Civic Intelligence

National Association of Children'S Hospitals Inc

EIN 58-2176067 • 501(c)6 • Washington, DC

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Profile

N.a.c.h. Is an association organized to assist children's hospitals in their common business interests and their general economic welfare. Specifically, the association assists the industry of children's hospitals to fulfill their common missions of delivering clinical care to all children in their communities. Training future health care providers for children, conducting research to advance children's health, and advocating for the overall health and well-being of all children. N.a.c.h. Gives particular attention to the impact of public policy on the ability of the industry of children's hospitals to fulfill their missions, because public funds (medicaid) account for more than half of the inpatient days provided by children's hospitals. In addition medicaid accounts for the health care coverage of more than a quarter of all children and a disproportionate share of all children with chronic conditions.

600 13th St NW 500Washington, DC 20005

www.childrenshospitals.net

Siviq Scores

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

Liabilities / Assets

63rd percentile

0.33x

Higher debt load relative to assets than 63% of similar nonprofits.

501(c)6 • $10M-$25M nonprofits • Source year 2024

Liabilities / Revenue

61st percentile

0.50x

Higher debt load relative to revenue than 61% of similar nonprofits.

501(c)6 • $10M-$25M nonprofits • Source year 2024

Net Margin

16th percentile

-7.6%

Higher net margin than 16% of similar nonprofits.

501(c)6 • $10M-$25M nonprofits • Source year 2024

Top Officer Pay

99th percentile

$1,985,302

Higher top officer pay than 99% of similar nonprofits.

Top officer pay equals 16.4% of source-year revenue.

501(c)6 • $10M-$25M nonprofits • Source year 2024

Asset Growth

51st percentile

5.8%

Faster asset growth than 51% of similar nonprofits.

501(c)6 • $10M-$25M nonprofits • Annualized from 2023 to 2024

Revenue Growth

64th percentile

10%

Faster revenue growth than 64% of similar nonprofits.

501(c)6 • $10M-$25M nonprofits • Annualized from 2023 to 2024

Balance Sheet
Liabilities / Assets63rd percentile

Assets

Up

$17,930,203

Up $982,198 (+5.8%) from 2023

Liabilities

Up

$5,985,283

Up $1,105,852 (+23%) from 2023

Net Assets

Down

$11,944,920

Down $123,654 (-1.0%) from 2023

Operations
Liabilities / Revenue61st percentileNet Margin16th percentile

Revenue

Up

$12,077,397

Up $1,122,038 (+10%) from 2023

Expenses

Down

$12,999,730

Down $547,331 (-4.0%) from 2023

Net Income

Up

-$922,333

Up $1,669,369 (+64%) from 2023

Trend Graphs

Balance Sheet Trend

Asset Growth51st percentile

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

$20M$15M$10M$5.0M$0Assets 2011: $7,977,171Liabilities 2011: $360,172Net Assets 2011: $7,616,9992011Assets 2012: $7,538,556Liabilities 2012: $588,096Net Assets 2012: $6,950,4602012Assets 2013: $8,998,828Liabilities 2013: $584,979Net Assets 2013: $8,413,8492013Assets 2014: $10,290,202Liabilities 2014: $677,398Net Assets 2014: $9,612,8042014Assets 2015: $10,822,427Liabilities 2015: $1,159,041Net Assets 2015: $9,663,3862015Assets 2016: $11,529,446Liabilities 2016: $543,343Net Assets 2016: $10,986,1032016Assets 2017: $11,548,471Liabilities 2017: $431,810Net Assets 2017: $11,116,6612017Assets 2018: $11,398,008Liabilities 2018: $1,780,814Net Assets 2018: $9,617,1942018Assets 2019: $12,500,011Liabilities 2019: $1,551,300Net Assets 2019: $10,948,7112019Assets 2020: $14,777,055Liabilities 2020: $2,224,199Net Assets 2020: $12,552,8562020Assets 2021: $18,366,386Liabilities 2021: $4,366,827Net Assets 2021: $13,999,5592021Assets 2022: $15,838,444Liabilities 2022: $2,107,409Net Assets 2022: $13,731,0352022Assets 2023: $16,948,005Liabilities 2023: $4,879,431Net Assets 2023: $12,068,5742023Assets 2024: $17,930,203Liabilities 2024: $5,985,283Net Assets 2024: $11,944,9202024

