2018-11-14T11:16:26-06:00 2017-12-31 ERNST & YOUNG US LLP 155 N WACKER DR CHICAGO IL 60606 990 2017-01-01 381983442 Altarum Institute % SANDY ZIEBOLD ALTA 7343024600 3520 Green Court Ann Arbor MI 48105 DAVID ROBERTSON CFO 7343024600 2018-11-14 true Jessica A Wagener P01622613 3128792000 164.57.159.253 36964520183185000036 2018-11-14 P 582F47EFACDD6166E52205D1FBFEA2601660FA18 277A2553AC5F9787DA5E6FE751E73415AFB5A6AE 2017 2019-02-21 02:37:17Z Lincoln T Smith 3520 Green Court Suite 300 Ann Arbor MI 48105 57300246 false X www.altarum.org X 1972 MI Altarum serves the public good by solving complex systems problems to improve human health, integrating research, technology, analysis and consulting skills. 8 7 272 0 32177 24298403 19457251 36838198 37413041 1317 49194 466944 -26666 61604862 56892820 22580 30000 0 0 39804274 34603046 0 0 1307112 20157002 24656111 59983856 59289157 1621006 -2396337 69519482 65452862 35112583 25109268 34406899 40343594 X ALTARUM SERVES THE PUBLIC GOOD BY SOLVING COMPLEX SYSTEMS PROBLEMS TO IMPROVE HUMAN HEALTH, INTEGRATING RESEARCH, TECHNOLOGY, ANALYSIS, AND CONSULTING SKILLS. true false 37255489 0 37413041 ALTARUM INSTITUTE'S ACTIVITIES PRIMARILY CONSIST OF RESEARCH FOR THE SUSTAINABLE WELL-BEING OF SOCIETY. THREE OF ALTARUM'S 2017 MAJOR PROGRAMS INCLUDE: - MDHHS DATA HUB: PROVIDE SERVICES AND SUPPORT TO THE MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES (MDHHS) TO IMPROVE THE FLOW OF DATA FROM MICHIGAN'S HEALTHCARE PROVIDERS INTO STATE PUBLIC HEALTH SYSTEMS AND BETWEEN STATE PUBLIC HEALTH SYSTEMS AND THE FEDERAL GOVERNMENT. THESE SYSTEMS INCLUDE THE MICHIGAN DISEASE SURVEILLANCE SYSTEM AND THE MICHIGAN SYNDROMIC SURVEILLANCE SYSTEM (AMONG OTHERS) WHICH EXIST TO TRACK CHANGES IN POPULATION HEALTH AND DETECT UNUSUAL OUTBREAKS OF ILLNESS, POTENTIAL PUBLIC HEALTH THREATS AND EMERGENCIES. - ACCESS TO RECOVERY: PROVIDE SERVICES AND SUPPORT TO THE SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION ACCESS TO RECOVERY GRANT PROGRAM VIA TECHNICAL ASSISTANCE. THIS ASSISTANCE INCLUDES IMPLEMENTING A NATION-WIDE VOUCHER SYSTEM THAT ENCOURAGES INDIVIDUAL CHOICE BY EMPOWERING INDIVIDUALS SUFFERING FROM SUBSTANCE USE DISORDERS TO MAKE INFORMED CHOICES ABOUT CLINICAL TREATMENT AND RECOVERY SUPPORT SERVICES. - MEANINGFUL USE TECHNICAL ASSISTANCE: DELIVER ON THE GROUND PHYSICIAN EDUCATION, OUTREACH AND TECHNICAL ASSISTANCE TO MEDICAID-ELIGIBLE PROFESSIONALS ACROSS THE STATE OF MICHIGAN. THIS SUPPORT FOCUSES ON ADOPTING AND USING HEALTH INFORMATION TECHNOLOGY TO IMPROVE POPULATION HEALTH AND MEET THE REGULATORY REQUIREMENTS OF THE CENTERS FOR MEDICARE AND MEDICAID SERVICES' MEANINGFUL USE PROGRAM. 