2022-05-16T10:19:54-05:00 2021-06-30 410746749 CLIFTONLARSONALLEN LLP 2523 US HIGHWAY 27 S SEBRING FL 338704926 990 2020-07-01 270332436 CHESAPEAKE REGIONAL INFORMATION SYSTEM FOR OUR PATIENTS INC CHES 4432850160 7160 COLUMBIA GATEWAY DRIVE NO 10 COLUMBIA MD 21046 BRANDON NEISWENDER INTERIM CEO 4432850160 2022-05-13 1 BRANDON NEISWENDER 999009999 KRISTINA HIMROD P01544190 8633851577 2022-05-13 0 AAL1 IAL1 2020 2022-09-23 18:48:47Z BRANDON NEISWENDER 7160 COLUMBIA GATEWAY DRIVE NO 100 COLUMBIA MD 21046 51004961 0 X WWW.CRISPHEALTH.ORG X 2008 MD TO ADVANCE HEALTH AND WELLNESS BY DEPLOYING HEALTH INFORMATION TECHNOLOGY SOLUTIONS ADOPTED THROUGH COOPERATION AND COLLABORATION 16 16 0 19 0 0 38783315 45081049 4818210 5923912 0 0 0 0 43601525 51004961 0 0 0 0 1987991 5213281 0 0 0 41080209 44468629 43068200 49681910 533325 1323051 14406628 18949461 9248564 12468346 5158064 6481115 X CHESAPEAKE REGIONAL INFORMATION SYSTEM FOR OUR PATIENTS, INC. (CRISP) IS A HEALTH INFORMATION EXCHANGE (HIE) THAT OPERATES TO ADVANCE HEALTH AND WELLNESS BY DEPLOYING HEALTH INFORMATION TECHNOLOGY SOLUTIONS ADOPTED THROUGH COOPERATION AND COLLABORATION. THE MISSION OF CRISP IS TO ENABLE AND SUPPORT THE HEALTHCARE COMMUNITY OF MARYLAND AND OUR REGION TO APPROPRIATELY AND SECURELY SHARE DATA IN ORDER TO FACILITATE CARE, REDUCE COSTS, AND IMPROVE HEALTH OUTCOMES. 0 0 4153454 5923912 HEALTH INFORMATION EXCHANGE (HIE)- CRISP CONTINUES TO FOCUS ON THE EXCHANGE. SINCE BUILD-OUT OF THE EXCHANGE, CRISP HIE HAS ALLOWED PROVIDERS PRACTICING AT ONE LOCATION TO INSTANTLY ACCESS PATIENTS' RECORDS, TEST RESULTS, AND OTHER IMPORTANT INFORMATION EVEN IF THAT INFORMATION IS PHYSICALLY STORED MILES AWAY IN SEVERAL UNRELATED LOCATIONS. A BRIEF DESCRIPTION OF THE HIE CONCEPT IS AS FOLLOWS: WHILE PHYSICIAN ACCESS IS IMPROVED BY AN HIE, SO IS THE SECURITY OF PATIENTS' MEDICAL INFORMATION. SECURE ELECTRONIC TRANSMISSION OF MEDICAL DATA ENSURES THAT IS REACHED THE INTENDED RECIPIENT AND ONLY THE INTENDED RECIPIENT. CONTINUED ON SCHEDULE OTHE INSTANTANEOUS ACCESS AND IMPROVED SECURITY OFFERED BY A HIE IS MADE POSSIBLE BY THE HIGH-SPEED COMPUTER NETWORKING HARDWARE USED TO CONNECT ALL PARTICIPATING HEALTH CARE FACILITIES AND IDENTIFY THE LOCATION OF PATIENT RECORDS WITHIN THOSE PARTICIPATING FACILITIES. INCREASED AVAILABILITY AND SECURITY OF PATIENT INFORMATION REDUCES ERRORS, IMPROVES PATIENT CARE, AND LOWERS HEALTH CARE COSTS. HIE ALSO PERMIT, ON A VAST SCALE, THE COLLECTION OF EPIDEMIOLOGICAL AND OTHER DATA PROVIDING UNIQUE SCIENTIFIC AND EDUCATIONAL OPPORTUNITIES. THROUGH ITS ABILITY TO ACCESS AND "DE-IDENTIFY" (REMOVE IDENTIFYING INFORMATION, SUCH AS NAMES OR SOCIAL SECURITY NUMBERS) PATIENT RECORDS FROM MANY (IF NOT ALL) OF