2015-11-16T14:28:48-06:00 2014-12-31 521855942 TATE AND TRYON 2021 L STREET NW SUITE 400 WASHINGTON DC 20036 990 2014-01-01 510120256 NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS AND RELATED INSTITUTIONS INC NATI 2027535500 600 13TH STREET NW NO 500 WASHINGTON DC 20005 NANCY STAHL CHIEF FINANCIAL OFFICER 2027535500 2015-11-16 1 DEBORAH G KOSNETT P00290720 2022932200 2014 2016-04-25 22:37:26Z NACHRI MARK WIETECHA 600 13TH STREET NW NO 500 WASHINGTON DC 20005 37459926 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 79 50 55229 8023 234430 3336559 17637288 17004449 1460236 3493477 2569332 2633876 21901286 26468361 175000 2190841 0 0 10221816 8722795 0 0 226627 6768328 11206747 17165144 22120383 4736142 4347978 40955444 51558871 4103921 10851028 36851523 40707843 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 5144037 2190841 147478 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.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 ACTIVITIES BEGAN IN 2014 AND CARRY OVER INTO 2015 FOR MOST DATA PROGRAMS. 3325659 3683108 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. 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 BEGAN 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. 2405474 6355196 COMPARATIVE PEDIATRIC DATA COLLECTION AND INFORMATION DISSSEMINATION - 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 AND IMPROVING THE OPERATIONS OF CHILDREN'S HOSPITALS. 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.ONE OF NACHRI'S FLAGSHIP DATA PROGRAMS, THE CASE MIX PROGRAM, WAS SIGNIFICANTLY REDESIGNED OVER THE LAST TWO YEARS. THE DATA INFRASTRUCTURE WAS INTEGRATED WITH CHCA'S INFRASTRUCTURE TO IMPROVE DATA PROCESSING EFFICIENCES. THE CASE MIX PROGRAM REPORTING SYSTEM NOW INCLUDES THE EXECUTIVE INSIGHT REPORT SERIES. THESE NEW REPORTS ARE DESIGNED TO ASSIST HOSPITAL SENIOR LEADERS IDENTIFY OPPORTUNITIES TO IMPROVE LOS, READMISSIONS, AND MORTALITIES AS WELL AS TO BETTER UNDERSTAND THE HOSPITAL SERVICE LINES, CASE MIX INDEX AND COSTS PER CASE.IN 2013 AND 2014, A NEW DATA PROGRAM REDESIGN NACHRI'S CLINICAL PRODUCTIVITY AND STAFFING PROGRAM (CPSP) AND TWO CHCA DATA PROGRAMS BEGAN. THE REDESIGN EFFORTS ARE ANTICIPATED TO TAKE TWO YEARS. WHEN COMPLETE A NEW DATA PROGRAM FOCUSED ON MANAGING AND IMPROVING CHILDREN'S HOSPITALS STAFFING AND COSTS WILL BE RELEASED.NACHRI IS AN APPROVED PROVIDER FOR THE FOLLOWING FIVE JOINT COMMISSION ORYX(TM) 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(TM) CORE MEASURE SETS ARE OFFERED THROUGH THE PEDIATRIC QUALITY MEASUREMENT SYSTEM (PQMS). PQMS CONTINUES TO BE THE LEADING CORE MEASURE PROVIDER FOR CHILDREN'S HOSPITALS. 1249324 803955 EDUCATION - THE ASSOCIATION HELD VARIOUS EDUCATIONAL CONFERENCES IN 2014, 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, AMUBLATORY CARE AND OUTPATIENT SERVICES 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 500 MEMBERS, SPEAKERS, SPONSORS AND STAFF.IN OCTOBER 2014, THE ASSOCIATION CONDUCTED ITS ANNUAL CONFERENCE. 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 OVER 600 INDIVIDUALS IN ATTENDANCE INCLUDING MEMBERS, SPEAKERS, SPONSORS AND STAFF. 3210190 6017476 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". 4459514 6821431 15334684 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 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 54 0 1 79 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 NANCY STAHL CFO 9132621436 600 13TH STREET NW NO 500 WASHINGTON DC 20005 JAMES E SHMERLING DHA FACHE CHAIR 1.00 1.00 X X 0 0 0 PEGGY TROY RN MSN VICE CHAIR 1.00 1.00 X X 0 0 0 AMY B MANSUE SECRETARY 1.00 1.00 X X 0 0 0 THOMAS D KMETZ TREASURER 1.00 1.00 X X 0 0 0 STEVE J ALLEN MD MEMBER 1.00 1.00 X 0 0 0 CHRISTOPHER G DAWES MEMBER 1.00 1.00 X 0 0 0 CHRISTOPHER J