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← CENTER FOR HEALTHCARE RESEARCH & TRANSFORMATION

Form 990 for tax year 2022

Filed by CENTER FOR HEALTHCARE RESEARCH & TRANSFORMATION.

Totals

Total revenue
$8,255,430
Total expenses
$7,852,070
Contributions and grants received
$7,182,792
Grants paid
$0
Program service revenue
$1,078,337
Investment income
-$5,699
Other revenue
$0
Total assets, end of year
$3,367,426
Total liabilities, end of year
$1,359,304
Net assets or fund balances, end of year
$2,008,122
Program services expenses (Part IX)
$6,734,504
Management and general expenses
$1,117,566
Fundraising expenses
$0
Program service expenses (Part III)
$6,734,504

Program services were 85.8% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1f · All other contributions, gifts and grants

    $7,182,792

  • 2a · Program service revenue: CONTRACT REVENUE

    total $1,078,337 · related or exempt $1,078,337

  • 3 · Investment income

    total $14,010 · excluded $14,010

  • 7b · Less cost or other basis and sales expenses

    other assets $19,709

  • 7c · Gain or loss

    other assets -$19,709

  • 7d · Net gain or loss

    total -$19,709 · excluded -$19,709

Functional expenses

Part IX, the statement of functional expenses.

  • 12 · Advertising and promotion

    total $178,144 · program services $166,665 · management and general $11,479

  • 13 · Office expenses

    total $41,703 · program services $7,401 · management and general $34,302

  • 14 · Information technology

    total $30,062 · program services $1,494 · management and general $28,568

  • 16 · Occupancy

    total $69,533 · program services $65,076 · management and general $4,457

  • 17 · Travel

    total $33,907 · program services $33,217 · management and general $690

  • 19 · Conferences, conventions and meetings

    total $51,240 · program services $25,270 · management and general $25,970

  • 22 · Depreciation, depletion and amortization

    total $9,499 · management and general $9,499

  • 24a · Other expenses: OTHER EXPENSES

    total $3,707,018 · program services $3,693,823 · management and general $13,195

  • 24b · Other expenses: CONTRACT SERVICES

    total $3,582,255 · program services $2,650,536 · management and general $931,719

  • 24c · Other expenses: OUTSIDE SERVICES

    total $148,709 · program services $91,022 · management and general $57,687

Balance sheet

Part X, book values.

  • 2 · Savings and temporary cash investments

    beginning of year $1,325,255 · end of year $1,203,797

  • 9 · Prepaid expenses and deferred charges

    beginning of year $44,218 · end of year $44,850

  • 10a · Land, buildings and equipment: cost or other basis

    $342,046

  • 10b · Land, buildings and equipment: accumulated depreciation

    $289,132

  • 10c · Land, buildings and equipment, net

    beginning of year $23,616 · end of year $52,914

  • 15 · Other assets

    beginning of year $805,581 · end of year $2,065,865

  • 17 · Accounts payable and accrued expenses

    beginning of year $394,701 · end of year $1,266,131

  • 19 · Deferred revenue

    beginning of year $199,207 · end of year $93,173

  • 27 · Net assets without donor restrictions

    beginning of year $1,365,402 · end of year $1,840,540

  • 28 · Net assets with donor restrictions

    beginning of year $239,360 · end of year $167,582

Mission and programs · 2022

Mission

CHRTS MISSION IS TO INSPIRE AND ENABLE EVIDENCE-INFORMED POLICIES AND PRACTICES THAT IMPROVE THE HEALTH OF PEOPLE AND COMMUNITIES.THE CENTER FOR HEALTH AND RESEARCH TRANSFORMATION (CHRT) AT THE UNIVERSITY OF MICHIGAN PROVIDES HEALTH RESEARCH, ANALYSES, SURVEYS, DEMONSTRATION PROJECTS, BACKBONE SUPPORT, AND CONSULTING TO GOVERNMENT AGENCIES, NONPROFITS, FOUNDATIONS, HEALTH SYSTEMS, AND HEALTH CARE PROVIDERS AND PAYERS. KEY FOCUS AREAS INCLUDE AFFORDABLE CARE, MEDICAID POLICY, HEALTH CARE ISSUES, CORONAVIRUS, LONG TERM CARE, CARE TRANSITIONS, MENTAL HEALTH, AND SUBSTANCE USE.

