FORM 990, PART III, LINE 4A, (CONTINUATION): |
ACUTE CARE RESEARCH AREA: VALUE-BASED ACUTE CARE AT HOME: IN ADDITION TO RESEARCHING NEEDS AND INTERVENTIONS IN THE EMERGENCY SETTING, AN IMPORTANT AREA OF INVESTIGATION IS CREATING OPPORTUNITIES AND METHODS TO DELIVER AND STUDY CARE IN-PLACE WHERE SENIORS LIVE (AND TO DO SO IN A COST-EFFECTIVE, SUSTAINABLE MANNER). THROUGHOUT 2022, WHI ADVANCED ITS RESEARCH IN VALUE-BASED ACUTE CARE AT HOME-BASED COLLABORATIONS (VBACH COLLABORATIONS). OUR SPECIFIC RESEARCH COLLABORATIVE WITH HEALTH SYSTEMS/HOSPITALS INVESTIGATED AND GENERATED EVIDENCE OF LOWER COSTS AND SUSTAINABLE MODELS THAT BETTER MATCH SERVICES TO THE NEEDS OF OLDER ADULTS EXPERIENCING UNSCHEDULED HEALTH EVENTS ACROSS THE HOME-BASE CARE CONTINUUM. THIS COLLABORATIVE REPRESENTS A "HANDS ON" RESEARCH INITIATIVE USING QUALITY IMPROVEMENT (QI) RESEARCH METHODOLOGIES TO SUPPORT THE DISCOVERY, ADVANCEMENT, AND FINANCIAL SUSTAINABILITY OF HOME-BASED CARE PROGRAMS (MOST LED BY HOSPITALS). MUCH OF THE RESEARCH CENTERED ON PROACTIVE PATIENT ENGAGEMENT AND AGILE RESPONSES TO UNPLANNED ACUTE EVENTS. THE SPECIFIC AIMS FOR THE 2022 VBACH WERE TO DEPLOY AND MEASURE METHODS DESIGNED TO REDUCE HOSPITALIZATIONS AND ED VISITS, ENABLING SENIORS TO REMAIN IN THEIR HOMES AND COMMUNITIES, AND PROGRESS FINANCIAL SUSTAINABILITY OF THE ACUTE CARE AT HOME PROGRAMS. FOR THE 2022 ROSTER, WE SELECTED FOUR EXCEPTIONAL RESEARCH COLLABORATORS, INCLUDING HOSPITAL-BASED PARTNERS UNITYPOINT HEALTH (IOWA HEALTH SYSTEM), INTEGRA (RHODE ISLAND), HEALTHPARTNERS (MINNESOTA), AS WELL AS HOSPITAL-ADJACENT COMMUNITY-BASED HEALTH DELIVERY PARTNERS VISITING PHYSICIANS SERVICE AND VISITING NURSE ASSOCIATION HEALTH GROUP (NEW JERSEY). THE STRATEGY WAS TO FOCUS ON TEAMS THAT CONTINUED TO EMBRACE MORE FINANCIAL RISK AND EXHIBITED A TRACK RECORD OF RESEARCHING AND DEPLOYING CARE REDESIGN IN ITERATIVE ROUNDS OF QI INVESTIGATIONS. THE OVERALL 2022 VBACH RESEARCH RESULTED IN THE DISCOVERY OF NEW PROCESSES WITH QUANTITATIVE OUTCOME MEASURE THAT EXCEEDED PRIOR RESULTS OBTAINED IN THE BROADER RESEARCH COMMUNITY. TO RIGOROUSLY MANAGE THE RESEARCH AND DATA COLLECTION PROCESSES, A DASHBOARD WAS DEPLOYED TO METHODICALLY COLLECT AND STANDARDIZE DATA GENERATED BY THE CARE DELIVERY MODELS. WHI COLLECTED THE TOP-LEVEL RESULTS OF AVERTED HOSPITAL-BASED UTILIZATION, GROSS AND NET SAVINGS TO MULTIPLE MEDICARE AND MEDICARE ADVANTAGE PAYERS, AND THE ABILITY TO TRACK AND ANALYZE FINANCIAL SUSTAINABILITY FOR THE PROVIDERS. FOR THE FOUR ORGANIZATIONS OVER 12 MONTHS, DATA INDICATED 464 EMERGENCY ROOM VISITS AND 517 INPATIENT HOSPITAL ADMISSIONS WERE AVOIDED, FOR A COLLECTIVE TOP-LINE (GROSS) SAVINGS TO PAYERS OF