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        <Desc>ADVOCACY: NACH DIRECTLY ADVOCATES PUBLIC POLICY POSITIONS ON BEHALF OF THE COMMON INTERESTS OF CHILDREN'S HOSPITALS IN MEETING WITH FEDERAL POLICY MAKERS AND THEIR STAFF, IN TESTIMONY TO CONGRESSIONAL AND EXECUTIVE BRANCH AGENCIES, IN LETTERS AND OTHER WRITTEN COMMUNICATIONS, AND IN COMMUNICATIONS BY COALITIONS INVOLVING OTHER ORGANIZATIONS WITH COMMON INTERESTS, AS WELL AS IN MEDIA RELATED ADVOCACY, SUCH AS PRESS RELEASES AND BRIEFINGS, AND PAID ADVERTISEMENTS. NACH'S PRIMARY AREAS OF PUBLIC POLICY ADVOCACY FOCUSED ON LEGISLATION THAT DIRECTLY AFFECTS THE ABILITY OF CHILDREN'S HOSPITALS TO FULFILL THEIR MISSION OF PROVIDING CLINICAL CARE FOR CHILDREN REGARDLESS OF ECONOMIC OR MEDICAL CONDITION, TRAINING THE NEXT GENERATION OF PHYSICIANS FOR CHILDREN, SPONSORING RESEARCH TO IMPROVE CHILDREN'S HEALTH CARE, AND EDUCATING THE PUBLIC ABOUT BROADER ISSUES THAT AFFECT CHILDREN'S HEALTH CARE.NACH SEEKS TO ASSIST INDIVIDUAL CHILDREN'S HOSPITALS TO ADVOCATE - THROUGH THE HOSPITAL STAFF, HOSPITAL SUPPORTERS, AND MEMBERS OF THEIR COMMUNITIES - ON BEHALF OF THE NATIONAL ASSOCIATION'S PUBLIC POLICY AGENDA, WHICH ADVANCES THE COMMON INTERESTS OF ALL CHILDREN'S HOSPITALS. SUCH ASSISTANCE INCLUDES WASHINGTON DC ADVOCACY DAYS, ACTION ALERTS, SAMPLE ADVOCACY LETTERS, SAMPLE PRESS RELEASES, AND SAMPLE ORGANIZING ACTIVITIES.</Desc>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>AMY W KNIGHT</PersonNm>
        <TitleTxt>PRESIDENT</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>544065</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>44271</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>324654</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>149</OtherCompensationFilingOrgAmt>
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        <DeferredCompRltdOrgsAmt>192140</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>31723</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>149137</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>1093675</TotalCompensationRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LEAH EVANGELISTA</PersonNm>
        <TitleTxt>CHIEF PUBLIC AFFAIRS OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>269904</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>89968</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>53250</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>17750</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>259</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>86</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>9900</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>3300</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>26486</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>8829</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>359799</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>119933</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TOREY MACK</PersonNm>
        <TitleTxt>CHIEF QUALITY &amp; SOLUTIONS OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>6963</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>341178</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>1200</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>58800</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>7</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>352</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>594</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>29106</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>35</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>1738</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>8799</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>431174</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICHELLE HOGERTY</PersonNm>
        <TitleTxt>CFAO</TitleTxt>
        <BaseCompensationFilingOrgAmt>9077</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>293516</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>1830</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>59170</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>63</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>2025</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>891</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>28809</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>606</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>19599</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>12467</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>403119</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LORI HOTZEL</PersonNm>
        <TitleTxt>CTO</TitleTxt>
        <BaseCompensationFilingOrgAmt>28827</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>211406</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>5520</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>40480</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>123</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>899</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>3199</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>23459</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>2908</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>21328</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>40577</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>297572</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KASSANDRA K JENSEN</PersonNm>
        <TitleTxt>CHIEF LEARNING OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>7084</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>229020</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>1410</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>45590</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>30</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>975</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>788</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>25491</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>725</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>23428</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>10037</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>324504</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>AIMEE OSSMAN</PersonNm>
        <TitleTxt>VP, POLICY</TitleTxt>
        <BaseCompensationFilingOrgAmt>187371</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>18530</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>33670</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>3330</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>410</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>42</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>18113</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>1791</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>18679</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>1848</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>258243</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>25541</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MATTHEW HALL</PersonNm>
        <TitleTxt>PRINCIPAL, BIOSTATISTICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>5724</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>185060</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>960</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>31040</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>12</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>393</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>620</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>20036</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>960</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>31028</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>8276</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>267557</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KORY K KITTLE</PersonNm>
        <TitleTxt>VP, ANALYTICS</TitleTxt>
        <BaseCompensationFilingOrgAmt>15195</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>174744</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>2816</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>32384</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>60</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>693</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>1715</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>19728</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>1947</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>22386</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>21733</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>249935</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MATTHEW COOK</PersonNm>
        <TitleTxt>CEO (BEG 10/16/23)</TitleTxt>
        <BaseCompensationFilingOrgAmt>89305</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>89304</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>242</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>242</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>21750</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>21750</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>2517</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>2517</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>113814</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>113813</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS AND RELATED INSTITUTIONS, INC. (NACHRI) ACTS AS THE "COMMON PAYMASTER" FOR NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS (NACH). NACHRI ISSUES ALL W-2S FOR ALL EMPLOYEES OF THIS GROUP. THE W-2S ARE REPORTED ONLY ON THE NACHRI RETURN, WHILE COMPENSATION ALLOCATED BY TIME-SPENT IS REPORTED ON THE NACHRI AND NACH RETURNS. THE PROCESS FOR DETERMINING COMPENSATION FOR OFFICERS AND STAFF IS DONE THROUGH THE NACHRI BOARD. THEREFORE, ALL QUESTIONS REGARDING COMPENSATION POLICY ARE ANSWERED ON THE NACHRI RETURN. METHODS USED BY NACHRI INCLUDE COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACT, AND APPROVAL BY BOARD OR COMPENSATION COMMITTEE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOLLOWING LISTED EMPLOYEES PARTICIPATED IN A 457(F) PLAN DURING THE YEAR: - MATTHEW COOK (NO DISTRIBUTION IN 2023, $43,500 WAS CONTRIBUTED TO THE PLAN) - MARK WIETECHA (NO DISTRIBUTION IN 2023, $279,864 WAS CONTRIBUTED TO THE PLAN) - AMY KNIGHT (NO DISTRIBUTION IN 2023, $188,640 WAS CONTRIBUTED TO THE PLAN)</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>BOARD MEMBERS DEBORAH FELDMAN AND TIMOTHY ROBINSON WORK AT DAYTON CHILDREN'S HOSPITAL AND NATIONWIDE CHILDREN'S HOSPITAL, RESPECTIVELY; THESE TWO HOSPITALS HAVE PARTNERSHIPS AND BUSINESS RELATIONSHIPS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>MEMBERSHIP IS COMPOSED OF TWO CATEGORIES OF MEMBERS, VOTING AND NONVOTING. VOTING MEMBERS ARE HOSPITALS AND THOSE RELATED INSTITUTIONS EMPHASIZING THE CLINICAL CARE OF CHILDREN. NONVOTING MEMBERS ARE INSTITUTIONS AND INDIVIDUALS. MEMBERSHIP 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE VOTING MEMBERS ELECT THE TRUSTEES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEMBERSHIP MAY APPROVE VARIOUS DECISIONS OF THE GOVERNING BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>INITIAL COMPILATION OF INFORMATION IS COMPLETED BY FINANCE STAFF FOR TRANSMISSION TO AN OUTSIDE FIRM FOR TAX RETURN PREPARATION. THE DRAFT RETURN IS REVIEWED BY FINANCE STAFF AND THE CFAO. THE DRAFT RETURN IS PROVIDED TO THE BOARD OF TRUSTEES; ANY BOARD COMMENTS OR QUESTIONS ARE CLEARED PRIOR TO FILING THE FINAL RETURN.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF TRUSTEES MUST FILL OUT AN ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE. AT THE START OF ALL BOARD AND COMMITTEE MEETINGS, THE PARTICIPATING MEMBERS ARE ASKED TO DELCARE 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE NEW CEO WAS HIRED EFFECTIVE OCTOBER 16, 2023. THE HIRING PANEL WAS MADE UP OF THREE BOARD MEMBERS INCLUDING THE CURRENT CHAIRMAN AND PAST CHAIRMAN. THE PROCESS INVOLVED A NATIONAL SEARCH FIRM THAT WAS CLOSELY MONITORED BY THE ENTIRE BOARD OF TRUSTEES. THE CEO'S COMPENSATION WAS BASED ON MARKET COMPARABLES OF SIMILAR SIZED ORGANIZATIONS AND RESPONSIBILITIES. THE COMPENSATION IS INCLUDED IN A WRITTEN EMPLOYMENT AGREEMENT. IN ADDITION, THE GOVERNANCE COMMITTEE ALSO ACTS AS THE COMPENSATION COMMITTEE AND REVIEWS ALL COMPENSATION RELATED MATTERS. 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. THE LAST FORMAL EVALUATION OF SALARIES OCCURRED DURING 2022.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT GENERALLY MADE AVAILABLE TO THE PUBLIC. AUDITED FINANCIAL STATEMENTS AND FORM 990 ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS AND RELATED INSTITUTIONS INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>600 13TH STREET NW</AddressLine1Txt>
          <CityNm>WASHINGTON</CityNm>
          <StateAbbreviationCd>DC</StateAbbreviationCd>
          <ZIPCd>20005</ZIPCd>
        </USAddress>
        <EIN>510120256</EIN>
        <PrimaryActivitiesTxt>TO PROMOTE SUPPORT OF CHILDREN'S HOSPITALS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>GA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>509(A)(2)</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>CHILD HEALTH PATIENT SAFETY ORGANIZATION INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>16011 COLLEGE BLVD</AddressLine1Txt>
          <CityNm>LENEXA</CityNm>
          <StateAbbreviationCd>KS</StateAbbreviationCd>
          <ZIPCd>66219</ZIPCd>
        </USAddress>
        <EIN>270386722</EIN>
        <PrimaryActivitiesTxt>TO IMPROVE THE SAFETY OF CHILDREN'S HOSPITALS BY SHARING DATA &amp; EXPERIENCES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>KS</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>509(A)(2)</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>CHILD HEALTH CORPORATION OF AMERICA</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>16011 COLLEGE BLVD STE 250</AddressLine1Txt>
          <CityNm>LENEXA</CityNm>
          <StateAbbreviationCd>KS</StateAbbreviationCd>
          <ZIPCd>66219</ZIPCd>
        </USAddress>
        <EIN>521421302</EIN>
        <PrimaryActivitiesTxt>HOSPITAL BUSINESS ALLIANCE TO BETTER SERVE CHILDREN</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DE</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>1</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
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      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
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          <BusinessNameLine1Txt>NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS AND RELATED INSTITUTIONS</BusinessNameLine1Txt>
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      <TransactionsRelatedOrgGrp>
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          <BusinessNameLine1Txt>NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS AND RELATED INSTITUTIONS</BusinessNameLine1Txt>
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    </IRS990ScheduleR>
  </ReturnData>
</Return>