2019-11-14T11:41:26-06:00 2018-12-31 521855942 TATE AND TRYON 2021 L STREET NW SUITE 400 WASHINGTON DC 20036 990 2018-01-01 510120256 NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS AND RELATED INSTITUTIONS INC NATI 2027535500 600 13TH STREET NW NO 500 WASHINGTON DC 20005 NANCY STAHL CFO 2027535500 2019-11-14 1 DEBORAH G KOSNETT P00290720 2022932200 2019-11-13 216.59.105.130 2019-11-14 11:41:22 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 BF065EC4D347516EACB6EF6B1CA8D3F874D65F1D 2018 2020-03-31 21:24:44Z NACHRI MARK WIETECHA 600 13TH STREET NW NO 500 WASHINGTON DC 20005 45838934 0 X WWW.CHILDRENSHOSPITALS.ORG X 1970 GA TO PROMOTE THE HEALTH AND WELL-BEING OF CHILDREN AND THEIR FAMILIES THROUGH SUPPORT OF CHILDREN'S HOSPITALS AND HEALTH SYSTEMS THAT ARE COMMITTED TO EXCELLENCE IN PROVIDING HEALTH CARE TO CHILDREN. THIS IS ACCOMPLISHED THROUGH EDUCATION, RESEARCH, HEALTH PROMOTION AND ADVOCACY. 13 12 206 50 109565 109275 6044210 1849943 34890037 35992111 2433262 3002175 734858 26947 44102367 40871176 191630 582975 0 0 23166329 22024644 0 0 559798 14649834 10427961 38007793 33035580 6094574 7835596 71545609 76119421 11270023 13126068 60275586 62993353 X TO PROMOTE THE HEALTH AND WELL-BEING OF CHILDREN AND THEIR FAMILIES THROUGH SUPPORT OF CHILDREN'S HOSPITALS AND HEALTH SYSTEMS THAT ARE COMMITTED TO EXCELLENCE IN PROVIDING HEALTH CARE TO CHILDREN. 0 0 7663094 21719435 DATA ANALYTICS: THE ANALYTICS PROGRAMS HELP MEMBERS MEASURE AND IMPROVE QUALITY AND EFFICIENCY, INFORM AND SUPPORT STRATEGIES, SHOWCASE IMPROVEMENTS IN CHILDREN'S HEALTH CARE AND IDENTIFY OPPORTUNITIES FOR FURTHER IMPROVEMENT. COLLECTION AND ANALYSIS OF DATA HAS SUPPORTED ADVOCACY FOR GRADUATE MEDICAL EDUCATION FUNDING, FOR INCREASING CHILDREN'S ACCESS UNDER MEDICAID AND CHIP PROGRAMS AND FOR STRENGTHENING REIMBURSEMENT FOR CHILDREN'S HOSPITALS. THE TOOLS AVAILABLE TO MEMBERS INCLUDE A SUITE OF DATA, BENCHMARKING, AND QUALITY IMPROVEMENT PROGRAMS AND SOFTWARE. THESE TOOLS ALLOW USERS TO BACK INTERNAL AND POLICY DECISION-MAKING EFFORTS WITH CONCRETE EVIDENCE AND ALLOW MEMBER HOSPITALS NATIONALLY TO SHAPE HOW PEDIATRIC CARE IS MEASURED FOR QUALITY AND REIMBURSEMENT. 6642711 11053170 EDUCATION AND PROGRAMMING: NACHRI RUNS ONE OF THE NATION'S LARGEST SET OF EDUCATIONAL PROGRAMS DEDICATED TO PEDIATRICS. THIS INCLUDES SENIOR EXECUTIVE EDUCATION AND NETWORKING EVENTS, THE ANNUAL LEADERSHIP CONFERENCE, QUALITY CONFERENCES, ANALYTICS CONFERENCES, AND OTHER TOPIC-SPECIFIC PROGRAMS FOR LEADERSHIP WITHIN CHILDREN'S HOSPITALS. THESE PROGRAMS AND CONFERENCES OCCUR IN PERSON AND VIA WEB. 4377212 2623587 QUALITY AND SAFETY: NACHRI SPONSORS AND FACILITATES A BROAD SET OF QUALITY, SAFETY, AND COST MANAGEMENT COOPERATIVES. THESE COOPERATIVES RANGE IN SIZE FROM FIVE HOSPITALS TO OVER 80 HOSPITAL PARTICIPANTS AND HUNDREDS OF CLINICIANS, ALL FOCUSED ON FINDING BEST PRACTICE SOLUTIONS TO PRIORITY PROBLEMS. THE GOAL IS TO IDENTIFY BEST PRACTICE PROTOCOLS THAT CAN THEN BE SPREAD ACROSS THE LARGER GROUP AND IMPROVE CHILDREN'S HEALTH ON A NATIONAL BASIS. 