2016-05-05T04:42:44-05:00 2015-12-31 521511275 RAFFA PC 1899 L STREET NW SUITE 850 WASHINGTON DC 20036 990 2015-01-01 521576801 CENTER FOR HEALTH POLICY DEVELOPMENT CENT 2078746524 10 FREE STREET 2ND FLOOR PORTLAND ME 041014865 PATRICIA RILEY PRESIDENT/EXECUTIVE DIRECTOR 2078746524 2016-05-05 1 FRANK H SMITH P00639053 2028225000 2016-05-04 2015 2016-09-27 15:27:22Z NASHP PATRICIA RILEY 10 FREE STREET 2ND FLOOR PORTLAND ME 041014865 7476620 0 X WWW.NASHP.ORG X 1987 DC TO HELP STATES ACHIEVE EXCELLENCE IN HEALTH POLICY AND PRACTICE. 12 11 65 23 0 0 7520478 6283053 510076 573553 143251 150383 17962 24453 8191767 7031442 0 63912 0 0 5277015 5228882 0 0 156763 2196858 2262984 7473873 7555778 717894 -524336 6564977 5362374 1255274 727778 5309703 4634596 X TO EDUCATE THE PUBLIC ABOUT ISSUES SURROUNDING THE FINANCING AND DELIVERY OF HEALTH CARE AND THE STATUS OF THE PUBLIC'S HEALTH. IN ADDITION, WE SPONSOR EDUCATIONAL FORUMS TO PROMOTE DISCUSSION OF APPROACHES FOR IMPROVING HEALTH OUTCOMES AND THE QUALITY, COST-EFFECTIVENESS AND ACCESSIBILITY OF HEALTH AND LONG-TERM CARE. 0 0 5491216 63912 RESEARCH AND PROJECT SERVICES:THE CENTER'S WORK MAY BE CATEGORIZED INTO FIVE GENERAL POLICY AREAS; EACH IS DESCRIBED BELOW.LONG TERM SERVICES AND SUPPORTS: STATES THAT HAVE BEEN THE MOST SUCCESSFUL IN TRANSFORMING THEIR SYSTEMS OF LONG TERM SERVICES AND SUPPORTS TO BE PRIMARILY PROVIDED IN THE COMMUNITY HAVE TACKLED REFORMS ON MULTIPLE FORMS. THEY HAVE STREAMLINED ENTRY IN TO COMMUNITY SERVICES PROGRAMS TO MAKE THEM AS ACCESSIBLE AS INSTITUTIONAL CARE; MADE EFFECTIVE USE OF TECHNOLOGY TO HELP INDIVIDUALS ACCESS AND COORDINATE NEEDED SUPPORTS; CONTROLLED THE GROWTH OF BOTH COMMUNITY AND INSTITUTIONAL SPENDING; AND HAVE BEGUN TO BETTER INTEGRATE THE DELIVERY OF LONG TERM AND CHRONIC CARE. OTHER STATES ACROSS THE COUNTRY ARE LOOKING TO THE LEADER STATES FOR STRATEGIES THEY CAN APPLY TO REFORMING THEIR SYSTEMS. THE CENTER'S WORK IN LONG TERM AND CHRONIC CARE DELIVERY SYSTEMS ANALYZES STATE INITIATIVES IN ORDER TO ADVANCE PROMISING PRACTICES THAT COULD BE ADOPTED MORE BROADLY BY STATES. WE HAVE ALSO CONDUCTED ASSESSMENTS OF THE FACTORS THAT ARE LIMITING FURTHER PROGRESS ON DELIVERY SYSTEMS REFORMS AND HAVE RECOMMENDED CHANGES IN FEDERAL FINANCING OF LONG TERM SERVICES AND SUPPORTS AND WAYS TO BETTER COORDINATE THE MEDICARE AND MEDICAID PROGRAMS OF BEHALF OF DUAL ELIGIBLES.CHRONIC AND VULNERABLE POPULATIONS: PERSONS WHO REQUIRE ASSISTANCE WITH DAILY ACTIVITIES OVER THE LONG TERM DUE TO DISABILITY OR CHRONIC HEALTH CONDITIONS OFTEN HAVE COMPLEX NEEDS THAT MUST BE ADDRESSED BY MULTIPLE PROVIDERS AND DELIVERY SYSTEMS. THE