2012-05-11T14:31:07-05:00 2011-06-30 TATE AND TRYON 2021 L STREET NW SUITE 400 WASHINGTON DC 20036 990 2010-07-01 510120256 NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS AND RELATED INSTITUTIONS INC NATI 7036841355 401 WYTHE STREET ALEXANDRIA VA 223141926 MARK WIETECHA 7036841355 2012-05-11 1 SUBRINA L WOOD 2022932200 2010 2016-02-24 21:20:13Z NACHRI MARK WIETECHA 401 WYTHE STREET ALEXANDRIA VA 223141926 21588689 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 12 104 34 73303 20133 0 130000 16563774 16831675 392301 718542 1793967 2124512 18750042 19804729 0 0 0 0 11746458 11781691 0 0 531027 6446578 7274589 18193036 19056280 557006 748449 27362379 31144443 5010650 4848917 22351729 26295526 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 4533313 2521775 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 HOSPITALS 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 FOUR FOCUS GROUPS CONSISTING OF JUST OVER 200 PROVIDERS AND ADMINISTRATORS, WORKING ACROSS FOUR AREAS OF CLINICAL SERVICES (EMERGENCY SERVICES, ONCOLOGY/BONE MARROW TRANSPLANT SERVICES AND PEDIATRIC INTENSIVE CARE AND GENERAL INPATIENT) TO EXAMINE AND IMPROVE PATIENT CARE. THE 2011 FOCUS GROUP ACTIVITIES CONCLUDED IN THE FIRST QUARTER (BECAUSE INPATIENT CONCLUDES IN FEBRUARY) 2012. INITIATIVES IN THESE FOUR AREAS WILL BE OFFERED AGAIN IN 2012, WITH INITIAL MEETINGS OF THESE GROUPS ANTICIPATED TO OCCUR IN MARCH OF 2011. IN 2011, NACHRI FULLY TRANSITIONED TO A NEW TECHNOLOGY PLATFORM FOR ITS CASE MIX DATABASE WHICH ALLOWS FOR MORE DATA ELEMENTS COLLECTED AND THUS PROVIDE BETTER DATA FOR HOSPITALS TO USE IN THEIR QUALITY AND PROCESS IMPROVEMENT EFFORTS.NACHRI IS AN APPROVED PROVIDER FOR THE JOINT COMMISSION'S CHILDREN'S ASTHMA CORE MEASURE SET AND THE HOSPITAL BASED INPATIENT PSYCHIATRIC SERVICES CORE MEASURE SET THROUGH THE OPERATIONS OF 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% (2007) COMPLIANCE RATE TO OVER 80% (2011) IN FOUR YEARS.DUE TO ITS MERGER WITH CHCA, NACHRI IS EVALUATING OPTIONS FOR ITS PROGRAM DELIVERABLES IN ORDER TO COME UP WITH THE BEST OF BOTH ORGANIZATIONS AND OFFER BEST OF BREED PEDIATRIC COMPARATIVE DATA AND ANALYTICS FOR OUR MEMBERS. NACHRI WORKED WITH MEMBERS TO BUILD UNDERSTANDING AND READINESS FOR NEW 501(R) COMMUNITY HEALTH NEEDS ASSESSMENT AND FORM 990 SCHEDULE H REPORTING REQUIREMENTS FOR TAX-EXEMPT HOSPITALS. 3172514 586237 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. 