2053783 582975 595919 POLICY AND ADVOCACY: AS THE VOICE FOR CHILDREN'S HOSPITALS AND CHILD HEALTH, NACHRI ACTS AS ITS MEMBERS' "EYES AND EARS" IN WASHINGTON, FOCUSING ON LEGISLATION AND REGULATORY ACTION THAT DIRECTLY AFFECT ITS CONSTITUENCIES. SENSITIVE 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 CHILDREN'S UNIQUE HEALTH CARE NEEDS ARE NOT OVERLOOKED AND THAT EVERY CHILD HAS ACCESS TO HIGH QUALITY, COST-EFFECTIVE PRIMARY, PREVENTIVE AND SPECIALTY CARE SERVICES TAILORED TO MEET THEIR NEEDS. 2053783 582975 595919 20736800 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 76 0 1 206 1 1 1 0 0 0 0 0 0 0 0 0 1 0 X 13 12 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X NANCY STAHL CFO 9132621436 600 13TH STREET NW NO 500 WASHINGTON DC 20005 RICK W MERRILL CHAIR 1.00 1.00 X X 0 0 0 KURT NEWMAN VICE CHAIR 1.00 1.00 X X 0 0 0 SANDRA L FENWICK SECRETARY 1.00 1.00 X X 0 0 0 KIMBERLY CRIPE TREASURER 1.00 1.00 X X 0 0 0 MICHAEL D AUBIN MEMBER 1.00 1.00 X 0 0 0 MADELINE BELL MEMBER 1.00 1.00 X 0 0 0 SUSAN M DISTEFANO MEMBER 1.00 1.00 X 0 0 0 PAUL A KING MEMBER 1.00 1.00 X 0 0 0 JOHN D NASH MEMBER 1.00 1.00 X 0 0 0 JEFF SPERRING MEMBER 1.00 1.00 X 0 0 0 KATY WELKIE MEMBER 1.00 1.00 X 0 0 0 MARK WIETECHA CEO 20.00 20.00 X 258667 776000 260312 AMY KNIGHT COO 25.00 15.00 X 416103 249662 153112 NANCY STAHL CFO 30.00 10.00 X 304318 101439 72969 DAVID BERTOCH VP, INFORMATICS & COMPARAT 40.00 0.00 X 282312 0 50473 KASSANDRA JENSEN VP, EDUCATION & EXECUTIVE 40.00 0.00 X 256151 0 31857 D BRIAN HUMPHREYS VP, FINANCE 20.00 20.00 X 120208 120208 47322 KATHERINE CONRAD VP, DELIVERY SYSTEM TRANSF 20.00 20.00 X 124570 124570 48106 LORI HOTZEL CTO 37.00 3.00 X 205765 16684 30377 KORY K KITTLE VP, INFORMATICS 40.00 0.00 X 212349 0 37951 MARIAN SAFFER VP, QUALITY IMPROVEMENT 40.00 0.00 X 211148 0 37420 2391591 1388563 769899 62 0 1 0 TRUVEN HEALTH ANALYTICS 39353 TREASURY CENTER CHICAGO IL 60694 DATABASE ADMINISTRATOR 1965260 CORNERSTONE ONDEMAND (CSOD) DEPT CH 19590 PALATINE IL 60055 LEARNING PLATFORM SUBSCRIPTION 1246231 TRICOM TECHNICAL SERVICES LLC 11115 ASH ST LEAWOOD KS 66211 RECRUITING 196140 PROMETHEUS RESEARCH LLC PO BOX 41125 SAN JOSE CA 95160 DATABASE ADMINISTRATOR 183372 MILLIMAN 71 SOUTH WACKER DRIVE 31ST FLOOR CHICAGO IL 60606 CONSULTANT 179948 10 1366953 482990 482990 1849943 PROJECT PARTICIPATION FEES 900099 24574320 24574320 MEMBERSHIP DUES 900099 11053170 11053170 MEETINGS AND CONFERENCE 900099 255056 255056 PUBLICATIONS 541800 109565 109565 35992111 1375120 1375120 25992 25992 6594813 4967758 1627055 1627055 1627055 MISCELLANEOUS 900099 955 955 955 40871176 35882546 109565 3029122 X 582975 582975 3194219 1983684 1155435 55100 14355490 8915094 5192768 247628 1026725 