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        <PersonNm>Timothy Robinson</PersonNm>
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        <PersonNm>Amy Knight</PersonNm>
        <TitleTxt>President (END 4/14/24)</TitleTxt>
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        <PersonNm>Kassandra K Jensen</PersonNm>
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        <PersonNm>Lori Hotzel</PersonNm>
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        <PersonNm>Torey Mack</PersonNm>
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        <PersonNm>Aimee Ossman</PersonNm>
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        <PersonNm>Leah Evangelista</PersonNm>
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        <PersonNm>Mark Wietecha</PersonNm>
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        <TotalCompensationRltdOrgsAmt>952039</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>222840</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>668522</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Amy Knight</PersonNm>
        <TitleTxt>President (END 4/14/24)</TitleTxt>
        <BaseCompensationFilingOrgAmt>228534</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>24876</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>198180</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>22020</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>1340599</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>148955</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>9620</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>1069</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>10304</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>1145</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>1787237</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>198065</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>740038</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>82226</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Michelle Hogerty</PersonNm>
        <TitleTxt>CFAO</TitleTxt>
        <BaseCompensationFilingOrgAmt>199070</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>107192</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>46085</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>24815</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>1423</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>766</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>20183</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>10868</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>14909</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>8028</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>281670</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>151669</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Torey Mack</PersonNm>
        <TitleTxt>Chief Medical Officer</TitleTxt>
        <BaseCompensationFilingOrgAmt>309601</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>44228</CompensationBasedOnRltdOrgsAmt>
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        <OtherCompensationFilingOrgAmt>329</OtherCompensationFilingOrgAmt>
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        <DeferredCompRltdOrgsAmt>3881</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>1680</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>240</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>400117</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>57159</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Lori Hotzel</PersonNm>
        <TitleTxt>CIO</TitleTxt>
        <BaseCompensationFilingOrgAmt>168752</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>101251</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>35188</BonusFilingOrganizationAmount>
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        <OtherCompensationFilingOrgAmt>753</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>452</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>18938</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>11363</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>17233</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>10340</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>240864</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>144519</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Kassandra K Jensen</PersonNm>
        <TitleTxt>Chief Learning Officer</TitleTxt>
