","Physician Covered Recipient","06/30/2023" "NEW","60963","1356318570","DANIEL","J","PROHASKA",,"2778 N WEBB RD",,"WICHITA","KS","67226-8000","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","962535221","2020",0.00,265002.50,"Investment","Spinal Simplicity, LLC","100000136573","Spinal Simplicity, LLC","KS","United States","No","Physician Covered Recipient","06/30/2023" "NEW","1098412","1821081019","RICHARD","D","RAMES",,"224 S WOODS MILL RD",,"CHESTERFIELD","MO","63017-3497","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","962535223","2020",0.00,97500.00,"Investment","Spinal Simplicity, LLC","100000136573","Spinal Simplicity, LLC","KS","United States","No","Physician Covered Recipient","06/30/2023" "NEW","921005","1598189144","JAMES","M","RANDALL",,"4601 W 109TH ST","SUITE 250","OVERLAND PARK","KS","66211-1318","United States",,,"Doctor of Dentistry","Dental Providers|Dentist|Endodontics","962535227","2020",0.00,483556.16,"Investment","Spinal Simplicity, LLC","100000136573","Spinal Simplicity, LLC","KS","United States","No","Physician Covered Recipient","06/30/2023" "NEW","661973","1467410811","JEFFREY","C","RANDALL",,"1112 W 6TH ST","STE 124","LAWRENCE","KS","66044-2215","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","962535229","2020",0.00,108335.50,"Investment","Spinal Simplicity, LLC","100000136573","Spinal Simplicity, LLC","KS","United States","No","Physician Covered Recipient","06/30/2023" "NEW","661973","1467410811","JEFFREY","C","RANDALL",,"1112 W 6TH ST","STE 124","LAWRENCE","KS","66044-2215","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","962535233","2020",0.00,108335.50,"Investment","Spinal Simplicity, LLC","100000136573","Spinal Simplicity, LLC","KS","United States","No","Immediate family member","06/30/2023" "NEW","39058","1871520593","RALPH","FRANKLIN","RASHBAUM",,"6020 W PARKER RD","SUITE 200","PLANO","TX","75093-8171","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","962535237","2020",0.00,35002.50,"Investment","Spinal Simplicity, LLC","100000136573","Spinal Simplicity, LLC","KS","United States","No","Physician Covered Recipient","06/30/2023" "NEW","73525","1639162225","PATRICK","A","SMITH",,"1 S KEENE ST",,"COLUMBIA","MO","65201-7199","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Sports Medicine","962535239","2020",0.00,231334.25,"Investment","Spinal Simplicity, LLC","100000136573","Spinal Simplicity, LLC","KS","United States","No","Physician Covered Recipient","06/30/2023" "NEW","58483","1285611095","MICHAEL",,"SNYDER",,"1225 WEST STADIUM BLVD",,"JEFFERSON CITY","MO","65109","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","962535243","2020",0.00,308750.00,"Investment","Spinal Simplicity, LLC","100000136573","Spinal Simplicity, LLC","KS","United States","No","Physician Covered Recipient","06/30/2023" "NEW","1163041","1093711319","ALEXANDRA","J","STRONG",,"2790 CLAY EDWARDS DR","STE 600","N KANSAS CITY","MO","64116-3274","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","962535245","2020",0.00,253500.00,"Investment","Spinal Simplicity, LLC","100000136573","Spinal Simplicity, LLC","KS","United States","No","Physician Covered Recipient","06/30/2023" "NEW","1163041","1093711319","ALEXANDRA","J","STRONG",,"2790 CLAY EDWARDS DR","STE 600","N KANSAS CITY","MO","64116-3274","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","962535249","2020",0.00,253500.00,"Investment","Spinal Simplicity, LLC","100000136573","Spinal Simplicity, LLC","KS","United States","No","Immediate family member","06/30/2023" "UNCHANGED","676958","1003929878","William",,"Tindall",,"120 E. Main St.",,"Payson","AZ","85541","United States",,,"Doctor of Osteopathy","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","771555302","2020",0.00,2563675.00,"Common Stock","Midmark Corporation","100000010765","Midmark Corporation","OH","United States","No","Immediate family member","06/30/2023" "UNCHANGED","275263","1073561973","PAUL",,"TORNETTA",,"725 ALBANY ST SHAPIRO 4","STE B","BOSTON","MA","02118","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","781000833","2020",0.00,222273.65,"PREFERRED STOCK","4WEB, Inc.","100000010575","4WEB, Inc.","TX","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","755865","1780093765","Andrew",,"Kapsalis",,"8607 E US HIGHWAY 36 STE 100",,"Avon","IN","46123-7960","United States",,,"Doctor of Podiatric Medicine","Podiatric Medicine & Surgery Service Providers|Podiatrist|Foot & Ankle Surgery","793080821","2020",3600.00,3600.00,"Investor","TEK Medical, LLC","100000511823","TEK Medical, LLC","IN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","134699","1972698009","John","Michael","Miller",,"12188B N MERIDIAN ST STE 330",,"Carmel","IN","46032-4900","United States",,,"Doctor of Podiatric Medicine","Podiatric Medicine & Surgery Service Providers|Podiatrist|Foot & Ankle Surgery","793081123","2020",26800.00,26800.00,"Sold shares to new investor. Original investment of $28,000 in 2019 reduced by $1200 as shares were sold to Andrew Kapsalis.","TEK Medical, LLC","100000511823","TEK Medical, LLC","IN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","749281","1548381171","Curtis","P","Hamann",,"3400 E McDowell Road",,"Phoenix","AZ","85008","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|General Practice","808860507","2020",0.00,3208396.00,"The current investment value equals net tangible book value.","SmartHealth Inc","100000000147","SmartHealth Inc","AZ","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","892736","1609875020","Beth","R","Hamann",,"3400 E McDowell Road",,"Phoenix","AZ","85008","United States",,,"Doctor of Dentistry","Dental Providers|Dentist","808919371","2020",0.00,3208396.00,"The current investment value equals net tangible book value.","SmartHealth Inc","100000000147","SmartHealth Inc","AZ","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","749281","1548381171","Curtis","P","Hamann",,"3400 E McDowell Road",,"Phoenix","AZ","85008","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|General Practice","809476099","2020",0.00,12912310.00,"The current investment value equals net tangible book value.","Allerderm Laboratories","100000005631","Allerderm Laboratories","AZ","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","892736","1609875020","Beth","R","Hamann",,"3400 E McDowell Road",,"Phoenix","AZ","85008","United States",,,"Doctor of Dentistry","Dental Providers|Dentist","809477199","2020",0.00,12912310.00,"The current investment value equals net tangible book value.","Allerderm Laboratories","100000005631","Allerderm Laboratories","AZ","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","749281","1548381171","Curtis","P","Hamann",,"3400 E McDowell Road",,"Phoenix","AZ","85008","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|General Practice","809805431","2020",0.00,210335.00,"The current investment value equals net tangible book value.","SmartPractice Allergen Bank, L.L.C.","100000971841","SmartPractice Allergen Bank, L.L.C.","AZ","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","892736","1609875020","Beth","R","Hamann",,"3400 E McDowell Road",,"Phoenix","AZ","85008","United States",,,"Doctor of Dentistry","Dental Providers|Dentist","809820793","2020",0.00,210335.00,"The current investment value equals net tangible book value.","SmartPractice Allergen Bank, L.L.C.","100000971841","SmartPractice Allergen Bank, L.L.C.","AZ","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","68860","1528006731","Hyun",,"Bae",,"2811 WILSHIRE BLVD STE 850",,"SANTA MONICA","CA","90403","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","824641733","2020",0.00,545000.00,"Unitholder","Engage Uni, LLC","100000961833","Engage Uni, LLC","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","151817","1356459093","Edwin","P","Su",,"535 E 70TH ST",,"NEW YORK","NY","10021","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","824641735","2020",0.00,545000.00,"Unitholder","Engage Uni, LLC","100000961833","Engage Uni, LLC","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","200788","1427071778","Andy",,"Pearle",,"535 EAST 70 ST",,"NEW YORK","NY","10021","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","824641737","2020",0.00,469000.00,"Unitholder","Engage Uni, LLC","100000961833","Engage Uni, LLC","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","200788","1427071778","Andy",,"Pearle",,"535 EAST 70 ST",,"NEW YORK","NY","10021","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","824641739","2020",200000.00,200000.00,"Unitholder","Engage Uni, LLC","100000961833","Engage Uni, LLC","FL","United States","No","Immediate family member","06/30/2023" "UNCHANGED","2773951","1144532698","Sherwin",,"Su",,"275 MADISON AVE",,"NEW YORK","NY","10016","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","824641741","2020",200000.00,200000.00,"Unitholder","Engage Uni, LLC","100000961833","Engage Uni, LLC","FL","United States","No","Physician Covered Recipient","06/30/2023" "NEW","638728","1689632168","DANIEL","JOEL","TOWLE",,"2401 GILLHAM RD",,"KANSAS CITY","MO","64108-4619","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Anesthesiology","962535253","2020",0.00,117563.32,"Investment","Spinal Simplicity, LLC","100000136573","Spinal Simplicity, LLC","KS","United States","No","Physician Covered Recipient","06/30/2023" "NEW","1187152","1942461942","LISA","M","VOPAT",,"319 LONGWOOD AVE",,"BOSTON","MA","02115-5728","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Emergency Medicine|Sports Medicine","962535255","2020",150000.00,150000.01,"Investment","Spinal Simplicity, LLC","100000136573","Spinal Simplicity, LLC","KS","United States","No","Physician Covered Recipient","06/30/2023" "NEW","34508","1770536856","RICHARD","A","WHITE",,"515 E PROMENADE ST",,"MEXICO","MO","65265-2966","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","962535259","2020",0.00,42250.00,"Investment","Spinal Simplicity, LLC","100000136573","Spinal Simplicity, LLC","KS","United States","No","Physician Covered Recipient","06/30/2023" "NEW","231544","1093925703","JOYCE",,"WILSON",,"1225 W STADIUM BLVD",,"JEFFERSON CITY","MO","65109-6003","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Hand Surgery","962535263","2020",0.00,262500.00,"Investment","Spinal Simplicity, LLC","100000136573","Spinal Simplicity, LLC","KS","United States","No","Physician Covered Recipient","06/30/2023" "NEW","114098","1528078136","VICTOR",,"WILSON",,"1229 E SEMINOLE ST","SUITE 230","SPRINGFIELD","MO","65804-2227","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","962535265","2020",0.00,121722.84,"Investment","Spinal Simplicity, LLC","100000136573","Spinal Simplicity, LLC","KS","United States","No","Physician Covered Recipient","06/30/2023" "NEW","644774","1881702751","YAO","Y","YANG",,"8200 W CENTRAL AVE","SUITE 1","WICHITA","KS","67212-9503","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Family Medicine","962535269","2020",0.00,32500.00,"Investment","Spinal Simplicity, LLC","100000136573","Spinal Simplicity, LLC","KS","United States","No","Physician Covered Recipient","06/30/2023" "NEW","467850","1679572416","CARLAN","KENT","YATES",,"9600 BROADWAY EXT",,"OKLAHOMA CITY","OK","73114-7408","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","962535273","2020",160000.00,299999.99,"Investment","Spinal Simplicity, LLC","100000136573","Spinal Simplicity, LLC","KS","United States","No","Physician Covered Recipient","06/30/2023" "NEW","205952","1538252580","Stacy","J","Childs",,"501 Anglers Dr","Suite 202","Steamboat Springs","CO","80487","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","962578881","2020",0.00,85000.00,"Common Stock","QT Imaging, Inc.","100000506823","QT Imaging, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "NEW","188926","1154505428","Clyde","C","Mathison",,"144 Concord Road",,"Farragut","TN","37934","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Otolaryngology","962578883","2020",0.00,21250.00,"Common Stock","QT Imaging, Inc.","100000506823","QT Imaging, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "NEW","715862","1376546101","FREDERICK","J","DUFFY",,"7777 FOREST LN","STE C504","DALLAS","TX","75230","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Plastic Surgery","963724517","2020",50000.00,50000.00,"Stock","Access Vascular Inc","100001181894","Access Vascular Inc","MA","United States","No","Physician Covered Recipient","06/30/2023" "NEW","66042","1457320186","ALEX",,"ZAPOLANSKI",,"223 N VAN DIEN AVE",,"RIDGEWOOD","NJ","07450","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Radiology|Vascular & Interventional Radiology","963724519","2020",50000.00,50000.00,"Stock","Access Vascular Inc","100001181894","Access Vascular Inc","MA","United States","No","Physician Covered Recipient","06/30/2023" "NEW","177031","1891817961","ARUN","K","JAGANNATHAN",,"2900 W OKLAHOMA AVE",,"MILWAUKEE","WI","53215","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Radiology|Vascular & Interventional Radiology","963724521","2020",25555.00,25555.00,"Stock","Access Vascular Inc","100001181894","Access Vascular Inc","MA","United States","No","Physician Covered Recipient","06/30/2023" "NEW","54250","1194717348","DAVID","L","BROWN",,"4716 ALLIANCE BLVD","SUITE 340","PLANO","TX","75093","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Cardiovascular Disease","963724523","2020",303712.00,303712.00,"Stock","Access Vascular Inc","100001181894","Access Vascular Inc","MA","United States","No","Physician Covered Recipient","06/30/2023" "NEW","102381","1255413407","EVAN","C","LIPSITZ",,"MEDICAL ARTS PAVILION","3400 BAINBRIDGE AVE 4TH FL","BRONX","NY","10467","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Surgery|Vascular Surgery","963724525","2020",50668.00,50668.00,"Stock","Access Vascular Inc","100001181894","Access Vascular Inc","MA","United States","No","Physician Covered Recipient","06/30/2023" "NEW","37217","1811934003","JEREMY","D","SCHILLER",,"330 MOUNT AUBURN ST","MOUNT AUBURN HOSPITAL","CAMBRIDGE","MA","02138","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Radiology|Diagnostic Radiology","963724527","2020",1050.00,1420.00,"Stock","Access Vascular Inc","100001181894","Access Vascular Inc","MA","United States","No","Physician Covered Recipient","06/30/2023" "NEW","141838","1134327745","KENNETH",,"ROSENFIELD",,"55 FRUIT ST # 800","MAILSTOP 843","BOSTON","MA","02114","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Cardiovascular Disease","963724529","2020",21345.00,22134.00,"Stock","Access Vascular Inc","100001181894","Access Vascular Inc","MA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","3799","1093700965","Steve",,"Nguyen",,"5979 VINELAND RD","STE 101","ORLANDO","FL","32819","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Trauma","824641743","2020",0.00,150000.00,"Unitholder","Engage Uni, LLC","100000961833","Engage Uni, LLC","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","260181","1740366525","Struan","H","Coleman",,"535 E 70TH ST",,"NEW YORK","NY","10021","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","824641745","2020",100000.00,100000.00,"Unitholder","Engage Uni, LLC","100000961833","Engage Uni, LLC","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","57656","1265649164","Barton",,"Harris",,"8200 MEADOWBRIDGE RD","SUITE 200","MECHANICSVILLE","VA","23116","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","824641747","2020",100000.00,100000.00,"Unitholder","Engage Uni, LLC","100000961833","Engage Uni, LLC","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","287704","1346596830","Danyal",,"Nawabi",,"535 E 70TH ST",,"NEW YORK","NY","10021","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Sports Medicine","824641749","2020",100000.00,100000.00,"Unitholder","Engage Uni, LLC","100000961833","Engage Uni, LLC","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","320167","1053325589","Mark",,"Klaassen",,"2310 CALIFORNIA ROAD","STE A","ELKHART","IN","46514","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","824641751","2020",100000.00,100000.00,"Unitholder","Engage Uni, LLC","100000961833","Engage Uni, LLC","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","59509","1316989478","Stephen",,"Incavo",,"6550 FANNIN ST","SUITE 2500","HOUSTON","TX","77030","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","824641753","2020",50000.00,100000.00,"Unitholder","Engage Uni, LLC","100000961833","Engage Uni, LLC","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","664812","1588625396","Christopher",,"DiMeo",,"535 E 70TH ST",,"NEW YORK","NY","10021","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Anesthesiology","824641755","2020",100000.00,100000.00,"Unitholder","Engage Uni, LLC","100000961833","Engage Uni, LLC","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","693809","1598853863","Riley",,"Williams",,"535 EAST 70TH STREET","SUITE 108","NEW YORK","NY","10021","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Sports Medicine","824641757","2020",100000.00,100000.00,"Unitholder","Engage Uni, LLC","100000961833","Engage Uni, LLC","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","739198","1194801944","Martin",,"O'Malley",,"420 E 72ND ST","SUITE 1B","NEW YORK","NY","10021","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","824641759","2020",100000.00,100000.00,"Unitholder","Engage Uni, LLC","100000961833","Engage Uni, LLC","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","29390","1649259946","Andreas",,"Gomoll",,"535 E 70TH ST",,"NEW YORK","NY","10021","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","824641761","2020",50000.00,50000.00,"Unitholder","Engage Uni, LLC","100000961833","Engage Uni, LLC","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","477582","1003802026","Bertram",,"Zarins",,"6 Charles River Square",,"Boston","MA","02114","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Sports Medicine","830857993","2020",0.00,7621877.89,"Series A Preferred","HeartFlow, Inc.","100000136368","HeartFlow, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","474806","1912109968","TAE",,"KIM",,"3151 S HOOVER ST",,"LOS ANGELES","CA","90089-7792","United States",,,"Doctor of Dentistry","Dental Providers|Dentist|Prosthodontics","853695189","2020",3609898.92,3609898.92,"Common Stock","DENTCA, Inc.","100000971896","DENTCA, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","131793","1912951443","Joseph",,"Hsin",,"500 W 144th","Suite 230","Westminister","CO","80023","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","854035009","2020",0.00,390150.00,"Class A Units","QT Imaging, Inc.","100000506823","QT Imaging, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "CHANGED","708134","1093805608","Anthony",,"Messina",,"926 N Cedar Crest Blvd","Apt B926","Allentown","PA","18104","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Anesthesiology","854035011","2020",0.00,3318775.00,"Class A Units","QT Imaging, Inc.","100000506823","QT Imaging, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1093402","1649341652","Charles",,"Zasso",,"5875 Landerbrook Dr","Suite 250","Mayfield Heights","OH","44124","United States",,,"Doctor of Dentistry","Dental Providers|Dentist|General Practice","854035013","2020",0.00,21250.00,"Class A Units","QT Imaging, Inc.","100000506823","QT Imaging, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","476670","1972539609","Elaine",,"Iuanow",,"800 Washington St",,"Boston","MA","02111","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Radiology|Diagnostic Radiology","854035015","2020",0.00,350010.00,"Class A and Class B Units","QT Imaging, Inc.","100000506823","QT Imaging, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "NEW","298088","1568494870","MICHAEL","A","ACKER",,"3400 SPRUCE STREET","6 SILVERSTEIN BLDG","PHILADELPHIA","PA","19104","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Thoracic Surgery (Cardiothoracic Vascular Surgery)","963724531","2020",50000.00,50000.00,"Stock","Access Vascular Inc","100001181894","Access Vascular Inc","MA","United States","No","Physician Covered Recipient","06/30/2023" "NEW","301290","1659311389","MIN","U","YOON",,"3700 CALIFORNIA ST",,"SAN FRANCISCO","CA","94118","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Anesthesiology","963724533","2020",120000.00,120000.00,"Stock","Access Vascular Inc","100001181894","Access Vascular Inc","MA","United States","No","Physician Covered Recipient","06/30/2023" "NEW","868308","1750380275","Ginat",,"Mirowski",,"1910 N Arlington Ave",,"Indianapolis","IN","46218","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Dermatology","964041373","2020",103970.00,771930.00,"Common and preferred stock","BrainScope Company, Inc.","100000291819","BrainScope Company, Inc.","MD","United States","No","Physician Covered Recipient","06/30/2023" "NEW","100253","1205880101","Dennis",,"Sheehan",,"2900 Whipple Ave","Suite 230","Redwood City","CA","94062","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Interventional Cardiology","964041375","2020",20000.00,155000.00,"Common and preferred stock","BrainScope Company, Inc.","100000291819","BrainScope Company, Inc.","MD","United States","No","Physician Covered Recipient","06/30/2023" "NEW","771780","1356328249","David",,"Agus",,"12414 Exposition Blvd",,"Los Angeles","CA","90064","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Medical Oncology","964041377","2020",13523.00,96402.00,"Common and preferred stock","BrainScope Company, Inc.","100000291819","BrainScope Company, Inc.","MD","United States","No","Physician Covered Recipient","06/30/2023" "NEW","815512","1891860433","Andrew",,"Weil",,"1501 N Campbell Ave",,"Tuscon","AZ","85724","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine","964041379","2020",113192.00,113192.00,"Common and preferred stock","BrainScope Company, Inc.","100000291819","BrainScope Company, Inc.","MD","United States","No","Physician Covered Recipient","06/30/2023" "NEW","1176751","1578519807","Scott",,"Himelstein",,"2001 W 86th St",,"Indianapolis","IN","46207","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Anesthesiology","964041381","2020",28000.00,45291.00,"Common and preferred stock","BrainScope Company, Inc.","100000291819","BrainScope Company, Inc.","MD","United States","No","Physician Covered Recipient","06/30/2023" "NEW","552832","1669400362","Gary",,"Kaplan",,"6829 Elm St","Suite 300","Mclean","VA","22101","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Family Medicine","964041383","2020",3621.00,26721.00,"Common and preferred stock","BrainScope Company, Inc.","100000291819","BrainScope Company, Inc.","MD","United States","No","Physician Covered Recipient","06/30/2023" "NEW","501939","1861589657","Jeffrey",,"Javelet",,"7855 Fay Avenue","Suite 210","La Jolla","CA","92037","United States",,,"Doctor of Dentistry","Dental Providers|Dentist|Endodontics","964041385","2020",3298.00,28298.00,"Common and preferred stock","BrainScope Company, Inc.","100000291819","BrainScope Company, Inc.","MD","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","863608","1578835187","Sureshan",,"Sivananthan",,"500 E Remington Dr","Number 29","Sunnyvale","CA","94087","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","854035017","2020",0.00,1219880.00,"Class A Units","QT Imaging, Inc.","100000506823","QT Imaging, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1345503","1306002381","Rajni",,"Natesan",,"1515 Holcombe Blvd","Unit 1350","Houston","TX","77030","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Radiology|Diagnostic Radiology","854035019","2020",0.00,184602.00,"Class A and Class B Units","QT Imaging, Inc.","100000506823","QT Imaging, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","42542","1952308777","Ritesh","R","Prasad",,"3110 Park Center Dr",,"Tyler","TX","75701","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Physical Medicine & Rehabilitation","854035021","2020",0.00,85000.00,"Class A Units","QT Imaging, Inc.","100000506823","QT Imaging, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1110483","1235391210","William",,"Taldone",,"123 Carlyle Cir",,"Palm Harbor","FL","34683","United States",,,"Doctor of Optometry","Allopathic & Osteopathic Physicians|Ophthalmology","854035023","2020",0.00,42500.00,"Class A Units","QT Imaging, Inc.","100000506823","QT Imaging, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1237750","1720152762","Blaine",,"Sayre",,"4055 Lindell Blvd",,"Saint Louis","MO","63108","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Pediatrics","854035025","2020",0.00,21250.00,"Class A Units","QT Imaging, Inc.","100000506823","QT Imaging, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","112106","1477714665","Nirav",,"Amin",,"1120 W. La Veta Ave. Str. 300",,"Orange","CA","92868","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","855153429","2020",30343.00,30343.00,"Preferred Shares","Biorez, Inc.","100000981879","Biorez, Inc.","CT","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","222462","1912954454","Steven",,"Ludwig",,"22 S Greene St.",,"Baltimore","MD","21201","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","855220877","2020",0.00,752399.14,"Through merger and acquisition of previous company.","Innovative Surgical Designs, Inc.","100000141526","Innovative Surgical Designs, Inc.","IN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","336846","1437109907","Joseph",,"O'Brien",,"10215 Fernwood Road","Suite 506","Bethesda","MD","20817","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","855221335","2020",0.00,138423.99,"Through acquisition and merger of previous company.","Innovative Surgical Designs, Inc.","100000141526","Innovative Surgical Designs, Inc.","IN","United States","No","Immediate family member","06/30/2023" "UNCHANGED","70825","1578563532","Donald",,"Ostrum",,"2501 Kuser Rd",,"Trenton","NJ","08691","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Radiology|Diagnostic Radiology","855221883","2020",0.00,50957.74,"Common stock grant earned through sweat equity in 2008.","Innovative Surgical Designs, Inc.","100000141526","Innovative Surgical Designs, Inc.","IN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","576530","1497792725","David","Greg","Anderson",,"925 Chestnut St",,"Philadelphia","PA","19107","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","855221891","2020",1750000.00,7659776.34,"Purchase ownership interest","Innovative Surgical Designs, Inc.","100000141526","Innovative Surgical Designs, Inc.","IN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","268560","1932148798","Alexander",,"Vaccaro",,"925 Chestnut St.",,"Philadelphia","PA","19107","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","855221903","2020",0.00,113508.12,"Through merger and acquisition of previous company.","Innovative Surgical Designs, Inc.","100000141526","Innovative Surgical Designs, Inc.","IN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","20511","1467487025","Gurvinder",,"Deol",,"3009 New Bern Ave.",,"Raleigh","NC","27610","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","855221911","2020",0.00,113508.12,"Through merger and acquisition of previous company.","Innovative Surgical Designs, Inc.","100000141526","Innovative Surgical Designs, Inc.","IN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","312884","1891709564","Suken",,"Shah",,"1600 Rockland Rd",,"Wilmington","DE","19803","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Radiology|Diagnostic Radiology","855221923","2020",0.00,127778.20,"Through merger and acquisition of previous company.","Innovative Surgical Designs, Inc.","100000141526","Innovative Surgical Designs, Inc.","IN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","200159","1407960099","Praveen",,"Mummaneni",,"400 Panassus Ave.",,"San Francisco","CA","94143","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","855224003","2020",0.00,113508.12,"Through acquisition and merger of previous company.","Innovative Surgical Designs, Inc.","100000141526","Innovative Surgical Designs, Inc.","IN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","183845","1053347906","Michael",,"Wang",,"1475 NW 12th Ave.",,"Miami","FL","33136","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","855225477","2020",0.00,113508.12,"Through merger and acquisition of previous company.","Innovative Surgical Designs, Inc.","100000141526","Innovative Surgical Designs, Inc.","IN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","155786","1447297775","Todd",,"Albert",,"535 E. 70th St.",,"New York City","NY","10021","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","855227617","2020",0.00,223609.46,"Through acquisition and merger of previous company","Innovative Surgical Designs, Inc.","100000141526","Innovative Surgical Designs, Inc.","IN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1298201","1992773154","Matthew",,"Zmurko",,"3 Albert Cree Drive",,"Rutland","VT","05701","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","855227665","2020",0.00,113508.12,"Through merger and acquisition of previous company.","Innovative Surgical Designs, Inc.","100000141526","Innovative Surgical Designs, Inc.","IN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","26553","1578771671","Gilbert",,"Kliman",,"2710 Sand Hill Rd",,"Menlo Park","CA","94025-7020","United States",,,"Doctor of Optometry","Allopathic & Osteopathic Physicians|Ophthalmology","855234033","2020",0.00,554865.76,"Restricted stock units","Glaukos Corporation","100000000102","Glaukos Corporation","CA","United States","No","Physician Covered Recipient","06/30/2023" "ADD","1205040","1578646535","Robert","W","Baker",,"560 NORTHERN BLVD","SUITE 203","GREAT NECK","NY","11021","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Gastroenterology","748604703","2020",0.00,200000.00,"Series B Preferred Shares","Checkpoint Surgical, Inc","100000151621","Checkpoint Surgical, Inc","OH","United States","No","Immediate family member","06/30/2023" "ADD","164611","1639175375","Jeffrey","A","Chaitoff",,"6563 WILSON MILLS RD","SUITE 104","MAYFIELD VILLAGE","OH","44143","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine","748604707","2020",0.00,120570.15,"Series B Preferred Shares","Checkpoint Surgical, Inc","100000151621","Checkpoint Surgical, Inc","OH","United States","No","Immediate family member","06/30/2023" "ADD","139174","1063475069","Michael",,"Hausman",,"5 E 98th St","Box 1188","New York","NY","10029","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Hand Surgery","748604711","2020",50000.00,50000.00,"Series B Preferred Shares","Checkpoint Surgical, Inc","100000151621","Checkpoint Surgical, Inc","OH","United States","No","Physician Covered Recipient","06/30/2023" "ADD","139174","1063475069","Michael",,"Hausman",,"5 E 98th St","Box 1188","New York","NY","10029","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Hand Surgery","748604713","2020",0.00,50000.00,"Series B Preferred Shares","Checkpoint Surgical, Inc","100000151621","Checkpoint Surgical, Inc","OH","United States","No","Immediate family member","06/30/2023" "ADD","126948","1801810296","Edward","M","Hollander",,"8 N POINTE CT",,"GREENSBORO","NC","27408","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","748604715","2020",0.00,43263.52,"Series B Preferred Shares","Checkpoint Surgical, Inc","100000151621","Checkpoint Surgical, Inc","OH","United States","No","Immediate family member","06/30/2023" "ADD","242424","1356304398","Kenneth","F","Langer",,"1001 PINE HEIGHTS AVE","SUITE 100","Baltimore","MD","21229","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748604719","2020",80000.00,140000.74,"Series B Preferred Shares","Checkpoint Surgical, Inc","100000151621","Checkpoint Surgical, Inc","OH","United States","No","Physician Covered Recipient","06/30/2023" "ADD","164028","1619003589","Stuart","Laurence","Markowitz",,"777 GLADES ROAD","C E SCHMIDT BLDG 140","Boca