2013-11-11T13:52:05-06:00 2012-12-31 521855942 TATE AND TRYON 2021 L STREET NW SUITE 400 WASHINGTON DC 20036 990 2012-01-01 510120256 NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS AND RELATED INSTITUTIONS INC NATI 7036841355 401 WYTHE STREET ALEXANDRIA VA 223141926 MARK WIETECHA 7036841355 2013-11-11 1 SUBRINA L WOOD P00365899 2022932200 2012 2016-02-24 21:20:13Z NACHRI MARK WIETECHA 401 WYTHE STREET ALEXANDRIA VA 223141926 21535632 0 X WWW.CHILDRENSHOSPITALS.NET 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 12 102 35 47480 5712 140000 200822 9103824 18325596 276794 694106 711400 2314318 10232018 21534842 0 0 0 0 6201466 12661936 0 0 362281 3960730 5995796 10162196 18657732 69822 2877110 29319182 34013887 4614465 4298075 24704717 29715812 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 3896717 10699736 DUE TO ITS MERGER WITH CHCA, NACHRI IS IN THE PROCESS OF INTEGRATING ITS DATA PROGRAM DELIVERABLES WITH THOSE OF CHCA IN ORDER TO COME UP WITH THE BEST OF BOTH ORGANIZATIONS AND OFFER BEST OF BREED PEDIATRIC COMPARATIVE DATA AND ANALYTICS FOR OUR MEMBERS. THESE DATA PROGRAM INTEGRATION ACTIVITES WILL TAKE PLACE IN 2013 AND CARRY OVER INTO 2014 FOR SOME DATA PROGRAMS.MANAGEMENT INFORMATION SERVICES AND INFORMATION DISSEMINATION - ONE OF NACHRI'S FOUNDING PURPOSES IS THE COLLECTION, DISSEMINATION AND APPLICATION OF INFORMATION ABOUT CHILDREN'S HEALTH AND HOSPITALS FOR THE PURPOSE OF IMPROVING CARE TO PEDIATRIC PATIENTS. THE ASSOCIATION UNDERTAKES A NUMBER OF ACTIVITIES IN MEETING THIS STATED PURPOSE, INCLUDING ONGOING OPERATION OF SEVERAL COMPARATIVE DATA PROGRAMS AND THEIR RELATED SOFTWARE PRODUCTS, AS WELL AS SPECIALIZED (FOCUS) GROUP MEETINGS TO IMPROVE CLINICAL SERVICES AND PATIENT OUTCOMES. THE APPLICATION OF OUR COMPARATIVE DATA PROGRAMS ASSISTS MEMBER HOSITALS WITH OPERATIONAL BENCHMARKING AND CLINICAL DECISION SUPPORT, AS WELL AS SERVING AS A SOURCE FOR HEALTH SERVICES RESEARCH AND POLICY MAKING ACTIVITIES IN SUPPORT OF ADVOCACY EFFORTS ON BEHALF OF CHILDREN'S HOSPITALS AT NATIONAL AND STATE LEVELS. FOR EXAMPLE, THIS PAST YEAR NACHRI FACILITATED THREE FOCUS GROUPS CONSISTING OF JUST OVER 175 PROVIDERS AND ADMINISTRATORS, WORKING ACROSS THREE AREAS OF CLINICAL SERVICES (EMERGENCY SERVICES, AND PEDIATRIC INTENSIVE CARE AND GENERAL INPATIENT) TO EXAMINE AND IMPROVE PATIENT CARE. THE 2012 FOCUS GROUP ACTIVITIES CONCLUDED IN THE FIRST QUARTER (BECAUSE INPATIENT CONCLUDES IN JANUARY 2013). INITIATIVES IN THESE THREE AREAS WILL BE OFFERED AGAIN IN 2013, WITH INITIAL MEETINGS OF THESE GROUPS ANTICIPATED TO OCCUR IN FEBRUARY/MARCH OF 2013.IN 2011, NACHRI FULLY TRANSITIONED TO A NEW TECHNOLOGY PLATFORM FOR ITS CASE MIX DATABASE WHICH ALLOWS FOR MORE DATA ELEMENTS COLLECTED AND THUS PROVIDES BETTER DATA FOR HOSPITALS TO USE IN THEIR QUALITY AND PROCESS IMPROVEMENT EFFORTS. THERE ARE CURRENTLY 99 CHILDREN'S HOSPITALS THAT ARE SUBMITTING DATA TO THE CASE MIX COMPARATIVE DATA PROGRAM. IN THE LATTER PART OF 2012, EFFORTS BEGAN