2025-11-11T09:03:18-05:00 2024-12-31 990 2024-01-01 271017827 CENTER FOR HEALTHCARE RESEARCH & TRANSFORMATION CENT 7349987580 4251 PLYMOUTH ROAD ARBOR LAKES 1 ANN ARBOR MI 481053640 JOSHUA TRAYLOR PRESIDENT & EXEC DIR 7349987580 2025-11-10 false 2024 2025-03-06 01:10:19Z CENT FOR HLTH & RES TRANSFORMATION JOSHUA TRAYLOR 4251 PLYMOUTH ROAD ARBOR LAKES 1 SUITE 2000 ANN ARBOR MI 481053640 10522026 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 9734661 8977235 1332614 1499301 49156 45490 0 11116431 10522026 0 0 0 0 0 11542829 11047794 11542829 11047794 -426398 -525768 2846972 2669678 1265248 1613722 1581724 1055956 X CHRTS MISSION IS TO INSPIRE AND ENABLE EVIDENCE-INFORMED POLICIES AND PRACTICES THAT IMPROVE THE HEALTH OF PEOPLE AND COMMUNITIES. false false 7532480 8077764 PROMOTION OF HEALTH EQUITY CHRT ROLE: CHRT CONTINUED TO SERVE AS THE COORDINATING AND BACKBONE ORGANIZATION DURING 2024, WHICH WAS THE FIFTH AND LAST YEAR OF THE PHE INITIATIVE. THE MISSION OF THIS INITIATIVE IS TO DEVELOP A STATEWIDE INFRASTRUCTURE FOR SOCIAL DETERMINANTS OF HEALTH (SDOH) DATA COLLECTION, ANALYTICS, AND REPORTING. CHRT ALSO MAINTAINED FINANCIAL FIDUCIARY RESPONSIBILITIES TO MICHIGAN MEDICINE FOR THE FUNDING OF THE PARTICIPATING REGIONAL HEALTH COLLABORATIVES (RHCS). KEY ACTIVITIES IN 2024: CHRT PROVIDED BACKBONE SUPPORT TO THE FIVE PARTICIPATING REGIONS, MOBILIZING AND COORDINATING EFFORTS AND HELPING ESTABLISH SHARED COMMUNICATIONS AND REPORTING. CHRT RECEIVED THE PHE FY2025 SUBCONTRACT FROM THE UNIVERSITY OF MICHIGAN IN DECEMBER. THE FIFTH YEAR OF THIS PROJECT FOCUSES ON WORKING WITH MSHIELD AND OTHER CONTINUOUS QUALITY IMPROVEMENT (CQI) ORGANIZATIONS TO BUILD DEEPER CONNECTIONS ACROSS CLINICAL AND SOCIAL CARE ORGANIZATIONS TO INTEGRATE AND COORDINATE CARE AND SERVICES. CHRT MAINTAINED THE DATA DASHBOARD TRACKING TRENDS IN SDOH SCREENING, NEEDS IDENTIFIED, AND NEEDS ADDRESSED ACROSS THE PARTICIPATING REGIONS. CHRT CONTINUED TO FACILITATE THE MULTI-DISCIPLINARY LEARNING NETWORK FOR SHARING LESSONS LEARNED, PILOTING NEW IDEAS, AND EXPLORING SUSTAINABLE FUNDING SOURCES 285593 350000 WASHTENAW HEALTH INITIATIVE CHRT ROLE: CHRT SERVED AS THE BACKBONE ORGANIZATION AND FIDUCIARY AGENT FOR WHI, A VOLUNTARY COLLABORATION DEDICATED TO IMPROVING THE HEALTH AND HEALTH EQUITY OF LOW-INCOME, UNINSURED, AND UNDER-INSURED POPULATIONS IN WASHTENAW COUNTY. IN 2024, THE INITIATIVE RECEIVED CONTRIBUTIONS FROM MICHIGAN MEDICINE, TRINITY HEALTH SYSTEM, THE CITY OF ANN ARBOR, AND WASHTENAW COUNTY. KEY ACTIVITIES IN 2024: THE WHI CONTINUED TO SUPPORT WORKGROUPS FOCUSED ON A COMMUNITY ADVISORY BOARD, A HEALTHY AGING COLLABORATIVE, MI COMMUNITY CARE, AND COMMUNICATIONS. THE WHI SUCCESSFULLY KICKED OFF ITS HEALTH AND SOCIAL SERVICES INTEGRATION WORK WITH A COMMUNITY CARE HUB (CCH) PANEL DISCUSSION HOSTED ON DECEMBER 10TH. DURING THE DECEMBER CCH DISCUSSION, REPRESENTATIVES FROM CCHS IN NEW YORK, MISSOURI, AND MAINE PROVIDED WHI STAKEHOLDERS WITH AN OVERVIEW OF HOW THEIR HUBS WERE PLANNED, IMPLEMENTED, AND SCALED.LESSONS LEARNED FROM THE DECEMBER CCH DISCUSSION WERE SUMMARIZED INTO 12 RECOMMENDATIONS. 