2021-06-14T13:28:03-05:00 2020-12-31 010448006 ALBIN RANDALL & BENNETT PO BOX 445 130 MIDDLE STREET PORTLAND ME 041120445 990 2020-01-01 451754340 NETWORK FOR REGIONAL HEALTHCARE IMPROVEMENT NETW 2077475104 PO BOX 1017 PORTLAND ME 04104 CRAIG BRAMMER CEO 2077475104 2021-06-01 1 CRAIG BRAMMER 999009999 JASON C LEBLANC P01212079 2077721981 2021-06-01 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z CRAIG BRAMMER PO BOX 1017 PORTLAND ME 04104 2530265 0 X WWW.NRHI.ORG X 2011 ME NRHI'S MISSION IS TO ACTIVATE AND SUPPORT REGIONAL HEALTH IMPROVEMENT COLLABORATIVES BY INCREASING COLLABORATION AND SHARED LEARNING WITHIN AND ACROSS COMMUNITIES; PROVIDING THOUGHT LEADERSHIP AND TECHNICAL EXPERTISE ON COMMUNITY-LEVEL IMPROVEMENT; AND, DELIVERING SOLUTIONS THAT HELP COMMUNITIES SUCCEED. WE ENVISION A WORLD WHERE LOCAL LEADERS WORK EFFECTIVELY TOGETHER TO IMPROVE THE PATIENT EXPERIENCE OF CARE, IMPROVE THE HEALTH OF POPULATIONS, AND REDUCE THE COST TREND IN THE COMMUNITIES WE SERVE. 10 10 8 10 0 0 3272807 1733839 568898 790568 22466 4483 5325 1375 3869496 2530265 96658 0 0 0 1363640 860766 11280 0 0 1861779 1444406 3333357 2305172 536139 225093 1377568 1585475 216725 219878 1160843 1365597 X NRHI'S MISSION IS TO ACTIVATE AND SUPPORT REGIONAL HEALTH IMPROVEMENT COLLABORATIVES BY INCREASING COLLABORATION AND SHARED LEARNING WITHIN AND ACROSS COMMUNITIES; PROVIDING THOUGHT LEADERSHIP AND TECHNICAL EXPERTISE ON COMMUNITY-LEVEL IMPROVEMENT; AND, DELIVERING SOLUTIONS THAT HELP COMMUNITIES SUCCEED. WE ENVISION A WORLD WHERE LOCAL LEADERS WORK EFFECTIVELY TOGETHER TO IMPROVE THE PATIENT EXPERIENCE OF CARE, IMPROVE THE HEALTH OF POPULATIONS, AND REDUCE THE COST TREND IN THE COMMUNITIES WE SERVE. 1 0 309101 362245 PROMISING PRACTICES FOR TESTING VULNERABLE POPULATIONS AT OFF-SITE COVID-19 TESTING CENTERS:BETWEEN MARCH AND AUGUST 2020, NRHI AND A RESEARCH PARTNER CONDUCTED QUALITATIVE RESEARCH ON OFF-SITE COVID-19 TESTING CENTERS (OSCTCS) IN MORE THAN SIXTEEN STATES ACROSS THE COUNTRY. ITS FOCUS WAS ON ACCESS TO TESTING AMONG VULNERABLE POPULATIONS. PHASE I (MARCH-APRIL 2020) WAS A RAPID ASSESSMENT OF THE THEN PROMISING PRACTICES FOR OFF-SITE TESTING FOR COVID-19. DURING PHASE II (JUNE - AUGUST 2020), THE RESEARCH FOCUSED ON QUESTIONS ADDRESSING ACCESS TO TESTING AMONG VULNERABLE POPULATIONS, THE ALIGNMENT OF OSCTCS WITH PUBLIC HEALTH ENTITIES, COMMUNITY-BASED ORGANIZATIONS, AND OTHER HEALTH SYSTEMS TO EFFECTIVELY ADDRESS THE TESTING NEEDS, LIMITATIONS, AND OPPORTUNITIES ACROSS THE POPULATION. THE RESULTS OF THE PROJECT WERE PUBLISHED IN HEALTHCARE: THE JOURNAL OF DELIVERY SCIENCE AND INNOVATION AND ORGANIZED IN A COMPREHENSIVE ONLINE OFF-SITE TESTING TOOLKIT. FINDINGS WERE ALSO DISSEMINATED TO NATIONAL AUDIENCES VIA BLOGS AND VIRTUAL EVENTS THROUGHOUT THE DURATION OF THE PROJECT. 