Attach to Form 990 or Form 990-EZ.
Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
| (i)Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 9 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
| Total | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any unusual grants.) .... | 5,500 | 351,856 | 306,787 | 4,394,714 | 4,027,640 | 9,086,497 |
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3 | 5,500 | 351,856 | 306,787 | 4,394,714 | 4,027,640 | 9,086,497 |
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f).. | 3,202,732 | |||||
| 6 | Public support. Subtract line 5 from line 4. | 5,883,765 | |||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 5,500 | 351,856 | 306,787 | 4,394,714 | 4,027,640 | 9,086,497 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | 498 | 498 | ||||
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | ||||||
| 11 | Total support. Add lines 7 through 10. | 9,086,995 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | ||||||
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose...... | ||||||
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513... | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 6 | Total. Add lines 1 through 5. | ||||||
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons... | ||||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | ||||||
| c | Add lines 7a and 7b.. | ||||||
| 8 | Public support. (Subtract line 7c from line 6.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | ||||||
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | ||||||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | ||||||
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
|||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by .035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | ||
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
||
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | ||
| 4 Amounts paid to acquire exempt-use assets | ||
| 5 Qualified set-aside amounts (prior IRS approval required) | ||
| 6 Other distributions (describe in Part VI). See instructions | ||
| 7Total annual distributions. Add lines 1 through 6. | ||
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
||
| 9 Distributable amount for 2015 from Section C, line 6 | ||
| 10 Line 8 amount divided by Line 9 amount | ||
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2015 |
(iii) Distributable Amount for 2015 |
|
|---|---|---|---|---|
|
1
Distributable amount for 2015 from Section C, line 6 |
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|
2
Underdistributions, if any, for years prior to 2015 (reasonable cause required--see instructions) |
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| 3 Excess distributions carryover, if any, to 2015: | ||||
| a | ||||
| b | ||||
| c | ||||
| d From 2013....... | ||||
| e From 2014....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2015 distributable amount | ||||
|
i
Carryover from 2010 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2015 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2015 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2015, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions) |
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|
6
Remaining underdistributions for 2015. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions) |
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|
7 Excess distributions carryover to 2016. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a | ||||
| b | ||||
| c Excess from 2013....... | ||||
| d From 2014....... | ||||
| e From 2015....... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|---|
| Schedule A, Part II: | Network for Regional Healthcare Improvement (NRHI) has restated its public support test in Schedule A, Part II to more closely align with IRS instructions and Section 170(b)(1)(A)(vi) provisions. Recently, NRHI engaged legal counsel to review its public support calculation, the results of that review are reflected in NRHI's current Schedule A, Part II. |
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Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at| Return Reference | Explanation |
|---|---|
| Form 990, Part VI, Section A, line 2 | Due to the nature of NRHI's membership, from time to time certain board members may represent an organization that has a business relationship with an organization represented by another board member. |
| Form 990, Part VI, Section A, line 6 | Network for Regional Healthcare Improvement has seven (7) classes of membership: - Full Members are Regional Health Improvement Collaboratives defined as: - A nonprofit organization; - Which is working to improve healthcare quality and value through an active program of quality measurement and public reporting or an active program of quality improvement, or both; - In a specific geographic region of the country (typically either a metropolitan region or state); - Through a collaborative effort of healthcare providers and other stakeholders. - The organization must have representation from four types of stakeholders on its Board: a. Healthcare providers (hospitals, physician groups, physicians, home health agencies, nursing homes, clinics, etc.); b. Healthcare purchasers (employers who purchase health insurance for their employees, state Medicaid agencies who contract with health plans for care, etc.); c. Healthcare payers (private health insurance plans, state Medicaid agencies that directly pay for care, etc.); and d. Healthcare consumers or consumer organizations. - Associate Members: An organization that meets the criteria described for Full Members may instead elect to join NRHI as an Associate Member, except that it shall submit an application to NRHI to be an Associate Member, shall contribute annual dues at the Associate Member level, and shall have the rights and benefits of an Associate Member. - Affiliate Members: An organization that does not meet all of the criteria to be a Full Member or Associate Member may qualify as an Affiliate Member of NRHI if it meets the following requirements: - The organization must be a nonprofit organization whose mission is to improve healthcare quality and value; - The