2020-11-06T10:31:11-06:00 2019-12-31 010448006 ALBIN RANDALL & BENNETT PO BOX 445 130 MIDDLE STREET PORTLAND ME 041120445 990 2019-01-01 451754340 NETWORK FOR REGIONAL HEALTHCARE IMPROVEMENT NETW 2077475104 PO BOX 1017 PORTLAND ME 04104 CRAIG BRAMMER CEO 2077475104 2020-10-22 1 ROBIN L CYR P01261639 2077721981 2020-08-13 69.49.137.50 2020-10-22 11:38:38 ED P 1E9401E949CAF5DEA1B85AD006D9C1C8C76F3308 B7573ECAC76D925F3F75BD5F2463AB00B8E086F5 2019 2021-01-29 14:40:06Z X CRAIG BRAMMER PO BOX 1017 PORTLAND ME 04104 3872919 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 THECOMMUNITIES WE SERVE. 30 30 17 0 0 0 4482083 3272807 589880 568898 -385 22466 26735 5325 5098313 3869496 671013 96658 0 0 1889080 1363640 10465 11280 167940 2112349 1861779 4682907 3333357 415406 536139 1163593 1377568 538889 216725 624704 1160843 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 THECOMMUNITIES WE SERVE. 0 0 207292 96658 GETTING TO AFFORDABILITY NRHI AND ITS MEMBERS LONG RECOGNIZED THE NEED FOR HIGH-QUALITY, COMPARATIVE DATA ON HEALTHCARE SPENDING. WORKING COLLABORATIVELY AND WITH THE SUPPORT OF THE ROBERT WOOD JOHNSON FOUNDATION, THEY BEGAN TO PRODUCE IT AND CONTINUE TO SPREAD THEIR EXPERTISE AND APPROACH TO INCREASING PRICE TRANSPARENCY. BEGINNING IN 2013, NRHI INTENSIFIED ITS FOCUS ON MAKING HEALTHCARE MORE AFFORDABLE THROUGH AN INITIATIVE NOW KNOWN AS GETTING TO AFFORDABILITY (G2A). SUPPORTING SIX OF ITS MEMBERS IN MEASURING AND REPORTING ON DIFFERENCES IN TOTAL COST OF CARE AND THE IMPACT OF PRICE AND RESOURCE USE HAS BEEN A CORE PART OF NRHI'S WORK. IN ADDITION TO PRODUCING THREE ROUNDS OF NATIONAL TOTAL COST OF CARE BENCHMARKS, REGIONS HAVE MEASURED AND REPORTED THREE YEARS OF HEALTHCARE COST INFORMATION ON OVER 5 MILLION PATIENTS ATTRIBUTED TO APPROXIMATELY 20,000 INDIVIDUAL PHYSICIANS. THIS COMPARATIVE COST DATA INFORMS STATE LEGISLATURES AND STATE AGENCY LEADERS TO DEVELOP POLICIES TO SUPPORT MORE AFFORDABLE HEALTHCARE. PRIMARY CARE PRACTICES USE THE INFORMATION TO IDENTIFY AREAS AND STRATEGIES FOR IMPROVING HEALTH AND REDUCING COSTS. HEALTH PLANS CAN USE THE INFORMATION TO DRIVE IMPROVEMENT AND CREATE BENEFIT DESIGNS THAT ENCOURAGE USE OF COST EFFICIENT PRACTICES. DOZENS OF LEADING NATIONAL AND LOCAL EMPLOYERS ARE MORE AWARE OF THE VARIATION IN COST ACROSS PROVIDERS AND USE THE INFORMATION TO MAKE SURE THEY ARE GETTING VALUE FOR THEIR HEALTHCARE DOLLARS. SOME REGIONS PRODUCE CONSUMER FACING ON-LINE TOOLS TO BETTER INFORM PATIENT CHOICE OF PROVIDERS. OVER A FIVE-YEAR PERIOD A TOTAL OF 19 REGIONS PARTICIPATED IN THE PROJECT IN VARYING CAPACITIES ALL WITH THE GOAL OF ADVANCING COST TRANSPARENCY IN THEIR REGION TO ENABLE ALL STAKEHOLDERS TO MAKE MORE INFORMED DECISIONS ABOUT THEIR HEALTHCARE SELECTION. THIS INFORMATION IS ESSENTIAL TO INFORM STRATEGY, SHAPE POLICY AND ENABLE INTERVENTIONS TO IMPROVE HEALTH AND REDUCE COST VARIATION. 