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        <Desc>DEMONSTRATION PROJECTS: EXPENSES = 619,664 CHRT SERVES AS BACKBONE ORGANIZATION TO THE WASHTENAW HEALTH INITIATIVE, A COLLABORATION BETWEEN MORE THAN 200 INDIVIDUALS REPRESENTING OVER 80 ORGANIZATIONS INCLUDING THE VA ANN ARBOR HEALTHCARE SYSTEM, HEALTH PLANS, COUNTY GOVERNMENT, COMMUNITY SERVICES, PHYSICIANS, AND SAFETY NET PROVIDERS COMMITTED TO DELIVERING BETTER CARE TO LOW-INCOME, UNDER-INSURED, AND UNINSURED POPULATIONS. CO-SPONSORED BY THE MICHIGAN MEDICINE AND ST JOSEPH MERCY HEALTH SYSTEM, CHRT STAFF PROVIDES PROJECT MANAGEMENT AND ADDITIONAL SUPPORT THROUGH DATA AND POLICY ANALYSIS, WORK GROUP PROJECT PLAN DEVELOPMENT AND EVALUATION, AND FACILITATING CONNECTIONS ACROSS MULTIPLE STAKEHOLDERS. IN ADDITION, CHRT HOUSES THE MICHIGAN PRIMARY CARE TRANSFORMATION PROJECT (MIPCT)</Desc>
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        <Desc>RESEARCH TO POLICY TRANSLATION: EXPENSES = 344,465 CHRT CONTINUED THE ANNUAL SURVEY OF MICHIGAN CONSUMERS ON THEIR INSURANCE COVERAGE STATUS AND ACCESS TO CARE THAT ALLOWS FOR CONTINUED TRACKING OF THESE TRENDS OVER TIME. THE WORK WAS DONE IN PARTNERSHIP WITH MICHIGAN STATE UNIVERSITY. CHRT ALSO CONTINUED A SURVEY OF MICHIGAN PRIMARY CARE PHYSICIANS, FOCUSED ON THE IMPACTS OF COVID-19, NEW HEALTH TECH TRENDS, HEALTH INSURANCE TRENDS, AND THE ACA'S IMPACTS ON PRACTICES AND PATIENTS. OTHER PROJECTS INCLUDED- DETROIT HEALTH DEPARTMENT FELLOWSHIP, OPIOID SETTLEMENT SURVEY ANALYSIS, MHEF CAREGIVER SCAN DISSEMINATION, AND SHELTER ASSOCIATION OF WASHTENAW COUNTY (SAWC).</Desc>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 - ORGANIZATION'S MISSION</FormAndLineReferenceDesc>
        <ExplanationTxt>CHRT ILLUMINATES BEST PRACTICES AND OPPORTUNITIES FOR IMPROVING HEALTH POLICY AND PRACTICE AND SEEKS TO PROMOTE EVIDENCE-BASED CARE DELIVERY, IMPROVE POPULATION HEALTH, AND EXPAND ACCESS TO CARE THROUGH RESEARCH, PUBLICATIONS, AND CONSULTATIVE WORK.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>GRANT FUNDED PROJECTS: EXPENSES = 4,270,871 CHRT SERVED AS THE BACKBONE ORGANIZATION FOR TWO LARGE COLLECTIVE IMPACT PROJECTS IN 2021 1.) THE PROMOTION OF HEALTH EQUITY (PHE) PROJECT, FUNDED THROUGH MEDICAID MATCH FUNDS; AND 2.) THE MI COMMUNITY CARE (MICC) LIVINGSTON AND WASHTENAW COUNTY COMMUNITY HEALTH INNOVATION REGION (CHIR). PHE: THE U.S. CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS) PLEDGED MEDICAID MATCH FUNDS TO LAUNCH A NEW HEALTHY EQUITY PROJECT IN FIVE MICHIGAN COUNTIES, WITH CHRT SERVING AS THE COORDINATING AGENCY. THE PROJECT AIMS TO HELP THESE COUNTIES REDUCE HEALTH DISPARITIES ASSOCIATED WITH PRESSING SOCIAL NEEDS SUCH AS HOUSING INSTABILITY, FOOD INSECURITY, TRANSPORTATION, HEALTH SYSTEM COMPLEXITY, AND OTHER SOCIOECONOMIC FACTORS. MICC: THE THREE-YEAR MI-COMMUNITY CARE (MICC) PROJECT RECEIVES FUNDING FROM MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES (MDHHS) AND FROM THE CARES ACT TO CONVENE LOCAL HEALTH AND HUMAN SERVICE ORGANIZATIONS TO PROVIDE PATIENT-CENTERED, COORDINATED CARE TO INDIVIDUALS WITH COMPLEX MEDICAL, BEHAVIORAL, AND SOCIAL NEEDS. OTHER GRANTS THAT WERE ADMINISTERED DURING 2021 WERE THROUGH THE KRESGE FOUNDATION, MDHHS MICHIGAN MEDICAID LONG-TERM SERVICES AND SUPPORTS (LTSS),MPHI PIPBHC, RRTC, AND AN AGING-FOCUSED GRANT FROM ANN ARBOR AREA COMMUNITY FOUNDATION.