CENTER'S WORK IN LONG TERM SERVICES AND SUPPORTS IS AIMED AT ASSISTING STATE POLICYMAKERS TO ASSESS THEIR CURRENT SYSTEMS AND ADVANCE REFORMS IN THE WAY SERVICES ARE ORGANIZED, FINANCED AND DELIVERED. SPECIFICALLY, STATES ARE PROVIDING MORE OPPORTUNITIES FOR INDIVIDUALS TO RECEIVE SERVICES AND SUPPORTS IN THEIR OWN HOMES AND COMMUNITIES. IN CHRONIC CARE, THE CENTER SUPPORTS STATES' EFFORTS TO IMPROVE THE TREATMENT AND A MANAGEMENT OF CHRONIC CONDITIONS, ENHANCE CARE COORDINATION, AND INTEGRATE THE DELIVERY OF HEALTH AND LONG TERM CARE SERVICES.POPULATION HEALTH: STATES HAVE A CRITICAL ROLE TO PLAY IN DEVELOPING PUBLIC HEALTH SYSTEMS THAT PROTECT AND IMPROVE HEALTH AT THE COMMUNITY AND POPULATION LEVELS BY PREVENTING DISEASE AND PROMOTING HEALTHY BEHAVIORS. STATES CAN DEVELOP POLICIES AND INITIATIVES TO EDUCATE THE PUBLIC, SUPPORT COMMUNITY PROGRAMS, PREPARE FOR AND PREVENT INFECTIOUS DISEASE OUTBREAKS, PREVENT INJURIES, AND ENSURE SAFE ENVIRONMENTS. THE CENTER CREATES OPPORTUNITIES TO ENGAGE GROUPS OF INFLUENTIAL STATE OFFICIALS, INCLUDING GOVERNOR'S POLICY ADVISORS, PUBLIC HEALTH DIRECTORS AND STAFF, AND MEDICAID AND CHIP LEADERSHIP MORE FULLY IN CHRONIC DISEASE PREVENTION AND HEALTH PROMOTION. THE CENTER HAS ANALYZED STATE EFFORTS FOCUSED ON SPECIFIC CHRONIC DISEASES, SUCH AS OBESITY, AND ALSO WORKED WITH STATES FOCUSED ON BROAD HEALTH REFORM INITIATIVES TO EXAMINE HOW THEY HAVE ADDRESSED CHRONIC DISEASE PREVENTION TO IMPROVE HEALTH OUTCOMES AND CONTAIN COSTS IN THE LONG TERM.CHILD AND FAMILY HEALTH - THROUGH MEDICAID AND THE CHILDREN'S HEALTH INSURANCE PROGRAM (CHIP), STATES AND THE NATION HAVE MADE SUBSTANTIAL PROGRESS IN COVERING CHILDREN AND IMPROVING THEIR ACCESS TO QUALITY HEALTH CARE SUPPORTING HEALTHY GROWTH AND DEVELOPMENT. IN 2015, THE CENTER CONTINUED IT SUPPORT, ANALYSIS, AND REPORTING ON STATE EFFORTS TO EXTEND CHILDREN'S COVERAGE SINCE THE CHIP PROGRAM'S INCEPTION, BUILDING ON THE ORGANIZATION'S LONGSTANDING WORK ON MEDICAID. THE CENTER SUPPORTS ACTIVE STATE-TO-STATE EXCHANGE AND COLLABORATIVE LEARNING BY REGULARLY CONVENING STATE OFFICIALS WORKING TO COVER CHILDREN VIA WEB, AUDIO, AND IN-PERSON MEETINGS AND THROUGH MECHANISMS SUCH AS WORKGROUPS AND ELECTRONIC DISCUSSION FORUMS. THE CENTER FACILITATES DIALOGUE BETWEEN, AND SERVES AS AN INFORMATION RESOURCE FOR, STATE AND FEDERAL PROGRAM ADMINISTRATORS AND POLICYMAKERS, AS WELL AS ADVOCATES, RESEARCHERS AND OTHER STAKEHOLDERS. THROUGH SURVEYS, CASE STUDIES AND OTHER METHODS, THE CENTER COLLECTS, ANALYZES AND REPORTS INFORMATION ON THE CHARACTERISTICS, CHALLENGES AND BEST PRACTICES OF STATE COVERAGE PROGRAMS FOCUSED