2255203 2857560 CONTRACTORS SERVICES -- AMOUNTS RELATED TO SERVICES ARRANGEMENTS WITH THE NATIONAL ASSOCIATION FOR CHILDREN'S HOSPITALS (N.A.C.H), A RELATED EXEMPT ORGANIZATION WITH A SIMILAR EXEMPT PURPOSE AND VIRTUAL PICU SYSTEMS, LLC (VPS), A LIMITED LIABILITY COMPANY ORGANIZED FOR THE PURPOSE OF CREATING A NETWORK OF CHILDREN'S HOSPITALS AND OTHER FACILITIES OFFERING PICU CARE TO IMPROVE THE QUALITY OF CRITICAL CARE FOR CHILDREN WORLDWIDE. 2404155 600840 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 QUALITY INITIATIVES AND ENTITIES, BOTH GOVERNMENTAL AND NON-GOVERNMENTAL. (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 IS A MEMBER OF THE NATIONAL QUALITY FORUM AND COORDINATES PEDIATRIC REPRESENTATION ON THE NATIONAL PRIORITIES PARTNERSHIP. THROUGH THESE ORGANIZATIONS, NACHRI BRINGS THE VOICE OF CHILDREN TO NATIONAL STRATEGIC EFFORTS TO ADVANCE QUALITY (E.G., THE NATIONAL QUALITY STRATEGY) AND EXPERTISE ON CHILDREN'S ISSUES (INCLUDING EXPERTS FROM CHILDREN'S HOSPITALS) TO TECHNICAL ADVISORY PANELS AND COMMITTEES. 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 N.A.C.H. 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. RECENT EXAMPLES INCLUDE SUPPORT OF AHRQ-FUNDED CHIPRA PEDIATRIC QUALITY MEASUREMENT PROGRAM CENTERS OF EXCELLENCE, INITIATION OF EFFORTS TO IMPROVE JOINT COMMISSION CORE MEASURES, AND PARTICIPATION ON A NATIONAL QUALITY FORUM STEERING COMMITTEE ON CHILDREN'S HEALTH CARE MEASURES. THROUGH ITS DATA AND ANALYTICS SERVICES, NACHRI ALSO PROVIDES COMPARATIVE INFORMATION TO MEMBER HOSPITALS. 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, AND 2011. CURRENTLY THERE ARE 68 ACTIVE TEAMS FROM 57 HOSPITALS; IN ALL 73 HOSPITALS HAVE PARTICIPATED. INFECTION RATES HAVE BEEN REDUCED 40% - 72%. THE PROGRAM HAS SAVED 350 LIVES AND OVER $100 MILLION. (2) PEDIATRIC HEMATOLOGY/ONCOLOGY CENTRAL LINE ASSOCIATED BLOOD STREAM INFECTIONS (HEMONC CLABSI) LAUNCHED IN 2009 WITH 28 HOSPITALS AND ADDED A COHORT IN 2011. CURRENTLY THERE ARE 41 ACTIVE TEAMS FROM 34 HOSPITALS. INFECTION RATES HAVE DECLINED 21%. THE PROGRAM HAS SAVED 16 LIVES AND $4.7 MILLION. THIS PROGRAM HAS EXPANDED TO CLABSI PREVENTION IN AMBULATORY SETTINGS. (3) PEDIATRIC NEPHROLOGY PERITONITIS AND EXIT SITE INFECTIONS PROGRAM (NEPHROLOGY) LAUNCHED IN 2011 WITH 28 HOSPITALS. THIS PROGRAM FOCUSES ON REDUCING INFECTIONS IN PERITONEAL DIALYSIS PATIENTS IN AMBULATORY SETTINGS. NO RESULTS ARE AVAILABLE AS THIS WORK IS IN EARLY STAGES.THE COMMON GOALS OF ALL QTN PROGRAMS ARE (A) TO DEVELOP AND TEST STRATEGIES TO REDUCE THE RATE OF CENTRAL LINE ASSOCIATED BLOOD STREAM 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. 1491344 754227 EDUCATION -- IN OCTOBER 2010, THE ASSOCIATION CONDUCTED ITS ANNUAL CONFERENCE WITH THE MEETING THEME BREAKAWAY TO ADDRESS TRANSFORMING LEADERSHIP MODELS, EVALUATING TOUGH OPTIONS AND ENTERPRISING TECHNOLOGY SOLUTIONS. 