Raton","FL","33431","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine","748604721","2020",0.00,50000.00,"Series B Preferred Shares","Checkpoint Surgical, Inc","100000151621","Checkpoint Surgical, Inc","OH","United States","No","Immediate family member","06/30/2023" "ADD","439955","1699719443","Raymond",,"Rackley",,"9500 EUCLID AVE",,"Cleveland","OH","44195","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748604723","2020",0.00,225000.00,"Series B Preferred Shares","Checkpoint Surgical, Inc","100000151621","Checkpoint Surgical, Inc","OH","United States","No","Physician Covered Recipient","06/30/2023" "ADD","439955","1699719443","Raymond",,"Rackley",,"9500 EUCLID AVE",,"Cleveland","OH","44195","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748604725","2020",0.00,25000.00,"Series B Preferred Shares","Checkpoint Surgical, Inc","100000151621","Checkpoint Surgical, Inc","OH","United States","No","Immediate family member","06/30/2023" "ADD","889382","1497042147","Anna","E","Strohl",,"250 E SUPERIOR ST",,"Chicago","IL","60611","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","748604727","2020",0.00,25000.00,"Series B Preferred Shares","Checkpoint Surgical, Inc","100000151621","Checkpoint Surgical, Inc","OH","United States","No","Immediate family member","06/30/2023" "ADD","420520","1013017821","Myra",,"Strother",,"1200 SCHWEGLER DR",,"Lawerence","KS","66045","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Family Medicine","748604729","2020",0.00,125000.31,"Series B Preferred Shares","Checkpoint Surgical, Inc","100000151621","Checkpoint Surgical, Inc","OH","United States","No","Immediate family member","06/30/2023" "ADD","15584","1356306328","Sandip","P","Vasavada",,"9500 EUCLID AVE",,"Cleveland","OH","44195","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","748604731","2020",25000.00,25000.00,"Series B Preferred Shares","Checkpoint Surgical, Inc","100000151621","Checkpoint Surgical, Inc","OH","United States","No","Physician Covered Recipient","06/30/2023" "ADD","703748","1952309569","CHRISTOPHER","M","ROSE",,"181 S BUENA VISTA ST",,"BURBANK","CA","91505","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","751860951","2020",46830.26,57116.64,"$10,286.38 Total Paid; $0.34 Per Share","RefleXion Medical, Inc.","100000826839","RefleXion Medical, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "ADD","37857","1831126127","JOAQUIN","G.","MIRA",,"4383 MEDICAL DR",,"SAN ANTONIO","TX","78229","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","751860959","2020",24937.30,30414.84,"$5,477.54 Total Paid; $0.34 Per Share","RefleXion Medical, Inc.","100000826839","RefleXion Medical, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "ADD","556315","1780790279","RONALD","V","DORN","III","1055 N CURTIS ROAD",,"BOISE","ID","83706","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","751860979","2020",142952.57,174352.44,"$31,399.87 Total Paid; $0.34 Per Share","RefleXion Medical, Inc.","100000826839","RefleXion Medical, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "ADD","286115","1306286851","FREDERIC","H","MOLL",,"275 SHORELINE DRIVE","Ste 100","REDWOOD CITY","CA","94065","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","751860987","2020",32215.24,282213.96,"$249,998.72 Total Paid; $1.69 Per Share","RefleXion Medical, Inc.","100000826839","RefleXion Medical, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "NEW","243684","1366418675","John","J","Kresl",,"4611 E Shea Blvd","Suite 120","Phoenix","AZ","85028","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Radiology|Radiation Oncology","856523971","2020",3900.00,4000.00,"$100.00 Total Paid; $.01 Per Share","RefleXion Medical, Inc.","100000826839","RefleXion Medical, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "NEW","110936","1437252467","Shakib",,"Halabu",,"7125 Orchard Lake Rd",,"West Bloomfield Township","MI","48322","United States",,,"Doctor of Dentistry","Dental Providers|Dentist|General Practice","858617015","2020",1000000.00,766530.00,"Shares held by trust with wife as trustee.","Midway Dental Supply, LLC","100000981883","Midway Dental Supply, LLC","MI","United States","No","Immediate family member","06/30/2023" "NEW","76377","1699845966","Sadeer",,"Daood",,"7125 Orchard Lake Rd",,"West Bloomfield Township","MI","48322","United States",,,"Doctor of Dentistry","Dental Providers|Dentist|General Practice","858617027","2020",1000000.00,766530.00,"Shares held by trust with wife as trustee.","Midway Dental Supply, LLC","100000981883","Midway Dental Supply, LLC","MI","United States","No","Immediate family member","06/30/2023" "NEW","3799","1093700965","Vuong",,"Nguyen","MD","3120 Downs Cove Rd",,"Windermere","FL","34786","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Trauma","859289563","2020",0.00,850000.00,"Unit Holder","Optimotion Implants, LLC","100001041883","Optimotion Implants, LLC","FL","United States","No","Physician Covered Recipient","06/30/2023" "NEW","3799","1093700965","Vuong",,"Nguyen","MD","3120 Downs Cove Rd",,"Windermere","FL","34786","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Trauma","859289575","2020",0.00,150000.00,"Unit Holder","Optimotion Implants, LLC","100001041883","Optimotion Implants, LLC","FL","United States","No","Immediate family member","06/30/2023" "NEW","346132","1639170848","Andrew",,"Palmer",,"5 Teal Way",,"Eastham","MA","02642","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Hand Surgery","859290339","2020",0.00,2334000.00,"Unrestricted Founders Shares in Exchange for Intellectual Property","ActivOrtho, Inc.","100001056886","ActivOrtho, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "NEW","350423","1720186588","Richard",,"Kyle",,"701 Park Avenue",,"Minneapolis","MN","55415","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","859290701","2020",50000.00,90000.00,"Restricted Common Stock","ActivOrtho, Inc.","100001056886","ActivOrtho, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "NEW","223402","1922050988","David",,"Fisher",,"8450 Northwest Boulevard",,"Indianapolis","IN","46278","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","859290705","2020",50000.00,80000.00,"Restricted Common Stock","ActivOrtho, Inc.","100001056886","ActivOrtho, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "NEW","242922","1346291234","Bradley",,"Jelen",,"8450 Northwest Boulevard",,"Indianapolis","IN","46278","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","859290709","2020",25000.00,50000.00,"Restricted Common Stock","ActivOrtho, Inc.","100001056886","ActivOrtho, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "NEW","137807","1033115118","Andrew",,"Schmidt",,"914 S 8th Street","Suite 600","Minneapolis","MN","55404","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","859290713","2020",60416.00,113020.00,"Restricted Common Stock","ActivOrtho, Inc.","100001056886","ActivOrtho, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "NEW","40110","1871559625","Mark",,"Anders",,"462 Grider Street",,"Buffalo","NY","14215","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","859290717","2020",100000.00,161000.00,"Restricted Common Stock","ActivOrtho, Inc.","100001056886","ActivOrtho, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "NEW","736358","1093816894","Timothy",,"Harman",,"PO BOX 713130",,"CINCINNATI","OH","45271","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Hand Surgery","859290721","2020",50000.00,90000.00,"Restricted Common Stock","ActivOrtho, Inc.","100001056886","ActivOrtho, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "NEW","263521","1790837938","Dale",,"Dellacqua",,"639 S WALKER ST","Suite E","Bloomington","IN","47403","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Hand Surgery","859290725","2020",116041.00,196552.00,"Restricted Common Stock","ActivOrtho, Inc.","100001056886","ActivOrtho, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "NEW","775203","1467454447","H.","Brent","Bamberger",,"PO BOX 713130",,"CINCINNATI","OH","45271","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Hand Surgery","859290729","2020",120833.00,176042.00,"Restricted Common Stock","ActivOrtho, Inc.","100001056886","ActivOrtho, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "NEW","120090","1649259557","Steven",,"Moran",,"200 1st Street SW",,"Rochester","MN","55905","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Plastic Surgery","859290733","2020",25000.00,50000.00,"Restricted Common Stock","ActivOrtho, Inc.","100001056886","ActivOrtho, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "NEW","311622","1861451874","Kevin",,"Foley",,"6325 Humphreys Blvd",,"Memphis","TN","38120","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","860890119","2020",0.00,1102500.00,"None","DuraStat LLC","100001081884","DuraStat LLC","TX","United States","No","Physician Covered Recipient","06/30/2023" "NEW","368101","1164628921","Mark",,"Kurd",,"825 Old Lancaster Ave, Suite 200",,"Bryn Mawr","PA","19010","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","860890121","2020",0.00,1.00,"None","DuraStat LLC","100001081884","DuraStat LLC","TX","United States","No","Physician Covered Recipient","06/30/2023" "NEW","317756","1003886342","Jeffrey",,"Michaelson",,"25871 Pembroke",,"Huntington Woods","MI","48070","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Sports Medicine","860890123","2020",0.00,140000.00,"None","DuraStat LLC","100001081884","DuraStat LLC","TX","United States","No","Physician Covered Recipient","06/30/2023" "NEW","576530","1497792725","David",,"Anderson",,"925 Chestnut St.",,"Philadelphia","PA","19107","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","860890125","2020",0.00,1.00,"None","DuraStat LLC","100001081884","DuraStat LLC","TX","United States","No","Physician Covered Recipient","06/30/2023" "NEW","272596","1013005867","DOUGLAS","J.","PACACCIO",,"2560 Hauser Ross Dr","400","Sycamore","IL","60178","United States",,,"Doctor of Podiatric Medicine","Podiatric Medicine & Surgery Service Providers|Podiatrist|Foot & Ankle Surgery","860934623","2020",601309.48,1712635.89,"Stock","MedShape, Inc.","100000011078","MedShape, Inc.","GA","United States","No","Physician Covered Recipient","06/30/2023" "NEW","311991","1881643971","REED","L.","BARTZ",,"5100 Franklin Ave","C","Waco","TX","76710","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Sports Medicine","860934625","2020",9993.04,887296.76,"Stock","MedShape, Inc.","100000011078","MedShape, Inc.","GA","United States","No","Physician Covered Recipient","06/30/2023" "NEW","159939","1518950203","GREGORY","CHARLES","BERLET",,"300 Polaris Pkwy","2000","Westerville","OH","43082","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Foot and Ankle Surgery","860934627","2020",356320.00,373520.00,"RSU","MedShape, Inc.","100000011078","MedShape, Inc.","GA","United States","No","Physician Covered Recipient","06/30/2023" "NEW","86877","1932177607","RICHARD",,"DERNER",,"1721 FINANCIAL LOOP",,"LAKE RIDGE","VA","22192-2460","United States",,,"Doctor of Podiatric Medicine","Podiatric Medicine & Surgery Service Providers|Podiatrist|Foot & Ankle Surgery","860934629","2020",25005.18,41740.86,"Stock","MedShape, Inc.","100000011078","MedShape, Inc.","GA","United States","No","Physician Covered Recipient","06/30/2023" "NEW","244849","1386847283","DAVID","N.","GARRAS",,"1611 W Harrison St",,"Chicago","IL","60612","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Foot and Ankle Surgery","860934631","2020",66810.00,70035.00,"Stock","MedShape, Inc.","100000011078","MedShape, Inc.","GA","United States","No","Physician Covered Recipient","06/30/2023" "NEW","1265364","1700860715","KEITH","A.","GOSS",,"PO BOX 38",,"SACATON","AZ","85147-0001","United States",,,"Doctor of Podiatric Medicine","Podiatric Medicine & Surgery Service Providers|Podiatrist|Foot & Ankle Surgery","860934633","2020",92375.96,96835.06,"Stock","MedShape, Inc.","100000011078","MedShape, Inc.","GA","United States","No","Physician Covered Recipient","06/30/2023" "NEW","315453","1962518969","SAMEH","A.","LABIB",,"59 Executive Park South NE",,"Atlanta","GA","30329","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Sports Medicine","860934635","2020",132506.50,138902.75,"Stock","MedShape, Inc.","100000011078","MedShape, Inc.","GA","United States","No","Physician Covered Recipient","06/30/2023" "NEW","280524","1174613319","PATRICK","A.","MCENEANEY",,"113 W Main St",,"Cary","IL","60013","United States",,,"Doctor of Podiatric Medicine","Podiatric Medicine & Surgery Service Providers|Podiatrist|Foot & Ankle Surgery","860934637","2020",50010.36,83481.72,"Stock","MedShape, Inc.","100000011078","MedShape, Inc.","GA","United States","No","Physician Covered Recipient","06/30/2023" "NEW","253682","1588601488","SELENE","G.","PAREKH",,"3609 SW Durham Dr",,"Durham","NC","27707","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","860934639","2020",268665.28,281634.08,"Stock","MedShape, Inc.","100000011078","MedShape, Inc.","GA","United States","No","Physician Covered Recipient","06/30/2023" "NEW","295683","1528051323","TERRENCE","M.","PHILBIN",,"300 Polaris Pkwy","2000","Westerville","OH","43082","United States",,,"Doctor of Osteopathy","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Foot and Ankle Surgery","860934641","2020",14025.28,15314.32,"RSU","MedShape, Inc.","100000011078","MedShape, Inc.","GA","United States","No","Physician Covered Recipient","06/30/2023" "NEW","110112","1427006568","EDWARD","I.","RATKOVICH",,"10751 W 143RD ST",,"ORLAND PARK","IL","60462-1900","United States",,,"Doctor of Podiatric Medicine","Podiatric Medicine & Surgery Service Providers|Podiatrist|Foot & Ankle Surgery","860934643","2020",50010.36,83481.72,"Stock","MedShape, Inc.","100000011078","MedShape, Inc.","GA","United States","No","Physician Covered Recipient","06/30/2023" "NEW","622153","1093786998","GLENN","M.","WEINRAUB",,"2500 MERCED ST",,"SAN LEANDRO","CA","94577-4201","United States",,,"Doctor of Podiatric Medicine","Podiatric Medicine & Surgery Service Providers|Podiatrist|Foot & Ankle Surgery","860934645","2020",5225.00,12839.75,"Stock","MedShape, Inc.","100000011078","MedShape, Inc.","GA","United States","No","Physician Covered Recipient","06/30/2023" "NEW","238029","1265432009","JOHN","S.","STEINBERG",,"PO BOX 418283",,"BOSTON","MA","02241-8283","United States",,,"Doctor of Podiatric Medicine","Podiatric Medicine & Surgery Service Providers|Podiatrist|Foot & Ankle Surgery","860934647","2020",50.00,5836.25,"Stock","MedShape, Inc.","100000011078","MedShape, Inc.","GA","United States","No","Physician Covered Recipient","06/30/2023" "NEW","354588","1821064361","Dennis","Wayne","Ashley",,"777 Hemlock Street","Box 103","Macon","GA","31201","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Surgery","882403113","2020",0.00,427.30,"Dr. Ashley was gifted his interest in Smisson-Cartledge Biomedical.","Smisson-Cartledge Biomedical","100000316816","Smisson-Cartledge Biomedical","GA","United States","No","Physician Covered Recipient","06/30/2023" "NEW","268984","1922054998","Hugh","F","Smisson","III","840 Pine Street","Ste. 880","Macon","GA","31201","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","882414331","2020",0.00,112170.93,"Class B shares of Smisson-Cartledge Biomedical stock owned by Smisson Family Investments. Dr. Smisson is the managing partner.","Smisson-Cartledge Biomedical","100000316816","Smisson-Cartledge Biomedical","GA","United States","No","Physician Covered Recipient","06/30/2023" "NEW","1217711","1013137934","Joseph","A","Johnson",,"2408 N. Patterson St.","Ste. 230","Valdosta","GA","31602","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Endocrinology, Diabetes & Metabolism","882420997","2020",0.00,1281.89,"Dr. Johnson is an investor in the company.","Smisson-Cartledge Biomedical","100000316816","Smisson-Cartledge Biomedical","GA","United States","No","Physician Covered Recipient","06/30/2023" "NEW","268984","1922054998","Hugh","F","Smisson","III","840 Pine Street","Ste. 880","Macon","GA","31201","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","882427003","2020",0.00,65061.47,"Shares held by Southern Spine, LLC. Smisson Family Investments, LP, of which Dr. Smisson is the managing partner, owns majority interest in that company.","Smisson-Cartledge Biomedical","100000316816","Smisson-Cartledge Biomedical","GA","United States","No","Physician Covered Recipient","06/30/2023" "NEW","75696","1689659260","Shahriar",,"Sedghi",,"610 Third Street","#204","Macon","GA","31201","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Gastroenterology","882432107","2020",0.00,1424.61,"Dr. Sedghi is an investor in the company.","Smisson-Cartledge Biomedical","100000316816","Smisson-Cartledge Biomedical","GA","United States","No","Physician Covered Recipient","06/30/2023" "NEW","103825","1285606517","Harold","B","Harrison",,"610 Third Street","#204","Macon","GA","31201","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Gastroenterology","882437485","2020",0.00,2563.78,"Dr. Harrison is an investor in the company.","Smisson-Cartledge Biomedical","100000316816","Smisson-Cartledge Biomedical","GA","United States","No","Physician Covered Recipient","06/30/2023" "NEW","150440","1326034323","Richard","G","Cartledge",,"800 Meadows Road",,"Boca Raton","FL","33486","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Thoracic Surgery (Cardiothoracic Vascular Surgery)","882442315","2020",0.00,377388.40,"Dr. Cartledge was one of the inventors of the ThermaCor1200 which is the primary product of Smisson-Cartledge Biomedical.","Smisson-Cartledge Biomedical","100000316816","Smisson-Cartledge Biomedical","GA","United States","No","Physician Covered Recipient","06/30/2023" "NEW","268984","1922054998","Hugh","F","Smisson","III","840 Pine Street","Ste. 880","Macon","GA","31201","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","882468301","2020",0.00,305664.09,"Investment made by Dr. Smisson.","Smisson-Cartledge Biomedical","100000316816","Smisson-Cartledge Biomedical","GA","United States","No","Physician Covered Recipient","06/30/2023" "NEW","87564","1922118165","Robert","M","Thornsberry",,"3708 Northside Drive",,"Macon","GA","31210","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Sports Medicine","882472591","2020",0.00,2136.48,"Dr. Thornsberry is an investor in the company.","Smisson-Cartledge Biomedical","100000316816","Smisson-Cartledge Biomedical","GA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","71531","1598717977","DAVID","W","JOHNSON",,"8101 E LOWRY BLVD","SUITE 210","DENVER","CO","80230","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology|Retina Specialist","714311015","2020",0.00,10256.41,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","171245","1760649024","ROBERT","J","COURTNEY",,"8101 E LOWRY BLVD","SUITE 210","DENVER","CO","80230","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311017","2020",0.00,5128.21,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","427312","1245433259","MARK","S","DACEY",,"8101 E LOWRY BLVD","STE 210","DENVER","CO","80230","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311019","2020",0.00,10256.41,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","71219","1568469625","MIMI",,"LIU",,"8101 E LOWRY BLVD","SUITE 210","DENVER","CO","80230","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311021","2020",0.00,30769.23,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1303032","1619927456","NANCY","J","CHRISTMAS",,"8101 E LOWRY BLVD","SUITE 210","DENVER","CO","80230","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology|Retina Specialist","714311023","2020",0.00,20512.82,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","260034","1720047210","PETER","G","HOVLAND",,"8101 E LOWRY BLVD","SUITE 210","DENVER","CO","80230","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311025","2020",0.00,10256.41,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","114410","1518964675","STEPHEN","T","PETTY",,"8101 E LOWRY BLVD","SUITE 210","DENVER","CO","80230","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311027","2020",0.00,10256.41,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","209310","1609952654","BRANDON",,"BUSBEE",,"345 23RD AVE N","SUITE 350","NASHVILLE","TN","37203","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology|Retina Specialist","714311029","2020",0.00,28571.43,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","244061","1386729085","CARL",,"AWH",,"345 23RD AVE N","SUITE 350","NASHVILLE","TN","37203","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311031","2020",0.00,57142.85,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","524652","1669665105","DAVID",,"REICHSTEIN",,"345 23RD AVE N","SUITE 350","NASHVILLE","TN","37203","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311033","2020",0.00,14285.71,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1154792","1790949485","ERIC",,"SCHNEIDER",,"345 23RD AVE N","SUITE 350","NASHVILLE","TN","37203","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311035","2020",0.00,14285.71,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","47598","1053350215","EVERTON",,"ARRINDELL",,"345 23RD AVE N","SUITE 350","NASHVILLE","TN","37203","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311037","2020",0.00,28571.43,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","151680","1356438469","FRANCO",,"RECCHIA",,"345 23RD AVE N","SUITE 350","NASHVILLE","TN","37203","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311039","2020",0.00,14285.71,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","967467","1215926126","KENNETH",,"MOFFAT",,"345 23RD AVE N","SUITE 350","NASHVILLE","TN","37203","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311041","2020",0.00,14285.71,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","136417","1003991167","PETER",,"SONKIN",,"345 23RD AVE N","SUITE 350","NASHVILLE","TN","37203","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311043","2020",0.00,42857.14,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","154601","1417946203","ROY","TRENT","WALLACE",,"345 23RD AVE N","SUITE 350","NASHVILLE","TN","37203","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311045","2020",0.00,14285.71,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1072187","1902873722","JEFFREY",,"PARNELL",,"7447 W TALCOTT AVE","SUITE 145","CHICAGO","IL","60631","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology|Retina Specialist","714311047","2020",0.00,50000.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","236265","1205872314","Rolando",,"Gonzalez",,"7150 West 20th Avenue","Suite 202","Hialeah","FL","33016","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717882257","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","312958","1891791562","Romeo",,"Acosta",,"6700 Crosswinds Dr N","Suite 200A","Saint Petersburg","FL","33710","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717890615","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","85461","1871771410","Roslyn",,"Mallory",,"70 Doctors Drive",,"Panama City","FL","32405","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717899141","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1032339","1487875449","Samantha",,"Rawlins",,"1815 S Kanner Hwy",,"Stuart","FL","34994","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717906837","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","54592","1215905989","Samuel",,"Wolf",,"103 East 23rd Street",,"Panama City","FL","32405","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717914769","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1310525","1073538229","Sarah",,"Kline",,"13601 Bruce B Downs Blvd","Suite 211","Tampa","FL","33613","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717923303","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","98450","1184689739","Sarah",,"Knowlton",,"10115 Forrest Hill Blvd","Suite 300","Wellington","FL","33414","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717932233","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","7616704","1770192825","Lisa",,"Rarick",,"8195 WINDWARD KEY DR",,"CHESAPEAKE BEACH","MD","20732-3123","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","719605423","2020",691750.00,691750.00,"STOCK OPTIONS AND AWARDS GRANTED FOR BOARD MEMBER LISA D RARICK","Evofem Biosciences, Inc.","100000781819","Evofem Biosciences, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","144628","1194905711","ATUL",,"JAIN",,"12630 MONTE VISTA RD","SUITE #104","POWAY","CA","92064","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311355","2020",0.00,8333.33,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","387167","1851374482","GREGORY",,"CHRISTENSEN",,"1126 GROVE RD",,"GREENVILLE","SC","29605","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311357","2020",0.00,5000.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1171265","1386627925","GREGG",,"KAISER",,"1126 GROVE RD",,"GREENVILLE","SC","29605","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311359","2020",0.00,5000.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","492240","1538142179","JAMES",,"HALL",,"1126 GROVE RD",,"GREENVILLE","SC","29605","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology|Retina Specialist","714311361","2020",0.00,5000.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1194918","1215911607","JOHN",,"RENFRO",,"1126 GROVE RD",,"GREENVILLE","SC","29605","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311363","2020",0.00,5000.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","438558","1649254020","MICHAEL",,"ANTWORTH",,"1126 GROVE RD",,"GREENVILLE","SC","29605","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311365","2020",0.00,5000.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","304149","1700985496","ROBERT","L","AVERY",,"525 E MICHELTORENA ST","SUITE A","SANTA BARBARA","CA","93103","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311367","2020",0.00,25000.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","360060","1922021195","ALEXANDER","M","EATON",,"1567 HAYLEY LN","SUITE 101","FORT MYERS","FL","33907","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311369","2020",0.00,14250.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","761238","1972550622","HUSSEIN",,"WAFAPOOR",,"1567 HAYLEY LN","SUITE 101","FORT MYERS","FL","33907","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311371","2020",0.00,10750.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","210343","1659325454","LARS",,"FREISBERG",,"2424 E 21st Street","SUITE 200","TULSA","OK","74114","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311373","2020",0.00,12500.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","38000","1821201088","THOMAS",,"FINLEY",,"2424 E 21st Street","Suite 200","TULSA","OK","74114","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311375","2020",0.00,12500.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","595717","1174508071","JAMES",,"LUU",,"2770 N UNION BLVD","SUITE 140","COLORADO SPRINGS","CO","80909","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology|Retina Specialist","714311377","2020",0.00,7399.82,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","520515","1518942572","MARK",,"CHITTUM",,"2770 N UNION BLVD","SUITE 140","COLORADO SPRINGS","CO","80909","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology|Retina Specialist","714311379","2020",0.00,2800.55,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","639743","1700813391","RAMIN",,"SARRAFIZADEH",,"2770 N UNION BLVD","SUITE 140","COLORADO SPRINGS","CO","80909","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology|Retina Specialist","714311381","2020",0.00,7399.82,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","647922","1992720064","RYAN",,"RICH",,"2770 N UNION BLVD","SUITE 140","COLORADO SPRINGS","CO","80909","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology|Retina Specialist","714311383","2020",0.00,7399.82,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","728092","1790781839","CHARLES",,"ZACKS",,"15 LOWELL ST",,"PORTLAND","ME","04102","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311385","2020",0.00,3571.43,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","684435","1275534489","CURTIS",,"LIBBY",,"15 LOWELL ST",,"PORTLAND","ME","04102","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311387","2020",0.00,3571.43,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","186158","1104026756","Randolph",,"Lizardo",,"10313 Georgia Avenue","Suite 202","Silver Spring","MD","20902","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717737573","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","376411","1467546648","John",,"Maddox",,"3023 Hamaker Court","Suite 210A","Fairfax","VA","22031","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717737577","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","307683","1790729622","Aaron",,"Magat",,"23 Crossroads Dr","Suite 200","Owings Mills","MD","21117","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717737587","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","127653","1821079328","Steven",,"Maggid",,"2301 Research Blvd","Suite 215","Rockville","MD","20850","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717737595","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1161632","1043201429","Richard",,"Margolis",,"10215 Fernwood Road","Suite 101","Bethesda","MD","20817","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717737605","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1304597","1730382979","Leslie",,"Masiky",,"2301 Research Blvd","Suite 210","Rockville","MD","20850","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717737727","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","318414","1023126760","Ginny",,"Merryman",,"6569 N Charles Street","Suite 501","Towson","MD","21204","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717737733","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","117902","1598732265","ROBERT",,"SCHROEDER",,"7447 W TALCOTT AVE","SUITE 145","CHICAGO","IL","60631","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311049","2020",0.00,50000.