OVER $6.5M AND A NET SAVINGS OF NEARLY $5M. WHI'S FOCUS ON MEASURING SUSTAINABILITY FURTHER EXTENDED THE RESILIENCY OF OUR COLLABORATORS AND THEIR ABILITY TO SCALE THESE COST-LOWERING PROGRAMS ACROSS THE HOME-BASE CARE CONTINUUM. BASED ON THESE SUCCESSFUL QI RESEARCH OUTCOMES, WE PUBLISHED A "GETTING STARTED GUIDE" TO ASSIST OTHER HEALTH SYSTEMS IN DEVELOPING THEIR OWN PROGRAMS BASED ON THE BEST PRACTICES DEVELOPED IN OUR SERIES OF HOME-BASED ACUTE CARE COLLABORATIONS AND LED A WORKSHOP AT THE INSTITUTE FOR HEALTHCARE IMPROVEMENTS NATIONAL FORUM. SENIOR-APPROPRIATE CHRONIC CARE RESEARCH SYSTEMATICALLY ADDRESSING THE ONGOING COMPLEX MEDICAL, BEHAVIORAL, AND SOCIAL NEEDS OF OLDER ADULTS IN A COST-EFFECTIVE MANNER WHILE ENSURING THAT WHAT MATTERS MOST TO THEM IS ACCOUNTED FOR REPRESENTS AN IMPORTANT PART OF THE INSTITUTE'S RESEARCH. THESE ACTIVITIES COVER A VARIETY OF AREAS. CHRONIC CARE RESEARCH AREA: EVALUATING OPTIMIZED CARE IN THE PACE SETTING: THE PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) IS A FEDERAL AND STATE FUNDED AND REGULATED PROGRAM. PACE PROGRAMS ARE REGISTERED AS HEALTH SYSTEMS - THAT PROVIDES WRAP-AROUND MEDICAL AND SOCIAL SERVICES FOR SENIORS WHO WOULD OTHERWISE NEED NURSING HOME LEVEL CARE. MANAGING THE CHRONIC CONDITIONS AND NEEDS OF THIS HIGH-COST, HIGH-NEED POPULATION SEGMENT REQUIRES COORDINATED CARE TO ENABLE AGING-IN-PLACE AT HOME. THE INSTITUTE HAS ADVANCED AN INNOVATIVE PROGRAM OF APPLIED MEDICAL RESEARCH STUDIES IN PARTNERSHIP WITH PACE (INCLUDING THE GARY AND MARY WEST PACE PROGRAM IN SAN MARCOS, CA KNOWN AS GARY AND MARY WEST SENIOR SERVICES) TO BETTER UNDERSTAND AND EXPLORE HOW CARE CAN BE INCREASINGLY DELIVERED WITH HIGH EFFICIENCY (INCLUDING COST EFFICIENCY) AND QUALITY. BUILDING SYSTEMS TO GATHER DATA AND TEST HYPOTHESES (POPULATION HEALTH RESEARCH DASHBOARDS): BUILDING ON WEST HEALTH INSTITUTE'S EXISTING WORK TO ADVANCE THE USE OF DATA AND ANALYTICAL TOOLS SUCH AS DECISION-SUPPORT DASHBOARDS, THE INSTITUTE IS ESTABLISHING CLINICAL AND OPERATIONAL DASHBOARDS FOR USE AND EVALUATION IN PACE PROGRAMS. PACE PROGRAMS HAVE HISTORICALLY HAD A DIFFICULT TIME COLLECTING AND USING DATA TO INFORM DECISION-MAKING, LARGELY DUE TO INFORMATION BEING SILOED IN ONE OF MANY (OFTEN 7-10) DIFFERENT DATABASES. OUR RESEARCH HYPOTHESIS IS THAT BRINGING TOGETHER AND ORGANIZING DATA FROM A VARIETY OF DATABASES INTO ONE SYSTEM WILL ALLOW PACE PROGRAM DECISIONMAKERS AND PROVIDERS TO ACCESS JUST-IN-TIME METRICS IN AN EASY-TO-CONSUME MANNER, THUS ALLOWING PACE CLINICAL AND ADMINISTRATIVE STAFF TO BETTER CHARACTERIZE AREAS OF NEED, DELIVER TARGETED SERVICES MORE EFFICIENTLY AND EFFECTIVELY TO THE MOST AT-RISK PACE PARTICIPANTS, AND