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: "BRIDGING THE DIVIDE: USING TECHNOLOGY TO CONNECT THE PATIENT AND FAMILY WITH THE HOSPITAL AND WORLD BEYOND. "DEMAND FLOW - THE RIGHT SUPPLIES AT THE RIGHT TIME," AND "THE TRANSFORMITIVE POWER OF PATIENT AND FAMILY CENTERED CARE" IN ORDER TO RESPOND TO MEMBERS' MOST IMPORTANT ISSUES SO THAT THEY CAN CONTINUE THEIR MISSIONS TO SERVE CHILDREN.PRECONFERENCE PROGRAMS WERE HELD PRIOR TO THE ANNUAL CONFERENCE DIRECTED TOWARDS THE NEEDS OF PATIENT CARE EXECUTIVES AND HOSPITAL TRUSTEES. THE PROGRAMS ATTRACTED OVER 40 IN ATTENDANCE INCLUDING MEMBERS AND STAFF.THE ASSOCIATION HELD ITS SEVENTH ANNUAL CREATING CONNECTIONS CONFERENCE IN MARCH 2011, WITH TRACKS DIRECTED TOWARDS SPECIFIC DISCIPLINES RELATED TO PEDIATRIC HEALTHCARE INFORMATION TECHNOLOGY, QUALITY AND PATIENT SAFETY, CHILD ADVOCACY, FACILITIES DESIGN, PUBLIC RELATIONS AND COMMUNICATIONS, AND PHILANTHROPY. THE PURPOSE OF THE CONFERENCE IS TO PROVIDE AN INTERSIDCIPLINARY EDUCATIONAL PROGRAM AND VALUABLE NETWORKING OPPORTUNITIES TO CHILDREN'S HOSPITAL PROFESSIONALS AND LEADERS. THE PROGRAM SUCCESSFULLY ATTRACTED OVER 550 MEMBERS, SPEAKERS, SPONSORS AND STAFF.PRECONFERENCE PROGRAMS HELD PRIOR TO THE 2011 CREATING CONNECTIONS CONFERENCE INCLUDED TWO WORKSHOPS AND THE SPECIALTY HOSPITALS CONFERENCE. THE WORKSHOPS ENTITLED "MODELS FOR QUALITYY IMPROVEMENT: ADVANCING TRANSFORMATION IN CHILDREN'S HOSPITALS' AND "COMMUNITY HEALTH NEEDS ASSESSMENT" ADDRESSED ISSUES RELATED TO QUALITY IMPROVEMENT AND COMMUNITY BENEFITS ATTRACTING APPROXIMATELY 63 PARTICIPANTS COMBINED. THE SPECIALTY HOSPITAL CONFERENCE PROGRAM FOCUSED ON HEALTH CARE REFORM AND THE ECONOMY ATTRACTING OVER 40 IN ATTENDANCE TO INCLUDE MEMBERS AND STAFF. 987583 2077852 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". 4883082 3432919 14844112 1 1 0 1 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 0 0 0 0 0 0 1 0 0 0 0 1 52 0 1 104 1 1 1 0 0 0 1 1 0 0 0 0 0 X 13 12 0 0 1 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 CHRISTOPHER G DAWES 1.00 X X 0 0 0 JAMES MANDELL MD 1.00 X X 0 0 0 CHRISTOPHER JDUROVICH 1.00 X X 0 0 0 HERMAN B GRAY MD MBA FAAP 1.00 X X 0 0 0 RICK MERRILL 1.00 X X 0 0 0 AMY MANSUE 1.00 X X 0 0 0 STEVE J ALLEN MD 1.00 X 0 0 0 MS MERI ARMOUR 1.00 X 0 0 0 MADELINE BELL 1.00 X 0 0 0 DAVID T BERRY 1.00 X 0 0 0 THOMAS BOJKO MDMS JD 1.00 X 0 0 0 KEVIN CHURCHWELL MD 1.00 X 0 0 0 WILLIAM H CONSIDINE FACHE 1.00 X 0 0 0 RICHARD D CORDOVA FACHE MBA 1.00 X 0 0 0 SUSAN M DISTEFANO MSN RN CNAA BC 