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","956991","1851399679","ALAN","M","JOHNSON",,"427 S BERNARD ST",,"SPOKANE","WA","99204","United States",,,"Doctor of Optometry","Eye and Vision Services Providers|Optometrist","714311051","2020",0.00,690.76,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","81710","1790979383","ANDREW","G","CHEEK",,"427 S BERNARD ST",,"SPOKANE","WA","99204","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311053","2020",0.00,1381.53,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","4671","1093866840","ERIC","S","GUGLIELMO",,"427 S BERNARD ST",,"SPOKANE","WA","99204","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311055","2020",0.00,1381.53,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","236326","1205834553","ERIK","D","SKOOG",,"427 S BERNARD ST",,"SPOKANE","WA","99204","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311057","2020",0.00,1381.53,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","732042","1932423605","HARI",,"BODHIREDDY",,"427 S BERNARD ST",,"SPOKANE","WA","99204","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311059","2020",0.00,1381.53,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","401519","1356349351","JASON","H","JONES",,"427 S BERNARD ST",,"SPOKANE","WA","99204","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311061","2020",0.00,1381.53,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","515073","1326195140","JEFFREY","D","COLBURN",,"427 S BERNARD ST",,"SPOKANE","WA","99204","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311063","2020",0.00,847.45,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","127278","1801031091","KANDON","K","KAMAE",,"427 S BERNARD ST",,"SPOKANE","WA","99204","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311065","2020",0.00,1381.53,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1098882","1831332873","KRISTA","I","KINARD",,"427 S BERNARD ST",,"SPOKANE","WA","99204","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311067","2020",0.00,988.70,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","240801","1306171970","LOREN","S","JACK",,"427 S BERNARD ST",,"SPOKANE","WA","99204","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311069","2020",0.00,1381.53,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","499646","1780995993","MATTHEW","C","WEED",,"427 S BERNARD ST",,"SPOKANE","WA","99204","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311071","2020",0.00,1381.53,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","513621","1306844154","MITCHELL","J V","MAIER",,"427 S BERNARD ST",,"SPOKANE","WA","99204","United States",,,"Doctor of Optometry","Eye and Vision Services Providers|Optometrist","714311073","2020",0.00,690.76,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","556378","1790783041","NICHOLAS","T","RANSON",,"427 S BERNARD ST",,"SPOKANE","WA","99204","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology|Ophthalmic Plastic and Reconstructive Surgery","714311075","2020",0.00,1381.53,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","685120","1316087687","NICOLE","K","BRANDT",,"427 S BERNARD ST",,"SPOKANE","WA","99204","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311077","2020",0.00,1381.53,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","732476","1962400135","RANDALL","K","JACOBSON",,"427 S BERNARD ST",,"SPOKANE","WA","99204","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311079","2020",0.00,1381.53,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","227984","1013973254","ROBERT","S","WIRTHLIN",,"427 S BERNARD ST",,"SPOKANE","WA","99204","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311081","2020",0.00,1381.53,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1192969","1144478082","Sasha",,"Siassipour",,"1815 S Kanner Hwy",,"Stuart","FL","34994","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","719607751","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","42950","1942267877","Scott",,"Dunkin",,"11760 SW 40th Street","Suite 654","Miami","FL","33175","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","719612401","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","50378","1114969839","Shelley",,"Glover",,"1725 East Highway 50","Suite B","Clermont","FL","34711","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","719618465","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","203603","1487744892","Sheyna",,"Carroccio",,"724 NW 43rd Street",,"Gainesville","FL","32607","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","719624303","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","823287","1164492542","Shivakumar",,"Hanubal",,"1414 East Main Street",,"Leesburg","FL","34748","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","719628861","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","327450","1235130022","Stephen",,"Smith",,"70 Doctors Drive",,"Panama City","FL","32405","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","719633485","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","105053","1316934433","Stephen",,"Thompson",,"1890 SW Health Parkway","Suite 204","Naples","FL","34109","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","719636827","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","885513","1356373054","Steven",,"Brown",,"21 Hospital Dr","Suite 270","Palm Coast","FL","32164","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","719636829","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1115107","1407852528","JEFFREY",,"BERMAN",,"15 LOWELL ST",,"PORTLAND","ME","04102","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311389","2020",0.00,3571.43,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1032973","1518963677","JEFFREY",,"MOORE",,"15 LOWELL ST",,"PORTLAND","ME","04102","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311391","2020",0.00,3571.43,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","977370","1568468635","NATAN",,"KAHN",,"15 LOWELL ST",,"PORTLAND","ME","04102","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311393","2020",0.00,3571.43,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","616399","1891791455","RICHARD",,"BAZARIAN",,"15 LOWELL ST",,"PORTLAND","ME","04102","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311395","2020",0.00,3571.43,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","189795","1174529564","ROBERT","SAM","CADY",,"15 LOWELL ST",,"PORTLAND","ME","04102","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311397","2020",0.00,3571.43,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","577014","1518162247","BENJAMIN",,"ERNST",,"200 THEDA CLARK MEDICAL PLAZA","SUITE 110","NEENAH","WI","54956","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology|Retina Specialist","714311399","2020",0.00,6250.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1186561","1922013671","CHARLES",,"HEJNY",,"200 THEDA CLARK MEDICAL PLAZA","SUITE 110","NEENAH","WI","54956","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology|Retina Specialist","714311401","2020",0.00,6250.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","303193","1679580070","JOHN",,"ROSCULET",,"200 THEDA CLARK MEDICAL PLAZA","SUITE 110","NEENAH","WI","54956","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology|Retina Specialist","714311403","2020",0.00,18750.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","696911","1700819281","RAJEEV",,"BUDDI",,"200 THEDA CLARK MEDICAL PLAZA","SUITE 110","NEENAH","WI","54956","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology|Retina Specialist","714311405","2020",0.00,18750.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","134601","1972599496","OKSANA",,"DEMEDIUK",,"3520 Walton Way Ext","SUITE 2A","AUGUSTA","GA","30909","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311407","2020",0.00,12500.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","265219","1851387245","RANJIT",,"DHALIWAL",,"3520 WALTON WAY EXT","SUITE 2A","AUGUSTA","GA","30909","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311409","2020",0.00,12500.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","212130","1679575351","GILBERT","ALAN","EPSTEIN",,"850 S PINE ISLAND RD","SUITE A100","PLANTATION","FL","33324","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311411","2020",0.00,5000.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","38332","1851393581","KEITH","ANDREW","SKOLNICK",,"850 S PINE ISLAND RD","SUITE A100","PLANTATION","FL","33324","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311413","2020",0.00,5000.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","131224","1902010861","NATALIA",,"VILLATE",,"850 S PINE ISLAND RD","SUITE A100","PLANTATION","FL","33324","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311415","2020",0.00,5000.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","212956","1689676363","STUART","KEVIN","BURGESS",,"850 S PINE ISLAND RD","SUITE A100","PLANTATION","FL","33324","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311417","2020",0.00,5000.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","247718","1457353054","TIRSO","MARK","LARA",,"850 S PINE ISLAND RD","SUITE A100","PLANTATION","FL","33324","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311419","2020",0.00,5000.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","142448","1154362770","SANDEEP",,"SHAH",,"1008 NW 139TH ST PKWY",,"EDMOND","OK","73013","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311421","2020",0.00,25000.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","42331","1922000660","Cathleen",,"Mills",,"161 Fort Evans Rd NE","Suite 320","Leesburg","VA","20176","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717737737","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","354834","1811979602","Corliss",,"Newhouse",,"2301 Research Blvd","Suite 215","Rockville","MD","20850","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717737741","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","182713","1013998608","Brad",,"Norman",,"1400 Forest Glen Rd","Suite 525","Silver Spring","MD","20910","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717737745","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","330821","1285637686","Andrew",,"Oh",,"1165 Imperial Drive","Suite 300","Hagerstown","MD","21740","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717737751","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","641819","1770719411","Sona",,"Patel-Grimm",,"3023 Hamaker Court","Suite 210A","Fairfax","VA","22031","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717737759","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1295246","1861503641","Robert",,"Pegues",,"100 West Road","Suite 404","Towson","MD","21204","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717737765","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","137931","1033129259","Lori",,"Picco",,"2141 K Street NW","Suite 808","Washington","DC","20037","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717737777","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","310896","1841252194","David",,"Lashway",,"101 SE 27th Ave",,"Boynton Beach","FL","33435","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717763915","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","865013","1639193600","David",,"Stewart",,"6400 W. Newberry Rd","Suite 207","Gainesville","FL","32605","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717764061","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","114597","1518916642","Dean",,"Hildahl",,"6610 Willow Park Dr","Suite 102","Naples","FL","34109","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717764067","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1293532","1619977451","Deanna",,"Doyle",,"1950 Arlington Street","Suite 203","Sarasota","FL","34239","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717764073","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","25494","1578592051","Delia",,"Delgado",,"10011 Seminole Blvd","Suite A","Seminole","FL","33772","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717764075","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","38140","1851377980","Douglas",,"Murphy",,"1500 SE 17th Street","Bldg 200","Ocala","FL","34471","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717764201","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","683653","1245220409","Douglas",,"Winger",,"2400 N Orange Blossom Tr","Suite 300","Kissimmee","FL","34744","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717764207","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","105099","1316039951","Steven",,"Pillow",,"18450 C US Hwy 441",,"Mt. Dora","FL","32757","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","719636831","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","896085","1720188089","Steven",,"Silvers",,"4302 Alton Road","Suite 460","Miami Beach","FL","33140","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","719637021","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1075565","1023004660","Stuart",,"Gross",,"16190 NE 11th CT",,"North Miami Beach","FL","33162","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","719637025","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","42680","1932214897","Su",,"Parker",,"1660 Medical Blvd","Suite 300","Naples","FL","34110","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","719637027","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","238556","1255397352","Susan",,"Yarian",,"300 Health Park Blvd","Suite 3002","St. Augustine","FL","32086","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","719637031","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","193186","1255366670","Thomas",,"Gibbs",,"820 Lucerne Terrace",,"Orlando","FL","32801","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","719637037","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","583565","1740279272","Thomas",,"Lowe",,"875 Meadows Road","Suite 331","Boca Raton","FL","33486","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","719637043","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","302186","1669667010","Thomas",,"Searle",,"300 Health Park Blvd","Suite 3002","St. Augustine","FL","32086","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","719637047","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","253656","1588636484","ERIC",,"THOMAS",,"6601 S MINNESOTA AVE","SUITE 200","SIOUX FALLS","SD","57108","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology|Retina Specialist","714311423","2020",0.00,12500.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","143738","1154441608","RYAN",,"GERAETS",,"6601 S MINNESOTA AVE","SUITE 200","SIOUX FALLS","SD","57108","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311425","2020",0.00,12500.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","819506","1033116074","JOHN","CLINTON","WELCH",,"2115 N KANSAS AVE","STE 104","HASTINGS","NE","68901","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311427","2020",0.00,25000.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1172419","1427087873","DARRIN",,"LEVIN",,"29201 TELEGRAPH RD","SUITE 606","SOUTHFIELD","MI","48034","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311429","2020",0.00,5000.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","319137","1043240559","HAROLD",,"WEISS",,"29201 TELEGRAPH RD","SUITE 606","SOUTHFIELD","MI","48034","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311431","2020",0.00,5000.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","668892","1720016215","JOEL",,"MILLER",,"29201 TELEGRAPH RD","SUITE 606","SOUTHFIELD","MI","48034","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311433","2020",0.00,5000.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","272563","1003976416","MICHAEL",,"OBER",,"29201 TELEGRAPH RD","SUITE 606","SOUTHFIELD","MI","48034","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311435","2020",0.00,5000.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1216383","1962431494","SUSAN",,"MALINOWSKI",,"29201 TELEGRAPH RD","SUITE 606","SOUTHFIELD","MI","48034","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311437","2020",0.00,5000.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","329974","1265654875","ADAM","T","GERSTENBLITH",,"246 EASTERN BLVD N","SUITE 102","HAGERSTOWN","MD","21740","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology|Retina Specialist","714311439","2020",0.00,12500.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","63038","1407824360","ROBERT","E","PARNES",,"246 EASTERN BLVD N","SUITE 102","HAGERSTOWN","MD","21740","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology|Retina Specialist","714311441","2020",0.00,12500.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","325622","1174551709","JOHN",,"OLSON",,"44 LAKE BEAUTY DRIVE","Suite 300","ORLANDO","FL","32806","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311443","2020",0.00,8333.33,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","853591","1235168659","SUZANNE",,"DEMMING",,"44 LAKE BEAUTY DRIVE","SUITE 300","ORLANDO","FL","32806","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311445","2020",0.00,8333.33,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","254157","1598902579","KARL",,"WAITE",,"44 LAKE BEAUTY DRIVE","SUITE 300","ORLANDO","FL","32806","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311447","2020",0.00,8333.33,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","846908","1992774590","ANTONIO","V","ARAGON",,"7411 WALLACE BLVD",,"AMARILLO","TX","79106","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311449","2020",0.00,8333.33,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","771899","1356310734","JASON","EDWARD","YSASAGA",,"7411 WALLACE BLVD",,"AMARILLO","TX","79106","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311451","2020",0.00,8333.33,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","77785","1720260151","RYAN","BRADFORD","RUSH",,"7411 WALLACE BLVD",,"AMARILLO","TX","79106","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311453","2020",0.00,8333.33,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","649625","1053504399","BENJAMIN","CHARLES","KRAMER",,"135 S SHARON AMITY RD","SUITE 100","CHARLOTTE","NC","28211","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311455","2020",0.00,1923.08,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1293417","1457389017","Aliya",,"Poshni",,"2301 Research Blvd","Suite 210","Rockville","MD","20850","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717737781","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1266588","1750408670","Adrienne",,"Potts",,"10801 Lockwood Drive","Suite 320","Silver Spring","MD","20901","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717737791","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","580841","1659338002","Venktesh",,"Rangnath",,"2301 Research Blvd","Suite 215","Rockville","MD","20850","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717737799","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","269080","1922099282","Gerald",,"Renzi",,"9715 Medical Center Drive","Suite 415","Rockville","MD","20850","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717737805","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","350579","1720078215","George",,"Resta",,"10313 Georgia Avenue","Suite 202","Silver Spring","MD","20902","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717737807","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","720733","1548244494","Christine",,"Richards",,"7625 Maple Lawn Blvd","Suite 1","Fulton","MD","20759","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717737813","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","62324","1386629277","Judith",,"Gurdian",,"9711 Medical Center Drive","Suite 109","Rockville","MD","20850","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717737817","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","78033","1720052103","Eduardo",,"Marichal",,"724 NW 43rd Street",,"Gainesville","FL","32607","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717764211","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","163448","1598940074","Eleanine",,"Hardy-Hunter",,"3203 West Tampa Bay Blvd",,"Tampa","FL","33607","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717764215","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","83871","1841285194","Troy",,"Brothers",,"1890 SW Health Pkwy","Suite 303","Naples","FL","34109","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717764221","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","8495","1194819524","Emanuel",,"Javate",,"6700 Crosswinds Dr N","Suite 200A","Saint Petersburg","FL","33710","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717764225","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","132189","1902987688","Emilio",,"Blanco",,"1150 North 35th Ave","Suite 405","Hollywood","FL","33021","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717764227","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","47098","1033174644","Emilio",,"Gomez-Madrazo",,"6280 Sunset Drive","Suite 408","Miami","FL","33143","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology|Female Pelvic Medicine and Reconstructive Surgery","717764231","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","50059","1093743262","Emilio",,"Torres",,"1447 Medical Park Blvd","Suite 202","Wellington","FL","33414","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717764237","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","221081","1881681492","Thomas",,"Walter",,"3251 N McMullen Booth Rd","Suite 102","Clearwater","FL","33761","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","719637053","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","60509","1336148964","Todd",,"Rasner",,"11945 San Jose Blvd","Suite 400","Jacksonville","FL","32207","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","719637067","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","954980","1780747584","Toni",,"Pennington",,"103 East 23rd Street",,"Panama City","FL","32405","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","719637073","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","184702","1063486066","Tracey",,"Botha",,"724 NW 43rd Street",,"Gainesville","FL","32607","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","719637075","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","233774","1164572806","Tracy",,"Fansler",,"11200 Seminole Blvd","Suite 210","Largo","FL","33778","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","719637083","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","6644","1154322527","Tricia",,"Percy",,"70 Doctors Drive",,"Panama City","FL","32405","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","719637089","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","258464","1689774390","Wallace",,"McLean",,"775 1st Ave N",,"Naples","FL","34102","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","719637095","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","233213","1154314482","Wanda",,"Torres",,"2044 Trinity Oaks Blvd","Suite 215","Trinity","FL","34655","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","719637615","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","214826","1730179102","FREDERICK","H.D.","WEIDMAN",,"135 S SHARON AMITY RD","SUITE 100","CHARLOTTE","NC","28211","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311457","2020",0.00,1923.08,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","760232","1942206321","GERALD","BRUCE","ROSEN",,"135 S SHARON AMITY RD","SUITE 100","CHARLOTTE","NC","28211","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311459","2020",0.00,1923.08,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","29404","1649260290","JOSEPH","HOFFMAN","KRUG",,"135 S SHARON AMITY RD","SUITE 100","CHARLOTTE","NC","28211","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311461","2020",0.00,1923.08,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","603771","1457440620","JOSEPH","MOORE","BIBER",,"135 S SHARON AMITY RD","SUITE 100","CHARLOTTE","NC","28211","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology|Cornea and External Diseases Specialist","714311463","2020",0.00,1923.08,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","989535","1982694352","LEWIS","REED","GASKIN",,"135 S SHARON AMITY RD","SUITE 100","CHARLOTTE","NC","28211","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311465","2020",0.00,1923.08,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","921866","1629068283","MARK","LELAND","MALTON",,"135 S SHARON AMITY RD","SUITE 100","CHARLOTTE","NC","28211","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311467","2020",0.00,1923.08,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","142368","1134119605","ROYCE","ROSARIO","SYRACUSE",,"135 S SHARON AMITY RD","SUITE 100","CHARLOTTE","NC","28211","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311469","2020",0.00,1923.08,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","709180","1134119787","STEPHEN","ANTHONY","DAUGHERTY",,"135 S SHARON AMITY RD","SUITE 100","CHARLOTTE","NC","28211","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311471","2020",0.00,1923.08,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","295283","1508819301","STRUTHA","CHARLES","ROUSE",,"135 S SHARON AMITY RD","SUITE #100","CHARLOTTE","NC","28211","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311473","2020",0.00,1923.08,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","34173","1740424894","VANDANA","R","MINNAL",,"135 S SHARON AMITY RD","SUITE 100","CHARLOTTE","NC","28211","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311475","2020",0.00,1923.08,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1327832","1366732851","STEVEN","J","RYDER",,"135 S SHARON AMITY RD","SUITE 100","CHARLOTTE","NC","28211","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311477","2020",0.00,1923.08,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","232558","1134199383","HUNTER",,"STOLLDORF",,"135 S SHARON AMITY RD","SUITE 100","CHARLOTTE","NC","28211","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311479","2020",0.00,1923.08,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","163920","1619977345","JOHN",,"SULLIVAN",,"7740 POINT MEADOWS DR","SUITE 3A","JACKSONVILLE","FL","32256","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311481","2020",0.00,25000.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1392378","1366700460","ADAM",,"JORGENSEN",,"2800 3RD ST",,"RAPID CITY","SD","57701","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology|Glaucoma Specialist","714311483","2020",0.00,8335.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","48488","1063492940","PREMA",,"ABRAHAM",,"2800 3RD ST",,"RAPID CITY","SD","57701","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology|Retina Specialist","714311485","2020",0.00,8332.50,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","249630","1518139070","STEPHEN",,"KHACHIKIAN",,"2800 3RD ST",,"RAPID CITY","SD","57701","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311487","2020",0.00,8332.50,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1019098","1033105929","WAYNE",,"LARRISON",,"61 TUMBLEBROOK ROAD",,"WOODBRIDGE","CT","06525","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311489","2020",0.00,17533.48,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","266241","1861407744","Julian",,"Safran",,"2141 K Street NW","Suite 808","Washington","DC","20037","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717740769","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","187383","1134101884","Gerrit",,"Schipper",,"61 Thomas Johnson Dr",,"Frederick","MD","21702","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717740773","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","321092","1083709281","Glen",,"Silas",,"3023 Hamaker Court","Suite 210","Fairfax","VA","22031","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717740777","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","306719","1750372017","Mary",,"Sine",,"10313 Georgia Avenue","Suite 202","Silver Spring","MD","20902","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717740779","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","138328","1063415479","David",,"Solberg",,"1165 Imperial Drive","Suite 300","Hagerstown","MD","21740","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717740785","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","43160","1962473843","Michelle",,"Stas",,"6355 Walker Lane","Suite 508","Alexandria","VA","22310","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717741027","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","63908","1407839772","Renee",,"Thomas-Spencer",,"61 Thomas Johnson Dr",,"Frederick","MD","21702","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717741033","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","55415","1225060858","Frank",,"Dickens",,"3498 Nw Federal Hwy",,"Jensen Beach","FL","34957","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717764245","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","274869","1053377150","Eric",,"Pulsfus",,"300 Health Park Blvd","Suite 3002","St. Augustine","FL","32086","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717764249","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","100505","1225095268","Eric",,"Runyon",,"11760 SW 40th Street","Suite 654","Miami","FL","33175","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717764255","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","754505","1730153115","Erin",,"Werner",,"724 NW 43rd Street",,"Gainesville","FL","32607","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717764259","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","252855","1568436277","Esther",,"Clayton",,"410 N Wickham Rd","Suite 201","Melbourne","FL","32935","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717764261","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","471725","1801828439","Evan",,"Collins",,"3498 Nw Federal Hwy",,"Jensen Beach","FL","34957","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717764267","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1038717","1720071475","Frank",,"Andres",,"4788 Hodges Blvd","Bldg B, Suite 105","Jacksonville","FL","32224","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717764395","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","373295","1356300867","GUSTAVE",,"IGEL",,"600 Lakeview Rd",,"Clearwater","FL","33756","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717764523","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1310363","1851399349","William",,"King",,"1401 N Lawnwood Circle",,"Fort Pierce","FL","34950","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","719637621","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","342779","1558321174","Wynne",,"Lee-Nunez",,"1815 S Kanner Hwy",,"Stuart","FL","34994","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","719637625","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","61933","1366478034","Kirk",,"Clifford",,"627 25 1/2 Rd",,"Grand Junction","CO","81505","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","719637709","2020",0.00,437683.35,"Part owner of LLC who is entitled to LLC distributions.","CG&B, LLC","100000321817","CG&B, LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","472286","1811989114","James",,"Gebhard",,"627 25 1/2 RD",,"Grand Junction","CO","81505","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","719637725","2020",0.00,437683.35,"Part owner of LLC who is entitled to LLC distributions.","CG&B, LLC","100000321817","CG&B, LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","492066","1518960970","STEVEN",,"BROOKS",,"1838 Greene Tree Rd Ste 535",,"Baltimore","MD","21208","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Cardiovascular Disease","719646075","2020",1125.00,1125.00,"Stock Options with 48-month Vesting","Amaros Medical","100000536812","Amaros Medical","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","157461","1477644334","NEIL",,"Friedman",,"900 Welch Road Ste 402",,"Palo Alto","CA","94304","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","719646081","2020",225.00,225.00,"Stock Options with 48-month Vesting","Amaros Medical","100000536812","Amaros Medical","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","73016","1619910569","Paul",,"Karpecki",,"601 Perimeter Dr Ste 200",,"Lexington","KY","40517","United States",,,"Doctor of Optometry","Eye and Vision Services Providers|Optometrist","719646147","2020",225.00,225.00,"Stock Options with 48-month Vesting","Amaros Medical","100000536812","Amaros Medical","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","54780","1205834439","Mark",,"Packer",,"1400 Bluebell Ave",,"Boulder","CO","80302","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","719646151","2020",1350.00,1350.00,"Stock Options with 48-Month Vesting","Amaros Medical","100000536812","Amaros Medical","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","991080","1043272685","Thomas","A.","Kula",,"777 Knowles Drive Suite 2",,"Los Gatos","CA","95032","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","719689965","2020",131607.00,131607.00,"50 partnership units","CBA Associates, LLC","100000010498","CBA Associates, LLC","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","31224","1699797928","Bret",,"Baynham",,"3401 PGA Blvd","Ste 500","Palm Beach Gardens","FL","33410","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Pediatric Orthopaedic Surgery","719714905","2020",223354.00,675360.00,"n/a","Atlas Spine, Inc.","100000005692","Atlas Spine, Inc.","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1060603","1497776066","Gerald",,"Baynham",,"3401 PGA Blvd","Ste 500","Palm Beach Gardens","FL","33410","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","719714911","2020",190209.00,1035720.00,"n/a","Atlas Spine, Inc.","100000005692","Atlas Spine, Inc.","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","167207","1699741488","David",,"Campbell",,"2055 Military Trl","STE 300","Jupiter","FL","33458","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","719715075","2020",242056.00,718108.00,"n/a","Atlas Spine, Inc.","100000005692","Atlas Spine, Inc.","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","4485","1104870088","John","C","Amann",,"50 2nd St SE",,"Winter Haven","FL","33880-6300","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","719715183","2020",50000.00,21000.00,"n/a","Atlas Spine, Inc.","100000005692","Atlas Spine, Inc.","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","49764","1093849069","Neel",,"Anand",,"444 S Van Vicente Blvd","STE 800","Los Angeles","CA","90048","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","719718799","2020",50000.00,21000.00,"n/a","Atlas Spine, Inc.","100000005692","Atlas Spine, Inc.","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","492338","1528096971","JAMES","J","BROWN",,"1200 N STATE ST","SUITE 300","JACKSON","MS","39202","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311491","2020",0.00,8333.33,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","343940","1588750178","MICHAEL","J","BORNE",,"1200 N STATE ST","SUITE 300","JACKSON","MS","39202","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311493","2020",0.00,8333.33,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","128336","1831286699","JOEL","H","HERRING",,"1200 N STATE ST","SUITE 300","JACKSON","MS","39202","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311495","2020",0.00,8333.33,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","300737","1639144967","JAMES","MATTHEW","WEISZ",,"888 WHITE PLAINS ROAD","SUITE 202","TRUMBULL","CT","06611","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311497","2020",0.00,16666.64,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","515156","1336144575","KARINA","BILLIRIS","FINDLAY",,"10809 Carrollwood Drive",,"TAMPA","FL","33618","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology|Retina Specialist","714311499","2020",0.00,49999.99,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1023018","1174529234","STEVEN","M","COHEN",,"265 8th Ave NE",,"ST PETERSBURG","FL","33701","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology|Retina Specialist","714311501","2020",0.00,49999.99,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","279088","1144251356","DAVID",,"EICHENBAUM",,"240 BRIGHTWATERS BLVD NE",,"ST PETERSBURG","FL","33704","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311503","2020",0.00,50866.83,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","797392","1255369526","ASHISH",,"SHARMA",,"6901 INTERNATIONAL CENTER BLVD",,"FORT MYERS","FL","33912","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311505","2020",0.00,25000.