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FHG · AMA Strategy | June 2026

The New AMA Under John Whyte, MD

CEO July 1, 2025 · Restructured the org · Launched COHO + Digital Health & AI Center · Tutty elevated to SVP · Fryhofer elected · Dr. Wig installed · Stunning departures still unfolding
Who Is Whyte

John J. Whyte, MD, MPH — CEO & EVP (effective July 1, 2025)

Career arc: CDC → CMS (helped formalize Medicare’s national coverage decision process) → FDA (Director of Professional Affairs & Stakeholder Engagement, CDER) → Discovery Communications → WebMD as Chief Medical Officer, 2018–2025 → AMA. Selected by Board May 9, 2025.

His two signature moves: (1) Eliminated CHE as a standalone Mission BU and merged it with IHO into COHO. (2) Launched the AMA Center for Digital Health and AI Oct 20, 2025 — now leadership-vacant after Lozovatsky’s departure.

His posture: Administration-aligned, not defensive. Hosts CMMI’s Abe Sutton on AMA’s podcast (3 episodes in 4 months). Co-staged with FDA Commissioner Makary at the Feb 2, 2026 Action for Progress launch (hosted by close friend Tom Koutsoumpas, Healthsperien). Modern Healthcare: “AMA CEO seeks to restore the doc group’s lost ‘luster.’”

FHG read: a CEO restoring luster is a CEO willing to take meetings. 17+ vacancies = decisional vacuum = inbound-receptivity window. ClinicianPulse / NursingPulse exhaust-first measurement is exactly the physicians-at-the-center register Whyte needs.
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The Suk Thesis — Michael’s read, now canon:  Michael Suk, MD, JD, MPH, MBA — orthopaedic surgeon, founder/CEO of MDEnvoy (“The Physician Agency”), AMA Board Chair June 2024–June 2025 — pushed Whyte in and ordered Whyte to decimate CHE + IHO. The culling of Kirley · Wozniak · Rakotz and the broader IHO/COHO sweep are the execution of that directive, not organic post-Maybank cleanup. MDEnvoy (physician career advisory) overlaps near-identically with the new CAC — the Audit Committee flagged “appearance of COI.” Jesse Ehrenfeld: “This whole thing with Suk is so weird…” Result: Suk LOST the HOD 407–294 to Fryhofer. Presidency denied; restructuring stays; escalation rung is gone.
Sandra Adamson Fryhofer, MD
AMA President-elect · Internal Medicine · Board member 2022–2026
Beat Suk 407–294 at the June HOD. No prior FHG thread. Background enrichment pass needed before any outreach. NO FHG THREAD YET
Willie Underwood III, MD, MSc, MPH
181st AMA President (June 2026–) · Urology · Buffalo, NY
Highmark BCBS WNY board member — the Pittsburgh Gold Card prior-auth model Oz praised at the Nov 2025 HOD. Joint Commission Board member. Co-founder KAPS Biotechnology. WATCH INAUGURAL ADDRESS
John Wigneswaran, MD, MBA (“Dr. Wig”)
COO (eff. June 1, 2026) · Tufts MD · MIT Sloan MBA · Nephrologist
20+ years C-suite: Walmart · UnitedHealth · Cigna/Express Scripts · Fresenius Medical Care. Nancy’s direct note to Michael: “Do you know our new COO from your work with DeVita or other???” CONFIRM KIDNEY-CARE TIE FIRST
Bobby Mukkamala, MD
180th AMA President (outgoing June 2026) · Otolaryngology · Flint, MI
First AMA President of Indian heritage. Disclosed an 8-cm brain tumor (astrocytoma, IDH inhibitor treatment, Mayo Clinic surgery) shortly before assuming the presidency.

The Whyte-Era Restructuring

What changed on July 1, 2025 and June 1, 2026 — and what it means for FHG.

Eliminated: CHE

Center for Health Equity → gone

Aletha Maybank, MD, MPH departed end of 2024. CHE eliminated as a standalone Mission BU. Work folded into COHO. The equity pillar lost its named unit and named physician leader.

