2024-11-13T11:41:35-05:00 2023-12-31 990 2023-01-01 271017827 CENTER FOR HEALTHCARE RESEARCH & TRANSFORMATION CENT 7349987580 4251 PLYMOUTH ROAD ARBOR LAKES 1 ANN ARBOR MI 481053640 JOSHUA TRAYLOR PRESIDENT & EXEC DIR 7349987580 2024-11-12 false 2023 2024-10-15 13:58:12Z CENT FOR HLTH & RES TRANSFORMATION JOSHUA TRAYLOR 4251 PLYMOUTH ROAD ARBOR LAKES 1 SUITE 2000 ANN ARBOR MI 481053640 11116431 false X WWW.CHRT.ORG X 2009 MI CHRTS MISSION IS TO INSPIRE AND ENABLE EVIDENCE-INFORMED POLICIES AND PRACTICES THAT IMPROVE THE HEALTH OF PEOPLE AND COMMUNITIES. 8 8 0 0 7182792 9734661 1078337 1332614 -5699 49156 0 8255430 11116431 0 0 0 0 0 7852070 11542829 7852070 11542829 403360 -426398 3367426 2846972 1359304 1265248 2008122 1581724 X CHRTS MISSION IS TO INSPIRE AND ENABLE EVIDENCE-INFORMED POLICIES AND PRACTICES THAT IMPROVE THE HEALTH OF PEOPLE AND COMMUNITIES. false false 7794055 8265614 PROMOTION OF HEALTH EQUITY (PHE): DURING 2023, CHRT BEGAN ITS FOURTH YEAR OF THE PROMOTION OF HEALTH EQUITY INITIATIVE (PHE). THE PHE PROJECT AIMS TO DEVELOP A STATEWIDE INFRASTRUCTURE FOR SOCIAL DETERMINANTS OF HEALTH (SDOH) DATA COLLECTION, ANALYTICS, AND REPORTING TO BETTER IDENTIFY AND UNDERSTAND DISPARITIES AND LEVERAGE DATA AND COMMUNITY PARTNERSHIPS TO HELP ENHANCE THE QUALITY OF LIFE AND REMOVE BARRIERS TO IMPROVED HEALTH OUTCOMES FOR RESIDENTS OF THE FIVE PARTICIPATING COUNTIES. EACH PARTICIPATING REGION HAS ALREADY DONE SIGNIFICANT WORK BUILDING A CONSORTIUM OF HEALTH CARE AND SOCIAL SERVICE ORGANIZATIONS THAT WORK TOGETHER TO SERVE THEIR GEOGRAPHIC REGIONS. UNDER THE LEADERSHIP OF MICHIGAN MEDICINE, COMMUNITY REGIONS ARE WORKING WITH MSHIELD AND OTHER CQIS TO BUILD DEEPER CONNECTIONS ACROSS CLINICAL AND SOCIAL CARE ORGANIZATIONS TO INTEGRATE AND COORDINATE CARE AND SERVICES, LEVERAGING TECHNOLOGY, INFORMATION EXCHANGE, AND AVAILABLE USE CASES THROUGH MIHIN, AND TO IMPROVE THE HEALTH AND WELLBEING OF PROGRAM PARTICIPANTS BY ADDRESSING THEIR SOCIAL NEEDS, WHILE SIMULTANEOUSLY ADDRESSING COMMUNITY HEALTH ISSUES. CHRT'S ROLE IN THIS PROJECT INCLUDES PROVIDING BACKBONE SUPPORT TO THE FIVE PARTICIPATING REGIONS, MOBILIZING AND COORDINATING EFFORTS AND HELPING ESTABLISH SHARED COMMUNICATIONS AND REPORTING. CHRT HAS FINANCIAL FIDUCIARY RESPONSIBILITIES TO MICHIGAN MEDICINE FOR THE FUNDING OF THE PARTICIPATING REGIONS. CHRT ALSO FACILITATES A MULTI-DISCIPLINARY LEARNING NETWORK FOR SHARING LESSONS LEARNED, PILOTING NEW IDEAS, SHARING PANDEMIC RESPONSE-RELATED ROLES, MITIGATING ISSUES, ANALYZING COMMON METRICS, EXPLORING SUSTAINABLE FUNDING SOURCES, AND EVALUATING IMPACT AMONG OTHER ACTIVITIES. 