2025-11-07T05:55:51-06:00 2024-12-31 383567911 REHMANN ROBSON LLC 555 BRIARWOOD CIRCLE STE 300 ANN ARBOR MI 48108 990 2024-01-01 381983442 ALTARUM INSTITUTE ALTA 7343024600 26200 TOWN CENTER DR STE 350 NOVI MI 48375 JAMES KENNEY CFO 7343024600 2025-11-05 1 1 JEFFREY E HERT CPA P00066715 7347612005 2025-10-20 2024 2025-03-06 01:10:19Z CHARLES ENTMAN 26200 TOWN CENTER DR STE 350 NOVI MI 48375 43473905 0 X WWW.ALTARUM.ORG X 1972 MI ALTARUM IS FOCUSED ON IMPROVING THE HEALTH OF INDIVIDUALS WITH FEWER FINANCIAL RESOURCES AND POPULATIONS DISENFRANCHISED BY THE HEALTH CARE SYSTEM. WE TRANSFORM HEALTH CARE POLICIES INTO REAL-WORLD PRACTICE, PARTNERING WITH FEDERAL, STATE, AND LOCAL HEALTH AGENCIES AND ASSOCIATIONS TO HELP THEM ACHIEVE THEIR STRATEGIC PRIORITIES. 9 8 229 0 5 0 30084212 38784895 4257980 3455236 -1217350 1156680 -287789 9100 32837053 43405911 0 0 0 0 22789329 27087375 0 0 961619 14413246 15249111 37202575 42336486 -4365522 1069425 59064497 53792738 13189187 14193482 45875310 39599256 X ALTARUM IS FOCUSED ON IMPROVING THE HEALTH OF INDIVIDUALS WITH FEWER FINANCIAL RESOURCES AND POPULATIONS DISENFRANCHISED BY THE HEALTH CARE SYSTEM. WE DRIVE IMPACTFUL CHANGES IN FOUR DOMAINS: 1) TRANSFORM HEALTH SERVICE DELIVERY - WE WORK DIRECTLY WITH HEALTH CARE SERVICE PROVIDERS AND FEDERAL, STATE, AND LOCAL GOVERNMENTS TO TRANSFORM HEALTH CARE SERVICE DELIVERY AND PERFORMANCE. 2) ADVANCE PUBLIC HEALTH - WE ADVANCE PUBLIC HEALTH PROGRAMS THROUGH APPLIED RESEARCH AND EVALUATION, PROGRAM IMPLEMENTATION, DATA ANALYTICS, AND MARKETING AND COMMUNICATIONS. 3) INTEGRATE PUBLIC HEALTH AND HEALTH SERVICE DELIVERY - WE INTEGRATE BETWEEN THE PUBLIC HEALTH SECTOR AND THE HEALTH CARE SERVICE DELIVERY SECTOR TO CONNECT THE DOTS. 4) SCALE HEALTH INFRASTRUCTURE - WE MODERNIZE HEALTH INFRASTRUCTURE AND ENABLE THE HEALTH ECOSYSTEM TO OPERATE AT SCALE AND BE INTEROPERABLE ACROSS SILOS AND STAKEHOLDERS. 0 0 24222513 40627352 ALTARUM'S AREAS OF FOCUS INCLUDE BEHAVIORAL HEALTH, LONG-TERM SERVICES AND SUPPORTS, MATERNAL AND CHILD HEALTH, FOOD AND NUTRITION, MEDICARE AND MEDICAID, MILITARY AND VETERANS' HEALTH, APPLIED RESEARCH AND EVALUATION, AND PUBLIC HEALTH INFORMATION TECHNOLOGY AND DATA MODERNIZATIONPUBLIC HEALTH EXPERTS: ALTARUM'S ADVISORY SERVICES PROVIDE DIRECTION FOR HEALTH POLICY IMPLEMENTATION AND PROGRESS. OUR TEAM OF PUBLIC HEALTH EXPERTS ADVISE ON NAVIGATING STATE OR FEDERAL REGULATORY REQUIREMENTS, IMPROVING PROGRAM PERFORMANCE, AND DELIVERING HIGHER QUALITY CARE. THIS INCLUDES POLICY