2017-11-13T12:08:21-06:00 2016-12-31 010494526 Baker Newman & Noyes PO Box 507 Portland ME 04112 990 2016-01-01 451754340 Network for Regional Healthcare Improvement NETW 2077475104 217 Commercial Street No 500 Portland ME 04101 Elizabeth Mitchell President & CEO 2077475104 2017-10-31 1 Nicholas E Porto P01310283 2078792100 2017-10-31 208.105.168.164 2017-10-31 14:38:56 ED P CCFCCF25870C8311BDDC6739800371DE19EE9571 2CC4C4610C7CE537855CCDE76D04A8640C960E3E 2016 2021-01-29 14:40:06Z Elizabeth Mitchell 217 Commercial Street No 500 Portland ME 04101 5112635 0 X www.nrhi.org X 2011 ME Improve health and healthcare in communities across the U.S. through an active network of RHICs 32 32 31 35 0 0 4027640 4759032 480599 353570 498 33 0 0 4508737 5112635 617065 251383 0 0 2023158 2111561 0 7140 7140 1856249 2559869 4496472 4929953 12265 182682 628107 1840186 682563 1711960 -54456 128226 X Our mission is to improve health and healthcare in communities across the U.S. through an active and engaged network of Regional Health Improvement Collaboratives (RHICs). 0 0 4828370 251383 353570 The Network for Regional Healthcare Improvement (NRHI) is a national organization representing over thirty five member Regional Health Improvement Collaboratives (RHICs). These multi-stakeholder organizations are working in their regions and collaborating across regions to transform the healthcare delivery system and achieve the Triple Aim: improving the patient experience of care, including quality and satisfaction; improving the health of populations; and reducing the per-capita cost of healthcare. In order to accomplish its mission and programs, NRHI engages the following three-fold strategy: - Support and advocate for Collaboratives; - Conduct joint innovation projects in cost, quality, and population health across regions with rapid dissemination of best practices to our members; - Leverage a network of data, community relationships, and improvement expertise for innovation and national impact. 4828370 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 18 0 1 31 1 0 0 0 0 0 0 0 0 0 0 X 32 32 1 0 1 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X Geanette Treadway 2077475104 217 Commercial Street No 500 Portland ME 04101 Craig Acomb Director 2.00 0.00 X 0 0 0 Jeffrey Biehl Director 2.00 0.00 X 0 0 0 Craig Brammer Director 2.00 0.00 X 0 0 0 Randall D Cebul Director 2.00 0.00 X 0 0 0 Teresa Couts Director 2.00 0.00 X 0 0 0 John Craik Director (part year) 2.00 0.00 X 0 0 0 Trilby de Jung Director 2.00 0.00 X 0 0 0 Randa Deaton Director 2.00 0.00 X 0 0 0 Michael DeLorenzo Director 2.00 0.00 X 0 0 0 Ana English Director 2.00 0.00 X 0 0 0 Thomas C Evans Director 2.00 0.00 X 0 0 0 Nancy Giunto Director 2.00 0.00 X 0 0 0 Christine Helwig Amy Director 2.00 0.00 X 0 0 0 David Kendrick Director 2.00 0.00 X 0 0 0 Kate Kohn-Parrott Director 2.00 0.00 X 0 0 0 David Lansky Director 2.00 0.00 X 0 0 0 Lisa Letourneau Director 2.00 0.00 X 0 0 0 Martin Love Director 2.00 0.00 X 0 0 0 Pat Montoya Director 2.00 0.00 X 0 0 0 Cindy Munn Director 2.00 0.00 X 0 0 0 Josephine Musser Director (part year) 2.00 0.00 X 0 0 0 Louise Probst Director 2.00 0.00 X 0 0 0 Christopher Queram Director 2.00 0.00 X 0 0 0 Barbra Rabson Director 2.00 0.00 X 0 0 0 Jerry Reeves Director 2.00 0.00 X 0 0 0 Dana Richardson Director 2.00 0.00 X 0 0 0 Jeff Rideout Director 2.00 0.00 X 0 0 0 Linda Schwimmer Director 2.00 0.00 X 0 0 0 Diane Stewart Director 2.00 0.00 X 0 0 0 Andrew Webber Director (part year) 2.00 0.00 X 0 0 0 Margaret Wienbar Director 2.00 0.00 X 0 0 0 Karen Wolk Feinstein Director 2.00 0.00 X 0 0 0 Mylia Christensen Chair 2.00 0.00 X X 0 0 0 Marc H Bennett Vice Chair 2.00 0.00 X X 0 0 0 James Chase Treasurer 2.00 0.00 X X 0 0 0 Elizabeth Mitchell President & CEO 40.00 0.00 X 336996 0 15604 Geanette Treadway Controller (eff. 8/16) 40.00 0.00 X 45934 0 3831 Dianne Hasselman Deputy Director 40.00 0.00 X 145000 0 4350 Ellen Gagnon Project Director 40.00 0.00 X 133651 0 13276 661581 0 37061 3 0 1 0 ProSeria LLC 6277 