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","308601","1801883822","AVTAR","TOM","GHUMAN",,"6901 INTERNATIONAL CENTER BLVD",,"FORT MYERS","FL","33912","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311507","2020",0.00,25000.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","13900","1306806641","JOSEPH",,"WALKER",,"6901 INTERNATIONAL CENTER BLVD",,"FORT MYERS","FL","33912","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311509","2020",0.00,25000.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1097740","1790744746","PAUL",,"RASKAUSKAS",,"6901 INTERNATIONAL CENTER BLVD",,"FORT MYERS","FL","33912","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311511","2020",0.00,25000.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","136417","1003991167","PETER",,"SONKIN",,"345 23RD AVE N","SUITE 350","NASHVILLE","TN","37203","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311513","2020",0.00,1701091.37,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","357689","1881661585","JOHN",,"MYERS",,"5150 N DAVIS HWY",,"PENSACOLA","FL","32503","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311515","2020",0.00,1098.01,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","117902","1598732265","ROBERT",,"SCHROEDER",,"7447 W TALCOTT AVE","SUITE 145","CHICAGO","IL","60631","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311517","2020",0.00,1228855.89,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","113133","1487698288","LOUIS","J","CHORICH","III","6655 POST RD",,"DUBLIN","OH","43016","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311519","2020",0.00,2222.68,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","156691","1467409383","JARED","S","NIELSEN",,"309 E CHURCH ST",,"MARSHALLTOWN","IA","50158","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311521","2020",0.00,866.84,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1709","1033257746","HENRY","MARK","KWONG","JR","1750 E GLENDALE AVE",,"PHOENIX","AZ","85020","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311523","2020",0.00,23972.94,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","181637","1003807363","Thu",,"Tran",,"9715 Medical Center Drive","Suite 415","Rockville","MD","20850","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717743039","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","913899","1356306187","David",,"Wagar",,"2301 Research Blvd","Suite 215","Rockville","MD","20850","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717748953","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","204123","1508973223","Dominique",,"Allen",,"6569 N Charles Street","Suite 501","Towson","MD","21204","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717748961","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","293335","1477736288","Aaron",,"Elkin",,"1309 N Federal Hwy",,"Hollywood","FL","33020","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717753453","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","54757","1205803111","Aaron",,"Sudbury",,"5323 4th Avenue Cic E",,"Bradenton","FL","34208","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717762051","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1061242","1518992346","Alan",,"Patterson",,"7451 Wiles Road","Suite 205","Coral Springs","FL","33067","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717762647","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","346436","1639107212","Alberto",,"Sirven",,"8200 SW 117th Avenue","Suite 304","Miami","FL","33183","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717762651","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","26868","1609840081","Amy",,"Million",,"724 NW 43rd Street",,"Gainesville","FL","32605","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717762657","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","323494","1134129976","Gary",,"Easterling",,"1950 Arlington Street","Suite 203","Sarasota","FL","34239","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717764533","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","162713","1578662276","Gene",,"Krishingner",,"147 Moray Lane",,"Winter Park","FL","32792","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717764543","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","296033","1518942317","George",,"Ramie",,"103 East 23rd Street",,"Panama City","FL","32405","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717764551","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","894367","1669478939","Guillermo",,"Calderon",,"6700 Crosswinds Dr N","Suite 200A","Saint Petersburg","FL","33710","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717764685","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","125616","1760521413","HARISHCHANDER",,"MADHAV",,"2226 SE 2nd St",,"Boynton Beach","FL","33435","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717764695","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","305181","1720022635","Hector",,"Fernandez",,"7150 West 20th Avenue","Suite 202","Hialeah","FL","33016","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717764703","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","318154","1023089661","Henry",,"Breland",,"103 East 23rd Street",,"Panama City","FL","32405","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717764711","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","322559","1114984556","Lawrence",,"Deziel",,"1210 SO Old Dixie Hwy",,"Jupiter","FL","33468","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Anesthesiology","719845089","2020",100000.00,42000.00,"n/a","Atlas Spine, Inc.","100000005692","Atlas Spine, Inc.","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","286891","1316926025","Jeffrey",,"Martin",,"1075 Mason Ave",,"Daytone Beach","FL","32117","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","719845093","2020",10000.00,4200.00,"n/a","Atlas Spine, Inc.","100000005692","Atlas Spine, Inc.","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","195011","1306928908","Chester",,"Maxson",,"5431 N University Dr",,"Coral Springs","FL","33067","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Gastroenterology","719845097","2020",50000.00,21000.00,"n/a","Atlas Spine, Inc.","100000005692","Atlas Spine, Inc.","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","266378","1851478580","Joseph",,"Mensch",,"1201 NW 16th St",,"Coral Gables","FL","33146","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","719845133","2020",25000.00,10500.00,"n/a","Atlas Spine, Inc.","100000005692","Atlas Spine, Inc.","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","515310","1346217635","Kevin",,"Newfield",,"140 Jupiter Lakes Blvd",,"Jupiter","FL","33458","United States",,,"Doctor of Osteopathy","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Foot and Ankle Surgery","719845135","2020",50000.00,21000.00,"n/a","Atlas Spine, Inc.","100000005692","Atlas Spine, Inc.","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","76096","1679572028","Charles",,"Penn",,"1061 Harmon Ave","STE 1D03","Ft Stewart","GA","31314","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Surgery","719845145","2020",100000.00,42000.00,"n/a","Atlas Spine, Inc.","100000005692","Atlas Spine, Inc.","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","160497","1538167408","Louis",,"Raso",,"2141 S Alternate A1A","STE 110","Jupiter","FL","33477","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Pain Medicine|Interventional Pain Medicine","719845153","2020",50000.00,21000.00,"n/a","Atlas Spine, Inc.","100000005692","Atlas Spine, Inc.","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","313802","1912079807","Gaetano",,"Scuderi",,"2055 Military Trail","STE 204","Jupiter","FL","33458","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","719845159","2020",50000.00,21000.00,"n/a","Atlas Spine, Inc.","100000005692","Atlas Spine, Inc.","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1308361","1154379923","Morris",,"Shlamowitz",,"1926 10th Ave N","STE 105","Lake Worth","FL","33461","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Psychiatry & Neurology|Neurology","719845163","2020",25000.00,10500.00,"n/a","Atlas Spine, Inc.","100000005692","Atlas Spine, Inc.","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","97295","1144227364","John",,"Small",,"13020 N Telecom Pkwy",,"Temple Terrace","FL","33637","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","719845169","2020",75000.00,31500.00,"n/a","Atlas Spine, Inc.","100000005692","Atlas Spine, Inc.","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1304266","1285705145","Gerald",,"Stashak",,"5305 Greenwood Ave","STE 201","West Palm Beach","FL","33407","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","719845177","2020",100000.00,42000.00,"n/a","Atlas Spine, Inc.","100000005692","Atlas Spine, Inc.","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","145427","1215019849","Bernard",,"Stein",,"1002 S Old Dixie Hwy","STE 210","Jupiter","FL","33067","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Gastroenterology","719845185","2020",25000.00,10500.00,"n/a","Atlas Spine, Inc.","100000005692","Atlas Spine, Inc.","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","145560","1205971819","Craig",,"Sterling",,"9121 N Military Trl","STE 220","West Palm Beach","FL","33410","United States",,,"Doctor of Dentistry","Dental Providers|Dentist","719845189","2020",50000.00,21000.00,"n/a","Atlas Spine, Inc.","100000005692","Atlas Spine, Inc.","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","121627","1679656656","Ronald",,"Surowitz",,"411 W Indiantown Rd",,"Jupiter","FL","33458","United States",,,"Doctor of Osteopathy","Allopathic & Osteopathic Physicians|Family Medicine","719845197","2020",50000.00,21000.00,"n/a","Atlas Spine, Inc.","100000005692","Atlas Spine, Inc.","FL","United States","No","Immediate family member","06/30/2023" "UNCHANGED","173737","1831267061","Chester",,"Sutterlin",,"511 Putter Ln",,"Longboat Key","FL","34228","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","719845203","2020",200000.00,84000.00,"n/a","Atlas Spine, Inc.","100000005692","Atlas Spine, Inc.","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","932146","1982650842","Vincent",,"Turiano",,"1210 S Old Dixie Hwy",,"Jupiter","FL","33458","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Radiology|Diagnostic Radiology","719852979","2020",25000.00,10500.00,"n/a","Atlas Spine, Inc.","100000005692","Atlas Spine, Inc.","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","128831","1851343214","ALAN","E","KIMURA",,"8101 E LOWRY BLVD","SUITE 210","DENVER","CO","80230","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology|Retina Specialist","714311525","2020",0.00,820077.17,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","205849","1538109160","STEPHANIE",,"VANDERVELDT",,"1100 JOHNSON FERRY RD NE","SUITE 593","ATLANTA","GA","30342","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311527","2020",0.00,432047.54,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","584918","1780678029","LAWRENCE","J","SINGERMAN",,"3401 ENTERPRISE PKWY","SUITE 310","BEACHWOOD","OH","44122","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311529","2020",0.00,995726.82,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","122827","1700085222","BENJAMIN",,"BAKALL",,"1750 E GLENDALE AVE",,"PHOENIX","AZ","85020","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311531","2020",0.00,3187.69,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","273827","1043210750","DAVID",,"ORTH",,"71 W 156TH ST","STE 400","HARVEY","IL","60426","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311533","2020",0.00,9247.40,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","313940","1932151230","BRIAN","C","JOONDEPH",,"8101 E LOWRY BLVD","SUITE 210","DENVER","CO","80230","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311535","2020",0.00,1333.60,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","48440","1063489383","SUNIL",,"GUPTA",,"5150 N DAVIS HWY",,"PENSACOLA","FL","32503","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311537","2020",0.00,1304962.31,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","279274","1164468211","KEYE",,"WONG",,"3920 BEE RIDGE RD","BLDG D","SARASOTA","FL","34233","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311539","2020",0.00,823.52,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","279088","1144251356","DAVID",,"EICHENBAUM",,"240 BRIGHTWATERS BLVD NE",,"ST PETERSBURG","FL","33704","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311541","2020",0.00,0.01,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","515156","1336144575","KARINA","BILLIRIS","FINDLAY",,"10809 Carrollwood Drive",,"TAMPA","FL","33618","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology|Retina Specialist","714311543","2020",0.00,0.01,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1023018","1174529234","STEVEN","M","COHEN",,"265 8th Ave NE",,"ST PETERSBURG","FL","33701","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology|Retina Specialist","714311545","2020",0.00,0.01,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","46314","1013989706","CLIO","ARMITAGE","HARPER","III","801 W 38TH ST","SUITE 200","AUSTIN","TX","78705","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311547","2020",0.00,3571.43,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","133930","1962474643","JAMES",,"DOONER",,"801 W 38TH ST","SUITE 200","AUSTIN","TX","78705","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311549","2020",0.00,3571.43,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","167051","1679545370","JOSE","AGUSTIN","MARTINEZ",,"801 W 38TH ST","SUITE 200","AUSTIN","TX","78705","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311551","2020",0.00,3571.43,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","117692","1609848399","MARK",,"LEVITAN",,"801 W 38TH ST","SUITE 200","AUSTIN","TX","78705","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311553","2020",0.00,3571.43,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","20753","1467438531","PETER",,"NIXON",,"801 W 38TH ST","SUITE 200","AUSTIN","TX","78705","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311555","2020",0.00,3571.43,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","102677","1275699274","ROBERT",,"WONG",,"801 W 38TH ST","SUITE 200","AUSTIN","TX","78705","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311557","2020",0.00,3571.43,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","57343","1275729857","Ana",,"Tamayo",,"3157 N. University Drive","Suite 100","Pembroke Pines","FL","33024","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717762659","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","259992","1720043037","Andrea",,"Bayer",,"10115 Forest Hill Blvd","Suite 300","Wellington","FL","33414","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717762663","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","570255","1295898583","Ann",,"Hatfield",,"724 NW 43rd Street",,"Gainesville","FL","32607","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717762667","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","212942","1689737835","Ansuya",,"Kalra",,"2404 S Seacrest Blvd",,"Boynton Beach","FL","33435","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717762671","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","63834","1417920901","Anthony",,"Agrios",,"6440 W Newberry Rd","Suite 111","Gainesville","FL","32605","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717762675","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","753388","1689808180","Ashley",,"Walsh",,"724 NW 43rd Street",,"Gainesville","FL","32607","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717762685","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","272331","1003834219","Brenda",,"Barry",,"930 Lake Baldwin Lane",,"Orlando","FL","32814","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717762689","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1220372","1104858034","Chandra",,"Adams",,"6871 Belfort Oaks Place",,"Jacksonville","FL","32216","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717762693","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1401634","1356305445","Herman",,"Epstein",,"4850 W Oakland Park Blvd","Suite 118","Lauderdale Lakes","FL","33313","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717764717","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1110608","1245271337","Holly",,"Miller",,"1660 Medical Blvd","Suite 300","Naples","FL","34110","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717764731","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1379736","1629135330","Hugo",,"Ferrara",,"2300 West 84th Street","Suite 500","Hialeah","FL","33016","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717764739","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","342243","1538147384","James",,"Booker",,"427 East Central Ave",,"Winter Haven","FL","33880","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717764745","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","17464","1386604395","James",,"Presley",,"1000 37th Place","Suite 105","Vero Beach","FL","32960","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717764751","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","295171","1508842196","Jane",,"Daniel",,"15621 New Hampshire Court","Suite A","Fort Myers","FL","33908","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717764757","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","317779","1003896507","Jane",,"Matos-Fraebel",,"220 SW 84TH Avenue","Suite 203","Plantation","FL","33324","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717764877","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","900879","1881682722","Michael",,"Ziebelman",,"1060 W Lake Hamilton Dr",,"Winter Haven","FL","33881","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neuromusculoskeletal Medicine, Sports Medicine","719860001","2020",25000.00,10500.00,"n/a","Atlas Spine, Inc.","100000005692","Atlas Spine, Inc.","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","60148","1336186915","Nathan",,"Drourr",,"1210 S Old Dixie Hwy",,"Jupiter","FL","33468","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Anesthesiology|Pain Medicine","719900029","2020",50000.00,21000.00,"n/a","Atlas Spine, Inc.","100000005692","Atlas Spine, Inc.","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","355094","1811083553","John",,"Steinmann",,"1901 W. Lugonia Ave. Ste 230",,"Redlands","CA","92374","United States",,,"Doctor of Osteopathy","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","719997733","2020",0.00,5502.32,"LLC Membership Interest","Central California Surgical Distributors, LLC","100000010743","Central California Surgical Distributors, LLC","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","355094","1811083553","John",,"Steinmann",,"1901 W. Lugonia Ave. Ste 230",,"Redlands","CA","92374","United States",,,"Doctor of Osteopathy","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","719997737","2020",0.00,575.20,"LLC Membership Interest","Central California Surgical Distributors, LLC","100000010743","Central California Surgical Distributors, LLC","CA","United States","No","Immediate family member","06/30/2023" "UNCHANGED","445315","1871532960","Paul",,"Burton",,"1901 W. Lugonia Ave. Ste 230",,"Redlands","CA","92374","United States",,,"Doctor of Osteopathy","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","719997747","2020",0.00,373.97,"LLC Membership Interest","Central California Surgical Distributors, LLC","100000010743","Central California Surgical Distributors, LLC","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","61179","1346336864","Gail",,"Hopkins","II","1901 W. Lugonia Ave. Ste 230",,"Redlands","CA","92374","United States",,,"Medical Doctor",,"719999515","2020",0.00,373.97,"LLC Membership Interest","Central California Surgical Distributors, LLC","100000010743","Central California Surgical Distributors, LLC","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","109415","1407942113","James",,"Matiko",,"1901 W. Lugonia Ave. Ste 230",,"Redlands","CA","92374","United States",,,"Medical Doctor",,"720000863","2020",0.00,373.97,"LLC Membership Interest","Central California Surgical Distributors, LLC","100000010743","Central California Surgical Distributors, LLC","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","566874","1164461224","John",,"Skubic",,"1901 W. Lugonia Ave. Ste 230",,"Redlands","CA","92374","United States",,,"Medical Doctor",,"720000875","2020",0.00,373.97,"LLC Membership Interest","Central California Surgical Distributors, LLC","100000010743","Central California Surgical Distributors, LLC","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","758310","1861464844","Douglas",,"Dodson",,"2301 Indian Wells Road Suite A",,"Alamogordo","NM","88310","United States",,,"Doctor of Osteopathy",,"720000879","2020",0.00,373.97,"LLC Membership Interest","Central California Surgical Distributors, LLC","100000010743","Central California Surgical Distributors, LLC","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","353961","1801840491","Thomas",,"Eickmann",,"80 Health Park Dr. Suite 200",,"Louisville","CO","80027","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","721133655","2020",0.00,373.97,"LLC Membership Interest","Central California Surgical Distributors, LLC","100000010743","Central California Surgical Distributors, LLC","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","250311","1528051018","Anant",,"Kumar",,"7720 S Broadway suite 240",,"Littleton","CO","80122","United States",,,"Medical Doctor",,"721133663","2020",0.00,373.97,"LLC Membership Interest","Central California Surgical Distributors, LLC","100000010743","Central California Surgical Distributors, LLC","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","242579","1356388045","Bryan","A","Castro",,"80 Health Park Dr. suite 230",,"louisville","CO","80027","United States",,,"Medical Doctor",,"721133671","2020",0.00,373.97,"LLC Membership Interest","Central California Surgical Distributors, LLC","100000010743","Central California Surgical Distributors, LLC","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","362873","1992772610","Deniz",,"Baysal",,"604 N. Magnolia Ave. suite 100",,"Clovis","CA","93611","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","721133679","2020",0.00,9491.67,"LLC Membership Interest","Central California Surgical Distributors, LLC","100000010743","Central California Surgical Distributors, LLC","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","964693","1124025325","Eric",,"Lindvall",,"604 N. Magnolia Suite 100",,"Clovis","CA","93611","United States",,,"Doctor of Osteopathy","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","721133695","2020",0.00,9491.67,"LLC Membership Interest","Central California Surgical Distributors, LLC","100000010743","Central California Surgical Distributors, LLC","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","935912","1114087046","Armen",,"Martirosian",,"604 N. Magnolia Ave. Suite 100",,"Clovis","CA","93611","United States",,,"Medical Doctor",,"721133705","2020",0.00,9491.67,"LLC Membership Interest","Central California Surgical Distributors, LLC","100000010743","Central California Surgical Distributors, LLC","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","71625","1588788830","SHELLEY","DAY","GHAFOORI",,"801 W 38TH ST","SUITE 200","AUSTIN","TX","78705","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311559","2020",0.00,3571.43,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","848902","1063533115","Gust",,"Bardy",,"316 Occidental Ave S","Suite B310","Seattle","WA","98104","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Clinical Cardiac Electrophysiology","714313171","2020",1917742.00,20504758.00,"Common Stock Valuation Increase of $157,168 Purchase of $1,917,742 of Series B-1 Preferred Stock","Bardy Diagnostics, Inc.","100000186747","Bardy Diagnostics, Inc.","WA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","928889","1861469108","John",,"Pajka",,"855 West Market Street",,"Lima","OH","45805","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714323765","2020",0.00,13335246.00,"Common Stock","Midmark Corporation","100000010765","Midmark Corporation","OH","United States","No","Immediate family member","06/30/2023" "UNCHANGED","1004777","1538136577","Robert",,"Klamar",,"471 Marker Road",,"Versailles","OH","45380","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Family Medicine","714323803","2020",0.00,198727900.00,"Common Stock","Midmark Corporation","100000010765","Midmark Corporation","OH","United States","No","Immediate family member","06/30/2023" "UNCHANGED","100562","1225105653","AIDAN","A","RANEY","JR","447 OLD NEWPORT BLVD.","STE 200","NEWPORT BEACH","CA","92663","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Thoracic Surgery (Cardiothoracic Vascular Surgery)","714884545","2020",0.00,133000.00,"CLASS B COMMON STOCK","Applied Medical Corporation","100000005730","Applied Medical Corporation","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","289399","1386734531","DAVID","M","ALBALA",,"1226 E WATER ST",,"SYRACUSE","NY","13210","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","714884547","2020",0.00,679403.90,"CLASS B COMMON STOCK","Applied Medical Corporation","100000005730","Applied Medical Corporation","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","218151","1821068214","KENNETH",,"WAXMAN",,"320 W PUEBLO ST",,"SANTA BARBARA","CA","93105","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Surgery|Surgical Critical Care","714884549","2020",0.00,211470.00,"CLASS B COMMON STOCK","Applied Medical Corporation","100000005730","Applied Medical Corporation","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","97097","1154313211","JAY","J","SINGH",,"35 COLLIER RD NW","SUITE 475","ATLANTA","GA","30309","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Colon & Rectal Surgery","714884551","2020",0.00,15960.00,"CLASS B COMMON STOCK","Applied Medical Corporation","100000005730","Applied Medical Corporation","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","122203","1699729244","MATTHEW","ROSS","ALBERT",,"661 E ALTAMONTE DR","SUITE 220","ALTAMONTE SPRINGS","FL","32701","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Colon & Rectal Surgery","714884553","2020",0.00,33250.00,"CLASS B COMMON STOCK","Applied Medical Corporation","100000005730","Applied Medical Corporation","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","122203","1699729244","MATTHEW","ROSS","ALBERT",,"661 E ALTAMONTE DR","SUITE 220","ALTAMONTE SPRINGS","FL","32701","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Colon & Rectal Surgery","714884555","2020",0.00,6384.00,"CLASS B COMMON STOCK","Applied Medical Corporation","100000005730","Applied Medical Corporation","CA","United States","No","Immediate family member","06/30/2023" "UNCHANGED","16225","1366507196","JOHN","C","ALVERDY",,"180 HARVESTER DR","STE 110","BURR RIDGE","IL","60527","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Surgery","714884557","2020",0.00,39900.00,"CLASS B COMMON STOCK","Applied Medical Corporation","100000005730","Applied Medical Corporation","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","16225","1366507196","JOHN","C","ALVERDY",,"180 HARVESTER DR","STE 110","BURR RIDGE","IL","60527","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Surgery","714884559","2020",0.00,14962.50,"CLASS B COMMON STOCK","Applied Medical Corporation","100000005730","Applied Medical Corporation","CA","United States","No","Immediate family member","06/30/2023" "UNCHANGED","290343","1396717120","RICHARD","K","BABAYAN",,"725 ALBANY ST SHAPIRO 3","SUITE B","BOSTON","MA","02118","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","714884561","2020",0.00,335160.00,"CLASS B COMMON STOCK","Applied Medical Corporation","100000005730","Applied Medical Corporation","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","67052","1497736797","JAMES","D","FONGER",,"130 