PARTICULARLY ON CHILDREN AND FAMILIES, AND INITIATIVES IN ACHIEVING STATE AND FEDERAL GOALS FOR IMPROVING THAT COVERAGE.EMERGING POLICIES - MANY STATES ARE DEVELOPING AND IMPLEMENTING PAYMENT REFORM INITIATIVES TO HELP IMPROVE THE PATIENT EXPERIENCE AND THE HEALTH OF POPULATIONS WHILE LOWERING THE COSTS OF CARE. PAYMENT REFORM EFFORTS INVOLVE A TRANSITION AWAY FROM FEE-FOR-SERVICE (FFS) PAYMENT MECHANISMS THAT REWARD HIGH VOLUME TO ALTERNATIVE PAYMENT METHODS THAT REWARD VALUE. SUCH PAYMENT MODELS INCLUDE SHARED SAVINGS, BUNDLED PAYMENTS, PAY-FOR-PERFORMANCE, AND TOTAL COST OF CARE BUDGETS. THROUGH RESEARCH, TECHNICAL ASSISTANCE, AND PEER-LEARNING NETWORKS, THE CENTER SUPPORTS STATES THAT ARE IMPLEMENTING SUCH PAYMENT REFORM MODELS AMONG THEIR MEDICAID AND STATE EMPLOYEE POPULATIONS AS WELL AS STATES THAT ARE PARTNERING WITH COMMERCIAL INSURERS TO DESIGN MULTI-PAYER INITIATIVES. THIS BODY OF WORK ALSO INCLUDES FOCUS ON INSURANCE EXCHANGES -- INCLUDING ISSUES RELATED TO CHIP REAUTHORIZATION, DENTAL COVERAGE, AND MENTAL HEALTH AND SUBSTANCE ABUSE NEEDS -- THAT HAVE BEEN AT THE FOREFRONT OF HEALTH POLICY IN THE LAST FEW YEARS. THE CENTER CHRONICLES STATE ACTIVITIES RELATED TO ELIGIBILITY AND ENROLLMENT IN THE EXCHANGES-INCLUDING SUCCESSFUL STRATEGIES, CHALLENGES, AND LESSONS STATES HAVE LEARNED WHILE NAVIGATING THE EVER CHANGING INSURANCE MARKETPLACE. 342898 573553 CONFERENCES AND SEMINARS:THE CENTER'S ANNUAL CONFERENCE IS THE PREMIER NATIONAL EVENT FOCUSED ON STATE HEALTH POLICY AND HAS BEEN THE CATALYST FOR SIGNIFICANT IMPROVEMENT IN STATE HEALTH POLICY AND PRACTICE. 5834114 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 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 17 0 1 65 1 0 0 0 0 0 0 0 0 0 0 X 12 11 0 0 1 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 0 0 X ELLEN SCHNEITER 2078746524 10 FREE STREET 2ND FLOOR PORTLAND ME 041014865 SUSAN REINHARD CHAIR 1.00 X X 0 0 0 MARGARITA ALEGRIA IMMEDIATE PAST CHAIR 1.00 X X 0 0 0 JOHN MORRISON VICE CHAIR 1.00 X X 0 0 0 JANETTE BURKE TREASURER 1.00 X X 0 0 0 NICOLETTE HIGHSMITH VERNICK SECRETARY 1.00 X 0 0 0 JOSE ESCARCE MEMBER 1.00 X 0 0 0 DARRELL GASKIN MEMBER 1.00 X 0 0 0 SHERRY GLIED MEMBER 1.00 X 0 0 0 MARY KENNEDY MEMBER 1.00 X 0 0 0 CAROLYN MAGILL MEMBER 1.00 X 0 0 0 MARCIA NIELSEN MEMBER 1.00 X 0 0 0 PATRICIA RILEY PRESIDENT/EXECUTIVE DIRECTOR 35.00 X X 253014 0 25978 ELLEN SCHNEITER COO/CFO (AS OF 03/2015) 35.00 X 119937 0 12431 ELLEN HOBBY COO/CFO (UNTIL 03/2015) 35.00 X 54081 0 8518 NEVA KAYE MANAGING DIRECTOR 35.00 X 189768 0 32062 DIANE JUSTICE SENIOR PROGRAM DIRECTOR 35.00 X 188145 0 23282 KATHARINE WITGERT