Cattail Cove Lane Manitowash Waters WI 54545 Software Development 321768 Community Roundtable 8 Orchard Lane Lynnfield MA 01940 Learning Software and Support 225473 Oregon Health Care Quality Corp 520 SW Sixth Avenue Ste 830 Portland OR 97204 Faculty and Instructional Design 156922 David Puelle 81 Bridge Street Suite 401 Yarmouth ME 04096 Marketing and Communications 128019 4 760297 3998735 4759032 Membership Dues 541900 285483 285483 Program Fees & Service 541900 59957 59957 Miscellaneous Revenue 541900 8130 8130 353570 33 33 5112635 353570 0 33 X 251383 251383 402365 393903 8462 1452310 1421811 30499 20222 19810 412 105042 89286 15756 131622 128858 2764 7833 7669 164 29915 29915 52012 52012 7140 7140 1507382 1507382 19529 19529 154154 151629 2525 124869 122247 2622 174149 174149 212033 212033 904 904 14323 14022 301 5645 5526 119 Contract Expense 257121 257121 4929953 4828370 94443 7140 230055 1522417 28479 5033 199232 42612 44541 83159 75688 149987 66296 31193 48237 35103 1875 1875 628107 1840186 252922 247464 419442 1456924 10199 7572 682563 1711960 X -54456 128226 -54456 128226 628107 1840186 182682 0 X X 0 1 X 1 1 1 X 351856 306787 4394714 4027640 4759032 13840029 351856 306787 4394714 4027640 4759032 13840029 6814962 7025067 498 33 531 13840560 1238965 0.50760 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 52012 52012 0 Part II-B, Line 1: Network for Regional Healthcare Improvement paid Akin Gump Strauss Hauer & Field a total of $52,012 for lobbying expenses regarding broader access to Medicare data, implementation of a Quality Payment Program, and regional data sharing organizations. 66296 31193 35103 35103 X 5112635 0 5112635 0 5112635 4929953 0 4929953 0 4929953 Part X, Line 2: NRHI is exempt from income taxes under Section 501(c)(3) of the Internal Revenue Code. Tax-exempt organizations could be required to record an obligation for income taxes as the result of a tax position they have historically taken on various tax exposure items including unrelated business income or tax status. Under guidance issued by the Financial Accounting Standards Board (FASB), assets and liabilities are established for uncertain tax positions taken or positions expected to be taken in income tax returns when such positions are judged to not meet the "more-likely-than-not" threshold, based upon the technical merits of the position. Estimated interest and penalties, if applicable, related to uncertain tax positions are included as a component of income tax expense. NRHI has evaluated the positions taken on its filed tax returns. NRHI has concluded no uncertain income tax positions exist at December 31, 2016. 1 Center for Improving Value in Healthcare 950 South Cherry Street Suite 208 Denver CO 80246 272884568 501(c)(3) 12667 See Schedule I, Part IV, Grant Purpose B HealthInsight Utah 756 East Winchester St Ste 200 Salt Lake City UT 84107 870303872 501(c)(3) 78983 See Schedule I, Part IV, Grant Purpose B Maryland Health Care Commission 4160 Patterson Avenue Baltimore MD 21215 526002033 Government 69569 See Schedule I, Part IV, Grant Purpose B Minnesota Community Measurement Broadway Place East 455 3433 Broadway Street NE Minneapolis MN 55413 352246162 501(c)(3) 12667 See Schedule I, Part IV, Grant Purpose B Oregon Health Care Quality Corporation 520 SW Sixth Avenue Suite 830 Portland OR 97204 931293103 501(c)(3) 12667 See Schedule I, Part IV, Grant Purpose B The Health Improvement Collaborative 2100 Sherman Avenue Suite 100 Cincinnati OH 05212 311449807 501(c)(3) 18074 See Schedule I, Part IV, Grant Purpose B University of Texas Health Science Center PO Box 301418 Dallas TX 753031418 741761309 501(c)(3) 17972 See Schedule I, Part IV, Grant Purpose B Washington Health Alliance 600 Stewart Street Suite 824 Seattle WA 98101 470948895 501(c)(3) 18811 See Schedule I, Part IV, Grant Purpose B Wisconsin Health Information Organization PO Box 620054 Middleton WI 535620054 203493804 501(c)(3) 9973 See Schedule I, Part IV, Grant Purpose B 9 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. Schedule