TOWARDS THE INTEGRATION OF THE CASE MIX COMPARATIVE DATA PROGRAM WITH THE PEDIATRIC HEALTH INFORMATION SYSTEM (PHIS) FROM CHCA. BY DECEMBER 2013, THESE TWO DATA PROGRAMS SHOULD BE INTEGRATED.NACHRI IS AN APPROVED PROVIDER FOR THE FOLLOWING FIVE JOINT COMMISSION ORYX CORE MEASURE SETS: CHILDREN'S ASTHMA CORE (CAC) MEASURE SET, THE HOSPITAL BASED INPATIENT PSYCHIATRIC SERVICES CORE (HBIPS) MEASURE SET, THE PERINATAL CARE (PC) CORE MEASURE SET, THE IMMUNIZATION (IMM) CORE MEASURE SET AND THE EMERGENCY DEPARTMENT (ED) CORE MEASURE SET. ALL OF THESE ORYX CORE MEASURE SETS ARE OFFERED THROUGH THE PEDIATRIC QUALITY MEASUREMENT SYSTEM (PQMS). SINCE THE INCEPTION OF PQMS, THE HOME MANAGEMENT PLAN OF CARE (HMPC) CORE MEASURE (PART OF THE CHILDREN'S ASTHMA CARE CORE MEASURE SET) HAS SEEN AN IMPROVEMENT IN COMPLIANCE FROM 10% COMPLIANCE RATE TO OVER 80% (2012) IN FIVE YEARS. 2827064 246191 PUBLIC AFFAIRS - NACHRI PROVIDES IMPORTANT INFORMATION AND LEARNING OPPORTUNITIES DESIGNED FOR THE PUBLIC AS WELL AS CHILDREN'S HOSPITALS AND OTHER HEALTH CARE PROVIDERS THAT ADVANCE THE PRACTICE OF MEDICINE AND HELP CONSUMERS MAKE INFORMED DECISIONS. FOR HEALTH CARE PROFESSIONALS, NACHRI DELIVERS NETWORKING OPPORTUNITIES, BEST PRACTICES CASE STUDIES, AND COMMUNICATIONS TECHNICAL AND INDUSTRY ADVANCES IN THE FIELDS OF HOSPITAL PUBLIC RELATIONS, CHILDREN'S HEALTH ADVOCACY AND COMMUNITY HEALTH. NACHRI COMMUNICATIONS VEHICLES INCLUDE THE QUARTERLY MAGAZINE, "CHILDREN'S HOSPITALS TODAY", NUMEROUS "HOW-TO" WEB AND CONFERENCE CALL PROGRAMS FOR HEALTH CARE PROFESSIONALS. NACHRI STAFF ALSO MAKE FREQUENT VISITS TO MEMBER HOSPITALS, AND ARE ACTIVE IN COALITIONS ON MANY CHILDREN'S HEALTH ISSUES INCLUDING OBESITY, INJURY PREVENTION AND CHILD ABUSE TREATMENT AND PREVENTION. NACHRI ACTIVELY DISTRIBUTES MATERIAL FROM THESE ALLIED ORGANIZATIONS SUCH AS KIDS COUNT IN THE FORM OF BOOKS, OTHER PRINTED MATERIAL AND VIDEOS.NACHRI PROVIDES HEALTH CARE PROFESSIONALS AND THE PUBLIC WITH A RESOURCE OF INFORMATION ON CHILDREN'S HEALTH NEWS AND INFORMATION THROUGH THE NACHRI WEBSITE, WWW.CHILDRENSHOSPITALS.NET. THE WEBSITE PROVIDES CURRENT DATA ON SUCH TOPICS AS CHILD ABUSE PREVENTION AND CHILD HEALTH MONTH, AND LINKS TO CHILDREN'S HOSPITALS AND OTHER RELATED WEBSITES. 2637693 1406211 NACHRI'S QUALITY PROGRAM SERVES TO IMPROVE THE QUALITY AND SAFETY OF HEALTH CARE PROVIDED TO CHILDREN THROUGH THREE INTERRELATED AREAS: (1) WORKING TO ENSURE THAT THE UNIQUE NEEDS OF CHILDREN ARE REPRESENTED IN NATIONAL GOVERNMENT AND NON-GOVERNMENTAL QUALITY INITIATIVES AND ENTITIES; (2) BUILDING AND COORDINATING EFFORTS TO EXPAND THE ABILITY TO MEASURE THE QUALITY AND SAFETY OF CARE PROVIDED TO CHILDREN; (3) FACILITATING TRANSFORMATION OF CARE FOR CHILDREN THROUGH THE QUALITY TRANSFORMATION NETWORK.ENSURING THAT CHILDREN ARE REPRESENTED IN NATIONAL QUALITY INITIATIVES:NACHRI BRINGS THE VOICE OF CHILDREN TO NATIONAL STRATEGIC EFFORTS TO ADVANCE QUALITY (E.G., THE NATIONAL QUALITY STRATEGY) THROUGH PARTICIPATION