Eliminated: COO seat

SVP & COO → vacant until Dr. Wig

Jon Giacomin (SVP & COO under Madara) is gone. The COO seat itself was eliminated entirely from the org — not backfilled until Dr. Wig arrives June 1, 2026.

Created: COHO

CHE + IHO → Center for Optimal Health Outcomes

Four pillars: SDOH · Medical Education · Community-Centered Solutions · Data-Driven Research. Programs: Release the Pressure · Medical Justice · Advancing Equity · West Side United · In Full Health · Rise to Health. Seoh elevated to Interim Lead.

Created: CAC

Career Advancement Collective (June 1, 2026)

New BU: Education Center + AMA Ed Hub™ + PS2 + Strategic Insights. Tutty is SVP running this. Flagship: inaugural Physician Entrepreneur Forum, Aug 7–8, Chicago. Overlaps near-identically with MDEnvoy — the COI story.

Created: AI Center

AMA Center for Digital Health and AI (Oct 20, 2025)

Whyte’s signature Lane 3 initiative. Margaret Lozovatsky (CMIO + VP Digital Health) was operational lead — departed to Premier Health May 4, 2026. AI Center is now leadership-vacant mid-build. Open FHG entry path.

Elevated: Tutty → SVP

From GVP → SVP, Career Advancement Collective

Our anchor is now stronger AND higher-altitude. PS2 now sits inside his SVP mandate. He signed MSA AMA 24377 + SOW 17 on AMA’s behalf. Still the named executive of record for dispute escalation under §16.2.

The Culling — Departures Under Whyte

Michael (2026-05-11): “Wozniak and many, many others are gone.” Default assumption: any below-GVP AMA name not refreshed may be a recent departure.

C-Suite & SVP Layer — Departed
James Madara, MD
Prior CEO
Handed off to Whyte July 1, 2025. Whyte era begins.
Denise M. Hagerty
SVP & CFO
Gone. Replaced by Christina Loebach (~March 2026). Loebach will sign the renewal.
Jon Giacomin
SVP & COO
Gone. COO seat itself eliminated — not backfilled until Dr. Wig (June 2026).
Lori Prestesater
SVP, Health Solutions
Gone. Replaced by Jeremy Knight.
GVP Layer — Departed / Forced Out
Aletha Maybank, MD, MPH
Chief Health Equity Officer · GVP (CHE)
Departed end of 2024. CHE eliminated. The equity seat lost its physician owner.
Sanjay Desai, MD
Chief Academic Officer · GVP (ChangeMedEd/ACE)
Forced out per Michael. Education Center restructured under Julie Gill.
Frederick Chen, MD, MPH
Chief Health & Science Officer · GVP
Gone per Michael. Seat absent from current Senior Management page — not replaced.
Margaret Lozovatsky, MD
CMIO + VP Digital Health · AI Center Lead
→ Premier Health (Dayton, OH) as Chief Digital Information Officer, effective May 4, 2026. Left AI Center leadership-vacant mid-build. FHG territory — the buyer seat she held.
COHO / IHO Operational Layer — Departed
Michael Rakotz, MD
Group VP / VP Health Outcomes · AMA MAP BP™ namesake
Done per Michael. Family physician. Anchored Release the Pressure / MAP BP. Departure thins COHO’s clinical-physician layer on the BP program FHG’s MAP Dashboard supports.
Kate Kirley, MD, MS
Director, Chronic Disease & Prevention (IHO/COHO)
Quit per Michael. Was still showing as current on LinkedIn at departure — classic Whyte-era lag.
Greg Wozniak
VP, Health Outcome Analytics (IHO/COHO)
Gone per Michael. Lead analytics counterpart on the IHO/COHO side. VP Health Outcome Analytics vacancy visible in the May 10 Organimi snapshot.
PS2 Layer — Departing
Christine Sinsky, MD
VP Professional Satisfaction (PS2) — predecessor to Farley
Retired May 31, 2025. Pairs with Tutty in Michael’s Dining Room Table “Research” anchor. Now in ClinicianPulse / NursingPulse canon.
Nancy Nankivil
Director, Practice Transformation · MSA §17 Notices Contact
Retirement announced. Still at AMA as of May 19, 2026 (forwarded Dr. Wig announcement to Michael with personal note). RE-PAPER §17 BEFORE YEAR-END.
Tom Easley
Chief Mission Officer + Executive Publisher, JAMA Network (since 2012)
Retiring end of September 2026. Andrea Garcia + John Andrews report to him through Sept 30. JAMA-Publishing succession event to watch.
Still in Seat — FHG Anchors
Michael A. Tutty, PhD, MHA, FACMPE
SVP, Career Advancement Collective (promoted from GVP)
Stronger and higher after June 1. PS2 now inside his SVP mandate. FHG’s primary continuity anchor.
Heather Farley, MD, MHCDS, FACEP
GVP, PS2 (promoted from VP)
Navigating Atalan/Fogg pressure in her unit. Nancy’s read: “a lot of challenge in front of her.”
Hannah Seoh
Interim Lead, COHO (elevated from GVP IHO)
Running consolidated COHO on a thinned bench. SOW 7 + SOW 8 are in her operational lane.