ANALYSIS, PROJECT MANAGEMENT, CAPACITY BUILDING, WORKFORCE DEVELOPMENT, QUALITY IMPROVEMENT, PRACTICE TRANSFORMATION, EVALUATION STUDIES, COALITION ENGAGEMENT, AND LEARNING COLLABORATIVES. TRANSFORMATIVE INSIGHTS: ALTARUM'S RESEARCH PROVIDES A FOUNDATION ON WHICH WE BUILD SOLUTIONS TO ACHIEVE A FUTURE OF BETTER HEALTH FOR ALL. ALTARUM'S INSIGHTS ARE DESIGNED FOR PRACTICAL APPLICATION AND ACHIEVING MEASURABLE RESULTS. OUR APPLIED RESEARCH AND ANALYTICS SERVICE OFFERINGS INCLUDE ECONOMIC MODELING AND ANALYSIS, PROPRIETARY TOOLS, SURVEY SCIENCE, AND DATA ANALYTICS. OUR ANALYSTS, STATISTICIANS, AND RESEARCH SCIENTISTS WORK EVERY DAY TO DELIVER GREATER VALUE TO THE US HEALTH SYSTEM WHILE CONTROLLING COSTS. IN ADDITION TO SUPPORTING THE FULL SURVEY LIFECYCLE, WE INTEGRATE RESEARCH AND DATA ANALYTICS TO REVEAL ACTIONABLE RESULTS. FOR EXAMPLE, ALTARUM'S ACE MEASURE OF PATIENT ENGAGEMENT TOOL IS A FULLY VALIDATED TOOL THAT USES 12 QUESTIONS TO ENABLE CLINICIANS TO ASCERTAIN ENGAGEMENT, INTENT TO TREAT CHRONIC CONDITIONS, AND HEALTH LITERACY IN TWO MINUTES.BUILDING CAPACITY: ALTARUM'S TRAINING AND TECHNICAL ASSISTANCE (TTA) SERVICES ENSURE EFFECTIVE APPLICATION OF KNOWLEDGE AND EVIDENCE-BASED BEST PRACTICES, BUILDS CAPACITY, AND LEADS TO BETTER OUTCOMES. WE HAVE DECADES OF EXPERIENCE OPERATING TRAINING AND TECHNICAL ASSISTANCE PROGRAMS FOR FEDERAL AGENCIES SUCH AS SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION (SAMHSA) AND HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) AND HAVE RECENTLY BEEN RECOGNIZED BY THE BUREAU OF JUSTICE ASSISTANCE (BJA) AS A NATIONAL TTA EXPERT FOR OUR WORK STRENGTHENING COORDINATION BETWEEN COMMUNITY-BASED ORGANIZATIONS AND LAW ENFORCEMENT ACROSS MORE THAN 20 STATES. CONNECTING HEALTH INFORMATION FOR BETTER OUTCOMES: ACHIEVING SEAMLESS PUBLIC HEALTH DATA INTEROPERABILITY IS KEY TO IMPROVING THE PUBLIC HEALTH INFRASTRUCTURE. ALTARUM HAS BEEN HELPING PUBLIC HEALTH PROGRAMS MODERNIZE THEIR DATA SYSTEMS FOR TWO DECADES. WE HAVE HANDS-ON EXPERIENCE DEVELOPING FAST HEALTHCARE INTEROPERABILITY RESOURCES (FHIR) SOLUTIONS, COLLABORATING WITH MAJOR ELECTRONIC HEALTH RECORD (EHR) VENDORS, AND WORKING CLOSELY WITH INTEROPERABILITY STANDARDS ORGANIZATIONS LIKE HL7. FOR EXAMPLE, ALTARUM CREATED AND MAINTAINS THE MICHIGAN SYNDROMIC SURVEILLANCE SYSTEM WHICH RECEIVES DATA FROM OVER 200 EMERGENCY DEPARTMENTS AND URGENT CARE FACILITIES AND RAPIDLY DETECTS AND ALERTS STATE AND REGIONAL EPIDEMIOLOGISTS TO OUTBREAKS OF ILLNESS. ANOTHER EXAMPLE IS ALTARUM EXPANDS STAFF