A REGION'S PATIENTS, CRISP WILL HELP RELIABLY DETERMINE THE MOST SUCCESSFUL TREATMENTS, RECOGNIZE IMPORTANT AREAS IN NEED OF QUALITY IMPROVEMENT, AND IDENTIFY MEDICAL ERRORS AND OTHER INEFFICIENCIES (SUCH AS TREATMENT COMPLICATIONS) ACROSS AN ENTIRE REGION. IN SUM, HIES PERMIT HEALTHCARE PROVIDERS TO EXCHANGE DATA ON AN UNPRECEDENTED SCALE WHICH SHOULD IMPROVE TREATMENT OUTCOMES AND LOWERS HEALTHCARE COSTS FOR ALL. ADDITIONALLY, HIES PROVIDE A UNIQUE SCIENTIFIC AND EDUCATIONAL OPPORTUNITY. CRISP INTENDS TO OPERATE ITS HIE IN SUCH A WAY AS TO FACILITATE ALL EDUCATIONAL AND SCIENTIFIC USES OF ITS HIE THAT WILL NOT COMPROMISE DATA SECURITY OR PRIVACY. AS CRISP DEVELOPS AND GAINS ACCESS TO AN INCREASING AMOUNT OF MEDICAL DATA, FACILITATION WILL INCLUDE 1) WORKING WITH PARTICIPANTS TO IDENTIFY AREAS WORTH OF STUDY AND/OR RESEARCH, 2) DEVELOPING MEANS FOR DATA COLLECTION WHILE MAINTAINING DATA SECURITY AND PRIVACY, AND 3) PROMOTING THE USE OF APPROPRIATE DATA MINED FROM CRISP IN SCIENTIFIC STUDIES AND EDUCATIONAL SETTINGS. 33851632 GRANT FUNDING- CRISP HAS BEEN WORKING ON SEVERAL SIGNIFICANT GRANT FUNDED INITIATIVES. THE SIGNIFICANT GRANTS ARE AS FOLLOWS: PRESCRIPTIONS DRUG MONITORING PROGRAM (PDMP): CRISP WAS AWARDED FUNDS FROM THE MARYLAND STATE DEPARTMENT OF HEALTH AND MENTAL HYGIENE (MDH) FOR THE PURPOSE OF DEVELOPING AND IMPLEMENTING PRESCRIPTION DRUG MONITORING CAPABILITIES INTO THE EXISTING FRAMEWORK OF THE HIE. IMPLEMENTATION WAS COMPLETED BY CLOSE OF FY15, AND PROJECT FOCUS HAS SINCE SHIFTED TO MAINTENANCE AND NEW PHYSICIAN ENROLLMENT. IMPLEMENTATION ADVANCED PLANNING DOCUMENT (IAPD): IN LATE FY13, MDH WAS AWARDED FUNDS BY CMS FOR THE PURPOSES OF AUGMENTING THE STATEWIDE HIE WITH ADDITIONAL SERVICES MADE AVAILABLE TO ELIGIBLE PROVIDERS WITHIN MARYLAND. CONTINUED ON SCHEDULE O CRISP IS THE SPECIFIED CONTRACTOR FOR MDH. CONTINUING THROUGH FY19, PROJECTS AND SERVICES SUCH AS ENCOUNTER NOTIFICATION SERVICES, (ENS) DIRECT MESSAGING, PORTAL ENHANCEMENT, EMBEDDED APP, IMAGE EXCHANGE AND DATA ROUTER WILL BE OPTIMIZED AND ROLLED OUT TO THE PROVIDER COMMUNITY. IN ORDER TO DRIVE ADOPTION AND INCORPORATION OF THE SERVICES, THE IAPD GRANTS ALLOWS FUNDING FOR OUTREACH EDUCATIONAL ACTIVITIES FOR THE PROVIDER COMMUNITY. INTEGRATED CARE NETWORK: IN 2014, THE MARYLAND HEALTH SERVICES COST REVIEW COMMISSION (HSCRC), WITH THE SUPPORT OF THE MARYLAND STATE DEPARTMENT OF HEALTH AND MENTAL HYGIENE (MDH), ESTABLISHED A CARE COORDINATION WORK GROUP TO OFFER ADVICE ON HOW HOSPITALS, PHYSICIANS, AND OTHER KEY STAKEHOLDERS CAN WORK TOGETHER WITH GOVERNMENT LEADERS IN EFFECTIVE CARE COORDINATION TO SUPPORT THE MARYLAND ALL-PAYER MODEL. THE WORKGROUP LED TO THE CREATION OF THE INTEGRATED CARE NETWORK