PS2 — Practice Sustainability & Professional Satisfaction

FHG’s largest AMA contract line · SOW 6: $852,000 TCV (Jan 1–Dec 31, 2026) · Now inside Tutty’s Career Advancement Collective · ⚠️ Atalan CRI competitor in the unit via Jane Fogg, MD
Our Anchor — Elevated

Michael A. Tutty, PhD, MHA, FACMPE — SVP, Career Advancement Collective

NEW ROLE effective June 1, 2026. Promoted from Group VP to SVP running the new Career Advancement Collective (CAC = Education Center + AMA Ed Hub™ + PS2 + Strategic Insights), reporting directly to CEO Whyte. Credentials: BA Government (Western New England College) · MHA (Clark University) · PhD Public Policy (UMass Boston) · FACMPE. Not MD — credential correction; he is PhD.

Pre-AMA: UMass Medical School (Family Medicine & Community Health, assistant-professor appointment) + BCG health care practice. Signed MSA AMA 24377 + SOW 17 on AMA’s behalf. Named in §16.2 as AMA’s executive of record for dispute escalation. Email: michael.tutty@ama-assn.org.

Tutty is now a stronger, higher-altitude FHG anchor. The CAC mandate spans career advancement for physicians nationally — and MDEnvoy (Suk’s company) occupies near-identical service categories. The CAC’s inaugural Physician Entrepreneur Forum is Aug 7–8, Chicago. Any FHG work in career-adjacent areas routes through his SVP mandate.
GVP PS2 — Promoted

Heather Farley, MD, MHCDS, FACEP — GVP, PS2 (effective June 1, 2026)

PROMOTED from VP to GVP. Prior: inaugural Chief Well-Being Officer at both MUSC and ChristianaCare; launched one of the nation’s first physician peer-support programs. MHCDS (Dartmouth) + emergency medicine background.

Her PS2 portfolio: leads Joy in Medicine® Recognition Program and Organizational Biopsy® — the AMA’s survey-side institutional burnout assessment tools. Both are survey-first instruments, adjacent/competing with FHG’s exhaust-first ClinicianPulse.

Nancy’s read (June 20): “a lot of challenge in front of her and how she’s gonna navigate that.” Navigating the Atalan/Fogg pressure in her own unit + the CAC integration headwinds.

Worth recognizing: Farley is the named-person hook for any FHG-side outreach on ClinicianPulse / NursingPulse / well-being measurement positioning. Survey-first (Organizational Biopsy) vs. exhaust-first (ClinicianPulse) — she can host that conversation.

SOW 6 — PS2 Research Application Support & Transformation

Line ItemScopeAmount
HostingDataLab + Clinician.Health infrastructure$351,200
Application ManagementOngoing platform management$298,800
EnhancementsDevelopment + feature work$194,200
SandboxDev/test environment$7,800
SOW 6 TCV (NTE)$852,000

Effective: Jan 1, 2026 · Term: through Dec 31, 2026. Named FHG personnel: Barbouche (CEO) · Brendemuehl (VP Data & Analytics) · Kittleson (Channel Dir) · Lopez Thong (PM).

