Civic Intelligence

National Association of Children'S Hospitals and Related Institutions Inc

EIN 51-0120256 • 501(c)3 • Washington, DC

Profile

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.

600 13th Street NW 500Washington, DC 20005

www.childrenshospitals.net

Siviq Scores

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

Liabilities / Assets

34th percentile

0.13x

Higher debt load relative to assets than 34% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Liabilities / Revenue

54th percentile

0.49x

Higher debt load relative to revenue than 54% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Net Margin

79th percentile

24%

Higher net margin than 79% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Top Officer Pay

91st percentile

$1,985,302

Higher top officer pay than 91% of similar nonprofits.

Top officer pay equals 4.3% of source-year revenue.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Asset Growth

76th percentile

13%

Faster asset growth than 76% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Annualized from 2023 to 2024

Revenue Growth

29th percentile

1.1%

Faster revenue growth than 29% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Annualized from 2023 to 2024

Assets

Up

$169,224,195

Up $19,664,185 (+13%) from 2023

Liabilities

Up

$22,623,214

Up $3,576,923 (+19%) from 2023

Net Assets

Up

$146,600,981

Up $16,087,262 (+12%) from 2023

Revenue

Up

$46,202,413

Up $488,893 (+1.1%) from 2023

Expenses

Down

$35,270,296

Down $934,839 (-2.6%) from 2023

Net Income

Up

$10,932,117

Up $1,423,732 (+15%) from 2023

Trend Graphs

Balance Sheet Trend

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

$200M$150M$100M$50M$0Assets 2011: $31,144,443Liabilities 2011: $4,848,917Net Assets 2011: $26,295,5262011Assets 2012: $34,013,887Liabilities 2012: $4,298,075Net Assets 2012: $29,715,8122012Assets 2013: $40,955,444Liabilities 2013: $4,103,921Net Assets 2013: $36,851,5232013Assets 2014: $51,558,871Liabilities 2014: $10,851,028Net Assets 2014: $40,707,8432014Assets 2015: $58,542,353Liabilities 2015: $13,003,542Net Assets 2015: $45,538,8112015Assets 2016: $66,422,278Liabilities 2016: $15,337,492Net Assets 2016: $51,084,7862016Assets 2017: $71,545,609Liabilities 2017: $11,270,023Net Assets 2017: $60,275,5862017Assets 2018: $76,119,421Liabilities 2018: $13,126,068Net Assets 2018: $62,993,3532018Assets 2019: $93,723,793Liabilities 2019: $15,295,346Net Assets 2019: $78,428,4472019Assets 2020: $107,830,665Liabilities 2020: $15,217,029Net Assets 2020: $92,613,6362020Assets 2021: $129,313,033Liabilities 2021: $19,563,011Net Assets 2021: $109,750,0222021Assets 2022: $132,174,283Liabilities 2022: $18,676,783Net Assets 2022: $113,497,5002022Assets 2023: $149,560,010Liabilities 2023: $19,046,291Net Assets 2023: $130,513,7192023Assets 2024: $169,224,195Liabilities 2024: $22,623,214Net Assets 2024: $146,600,9812024

Highlighted filing

2024

Assets$169,224,195
Liabilities$22,623,214
Net Assets$146,600,981

Operations Trend

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

$60M$40M$20M$0Expenses 2011: $19,056,2802011Expenses 2012: $18,657,7322012Revenue 2013: $21,901,286Expenses 2013: $17,165,144Net Income 2013: $4,736,1422013Revenue 2014: $26,468,361Expenses 2014: $22,120,383Net Income 2014: $4,347,9782014Revenue 2015: $56,210,712Expenses 2015: $50,064,934Net Income 2015: $6,145,7782015Revenue 2016: $55,083,892Expenses 2016: $49,795,930Net Income 2016: $5,287,9622016Revenue 2017: $44,102,367Expenses 2017: $38,007,793Net Income 2017: $6,094,5742017Revenue 2018: $40,871,176Expenses 2018: $33,035,580Net Income 2018: $7,835,5962018Revenue 2019: $42,025,121Expenses 2019: $30,996,697Net Income 2019: $11,028,4242019Revenue 2020: $38,804,593Expenses 2020: $28,045,133Net Income 2020: $10,759,4602020Revenue 2021: $43,392,577Expenses 2021: $29,482,766Net Income 2021: $13,909,8112021Revenue 2022: $44,606,222Expenses 2022: $32,346,313Net Income 2022: $12,259,9092022Revenue 2023: $45,713,520Expenses 2023: $36,205,135Net Income 2023: $9,508,3852023Revenue 2024: $46,202,413Expenses 2024: $35,270,296Net Income 2024: $10,932,1172024