351318 366964 MI COMMUNITY CARE (MICC): CHRT WAS ONE OF THE LOCATIONS FOR THE STATE'S COMMUNITY HEALTH INNOVATION REGION HEALTH DISPARITIES PROJECT, A THREE-YEAR PROJECT THAT ENDED IN MAY OF 2023. FUNDED BY THE CDC AND MANAGED BY THE MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES, THE MICC PROJECT AIMED TO IMPROVE HEALTH BY ADDRESSING SOME OF THE UPSTREAM SOCIAL AND ECONOMIC FACTORS THAT INFLUENCE HEALTH EQUITY, SUCH AS HOUSING, TRANSPORTATION, EMPLOYMENT, AND MORE. PROGRAM ACTIVITIES FOCUSED ON SERVING PATIENTS AND PARTICIPANTS WHO ARE ENROLLED, RECORDING CARE PLAN STEPS, AND IMPROVING HEALTH OUTCOMES FOR SOME OF THE MOST VULNERABLE RESIDENTS IN THE AREA. THIS WORK NOW CONTINUES THROUGH THE PROMOTION OF HEALTH EQUITY PROJECT DESCRIBED ABOVE. 154497 346723 LONG TERM SUPPORT SERVICES (LTSS): CHRT CONTINUED TO SUPPORT THE MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES (MDHHS) IN ITS LTSS EFFORTS. AS PART OF THIS PARTNERSHIP, CHRT HAS CONDUCTED AN ANALYSIS OF MEDICAID LTSS IN MICHIGAN AND A LANDSCAPE ANALYSIS OF BEST PRACTICES FOR LTSS PROGRAM DEVELOPMENT FOR MDHHS. CHRT ALSO COMPLETED AN INTENSIVE DATA ANALYSIS AND WORKFLOW MAPPING WITH RECOMMENDED OPPORTUNITIES FOR IMPROVEMENT AND POTENTIAL LTSS MODELS FOR MICHIGANS MEDICAID LTSS SYSTEM, AS WELL AS ASSISTING THE STATE IN THEIR LTSS STRATEGIC PLANNING. THIS WORK IS CRUCIAL AS MEDICARE OFTEN DOESN'T COVER LONG-TERM SERVICES AND SUPPORTS FOR PEOPLE WITH DISABILITIES. IN MOST STATES, MEDICAID DOES, BUT GENERALLY ONLY PEOPLE WITH A LOW INCOME QUALIFY FOR MEDICAID COVERAGE AND SERVICES. MICHIGAN, LIKE MOST STATES, HAS PUT TOGETHER SOME IMPORTANT AND EFFECTIVE PROGRAMS FOR PEOPLE WHO RELY ON THESE SERVICES AND CHRT'S ROLE IS TO WORK WITH THE STATE TO ASSESS THE CHALLENGES OF QUALIFICATION AND IMPLEMENTATION, GATHER STAKEHOLDER INPUT, AND RECOMMEND POTENTIAL SOLUTIONS. 1653441 2136843 IN ADDITION TO THE THREE PROJECTS LISTED ABOVE, CHRT STAFF WORKED ON 29 ADDITIONAL PROJECTS FOR MORE THAN A DOZEN CLIENTS SUCH AS THE CHILDREN OF THE RISING SUN, THE MICHIGAN OPIOID PARTNERSHIP, THE COMMONWEALTH FOUNDATION, AND MORE. THESE PROJECTS COVERED A WIDE RANGE OF IMPORTANT HEALTH TOPICS. - CHRT ANALYZED THE STATE OF THE SCIENCE ON HOW ORAL HEALTH IMPACTS CHRONIC CONDITIONS. - CHRT COMPILED RECOMMENDATIONS FROM THE SUBSTANCE USE DISORDER RECOVERY COMMUNITY ON WAYS TO MAXIMIZE THE