637620 371394 17711 2377999 1476793 860186 41020 1070211 664626 387124 18461 95636 59392 34594 1650 68043 42256 24613 1174 69719 43297 25219 1203 4169656 2589454 1508277 71925 14309 8886 5176 247 460424 285934 166548 7942 1520119 944029 549868 26222 1487863 923998 538200 25665 1637512 1016933 592332 28247 1511764 938841 546846 26077 11921 7403 4312 206 859109 533527 310763 14819 204986 127301 74149 3536 DUES AND SUBSCRIPTIONS 962904 597986 348308 16610 PROFESSIONAL DEVELOPMEN 435840 270667 157655 7518 RECRUITING 144031 89447 52100 2484 OTHER EXPENSES 35239 21884 12747 608 -3261114 -2025227 -1179632 -56255 33035580 20736800 11738982 559798 700 700 22848526 31929728 743957 3797722 1640863 1006439 1072427 10799411 4275737 6050734 6523674 35090955 32342300 477377 20000 1529199 2589729 71545609 76119421 4631877 4719210 625280 2652249 6012866 5754609 11270023 13126068 X 57579111 61538395 2696475 1454958 60275586 62993353 71545609 76119421 7835596 -5117829 0 X X 0 1 X 1 1 1 X 3336559 12727788 8732030 6044210 1849943 32690530 16951984 4540154 42905012 34890037 35882546 135169733 20288543 17267942 51637042 40934247 37732489 167860263 3413413 4534368 4839241 3862197 4278628 20927847 0 3413413 4534368 4839241 3862197 4278628 20927847 146932416 3746872 2550494 2296355 1699815 1401112 11694648 3746872 2550494 2296355 1699815 1401112 11694648 8097 8097 29 2379 11199 15035 955 29597 24043541 19820815 53944596 42649097 39134556 179592605 0.81810 0.79070 0.06510 0.08480 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 32911275 32911275 1000000 250000 0 0 1000000 1000000 1000000 1000000 4000000 6000000 250000 250000 250000 250000 1000000 1500000 4532838 1495359 3037479 2150529 998739 1151790 4116044 1781639 2334405 6523674 DEFERRED COMPENSATION 1319788 POST RETIREMENT BENEFIT OBLIGATION 204700 DEFERRED RENT AND LEASE INCENTIVE 4230121 5754609 35683629 -5117829 -5117829 40801458 69718 69718 40871176 32980993 15131 15131 32965862 69718 69718 33035580 PART XII, LINE 2D - OTHER ADJUSTMENTS: BENEFIT CHANGES OTHER THAN NET PERIODIC COST 15,131. 1 COTTAGE CHILDREN'S MEDICAL CENTER 400 WEST PUEBLO STREET SANTA BARBARA CA 93102 951644629 501C3 5420 FMV VARIOUS DOLLS FOR SICK CHILDREN DONATIONS ST JOHN PROVIDENCE CHILDREN'S HOSPITAL 22101 MOROSS ROAD DETROIT MI 48236 381359063 501C3 5230 FMV VARIOUS DOLLS FOR SICK CHILDREN DONATIONS UCSF BENIOFF CHILDREN'S HOSPITAL OAKLAND 747 52ND ST OAKLAND CA 94609 940382330 501C3 5070 FMV VARIOUS DOLLS FOR SICK CHILDREN DONATIONS WVU MEDICINE CHILDREN'S 1 MEDICAL CENTER DRIVE MORGANTOWN WV 26506 556011282 501C3 5880 FMV VARIOUS DOLLS FOR SICK CHILDREN DONATIONS 4 0 PART I, LINE 2: NACHRI USES A COMPETITIVE APPLICATION PROCESS FOR ITS PLAY GRANTS, AND HAS A REVIEW COMMITTEE COMPOSED OF CHILD LIFE, DEVELOPMENT, AND PROGRAM EXPERTS TO SCORE THE APPLICATIONS ACCORDING TO MERIT. THE TOP-RANKED APPLICATIONS WERE SELECTED FOR