Skip to content
Nonprofiteer
← CHILD HEALTH PATIENT SAFETY ORGANIZATION INC

Form 990 for tax year 2025

Filed by CHILD HEALTH PATIENT SAFETY ORGANIZATION INC.

Totals

Total revenue
$1,595,952
Total expenses
$1,595,952
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$1,577,688
Investment income
$18,264
Other revenue
$0
Total assets, end of year
$1,033,459
Total liabilities, end of year
$946,394
Net assets or fund balances, end of year
$87,065
Program services expenses (Part IX)
$1,090,591
Management and general expenses
$505,361
Fundraising expenses
$0
Program service expenses (Part III)
$1,090,591

Program services were 68.3% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 2a · Program service revenue: PARTICIPATION FEES

    total $1,166,650 · related or exempt $1,166,650

  • 2b · Program service revenue: MEMBERSHIP DUES

    total $411,038 · related or exempt $411,038

  • 2f · All other program service revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 3 · Investment income

    total $18,264 · excluded $18,264

  • 6c · Rental income or loss

    real property $0 · personal property $0

  • 7c · Gain or loss

    securities $0 · other assets $0

  • 8c · Net income from fundraising events

    total $0

  • 11d · All other revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 11e · Other revenue, total

    $0

Functional expenses

Part IX, the statement of functional expenses.

  • 11a · Fees: management

    total $725,750 · program services $472,385 · management and general $253,365

  • 11b · Fees: legal

    total $8,305 · program services $5,406 · management and general $2,899

  • 11c · Fees: accounting

    total $6,408 · program services $4,171 · management and general $2,237

  • 11g · Fees: other

    total $622,967 · program services $405,484 · management and general $217,483 · fundraising $0

  • 13 · Office expenses

    total $529 · program services $343 · management and general $186

  • 16 · Occupancy

    total $24,680 · program services $16,064 · management and general $8,616

  • 17 · Travel

    total $15,079 · program services $9,815 · management and general $5,264

  • 19 · Conferences, conventions and meetings

    total $88,331 · program services $88,331

  • 22 · Depreciation, depletion and amortization

    total $92,887 · program services $79,676 · management and general $13,211

  • 23 · Insurance

    total $1,863 · program services $1,213 · management and general $650

  • 24e · All other expenses

    total $9,153 · program services $7,703 · management and general $1,450 · fundraising $0

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $305,071 · end of year $521,070

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 10a · Land, buildings and equipment: cost or other basis

    $165,132

  • 10b · Land, buildings and equipment: accumulated depreciation

    $91,740

  • 10c · Land, buildings and equipment, net

    beginning of year $128,436 · end of year $73,392

  • 11 · Investments: publicly traded securities

    beginning of year $417,813 · end of year $438,997

  • 12 · Investments: other securities

    beginning of year $0

  • 13 · Investments: program-related

    beginning of year $0

  • 15 · Other assets

    beginning of year $0 · end of year $0

  • 17 · Accounts payable and accrued expenses

    beginning of year $668 · end of year $1,296

  • 19 · Deferred revenue

    beginning of year $121,800 · end of year $192,700

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $644,707 · end of year $752,398

  • 27 · Net assets without donor restrictions

    beginning of year $84,145 · end of year $87,065

Mission and programs · 2025

Mission

TO IMPROVE THE SAFETY AND QUALITY OF CHILD HEALTH CARE DELIVERY BY CREATING A SECURE ENVIRONMENT WHERE CLINICIANS AND HEALTH CARE ORGANIZATIONS CAN COLLECT, AGGREGATE, AND ANALYZE DATA THAT WILL ENABLE THE IDENTIFICATION AND REDUCTION OF RISKS AND HAZARDS ASSOCIATED WITH PATIENT CARE.

  • THE CHILD HEALTH PATIENT SAFETY ORGANIZATION, INC. (PSO) WAS ORGANIZED TO IMPROVE THE SAFETY OF CHILDREN'S HOSPITALS BY SHARING DATA AND EXPERIENCES. MANDATED BY THE PATIENT SAFETY AND QUALITY IMPROVEMENT ACT (PSQIA), THE PSO PROVIDES FEDERAL PROTECTIONS FOR CHILDREN'S HOSPITALS TO LEAD IN PATIENT SAFETY AND ELIMINATE HARM, UTILIZING COLLABORATIVE INITIATIVES AND NATIONAL EXPERTS.

    Expenses $1,090,591 · Revenue $1,577,688

As filed on the 2025 return.