I, Part II, Column h: Grant Purpose A: Oversee and coordinate a project to develop a strategy for achieving broad availability of system, group, and physician-level cost and quality information across the US to improve the quality, transparency, and efficiency of the nation's health care system. Grant Purpose B: 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 measure endorsed by the National Quality Forum. X X 0 0 0 0 0 0 0 0 0 Elizabeth Mitchell President & CEO 336996 0 0 0 0 0 1373 0 14231 0 352600 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 4 The following significant changes were made to Network for Regional Healthcare Improvement's bylaws during the year: - The responsibilities of the CEO, an organization officer, were updated to include serving as ex-officio on all NRHI committees. - The membership categories were updated to eliminate affiliate members, philanthropic members, and employer members. State/Regional and National/Federal Affiliated Partner categories were added. There is no change to the role in governance or voting rights of the membership. Only full members retain these rights. Form 990, Part VI, Section A, line 6 Network for Regional Healthcare Improvement has two (2) categories of members and two (2) categories of partners: - 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 Medicaid 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. - Associate Members: An organization that meets the criteria described for Full Members may instead elect to join NRHI as an Associate Member, except that it shall submit an application to NRHI to be an Associate Member, shall contribute annual dues at the Associate Member level, and shall have the rights and benefits of an Associate Member. An organization's term as Associate Member is limited to one (1) year. Thereafter, the organization may choose to apply as another category of member in NRHI. - Regional/State or National Affiliated Partners are data vendors; philanthropies; local, state, or federal employers; industry or trade associations; or local, state, or federal government agencies committed to improving health and health care in the U.S. through multi-stakeholder collaboration. 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 Controller & Director of Finance Operations 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 Each director, principal officer, and member of a committee shall annually sign a statement that affirms that the person has received a copy of the conflict of interest policy, has read and understood the policy, and has agreed to comply with the policy; and discloses the person's financial interests and any relationships that could give rise to conflicts of interest. To ensure that the Organization operates in a manner consistent with its status as an organization exempt from federal income tax, the Board shall authorize and oversee an annual review of the administration of this conflict of interest policy. The review may be written or oral. The review shall consider the level of compliance with the policy, the continuing suitability of the policy, and whether the policy should be modified and improved. 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 similar 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. During the filing period, NRHI employed no additional compensated officers. 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, line 11g Professional Services: Program service expenses 158,342. Management and general expenses 0. Fundraising expenses 0. Total expenses 158,342. Consultant Fees: Program service expenses 838,204. Management and general expenses 0. Fundraising expenses 0. Total expenses 838,204. Outside Services: Program service expenses 510,836. Management and general expenses 0. Fundraising expenses 0. Total expenses 510,836. 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 From 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 a 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.