IMPACT OF MICHIGAN'S OPIOID SETTLEMENT INVESTMENTS. - CHRT COLLECTED FEEDBACK FROM FREE CLINICS ACROSS THE NATION ON INNOVATIVE WAYS TO PREVENT INFECTIOUS DISEASE SPREAD. - CHRT BEGAN A DETAILED EVALUATION OF THE IMPACT OF MICHIGAN'S CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINICS, WHICH ARE DESIGNED TO PROVIDE MENTAL HEALTH AND SUBSTANCE USE SERVICES TO PERSONS OF ALL AGES, REGARDLESS OF THEIR ABILITY TO PAY. THE LIST OF OUR PROJECTS GOES ON, AS DOES THE IMPACT OF OUR WORK. CHRT'S 2023 FINDINGS HAVE BEEN SHARED BROADLY THROUGH PUBLICATIONS, REPORTS, AND PRESENTATIONS. THIS WORK HAS INSPIRED AND INFORMED EVIDENCE- BASED POLICY AND PRACTICE CHANGES THAT WILL IMPROVE THE HEALTH OF PEOPLE AND COMMUNITIES. THAT'S WHAT'S SO GRATIFYING ABOUT THE WORK WE DO TOGETHER, WHICH SEEKS TO REDUCE HEALTH DISPARITIES, IMPROVE THE HEALTH OF COMMUNITIES, AND EXTEND BOTH THE LENGTH AND QUALITY OF LIFE. 1653441 2136843 9953311 true true false true false false false false false false true false false true false false true false false false false false false false false false false false false true false false false false false false false false false false false false false false false false false true 0 0 0 false false false false false false false false false false false false X 8 8 false false false false true true true true true false false true true true true true true true true false X GUDRUN BOSSMANN 7349987555 4251 PLYMOUTH RD ARBOR LAKES 1 SUITE 2000 ANN ARBOR MI 481053640 X ROBYN RONTAL - PART YEAR INT. EXEC. D 40.00 X 187813 0 28486 NANCY M BAUM HLTH POLICY X 163951 0 34976 MELISSA LEE RIBA RES & EVAL D X 161997 0 21305 SHARON KIM HLTH & SOC E X 141648 0 25208 ANDREW SMENTKOWSKI OPS & FIN DI X 126668 0 27739 GUDRUN BOSSMANN ASSOC DIRECT X 101397 0 37826 TERRISCA DES JARDINS - PART YEAR EXECUTIVE DI 40.00 X 59062 0 7187 JOSHUA TRAYLOR - PART YEAR PRESIDENT & 40.00 X 41458 0 4917 T ANTHONY DENTON CHAIR 2.00 X X 0 0 0 LYNDA ROSSI DIRECTOR 2.00 X 0 0 0 ROBERT CASALOU TREASURER 2.00 X X 0 0 0 RENU TIPIRNENI MD DIRECTOR 2.00 X 0 0 0 TOSHIKI MASAKI DIRECTOR 2.00 X 0 0 0 AMY MCKENZIE MD VICE-CHAIR 2.00 X X 0 0 0 FRAN PARKER - PART YEAR DIRECTOR 2.00 X 0 0 0 TODD VAN TOL DIRECTOR 2.00 X 0 0 0 BRENT WILLIAMS MD DIRECTOR 2.00 X 0 0 0 983994 187644 6 false true false GREATER FLINT HEALTH COALITION 120 W 1ST STREET FLINT MI 48502 1618105 HEALTH NET OF WEST MICHIGAN 1550 LEONARD ST NE GRAND RAPIDS MI 49505 1456936 HENRY FORD ALLEGIANCE HEALTH 205 N EAST AVENUE