DUROVICH MEMBER 1.00 1.00 X 0 0 0 MADELINE BELL MEMBER 1.00 1.00 X 0 0 0 JEFF SPERRING MD MEMBER 1.00 1.00 X 0 0 0 HERMAN B GRAY MD MBA FAAP MEMBER 1.00 1.00 X 0 0 0 KAREN R WOLFSON MEMBER 1.00 1.00 X 0 0 0 STEVE WORLEY MEMBER 1.00 1.00 X 0 0 0 MARK WIETECHA PRESIDENT & CEO/EX-OFFICIO 30.00 10.00 X X 601028 200343 164529 CAROL CITRON DIRECTOR, FINANCE 38.00 2.00 X 193446 10181 24825 AMY KNIGHT COO 38.00 2.00 X 534837 28149 82526 MARIAN SAFFER VP, QUALITY IMP & MEASUREMENT 40.00 0.00 X 184598 0 30914 GILLIAN RAY VP, EXTERNAL AFFAIRS 25.00 15.00 X 122460 73476 37446 DONNA SHELTON VP, RESEARCH 40.00 0.00 X 180661 0 22378 EVELYN LOSTOCCO DIRECTOR, FOCUS GROUP INITIATIVES 40.00 0.00 X 151767 0 20323 JAYNE STUART DIRECTOR, QUALITY IMPROVEMENT 40.00 0.00 X 156604 0 25657 2125401 312149 408598 24 0 1 0 CHILDREN'S NATIONAL MEDICAL CENTER 801 ROEDER ROAD SUITE 500 SILVER SPRING MD 20910 CMMI GRANT ADMINISTRATION 2016552 TRUVEN HEALTH ANALYTICS INC 39353 TREASURY CENTER CHICAGO IL 60694 DATABASE ADMINISTRATOR 399635 WASHINGTON GROUP SOLUTIONS 101 W BROAD STREET SUITE 300 FALLS CHURCH VA 22046 FURNITURE/INSTALLERS-NEW OFFICE 265555 AMERICAN OFFICE 309 N CALVERT STREET BALTIMORE MD 21202 FURNITURE/INSTALLERS-NEW OFFICE 229695 JOHNS HOPKINS UNIVERSITY 200 N WOLFE STREET BALTIMORE MD 21287 RESEARCH CONSULTANT 219607 12 1083949 2252610 1883760 3336559 MEMBERSHIP DUES 900099 8735994 8735994 PROJECT PARTICIPATION FEES 900099 3683108 3683108 REIMBURSED EXPENSES 900099 3413413 3413413 MEETINGS AND CONFERENCE 900099 1103955 1103955 ADVERTISING 541800 55229 55229 12750 12750 17004449 1115789 1115789 2631083 2631083 8149427 5219826 7454292 3537273 695135 1682553 2377688 2377688 MISCELLANEOUS 900099 2793 2764 29 2793 26468361 16951984 55229 6124589 2190841 2190841 1776797 1230627 515987 30183 5275634 3934664 1244470 96500 346206 346206 870110 1391234 -555262 34138 454048 454048 350000 350000 115740 6140 109600 38920 38920 66030 66030 2333956 2046602 287354 19599 19599 443818 149119 294276 423 207948 89950 117998 1569985 812418 757567 359329 269986 88452 891 1307256 1211206 95989 61 480875 480875 56718 56718 UBI TAX 1215 1215 PROGRAM TRANSFER 3665000 3665000 RECRUITING 125513 99101 26412 PROFESSIONAL DEVELOPMEN 81134 14613 2615 63906 -16289 1518584 -1535398 525 22120383 15334684 6559072 226627 200 200 7895184 16313927 1083949 733966 850387 407318 149623 6196089 2683382 3936479 3512707 25472748 27212118 1635810 1229072 873739 1206888 40955444 51558871 2610910 2537061 186608 243313 1306403 8070654 4103921 10851028 X 36851523 40464993 242850 36851523 40707843 40955444 51558871 X 4347978 -413708 -77950 X X 0 1 X 1 1 1 X 130000 140000 200822 234430 3336559 4041811 16758372 9061934 18278116 17593828 16951984 78644234 16888372 9201934 18478938 17828258 20288543 82686045 2857560 1394020 2634086 3432228 3413413 13731307 0 2857560 1394020 2634086 3432228 3413413 13731307 68954738 2718157 1128758 2995552 3414388 3746872 14003727 2718157 1128758 2995552 3414388 3746872 14003727 20133 9184 3802 10594 8097 51810 5395 32228 10168 11122 29 58942 19632057 10372104 21488460 21264362 24043541 96800524 0.71230 0.71770 0.14470 0.13630 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 22002400 22002400 1000000 250000 0 0 608143 1000000 1000000 1000000 3608143 5412215 152036 250000 250000 250000 902036 1353054 2086006 133909 1952097 174031 122321 51710 3936052 2427152 1508900 3512707 DEFERRED COMPENSATION 911300 POST RETIREMENT BENEFIT OBLIGATION 364629 DUE TO AFFILIATES 3991434 DEFERRED RENT AND LEASE INCENTIVE 2803291 8070654 X 25940315 -413708 -48308 -462016 26402331 66030 66030 26468361 22083995 29642 29642 22054353 66030 66030 22120383 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 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 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 HAS APPLIED THE UNCERTAIN INCOME TAX POSITIONS GUIDANCE IN U.S. GAAP TO ALL INCOME TAX POSITIONS FOR WHICH THE STATUTE OF LIMITATIONS REMAINED OPEN AT YEAR-END AND HAS DETERMINED THAT NO ACCRUED LIABILITY FOR UNCERTAIN INCOME TAX POSITIONS WAS NECESSARY. PART XI, LINE 2D - OTHER ADJUSTMENTS: EQUITY IN LOSS OF VPS -48,308. PART XII, LINE 2D - OTHER ADJUSTMENTS: BENEFIT CHANGES OTHER THAN NET PERIODIC COST 29,642. 