E 77TH ST","4TH FL","NEW YORK","NY","10021","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Thoracic Surgery (Cardiothoracic Vascular Surgery)","714884563","2020",0.00,26600.00,"CLASS B COMMON STOCK","Applied Medical Corporation","100000005730","Applied Medical Corporation","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","94848","1104818632","PAUL","DANIEL","HANSEN",,"4805 NE GLISAN ST","SUITE 6N60","PORTLAND","OR","97213","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Surgery","714884565","2020",0.00,3990.00,"CLASS B COMMON STOCK","Applied Medical Corporation","100000005730","Applied Medical Corporation","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","16887","1356599203","Christina",,"Shamas",,"6700 Crosswinds Dr N","Suite 200A","Saint Petersburg","FL","33710","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717763879","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","88043","1942246996","Christopher",,"Quinsey",,"2500 West Lake Mary Blvd","Suite 204","Lake Mary","FL","32746","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717763889","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","210709","1649233875","Cynthia",,"Bradley",,"8750 SW 144th St","Suite 201","Miami","FL","33176","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717763897","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","266539","1881674927","Dafna",,"Lebow",,"333 NW 70th Ave","Suite 120","Plantation","FL","33317","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717763899","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","795430","1184617839","Daniel",,"McDyer",,"3627 University Blvd","Suite 340","Jacksonville","FL","32216","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717763903","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","142540","1154373033","David",,"Goss",,"785 Primera Blvd","Suite 1031","Lake Mary","FL","32746","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717763905","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","216549","1760468912","David",,"Hyler",,"1560 Kingsley Avenue","Suite 4","Orange Park","FL","32073","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717763911","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","331115","1306916580","Jason",,"Thompson",,"6885 Belfort Oaks Place","Suite 110","Jacksonville","FL","32216","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology|Female Pelvic Medicine and Reconstructive Surgery","717764881","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","94836","1104890219","Jean",,"Cook",,"6440 W Newberry Rd","Suite 111","Gainesville","FL","32605","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717764883","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","277875","1134319023","Jeanmarie",,"Texier",,"12200 W Colonial Drive","Suite 202","Winter Garden","FL","34787","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717764887","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","63993","1407884034","Jeffrey",,"Heitmann",,"1660 Medical Blvd","Suite 300","Naples","FL","34110","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717764891","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","315971","1972595841","Jennifer",,"Bevins",,"1890 SW Health Pkwy","Suite 303","Naples","FL","34109","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717764933","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1269741","1851612543","Jennifer",,"Burgess",,"3498 Nw Federal Hwy",,"Jensen Beach","FL","34957","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717764937","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","201097","1447477633","Jennifer",,"Parker",,"5150 Linton Blvd","Suite 210","Delray Beach","FL","33484","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717764949","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1391286","1689961310","Mark",,"Ayoub",,"604 N. Magnolia Ave. Suite 100",,"clovis","CA","93611","United States",,,"Medical Doctor",,"721134523","2020",0.00,9491.67,"LLC Membership Interest","Central California Surgical Distributors, LLC","100000010743","Central California Surgical Distributors, LLC","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","934308","1053600940","Jason",,"Davis",,"604 N. Magnolia Ave. Suite 100",,"Clovis","CA","93611","United States",,,"Medical Doctor",,"721155679","2020",0.00,9491.67,"LLC Membership Interest","Central California Surgical Distributors, LLC","100000010743","Central California Surgical Distributors, LLC","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1386980","1780976902","Motasem",,"Refaat",,"604 N. Magnolia Ave Suite 100",,"Clovis","CA","93611","United States",,,"Medical Doctor",,"721175001","2020",0.00,9491.67,"LLC Membership Interest","Central California Surgical Distributors, LLC","100000010743","Central California Surgical Distributors, LLC","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","192705","1265407795","Daniel",,"Berry",,"200 1ST ST SW",,"Rochester","MN","55905","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","721327115","2020",432.00,86331.00,"Exercised stock options","Bodycad USA Corp","100000226820","Bodycad USA Corp","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","312894","1891754792","Craig","M","McAllister",,"21401 72nd Ave W",,"Edmonds","WA","98026","United States",,,"Doctor of Osteopathy","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","721466235","2020",160878.00,160878.00,"Book value of equity account","Evergreen Orthopedic Research Lab LLC","100000011038","Evergreen Orthopedic Research Lab LLC","WA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","302168","1669456497","Douglas","W","Beard","M.D.","1313 Riverside Ave",,"Fort Collins","CO","80524","United States",,,"Medical Doctor",,"721466285","2020",0.00,38889.00,"17.777777777%ownership interest. There was no additional investment in 2020.","Highline Surgical Solutions, LLC","100000010801","Highline Surgical Solutions, LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","846806","1992741839","Timothy","C","Wirt","M.D.","1313 Riverside Ave",,"Fort Collins","CO","80524","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","721472777","2020",0.00,38889.00,"17.77777777% ownership interest There was no additional investment in 2020.","Highline Surgical Solutions, LLC","100000010801","Highline Surgical Solutions, LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","270682","1972595247","Robert","J","Benz","M.D.","2500 E PROSPECT",,"FORT COLLINS","CO","80525","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","721485139","2020",0.00,38889.00,"17.777777777% ownership interest There was no additional amount invested in 2020","Highline Surgical Solutions, LLC","100000010801","Highline Surgical Solutions, LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","57782","1265496715","William","D","Biggs","M.D.","2500 E PROSPECT",,"FORT COLLINS","CO","80525","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","721485161","2020",0.00,38889.00,"17.77777777% ownership interest There was no dollar amount invested in 2020","Highline Surgical Solutions, LLC","100000010801","Highline Surgical Solutions, LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","543244","1316975022","Donn","M","Turner","M.D.","1313 Riverside Ave",,"Fort Collins","CO","80524","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","721485185","2020",0.00,38889.00,"17.77777777% ownership interest There was no additional investment in 2020.","Highline Surgical Solutions, LLC","100000010801","Highline Surgical Solutions, LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","355094","1811083553","John",,"Steinmann",,"1901 W. Lugonia Ave. Ste 230",,"Redlands","CA","92374","United States",,,"Doctor of Osteopathy","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","721501115","2020",0.00,71194.32,"Limited Liability Company Membership Interest.","Midwest Surgical Alliance, LLC","100000010505","Midwest Surgical Alliance, LLC","KS","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","355094","1811083553","John",,"Steinmann",,"1901 W. Lugonia Ave. ste 230",,"Redlands","CA","92374","United States",,,"Doctor of Osteopathy","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","721501131","2020",0.00,7442.43,"Limited Liability Company Membership Interest.","Midwest Surgical Alliance, LLC","100000010505","Midwest Surgical Alliance, LLC","KS","United States","No","Immediate family member","06/30/2023" "UNCHANGED","445315","1871532960","Paul",,"Burton",,"1901 W. Lugonia Ave Ste 230",,"Redlands","CA","92374","United States",,,"Doctor of Osteopathy","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","721501143","2020",0.00,4838.81,"Limited Liability Company Membership Interest.","Midwest Surgical Alliance, LLC","100000010505","Midwest Surgical Alliance, LLC","KS","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","61179","1346336864","Gail",,"Hopkins",,"1901 W. Lugonia Ave. Ste 230",,"Redlands","CA","92374","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","721501159","2020",0.00,4838.81,"Limited Liability Company Membership Interest.","Midwest Surgical Alliance, LLC","100000010505","Midwest Surgical Alliance, LLC","KS","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","80815","1790744878","SERGIO","W","LARACH",,"100 N DEAN RD","STE 101","ORLANDO","FL","32825","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Colon & Rectal Surgery","714884567","2020",0.00,6650.00,"CLASS B COMMON STOCK","Applied Medical Corporation","100000005730","Applied Medical Corporation","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","125251","1750375564","MICHAEL",,"STIFELMAN",,"150 3 32ND ST","2ND FL","NEW YORK","NY","10016","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","714884569","2020",0.00,13300.00,"CLASS B COMMON STOCK","Applied Medical Corporation","100000005730","Applied Medical Corporation","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","241735","1336243922","RALPH","V","CLAYMAN",,"101 THE CITY DRIVE SOUTH","UCI MEDICAL CENTER","ORANGE","CA","92868","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","714884571","2020",0.00,2793000.00,"CLASS B COMMON STOCK","Applied Medical Corporation","100000005730","Applied Medical Corporation","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","194331","1285854299","THOMAS","JAMES","FOGARTY",,"3270 ALPINE ROAD",,"PORTOLA VALLEY","CA","94028","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Thoracic Surgery (Cardiothoracic Vascular Surgery)","714884573","2020",0.00,3280671.10,"CLASS B COMMON STOCK","Applied Medical Corporation","100000005730","Applied Medical Corporation","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","155769","1447364609","WAEL","F","MUAKKASSA",,"357 GENESEE ST","STE 1","ONEIDA","NY","13421","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Urology","714884575","2020",0.00,133000.00,"CLASS B COMMON STOCK","Applied Medical Corporation","100000005730","Applied Medical Corporation","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","234834","1174518047","DAVID","B","COX",,"501 N MAIN ST",,"GORDONSVILLE","VA","22942","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Family Medicine","714884577","2020",0.00,16625.00,"CLASS B COMMON STOCK","Applied Medical Corporation","100000005730","Applied Medical Corporation","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","194331","1285854299","THOMAS","JAMES","FOGARTY",,"3270 ALPINE ROAD",,"PORTOLA VALLEY","CA","94028","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Thoracic Surgery (Cardiothoracic Vascular Surgery)","714884579","2020",0.00,443342.20,"CLASS B COMMON STOCK","Applied Medical Corporation","100000005730","Applied Medical Corporation","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","698911","1780604298","OTTO","ORLEAN","YANG",,"200 UCLA MEDICAL PLAZA","UCLA INFECTIOUS DISEASES 365-C","LOS ANGELES","CA","90095","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Infectious Disease","714884581","2020",31560.00,231858.90,"CLASS B COMMON STOCK","Applied Medical Corporation","100000005730","Applied Medical Corporation","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","393866","1083696074","PHILIP","ORMOND","MERRITT",,"1505 WILSON TER","SUITE 200","GLENDALE","CA","91206","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Surgery","714884583","2020",0.00,13300.00,"CLASS A COMMON STOCK","Applied Medical Corporation","100000005730","Applied Medical Corporation","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","922854","1669423224","ERIN","ELIZABETH","PARSONS",,"2066 CHORRO ST",,"SAN LUIS OBISPO","CA","93401","United States",,,"Chiropractor","Allopathic & Osteopathic Physicians|Surgery","714884585","2020",0.00,1046444.00,"CLASS B COMMON STOCK","Applied Medical Corporation","100000005730","Applied Medical Corporation","CA","United States","No","Immediate family member","06/30/2023" "UNCHANGED","31969","1710196936","JOHN","D","CORBITT JR.",,"142 JOHN F KENNEDY DR",,"LAKE WORTH","FL","33462","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Surgery","714884587","2020",0.00,46550.00,"CLASS B COMMON STOCK","Applied Medical Corporation","100000005730","Applied Medical Corporation","CA","United States","No","Immediate family member","06/30/2023" "UNCHANGED","997221","1295816841","MICHAEL","ROBERT","SMILEY",,"700 CHILDRENS DR","COLUMBUS","COLUMBUS","OH","43205","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Surgery","714884589","2020",0.00,7980.00,"CLASS B COMMON STOCK","Applied Medical Corporation","100000005730","Applied Medical Corporation","CA","United States","No","Immediate family member","06/30/2023" "UNCHANGED","6991","1164650974","RYAN","L.","BAKER",,"315 75TH ST W",,"BRADENTON","FL","34209","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Surgery","714884591","2020",0.00,5985.00,"CLASS B COMMON STOCK","Applied Medical Corporation","100000005730","Applied Medical Corporation","CA","United States","No","Immediate family member","06/30/2023" "UNCHANGED","312675","1902822638","LAWRENCE","E","LYKINS",,"1240 JESSE JEWELL PKWY SE","SUITE 200","GAINESVILLE","GA","30501","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Surgery","714884593","2020",0.00,11970.00,"CLASS B COMMON STOCK","Applied Medical Corporation","100000005730","Applied Medical Corporation","CA","United States","No","Immediate family member","06/30/2023" "UNCHANGED","1029969","1417061359","ARNOLD","JERALD","JACKSON",,"4 MEDICAL BLVD",,"HATTIESBURG","MS","39401","United States",,,"Doctor of Osteopathy","Allopathic & Osteopathic Physicians|Surgery","714884595","2020",0.00,81795.00,"CLASS B COMMON STOCK","Applied Medical Corporation","100000005730","Applied Medical Corporation","CA","United States","No","Immediate family member","06/30/2023" "UNCHANGED","173291","1811957038","David",,"Weinberg",,"2550 UNIVERSITY AVE W SUITE 423 SOUTH",,"St. Paul","MN","55114","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Gastroenterology","709230925","2020",3572.38,0.00,"Stock ownership","Vertebral Technologies, Inc.","100000010827","Vertebral Technologies, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","216258","1770500209","Neill",,"Wright",,"4921 Parkview Pl Ste 6A/6B",,"St. Louis","MO","63110","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","709230927","2020",10900.48,200.00,"Stock ownership","Vertebral Technologies, Inc.","100000010827","Vertebral Technologies, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","223801","1952305757","Kurt",,"Zimmerman",,"7600 FRANCE AVE S STE 5100",,"Edina","MN","55435","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Rheumatology","709230931","2020",56.36,0.00,"Stock ownership","Vertebral Technologies, Inc.","100000010827","Vertebral Technologies, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","205439","1548264344","David",,"Zoschke",,"7250 FRANCE AVE S STE 215",,"Edina","MN","55435","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Rheumatology","709230935","2020",8.45,0.00,"Stock ownership","Vertebral Technologies, Inc.","100000010827","Vertebral Technologies, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","285463","1285638163","Paul",,"Waytz",,"7600 France Ave S Ste 5100",,"Edina","MN","55435","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Rheumatology","709230939","2020",56.36,0.00,"Stock ownership","Vertebral Technologies, Inc.","100000010827","Vertebral Technologies, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","302386","1669428538","Jeffrey",,"Visotsky",,"9000 Waukegan Rd Suite 200",,"Morton Grove","IL","60053","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Hand Surgery","709230943","2020",440.41,0.00,"Stock ownership","Vertebral Technologies, Inc.","100000010827","Vertebral Technologies, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","253436","1588615819","Mark",,"Visk",,"303 E. Wood St",,"Spartanburg","SC","29303","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","709230947","2020",56.36,0.00,"Stock ownership","Vertebral Technologies, Inc.","100000010827","Vertebral Technologies, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","69631","1538246467","Jeffrey",,"Urman",,"1880 Hamilton Ave",,"Palo Alto","CA","94303","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine","709230951","2020",154.99,0.00,"Stock ownership","Vertebral Technologies, Inc.","100000010827","Vertebral Technologies, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","676905","1003864901","David",,"Trotter",,"1585 Barrington Rd Suite 101",,"Hoffman Estates","IL","60169","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","709230955","2020",1800.59,0.00,"Stock ownership","Vertebral Technologies, Inc.","100000010827","Vertebral Technologies, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","188032","1154316784","David",,"Lange",,"12855 North Forty Drive Suite 125, North Tower",,"Saint Louis","MO","63141","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","709230959","2020",4000.00,0.00,"Stock ownership","Vertebral Technologies, Inc.","100000010827","Vertebral Technologies, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1181172","1730129503","M. Thomas",,"Stillman",,"701 Park Ave R7",,"Minneapolis","MN","55415","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Rheumatology","709230963","2020",28.18,0.00,"Stock ownership","Vertebral Technologies, Inc.","100000010827","Vertebral Technologies, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","101877","1235190240","Krishn",,"Sharma",,"4 Westchester Park Dr Fl 4",,"White Plains","NY","10604","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","709230967","2020",525.00,0.00,"Stock ownership","Vertebral Technologies, Inc.","100000010827","Vertebral Technologies, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","168711","1720087943","Michael",,"Shapiro",,"36 Lincoln Ave",,"Rockville Centre","NY","11570","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","709230971","2020",66.06,0.00,"Stock ownership","Vertebral Technologies, Inc.","100000010827","Vertebral Technologies, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","146666","1215938402","Alpesh",,"Shah",,"36 Lincoln Ave",,"Rockville Centre","NY","11570","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Sports Medicine","709230973","2020",66.06,0.00,"Stock ownership","Vertebral Technologies, Inc.","100000010827","Vertebral Technologies, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","190473","1194738542","Richard",,"Schmidt",,"4010 W 65th St",,"Edina","MN","55435","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","709230977","2020",28.18,0.00,"Stock ownership","Vertebral Technologies, Inc.","100000010827","Vertebral Technologies, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","249021","1497756944","Jennifer",,"McCullen",,"8340 Lakewood Ranch Blvd","Suite 240","Bradenton","FL","34202","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717764953","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","188960","1164454781","Jeremy",,"Singer",,"3498 Nw Federal Hwy",,"Jensen Beach","FL","34957","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717764957","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","235458","1194760603","Jill",,"Delker",,"724 NW 43rd Street",,"Gainesville","FL","32607","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717764961","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","30074","1659454478","Joanne",,"Richards",,"1150 North 35th Ave","Suite 405","Hollywood","FL","33021","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717764965","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","385284","1770892184","John",,"Hansill",,"513 Manatee Ave E",,"Bradenton","FL","34208","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717765127","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","665844","1619993482","John",,"Orrego",,"2714 Rew Circle",,"Ocoee","FL","34761","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717765135","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","237033","1225075955","John",,"Parker",,"785 Primera Blvd","Suite 1031","Lake Mary","FL","32746","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717765633","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","47471","1053596874","Jonathan",,"Ralph",,"333 NW 70th Ave","Suite 120","Plantation","FL","33317","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717765637","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","999066","1326272691","RORY","T","ALLAR",,"427 S BERNARD ST",,"SPOKANE","WA","99204","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311083","2020",0.00,1381.53,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","307851","1790744860","DONALD","U","STONE",,"427 S BERNARD ST",,"SPOKANE","WA","99204","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311085","2020",0.00,1381.53,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","23213","1528066594","STEVEN","E","DAY",,"427 S BERNARD ST",,"SPOKANE","WA","99204","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311087","2020",0.00,1381.53,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","936732","1144228982","JENNIFER","J","KERNS",,"427 S BERNARD ST",,"SPOKANE","WA","99204","United States",,,"Medical Doctor","Eye and Vision Services Providers|Optometrist","714311089","2020",0.00,353.11,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","970529","1326037532","KELLY","M","MOFFATT",,"427 S BERNARD ST",,"SPOKANE","WA","99204","United States",,,"Medical Doctor","Eye and Vision Services Providers|Optometrist","714311091","2020",0.00,353.11,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","929781","1902800493","RAMANA",,"MOORTHY",,"10585 N MERIDIAN ST","STE 100","INDIANAPOLIS","IN","46290","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology|Retina Specialist","714311093","2020",0.00,50000.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","467009","1639173131","RODNEY",,"BUCHER",,"10585 N MERIDIAN ST","STE 100","INDIANAPOLIS","IN","46290","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology|Retina Specialist","714311095","2020",0.00,25000.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","296053","1518910280","JOHN",,"NIFFENEGGER",,"3920 BEE RIDGE RD","BLDG D","SARASOTA","FL","34233","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311097","2020",0.00,12500.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","279274","1164468211","KEYE",,"WONG",,"3920 BEE RIDGE RD","BLDG D","SARASOTA","FL","34233","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311099","2020",0.00,12500.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","441636","1750328241","ABRAHAM","S","MITIAS",,"331 LAIDLEY ST","SUITE 301","CHARLESTON","WV","25301","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology|Retina Specialist","714311101","2020",0.00,5000.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","260153","1740284579","DAVID","J","HUNT",,"331 LAIDLEY ST","SUITE 301","CHARLESTON","WV","25301","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology|Retina Specialist","714311103","2020",0.00,5000.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1055735","1316941297","RICHARD","MARK","HATFIELD",,"331 LAIDLEY ST","SUITE 301","CHARLESTON","WV","25301","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311105","2020",0.00,5000.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","975404","1497759229","ROBERT","F","DUNDERVILL",,"331 LAIDLEY ST","SUITE 301","CHARLESTON","WV","25301","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology|Retina Specialist","714311107","2020",0.00,5000.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","122580","1710180534","SCOTT","C","JAMERSON",,"331 LAIDLEY ST","SUITE 301","CHARLESTON","WV","25301","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311109","2020",0.00,5000.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","357689","1881661585","JOHN",,"MYERS",,"5150 N DAVIS HWY",,"PENSACOLA","FL","32503","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311111","2020",0.00,49999.99,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","38051","1851368559","MAGDALENA","F","SHULER",,"5150 N DAVIS HWY",,"PENSACOLA","FL","32503","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311113","2020",0.00,49999.99,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","48440","1063489383","SUNIL",,"GUPTA",,"5150 N DAVIS HWY",,"PENSACOLA","FL","32503","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311115","2020",0.00,49999.99,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","202887","1467557041","Jeff","A.","Traub","MD","2801 N Decatur Rd Suite 200",,"Decatur","GA","30033","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","714884699","2020",0.00,358794.00,"No Terms","AMDT Holdings, Inc.","100000291828","AMDT Holdings, Inc.","TN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","40834","1891743241","Paul","W.","Hutchison",,"8959 Jenna Road",,"Germantown","TN","38138-8436","United States",,,"Doctor of Podiatric Medicine","Podiatric Medicine & Surgery Service Providers|Podiatrist|Foot & Ankle Surgery","714884707","2020",0.00,117505.00,"No terms","AMDT Holdings, Inc.","100000291828","AMDT Holdings, Inc.","TN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","447385","1942443692","William","W.","Brooks",,"3708 Northside Dr",,"Macon","GA","31210-2404","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Family Medicine","714884715","2020",0.00,159493.00,"No terms","AMDT Holdings, Inc.","100000291828","AMDT Holdings, Inc.","TN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","207469","1588678130","James","C","Wang",,"9827 Vicar Street",,"Los Angeles","CA","90034","United States",,,"Doctor of Podiatric Medicine","Podiatric Medicine & Surgery Service Providers|Podiatrist|Primary Podiatric Medicine","714884719","2020",0.00,20.00,"No terms","AMDT Holdings, Inc.","100000291828","AMDT Holdings, Inc.","TN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","4221100","1609288638","Naren",,"Patel",,"7482 Center Street, Suite 100",,"Mentor","OH","44060","United States",,,"Doctor of Podiatric Medicine","Podiatric Medicine & Surgery Service Providers|Podiatrist","714884723","2020",0.00,25000.00,"No terms.","AMDT Holdings, Inc.","100000291828","AMDT Holdings, Inc.","TN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","236428","1205892684","Guido",,"LaPorta",,"214 Grouse Hill Road",,"Abbington","PA","18414","United States",,,"Doctor of Podiatric Medicine","Podiatric Medicine & Surgery Service Providers|Podiatrist","714888673","2020",0.00,20.00,"No terms","AMDT Holdings, Inc.","100000291828","AMDT Holdings, Inc.","TN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","876038","1023077278","Stephen",,"Frania","DPM","9825 Rosewood Drive",,"Chardon","OH","44024","United States",,,"Doctor of Podiatric Medicine","Podiatric Medicine & Surgery Service Providers|Podiatrist","714888679","2020",0.00,30000.00,"No terms","AMDT Holdings, Inc.","100000291828","AMDT Holdings, Inc.","TN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","870135","1811939036","Scott","Lawrence","Barry",,"9020 SW WASHINGTON SQUARE RD #570",,"Tigard","OR","97223","United States",,,"Doctor of Dentistry","Dental Providers|Dentist|Endodontics","714912563","2020",0.00,15450.00,"Stock options","Sonendo Inc","100000081402","Sonendo Inc","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","417512","1891959060","L. STEHEN",,"BUCHANAN",,"1515 STATE ST STE 7",,"SANTA BARBARA","CA","93101-2536","United States",,,"Doctor of Dentistry","Dental Providers|Dentist|Endodontics","714914445","2020",0.00,61800.00,"Stock options","Sonendo Inc","100000081402","Sonendo Inc","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","499459","1770885378","AHMAD",,"FAHID",,"436 N BEDFORD DR STE 208",,"Beverly Hills","CA","90210","United States",,,"Doctor of Dentistry","Dental Providers|Dentist|Endodontics","714914447","2020",0.00,30900.00,"Stock Options","Sonendo Inc","100000081402","Sonendo Inc","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","885632","1356548358","FARSHID","Sean","FAHID",,"436 N BEDFORD DR STE 208",,"Beverly Hills","CA","90210","United States",,,"Doctor of Dentistry","Dental Providers|Dentist|Endodontics","714914451","2020",0.00,30900.00,"Stock Options","Sonendo Inc","100000081402","Sonendo Inc","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1910","1033138326","Randy","William","Garland",,"1011 DEVONSHIRE DR SUITE G",,"ENCINITAS","CA","92024","United States",,,"Doctor of Dentistry","Dental Providers|Dentist|Endodontics","714914453","2020",0.00,30900.00,"Stock Options","Sonendo Inc","100000081402","Sonendo Inc","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","262486","1780850289","Gerald","N","Glickman",,"8335 WALNUT HILL LN #125",,"Dallas","TX","75231","United States",,,"Doctor of Dentistry","Dental Providers|Dentist|Endodontics","714914467","2020",2734.26,4245.66,"Stock options","Sonendo Inc","100000081402","Sonendo Inc","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","262486","1780850289","Gerald","N","Glickman",,"8335 WALNUT HILL LN #125",,"Dallas","TX","75231","United States",,,"Doctor of Dentistry","Dental Providers|Dentist|Endodontics","714914471","2020",0.00,37080.00,"Stock options","Sonendo Inc","100000081402","Sonendo Inc","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","906662","1093809113","LARS","BJORN","JONSSON",,"25261 PASEO DE VALENCIA SUITE 3",,"LAGUNA HILLS","CA","92637","United States",,,"Doctor of Dentistry","Dental Providers|Dentist|Endodontics","714914475","2020",0.00,5147.94,"Stock options","Sonendo Inc","100000081402","Sonendo Inc","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","602000","1396839494","STEVEN","NORMAN","MCNICHOLAS",,"25261 PASEO DE VALENCIA SUITE 3",,"LAGUNA HILLS","CA","92637","United States",,,"Doctor of Dentistry","Dental Providers|Dentist|Endodontics","714914485","2020",0.00,5147.94,"Stock Options","Sonendo Inc","100000081402","Sonendo Inc","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","142810","1144223090","Arnold",,"Schwartz",,"206 East Jericho Turnpike",,"Huntington Station","NY","11746","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","709230981","2020",465126.86,3517.54,"Stock ownership","Vertebral Technologies, Inc.","100000010827","Vertebral Technologies, Inc.","MN","United States","No","Immediate family member","06/30/2023" "UNCHANGED","142810","1144223090","Arnold",,"Schwartz",,"206 East Jericho Turnpike",,"Huntington Station","NY","11746","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","709230985","2020",1793790.14,19865.54,"Stock ownership","Vertebral Technologies, Inc.","100000010827","Vertebral Technologies, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","315487","1962446765","Paul",,"Asdourian",,"3333 