JACKSON JACKSON MI 49201 1129098 WASHTENAW HEALTH PLAN (WHP) 555 TOWNER STREET YPSILANTI MI 48198 591217 ACCESS HEALTH 1200 RANSAM SUITE 102 MUSKEGON MI 49442 587813 11 9734661 9734661 CONTRACT REVENUE 541700 1332614 1332614 1332614 49156 49156 11116431 1332614 49156 108296 41453 66843 2766 727 2039 38913 2434 36479 56443 37685 18758 28399 20333 8066 9320 9320 OTHER EXPENSES 7290408 7239267 51141 CONTRACT SERVICES 3772771 2421871 1350900 COMMUNICATION 162835 145433 17402 STAFF RELATED 68188 40286 27902 4490 3822 668 11542829 9953311 1589518 0 1203797 634028 44850 97069 342047 298452 52914 43595 2065865 2072280 3367426 2846972 1266131 1244240 93173 21008 1359304 1265248 X 1840540 1419594 167582 162130 2008122 1581724 3367426 2846972 -426398 X false true X true true true X UNIVERSITY OF MICHIGAN ANN ARBOR MI RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 4559 4559 4559 912 228 3647 false 912 912 1368 4559 4559 228 228 342 256682 215902 40780 85365 82550 2815 43595 CONTRACTS RECEIVABLE 2072280 2072280 11116431 11116431 11116431 11542829 11542829 11542829 X X false false false false false false false false false ROBYN RONTAL - PART YEAR INT. EXEC. DIRECTOR 156550 31263 18546 9940 216299 NANCY M BAUM HLTH POLICY DIRECTOR 155679 8272 16544 18432 198927 MELISSA LEE RIBA RES & EVAL DIRECTOR 152525 9472 16544 4761 183302 SHARON KIM HLTH & SOC EQTY DIR 128486 13162 14323 10885 166856 ANDREW SMENTKOWSKI OPS & FIN DIRECTOR 120599 6069 12138 15601 154407 FORM 990, PAGE 2, PART III, LINE 4A PROMOTION OF HEALTH EQUITY (PHE): DURING 2023, CHRT BEGAN ITS FOURTH YEAR OF THE PROMOTION OF HEALTH EQUITY INITIATIVE (PHE). THE PHE PROJECT AIMS TO DEVELOP A STATEWIDE INFRASTRUCTURE FOR SOCIAL DETERMINANTS OF HEALTH (SDOH) DATA COLLECTION, ANALYTICS, AND REPORTING TO BETTER IDENTIFY AND UNDERSTAND DISPARITIES AND LEVERAGE DATA AND COMMUNITY PARTNERSHIPS TO HELP ENHANCE THE QUALITY OF LIFE AND REMOVE BARRIERS TO IMPROVED HEALTH OUTCOMES FOR RESIDENTS OF THE FIVE PARTICIPATING COUNTIES. EACH PARTICIPATING REGION HAS ALREADY DONE SIGNIFICANT WORK BUILDING A CONSORTIUM OF HEALTH CARE AND SOCIAL SERVICE ORGANIZATIONS THAT WORK TOGETHER TO SERVE THEIR GEOGRAPHIC REGIONS. UNDER THE LEADERSHIP OF MICHIGAN MEDICINE, COMMUNITY REGIONS ARE WORKING WITH MSHIELD AND OTHER CQIS TO BUILD DEEPER CONNECTIONS ACROSS CLINICAL AND SOCIAL CARE ORGANIZATIONS TO INTEGRATE AND COORDINATE CARE AND SERVICES, LEVERAGING TECHNOLOGY, INFORMATION EXCHANGE, AND AVAILABLE USE CASES THROUGH MIHIN, AND TO