SENIOR PROGRAM DIRECTOR 35.00 X 137493 0 19481 JENNIFER LAUDANO COMMUNICATIONS DIRECTOR 35.00 X 137374 0 32632 NICOLE VAUGHAN FINANCE DIRECTOR 35.00 X 117188 0 17676 KAREN VANLANDEGHEM SENIOR PROGRAM DIRECTOR 35.00 X 116222 0 10446 MAUREEN HENSLEY-QUINN PROGRAM DIRECTOR 35.00 X 113095 0 17316 1426317 0 199822 14 0 1 0 SHERATON DALLAS 400 NORTH OLIVE STREET DALLAS TX 75201 HOTEL SERVICES 319755 OPTIMAL 15201 DIAMOND DRIVE 220 ROCKVILLE MD 20850 COMPUTER SUPPORT SERVICES 130057 INTESA 3601 5TH AVENUE SAN DIEGO CA 92103 WEBSITE DEVELOPMENT SERVICES 129133 READYTALK PO BOX 975375 DALLAS TX 753975375 CONFERENCE CALLING 109268 4 2534959 3748094 6283053 CONFERENCES/SEMINARS 900099 566153 566153 HONORARIA FEES 900099 7400 7400 573553 38987 38987 556574 445178 111396 111396 111396 TRAVEL REIMBURSEMENT 900099 11938 11938 SUBLEASE INCOME 900099 10670 10670 OTHER 900099 1845 1845 24453 7031442 573553 0 174836 63912 63912 907216 681559 194967 30690 3345082 2706868 559902 78312 186154 151133 30646 4375 488611 387430 88443 12738 301819 238025 56489 7305 2303 2303 37080 37080 11968 11968 326239 214262 111977 5786 5786 234973 213005 18440 3528 227722 210889 11158 5675 490111 158535 318074 13502 403893 364903 38684 306 378954 377838 784 332 16376 16376 84033 54501 29532 24059 5240 18819 DUES & SUBSCRIPTIONS 12962 12962 MISCELLANEOUS 2857 228 2629 RECRUITMENT 2007 2007 LOSS ON DISPOSAL OF F/A 1661 1661 7555778 5834114 1564901 156763 377374 569445 595615 37656 3125611 2567788 13287 45365 112444 156018 651020 435341 227129 215679 2112203 1769384 1314 1039 6564977 5362374 729689 323859 216961 246273 237669 124000 70955 33646 1255274 727778 X 2238870 2391967 3070833 2242629 5309703 4634596 6564977 5362374 -524336 -150771 0 X 0 1 X 1 1 1 X 4824708 7690701 5336418 7520478 6283053 31655358 4824708 7690701 5336418 7520478 6283053 31655358 12106945 19548413 55128 55335 48228 50198 49657 258546 32075 376 2027 1845 36323 31950227 2601755 0.61180 0.50520 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER - 2011 AMOUNT: $ 32,075. 2012 AMOUNT: $ 376. 2013 AMOUNT: $ 2,027. 2014 AMOUNT: $ 0. 2015 AMOUNT: $ 1,845. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 175760 149291 26469 408249 221099 187150 67011 64951 2060 215679 DEFERRED RENT 7045 DEFERRED LEASEHOLD ALLOWANCE 23601 DEPOSIT 3000 33646 X 6904649 -150771 23978 -126793 7031442 0 7031442 7579756 23978 23978 7555778 0 7555778 PART X, LINE 2: THE CENTER PERFORMED AN EVALUATION OF UNCERTAIN TAX POSITIONS FOR THE YEAR ENDED DECEMBER 31, 2015, AND DETERMINED THAT THERE WERE NO MATTERS THAT WOULD REQUIRE RECOGNITION IN THE FINANCIAL STATEMENTS OR THAT MAY HAVE ANY EFFECT ON ITS TAX-EXEMPT STATUS. 