Highlighted filing

2024

Assets$17,930,203
Liabilities$5,985,283
Net Assets$11,944,920
Open 2024 Filing

Operations Trend

Revenue Growth64th percentile

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

$15M$10M$5.0M$0-$5.0MExpenses 2011: $4,494,5742011Expenses 2012: $5,477,8362012Revenue 2013: $6,462,301Expenses 2013: $6,194,666Net Income 2013: $267,6352013Revenue 2014: $6,899,186Expenses 2014: $5,951,303Net Income 2014: $947,8832014Revenue 2015: $7,185,941Expenses 2015: $6,628,822Net Income 2015: $557,1192015Revenue 2016: $7,455,879Expenses 2016: $6,736,506Net Income 2016: $719,3732016Revenue 2017: $6,679,947Expenses 2017: $6,808,979Net Income 2017: -$129,0322017Revenue 2018: $7,080,237Expenses 2018: $7,514,079Net Income 2018: -$433,8422018Revenue 2019: $7,772,062Expenses 2019: $7,147,754Net Income 2019: $624,3082019Revenue 2020: $8,990,830Expenses 2020: $7,456,922Net Income 2020: $1,533,9082020Revenue 2021: $8,000,690Expenses 2021: $7,317,165Net Income 2021: $683,5252021Revenue 2022: $8,959,255Expenses 2022: $7,469,276Net Income 2022: $1,489,9792022Revenue 2023: $10,955,359Expenses 2023: $13,547,061Net Income 2023: -$2,591,7022023Revenue 2024: $12,077,397Expenses 2024: $12,999,730Net Income 2024: -$922,3332024

Highlighted filing

2024

Revenue$12,077,397
Expenses$12,999,730
Net Income-$922,333
Open 2024 Filing

Filings

Most recent year

2024 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.

Open filing
Assets
$17,930,203
Liabilities
$5,985,283
Net assets
$11,944,920
Revenue
$12,077,397
Expenses
$12,999,730
Net income
-$922,333
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$17.9$5.99$11.9$12.1$13.0$0.92
2023Summary only. Only limited summary data is available for this year.$16.9$4.88$12.1$11.0$13.5$2.59
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$15.8$2.11$13.7$8.96$7.47$1.49
2021Facts available. Structured filing facts are available, but richer extracted sections are limited.$18.4$4.37$14.0$8.00$7.32$0.68
2020Facts available. Structured filing facts are available, but richer extracted sections are limited.$14.8$2.22$12.6$8.99$7.46$1.53
2019Facts available. Structured filing facts are available, but richer extracted sections are limited.$12.5$1.55$10.9$7.77$7.15$0.62
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$11.4$1.78$9.62$7.08$7.51$0.43
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$11.5$0.43$11.1$6.68$6.81$0.13
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$11.5$0.54$11.0$7.46$6.74$0.72
2015Detailed filing. Detailed filing data is available for this year.$10.8$1.16$9.66$7.19$6.63$0.56
2014Detailed filing. Detailed filing data is available for this year.$10.3$0.68$9.61$6.90$5.95$0.95
2013Detailed filing. Detailed filing data is available for this year.$9.00$0.58$8.41$6.46$6.19$0.27
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$7.54$0.59$6.95$5.48
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$7.98$0.36$7.62$4.49
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
$13,334,048
Mission and Program Overview

Mission

N.a.c.h. Is an association organized to assist children's hospitals in their common business interests and their general economic welfare. Specifically, the association assists the industry of children's hospitals to fulfill their common missions of delivering clinical care to all children in their communities. Training future health care providers for children, conducting research to advance children's health, and advocating for the overall health and well-being of all children. N.a.c.h. Gives particular attention to the impact of public policy on the ability of the industry of children's hospitals to fulfill their missions, because public funds (medicaid) account for more than half of the inpatient days provided by children's hospitals. In addition medicaid accounts for the health care coverage of more than a quarter of all children and a disproportionate share of all children with chronic conditions.