37255489 true true false true false false false false false false true false false true true true false true false true true false false false false false false true false true false false false false false false false false false false false false false true true true false false true 175 0 true 272 true true true false false false false false false false false false X 8 7 false false false false false false false true true false false true true true true true true true true true true MI X SANDY ZIEBOLD 7343024600 3520 GREEN COURT SUITE 300 Ann Arbor MI 48105 X Karen Aldridge-Eason Trustee 4.0 1.0 X 28250 0 0 Ronald J Gardhouse Vice Chairman Trustee 4.0 1.0 X 37500 0 0 Gerald Croan Trustee 4.0 1.0 X 29000 0 0 Guy Fish Trustee 4.0 1.0 X 36500 0 0 Rosemary Gibson Chairman Trustee 4.0 1.0 X 50500 0 0 LINCOLN T SMITH President and CEO, Secretary 40.0 5.0 X X 995010 0 498195 JENNIE CHIN HANSEN TRUSTEE 4.0 1.0 X 28500 0 0 Joseph Fifer Trustee Beg 1/1/17 4.0 1.0 X 21000 0 0 Alonzo Plough Trustee (End 2/16/17) 4.0 1.0 X 9250 0 0 Marvin McKinney Trustee (End 2/16/17) 4.0 1.0 X 16000 0 0 Alicia Torres Senior VP & CFO, Treasurer 40.0 5.0 X 565990 0 263672 James Lee end 123117 VP, Business Develop officer 40.0 0.0 X 426957 0 94205 Daniel C Armijo SVP & COO 40.0 5.0 X 504710 0 295178 Ryan Lay end 13117 VP, Group Director 40.0 0.0 X 177670 0 3860 Katherine A Dimeo VP, Group Director 40.0 0.0 X 535597 0 136370 Steven J Towell VP, Corp Information & Tech 40.0 0.0 X 293102 0 142143 Douglas RGilbertEnd 83117 VP and Corporate Controller 40.0 5.0 X 391474 0 26704 Francois De BrantesBeg 1117 VP 40.0 0.0 X 263047 0 23301 Sheena Gill Beg 41217 SVP, CAO, GC 40.0 5.0 X 162469 0 194534 Tracy Lawyer Asst. Secretary 40.0 5.0 X 226646 0 82802 Eric P Gelman Group Deputy Director 40.0 0.0 X 271321 0 26578 Joann Lynn Center Director 40.0 0.0 X 246289 0 65907 Christian Weaver Project Director 40.0 0.0 X 221350 0 13221 Richard Keller Center Director 40.0 0.0 X 212989 0 84116 Glen Greenlee VP, Change Mgmt 40.0 0.0 X 264750 0 61557 Terry Owens Former Officer 40.0 0.0 X 208555 0 809 6224426 0 2013152 95 true true false IPSOS Public Affairs 2020 K Street NW Suite 100 WASHINGTON DC 20006 Scientific/Technical 2105095 Federal Advisory Partners 3100 Clarendon Blvd Suite 1400 ARLINGTON VA 22201 Scientific/Technical 5143749 Novaces LLC 650 Poydras St Suite 253 NEW ORLEANS LA 70130 Scientific/Technical 1806366 Michigan Medical Advantage 101 N Main Street Suite 430 ANN ARBOR MI 48104 Scientific/Technical 864243 Michigan Public Health Institute 2436 Woodlake Circle Suite 340 OKEMOS MI 48840 Scientific/Technical 591188 23 17537932 1919319 19457251 CONTRACT REVENUE 541900 37313041 37260435 52606 0 LICENSE REVENUE 541900 100000 100000 37413041 53208 53208 0 0 139916 185340 -45424 0 -45424 -20429 -24995 218072 222086 -4014 -4014 -4014 0 0 0 0 0 0 0 0 0 