Form990
Click to see attachment
Department of the TreasuryInternal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private
foundations)
MediumBullet Do not enter social security numbers on this form as it may be made public.
MediumBullet Information about Form 990 and its instructions is at www.IRS.gov/form990.
OMB No. 1545-0047
2015
Open to Public Inspection
A For the 2015 calendar year, or tax year beginning 01-01-2015 , and ending 12-31-2015
BCheck if applicable:
CName of organization
NATIONAL ASSOCIATION OF CHILDREN'S
HOSPITALS AND RELATED INSTITUTIONS INC
 
Doing business as
NACHRI
 
Number and street (or P.O. box if mail is not delivered to street address)
600 13th street nw No 500
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
washington, DC20005
D Employer identification number

51-0120256
E Telephone number

G Gross receipts $ 56,611,245
F Name and address of principal officer:
Mark Wietecha
600 13th street nw No 500
washington,DC20005
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.CHILDRENSHOSPITALS.NET
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:  
L Year of formation: 1970
M State of legal domicile: GA
Part I
Summary
Activities  & Governance 1 Briefly describe the organization’s mission or most significant activities: 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.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 13
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 12
5 Total number of individuals employed in calendar year 2015 (Part V, line 2a) ...... 5 222
6 Total number of volunteers (estimate if necessary) ............. 6 50
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 64,221
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b -3,950
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 3,336,559 12,727,788
9 Program service revenue (Part VIII, line 2g) ......... 17,004,449 40,604,375
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 3,493,477 1,211,657
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 2,633,876 1,666,892
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 26,468,361 56,210,712
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 2,190,841 2,784,638
14 Benefits paid to or for members (Part IX, column (A), line 4)..... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 8,722,795 27,789,121
16a Professional fundraising fees (Part IX, column (A), line 11e) ..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet533,761    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 11,206,747 19,491,175
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 22,120,383 50,064,934
19 Revenue less expenses. Subtract line 18 from line 12....... 4,347,978 6,145,778
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 51,558,871 58,542,353
21 Total liabilities (Part X, line 26)............. 10,851,028 13,003,542
22 Net assets or fund balances. Subtract line 21 from line 20..... 40,707,843 45,538,811
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet
Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ..........
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y Form 990 (2015)
Form 990 (2015)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III ..............
1
Briefly describe the organization’s mission: 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.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? .....................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program
services? ...........................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 7,340,642 including grants of $ 0 ) (Revenue $ 2,471,800 )
Quality and Safety: NACHRI sponsors and facilitates a broad set of quality, safety, and cost management cooperatives. These cooperatives range in size from five hospitals to over 80 hospital participants and hundreds of clinicians, all focused on finding best practice solutions to priority problems. The goal is to identify best practice protocols that can then be spread across the larger group and improve children's health on a national basis.
4b (Code:   ) (Expenses $ 5,982,835 including grants of $ 0 ) (Revenue $ 10,224,642 )
Data Analytics/Performance Improvement: The analytics programs help members measure and improve quality and efficiency, inform and support strategies, showcase improvements in children's health care and identify opportunities for further improvement. Collection and analysis of data has supported advocacy for graduate medical education funding, for increasing children's access under Medicaid and CHIP programs and for strengthening reimbursement for children's hospitals. The tools available to members include a suite of data, benchmarking, and quality improvement programs and software. These tools allow users to back internal and policy decision-making efforts with concrete evidence and allow member hospitals nationally to shape how pediatric care is measured for quality and reimbursement.
4c (Code:   ) (Expenses $ 4,579,503 including grants of $ 0 ) (Revenue $ 9,351,591 )
Education and Programming: NACHRI runs one of the nation's largest set of educational programs dedicated to pediatrics. This includes senior executive education and networking events, the Annual Leadership Conference, quality conferences, analytics conferences, and other topic-specific programs for leadership within children's hospitals. These programs and conferences occur in person and via web.
(Code:   ) (Expenses $ 3,723,275 including grants of $ 2,784,638 ) (Revenue $ 8,892,575 )
POLICY AND ADVOCACY: AS THE VOICE FOR CHILDREN'S HOSPITALS AND CHILD HEALTH, NACHRI ACTS AS ITS MEMBERS' "EYES AND EARS" IN WASHINGTON, FOCUSING ON LEGISLATION AND REGULATORY ACTION THAT DIRECTLY AFFECT ITS CONSTITUENCIES. SENSITIVE PUBLIC POLICIES ARE CRITICAL TO THE ABILITY OF CHILDREN'S HOSPITALS TO CARE FOR ALL CHILDREN THROUGH CLINICAL CARE, TRAINING, RESEARCH AND PUBLIC HEALTH ADVOCACY. AS HEALTH CARE POLICIES ARE DEBATED AT THE STATE AND FEDERAL LEVELS, NACHRI AND ITS MEMBER HOSPITALS WORK WITH POLICYMAKERS TO ENSURE CHILDREN'S UNIQUE HEALTH CARE NEEDS ARE NOT OVERLOOKED AND THAT EVERY CHILD HAS ACCESS TO HIGH QUALITY, COST-EFFECTIVE PRIMARY, PREVENTIVE AND SPECIALTY CARE SERVICES TAILORED TO MEET THEIR NEEDS.
(Code:   ) (Expenses $ 9,599,546 including grants of $ 0 ) (Revenue $ 9,599,546 )
Management Fees
4d Other program services (Describe in Schedule O.)
(Expenses $ 13,322,821 including grants of $ 2,784,638 ) (Revenue $ 18,492,121 )
4e Total program service expensesMediumBullet31,225,801
Form 990 (2015)
Form 990 (2015)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? Click to see attachment...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part IClick to see attachment.............
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part IIClick to see attachment..............
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C, Part IIIClick to see attachment.................
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part IClick to see attachment..................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part IIClick to see attachment...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes," complete Schedule D, Part III Click to see attachment.............
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IVClick to see attachment..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If "Yes," complete Schedule D, Part VClick to see attachment......
10
 
No
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10?
If "Yes," complete Schedule D, Part VI.Click to see attachment...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIClick to see attachment.......
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIIClick to see attachment.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IXClick to see attachment............
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment
11f
 
No
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If "Yes," complete Schedule D, Parts XI and XII Click to see attachment.................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States? .....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV.....
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I (see instructions) ....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....
20a
 
No
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return?
20b
 
 
Form 990 (2015)
Form 990 (2015)
Page 4
Part IV
Checklist of Required Schedules (continued)
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.....Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........Click to see attachment
22
 
No
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a...............
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds? ...............
24c
 
 
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I............
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I ...................
25b
 
No
26
Did the organization report any amount on Part X, line 5, 6, or 22 for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons? If "Yes," complete Schedule L, Part II ................
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part III.........
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L,
Part IV
........................
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L, Part IV.....................
28b
 
No
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If "Yes," complete Schedule L, Part IV...
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..Click to see attachment
29
Yes
 
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M .............Click to see attachment
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part I.
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II ...........
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I ........Click to see attachment
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1.........................Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
 
No
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2 ...
35b
 
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2............. Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2015)
Form 990 (2015)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V...........
Yes
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..
1a
80
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
222
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? ..
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? ..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions? ...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? ......................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? ....................
7a
Yes
 
b
If "Yes," did the organization notify the donor of the value of the goods or services provided? .....
7b
Yes
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? .........................
7c
 
No
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? ......................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? ..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds.
Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? .........................
8
 
 
9a
Did the sponsoring organization make any taxable distributions under section 4966?...
9a
 
 
b
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?...
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note.
See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
Form 990 (2015)
Form 990 (2015)
Page 6
Part VI
Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI ..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year
1a
13
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent
1b
12
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? ...........................
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .......................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe in Schedule O how this was done...................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization's books and records:
MediumBulletNancy Stahl CFO600 13TH STREET NW NO 500   WASHINGTON,DC20005 (913) 262-1436
Form 990 (2015)
Form 990 (2015)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII ..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and Title
(B)
Average hours per week (list any hours for related organizations below dotted line)
(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(D)
Reportable compensation from the organization (W- 2/1099-MISC)
(E)
Reportable compensation from related organizations (W- 2/1099-MISC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) Peggy Troy RN MSN......................................................................
Chair
1.00
.................
1.00
X   X       0 0 0
(2) Steve J Allen MD......................................................................
Vice Chair
1.00
.................
1.00
X   X       0 0 0
(3) Thomas D Kmetz......................................................................
Treasurer
1.00
.................
1.00
X   X       0 0 0
(4) Amy B Mansue......................................................................
Secretary
1.00
.................
1.00
X   X       0 0 0
(5) Michael Aubin FACHE......................................................................
Director
1.00
.................
1.00
X           0 0 0
(6) Madeline Bell......................................................................
Director
1.00
.................
1.00
X           0 0 0
(7) Kim Cripe......................................................................
Director
1.00
.................
1.00
X           0 0 0
(8) Herman B Gray MD MBA FAAP......................................................................
Director
1.00
.................
1.00
X           0 0 0
(9) Rick Merrill......................................................................
Director
1.00
.................
1.00
X           0 0 0
(10) Kurt Newman MD......................................................................
Director
1.00
.................
1.00
X           0 0 0
(11) James E Shmerling DHA FACHE......................................................................
Director
1.00
.................
1.00
X           0 0 0
(12) Jeff Sperring MD......................................................................
Director
1.00
.................
1.00
X           0 0 0
(13) Mark Wietecha......................................................................
CEO
10.00
.................
30.00
    X       226,223 678,668 188,197
(14) Amy Knight......................................................................
COO
25.00
.................
15.00
    X       345,337 207,202 102,267
(15) D Brian Humphreys......................................................................
VP of Finance
23.00
.................
17.00
    X       149,528 110,521 48,959
(16) Nancy Stahl......................................................................
Chief Financial Officer
30.00
.................
10.00
    X       63,253 21,085 12,789
(17) David Bertoch......................................................................
VP, Informatics & Comparative Data
40.00
.................
0.00
      X     261,708 0 46,688
Form 990 (2015)
Form 990 (2015)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title
(B)
Average hours per week (list any hours for related organizations below dotted line)
(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(D)
Reportable compensation from the organization (W- 2/1099-MISC)
(E)
Reportable compensation from related organizations (W- 2/1099-MISC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) Richard Stepanek........................................................................
Chief Information Officer
40.00
.......................0.00
      X     280,395 0 38,348
(19) Kassandra Jensen........................................................................
VP, Education & Executive Learning
40.00
.......................0.00
      X     236,192 0 27,694
(20) Milton J Kauffman........................................................................
vp of public policy
0.00
.......................40.00
        X   0 310,159 70,697
(21) David Spizman........................................................................
Vice President
0.00
.......................40.00
        X   0 295,995 49,049
(22) Robert Davidson........................................................................
Vice President, Insurance Advisory Services
0.00
.......................40.00
        X   0 262,760 42,866
(23) Jerry Rutherford........................................................................
VP, Special Projects
40.00
.......................0.00
        X   246,483 0 36,728
(24) Katherine Conrad........................................................................
VP, Delivery System Transformation
20.00
.......................20.00
        X   115,459 115,459 29,808