198002 318215 LONG TERM SUPPORT SERVICE (LTSS) CHRT ROLE: CHRT CONTINUED TO SUPPORT THE MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES (MDHHS) LONG TERM SUPPORT SERVICE (LTSS) PROJECT BY PROVIDING TARGETED POLICY AND PROJECT MANAGEMENT SUPPORT FOR THE MI HEALTH LINK PROGRAM AND RELATED AMERICAN RESCUE PLAN ACT (ARPA) INITIATIVES. THESE ARPA ACTIVITIES OCCURRED DURING THE PERIOD SPANNING 20222024. KEY ACTIVITIES IN 2024: THE WORK INCLUDED SUPPORT FOR THE MI HEALTH LINK PROGRAM, SPECIFICALLY RELATING TO THE DEVELOPMENT OF A DUAL ELIGIBLE SPECIAL NEEDS PLAN (D-SNP) IMPLEMENTATION STRATEGY AND GATHERING STAKEHOLDER INPUT FOR THE MI HEALTH LINK TRANSITION TO A HIDE-SNP. CHRT PROVIDED SUPPORT TO THE ARPA TEAM AT MDHHS, WHICH INCLUDED CONDUCTING ANALYSES RELATED TO KEY AREAS OF INTEREST, COLLECTING STAKEHOLDER FEEDBACK TO INFORM ARPA PROGRAMS, AND PROVIDING ONGOING PROJECT MANAGEMENT SUPPORT. CHRT DELIVERED A COMPREHENSIVE REPORT TO THE MI HEALTH LINK TEAM IDENTIFYING OPPORTUNITIES TO STANDARDIZE PERSONAL CARE ASSESSMENTS AND PERSONAL CARE PLANNING FOR MEMBERS. THIS INVOLVED INTERVIEWING LEADERS FROM MEDICAID HEALTH PLANS AND STATE LTSS PROGRAMS, REVIEWING TOOLS, AND DRAFTING FINDINGS. 1387589 1776048 ALL OTHER PROGRAMS: IN ADDITION TO THE THREE LARGEST PROGRAMS (PROMOTION OF HEALTH EQUITY, WASHTENAW HEALTH INITIATIVE, AND LONG-TERM SERVICES AND SUPPORTS), CHRT STAFF WORKED ON MORE THAN 30 ADDITIONAL PROJECTS FOR OVER A DOZEN CLIENTS, GENERATING 1,776,048 IN REVENUE FROM THESE ACTIVITIES. THESE DIVERSE PROJECTS INCLUDED CORE CHRT SERVICES SUCH AS AN EVALUATION OF CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINICS (CCBHCS), WHICH ARE DESIGNED TO PROVIDE MENTAL HEALTH AND SUBSTANCE USE SERVICES REGARDLESS OF A PERSON'S ABILITY TO PAY, THE LONG-STANDING POLICY FELLOWSHIP PROGRAM, AND IMPLEMENTING A BIPARTISAN APPROACH TO HEALTH POLICY LEGISLATOR EDUCATION. THE REMAINING PORTFOLIO COVERED SPECIALIZED POLICY ANALYSIS, DATA ANALYTICS, AND EVALUATION ACROSS VARIOUS SUBJECT AREAS. SPECIFIC PROJECTS INVOLVED COMPILING RECOMMENDATIONS FROM THE SUBSTANCE USE DISORDER RECOVERY COMMUNITY TO MAXIMIZE THE IMPACT OF MICHIGAN'S OPIOID SETTLEMENT INVESTMENTS AND ANALYZING THE STATE OF THE SCIENCE ON HOW ORAL HEALTH IMPACTS CHRONIC CONDITIONS. FURTHERMORE, CHRT COLLECTED FEEDBACK FROM FREE CLINICS ACROSS THE NATION REGARDING INNOVATIVE WAYS TO PREVENT INFECTIOUS DISEASE SPREAD AND SUPPORTED ANNUAL SURVEY RESEARCH, INCLUDING THE MICHIGAN PHYSICIAN SURVEY AND THE COVER MICHIGAN SURVEY. THE FINAL EVALUATION REPORT WAS COMPLETED FOR THE THREE-YEAR LEADD PILOT (LAW ENFORCEMENT ASSISTED DIVERSION AND DEFLECTION) IN WASHTENAW COUNTY, WHICH ASSESSED ITS IMPACT ON DIVERTING LOW-LEVEL OFFENDERS. THE LIST OF OUR PROJECTS GOES ON, AS DOES THE IMPACT OF OUR WORK. CHRT'S 2024 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. 