ASSESS THE UTILITY OF THESE INTERVENTIONS. TO TEST THIS HYPOTHESIS, IN 2021 AND 2022 FOUR DASHBOARDS WERE COMPLETED AND MADE AVAILABLE: 1) UTILIZATION AND COSTS RELATED TO EMERGENCY DEPARTMENT VISITS AND HOSPITALIZATION, 2) TELEHEALTH COSTS AND UTILIZATION (BOTH PACE-INTERNAL AND WITH OUTSIDE SPECIALISTS), 3) A FINANCIAL DASHBOARD THAT DISPLAYS KEY INCOME AND EXPENSE DATA, AND 4) A TRANSPORTATION DASHBOARD THAT DISPLAYS COST AND UTILIZATION OF SCHEDULED AND UNSCHEDULED TRANSPORTATION (A LARGE COST DRIVER FOR THE PROGRAM, PARTICULARLY DURING THE PUBLIC HEALTH EMERGENCY). AN EVALUATION PLAN WAS CREATED AND IS BEING DEPLOYED TO TRACK THE USAGE AND USEFULNESS OF THE DASHBOARDS OVER TIME. QUALITY IMPROVEMENT (QI) RESEARCH DIRECTED TO DISCOVERING AND TESTING NEW INTERVENTIONS (REDUCING POTENTIALLY AVOIDABLE HOSPITAL AND EMERGENCY DEPARTMENT ADMISSIONS): A PACE CLINIC IS TYPICALLY EQUIPPED WITH SOME DEGREE OF AGILE RESPONSE INFRASTRUCTURE, INCLUDING SAME-DAY APPOINTMENTS, TRANSPORTATION TO AND FROM THE CLINIC, AND A CREW OF SOCIAL WORKERS, PROVIDERS, AND PHYSICAL/OCCUPATIONAL THERAPISTS TO MEET THE NEEDS OF THEIR PARTICIPANTS. HOWEVER, BECAUSE SOME PACE PARTICIPANTS REMAIN CONDITIONED TO CALL 911 IN AN EMERGENCY, DURING THE 2022 YEAR, WHI EXPLORED OPPORTUNITIES TO INTERCEPT PARTICIPANTS' NON-LIFE-THREATENING MEDICAL CONCERNS USING A MOBILE HEALTH SERVICE. SPECIFICALLY, WE BUILT UPON A 2021 PILOT AND CONTINUED OUR INVESTIGATION OF USING A MOBILE NURSING SERVICE TO PROVIDE SCHEDULED AND ON-DEMAND VISITS TO PARTICIPANT'S HOMES. THE STUDY WAS STRUCTURED AS A QI INVESTIGATION AND WAS DESIGNED TO TRACK THE TYPES OF MOBILE NURSING ENCOUNTERS (E.G., SCHEDULED, ON-DEMAND, URGENT) AND DETERMINE IF A VISIT TO THE ED WAS AVERTED. WE ALSO CONDUCTED A REMOTE PATIENT MONITORING (RPM) PILOT, TESTING THE FEASIBILITY OF INCLUDING THIS MODALITY, IN COMBINATION WITH THE MOBILE NURSING RESPONSE, TO AVERT ED VISITS. BY THE END OF 2022, A TOTAL OF 17 ED VISITS, 12 HOSPITALIZATIONS, AND 4 SKILLED NURSING STAYS WERE AVERTED FOR PACE PARTICIPANTS FOR AN ESTIMATED COST SAVINGS OF $245K. LIKE ALL OF OUR WORK, THESE RESEARCH FINDINGS WILL BE SHARED TO ENABLE INFORMED DECISION MAKING BY OTHER PACE AND COMPLEX-CARE DELIVERY ORGANIZATIONS. TESTING ADVANCED CARE PLANNING (GOALS OF CARE): PACE PROVIDERS MUST MEET THE VARIED NEEDS OF MEDICALLY COMPLEX OLDER ADULTS, WHICH INCLUDES ADVANCE CARE PLANNING. ADVANCE CARE PLANNING IN PACE PROGRAMS IS OFTEN NARROWLY TARGETED TO END-OF-LIFE DECISIONS. HOWEVER, A GROWING BODY OF RESEARCH SUGGESTS THAT UNDERSTANDING PATIENTS' BROADER GOALS OF CARE (GOC), WHICH INCLUDES DECISIONS FOR END-OF-LIFE, CAN LEAD TO CARE THAT IS MORE CONCORDANT WITH THEIR