1 ADVOCATE CHILDREN'S HOSPITAL - PARK RIDGE 1775 DEMPSTER STREET E 205 PARK RIDGE IL 60068 501(C)(3) 23542 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION AKRON CHILDREN'S HOSPITAL ONE PERKINS SQUARE AKRON OH 44308 340714357 501(C)(3) 23542 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION ALL CHILDREN'S HOSPITAL 501 6TH AVE S ST PETERSBURG FL 33701 590683252 501(C)(3) 23542 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO 225 E CHICAGO AVE BOX 31 CHICAGO IL 60611 362170833 501(C)(3) 23542 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION ARKANSAS CHILDREN'S HOSPITAL 1 CHILDRENS WAY SLOT 108 LITTLE ROCK AR 72202 710236857 501(C)(3) 23542 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION BOSTON CHILDREN'S HOSPITAL 300 LONGWOOD AVENUE BOSTON MA 02115 042774441 501(C)(3) 23542 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION CARDON CHILDREN'S MEDICAL CENTER AT BANNER HEALTH 1400 S DOBSON ROAD MESA AZ 85202 450233470 501(C)(3) 23542 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION CHILDREN'S HEALTH CHILDREN'S MEDICAL CENTER 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 750800628 501(C)(3) 23542 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION CHILDREN'S HOSPITAL LOS ANGELES 4650 SUNSET BOULEVARD LOS ANGELES CA 90027 951690977 501(C)(3) 23542 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION CLEVELAND CLINIC 9500 EUCLID AVENUE - S17 CLEVELAND OH 44195 340714585 501(C)(3) 23542 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION COHEN CHILDREN'S MEDICAL CENTER OF NY 269-01 76TH AVENUE ROOM CH002 NEW HYDE PARK NY 11001 501(C)(3) 23542 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION COTTAGE CHILDREN'S HOSPITAL 400 WEST PUEBLO STREET SANTA BARBARA CA 93102 951644629 501(C)(3) 23542 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION COVENANT CHILDREN'S HOSPITAL 4000 24TH STREET LUBBOCK TX 79410 274348285 501(C)(3) 23542 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION DIAMOND CHILDREN'S MEDICAL CENTER (UMC) 1501 N CAMPBELL AVENUE TUCSON AZ 857245116 860572438 501(C)(3) 23542 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION FLORIDA HOSPITAL FOR CHILDREN 601 E ROLLINS AVENUE ORLANDO FL 32803 858015017 501(C)(3) 23542 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION GILLETTE CHILDREN'S SPECIALTY HEALTHCARE 200 UNIVERSITY AVENUE EAST ST PAUL MN 55101 411200302 501(C)(3) 23542 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION JOSEPH M SANZARI CHILDREN'S HOSPITAL 30 PROSPECT AVENUE HACKENSACK NJ 07601 222339534 501(C)(3) 23542 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION LEHIGH VALLEY HEALTH NETWORK 1200 S CEDAR CREST BOULEVARD ALLENTOWN PA 18103 222458317 501(C)(3) 23542 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION LEVINE CHILDREN'S HOSPITAL 1000 BLYTHE BLVD CHARLOTTE NC 28203 566060481 501(C)(3) 23542 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL 11234 ANDERSON STREET LOMA LINDA CA 92354 463214504 501(C)(3) 23542 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION MAIMONIDES MEDICAL CENTER 4802 TENTH AVENUE ARON 6 RM 625 BROOKLYM NY 11219 111635081 501(C)(3) 23542 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION MARY BRIDGE CHILDREN'S FOUNDATION 402 SOUTH J STREET TACOMA WA 