1 NATIONAL ORGANIZATIONS FOR STATE & LOCAL OFFICIALS 5600 FISHERS LANE ROCKVILLE MD 208521750 N/A 63912 0 SUB-AWARDS 1 0 PART I, LINE 2: ONCE THE SUB-AWARD IS GIVEN TO THE RECIPIENT, PROGRESS REPORTS ARE REVIEWED BY THE PROJECT LEAD, AND THE INVOICES ARE MONITORED/COMPARED TO THE BUDGET BY OUR BUSINESS MANAGER. X X X X 1 0 0 0 0 0 0 0 0 PATRICIA RILEY PRESIDENT/EXECUTIVE DIRECTOR 253014 0 0 0 0 0 15197 0 10781 0 278992 0 0 0 NEVA KAYE MANAGING DIRECTOR 189768 0 0 0 0 0 11809 0 20253 0 221830 0 0 0 DIANE JUSTICE SENIOR PROGRAM DIRECTOR 188145 0 0 0 0 0 11551 0 11731 0 211427 0 0 0 KATHARINE WITGERT SENIOR PROGRAM DIRECTOR 137493 0 0 0 0 0 8398 0 11083 0 156974 0 0 0 JENNIFER LAUDANO COMMUNICATIONS DIRECTOR 137374 0 0 0 0 0 8721 0 23911 0 170006 0 0 0 PART I, LINE 4A ELLEN HOBBY, WHO SERVED AS COO/CFO UNTIL MARCH 2015, RECEIVED A SEVERANCE PAYMENT OF $39,500. FORM 990, PART VI, SECTION A, LINE 4 IN 2015, THE CENTER'S BOARD AMENDED THE ORGANIZATIONAL BYLAWS IN THREE WAYS. FIRST, A PROVISION WAS ADDED TO MAKE THE CHAIRPERSON OF THE NATIONAL ACADEMY OF STATE HEALTH POLICY AN EX OFFICIO MEMBER OF THE CENTER'S BOARD OF DIRECTORS. NEXT, THE TERM OF THE IMMEDIATE PAST CHAIR WAS CHANGED FROM ONE YEAR TO TWO YEARS. LAST, THE BYLAWS WERE AMENDED TO SPECIFY THAT THE ANNUAL MEETING OF THE BOARD OF DIRECTORS WILL BE HELD DURING THE ANNUAL CONFERENCE OF THE NATIONAL ACADEMY OF STATE HEALTH POLICY. FORM 990, PART VI, SECTION B, LINE 11 THE FEDERAL FORM 990 IS PREPARED BY AN OUTSIDE AUDIT AND ACCOUNTING FIRM. PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE, THE DRAFT VERSION OF THE FEDERAL FORM 990 IS REVIEWED AND APPROVED BY TOP MANAGEMENT AND THE AUDIT COMMITTEE. FORM 990, PART VI, SECTION B, LINE 12C OFFICERS AND MEMBERS OF THE BOARD OF DIRECTORS COMPLETE AN ANNUAL DISCLOSURE FORM AT THE START OF EACH CALENDAR YEAR. AT EACH BIANNUAL BOARD MEETING, THEY ARE ASKED TO PROVIDE ANY UPDATES OR CHANGES TO THEIR PROFILE THAT COULD BE OF POTENTIAL CONFLICT AND THIS INFORMATION IS RECORDED IN THE MEETING MINUTES. THE HUMAN RESOURCE DEPARTMENT COLLECTS THE SAME CONFLICT OF INTEREST DISCLOSURES FROM THE SENIOR STAFF ON AN ANNUAL BASIS. FORM 990, PART VI, SECTION B, LINE 15A THE PROCESS FOR DETERMINING COMPENSATION FOR THE PRESIDENT/EXECUTIVE DIRECTOR INCLUDES THE USE OF COMPARABILITY DATA AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE PRESIDENT/EXECUTIVE DIRECTOR COMPENSATION IS THEN DISCUSSED IN AN EXECUTIVE SESSION AFTER THE FALL BOARD OF DIRECTORS MEETING. FORM 990, PART VI, SECTION C, LINE 19 THE CENTER'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.