304925 NRHI OFFERS THE FOLLOWING BENEFITS TO ITS MEMBERS TO FACILITATE COLLABORATION WITH EACH OTHER IN ORDER TO IMPROVE THEIR ABILITY TO TRANSFORM HEALTHCARE IN THEIR COMMUNITIES MORE EFFICIENTLY AND EFFECTIVELY.OPPORTUNITIES TO NETWORK WITH AND LEARN FROM MORE THAN 30 MEMBERS THROUGH SOCIAL AND WORKING EVENTS.EXPOSURE AND PROMOTION OF THE WORK OF REGIONAL MULTI-STAKEHOLDER COLLABORATIVES AND THEIR PRIORITIES AT NATIONAL MEETINGS AND CONFERENCES. REPRESENTATION OF MEMBER COLLABORATIVES' POLICY PRIORITIES WITH FEDERAL POLICY MAKERS.REGULAR, CENTRALIZED UPDATES FROM NATIONAL POLICY EXPERTS ON ISSUES IMPACTING MEMBERS.ACCESS TO IN-PERSON AND VIRTUAL MEMBER EVENTS - APPROXIMATELY 50 MEETINGS AND ORGANIZED DISCUSSIONS EACH YEAR AVERAGING FOUR PER MONTH.MEMBER DIRECTORY COMPRISING NRHI'S MEMBERS - WHO THEY ARE, AREAS OF EXPERTISE, PROGRAMS AND CONTACT INFORMATION.NRHI SENIOR LEADERSHIP PARTICIPATION IN REGIONAL MEETINGS TO BRING NATIONAL PERSPECTIVE TO LOCAL STAKEHOLDERS.MONTHLY NRHI MEMBER NEWSLETTER FOCUSED ON HEALTH AND HEALTHCARE IMPROVEMENT SOLUTIONS NATIONALLY AND REGIONALLY.MONTHLY EVENTS BULLETIN PROVIDES DETAILS AND REGISTRATION LINKS FOR VIRTUAL AND IN PERSON NRHI, MEMBER AND NATIONAL EVENTS.COMMUNICATIONS SUPPORT AND DISSEMINATION OF MEMBER NEWS AND EVENTS THROUGH NRHI'S COMMUNICATIONS CHANNELS INCLUDING SOCIAL MEDIA SUPPORT.MULTI-REGION INNOVATION PILOTS PROVIDE MEMBERS WITH FUNDING FOR NRHI LED INITIATIVES TO COLLABORATE ACROSS REGIONS ON A PARTICULAR FOCUS AREA (E.G. COST TRANSPARENCY, POPULATION HEALTH, QUALITY IMPROVEMENT)BI-DIRECTIONAL ADVOCACY SUPPORT TO COMMUNICATE REGIONAL NEEDS AND IMPACTS TO INFORM POLICY AND BRING NATIONAL POLICY INTELLIGENCE TO COMMUNITIES.DISCOUNTED ACCESS TO TECHNOLOGY SOLUTIONS TO IMPROVE COMMUNICATIONS AND STAKEHOLDER ENGAGEMENT, CONNECT AND COLABORATE WITH OTHER HEALTH AND HEALTHCARE IMPROVEMENT ORGANIZATIONS AND ANALYTIC SOFTWARE. 720416 QUALITY PAYMENT PROGRAM FOR SMALL, UNDERSERVED AND RURAL SUPPORT (QPPSURS):NRHI WAS CHOSEN BY THE CENTERS FOR MEDICARE & MEDICAID TO PROVIDE TECHNICAL ASSISTANCE AND SUPPORT TO ELIGIBLE INDIVIDUAL OR SMALL GROUP PHYSICIAN PRACTICES IN UTAH, OREGON, NEVADA, MONTANA, WYOMING AND ALASKA TO SUPPORT THEIR TRANSITION OF MEDICARE PAYMENTS FROM A FEE-FOR-SERVICE SYSTEM TO ONE BASED ON PERFORMANCE AND PATIENT OUTCOMES. TO QUALIFY FOR SUPPORT, THESE PRACTICES HAVE FEWER THAN 15 PROVIDERS AND/OR ARE LOCATED IN RURAL OR UNDERSERVED AREAS. THE PROGRAM ASSISTS THE PRACTICES IN THEIR JOURNEY TO ADOPT OR OPTIMIZE ELECTRONIC HEALTH RECORDS, SELECT AND REPORT ON QUALITY MEASURES, ENGAGE IN CONTINUOUS QUALITY IMPROVEMENT INITIATIVES AND EVALUATE OPTIONS FOR JOINING ALTERNATIVE PAYMENT MODELS. THIS PROGRAM SERVES 2,895 CLINICIANS ACROSS THE