CAPACITY AND PROVIDES INTEROPERABILITY SERVICES TO THE WASHINGTON DEPARTMENT OF HEALTH. SERVICES INCLUDE IMPROVING HL7 MESSAGE PROCESSES, STREAMLINING THE ONBOARDING AND MONITORING OF LABORATORIES, TRAINING STAFF, OPTIMIZING REPORTING, AND ENHANCING DATA FEEDS ESSENTIAL FOR REPORTING, MODELING, AND VISUALIZING PROBABLE CASE DATA.BUILD TECHNOLOGY: ALTARUM'S CROSS-FUNCTIONAL TEAM OF SOFTWARE ENGINEERS, DATA SCIENTISTS, AND PUBLIC HEALTH ANALYSTS HAVE DEEP EXPERTISE AND HELP STATE GOVERNMENTS AND OTHERS ACROSS THE HEALTH CARE SPECTRUM IMPROVE HEALTH THROUGH TECHNOLOGY. FOR EXAMPLE, OUR INNOVATIONS IN NEWBORN SCREENING INTEROPERABILITY RESOURCE CENTER PROVIDED STATES AND TERRITORIES TECHNICAL ASSISTANCE AND TRAINING TO PROMOTE DATA INTEROPERABILITY AND EXCHANGE BETWEEN HEALTH CARE PROVIDERS AND STATE PUBLIC HEALTH NEWBORN SCREENING PROGRAMS, ULTIMATELY IMPROVING OUTCOMES FOR INFANTS AND CHILDREN WITH HERITABLE CONDITIONS. REGISTRY DEVELOPMENT: THE ABILITY TO TRACK AND INTEGRATE CLINICAL AND PUBLIC HEALTH DATA SETS IS CRITICAL TO ENHANCING OUR UNDERSTANDING OF DISEASE TRENDS, IMPROVING PATIENT OUTCOMES, AND FACILITATING INFORMED DECISION-MAKING IN PUBLIC HEALTH PROGRAMS. FOR OVER 20 YEARS, ALTARUM HAS HELPED COMMUNITIES, STATES, AND THE NATION TRACK, INTEGRATE CLINICAL AND PUBLIC HEALTH DATA SETS, AND CONNECT VITAL HEALTH DATA SO TO UNDERSTAND DISEASE TRENDS, IMPROVE PATIENT OUTCOMES, AND FACILITATE DECISION-MAKING IN PUBLIC HEALTH PROGRAMS. FOR THE MICHIGAN CANCER SURVEILLANCE PROGRAM, ALTARUM PROVIDES TECHNICAL ASSISTANCE AND INTEGRATION SERVICES TO ELECTRONICALLY EXTRACT AND PROCESS CANCER CASE INFORMATION FROM CLINICAL SETTINGS. FOR THE ORANGE COUNTY HEALTH CARE AGENCY, ALTARUM DEVELOPED A DATA EXCHANGE TO BETTER SAFEGUARD PUBLIC HEALTH BY MINIMIZING INADVERTENT EXPOSURES TO MULTI-DRUG RESISTANT ORGANISMS (MDROS) IN HEALTH CARE SETTINGS. THE CENTRALIZED SYSTEM ALIGNS WITH THE GOAL OF CDC'S DATA MODERNIZATION INITIATIVE TO PROVIDE ACTIONABLE INSIGHTS FASTER FOR DECISION-MAKING AT ALL LEVELS OF PUBLIC HEALTH. 24222513 1 1 0 1 0 0 0 0 0 0 1 1 0 0 1 1 0 1 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 121 0 1 229 1 0 0 0 0 0 0 0 0 0 0 1 0 X 9 8 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MI X SANDRA ZIEBOLD 7343024600 26200 TOWN CENTER DR STE 350 NOVI MI 48375 JOSEPH FIFER CHAIRMAN TRUSTEE 3.00 1.00 X 38250 0 0 LINDA ELAM VICE CHAIR TRUSTEE 3.00 1.00 X 28500 0 0 ROSEMARY GIBSON THRU 42424 TRUSTEE 3.00 1.00 X 10333 0 0 JENNIE CHIN HANSEN TRUSTEE 3.00 1.00 X 28500 0 0 