        <BaseCompensationFilingOrgAmt>219854</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>17825</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>45418</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>3683</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>973</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>79</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>24826</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>2013</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>25593</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>2075</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>316664</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>25675</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Leah Evangelista</PersonNm>
        <TitleTxt>Chief Public Affairs &amp; Brand Officer</TitleTxt>
        <BaseCompensationFilingOrgAmt>91102</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>273306</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>20825</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>62475</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>100</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>301</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>7763</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>23288</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>10019</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>30058</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>129809</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>389428</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Aimee Ossman</PersonNm>
        <TitleTxt>VP, Policy</TitleTxt>
        <BaseCompensationFilingOrgAmt>5638</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>219899</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>1068</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>41633</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>13</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>503</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>576</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>22450</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>616</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>24040</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>7911</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>308525</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Troy Richardson</PersonNm>
        <TitleTxt>VP, Analytics &amp; Data Strategy</TitleTxt>
        <BaseCompensationFilingOrgAmt>169315</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>24187</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>35088</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>5013</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>252</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>36</OtherCompensationRltdOrgsAmt>
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        <DeferredCompRltdOrgsAmt>2760</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>31898</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>4557</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>255875</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>36553</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Matthew A Hall</PersonNm>
        <TitleTxt>Principal Biostatistician</TitleTxt>
        <BaseCompensationFilingOrgAmt>178168</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>14446</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>29323</BonusFilingOrganizationAmount>
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        <OtherCompensationFilingOrgAmt>396</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>32</OtherCompensationRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>2564</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>258852</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>20988</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Kory K Kittle</PersonNm>
        <TitleTxt>VP, Analytics Sales &amp; Promotions</TitleTxt>
        <BaseCompensationFilingOrgAmt>162780</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>23254</CompensationBasedOnRltdOrgsAmt>
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        <OtherCompensationRltdOrgsAmt>153</OtherCompensationRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>3458</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>233685</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>33383</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4a Severance or change-of-control payment</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOLLOWING LISTED EMPLOYEES RECEIVED SEVERANCE PAYMENTS DURING THE YEAR: - MARK WIETECHA WAS PAID THE ENTIRE COST OF HIS COBRA HEALTH INSURANCE PREMIUMS FOR A PERIOD OF TWELVE MONTHS AFTER THE DATE OF SEPARATION ($21,706). - AMY KNIGHT WAS PAID THE EXECUTIVE SEVERANCE PAY EQUAL TO TWELVE MONTHS OF BASE SALARY ($628,909) AND THE ENTIRE COST OF HER COBRA HEALTH INSURANCE PREMIUMS FOR A PERIOD OF TWELVE MONTHS AFTER THE DATE OF SEPARATION ($38,019).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOLLOWING LISTED EMPLOYEES PARTICIPATED IN A 457(F) PLAN DURING THE YEAR: - MATTHEW COOK (NO DISTRIBUTION IN 2024, $209,760 WAS CONTRIBUTED TO THE PLAN) - MARK WIETECHA ($891,362 WAS DISTRIBUTED IN 2024, NO CONTRIBUTION) - AMY KNIGHT ($822,264 WAS DISTRIBUTED IN 2024, NO CONTRIBUTION)</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 7 Non-fixed payments</FormAndLineReferenceDesc>
