This document provides an overview of substantive changes and SACSCOC's expectations for monitoring and reporting such changes. It defines substantive change as a significant modification or expansion in an institution's nature and scope. SACSCOC reviews proposed changes to ensure they are aligned with an institution's mission, consider impact on existing programs, and determine if sufficient resources exist. The document outlines various types of substantive changes that must be reported, including adding new programs or locations. It recommends developing a policy and procedures for tracking and reporting substantive changes to ensure compliance with SACSCOC standards. Finally, it proposes a calendar and process for developing the institution's upcoming Fifth-Year Interim Report to SACSCOC.