PREFERENCES, HIGHER COMPLIANCE WITH HEALTH REGIMENS, AND GREATER PARTICIPANT AND FAMILY SATISFACTION. OVER THE COURSE OF 2022, WEST HEALTH INSTITUTE ADVANCED A RESEARCH AGENDA WITH THE PACE PROGRAM IN SAN MARCOS, CA, THE CALIFORNIA COALITION FOR COMPASSIONATE CARE, AND THE NATIONAL PACE ASSOCIATION TO EVALUATE THE EFFECTS OF BROADENING ADVANCE CARE PLANNING PROGRAMS SO THAT THEY INCLUDE GOALS OF CARE DISCUSSIONS, ANALYSES TO DETERMINE HOW CLOSELY CARE ALIGNS WITH PARTICIPANTS' STATED GOALS, AND THE IMPACT OF THIS WORK ON CLINICAL/FINANCIAL OUTCOMES AND PARTICIPANT SATISFACTION. |
FORM 990, PART III, LINE 4A, (CONTINUATION): |
ASSESSING PACE PROGRAMS' DELIVERY OF BEHAVIORAL HEALTH SERVICES: WEST HEALTH INSTITUTE IS WORKING WITH A RESEARCH TEAM AT COLUMBIA UNIVERSITY TO DOCUMENT AND EVALUATE HOW PACE PROGRAMS DELIVER BEHAVIORAL HEALTH SERVICES- IN PARTICULAR STUDYING A MODEL OF BEHAVIORAL HEALTH INTEGRATION WITHIN PRIMARY CARE THAT COULD, IF DEPLOYED WITHIN PACE PROGRAMS, GREATLY IMPROVE CLINICAL OUTCOMES. AS PART OF THIS WORKSTREAM, THE TEAM CREATED AND DEPLOYED A SURVEY ABOUT BEHAVIORAL HEALTH NEEDS AND SERVICES TO ALL PACE PROGRAMS. FOLLOWING THIS SURVEY, THE STUDY TEAM HELD IN-DEPTH INTERVIEWS WITH APPROXIMATELY A DOZEN SITES. ANALYSES OF RESPONSES REVEALED THAT BEHAVIORAL HEALTH IS A LARGE AREA OF NEED FOR ALL PACE PROGRAMS AND DELIVERY OF THOSE SERVICES WITHIN THE PROGRAMS IS LARGELY NOT INTEGRATED WITHIN THE CARE DELIVERED BY THE PACE TEAM IN THE CLINIC. THIS RESEARCH HAS HIGHLIGHTED AN AREA OF NEED AND OPPORTUNITY FOR FUTURE WORK (BY MANY STAKEHOLDERS) IN THIS SECTOR. ASSESSING THE IMPACT OF CARE PLANNING ON CLINICAL OUTCOMES FOR PACE ORGANIZATIONS: ACCESS TO COMBINED/AGGREGATED DATA FOR PACE PROGRAMS HAS TRADITIONALLY BEEN DIFFICULT TO OBTAIN, HINDERING LARGER SCALE MEDICAL RESEARCH IN THIS AREA. OVER THE PAST SEVERAL YEARS, HOWEVER, A NEW PACE HEALTH ANALYTICS PLATFORM HAS BECOME AVAILABLE THAT OFFERS AN OPPORTUNITY TO STUDY DATA FROM A CURRENT ROSTER OF APPROXIMATELY 25 PACE ORGANIZATIONS. WHI HAS ENTERED INTO A RESEARCH COLLABORATION LEVERAGING THIS PLATFORM (INTUS CARE) WITH THE GOAL OF ADDING SIGNIFICANT VALUE TO THE RESEARCH LITERATURE. IN OUR PILOT PHASE, WE SEEK TO UNDERSTAND THE IMPACT OF PACE BEHAVIORAL HEALTH INTERVENTIONS IN IMPROVING OUTCOMES FOR PACE PARTICIPANTS WITH BEHAVIORAL HEALTH DISORDERS. CHRONIC CARE RESEARCH AREA: DEFINING THE NEEDS OF THE SERIOUSLY ILL POPULATION OF OLDER ADULTS: WEST HEALTH INSTITUTE PARTNERED WITH THE CENTER TO ADVANCE PALLIATIVE CARE (CAPC) AT THE MOUNT SINAI HOSPITAL ICAHN SCHOOL OF MEDICINE TO ENGAGE IN RESEARCH AND MEDICARE ANALYSES TO ASSIST WITH EXPANSION OF SCOPE TO A LARGER HEALTHCARE