INFRASTRUCTURE OR "ICN" PROJECT, THROUGH WHICH CRISP WAS CHARGED TO ESTABLISH PROCESSES AND LEVERAGE SERVICES FOR THREE COMPONENTS CRITICAL TO MODERNIZATION EFFORT: IDENTIFICATION OF AT-RISK PATIENTS WHO COULD BENEFIT FROM CARE, COORDINATION OR A TARGETED INTERVENTION, COMMUNICATION ESPECIALLY AT THE POINT OF CARE OF EXISTING PATIENTS RELATIONSHIPS AND CONNECTED SERVICES, AND MONITORING THE EFFECTIVENESS OF PROGRAMS AND INITIATIVES, ESPECIALLY BY MEASURING THEIR IMPACTS ON THE BIGGER TOTAL-COST-OF-CARE. THIS INITIATIVE CONTINUED THROUGH FY19. IN ADDITION, EFFECTIVE 7/1/2019, THE PROJECTS HAVE TRANSITIONED TO THE MAINTENANCE PHASE AND CONSIDERED OPERATIONAL ENHANCED HIE SERVICES. 3395630 OTHER EDUCATION ACTIVITIES- AN IMPORTANT PART OF CRISP'S MISSION IS TO EDUCATE THE PUBLIC (INCLUDING HEALTHCARE PROVIDERS) REGARDING THE BENEFITS OF ELECTRONIC HEALTH RECORDS, AND, BY EXTENSION, CRISP'S MISSION TO ENCOURAGE ELECTRONIC HEALTH RECORD ADOPTION AND MEANINGFUL USE. TO FURTHER THIS ASPECT OF ITS MISSION, CRISP HAS CREATED EDUCATIONAL PROGRAMS FOR PROVIDERS AND THE PUBLIC REGARDING HEALTH INFORMATION NETWORKS, ELECTRONIC HEALTH RECORDS, AND HEALTH INFORMATION PRIVACY, CRISP WILL CONTINUE TO INVESTIGATE, IMPLEMENT, AND WIDELY PUBLICIZE "BEST PRACTICES" WITH REGARD TO ELECTRONIC HEALTH RECORD SECURITY AND ACCURACY. CONTINUED ON SCHEDULE OIN CONJUNCTION WITH OTHER ORGANIZATIONS, CRISP CONTINUES TO ENGAGE IN OUTREACH PROGRAMS TARGETING THE PROVIDER COMMUNITY AND WHICH PROVIDE RESOURCES AND GUIDANCE REGARDING EHR ADOPTION AND ACHIEVING MEANINGFUL USE OF REQUIRED SYSTEMS. IN ADDITION TO PROVIDING GENERAL EDUCATION OF THE HEALTH INFORMATION EXCHANGE, CRISP'S EDUCATIONAL EFFORTS HAVE EXPANDED BEYOND THE BASIC CRISP SERVICES, QUERY PORTAL, ENCOUNTER NOTIFICATION SERVICE, AND THE PRESCRIPTION DRUG MONITORING PROGRAM, TO INCLUDE AN EMPHASIS ON AMBULATORY CONNECTIVITY AND THE BI-DIRECTIONAL EXCHANGE OF PATIENT DATA IN OUR REGION. CRISP EDUCATION AMBULATORY HEALTHCARE PROVIDERS ON THE BENEFITS OF BI-DIRECTIONAL DATA EXCHANGE BETWEEN HEALTHCARE FACILITY AND CRISP, IN IMPROVING THE TREATMENT AND CARE COORDINATION FOR THE REGION'S PATIENTS. CRISP CONTINUES TO ENGAGE IN OUTREACH PROGRAMS WHICH WILL EDUCATION THE PUBLIC ABOUT THE BENEFITS OF ELECTRONIC HEALTH RECORDS AND THE PRIVACY MEASURE THAT WILL ENSURE THE SECURITY OF THEIR PERSONAL HEALTH INFORMATION. CRISP EDUCATION OFFERINGS TAKE THE FORM OF CONFERENCES, PRESENTATIONS AND LECTURES DIRECTED BOTH TO PROVIDERS AND THE PUBLIC. THESE CONFERENCES, PRESENTATIONS AND LECTURES HAVE BEEN SPONSORED BY CRISP ALONE AS WELL AS IN CONCERT WITH OTHER CHARITABLE, EDUCATIONAL AND GOVERNMENTAL ORGANIZATIONS. SPEAKERS HAVE BEEN SELECTED BY CRISP AND OTHER SPONSORING ORGANIZATIONS, AND IN SOME CASES, CRISP MAY CHARGE A MODEST REGISTRATION FEE FOR SUCH CONFERENCES, PRESENTATIONS AND LECTURES TO RECOUP ITS COSTS. 