98405 943030039 501(C)(3) 23542 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION MERCY CHILDREN'S HOSPITAL-ST LOUIS 615 SOUTH NEW BALLAS ROAD ST LOUIS MO 63141 501(C)(3) 23542 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION METHODIST CHILDREN'S HOSPITAL 7700 FLOYD CURL DR SAN ANTONIO TX 78229 746035267 501(C)(3) 23542 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION MONROE CARELL JR CHILDREN'S HOSPITAL AT VANDERBILT 2200 CHILDRENS WAY STE 2117 NASHVILLE TN 37027 620476822 501(C)(3) 23542 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION NATIONWIDE CHILDREN'S HOSPITAL 700 CHILDRENS DRIVE COLUMBUS OH 43205 010782751 501(C)(3) 23542 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION NISWONGER CHILDREN'S HOSPITAL 400 NORTH STATE OF FRANKLIN ROAD JOHNSON CITY TN 37604 620476292 501(C)(3) 23542 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION PALMETTO HEALTH CHILDREN'S HOSPITAL 7 MEDICAL PARK DRIVE COLUMBIA SC 29203 501(C)(3) 23542 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION PRIMARY CHILDREN'S HOSPITAL 100 NORTH MARIO CAPECCHI DRIVE SALT LAKE CITY UT 84113 800225150 501(C)(3) 23542 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION PROMEDICA TOLEDO CHILDREN'S HOSPITAL 2142 N COVE BLVD TOLEDO OH 43606 501(C)(3) 23542 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION RANDALL CHILDREN'S HOSPITAL 2725 N GANTENBEIN AVE PORTLAND OR 97227 931314469 501(C)(3) 23542 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION SACRED HEART CHILDREN'S HOSPITAL 101 W 8TH AVENUE SPOKANE WA 99202 510216586 501(C)(3) 23542 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION SANFORD CHILDREN'S HOSPITAL 501 4TH ST N FARGO ND 58122 450226909 501(C)(3) 23542 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION SHINERS HOSPITALS FOR CHILDREN 3551 NORTH BROAD STREET PHILADELPHIA PA 19140 501(C)(3) 23542 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION SHRINERS HOSPITAL FOR CHILDREN 1900 RICHMOND ROAD LEXINGTON KY 40502 362193608 501(C)(3) 23542 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION SHRINERS HOSPITALS FOR CHILDREN PORTLAND UNIT 3101 SW SAM JACKSON PARK RD PORTLAND OR 97239 362193608 501(C)(3) 23542 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION SSM CARDINAL GLENNON CHILDREN'S MEDICAL CENTER 1465 S GRAND BLVD ST LOUIS MO 631041094 431754347 501(C)(3) 23542 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION ST LOUIS CHILDREN'S HOSPITAL 1 CHILDRENS PLACE ST LOUIS MO 63110 431626863 501(C)(3) 23542 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION ST JUDE CHILDREN'S RESEARCH HOSPITAL 262 DANNY THOMAS PLACE MS 121 MEMHIS TN 38105 620646012 501(C)(3) 23542 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION TEXAS CHILDREN'S HOSPITAL 6621 FANNIN ABER 5TH FLOOR HOUSTON TX 77030 741100555 501(C)(3) 23542 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION TEXAS SCOTTISH RITE HOSPITAL FOR CHILDREN 2222 WELBORN STREET DALLAS TX 75219 750818178 501(C)(3) 23542 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION THE CHILDREN'S HOSPITAL AT SACRED HEART 5151 N NINTH AVENUE PENSACOLA FL 32504 590634434 501(C)(3) 23542 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION THE CHILDREN'S INSTITUTE 467 SOUTH TRENTON AVENUE PITTSBURGH PA 15221 232935278 501(C)(3) 23542 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION UNIVERSITY OF WISCONSIN - MADISON 600 HIGHLAND AVENUE H4/447 CSC MADISON WI 537924108 396006492 501(C)(3) 23542 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION UPSTATE GOLISANO CHILDREN'S HOSPITAL 750 EAST ADAMS STREET SYRACUSE NY 13210 161068101 501(C)(3) 23542 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION ARIZONA CHILDREN'S CENTER AT MARICOPA MEDICAL CENTER 