ADMINISTRATIVE SERVICES 541900 18758 18758 18758 56892820 37360435 32177 42957 X 30000 30000 0 0 0 6769500 4330885 2288229 150386 0 22286961 14219214 7570219 497528 1026331 655225 348220 22886 2300645 1468767 780577 51301 2219609 1417033 753082 49494 0 382268 382268 84970 84970 2747 2747 0 0 15780774 10074693 5354194 351887 0 3268013 2086350 1108791 72872 0 0 2390002 1525815 810894 53293 1354257 864579 459480 30198 0 55834 35645 18944 1245 343912 343912 0 588457 375680 199655 13122 152554 97393 51759 3402 TRAINING 84216 53765 28573 1878 GOVERNANCE COSTS 105917 67619 35936 2362 BAD DEBT -197717 -197717 FEDERAL TAXES 24833 24833 235074 150543 79273 5258 59289157 37255489 20726556 1307112 450 300 6321738 3357270 0 0 9339235 7839047 0 0 0 0 0 0 0 0 896403 1432121 30482644 17214303 1955166 13268341 54436 6319057 0 0 0 0 1362744 1362744 49589310 31873982 69519482 65452862 13063514 11489353 0 0 3186329 2054864 0 0 0 0 0 0 3091321 8659374 0 0 15771419 2905677 35112583 25109268 X 34406899 40343594 0 0 0 0 34406899 40343594 69519482 65452862 X -2396337 490572 7842460 X X false true X true true true X 16087478 10684372 19433544 24298403 19457251 89961048 44253106 46649808 35587810 34170317 37360435 198021476 0 0 0 0 0 60340584 57334180 55021354 58468720 56817686 287982524 0 0 27441310 27274651 20357017 17435314 23584765 116093057 27441310 27274651 20357017 17435314 23584765 116093057 171889467 19807 10615 10638 6135 53208 100403 49973 45907 58080 153960 69780 10615 56545 64215 53208 254363 0 18758 18758 60410364 57344795 55077899 58532935 56889652 288255645 0.59631 0.58437 0.00088 0.00074 X X false true false false false false true 2747 false false 2747 false SCHEDULE C, PART II, LINE 1B & 1G Lobbying Activity Description ALTARUM MET WITH AND/OR SUBMITTED INFORMATION TO STAFF MEMBERS OF THE U.S. HOUSE OF REPRESENTATIVES AND/OR THE U.S. SENATE PERTAINING TO THE FOLLOWING TOPIC: LONG-TERM CARE AND AGING ISSUES. 1596660 1596660 17871915 8797117 9074798 749609 469729 279880 10264460 7947457 2317003 13268341 INVESTMENT IN SUBSIDIARIES 23603568 DEF. COMPENSATION PLAN ASSETS 1097534 INTERCOMPANY RECEIVABLES 7172880 31873982 0 INTERCOMPANY LIABILITIES 514678 DEFERRED COMPENSATION LIAB 2390999 2905677 X SCHEDULE D ALTARUM INSTITUTE ADOPTED THE PROVISIONS OF ASC 740 (FKA FIN 48) FOR THE FISCAL YEAR ENDED DECEMBER 31, 2007, AS REQUIRED. ALTARUM INSTITUTE'S SHARE OF THE CONSOLIDATED FINANCIAL STATEMENT PROVISION FOR ASC 740 (FKA FIN 48) FOR THE FISCAL YEAR ENDED DECEMBER 31, 2017 WAS ZERO. Schedule D, Part X, Line 2 ASC 740 (FKA FIN 48) FOOTNOTE THE INSTITUTE ANALYZES ITS INCOME TAX FILING POSITIONS IN THE FEDERAL, STATE, AND LOCAL JURISDICTIONS WHERE IT IS REQUIRED TO FILE INCOME TAX RETURNS, AS WELL AS ALL OPEN TAX YEARS IN THESE