1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)...........MediumBullet 1,924,578 2,001,849 694,090
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization MediumBullet60
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
 
No
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such
individual
...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address
(B)
Description of services
(C)
Compensation
Truven Health Analytics Inc

39353 Treasury Center
Chicago,IL60694
Database Administrator 3,059,742
Cornerstone on Demand

Dept CH 19590
Palatine,IL60055
Learning Platform Subscription 1,057,107
CDW Direct LLC

PO Box 75723
Chicago,IL60675
Computer/Equipment Vendor 952,728
Health Catalyst

3165 Millrock Dr Suite 400
Salt Lake City,UT84121
Database Warehouse 681,017
Children's National Medical Center

801 Roeder Road Suite 500
Silver Spring,MD20910
CMMI Grant Administration 581,629
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet12
Form 990 (2015)
Form 990 (2015)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII .............
(A)
Total revenue
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from
tax under sections
512-514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues..1b  
c Fundraising events..1c  
d Related organizations1d  
e Government grants (contributions)1e 6,139,416
f All other contributions, gifts, grants, and similar amounts not included above1f 6,588,372
g Noncash contributions included in lines 1a-1f:$ 2,637,190
h Total.Add lines 1a-1f.......MediumBullet 12,727,788
 Program Service RevenueAmt Business Code
2a PROJECT PARTICIPATION FEES 900099 20,525,948 20,525,948    
b REIMBURSED EXPENSES 900099 9,708,806 9,708,806    
c membership dues 900099 8,892,575 8,892,575    
d MEETINGS AND CONFERENCE 900099 944,803 944,803    
e other fees 900099 468,022 468,022    
f All other program service revenue. 64,221   64,221  
g Total.Add lines 2a–2f.....MediumBullet 40,604,375
 OtherAmt RevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ..........MediumBullet 485,448     485,448
4 Income from investment of tax-exempt bond proceedsMediumBullet        
5 Royalties...........MediumBullet 1,900,181     1,900,181
(ii) Personal (i) Real
6a Gross rents   164,865
b Less: rental expenses   400,533
c Rental income or (loss)   -235,668
d Net rental income or (loss)......MediumBullet -235,668     -235,668
(ii) Other (i) Securities
7a Gross amount from sales of assets other than inventory   726,209
b Less: cost or other basis and sales expenses   0
c Gain or (loss)   726,209
d Net gain or (loss).....MediumBullet 726,209     726,209
8a Gross income from fundraising events (not including $   of contributions reported on line 1c). See Part IV, line 18 ....
a  
b Less: direct expenses ...b  
c Net income or (loss) from fundraising events..MediumBullet      
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities..MediumBullet        
10a Gross sales of inventory, less
returns and allowances ..
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet        
Business Code Miscellaneous Revenue
11a MISCELLANEOUS 900099 2,379     2,379
b            
c            
d All other revenue ....        
e Total. Add lines 11a–11d ...... MediumBullet 2,379
12 Total revenue. See Instructions......MediumBullet 56,210,712 40,540,154 64,221 2,878,549
Form 990 (2015)
Form 990 (2015)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX ..............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII.
(A)
Total expenses
(B)
Program service expenses
(C)
Management and general expenses
(D)
Fundraising expenses
1 Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 2,784,638 2,784,638
2 Grants and other assistance to individuals in the United States. See Part IV, line 22    
3 Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16    
4 Benefits paid to or for members    
5 Compensation of current officers, directors, trustees, and key employees .... 3,051,142 1,836,610 1,180,121 34,411
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....        
7 Other salaries and wages 18,686,341 11,248,092 7,227,505 210,744
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 1,307,783 787,210 505,824 14,749
9 Other employee benefits ....... 3,380,215 2,034,693 1,307,400 38,122
10 Payroll taxes ........... 1,363,640 820,832 527,429 15,379
11 Fees for services (non-employees):        
a Management ......        
b Legal ......... 219,725 132,262 84,985 2,478
c Accounting ........... 21,516 12,951 8,322 243
d Lobbying ...........        
e Professional fundraising services. See Part IV, line 17    
f Investment management fees ...... 66,371 39,951 25,671 749
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) 8,743,447 5,263,047 3,381,791 98,609
12 Advertising and promotion .... 33,468 20,146 12,945 377
13 Office expenses ....... 640,126 385,319 247,588 7,219
14 Information technology ...... 2,417,862 1,455,412 935,181 27,269
15 Royalties ..        
16 Occupancy ........... 1,279,177 769,990 494,760 14,427
17 Travel ............ 696,341 419,157 269,331 7,853
18 Payments of travel or entertainment expenses for any federal, state, or local public officials .        
19 Conferences, conventions, and meetings .... 2,051,220 1,215,888 811,665 23,667
20 Interest ...........        
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization .. 682,352 410,736 263,920 7,696
23 Insurance ... 158,935 95,670 61,473 1,792
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a Development 995,904 599,476 385,196 11,232
b PROFESSIONAL DEVELOPMEN 951,344 572,654 367,961 10,729
c Recruiting 319,714 192,449 123,659 3,606
d dues and subscriptions 136,275 82,030 52,708 1,537
e All other expenses 77,398 46,588 29,937 873
25 Total functional expenses. Add lines 1 through 24e 50,064,934 31,225,801 18,305,372 533,761
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2015)
Form 990 (2015)
Page 11
Part X
Balance Sheet
Check if Schedule O contains a response or note to any line in this Part IX ..............
(A)
Beginning of year
(B)
End of year
Assets 1 Cash–non-interest-bearing ........ 200 1 200
2 Savings and temporary cash investments ......... 16,313,927 2 15,582,202
3 Pledges and grants receivable, net ...... 1,083,949 3 3,287,045
4 Accounts receivable, net ............. 850,387 4 5,208,608
5 Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L
  5  
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
  6  
7 Notes and loans receivable, net ....   7  
8 Inventories for sale or use ........   8  
9 Prepaid expenses and deferred charges ...... 149,623 9 544,564
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 6,528,849
b Less: accumulated depreciation 10b 3,365,732 3,512,707 10c 3,163,117
11 Investments—publicly traded securities . 27,212,118 11 28,162,729
12 Investments—other securities. See Part IV, line 11 ..... 1,229,072 12 644,567
13 Investments—program-related. See Part IV, line 11 ..   13  
14 Intangible assets ...............   14  
15 Other assets. See Part IV, line 11 ........... 1,206,888 15 1,949,321
16 Total assets. Add lines 1 through 15 (must equal line 34)... 51,558,871 16 58,542,353
Liabilities 17 Accounts payable and accrued expenses ..... 2,537,061 17 7,924,709
18 Grants payable ...   18  
19 Deferred revenue ......... 243,313 19 1,110,200
20 Tax-exempt bond liabilities .........   20  
21 Escrow or custodial account liability. Complete Part IV of Schedule D   21  
22 Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L..   22  
23 Secured mortgages and notes payable to unrelated third parties ..   23  
24 Unsecured notes and loans payable to unrelated third parties ..   24  
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D 8,070,654 25 3,968,633
26 Total liabilities. Add lines 17 through 25.. 10,851,028 26 13,003,542
Net Assets or Fund Balance Organizations that follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets 40,464,993 27 41,642,715
28 Temporarily restricted net assets ........... 242,850 28 3,896,096
29 Permanently restricted net assets   29  
Organizations that do not follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds .....   30  
31 Paid-in or capital surplus, or land, building or equipment fund ...   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ........... 40,707,843 33 45,538,811
34 Total liabilities and net assets/fund balances ........ 51,558,871 34 58,542,353
Form 990 (2015)
Form 990 (2015)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI ..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
56,210,712
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
50,064,934
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
6,145,778
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
40,707,843
5
Net unrealized gains (losses) on investments ...............
5
-1,504,752
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
189,942
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
45,538,811
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII .............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
Yes
 
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
Yes
 
Form 990 (2015)
Form 990 (2015)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ.
right arrow Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2015
Open to Public
Inspection
Name of the organization
NATIONAL ASSOCIATION OF CHILDREN'S
HOSPITALS AND RELATED INSTITUTIONS INC
Employer identification number

51-0120256
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4


5
6
7
8
9
10
11
a
b
c
d
e
f
Enter the number of supported organizations ..............  

g
Provide the following information about the supported organization(s).
(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      