LANDSCAPE AND NEW AUDIENCES, WHILE LEVERAGING CAPC'S EXISTING PLATFORM AND CAPC AND WEST HEALTH INSTITUTE'S CORE ORGANIZATIONAL COMPETENCIES. THE AIMS ARE TWO-FOLD FOR BOTH CAPC AND WEST HEALTH INSTITUTE: (1) TO DEFINE PRIORITIES, CONSIDER RISKS AND FEASIBILITY, AND IDENTIFY THE MOST EFFECTIVE WAYS FOR CAPC AND WHI TO MOVE FORWARD IN THE EVOLVING FIELD OF SERIOUS ILLNESS CARE; AND (2) MAKE THE CASE FOR HOW PALLIATIVE/PACE SETTINGS SHOULD BE MORE INTEGRAL TO ACUTE CARE SETTINGS FOR SERIOUSLY ILL POPULATIONS. THE OBJECTIVE FOR THIS LEARNING PROJECT IS TO DEVELOP A RIGOROUS SWOT ANALYSIS, A MEDICARE CLAIMS-BASED STRATEGIC PLAN, AND FUTURE-ORIENTED BUSINESS PLAN FOR CAPC AND WHI'S EXPANDED ACTIVITIES IN SUPPORT OF PATIENTS WITH SERIOUS ILLNESS AND THEIR FAMILIES. CHRONIC CARE RESEARCH AREA: IMPROVING ORAL HEALTHCARE FOR SENIORS: IN 2022, WHI CONTINUED A MULTI-YEAR COLLABORATION BETWEEN THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO HEALTH SYSTEM AND SCHOOL OF DENTISTRY TO ANALYZE EXISTING STATEWIDE AND NATIONAL DATA TO EDUCATE CALIFORNIA AND NATIONAL POLICYMAKERS ABOUT THE EXTENT OF SENIORS ORAL HEALTH PROBLEMS. USING A LARGE DATA SET FROM DENTI-CAL THAT HAS BEEN EXAMINED VIA MULTIPLE ITERATIVE INVESTIGATIONS, THIS COLLABORATION DEMONSTRATED THE IMPORTANCE OF MEDICAID IN IMPROVING ACCESS FOR LOWER-INCOME SENIORS AND THE SUBSTANTIAL UNMET NEEDS THAT PERSIST. ADDITIONAL SUB-ANALYSES HAVE BEEN CONDUCTED TO SUPPORT RESEARCH INSIGHTS AREAS GERMANE TO THE CA MASTER PLAN FOR AGING AS WELL AS THE CA STATE ORAL HEALTH PLAN. SENIOR-APPROPRIATE TELEHEALTH RESEARCH DESPITE TREMENDOUS CHALLENGES PRESENTED BY THE COVID-19 PANDEMIC, PROVIDERS SHOWED THEIR COMMITMENT TO CARING FOR OLDER ADULTS BY INNOVATING AND INCREASINGLY USING TELEHEALTH AS A TOOL TO CONNECT WITH, AND CARE FOR, OLDER ADULTS. AS THE PUBLIC HEALTH EMERGENCY COMES TO AN END, PROVIDERS NOW HAVE TIME TO ASSESS THEIR TELEHEALTH PROGRAMS TO ENSURE THAT TELEHEALTH IS DELIVERED IN A MANNER THAT IS "AGE-INCLUSIVE" IN THAT IT ACCOUNTS FOR OLDER ADULTS' UNIQUE NEEDS. "AGE-INCLUSIVE TELEHEALTH" IS DEFINED BY THE FOLLOWING CORE PRINCIPLES: CARE SHOULD BE EQUITABLE AND ACCESSIBLE, PERSON-CENTERED, AND INTEGRATED AND COORDINATED ACROSS PEOPLE AND SYSTEMS. TO SUPPORT RESEARCH AND EVALUATION OF AGE-INCLUSIVE TELEHEALTH PROGRAMS, WEST HEALTH INSTITUTE PARTNERED WITH THE UNIVERSITY OF VIRGINIA HEALTH SYSTEM DEPARTMENT OF GERIATRICS AND THE MID-ATLANTIC TELEHEALTH RESOURCE CENTER TO CREATE (1) THE COLLABORATIVE FOR TELEHEALTH AND AGING, AND (2) THE CENTER OF EXCELLENCE FOR TELEHEALTH AND AGING. THE COLLABORATIVE IS A GROUP OF OVER 40 EXPERTS INCLUDING PROVIDERS AND RESEARCHERS IN THE AREAS OF