JURISDICTIONS, TO IDENTIFY POTENTIAL UNCERTAIN TAX POSITIONS. THE INSTITUTE TREATS INTEREST AND PENALTIES ATTRIBUTABLE TO INCOME TAXES, AND REFLECTS ANY CHARGES FOR SUCH, TO THE EXTENT THEY ARISE, AS A COMPONENT OF ITS INCOME TAX EXPENSE. THE INSTITUTE HAS EVALUATED ITS INCOME TAX FILING POSITIONS FOR FISCAL YEARS 2014 THROUGH 2017, THE YEARS WHICH REMAIN SUBJECT TO EXAMINATION AS OF DECEMBER 31, 2017. THE INSTITUTE CONCLUDED THAT THERE ARE NO SIGNIFICANT UNCERTAIN TAX POSITIONS REQUIRING RECOGNITION IN THE INSTITUTE'S CONSOLIDATED FINANCIAL STATEMENTS. THE INSTITUTE DOES NOT EXPECT THE TOTAL AMOUNT OF UNRECOGNIZED TAX BENEFITS ("UTB") (E.G. TAX DEDUCTIONS, EXCLUSIONS, OR CREDITS CLAIMED OR EXPECTED TO BE CLAIMED) TO SIGNIFICANTLY CHANGE IN THE NEXT 12 MONTHS. THE INSTITUTE DOES NOT HAVE ANY AMOUNTS ACCRUED FOR INTEREST AND PENALTIES RELATED TO UTBS AT DECEMBER 31, 2017 OR 2016, AND IS NOT AWARE OF ANY CLAIMS FOR SUCH AMOUNTS BY FEDERAL, STATE OR LOCAL INCOME TAX AUTHORITIES. Europe (Including Iceland and Greenland) 0 0 Program Services Scientific Research 3506 North America 0 1 Program Services Scientific Research 275281 0 1 0 1 278787 278787 false false false false false false true AcademyHealth 1666 K St NW Ste 1100 wASHINGTON DC 20006 521260918 501(c)(3) 10000 Support MICHIGAN THEATER FOUNDATION INC 603 EAST LIBERTY ST ANN ARBOR MI 48104 382269013 501(C)(3) 10000 CORPORATE SPONSORSHIP University Musical Society 881 N University Ave ANN ARBOR MI 48109 271712188 501(C)(3) 10000 CORPORATE SPONSORSHIP 3 0 SCHEDULE I, PART I, LINE 2 PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS ALTARUM INSTITUTE IS COMMITTED TO A PROGRAM OF PHILANTHROPY THAT SUPPORTS OUR LOYAL COMMUNITIES. THROUGH OUR CHARITABLE CONTRIBUTIONS PROGRAM, WE SUPPORT AND ENCOURAGE EMPLOYEE INVOLVEMENT IN THE LOCAL COMMUNITY IN ADDITION TO INSTITUTE SUPPORT THAT ALIGNS WITH OUR MISSION. AS EMPLOYEE PARTICIPATION IS PARAMOUNT TO THE SUCCESS OF THIS PROGRAM, A LOCAL CHARITABLE CONTRIBUTION COMMITTEE WILL BE ESTABLISHED AT EACH MAJOR OFFICE. WITH THE ASSISTANCE OF HUMAN RESOURCES, COMMITTEE MEMBERS WILL DEVELOP TIMELINES, HOST QUARTERLY MEETINGS, REVIEW PROPOSALS, AND DISBURSE AWARDS BASED ON SPECIFIC CRITERIA. THE VISION IS TO EMPOWER AND ENCOURAGE EMPLOYEE PARTICIPANTS TO DEVELOP A GREATER SENSE OF MORALE THAT EXPANDS INTO COMMUNITY LEADERSHIP. X X X X X true true false false false false false false false LINCOLN T SMITH President and CEO, Secretary 375942 606703 12365 475547 22648 1493205 621162 Alicia Torres Senior VP & CFO, Treasurer 250000 319314 -3324 239738 23934 829662 319314 James Lee end 123117 VP, Business Develop officer 193583 232990 384 72572 21633 521162 232990 Daniel C Armijo SVP & COO 219500 290200 -4990 271670 23508 799888 290200 