2601 E ROOSEVELT ST PHOENIX AZ 85008 860830701 501(C)(3) 17657 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION ARNOLD PALMER HOSPITAL FOR CHILDREN 92 W MILLER ST MP309 ORLANDO FL 32806 501(C)(3) 17657 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION CHILDREN'S NATIONAL HEALTH SYSTEM 111 MICHIGAN AVE NW WASHINGTON DC 20010 530196580 501(C)(3) 17657 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION MORGAN STANLEY CHILDREN'S HOSPITAL 3959 BROADWAY 5 TOWER ROOM 561 NEW YORK NY 10032 501(C)(3) 17657 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION SAINT PETER'S UNIVERSITY HOSPITAL 254 EASTON AVENUE PEDIATRICS 2G NEW BRUNSWICK NJ 08901 221513449 501(C)(3) 17657 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION WVU CHILDREN'S HOSPITAL 1 MEDICAL CENTER DRIVE BOX 8200 ROC117 MORGANTOWN WV 26506 556011282 501(C)(3) 17657 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION SHRINERS HOSPITALS FOR CHILDREN 950 WEST FARIS RD GREENVILLE SC 29605 362193608 501(C)(3) 15891 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION MEMORIAL CHILDREN'S HOSPITAL 615 N MICHIGAN STREET SOUTH BEND IN 46601 501(C)(3) 14949 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION CONNECTICUT CHILDREN'S MEDICAL CENTER 282 WASHINGTON STREET HARTFORD CT 06106 060646755 501(C)(3) 14714 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION EAST TENNESSEE CHILDREN'S HOSPITAL 2018 CLINCH AVE KNOXVILLE TN 37916 626002604 501(C)(3) 14714 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION CHILDREN'S HEALTHCARE OF ATLANTA 1405 CLIFTON RD NE ATLANTA GA 30322 582367819 501(C)(3) 14125 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION CHILDREN'S HOSPITAL & MEDICAL CENTER 8200 DODGE ST OMAHA NE 68114 470379754 501(C)(3) 11771 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION CHILDREN'S HOSPITAL OF ALABAMA 1600 7TH AVENUE SOUTH BIRMINGHAM AL 35233 630307306 501(C)(3) 11771 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION CHILDREN'S HOSPITAL OF WISCONSIN 9000 W WISCONSIN AVE MILWAUKEE WI 53226 390812532 501(C)(3) 11771 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION CINCINNATI CHILDRENS HOSPITAL 3333 BURNET AVE CINCINNATI OH 45229 310833936 501(C)(3) 11771 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION DELL CHILDREN'S MEDICAL CENTER 4900 MUELLER BLVD AUSTIN TX 787233079 741109643 501(C)(3) 11771 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION ESSENTIA HEALTH 407 EAST 3RD ST DULUTH MN 55805 200360007 501(C)(3) 11771 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION FLOATING HOSPITAL FOR CHILDREN AT TUFTS MEDICAL CENTER 800 WASHINGTON ST BOX444 BOSTON MA 02111 043400617 501(C)(3) 11771 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION FRANCISCAN HOSPITAL FOR CHILDREN 30 WARREN ST BRIGHTON MA 02135 042156082 501(C)(3) 11771 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION GEORGIA REGENTS CHILDREN'S HOSPITAL OF GEORGIA 1446 HARPER STREET BT 1847 AUGUSTA GA 30912 352310573 501(C)(3) 11771 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION HOOPS FAMILY CHILDREN'S HOSPITAL 1340 HAL GREER BOULEVARD HUNTINGTON WV 25701 311096222 501(C)(3) 11771 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION LUCILE PACKARD CHILDREN'S HOSPITAL STANFORD CHILD LIFE 725 WELCH ROAD PALO ALTO CA 94304 770003859 501(C)(3) 11771 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION RADY CHILDREN'S HOSPITAL ATTN CHILD LIFE MC 5126 SAN DIEGO CA 92126 951691313 501(C)(3) 11771 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION RILEY HOSPITAL FOR CHILDREN AT IU HEALTH 705 RILEY HOSPITAL DRIVE ROOM 1990 INDIANAPOLIS IN 46202 351955872 501(C)(3) 11771 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION SHRINERS HOSPITAL 3100 