1387589 1776048 9403664 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 NANCY M BAUM HLTH POLICY X 172174 0 38721 MELISSA LEE RIBA RES & EVAL D X 177051 0 22712 SHARON KIM HLTH STG & I X 147256 0 27524 ANDREW SMENTKOWSKI OPS & FIN DI X 130169 0 30267 JOSHUA TRAYLOR PRESIDENT & 40.00 X 235669 0 37343 T ANTHONY DENTON VICE-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 MILEWSKI MD CHAIR 2.00 X X 0 0 0 TODD VAN TOL DIRECTOR 2.00 X 0 0 0 BRENT WILLIAMS MD DIRECTOR 2.00 X 0 0 0 862319 156567 5 false true false HEALTH NET OF WEST MICHIGAN 1550 LEONARD ST NE GRAND RAPIDS MI 49505 1470698 GREATER FLINT HEALTH COALITION 120 W 1ST STREET FLINT MI 48502 1437620 HENRY FORD ALLEGIANCE HEALTH 205 N EAST AVENUE JACKSON JACKSON MI 49201 939356 ACCESS HEALTH 1200 RANSAM SUITE 102 MUSKEGON MI 49442 725788 SOUTHEASTERN MICHIGAN HEALTH ASSOCIA 3011 W GRAND BOULEVARD FISHER BUILDING SUITE 200 DETROIT MI 48202 613679 8 8587235 390000 8977235 CONTRACT REVENUE 541700 1499301 1499301 1499301 45490 45490 10522026 1499301 45490 156946 77483 79463 2336 1028 1308 44508 5526 38982 58672 39703 18969 18331 14856 3475 9321 9321 OTHER EXPENSES 6648996 6614488 34508 CONTRACT SERVICES 3876937 2481005 1395932 COMMUNICATION 149189 126984 22205 STAFF RELATED 80112 40944 39168 2446 1647 799 11047794 9403664 1644130 0 634028 213286 2073576 97069 94704 342047 307773 43595 34274 2072280 253838 2846972 2669678 1244240 239733 1300674 21008 73315 1265248 1613722 X 1419594 908217 162130 147739 1581724 1055956 2846972 2669678 -525768 X false true X true true true X UNIVERSITY OF MICHIGAN ANN ARBOR MI RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 11047794 11047794 702390 175598 912 702390 703302 1054953 4559 4559 228 175598 175826 263739 256682 223853 32829 85365 83920 1445 34274 CONTRACTS RECEIVABLE 253838 253838 10522026 10522026 10522026 11047794 11047794 11047794 X X false false false false false false false false false NANCY M BAUM HLTH POLICY DIRECTOR 163295 8879 17759 20962 210895 MELISSA LEE RIBA RES & EVAL DIRECTOR 166972 10079 17759 4953 199763 SHARON KIM HLTH STG & INOV DIR 133818 13438 14876 12648 174780 ANDREW SMENTKOWSKI OPS & FIN DIRECTOR 123908 6261 12522 17745 160436 JOSHUA TRAYLOR PRESIDENT & EXEC DIR 189669 46000 3948 33395 273012 FORM 990, PAGE 2, PART III, LINE 4A PROMOTION OF HEALTH EQUITY CHRT ROLE: CHRT CONTINUED TO SERVE AS THE COORDINATING AND BACKBONE ORGANIZATION DURING 2024, WHICH WAS THE FIFTH AND LAST YEAR OF THE PHE INITIATIVE. THE MISSION OF THIS INITIATIVE IS TO DEVELOP A STATEWIDE INFRASTRUCTURE