Highlighted filing

2024

Revenue$46,202,413
Expenses$35,270,296
Net Income$10,932,117

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$169$22.6$147$46.2$35.3$10.9
2023Detailed filing. Detailed filing data is available for this year.$150$19.0$131$45.7$36.2$9.51
2022Detailed filing. Detailed filing data is available for this year.$132$18.7$113$44.6$32.3$12.3
2021Detailed filing. Detailed filing data is available for this year.$129$19.6$110$43.4$29.5$13.9
2020Detailed filing. Detailed filing data is available for this year.$108$15.2$92.6$38.8$28.0$10.8
2019Detailed filing. Detailed filing data is available for this year.$93.7$15.3$78.4$42.0$31.0$11.0
2018Detailed filing. Detailed filing data is available for this year.$76.1$13.1$63.0$40.9$33.0$7.84
2017Detailed filing. Detailed filing data is available for this year.$71.5$11.3$60.3$44.1$38.0$6.09
2016Detailed filing. Detailed filing data is available for this year.$66.4$15.3$51.1$55.1$49.8$5.29
2015Detailed filing. Detailed filing data is available for this year.$58.5$13.0$45.5$56.2$50.1$6.15
2014Detailed filing. Detailed filing data is available for this year.$51.6$10.9$40.7$26.5$22.1$4.35
2013Detailed filing. Detailed filing data is available for this year.$41.0$4.10$36.9$21.9$17.2$4.74
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$34.0$4.30$29.7$18.7
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$31.1$4.85$26.3$19.1
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Sep 4, 2025
Return Version
2024v5.1
Gross Receipts
$72,827,506
Mission and Program Overview

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.

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 public awareness.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$121,416,030$140,294,106▲ $18,878,076
Cash and Non-Interest-Bearing Accounts$13,660,296$8,024,395▼ $5,635,901
Investments Other Securities$63,510$3,373,669▲ $3,310,159
Land, Buildings, and Equipment, Net$3,658,751$2,671,988▼ $986,763
Prepaid Expenses and Deferred Charges$1,780,245$1,306,138▼ $474,107
Intangible Assets$637,500$535,500▼ $102,000
Accounts Receivable$1,189,229$360,734▼ $828,495
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Program Related$0--
Loans From Officers Directors$0$0→ $0
Total Assets$149,560,010$169,224,195▲ $19,664,185
Other Assets Total$7,154,449$12,657,665▲ $5,503,216
Liabilities
Other Liabilities$9,266,899$10,563,402▲ $1,296,503
Deferred Revenue$5,227,902$6,881,061▲ $1,653,159
Accounts Payable and Accrued Expenses$4,551,490$5,178,751▲ $627,261
Total Liabilities$19,046,291$22,623,214▲ $3,576,923
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$130,151,616$146,419,852▲ $16,268,236
Net Assets With Donor Restrictions$362,103$181,129▼ $180,974
Total Net Assets Fund Balance$130,513,719$146,600,981▲ $16,087,262
Total Liabilities and Net Assets / Fund Balance$149,560,010$169,224,195▲ $19,664,185

Asset Categories

AssetBook ValueDepreciationBasis
Other Land Buildings$1,904,587$4,601,887$6,506,474
Leasehold Improvements$470,860$4,030,120$4,500,980
Equipment$296,541$1,438,937$1,735,478
Other Assets Org$625,484--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Amy KnightPresident (END 4/14/24)-$228,534$1,558,703$1,787,237
Torey MackChief Medical OfficerFT$309,601$90,516$400,117
Matthew R CookCEOPT$210,074$189,268$399,342
Mark WietechaCEO Emeritus (END 12/31/23)-$317,346$317,346$317,346
Kassandra K JensenChief Learning OfficerFT$219,854$96,810$316,664
Michelle HogertyCfaoPT$199,070$82,600$281,670
Matthew A HallPrincipal BiostatisticianFT$178,168$80,684$258,852
Troy RichardsonVP, Analytics & Data StrategyFT$169,315$86,560$255,875
Lori HotzelCIOPT$168,752$72,112$240,864
Kory K KittleVP, Analytics Sales & PromotionsFT$162,780$70,905$233,685
Leah EvangelistaChief Public Affairs & Brand OfficerPT$91,102$38,707$129,809
Aimee OssmanVP, Policy-$5,638$2,273$7,911

Board Members and Trustees

Highest Paid Contractors

ContractorServicesLocationCompensation
Husch Blackwell LLPLegal Services4801 MAIN STREET STE 1000, SUITE 3300, Kansas City, MO 64112$810,965
Cityfront Hotel Associates LPConferences301 E NORTH WATER STREET, Chicago, IL 60611$538,201
Melzer Healthcare Advisors LLCPublic Awareness Consulting1234 EAST NEWTON ST, Seattle, WA 98102$143,000
Rsm US LLPTax & Auditing Services30 SOUTH WACKER DRIVE, Chicago, IL 60606$142,708
Opmentors LLCSoftware Implementation666 DUNDEE RD STE 401, Northbrook, IL 60062$133,307
Revenue and Support