IMPROVE THE HEALTH AND WELLBEING OF PROGRAM PARTICIPANTS BY ADDRESSING THEIR SOCIAL NEEDS, WHILE SIMULTANEOUSLY ADDRESSING COMMUNITY HEALTH ISSUES. CHRT'S ROLE IN THIS PROJECT INCLUDES PROVIDING BACKBONE SUPPORT TO THE FIVE PARTICIPATING REGIONS, MOBILIZING AND COORDINATING EFFORTS AND HELPING ESTABLISH SHARED COMMUNICATIONS AND REPORTING. CHRT HAS FINANCIAL FIDUCIARY RESPONSIBILITIES TO MICHIGAN MEDICINE FOR THE FUNDING OF THE PARTICIPATING REGIONS. CHRT ALSO FACILITATES A MULTI-DISCIPLINARY LEARNING NETWORK FOR SHARING LESSONS LEARNED, PILOTING NEW IDEAS, SHARING PANDEMIC RESPONSE-RELATED ROLES, MITIGATING ISSUES, ANALYZING COMMON METRICS, EXPLORING SUSTAINABLE FUNDING SOURCES, AND EVALUATING IMPACT AMONG OTHER ACTIVITIES. FORM 990, PAGE 2, PART III, LINE 4B MI COMMUNITY CARE (MICC): CHRT WAS ONE OF THE LOCATIONS FOR THE STATE'S COMMUNITY HEALTH INNOVATION REGION HEALTH DISPARITIES PROJECT, A THREE-YEAR PROJECT THAT ENDED IN MAY OF 2023. FUNDED BY THE CDC AND MANAGED BY THE MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES, THE MICC PROJECT AIMED TO IMPROVE HEALTH BY ADDRESSING SOME OF THE UPSTREAM SOCIAL AND ECONOMIC FACTORS THAT INFLUENCE HEALTH EQUITY, SUCH AS HOUSING, TRANSPORTATION, EMPLOYMENT, AND MORE. PROGRAM ACTIVITIES FOCUSED ON SERVING PATIENTS AND PARTICIPANTS WHO ARE ENROLLED, RECORDING CARE PLAN STEPS, AND IMPROVING HEALTH OUTCOMES FOR SOME OF THE MOST VULNERABLE RESIDENTS IN THE AREA. THIS WORK NOW CONTINUES THROUGH THE PROMOTION OF HEALTH EQUITY PROJECT DESCRIBED ABOVE. FORM 990, PAGE 2, PART III, LINE 4C LONG TERM SUPPORT SERVICES (LTSS): CHRT CONTINUED TO SUPPORT THE MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES (MDHHS) IN ITS LTSS EFFORTS. AS PART OF THIS PARTNERSHIP, CHRT HAS CONDUCTED AN ANALYSIS OF MEDICAID LTSS IN MICHIGAN AND A LANDSCAPE ANALYSIS OF BEST PRACTICES FOR LTSS PROGRAM DEVELOPMENT FOR MDHHS. CHRT ALSO COMPLETED AN INTENSIVE DATA ANALYSIS AND WORKFLOW MAPPING WITH RECOMMENDED OPPORTUNITIES FOR IMPROVEMENT AND POTENTIAL LTSS MODELS FOR MICHIGANS MEDICAID LTSS SYSTEM, AS WELL AS ASSISTING THE STATE IN THEIR LTSS STRATEGIC PLANNING. THIS WORK IS CRUCIAL AS MEDICARE OFTEN DOESN'T COVER LONG-TERM SERVICES AND SUPPORTS FOR PEOPLE WITH DISABILITIES. IN MOST STATES, MEDICAID DOES, BUT GENERALLY ONLY PEOPLE WITH A LOW INCOME QUALIFY FOR MEDICAID COVERAGE AND SERVICES. MICHIGAN, LIKE MOST STATES, HAS PUT TOGETHER SOME IMPORTANT AND EFFECTIVE PROGRAMS FOR PEOPLE WHO RELY ON THESE SERVICES AND CHRT'S ROLE IS