AND REPRESENTATION ON ENTITIES INCLUDING THE NATIONAL QUALITY FORUM, NATIONAL PRIORITIES PARTNERSHIP AND MEASURE APPLICATIONS PARTNERSHIP. NACHRI WORKS WITH GOVERNMENTAL AND NONGOVERNMENTAL ENTITIES, SUCH AS THE AGENCY FOR HEALTHCARE RESEARCH AND QUALITY (AHRQ), CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS), JOINT COMMISSION AND OTHERS, TO ADVANCE HIGH QUALITY AND SAFE HEALTH CARE FOR CHILDREN. NACHRI PROVIDES ANALYTICAL SUPPORT TO ALLIED ORGANIZATIONS IN REVIEWING REGULATIONS AND LEGISLATION REGARDING QUALITY OF HEALTH CARE.BUILDING AND COORDINATING EFFORTS TO EXPAND QUALITY MEASUREMENT:THROUGH PARTICIPATION ON THE NATIONAL QUALITY FORUM, RELATIONSHIPS WITH GOVERNMENTAL AND NON-GOVERNMENTAL ENTITIES, AND EXPERTISE OF ITS MEMBER ORGANIZATIONS, NACHRI WORKS TO ADVANCE EFFORTS TO MEASURE THE QUALITY AND SAFETY OF CARE PROVIDED TO CHILDREN. EXAMPLES INCLUDE SUPPORT OF AHRQ-FUNDED CHIPRA PEDIATRIC QUALITY MEASUREMENT PROGRAM CENTERS OF EXCELLENCE AND DEVELOPMENT OF FRAMEWORKS TO IDENTIFY MEASURES ACROSS DOMAINS OF QUALITY AND SETTINGS OF CARE FOR CHILDREN. THROUGH ITS DATA AND ANALYTICS SERVICES, NACHRI ALSO PROVIDES COMPARATIVE INFORMATION TO MEMBER HOSPITALS AND ASSESSES MEASURES AVAILABLE USING ADMINISTRATIVE DATA. NACHRI QUALITY TRANSFORMATION NETWORK:NACHRI CONTINUES TO DEVELOP AND EXPAND ITS QUALITY TRANSFORMATION NETWORK (QTN) AND DISSEMINATE THE RESULTS OF QTN PROGRAMS. PRESENTLY THE NACHRI QTN RUNS THREE PROGRAMS: (1) PEDIATRIC INTENSIVE CARE UNIT CENTRAL LINE ASSOCIATED BLOOD STREAM INFECTIONS (PICU CLABSI), LAUNCHED IN 2006 WITH 28 HOSPITALS AND ADDED COHORTS IN 2008, 2009, 2011 AND 2012. CURRENTLY THERE ARE 56 ACTIVE UNITS FROM 44 HOSPITALS; IN ALL 76 HOSPITALS HAVE PARTICIPATED. INFECTION RATES HAVE BEEN REDUCED 43% - 72%. THE PROGRAM HAS SAVED 466 LIVES AND MORE THAN $135 MILLION. (2) PEDIATRIC HEMATOLOGY/ONCOLOGY CENTRAL LINE ASSOCIATED BLOOD STREAM INFECTIONS (HEMONC CLABSI) LAUNCHED IN 2009 WITH 28 HOSPITALS AND ADDED COHORTS IN 2011 AND 2012. CURRENTLY THERE ARE 71 ACTIVE UNITS FROM 34 HOSPITALS; IN ALL 40 HOSPITALS HAVE PARTICIPATED. INFECTION RATES HAVE DECLINED 21% - 50%. THE PROGRAM HAS SAVED 45 LIVES AND MORE THAN $13 MILLION. THIS PROGRAM HAS EXPANDED TO CLABSI PREVENTION IN AMBULATORY SETTINGS. (3) SCOPE (STANDARDIZED CARE TO IMPROVE OUTCOMES IN PEDIATRIC ESRD; WAS PREVIOUSLY CALLED PEDIATRIC NEPHROLOGY PERITONITIS AND EXIT SITE INFECTIONS PROGRAM) LAUNCHED IN 2011 AND CURRENTLY INCLUDES 28 ACTIVE HOSPITALS. THIRTY HOSPITALS HAVE PARTICIPATED IN TOTAL. THIS PROGRAM FOCUSES ON REDUCING INFECTIONS IN DIALYSIS PATIENTS IN AMBULATORY SETTINGS. SCOPE HAS REDUCED PERITONITIS RATES 35% AND SAVED AN ESTIMATED $500,000. WORK WITH HEMODIALYSIS PATIENTS IS BEGINNING IN EARLY 2013. THE COMMON GOALS OF ALL QTN PROGRAMS ARE (A) TO DEVELOP AND TEST STRATEGIES TO REDUCE THE RATE OF HEALTHCARE-ASSOCIATED INFECTIONS IN CHILDREN. (B) TO SPREAD ESTABLISHED IMPROVEMENTS THAT HAVE BEEN SHOWN TO BE EFFECTIVE TO ALL HOSPITALS. (C) TO PROVIDE A FORUM FOR PARTICIPATING PHYSICIANS TO FULFILL REQUIREMENTS SET FORTH BY THE AMERICAN BOARD OF PEDIATRICS FOR MAINTENANCE OF CERTIFICATION. (D) TO DEVELOP A SUSTAINABLE MODEL FOR NATIONAL PEDIATRIC QUALITY TRANSFORMATION EFFORTS. 