        <ExplanationTxt>MATT COOK'S COMPENSATION AGREEMENT ALLOWED FOR AN ANNUAL BONUS WITH THE ACTUAL AMOUNT APPROVED BY THE BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAD A CHANGE IN CEO EFFECTIVE OCTOBER 16, 2023. THE HIRING PANEL FOR THE CEO WAS MADE UP OF THREE BOARD MEMBERS INCLUDING THE CURRENT CHAIRMAN AND PAST CHAIRMAN. THE PROCESS INVOLVED A NATIONAL SEARCH FIRM THAT WAS CLOSELY MONITORED BY THE ENTIRE BOARD OF TRUSTEES. THE CEO'S COMPENSATION WAS BASED ON MARKET COMPARABLES OF SIMILAR SIZED ORGANIZATIONS AND RESPONSIBILITIES. THE COMPENSATION IS INCLUDED IN A WRITTEN EMPLOYMENT AGREEMENT. IN ADDITION, THE GOVERNANCE COMMITTEE ALSO ACTS AS THE COMPENSATION COMMITTEE AND REVIEWS ALL COMPENSATION RELATED MATTERS. SALARY INCREASES FOR THE CEO ARE RECOMMENDED BY THE GOVERNANCE COMMITTEE TO THE FULL BOARD FOR APPROVAL IN EXECUTIVE SESSION WITHOUT THE CEO PRESENT. THE CEO UTILITZES THE MARKET STUDY TO DETERMINE AND APPROVE COMPENSATION FOR THE PRESIDENT.</ExplanationTxt>
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    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="24020961" softwareVersionNum="2024v5.1">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4a-4c Description of program services</FormAndLineReferenceDesc>
        <ExplanationTxt>(Expenses $ 1,769,260 including grants of $ 125,000)(Revenue $ 136,800) POLICY AND PUBLIC AWARENESS: AS THE VOICE FOR CHILDREN'S HOSPITALS AND CHILD HEALTH, NACHRI ACTS AS ITS MEMBERS' "EYES AND EARS" IN WASHINGTON, D.C., FOCUSING ON LEGISLATION AND REGULATORY ACTION THAT DIRECTLY AFFECT ITS CONSTITUENCIES. TIMELY PUBLIC POLICIES ARE CRITICAL TO THE ABILITY OF CHILDREN'S HOSPITALS TO CARE FOR ALL CHILDREN THROUGH CLINICAL CARE, TRAINING, RESEARCH AND PUBLIC HEALTH ADVOCACY. AS HEALTH CARE POLICIES ARE DEBATED AT THE STATE AND FEDERAL LEVELS, NACHRI AND ITS MEMBER HOSPITALS WORK WITH POLICYMAKERS TO ENSURE THAT EVERY CHILD HAS ACCESS TO HIGH QUALITY, COST-EFFECTIVE PRIMARY, PREVENTIVE AND SPECIALTY CARE SERVICES TAILORED TO MEET THEIR NEEDS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 2 BUSINESS RELATIONSHIPS</FormAndLineReferenceDesc>
        <ExplanationTxt>BOARD MEMBERS DEBORAH FELDMAN AND TIMOTHY ROBINSON WORK AT DAYTON CHILDREN'S HOSPITAL AND NATIONWIDE CHILDREN'S HOSPITAL, RESPECTIVELY; THESE TWO HOSPITALS HAVE PARTNERSHIPS AND BUSINESS RELATIONSHIPS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 6 Classes of members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>MEMBERSHIP IS COMPOSED OF TWO CATEGORIES OF MEMBERS, VOTING AND NONVOTING. VOTING MEMBERS ARE HOSPITALS AND THOSE RELATED INSTITUTIONS EMPHASIZING THE CLINICAL CARE OF CHILDREN. NONVOTING MEMBERS ARE INSTITUTIONS AND INDIVIDUALS. MEMBERSHIP MAY BE GRANTED UPON APPLICATION TO THE BOARD OF TRUSTEES, WHICH SHALL ESTABLISH MEMBERSHIP CRITERIA, GRANT OR DENY MEMBERSHIP AND ASSIGN APPLICANTS TO MEMBERSHIP CATEGORIES AT ITS PLEASURE. THE SOLE VOTING MEMBER IS THE NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS, INC., A RELATED, NON-PROFIT ENTITY.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7a Members or stockholders electing members of governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>NACHRI'S BOARD OF TRUSTEES CONSISTS OF THOSE PERSONS WHO SERVE AS TRUSTEES OF NACHRI'S SOLE MEMBER, THE NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS NACH), A RELATED 501(C)(6) ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEMBERSHIP MAY APPROVE VARIOUS DECISIONS OF THE GOVERNING BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>INITIAL COMPILATION OF INFORMATION IS COMPLETED BY FINANCE STAFF FOR TRANSMISSION TO AN OUTSIDE FIRM FOR TAX RETURN PREPARATION. THE DRAFT RETURN IS PROVIDED TO THE BOARD OF TRUSTEES; ANY BOARD COMMENTS OR QUESTIONS ARE CLEARED PRIOR TO FILING THE FINAL RETURN.