The IP architecture (the operative line at renewal): AMA owns the DataLab data (raw + transformed + calculated + aggregated + derived). FHG owns the software code that does the transformations. This is also the protection against Atalan CRI — Atalan has no contractual anchor inside the DataLab.

PS2 Named Seats — Status June 2026

Jane Fogg, MD, MPH
Physician Director, Organizational Transformation (PS2) · Reports to Farley · ex-Atrius Health
Per Michael: “the evil Jane Fogg, MD” — deploying Atalan Tech’s Clinician Retention Intelligence (CRI) inside PS2. Oversees the PS2 analyst layer (Nosal, Eddy, Shah) + Rotenstein. Role is most aligned with FHG’s ClinicianPulse buyer seat. ATALAN THREAT TIE UNCONFIRMED
Lisa Rotenstein, MD
Physician Advisor, Research · Reports to Fogg · Possible UCSF dual affiliation
Prior FHG canon carried her as “now at UCSF.” Organimi shows her at AMA under Fogg. Clinician-burnout researcher background. Canon-update flag. CONFIRM STATUS
Alicia Pilarski, DO
New MD joining PS2 · Prof. EM, MCW · Chief Well-Being Officer, Froedtert & MCW · Kern Institute
NOT from the Fogg orbit — came in through Kern / MCW. Michael routed into MCW + AHW orbit (Subbu Dispatch June 20). Triple-bridge: AMA PS2 × MCW/Kern × AHW. Natural FHG interlocutor. FHG ASSET
Nancy Nankivil
Director, Practice Transformation · MSA §17 Notices Contact · Retiring
Still at AMA as of May 19 (forwarded Dr. Wig announcement to Michael with personal note). Re-papering her §17 replacement is the #1 administrative action at renewal. DEPARTING

COHO — Center for Optimal Health Outcomes

Merged CHE + IHO · Hannah Seoh, Interim Lead · SOW 7: $480,000 + SOW 8: $250,000 · Operational layer gutted · 17+ visible vacancies · Data Analytics & Research Support / MAP Dashboard is FHG’s work here
What COHO Is

CHE + IHO → COHO: the Whyte-era consolidation

John Whyte eliminated CHE (Center for Health Equity) as a standalone Mission BU and merged it with IHO (Improving Health Outcomes) into the new Center for Optimal Health Outcomes (COHO). The IHO BP Initiative SLA documents in our contract archive are now housed here.

Four COHO pillars: (1) Social Determinants of Health · (2) Medical Education · (3) Community-Centered Solutions · (4) Data-Driven Approaches & Research.

COHO programs: Release the Pressure (AMA MAP BP™ hypertension control) · Medical Justice in Advocacy Fellowship × Morehouse SHLI · Advancing Equity through Quality & Safety Peer Network × Brigham + Joint Commission · West Side United · In Full Health · Rise to Health Coalition.

FHG’s work under COHO: Data Analytics & Research Support + MAP Dashboard (SOW 7 = production hosting; SOW 8 = platform support + enhancements). The Release the Pressure / MAP BP program lost its physician anchor (Rakotz) — COHO is running on reduced clinical leadership capacity.
Our COHO Anchor — Elevated

Hannah Seoh — Interim Lead, COHO

Elevated from GVP IHO + VP Performance & Operations to Interim Lead, Center for Optimal Health Outcomes — running the consolidated CHE + IHO unit. One week after the May 10 Organimi screengrab, she was running the entire consolidated Mission BU in interim capacity. The fastest and most surprising elevation in the Whyte-era restructuring.

Any FHG outcomes / equity / population / BP-control work formerly split between CHE and IHO now routes through Seoh as the COHO named seat. SOW 7 ($480K quarterly hosting) + SOW 8 ($250K support + enhancements) are in her operational lane.

