Civic Intelligence

Health Research and Educational Trust

EIN 36-2203931 • 501(c)3 • Chicago, IL

Profile

HRET is principally organized to assist health care organizations and the communities they serve to improve the efficiency, quality & accessibility of health care services by conducting applied research and demonstration projects & disseminating results through education, publications, & other media.

155 North Wacker Drive 400Chicago, IL 60606-1725

www.hret.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

48th percentile

0.16x

Higher debt load relative to assets than 48% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Liabilities / Revenue

62nd percentile

0.36x

Higher debt load relative to revenue than 62% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Net Margin

7th percentile

-37%

Higher net margin than 7% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Top Officer Pay

96th percentile

$1,061,567

Higher top officer pay than 96% of similar nonprofits.

Top officer pay equals 16.0% of source-year revenue.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Asset Growth

18th percentile

-4.8%

Faster asset growth than 18% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Annualized from 2023 to 2024

Revenue Growth

8th percentile

-35%

Faster revenue growth than 8% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Annualized from 2023 to 2024

Assets

Down

$15,211,006

Down $769,937 (-4.8%) from 2023

Liabilities

Up

$2,362,983

Up $853,238 (+57%) from 2023

Net Assets

Down

$12,848,023

Down $1,623,175 (-11%) from 2023

Revenue

Down

$6,636,124

Down $3,560,747 (-35%) from 2023

Expenses

Down

$9,106,022

Down $3,070,240 (-25%) from 2023

Net Income

Down

-$2,469,898

Down $490,507 (-25%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$40M$30M$20M$10M$0Assets 2010: $7,456,932Liabilities 2010: $2,218,770Net Assets 2010: $5,238,1622010Assets 2011: $7,179,517Liabilities 2011: $2,741,577Net Assets 2011: $4,437,9402011Assets 2012: $28,755,315Liabilities 2012: $22,324,567Net Assets 2012: $6,430,7482012Assets 2013: $28,661,251Liabilities 2013: $13,225,907Net Assets 2013: $15,435,3442013Assets 2014: $26,412,180Liabilities 2014: $11,022,791Net Assets 2014: $15,389,3892014Assets 2015: $26,509,062Liabilities 2015: $13,534,258Net Assets 2015: $12,974,8042015Assets 2016: $30,657,696Liabilities 2016: $11,783,343Net Assets 2016: $18,874,3532016Assets 2017: $28,292,295Liabilities 2017: $8,840,263Net Assets 2017: $19,452,0322017Assets 2018: $30,317,445Liabilities 2018: $10,683,874Net Assets 2018: $19,633,5712018Assets 2019: $25,447,440Liabilities 2019: $6,414,632Net Assets 2019: $19,032,8082019Assets 2020: $21,010,178Liabilities 2020: $2,527,445Net Assets 2020: $18,482,7332020Assets 2021: $22,413,132Liabilities 2021: $3,629,741Net Assets 2021: $18,783,3912021Assets 2022: $19,822,762Liabilities 2022: $4,178,748Net Assets 2022: $15,644,0142022Assets 2023: $15,980,943Liabilities 2023: $1,509,745Net Assets 2023: $14,471,1982023Assets 2024: $15,211,006Liabilities 2024: $2,362,983Net Assets 2024: $12,848,0232024

Highlighted filing

2024

Assets$15,211,006
Liabilities$2,362,983
Net Assets$12,848,023

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$80M$60M$40M$20M$0-$20MExpenses 2010: $10,733,6212010Expenses 2011: $14,167,5542011Expenses 2012: $48,893,6202012Revenue 2013: $63,970,437Expenses 2013: $55,278,789Net Income 2013: $8,691,6482013Revenue 2014: $56,212,827Expenses 2014: $55,981,439Net Income 2014: $231,3882014Revenue 2015: $32,113,431Expenses 2015: $33,797,563Net Income 2015: -$1,684,1322015Revenue 2016: $51,499,687Expenses 2016: $46,027,443Net Income 2016: $5,472,2442016Revenue 2017: $48,172,316Expenses 2017: $48,412,172Net Income 2017: -$239,8562017Revenue 2018: $49,330,480Expenses 2018: $48,529,385Net Income 2018: $801,0952018Revenue 2019: $34,877,975Expenses 2019: $36,616,485Net Income 2019: -$1,738,5102019Revenue 2020: $10,760,012Expenses 2020: $13,056,736Net Income 2020: -$2,296,7242020Revenue 2021: $10,710,852Expenses 2021: $11,969,906Net Income 2021: -$1,259,0542021Revenue 2022: $11,413,974Expenses 2022: $12,763,842Net Income 2022: -$1,349,8682022Revenue 2023: $10,196,871Expenses 2023: $12,176,262Net Income 2023: -$1,979,3912023Revenue 2024: $6,636,124Expenses 2024: $9,106,022Net Income 2024: -$2,469,8982024

Highlighted filing

2024

Revenue$6,636,124
Expenses$9,106,022
Net Income-$2,469,898

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$15.2$2.36$12.8$6.64$9.11$2.47
2023Detailed filing. Detailed filing data is available for this year.$16.0$1.51$14.5$10.2$12.2$1.98
2022Detailed filing. Detailed filing data is available for this year.$19.8$4.18$15.6$11.4$12.8$1.35
2021Detailed filing. Detailed filing data is available for this year.$22.4$3.63$18.8$10.7$12.0$1.26
2020Detailed filing. Detailed filing data is available for this year.$21.0$2.53$18.5$10.8$13.1$2.30
2019Detailed filing. Detailed filing data is available for this year.$25.4$6.41$19.0$34.9$36.6$1.74
2018Detailed filing. Detailed filing data is available for this year.$30.3$10.7$19.6$49.3$48.5$0.80
2017Detailed filing. Detailed filing data is available for this year.$28.3$8.84$19.5$48.2$48.4$0.24
2016Detailed filing. Detailed filing data is available for this year.$30.7$11.8$18.9$51.5$46.0$5.47
2015Detailed filing. Detailed filing data is available for this year.$26.5$13.5$13.0$32.1$33.8$1.68
2014Detailed filing. Detailed filing data is available for this year.$26.4$11.0$15.4$56.2$56.0$0.23
2013Detailed filing. Detailed filing data is available for this year.$28.7$13.2$15.4$64.0$55.3$8.69
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$28.8$22.3$6.43$48.9
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$7.18$2.74$4.44$14.2
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$7.46$2.22$5.24$10.7
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Nov 14, 2025
Return Version
2024v5.1
Gross Receipts
$6,779,603
Mission and Program Overview

Mission

HRET is principally organized to assist health care organizations and the communities they serve to improve the efficiency, quality & accessibility of health care services by conducting applied research and demonstration projects & disseminating results through education, publications, & other media.

Assist health care organizations & communities to improve the efficiency, quality & accessibility of health care services.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$13,434,623$14,451,504▲ $1,016,881
Savings and Temporary Cash Investments$99,596$420,300▲ $320,704
Accounts Receivable$657,992$304,635▼ $353,357
Prepaid Expenses and Deferred Charges$110,884$34,567▼ $76,317
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0--
Investments Program Related$0--
Land, Buildings, and Equipment, Net$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$15,980,943$15,211,006▼ $769,937
Other Assets Total$1,677,848$0▼ $1,677,848
Liabilities
Other Liabilities$0$1,091,828▲ $1,091,828
Deferred Revenue$1,235,358$1,087,423▼ $147,935
Accounts Payable and Accrued Expenses$274,387$183,732▼ $90,655
Total Liabilities$1,509,745$2,362,983▲ $853,238
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$13,993,797$12,365,923▼ $1,627,874
Net Assets With Donor Restrictions$477,401$482,100▲ $4,699
Total Net Assets Fund Balance$14,471,198$12,848,023▼ $1,623,175
Total Liabilities and Net Assets / Fund Balance$15,980,943$15,211,006▼ $769,937
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Marie Cleary-FishmanVP Clinical QualityFT$217,953$97,696$315,649
Nancy A Myers PhDVP Leadership & System InnovationFT$235,260$69,493$304,753
Daniel J DelgadoSenior Director of Finance and ComplianceFT$189,717$81,412$271,129
Andrew J JagerSr Director, Pop HealthFT$173,427$52,266$225,693
Kristin L PreihsSr Director Clinical QualityFT$161,685$21,918$183,603
Heidi DuncanChairPT-$3,119$3,119
Russell R GronewoldBoard Member--$2,504$2,504

Board Members and Trustees

NameTitle
Christopher M DerienzoPresident

Highest Paid Contractors

ContractorServicesLocationCompensation
Upstream Thinking LLCConsulting5409 WOODROW AVE, UNIT D, Austin, TX 78756$201,022
John Wiley & Sons INCResearch ServicesPO BOX 22308, FLOOR 2, New York, NY 10087$111,415
PixelEvent Production3201 DICKERSON PIKE, Nashville, TN 37207$109,955
Birkdesign INCMarketing Services2012 W AUGUSTA BLVD, Chicago, IL 60622$102,375
Revenue and Support

Revenue Composition

Contributions and Grants
$4,498,274
Program Service Revenue
$1,881,040
Investment Income
$236,587
Other Revenue
$20,223
All Other Contributions
$2,183,425
Change in Net Assets
$-2,469,898

Audited Revenue Reconciliation

Revenue per Audited Statements
$6,741,465
Revenue Not Reported on Financial Statements
$-105,341
Revenue Not Reported on Form 990
$846,723
Other Revenue Adjustments
$-113,321
Total Revenue per Audited Statements
$7,588,188
Total Revenue per Form 990
$6,636,124
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$5,037,496
Other Expenses$3,786,586
Grants and Similar Amounts Paid$281,940
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$2,016,158$1,585,796-$3,601,954
Fees for Services Other$768,083$459,224$0$1,227,307
Other Employee Benefits$496,464$390,474-$886,938
Occupancy-$600,158-$600,158
Conferences and Meetings$19,562$555,780-$575,342
Payroll Taxes$171,669$135,102-$306,771
Pension Plan Contributions$135,364$106,469-$241,833
Travel$87,210$136,865-$224,075
Office Expenses$210,974--$210,974
Grants to Domestic Individuals$161,940--$161,940
Grants to Domestic Orgs$120,000--$120,000
Information Technology$90,204--$90,204
Advertising$50,571--$50,571
Insurance$44,100--$44,100
Fees for Services Accounting$25,330$15,146-$40,476
All Other Expenses$11,419$0$0$11,419
Fees for Service Investment Mgmnt Fees$4,994$2,986-$7,980
Fees for Services Legal$3,667$2,193-$5,860
Other Expenses$3,508--$3,508
Total Functional Expenses$5,115,829$3,990,193$0$9,106,022

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Audited Statements$9,211,362
Total Expenses per Form 990$9,106,022
Expenses per Audited Statements$9,098,042
Expenses Not Reported on Form 990$113,320
Expenses Not Reported on Financial Statements$7,980
Other Expense Adjustments$0
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Boston Medical CenterBoston, MA501(c)(3)Foster Mcgaw Prize Finalist$100,000
Englewood HealthEnglewood, NJ501(c)(3)Foster Mcgaw Prize Finalist$10,000
New York Presbyterian HospitalNew York, NY501(c)(3)Foster Mcgaw Prize Finalist$10,000
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Federal Income Taxes$1,091,828
Intercompany Payable-
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Line 6 Classes of members or stockholders

The organization's sole corporate member is American Hospital Association, a related tax-exempt organization. As the organization's sole Corporate Member, American Hospital Association has the right to elect or appoint members of the organization's governing body and approve or deny significant decisions of the organization's governing body.

Form 990, Part VI, Line 7A Members or stockholders electing members of governing body

See narrative for Form 990, Part VI, Line 6.

Form 990, Part VI, Line 7B Decisions requiring approval by members or stockholders

See narrative for Form 990, Part VI, Line 6.

Form 990, Part VI, Line 11B Review of form 990 by governing body

The full form 990 is reviewed by a public accounting firm and the filing organization's management. Management shares it with the hret board of directors prior to filing with the irs.

Form 990, Part VI, Line 12C Conflict of interest policy

On an annual basis, the organization's trustees, officers, and employees are required to read, complete and return a conflict of interest questionnaire. The returned questionnaires are handled jointly by legal, human resources and compliance staff of the american hospital association. Any questionnaire that raises a potential issue is reviewed and referred to the association's president for a final determination of any action to be considered or undertaken. Any potential conflict of interest that arises after the questionnaire is completed must be promptly reported. Any restrictions imposed, based on information disclosed in a conflict of interest questionnaire or otherwise would be commensurate with the type of conflict identified and would be referred to the executive committee of the board of trustees for a determination on whether disclosure to the full board of trustees is warranted.

Form 990, Part VI, Line 19 Required documents available to the public

The organization's governing document and conflict of interest policy are available upon request. The organization's Financial statements are not required disclosures pursuant to Internal Revenue Code (IRC) Section 6104 and are not available to the public at this time.

Filing and Contact Details

Filer

Filer Name
Health Research and Educational Trust
EIN
36-2203931
Phone
3124223200
Address
155 North Wacker Drive 400, Chicago, IL 60606-1725

Signing Officer

Name
Chris Derienzo
Title
President
Phone
3124223000
Signed
2025-11-14
Discuss with paid preparer
Yes

Organization Details

Formed
1944
Legal Domicile
Il
Voting Board Members
3
Independent Board Members
2
Employees
37
Volunteers
2

Preparer

Firm
Grant Thornton Advisors LLC
Address
117 NORTH CLARK ST SUITE 200, CHICAGO, IL 60601
Preparer
Bridget T Roche
Phone
3128560200
Supplemental Narrative

Additional Explanations

Form 990, Part V, Line 1A Box 3 of Form 1096

American hospital association, a related tax exempt organization, processes all vendor payments for all related entities and filed all 1099 forms in 2023. The institute is charged a management fee for this service.

Form 990, Part IX, Line 11G Other Fees

Program Subcontractors - Total Expense: 715937, Program Service Expense: 448068, Management and General Expenses: 267869, Fundraising Expenses: ; PROFESSIONAL SERVICES - Total Expense: 21429, Program Service Expense: 13410, Management and General Expenses: 8019, Fundraising Expenses: ; CONSULTING SERVICES - Total Expense: 322651, Program Service Expense: 201915, Management and General Expenses: 120736, Fundraising Expenses: ; SPONSORSHIPS / COMMISSIONS - Total Expense: 167290, Program Service Expense: 104690, Management and General Expenses: 62600, Fundraising Expenses: ;

Financial Statement Notes

Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote

HRET "The Trust" is exempt from federal income taxes under Section 501(c)(3) of the Internal Revenue Code. The Trust follows the provisions of the Accounting for Uncertainty in Income Taxes section of the Income Taxes Topic of the ASC, which addresses the determination of whether tax benefits claimed or expected to be claimed on a tax return should be recorded in the financial statements. Under this guidance, the Trust may recognize the tax benefit from an uncertain tax position only if it is more likely than not that the tax position will be sustained on examination by taxing authorities, based on the technical merits of the position. Examples of tax positions include the tax-exempt status of the Trust. The tax benefits recognized in the financial statements from such a position are measured based on the largest benefit that has a greater than 50 percent likelihood of being realized upon ultimate settlement. There were no unrecognized tax benefits identified or recorded as liabilities for the reporting periods presented herein. The Trust files Form 990 in the U.S. federal jurisdiction and the State of Illinois.

Schedule D, Part XI, Line 4(B) Other revenues in form 990 not in audited financial statements

Adjustment for recovery of bad debt expenses - 400 adjustment for recovery of income tax expenses - 16279 adjustment for revenue share of meeting income - -130000

Schedule D, Part XII, Line 2(D) Other expenses in audited financial statements not in form 990

Adjustment for recovery of bad debt expense - -400 adjustment for recovery of income tax expense - -16279 adjustment for revenue share of meeting income - 130000 rounding adjustment - -1

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This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/Form990PartVIISectionAGrp/PersonNm0CHRISTOPHER M DERIENZO
IRS990/Form990PartVIISectionAGrp/PersonNm1HEIDI DUNCAN
IRS990/Form990PartVIISectionAGrp/PersonNm2RUSSELL R GRONEWOLD
IRS990/Form990PartVIISectionAGrp/PersonNm3ANDREW J JAGER
IRS990/Form990PartVIISectionAGrp/PersonNm4Daniel J Delgado
IRS990/Form990PartVIISectionAGrp/PersonNm5KRISTIN L PREIHS
IRS990/Form990PartVIISectionAGrp/PersonNm6Marie Cleary-Fishman
IRS990/Form990PartVIISectionAGrp/PersonNm7Nancy A Myers PhD
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IRS990/Form990PartVIISectionAGrp/TitleTxt7VP Leadership & System Innovation
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IRS990/ProgSrvcAccomActy2Grp/Desc0QUALITY/COST/DISPARITIES: HRET CONDUCTS MANAGEMENT RESEARCH TO IMPROVE QUALITY, REDUCING COSTS, AND ELIMINATING DISPARITIES. NUMEROUS RESEARCH PROJECTS WORKED WITH HOSPITALS NATIONALLY TO REDUCE INFECTIONS AND TO IMPROVE SAFETY CULTURE SCORES. IN ADDITION, HRET PROVIDES HOSPITALS WITH TOOLS AND TRAINING MATERIALS COMPILED FROM VARIOUS SURVEYS CONDUCTED TO HELP EDUCATE HEALTHCARE PROFESSIONALS.
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IRS990/ProgSrvcAccomActy3Grp/Desc0Research and development of resources addressing best practices and models for population health and community partnerships. Leadership training in health care transformation for hospital leaders.
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IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt0Health Research and Educational Trust ("HRET") has a historic and continuing relationship with its supported organization, American Hospital Association ("AHA")-spanning over a 70-year period-and, as described below, there is a substantial identity of interests between the organizations. Therefore, HRET meets the organizational requirements of a Type I supporting organization. By way of background, in 1943 the AHA's House of Delegates passed a resolution recommending, among other things, federal aid for the construction of hospitals where needed. This was a special challenge because there was no complete inventory of the nation's hospitals by location, ownership, number of beds or services offered. In fact, there was no precise definition for "hospital." These shortcomings made it impossible to study the country's need for hospitals and other medical facilities. The AHA moved to fill this void by commissioning a study to evaluate existing facilities and services, project the need for hospitals, and offer recommendations for action at the end of World War II. In 1944, the AHA established HRET to receive grants for the study. Since that time, HRET has remained an active research and education affiliate of AHA. There is a substantial identity of interests between HRET and AHA. For example, HRET publicly holds itself out as being a -for-profit research and education affiliate of the AHA." It is assured that a substantial identity of interests between the organizations is maintained and will continue because the HRET Amended and Restated Trust Agreement provides that the entire Board of Trustees of HRET shall be either members of the AHA Board of Trustees, or appointed by the AHA EXECUTIVE COMMITTEE OF THE Board of Trustees. Furthermore, among other things, the Bylaws of HRET provide that the Chair of HRET is appointed by the AHA EXECUTIVE COMMITTEE OF THE Board of Trustees; the President of HRET is an AHA SENIOR Vice President.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt1Annually, the AHA completes a pro forma schedule a, part III. The supporting calculation is kept in HRET's files.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt2HRET engages in activities which further the AHA's exempt purpose to advance the health of individuals and communities. HRET does not provide any monetary support to AHA.
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IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc2Schedule A, Part IV, Section A, Line 3c Support To Org. Used Exclusively Sec. 170(c)(2)(B) Purposes
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