1. | 1| 1Peer Report: Dialysis Care & Outcomes in the U.S., 2014 | 5-STAR QUALITY RATING SYSTEM Peer Report: Dialysis Care & Outcomes in the U.S., 2014 5-Star Quality Rating System

2. | 2| 2Peer Report: Dialysis Care & Outcomes in the U.S., 2014 | 5-STAR QUALITY RATING SYSTEM CMS methodology

3. | 3| 3Peer Report: Dialysis Care & Outcomes in the U.S., 2014 | 5-STAR QUALITY RATING SYSTEM Assignment of star ratings, on the basis of scores from CMS methodology

4. | 4| 4Peer Report: Dialysis Care & Outcomes in the U.S., 2014 | 5-STAR QUALITY RATING SYSTEM Comparison of rating from CMS methodology vs. rating based exclusively on standardized mortality ratio (SMR) & standardized hospitalization ratio (SHR) SMR & SHR weighted equally

5. | 5| 5Peer Report: Dialysis Care & Outcomes in the U.S., 2014 | 5-STAR QUALITY RATING SYSTEM Comparison of rating from CMS methodology vs. rating based exclusively on standardized mortality ratio (SMR) & standardized hospitalization ratio (SHR) SMR & SHR weighted equally

6. | 6| 6Peer Report: Dialysis Care & Outcomes in the U.S., 2014 | 5-STAR QUALITY RATING SYSTEM Comparison of rating from CMS methodology vs. rating with 50 percent weight ascribed to standardized mortality ratio (SMR) & standardized hospitalization ratio (SHR) In CMS methodology, only 22 percent of weight is ascribed to SMR & SHR

7. | 7| 7Peer Report: Dialysis Care & Outcomes in the U.S., 2014 | 5-STAR QUALITY RATING SYSTEM Comparison of rating from CMS methodology vs. rating with 50 percent weight ascribed to standardized mortality ratio (SMR) & standardized hospitalization ratio (SHR) In CMS methodology, only 22 percent of weight is ascribed to SMR & SHR

8. | 8| 8Peer Report: Dialysis Care & Outcomes in the U.S., 2014 | 5-STAR QUALITY RATING SYSTEM Comparison of rating from CMS methodology vs. rating based exclusively on Kt/V & hypercalcemia metrics

9. | 9| 9Peer Report: Dialysis Care & Outcomes in the U.S., 2014 | 5-STAR QUALITY RATING SYSTEM Comparison of rating from CMS methodology vs. rating based exclusively on Kt/V & hypercalcemia metrics

10. | 10Peer Report: Dialysis Care & Outcomes in the U.S., 2014 | 5-STAR QUALITY RATING SYSTEM Comparison of rating from CMS methodology vs. rating based exclusively on fistula & catheter metrics

11. | 11Peer Report: Dialysis Care & Outcomes in the U.S., 2014 | 5-STAR QUALITY RATING SYSTEM Comparison of rating from CMS methodology vs. rating based exclusively on fistula & catheter metrics

12. | 12Peer Report: Dialysis Care & Outcomes in the U.S., 2014 | 5-STAR QUALITY RATING SYSTEM Comparison of rating from CMS methodology vs. rating that reflects uncertainty in estimates of standardized outcome ratios

13. | 13Peer Report: Dialysis Care & Outcomes in the U.S., 2014 | 5-STAR QUALITY RATING SYSTEM Comparison of rating based exclusively on Kt/V & hypercalcemia metrics vs. rating based exclusively on fistula & catheter metrics