Ryan Lay end 13117 VP, Group Director 34167 143503 1708 2152 181530 142169 Katherine A Dimeo VP, Group Director 199000 334023 2574 132449 3921 671967 334023 Steven J Towell VP, Corp Information & Tech 156000 139295 -2193 118495 23648 435245 139295 Douglas RGilbertEnd 83117 VP and Corporate Controller 146250 166733 78491 14395 12309 418178 238552 Eric P Gelman Group Deputy Director 191667 68860 10794 22755 3823 297899 68860 Francois De BrantesBeg 1117 VP 259466 3581 21371 1930 286348 0 Sheena Gill Beg 41217 SVP, CAO, GC 160417 0 2052 180901 13633 357003 0 Tracy Lawyer Asst. Secretary 160122 59761 6763 73126 9676 309448 65960 Joann Lynn Center Director 188500 45434 12355 54189 11718 312196 56309 Christian Weaver Project Director 102810 8000 110540 5541 7680 234571 83250 Richard Keller Center Director 157333 55558 98 58441 25675 297105 62263 Glen Greenlee VP, Change Mgmt 181130 78971 4649 44824 16733 326307 85937 Terry Owens Former Officer 16125 0 0 0 192430 0 809 0 0 0 209364 0 26048 0 SCHEDULE J, PART I, LINE 4A ALTARUM INSTITUTE ISSUED THE FOLLOWING SEVERANCE PAYMENT IN 2017 AS A RESULT OF TERMINATION OF EMPLOYMENT: CHRISTIAN WEAVER $ 32,197 TERRY OWENS $166,382 SCHEDULE J, PART I, LINE 4B Supplemental Nonqualified Retirement Plan Altarum Institute administers a supplemental nonqualified IRC Section 457(f) plan for its senior executives and another such plan for middle management. These IRC Section 457(f) plans provide specific timed deferrals of incentive compensation for these employees. The following individuals deferred the listed amounts of 2017 incentive compensation under the plans in which they qualified: Lincoln Smith $546,445 Katherine Dimeo $150,915 James Lee (end 12/31/17) $106,997 Francois De Brantes (Beg 1/1/17) $ 0 Sheena Gill (Beg 4/12/17) $162,053 Douglas Gilbert (End 8/31/17) $ 0 Steven Towell $120,386 Daniel Armijo $297,832 Ryan Lay (end 1/31/17) $ 0 Alicia Torres $282,128 Tracy Lawyer $ 51,425 Eric Gelman $ 0 Glen Greenlee $ 22,937 Joann Lynn $ 42,130 Christian Weaver $ 0 Richard Keller $ 47,764 Part III, Line 2 DURING 2017 ALTARUM SUPPORTING ORGANIZATION (ASO) A WHOLLY OWNED SUBSIDIARY OF ALTARUM INSTITUTE MERGED INTO ALTARUM INSTITUTE. AS A RESULT OF THE ASO MERGER, ALTARUM INSTITUTE LEASES CERTAIN FACILITES AND EQUIPMENT TO UNRELATED THIRD PARTIES. THIS ACTIVITY IS REPORTED AS OTHER REVENUE ON PART VIII. THE FACILITY BEING RENTED IS DEBT FINANCED RESULTING IN UNRELATED BUSINESS INCOME THAT IS REFLECTED ON FORM 990-T. IN DECEMBER OF 2017 HEALTH CARE INCENTIVES IMPROVEMENT INSTITUTE INC (HCI3), AN UNRELATED NONPROFIT HEALTH CARE CONSULTING ORGANIZATION WAS MERGED INTO ALTARUM INSTITUTE. AS A RESULT OF THE HCI3 MERGER, ALTARUM INSTITUTE HAS PERFORMED ON HCI3 CONTRACTS WHICH ARE WORKING ON A