North Calvert Street, Suite 400",,"Baltimore","MD","21218","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","709230991","2020",56052.10,0.00,"Stock ownership","Vertebral Technologies, Inc.","100000010827","Vertebral Technologies, Inc.","MN","United States","No","Immediate family member","06/30/2023" "UNCHANGED","315487","1962446765","Paul",,"Asdourian",,"3333 North Calvert Street, Suite 400",,"Baltimore","MD","21218","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","709230995","2020",736733.74,7833.52,"Stock ownership","Vertebral Technologies, Inc.","100000010827","Vertebral Technologies, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","155961","1457305823","William",,"Arnold",,"4709 Golf Road, Suite 1200",,"Skokie","IL","60076","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Rheumatology","709231007","2020",101.42,0.00,"Stock ownership","Vertebral Technologies, Inc.","100000010827","Vertebral Technologies, Inc.","MN","United States","No","Immediate family member","06/30/2023" "UNCHANGED","155961","1457305823","William",,"Arnold",,"4709 Golf Road, Suite 1200",,"Skokie","IL","60076","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Rheumatology","709231009","2020",189927.13,1344.49,"Stock ownership","Vertebral Technologies, Inc.","100000010827","Vertebral Technologies, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","200487","1437172236","Douglas",,"Becker",,"825 S 8th St Suite 550",,"Minneapolis","MN","55404","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","709231011","2020",140.90,0.00,"Stock ownership","Vertebral Technologies, Inc.","100000010827","Vertebral Technologies, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","201362","1457310542","Jack",,"Bert",,"5829 Woodlane Bay",,"Woodbury","MN","55129","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","709231013","2020",154.99,0.00,"Stock ownership","Vertebral Technologies, Inc.","100000010827","Vertebral Technologies, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","197104","1356453500","Arthur",,"Bobrove",,"795 El Camino Real",,"Palo Alto","CA","94301","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Rheumatology","709231015","2020",28.18,0.00,"Stock ownership","Vertebral Technologies, Inc.","100000010827","Vertebral Technologies, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","156014","1457309809","Daniel",,"Buss",,"8100 W 78th St Suite 225",,"Edina","MN","55439","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","709231017","2020",281.80,0.00,"Stock ownership","Vertebral Technologies, Inc.","100000010827","Vertebral Technologies, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","682587","1205888385","Jesse",,"Butler",,"10 Doctors Park",,"Gibson City","IL","60936-2004","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","709231055","2020",101603.47,2000.00,"Stock ownership","Vertebral Technologies, Inc.","100000010827","Vertebral Technologies, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","281527","1215924329","Gregory",,"Carlson",,"1120 W La Veta Avenue Suite 300",,"Orange","CA","92868","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","709231057","2020",101004.85,2000.00,"Stock ownership","Vertebral Technologies, Inc.","100000010827","Vertebral Technologies, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","264835","1831127232","Robert",,"Daley",,"951 Essington Rd",,"Joliet","IL","60435","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","709231059","2020",110.10,0.00,"Stock ownership","Vertebral Technologies, Inc.","100000010827","Vertebral Technologies, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","227611","1023087376","Peter",,"Daly",,"17 Exchange St W Suite 307",,"Saint Paul","MN","55102","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","709231061","2020",56.36,0.00,"Stock ownership","Vertebral Technologies, Inc.","100000010827","Vertebral Technologies, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","383385","1700812864","William",,"DeCesare",,"2116 Craig Rd",,"Eau Claire","WI","54701","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","709231063","2020",56.36,0.00,"Stock ownership","Vertebral Technologies, Inc.","100000010827","Vertebral Technologies, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","185823","1104826403","Jorge",,"Alvarez",,"8340 Lakewood Ranch Blvd","Suite 240","Bradenton","FL","34202","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717765641","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1245937","1013178169","Jose",,"Nodarse",,"1495 Forest Hill Blvd","Suite D","West Palm Beach","FL","33406","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717765645","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","772024","1366407819","Joseph",,"Iobst",,"6440 W Newberry Rd","Suite 111","Gainesville","FL","32605","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717765647","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","187933","1154311397","Juan",,"Reinoso",,"2400 N Orange Blossom Tr","Suite 300","Kissimmee","FL","34744","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717765649","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","342303","1538152152","Julian",,"Suhrer",,"3627 University Blvd","Suite 340","Jacksonville","FL","32216","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717765653","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","26018","1568544435","Juliette",,"Lomax-Homier",,"1304 N Lawnwood Circle",,"Fort Pierce","FL","34950","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717765655","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","212496","1699793042","Julio",,"Arronte",,"8200 SW 117th Avenue","Suite 304","Miami","FL","33183","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717765695","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","356508","1841291903","KUMAR","P","DALLA",,"530 N Lorraine St Ste 200",,"Wichita","KS","67214","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311117","2020",0.00,16666.67,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","640491","1730180886","MICHAEL","P","VARENHORST",,"530 N Lorraine St Ste 200",,"Wichita","KS","67214","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311119","2020",0.00,16666.67,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","296260","1548261696","PAUL","D","WEISHAAR",,"530 N Lorraine St Ste 200",,"Wichita","KS","67214","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311121","2020",0.00,16666.67,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","468120","1679684237","JOHN",,"DENNY",,"4414 LAKE BOONE TRL","SUITE 302","RALEIGH","NC","27607","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology|Retina Specialist","714311123","2020",0.00,25000.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","93584","1073659769","JOHN",,"THORDSEN",,"4414 LAKE BOONE TRL","SUITE 302","RALEIGH","NC","27607","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311125","2020",0.00,25000.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","218015","1821014440","RAYNOR",,"CASEY",,"4414 LAKE BOONE TRL","SUITE 302","RALEIGH","NC","27607","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311127","2020",0.00,25000.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","318427","1023221199","SACHIN",,"MUDVARI",,"4414 LAKE BOONE TRL","SUITE 302","RALEIGH","NC","27607","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311129","2020",0.00,25000.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","79644","1750363396","MOHIT",,"NANDA",,"600 PETER JEFFERSON PKWY","SUITE 350","CHARLOTTESVILLE","VA","22911","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology|Retina Specialist","714311131","2020",0.00,25000.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","274903","1053307272","BRYAN","K","RUTLEDGE",,"200 Greenfield Pkwy",,"Liverpool","NY","13088","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311133","2020",0.00,12500.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","147353","1235242124","JAMIN","S","BROWN",,"200 Greenfield Pkwy",,"Liverpool","NY","13088","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311135","2020",0.00,12500.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","185316","1073710737","RAJEEV","K","SETH",,"200 Greenfield Pkwy",,"Liverpool","NY","13088","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311137","2020",0.00,12500.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","15600","1356337562","SAMUEL","C","SPALDING",,"200 Greenfield Pkwy",,"Liverpool","NY","13088","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311139","2020",0.00,12500.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","130978","1902809262","DAVID",,"METRIKIN",,"1700 CURIE DR","SUITE 3800","EL PASO","TX","79902","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311141","2020",0.00,12500.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","195142","1295837466","DINESH",,"BAHL",,"1700 CURIE DR","SUITE 3800","EL PASO","TX","79902","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311143","2020",0.00,12500.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","263652","1821091182","GREGORY",,"TRUBOWITSCH",,"1700 CURIE DR","SUITE 3800","EL PASO","TX","79902","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311145","2020",0.00,12500.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","358130","1902809247","JEREMY",,"CUTHBERTSON",,"1700 CURIE DR","SUITE 3800","EL PASO","TX","79902","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311147","2020",0.00,12500.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","98082","1164401741","BRIAN",,"CONNOLLY",,"160 SAWGRASS DR","SUITE 200","ROCHESTER","NY","14620","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311149","2020",0.00,8333.33,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","121449","1679662126","JAMES","A","SMITH","JR","1500 20TH ST S",,"BIRMINGHAM","AL","35205","United States",,,"Doctor of Dentistry","Dental Providers|Dentist|Endodontics","714914491","2020",0.00,18540.00,"Stock options","Sonendo Inc","100000081402","Sonendo Inc","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","394373","1104080928","KRISTIAN",,"TJON",,"1401 N TUSTIN AVE SUITE 345",,"SANTA ANA","CA","92705","United States",,,"Doctor of Dentistry","Dental Providers|Dentist","714914497","2020",0.00,6180.00,"Stock options","Sonendo Inc","100000081402","Sonendo Inc","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","678605","1063533917","MANDANA",,"ZIAI",,"39 CEDARBROOK",,"IRVINE","CA","92620","United States",,,"Doctor of Dentistry","Dental Providers|Dentist|General Practice","714914505","2020",0.00,24720.00,"Stock options","Sonendo Inc","100000081402","Sonendo Inc","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","52496","1164421673","Frank",,"Jackson",,"423 N 21st Street - Ste 102",,"Camp Hill","PA","17011","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Gastroenterology","717207619","2020",5038054.00,5038054.00,"Minority interest ownership.","GI Supply, Inc.","100000076364","GI Supply, Inc.","PA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","492066","1518960970","Steven",,"Brooks",,"1838 Greene Tree Rd Ste 535",,"Baltimore","MD","21208","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Cardiovascular Disease","717214387","2020",170.00,170.00,"Common Stock with 48-Month Vesting","Visant Medical, Inc.","100000316820","Visant Medical, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","326536","1184715187","John","P","Fezza",,"1360 E Venice Ave",,"Venice","FL","34285","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Cardiovascular Disease","717214395","2020",15000.00,15000.00,"Common Stock","Visant Medical, Inc.","100000316820","Visant Medical, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","157461","1477644334","Neil",,"Friedman",,"900 Welch Road Ste 402",,"Palo Alto","CA","94304","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","717234485","2020",51.00,51.00,"Stock Options with 48-month vesting","Visant Medical, Inc.","100000316820","Visant Medical, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","933511","1023285988","Preeya",,"Gupta",,"2351 Erwin Rd # DUMC3802",,"Durham","NC","27705","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","717234491","2020",34.00,34.00,"Stock Options with 48-Month Vesting","Visant Medical, Inc.","100000316820","Visant Medical, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","33129","1740275908","Richard",,"Lindstrom",,"9801 Dupont Ave S Ste 200",,"Bloomington","MN","55431","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","717234499","2020",34.00,34.00,"Stock Options with 48-Month Vesting","Visant Medical, Inc.","100000316820","Visant Medical, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","73016","1619910569","Paul",,"Karpecki",,"601 Perimeter Dr Ste 200",,"Lexington","KY","40517","United States",,,"Doctor of Optometry","Eye and Vision Services Providers|Optometrist","717234503","2020",85.00,85.00,"Stock Options with 48-Month Vesting","Visant Medical, Inc.","100000316820","Visant Medical, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","54780","1205834439","Mark",,"Packer",,"1400 Bluebell Ave",,"Boulder","CO","80302","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","717234505","2020",1564.00,1564.00,"Stock Options with 48-Month Vesting","Visant Medical, Inc.","100000316820","Visant Medical, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","335201","1376755009","Laura",,"Periman",,"16150 NE 85th St Ste 206",,"Redmond","WA","98052","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","717234507","2020",34.00,34.00,"Stock Options with 48-Month Vesting","Visant Medical, Inc.","100000316820","Visant Medical, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","139127","1073519989","Vance",,"Thompson",,"3101 W 57th St",,"Sioux Falls","SD","57108","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","717234509","2020",34.00,34.00,"Stock Options with 48-Month Vesting","Visant Medical, Inc.","100000316820","Visant Medical, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","40739","1891771440","TIM",,"FISCHELL",,"1722 SHAFFER ST","SUITE 1","KALAMAZOO","MI","49048","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Interventional Cardiology","717544275","2020",0.00,650.00,"Restricted Stock","NeuroPace, Inc.","100000010697","NeuroPace, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","40739","1891771440","TIM",,"FISCHELL",,"1722 SHAFFER ST","SUITE 1","KALAMAZOO","MI","49048","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Interventional Cardiology","717544281","2020",0.00,3725.00,"Restricted Stock","NeuroPace, Inc.","100000010697","NeuroPace, Inc.","CA","United States","No","Immediate family member","06/30/2023" "UNCHANGED","235017","1174688980","Martha",,"Morrell",,"455 N BERNARDO AVE",,"MOUNTAIN VIEW","CA","94043","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Psychiatry & Neurology|Neurology","717544285","2020",0.00,120.00,"Restricted Stock","NeuroPace, Inc.","100000010697","NeuroPace, Inc.","CA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","356609","1841268976","John",,"Dowdle",,"2090 Woodwinds Dr Ste 100",,"Woodbury","MN","55125","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","709231065","2020",56.36,0.00,"Stock ownership","Vertebral Technologies, Inc.","100000010827","Vertebral Technologies, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","296969","1558360081","John",,"Feder",,"36 Lincoln Ave",,"Rockville","NY","11570","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Foot and Ankle Surgery","709231067","2020",66.06,0.00,"Stock ownership","Vertebral Technologies, Inc.","100000010827","Vertebral Technologies, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","2775107","1508315789","Jeffrey",,"Felt",,"1000 E 1st St Ste 203",,"Duluth","MN","55805","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Rheumatology","709231069","2020",94406.58,0.00,"Stock ownership","Vertebral Technologies, Inc.","100000010827","Vertebral Technologies, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","2775107","1508315789","Jeffrey",,"Felt",,"1000 E 1st St Ste 203",,"Duluth","MN","55805","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Rheumatology","709231071","2020",41543.02,0.00,"Stock ownership","Vertebral Technologies, Inc.","100000010827","Vertebral Technologies, Inc.","MN","United States","No","Immediate family member","06/30/2023" "UNCHANGED","54568","1215904842","Richard",,"Gentzler",,"171 Ashley Ave",,"Charleston","SC","29425","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Cardiovascular Disease","709231073","2020",28.18,0.00,"Stock ownership","Vertebral Technologies, Inc.","100000010827","Vertebral Technologies, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","632995","1477507127","Wayne",,"Goldstein",,"9000 Waukegan Rd Suite 200",,"Morton Grove","IL","60053","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","709231075","2020",93.93,0.00,"Stock ownership","Vertebral Technologies, Inc.","100000010827","Vertebral Technologies, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","86110","1891794780","David",,"Griffin",,"1285 36th St, Suite 100",,"Vero Beach","FL","32960","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","709231077","2020",1090.72,0.00,"Stock ownership","Vertebral Technologies, Inc.","100000010827","Vertebral Technologies, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1751","1033271697","Jason",,"Hammond",,"3333 N Calvert St Suite 400",,"Baltimore","MD","21218","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Sports Medicine","709231079","2020",111214.20,0.00,"Stock ownership","Vertebral Technologies, Inc.","100000010827","Vertebral Technologies, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","3224","1063477131","Kenneth",,"Heithoff",,"5775 Wayzata Blvd, Suite 190",,"St. Louis Park","MN","55416","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Radiology|Diagnostic Radiology","709231081","2020",281.80,0.00,"Stock ownership","Vertebral Technologies, Inc.","100000010827","Vertebral Technologies, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","170352","1760436794","Peter",,"Jensen",,"919 Northland Dr",,"Princeton","MN","55371","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Family Medicine","709231083","2020",12373.90,0.00,"Stock ownership","Vertebral Technologies, Inc.","100000010827","Vertebral Technologies, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","346898","1659330181","Paul",,"Killian",,"2580 Haymaker Rd Suite 302",,"Monroeville","PA","15146","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Rheumatology","709231085","2020",70.45,0.00,"Stock ownership","Vertebral Technologies, Inc.","100000010827","Vertebral Technologies, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","247948","1457379976","Howard",,"Konowitz",,"2750 S River Rd",,"Des Plaines","IL","60018","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Anesthesiology","709231115","2020",588.72,0.00,"Stock ownership","Vertebral Technologies, Inc.","100000010827","Vertebral Technologies, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","360732","1942209507","Craig",,"Levitz",,"36 Lincoln Ave",,"Rockville Centre","NY","11570","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Sports Medicine","709231117","2020",66.06,0.00,"Stock ownership","Vertebral Technologies, Inc.","100000010827","Vertebral Technologies, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","239964","1285633719","Gregory",,"Lieberman",,"36 Lincoln Avenue",,"Rockville Centre","NY","11570","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Sports Medicine","709231119","2020",66.06,0.00,"Stock ownership","Vertebral Technologies, Inc.","100000010827","Vertebral Technologies, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","281897","1205943255","Scott",,"McGarvey",,"7373 France Ave S Suite 312",,"Edina","MN","55435","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","709231123","2020",70.45,0.00,"Stock ownership","Vertebral Technologies, Inc.","100000010827","Vertebral Technologies, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","353317","1790774420","Justo",,"Maqueira",,"103 East 23rd Street",,"Panama City","FL","32405","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717765707","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","227687","1013981406","Karen",,"Harris",,"6440 W. Newberry Road","Suite 508","Gainesville","FL","32605","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717765709","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","159526","1528255379","Karen",,"Matta-Toomey",,"513 Manatee Ave E",,"Bradenton","FL","34208","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717765949","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1262503","1619051075","Kathy",,"Jones",,"2501 North Orange Ave","Suite 309","Orlando","FL","32804","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology|Female Pelvic Medicine and Reconstructive Surgery","717765953","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","85652","1891971552","Kelly",,"Chamberlain",,"724 NW 43rd Street",,"Gainesville","FL","32607","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717765961","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","6483","1154309771","Kenneth",,"Konsker",,"1601 Clint Moore Road","Suite 210","Boca Raton","FL","33487","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717765987","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","356633","1841299625","Kenneth",,"Sekine",,"11945 San Jose Blvd","Suite 400","Jacksonville","FL","32207","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717765989","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","269114","1922029503","EDWARD",,"HALL",,"160 SAWGRASS DR","SUITE 200","ROCHESTER","NY","14620","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311151","2020",0.00,8333.33,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","143448","1174502652","STEVEN",,"ROSE",,"160 SAWGRASS DR","SUITE 200","ROCHESTER","NY","14620","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311153","2020",0.00,8333.33,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","196708","1336124015","JOHN",,"MASON",,"700 18TH ST S","SUITE 707","BIRMINGHAM","AL","35233","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311155","2020",0.00,6250.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","896347","1730165325","MICHAEL",,"ALBERT",,"700 18TH ST S","SUITE 707","BIRMINGHAM","AL","35233","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311157","2020",0.00,6250.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","736917","1114903556","RICHARD",,"FEIST",,"700 18TH ST S","SUITE 707","BIRMINGHAM","AL","35233","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311159","2020",0.00,6250.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1373464","1558536169","JASON",,"CROSSON",,"700 18TH ST S","SUITE 707","BIRMINGHAM","AL","35233","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311161","2020",0.00,6250.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","26988","1609078427","LAWRENCE","Y","HO",,"220 GRANDVIEW AVE","STE 200","CAMP HILL","PA","17011","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311163","2020",0.00,33333.33,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","639908","1710972310","MICHAEL","J","BANACH",,"220 GRANDVIEW AVE","STE. 200","CAMP HILL","PA","17011","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311165","2020",0.00,33333.33,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","123606","1720063688","STEVEN","N","TRUONG",,"220 GRANDVIEW AVE","STE 200","CAMP HILL","PA","17011","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311167","2020",0.00,33333.33,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","273827","1043210750","DAVID",,"ORTH",,"71 W 156TH ST","STE 400","HARVEY","IL","60426","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311169","2020",0.00,49987.31,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","191054","1205836947","JACK",,"COHEN",,"71 W 156TH ST","STE 400","HARVEY","IL","60426","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311171","2020",0.00,20000.92,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","828180","1336149053","JOSEPH",,"CIVANTOS",,"71 W 156TH ST","STE 400","HARVEY","IL","60426","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311173","2020",0.00,5000.23,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","205768","1538169248","KIRK",,"PACKO",,"71 W 156TH ST","STE 400","HARVEY","IL","60426","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311175","2020",0.00,50002.31,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","334134","1366428070","KOUROUS",,"REZAEI",,"71 W 156TH ST","STE 400","HARVEY","IL","60426","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311177","2020",0.00,15000.69,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","74763","1649270224","MATHEW",,"MACCUMBER",,"71 W 156TH ST","STE 400","HARVEY","IL","60426","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311179","2020",0.00,10000.46,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","508629","1104826841","PAULINE",,"MERRILL",,"71 W 156TH ST","STE 400","HARVEY","IL","60426","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311181","2020",0.00,25001.15,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1244371","1962402685","SERGE",,"DEBUSTROS",,"71 W 156TH ST","STE 400","HARVEY","IL","60426","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311183","2020",0.00,30001.39,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","40822","1891816229","Michael","Chungyaw","Chao",,"5901 East 7th Street","ENT Clinic","Long Beach","CA","90822","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Otolaryngology","717544299","2020",1000000.00,15000000.00,"Common Stock","Parsolex GMP Center, Inc.","100000010807","Parsolex GMP Center, Inc.","IN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","503714","1932181781","Debra",,"Acerenza",,"97 Thomas Johnson Drive","Suite 101","Frederick","MD","21702","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717722487","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","203585","1487743357","Samuel",,"Akman",,"100 West Road","Suite 404","Towson","MD","21204","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717722493","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","597180","1225083843","Jane",,"Allen",,"161 Fort Evans Rd NE","Suite 320","Leesburg","VA","20176","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717722541","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","269181","1912998790","Israel",,"Alter",,"10215 Fernwood Road","Suite 101","Bethesda","MD","20817","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717722549","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","729028","1831170638","Anders",,"Apgar",,"9715 Medical Center Drive","Suite 415","Rockville","MD","20850","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717722553","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","91742","1013908516","Jacqueline",,"Apgar",,"10215 Fernwood Road","Suite 101","Bethesda","MD","20817","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717722559","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","274445","1053413955","Thelma",,"Asare",,"100 West Road","Suite 404","Towson","MD","21204","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717722565","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","346783","1659315844","Stuart",,"Miller",,"3333 N Calvert St Ste 400",,"Baltimore","MD","21218","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Foot and Ankle Surgery","709231127","2020",152128.38,932.00,"Stock ownership","Vertebral Technologies, Inc.","100000010827","Vertebral Technologies, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","911752","1306842711","Richard",,"Nissen",,"8714 Lyndale Ave S",,"Minneapolis","MN","55420","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Otolaryngology|Facial Plastic Surgery","709231129","2020",186.18,0.00,"Stock ownership","Vertebral Technologies, Inc.","100000010827","Vertebral Technologies, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","319956","1053382440","George",,"Naseef",,"160 E Hanover Ave Second Floor",,"Morristown","NJ","07960","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine","709231133","2020",525.00,0.00,"Stock ownership","Vertebral Technologies, Inc.","100000010827","Vertebral Technologies, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","301727","1649290461","Lawrence",,"Nord",,"1505 Eastland Dr Suite 220",,"Bloomington","IL","61701","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","709231135","2020",101004.85,2000.00,"Stock ownership","Vertebral Technologies, Inc.","100000010827","Vertebral Technologies, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","205852","1538143516","Mark",,"Norman",,"6533 Drew Ave S",,"Edina","MN","55435","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","709231139","2020",101.44,0.00,"Stock ownership","Vertebral Technologies, Inc.","100000010827","Vertebral Technologies, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","559417","1902840713","John",,"ODonnell",,"3333 N Calvert St Ste 400",,"Baltimore","MD","21218","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","709231143","2020",456030.97,4280.00,"Stock ownership","Vertebral Technologies, Inc.","100000010827","Vertebral Technologies, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","117442","1588634117","Thomas",,"Osborn",,"200 1st ST SW",,"Rochester","MN","55905","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Rheumatology","709231145","2020",1127.20,0.00,"Stock ownership","Vertebral Technologies, Inc.","100000010827","Vertebral Technologies, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","39169","1861438517","Charles",,"Park",,"301 St. Paul Place POB # 310",,"Baltimore","MD","21202","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","709231147","2020",54003.91,540.00,"Stock ownership","Vertebral Technologies, Inc.","100000010827","Vertebral Technologies, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","278212","1134110448","Nicholas",,"Papanos",,"1875 West Dempster Street Suite 601",,"Park Ridge","IL","60068","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine","709231151","2020",10120.10,200.00,"Stock ownership","Vertebral Technologies, Inc.","100000010827","Vertebral Technologies, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","90176","1982652459","Michael",,"Purnell",,"1335 Coffee Rd #100",,"Modesto","CA","95355","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","709231163","2020",882.00,0.00,"Stock ownership","Vertebral Technologies, Inc.","100000010827","Vertebral Technologies, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","80759","1790739662","David",,"Raab",,"9000 Waukegan Rd Suite 200",,"Morton Grove","IL","60053","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","709231167","2020",111344.25,0.00,"Stock ownership","Vertebral Technologies, Inc.","100000010827","Vertebral Technologies, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","226356","1992704480","Walter",,"Rho",,"36 Lincoln Ave",,"Rockville Centre","NY","11570","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Hand Surgery","709231171","2020",66.06,0.00,"Stock ownership","Vertebral Technologies, Inc.","100000010827","Vertebral Technologies, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1178048","1629089941","Guy",,"Rudin",,"370 Del Norte Ave Ste 201",,"Yuba City","CA","95991","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","709231175","2020",129.72,0.00,"Stock ownership","Vertebral Technologies, Inc.","100000010827","Vertebral Technologies, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","246973","1447227236","Kurt",,"Schellhas",,"5775 Wayzata Blvd Ste 190",,"St Louis Park","MN","55416","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Radiology|Diagnostic Radiology","709231179","2020",140.90,0.00,"Stock ownership","Vertebral Technologies, Inc.","100000010827","Vertebral Technologies, Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","333118","1356304224","Kelvin",,"Higa",,"205 E River Park Circle","Ste 460","Fresno","CA","93720","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Surgery","709231393","2020",2500.00,700.00,"Not Publicly Traded - Common. 