SIX STATES AND FOR THE LAST PROGRAM YEAR ACHIEVED KEY PROGRAM PERFORMANCE DELIVERABLES INCLUDING:- >80% ELIGIBLE CLINICIANS PARTICIPATED IN THE QUALITY PAYMENT PROGRAM- 100% BILATERAL ENGAGEMENT WITH "REACHABLE" CLINICIANS (<1% UNREACHABLE)- 100% REFERRAL RESPONSE WITHIN 1 BUSINESS DAY- >90% POSITIVE CUSTOMER FEEDBACK- >300 ATTENDEES AT MONTHLY MIPS TIPS LEARNING PROGRAMS WITH RESOURCES DISSEMINATED BROADLY ACROSS ELIGIBLE CLINICIANSWHILE NOT A MEASURABLE DELIVERABLE, THE PROJECT TEAM PROVIDED CRITICALLY IMPORTANT SUPPORT TO PRACTICES NAVIGATING THE REQUIREMENTS OF THIS PROGRAM DURING THE PANDEMIC. 670565 124873 NRHI IS A NATIONAL NETWORK OF MORE THAN 30 REGIONAL HEALTH IMPROVEMENT COLLABORATIVES (RHICS) AND STATE PARTNERS, REPRESENTING 36 STATES WORKING TO TRANSFORM HEALTHCARE AND ACHIEVE BETTER HEALTH, AND HIGH QUALITY AFFORDABLE CARE. NRHI ACCELERATES REGIONAL EFFORTS BY PROVIDING ITS MEMBERS WITH OPPORTUNITIES TO LEARN AND COLLABORATE ACROSS REGIONS LEVERAGING REGIONAL INTELLIGENCE FOR NATIONAL IMPACT. HEALTHCARE IS LOCAL AND NRHI'S MEMBERS SERVE AS NEUTRAL TRUSTED CONVENERS BRINGING THEIR COMMUNITY STAKEHOLDERS TOGETHER AT A COMMON TABLE TO IDENTIFY PROBLEMS AND IMPLEMENT SOLUTIONS TO THEIR MOST PREVALENT HEALTH ISSUES. 670565 124873 1700082 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 11 0 1 8 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 1 0 1 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X SAVANNAH SAUTER 2077475104 PO BOX 1017 PORTLAND ME 04104 BENNETT MARC H PAST CHAIR 2.00 X 0 0 0 GIUNTO NANCY DIRECTOR 2.00 X 0 0 0 HOUSMAN TYLA DIRECTOR 2.00 X 0 0 0 MUNN CINDY DIRECTOR 2.00 X 0 0 0 NORWOOD WADE DIRECTOR 2.00 X 0 0 0 RUDE GABRIELLE DIRECTOR 2.00 X 0 0 0 WALL CHRISTINE DIRECTOR 2.00 X 0 0 0 ELWELL TIM VICE-CHAIR 1/1/2020 - 9/30/2020 2.00 X X 0 0 0 ENGLISH ANA CHAIR 2.00 X X 0 0 0 KOHN-PARROTT KATE TREASURER 2.00 X X 0 0 0 BRAMMER CRAIG CEO 40.00 X X 0 0 0 TREADWAY GEANETTE CFO 40.00 X 157827 0 19297 DONOHUE STACY SENIOR DIRECTOR FEDERAL PROGRAMS 40.00 X 102770 0 24123 JESSICA LITTLE DIRECTOR, HEALTHDOERS NETWORK 40.00 X 115078 0 3913 375675 0 47333 3 0 1 0 COMAGINGE HEALTH (FORMERLY HEALTHINSIGHT 10700 MERIDIAN AVENUE N SUITE 100 SEATTLE WA 98133 SUBCONTRACTOR FOR QPPSURS CONTRACT 521879 THE HEALTH COLLABORATIVE 615 ELSINORE PLACE SUITE 500 CINCINNATI OH 45202 CONTRACTED CEO, SUBCONTRACTOR PAYMENT FO 237716 QUALIDIGM 936 SILAS DEANE HIGHWAY STE 1A WETHERSFIELD CT 06109 SUBCONTRACTOR FOR COVID-19 DRIVE THRU TE 204245 MOUNTAIN PACIFIC QUALITY HEALTH 3404 COONEY DRIVE HELENA MT 59602 SUBCONTRACTOR FOR QPPSURS CONTRACT 164523 4 1055560 678279 1733839 CONSULTING REVENUE 541900 438176 438176 MEMBERSHIP DUES 541900 304925 304925 SERVICE REVENUE 541900 47467 47467 790568 4383 4383 100 0 100 100 100 OTHER