GERIATRICS, TELEHEALTH, AND HEALTH SERVICES DELIVERY. TOGETHER, WE RELEASED A CONSENSUS STATEMENT CONSISTING OF 3 PRINCIPLES AND 18 GUIDELINES THAT CAN BE USED AS A BENCHMARK FOR EVALUATION AND QUALITY IMPROVEMENT RESEARCH SUPPORTING AGE-INCLUSIVE TELEHEALTH CARE. TO FURTHER THESE EFFORTS, WHI AND THE COLLABORATIVE LAUNCHED THE CENTER OF EXCELLENCE FOR TELEHEALTH AND AGING, WHICH SERVES AS A CLEARINGHOUSE AND DISSEMINATION VEHICLE OF AGE-INCLUSIVE TELEHEALTH RESEARCH, CASE-STUDIES, ETC. AS WELL AS A KNOWLEDGE-SHARING FORUM FOR LIKE-MINDED EXPERTS IN THE AREA OF TELEHEALTH RESEARCH AND IMPLEMENTATION FOR OLDER ADULTS. |
FORM 990, PART VI, SECTION A, LINE 2 |
THE MAJORITY OF THE CURRENT DIRECTORS AND OFFICERS HAVE A "BUSINESS RELATIONSHIP" AS DEFINED IN THE FORM 990 INSTRUCTIONS, WITH EACH OF THE OTHER CURRENT OFFICERS AND DIRECTORS BECAUSE OF POSITIONS THEY HOLD WITH AFFILIATED ORGANIZATIONS. |
FORM 990, PART VI, SECTION A, LINE 3 |
GARY AND MARY WEST MANAGEMENT COMPANY, INC., ("WMC") IS A NON-PROFIT, TAXABLE ENTITY THAT PROVIDES SERVICES TO AFFILIATED ORGANIZATIONS. CERTAIN SUPERVISORY, FINANCIAL AND OTHER ADMINISTRATIVE FUNCTIONS ARE PREFORMED BY EMPLOYEES OF GARY AND MARY WEST MANAGEMENT COMPANY, INC. SALLY HALLAK AND JONATHAN ZIFFERBLATT ARE OFFICERS OF WHI AND RELATED ORGANIZATIONS BUT ARE DIRECT EMPLOYEES OF WMC. (REFER TO SCHEDULE J). TOTAL OFFICER COMPENSATION PAID TO THESE OFFICERS IS $932,354. |
FORM 990, PART VI, SECTION A, LINE 4 |
THE BYLAWS WERE AMENDED TO CHANGE THE PERMANENT MEMBER FROM GARY AND MARY WEST FOUNDATION TO GARY AND MARY WEST CHARITABLE TRUST. |
FORM 990, PART VI, SECTION A, LINE 6 |
THE ORGANIZATION IS A NON-PROFIT, NON-STOCK CORPORATION WITH THREE MEMBERS DURING 2022. ONE INCORPORATED MEMBER DESIGNATED AS A PERMANENT MEMBER, THE GARY AND MARY WEST FOUNDATION AND TWO NON-INCORPORATED MEMBERS WHICH ARE ELECTED AND TERM-BASED MEMBERS, JAMES K HASSON AND THOMAS CULHANE. ADDITIONALLY, MEMBERS APPOINT AND CAN REMOVE DIRECTORS. |
FORM 990, PART VI, SECTION A, LINE 7A |
THE MEMBERS OF THE ORGANIZATION HAVE THE AUTHORITY TO ELECT AND REMOVE MEMBERS OF THE GOVERNING BODY. |
FORM 990, PART VI, SECTION A, LINE 7B |
THE FOLLOWING DECISIONS REQUIRE MEMBER APPROVAL: 1. THE DISSOLUTION, LIQUIDATION, MERGER, CONSOLIDATION, RECAPITALIZATION OR OTHER REORGANIZATION OF THE CORPORATION; 2. THE SALE, LEASE OR EXCHANGE OF ALL OR SUBSTANTIALLY ALL OF THE PROPERTY OF THE CORPORATION; AND 3. ANY CHANGES PROPOSED TO BE MADE BY THE CORPORATION'S BOARD OF DIRECTORS TO THE CORPORATION'S CERTIFICATE OF INCORPORATION OR BYLAWS. |
FORM 990, PART VI, SECTION B, LINE 11B |