1.00 X 0 0 0 MARCY DODERER FACHE 1.00 X 0 0 0 MICHAEL J FARRELL 1.00 X 0 0 0 DAVID KINSAUL FACHE 1.00 X 0 0 0 ROXANNE FERNANDES RN MPAHSA 1.00 X 0 0 0 THOMAS KMETZ 1.00 X 0 0 0 JOSEPH LAVER MD MHA 1.00 X 0 0 0 JOSEPH N MOTT 1.00 X 0 0 0 PAULA NOBLE 1.00 X 0 0 0 RANDALL L O'DONNELL PHD 1.00 X 0 0 0 ROGER A OXENDALE 1.00 X 0 0 0 KATHLEEN ANN SELLICK 1.00 X 0 0 0 STEVEN P SHELOV MD MS 1.00 X 0 0 0 JAMES E SHMERLING DHA FACHE 1.00 X 0 0 0 SHELDON J STEIN FACHE 1.00 X 0 0 0 JAMES A STOCKMAN III MD 1.00 X 0 0 0 PEGGY TROY RN MSN 1.00 X 0 0 0 KAREN R WOLFSON 1.00 X 0 0 0 STEVE WORLEY 1.00 X 0 0 0 EDWIN K ZECHMAN JR FACHE 1.00 X 0 0 0 LAWRENCE MCANDREWS 37.50 X X 753181 370970 115462 CAROL CITRON 37.50 X 158130 0 21486 MARY GORMAN 37.50 X 296016 0 48820 JOHN MULDOON 37.50 X 254722 0 62023 CHARLES BAIN 37.50 X 238356 0 50523 MILTON KAUFMAN 37.50 X 273808 0 51764 ELLEN SCHWALENSTOCKER 37.50 X 181244 0 22383 MUKUL CHOPRA 37.50 X 166810 0 22490 MARK RILEY 37.50 X 158352 0 24215 DONNA SHELTON 37.50 X 146096 0 20914 SALLIE STRANG 37.50 X 144200 0 21779 2770915 370970 461859 24 0 1 0 QUANTROS 690 N MCCARTHY BLVD SUITE 200 MILPITAS CA 95035 DATABASE CONSULTANT 547853 JOHNS HOPKINS UNIVERSITY 12529 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 RESEARCH CONSULTANT 301288 THOMPSON REUTERS 39353 TREASURY CENTER CHICAGO IL 60694 DATABASE ADMINISTRATOR 249492 VANDERBILT UNIVERSITY MEDICAL CENTER DEPT AT 40303 ATLANTA GA 31192 RESEARCH CONSULTANT 249192 INTUITIVE BUSINESS CONCEPTS LLC 8640 GUILDFORD RD SUITE 232 COLUMBIA MD 21046 DATABASE CONSULTANT 178491 9 130000 130000 MEMBERSHIP DUES 900099 8972541 8972541 PROJECT PARTICIPATION 900099 3232457 3232457 REIMBURSED EXPENSES 900099 2857560 2857560 MEETINGS AND CONFERENC 900099 1338987 1338987 CONSULTATIVE SERVICES 900099 80778 80778 349352 276049 73303 16831675 599040 599040 2119117 2119117 1903462 1783960 119502 119502 119502 MISCELLANEOUS 900099 5395 5395 5395 19804729 16759421 73303 2843054 2695261 2031116 578696 85449 7266352 5364990 1676590 224772 1798205 1538863 193055 66287 21873 21873 2162476 1842835 309141 10500 742431 62733 679698 39973 39973 62049 62049 262599 150618 107796 4185 1736 1736 412559 203066 203918 5575 582009 82852 496937 2220 339031 15466 323565 621981 485723 116286 19972 936888 831967 84159 20762 5202 5202 752399 752399 UBIT 20133 20133 DUES AND SUBSCRIPTIONS 101629 20612 80917 100 EQUIP RENT AND MAINT 72989 72989 TAXES 65250 65250 REGISTRATION FEES 47039 35002 10513 1524 46216 2176533 -2219998 89681 19056280 14844112 3681141 531027 200 200 136658 1859390 711543 1046419 162809 242656 12059570 7351422 5278780 