SAMFORD SHREVEPORT LA 71103 362193608 501(C)(3) 11771 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION SHRINERS HOSPITALS FOR CHILDREN - CINCINNATI 3229 BURNET AVENUE CINCINNATI OH 45229 362193608 501(C)(3) 11771 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION ST JOSEPH'S CHILDREN'S HOSPITAL 3001 W DR MLK JR BLVD TAMPA FL 33607 590774199 501(C)(3) 11771 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION ST CHRISTOPHER'S HOSPITAL FOR CHILDREN 160 E ERIE AVE PHILADELPHIA PA 19134 232274198 501(C)(3) 11771 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION THE CHILDREN'S FOUNDATION AT CHILDREN'S HOSPITALS AND CLINICS OF MINNESOTA 2545 CHICAGO AVENUE SOUTH 617 MINNEAPOLIS MN 55404 501(C)(3) 11771 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION THE CHILDREN'S HOSPITAL AT SAINT FRANCIS 6161 S YALE AVE TULSA OK 741361902 501(C)(3) 11771 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION CHILD LIFE PROGRAM STONY BROOK MEDICINE HOSPITAL LEVEL 11 RM 146 STONY BROOK NY 117947111 501(C)(3) 8828 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION CHILDREN'S HOSPITAL OF PITTSBURGH OF UPMC 4401 PENN AVE PITTSBURGH PA 15224 501(C)(3) 8828 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION CHRIS EVERT CHILDREN'S HOSPITAL 1600 SANDREWS AVENUE FORT LAUDERDALE FL 33316 596012065 501(C)(3) 8828 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION EL PASO CHILDREN'S HOSPITAL 4845 ALAMEDA EL PASO TX 79905 263075429 501(C)(3) 8828 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION GOLISANO CHILDREN'S HOSPITAL OF SOUTHWEST FLORIDA 9981 S HEALTHPARK DR FT MYERS FL 33908 590714812 501(C)(3) 8828 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION ST MARY'S HOSPITAL FOR CHILDREN 29-01 216TH STREET BAYSIDE NY 11360 111679599 501(C)(3) 8828 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION YALE-NEW HAVEN CHILDREN'S HOSPITAL 20 YORK STREET - SP7-414 NEW HAVEN CT 06510 060646652 501(C)(3) 8828 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION VERMONT CHILDREN'S HOSPITAL 89 BEAUMONT AVE S252 COURTYARD AT GIVEN BURLINGTON VT 05405 030219309 501(C)(3) 8240 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION CALIFORNIA PACIFIC MEDICAL CENTER 3700 CALIFORNIA ST B-336 SAN FRANCISCO CA 94118 942728423 501(C)(3) 7063 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION MILLER CHILDREN'S & WOMEN'S HOSPITAL LONG BEACH 2801 ATLANTIC AVE LONG BEACH CA 90806 956105984 501(C)(3) 7063 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION SHRINERS HOSPITRALS FOR CHILDREN 2001 S LINDBERGH BLVD ST LOUIS MO 63131 501(C)(3) 7063 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION WOLFSON CHILDREN'S HOSPITAL 800 PRUDENTIAL DRIVE JACKSONVILLE FL 32207 590747311 501(C)(3) 7063 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION COOK CHILDREN'S HEALTH FOUNDATION 801 7TH AVENUE FORT WORTH TX 76104 752051649 501(C)(3) 6474 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION BLOOMBERG CHILDREN'S CENTER 1800 ORLEANS ST ROOM 7217 BALTIMORE MD 21210 520591656 501(C)(3) 5886 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION BON SECOURS ST MARY'S HOSPTIAL 5801 BREMO RD PEDIATRICS 6-WEST RICHMOND VA 23226 540793767 501(C)(3) 5886 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION CS MOTT CHILDREN'S HOSPITAL 1500 E MEDICAL CENTER DR F-2519 ANN ARBOR MI 48109 386006309 501(C)(3) 5886 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION CHILD LIFE DEPARTMENT MUSC CHILDREN'S HOSPITAL 169 ASHLEY AVE ROOM 701 CH CHARLESTON SC 29425 571098556 501(C)(3) 5886 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION CHILDREN'S HOSPITAL CENTRAL CALIFORNIA 9300 VALLEY CHILDRENS PLACE MADERA CA 93636 941294954 501(C)(3) 5886 