KELVIN WOMACK TRUSTEE 3.00 1.00 X 28500 0 0 MELANIE BELLA TRUSTEE 3.00 1.00 X 23250 0 0 BRUCE VLADECK TRUSTEE 3.00 1.00 X 23250 0 0 THOMAS RANESE TRUSTEE 3.00 1.00 X 23250 0 0 LAQUANDRA NESBITT TRUSTEE 3.00 1.00 X 23250 0 0 MICHAEL MONSON PRESIDENT & CEO 40.00 1.00 X X 1023930 0 36251 DENISE STURM EVP & CFO 40.00 1.00 X 522618 0 18805 MELESA LITTERAL EVP & CAO 40.00 1.00 X 463561 0 34300 LAURA SANKEY EVP & CSO 40.00 1.00 X 452871 0 31149 TRACY LAWYER SECRETARY 40.00 1.00 X 364241 0 22135 SUSAN HAYASHI THRU 71924 VICE PRESIDENT 40.00 X 339597 0 21292 TARA FOWLER THRU 11824 VICE PRESIDENT 40.00 X 325423 0 8239 RAYMOND TABACZKA JR CORPORATE DIRECTOR 40.00 X 238220 0 28273 SANDRA J ZIEBOLD CORPORATE MANAGER 40.00 X 236936 0 37817 SASIGANT S O'NEIL SENIOR DIRECTOR 40.00 X 219528 0 12525 DAVID BANKS THRU 42624 SENIOR DIRECTOR 40.00 X 213890 0 4270 ANYA V POLIJANAC VICE PRESIDENT 40.00 X 207499 0 33279 LINCOLN SMITH THRU 3322 FORMER SENIOR VICE PRESIDENT 0.00 X 550000 0 0 5385397 0 288335 108 1 1 0 BRIEBUG SOFTWARE INC 390 UNION BLVD STE 600 LAKEWOOD CO 80228 SCIENTIFIC/TECHNICAL SERVICES 1284466 DATASTAT INC 3975 RESEARCH PARK DRIVE ANN ARBOR MI 48108 SCIENTIFIC/TECHNICAL SERVICES 1263925 WESTAT INC 1650 RESEARCH BLVD ROCKVILLE MD 20850 SCIENTIFIC/TECHNICAL SERVICES 1022579 W2 CONSULTING CORPORATION 8612 SADDLEBACK PLACE LAUREL MD 20723 SCIENTIFIC/TECHNICAL SERVICES 691642 HLN CONSULTING LLC 9 PEMBERLY MISSION VEIJO CA 92692 SCIENTIFIC/TECHNICAL SERVICES 498154 24 37172116 1612779 38784895 CONTRACT REVENUE 541900 3455236 3455236 3455236 1172041 1172041 2507 0 2507 2507 2507 52633 50460 17534 2173 -17534 -15361 -15361 MISCELLANEOUS 990009 6593 5 6588 6593 43405911 3455236 5 1165775 X 4808226 2789161 1908344 110721 17784397 10316392 7058476 409529 783644 454577 311022 18045 1916607 1111788 760685 44134 1794501 1040956 712222 41323 114447 114447 153710 153710 163000 163000 10105835 5862204 4010919 232712 2509482 1455703 995992 57787 614199 356286 243770 14143 953613 553173 378481 21959 75246 43649 29864 1733 3466 3466 410387 159008 245067 6312 127309 73849 50528 2932 OTHER 15218 3912 11091 215 TAXES 3199 1855 1270 74 42336486 24222513 17152354 961619 1614297 3428025 7447690 9167183 2401418 779648 7558316 2433481 4094772 5124835 15930654 16175235 24824246 17198225 709822 573547 2041598 1346040 59064497 53792738 7188836 6826446 1913865 2320471 2934494 3830954 1151992 1215611 13189187 14193482 X 45875310 39599256 45875310 39599256 59064497 53792738 X 1069425 280542 -9066985 1440964 X X 0 