4708148 2606918 2905357 18214753 20223926 250718 158347 27362379 31144443 2437533 2414751 1102741 1235144 405751 1064625 1199022 5010650 4848917 X 22329539 26295526 22190 0 22351729 26295526 27362379 31144443 X 748449 3195348 X X 0 1 1 X 0 X 6415331 7359424 8978205 8437227 9102541 40292728 7556325 8251948 8117951 8042104 7785831 39754159 13971656 15611372 17096156 16479331 16888372 80046887 0 0 0 80046887 1055321 1238196 2539631 2204332 2718157 9755637 1055321 1238196 2539631 2204332 2718157 9755637 60415 68928 4488 20133 153964 957 1412 27589 9508 5395 44861 15027934 16911395 19732304 18697659 19632057 90001349 0.88940 0.90770 0.10840 0.09020 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 17572304 17572304 1000000 250000 0 0 922491 1000000 1000000 1000000 3922491 5883737 230623 250000 250000 250000 980623 1470935 327425 327425 7571550 3736109 3835441 1688594 1486332 202262 2472001 2128981 343020 4708148 MUTUAL FUNDS 17757863 F ALTERNATIVES FUNDS 1372310 F DEFERRED COMPENSATION PLAN 622267 F VPS, LLC INVESTMENTS 471486 C 20223926 DEFERRED COMPENSATION 622267 POST RETIRMENT BENEFIT OBLIGATION 576755 1199022 19804729 19056280 748449 3350677 23400 -178729 3195348 3943797 23154259 3350677 23400 37502 3411579 19742680 62049 62049 19804729 19172960 178729 178729 18994231 62049 62049 19056280 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: MANAGEMENT HAS NOT IDENTIFIED ANY UNCERTAIN INCOME TAX POSITIONS. RETURNS FILED FOR THE FISCAL YEARS ENDED JUNE 30, 2008 THROUGH 2011 REMAIN OPEN FOR EXAMINATION BY TAXING AUTHORITIES. PART XI, LINE 8 - OTHER ADJUSTMENTS: EQUITY IN LOSS OF VPS -121,362. GAIN ON DISPOSAL OF FIXED ASSETS 653. SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN -58,020. PART XII, LINE 2D - OTHER ADJUSTMENTS: BENEFIT PLAN CHANGE OTHER THAN NET PERIODIC COST 37,502. PART XIII, LINE 2D - OTHER ADJUSTMENTS: GAIN ON DISPOSAL OF FIXED ASSETS -653. LOSS IN EQUITY IN VPS 121,362. SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN 58,020. X X 1 1 X X X X X 0 1 0 0 0 0 0 0 0 LAWRENCE MCANDREWS 649959 320129 58334 28732 44888 22109 61434 30259 15925 7844 830540 409073 0 0 CAROL CITRON 146096 0 11756 0 278 0 12218 0 9268 0 179616 0 0 0 MARY GORMAN 259927 0 34349 0 1740 0 40150 0 8670 0 344836 0 0 0 JOHN MULDOON 222577 0 31401 0 744 0 37118 0 24905 0 316745 0 0 0 CHARLES BAIN 192909 0 27217 0 18230 0 33935 0 16588 0 288879 0 0 0 MILTON KAUFMAN 238046 0 28960 0 6802 0 27417 0 24347 0 325572 0 0 0 ELLEN SCHWALENSTOCKER 158235 0 22444 0 565 0 13613 0 8770 0 203627 0 0 0 MUKUL CHOPRA 153972 0 12543 0 295 0 12637 0 9853 0 189300 0 0 0 MARK RILEY 144288 0 