2866609 2866609 44267325 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 16 16 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MD X STACEY BENICEWICZ 4437414902 7160 COLUMBIA GATEWAY DRIVE SUITE COLUMBIA MD 21046 PATRICK DOOLEY CHAIR (THRU 12/2020) 3.00 0.00 X X 0 0 0 PAMELA RAYNE VICE CHAIR (THRU 12/2020); CHAIR 3.00 0.00 X X 0 0 0 ALICIA CUNNINGHAM DIRECTOR (THRU 12/2020); VICE CHAIR 3.00 0.00 X X 0 0 0 TRICIA RODDY SECRETARY 3.00 0.00 X X 0 0 0 BOB REILLY TREASURER 3.00 0.00 X X 0 0 0 SUSAN NELSON DIRECTOR 3.00 0.00 X 0 0 0 GREGG COLON DIRECTOR 3.00 0.00 X 0 0 0 DEWAYNE OBERLANDER DIRECTOR 3.00 0.00 X 0 0 0 WILLARDA EDWARDS MD DIRECTOR 3.00 0.00 X 0 0 0 COLIN WARD DRPH DIRECTOR (EFF. 12/2020) 3.00 0.00 X 0 0 0 HOWARD HAFT MD DIRECTOR (THRU 12/2020) 3.00 0.00 X 0 0 0 DAVID WERTHEIMER II DIRECTOR (EFF. 12/2020) 3.00 0.00 X 0 0 0 JONATHAN KROMM PHD DIRECTOR (THRU 4/2021) 3.00 0.00 X 0 0 0 BRIAN WHEELER DIRECTOR (EFF. 4/2021) 3.00 0.00 X 0 0 0 PETER GREENE MD DIRECTOR 3.00 0.00 X 0 0 0 LAURA HERRERA-SCOTT MD DIRECTOR 3.00 0.00 X 0 0 0 SCOTT MACLEAN DIRECTOR 3.00 1.00 X 0 0 0 BETH SAMMIS PHD DIRECTOR 3.00 0.00 X 0 0 0 JACQUELINE FULTON MD DIRECTOR 3.00 0.00 X 0 0 0 DAVID HORROCKS CEO AND PRESIDENT 40.00 1.00 X 379628 90333 34005 BRANDON NEISWEDNER CHIEF OPERATING OFFICER 40.00 1.00 X 247916 49499 26197 STACEY BENICEWICZ SENIOR DIRECTOR OF FINANCE 40.00 0.00 X 121523 25723 15736 CRAIG BEHM EXECUTIVE DIRECTOR 40.00 0.00 X 204845 43906 25343 CHERYL JONES SENIOR DIRECTOR OF HUMAN RESOURCES 40.00 0.00 X 128087 26031 18247 RYAN BRAMBLE EXECUTIVE DIRECTOR 40.00 0.00 X 199292 42103 16969 1281291 277595 136497 6 0 1 0 DYNAMED SOLUTIONS 5520 RESEARCH PARK DRIVE BALTIMORE MD 21228 STAFFING 2019865 HMETRIX 150 MONUMENT ROAD STE 600 BALA CYNWYD PA 19004 TECHNOLOGY 2013478 LEAP ORBIT LLC 1343 CERNAN LANE BLUE BELL PA 19422 TECHNOLOGY 1721966 AUDACIOUS INQUIRY 5523 RESEARCH PARK DRIVE STE 370 BALTIMORE MD 21228 TECHNOLOGY 1636299 LYNEER STAFFING SOLUTIONS 1011 WHITEHEAD ROAD EWING NJ 08638 STAFFING 1139901 17 39762398 5318651 45081049 USER FEE REVENUE 519100 5923912 5923912 5923912 51004961 5923912 0 0 X 632920 446166 186754 4454812 3140414 1314398 112883 79577 33306 12666 8929 3737 31319 22078 9241 496872 462293 34579 72247 67219 5028 32996591 30700257 2296334 1150614 1146342 4272 157922 20352 137570 8596763 7853115 743648 338721 30693 308028 45575 570 45005 27961 2271 25690 107255 107255 68007 9602 58405 MEMBERSHIP & DUES 263552 131744 131808 JHU CHARGEBACKS 109415 37976 71439 5815 472 5343 49681910 44267325 5414585 0 1639551 2484455 10701636 12721987 897812 2213210 884958 50530 4237372 3081315 267197 1156057 15474 323222 14406628 18949461 8429976 11014365 453161 435355 365427 1018626 9248564 12468346 X 5158064 6481115 5158064 6481115 14406628 18949461 1323051 0 X 0 1 X 1 1 1 X 31420141 34100941 35618891 38783315 45081049 185004337 31420141 34100941 35618891 38783315 45081049 185004337 185004337 185004337 5923912 1.00000 1.