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2015

Schedule A (Form 990 or 990-EZ) 2015
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (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 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 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)..  
6 Public support. Subtract line 5 from line 4.  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2011 (b) 2012 (c) 2013 (d) 2014 (e) 2015 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...            
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.  
12
12
 
13
First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................right arrow
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow
Schedule A (Form 990 or 990-EZ) 2015

Schedule A (Form 990 or 990-EZ) 2015
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (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.") . 140,000 200,822 234,430 3,336,559 12,727,788 16,639,599
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...... 9,061,934 18,278,116 17,593,828 16,951,984 4,540,154 66,426,016
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. 9,201,934 18,478,938 17,828,258 20,288,543 17,267,942 83,065,615
7a Amounts included on lines 1, 2, and 3 received from disqualified persons... 1,394,020 2,634,086 3,432,228 3,413,413 4,534,368 15,408,115
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.           0
c Add lines 7a and 7b.. 1,394,020 2,634,086 3,432,228 3,413,413 4,534,368 15,408,115
8 Public support. (Subtract line 7c from line 6.) 67,657,500
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2011 (b) 2012 (c) 2013 (d) 2014 (e) 2015 (f) Total
9 Amounts from line 6... 9,201,934 18,478,938 17,828,258 20,288,543 17,267,942 83,065,615
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. 1,128,758 2,995,552 3,414,388 3,746,872 2,550,494 13,836,064
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b. 1,128,758 2,995,552 3,414,388 3,746,872 2,550,494 13,836,064
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. 9,184 3,802 10,594 8,097 0 31,677
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. 32,228 10,168 11,122 29 2,379 55,926
13 Total support. (Add lines 9, 10c, 11, and 12.).. 10,372,104 21,488,460 21,264,362 24,043,541 19,820,815 96,989,282
14
Section C. Computation of Public Support Percentage
15
15
69.760 %
16
16
71.230 %
Section D. Computation of Investment Income Percentage
17
17
14.270 %
18
18
14.470 %
19a
b
20
Schedule A (Form 990 or 990-EZ) 2015

Schedule A (Form 990 or 990-EZ) 2015
Page 4
Part IV
Supporting Organizations
(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)
Section A. All Supporting Organizations
Yes
No
1
Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.
1
 
 
2
Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).
2
 
 
3a
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.
3a
 
 
b
Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.
3b
 
 
c
Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.
3c
 
 
4a
Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.
4a
 
 
b
Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.
4b
 
 
c
Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.
4c
 
 
5a
Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).
5a
 
 
b
Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?
5b
 
 
c
Substitutions only. Was the substitution the result of an event beyond the organization's control?
5c
 
 
6
Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.
6
 
 
7
Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .
7
 
 
8
Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).
8
 
 
9a
Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.
9a
 
 
b
Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.
9b
 
 
c
Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.
9c
 
 
10a
Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.
10a
 
 
b
Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).
10b
 
 
Schedule A (Form 990 or 990-EZ) 2015

Schedule A (Form 990 or 990-EZ) 2015
Page 5
Part IV
Supporting Organizations (continued)
Yes
No
11
Has the organization accepted a gift or contribution from any of the following persons?
a
A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?
11a
 
 
b
A family member of a person described in (a) above?
11b
 
 
c
A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.
11c
 
 
Section B. Type I Supporting Organizations
Yes
No
1
Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.
1
 
 
2
Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.
2
 
 
Section C. Type II Supporting Organizations
Yes
No
1
Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).
1
 
 
Section D. All Type III Supporting Organizations
Yes
No
1
Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?
1
 
 
2
Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).
2
 
 
3
By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.
3
 
 
Section E. Type III Functionally-Integrated Supporting Organizations
1
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):
a
b
c
2
Activities Test. Answer (a) and (b) below.
Yes
No
a
Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.
2a
 
 
b
Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.
2b
 
 
3
Parent of Supported Organizations. Answer (a) and (b) below.
a
Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.
3a
 
 
b
Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.
3b
 
 
Schedule A (Form 990 or 990-EZ) 2015

Schedule A (Form 990 or 990-EZ) 2015
Page 6
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations
1
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  
7
Schedule A (Form 990 or 990-EZ) 2015

Schedule A (Form 990 or 990-EZ) 2015
Page 7
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)
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
 
2 Underdistributions, if any, for years prior to 2015
(reasonable cause required--see instructions)
 
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)
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)
 
6 Remaining underdistributions for 2015. Subtract
lines 3h and 4b from line 1 (if amount greater than
zero, see instructions)
 
7 Excess distributions carryover to 2016. Add lines
3j and 4c.
 
8 Breakdown of line 7:
a
b
c Excess from 2013.......  
d From 2014.......  
e From 2015.......  
Schedule A (Form 990 or 990-EZ) (2015)

Schedule A (Form 990 or 990-EZ) 2015
Page 8
Part VI
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Return Reference Explanation
Schedule A (Form 990 or 990-EZ) 2015


Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
Arrow Bullet Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2015
Name of the organization
NATIONAL ASSOCIATION OF CHILDREN'S
HOSPITALS AND RELATED INSTITUTIONS INC
Employer identification number

51-0120256
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
Special Rules
......... Arrow Bullet $  
Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2015)
Schedule B (Form 990, 990-EZ, or 990-PF) (2015) Page 2
Name of organization
NATIONAL ASSOCIATION OF CHILDREN'S
HOSPITALS AND RELATED INSTITUTIONS INC
Employer identification number
51-0120256
Part I
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
RESTRICTED
 
 

   
 
 
  ,    

$ RESTRICTED


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
Page 3
Name of organization
NATIONAL ASSOCIATION OF CHILDREN'S
HOSPITALS AND RELATED INSTITUTIONS INC
Employer identification number

51-0120256
Part II
Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a)
No.from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a)
No.from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a)
No.from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a)
No.from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a)
No.from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a)
No.from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
Page 4
Name of organization
NATIONAL ASSOCIATION OF CHILDREN'S
HOSPITALS AND RELATED INSTITUTIONS INC
Employer identification number

51-0120256
Part III
Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
Use duplicate copies of Part III if additional space is needed.
(a)
No.from Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No.from Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No.from Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No.from Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Additional Data


Software ID:  
Software Version:  
SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet Complete if the organization is described below. SchCMd Bullet Attach to Form 990 or Form 990-EZ.
SchCMd BulletInformation about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2015
Open to Public
Inspection
If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
NATIONAL ASSOCIATION OF CHILDREN'S
HOSPITALS AND RELATED INSTITUTIONS INC
Employer identification number

51-0120256
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization’s direct and indirect political campaign activities in Part IV.
2
Political expenditures ......................................................................................................................SchCMd Bullet
$  
3
Volunteer hours .............................................................................................................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 ................................SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 .......................SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................
4a
Was a correction made? ......................................................................................................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c), except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b...........SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ...................................................................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6
For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2015

Schedule C (Form 990 or 990-EZ) 2015
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check SchCMd Bulletexpenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.)
(a) Filing
organization's
totals
(b) Affiliated group totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ...............................................    
b Total lobbying expenditures to influence a legislative body (direct lobbying) ...........................................    
c Total lobbying expenditures (add lines 1a and 1b) .......................................................................    
d Other exempt purpose expenditures ......................................................................................... 49,998,563  
e Total exempt purpose expenditures (add lines 1c and 1d) .................................................................... 49,998,563  
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.
1,000,000  
If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
Not over $500,00020% of the amount on line 1e.
Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
Over $17,000,000$1,000,000.
g Grassroots nontaxable amount (enter 25% of line 1f) .......................................................................... 250,000  
h Subtract line 1g from line 1a. If zero or less, enter -0-. .......................................................................... 0  
i Subtract line 1f from line 1c. If zero or less, enter -0-. ........................................................................... 0  
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ..............................................................................................................

4-Year Averaging Period Under section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or fiscal year
beginning in)
(a) 2012 (b) 2013 (c) 2014 (d) 2015 (e) Total
2a Lobbying nontaxable amount 1,000,000 1,000,000 1,000,000 1,000,000 4,000,000
b Lobbying ceiling amount
(150% of line 2a, column(e))
6,000,000
c Total lobbying expenditures          
d Grassroots nontaxable amount 250,000 250,000 250,000 250,000 1,000,000
e Grassroots ceiling amount
(150% of line 2d, column (e))
1,500,000
f Grassroots lobbying expenditures          
Schedule C (Form 990 or 990-EZ) 2015


Schedule C (Form 990 or 990-EZ) 2015
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.
(a)
No
Yes
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? ...........................................................................................................
 
 
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........
 
 
c
Media advertisements? ...................................................................................................
 
 
 
d
Mailings to members, legislators, or the public? .............................................................................
 
 
 
e
Publications, or published or broadcast statements? ...........................................................
 
 
 
f
Grants to other organizations for lobbying purposes? ..........................................................
 
 
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? .......................
 
 
 
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................
 
 
 
i
Other activities? ...................................................................................................................
 
 
 
j
Total. Add lines 1c through 1i ....................................................................................................
 