1643269 882815 EDUCATION - THE ASSOCIATION HELD ITS EIGHTH ANNUAL CREATING CONNECTIONS CONFERENCE IN MARCH 2012, WITH TRACKS DIRECTED TOWARDS SPECIFIC DISCIPLINES RELATED TO PUBLIC HEALTH AND CHILD ADVOCACY, CHILDREN'S HOSPITALS WITHIN HOSPITALS OR SYSTEMS, PUBLIC RELATIONS AND COMMUNICATIONS, QUALITY IMPROVEMENT AND PATIENT SAFETY, AND PHILANTHROPY. THE PURPOSE OF THE CONFERENCE IS TO PROVIDE AN INTERDISCIPLINARY EDUCATIONAL PROGRAM AND VALUABLE NETWORKING OPPORTUNITIES TO CHILDREN'S HOSPITAL PROFESSIONALS AND LEADERS. THE PROGRAM SUCCESSFULLY ATTRACTED OVER 400 MEMBERS, SPEAKERS, SPONSORS AND STAFF.PRECONFERENCE PROGRAMS HELD PRIOR TO THE 2012 CREATING CONNECTIONS CONFERENCE INCLUDED ONE WORKSHOP AND THE SPECIALTY HOSPITALS CONFERENCE. THE WORKSHOP ENTITLED "CHILDREN'S HOSPITAL DISASTER RESPONSE AND PREPAREDNESS WORKSHOP" ADDRESSED ISSUES RELATED TO DISASTER PREPAREDNESS ATTRACTING APPROXIMATELY 28 PARTICIPANTS COMBINED. THE SPECIALTY HOSPITAL CONFERENCE PROGRAM FOCUSED ON CHAMPIONING THE ROLE OF SPECIALTY HOSPITALS. ATTRACTING OVER 40 IN ATTENDANCE INCLUDING MEMBERS, SPEAKERS AND STAFF.IN OCTOBER 2012, THE ASSOCIATION CONDUCTED ITS ANNUAL CONFERENCE WITH THE MEETING THEME BEYOND INNOVATION TO POSITIONING CHILDREN'S HOSPITALS FOR THE FUTURE, TAKING THE LEADERSHIP TEAM TO THE NEXT LEVEL, AND TRANSFORMING MODELS OF CARE AND PATIENT CARE DELIVERY SYSTEMS. THE CONFERENCE WAS DESIGNED TO MEET THE NEEDS OF CHIEF EXECUTIVE OFFICERS, HOSPITAL BOARD TRUSTEES, SENIOR MEDICAL LEADERS, PATIENT CARE EXECUTIVES, CHIEF OPERATING OFFICERS AND OTHER SENIOR CHILDREN'S HOSPITAL LEADERS. THE CONFERENCE ATTRACTED ALMOST 500 INDIVIDUALS IN ATTENDANCE INCLUDING MEMBERS, SPEAKERS, SPONSORS AND STAFF. SESSION TOPICS INCLUDED: "IMPROVING PHYSICIAN ENGAGEMENT THROUGH STRATEGIC PLANNING" AND "COURAGEOUS LEADERSHIP STRATEGIES: CULTURAL TRANSFORMATION EMERGES" IN ORDER TO RESPOND TO MEMBERS' MOST IMPORTANT ISSUES SO THAT THEY CAN CONTINUE THEIR MISSIONS TO SERVE CHILDREN.A PRECONFERENCE PRESENTATION BY PATRICK CONWAY WAS HELD PRIOR TO THE ANNUAL CONFERENCE.IN DECEMBER 2012, THE ASSOCIATION HELD AN INTERNATIONAL FACILITIES DESIGN AND CAPACITY CONFERENCE. THE CONFERENCE WAS DESIGNED TO MEET THE NEEDS OF CHIEF EXECUTIVE OFFICERS, CHIEF OPERATING OFFICERS, FACILITIES DIRECTORS, MEDICAL DIRECTORS, NURSE ADMINISTRATORS, PLANNING DIRECTORS, PLANNING TEAM MEMBERS, QUALITY OF CARE DIRECTORS, SENIOR ADMINISTRATORS AND PROFESSIONALS INVOLVED AT ANY STAGE OF THE DESIGN OF CHILDREN'S HOSPITALS. THE CONFERENCE ATTRACTED OVER 200 INDIVIDUALS IN ATTENDANCE INCLUDING MEMBERS, SPEAKERS, SPONSORS AND STAFF. SESSION TOPICS INCLUDED: "A VIRTUAL HOSPITAL-DESIGNING, BUILDING AND DEMONSTRATING ITS VALUE" AND OPERATIONAL CHANGE AND THE CHILDREN'S HOSPITAL OF THE FUTURE" IN ORDER TO RESPOND TO MEMBERS' MOST IMPORTANT ISSUES SO THAT THEY CAN CONTINUE THEIR MISSIONS TO SERVE CHILDREN. 