2024-10-28T08:38:49-05:00 2023-12-31 383567911 REHMANN ROBSON LLC 555 BRIARWOOD CIRCLE STE 300 ANN ARBOR MI 48108 990 2023-01-01 381983442 ALTARUM INSTITUTE ALTA 7343024600 26200 TOWN CENTER DR STE 350 NOVI MI 48375 DENISE STURM CFO 7343024600 2024-10-25 1 1 JEFFREY E HERT CPA P00066715 7347612005 2024-10-07 2023 2024-10-15 13:58:12Z MICHAEL MONSON 26200 TOWN CENTER DR STE 350 NOVI MI 48375 42351361 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 8 240 0 -1698313 0 41263280 30084212 5547176 4257980 369355 -1217350 -47919 -287789 47131892 32837053 0 0 0 0 25418055 22789329 0 0 1275384 16611707 14413246 42029762 37202575 5102130 -4365522 67147281 59064497 18399173 13189187 48748108 45875310 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) INTEGEGRATE 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 19317205 34342130 ALTARUM'S AREAS OF FOCUS INCLUDE BEHAVIORAL HEALTH, LONG-TERM SERVICES AND SUPPORTS, MATERNAL AND CHILD HEALTH, 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. FOR EXAMPLE, ALTARUM PROVIDED PUBLIC HEALTH EMERGENCY UNWINDING SERVICES TO KENTUCKY'S DEPARTMENT FOR MEDICAID SERVICES. THE PROJECT INCLUDES A BROAD RANGE OF SERVICES INCLUDING PROJECT MANAGEMENT, STAKEHOLDER ENGAGEMENT, POLICY AND WAIVER ANALYSIS, AND DATA ANALYSIS TO SUPPORT KENTUCKY SUCCESSFULLY UNWIND PUBLIC HEALTH EMERGENCY FLEXIBILITIES. 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, 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, ALARUM 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 IS DEVELOPING 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. 19317205 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 1 118 0 1 240 1 1 1 0 0 0 0 0 0 0 0 0 0 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 GUY FISH END 42023 CHAIRMAN TRUSTEE 3.00 1.00 X 17000 0 0 JOSEPH FIFER CHAIRMAN TRUSTEE 3.00 1.00 X 46667 0 0 LINDA ELAM TRUSTEE 3.00 1.00 X 38000 0 0 ROSEMARY GIBSON TRUSTEE 3.00 1.00 X 31000 0 0 JENNIE CHIN HANSEN TRUSTEE 3.00 1.00 X 38000 0 0 KELVIN WOMACK TRUSTEE 3.00 1.00 X 35667 0 0 MELANIE BELLA TRUSTEE 3.00 1.00 X 31000 0 0 BRUCE VLADECK TRUSTEE 3.00 1.00 X 31000 0 0 THOMAS RANESE TRUSTEE 1.00 1.00 X 31000 0 0 MICHAEL MONSON PRESIDENT AND CEO 40.00 X X 822682 0 33975 DENISE STURM EVP & CFO 40.00 X 439527 0 18040 MALESA LITTERAL EVP & CAO 40.00 X 428628 0 32545 LAURA SANKEY EVP & CSO 40.00 X 335279 0 29527 TARA FOWLER VICE PRESIDENT 40.00 X 252318 0 14636 TRACY LAWYER SECRETARY 40.00 X 237297 0 29846 SUSAN HAYASHI VICE PRESIDENT 40.00 X 166471 0 4967 DAVID BANKS END 42624 SENIOR DIRECTOR 40.00 X 256209 0 15937 RAYMOND TABACZKA JR CORPORATE DIRECTOR 40.00 X 192814 0 34968 BARBARA SPADFORE SENIOR PROJECT MANAGER 40.00 X 189786 0 23023 KRISTINA AZEEM SENIOR DIRECTOR 40.00 X 187724 0 4053 AL WENDT END 111523 CORPORATE MANAGER 40.00 X 208390 0 -50228 LINCOLN SMITH END 3322 FORMER SENIOR VICE PRESIDENT 0.00 X 550000 0 0 RICK KELLER END 120122 FORMER VICE PRESIDENT 0.00 X 242560 0 1321 DANIEL ARMIJO END 53121 FORMER SVP & COO 0.00 X 183686 0 0 DAVID ROBERTSON END 4422 FORMER SVP & CFO 0.00 X 135943 0 0 5128648 0 192610 100 1 1 0 DATASTAT INC 3975 RESEARCH PARK DRIVE ANN ARBOR MI 48108 SCIENTIFIC/TECHNICAL SERVICES 1560421 WESTAT INC 1650 RESEARCH BLVD ROCKVILLE MD 20850 SCIENTIFIC/TECHNICAL SERVICES 1155452 BLUE BENCH ADVISORS 3079 HALFWAY RD THE PLAINS VA 20198 SCIENTIFIC/TECHNICAL SERVICES 826600 EVOLUTYZ CORP 1560 WALL ST STE 105 