Revenue Composition

Contributions and Grants
$219,235
Program Service Revenue
$38,444,524
Investment Income
$7,272,858
Other Revenue
$265,796
All Other Contributions
$219,235
Change in Net Assets
$10,932,117
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$23,722,870
Other Expenses$11,422,426
Total Fundraising Expense$668,772
Grants and Similar Amounts Paid$125,000
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$7,366,981$7,131,115$295,880$14,793,976
Information Technology$911,361$3,097,549$81,814$4,090,724
Current Officers, Directors, Trustees, and Key Employees$1,980,908$1,917,485$79,559$3,977,952
Conferences and Meetings$2,951,445$303,482$66,427$3,321,354
Fees for Services Other$1,460,401$1,059,185$51,420$2,571,006
Other Employee Benefits$913,444$1,575,145$50,788$2,539,377
Depreciation Depletion$1,230,776$139,809$27,971$1,398,556
Payroll Taxes$631,764$598,182$25,101$1,255,047
Occupancy$1,141,276$82,538$24,976$1,248,790
Pension Plan Contributions$605,909$527,479$23,130$1,156,518
Fees for Services Legal$717,548$83,761$1,727$803,036
Travel$213,619$227,816$9,009$450,444
Office Expenses$39,092$284,350$6,601$330,043
Insurance$44,393$224,605$5,490$274,488
Other Expenses$4,925$215,930$4,507$225,362
Grants to Domestic Orgs$125,000--$125,000
Fees for Service Investment Mgmnt Fees-$88,150$1,799$89,949
Fees for Services Accounting-$62,348$1,272$63,620
Advertising$5,856-$120$5,976
Interest-$1,953$40$1,993
All Other Expenses$10,305,164$-15,711,113$-110,325$-5,516,274
Total Functional Expenses$32,307,819$2,293,705$668,772$35,270,296
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Speak Our MindsDenver, CO501(c)(3)Youth Mental Health Education & Awareness Campaign$75,000
National Academy of SciencesWashington, DC501(c)(3)Forum for Children's Well Being$50,000

International Summary

Offices
0
Employees
0
Spending
$3,353,669

International Compliance

Activity in boycott countries
No
Foreign corporation ownership
No
Foreign partnership interest
No
Interest in foreign trust
No
Passive foreign investment company interest
No
Transfers to foreign corporations
Yes

International Activities

RegionActivityServicesOfficesEmployeesSpending
Central America and the CaribbeanInvestments-00$3,353,669
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
Yes
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
Post Retirement Benefit Obligation$9,341,663
Federal Income Taxes$1,011,968
Deferred Compensation$180,071
Deferred Rent and Lease Incentive$29,700
Due to Affiliates-
Operating Lease Liabilities-
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
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
Yes
Other officer compensation reviewed
Yes
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 2 BUSINESS RELATIONSHIPS

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.

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

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. The sole voting member is the national association of children's hospitals, inc., a related, non-profit entity.

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

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 nach), a related 501(c)(6) organization.

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

The membership may approve various decisions of the governing board.

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

Initial compilation of information is completed by finance staff for transmission to an outside firm for tax return preparation. The draft return is provided to the board of trustees; any board comments or questions are cleared prior to filing the final return.

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

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 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, Line 15A Process to establish compensation of top management official

The ceo began his employment october 16, 2023. The hiring panel was made up of three board members. The process involved a national search firm that was closely monitored by the entire board of trustees. The ceo's compensation was based on an assessment of the market of similar sized organizations and responsibilities. The compensation is included in a written employment agreement. The governance committee reviews all compensation matters related to the ceo. The committeee determined the compensation increase and bonus amount awarded on the ceo's first anniversary date.

Form 990, Part VI, Line 15B Process to establish compensation of other employees

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. Executive leadership salaries were evaluated during 2024. Other staff evaluation of salaries occurred during 2022.

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

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.

Filing and Contact Details

Filer

Filer Name
NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS AND RELATED INSTITUTIONS INC
EIN
51-0120256
Phone
2027535500
Address
600 13TH STREET NW 500, WASHINGTON, DC 20005
Doing Business As
Nachri

Signing Officer

Name
Matthew Cook
Title
CEO
Phone
2027535500
Signed
2025-09-04
Discuss with paid preparer
Yes

Organization Details

Formed
1970
Legal Domicile
Ga
Voting Board Members
12
Independent Board Members
11
Employees
274
Volunteers
59

Preparer

Firm
Forvis Mazars LLP
Address
1201 Walnut Street Suite 1700, Kansas City, MO 64106-2246
Preparer
Michael Engle
Phone
8162216300
Supplemental Narrative

Additional Explanations

Form 990, Part III, Line 4A-4C Description of program services

(Expenses $ 1,769,260 including grants of $ 125,000)(Revenue $ 136,800) POLICY AND PUBLIC AWARENESS: AS THE VOICE FOR CHILDREN'S HOSPITALS AND CHILD HEALTH, NACHRI ACTS AS ITS MEMBERS' "EYES AND EARS" IN WASHINGTON, D.C., FOCUSING ON LEGISLATION AND REGULATORY ACTION THAT DIRECTLY AFFECT ITS CONSTITUENCIES. TIMELY 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 THAT EVERY CHILD HAS ACCESS TO HIGH QUALITY, COST-EFFECTIVE PRIMARY, PREVENTIVE AND SPECIALTY CARE SERVICES TAILORED TO MEET THEIR NEEDS.

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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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