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
 
b
If "Yes," enter the amount of any tax incurred under section 4912 ...........................................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ...............................................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................
2
 
 
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."
1
Dues, assessments and similar amounts from members ......................................................................
1
 
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).
a
Current year .............................................................................................................................
2a
 
b
Carryover from last year ............................................................................................................
2b
 
c
Total ...........................................................................................................................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) .........................................
5
 
Part IV
Supplemental Information
Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.
Return Reference Explanation
Schedule C (Form 990 or 990EZ) 2015


Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet Attach to Form 990.
Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2015
Open to Public Inspection
Name of the organization
NATIONAL ASSOCIATION OF CHILDREN'S
HOSPITALS AND RELATED INSTITUTIONS INC
Employer identification number

51-0120256
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year ....    
2 Aggregate value of contributions to (during year)    
3 Aggregate value of grants from (during year)    
4 Aggregate value at end of year ....    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ...........
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ............................
Part II
Conservation Easements. Complete if the organization answered "Yes" on Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ...................... 2a  
b Total acreage restricted by conservation easements .................... 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register ... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............
6
Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................
9
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:
(i)
Revenue included on Form 990, Part VIII, line 1 .........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:
a
Revenue included on Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2015

Schedule D (Form 990) 2015
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b If "Yes," explain the arrangement in Part XIII and complete the following table: Amount
c Beginning balance ............................. 1c  
d Additions during the year ............................ 1d  
e Distributions during the year .......................... 1e  
f Ending balance ................................ 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability?
b
If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........
Part V
Endowment Funds. Complete if the organization answered "Yes" on Form 990, Part IV, line 10.
(a)Current year (b)Prior year (c)Two years back (d)Three years back (e)Four years back
1a Beginning of year balance ....          
b Contributions ...          
c Net investment earnings, gains, and losses          
d Grants or scholarships ...          
e Other expenditures for facilities
and programs ...
         
f Administrative expenses ....          
g End of year balance ......          
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet  
b
Permanent endowment SchDMd Bullet  
c
Temporarily restricted endowment SchDMd Bullet  
The percentages on lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations .................
3a(i)
 
 
(ii) related organizations .................
3a(ii)
 
 
b
If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis
(investment)
(b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land ...      
b Buildings        
c Leasehold improvements   2,093,744 334,977 1,758,767
d Equipment ...   486,413 193,645 292,768
e Other ...   3,948,692 2,837,110 1,111,582
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..SchDMdBullet 3,163,117
Schedule D (Form 990) 2015

Schedule D (Form 990) 2015
Page 3
Part VII
Investments—Other Securities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)
(b)Book value (c)Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet  
Part VIII
Investments—Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.
(a) Description of investment (b) Book value (c) Method of valuation:
Cost or end-of-year market value
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet  
Part X
Other Liabilities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
(1) Federal income taxes  
deferred compensation 1,130,537
Post retirement benefit obligation 207,517
Due to Affiliates 718,117
DEFERRED RENT AND LEASE INCENTIVE 1,912,462
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 3,968,633
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII
Schedule D (Form 990) 2015

Schedule D (Form 990) 2015
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total revenue, gains, and other support per audited financial statements ....... 1 54,829,531
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains (losses) on investments .... 2a -1,504,752
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ............ 2d 189,942
e Add lines 2a through 2d ..................... 2e -1,314,810
3 Subtract line 2e from line 1.................. 3 56,144,341
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a 66,371
b Other (Describe in Part XIII.) ........... 4b  
c Add lines 4a and 4b.................... 4c 66,371
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5 56,210,712
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total expenses and losses per audited financial statements ........... 1 49,948,619
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities ......... 2a  
b Prior year adjustments ............ 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIII.) ............ 2d -49,944
e Add lines 2a through 2d.................... 2e -49,944
3 Subtract line 2e from line 1................... 3 49,998,563
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a 66,371
b Other (Describe in Part XIII.) ............ 4b  
c Add lines 4a and 4b..................... 4c 66,371
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5 50,064,934

Part XIII
Supplemental Information
Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Return Reference Explanation
Part XI, Line 2d - Other Adjustments: Equity in gain of VPS 189,942.
Part XII, Line 2d - Other Adjustments: BENEFIT CHANGES OTHER THAN NET PERIODIC COST -49,944.
Schedule D (Form 990) 2015


Additional Data


Software ID:  
Software Version:  




Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990.
lBullet Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2015
Open to Public
Inspection
Name of the organization
NATIONAL ASSOCIATION OF CHILDREN'S
HOSPITALS AND RELATED INSTITUTIONS INC
Employer identification number
51-0120256
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient
that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government
(b) EIN (c) IRC section
if applicable
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
(1) Advocate Children's Hospital
4440 West 95th Street
Oak Lawn,IL60453
36-2169147 501(C)(3)   5,693 FMV American Girl dolls Holiday donation
(2) Advocate Children's Hospital-Park Ridge
1775 Dempster Street
Park Ridge,IL60068
36-2169147 501(C)(3)   29,650 FMV American Girl dolls Holiday donation
(3) Akron Children's Hospital
One Perkins Square
Akron,OH44308
34-0714357 501(C)(3)   5,693 FMV American Girl dolls Holiday donation
(4) All Children's Hospital
501 6th Ave South
Saint Petersburg,FL33701
59-0683252 501(C)(3)   5,693 FMV American Girl dolls Holiday donation
(5) Ann & Robert H Lurie Children's Hospital of Chicago
225 E Chicago Ave
Chicago,IL60611
36-2170833 501(C)(3)   29,650 FMV American Girl dolls Holiday donation
(6) Arnold Palmer Hospital for Children
92 West Miller St
Orlando,FL32806
68-0147193 501(C)(3)   11,860 FMV American Girl dolls Holiday donation
(7) Atlanta Ronald McDonald House Charities
5420 Peachtree Dunwoody ROad
Sandy Springs,GA30342
39-1655790 501(C)(3)   29,650 FMV American Girl dolls Holiday donation
(8) Baystate Children's Hospital
759 Chestnut Street - C4109
Springfield,MA01094
04-2790311 501(C)(3)   29,650 FMV American Girl dolls Holiday donation
(9) Blank Children's Hopsital
1200 pleasant st
Des Moines,IA50309
42-1467682 501(C)(3)   5,693 FMV American Girl dolls Holiday donation
(10) Bon Secours St Mary's Hosptial
5801 Bremo Rd Pediatrics 6-West
Richmond,VA23226
54-0793767 501(C)(3)   5,693 FMV American Girl dolls Holiday donation
(11) CS Mott Children's Hospital
1500 E Medical Center Dr F-2519
Ann Arbor,MI48108
38-6006309 501(C)(3)   5,693 FMV American Girl dolls Holiday donation
(12) California Pacific Medical Center
3700 California St B-336
San Francisco,CA94118
94-2728423 501(C)(3)   5,693 FMV American Girl dolls Holiday donation
(13) Cardinal Glennon Childrens Hospital
1465 S Grand Blvd
Saint Louis,MO63104
43-1754347 501(C)(3)   11,860 FMV American Girl dolls Holiday donation
(14) Cardon Children's Medical Center
1400 S Dobson Road
Phoenix,AZ85202
45-0233470 501(C)(3)   11,860 FMV American Girl dolls Holiday donation
(15) Children's Health Children's Medical Center Dallas
1935 Medical District Drive
Dallas,TX75235
75-0800628 501(C)(3)   29,650 FMV American Girl dolls Holiday donation
(16) Children's Healthcare of Atlanta
1405 Clifton Rd NE
Atlanta,GA30322
58-2367819 501(C)(3)   5,693 FMV American Girl dolls Holiday donation
(17) Children's Hospital
200 Henry Clay Avenue
New Orleans,LA70118
72-0467503 501(C)(3)   5,693 FMV American Girl dolls Holiday donation
(18) Children's Hospital Colorado
13123 East 16th Avenue
Aurora,CO80045
84-0166760 501(C)(3)   29,650 FMV American Girl dolls Holiday donation
(19) Children's Hospital Los Angeles
4650 Sunset Blvd
Los Angeles,CA90027
95-1690977 501(C)(3)   23,720 FMV American Girl dolls Holiday donation
(20) Children's Hospital Los Angeles
4650 Sunset Blvd MS-64
Los Angeles,CA90027
95-1690977 501(C)(3)   11,860 FMV American Girl dolls Holiday donation
(21) Children's Hospital of Eastern Ontario

401 Smyth Road
Ottawa,ottawaK1H 8L1
CA
501(C)(3)   5,693 FMV American Girl dolls Holiday donation
(22) Children's Hospital of Georgia
1446 Harper Street BT-1847
Augusta,GA30912
35-2310573 501(C)(3)   29,650 FMV American Girl dolls Holiday donation
(23) Children's Hospital of Nevada at UMC
1800 W Charleston Blvd
Las Vegas,NV89102
88-6000436 501(C)(3)   11,860 FMV American Girl dolls Holiday donation
(24) CHildren's Hospital of Pittsburgh of UPMC
4401 Penn Avenue room 1266
PIttsburgh,PA15224
25-0965387 501(C)(3)   5,693 FMV American Girl dolls Holiday donation
(25) Children's Hospital Sant Joan de Deu