GRANTS. GRANTEES ARE REQUIRED TO SUBMIT 6-MONTH AND FINAL REPORTS THAT INCLUDE BUDGET INFORMATION, AND MUST ALSO EXPLAIN ANY CHANGES TO THEIR ORIGINAL PROJECT GRANT APPLICATION, IN TERMS OF HOW THE FUNDS WERE ULTIMATELY USED. X X X 0 1 0 0 0 0 0 1 0 MARK WIETECHA CEO 192200 576600 65625 196875 842 2525 58738 176213 7114 21343 324519 973556 0 0 AMY KNIGHT COO 321875 193125 93750 56250 478 287 79844 47906 17786 10672 513733 308240 0 0 NANCY STAHL CFO 243750 81250 60000 20000 568 189 47813 15938 6941 2314 359072 119691 0 0 DAVID BERTOCH VP, INFORMATICS & COMPARAT 235800 0 46000 0 512 0 24750 0 25757 0 332819 0 0 0 KASSANDRA JENSEN VP, EDUCATION & EXECUTIVE 213200 0 42500 0 451 0 23013 0 8879 0 288043 0 0 0 D BRIAN HUMPHREYS VP, FINANCE 100000 100000 20000 20000 208 208 10800 10800 12879 12879 143887 143887 0 0 KATHERINE CONRAD VP, DELIVERY SYSTEM TRANSF 104500 104500 19850 19850 220 220 11192 11192 12879 12879 148641 148641 0 0 LORI HOTZEL CTO 179496 14554 25900 2100 369 30 10643 863 17488 1418 233896 18965 0 0 KORY K KITTLE VP, INFORMATICS 177000 0 35000 0 349 0 19080 0 18906 0 250335 0 0 0 MARIAN SAFFER VP, QUALITY IMPROVEMENT 182100 0 28000 0 1048 0 18909 0 18546 0 248603 0 0 0 PART I, LINE 4B THE FOLLOWING LISTED EMPLOYEE PARTICIPATED IN A 457(F) PLAN DURING THE YEAR: -MARK WIETECHA (NO DISTRIBUTION IN 2018, $192,200 WAS CONTRIBUTED TO THE PLAN) -AMY KNIGHT (NO DISTRIBUTION IN 2018, $103,000 WAS CONTRIBUTED TO THE PLAN) -NANCY STAHL (NO DISTRIBUTION IN 2018, $39,000 WAS CONTRIBUTED TO THE PLAN) PART I, LINE 7 MARK WIETECHA'S COMPENSATION AGREEMENT ALLOWS FOR AN ANNUAL BONUS WITH A TARGET OF 35% OF BASE SALARY, WITH THE ACTUAL AMOUNT DETERMINED BY THE BOARD. SCHEDULE J, LINE 3 THE NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS AND RELATED INSTITUTIONS, INC. (NACHRI) ACTS AS THE "COMMON PAYMASTER" FOR ITS RELATED ENTITIES. NACHRI ISSUES ALL W-2S FOR ALL EMPLOYEES OF THIS GROUP. THE W-2S ARE REPORTED ONLY ON THE NACHRI RETURN, WHILE COMPENSATION ALLOCATED BY TIME-SPENT IS REPORTED ON THE RETURNS OF THESE ENTITIES. X DOLLS FOR SICK CHILDREN 4128 332100 FMV X PONIES FOR SICK CHILDREN 15140 150890 FMV 0 0 0 FORM 990, PART VI, SECTION A, LINE 6 MEMBERSHIP IS COMPOSED OF TWO CATEGORIES, VOTING AND NONVOTING, AND 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. FORM 990, PART VI, SECTION A, LINE 7A 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 (N.A.C.H), A RELATED 501(C)(6) ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7B THE MEMBERSHIP MAY APPROVE VARIOUS DECISIONS OF THE GOVERNING BOARD. FORM 990, PART VI, SECTION B, LINE 11B AN OUTSIDE FIRM PREPARES THE TAX RETURN. IT IS THEN REVIEWED BY STAFF. ONE WEEK BEFORE FILING, THE ENTIRE RETURN IS PROVIDED TO THE FULL BOARD OF TRUSTEES. THE CFO RECEIVES COMMENTS BACK AND CLEARS THESE UP PRIOR TO FILING A FINAL RETURN. FORM 990, PART VI, SECTION B, LINE 12C PERIODICALLY, THE BOARD OF TRUSTEES MUST FILL OUT A CONFLICT OF INTEREST QUESTIONNAIRE AND ALSO SUBMIT TO BACKGROUND CHECKS OF VARYING DEGREES. THE RESULTS ARE REVIEWED BY THE CEO AND ALSO THE EXTERNAL AUDITORS. 