Nach supports children's hospitals by addressing public policy issues that affect their ability to fulfill their missions to serve children and their families. Nach fulfills its mission and vision through federal advocacy, collaboration and communication designed to strengthen the ability of children's hospitals and health systems to influence public policy makers, understand federal and state policy issues, advance access and quality of health care for all children, and sustain financially their missions of clinical care, education, research and advocacy.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$13,056,504$14,201,313▲ $1,144,809
Cash and Non-Interest-Bearing Accounts$1,798,792$3,674,965▲ $1,876,173
Accounts Receivable$0$53,000▲ $53,000
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$16,948,005$17,930,203▲ $982,198
Other Assets Total$2,092,709$925▼ $2,091,784
Liabilities
Deferred Revenue$3,709,600$3,802,600▲ $93,000
Other Liabilities$0$1,428,671▲ $1,428,671
Accounts Payable and Accrued Expenses$1,169,831$754,012▼ $415,819
Total Liabilities$4,879,431$5,985,283▲ $1,105,852
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$10,952,121$11,944,920▲ $992,799
Net Assets With Donor Restrictions$1,116,453$0▼ $1,116,453
Total Net Assets Fund Balance$12,068,574$11,944,920▼ $123,654
Total Liabilities and Net Assets / Fund Balance$16,948,005$17,930,203▲ $982,198
Compensation and Service Providers
Top Officer Pay99th percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
Matthew R CookCEOPT$420,148$378,535$798,683
Mark WietechaCEO Emeritus (END 12/31/23)-$634,693$634,693$634,693
Leah EvangelistaChief Public Affairs & Brand OfficerPT$273,306$116,122$389,428
Aimee OssmanVP, PolicyFT$208,622$84,081$292,703
Elizabeth A BrownVP, Federal AffairsFT$191,453$69,110$260,563
Amy KnightPresident (END 4/14/24)-$18,656$129,893$148,549
Lori HotzelCIOPT$33,750$14,424$48,174
Troy RichardsonVP, Analytics & Data Strategy-$14,512$7,420$21,932
Kory K KittleVP, Analytics Sales & Promotions-$13,952$6,078$20,030
Torey MackChief Medical Officer-$8,846$2,586$11,432
Michelle HogertyCfao-$7,656$3,177$10,833

Board Members and Trustees

NameTitle
Jeff SperringChair
Jena HausmannVice-Chair
Chanda ChacnMember
Deborah FeldmanMember
Kevin ChurchwellMember
Mark ScheurerMember
Mike FarrellMember
Paul KempinskiMember
Timothy RobinsonMember
Margaret RushSecretary
Larry MossTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
David A Barnhart Dba LsgLobbying And Marketing2008 HILLYER PL NW, Washington, DC 20009$1,574,500
Brownstein Hyatt Farber Schreck LLPLobbyingPO BOX 172168, Denver, CO 80217$464,189
Nathanson & HauckLobbying601 13TH STREET NW STE 290 NORTH, Washington, DC 20005$384,000
Manatt Phelps & Phillips LLPLobbying7 TIMES SQUARE, New York, NY 10036$358,000
Columbia Strategies LLCConsulting26410 NE 356TH STREET, Yacolt, WA 98675$330,000
Revenue and Support

Revenue Composition

Contributions and Grants
$2,519
Program Service Revenue
$11,439,609
Investment Income
$635,169
Other Revenue
$100
All Other Contributions
$2,519
Change in Net Assets
$-922,333
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$12,769,580
Grants and Similar Amounts Paid$230,150
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Other---$3,692,533
Fees for Services Management---$2,935,170
Fees for Services Lobbying---$2,524,667
Advertising---$978,500
Occupancy---$755,542
Conferences and Meetings---$453,489
Other Expenses---$288,122
Grants to Domestic Orgs---$230,150
Depreciation Depletion---$168,614
Travel---$140,962
Fees for Service Investment Mgmnt Fees---$39,039
All Other Expenses---$25,290
Fees for Services Accounting---$11,550
Fees for Services Legal---$7,500
Information Technology---$6,048
Office Expenses---$2,651
Total Functional Expenses$0$0$0$12,999,730
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
CALIFORNIA CHILDREN'S HOSPITAL ASSOCIATIONSacramento, CA501(c)(6)General Support$75,000
CHILDREN'S HOSPITAL ASSOCIATION OF TEXASAustin, TX501(c)(6)General Support$75,000
OHIO CHILDREN'S HOSPITAL ASSOCIATIONColumbus, OH501(c)(6)General Support$75,000
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
In-house lobbying only
No
Subject to proxy tax
Yes
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$1,428,671
Due to Affiliates-
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 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.”