867157 2260123 CLASSIFICATION RESEARCH - NACHRI'S ACTIVITIES IN THE AREA OF CLASSIFICATION RESEARCH ARE INTENDED TO ADVANCE THE DEVELOPMENT OF ACUTE HOSPITALIZATION CLASSIFICATION SYSTEMS AND POPULATION BASED CHRONIC DISEASE ORIENTED CLASSIFICATION SYSTEMS. THEY ARE FOCUSED ON DEVELOPING ICD-9-CM/UB-04 (I.E., ADMINISTRATIVE DATA) BASED SYSTEMS THAT ARE APPROPRIATE FOR CHILDREN AND USEFUL FOR CHARACTERIZING THEIR HEALTH CONDITIONS, SERVICE UTILIZATION, COSTS, AND TO THE EXTENT POSSIBLE, OUTCOMES OF CARE. THEY ARE INTENDED TO BE USED BY CHILDREN'S HOSPITALS, BY NACHRI IN ITS COMPARATIVE REPORTING, BENCHMARKING AND POLICY ANALYSIS WORK, AND THROUGHOUT THE HEALTHCARE FIELD.IN THE PAST YEAR, NACHRI CLASSIFICATION RESEARCH CONTRIBUTED TO THE RESEARCH FOR UPDATES AND IMPROVEMENTS TO THE ALL PATIENT REFINED DIAGNOSES RELATED GROUPS (APR-DRGS), AN ACUTE HOSPITALIZATION SYSTEM; THE POTENTIAL PREVENTABLE READMISSIONS (PPRS), ANOTHER ACUTE HOSPITALIZATION SYSTEM; AND THE CLINICAL RISK GROUPS (CRGS), A POPULATION BASED CHRONIC DISEASE ORIENTED SYSTEM. CLASSIFICATION RESEARCH ALSO PROVIDED ONGOING TECHNICAL ASSISTANCE TO OTHER NACHRI PROGRAM AREAS AND DEVELOPED SEVERAL PUBLICATIONS INCLUDING "ROLE OF CHILDREN'S HOSPITALS IN THE PEDIATRIC SAFETY NET" AND "ISSUES FOR CHILDREN'S HOSPITALS IN DRG BASED PROSPECTIVE PAYMENT SYSTEMS". 2174118 2839908 CONTRACTOR SERVICES - AMOUNTS RELATED TO SERVICE ARRANGEMENTS WITH THE NATIONAL ASSOCIATION FOR CHILDREN'S HOSPITALS (N.A.C.H), A RELATED EXEMPT ORGANIZATION WITH A SIMILAR EXEMPT PURPOSE. 4684544 5982846 14046018 1 1 0 1 0 0 0 0 0 0 1 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 1 57 0 1 102 1 1 1 0 0 0 0 1 1 0 0 0 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 CAROL CITRON DIRECTOR OF FINANCE 7037976010 401 WYTHE STREET ALEXANDRIA VA 223141926 JAMES MANDELL MD 1.00 1.00 X X 0 0 0 CHRISTOPHER J DUROVICH 1.00 1.00 X X 0 0 0 HERMAN B GRAY MD MBA FAAP 1.00 1.00 X X 0 0 0 AMY MANSUE 1.00 1.00 X X 0 0 0 CHRISTOPHER G DAWES 1.00 1.00 X 0 0 0 STEVE J ALLEN MD 1.00 1.00 X 0 0 0 MARCY DODERER FACHE 1.00 1.00 X 0 0 0 THOMAS KMETZ 1.00 1.00 X 0 0 0 JAMES E SHMERLING DHA FACHE 1.00 1.00 X 0 0 0 PEGGY TROY RN MSN 1.00 1.00 X 0 0 0 KAREN R WOLFSON 1.00 1.00 X 0 0 0 STEVE WORLEY 1.00 1.00 X 0 0 0 MARK WIETECHA 10.00 30.00 X X 164266 492797 137041 CAROL CITRON 40.00 0.00 X 182948 0 15702 AMY KNIGHT 18.00 22.00 X 167067 204192 31252 MARY GORMAN 40.00 0.00 X 312048 0 32878 MILTON KAUFMAN 0.00 40.00 X 0 264755 40071 MARK RILEY 40.00 0.00 X 162418 0 17674 JOHN MULDOON 40.00 0.00 X 264705 0 36895 ELLEN SCHWALENSTOCKER 40.00 0.00 X 181498 0 13912 GILLIAN RAY 40.00 0.00 X 165450 0 34736 DONNA SHELTON 40.00 0.00 X 154817 0 19940 PATRICIA ADAIR 40.00 0.00 X 161178 0 13399 LAWRENCE MCANDREWS 0.00 0.00 X 678135 0 80894 CHARLES BAIN 0.00 0.00 X 150427 0 0 2744957 961744 474394 29 1 1 0 TRUVEN