FOR SOCIAL DETERMINANTS OF HEALTH (SDOH) DATA COLLECTION, ANALYTICS, AND REPORTING. CHRT ALSO MAINTAINED FINANCIAL FIDUCIARY RESPONSIBILITIES TO MICHIGAN MEDICINE FOR THE FUNDING OF THE PARTICIPATING REGIONAL HEALTH COLLABORATIVES (RHCS). KEY ACTIVITIES IN 2024: CHRT PROVIDED BACKBONE SUPPORT TO THE FIVE PARTICIPATING REGIONS, MOBILIZING AND COORDINATING EFFORTS AND HELPING ESTABLISH SHARED COMMUNICATIONS AND REPORTING. CHRT RECEIVED THE PHE FY2025 SUBCONTRACT FROM THE UNIVERSITY OF MICHIGAN IN DECEMBER. THE FIFTH YEAR OF THIS PROJECT FOCUSES ON WORKING WITH MSHIELD AND OTHER CONTINUOUS QUALITY IMPROVEMENT (CQI) ORGANIZATIONS TO BUILD DEEPER CONNECTIONS ACROSS CLINICAL AND SOCIAL CARE ORGANIZATIONS TO INTEGRATE AND COORDINATE CARE AND SERVICES. CHRT MAINTAINED THE DATA DASHBOARD TRACKING TRENDS IN SDOH SCREENING, NEEDS IDENTIFIED, AND NEEDS ADDRESSED ACROSS THE PARTICIPATING REGIONS. CHRT CONTINUED TO FACILITATE THE MULTI-DISCIPLINARY LEARNING NETWORK FOR SHARING LESSONS LEARNED, PILOTING NEW IDEAS, AND EXPLORING SUSTAINABLE FUNDING SOURCES FORM 990, PAGE 2, PART III, LINE 4B WASHTENAW HEALTH INITIATIVE CHRT ROLE: CHRT SERVED AS THE BACKBONE ORGANIZATION AND FIDUCIARY AGENT FOR WHI, A VOLUNTARY COLLABORATION DEDICATED TO IMPROVING THE HEALTH AND HEALTH EQUITY OF LOW-INCOME, UNINSURED, AND UNDER-INSURED POPULATIONS IN WASHTENAW COUNTY. IN 2024, THE INITIATIVE RECEIVED CONTRIBUTIONS FROM MICHIGAN MEDICINE, TRINITY HEALTH SYSTEM, THE CITY OF ANN ARBOR, AND WASHTENAW COUNTY. KEY ACTIVITIES IN 2024: THE WHI CONTINUED TO SUPPORT WORKGROUPS FOCUSED ON A COMMUNITY ADVISORY BOARD, A HEALTHY AGING COLLABORATIVE, MI COMMUNITY CARE, AND COMMUNICATIONS. THE WHI SUCCESSFULLY KICKED OFF ITS HEALTH AND SOCIAL SERVICES INTEGRATION WORK WITH A COMMUNITY CARE HUB (CCH) PANEL DISCUSSION HOSTED ON DECEMBER 10TH. DURING THE DECEMBER CCH DISCUSSION, REPRESENTATIVES FROM CCHS IN NEW YORK, MISSOURI, AND MAINE PROVIDED WHI STAKEHOLDERS WITH AN OVERVIEW OF HOW THEIR HUBS WERE PLANNED, IMPLEMENTED, AND SCALED.LESSONS LEARNED FROM THE DECEMBER CCH DISCUSSION WERE SUMMARIZED INTO 12 RECOMMENDATIONS. FORM 990, PAGE 2, PART III, LINE 4C LONG TERM SUPPORT SERVICE (LTSS) CHRT ROLE: CHRT CONTINUED TO SUPPORT THE MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES (MDHHS) LONG TERM SUPPORT SERVICE (LTSS) PROJECT BY PROVIDING TARGETED POLICY AND PROJECT MANAGEMENT SUPPORT FOR THE MI HEALTH LINK PROGRAM AND RELATED AMERICAN RESCUE PLAN ACT (ARPA) INITIATIVES. THESE ARPA ACTIVITIES OCCURRED DURING THE PERIOD SPANNING 20222024. KEY ACTIVITIES IN 2024: THE WORK INCLUDED SUPPORT FOR THE MI HEALTH LINK PROGRAM, SPECIFICALLY RELATING TO THE DEVELOPMENT OF A DUAL ELIGIBLE SPECIAL NEEDS PLAN (D-SNP) IMPLEMENTATION STRATEGY AND GATHERING STAKEHOLDER INPUT FOR THE MI HEALTH LINK TRANSITION TO A HIDE-SNP. CHRT PROVIDED SUPPORT TO THE