DaVita remained a clinical leader in the government’s two key performance programs, the Centers for Medicare & Medicaid Services’ (CMS) Five-Star Quality Rating System and the Quality Incentive Program (QIP) in 2021. Five-Star Quality Rating System: The Five-Star Quality Rating System is a mechanism created by CMS to give consumers access to clinical quality information and to help them make informed and educated decisions about where to receive dialysis care. These ratings are made up of two scores: the Quality of Patient Care Star Rating and the Patient Experience Rating. Quality of Patient Care Star Rating: DaVita remains a clinical leader in quality of patient care.* To learn more about the CMS’ Five-Star Quality Rating System, refer to these frequently asked questions . Patient Experience Rating: The Patient Experience Rating reflects patient experience scores from the CMS In-Center Hemodialysis Consumer Assessment of Healthcare Providers and Systems survey. The optional survey is given twice a year to eligible dialysis patients (patients who received in-center hemodialysis at the center for at least 3 consecutive months, are at least 18 years old, and are not living in a skilled nursing facility or other long-term facility such as a jail or prison). For a center to receive a Patient Experience Rating, at least 30 patients had to complete the survey over the course of the year. Only about half of the centers across the industry met the eligibility requirements to receive this rating. 96% of DaVita facilities scored 3, 4 or 5 stars in CMS’s Five Star Quality Rating System.* Quality Incentive Program: QIP is a pay-for-performance rating system also developed by CMS to encourage dialysis centers to meet or exceed certain performance standards. Centers that do not meet these standards are penalized between 0.5 percent and 2 percent on their Medicare reimbursement. DaVita centers outperform the industry in the top clinical performance tier. We are an industry leader in the Quality Incentive Program (QIP), which promotes high quality services in outpatient dialysis facilities treating patients with ESRD. To learn more about the ways DaVita provides quality care visit DaVita Better Care today. * According to October 2020 data (for 2019 year), the most recent available data, from the Centers for Medicare & Medicaid Services’ Five-Star Quality Rating System. Discussion of strategy to manage the mix of patient insurance status See description below Amount of Medicare Disproportionate Share Hospital (DSH) adjustment payments received Not applicable – DaVita provides dialysis and lab services, and is not a hospital Access for Low Income Patients 2021 Data SASB Code HC-DY-240a.1 HC-DY-240a.2 DaVita aims to empower patients to make the insurance choice patients deem to be right for themselves by providing objective and fact-based education on available insurance options. While DaVita teammates do not make insurance recommendations to patients, DaVita social workers and insurance educators do provide patients with information, tools and resources to enable patients to conduct their own research and make well-informed insurance decisions. 21 DAVITA.COM/COMMUNITYCARE ESG DATA TABLES—SASB METRICS AND TCFD REPORT