575264 SUPPORT AND ALIGNMENT NETWORK (SAN)NRHI WAS DESIGNATED BY THE CENTER FOR MEDICARE AND MEDICAID SERVICES (CMS) AS A SUPPORT AND ALIGNMENT NETWORK (SAN) UNDER THE TRANSFORMING CLINICAL PRACTICE INITIATIVE (TCPI) AND COMPLETED ITS FOURTH YEAR OF THIS COOPERATIVE AGREEMENT IN 2019. UNDER NRHI'S LEADERSHIP AND COORDINATION, EIGHT NRHI MEMBERS HAVE SERVED AS FACULTY PROVIDING TECHNICAL ASSISTANCE TO 26 OF 29 OF THE PRACTICE TRANSFORMATION NETWORKS (PTNS) ACROSS THE COUNTRY. SAN PROGRAMMING INCLUDES TOPICS THAT ASSIST THE PTNS, WHICH ARE MADE UP OF HEALTHCARE PRACTICES IN A GIVEN REGION, IN MAKING THE TRANSITION FROM VOLUME TO VALUE-BASED PAYMENT MODELS MANDATED UNDER THE MACRA (MEDICARE ACCESS AND CHIP REAUTHORIZATION ACT OF 2015). NRHI'S SAN HOSTED 41 LEARNING PROGRAMS OVER 25 TOPICS AND HAVE DELIVERED 63 LEARNING LABS WHICH PROVIDE DIRECT DEEP DIVE SUPPORT IN AN AREA OF PARTICULAR INTEREST TO AN INDIVIDUAL PTN. PROGRAMS HAVE YIELDED STRONG EVALUATION RESULTS WITH OVER 90% OF ATTENDEES REPORTING PLANS TO SHARE PROGRAM INFORMATION WITH OTHERS INCLUDING PRACTICES THAT THEY ARE WORKING WITH. PROGRAMMING RESULTED IN A 59% IMPROVEMENT IN NAVIGATING PAYMENT REFORM MILESTONES WITH PRIMARY CARE PROVIDERS, A 26% IMPROVEMENT IN QI MILESTONES WITH SPECIALTY CARE PROVIDERS, AND A 34% IMPROVEMENT IN REDUCING UNNECESSARY TESTING MILESTONES WITH PRIMARY AND SPECIALTY CARE PROVIDERS. COLLECTIVE EFFORTS LINKED TO NRHI MEMBER PRACTICE TRANSFORMATION SUCCESSES AND NRHI SAN PTN ENGAGEMENTS HAVE PRODUCED ESTIMATED SAVINGS OF $825 MILLION. 350329 NRHI MEMBERSHIP BENEFITSNRHI 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 NATIONAL POLICY AND BRING NATIONAL POLICY INTELLIGENCE TO COMMUNITIES.DISCOUNTED ACCESS TO TECHNOLOGY SOLUTIONS TO IMPROVE COMMUNICATIONS AND STAKEHOLDER ENGAGEMENT, CONNECT AND COLLABORATE WITH OTHER HEALTH AND HEALTHCARE IMPROVEMENT ORGANIZATIONS AND ANALYTIC SOFTWARE. 1931262 222871 QUALITY PAYMENT PROGRAM FOR SMALL, UNDERSERVED AND RURAL SUPPORT (QPPSURS): $713,710 EXPENSES$0 REVENUENRHI 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 2,574 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 (2.2% 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 CLINICIANSOTHER PROGRAMS:$1,217,552 EXPENSES$222,871 REVENUENRHI 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. 