  • PROMOTION OF HEALTH EQUITY (PHE): PHE IS A U.S. CENTERS FOR MEDICARE & MEDICAID SERVICES (CMS) FUNDED HEALTH EQUITY PROJECT ADMINISTERED BY THE MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES (MDHHS). FOR PHE, CHRT IS FACILITATING A LEARNING NETWORK AND PROVIDING ADMINISTRATIVE SUPPORT TO SIX COLLABORATIVES: THE MID-MICHIGAN COMMUNITY HEALTH ACCESS PROGRAM IN GENESEE COUNTY, MULTIPLE PARTNERS COORDINATED BY THE HEALTH NET OF WEST MICHIGAN IN KENT COUNTY,THE JACKSON CARE HUB IN JACKSON COUNTY,MI COMMUNITY CARE IN WASHTENAW AND LIVINGSTON COUNTIES,MUSKEGON COMMUNITY HEALTH INNOVATION REGION IN MUSKEGON COUNTY,AND THE SOUTHEAST MICHIGAN HEALTH ASSOCIATION COVERING SEVEN COUNTIES IN AND AROUND THE DETROIT AREA. 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. WE ADDRESS THE PRIORITIES OF THE STATE OF MICHIGAN AND THE MICHIGAN DEPARTMENT OF HEALTHAND HUMAN SERVICES, SUCH AS THE STATE'S SOCIAL DETERMINANTS OF HEALTH STRATEGY AND HEALTH INFORMATION TECHNOLOGY ROADMAP. BOTH INCLUDE A FOCUS ON COMMUNITY INFORMATION EXCHANGE AND THE ABILITY TO INTEGRATE DATA ACROSS THE CLINICAL AND SOCIAL CARE SETTINGS, WHICH IS A CENTRAL FOCUS OF PHE. PHE PARTNERS ARE LEVERAGING THE ROBUST DATA SHARING INFRASTRUCTURE THEY HAVE BUILT. THIS INFRASTRUCTURE HELPS TO IMPROVE THE ABILITY FOR SOCIAL CARE ORGANIZATIONS TO DO THEIR VITALLY IMPORTANT WORK. MICHIGAN IS ALREADY A NATIONAL LEADER IN REGARD TO THE SHARING OF CLINICAL DATA, AND THROUGH PHE WE ARE MOVING ANOTHER STEP FORWARD IN DEVELOPING A STATEWIDE INFRASTRUCTURE TO SUPPORT DATA SHARING BETWEEN CLINICAL AND SOCIAL SERVICES. PHE BRINGS TOGETHER THE FOLLOWING PARTNERS. IN ADDITION TO CHRT, CORE PROJECT PARTNERS INCLUDE: THE MICHIGAN HEALTH INFORMATION NETWORK, MICHIGAN DATA COLLABORATIVE, COLLABORATIVE QUALITY INITIATIVES, MSHIELD, AND THE BACKBONE ORGANIZATIONS REPRESENTING SIX DIFFERENT REGIONS OF THE STATE. MI COMMUNITY CARE (MICC): THE THREE-YEAR MI COMMUNITY CARE (MICC) PROJECT RECEIVES 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. MI COMMUNITY CARE (MICC) IS A COALITION OF LIVINGSTON AND WASHTENAW COUNTY COMMUNITY PARTNERS. IT IS A FREE CARE COORDINATION PROGRAM THAT INITIALLY FOCUSED ON REDUCING EMERGENCY DEPARTMENT USE. NOW, MICC HELPS PARTICIPANTS-PRIMARILY MEDIICAID ENROLLEES-MEET THEIR HEALTH AND PERSONAL GOALS. PARTICIPANTS LIVE WITH CHALLENGING AND COMPLEX NEEDS. MICC PARTICIPANTS OFTEN NEED SUPPORT WITH MULTIPLE NEEDS SUCH AS FOOD, HOUSING, SPECIALIZED MEDICAL CARE, AND BEHAVIORAL HEALTH OR SUBSTANCE USE CONDITIONS. CHRT IS THE BACKBONE ORGANIZATION FOR THE MICC PROGRAM. SOME PARTNER ORGANIZATIONS HAVE BECOME HUBLETS. THEY COORDINATE ALL THE SERVICES THAT THAT PARTICIPANT IS GOING TO NEED. HUBLETS ARE SUPPORTED BY ADDITIONAL PARTNER AGENCIES.