NAPERVILLE IL 60563 SCIENTIFIC/TECHNICAL SERVICES 462679 HLN CONSULTING LLC 9 PEMBERLY MISSION VEIJO CA 92692 SCIENTIFIC/TECHNICAL SERVICES 409791 29 X 27963103 2121109 30084212 CONTRACT REVENUE 541900 4254980 4254918 62 LICENSE REVENUE 541900 3000 3000 4257980 816591 816591 448484 736273 -287789 -287789 -156370 -131419 89394 6654700 85870 8692165 3524 -2037465 -2033941 -1542005 -491936 32837053 4257918 -1698313 193236 X 3145071 1682847 1351442 110782 16739175 8956705 7192851 589619 544323 291254 233896 19173 781031 417910 335610 27511 1579729 845273 678812 55644 276076 276076 175990 175990 275900 275900 8709385 4660170 3742437 306778 2312894 1237571 993854 81469 692977 370794 297774 24409 661869 354149 284406 23314 64588 34559 27754 2275 184583 184583 626442 262276 346900 17266 118737 63534 51021 4182 OTHER 390560 181234 193661 15665 TAXES 56797 30390 24406 2001 TRAINING & RELOCATION 430 230 185 15 GOVERNANCE COSTS -133982 -71691 -57572 -4719 37202575 19317205 16609986 1275384 6498232 1614297 5677734 7447690 5930370 2401418 7237928 3143156 12714289 4094772 7880327 15930654 25829631 24824246 817646 709822 1799052 2041598 67147281 59064497 9546139 7188836 1615768 1913865 6189051 2934494 1048215 1151992 18399173 13189187 X 48748108 45875310 48748108 45875310 67147281 59064497 X -4365522 474323 1018401 X X 0 1 X 1 1 1 X 19677156 17661225 29300342 41263283 30084212 137986218 29904365 20156047 4558557 5547134 4257980 64424083 49581521 37817272 33858899 46810417 34342192 202410301 0 15004936 10897186 1405706 4970701 527518 32806047 15004936 10897186 1405706 4970701 527518 32806047 169604254 292838 257752 344934 350984 1117775 2364283 27802 31658 7179 16576 83215 320640 289410 352113 367560 1117775 2447498 13 13 49902174 38106682 34211012 47177977 35459967 204857812 0.82790 0.77420 0.01190 0.00810 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: ADMINISTRATIVE SERVICES - MISCELLANEOUS - 2019 AMOUNT: $ 13. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 278938 278938 19317205 19596143 1000000 250000 0 0 19500 250066 278938 548504 822756 97500 250066 278938 626504 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 2385170 2385170 3677825 2689434 988391 4094772 INVESTMENT IN FCAM SUBSIDIARIES 24472337 C INVESTMENT IN RIGHTPATH CAPITAL 25000 C INVESTMENT IN AMMS SUBSIDIARIES 326909 C 24824246 INTERCOMPANY PAYABLE 227159 DEFERRED COMPENSATION LIABILITY 924833 1151992 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 2020 THROUGH 2023, THE YEARS WHICH REMAIN SUBJECT TO EXAMINATION AS OF DECEMBER 31, 2023. 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, 2023 OR 2022 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, 2023 WAS $54,315. NORTH AMERICA 0 1 PROGRAM SERVICES SCIENTIFIC RESEARCH 137000 0 1 0 0 0 1 137000 0 137000 0 0 0 0 0 0 X X X X X 1 1 0 0 0 0 0 0 0 MICHAEL MONSON PRESIDENT AND CEO 829250 0 0 0 -6568 0 9900 0 24075 0 856657 0 0 0 LINCOLN SMITH END 3322 FORMER SENIOR VICE PRESIDENT 0 0 0 0 550000 0 0 0 0 0 550000 0 0 0 MALESA LITTERAL EVP & CAO 403034 0 29043 0 -3449 0 9900 0 22645 0 461173 0 0 0 DENISE STURM EVP & CFO 436916 0 0 0 2611 0 9900 0 8140 0 457567 0 0 0 LAURA SANKEY EVP & CSO 337465 0 0 0 -2186 0 9900 0 19627 0 364806 0 0 0 DAVID BANKS END 42624 SENIOR DIRECTOR 238625 0 0 0 17584 0 4546 0 11391 0 272146 0 0 0 TRACY LAWYER SECRETARY 212551 0 0 0 24746 0 17896 0 11950 0 267143 0 0 0 TARA FOWLER VICE PRESIDENT 235616 0 