Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
|
Total |
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Calendar year (or fiscal year beginning in) ![]() |
(a) 2016 | (b) 2017 | (c) 2018 | (d) 2019 | (e) 2020 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | ||||||
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3 | ||||||
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f).. | ||||||
| 6 | Public support. Subtract line 5 from line 4. | ||||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2016 | (b) 2017 | (c) 2018 | (d) 2019 | (e) 2020 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | ||||||
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | ||||||
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | ||||||
| 11 | Total support. Add lines 7 through 10 | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2016 | (b) 2017 | (c) 2018 | (d) 2019 | (e) 2020 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | ||||||
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose | ||||||
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513 ..... | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge | ||||||
| 6 | Total. Add lines 1 through 5 | ||||||
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons | ||||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | ||||||
| c | Add lines 7a and 7b.. | ||||||
| 8 | Public support. (Subtract line 7c from line 6.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2016 | (b) 2017 | (c) 2018 | (d) 2019 | (e) 2020 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | ||||||
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | ||||||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | ||||||
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
|||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by 0.035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | 1 | |
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
2 | |
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | 3 | |
| 4 Amounts paid to acquire exempt-use assets | 4 | |
| 5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) | 5 | |
| 6 Other distributions (describe in Part VI). See instructions | 6 | |
| 7Total annual distributions. Add lines 1 through 6. | 7 | |
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
8 | |
| 9 Distributable amount for 2020 from Section C, line 6 | 9 | |
| 10 Line 8 amount divided by Line 9 amount | 10 | |
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2020 |
(iii) Distributable Amount for 2020 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2020 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions. |
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| 3 Excess distributions carryover, if any, to 2020: | ||||
| a From 2015....... | ||||
| b From 2016....... | ||||
| c From 2017....... | ||||
| d From 2018....... | ||||
| e From 2019....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2020 distributable amount | ||||
|
i
Carryover from 2015 not applied (see instructions) |
||||
| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2020 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2020 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
|
5
Remaining underdistributions for years prior to 2020, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
6
Remaining underdistributions for 2020. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
7 Excess distributions carryover to 2021. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2016..... | ||||
| b Excess from 2017..... | ||||
| c Excess from 2018..... | ||||
| d Excess from 2019..... | ||||
| e Excess from 2020..... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
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| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990 - ORGANIZATION'S MISSION | 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. |
| FORM 990, PAGE 2, PART III, LINE 2 | TRANSFER OF THE MICHIGAN DATA COLLABRATIVE(CURRENTLY HOUSED UNDER MICHIGAN MEDICINE HITS) TO CHRT AS WELL AS COVID RELATED WORK. |
| FORM 990, PAGE 2, PART III, LINE 4A | GRANT FUNDED PROJECTS: EXPENSES = 1,518,835.15 CHRT SERVED AS THE BACKBONE ORGANIZATION FOR THE LIVINGSTON AND WASHTENAW COUNTY COMMUNITY HEALTH INNOVATION REGION (CHIR) AS PART OF THE CMS FUNDED STATE INNOVATION MODEL (SIM) PILOT. THE THREE-YEAR DEMONSTRATION PROJECT LAUNCHED BY THE MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES (MDHHS) CONCLUDED IN 2020 AND TRANSITIONED INTO MI COMMUNITY CARE (MICC) WITH CONTINUED FUNDING FROM 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 2020 WERE THROUGH THE KRESGE FOUNDATION, MDHHS MICHIGAN MEDICAID LONG-TERM SERVICES AND SUPPORTS (LTSS), MPHI PIPBHC, RRTC, AND SPH BEHAVIORAL HEALTH. |