1 X 1 1 1 X 17661225 29300342 41263283 30084212 38784895 157093957 20156047 4558557 5547134 4257980 3455236 37974954 37817272 33858899 46810417 34342192 42240131 195068911 0 10897186 1405706 4970701 527518 164641 17965752 10897186 1405706 4970701 527518 164641 17965752 177103159 257752 344934 350984 1117775 1174548 3245993 31658 7179 16576 5 55418 289410 352113 367560 1117775 1174553 3301411 6588 6588 38106682 34211012 47177977 35459967 43421272 198376910 0.89280 0.82790 0.01660 0.01190 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: ADMINISTRATIVE SERVICES - MISCELLANEOUS - 2024 AMOUNT: $ 6,588. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 166164 166164 24222513 24388677 1000000 250000 0 0 19500 250066 278938 166164 714668 1072002 97500 250066 278938 166164 792668 4875 0 4875 7313 SCH C PART II-A ALTARUM ALONG WITH CONSULTANTS MET WITH AND/OR SUBMITTED INFORMATION TO STATE LEGISLATORS AND EXECUTIVE BRANCH EMPLOYEES IN VARIOUS STATES, AS WELL AS MEMBERS AND STAFF OF THE U.S. HOUSE OF REPRESENTATIVES AND/OR THE U.S. SENATE. 721211 721211 453722 453722 0 3245034 3245034 3138349 1979759 1158590 5124835 INVESTMENT IN FCAM SUBSIDIARIES 16839955 C INVESTMENT IN RIGHTPATH CAPITAL 25000 C INVESTMENT IN AMMS SUBSIDIARIES 333270 C 17198225 INTERCOMPANY PAYABLE 171744 DEFERRED COMPENSATION LIABILITY 1043867 1215611 X PART X, LINE 2: 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 2021 THROUGH 2024, THE YEARS WHICH REMAIN SUBJECT TO EXAMINATION AS OF DECEMBER 31, 2024. 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, 2024 OR 2023 AND IS NOT AWARE OF ANY CLAIMS FOR SUCH AMOUNTS BY FEDERAL, STATE OR LOCAL INCOME TAX AUTHORITIES. 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, 2024 WAS $54,315. NORTH AMERICA 0 1 PROGRAM SERVICES SCIENTIFIC RESEARCH 45000 0 1 0 0 0 1 45000 0 45000 0 0 0 0 0 0 X X X X X 1 1 0 0 0 0 0 0 0 MICHAEL MONSON PRESIDENT & CEO 825982 0 205530 0 -7582 0 10350 0 25901 0 1060181 0 0 0 LINCOLN SMITH THRU 3322 FORMER SENIOR VICE PRESIDENT 0 0 0 0 550000 0 0 0 0 0 550000 0 0 0 DENISE STURM EVP & CFO 435195 0 84933 0 2490 0 10350 0 8455 0 541423 0 0 0 MELESA LITTERAL EVP & CAO 401445 0 65000 0 -2884 0 10350 0 23950 0 497861 0 0 0 LAURA SANKEY EVP & CSO 387293 0 67000 0 -1422 0 10350 0 20799 0 484020 0 0 0 TRACY LAWYER SECRETARY 238595 0 51000 0 74646 0 9471 0 12664 0 386376 0 0 0 SUSAN HAYASHI THRU 71924 VICE PRESIDENT 165917 0 25000 0 148680 0 5773 0 15519 0 360889 0 0 0 TARA FOWLER THRU 11824 VICE PRESIDENT 230492 0 45000 0 49931 0 7069 0 