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF TRUSTEES MUST FILL OUT AN ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE. AT THE START OF ALL BOARD AND COMMITTEE MEETINGS, THE PARTICIPATING MEMBERS ARE ASKED TO DECLARE ANY CONFLICT OF INTEREST ACCORDINGLY. PERIODICALLY, ALL STAFF MUST FILL OUT A CONFLICT OF INTEREST FORM AND MUST ADHERE TO THE ASSOCIATION'S CONFLICT OF INTEREST POLICY. ANY CONFLICTS OF INTEREST ARE RESOLVED AS APPROPRIATE. THE HUMAN RESOURCE DEPARTMENT ENCOURAGES STAFF TO BRING ANY SITUATIONS TO THEIR ATTENTION AND MAKE PROMPT AND FULL DISCLOSURE OF ANY POTENTIAL SITUATIONS THAT MAY INVOLVE A CONFLICT OF INTEREST. THE POLICY IS INCLUDED IN OUR EMPLOYEE MANUAL AND WHISTLEBLOWER POLICY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a Process to establish compensation of top management official</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CEO BEGAN HIS EMPLOYMENT OCTOBER 16, 2023. THE HIRING PANEL WAS MADE UP OF THREE BOARD MEMBERS. THE PROCESS INVOLVED A NATIONAL SEARCH FIRM THAT WAS CLOSELY MONITORED BY THE ENTIRE BOARD OF TRUSTEES. THE CEO'S COMPENSATION WAS BASED ON AN ASSESSMENT OF THE MARKET OF SIMILAR SIZED ORGANIZATIONS AND RESPONSIBILITIES. THE COMPENSATION IS INCLUDED IN A WRITTEN EMPLOYMENT AGREEMENT. THE GOVERNANCE COMMITTEE REVIEWS ALL COMPENSATION MATTERS RELATED TO THE CEO. THE COMMITTEEE DETERMINED THE COMPENSATION INCREASE AND BONUS AMOUNT AWARDED ON THE CEO'S FIRST ANNIVERSARY DATE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b Process to establish compensation of other employees</FormAndLineReferenceDesc>
        <ExplanationTxt>FOR ALL OTHER STAFF, THE ASSOCIATION PERIODICALLY ENGAGES AN OUTSIDE CONSULTANT FOR COMPENSATION STUDIES TO REVIEW ALL JOB DESCRIPTIONS AND SALARIES. THIS CONSULTANT HAS EXPERTISE IN THE NON-PROFIT AND HEALTH FIELDS AND IS VERY FAMILIAR WITH THE COMPENSATION PRACTICES. THE CONSULTANT REVIEWS THE COMPENSATION OF OTHER NATIONAL ASSOCIATIONS AND PEER GROUPS. EXECUTIVE LEADERSHIP SALARIES WERE EVALUATED DURING 2024. OTHER STAFF EVALUATION OF SALARIES OCCURRED DURING 2022.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT GENERALLY MADE AVAILABLE TO THE PUBLIC. AUDITED FINANCIAL STATEMENTS AND FORM 990 ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR" softwareId="24020961" softwareVersionNum="2024v5.1">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>600 13TH STREET NW SUITE 500</AddressLine1Txt>
          <CityNm>WASHINGTON</CityNm>
          <StateAbbreviationCd>DC</StateAbbreviationCd>
          <ZIPCd>20005</ZIPCd>
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        <EIN>582176067</EIN>
        <PrimaryActivitiesTxt>ASSIST CHILDREN'S HOSPITALS IN COMMON BUSINESS INTEREST AND ECONOMIC WELFARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>GA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(6)</ExemptCodeSectionTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CHILD HEALTH PATIENT SAFETY ORGANIZATION INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>16011 COLLEGE BLVD SUITE 250</AddressLine1Txt>
          <CityNm>LENEXA</CityNm>
          <StateAbbreviationCd>KS</StateAbbreviationCd>
          <ZIPCd>66219</ZIPCd>
        </USAddress>
        <EIN>270386722</EIN>
        <PrimaryActivitiesTxt>IMPROVE SAFETY OF CHILDREN'S HOSPITALS BY SHARING DATA &amp; EXPERIENCES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>KS</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>CHILD HEALTH CORPORATION OF AMERICA</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>16011 COLLEGE BLVD</AddressLine1Txt>
          <CityNm>LENEXA</CityNm>
          <StateAbbreviationCd>KS</StateAbbreviationCd>
          <ZIPCd>66219</ZIPCd>
        </USAddress>
        <EIN>521421302</EIN>
        <PrimaryActivitiesTxt>HOSPITAL BUSINESS ALLIANCE TO BETTER SERVE CHILDREN</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DE</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>true</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>2201378</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ACTUAL COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>O</TransactionTypeTxt>
        <InvolvedAmt>3204529</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ACTUAL COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>N</TransactionTypeTxt>
        <InvolvedAmt>733793</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ACTUAL COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>CHILD HEALTH PATIENT SAFETY ORGANIZATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>N</TransactionTypeTxt>
        <InvolvedAmt>464316</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ACTUAL COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>CHILD HEALTH PATIENT SAFETY ORGANIZATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>O</TransactionTypeTxt>
        <InvolvedAmt>547537</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ACTUAL COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>