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1323991 1164049 159942 2913381 1917266 996115 1156057 DUE TO OTHER ENTITIES 845632 DEFERRED RENT 172994 1018626 X X 0 0 0 0 0 0 0 1 0 DAVID HORROCKS CEO AND PRESIDENT 324374 90333 0 0 55254 0 0 0 34005 0 413633 90333 0 0 BRANDON NEISWEDNER CHIEF OPERATING OFFICER 216345 49499 0 0 31571 0 0 0 26197 0 274113 49499 0 0 CRAIG BEHM EXECUTIVE DIRECTOR 191106 43906 0 0 13739 0 0 0 25343 0 230188 43906 0 0 RYAN BRAMBLE EXECUTIVE DIRECTOR 186077 42103 0 0 13215 0 0 0 16969 0 216261 42103 0 0 CHERYL JONES SENIOR DIRECTOR OF HUMAN RESOURCES 122522 26031 0 0 5565 0 0 0 18247 0 146334 26031 0 0 STACEY BENICEWICZ SENIOR DIRECTOR OF FINANCE 116180 25723 0 0 5343 0 0 0 15736 0 137259 25723 0 0 PART I, LINE 7 DEPENDENT TUITION REIMBURSEMENT: THE DEPENDENT TUITION REIMBURSEMENT PROGRAM REIMBURSES EMPLOYEES FOR 50% LESS TAXES OF EACH DEPENDENT CHILD'S FULL TIME UNDERGRADUATE TUITION AND MANDATORY ACADEMIC FEES, UP TO A MAXIMUM OF 50% OF THE JOHNS HOPKINS UNIVERSITY'S FRESHMAN UNDERGRADUATE TUITION FOR EACH ELIGIBLE DEPENDENT. EMPLOYEES WHO HAVE A MINIMUM OF TWO YEARS OF CONTINUOUS SERVICE ARE ELIGIBLE. THE DEPENDENT MUST BE ENROLLED FULL TIME AT AN APPROVED, ACCREDITED COLLEGE OR UNIVERSITY AND IN GOOD ACADEMIC STANDING. PAYMENT IS LIMITED TO FOUR YEAR OF FILL TIME, UNDERGRADUATE STUDY PER DEPENDENT CHILD. TUITION REIMBURSEMENT IS AVAILABLE TO EMPLOYEES THAT WORK 20 HOURS OR MORE A WEEK FOR UP TO A MAXIMUM BENEFIT OF $10,000 PER ACADEMIC YEAR. TO RECEIVE REIMBURSEMENT, ELIGIBLE EMPLOYEES MUST PURSUE A COURSE OF STUDY AT AN ACCREDITED UNIVERSITY OR COLLEGE THAT LEADS TO A LICENSURE, DEGREE, OR MEETS THE NECESSITY RELATED TO CURRENT POSITION OR ANOTHER POSITION WITHIN THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 6 CHESAPEAKE REGIONAL INFORMATION SYSTEM FOR OUR PATIENTS, INC. HAS TWO CLASSES OF MEMBERS, CLASS A MEMBERS AND CLASS B MEMBERS. CLASS A MEMBERS CAN 1) VOTE ON ANY MATTERS BEFORE THE MEMBERS, 2) APPOINT AND REMOVE TWO DIRECTORS, 3) SELECT ONE OR MORE REPRESENTATIVES WHO MAY ATTEND AND SPEAK AT THE MEETINGS OF THE MEMBERS AND RECEIVE A COPY OF ANY MATERIALS MADE AVAILABLE TO THE MEMBERS BUT WHO SHALL NOT HAVE THE RIGHT TO VOTE AS A MEMBER, AND 4) BY A MAJORITY OF THE CLASS A MEMBERS, TO APPROVE ANY ACTION OF THE BOARD OF DIRECTORS OR A