409a valuation 12/31/17","Endogastric Solutions, Inc","100000010963","Endogastric Solutions, Inc","WA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","134357","1952460669","Khadra",,"Osman",,"1625 SE 3rd Ave","Suite 400","Ft. Lauderdale","FL","33316","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717765997","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1165374","1174539258","Kimberly",,"Bain",,"103 East 23rd Street",,"Panama City","FL","32405","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717766001","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","254648","1619935384","Kyle",,"Garner",,"1950 Arlington Street","Suite 203","Sarasota","FL","34239","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717766009","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","241639","1336309491","Laura",,"Mccurdy",,"3498 Nw Federal Hwy",,"Jensen Beach","FL","34957","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717766031","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","101370","1245230127","Manuel",,"Delcharco",,"2801 SE 1st Ave","Suite 101","Ocala","FL","34471","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717766081","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","211019","1669624441","Maria",,"Pachori",,"1890 SW Health Pkwy","Suite 303","Naples","FL","34109","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717766093","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","297213","1558349563","Mark",,"Firestone",,"21110 Biscayne Blvd","Suite 312","Aventura","FL","33180","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717766099","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","447926","1972520559","Mark",,"Palazzolo",,"1160 Cypress Glen Circle",,"Kissimmee","FL","34741","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717766109","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","213426","1700886439","SOHAIL",,"HASAN",,"71 W 156TH ST","STE 400","HARVEY","IL","60426","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311185","2020",0.00,20000.92,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","662937","1518967223","TIMOTHY",,"FLOOD",,"71 W 156TH ST","STE 400","HARVEY","IL","60426","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology|Retina Specialist","714311187","2020",0.00,50002.31,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","294629","1487789574","VIVEK",,"CHATURVEDI",,"71 W 156TH ST","STE 400","HARVEY","IL","60426","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311189","2020",0.00,10000.46,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","135498","1992871248","ZAC",,"RAVAGE",,"71 W 156TH ST","STE 400","HARVEY","IL","60426","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311191","2020",0.00,10000.46,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","190793","1215124706","ALEX",,"KARTVELISHVILI",,"309 E CHURCH ST",,"MARSHALLTOWN","IA","50158","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311193","2020",0.00,4761.90,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","518511","1457301442","BENJAMIN","L","MASON",,"309 E CHURCH ST",,"MARSHALLTOWN","IA","50158","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311195","2020",0.00,4761.90,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","734551","1033101860","CHARLES","H","BARNES",,"309 E CHURCH ST",,"MARSHALLTOWN","IA","50158","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311197","2020",0.00,4761.90,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","480807","1124010913","DAVID","D","SAGGAU",,"309 E CHURCH ST",,"MARSHALLTOWN","IA","50158","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology|Retina Specialist","714311199","2020",0.00,4761.90,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","142803","1134414709","DEREK","P","BITNER",,"309 E CHURCH ST",,"MARSHALLTOWN","IA","50158","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311201","2020",0.00,4761.90,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","793537","1114906518","DOUGLAS","R","CASADY",,"309 E CHURCH ST",,"MARSHALLTOWN","IA","50158","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology|Ophthalmic Plastic and Reconstructive Surgery","714311203","2020",0.00,4761.90,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1310407","1922325448","GEORGE","J","PAR",,"309 E CHURCH ST",,"MARSHALLTOWN","IA","50158","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology|Retina Specialist","714311205","2020",0.00,4761.90,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","49461","1104818996","JAMES","A","DAVISON",,"309 E CHURCH ST",,"MARSHALLTOWN","IA","50158","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311207","2020",0.00,4761.90,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","156691","1467409383","JARED","S","NIELSEN",,"309 E CHURCH ST",,"MARSHALLTOWN","IA","50158","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311209","2020",0.00,4761.90,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","964206","1104818939","JOHN","R","TRIBLE",,"309 E CHURCH ST",,"MARSHALLTOWN","IA","50158","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology|Glaucoma Specialist","714311211","2020",0.00,4761.90,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","110944","1437360351","KYLE","J","ALLIMAN",,"309 E CHURCH ST",,"MARSHALLTOWN","IA","50158","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311213","2020",0.00,4761.90,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","861028","1497747299","LOUIS","J","SCALLON",,"309 E CHURCH ST",,"MARSHALLTOWN","IA","50158","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311215","2020",0.00,4761.90,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","731605","1922216621","MATTHEW","P","RAUEN",,"309 E CHURCH ST",,"MARSHALLTOWN","IA","50158","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311217","2020",0.00,4761.90,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1292701","1457385205","Eric",,"Ashkin",,"2301 Research Blvd","Suite 210","Rockville","MD","20850","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717722573","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1046498","1992875116","Bandhana",,"Bajaj",,"2141 K Street NW","Suite 808","Washington","DC","20037","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717725501","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","218307","1811978935","Darryn",,"Band",,"10313 Georgia Avenue","Suite 202","Silver Spring","MD","20902","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717726921","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","305964","1730161522","Jessica",,"Berger-Weiss",,"10801 Lockwood Drive","Suite 320","Silver Spring","MD","20901","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717726925","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","432746","1437239613","David",,"Berry",,"3023 Hamaker Court","Suite 210A","Fairfax","VA","22031","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717726929","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","282043","1205819984","Leonard",,"Bienkowski",,"61 Thomas Johnson Dr",,"Frederick","MD","21702","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717726937","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","185178","1093739039","Kenneth",,"Blank",,"2141 K Street NW","Suite 808","Washington","DC","20037","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717727291","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","270405","1952346157","Spencer",,"Holover",,"3003 New Hyde Park Rd","Ste 307","New Hyde Park","NY","11042","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Surgery","709231395","2020",24999.69,1747.00,"Not Publicly Traded - Preferred. 409a valuation 12/31/17","Endogastric Solutions, Inc","100000010963","Endogastric Solutions, Inc","WA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","4927","1093743320","Shawn",,"Garber",,"3003 New Hyde Park Rd","Ste 307","New Hyde Park","NY","11042","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Surgery","709231397","2020",99998.74,6988.00,"Not Publicly Traded - Preferred. 409a valuation 12/31/17","Endogastric Solutions, Inc","100000010963","Endogastric Solutions, Inc","WA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","706618","1043266810","Christopher",,"Lee","MD","12218 S Sherman Rd",,"Spokane","WA","99224","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Radiology|Radiation Oncology","713145059","2020",77370.00,0.00,"Company lost $32,549 this year. Assets of the company sold 12/31/2020.","Kobold, LLC","100000151554","Kobold, LLC","WA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","700357","1821084781","Robert","K","Fairbanks","MD","12218 S Sherman Rd",,"Spokane","WA","99224","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Radiology|Radiation Oncology","713145061","2020",49016.00,0.00,"Company lost $32,549 this year. Doctor's share was $9,222 and the company's assets were sold on 12/31/2020.","Kobold, LLC","100000151554","Kobold, LLC","WA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1127089","1831188036","Wayne","T","Lamoreaux","MD","12218 S Sherman Rd",,"Spokane","WA","99224","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Radiology|Radiation Oncology","713145063","2020",77370.00,0.00,"Company lost $32,549 this year. Physician lost $9,222 and the company's assets were sold on 12/31/2020.","Kobold, LLC","100000151554","Kobold, LLC","WA","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","173543","1811103831","Ali",,"Murad",,"1600 N Grand Ave",,"Pueblo","CO","81003","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Neurological Surgery","713257307","2020",0.00,617775.00,"Sole proprietorship. Ownership interest is in the form of cash (owner equity) and inventory of medical devices.","Blustone Synergy, LLC","100000281809","Blustone Synergy, LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1238213","1730392028","Alfred",,"Sommer",,"615 N. Wolfe Street","Suite E6527","Baltimore","MD","21205-2179","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","713464499","2020",111865.57,1350774.23,"Common stock owned outright that was acquired as compensation for service as member of board of directors and valued on February 3, 2020 based on trading price at close of trading","Becton, Dickinson and Company","100000005485","Becton, Dickinson and Company","NJ","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","72707","1629021571","Peter",,"Bonutti",,"1303 W. Evergreen Ave","Ste 101","Effingham","IL","62401","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","713479451","2020",42500.00,42500.00,"Royalties paid for 85% ownership","Joint Active Systems, Inc.","100000005533","Joint Active Systems, Inc.","IL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","72707","1629021571","Peter",,"Bonutti",,"1303 W. Evergreen Ave","STE 101","Effingham","IL","62401","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","713479505","2020",7500.00,7500.00,"Royalties paid to family member for 25% ownership","Joint Active Systems, Inc.","100000005533","Joint Active Systems, Inc.","IL","United States","No","Immediate family member","06/30/2023" "UNCHANGED","907503","1124081955","Gay",,"Gooden",,"3000 New Bern Ave",,"Raleigh","NC","27610-1231","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Emergency Medicine","713479735","2020",175000.00,175000.00,"Preferred Stocks","410 MEDICAL, INC.","100000196851","410 MEDICAL, INC.","NC","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1022320","1144283870","Geeta",,"Subramaniam",,"3000 New Bern Ave",,"Raleigh","NC","27610-1231","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Emergency Medicine","713479753","2020",50000.00,50000.00,"Preferred Stocks","410 MEDICAL, INC.","100000196851","410 MEDICAL, INC.","NC","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","662305","1497871750","Heather","Katherine","Lewis",,"3000 New Bern Ave",,"Raleigh","NC","27610-1231","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Emergency Medicine","713479755","2020",100000.00,100000.00,"Preferred Stocks","410 MEDICAL, INC.","100000196851","410 MEDICAL, INC.","NC","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1046235","1982658381","ANTHONY",,"STAVROS",,"5253 PRUE RD SUITE 315",,"SAN ANTONIO","TX","78240","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Radiology|Diagnostic Radiology","713802585","2020",0.00,205040.00,"Most recent 409A valuation","Avenu Medical Inc.","100000221807","Avenu Medical Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","48504","1063459691","CHARLES",,"NUTTING",,"501 E HAMPDEN AVE",,"ENGLEWOOD","CO","80113","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Radiology|Diagnostic Radiology","713802587","2020",0.00,41360.00,"Most recent 409A valuation","Avenu Medical Inc.","100000221807","Avenu Medical Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","227832","1013993377","Mark",,"Sargent",,"1715 Berglund Lane","Unit B","Viera","FL","32940","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717766121","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","75012","1669476594","Matthew",,"Mervis",,"1111 South Orange Avenue","4th Floor","Orlando","FL","32806","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717766127","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","276641","1104913102","Maureen",,"Whelihan",,"6801 Lake Worth Road","Suite 100W","Lake Worth","FL","33467","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717766141","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","343529","1568561348","Max",,"Kamerman",,"775 1st Ave N",,"Naples","FL","34102","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717766151","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","173718","1831193705","Michael",,"Bartfield",,"1111 South Orange Avenue","4th Floor","Orlando","FL","32806","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717766159","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","256837","1669492641","Michael",,"Cotter",,"6400 W Newberry Rd","Suite 207","Gainesville","FL","32605","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717766163","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","201328","1447439245","GREGORY",,"SWOR",,"1900 S Tuttle Avenue",,"Sarasota","FL","34239","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717766169","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1067281","1730280421","PETER",,"RHEE",,"309 E CHURCH ST",,"MARSHALLTOWN","IA","50158","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311219","2020",0.00,4761.90,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","259144","1700094109","RYAN","D","VINCENT",,"309 E CHURCH ST",,"MARSHALLTOWN","IA","50158","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311221","2020",0.00,4761.90,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1306542","1548221328","STEPHEN","P","FOX",,"309 E CHURCH ST",,"MARSHALLTOWN","IA","50158","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311223","2020",0.00,4761.90,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","931124","1942292776","STEVEN","C","JOHNSON",,"309 E CHURCH ST",,"MARSHALLTOWN","IA","50158","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311225","2020",0.00,4761.90,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","402556","1386636173","TODD","W","GOTHARD",,"309 E CHURCH ST",,"MARSHALLTOWN","IA","50158","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311227","2020",0.00,4761.90,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","831261","1447544192","PAUL","S","BOEKE",,"309 E CHURCH ST",,"MARSHALLTOWN","IA","50158","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311229","2020",0.00,4761.90,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","230320","1083976880","REID","P","TURNER",,"309 E CHURCH ST",,"MARSHALLTOWN","IA","50158","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311231","2020",0.00,4761.90,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1130443","1942288717","STEVEN","O","ANDERSON",,"309 E CHURCH ST",,"MARSHALLTOWN","IA","50158","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311233","2020",0.00,4761.90,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","52435","1164487617","CALVIN","E","MEIN",,"9480 HUEBNER RD","SUITE 310","SAN ANTONIO","TX","78240","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology|Retina Specialist","714311235","2020",0.00,10000.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","42044","1922086347","RICHARD","GARY","LANE",,"9480 HUEBNER RD","SUITE 310","SAN ANTONIO","TX","78240","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311237","2020",0.00,10000.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","56088","1245212232","MOISES",,"CHICA",,"9480 HUEBNER RD.","SUITE 310","SAN ANTONIO","TX","78240","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology|Retina Specialist","714311239","2020",0.00,10000.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","239331","1275514796","SARAH",,"HOLY",,"9480 HUEBNER RD","SUITE 310","SAN ANTONIO","TX","78240","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology|Retina Specialist","714311241","2020",0.00,10000.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","760522","1942322409","DARRELL",,"BASKIN",,"9480 HUEBNER RD","SUITE 310","SAN ANTONIO","TX","78240","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology|Retina Specialist","714311243","2020",0.00,10000.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","246814","1447279609","ADRIAN",,"LAVINA",,"3399 PGA BLVD","SUITE 350","PALM BEACH GARDENS","FL","33410","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311245","2020",0.00,6250.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","72259","1609880178","MARK",,"MICHELS",,"3399 PGA BLVD","SUITE 350","PALM BEACH GARDENS","FL","33410","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311247","2020",0.00,6250.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","293947","1477500791","PAUL",,"GALLOGLY",,"3399 PGA BLVD","SUITE 350","PALM BEACH GARDENS","FL","33410","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311249","2020",0.00,6250.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1260841","1548416399","PHILIP",,"LAIRD",,"3399 PGA BLVD","SUITE 350","PALM BEACH GARDENS","FL","33410","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311251","2020",0.00,6250.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","38369","1851331813","Anne",,"Brown",,"161 Fort Evans Rd NE","Suite 320","Leesburg","VA","20176","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717732939","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","102180","1265422380","Deborah",,"Bushrod",,"7501 Surratts Road","Suite 207","Clinton","MD","20735","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717733211","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","497856","1720060510","Barbara",,"Butler",,"2301 Research Blvd","Suite 215","Rockville","MD","20850","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717733243","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","157244","1477769677","Shannon",,"Cothran",,"6564 Loisdale Court","Suite 100","Springfield","VA","22150","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717733253","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","182408","1023082864","Ivette",,"Couret",,"3023 Hamaker Court","Suite 210A","Fairfax","VA","22031","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717733427","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","10857","1245212638","Marvin",,"Davis",,"7625 Maple Lawn Blvd","Suite 1","Fulton","MD","20759","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717737223","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1199802","1386625184","Craig",,"Dickman",,"2301 Research Blvd","Suite 215","Rockville","MD","20850","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717737227","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","340225","1487637161","Tracy",,"Duke",,"7801 York Road","Suite 133","Towson","MD","21204","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717737243","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","658949","1386684975","DALE",,"YOUNG",,"1115 BOULDERS PKWY",,"NORTH CHESTERFIELD","VA","23225","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","713802589","2020",0.00,806960.00,"Most recent 409A valuation","Avenu Medical Inc.","100000221807","Avenu Medical Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","361876","1972611697","ETHNIE",,"JONES",,"400 WESTHAMPTON STA",,"RICHMOND","VA","23226","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","713802591","2020",0.00,362560.00,"Most recent 409A valuation","Avenu Medical Inc.","100000221807","Avenu Medical Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","635886","1588664197","GEORGEAN",,"DEBLOIS",,"1401 JOHNSTON-WILLIS DRIVE",,"RICHMOND","VA","23235","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Pathology|Anatomic Pathology & Clinical Pathology","713802593","2020",0.00,388212.00,"Most recent 409A valuation","Avenu Medical Inc.","100000221807","Avenu Medical Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1008618","1669412698","HEBER",,"CROCKETT",,"2810 W 35TH ST",,"KEARNEY","NE","68845","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","713802595","2020",0.00,488224.00,"Most recent 409A valuation","Avenu Medical Inc.","100000221807","Avenu Medical Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1212034","1811936420","HOWARD",,"FAUNCE",,"2602 BUFORD RD",,"RICHMOND","VA","23235","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Radiology|Diagnostic Radiology","713802597","2020",0.00,143000.00,"Most recent 409A valuation","Avenu Medical Inc.","100000221807","Avenu Medical Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1212034","1811936420","HOWARD",,"FAUNCE",,"2602 BUFORD RD",,"RICHMOND","VA","23235","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Radiology|Diagnostic Radiology","713802599","2020",0.00,143000.00,"Most recent 409A valuation","Avenu Medical Inc.","100000221807","Avenu Medical Inc.","MN","United States","No","Immediate family member","06/30/2023" "UNCHANGED","1084365","1336122365","JEFFREY",,"GUYON",,"8300 W 38TH AVE",,"WHEAT RIDGE","CO","80033","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Radiology|Diagnostic Radiology","713802601","2020",0.00,376200.00,"Most recent 409A valuation","Avenu Medical Inc.","100000221807","Avenu Medical Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","268146","1902852189","JEFFREY",,"HULL",,"2602 BUFORD RD",,"RICHMOND","VA","23235","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Radiology|Vascular & Interventional Radiology","713802603","2020",0.00,915904.00,"Most recent 409A valuation","Avenu Medical Inc.","100000221807","Avenu Medical Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","302386","1669428538","JEFFREY",,"VISOTSKY",,"9000 WAUKEGAN RD",,"MORTON GROVE","IL","60053","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Hand Surgery","713802605","2020",0.00,198000.00,"Most recent 409A valuation","Avenu Medical Inc.","100000221807","Avenu Medical Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1031286","1457338741","JOHN",,"DEITRICK",,"1051 JOHNSTON-WILLIS DR",,"RICHMOND","VA","23235","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Surgery|Vascular Surgery","713802607","2020",0.00,46024.00,"Most recent 409A valuation","Avenu Medical Inc.","100000221807","Avenu Medical Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","320991","1063468734","JOSEPH",,"STEELE",,"1515 HOLCOMBE BLVD",,"HOUSTON","TX","77030","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Radiology|Diagnostic Radiology","713802609","2020",0.00,607200.00,"Most recent 409A valuation","Avenu Medical Inc.","100000221807","Avenu Medical Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","223330","1922042720","KENNETH",,"MONTGOMERY",,"160 E HANOVER AVE",,"MORRISTOWN","NJ","07960","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","713802611","2020",0.00,140800.00,"Most recent 409A valuation","Avenu Medical Inc.","100000221807","Avenu Medical Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","60412","1336109990","KIMBERLY",,"PRATER",,"3850 S NATIONAL AVE",,"SPRINGFIELD","MO","65807","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Radiology|Diagnostic Radiology","713802613","2020",0.00,478456.00,"Most recent 409A valuation","Avenu Medical Inc.","100000221807","Avenu Medical Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","341330","1528177904","MARC",,"TREIHAFT",,"3333 S BANNOCK ST",,"ENGLEWOOD","CO","80110","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Psychiatry & Neurology|Neurology","713802615","2020",0.00,117128.00,"Most recent 409A valuation","Avenu Medical Inc.","100000221807","Avenu Medical Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","160334","1548214372","MARK",,"DE BLOIS",,"1115 BOULDERS PKWY",,"NORTH CHESTERFIELD","VA","23225","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","713802617","2020",0.00,388212.00,"Most recent 409A valuation","Avenu Medical Inc.","100000221807","Avenu Medical Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","347070","1649256561","MARK",,"DENNIS",,"601 E HAMPDEN AVE",,"ENGLEWOOD","CO","80113","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Radiology|Diagnostic Radiology","713802619","2020",0.00,431200.00,"Most recent 409A valuation","Avenu Medical Inc.","100000221807","Avenu Medical Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","68234","1508820671","Michele",,"Beck-Torres",,"1447 Medical Park Blvd","Suite 202","Wellington","FL","33414","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717766177","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1388248","1043376395","Michele",,"Lemay",,"513 Manatee Ave E",,"Bradenton","FL","34208","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717766187","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","55926","1245378033","Michael",,"DeNardis",,"1160 Cypress Glen Circle",,"Kissimmee","FL","34741","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717766193","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","169959","1730167743","B",,"Grabois",,"21110 Biscayne Blvd","Suite 312","Aventura","FL","33180","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717766207","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","290488","1417956970","Mitzi",,"Brock",,"11945 San Jose Blvd","Suite 400","Jacksonville","FL","32207","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717766219","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","162034","1568458883","Nasim",,"Khan",,"410 Sebring Square",,"Sebring","FL","33870","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717766223","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","95249","1104019496","Natalia",,"Alejandro",,"1414 East Main Street",,"Leesburg","FL","34748","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717766227","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","191309","1225296940","Nikita",,"Wilkes",,"11945 San Jose Blvd","Suite 400","Jacksonville","FL","32207","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717766235","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","228237","1043274111","MICHAEL",,"BENNETT",,"1620 Ala Moana Boulevard","SUITE 500","HONOLULU","HI","96815","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311253","2020",0.00,25000.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","86160","1891702163","JEREMIAH",,"BROWN",,"17319 IH 35 N","SUITE 303","SCHERTZ","TX","78154","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311255","2020",0.00,30000.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","39890","1871599100","VICTOR","HUGO","GONZALEZ",,"1309 E. Ridge Road Suite 1",,"McAllen","TX","78503","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology|Retina Specialist","714311257","2020",0.00,121194.72,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1251615","1215919998","JOSEPH",,"KHAWLY",,"2727 Gramercy","SUITE 200","HOUSTON","TX","77025","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311259","2020",0.00,74999.97,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","18131","1396745105","ELIAS",,"MAVROFRIDES",,"95 COLUMBIA ST",,"ORLANDO","FL","32806","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology|Retina Specialist","714311261","2020",0.00,2777.78,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","842423","1841290657","JAMES",,"STAMAN",,"2639 OAK ST",,"JACKSONVILLE","FL","32204","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311263","2020",0.00,2777.78,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","298445","1588855639","JONATHAN",,"STAMAN",,"2639 OAK ST",,"JACKSONVILLE","FL","32204","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311265","2020",0.00,2777.78,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","150859","1336303247","MATTHEW",,"CUNNINGHAM",,"95 Columbia Street",,"ORLANDO","FL","32806","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311267","2020",0.00,2777.78,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","501585","1851533236","SAMUEL","K","HOUSTON III",,"95 Columbia Street",,"ORLANDO","FL","32806","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311269","2020",0.00,2777.78,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","294570","1487654117","THOMAS",,"BARNARD",,"1025 Primera Blvd",,"LAKE MARY","FL","32746","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311271","2020",0.00,2777.78,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","55575","1225038441","WILLIAM",,"DUNN",,"564 Health Blvd.",,"DAYTONA BEACH","FL","32114","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311273","2020",0.00,2777.78,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","412851","1730479650","ABDALLAH",,"JEROUDI",,"2639 OAK ST",,"JACKSONVILLE","FL","32204","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311275","2020",0.00,2777.78,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","973538","1427290360","BENJAMIN",,"THOMAS",,"2639 OAK ST",,"JACKSONVILLE","FL","32204","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311277","2020",0.00,2777.78,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","66664","1477644573","DINO","D","KLISOVIC",,"6655 POST RD",,"DUBLIN","OH","43016","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311279","2020",0.00,40000.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","945149","1437394947","DOMINIC","M","BUZZACCO",,"6655 POST RD",,"DUBLIN","OH","43016","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311281","2020",0.00,20000.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","846801","1982880605","JOHNSTONE","M","KIM",,"6655 POST RD",,"DUBLIN","OH","43016","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311283","2020",0.00,20000.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","318435","1033104435","LISA","M","BORKOWSKI",,"6655 POST RD",,"DUBLIN","OH","43016","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311285","2020",0.00,45000.