P St Joan de Deu 2
Esplugues de Llobregat,Esplugues de08950
SP
501(C)(3)   5,693 FMV American Girl dolls Holiday donation
(26) Children's Hospitals and Clinics of MN
2525 Chicago Ave S
Minneapolis,MN55404
41-1754276 501(C)(3)   11,860 FMV American Girl dolls Holiday donation
(27) Children's Memorial Hermann
6411 Fannin Street
Houston,TX77030
74-1152597 501(C)(3)   11,860 FMV American Girl dolls Holiday donation
(28) Children's National
111 Michigan Ave NW
Washington,DC20010
53-0196580 501(C)(3)   23,720 FMV American Girl dolls Holiday donation
(29) Children's of Alabama
1600 7th Ave South
Birmingham,AL35233
63-0307306 501(C)(3)   11,860 FMV American Girl dolls Holiday donation
(30) Children's Specialized Hospital
200 Somerset Street
New Brunswick,NJ08901
22-1487148 501(C)(3)   11,860 FMV American Girl dolls Holiday donation
(31) Chrs Evert Children's Hospital
1600 SAndrews Avenue
Fort Lauderdale,FL33316
59-6012065 501(C)(3)   5,693 FMV American Girl dolls Holiday donation
(32) Cincinnati Children's Hospital
3333 Burnet Avenue
Cincinnati,OH45229
31-0833936 501(C)(3)   29,650 FMV American Girl dolls Holiday donation
(33) Cleveland Clinic Children's
8624 Station St
Mentor,OH440604316
34-0714585 501(C)(3)   29,650 FMV American Girl dolls Holiday donation
(34) Cleveland Clinic Childrens Hospital - Shaker Campus
2801 MLK Jr Drive
Cleveland,OH44104
34-0714585 501(C)(3)   5,693 FMV American Girl dolls Holiday donation
(35) Cottage Children's Medical Center
400 West Pueblo Street
Santa Barbara,CA93102
95-1644629 501(C)(3)   29,650 FMV American Girl dolls Holiday donation
(36) Dartmouth Medical Center
1 Medical Center Dr
Lebanon,NH03756
02-0222140 501(C)(3)   5,693 FMV American Girl dolls Holiday donation
(37) Denver Health
777 Bannock Street
Denver,CO80204
84-1343242 501(C)(3)   5,693 FMV American Girl dolls Holiday donation
(38) Driscoll Children's Hospital
3533 S Alameda
Corpus Christi,TX78411
74-2577746 501(C)(3)   11,860 FMV American Girl dolls Holiday donation
(39) East Tennessee Children's Hospital
2018 Clinch Ave
Knoxville,TN37916
62-6002604 501(C)(3)   23,720 FMV American Girl dolls Holiday donation
(40) El Paso Children's Hospital
4845 Alameda Ave
El Paso,TX79905
26-3075429 501(C)(3)   11,860 FMV American Girl dolls Holiday donation
(41) Essentia Health St Mary's Children's Hospital
407 E Third Street
Duluth,MN55805
20-0360007 501(C)(3)   11,860 FMV American Girl dolls Holiday donation
(42) Florida Hospital for Children
601 E Rollins Street
Orlando,FL32803
85-8015017 501(C)(3)   29,650 FMV American Girl dolls Holiday donation
(43) Franciscan Hospital for Children
30 Warren Street
Brighton,MA02129
04-2156082 501(C)(3)   11,860 FMV American Girl dolls Holiday donation
(44) Geisinger Janet Weis Children's Hospital
100 North Academy Ave
Danville,PA178222742
24-0795959 501(C)(3)   11,860 FMV American Girl dolls Holiday donation
(45) Gillette Children's Specialty Healthcare
205 University Avenue East
Saint Paul,MN55101
41-1200302 501(C)(3)   11,860 FMV American Girl dolls Holiday donation
(46) Golisano Children's Hospital of SWFL
9981 S Healthpark Dr
Ft Myers,FL33908
59-0714812 501(C)(3)   5,693 FMV American Girl dolls Holiday donation
(47) Harlem Hospital Pediatrics
506 Lenox Ave rm 16-137
New York,NY10037
Government   11,860 FMV American Girl dolls Holiday donation
(48) Hasbro Children's Hospital
593 Eddy Street Rm 144
Providence,RI02903
05-0258954 501(C)(3)   5,693 FMV American Girl dolls Holiday donation
(49) Holtz Children's HospitalJackson Health Sys
1611 NW 12th Ave
Miami,FL33136
59-1713947 501(C)(3)   29,650 FMV American Girl dolls Holiday donation
(50) Hoops Family Children's Hospital
1340 Hal Greer Boulevard
Huntington,WV25701
31-1096222 501(C)(3)   11,860 FMV American Girl dolls Holiday donation
(51) Hurley Children's Hospital
1 Hurley Plaza
Flint,MI48503
38-6005601 501(C)(3)   11,860 FMV American Girl dolls Holiday donation
(52) Inova Children's Hospital
3300 Gallows Rd
Falls Church,VA22042
54-0525802 501(C)(3)   29,650 FMV American Girl dolls Holiday donation
(53) James and Connie Maynard Children's Hospital at Vidant Medical Center
2100 Santonsburg Road
Greenville,NC27834
56-0585243 501(C)(3)   5,693 FMV American Girl dolls Holiday donation
(54) Jeff Gordon Children's HospitalCarolinas Med Ctr NE
920 Church St N
Concord,NC28025
Government   11,860 FMV American Girl dolls Holiday donation
(55) Joe DiMaggio Children's Hospital
1005 Joe DiMaggio Dr
Hollywood,FL33021
59-6014973 501(C)(3)   23,720 FMV American Girl dolls Holiday donation
(56) Johns Hopkins Children's Medical Center
1800 ORLEANS STREET 7N RM7217
BALTIMORE,MD21287
52-0591656 501(C)(3)   5,693 FMV American Girl dolls Holiday donation
(57) Joseph M Sanzari Children's Hospital
30 Prospect Avenue
Hackensack,NJ07601
22-2339534 501(C)(3)   29,650 FMV American Girl dolls Holiday donation
(58) JourneyCare All About Kids
405 Lake Zurich Rd
Barrington,IL60010
36-3820916 501(C)(3)   5,693 FMV American Girl dolls Holiday donation
(59) Kravis Children's Hospital at Mount Sinai
1184 5 Ave 1st Floor The Zone Child
Life
New York,NY10029
13-1624096 501(C)(3)   5,693 FMV American Girl dolls Holiday donation
(60) Levine Children's Hospital
1000 Blythe Blvd
Charlotte,NC28203
56-6060481 501(C)(3)   29,650 FMV American Girl dolls Holiday donation
(61) Loma Linda Uni Children's Hospital
11234 Anderson Street
Loma Linda,CA92354
46-3214504 501(C)(3)   11,860 FMV American Girl dolls Holiday donation
(62) Loma Linda University Children's Hosp-Child Life Department
1269 E San Bernardino
San Bernardino,CA924082943
46-3214504 501(C)(3)   11,860 FMV American Girl dolls Holiday donation
(63) Lucile Packard Children's Hospital Stanford
725 Welch Road
Palo Alto,CA94304
77-0003859 501(C)(3)   11,860 FMV American Girl dolls Holiday donation
(64) Maimonides Medical Center
4802 tenth avenue
brooklyn,NY11219
11-1635081 501(C)(3)   11,860 FMV American Girl dolls Holiday donation
(65) Maria Fareri Children's Hospital Westchester Health Network
100 Woods Rd Room 3505
Valhalla,NY10595
13-3964321 501(C)(3)   5,693 FMV American Girl dolls Holiday donation
(66) Mayo Clinic Children's Center
200 First Street SW 3 Francis 116
Rochester,MN55905
41-6011702 501(C)(3)   11,860 FMV American Girl dolls Holiday donation
(67) Medical City Children's Hospital
7777 Forest Lane - 6D
Dallas,TX75230
35-0868132 501(C)(3)   11,860 FMV American Girl dolls Holiday donation
(68) Memorial Children's Hospital
615 North Michigan Street
South Bend,IN466019986
35-1536129 501(C)(3)   5,693 FMV American Girl dolls Holiday donation
(69) Mercy Children's Hospital St Louis
615 South New Ballas Road
St Louis,MO63141
43-0653493 501(C)(3)   11,860 FMV American Girl dolls Holiday donation
(70) Miller Children's & Women's Hospital Long Beach
2801 Atlantic Ave
Long Beach,CA90806
95-6105984 501(C)(3)   23,720 FMV American Girl dolls Holiday donation
(71) Monroe Carell Jr Children's Hospital at Vanderbilt
2200 Childrens Way Ste 2116
Nashville,TN37027
62-0476822 501(C)(3)   11,860 FMV American Girl dolls Holiday donation
(72) MUMC Children's Hospital
4700 Waters Avenue
Savannah,GA31403
31-1126469 501(C)(3)   5,693 FMV American Girl dolls Holiday donation
(73) Nationwide Children's Hospital
700 Childrens Drive Room G160
Columbus,OH43205
01-0782751 501(C)(3)   11,860 FMV American Girl dolls Holiday donation
(74) Nemours Children's ClinicPed Med Svcs Florida
5153 N 9th Ave
Pensacola,FL32504
45-3584225 501(C)(3)   5,693 FMV American Girl dolls Holiday donation
(75) NemoursAlfred I duPont Hospital for Children
1600 Rockland Road
Wilmington,DE19803
501(C)(3)   11,860 FMV American Girl dolls Holiday donation
(76) New York Presbyterian Hospital
525 East 68th Street
New York,NY10065
13-3792361 501(C)(3)   5,693 FMV American Girl dolls Holiday donation
(77) Miami Children's HospitalNicklaus Care Center
3100 Sw 62 Ave
Miami,FL33155
59-1720704 501(C)(3)   29,650 FMV American Girl dolls Holiday donation
(78) Niswonger Children's Hospital
400 N State of Franklin Rd
Johnson City,TN37604
62-0476292 501(C)(3)   29,650 FMV American Girl dolls Holiday donation
(79) Novant Health Hemby Children's Hospital
200 Hawthorne lane
Charlotte,NC28204
501(C)(3)   5,693 FMV American Girl dolls Holiday donation
(80) NYPresbyterian Morgan Stanley
3959 Broadway Tower 5 Room 561
New York,NY10032
13-3957095 501(C)(3)   5,693 FMV American Girl dolls Holiday donation
(81) NYU Langone Medical Center-TR Dept
545 1st Avenue Ste SC1-069
New York,NY10016
11-1839567 501(C)(3)   11,860 FMV American Girl dolls Holiday donation
(82) Phoenix Childrens Hospital
1919 East Thomas Road
Phoenix,AZ85016
86-0422559 501(C)(3)   29,650 FMV American Girl dolls Holiday donation
(83) Ponderosa Elementary School
2135 S Mountain View Ave
Anaheim,CA92802
Government   11,860 FMV American Girl dolls Holiday donation
(84) Primary Children's Hospital
100 North Mario Capecchi Drive
Salt Lake City,UT84113
80-0225150 501(C)(3)   29,650 FMV American Girl dolls Holiday donation
(85) Promedica Toledo Children's Hospital
2142 N Cove Blvd
Toledo,OH43606
34-1517672 501(C)(3)   29,650 FMV American Girl dolls Holiday donation
(86) Rady Childrens Hospital San Diego
3020 Childrens Way
San Diego,CA92126
95-1691313 501(C)(3)   5,693 FMV American Girl dolls Holiday donation
(87) Rainbow Babies & Children's Hospital
11100 Euclid Ave RBC 6041
Cleveland,OH44106
34-1567805 501(C)(3)   5,693 FMV American Girl dolls Holiday donation
(88) Randall Children's Hospital
2725 N Gantenbein Ave
Portland,OR97227
93-1314469 501(C)(3)   29,650 FMV American Girl dolls Holiday donation
(89) Riley Hospital for Children at IU Health
705 Riley Hospital Drive Room 1990
Indianapolis,IN46202
35-1955872 501(C)(3)   11,860 FMV American Girl dolls Holiday donation
(90) RMH of Akron
245 Locust Street
Akron,OH44313
34-1860682 501(C)(3)   11,860 FMV American Girl dolls Holiday donation
(91) RMHC
711 East Livingston Ave
Columbus,OH43205
57-0724845 501(C)(3)   29,650 FMV American Girl dolls Holiday donation
(92) RMHC Western WA & AK
5130 40th Avenue NE
Seattle,WA98105
91-1061043 501(C)(3)   5,693 FMV American Girl dolls Holiday donation
(93) Ronald McDonald House
1300 East 21st Ave
Denver,CO80205
84-0728926 501(C)(3)   29,650 FMV American Girl dolls Holiday donation
(94) Ronald McDonald House
333 Westmoreland Drive
Rochester,NY14620
16-1271311 501(C)(3)   11,860 FMV American Girl dolls Holiday donation
(95) Ronald McDonald House
1500 17th Street
Huntington,WV25701
501(C)(3)   11,860 FMV American Girl dolls Holiday donation
(96) Ronald McDonald House
850 2nd ST SW
Rochester,MN55902
85-0283204 501(C)(3)   5,693 FMV American Girl dolls Holiday donation
(97) Ronald McDonald House
1705 W Clinch Avenue
Knoxville,TN37916
35-2181050 501(C)(3)   5,693 FMV American Girl dolls Holiday donation
(98) Ronald McDonald House at Stanford
520 Sand Hill Road
Palo Alto,CA94304
94-3083711 501(C)(3)   11,860 FMV American Girl dolls Holiday donation
(99) Ronald McDonald House Charities
16 South Winooski Avenue
Burlington,VT05401
52-1132262 501(C)(3)   11,860 FMV American Girl dolls Holiday donation
(100) Ronald McDonald House Charities
3312 GALLOWS ROAD
falls church,VA22042
52-1132262 501(C)(3)   5,693 FMV American Girl dolls Holiday donation
(101) Ronald McDonald House Charities
2501 Cherry St
Kansas City,MO64108
56-1420505 501(C)(3)   5,693 FMV American Girl dolls Holiday donation
(102) Ronald McDonald House Charities
300 E CALIFORNIA AVE
EL PASO,TX799024200
22-2430393 501(C)(3)   5,693 FMV American Girl dolls Holiday donation