TO WORK WITH THE STATE TO ASSESS THE CHALLENGES OF QUALIFICATION AND IMPLEMENTATION, GATHER STAKEHOLDER INPUT, AND RECOMMEND POTENTIAL SOLUTIONS. FORM 990, PAGE 2, PART III, LINE 4D IN ADDITION TO THE THREE PROJECTS LISTED ABOVE, CHRT STAFF WORKED ON 29 ADDITIONAL PROJECTS FOR MORE THAN A DOZEN CLIENTS SUCH AS THE CHILDREN OF THE RISING SUN, THE MICHIGAN OPIOID PARTNERSHIP, THE COMMONWEALTH FOUNDATION, AND MORE. THESE PROJECTS COVERED A WIDE RANGE OF IMPORTANT HEALTH TOPICS. - CHRT ANALYZED THE STATE OF THE SCIENCE ON HOW ORAL HEALTH IMPACTS CHRONIC CONDITIONS. - CHRT COMPILED RECOMMENDATIONS FROM THE SUBSTANCE USE DISORDER RECOVERY COMMUNITY ON WAYS TO MAXIMIZE THE IMPACT OF MICHIGAN'S OPIOID SETTLEMENT INVESTMENTS. - CHRT COLLECTED FEEDBACK FROM FREE CLINICS ACROSS THE NATION ON INNOVATIVE WAYS TO PREVENT INFECTIOUS DISEASE SPREAD. - CHRT BEGAN A DETAILED EVALUATION OF THE IMPACT OF MICHIGAN'S CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINICS, WHICH ARE DESIGNED TO PROVIDE MENTAL HEALTH AND SUBSTANCE USE SERVICES TO PERSONS OF ALL AGES, REGARDLESS OF THEIR ABILITY TO PAY. THE LIST OF OUR PROJECTS GOES ON, AS DOES THE IMPACT OF OUR WORK. CHRT'S 2023 FINDINGS HAVE BEEN SHARED BROADLY THROUGH PUBLICATIONS, REPORTS, AND PRESENTATIONS. THIS WORK HAS INSPIRED AND INFORMED EVIDENCE- BASED POLICY AND PRACTICE CHANGES THAT WILL IMPROVE THE HEALTH OF PEOPLE AND COMMUNITIES. THAT'S WHAT'S SO GRATIFYING ABOUT THE WORK WE DO TOGETHER, WHICH SEEKS TO REDUCE HEALTH DISPARITIES, IMPROVE THE HEALTH OF COMMUNITIES, AND EXTEND BOTH THE LENGTH AND QUALITY OF LIFE. FORM 990, PAGE 6, PART VI, LINE 6 THE CENTER FOR HEALTHCARE RESEARCH AND TRANSFORMATION (CHRT) HAS TWO MEMBERS. FORM 990, PAGE 6, PART VI, LINE 7A THE TWO MEMBERS OF THE CORPORATION APPOINT THE MEMBERS OF THE CORPORATIONS GOVERNING BODY. THE BOARD OF DIRECTORS CONSISTS OF NINE (9) VOTING DIRECTORS. THE CLASS A MEMBER APPOINTS THREE (3) DIRECTORS, AND THE CLASS B MEMBER APPOINTS THREE (3) DIRECTORS. THE REMAINING THREE (3) DIRECTORS ARE INDIVIDUALS WITH BROAD PUBLIC PERSPECTIVE AND RELEVANT EXPERTISE (COMMUNITY DIRECTORS). THE COMMUNITY DIRECTORS ARE APPOINTED BY UNANIMOUS DECISION OF THE TWO MEMBERS. FORM 990, PAGE 6, PART VI, LINE 7B THE BOARD OF DIRECTORS HAS FULL AUTHORITY TO GOVERN THE AFFAIRS OF CHRT EXCEPT FOR POWERS RESERVED TO THE MEMBERS BY LAW AND THE FOLLOWING ACTIONS, WHICH ARE RESERVED EXCLUSIVELY TO THE MEMBERS AND REQUIRE THEIR UNANIMOUS ADVANCE APPROVAL: A) AMENDMENT, MODIFICATION OR