ARPA TEAM AT MDHHS, WHICH INCLUDED CONDUCTING ANALYSES RELATED TO KEY AREAS OF INTEREST, COLLECTING STAKEHOLDER FEEDBACK TO INFORM ARPA PROGRAMS, AND PROVIDING ONGOING PROJECT MANAGEMENT SUPPORT. CHRT DELIVERED A COMPREHENSIVE REPORT TO THE MI HEALTH LINK TEAM IDENTIFYING OPPORTUNITIES TO STANDARDIZE PERSONAL CARE ASSESSMENTS AND PERSONAL CARE PLANNING FOR MEMBERS. THIS INVOLVED INTERVIEWING LEADERS FROM MEDICAID HEALTH PLANS AND STATE LTSS PROGRAMS, REVIEWING TOOLS, AND DRAFTING FINDINGS. FORM 990, PAGE 2, PART III, LINE 4D ALL OTHER PROGRAMS: IN ADDITION TO THE THREE LARGEST PROGRAMS (PROMOTION OF HEALTH EQUITY, WASHTENAW HEALTH INITIATIVE, AND LONG-TERM SERVICES AND SUPPORTS), CHRT STAFF WORKED ON MORE THAN 30 ADDITIONAL PROJECTS FOR OVER A DOZEN CLIENTS, GENERATING 1,776,048 IN REVENUE FROM THESE ACTIVITIES. THESE DIVERSE PROJECTS INCLUDED CORE CHRT SERVICES SUCH AS AN EVALUATION OF CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINICS (CCBHCS), WHICH ARE DESIGNED TO PROVIDE MENTAL HEALTH AND SUBSTANCE USE SERVICES REGARDLESS OF A PERSON'S ABILITY TO PAY, THE LONG-STANDING POLICY FELLOWSHIP PROGRAM, AND IMPLEMENTING A BIPARTISAN APPROACH TO HEALTH POLICY LEGISLATOR EDUCATION. THE REMAINING PORTFOLIO COVERED SPECIALIZED POLICY ANALYSIS, DATA ANALYTICS, AND EVALUATION ACROSS VARIOUS SUBJECT AREAS. SPECIFIC PROJECTS INVOLVED COMPILING RECOMMENDATIONS FROM THE SUBSTANCE USE DISORDER RECOVERY COMMUNITY TO MAXIMIZE THE IMPACT OF MICHIGAN'S OPIOID SETTLEMENT INVESTMENTS AND ANALYZING THE STATE OF THE SCIENCE ON HOW ORAL HEALTH IMPACTS CHRONIC CONDITIONS. FURTHERMORE, CHRT COLLECTED FEEDBACK FROM FREE CLINICS ACROSS THE NATION REGARDING INNOVATIVE WAYS TO PREVENT INFECTIOUS DISEASE SPREAD AND SUPPORTED ANNUAL SURVEY RESEARCH, INCLUDING THE MICHIGAN PHYSICIAN SURVEY AND THE COVER MICHIGAN SURVEY. THE FINAL EVALUATION REPORT WAS COMPLETED FOR THE THREE-YEAR LEADD PILOT (LAW ENFORCEMENT ASSISTED DIVERSION AND DEFLECTION) IN WASHTENAW COUNTY, WHICH ASSESSED ITS IMPACT ON DIVERTING LOW-LEVEL OFFENDERS. THE LIST OF OUR PROJECTS GOES ON, AS DOES THE IMPACT OF OUR WORK. CHRT'S 2024 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, PART VI CHRT OPERATES INDEPENDENTLY AS A NON-PROFIT ORGANIZATION BUT IS AFFILIATED WITH ITS HISTORICAL AND CONTINUING PARTNER, THE UNIVERSITY OF MICHIGAN (U- M) AS OF THE SERVICE AGREEMENT ENTERED INTO ON JULY 1, 2011. UNDER THE AGREEMENT, THE UNIVERSITY PROVIDES GENERAL AND ADMINISTRATIVE SERVICES TO THE ORGANIZATION. U-M IS NOT A RELATED ORGANIZATION, IN WHICH CASE, COMPENSATION FOR UMS EMPLOYEES ARE REPORTED UNDER PART VII, COLUMN D REPORTABLE COMPENSATION FROM THE ORGANIZATION. 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 SUBSTANTIALLY 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 AGGREGATE, 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.