    Expenses $5,127,233 · Revenue $5,929,778

  • WASHTENAW COUNTY COMMUNITY MENTAL HEALTH: CHRT IS WORKING WITH WASHTENAW COUNTY COMMUNITY MENTAL HEALTH TO IMPLEMENT THE RECOMMENDATIONS OF THE WASHTENAW COUNTY COMMUNITY MENTAL HEALTH ADVISORY COUNCIL. THESE RECOMMENDATIONS FOR MENTAL HEALTH MILLAGE INVESTMENTS INCLUDE EXPANDING CRISIS SERVICES, INCREASING PREVENTION WORK, ENHANCING YOUTH SERVICES, ADDRESSING SUBSTANCE USE SERVICE GAPS, HELPING RESIDENTS BETTER NAVIGATE THE COUNTY'S MENTAL HEALTH SYSTEM, AND MORE. CHRT ALSO ASSIST WITH EVALUATION AND COMMUNICATIONS, ENSURING THAT THE COMMUNITY IS AWARE OF SERVICE EXPANSIONS AND THAT STAFF HAVE THE DATA THEY NEED TO CONTINUOUSLY IMPROVE PROGRAMS AND SERVICES.

    Expenses $578,143 · Revenue $745,075

  • WASHTENAW HEALTH INITIATIVE: THE WASHTENAW HEALTH INITIATIVE IS A VOLUNTARY COLLABORATION TO IMPROVE THE HEALTH OF LOW-INCOME, UNINSURED, UNDER-INSURED, AND UNDERREPRESENTED PEOPLE IN WASHTENAW COUNTY. CO-SPONSORED BY MICHIGAN MEDICINE AND THE ST. JOSEPH MERCY HEALTH SYSTEM AND SUPPORTED BY THE CENTER FOR HEALTH AND RESEARCH TRANSFORMATION (CHRT), THE WASHTENAW HEALTH INITIATIVE HELPS 200+ MEMBERS AND STAKEHOLDERS WORK TOGETHER TO: IMPROVE COORDINATION ACROSS PROVIDERS AND INTEGRATE HEALTH AND HUMAN SERVICES LOCALLY; SUPPORT COMMUNITY-WIDE EFFORTS TO IMPROVE CARE AND SERVICES FOR MENTAL HEALTH, SUBSTANCE USE, ANDOTHER HEALTH ISSUES IMPACTING VULNERABLE POPULATIONS; STRENGTHEN COMMUNITY-WIDE EFFORTS TO IMPROVE HEALTH EQUITY BY WORKING CLOSELY WITH THE WASHTENAW COUNTY HEALTH DEPARTMENT; INCREASE INSURANCE COVERAGE AMONG UNINSURED INDIVIDUALS AND HELP THOSE WITH MEDICAID AND MARKETPLACE HEALTH PLANS MAINTAIN THEIR COVERAGE, USE IT MORE EFFECTIVELY, AND FIND ACCESS TO CARE; HELP LOCAL AND REGIONAL HEALTH AGENCIES REDUCE SERVICE REDUNDANCIES AND USE RESOURCES MORE EFFICIENTLY AND EFFECTIVELY; CONNECT COMMUNITY RESOURCES TO HEALTH CARE ORGANIZATIONS AND TO EACH OTHER;AND EXPLORE OPPORTUNITIES TO PARTNER WITH LIVINGSTON COUNTY HEALTH AND HUMAN SERVICE ORGANIZATIONS.