1170 0 333662 0 0 0 SANDRA J ZIEBOLD CORPORATE MANAGER 146195 0 2740 0 88001 0 7387 0 30430 0 274753 0 0 0 RAYMOND TABACZKA JR CORPORATE DIRECTOR 214834 0 24530 0 -1144 0 7196 0 21077 0 266493 0 0 0 ANYA V POLIJANAC VICE PRESIDENT 184164 0 28500 0 -5165 0 6432 0 26847 0 240778 0 0 0 SASIGANT S O'NEIL SENIOR DIRECTOR 187121 0 0 0 32407 0 6722 0 5803 0 232053 0 0 0 DAVID BANKS THRU 42624 SENIOR DIRECTOR 45238 0 0 0 168652 0 1627 0 2643 0 218160 0 0 0 PART I, LINES 4A-B ALTARUM INSTITUTE ISSUED THE FOLLOWING SEVERANCE PAYMENT IN 2024 AS A RESULT OF TERMINATION OF EMPLOYMENT: LINCOLN SMITH $550,000.00 SUSAN HAYASHI $151,038.00 DAVID BANKS $150,884.61 FORM 990, PART VI, SECTION B, LINE 11B PROCESS USED TO REVIEW THE FORM 990: 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 FINANCIAL REPORTING. AS PART OF THE INFORMATION GATHERING PROCESS, THE CHIEF FINANCIAL OFFICER AND DIRECTOR OF FINANCIAL REPORTING WORK WITH ALTARUM INSTITUTE OFFICERS AND OTHER MANAGERS AS NECESSARY. 2. THE CHIEF FINANCIAL OFFICER PRESENTS THE COMPLETED DRAFT FORM 990 TO THE ALTARUM INSTITUTE BOARD OF TRUSTEES TO REVIEW. ONCE REVIEWED AND APPROVED BY THE BOARD OF TRUSTEES FOR SUBMISSION, THE CHIEF FINANCIAL OFFICER IS NOTIFIED THAT THE FORM IS READY FOR SUBMISSION TO THE IRS. 3. 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. FORM 990, 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 EXECUTIVE MUST COMPLETE AND SUBMIT A DISCLOSURE FORM TO THE SECRETARY (AND GENERAL COUNSEL). INCLUDED IN THE DISCLOSURE FORM IS ANY EMPLOYMENT, BOARD MEMBERSHIP, COMPENSATORY ARRANGEMENTS, MATERIAL INTERESTS, ETC. WITH OTHER ENTITIES. THE SECRETARY 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 EXECUTIVES 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 EXECUTIVE 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 INVESTIGATED BY APPOINTED DISINTERESTED PERSONS OR A COMMITTEE. IF AN ALTERNATIVE TRANSACTION WITHOUT CONFLICT IS NOT REASONABLY POSSIBLE, 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. UPON A CONFLICT OF INTEREST OCCURRING THAT WAS NOT DISCLOSED, THE INTERESTED PERSON MUST EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. AFTER CONSIDERING THE EXPLANATION AND CONDUCTING ANY NECESSARY FURTHER INVESTIGATION, THE BOARD WILL TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION. FORM 990, PART VI, SECTION B, LINE 15 THE TALENT AND COMPENSATION COMMITTEE AND BOARD OF TRUSTEES MET IN THE SECOND QUARTER FOR THE PURPOSE OF REVIEWING, DETERMINING AND/OR ENDORSING COMPENSATION FOR