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

“The voting members elect the trustees.”

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 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.”

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 INC
EIN
58-2176067
Phone
2027535500
Address
600 13TH ST NW 500, WASHINGTON, DC 20005
Doing Business As
Nach

Signing Officer

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

Organization Details

Formed
1995
Legal Domicile
Ga
Voting Board Members
12
Independent Board Members
11
Employees
0
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 IX, Line 11G Other Fees

“CONSULTANTS - Total Expense: 488004, Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; CONTRACTED STAFF - Total Expense: 3204529, Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ;”

Raw XML AppendixShowing 400 of 824 raw XML fields

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/ActivityOrMissionDesc0NACH SUPPORTS CHILDREN'S HOSPITALS BY ADDRESSING PUBLIC POLICY ISSUES THAT AFFECT THEIR ABILITY TO FULFILL THEIR MISSIONS TO SERVE CHILDREN AND THEIR FAMILIES. NACH FULFILLS ITS MISSION AND VISION THROUGH FEDERAL ADVOCACY, COLLABORATION AND COMMUNICATION DESIGNED TO STRENGTHEN THE ABILITY OF CHILDREN'S HOSPITALS AND HEALTH SYSTEMS TO INFLUENCE PUBLIC POLICY MAKERS, UNDERSTAND FEDERAL AND STATE POLICY ISSUES, ADVANCE ACCESS AND QUALITY OF HEALTH CARE FOR ALL CHILDREN, AND SUSTAIN FINANCIALLY THEIR MISSIONS OF CLINICAL CARE, EDUCATION, RESEARCH AND ADVOCACY.
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IRS990/Form990PartVIISectionAGrp/TitleTxt21CEO Emeritus (END 12/31/23)
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IRS990/ProgSrvcAccomActy2Grp/Desc0ADVOCACY: NACH DIRECTLY ADVOCATES FOR FEDERAL LEGISLATION AND PUBLIC POLICY POSITIONS ON BEHALF OF CHILDREN'S HOSPITALS. THIS IS ACCOMPLISHED BY BUT NOT LIMITED TO MEETING WITH FEDERAL POLICY MAKERS AND THEIR STAFF, IN TESTIMONY TO CONGRESSIONAL AND EXECUTIVE BRANCH AGENCIES, IN REGULATORY AND CONGRESSIONAL LETTERS AND OTHER COMMUNICATIONS. NACH ALSO PARTICIPATES 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 AFFAIRS ADVOCACY FOCUSES 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, AND EDUCATING THE PUBLIC ABOUT BROADER ISSUES THAT AFFECT CHILDREN'S HEALTH CARE.
IRS990/ProgSrvcAccomActy3Grp/Desc0ADVOCACY EDUCATIONAL PROGRAMMING: NACH ORGANIZES EDUCATIONAL PROGRAMING AND OPPORTUNITIES FOR MEMBER HOSPITALS TO ENGAGE WITH THE FEDERAL LEGISLATIVE AND REGULATORY PROCESS, FOCUSED ON ADVOCACY FOR CHILDREN AND CHILDREN'S HOSPITALS. NACH ENGAGES WITH MEMBER HOSPITALS TO EDUCATE LAWMAKERS THROUGH ADVOCACY MATERIALS, MEETINGS AND EDUCATION EVENTS TO HIGHLIGHT THE UNIQUE CHALLENGES, PATIENT POPULATIONS, AND COMMUNITIES CHILDREN'S HOSPITALS SERVE.
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