THE FORM 990 INFORMATION WAS COMPILED FROM THE ORGANIZATION'S CORPORATE AND ACCOUNTING RECORDS AND PROVIDED TO THE ORGANIZATION'S OUTSIDE TAX PREPARER. THE COMPLETED FORM 990 WAS REVIEWED BY THE ORGANIZATION'S CFO, OUTSIDE LEGAL COUNSEL AND CEO. UPON SATISFACTORY COMPLETION OF THE INTERNAL REVIEW PROCESS, A DRAFT OF THE FORM 990 WAS CIRCULATED TO THE ORGANIZATION'S AUDIT COMMITTEE AND BOARD OF DIRECTORS FOR REVIEW. THE FORM 990 WAS THEN FILED WITH THE INTERNAL REVENUE SERVICE. |
FORM 990, PART VI, SECTION B, LINE 12C |
THE DIRECTORS AND OFFICERS OF THE INSTITUTE MET REGULARLY THROUGHOUT 2022 AND DISCUSSED ALL ACTUAL AND POTENTIAL CONFLICTS OF INTEREST THAT EXISTED WITH RESPECT TO OTHER NON-PROFIT AND BUSINESS ORGANIZATIONS. THE DIRECTORS AND OFFICERS ALSO COLLECTED ANNUAL WRITTEN CONFLICT OF INTEREST STATEMENTS FROM ALL DIRECTORS AND OFFICERS. NO FAILURES OF COMPLIANCE WITH THE POLICY WERE FOUND. |
FORM 990, PART VI, SECTION B, LINE 15 |
THE ORGANIZATION HAS A COMPENSATION APPROVAL PROCESS FOR ITS EMPLOYEES. FOR THOSE PAID IN EXCESS OF $100,000, A BASIC COMPENSATION STUDY IS PERFORMED AND COMPENSATION RANGES ARE REQUIRED TO BE APPROVED BY THE BOARD OF DIRECTORS. FOR THOSE PAID IN EXCESS OF $250,000, SUCH AS THE CEO, AN ENHANCED STUDY OF COMPARABLE COMPENSATION IS PERFORMED AND THE BOARD OF DIRECTORS REVIEWS AND APPROVES COMPENSATION LEVELS. THE ORGANIZATION HAS ALSO RETAINED THE SERVICES OF AN OUTSIDE COMPENSATION CONSULTANT. THE MOST RECENT REVIEW WAS DONE IN 2021. |
FORM 990, PART VI, SECTION C, LINE 19 |
THE ORGANIZATION MAKES ITS CERTIFICATE OF INCORPORATION AND AUDITED FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON THE REQUEST FOR SUCH DOCUMENTS. |
FORM 990, PART VII: |
THE ORGANIZATION HAS A MANAGEMENT SERVICES AGREEMENT WITH THE GARY AND MARY WEST MANAGEMENT COMPANY, INC., A RELATED NON-PROFIT CORPORATION, WHEREBY THE GARY AND MARY WEST MANAGEMENT COMPANY, INC. PROVIDES CERTAIN ADMINISTRATIVE SUPPORT SERVICES TO THE ORGANIZATION. SUCH SERVICES INCLUDE THAT OF VARIOUS SENIOR MANAGEMENT ROLES. |
FORM 990, PART IX, LINE 11G |
OTHER CONSULTANTS: PROGRAM SERVICE EXPENSES 841,559. MANAGEMENT AND GENERAL EXPENSES 1,249,174. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,090,733. RESEARCH STUDIES: PROGRAM SERVICE EXPENSES 6,581,104. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,581,104. OTHER: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 630. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 630. STAKEHOLDER COMMUNICATIONS: PROGRAM SERVICE EXPENSES 595. MANAGEMENT AND GENERAL EXPENSES 19,582. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 20,177. US HEALTHCARE ADVISORY AND POLICY CONSULTING: PROGRAM SERVICE EXPENSES 1,402,639. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,402,639. |