REVENUE 541900 1375 1375 1375 2530265 792043 0 4383 423008 230220 192788 344989 185365 159624 6649 3610 3039 32969 19554 13415 53151 29722 23429 218682 146857 71825 63 63 36385 36385 41248 500 40748 1278 1278 58023 31836 26187 3080 3080 39856 26878 12978 6647 4748 1899 2334 2175 159 1022 1022 6224 6224 CONTRACT EXPENSE 1029564 1017339 12225 2305172 1700082 605090 0 1150530 1354094 166126 207424 6719 11464 27092 12493 3630 3630 21361 0 5740 0 1377568 1585475 204725 199878 12000 20000 216725 219878 X 864624 996024 296219 369573 1160843 1365597 1377568 1585475 X 225093 -20339 X X 0 1 X 1 1 1 X 4759032 5066992 4482083 2976588 1733840 19018535 4759032 5066992 4482083 2976588 1733840 19018535 11751163 7267372 33 650 1769 23489 4383 30324 19048859 2674287 0.38150 0.38940 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3630 3630 0 0 X 2509926 0 2509926 20339 20339 2530265 2305172 0 2305172 0 2305172 PART X, LINE 2: THE ORGANIZATION IS A NOT-FOR-PROFIT ORGANIZATION EXEMPT FROM FEDERAL AND STATE INCOME TAXES UNDER INTERNAL REVENUE CODE SECTION 501(C)3. EFFECTIVE JANUARY 1, 2018, THE ORGANIZATION BECAME SUBJECT TO UNRELATED BUSINESS INCOME TAX RELATED TO EMPLOYEE PARKING BENEFITS AS A RESULT OF THE 2017 TAX CUTS AND JOBS ACT. THIS REGULATION WAS REPEALED IN 2020. THE ORGANIZATION RECORDED $4,419 IN UNRELATED BUSINESS INCOME TAX REFUNDS FOR THE YEAR ENDED DECEMBER 31, 2019. PART XI, LINE 4B - OTHER ADJUSTMENTS: LOSS ON ABANDONMENT OF FIXED ASSETS X X 0 0 0 0 0 0 0 0 0 TREADWAY GEANETTE CFO 157827 0 0 0 0 0 5002 0 14295 0 177124 0 0 0 FORM 990, PART III, LINE 2 PROMISING PRACTICES FOR TESTING VULNERABLE POPULATIONS AT OFF-SITE COVID-19 TESTING CENTERS FORM 990, PART VI, SECTION A, LINE 2 DUE TO THE NATURE OF NRHI'S MEMBERSHIP, FROM TIME TO TIME CERTAIN BOARD MEMBERS MAY REPRESENT AN ORGANIZATION THAT HAS A BUSINESS RELATIONSHIP WITH AN ORGANIZATION REPRESENTED BY ANOTHER BOARD MEMBER. FORM 990, PART VI, SECTION A, LINE 4 NRHI UPDATED ITS BYLAWS EFFECTIVE IN JANUARY 1, 2020 TO 1) RESTRUCTURE ITS BOARD TO AN ELECTED, MUCH SMALLER BOARD; 2) REDEFINE THE EXECUTIVE COMMITTEE COMPOSITION TO ALIGN WITH THE SMALLER BOARD AND 3) ESTABLISH ANNUAL BOARD ELECTION PROCESSES AND THE ROLE OF THE GOVERNANCE COMMITTEE IN ENSURING THE BOARD REPRESENTS THE ENTIRE MEMBERSHIP; AND 4) UPDATED RESPONSIBILITIES OF THE BOARD, EXECUTIVE COMMITTEE AND GOVERNANCE COMMITTEE. FORM 990, PART VI, SECTION A, LINE 6 NETWORK FOR REGIONAL HEALTHCARE IMPROVEMENT HAS TWO (2) CATEGORIES OF MEMBERS: FULL MEMBERS ARE REGIONAL HEALTH IMPROVEMENT COLLABORATIVES DEFINED AS: - A NONPROFIT ORGANIZATION; - WORKING TO IMPROVE HEALTHCARE QUALITY AND VALUE THROUGH AN ACTIVE PROGRAM OF QUALITY MEASUREMENT AND PUBLIC REPORTING OR AN ACTIVE PROGRAM OF QUALITY IMPROVEMENT, OR BOTH; - IN A SPECIFIC