organization must have a formal plan with support from the community to implement either a healthcare quality measurement and public reporting program or a healthcare quality improvement program, or both; - The organization must be governed by a Board of Directors that includes health care providers and at least one other group of stakeholders listed under the "Full Members" description above. - Philanthropic Members: Charitable organizations with an interest in supporting NRHI's work and mission. An organization may qualify as a Philanthropic Member of NRHI if it: (1) is a nonprofit organization whose mission includes the improvement of health and healthcare in the United States; (2) has previously worked with and demonstrated support of NRHI and/or its members; and (3) submits an application to NRHI to be a Philanthropic Member. A Philanthropic Member shall contribute annual dues established by the NRHI Board of Directors at the Philanthropic Member level and shall have rights and benefits of a Philanthropic Member. An organization's term as a Philanthropic Member shall be one (1) year and may be renewed upon approval by the Board of Directors. - Employer Members: Businesses who are interested in supporting NRHI's work and mission. An organization may qualify as an Employer Member of NRHI if it: (1) is a for-profit organization that has a vested interest in improving health and healthcare in the United States; (2) has previously worked with and demonstrated support of NRHI and/or its members; (3) purchases health care benefits on behalf of an employed populations; and (4) submits an application to NRHI to be an Employer Member. An Employer Member shall contribute annual dues established by the NRHI Board of Directors at the Employer Member level and shall have the rights and benefits of an Employer Member. An organization's term as an Employer Member shall be one (1) year and may be renewed upon approval of the Board of Directors. - Data Partner Members: Regional entities with access to claims and/or clinical data being used across multiple organizations/entities to improve patient care. These may include health information exchanges, all payer claims databases, or others. An organization may qualify as a Data Partner member if it: (1) is a nonprofit or state organization; (2) joins or partners with its local Regional Health Improvement Collaborative unless one does not exist in their region; (3) demonstrates a commitment to multi-stakeholder involvement, community benefit, interoperability, quality improvement and transparency, and (4) submits an application to NRHI to be a Data Partner Member. - Professional Group Members: Organizations who are aligned and engaged with NRHI's work and mission. An organization may qualify as a Professional Group Member if it: (1) is a professional, industry or trade organization; (2) has a vested interest in improving health and healthcare in the United States; (3) is governed by a Board of Directors that includes a member from the healthcare industry or profession; and (4) submits an application to NRHI to be a Professional Group Member. A Professional Group Member shall contribute annual dues established by the NRHI Board of Directors at the Professional Group Member level and shall have the rights and benefits of a Professional Group Member. An organization's term as a Professional Group Member shall be one (1) year and may be renewed upon approval by the Board of Directors. |
| Form 990, Part VI, Section A, line 7a | Full Members in good standing have the option to serve on the Board of Directors of NRHI. If there are more than twenty (20) Full Members who wish to serve on the Board, then the Board of Directors may develop and institute an election process to select a subset of the Full Members who wish to serve on the Board. If the Board has not instituted an election process, then the CEOs/Executive Directors of all Full Members who wish to serve will serve on the Board of Directors for the next twelve month period from June 1 through May 31 of the following year. |
| Form 990, Part VI, Section B, line 11 | The Form 990 is prepared by an independent outside accounting firm and reviewed by the Controller & Director of Finance Operations and the President & CEO. It is then distributed to the full Board of Directors before it is filed with the IRS. |
| Form 990, Part VI, Section B, line 12 | While the organization did not have standardized policies in place during the filing period regarding annual disclosures and regular monitoring of its conflict of interest, it has implemented these procedures in 2016. |
| Form 990, Part VI, Section B, line 15 | The Board of Directors sets the compensation for NRHI's President & CEO. In doing so, the Board sets the compensation based on amounts paid by similar tax-exempt organizations for similar services, as well as the President & CEO's experience and performance. The Board annually approves the President & CEO's compensation arrangement in advance, and the terms and date of the arrangement is documented in writing. During the filing period, NRHI employed one additional compensated officer. The compensation for the Chief Financial Officer position was determined by the President & CEO with input and review from the organization's Finance Committee, and was based comparability data obtained from NRHI member organizations. |
| Form 990, Part VI, Section C, line 19 | The organization fully complies with all legal disclosure requirements and makes its governing documents, conflict of interest policy, and financial statements available upon request. |
| Form 990, Part IX, line 11g | Professional Services: Program service expenses 53,557. Management and general expenses 10,062. Fundraising expenses 6,615. Total expenses 70,234. Consultant Fees: Program service expenses 634,384. Management and general expenses 0. Fundraising expenses 0. Total expenses 634,384. Outside Services: Program service expenses 155,038. Management and general expenses 0. Fundraising expenses 0. Total expenses 155,038. |
| Form 990, Part XII, Line 2c: | The audit process has not changed from the prior year. |
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