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","276645","1104807791","Thomas",,"Ein",,"1400 Forest Glen Rd","Suite 525","Silver Spring","MD","20910","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717737247","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1071325","1871578112","Jonathan",,"Elias",,"9420 Key West Avenue","Suite 415","Rockville","MD","20850","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717737251","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","328862","1265438238","Laura",,"Erdman",,"6565 N Charles Street","Suite 212","Towson","MD","21204","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717737257","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","622382","1104809888","Mary",,"Facciolo",,"7801 York Road","Suite 133","Towson","MD","21204","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717737265","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","255480","1629092770","Lawrence",,"Fogelson",,"7801 York Road","Suite 133","Towson","MD","21204","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717737309","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","353119","1780896183","Jie",,"Gao",,"97 Thomas Johnson Drive","Suite 101","Frederick","MD","21702","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717737313","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","703067","1922060961","Michael",,"Giudice",,"7801 York Road","Suite 133","Towson","MD","21204","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717737319","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1157144","1871536235","MARK",,"JONES",,"1400 JOHNSTON-WILLIS DRIVE",,"NORTH CHESTERFIELD","VA","23225","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Foot and Ankle Surgery","713802621","2020",0.00,362560.00,"Most recent 409A valuation","Avenu Medical Inc.","100000221807","Avenu Medical Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","489304","1417902461","RAY",,"BEAUCHAMP",,"2602 BUFORD RD",,"RICHMOND","VA","23235","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Radiology|Diagnostic Radiology","713802623","2020",0.00,166320.00,"Most recent 409A valuation","Avenu Medical Inc.","100000221807","Avenu Medical Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1120503","1588784482","RAYMOND",,"FARHI",,"7101 JAHNKE RD",,"RICHMOND","VA","23225","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Pediatrics|Neonatal-Perinatal Medicine","713802625","2020",0.00,456720.00,"Most recent 409A valuation","Avenu Medical Inc.","100000221807","Avenu Medical Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1087885","1457339434","RAYMOND",,"MAKHOUL",,"1051 JOHNSTON-WILLIS DR",,"RICHMOND","VA","23235","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Surgery","713802627","2020",0.00,249744.00,"Most recent 409A valuation","Avenu Medical Inc.","100000221807","Avenu Medical Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1264827","1699712745","STEVE",,"PARKER",,"501 E HAMPDEN AVE",,"ENGLEWOOD","CO","80113","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Radiology|Diagnostic Radiology","713802629","2020",0.00,2923008.00,"Most recent 409A valuation","Avenu Medical Inc.","100000221807","Avenu Medical Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1264859","1689670028","THEODORE",,"SCHLEGEL",,"8200 E BELLEVIEW AVE",,"GREENWOOD VILLAGE","CO","80111","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery","713802631","2020",0.00,422400.00,"Most recent 409A valuation","Avenu Medical Inc.","100000221807","Avenu Medical Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","194331","1285854299","THOMAS",,"FOGARTY",,"3270 ALPINE ROAD",,"PORTOLA VALLEY","CA","94028","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Thoracic Surgery (Cardiothoracic Vascular Surgery)","713802633","2020",0.00,1372536.00,"Most recent 409A valuation","Avenu Medical Inc.","100000221807","Avenu Medical Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","300258","1609923093","THOMAS",,"VESELY",,"10435 CLAYTON RD",,"SAINT LOUIS","MO","63131","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Radiology|Vascular & Interventional Radiology","713802635","2020",0.00,35288.00,"Most recent 409A valuation","Avenu Medical Inc.","100000221807","Avenu Medical Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1046380","1992732218","THORP",,"DAVIS",,"8200 MEADOWBRIDGE RD",,"MECHANICSVILLE","VA","23116","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Sports Medicine","713802637","2020",0.00,251583.00,"Most recent 409A valuation","Avenu Medical Inc.","100000221807","Avenu Medical Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1046380","1992732218","THORP",,"DAVIS",,"8200 MEADOWBRIDGE RD",,"MECHANICSVILLE","VA","23116","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Sports Medicine","713802639","2020",0.00,251583.00,"Most recent 409A valuation","Avenu Medical Inc.","100000221807","Avenu Medical Inc.","MN","United States","No","Immediate family member","06/30/2023" "UNCHANGED","76448","1699752683","WILLIAM",,"SHIEL",,"26800 CROWN VALLEY PKWY",,"MISSION VIEJO","CA","92691","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Internal Medicine|Rheumatology","713802641","2020",0.00,207680.00,"Most recent 409A valuation","Avenu Medical Inc.","100000221807","Avenu Medical Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","135417","1982711503","WAYNE",,"YAKES",,"501 E HAMPDEN AVE",,"ENGLEWOOD","CO","80113","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Radiology|Diagnostic Radiology","713802643","2020",0.00,252560.00,"Most recent 409A valuation","Avenu Medical Inc.","100000221807","Avenu Medical Inc.","MN","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","885629","1356464895","Allan",,"DEUTSCH",,"345 E 80th St",,"New York","NY","10075","United States",,,"Doctor of Dentistry","Dental Providers|Dentist|Oral and Maxillofacial Surgery","713809939","2020",1230748.00,1230748.00,"Fifty percent owner in reporting entity","ESSENTIAL DENTAL SYSTEMS INCORPORATED","100000005369","ESSENTIAL DENTAL SYSTEMS INCORPORATED","NJ","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","752056","1649393182","Barry",,"Musikant",,"100 W 57th St",,"New York","NY","10019","United States",,,"Doctor of Dentistry","Dental Providers|Dentist|Oral and Maxillofacial Surgery","713809941","2020",1230748.00,1230748.00,"Fifty percent owner in reporting entity","ESSENTIAL DENTAL SYSTEMS INCORPORATED","100000005369","ESSENTIAL DENTAL SYSTEMS INCORPORATED","NJ","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","48440","1063489383","SUNIL",,"GUPTA",,"5150 N DAVIS HWY",,"PENSACOLA","FL","32503","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714310945","2020",0.00,3844335.50,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","281561","1215928007","Patricia",,"Fearing",,"6440 W Newberry Rd","Suite 408","Gainesville","FL","32605","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717766245","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","234310","1164415667","Pete",,"Papapanos",,"1815 S Kanner Hwy",,"Stuart","FL","34994","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717766253","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","210308","1649378761","Phan",,"Nguyen",,"1890 SW Health Pkwy","Suite 303","Naples","FL","34109","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717769319","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","624592","1184701005","Pierre Richard",,"Limousin",,"7374 SW 93rd Avenue","Suite 204","Miami","FL","33173","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717769333","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","159746","1528004579","Rafael",,"Perez",,"7000 SW 62 Ave","Suite 545","South Miami","FL","33143","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717769337","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","21633","1477527844","Richard",,"Brazzel",,"724 NW 43rd Street",,"Gainesville","FL","32607","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717775969","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","315162","1942260781","Richard",,"Conlen",,"660 Glades Rd","Suite 240","Boca Raton","FL","33431","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717783555","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","723530","1649228685","Richard",,"Friefeld",,"16601 NE 19th Ave",,"North Miami Beach","FL","33162","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717791027","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","113133","1487698288","LOUIS","J","CHORICH","III","6655 POST RD",,"DUBLIN","OH","43016","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311287","2020",0.00,75000.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","128342","1831288448","SUGAT","S","PATEL",,"6655 POST RD",,"DUBLIN","OH","43016","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311289","2020",0.00,50000.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","568968","1235137878","JEFFREY","D","BENNER",,"6511 DEER POINTE DRIVE",,"SALISBURY","MD","21804","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311291","2020",0.00,8333.33,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","681551","1174521264","JOHN","W","BUTLER",,"6511 DEER POINTE DRIVE",,"SALISBURY","MD","21804","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311293","2020",0.00,8333.33,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","879915","1154591964","ZAAIRA","M","AHMAD",,"6511 DEER POINTE DRIVE",,"SALISBURY","MD","21804","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311295","2020",0.00,8333.33,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","94025","1083877740","EMMANUEL",,"CHANG",,"2727 GRAMERCY ST","SUITE 200","HOUSTON","TX","77025","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311297","2020",0.00,5000.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","119095","1639168081","ERIC",,"HOLZ",,"2727 GRAMERCY ST","SUITE 200","HOUSTON","TX","77025","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311299","2020",0.00,5000.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","20176","1437302049","HASSAN",,"RAHMAN",,"2727 GRAMERCY ST","SUITE 200","HOUSTON","TX","77025","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311301","2020",0.00,5000.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","316511","1962630335","JONATHAN",,"TZU",,"2727 GRAMERCY ST","SUITE 200","HOUSTON","TX","77025","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311303","2020",0.00,5000.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1251615","1215919998","JOSEPH",,"KHAWLY",,"2727 Gramercy","SUITE 200","HOUSTON","TX","77025","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311305","2020",0.00,5000.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","90573","1003019019","BLONIE","WAYNE","DUDNEY","JR","1224 GRAHAM RD","SUITE 3011","FLORISSANT","MO","63031","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology|Retina Specialist","714311307","2020",0.00,8250.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","355929","1851403190","CARLA",,"TERRITO",,"1224 GRAHAM RD","SUITE 3011","FLORISSANT","MO","63031","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology|Retina Specialist","714311309","2020",0.00,8375.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","176954","1891807137","DAVID",,"GLASER",,"1224 GRAHAM RD","SUITE 3011","FLORISSANT","MO","63031","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology|Retina Specialist","714311311","2020",0.00,8375.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","319227","1033110119","JAMES",,"HOWARD",,"5169 SOUTH COTTONWOOD ST","SUITE 630","MURRAY","UT","84107","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311313","2020",0.00,5000.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","960354","1962487611","KIRK",,"WINWARD",,"5169 South Cottonwood Street","SUITE 630","MURRAY","UT","84107","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311315","2020",0.00,5000.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","461770","1457338162","ROBERT",,"KWUN",,"5169 South Cottonwood Street","SUITE 630","MURRAY","UT","84107","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311317","2020",0.00,5000.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","280547","1174574800","VICTORIA",,"KNUDSEN",,"5169 South Cottonwood Street","SUITE 630","MURRAY","UT","84107","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311319","2020",0.00,5000.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","309947","1841223674","Samuel",,"Grimm",,"10521 Rosehaven Street","Suite LL 100","Fairfax","VA","22030","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717737323","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","16981","1386691582","John",,"Gschwend",,"10215 Fernwood Road","Suite 250","Bethesda","MD","20817","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717737333","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","110745","1437289766","Amy",,"Heyman",,"61 Thomas Johnson Dr",,"Frederick","MD","21702","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717737393","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","28668","1629195516","Gina",,"Hibshman",,"6355 Walker Lane","Suite 508","Alexandria","VA","22310","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717737397","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","161786","1578534350","Damon",,"Hou",,"6355 Walker Lane","Suite 508","Alexandria","VA","22310","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717737403","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","224720","1952407041","Kara",,"Jefferies",,"10521 Rosehaven Street","Suite LL 100","Fairfax","VA","22030","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717737407","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","299690","1598755621","Elizabeth",,"Kane",,"7501 Surratts Road","Suite 207","Clinton","MD","20735","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717737413","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","61104","1346325123","Harvey",,"Kasner",,"100 West Road","Suite 404","Towson","MD","21204","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717737531","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","276600","1104829241","ATUL",,"SHARMA",,"1100 JOHNSON FERRY RD NE","SUITE 593","ATLANTA","GA","30342","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714310947","2020",0.00,49977.66,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","12573","1265737415","HYUNG",,"CHO",,"1100 JOHNSON FERRY RD NE","SUITE 593","ATLANTA","GA","30342","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714310949","2020",0.00,9908.61,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","338595","1457354607","JAY",,"STALLMAN",,"1100 JOHNSON FERRY RD NE","SUITE 593","ATLANTA","GA","30342","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714310951","2020",0.00,49977.66,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","358638","1891798039","MARK",,"RIVELLESE",,"1100 JOHNSON FERRY RD NE","SUITE 593","ATLANTA","GA","30342","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714310953","2020",0.00,49977.66,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","197868","1376546549","MICHAEL",,"JACOBSON",,"1100 JOHNSON FERRY RD NE","SUITE 593","ATLANTA","GA","30342","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714310955","2020",0.00,49977.66,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","284354","1275584047","ROBERT",,"STOLTZ",,"1100 JOHNSON FERRY RD NE","SUITE 593","ATLANTA","GA","30342","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology|Retina Specialist","714310957","2020",0.00,49977.66,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","307351","1760485916","SCOTT",,"LAMPERT",,"1100 JOHNSON FERRY RD NE","SUITE 593","ATLANTA","GA","30342","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714310959","2020",0.00,49977.66,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","253322","1588667620","SEAN",,"KOH",,"1100 JOHNSON FERRY RD NE","SUITE 593","ATLANTA","GA","30342","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714310961","2020",0.00,49977.66,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","31914","1710184148","SRI KRISHNA",,"MUKKAMALA",,"1100 JOHNSON FERRY RD NE","SUITE 593","ATLANTA","GA","30342","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714310963","2020",0.00,9908.61,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","205849","1538109160","STEPHANIE",,"VANDERVELDT",,"1100 JOHNSON FERRY RD NE","SUITE 593","ATLANTA","GA","30342","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714310965","2020",0.00,59886.27,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","226047","1992799191","DAVID","G","MILLER",,"3401 ENTERPRISE PKWY","SUITE 300","BEACHWOOD","OH","44122","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714310967","2020",0.00,50000.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","958653","1912113069","JEROME","P","SCHARTMAN",,"3401 ENTERPRISE PKWY","SUITE 300","BEACHWOOD","OH","44122","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714310969","2020",0.00,20006.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","205024","1528007101","JOSEPH","M","CONEY",,"3401 ENTERPRISE PKWY","SUITE 300","BEACHWOOD","OH","44122","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714310971","2020",0.00,50000.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","584918","1780678029","LAWRENCE","J","SINGERMAN",,"3401 ENTERPRISE PKWY","SUITE 310","BEACHWOOD","OH","44122","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714310973","2020",0.00,50000.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","158855","1518165448","LLEWELYN","J","RAO",,"3401 ENTERPRISE PKWY","SUITE 300","BEACHWOOD","OH","44122","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714310975","2020",0.00,20006.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","826788","1265437867","MICHAEL","A","NOVAK",,"3401 ENTERPRISE PKWY","SUITE 300","BEACHWOOD","OH","44122","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714310977","2020",0.00,50000.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","744465","1386638682","SCOTT","D","PENDERGAST",,"3401 ENTERPRISE PKWY","SUITE 300","BEACHWOOD","OH","44122","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714310979","2020",0.00,50000.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","270967","1982604757","Richard",,"Jamison",,"1950 Arlington Street","Suite 203","Sarasota","FL","34239","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717806428","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","269351","1942286299","Richard",,"Mann",,"1500 SE 17th Street","Bldg 200","Ocala","FL","34471","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717816283","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","103218","1265499891","Richard",,"Murray",,"9021 Park Royal Drive",,"Ft. Myers","FL","33908","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717828609","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","902540","1942283890","Robert",,"Andrews",,"525 Brent Lane",,"Pensacola","FL","32503","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717836995","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1044073","1902971245","Robert",,"Fields",,"600 N Hiatus Road","Suite 101","Pembroke Pines","FL","33026","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717845877","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","100132","1205865490","Robert",,"Pare",,"3498 Nw Federal Hwy",,"Jensen Beach","FL","34957","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717855249","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","343028","1548349566","Robert",,"Strathman",,"260 Beth Stacey Blvd","Suite 210","Lehigh Acres","FL","33936","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717865057","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","941967","1326272295","ERIC",,"BRINTON",,"5169 South Cottonwood Street","SUITE 630","MURRAY","UT","84107","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology|Retina Specialist","714311321","2020",0.00,5000.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","155620","1427162395","ANGELIA","F","THOMPSON",,"3290 BLAZER PKWY STE 100",,"LEXINGTON","KY","40509","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311323","2020",0.00,25000.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","223872","1942463252","LILIYA","O","SHEVCHENKO",,"5030 CASCADE RD SE",,"GRAND RAPIDS","MI","49546","United States",,,"Doctor of Osteopathy","Allopathic & Osteopathic Physicians|Ophthalmology","714311325","2020",0.00,6250.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","581426","1669602033","NATHAN","F","PEZDA",,"5030 CASCADE RD SE",,"GRAND RAPIDS","MI","49546","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311327","2020",0.00,6250.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","59167","1306016977","SCOTT","J","WESTHOUSE",,"5030 CASCADE RD SE",,"GRAND RAPIDS","MI","49546","United States",,,"Doctor of Osteopathy","Allopathic & Osteopathic Physicians|Ophthalmology","714311329","2020",0.00,6250.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","235688","1194753186","THOMAS","M","AABERG",,"5030 CASCADE RD SE",,"GRAND RAPIDS","MI","49546","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311331","2020",0.00,6250.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","134231","1952340408","ROBERT","THOMAS","KING",,"4720 WATERS AVE",,"SAVANNAH","GA","31404","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311333","2020",0.00,12500.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","240723","1306006226","ROBIN",,"RAY",,"4720 WATERS AVE",,"SAVANNAH","GA","31404","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311335","2020",0.00,12500.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","313825","1902880180","CAMERON",,"STONE",,"21 MEDICAL PARK DR",,"ASHEVILLE","NC","28803","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311337","2020",0.00,8333.33,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","765418","1124002399","WALTER","COPLEY","MCLEAN",,"8 MEDICAL PARK DR",,"ASHEVILLE","NC","28803","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311339","2020",0.00,8333.33,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","10881","1245214410","WILLIAM","ZACHERY","BRIDGES",,"8 MEDICAL PARK DR",,"ASHEVILLE","NC","28803","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311341","2020",0.00,8333.33,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","190868","1215042569","ERIC",,"JABLON",,"3531 MARY ADER AVE","BLDG D","CHARLESTON","SC","29414","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311343","2020",0.00,6250.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","315671","1952416257","JOHN",,"KERRISON",,"3531 MARY ADER AVE","BLDG D","CHARLESTON","SC","29414","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311345","2020",0.00,6250.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","44727","1982719290","DANIEL","VIRGIL","ALFARO",,"3531 MARY ADER AVE","BLDG D","CHARLESTON","SC","29414","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311347","2020",0.00,6250.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","463938","1548203185","MICHAEL",,"JOHNSON",,"3531 MARY ADER AVE","BLDG D","CHARLESTON","SC","29414","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311349","2020",0.00,6250.00,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","305984","1730418849","NIKOLAS",,"LONDON",,"12630 MONTE VISTA RD","SUITE #104","POWAY","CA","92064","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311351","2020",0.00,8333.33,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","167448","1699876011","ANNE",,"HANNEKEN",,"12630 MONTE VISTA RD","SUITE #104","POWAY","CA","92064","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311353","2020",0.00,8333.33,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","961255","1003079807","Laura",,"Kiszkiel",,"10521 Rosehaven Street","Suite LL 100","Fairfax","VA","22030","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717737533","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","194819","1306849799","Mitesh",,"Kothari",,"1165 Imperial Drive","Suite 300","Hagerstown","MD","21740","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717737539","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1050876","1154392900","Michael",,"Kusic",,"6355 Walker Lane","Suite 508","Alexandria","VA","22310","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717737545","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","450072","1043295389","Stephen",,"Lakner",,"9420 Key West Avenue","Suite 415","Rockville","MD","20850","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717737551","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","703916","1942284617","Diane",,"Laurin",,"9420 Key West Avenue","Suite 415","Rockville","MD","20850","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717737559","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","282423","1235113796","Yeung",,"Lee",,"61 Thomas Johnson Dr",,"Frederick","MD","21702","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717737561","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","296178","1548254246","Hsiao-Hui",,"Lin",,"6565 N Charles Street","Suite 311","Towson","MD","21204","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Obstetrics & Gynecology","717737567","2020",0.00,1.00,"Physician holds an indirect ownership interest (Interest) in the GPO through his/her in equity interest in Unified Physician Management Holdings, LP (UPM Holdings). UPM Holdings's and Unified Women's Healthcare, LP, the operator of the GPO, share a common general partner, Unified Physician Management, GP, LLC. The Interest is not freely transferable, remains subject to a risk of forfeiture as of the date of this filing and repurchase by UPM Holdings.","Unified Women's Healthcare, LP","100000226819","Unified Women's Healthcare, LP","FL","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","23538","1518959287","ALAN","J","GORDON",,"1750 E GLENDALE AVE",,"PHOENIX","AZ","85020","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714310981","2020",0.00,58024.69,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","122827","1700085222","BENJAMIN",,"BAKALL",,"1750 E GLENDALE AVE",,"PHOENIX","AZ","85020","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714310983","2020",0.00,58024.69,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1709","1033257746","HENRY","MARK","KWONG","JR","1750 E GLENDALE AVE",,"PHOENIX","AZ","85020","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714310985","2020",0.00,58024.69,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","329658","1275580573","JAIME","RAFAEL","GAITAN",,"1750 E GLENDALE AVE",,"PHOENIX","AZ","85020","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714310987","2020",0.00,58024.69,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","39720","1881686558","JOSEPH","SHEPARD","BRYAN",,"1750 E GLENDALE AVE",,"PHOENIX","AZ","85020","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714310989","2020",0.00,58024.69,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","105357","1316100977","MATTHEW","J.","WELCH",,"1750 E GLENDALE AVE",,"PHOENIX","AZ","85020","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714310991","2020",0.00,5802.47,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","321143","1083806863","RAHUL","K.","REDDY",,"1750 E GLENDALE AVE",,"PHOENIX","AZ","85020","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714310993","2020",0.00,58024.69,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","114802","1548232820","STEPHEN","A.M.","DE SOUZA",,"1750 E GLENDALE AVE",,"PHOENIX","AZ","85020","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714310995","2020",0.00,58024.69,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","101356","1245298223","CHARLES","K","NEWELL",,"2439 CARE DR",,"TALLAHASSEE","FL","32308","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714310997","2020",0.00,50400.01,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","1297668","1225096183","CHRISTOPHER","L","WILLINGHAM",,"2439 CARE DR",,"TALLAHASSEE","FL","32308","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714310999","2020",0.00,50400.01,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","209599","1639136062","EMILY","D","ASHMORE",,"2439 CARE DR",,"TALLAHASSEE","FL","32308","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311001","2020",0.00,50400.01,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","219211","1831157890","HAROLD","LOGAN","BROOKS",,"2439 CARE DR",,"TALLAHASSEE","FL","32308","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311003","2020",0.00,197400.03,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","144721","1194782508","ROBERT","L","STEINMETZ",,"2439 CARE DR",,"TALLAHASSEE","FL","32308","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311005","2020",0.00,50400.01,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","219211","1831157890","HAROLD","LOGAN","BROOKS",,"2439 CARE DR",,"TALLAHASSEE","FL","32308","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311007","2020",0.00,1234157.27,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","128831","1851343214","ALAN","E","KIMURA",,"8101 E LOWRY BLVD","SUITE 210","DENVER","CO","80230","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology|Retina Specialist","714311009","2020",0.00,35897.44,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","313940","1932151230","BRIAN","C","JOONDEPH",,"8101 E LOWRY BLVD","SUITE 210","DENVER","CO","80230","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311011","2020",0.00,35897.44,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023" "UNCHANGED","250089","1508863382","CURTIS","L","HAGEDORN",,"8101 E LOWRY BLVD","SUITE 210","DENVER","CO","80230","United States",,,"Medical Doctor","Allopathic & Osteopathic Physicians|Ophthalmology","714311013","2020",0.00,30769.23,"Shares","US Retina LLC","100000291811","US Retina LLC","CO","United States","No","Physician Covered Recipient","06/30/2023"
23. 70 s childrens clothes
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24. The Metabolic Syndrome - PMC - NCBI
The Cardiovascular Health Study, which studied men and women over the age of 65 yr, observed higher MetS prevalence in women than men (37.4 vs. 32.1%) using the ...
The “metabolic syndrome” (MetS) is a clustering of components that reflect overnutrition, sedentary lifestyles, and resultant excess adiposity. The MetS includes the clustering of abdominal obesity, insulin resistance, dyslipidemia, and ...
25. Michael Irwin - UCLA Profiles
Epigenetic Aging and Immune Senescence in Women With Insomnia Symptoms: Findings From the Women's Health Initiative Study. Biol Psychiatry. 2017 01 15; 81(2): ...
Michael Irwin's profile, publications, research topics, and co-authors
26. Dr. Daniel Paul Ferrante, DO Pricing in Morristown, NJ - PriceMedic.com
Aug 2, 2010 · This is an office visit with a healthcare provider who specializes in women's health, the female reproductive system and pregnancy. View ...
View Dr. Daniel Paul Ferrante, DO's prices compared to other Obstetrics & Gynecology Physician providers in Morristown, NJ. Dr. Daniel Paul Ferrante, DO is a licensed Obstetrics & Gynecology Physician in Morristown, New Jersey. He attended medical school at the Bowdoin Medical School and graduated in 1991. He has been providing care for more than 18 years.
27. [PDF] FDNY MEDAL DAY 2022 - NYC.gov
Jun 1, 2022 · DR. KAREN HURWITZ. Chief Medical Officer. Bureau of Health Services. DR ... to the street and the unit transferred care of the three victims to.