GEOGRAPHIC REGION OF THE COUNTRY (TYPICALLY EITHER A METROPOLITAN REGION OR STATE); - THROUGH A COLLABORATIVE EFFORT OF HEALTHCARE PROVIDERS AND OTHER STAKEHOLDERS. - THE ORGANIZATION MUST HAVE REPRESENTATION FROM FOUR TYPES OF STAKEHOLDERS ON ITS BOARD: A. HEALTHCARE PROVIDERS (HOSPITALS, PHYSICIAN GROUPS, PHYSICIANS, HOME HEALTH AGENCIES, NURSING HOMES, CLINICS, ETC.); B. HEALTHCARE PURCHASERS (EMPLOYERS WHO PURCHASE HEALTH INSURANCE FOR THEIR EMPLOYEES, STATE AGENCIES WHO CONTRACT WITH HEALTH PLANS FOR CARE, ETC.); C. HEALTHCARE PAYERS (PRIVATE HEALTH INSURANCE PLANS, STATE MEDICAID AGENCIES THAT DIRECTLY PAY FOR CARE, ETC.); AND D. HEALTHCARE CONSUMERS OR CONSUMER ORGANIZATIONS. AFFILIATE MEMBERS NOT MEETING THE CRITERIA FOR FULL MEMBERS, BUT MEET THE FOLLOWING CRITERIA: - BE COMMITTED TO IMPROVING HEALTH AND HEALTH CARE IN THE US THROUGH MULTI-STAKEHOLDER COLABORATION AND - BE A NATIONAL/REGIONAL/STATE PARTNER. FORM 990, PART VI, SECTION A, LINE 7A A FULL SLATE OF BOARD OF DIRECTORS, OFFICERS, EXECUTIVE COMMITTEE AND EXTERNAL MEMBERS (AS REQUIRED) WILL BE PRESENTED TO THE MEMBERS FOR A SINGLE VOTE. VOTING WILL BE COMPLETED ELECTRONICALLY, AND EACH MEMBER MAY CAST ONE VOTE. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY AN INDEPENDENT OUTSIDE ACCOUNTING FIRM AND REVIEWED BY THE CFO AND THE PRESIDENT & CEO. IT IS THEN DISTRIBUTED TO THE FULL BOARD OF DIRECTORS BEFORE IT IS FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C AT THE START OF EACH BOARD MEETING, THE CHAIR OR COMPLIANCE OFFICER SOLICITS ALL BOARD MEMBERS TO DISCLOSURE ANY POTENTIAL, PERCEIVED OR ACTUAL CONFLICT OF INTEREST. ON AN ANNUAL BASIS, ALL BOARD MEMBERS REVIEW AND SIGN CONFLICT OF INTEREST FORMS. THESE FORMS REQUIRE THAT BOARD MEMBERS IMMEDIATELY DISCLOSE TO THE FULL BOARD ANY INTEREST IN A TRANSACTION OR A POTENTIAL CONFLICT THAT MAY ARISE. UPON DISCLOSURE, THE FULL BOARD WOULD DETERMINE WHETHER A CONFLICT EXISTS AND HOW TO PROCEED. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTORS SETS THE COMPENSATION FOR NRHI'S PRESIDENT & CEO. IN DOING SO, THE BOARD SETS THE COMPENSATION BASED ON AMOUNTS PAID BY SIMILIAR TAX-EXEMPT ORGANIZATIONS FOR SIMILAR SERVICES, AS WELL AS THE PRESIDENT & CEO'S EXPERIENCE AND PERFORMANCE. THE BOARD ANNUALLY APPROVES THE PRESIDENT & CEO'S COMPENSATION ARRANGEMENT IN ADVANCE, AND THE TERMS AND DATE OF THE ARRANGEMENT IS DOCUMENTED IN WRITING. ALL OTHER OFFICERS AND KEY EMPLOYEES' PERFORMANCE AND COMPENSATION IS REVIEWED AND APPROVED BY NRHI'S CEO. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION FULLY COMPLIES WITH ALL LEGAL DISCLOSURE REQUIREMENTS AND MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: LOSS ON ABANDONMENT OF FIXED ASSETS -20,339. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.