COMPENSATION APPROACH DEVELOPED TO ANALYZE MEDICAL EPISODES OF CARE FROM CLAIMS DATA USING PROMETHEUS ANALYTICS SOFTWARE TO CREATE AN EPISODE INFORMED CASE RATE BUDGET THAT CAN BE USED FOR VALUE BASED PAYMENT MODELS AND PERFORMANCE. PART VI, SECTION B., LINE 11B process for review of form 990 by organization 1. irs FORM 990 IS PREPARED EXTERNALLY BY ALTARUM'S TAX ACCOUNTING FIRM. THE PROCESS IS MANAGED BY THE OFFICE OF THE CHIEF FINANCIAL OFFICER. WITH APPROPRIATE GUIDANCE FROM THE TAX ACCOUNTANTS, INFORMATION GATHERING AND REPORTING IS PRIMARILY CONDUCTED BY THE CHIEF FINANCIAL OFFICER AND DIRECTOR OF ACCOUNTING. AS PART OF THE INFORMATION GATHERING PROCESS, THE CHIEF FINANCIAL OFFICER AND DIRECTOR OF ACCOUNTING WORKS WITH ALTARUM INSTITUTE OFFICERS AND OTHER MANAGERS AS NECESSARY. 2. THE CHIEF FINANCIAL OFFICER PRESENTS THE COMPLETED DRAFT FORM 990 TO THE AUDIT AND COMPENSATION COMMITTEE OF THE ALTARUM INSTITUTE BOARD OF TRUSTEES. THIS COMMITTEE HAS BEEN DESIGNATED BY THE BOARD TO REVIEW THE FORM 990 TO EITHER APPROVE AS WRITTEN OR MAKE SUGGESTED MODIFICATIONS, DRAWING UPON WHATEVER BOARD COMMITTEES OR INDIVIDUAL TRUSTEES IT DEEMS NECESSARY. Concurrently, the full board of trustees is provided access to the Form 990 and are invited to the audit and compensation committee meeting to review the form with management and the external tax accountants. 3. once reviewed and approved for submission, the chief financial officer is notified that the form is ready for submission to the irs. 4. the chief financial officer provides a copy of the form 990 to each member of the board of directors prior to filing. 5. the chief financial officer instructs the external tax accountants to finalize the irs form 990 and present it for signature and filing with the irs. PART VI, SECTION B., LINE 12C MONITORING AND ENFORCEMENT OF COMPLIANCE WITH CONFLICT OF INTEREST POLICY ANNUALLY, EACH MEMBER OF THE BOARD OF TRUSTEES AND EVERY OFFICER MUST COMPLETE AND SUBMIT A DISCLOSURE FORM TO THE DIRECTOR OF LEGAL AND COMPLIANCE. INCLUDED IN THE DISCLOSURE FORM IS ANY EMPLOYMENT, BOARD MEMBERSHIP, COMPENSATORY ARRANGEMENTS, MATERIAL INTERESTS, ETC. WITH OTHER ENTITIES. THE DIRECTOR OF LEGAL AND COMPLIANCE INPUTS ALL OF THE INFORMATION INTO A DATABASE SO THAT MATERIAL TRANSACTIONS CAN BE CHECKED AGAINST ALL OF THE DATA PROVIDED IN THE DISCLOSURE FORMS. ALSO, PURSUANT TO POLICY, THE BOARD MEMBERS AND OFFICERS HAVE TO DISCLOSE ANY INTERESTS IN OR RELATIONSHIP WITH AN ENTITY THAT ALTARUM IS PURSUING A TRANSACTION WITH (AT THE TIME OF THE BOARD MEMBER OR OFFICER BECOMing AWARE OF THE POTENTIAL ALTARUM RELATIONSHIP). UPON THE IDENTIFICATION OF A POTENTIAL CONFLICT OF INTEREST, THE INTERESTED PERSON MUST DISCLOSE ALL MATERIAL FACTS, AND THE DISINTERESTED