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. FORM 990, PART VI, SECTION B, LINE 15 THE CURRENT PRESIDENT AND CEO WAS HIRED IN SEPTEMBER 2011 AND THE CURRENT COO WAS HIRED IN DECEMBER 2011. THIS PROCESS INVOLVED A NATIONAL SEARCH FIRM THAT WAS CLOSELY MONITORED BY A TASK FORCE AND THE BOARD OF TRUSTEES. IN ADDITION, THE GOVERNANCE COMMITTEE ALSO ACTS AS THE COMPENSATION COMMITTEE AND REVIEWS ALL COMPENSATION RELATED MATTERS. THE CEO AND COO'S COMPENSATION WAS BASED ON MARKET COMPARABLES OF SIMILAR SIZED ORGANIZATIONS AND RESPONSIBILITIES. THE COMPENSATION IS ALSO INCLUDED IN A WRITTEN EMPLOYMENT AGREEMENT. A COMPLETE REVIEW OF ALL SALARIES OCCURRED DURING 2018. SALARY INCREASES ARE RECOMMENDED BY THE GOVERNANCE COMMITTEE TO THE FULL BOARD FOR APPROVAL IN EXECUTIVE SESSION WITHOUT THE CEO PRESENT. 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. SELECTED SENIOR STAFF WERE GIVEN RAISES AS A RESULT OF A CONSOLIDATION OF POSITIONS AND THESE WERE REVIEWED BY THE GOVERNANCE COMMITTEE. A FORMAL EVALUATION OF ALL CURRENT SALARIES OCCURED DURING 2018. ALL OTHER STAFF RECEIVED MINIMAL INCREASES IN LINE WITH THE MOST RECENT COMPENSATION STUDIES COMPLETED. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND AUDITED FINANCIAL STATEMENTS ARE NOT GENERALLY MADE AVAILABLE TO THE GENERAL PUBLIC, BUT IF REQUESTS FOR COPIES OF THESE DOCUMENTS WERE TO BE RECEIVED, THE ORGANIZATION WOULD CONSIDER MAKING THEM AVAILABLE TO THE REQUESTOR. FORM 990, PART IX, LINE 11G CONSULTING FEES: PROGRAM SERVICE EXPENSES 2,589,454. MANAGEMENT AND GENERAL EXPENSES 1,508,277. FUNDRAISING EXPENSES 71,925. TOTAL EXPENSES 4,169,656. FORM 990, PART XII, LINE 2C: THE AUDIT OVERSIGHT PROCESS HAS REMAINED UNCHANGED FROM THE PREVIOUS YEAR. NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS INC 600 13TH STREET NW SUITE 500 WASHINGTON DC 20090 582176067 ASSIST CHILDREN'S HOSPITALS IN COMMON BUS. INTEREST AND ECONOMIC WELFARE GA 501 (C)(6) 0 CHILD HEALTH PATIENT SAFETY ORGANIZATION INC 16011 COLLEGE BLVD LENEXA KS 66219 270386722 IMPROVE SAFETY OF CHILDREN'S HOSPITALS BY SHARING DATA & EXPERIENCES KS 501 (C)(3) 509(A)(2) 0 CHILD HEALTH CORPORATION OF AMERICA 16011 COLLEGE BLVD LENEXA KS 66219 521421302 HOSPITAL BUSINESS ALLIANCE TO BETTER SERVE CHILDREN DE N/A C 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0 NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS INC L 1158839 ACTUAL COST NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS INC O 1993115 ACTUAL COST NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS INC N 386280 ACTUAL COST CHILD HEALTH PATIENT SAFETY ORGANIZATION N 260138 ACTUAL COST CHILD HEALTH PATIENT SAFETY ORGANIZATION O 480256 ACTUAL COST