1931262 222871 2713818 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 20 0 1 17 1 0 0 0 0 0 0 0 0 0 0 0 0 X 30 30 1 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X GEANETTE TREADWAY 2077475104 PO BOX 1017 PORTLAND ME 04104 BAKER CARRIE DIRECTOR 2.00 X 0 0 0 CHRISTENSEN MYLIA DIRECTOR 2.00 X 0 0 0 COUTS TERESA DIRECTOR, SHARED SEAT, ONLY ONE VOTE 2.00 X 0 0 0 DEATON RANDA DIRECTOR, SHARED SEAT, ONLY ONE VOTE 2.00 X 0 0 0 ELWELL TIM DIRECTOR 2.00 X 0 0 0 EVANS THOMAS C DIRECTOR 2.00 X 0 0 0 FEINSTEIN KAREN DIRECTOR 2.00 X 0 0 0 FLYNN KATE DIRECTOR 2.00 X 0 0 0 GIUNTO NANCY DIRECTOR 2.00 X 0 0 0 HIRSCH ALAN DIRECTOR 2.00 X 0 0 0 HORWITZ RITA DIRECTOR 2.00 X 0 0 0 KEIMIG JOHN DIRECTOR 2.00 X 0 0 0 KENDRICK DAVID DIRECTOR 2.00 X 0 0 0 LUNDBLAD JENNIFER DIRECTOR 2.00 X 0 0 0 MEDLEY SARA DIRECTOR 2.00 X 0 0 0 MITCHELL ELIZABETH DIRECTOR 2.00 X 0 0 0 MUNN CINDY DIRECTOR 2.00 X 0 0 0 NEELY CLAIRE DIRECTOR 2.00 X 0 0 0 NORWOOD WADE DIRECTOR 2.00 X 0 0 0 QUERAM CHRISTOPHER DIRECTOR 2.00 X 0 0 0 PROBST LOUISE DIRECTOR 2.00 X 0 0 0 RABSON BARBRA DIRECTOR 2.00 X 0 0 0 REEVES JERRY DIRECTOR 2.00 X 0 0 0 RICHARDSON DANA DIRECTOR 2.00 X 0 0 0 SCHWIMMER LINDA DIRECTOR 2.00 X 0 0 0 SHONK RICHARD DIRECTOR 2.00 X 0 0 0 SILVA JIM DIRECTOR 2.00 X 0 0 0 SIMON MELORA DIRECTOR 1/1/2019 - 9/30/2019 2.00 X 0 0 0 SONIER JULIE DIRECTOR 2.00 X 0 0 0 WIENBAR MARGARET DIRECTOR 1/1/2019 - 9/30/2019 2.00 X 0 0 0 BENNETT MARC H CHAIR 2.00 X X 0 0 0 ENGLISH ANA VICE CHAIR 2.00 X X 0 0 0 KOHN-PARROTT KATE TREASURER 2.00 X X 0 0 0 TREADWAY GEANETTE CFO 40.00 X 155716 0 16984 GAGNON ELLEN EXECUTIVE DIRECTOR THROUGH 8/29/2019 40.00 X 112293 0 7230 BRAMMER CRAIG CEO 20.00 X 0 0 0 LITTLE JESSICA DIRECTOR, HEALTHDOERS NETWORK 40.00 X 115077 0 2948 DONOHUE STACY SENIOR DIRECTOR FEDERAL PROGRAMS 33.00 X 97965 0 21074 481051 0 48236 3 0 1 0 COMAGINGE HEALTH (FORMERLY HEALTHINSIGHT 10700 MERIDIAN AVENUE N SUITE 100 SEATTLE WA 98133 SUBCONTRACTOR FOR QPPSURS CONTRACT 558905 THE HEALTH COLLABORATIVE 615 ELSINORE PLACE SUITE 500 CINCINNATI OH 45202 CONTRACTED CEO, SUBCONTRACTOR PAYMENT FO 314673 MOUNTAIN PACIFIC QUALITY HEALTH 3404 COONEY DRIVE HELENA MT 59602 SUBCONTRACTOR FOR QPPSURS CONTRACT 160034 3 1448832 1823975 3272807 MEMBERSHIP DUES 541900 350329 350329 PROGRAM FEES 541900 184198 184198 SERVICE REVENUE 541900 24800 24800 CONSULTING REVENUE 541900 9571 9571 568898 23489 23489 2400 3423 -1023 -1023 -1023 OTHER REVENUE 541900 5325 5325 5325 3869496 573200 0 23489 X 96658 96658 288483 248050 40433 871925 680473 103938 87514 14987 11643 1774 1570 99793 79095 11439 9259 88452 71211 10394 6847 275602 211973 63629 1673 1673 36694 36694 56396 56396 11280 11280 46454 3470 30384 12600 24770 17725 7045 88082 36854 42109 9119 136330 93941 32725 9664 80188 53495 25214 1479 44728 37228 7500 37 37 8579 8579 5696 5696 CONTRACT EXPENSE 1060968 1015606 33799 11563 TAXES -4418 -4418 3333357 2713818 451599 167940 841067 1150530 5042 0 198089 166126 14467 6719 74938 27092 52611 31250 22375 21361 7615 5740 1163593 1377568 247513 204725 289911 12000 1465 0 538889 216725 