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION CHILDREN'S HOSPITAL COLORADO 13123 EAST 16TH AVE B-220 AURORA CO 80045 840166760 501(C)(3) 5886 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION CHILDRENS HOSPITAL COLORADO MEMORIAL 1400 EAST BOULDER STREET COLORADO SPRINGS CO 80909 840166760 501(C)(3) 5886 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION CHILDREN'S HOSPITAL OF MICHIGAN FOUNDATION 3901 BEAUBIEN DETROIT MI 49201 320087353 501(C)(3) 5886 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION CHILDREN'S HOSPITAL NAVICENT HEALTH 888 PINE ST MSC 38 MACON GA 31201 501(C)(3) 5886 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION CHILDREN'S MERCY HOSPITAL 2401 GILLHAM RD KANSAS CITY MO 64108 440605373 501(C)(3) 5886 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION CHILDREN'S SPECIALIZED HOSPITAL 200 SOMERSET STREET NEW BRUNSWICK NJ 08901 221487148 501(C)(3) 5886 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION CHILDREN'S HOSPITAL OF THE KING'S DAUGHTERS 601 CHILDRENS LANE NORFOLK VA 23507 540506321 501(C)(3) 5886 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION CLEVELAND CLINIC CHILDRENS REHAB 2801 MARTIN LUTHER KING JRDR CLEVELAND OH 44104 340714585 501(C)(3) 5886 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION COXHEALTH 3801 S NATIONAL AVE SPRINGFIELD MO 65807 431090590 501(C)(3) 5886 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION JAMES AND CONNIE MAYNARD CHILDREN'S HOSPITAL AT VIDANT MEDICAL CENTER 2100 STANTONSBURG ROAD GREENVILLE NC 27834 501(C)(3) 5886 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION KOSAIR CHILDREN'S HOSPITAL 231 EAST CHESTNUT STREET LOUISVILLE KY 40202 610703799 501(C)(3) 5886 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION MINISTRY SAINT JOSEPH'S CHILDREN'S HOSPITAL 611 ST JOSEPH AVE MARSHFIELD WI 54449 391684957 501(C)(3) 5886 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION MONMOUTH MEDICAL CHILD LIFE 300 2ND AVE LONG BRANCH NJ 07740 223452412 501(C)(3) 5886 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION MU WOMEN'S AND CHILDREN'S HOSPITAL 404 KEENE ST COLUMBIA MO 65201 501(C)(3) 5886 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION NEMOURS CHRILDREN'S HOSPITAL 13535 NEMOURS PARKWAY ORLANDO FL 32827 501(C)(3) 5886 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION PHOENIX CHILDRENS HOSPITAL 1919 EAST THOMAS ROAD PHOENIX AZ 85016 860422559 501(C)(3) 5886 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION PROVIDENCE CHILDREN'S HOSPITAL 2001 NOREGON EL PASO TX 79902 742792375 501(C)(3) 5886 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION RAINBOW BABIES & CHILDREN'S HOSPITAL 11100 EUCLID AVE MAILSTOP 6041 CLEVELAND OH 44106 341567805 501(C)(3) 5886 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL 1 ROBERT WOOD JOHNSON PLACE NEW BRUNSWICK NJ 08901 221487243 501(C)(3) 5886 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION SHRINERS HOSPITAL FOR CHILDREN 1310 PUNAHOU ST HONOLULU HI 96826 501(C)(3) 5886 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION SHRINER'S HOSPITALS FOR CHILDREN 6977 MAIN STREET HOUSTON TX 77030 501(C)(3) 5886 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION SHRINERS HOSPITALS FOR CHILDREN- BOSTON 51 BLOSSOM STREET BOSTON MA 02114 042121377 501(C)(3) 5886 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION ST LUKE'S CHILDREN'S HOSPITAL 190 E BANNOCK BOISE ID 83705 820161600 501(C)(3) 5886 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION STJOHN HOSPITAL AND MEDICAL CENTER 22101 MOROSS RD DETROIT MI 48236 501(C)(3) 5886 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION TUCSON MEDICAL CENTER 5301 E GRANT RD TUCSON AZ 85712 860137567 501(C)(3) 5886 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION U OF M MASONIC CHILDREN'S HOSPITAL 2450 RIVERSIDE AVE SUITE MB-225 MINNEAPOLIS MN 55454 410991680 501(C)(3) 5886 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION UCSF BENIOFF CHILDREN'S HOSP 505 PARNASSUS AVE L299A SAN FRANCISCO CA 94143 942829914 501(C)(3) 5886 FMV AMERICAN GIRL DOLLS HOLIDAY DONATION CHILDREN'S NATIONAL MEDICAL CENTER 111 MICHIGAN AVENUE NW WASHINGTON DC 20010 521640403 501(C)(3) 43480 FEDERAL CMMI GRANT CHRIS EVERT CHILDREN'S HOSPITAL 1600 SOUTH ANDREWS AVENUE FORT LAUDERDALE FL 33316 596012065 501(C)(3) 15000 HOSPITAL PLAY GRANTS CINCINNATI CHILDREN'S HOSPITAL MEDICAL CENTER 3333 BURNETT AVENUE CINCINNATI OH 452293026 310833936 501(C)(3) 16970 HOSPITAL PLAY GRANTS COOK CHILDREN'S HEALTH CARE SYSTEM 801 SEVENTH AVENUE SOUTH FORT WORTH TX 76104 752051646 501(C)(3) 111223 FEDERAL CMMI GRANT NISWONGER CHILDREN'S HOSPITAL 400 NORTH STATE OF FRANKLIN ROAD JOHNSON CITY TN 376046094 620476292 501(C)(3) 16985 HOSPITAL PLAY GRANTS ST JOSEPH'S CHILDREN'S HOSPITAL 2700 WEST DR MARTING LUTHER KING JR BLVD TAMPA FL 33607 590774199 501(C)(3) 28560 FEDERAL CMMI GRANT ST LOUIS CHILDREN'S HOSPITAL 1 CHILDRENS PLACE ST LOUIS MO 63110 431626863 501(C)(3) 15000 HOSPITAL PLAY GRANTS ST MARY'S HEALTHCARE SYSTEM FOR CHILDREN 29-01 - 216TH STREET BAYSIDE NY 11360 111679599 501(C)(3) 15988 HOSPITAL PLAY GRANTS UF HEALTH SHANDS CHILDREN'S HOSPITAL 1600 SW ARCHER ROAD GAINESVILLE FL 32610 591943502 501(C)(3) 16615 HOSPITAL PLAY GRANTS UNIVERSITY OF SOUTH ALABAMA CHILDREN'S AND WOMEN'S HOSPITAL 1700 CENTER STREET MOBILE AL 36604 630477348 501(C)(3) 15000 HOSPITAL PLAY GRANTS WOLFSON'S CHILDREN'S HOSPITAL 800 PRUDENTIAL DRIVE JACKSONVILLE FL 32207 590747311 501(C)(3) 12260 FEDERAL CMMI GRANT 131 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 PRESIDENT & CEO/EX-OFFICIO 432992 144331 153750 51250 14286 4762 107550 35850 17317 5772 725895 241965 0 0 CAROL CITRON DIRECTOR, FINANCE 170947 8997 21850 1150 649 34 16965 893 8458 445 218869 11519 0 0 AMY KNIGHT COO 429995 22631 104500 5500 342 18 58568 3083 23119 1217 616524 32449 0 0 MARIAN SAFFER VP, QUALITY IMP & MEASUREMENT 168699 0 15000 0 899 0 16310 0 14604 0 215512 0 0 0 GILLIAN RAY VP, EXTERNAL AFFAIRS 106697 64018 15625 9375 138 83 10356 6214 14272 8563 147088 88253 0 0 DONNA SHELTON VP, RESEARCH 161576 0 18500 0 585 0 15410 0 8048 0 204119 0 0 0 EVELYN LOSTOCCO DIRECTOR, FOCUS GROUP INITIATIVES 140026 0 11000 0 741 0 13355 0 6968 0 172090 0 0 0 JAYNE STUART DIRECTOR, QUALITY IMPROVEMENT 140845 0 15500 0 259 0 13580 0 12077 0 182261 0 0 0 PART I, LINE 4B THE FOLLOWING EMPLOYEES RECEIVED DISTRIBUTION FROM THE NACHRI 457F PLAN IN 2014. THE AMOUNTS WERE INCLUDED IN BOX 5 OF THEIR 2014 W-2. MILTON JAMES KAUFMAN - $2,996.44 AMY WIMPEY KNIGHT - $15,209.80 MARK WIETECHA - $0 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 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. X AMERICAN GIRL DOLLS 16004 1883760 FMV 0 0 0 PART I, COLUMN (B): 16,004 AMERICAN GIRL DOLLS WERE RECEIVED AS CONTRIBUTIONS 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 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. 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 2014. 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 2014. 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 XI, LINE 9: BENEFIT PLAN CHANGE OTHER THAN NET PERIODIC COST -29,642. EQUITY IN VPS -48,308. 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 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 1 0 1 1 0 0 0 0 NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS INC L 1123025 ACTUAL COST NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS INC O 1909372 ACTUAL COST NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS INC N 381016 ACTUAL COST