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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Mark Wietecha</PersonNm>
        <TitleTxt>CEO Emeritus (END 12/31/23)</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <OtherCompensationRltdOrgsAmt>448093</OtherCompensationRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Amy Knight</PersonNm>
        <TitleTxt>President (END 4/14/24)</TitleTxt>
        <BaseCompensationFilingOrgAmt>18656</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>235087</CompensationBasedOnRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Michelle Hogerty</PersonNm>
        <TitleTxt>CFAO</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>298606</CompensationBasedOnRltdOrgsAmt>
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        <TotalCompensationRltdOrgsAmt>422506</TotalCompensationRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Leah Evangelista</PersonNm>
        <TitleTxt>Chief Public Affairs &amp; Brand Officer</TitleTxt>
        <BaseCompensationFilingOrgAmt>273306</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>91102</CompensationBasedOnRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>10019</NontaxableBenefitsRltdOrgsAmt>
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        <TotalCompensationRltdOrgsAmt>129809</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Lori Hotzel</PersonNm>
        <TitleTxt>CIO</TitleTxt>
        <BaseCompensationFilingOrgAmt>33750</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>236254</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>7038</BonusFilingOrganizationAmount>
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        <DeferredCompensationFlngOrgAmt>3788</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>26513</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>3447</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>24126</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>48174</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>337210</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Torey Mack</PersonNm>
        <TitleTxt>Chief Medical Officer</TitleTxt>
        <BaseCompensationFilingOrgAmt>8846</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>344983</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>1753</BonusFilingOrganizationAmount>
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        <DeferredCompRltdOrgsAmt>30274</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>1872</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>11432</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>445844</TotalCompensationRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Aimee Ossman</PersonNm>
        <TitleTxt>VP, Policy</TitleTxt>
        <BaseCompensationFilingOrgAmt>208622</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>16915</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>39498</BonusFilingOrganizationAmount>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Troy Richardson</PersonNm>
        <TitleTxt>VP, Analytics &amp; Data Strategy</TitleTxt>
        <BaseCompensationFilingOrgAmt>14512</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>178990</CompensationBasedOnRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Elizabeth A Brown</PersonNm>
        <TitleTxt>VP, Federal Affairs</TitleTxt>
        <BaseCompensationFilingOrgAmt>191453</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>15523</CompensationBasedOnRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Kory K Kittle</PersonNm>
        <TitleTxt>VP, Analytics Sales &amp; Promotions</TitleTxt>
        <BaseCompensationFilingOrgAmt>13952</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>172081</CompensationBasedOnRltdOrgsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4a Severance or change-of-control payment</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOLLOWING LISTED EMPLOYEES RECEIVED SEVERANCE PAYMENTS DURING THE YEAR: - MARK WIETECHA WAS PAID THE ENTIRE COST OF HIS COBRA HEALTH INSURANCE PREMIUMS FOR A PERIOD OF TWELVE MONTHS AFTER THE DATE OF SEPARATION ($21,706). - AMY KNIGHT WAS PAID THE EXECUTIVE SEVERANCE PAY EQUAL TO TWELVE MONTHS OF BASE SALARY ($628,909) AND THE ENTIRE COST OF HER COBRA HEALTH INSURANCE PREMIUMS FOR A PERIOD OF TWELVE MONTHS AFTER THE DATE OF SEPARATION ($38,019).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOLLOWING LISTED EMPLOYEES PARTICIPATED IN A 457(F) PLAN DURING THE YEAR: - MATTHEW COOK (NO DISTRIBUTION IN 2024, $209,760 WAS CONTRIBUTED TO THE PLAN) - MARK WIETECHA ($891,362 WAS DISTRIBUTED IN 2024, NO CONTRIBUTION) - AMY KNIGHT ($822,264 WAS DISTRIBUTED IN 2024, NO CONTRIBUTION)</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, 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>
    </IRS990ScheduleJ>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 6 Classes of members or stockholders</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, Line 7a Members or stockholders electing members of governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>THE VOTING MEMBERS ELECT THE TRUSTEES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEMBERSHIP MAY APPROVE VARIOUS DECISIONS OF THE GOVERNING BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</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, Line 12c Conflict of interest policy</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 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a Process to establish compensation of top management official</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b Process to establish compensation of other employees</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</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>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 11g Other Fees</FormAndLineReferenceDesc>
        <ExplanationTxt>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: ;</ExplanationTxt>
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          <BusinessNameLine1Txt>NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS AND RELATED INSTITUTIONS INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>600 13TH STREET NW</AddressLine1Txt>
          <CityNm>WASHINGTON</CityNm>
          <StateAbbreviationCd>DC</StateAbbreviationCd>
          <ZIPCd>20005</ZIPCd>
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        <EIN>510120256</EIN>
        <PrimaryActivitiesTxt>TO PROMOTE SUPPORT OF CHILDREN'S HOSPITALS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>GA</LegalDomicileStateCd>
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          <CityNm>LENEXA</CityNm>
          <StateAbbreviationCd>KS</StateAbbreviationCd>
          <ZIPCd>66219</ZIPCd>
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        <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>
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          <AddressLine1Txt>16011 COLLEGE BLVD STE 250</AddressLine1Txt>
          <CityNm>LENEXA</CityNm>
          <StateAbbreviationCd>KS</StateAbbreviationCd>
          <ZIPCd>66219</ZIPCd>
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        <EIN>521421302</EIN>
        <PrimaryActivitiesTxt>HOSPITAL BUSINESS ALLIANCE TO BETTER SERVE CHILDREN</PrimaryActivitiesTxt>
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      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>true</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS AND RELATED INSTITUTIONS</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>M</TransactionTypeTxt>
        <InvolvedAmt>2201378</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ACTUAL COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS AND RELATED INSTITUTIONS</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>N</TransactionTypeTxt>
        <InvolvedAmt>733793</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ACTUAL COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS AND RELATED INSTITUTIONS</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>O</TransactionTypeTxt>
        <InvolvedAmt>3204529</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ACTUAL COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>