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>DEMONSTRATION PROJECTS: EXPENSES = 619,664 CHRT SERVES AS BACKBONE ORGANIZATION TO THE WASHTENAW HEALTH INITIATIVE, A COLLABORATION BETWEEN MORE THAN 200 INDIVIDUALS REPRESENTING OVER 80 ORGANIZATIONS INCLUDING THE VA ANN ARBOR HEALTHCARE SYSTEM, HEALTH PLANS, COUNTY GOVERNMENT, COMMUNITY SERVICES, PHYSICIANS, AND SAFETY NET PROVIDERS COMMITTED TO DELIVERING BETTER CARE TO LOW-INCOME, UNDER-INSURED, AND UNINSURED POPULATIONS. CO-SPONSORED BY THE MICHIGAN MEDICINE AND ST JOSEPH MERCY HEALTH SYSTEM, CHRT STAFF PROVIDES PROJECT MANAGEMENT AND ADDITIONAL SUPPORT THROUGH DATA AND POLICY ANALYSIS, WORK GROUP PROJECT PLAN DEVELOPMENT AND EVALUATION, AND FACILITATING CONNECTIONS ACROSS MULTIPLE STAKEHOLDERS. IN ADDITION, CHRT HOUSES THE MICHIGAN PRIMARY CARE TRANSFORMATION PROJECT (MIPCT)</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4D</FormAndLineReferenceDesc>
        <ExplanationTxt>CONSULTING WORK: EXPENSES = 551,984 CHRT PROVIDED CLIENT DRIVEN WORK IN 2021. PROJECT AREAS INCLUDED: - BLUE CROSS BLUE SHIELD OF MICHIGAN -COVID RESPONSE AND SDOH - DETROIT WAYNE MENTAL HEALTH AUTHORITY - CONSULT ON DWMHA &amp; BCC INTEGRATION METHODS - WASHTENAW COUNTY - DIVERSION AND CMH MILAGE - HURON VALLEY AMBULANCE- COMMUNITY PARAMEDICINE - HURON GASTRO - CONSULTING</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CENTER FOR HEALTHCARE RESEARCH AND TRANSFORMATION (CHRT) HAS TWO MEMBERS.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE TWO MEMBERS, IN THEIR SOLE DISCRETION, CAN ELECT ALL MEMBERS OF THE BOARD OF DIRECTORS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS HAS FULL AUTHORITY TO GOVERN THE AFFAIRS OF CHRT EXCEPT FOR POWERS RESERVED TO THE MEMBERS. THE FOLLOWING ACTIONS REQUIRE THE APPROVAL OF EACH OF THE MEMBERS: A) A MATERIAL CHANGE OF THE CORPORATION'S PURPOSES; B) THE SALE, TRANSFER, OR OTHERWISE DISPOSAL OF ALL OR SUBSTANTIALLY ALL OF THE CORPORATION'S ASSETS; C) ANY MERGER, CONSOLIDATION, OR OTHER SIMILAR AGREEMENT; D) GENERAL ASSIGNMENT FOR THE BENEFIT OF CREDITORS OR FILING OF A PETITION UNDER FEDERAL BANKRUPTCY LAW; E) INCURRENCE OF ANY INDEBTEDNESS; F) ADMISSION OF ADDITIONAL MEMBERS, OR ANY AGREEMENT BETWEEN THE MEMBERS; OR G) TRANSFER OF MEMBERSHIP IN THE CORPORATION.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990 WAS PROVIDED TO THE BOARD FOR REVIEW PRIOR TO FILING WITH THE IRS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>EACH BOARD MEMBER IS REQUIRED TO ANNUALLY COMPLETE AND SUBMIT A CONFLICTS OF INTEREST QUESTIONNAIRE AND DISCLOSURE FORM, DETAILING ANY SUCH "OTHER INTERESTS". THE BOARD MEMBER MUST UPDATE THE DISCLOSURE FORM IF ANY MATERIAL CHANGES OR ADDITIONS ARISE DURING THE YEAR.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE COMMITTEE OF THE CHRT BOARD CONDUCTS AN ANNUAL PERFORMANCE REVIEW OF THE DIRECTOR, AT WHICH TIME THEY DISCUSS THE SALARY PROGRAM FOR THE UPCOMING YEAR FOR THE DIRECTOR. THE FULL BOARD MEETS IN AN EXECUTIVE SESSION AFTER THE ADJOURNMENT OF THE BOARD MEETING TO REVIEW AND DISCUSS THE DIRECTOR'S PERFORMANCE.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>PLEASE NOTE THAT ALTHOUGH THIS QUESTION HAS BEEN ANSWERED 'NO', IT IS, ACTUALLY, NOT APPLICABLE TO THIS ENTITY. THE ORGANIZATION DOES NOT AND HAS NEVER PAID COMPENSATION TO OTHER OFFICERS, DIRECTORS, OR KEY EMPLOYEES.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>INFORMATION IS PROVIDED UPON REQUEST.</ExplanationTxt>
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