A major structural change occurs in December of 2016 when Michigan Medicine and Blue Cross Blue Shield of Michigan change their philanthropic priorities to focus on other important health policy initiatives. CHRT was founded, and supported during its first several years, by these two funders. In 2015, the year before the structural change, CHRT had only seven distinct funders and received a significant portion of its revenue from Michigan Medicine and Blue Cross Blue Shield of Medicine. In 2022, at the 15th anniversary of CHRT, the organization has 37 distinct funders.