(103) Ronald McDonald House Charities in Omaha
620 South 38th Ave
Omaha,NE68105
34-1269123 501(C)(3)   5,693 FMV American Girl dolls Holiday donation
(104) Ronald McDonald House Charities NC
2555 49th Street
Sacramento,CA95817
68-0147193 501(C)(3)   11,860 FMV American Girl dolls Holiday donation
(105) Ronald McDonald House Charities of Central PA
745 West Governor Road
Hershey,PA17033
23-2204761 501(C)(3)   11,860 FMV American Girl dolls Holiday donation
(106) Ronald McDonald House Charities of Central Texas
1315 Barbara Jordan Blvd
Austin,TX78723
74-2277664 501(C)(3)   11,860 FMV American Girl dolls Holiday donation
(107) Ronald McDonald House Charities of Greater Cincinnati
350 Erkenbrecher Avenue
Cincinnati,OH45229
23-2204761 501(C)(3)   5,693 FMV American Girl dolls Holiday donation
(108) Ronald McDonald House Charities of Morgantown Inc
841 Country Club Drive
Morgantown,WV26505
55-0668138 501(C)(3)   11,860 FMV American Girl dolls Holiday donation
(109) Ronald McDonald House Charities of NM
1011 Yale NE
Albuquerque,NM87106
58-1295754 501(C)(3)   29,650 FMV American Girl dolls Holiday donation
(110) Ronald McDonald House Charities of Pittsburgh
451 44th Street - Penthouse Floor
Pittsburgh,PA15201
25-1320272 501(C)(3)   23,720 FMV American Girl dolls Holiday donation
(111) Ronald McDonald House Charities of Southern Colorado
311 N Logan Ave
Colorado Springs,CO80909
84-1013843 501(C)(3)   5,693 FMV American Girl dolls Holiday donation
(112) Ronald McDonald House Charities of Southern West Virginia
302 30th St SE
Charleston,WV25304
04-2627411 501(C)(3)   11,860 FMV American Girl dolls Holiday donation
(113) Ronald McDonald House Charities Spokane
1015 W 5th Ave
Spokane,WA99204
91-1176115 501(C)(3)   5,693 FMV American Girl dolls Holiday donation
(114) Ronald McDonald House Houston
1907 Holcombe
Houston,TX77030
74-1984499 501(C)(3)   11,860 FMV American Girl dolls Holiday donation
(115) Ronald McDonald House New York
405 E 73rd St
New York,NY10021
13-2933654 501(C)(3)   29,650 FMV American Girl dolls Holiday donation
(116) Ronald McDonald House of Charleston SC
81 Gadsden St
Charleston,SC29401
16-1391596 501(C)(3)   11,860 FMV American Girl dolls Holiday donation
(117) Ronald McDonald House of Charlotte
1613 E Morehead Street
Charlotte,NC28207
52-1359486 501(C)(3)   5,693 FMV American Girl dolls Holiday donation
(118) Ronald McDonald House of Cleveland
10415 Euclid Ave
Cleveland,OH44136
03-0287584 501(C)(3)   11,860 FMV American Girl dolls Holiday donation
(119) Ronald McDonald House of Detroit
4707 St Antonie Suite 200
Detroit,MI48201
31-0890152 501(C)(3)   5,693 FMV American Girl dolls Holiday donation
(120) Ronald McDonald House of Ft Worth
1001 8th Ave
Ft Worth,TX76104
75-1754490 501(C)(3)   5,693 FMV American Girl dolls Holiday donation
(121) Ronald McDonald House of Memphis
535 Alabama Ave
Memphis,TN38105
41-1344744 501(C)(3)   5,693 FMV American Girl dolls Holiday donation
(122) Ronald McDonald House of SNJ
550 Mickle Blvd
Camden,NJ08103
74-2277664 501(C)(3)   29,650 FMV American Girl dolls Holiday donation
(123) Ronald McDonald House of Winston-Salem
419 S Hawthorne Rd
WinstonSalem,NC27103
74-2257357 501(C)(3)   11,860 FMV American Girl dolls Holiday donation
(124) Ronald McDonald House Southwest Virginia
2224 Jefferson Street SE
Roanoke,VA24014
54-1244769 501(C)(3)   5,693 FMV American Girl dolls Holiday donation
(125) Rush University Medical Center
711 South Paulina
Chicago,IL60612
36-2174823 501(C)(3)   5,693 FMV American Girl dolls Holiday donation
(126) Ryan House
110 W Merrell Street
Phoenix,AZ85281
20-1852393 501(C)(3)   5,693 FMV American Girl dolls Holiday donation
(127) Sacred Heart Children's Hospital
101 W 8th Avenue
Spokane,WA99202
51-0216586 501(C)(3)   23,720 FMV American Girl dolls Holiday donation
(128) Sanford Children's Hospital
1305 W 18th St
Sioux Falls,SD57117
45-0226909 501(C)(3)   11,860 FMV American Girl dolls Holiday donation
(129) Sanford Children's Hospital-Fargo
801 Broadway N Rte 0111
Fargo,ND58122
45-0226909 501(C)(3)   5,693 FMV American Girl dolls Holiday donation
(130) Shriners Hospital For Children
1900 Richmond Road
Lexington,KY40502
36-2193608 501(C)(3)   29,650 FMV American Girl dolls Holiday donation
(131) Shriners Hospital for Children
Fairfax Road at Virginia Street
Salt Lake City,UT84103
36-2193608 501(C)(3)   5,693 FMV American Girl dolls Holiday donation
(132) Shriners Hospital for Children Cincinnati
3229 Burnet Ave
Cincinnati,OH45229
36-2193608 501(C)(3)   5,693 FMV American Girl dolls Holiday donation
(133) Shriners Hospitals For Children
3551 North Broad Street
Philadelphia,PA19140
36-2193608 501(C)(3)   29,650 FMV American Girl dolls Holiday donation
(134) Shriners Hospitals for Children
4400 Clayton Avenue
St Louis,MO63110
36-2193608 501(C)(3)   11,860 FMV American Girl dolls Holiday donation
(135) Shriners Hospitals for Children
1310 Punahou Street
Honolulu,HI96826
36-2193608 501(C)(3)   5,693 FMV American Girl dolls Holiday donation
(136) Shriners Hospitals for Children
3100 Samford Ave
Shreveport,LA71103
36-2193608 501(C)(3)   5,693 FMV American Girl dolls Holiday donation
(137) Shriners Hospitals for Children
950 West Faris Rd
Greenville,SC29605
36-2193608 501(C)(3)   5,693 FMV American Girl dolls Holiday donation
(138) Shriners Hospitals for Children
6977 Main Street
Houston,TX77030
36-2193608 501(C)(3)   5,693 FMV American Girl dolls Holiday donation
(139) Shriners Hospitals for Children - Galveston
815 Market St
Galveston,TX77550
36-2193608 501(C)(3)   5,693 FMV American Girl dolls Holiday donation
(140) Shriners Hospitals for Children Portland Unit
3101 SW Sam Jackson Park Rd
Portland,OR97239
36-2193608 501(C)(3)   23,720 FMV American Girl dolls Holiday donation
(141) Shriners Hospitals for Children Tampa
12502 USF Pine Drive
Tampa,FL33612
36-2193608 501(C)(3)   5,693 FMV American Girl dolls Holiday donation
(142) St Christopher's Hospital for Children
160 East Erie Ave
Philadelphia,PA19134
23-2274198 501(C)(3)   11,860 FMV American Girl dolls Holiday donation
(143) St Cloud Hospital
1406 6th Ave N
St Cloud,MN56303
41-0695596 501(C)(3)   11,860 FMV American Girl dolls Holiday donation
(144) St John Providence Children's Hospital - 4th floor CCB Building Pediatric
22101 Moross Road
Detroit,MI48236
38-1359063 501(C)(3)   11,860 FMV American Girl dolls Holiday donation
(145) St Joseph's Children's Hospital
703 Main Street
Paterson,NJ07503
27-1344467 501(C)(3)   5,693 FMV American Girl dolls Holiday donation
(146) St Jude Children's Research Hospital
262 Danny Thomas Place MS 121
Memphis,TN38105
62-0646012 501(C)(3)   5,693 FMV American Girl dolls Holiday donation
(147) St Louis Children's Hospital
One Childrens Place
St Louis,MO63110
43-1626863 501(C)(3)   23,720 FMV American Girl dolls Holiday donation
(148) St Mary's Hospital for Children
2901 216th Street
Bayside,NY11360
11-1679599 501(C)(3)   11,860 FMV American Girl dolls Holiday donation
(149) Stony Brook Children's
100 Nicolls Road Hospital Level 11
Rm 146
Stony Brook,NY117947111
11-6077945 501(C)(3)   29,650 FMV American Girl dolls Holiday donation
(150) Fl Health Sciences Ctr DBA Tampa General Hospital
1 Tampa General Circle
Tampa,FL33606
59-3458145 501(C)(3)   5,693 FMV American Girl dolls Holiday donation
(151) Texas Children's Hospital
6621 Fannin 16-WT-277
Houston,TX77030
74-1100555 501(C)(3)   29,650 FMV American Girl dolls Holiday donation
(152) Texas Scottish Rite Hospital for Children
2222 Welborn Street
Dallas,TX75219
75-0818178 501(C)(3)   5,693 FMV American Girl dolls Holiday donation
(153) The Children's Hospital at Sacred Heart
5151 N Ninth Avenue
Pensacola,FL32504
59-0634434 501(C)(3)   29,650 FMV American Girl dolls Holiday donation
(154) The Children's Hospital of Montefiore
3415 Bainbridge Avenue
Bronx,NY10467
13-1740114 501(C)(3)   5,693 FMV American Girl dolls Holiday donation
(155) Santa Rosa Children's Hospital DBA Ch Hosp of San Antonio
333 North Santa Rosa
San Antonio,TX78207
74-1109665 501(C)(3)   11,860 FMV American Girl dolls Holiday donation
(156) The Children's Inn at NIH
7 West Drive
Bethesda,MD20814
52-1638207 501(C)(3)   11,860 FMV American Girl dolls Holiday donation
(157) Tufts Medical Center
800 Washington St
Boston,MA01803
04-3400617 501(C)(3)   23,720 FMV American Girl dolls Holiday donation
(158) UCSF Benioff Children's Hospital Oakland
747 52nd Street
Oakland,CA94609
94-0382330 501(C)(3)   29,650 FMV American Girl dolls Holiday donation
(159) University of Wisconsin-Madison
600 Highland Avenue H4/447 CSC
Madison,WI537924108
39-6006492 501(C)(3)   29,650 FMV American Girl dolls Holiday donation
(160) UNM Carrie Tingely Hospital
1127 University Blvd NE
Albuquerque,NM87102
Government   5,693 FMV American Girl dolls Holiday donation
(161) Upstate Golisano Children's Hosptial at Syracuse
Receiving 117 Monroe St
Syracuse,NY13210
16-1068101 501(C)(3)   11,860 FMV American Girl dolls Holiday donation
(162) UVA Children's Hospital
1215 Lee Street 7613B
Charlottesville,VA22908
Government   5,693 FMV American Girl dolls Holiday donation
(163) UVM Children's Hospital
111 Colchester Avenue
Burlington,VT05401
03-0219309 501(C)(3)   29,650 FMV American Girl dolls Holiday donation
(164) Valley Children's Hospital
9300 Valley Childrens Place
Madera,CA93636
94-1294954 501(C)(3)   29,650 FMV American Girl dolls Holiday donation
(165) Voorhees Pediatric Facility
1304 Laurel Oak Rd
Voorhees,NJ08043
corporation   11,860 FMV American Girl dolls Holiday donation
(166) WakeMed Children's Hospital
3000 New Bern Avenue
Raleigh,NC27610
56-6017737 501(C)(3)   5,693 FMV American Girl dolls Holiday donation
(167) Walter Reed Military medical center
8901 Wisconsin Ave Bldg 10
Pediatrics 3West Room 3161
Bethesda,MD20889
Government   5,693 FMV American Girl dolls Holiday donation
(168) Wolfson Children's Hospital
800 Prudential Drive
Jacksonville,FL32207
59-0747311 501(C)(3)   5,693 FMV American Girl dolls Holiday donation
(169) WVU Medicine Children's
1 Medical Center Drive 6th Floor
Morgantown,WV26506
55-6011282 501(C)(3)   11,860 FMV American Girl dolls Holiday donation
(170) Children's National Medical Center
111 Michigan Avenue NW
Washington,DC20010
52-1640403 501(C)(3) 362,237       Federal CMMI Grant
(171) Children's Hospital
200 Henry Clay Ave
New Orleans,LA70118
72-0467503 501(C)(3) 10,000       Hospital Play Grants
(172) Children's Hospital of Wisconsin
9000 W Wisconsin Ave
Milwaukee,WI53151
39-0812532 501(C)(3) 10,000       Hospital Play Grants
(173) Texas Scottish Rite Hospital
2222 Welborn Street
Dallas,TX75219
75-0818178 501(C)(3) 10,000       Hospital Play Grants
(174) Children's Hospital at Montefiore
3415 Bainbridge Ave
Bronx,NY10467
13-1740114 501(C)(3) 10,000       Hospital Play Grants
(175) Joseph M Sanzari Children's Hospitalhackensack u
30 Prospect Ave
Hackensack,NJ07601
22-1487576 501(C)(3) 10,000       Hospital Play Grants
(176) Arkansas Children's Hospital
1 Childrens Way
Little Rock,AR72202
43-1626863 501(C)(3) 10,000       Hospital Play Grants
(177) Miller Children's Hospital - Long Beach
2801 Atlantic Ave
Long Beach,CA90806
95-3527031 501(C)(3) 10,000       Hospital Play Grants
(178) UCSF Benioff Children's Hosp
747 52nd Street
Oakland,CA94609
94-0382330 501(C)(3) 10,000       Hospital Play Grants
(179) Johns Hopkins Children's Center
1800 Orleans St
Baltimore,MD21287
52-0591656 501(C)(3) 10,000       Hospital Play Grants
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
185
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2015