X 624094 864624 610 296219 624704 1160843 1163593 1377568 536139 0 X X 0 1 X 1 1 1 X 4027640 4759032 5066992 4482083 2976588 21312335 4027640 4759032 5066992 4482083 2976588 21312335 13002265 8310070 498 33 650 1769 23489 26439 21338774 2364318 0.38940 0.44710 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 0 0 0 1 59820 59820 0 PART II-B, LINE 1: NETWORK FOR REGIONAL HEALTHCARE IMPROVEMENT PAID OLSSON FRANK WEEDA TERMAN MATZ PA $55,000 FOR LOBBYING EXPENSES REGARDING BROADER ACCESS TO MEDICARE DATA, IMPLEMENTATION OF A QUALITY PAYMENT PROGRAM AND REGIONAL DATA SHARING ORGANIZATIONS. NETWORK FOR REGIONAL HEALTHCARE IMPROVEMENT ALLOCATED $3,424 OF THE CEO'S SALARY FOR SUPPORTING ADVOCACY EFFORTS AS WELL AS $1,396 IN OVERHEAD COSTS. 7802 2401 5401 44809 28849 15960 21361 X 3869496 0 3869496 0 3869496 3333357 0 3333357 0 3333357 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, AND $4,419 IN BUSINESS INCOME TAX FOR THE YEAR ENDED DECEMBER 31, 2018. 1 COMAGINE HEALTH 10700 MERIDIAN AVENUE N SUITE 100 SEATTLE WA 98133 911072875 501(C)(3) 20000 SEE SCHEDULE I, PART IV, GRANT PURPOSE. GREATER DETROIT AREA HEALTH COUNCIL 30200 TELEGRAPH SUITE 105 BINGHAM FARMS MI 48025 381360904 501(C)(3) 10620 SEE SCHEDULE I, PART IV, GRANT PURPOSE. HEALTH COLLABORATIVE 615 EISINORE PLACE SUITE 500 CINCINATTI OH 45202 311449807 501(C)(3) 16143 SEE SCHEDULE I, PART IV, GRANT PURPOSE. INSTITUTE FOR CLINICAL SYSTEMS IMPROVEMENT (ICSI) 8009 34TH AVENUE SUITE 1200 BLOOMINGTON MN 55425 411782168 501(C)(3) 12500 SEE SCHEDULE I, PART IV, GRANT PURPOSE. KENTUCKIANA HEALTH COLLABORATIVE 1930 BISHOP LANE SUITE 1023 LOUISVILLE KY 40218 450700087 501(C)(3) 5541 SEE SCHEDULE I, PART IV, GRANT PURPOSE. MARYLAND HEALTH CARE COMMISSION (MHCC) 4160 PATTERSON AVE BALTIMORE MD 21215 526002033 GOVERNMENT 10000 SEE SCHEDULE I, PART IV, GRANT PURPOSE. MASSACHUTTES HEALTH QUALITY PARTNERS (MHQP) 42 PLEASANT STREET SUITE 3 WATERTOWN MA 02472 043542817 501(C)(3) 6429 SEE SCHEDULE I, PART IV, GRANT PURPOSE. VIRGINIA HEALTH INFORMATION 102 N 5TH STREET RICHMOND VA 23219 541671355 501(C)(3) 5000 SEE SCHEDULE I, PART IV, GRANT PURPOSE. WASHINGTON HEALTH ALLIANCE (WHA) 600 STEWART ST SUITE 824 SEATTLE WA 98101 470948895 501(C)(3) 6428 SEE SCHEDULE I, PART IV, GRANT PURPOSE. SCHEDULE I, PART II, COLUMN H: GRANT PURPOSE: CONTINUING TO EXPAND UPON THE PREVIOUS WORK FUNDED BY THE ROBERT WOOD JOHNSON FOUNDATION OF MEASURING, ANALYZING, REPORTING, AND USING TOTAL COST OF CARE AND RESOURCE USE MEASURES. PART I, LINE 2: NRHI REQUIRES ITS SUBGRANTEES TO SUBMIT NARRATIVE AND FINANCIAL PROGRESS REPORTS AT REQUIRED INTERVALS. IN SOME CASES, ORGANIZATIONS MUST ALSO REACH SPECIFIC MILESTONES TO RECEIVE PAYMENTS. X X 0 0 0 0 0 0 0 0 0 TREADWAY GEANETTE CFO 155716 0 0 0 