Seoh is a high-priority introduction target for Subbu. The “Interim” label suggests a permanent COHO director search may be underway. If FHG has a relationship before that seat is filled permanently, the relationship shapes the incoming director’s frame. This is a time-sensitive introduction window.

COHO SOWs — Active

SOWScopePayment CadenceTCV
SOW 7 · eff Feb 27, 2026Production hosting4 × $120K quarterly (Mar 2 / Jun 1 / Sep 1 / Dec 1)$480,000
SOW 8 · eff Feb 27, 2026Platform support $50K + metric updates $50K + 3 front-end enhancements × $50KMilestone-based$250,000
COHO Combined TCV (2026)$730,000
Both SOWs run through Dec 31, 2026. SOW 7 + SOW 8 are the first to use “COHO” nomenclature — prior SOWs (3, 4, 5) used “IHO.” FHG holds 3 of the COHO Jun 1 / Sep 1 / Dec 1 invoices still outstanding.

COHO — Departed + Who Remains

Michael Rakotz, MD
Group VP / VP Health Outcomes · AMA MAP BP namesake
DONE per Michael. Family physician anchor of Release the Pressure / MAP BP. Departure leaves COHO without clinical physician leadership on the BP program FHG’s MAP Dashboard supports. GONE
Kate Kirley, MD, MS
Director, Chronic Disease & Prevention
QUIT per Michael. IHO-side physician anchor for chronic disease. GONE
Greg Wozniak
VP, Health Outcome Analytics
GONE per Michael. Lead analytics counterpart. Slot already showing vacant in the May 10 Organimi. GONE
Hannah Seoh
Interim Lead, COHO
Our COHO anchor. Running the consolidated unit on a thinned bench. IN SEAT
Delane A. Heldt
VP, Strategic Scaling & Operations (IHO/COHO)
Operational leadership over the IHO/COHO portfolio. Bridge between the IHO-era SLAs in our contract archive and current COHO. IN SEAT (unconfirmed)

FHG Friends Inside AMA

Jesse Ehrenfeld + Barbara McAneny — two former AMA Presidents who carry FHG’s threads into the AMA institutional fabric. Jesse is the wired-in intel source. Barbara is the Three-Payment Model architect.
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These two figures are not passive contacts.  Jesse is actively forwarding internal AMA communications to Michael unsolicited — he is an intelligence source. Barbara is co-authoring the payment-model architecture (MASON 3.0 / ONCare) that underlies the SOLV ↔ FHG ↔ HCSC thesis. Both are former AMA Presidents who understand the institution from the inside.
178th AMA President · Wired-In Intel Source

Jesse Ehrenfeld, MD, MPH — Our Eyes Inside AMA

Who he is: 178th AMA President (2023–2024). MCW Senior Associate Dean for Research. AHW Endowment Director (the direct AHW connection). Health2047 Board of Directors — AMA’s venture/innovation subsidiary (Lawrence K. Cohen is CEO); Ehrenfeld’s board seat anchors the AMA × FHG connection at the corporate-governance layer. Navy Commander. Milwaukee VA patient.

What he does for FHG:

  • Forwarded Whyte’s internal June 1, 2026 org realignment email to Michael with a one-word “FYI” — the internal communication revealing Tutty’s SVP promotion, Farley’s GVP, Dr. Wig’s arrival, and the CAC creation.
  • Forwarded the AMA Board Chair newsletter (Aizuss, May 2026) flagging the MDEnvoy COI finding — giving Michael the Suk governance drama before it was public.
  • His comment on Suk: “This whole thing with Suk is so weird…” — a named-source read from inside the AMA governance layer.
  • REVIVE working-group bridge: keeps AHW in the REVIVE working group after Rakotz’s departure. The only remaining AMA × REVIVE bridge.
Jesse is the “three-out-but-still-in-the-room-via-named-bridge” dynamic for both AHW and REVIVE. His Health2047 board seat is the corporate-governance layer where AMA ventures + FHG’s digital-health positioning could converge. Do NOT treat Jesse as a passive former president — he is an active, wired-in source who gives Michael the internal read unprompted.
173rd AMA President · Three-Payment Model Architect

Barbara McAneny, MD, FASCO, MACP — The Payment-Model Anchor

Who she is: 173rd AMA President (2018–2019). CEO, New Mexico Cancer Center (NMCC). AMA Foundation Board. Community oncologist. COME HOME trial (Community Oncology Medical Home) → CMS OCM (Oncology Care Model) lineage — Barbara took a community-oncology payment innovation into a federal CMS model. She has done it before.