13554 0 510 0 12176 0 12039 0 182567 0 0 0 DONNA SHELTON 135022 0 10836 0 238 0 11072 0 9842 0 167010 0 0 0 SALLIE STRANG 130428 0 13107 0 665 0 10961 0 10818 0 165979 0 0 0 PART I, LINE 4B THE FOLLOWING EMPLOYEES RECEIVED DISTRIBUTION FROM THE NACHRI 457F PLAN. THE AMOUNTS WERE INCLUDED IN BOX 5 OF THEIR 2010 W-2: LAWRENCE MCANDREWS $45,127 MARY GORMAN $314 CHARLES BAIN $14,569 FORM 990, PART VI, SECTION A, LINE 4 A CONSOLIDATION AGREEMENT WAS ENTERED INTO ON MARCH 31, 2011, BETWEEN AND AMONG N.A.C.H., NACHRI, AND CHCA SIGNIFYING THEIR INTENT TO PURSUE AN ALIGNMENT OF THE THREE ORGANIZATIONS THAT WOULD RESTRUCTURE AND CONSOLIDATE THE THREE ORGANIZATIONS UNDER A SINGLE PARENT TRADE ASSOCIATION WITH ALIGNED GOVERNANCE, CONSOLIDATED OPERATIONAL LEADERSHIP AND A SINGLE NATIONWIDE ADVOCACY VOICE FOR CHILDREN'S HEALTH CARE PROVIDERS. THE BYLAWS WERE ALSO AMENDED AS OF APRIL 1, 2011, TO REFLECT THESE CHANGES. 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. 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 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 THE BOARD OF TRUSTEES MUST FILL OUT A CONFLICT OF INTEREST QUESTIONNAIRE AND ALSO SUBMIT TO BACKGROUND CHECKS OF VARYING DEGREES. THE BOARD OF TRUSTEE RESULTS ARE REVIEWED BY THE CHAIR, EXECUTIVE ASSISTANT TO THE PRESIDENT AND THE TATE & TRYON AUDITORS. CONFLICTS WILL BE DEALT WITH ON A CASE BY CASE BASIS INVOLVING LEGAL COUNSEL. NO CONFLICTS HAVE ARISEN AT THIS TIME THAT NEEDED ANY FURTHER ACTION AND THIS WAS CONFIRMED BY THE TATE & TRYON AUDITORS. FORM 990, PART VI, SECTION B, LINE 15 NACHRI HAS A COMPENSATION COMMITTEE IN PLACE AND A COMPENSATION COMMITTEE CHARTER. THEY HAVE HIRED THE INDEPENDENT FIRM OF INTEGRATED HEALTHCARE STRATEGIES (IHS) FOR COMPARABILITY DATA AND OTHER COMPENSATION STUDIES. THE CEO AND VICE PRESIDENT SALARIES AND BONUSES ARE DISCUSSED WITH THE IHS REPRESENTATIVES AND THE COMPENSATION COMMITTEE MEMBERS IN PERSON IN A CLOSED SESSION MEETING WITH NO STAFF MEMBERS PRESENT. ALL COMPARATIVE SALARY DATA IS WELL DOCUMENTED AND THERE ARE MINUTES FROM THESE MEETINGS. THE RESULTS ARE SHARED IN A CLOSED SESSION WITH THE BOARD OF TRUSTEES AS WELL. 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. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 3,350,677. DONATED SERVICES AND USE OF FACILITIES: 23,400. EQUITY IN LOSS OF VPS -121,362. GAIN ON DISPOSAL OF FIXED ASSETS 653. SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN -58,020. TOTAL TO FORM 990, PART XI, LINE 5: 3,195,348. 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. 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