HEALTH ANALYTICS INC 39353 TREASURY CENTER CHICAGO IL 60694 DATABASE ADMINISTRATOR 335538 STEPTOE & JOHNSON LLP 1330 CONNECTICUT AVE NW WASHINGTON DC 20036 LEGAL SERVICES 293991 ROPES & GRAY PO BOX 414265 BOSTON MA 02241 LEGAL SERVICES 204449 JOHNS HOPKINS UNIVERSITY 200 N WOLFE ST BALTIMORE MD 21287 RESEARCH CONSULTANT 201984 VANDERBILT UNIVERSITY MEDICAL CENTER 2200 CHILDRENS WAY NASHVILLE TN 37232 RESEARCH CONSULTANT 154439 9 200822 200822 MEMBERSHIP DUES 900099 9586642 9586642 PROJECT PARTICIPATION FEES 900099 4115245 4115245 REIMBURSED EXPENSES 900099 2634086 2634086 MEETINGS AND CONFERENCE 900099 1726860 1726860 CONSULTATIVE SERVICES 541800 142753 142753 120010 72530 47480 18325596 691402 691402 2304150 2304150 3494 0 790 3494 -790 2704 2704 MISCELLANEOUS 900099 10168 9388 780 10168 21534842 18287504 47480 2999036 1109505 717972 369757 21776 9427117 6278134 2959307 189676 616025 616025 928383 1614621 -737313 51075 580906 414040 154243 12623 178172 16096 162076 64642 64642 62803 62803 2104323 1973767 130530 26 500 500 356311 190653 164368 1290 537977 289010 247796 1171 1163030 784470 378560 370499 224901 132485 13113 1184809 1058769 99484 26556 683610 683610 52391 52391 EQUIP RENT AND MAINT 318247 135617 181945 685 DUES AND SUBSCRIPTIONS 53435 47923 5462 50 PROFESSIONAL DEVELOPMEN 29658 23884 5774 TAXES 11597 11597 -1176208 275661 -1496109 44240 18657732 14046018 4249433 362281 200 200 1574919 3852685 1151859 969931 358200 372677 12189812 8271170 4346373 3918642 20013549 22555259 1725494 2114870 148588 229623 29319182 34013887 2197792 2899706 1200900 272780 1215773 1125589 4614465 4298075 X 24704717 29715812 24704717 29715812 29319182 34013887 X 2877110 2072579 61406 X X 0 1 X 1 0 X 1191535 113500 130000 140000 200822 1775857 15904621 16365831 16758372 9061934 18278116 76368874 17096156 16479331 16888372 9201934 18478938 78144731 3385756 2924670 2857560 1394020 2634086 13196092 0 3385756 2924670 2857560 1394020 2634086 13196092 64948639 2539631 2204332 2718157 1128758 2995552 11586430 2539631 2204332 2718157 1128758 2995552 11586430 68928 4488 20133 9184 3802 106535 27589 9508 5395 32228 10168 84888 19732304 18697659 19632057 10372104 21488460 89922584 0.72230 0.88200 0.12880 0.11520 X SCHEDULE A, PART IV, SUPPLEMENTAL INFORMATION: EFFECTIVE JULY 1, 2011, THE ASSOCIATION CHANGED ITS ACCOUNTING PERIOD AS A RESULT OF A MERGER. A RETURN FOR THE SIX MONTH PERIOD ENDING DECEMEBR 31, 2011 WAS FILED AND IS REFLECTED IN COLUMN (D)2011. THE PREVIOUS THREE YEARS ARE FOR THE YEARS ENDING JUNE 30, 2009 THROUGH 2011. COLUMN (E) REFLECTS THE YEAR ENDED DECEMBER 31, 2012. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 18723975 18723975 1000000 250000 0 0 1000000 1000000 608143 1000000 3608143 5412215 250000 250000 152036 250000 902036 1353054 327425 327425 7571550 4400300 3171250 1576689 1494165 82524 2714148 2376705 337443 3918642 ALTERNATIVES FUNDS 1500654 F INVESTMENT IN VPS, LLC 614216 C 2114870 DEFERRED COMPENSATION 606281 POST RETIREMENT BENEFIT OBLIGATION 519308 1125589 X 23761678 2072579 216270 2288849 21472829 62803 -790 62013 21534842 18750583 155654 155654 18594929 62803 62803 18657732 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: NACHRI HAS REVIEWED ALL INCOME TAX POSITIONS TAKEN AND APPLIED THE GUIDANCE FROM ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA (U.S. GAAP) WHICH REQUIRES RECOGNITION IN THE CONSOLIDATED FINANCIAL STATEMENTS OF A TAX POSITION ONLY AFTER DETERMINING THAT THE RELEVANT TAX AUTHORITY WOULD MORE LIKELY THAN NOT SUSTAIN THE POSITION FOLLOWING AN AUDIT. FOR INCOME TAX POSITIONS MEETING THE MORE-LIKELY-THAN-NOT THRESHOLD, THE AMOUNT RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS IS THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT WITH THE RELEVANT TAX AUTHORITY. NACHRI APPLIED THE UNCERTAIN INCOME TAX POSITIONS GUIDANCE IN U.S. GAAP TO ALL INCOME TAX POSITIONS FOR WHICH THE STATUTE OF LIMITATIONS REMAINED OPEN. PART XI, LINE 2D - OTHER ADJUSTMENTS: BENEFIT PLAN CHANGE OTHER THAN NET PERIODIC COST 32,397. GAIN IN EQUITY IN VPS 183,873. PART XI, LINE 4B - OTHER ADJUSTMENTS: LOSS ON DISPOSITION OF FIXED ASSET -790. PART XII, LINE 2D - OTHER ADJUSTMENTS: COSTS RELATED TO CONSOLIDATION 154,864. LOSS ON DISPOSITION OF FIXED ASSET 790. X X X 1 1 0 0 0 0 0 1 0 MARK WIETECHA 138562 415686 15000 45000 10704 32111 28750 86250 5988 17965 199004 597012 0 0 CAROL CITRON 176200 0 6400 0 348 0 13605 0 3588 0 200141 0 0 0 AMY KNIGHT 146468 179016 5400 6600 15199 18576 5310 6490 9579 11707 181956 222389 0 0 MARY GORMAN 279016 0 15000 0 18032 0 26500 0 8202 0 346750 0 0 0 MILTON KAUFMAN 0 243332 0 13000 0 8423 0 20569 0 21206 0 306530 0 2210 MARK RILEY 154020 0 7400 0 998 0 12381 0 6855 0 181654 0 0 0 JOHN MULDOON 215596 0 29300 0 19809 0 21268 0 17360 0 303333 0 2486 0 ELLEN SCHWALENSTOCKER 168283 0 12300 0 915 0 13326 0 2098 0 196922 0 0 0 GILLIAN RAY 158744 0 6500 0 206 0 12784 0 23376 0 201610 0 0 0 DONNA SHELTON 148841 0 5700 0 276 0 11613 0 9789 0 176219 0 0 0 PATRICIA ADAIR 82365 0 4900 0 73913 0 8349 0 5945 0 175472 0 0 0 LAWRENCE MCANDREWS 80944 0 0 0 597191 0 0 0 80894 0 759029 0 113733 0 CHARLES BAIN 0 0 0 0 150427 0 0 0 0 0 150427 0 0 0 PART I, LINES 4A-B THE INDIVIDUALS LISTED BELOW RECEIVED THE FOLLOWING SEVERANCE PAYMENTS AS A RESULT OF A SEPARATION OF SERVICE FROM THE ORGANIZATION: LAWRENCE MCANDREWS: $458,240 PATRICIA ADAIR: $51,550 THE FOLLOWING EMPLOYEES RECEIVED DISTRIBUTION FROM THE NACHRI 457F PLAN. THE AMOUNTS WERE INCLUDED IN BOX 5 OF THEIR 2012 W-2: LAWRENCE MCANDREWS $113,733 MILTON KAUFMAN $2,210 JOHN MULDOON $2,486 PART I, LINE 7 MARK WIETECHA'S COMPENSATION AGREEMENT ALLOWS FOR AN ANNUAL BONUS OF UP TO 35% OF BASE SALARY, WITH THE ACTUAL AMOUNT DETERMINED BY THE BOARD. SUPPLEMENTAL INFORMATION PART III THE NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS AND RELATED INSTITUTIONS, INC. (NACHRI) ACTS AS THE "COMMON PAYMASTER" FOR NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS (NACH). 