BOARD MEMBERS (IN THE ABSENCE OF THE INTERESTED PERSON) DISCUSS AND VOTE UPON WHETHER OR NOT AN ACTUAL CONFLICT OF INTEREST EXISTS. IF A CONFLICT OF INTEREST EXISTS, THEN ALTERNATIVE TRANSACTIONS OR ARRANGEMENTS WILL BE SOUGHT OUT AND CONSIDERED. IF NO ALTERNATIVE TRANSACTION IS SUITABLE, THE DISINTERESTED MEMBERS OF THE BOARD DETERMINE WHETHER OR NOT THE CONFLICTED TRANSACTION IS IN ALTARUM'S BEST INTERESTS AND DETERMINE IF THE TERMS OF THE TRANSACTION ARE FAIR AND REASONABLE, WITHOUT THE PARTICIPATION OR VOTE BY THE PARTY INVOLVED IN THE CONFLICT OF INTEREST. UPON A CONFLICT OF INTEREST OCCURRING THAT WAS NOT DISCLOSED, THE INTERESTED PERSON MUST EXPLAIN THE FAILURE TO DISCLOSE THE ALLEGED CONFLICT. AFTER HEARING THE EXPLANATION AND CONDUCTING ANY NECESSARY FURTHER INVESTIGATION, THE BOARD WILL TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION. PART VI, SECTION B., LINE 15a AND 15B OFFICES & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR PROCESS HAS BEGUN THE ALTARUM INSTITUTE AUDIT AND COMPENSATION COMMITTEE MEETS EVERY YEAR FOR THE PURPOSE OF REVIEWING, DETERMINING AND APPROVING COMPENSATION FOR THE EXECUTIVE EMPLOYEES OF ALTARUM INSTITUTE. THE COMMITTEE MEETS IN FEBRUARY TO EVALUATE THE REASONABLENESS OF THE AMOUNT AND CONFORMITY WITH ALTARUM INSTITUTE POLICIES AND PRIOR COMMITTEE APPROVALS. REVIEW OF PRIOR YEAR TOTAL COMPENSATION ALSO OCCURS AT THE FEBRUARY MEETING. EXECUTIVE POSITIONS INCLUDED IN REVIEW ARE: 1. PRESIDENT & CEO 2. CHIEF FINANCIAL OFFICER 3. ALL OTHER EXECUTIVES OF THE ORGANIZATION. THE FOLLOWING INFORMATION IS CONSIDERED AS PART OF THE DETERMINATION OF COMPENSATION: 1. CURRENT SALARY SURVEY INFORMATION COMPILED BY INDEPENDENT FIRMS: MERCER, TOWERS WATSON, PRM, AND GUIDESTAR. 2. INDEPENDENT MARKET COMPENSATION DATA REPORT PREPARED BY PEARL MEYER. 3. 13-FIRM NON-PROFIT PEER GROUP SELECTED BY AUDIT AND COMPENSATION COMMITTEE. 4. REVIEW OF EMPLOYEE PERFORMANCE EVALUATION DATA SUMMARIZED BY THE PRESIDENT AND CEO, FOR ALL NON-PRESIDENT AND CEO EXECUTIVES. AFTER DISCUSSION, ALL MEMBERS OF THE COMPENSATION COMMITTEE VOTE ON THE COMPENSATION PRESENTED. IF THE COMMITTEE APPROVES THE COMPENSATION PACKAGES PRESENTED AS REASONABLE AND IN CONFORMITY WITH THE ALTARUM INSTITUTE POLICIES, THEN THE COMPENSATION COMMITTEE SUBMITS THE COMPENSATION PROVISIONS OUTLINED FOR ENDORSEMENT BY THE BOARD OF TRUSTEES. AFTER REVIEWING THE COMPENSATION PROVISIONS APPROVED BY THE COMPENSATION COMMITTEE, THE BOARD OF TRUSTEES VOTES THE RECOMMENDATIONS. PART VI, SECTION C., LINE 19 PROCESS FOR MAKING DOCUMENTS AVAILABLE TO THE PUBLIC ALL AVAILABLE UPON REQUEST FORM 990, PART VII, SECTION A MR. FISH'S EMPLOYER, FLETCHER SPAGHT, INC., REQUIRED HIM TO FORGO THE TRUSTEE FEES REPORTED IN PART VII, SECTION A IN