    Expenses $538,346 · Revenue $674,712

  • CHRT PROVIDED CLIENT DRIVEN WORK DURING 2022: WASHTENAW COUNTY: LEADD PILOT EVALUATION CHRT IS EVALUATING WASHTENAW COUNTY'S LEADD INITIATIVE TO ASSESS ITS EFFECTS ON INDIVIDUAL CLIENT OUTCOMES AS WELL AS ON THE CRIMINAL JUSTICE AND LEGAL SYSTEMS. CHRT WILL USE A COMBINATION OF EVALUATION METHODS INCLUDING SURVEYS, INTERVIEWS, AND ANALYSIS OF EXISTING DATA SOURCES. STATE OF MICHIGAN: OPIOID SETTLEMENT ANALYSIS THE OPIOID SETTLEMENT PRIORITIZATION SURVEY 2021-22 SOUGHT TO GATHER DATA TO UNDERSTAND PRIORITIES FOR SETTLEMENT FUNDING AMONG INDIVIDUALS ACROSS MICHIGAN, INCLUDING THOSE WITH LIVED EXPERIENCE, TO INFORM STRATEGIES TO ADDRESS THE OPIOID CRISIS ACROSS THE STATE. THE MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES (MDHHS) WORKED WITH THE CENTER FOR HEALTH AND RESEARCH TRANSFORMATION (CHRT) TO ANALYZE RESULTS FROM THAT SURVEY. SPECIFICALLY, CHRT'S TEAM WORKED WITH STATE PARTNERS TO ANALYZE SURVEY RESULTS, AND REPORTED BACK TO MDHHS TO SHARE ITS ANALYSIS, WHICH IS THE FIRST STEP TOWARD OFFERING ADVICE TO SUPPORT POLICYMAKERS' DECISION PROCESS. SHELTER ASSOCIATION OF WASHTENAW COUNTY: RECUPERATIVE CARE SAWC'S MEDICAL RECUPERATIVE CARE PROGRAM USES AN EVIDENCE-BASED MODEL TO IMPROVE HEALTH AND HOUSING OUTCOMES FOR HOMELESS INDIVIDUALS IN WASHTENAW COUNTY BY ENSURING THAT THOSE WHO WOULD OTHERWISE BE ON THE STREETS OR IN AN EXTENDED HOSPITAL STAY RECEIVE THE RECUPERATIVE CARE THAT THEY NEED ON SITE. CHRT CONDUCTS A MIXED METHODS EVALUATION ALONGSIDE SAWC'S IMPLEMENTATION OF THIS RECUPERATIVE CARE PROGRAM TO DETERMINE IF IT ACHIEVES OUTLINED OBJECTIVES. MICHIGAN PUBLIC HEALTH INSTITUTE: CCBHC EVALUATION THERE ARE 34 CCBHCS IN MICHIGAN, INCLUDING WASHTENAW COUNTY COMMUNITY MENTAL HEALTH. OF THOSE CCBHC SITES, 13 ARE DEMONSTRATION SITES, WHICH ARE FULL-SERVICE CLINICS WHERE ANYONE CAN WALK IN AND RECEIVE SERVICES. THE FEDERAL GOVERNMENT PROVIDES 75 PERCENT OF THE FUNDING FOR DEMONSTRATION SITES; THE OTHER 25% IS PROVIDED BY THE STATE. AS THE DESIGNATION OF DEMONSTRATION SITES IN MICHIGAN IS RELATIVELY RECENT, THERE'S NOT YET BEEN ANY MICHIGAN-SPECIFIC EVALUATIONS CONDUCTED ON THE CCBHC MODEL. MICHIGAN RECENTLY RECEIVED FEDERAL FUNDING FOR THIS PURPOSE AND PARTNERED WITH ORGANIZATIONS, INCLUDING CHRT, TO CARRY OUT THE EVALUATIONS. THE EVALUATION HAS THREE PURPOSES: FIRST, TO UNDERSTAND WHY COMMUNITY MENTAL HEALTH (CMH) CENTERS ARE IMPLEMENTING THE CCBHC MODEL, AS WELL AS THEIR SUCCESSES AND CHALLENGES IN DOING SO. NEXT, TO DELIVER AN OUTCOMES EVALUATION OF THE IMPACT ON ACCESS TO BEHAVIORAL HEALTH SERVICES AND SUSTAINABILITY. FINALLY, THE EVALUATIONS WILL DOCUMENT LESSONS LEARNED TO HELP FUTURE CCBHC CLINICS.

    Expenses $490,782 · Revenue $836,217

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • TERRISCA DES JARDINS

    EXECUTIVE DI

    Total calculated
    $354,590
    From this org
    $305,706
    From related orgs
    $0
    Other
    $48,884
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $293,474
    Bonus
    not reported
    Other
    $12,232
    Deferred
    $24,464
    Nontaxable benefits
    $24,420
    Filer's total
    $354,590
  • T ANTHONY DENTON

    VICE-CHAIR

    Total calculated
    $0
    Hours/week
    2
  • LYNDA ROSSI

    CHAIR

    Total calculated
    $0
    Hours/week
    2
  • ROBERT CASALOU

    TREASURER

    Total calculated
    $0
    Hours/week
    2
  • RENU TIPIRNENI MD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2
  • TOSHIKI MASAKI

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2
  • AMY MCKENZIE MD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2
  • FRAN PARKER

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2
  • TODD VAN TOL

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2
  • BRENT WILLIAMS MD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 3 · Compensation committee
  • 3 · Approval by the board or compensation committee

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Provenance

Return type
form_990
Tax year
2022
Filed
13 November 2021
IRS schema version
2022v5.0
Source object
202303179349302675

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