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 NACHRI AND NACH RETURNS. THE PROCESS FOR DETERMINING COMPENSATION FOR OFFICERS AND STAFF IS DONE THROUGH THE NACHRI BOARD. THEREFORE, ALL QUESTIONS REGARDING COMPENSATION POLICY ARE ANSWERED ON THE NACHRI RETURN. SUPPLEMENTAL INFORMATION PART III THE TWO EMPLOYEES WORK FOR THREE OF THE RELATED ORGANIZATIONS: NACHRI NACH CHCA MARK WIETECHA 10 10 20 (HOURS PER WEEK) AMY KNIGHT 18 2 20 (HOURS PER WEEK) NATIONAL ASSOCIATION OF CHILDRENS' HOSPITALS COMMON BOARD MEMBERS 1085143 SHARING OF FACILTIES 0 NATIONAL ASSOCIATION OF CHILDRENS' HOSPITALS COMMON BOARD MEMBERS 1749766 SHARING OF EMPLOYEES 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 THE MEMBERS OF THE BOARD OF TRUSTEES ARE ELECTED BY THE VOTING MEMBERSHIP AT THE ANNUAL MEMBERSHIP MEETING, WITH THE EXCEPTION OF THE PRESIDENT, WHO IS AN EX-OFFICIO TRUSTEE. 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 11 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. CAROL CITRON 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 A SENIOR VICE PRESIDENT 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 SENIOR VICE PRESIDENT'S COMPENSATION WAS BASED ON MARKET COMPARABLES OF SIMILAR SIZED ORGANIZATIONS AND RESPONSIBILITIES. THE COMPENSATION IS ALSO INCLUDED IN A WRITTEN EMPLOYMENT AGREEMENT. NO INCREASES OCCURRED FOR THESE POSITIONS IN 2012. ANY INCREASES WOULD BE 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 IS PLANNED FOR THE 2013 YEAR. 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. THE NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS AND RELATED INSTITUTIONS, INC. (NACHRI) ACTS AS THE "COMMON PAYMASTER" FOR NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS (NACH). 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 NACHRI AND NACH RETURNS. THE PROCESS FOR DETERMINING COMPENSATION FOR OFFICERS AND STAFF IS DONE THROUGH THE NACHRI BOARD. THEREFORE, ALL QUESTIONS REGARDING COMPENSATION POLICY ARE ANSWERED ON THE NACHRI RETURN. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: EQUITY IN GAIN OF VPS 183,873. COSTS RELATED TO CONSOLIDATION -154,864. BENEFIT PLAN CHANGE OTHER THAN NET PERIODIC COST 32,397. FORM 990, PART XII, LINE 2C: THE AUDIT OVERSIGHT PROCESS HAS REMAINED UNCHANGED FROM THE PREVIOUS YEAR. NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS INC 401 WYTHE ST ALEXANDRIA VA 22314 582176067 ASSIST CHILDREN'S HOPITALS IN COMMON BUS. INTEREST AND ECONOMIC WELFARE GA 501 (C)(6) 0 CHILD HEALTH PATIENT SAFETY ORGANIZATION INC 6803 WEST 64TH STREET SUITE 208 OVERLAND PARK KS 66202 270386722 IMPROVE SAFETY OF CHILDREN'S HOSPITALS BY SHARING DATA & EXPERIENCES KS 501 (C)(3) 509(A)(2) 0 CHILD HEALTH CORPORATION OF AMERICA 6803 WEST 64TH STREET STE 308 SHAWNEE MISSION KS 66202 521421302 HOSPITAL BUSINESS ALLIANCE TO BETTER SERVE CHILDREN KS N/A C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS INC N 1085143 CASH NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS INC O 1749766 CASH