BOARD COMMITTEE CONCERNING THE EXERCISE OF THE CORPORATION'S AUTHORITY AS A CLASS A MEMBER OF CRISP SHARED SERVICES, INC. CLASS B MEMBERS CAN 1) VOTE ON ANY MATTERS BEFORE THE MEMBERS, 2) APPOINT AND REMOVE ONE DIRECTOR, AND 3) SELECT ONE OR MORE REPRESENTATIVES WHO MAY ATTEND AND SPEAK AT THE MEETINGS OF THE MEMBERS AND RECEIVE A COPY OF ANY MATERIALS MADE AVAILABLE TO THE MEMBERS BUT WHO SHALL NOT HAVE THE RIGHT TO VOTE AS A MEMBER. FORM 990, PART VI, SECTION A, LINE 7A THE ADMISSION OF NEW MEMBERS MUST HAVE THE AFFIRMATIVE VOTE OF AT LEAST ONE DIRECTOR APPOINTED BY EACH CLASS A MEMBER AND AT LEAST ONE DIRECTOR APPOINTED BY EITHER THE CLASS B OR THE CLASS C MEMBER. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS BEFORE IT WAS FILED. FORM 990, PART VI, SECTION B, LINE 12C THE PURPOSE OF THIS CONFLICT OF INTEREST POLICY IS TO PROTECT THE CHESAPEAKE REGIONAL INFORMATION SYSTEM FOR OUR PATIENTS, INC. (THE ORGANIZATION'S") INTEREST WHEN IT IS CONTEMPLATING ENTERING INTO A TRANSACTION OR ARRANGEMENT THAT MIGHT BENEFIT THE PRIVATE INTEREST OF AN OFFICER, DIRECTOR, OR SENIOR MANAGER OF THE ORGANIZATION. ANY DIRECTOR, OFFICER, MEMBER OF A BOARD COMMITTEE, OR SENIOR MANAGER WHO HAS A DIRECT OR INDIRECT FINANCIAL INTEREST WITH THE ORGANIZATION IS AN INTERESTED PERSON. IN CONNECTION WITH ANY ACTUAL OR POSSIBLE FINANCIAL CONFLICTS OF INTEREST, AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF HIS OR HER FINANCIAL INTEREST AND ALL MATERIAL FACTS TO THE BOARD OF DIRECTORS OR MEMBERS OF COMMITTEES CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. THE DISCLOSURE REQUIRED BY THIS SECTION SHALL BE IN WRITING, ON A FORM PRESCRIBED BY THE BOARD, AND SHALL BE SUBMITTED NO LESS FREQUENTLY THAN ANNUALLY. DISCLOSURE FORMS SHALL BE UPDATED ON AN INTERIM BASIS BY THE INTERESTED PERSON WHENEVER THERE HAS BEEN A MATERIAL CHANGE IN THE UNDERLYING FACTS AND CIRCUMSTANCES. AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON DESIRED BY THE BOARD OR COMMITTEE, HE OR SHE SHALL LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. THE MINUTES OF THE BOARD AND ALL COMMITTEES SHALL CONTAIN-- 1. THE NAMES OF THE PERSONS WHO DISCLOSED OR OTHERWISE WERE FOUND TO HAVE A FINANCIAL INTEREST IN CONNECTION WITH AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, THE NATURE OF THE FINANCIAL INTEREST, ANY ACTION TAKEN TO DETERMINE WHETHER A CONFLICT OF INTEREST WAS PRESENT, AND THE BOARD'S OR COMMITTEE'S DECISION AS TO WHETHER A CONFLICT OF INTEREST IN FACT EXISTED. 