Why she matters for FHG: Barbara is in the room where the HCSC × BCBSNM × ONCare × SOLV × FHG thesis lives. Per Michael (2026-05-02): “ONCare is the power.” Field-of-Dreams thesis anchor. She is co-defining the economic mechanism FHG is operationalizing.

MASON 3.0 — what Barbara confirmed: The Three-Payment Model for oncology. FFS + Prospective + Risk Sharing — Barbara confirmed this architecture. NMOHC (New Mexico Oncology Hematology Consultants) + NMCC = the Pilot site. This is the SOLV CRG / Three-Payment architecture applied to oncology with a named community-oncology network as the live test site.

Barbara’s AMA Foundation Board seat keeps her connected to AMA’s institutional fabric even as she operates outside the Whyte-era org structure. The HCSC + Barbara + ONCare + FHG + SOLV constellation is the strongest Lane 2 commercial-payor play FHG has. Full Project canon: ~/Claude/HCSC/HCSC/MEMORY.md

Renewal + Threat

MSA 24377 expires Dec 31, 2026 · 2026 TCV $1,582,000 · Nancy’s read: 2-yr extension likely · Atalan CRI in PS2 via Jane Fogg, MD · Three open-action items for today
$1.58M
2026 TCV
SOW 6 + 7 + 8
~7 mo
MSA Term Remaining
Expires Dec 31, 2026
2-yr
AMA’s Apparent Shape
Nancy’s June 20 read
Atalan CRI in PS2
Fogg tie unconfirmed
Nancy Nankivil lunch debrief, June 20, 2026 (voice memo — confident reads only):

1. Renewal shape:  AMA’s thinking points toward a two-year MSA extension (“that’s kind of how far they’re thinking about it”), set against a one-year flat alternative. First concrete signal on renewal mechanics.

2. Overjoyed with ClinicianPulse:  Nancy was overjoyed with FHG’s build / “the pulse” (ClinicianPulse) and is interested in applying it for Cleveland Clinic. Warm cross-sell signal.

3. AMA facing real headwinds — internally felt.

4. Farley “a lot of challenge in front of her.”
🚨
Jane Fogg, MD, MPH — Physician Director of Organizational Transformation, PS2 (ex-Atrius Health) — is, per Michael, deploying Atalan Tech’s “Clinician Retention Intelligence” (CRI) inside PS2. Atalan CRI is a near-identical competitor to FHG’s ClinicianPulse / NursingPulse: mines EHR + HR data to predict at-risk clinicians up to 12 months out; pitches “signal not sentiment,” attacking survey-first tools. ⚠️ Fogg’s formal tie to Atalan is NOT confirmed — confirm before any counter-move.

What FHG Needs to Anchor at Renewal

  • §17 notices contact re-papered. Nancy Nankivil is the MSA §17 notices contact. Her replacement must be named and executed before or at renewal. Without this, AMA-side institutional memory for the engagement leaves the building with her.
  • CFO intro — Loebach. Christina Loebach replaced Hagerty as CFO. First renewal will require her sign-off. No relationship built yet. Tutty is the bridge.
  • Counterparty map under the CAC confirmed. Tutty is now SVP over the CAC, which absorbed PS2. Confirm whether SOW 6 counterparty chain needs updating as the CAC solidifies.
  • Competitive protection language consideration. With Atalan CRI inside PS2 via Fogg, consider whether §3.5 needs sharpening — particularly around FHG’s ClinicianPulse / NursingPulse not being displaced by AMA-facilitated competing tools.