ORDER TO SERVE ON ALTARUM INSTITUTE'S BOARD. FLETCHER SPAGHT, INC. HAS DONE BUSINESS WITH ALTARUM INSTITUTE IN THE PAST, AND ITS CONFLICT OF INTEREST POLICY PROHIBITED MR. FISH FROM RECEIVING ANY TRUSTEE FEES DIRECTLY IF HE WANTED TO SERVE ON THE ALTARUM INSTITUTE BOARD. MR. FISH ENTERED INTO AN AGREEMENT WITH ALTARUM INSTITUTE WHEREBY HE DIRECTED THAT THE TRUSTEE FEES BE PAID DIRECTLY TO FLETCHER SPAGHT, INC. INSTEAD. FOR PURPOSES OF FULL DISCLOSURE, THE FEES ARE REPORTED IN PART VII, SECTION A AS IF PAID TO HIM DIRECTLY. Part IX, Line 11g Other fee for services SUBCONTRACT Fees $14,594,980 Consulting $ 866,614 WorK order labor $ 45,781 HONORARIA/INCENTIVES $ 190,267 Other $ 83,132 Total $15,780,774 FORM 990, PART XI, LINE 9 INCOME FROM SUBSIDIARIES $ 4,117,626 DIVESTURE OF BUSINESS DIVISION CONSTITUTING A COMMON CONTROL TRANSACTION $ 3,724,834 Total $ 7,842,460 FORM 990, PART XII, LINE 3B REQUIRED AUDIT SINGLE AUDIT COMPLETED IN ACCORDANCE WITH UNIFORM GUIDANCE Altarum Supporting Organization 3520 Green Court Suite 300 Ann Arbor MI 48105 383580694 Support Org MI 501(c)(3) 12A Altarum Inst true Health Care Incentives Improvement Insti 3520 Green Court Suite 300 Ann Arbor MI 48105 510461495 Software Tech CT 501(c)(3) 7 Altarum Inst true Federal Consulting Asset MGMT inc 3520 Green Court Suite 300 Ann Arbor MI 48105 383609582 Holding Co. MI Altarum Sup Org C Corp 4117626 19468087 1.00000 true Health Systems Research Inc 3520 Green Court Suite 300 Ann Arbor MI 48105 521353811 Health Servic DC F Cons As Mgmt C Corp 0 0 1.00000 true KAI Research Inc 11300 Rockville Pike Suite 500 Rockville MD 20852 521285172 Health Servic MD F CON ASS MGMT C Corp -6038642 2545272 1.00000 true Palladian Partners Inc 8484 Georgia Avenue Suite 400 Silver Spring MD 20910 521974660 Health Comm. MD F CON ASS MGMT C Corp 698771 14824358 1.00000 true Payformance Solutions Inc 321 North Clark Street Suite 500 Chicago IL 60654 821173573 Software Tech IL FCAM C Corp -1152251 153823 1.00000 true false false false false true true false true false true true true false false false true false true Altarum Supporting Org k 666257 Cost Altarum Supporting Org q 99107 Cost Altarum Supporting Org d 2500000 Cost Altarum Supporting Org i 48693803 Cost Federal Consulting Asset Mgmt q 54211 Cost Federal Consulting Asset Mgmt g 5424139 Cost KAI Research Inc k 432624 Cost KAI Research Inc l 364928 Cost KAI Research Inc q 184721 Cost KAI Research Inc p 37078 Cost Palladian Partners Inc l 129170 Cost Palladian Partners Inc m 131248 Cost Palladian Partners Inc q 2415761 cost Payformance Solutions Inc l 3095 cost Payformance Solutions Inc q 32619 cost Health Care Incentives Improvement Inst Inc l 2790206 cost Health Care Incentives Improvement Inst Inc q 899434 cost