0 0 4862 0 12122 0 172700 0 0 0 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 6 NETWORK FOR REGIONAL HEALTHCARE IMPROVEMENT HAS THREE (3) 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. - STATE/REGIONAL AFFILIATED PARTNERS ARE DEFINED AS: - AN ORGANIZATION THAT DOES NOT MEET THE FULL MEMBERSHIP CRITERIA, BUT MEETS THE CRITERIA SET FORTH BELOW, MAY JOIN NRHI AS A REGIONAL/STATE AFFILIATED PARTNER. - BE COMMITTED TO IMPROVING HEALTH AND HEALTH CARE IN THE US THROUGH MULTI STAKEHOLDER COLLABORATION. - BE A REGIONAL/STATE PARTNER (LOCAL OR STATE DATA VENDORS, REGIONAL OR STATE PHILANTHROPIES, LOCAL OR STATE EMPLOYERS, REGIONAL INDUSTRY OR TRADE ASSOCIATION, LOCAL OR STATE GOVERNMENTS); AND - NATIONAL AFFILIATED PARTNERS ARE DEFINED AS: - BE COMMITTED TO IMPROVING HEALTH AND HEALTH CARE IN THE US THROUGH MULTI STAKEHOLDER COLLABORATION; - BE A NATIONAL AFFILIATED PARTNER (NATIONAL DATA VENDORS, PHILANTHROPIES, NATIONAL EMPLOYERS, NATIONAL INDUSTRY OR TRADE ASSOCIATIONS, OR FEDERAL GOVERNMENT AGENCIES); AND FORM 990, PART VI, SECTION A, LINE 7A FULL MEMBERS IN GOOD STANDING HAVE THE OPTION TO SERVE ON THE BOARD OF DIRECTORS OF NRHI. IF THERE ARE MORE THAN TWENTY (20) FULL MEMBERS WHO WISH TO SERVE ON THE BOARD, THEN THE BOARD OF DIRECTORS MAY DEVELOP AND INSTITUTE AN ELECTION PROCESS TO SELECT A SUBSET OF THE FULL MEMBERS WHO WISH TO SERVE ON THE BOARD. IF THE BOARD HAS NOT INSTITUTED AN ELECTION PROCESS, THEN THE CEOS/EXECUTIVE DIRECTORS OF ALL FULL MEMBERS WHO WISH TO SERVE WILL SERVE ON THE BOARD OF DIRECTORS FOR THE NEXT TWELVE MONTH PERIOD FROM JUNE 1 THROUGH MAY 31 OF THE FOLLOWING YEAR. 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 DISCLOSE 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 IX, COLUMN D: DUE TO THE NATURE OF THE ORGANIZATION'S GRANT REVENUE AND ITS SOLICITATION PROCESS A COMPARATIVELY SMALL AMOUNT OF EXPENSES HAVE BEEN ALLOCATED TO FUNDRAISING PURPOSES IN FORM 990, PART IX, COLUMN D. THE ORGANIZATION'S GRANT REVENUE IS TYPICALLY EARNED OVER A 2-5 YEAR GRANT CYCLE PERIOD. THUS, SOLICITATION EFFORTS FOR THE AMOUNTS REPORTED AS GRANTS IN FORM 990, PART VIII, LINE 1 AND THE RELATED EXPENSES WERE INCURRED IN PRIOR 990 REPORTING PERIODS. AS GRANT TERMS EXPIRE AND BECOME UP FOR RENEWAL, THE ORGANIZATION'S FAMILIARITY AND EXISTING RELATIONSHIPS WITH THOSE FUNDING SOURCES HAVE ALLOWED THE ORGANIZATION TO NOT HAVE TO EXTEND SIGNIFICANT OVERHEAD BEYOND FRACTIONAL STAFF TIME AND AN INDEPENDENT CONTRACT GRANT WRITER IN AN EFFORT TO SECURE ADDITIONAL FUNDS. THE ORGANIZATION CLOSELY REVIEWS ITS EXPENDITURES EACH YEAR TO ENSURE EXPENSES ARE APPROPRIATELY AND ACCURATELY ALLOCATED ON FORM 990, PART IX. FORM 990, PART XII, LINE 2C: THE AUDIT PROCESS HAS NOT CHANGED SINCE THE PRIOR YEAR.