| FORM 990, PAGE 2, PART III, LINE 4B | DEMONSTRATION PROJECTS: EXPENSES = 586,048 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). THE MICHIGAN COMMUNITY HEALTH WORKER ALLIANCE (MICHWA) TRANSITIONED OUT ON THEIR OWN IN 2020. |
| FORM 990, PAGE 2, PART III, LINE 4D | CONSULTING WORK: EXPENSES = 433,455 CHRT PROVIDED CLIENT DRIVEN WORK DURING 2020. PROJECT AREAS INCLUDED: AREA AGENCY OF AGING (AAA 1-B) - MEDICAID LTSS BLUE CROSS BLUE SHIELD OF MICHIGAN - COVID RESPONSE AND SDOH DETROIT WAYNE MENTAL HEALTH AUTHORITY - CONSULT ON DWMHA & BCC INTEGRATION METHODS MHEF MICHIGAN NURSING HOME STRATEGY WASHTENAW COUNTY - DIVERSION AND CMH MILLAGE PUBLIC INFORMATION / EDUCATION: EXPENSES = 272,333 CHRT PROVIDED INFORMATION DISSEMINATION TO OUR COMMUNITY USING ONLINE RESOURCES LIKE ASK CHRT ON OUR WEBSITE ALONG WITH PUBLICATIONS RELATED TO COVID-19, CARES ACT FUNDING OPPORTUNITIES, BEHAVIORAL HEALTH, COMMUNITY MENTAL HEALTH BEST PRACTICES, TELEHEALTH SERVICE EXPANSION, TRUST IN PUBLIC HEALTH DURING PANDEMIC, NURSING HOME STRATEGIES, AGING VETERANS, AND REFLECTIONS ON THE ACA AT 10 YEARS, THE FULL LIST OF PUBLICATIONS FOR 2020 ARE: "RECRUITING AND RETAINING BEHAVIORAL HEALTH WORKERS IN RURAL AMERICA: OUR REPORT AND ACTION GUIDE "HEALTH INSURANCE MARKETPLACE: MICHIGAN 2020 RATE ANALYSIS FINDS INCREASED CHOICE, DECREASED RATES, FEDERAL POLICY IMPACT "WHAT LOCAL HEALTH DEPARTMENTS NEED TO KNOW ABOUT CARES ACT FUNDING AND POLICY OPPORTUNITIES FOR COVID-19 RESPONSE "LOST INSURANCE IN COVID-19 CRISIS? ACT QUICKLY TO GET ACA COVERAGE. ALREADY UNINSURED? IN 38 STATES, INCLUDING OURS, IT'S COMPLICATED. "COVID-19 RAPID RESPONSE BRIEF: BEST PRACTICES FOR PROTECTING POPULATIONS IN NURSING HOMES, LONG-TERM CARE SETTINGS "COVID-19 RAPID RESPONSE BRIEF: MEETING THE BEHAVIORAL HEALTH NEEDS OF MICHIGAN'S PRISON POPULATION "COVID-19 RAPID RESPONSE BRIEF: SAFE, TEMPORARY SHELTER FOR HOMELESS POPULATIONS DURING THE PANDEMIC "COVID-19 RAPID RESPONSE BRIEF: MITIGATING THE IMPACT OF COVID-19 ON PERSONS IN POVERTY - STRATEGIES TO CONSIDER "TELEHEALTH SERVICES HAVE EXPANDED TO ADDRESS COVID-19 EMERGENCY. LET'S PRESERVE THE MOST EFFECTIVE INNOVATIONS. "PROTECTING INDIVIDUALS WITH SMI FROM COVID-19: BEST PRACTICES FOR COMMUNITY MENTAL HEALTH AGENCIES AND CLINICS "MICHIGANDERS CONTINUE TO REPORT DIFFICULTY ACCESSING MENTAL HEALTH CARE, FORGOING NEEDED CARE. ""TRUST IN PUBLIC HEALTH IS ESSENTIAL AMID COVID-19 PANDEMIC" WRITE UDOW- PHILLIPS AND LANTZ IN JOURNAL OF HOSPITAL MEDICINE "HEALTH PROFESSIONALS ARE THE MOST TRUSTED SOURCES OF INFORMATION ON COVID-19: FINDINGS FROM THE COVER MICHIGAN SURVEY "BUILD SUPPORT FOR COVID-19 CONTACT TRACING AND OTHER PUBLIC HEALTH MEASURES BY WORKING WITH TRUSTED MESSENGERS "REFLECTIONS ON THE ACA AT 10: MARIANNE UDOW-PHILLIPS PRESENTS "THE LONGVIEW" IN FINDINGS MAGAZINE "REFORMS NEEDED AFTER SYSTEMIC FLAWS IN NURSING HOMES WORSEN COVID-19: READ OUR PIECE IN ABA JOURNAL ON LAW AND AGING "CHRT'S 2019 IMPACT REPORT: IMPROVING THE HEALTH OF PEOPLE AND COMMUNITIES AND CHARTING A COURSE FOR THE FUTURE "CHRT REPORT EVALUATES MICHIGAN'S COVID-19 NURSING HOME STRATEGY AND PROVIDES RECOMMENDATIONS FOR FUTURE APPROACHES "DESIGNING INTEGRATED BEHAVIORAL HEALTH SERVICES FOR MEDICAID ENROLLEES, BACKGROUND AND CASE STUDIES "MICHIGAN HEALTH CARE AND MENTAL HEALTH CARE PROVIDERS NEED MORE TRAINING, SUPPORT TO SERVE THE STATE'S AGING VETERANS RATE ANALYSIS: 2021 ACA HEALTH INSURANCE MARKETPLACE FOR MICHIGAN "LEARN HOW STATES ARE COMBATTING SOCIAL ISOLATION AND LONELINESS IN ADULTS WITH DISABILITIES DURING THE COVID-19 PANDEMIC |
| 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, IN THEIR SOLE DISCRETION, CAN ELECT ALL MEMBERS OF THE BOARD OF DIRECTORS. |
| 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. 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. |
| FORM 990, PAGE 6, PART VI, LINE 11B | FORM 990 WAS PROVIDED TO THE BOARD 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, DETAILING ANY SUCH "OTHER INTERESTS". THE BOARD MEMBER MUST UPDATE THE DISCLOSURE FORM IF ANY MATERIAL CHANGES OR ADDITIONS ARISE DURING THE YEAR. |
| FORM 990, PAGE 6, PART VI, LINE 15A | 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. |
| FORM 990, PAGE 6, PART VI, LINE 15B | 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. |
| FORM 990, PAGE 6, PART VI, LINE 19 | INFORMATION IS PROVIDED UPON REQUEST. |
| FORM 990, PART XI, LINE 9 | PROGRAM TRANSFER TO MICHWA 0 |
| Software ID: | |
| Software Version: |