Schedule I (Form 990) 2015
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Number of
recipients
(c) Amount of
cash grant
(d) Amount of
non-cash assistance
(e) Method of valuation (book,
FMV, appraisal, other)
(f) Description of non-cash assistance
(1)
(2)
(3)
(4)
(5)
(6)
(7)
Part IV
Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.
Return Reference Explanation
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.
Schedule I (Form 990) 2015



Additional Data


Software ID:  
Software Version:  


Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet Attach to Form 990.
SchJMediumBullet Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2015
Open to Public Inspection
Name of the organization
NATIONAL ASSOCIATION OF CHILDREN'S
HOSPITALS AND RELATED INSTITUTIONS INC
Employer identification number

51-0120256
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .........
1b
 
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..
2
 
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed on Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ................
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.
5
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization?
5b
 
No
If "Yes," on line 5a or 5b, describe in Part III.
6
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization?
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," on line 6a or 6b, describe in Part III.
7
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
Yes
 
8
Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2015

Schedule J (Form 990) 2015
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits
(E) Total of columns
(B)(i)-(D)
(F) Compensation in column(B) reported as deferred on prior Form 990
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
1Mark WietechaCEO (i)

(ii)
173,336
-------------
520,007
52,500
-------------
157,500
387
-------------
1,161
40,963
-------------
122,888
6,830
-------------
20,490
274,016
-------------
822,046
0
-------------
0
2Amy KnightCOO (i)

(ii)
257,494
-------------
154,496
75,000
-------------
45,000
12,843
-------------
7,706
48,700
-------------
29,220
17,075
-------------
10,245
411,112
-------------
246,667
0
-------------
0
3D Brian HumphreysVP of Finance (i)

(ii)
123,428
-------------
91,230
25,300
-------------
18,700
800
-------------
591
13,662
-------------
10,098
14,508
-------------
10,723
177,698
-------------
131,342
0
-------------
0
4David BertochVP, Informatics & Comparative Data (i)

(ii)
218,053
-------------
0
43,000
-------------
0
655
-------------
0
21,489
-------------
0
25,231
-------------
0
308,428
-------------
0
0
-------------
0
5Richard StepanekChief Information Officer (i)

(ii)
233,131
-------------
0
46,000
-------------
0
1,264
-------------
0
23,850
-------------
0
14,531
-------------
0
318,776
-------------
0
0
-------------
0
6Kassandra JensenVP, Education & Executive Learning (i)