REPEAL OF THE CORPORATIONS ARTICLES OR BYLAWS; B) MERGER OF THE CORPORATION WITH ANOTHER ENTITY; C) SALE, EXCHANGE, LEASE OR OTHER TRANSFER OF ALL OR SUBTANTIALLY ALL OF THE ASSETS OF THE CORPORATION; D) GENERAL ASSIGNMENT FOR THE BENEFIT OF CREDITORS OR FILING OF A PETITION UNDER FEDERAL BANKRUPTCY LAW; E) DISSOLUTION OF THE CORPORATION; F) INCURRENCE, ASSUMPTION OR GUARANTEE OF ANY INDEBTEDNESS OR OTHER BORROWINGS, INDIVIDUALLY OR IN THE AGGREAGTE, IN EXCESS OF 50,000; G) APPROVAL OF THE NON-BUDGETED PURCHASE, SALE OR LEASE OF ANY REAL ESTATE; H) CREATION BY THE CORPORATION OF NEW AFFILIATES OR SUBSIDIARIES; I) ANY MATERIAL MODIFICATION OF THE PROGRAM OR THE CORPORATIONS PURPOSES; J) ANY ADDITIONAL CAPITAL CONTRIBUTIONS BY THE MEMBERS TO THE CORPORATION; AND K) ANY CONTRACTUAL ARRANGEMENT BETWEEN THE CORPORATION AND A MEMBER OR ITS AFFILIATE. FORM 990, PAGE 6, PART VI, LINE 11B FORM 990 WAS PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW PRIOR TO FILING WITH THE IRS. FORM 990, PAGE 6, PART VI, LINE 12C EACH BOARD MEMBER IS REQUIRED TO ANNUALLY COMPLETE AND SUBMIT A CONFLICTS OF INTEREST QUESTIONNAIRE AND DISCLOSURE FORM. BOARD MEMBERS ARE REQUIRED TO UPDATE THE DISCLOSURE FORM IF ANY MATERIAL CHANGES OR ADDITIONS ARISE DURING THE YEAR. FORM 990, PAGE 6, PART VI, LINE 15A THE BOARD OF DIRECTORS CONDUCTS AN ANNUAL PERFORMANCE REVIEW OF THE CORPORATIONS EXECUTIVE DIRECTOR DURING AN EXECUTIVE SESSION AFTER A FULL BOARD MEETING. AFTER THE COMPLETION OF THE PERFORMANCE REVIEW, THE BOARD DETERMINES THE EXECUTIVE DIRECTORS COMPENSATION FOR THE UPCOMING YEAR. FORM 990, PAGE 6, PART VI, LINE 15B THE CORPORATION CONTRACTS WITH THE UNIVERSITY OF MICHIGAN (U-M) FOR SERVICES RENDERED BY ITS KEY EMPLOYEES. U-MIS A GOVERNMENTALENTITY THAT IS EXCLUDED FROM INTERMEDIATE SANCTIONSUNDER IRC 4958; HOWEVER, IT RELIES ON THE CRITERIATO ESTABLISH THE REBUTTABLE PRESUMPTION IN DETERMINING THE COMPENSATION ARRANGEMENTS. FORM 990, PAGE 6, PART VI, LINE 19 THE CORPORATIONS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE PROVIDED UPON REQUEST. FORM 990, PART VII THE CORPORATION UNDERWENT AN EXECUTIVE DIRECTOR TRANSITION IN 2023. FORMER EXECUTIVE DIRECTOR TERRISCA DESJARDINS STEPPED DOWN FROM THE POSITION ON JANUARY 31, 2023. ROBYN RONTAL SERVED AS THE CORPORATIONS INTERIM EXECUTIVE DIRECTOR FROM FEBRUARY 1, 2023 THROUGH OCTOBER 31, 2023. THE CORPORATIONS BOARD OF DIRECTORS APPOINTED JOSHUA TRAYLOR AS THE CORPORATIONS NEW EXECUTIVE DIRECTOR EFFECTIVE NOVEMBER 1, 2023.