0 0 16702 0 13401 0 1235 0 266954 0 0 0 RICK KELLER END 120122 FORMER VICE PRESIDENT 819 0 0 0 241741 0 21 0 1300 0 243881 0 0 0 RAYMOND TABACZKA JR CORPORATE DIRECTOR 186063 0 0 0 6751 0 17050 0 17918 0 227782 0 0 0 BARBARA SPADFORE SENIOR PROJECT MANAGER 178563 0 0 0 11223 0 4812 0 18211 0 212809 0 0 0 KRISTINA AZEEM SENIOR DIRECTOR 171200 0 0 0 16524 0 3103 0 950 0 191777 0 0 0 DANIEL ARMIJO END 53121 FORMER SVP & COO 0 0 0 0 183686 0 0 0 0 0 183686 0 0 0 SUSAN HAYASHI VICE PRESIDENT 108333 0 0 0 58138 0 4967 0 0 0 171438 0 0 0 AL WENDT END 111523 CORPORATE MANAGER 122183 0 0 0 86207 0 -74260 0 24032 0 158162 0 0 0 DAVID ROBERTSON END 4422 FORMER SVP & CFO 0 0 0 0 135943 0 0 0 0 0 135943 0 0 0 PART I, LINES 4A-B ALTARUM INSTITUTE ISSUED THE FOLLOWING SEVERANCE PAYMENT IN 2023 AS A RESULT OF TERMINATION OF EMPLOYMENT: LINCOLN SMITH $550,000.00 RICK KELLER $215,462.50 DANIEL ARMIJO $183,686.16 DAVID ROBERTSON $135,942.75 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 FINANCE AND AUDIT COMMITTEE OF THE ALTARUM INSTITUTE BOARD OF TRUSTEES. THIS COMMITTEE HAS BEEN DESIGNATED BY THE BOARD TO REVIEW THE FORM 990 TO EITHER RECOMMEND TO THE BOARD FOR APPROVAL AS WRITTEN OR MAKE SUGGESTED MODIFICATIONS. 3. SIMULTANEOUS WITH SUBMISSION OF THE FORM 990 TO THE COMMITTEE, ALL TRUSTEES RECEIVE A COPY OF THE DRAFT FORM 990 AND ARE INVITED TO PARTICIPATE IN THE COMMITTEE MEETING DESIGNATED TO REVIEW THE FORM 990. 4. ONCE THE COMMITTEE REVIEW MEETING IS COMPLETE, THE COMMITTEE PRESENTS THE FORM 990 TO THE BOARD TO REVIEW. 5. 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. 6. 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 VIII, LINE 7C IN DECEMBER 2023, ALTARUM INSTITUTE SOLD LAND, BUILDING, AND RELATED ASSETS RESULTING IN A ONE-TIME LOSS OF APPROXIMATELY $2,000,000. CONCURRENT WITH THE SALE, ALTARUM INSTITUTE REPAID THE OUTSTANDING MORTGAGE AND TRANSFERRED ALL REMAINING LESSEE AGREEMENTS TO THE PURCHASER. FORM 990, PART IX, LINE 11G SUBCONTRACT FEES: PROGRAM SERVICE EXPENSES 3,981,239. MANAGEMENT AND GENERAL EXPENSES 3,197,209. FUNDRAISING EXPENSES 262,084. TOTAL EXPENSES 7,440,532. CONSULTING: PROGRAM SERVICE EXPENSES 549,259. MANAGEMENT AND GENERAL EXPENSES 441,093. FUNDRAISING EXPENSES 36,158. TOTAL EXPENSES 1,026,510. WORK ORDER LABOR: PROGRAM SERVICE EXPENSES 86,497. MANAGEMENT AND GENERAL EXPENSES 69,463. FUNDRAISING EXPENSES 5,694. TOTAL EXPENSES 161,654. HONORARIA/ INCENTIVES: PROGRAM SERVICE EXPENSES 43,175. MANAGEMENT AND GENERAL EXPENSES 34,672. FUNDRAISING EXPENSES 2,842. TOTAL EXPENSES 80,689. FORM 990, PART XI, LINE 9: GAIN FROM SUBSIDIARIES 1,018,401. FORM 990, PART XII, LINE 2C: PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. 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 1017056 15405352 1.00000 1 PALLADIAN PARTNERS INC 1 INVENTA PLACE WEST TOWER SUITE 80 SILVER SPRING MD 20910 521974660 HEALTH COMMUNICATION SERVICES MD FCAM C 1048310 22861555 1.00000 1 0 1 0 0 0 1 0 0 0 0 0 1 1 0 0 1 1 0 0 ALTARUM MEDICARE-MEDICAID SERVICES FOR STATES B 101214 COST FEDERAL CONSULTING ASSET MANAGEMENT F 2125000 COST PALLADIAN PARTNERS INC L 129135 COST ALTARUM MEDICARE-MEDICAID SERVICES FOR STATES L 30646 COST PALLADIAN PARTNERS INC M 278023 COST ALTARUM MEDICARE-MEDICAID SERVICES FOR STATES M 60538 COST PALLADIAN PARTNERS INC P 13835 COST PALLADIAN PARTNERS INC Q 5218488 COST ALTARUM MEDICARE-MEDICAID SERVICES FOR STATES Q 53271 COST