(ii)
199,335
-------------
0
36,600
-------------
0
257
-------------
0
18,551
-------------
0
9,175
-------------
0
263,918
-------------
0
0
-------------
0
7Milton J Kauffmanvp of public policy (i)

(ii)
0
-------------
244,385
0
-------------
55,000
0
-------------
10,774
0
-------------
46,350
0
-------------
27,320
0
-------------
383,829
0
-------------
0
8David SpizmanVice President (i)

(ii)
0
-------------
255,616
0
-------------
40,000
0
-------------
379
0
-------------
23,850
0
-------------
25,231
0
-------------
345,076
0
-------------
0
9Robert DavidsonVice President, Insurance Advisory S (i)

(ii)
0
-------------
226,311
0
-------------
35,000
0
-------------
1,449
0
-------------
23,850
0
-------------
19,048
0
-------------
305,658
0
-------------
0
10Jerry RutherfordVP, Special Projects (i)

(ii)
193,839
-------------
0
50,000
-------------
0
2,644
-------------
0
22,230
-------------
0
14,531
-------------
0
283,244
-------------
0
0
-------------
0
11Katherine ConradVP, Delivery System Transformation (i)

(ii)
97,393
-------------
97,393
17,750
-------------
17,750
316
-------------
316
6,655
-------------
6,655
8,265
-------------
8,265
130,379
-------------
130,379
0
-------------
0
Schedule J (Form 990) 2015

Schedule J (Form 990) 2015
Page 3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.
Return Reference Explanation
Part I, Line 4b THE FOLLOWING LISTED EMPLOYEE PARTICIPATED IN A 457(F) PLAN DURING THE YEAR: -MILTON KAUFMAN ($4,363 DISTRIBUTION IN 2015, $4,500 WAS CONTRIBUTED TO THE PLAN) -MARK WIETECHA (NO DISTRIBUTION IN 2015, $140,000 WAS CONTRIBUTED TO THE PLAN) -NANCY STAHL (NO DISTRIBUTION IN 2015, $10,108 WAS CONTRIBUTED TO THE PLAN) -AMY KNIGHT ($20,009 DIStribution 2015, $36,071 WAS CONTRIBUTED TO THE PLAN)
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 ITS RELATED ENTITIES. 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 RETURNS OF THESE ENTITIES.
Schedule J (Form 990) 2015
Additional Data


Software ID:  
Software Version:  
SCHEDULE M
(Form 990)


Department of the Treasury
Internal Revenue Service
Noncash Contributions
Right pointing arrow large imageComplete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image Attach to Form 990.
Right pointing arrow large imageInformation about Schedule M (Form 990) and its instructions is at www.irs.gov/form990
OMB No. 1545-0047
2015
Open to Public Inspection
Name of the organization
NATIONAL ASSOCIATION OF CHILDREN'S
HOSPITALS AND RELATED INSTITUTIONS INC
Employer identification number

51-0120256
Part I
Types of Property
(a)
Check if applicable
(b)
Number of contributions or items contributed
(c)
Noncash contribution amounts reported on
Form 990, Part VIII, line 1g
(d)
Method of determining
noncash contribution amounts
1 Art—Works of art ....        
2 Art—Historical treasures .        
3 Art—Fractional interests ..        
4 Books and publications ..      
5 Clothing and household
goods .......
     
6 Cars and other vehicles ..        
7 Boats and planes ....        
8 Intellectual property ...        
9 Securities—Publicly traded .        
10 Securities—Closely held stock .        
11 Securities—Partnership, LLC,
or trust interests ....
       
12 Securities—Miscellaneous ..        
13 Qualified conservation
contribution—Historic
structures .....
       
14 Qualified conservation
contribution—Other ...
       
15 Real estate—Residential .        
16 Real estate—Commercial ..        
17 Real estate—Other ...        
18 Collectibles .....        
19 Food inventory ...        
20 Drugs and medical supplies .        
21 Taxidermy ......        
22 Historical artifacts ....        
23 Scientific specimens ..        
24 Archeological artifacts ...        
25 Other Right pointing arrow large image ( American Girl Dolls ) X 22,236 2,637,190 FMV
26 Other Right pointing arrow large image ( )
27 Other Right pointing arrow large image ( )
28 Other Right pointing arrow large image ( )
29
Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement
29
 
Yes
No
30a
During the year, did the organization receive by contribution any property reported in Part I, lines 1 through 28, that
it must hold for at least three years from the date of the initial contribution, and which is not required to be used
for exempt purposes for the entire holding period? ..................
30a
 
No
b
If "Yes," describe the arrangement in Part II.
31
Does the organization have a gift acceptance policy that requires the review of any non-standard contributions?
31
 
No
32a
Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash
contributions? ..........................
32a
 
No
b
If "Yes," describe in Part II.
33
If the organization did not report an amount in column (c) for a type of property for which column (a) is checked,
describe in Part II.
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 51227J
Schedule M (Form 990) (2015)
Schedule M (Form 990) (2015)
Page 2
Part II
Supplemental Information. Provide the information required by Part I, lines 30b, 32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.
Return Reference Explanation
Schedule M (Form 990) (2015)

Additional Data


Software ID:  
Software Version:  
SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2015
Open to Public
Inspection
Name of the organization
NATIONAL ASSOCIATION OF CHILDREN'S
HOSPITALS AND RELATED INSTITUTIONS INC
Employer identification number

51-0120256
Return Reference Explanation
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 IX, line 11g Consulting Fees: Program service expenses 5,263,047. Management and general expenses 3,381,791. Fundraising expenses 98,609. Total expenses 8,743,447.
Form 990, Part XI, line 9: EQUITY IN VPS 189,942.
FORM 990, PART XII, LINE 2C: THE AUDIT OVERSIGHT PROCESS HAS REMAINED UNCHANGED FROM THE PREVIOUS YEAR.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2015


Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990.
MediumBullet
Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047
2015
Open to Public Inspection
Name of the organization
NATIONAL ASSOCIATION OF CHILDREN'S
HOSPITALS AND RELATED INSTITUTIONS INC
Employer identification number

51-0120256
Part I
Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Total income


(e)
End-of-year assets


(f)
Direct controlling
entity











Part II
Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Exempt Code section


(e)
Public charity status
(if section 501(c)(3))

(f)
Direct controlling
entity

(g)
Section 512(b)(13) controlled entity?
Yes No
(1)National Association of Children's Hospitals Inc
600 13TH STREET NW SUITE 500

WASHINGTON,DC20090
58-2176067
Assist children's hospitals in common bus. interest and economic welfare GA 501 (c)(6)    
 
No
(2)child health patient safety organization inc
6803 west 64th street suite 208

overland park,KS66202
27-0386722
improve safety of children's hospitals by sharing data & experiences KS 501 (c)(3) 509(a)(2)  
 
No










For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2015
Schedule R (Form 990) 2015
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization



(b)
Primary activity




(c)
Legal
domicile
(state or foreign
country)


(d)
Direct controlling
entity



(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




(g)
Share of end-of-year
assets



(h)
Disproprtionate allocations?




(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
(j)
General or
managing
partner?



(k)
Percentage
ownership


Yes No Yes No












Part IV
Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or foreign
country)
(d)
Direct controlling
entity
(e)
Type of entity
(C corp, S corp,
or trust)
(f)
Share of total income
(g)
Share of end-of-year
assets
(h)
Percentage
ownership
(i)
Section 512(b)(13) controlled entity?
Yes No
(1) CHILD HEALTH CORPORATION OF AMERICA

6803 WEST 64TH STREET STE 308
SHAWNEE MISSION,KS66202
52-1421302
HOSPITAL BUSINESS ALLIANCE TO BETTER SERVE CHILDREN KS N/A
C         No












Schedule R (Form 990) 2015
Schedule R (Form 990) 2015
Page 3
Part V
Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................
1a
 
No
b Gift, grant, or capital contribution to related organization(s) ............................
1b
 
No
c Gift, grant, or capital contribution from related organization(s) ............................
1c
 
No
d Loans or loan guarantees to or for related organization(s) ............................
1d
 
No
e Loans or loan guarantees by related organization(s) ............................
1e
 
No
f Dividends from related organization(s) ............................
1f
 
No
g Sale of assets to related organization(s) ............................
1g
 
No
h Purchase of assets from related organization(s) ............................
1h
 
No
i Exchange of assets with related organization(s) ............................
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
 
No
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
Yes
 
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
 
No
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
Yes
 
o Sharing of paid employees with related organization(s) ............................
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses ............................
1p
 
No
q Reimbursement paid by related organization(s) for expenses ............................
1q
 
No
r Other transfer of cash or property to related organization(s) ............................
1r
 
No
s Other transfer of cash or property from related organization(s) ............................
1s
 
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization
(b)
Transaction
type (a-s)
(c)
Amount involved
(d)
Method of determining amount involved
(1) nATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS INC

L 1,631,390 Actual Cost
(2) NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS INC

O 2,038,684 Actual Cost
(3) NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS INC

N 543,796 Actual Cost



Schedule R (Form 990) 2015
Schedule R (Form 990) 2015
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity
(b)
Primary activity
(c)
Legal domicile
(state or foreign
country)
(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(e)
Are all partners
section
501(c)(3)
organizations?
(f)
Share of total income




(g)
Share of
end-of-year
assets
(h)
Disproprtionate allocations?
(i)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065)
(j)
General or
managing
partner?
(k)
Percentage
ownership


Yes No Yes No Yes No






























Schedule R (Form 990) 2015
Schedule R (Form 990) 2015
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R (see instructions).
Return Reference Explanation
Schedule R (Form 990) 2015

Additional Data


Software ID:  
Software Version: