Network for Regional Healthcare Improvement

“Due to the nature of nrhi's membership, from time to time certain board members may represent an organization that has a business relationship with an organization represented by another board member.”

“Network for regional healthcare improvement has three (3) categories of members: - full members are regional health improvement collaboratives defined as: - a nonprofit organization; - working to improve healthcare quality and value through an active program of quality measurement and public reporting or an active program of quality improvement, or both; - in a specific geographic region of the country (typically either a metropolitan region or state); - through a collaborative effort of healthcare providers and other stakeholders. - the organization must have representation from four types of stakeholders on its board: a. Healthcare providers (hospitals, physician groups, physicians, home health agencies, nursing homes, clinics, etc.); b. Healthcare purchasers (employers who purchase health insurance for their employees, state agencies who contract with health plans for care, etc.); c. Healthcare payers (private health insurance plans, state medicaid agencies that directly pay for care, etc.); and d. Healthcare consumers or consumer organizations. - state/regional affiliated partners are defined as: - an organization that does not meet the full membership criteria, but meets the criteria set forth below, may join nrhi as a regional/state affiliated partner. - be committed to improving health and health care in the us through multi stakeholder collaboration. - be a regional/state partner (local or state data vendors, regional or state philanthropies, local or state employers, regional industry or trade association, local or state governments); and - national affiliated partners are defined as: - be committed to improving health and health care in the us through multi stakeholder collaboration; - be a national affiliated partner (national data vendors, philanthropies, national employers, national industry or trade associations, or federal government agencies); and”

“Full members in good standing have the option to serve on the board of directors of nrhi. If there are more than twenty (20) full members who wish to serve on the board, then the board of directors may develop and institute an election process to select a subset of the full members who wish to serve on the board. If the board has not instituted an election process, then the ceos/executive directors of all full members who wish to serve will serve on the board of directors for the next twelve month period from june 1 through may 31 of the following year.”

“The form 990 is prepared by an independent outside accounting firm and reviewed by the cfo and the president & ceo. It is then distributed to the full board of directors before it is filed with the irs.”

“At the start of each board meeting, the chair or compliance officer solicits all board members to disclose any potential, perceived or actual conflict of interest. On an annual basis, all board members review and sign conflict of interest forms. These forms require that board members immediately disclose to the full board any interest in a transaction or a potential conflict that may arise. Upon disclosure, the full board would determine whether a conflict exists and how to proceed.”

“The board of directors sets the compensation for nrhi's president & ceo. In doing so, the board sets the compensation based on amounts paid by similiar tax-exempt organizations for similar services, as well as the president & ceo's experience and performance. The board annually approves the president & ceo's compensation arrangement in advance, and the terms and date of the arrangement is documented in writing. All other officers and key employees' performance and compensation is reviewed and approved by nrhi's ceo.”

“The organization fully complies with all legal disclosure requirements and makes its governing documents, conflict of interest policy, and financial statements available upon request.”

“Due to the nature of the organization's grant revenue and its solicitation process a comparatively small amount of expenses have been allocated to fundraising purposes in form 990, part ix, column d. The organization's grant revenue is typically earned over a 2-5 year grant cycle period. Thus, solicitation efforts for the amounts reported as grants in form 990, part viii, line 1 and the related expenses were incurred in prior 990 reporting periods. As grant terms expire and become up for renewal, the organization's familiarity and existing relationships with those funding sources have allowed the organization to not have to extend significant overhead beyond fractional staff time and an independent contract grant writer in an effort to secure additional funds. The organization closely reviews its expenditures each year to ensure expenses are appropriately and accurately allocated on form 990, part ix.”

“The audit process has not changed since the prior year.”