Nancy’s Memo — Flagged Uncertain (do NOT assert)

From garbled audio — confirm with Michael today before using:

  • A “sabotage move” / “they sniffed that out” — context unclear
  • “Rotenstein” — possibly Lisa Rotenstein, MD; “I had to work with her” — relationship unclear
  • Someone “ready to be done” (departure / retirement?) — person unidentifiable
  • “Nathan” and “CSF” references — unresolved

Questions + Our Moves

What needs to come out of today’s 4-hour session — and what FHG is proposing next.
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Session objective:  Confirm the renewal shape (2-yr vs. 1-yr), establish FHG’s positioning against Atalan CRI, clear Nancy’s flagged-uncertain names, and identify the Cleveland Clinic Pulse thread through Nancy before she retires.

Open Questions — for Michael to answer today

1

Confirm the 2-yr extension shape

Nancy’s June 20 read: 2-year extension is AMA’s apparent preference. Is that the shape Tutty / Farley / Whyte actually want to propose? What are FHG’s commercial terms to attach — TCV increase? Expanded SOW scope?

2

Atalan — confirm Fogg’s formal tie before any counter-move

Jane Fogg’s formal relationship to Atalan (champion / advisor / buyer) is Michael’s intel, not yet publicly confirmed. Confirm today before FHG makes any competitive move inside AMA. Who else at AMA knows?

3

Cleveland Clinic Pulse thread via Nancy

Nancy is overjoyed with ClinicianPulse and interested in applying it at Cleveland. Does she have an active Cleveland Clinic relationship? What’s the right next step before she retires?

4

Clear the flagged-uncertain names from Nancy’s memo

Sabotage / sniffed out · Rotenstein · someone “ready to be done” · Nathan · CSF — what do these refer to?

5

Fryhofer × FHG — any threads?

New AMA President-elect. Does Fryhofer carry any of our threads (Barbara McAneny / Nankivil / Tutty-Seoh-Ehrenfeld / SOLV-CRG / Three-Payment)? Nothing in the brain yet. Michael’s color first.

6

Dr. Wig — kidney-care-orbit connection?

New COO is Fresenius / DaVita-adjacent nephrologist. Nancy flagged this directly. Does Michael know him from Clinical Network work? AMA-side picture is “very murky” — hold loosely until confirmed.

7

Who replaces Nankivil as §17 notices contact?

The #1 administrative action for the engagement before year-end. Does Tutty know the replacement? Can FHG propose a name? This must be resolved before the renewal is signed.

Our Moves — Coming out of this session

01

Anchor the renewal shape with Tutty

Get Tutty on the record re: 2-year extension preference. Begin the commercial-terms conversation. Identify who drafts the renewal (Loebach’s office? Tutty directly?).

Owner — Michael / Tutty conversation
02

Re-paper §17 notices contact

Identify Nankivil’s replacement. Execute the name change before or contemporaneous with the renewal. Don’t let this slip to November.

Owner — FHG Legal / Tutty-side
03

Competitive positioning against Atalan CRI (if Fogg tie confirmed)

Surface exhaust-first vs. survey-first differentiation to Tutty. ClinicianPulse is already embedded in the DataLab. §7.5 IP architecture + §3.5 bilateral clause are the protections. Consider sharpening §3.5 at renewal.

Owner — Michael / Tutty + Farley
04

Activate Cleveland Clinic Pulse thread via Nancy

If Nancy has an active Cleveland Clinic relationship, identify the right door. A targeted ClinicianPulse leave-behind, Nancy-tagged, could travel that thread independently of the AMA renewal. Move before she retires.

Owner — Michael + Nancy
05

Introduce Loebach (CFO) before the renewal hits her desk

Tutty is the bridge. A brief warm intro now beats a cold signature conversation in November. Ask Tutty to broker a 15-minute call or in-person meet.

Owner — Michael / Tutty → Loebach
06

Background enrichment on Fryhofer

No prior FHG thread. Dedicated dossier pass — specialty, career arc, prior AMA service, board seats, any tie to our strategic spine. Michael’s color first; then a research pass.

Owner — Claude (post-session pass)