THE NON-PRESIDENT AND CEO EXECUTIVES OF ALTARUM INSTITUTE, ALL IN CONSULTATION WITH AN INDEPENDENT COMPENSATION CONSULTANT (AND THE PRESIDENT AND CEO). THE COMMITTEE AND BOARD, AS APPLICABLE, EVALUATE THE REASONABLENESS OF THE AMOUNT AND CONFORMITY WITH ALTARUM INSTITUTE POLICIES. REVIEW OF PRIOR YEAR TOTAL COMPENSATION ALSO OCCURRED AT THE SECOND QUARTER MEETING. INFORMATION CONSIDERED AS PART OF THE REVIEW, DETERMINATION, AND/OR ENDORSING OF COMPENSATION INCLUDES THE MARKET COMPENSATION DATA REPORT PREPARED BY AN INDEPENDENT COMPENSATION CONSULTANT, INCLUDING PEER GROUP DATA AND EMPLOYEE PERFORMANCE EVALUATION DATA. FORM 990, PART VI, SECTION C, LINE 19 PROCESS FOR MAKING DOCUMENTS AVAILABLE TO THE PUBLIC: ALL AVAILABLE UPON REQUEST FORM 990, PART IX, LINE 11G SUBCONTRACT FEES: PROGRAM SERVICE EXPENSES 4,589,730. MANAGEMENT AND GENERAL EXPENSES 3,140,293. FUNDRAISING EXPENSES 182,198. TOTAL EXPENSES 7,912,221. CONSULTING: PROGRAM SERVICE EXPENSES 1,049,596. MANAGEMENT AND GENERAL EXPENSES 718,133. FUNDRAISING EXPENSES 41,666. TOTAL EXPENSES 1,809,395. WORK ORDER LABOR: PROGRAM SERVICE EXPENSES 153,993. MANAGEMENT AND GENERAL EXPENSES 105,362. FUNDRAISING EXPENSES 6,113. TOTAL EXPENSES 265,468. HONORARIA/ INCENTIVES: PROGRAM SERVICE EXPENSES 68,885. MANAGEMENT AND GENERAL EXPENSES 47,131. FUNDRAISING EXPENSES 2,735. TOTAL EXPENSES 118,751. FORM 990, PART XI, LINE 9: GAIN FROM SUBSIDIARIES 1,440,964. FORM 990, PART XII, LINE 2C: PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. FORM 990, PART XI, LINE 8 THE $9,066,984 PRIOR PERIOD ADJUSTMENT IS FOR AN ADJUSTMENT TO THE INVESTMENT IN SUBSIDIARIES TO ACTUAL INCOME/(LOSS) FROM SUBSIDIARIES. FORM 990, PART XII, LINE 3B SINGLE AUDIT COMPLETED IN ACCORDANCE WITH UNIFORM GUIDANCE ALTARUM MEDICARE-MEDICAID SERVICES FOR STATES 26200 TOWN CENTER DR STE 350 NOVI MI 48375 881423017 HEALTH SERVICES MI 501(C)(3) LINE 7 ALTARUM INSTITUTE 0 FEDERAL CONSULTING ASSET MANAGEMENT INC 26200 TOWN CENTER DR STE 350 NOVI MI 48375 383609582 HOLDING CO. MI N/A C 1434603 16840056 1.00000 1 PALLADIAN PARTNERS INC 1 INVENTA PLACE WEST TOWER SUITE 80 SILVER SPRING MD 20910 521974660 HEALTH COMMUNICATION SERVICES MD FCAM C 2071676 23242998 1.00000 1 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 PALLADIAN PARTNERS INC M 121309 COST ALTARUM MEDICARE-MEDICAID SERVICES FOR STATES M 144160 COST PALLADIAN PARTNERS INC Q 4359018 COST ALTARUM MEDICARE-MEDICAID SERVICES FOR STATES Q 227017 COST ALTARUM MEDICARE-MEDICAID SERVICES FOR STATES B 145142 COST