2. THE NAMES OF THE PERSONS WHO WERE PRESENT FOR DISCUSSIONS AND VOTES RELATING TO THE TRANSACTION OR ARRANGEMENT, THE CONTENT OF THE DISCUSSION, INCLUDING ANY ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT, AND A RECORD OF ANY VOTES TAKEN IN CONNECTION THEREWITH. TO ENSURE THE ORGANIZATION OPERATES IN A MANNER CONSISTENT WITH CHARITABLE PURPOSES AND DOES NOT ENGAGE IN ACTIVITIES THAT COULD JEOPARDIZE ITS TAX-EXEMPT STATUS, PERIODIC REVIEWS SHALL BE CONDUCTED. THE PERIODIC REVIEWS SHALL, AT A MINIMUM, INCLUDE THE FOLLOWING SUBJECTS: A. WHETHER COMPENSATION ARRANGEMENTS AND BENEFITS ARE REASONABLE, BASED ON COMPETENT SURVEY INFORMATION, AND THE RESULT OF ARM'S LENGTH BARGAINING. B. WHETHER PARTNERSHIPS, JOINT VENTURES, AND ARRANGEMENTS WITH MANAGEMENT ORGANIZATIONS CONFORM TO THE ORGANIZATION'S WRITTEN POLICIES, ARE PROPERLY RECORDED, REFLECT REASONABLE INVESTMENT OR PAYMENTS FOR GOODS AND SERVICES, FURTHER CHARITABLE PURPOSES AND DO NOT RESULT IN INUREMENT, IMPERMISSIBLE PRIVATE BENEFIT OR IN AN EXCESS BENEFIT TRANSACTION. FORM 990, PART VI, SECTION B, LINE 15 TO DETERMINE COMPENSATION FOR THE ORGANIZATION CEO, A SALARY SURVEY WAS FIRST CONDUCTED TO UNDERSTAND COMPENSATION FOR POSITIONS OF SIMILAR RESPONSIBILITY AT ORGANIZATIONS IN THE HEALTH CARE AND HEALTH IT INDUSTRY. BASE COMPENSATION AND A PERCENTAGE OF POTENTIAL VARIABLE COMPENSATION WERE SET TO BE CONSISTENT WITH THE SURVEY FINDINGS. AT THE END OF EACH YEAR, THE BOARD OF DIRECTORS COMPARES ORGANIZATIONAL ACCOMPLISHMENTS TO STATED GOALS, AND DETERMINES IF ANY OF THE POTENTIAL VARIABLE COMPENSATION WILL BE AWARDED. AN ANNUAL COLA ADJUSTMENT IS APPLIED TO THE CEO COMPENSATION, USING THE COLA OF A LARGE HOSPITAL SYSTEM IN THE BALTIMORE AREA AS THE STANDARD. THE BOARD WILL AUTHORIZE SALARY SURVEYS IN FUTURE YEARS AS APPROPRIATE. WHEN DETERMINING THE COMPENSATION OF OFFICERS AND KEY EMPLOYEES, AN INDEPENDENT CONSULTANT IS ENGAGED TO PROVIDE A SUGGESTED SALARY RANGE BASED ON MARKET RESEARCH. THE RESULTS ARE PRESENTED TO THE BOARD OF DIRECTORS FOR THEIR FINAL APPROVAL. FORM 990, PART VI, SECTION C, LINE 19 CRISP DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. FORM 990, PART IX, LINE 11G CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 30,472,783. MANAGEMENT AND GENERAL EXPENSES 2,279,319. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 32,752,102. DEAP USER FEE CREDITS: PROGRAM SERVICE EXPENSES 227,474. MANAGEMENT AND GENERAL EXPENSES 17,015. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 244,489. CRISP DC LLC 1015 15TH STREET NW STE 1000 WASHINGTON DC 20005 PROVIDE OVERSIGHT AND GOVERNANCE OF DC OPERATIONS DC 20534 1587282 CHESAPEAKE REGIONAL INFORMATION SYSTEM FOR OUR PATIENTS INC CRISP SHARED SERVICES 7160 COLUMBIA GATEWAY DRIVE SUITE 1 COLUMBIA MD 21046 853328249 HIE MEMBER SUPPORT MD 501(C)(3) LINE 12A, I CHESAPEAKE REGIONAL INFORMATION SUSTEM FOR OUR PATIENTS INC 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0