Listed in Part VII

  • Mark Scheurer

    CHAIR

    Total calculated
    $0
    Hours/week
    1 + 2 related

  • Callie Dobbins

    MEMBER

    Total calculated
    $0
    Hours/week
    1 + 2 related

  • Frank Belmonte

    MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Grace Lee

    MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Judie Boehmer

    MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Marc Gorelick

    MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Patrick Frias

    MEMBER

    Total calculated
    $0
    Hours/week
    1 + 2 related

  • Rustin Morse

    MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Sandip Godambe

    MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Tina Cheng

    MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Tom Shufflebarger

    MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Trey Eubanks

    MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Matthew Cook

    CEO

    Total calculated
    $1,525,962
    From this org
    $31,279
    From related orgs
    $1,219,900
    Other
    $274,783
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $22,168 + $864,575 related
    Bonus
    $9,048 + $352,872 related
    Other
    $63 + $2,453 related
    Deferred
    $6,087 + $237,374 related
    Nontaxable benefits
    $783 + $30,539 related
    Filer's total
    $38,149 + $1,487,813 related

  • Michelle Hogerty

    CFAO

    Total calculated
    $557,975
    From this org
    $11,905
    From related orgs
    $464,310
    Other
    $81,760
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $10,193 + $397,536 related
    Bonus
    $1,640 + $63,960 related
    Other
    $72 + $2,814 related
    Deferred
    $1,416 + $55,233 related
    Nontaxable benefits
    $628 + $24,483 related
    Filer's total
    $13,949 + $544,026 related

  • Paul Haut

    PRESIDENT

    Total calculated
    $146,886
    From this org
    $3,292
    From related orgs
    $128,395
    Other
    $15,199
    Hours/week
    1 + 39 related

  • Lori Hotzel

    CHIEF INFORMATION OFFICER

    Total calculated
    $493,355
    From this org
    $11,194
    From related orgs
    $436,557
    Other
    $45,604
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $9,690 + $377,911 related
    Bonus
    $1,438 + $56,063 related
    Other
    $66 + $2,583 related
    Deferred
    $788 + $30,713 related
    Nontaxable benefits
    $353 + $13,750 related
    Filer's total
    $12,335 + $481,020 related

  • Torey Mack

    CHIEF MEDICAL OFFICER

    Total calculated
    $508,127
    From this org
    $23,722
    From related orgs
    $450,714
    Other
    $33,691
    Hours/week
    2 + 38 related

    Schedule J breakdown matched by us

    Base
    $20,049 + $380,923 related
    Bonus
    $3,640 + $69,160 related
    Other
    $33 + $631 related
    Deferred
    $1,575 + $29,925 related
    Nontaxable benefits
    $110 + $2,081 related
    Filer's total
    $25,407 + $482,720 related

  • Aimee Ossman

    VP, POLICY

    Total calculated
    $354,520
    From this org
    $7,280
    From related orgs
    $283,915
    Other
    $63,325
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $5,942 + $231,749 related
    Bonus
    $1,323 + $51,578 related
    Other
    $15 + $588 related
    Deferred
    $685 + $26,727 related
    Nontaxable benefits
    $898 + $35,015 related
    Filer's total
    $8,863 + $345,657 related

  • Aisha Furbach

    VP, CHILD HEALTH QUALITY

    Total calculated
    $325,069
    From this org
    $104,508
    From related orgs
    $156,762
    Other
    $63,799
    Hours/week
    16 + 24 related

    Schedule J breakdown matched by us

    Base
    $89,753 + $134,630 related
    Bonus
    $14,600 + $21,900 related
    Other
    $155 + $232 related
    Deferred
    $7,557 + $11,336 related
    Nontaxable benefits
    $17,962 + $26,944 related
    Filer's total
    $130,027 + $195,042 related

  • Blake Schofield

    GENERAL COUNSEL

    Total calculated
    $338,258
    From this org
    $7,186
    From related orgs
    $280,237
    Other
    $50,835
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $7,178 + $279,924 related
    Bonus
    $0
    Other
    $8 + $313 related
    Deferred
    $642 + $25,038 related
    Nontaxable benefits
    $629 + $24,526 related
    Filer's total
    $8,457 + $329,801 related

  • Craig Peterson

    CHIEF PEOPLE OFFICER

    Total calculated
    $327,506
    From this org
    $7,123
    From related orgs
    $277,800
    Other
    $42,583
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $6,130 + $239,102 related
    Bonus
    $953 + $37,148 related
    Other
    $40 + $1,550 related
    Deferred
    $653 + $25,473 related
    Nontaxable benefits
    $411 + $16,046 related
    Filer's total
    $8,187 + $319,319 related

  • Elizabeth A Brown

    VP, FEDERAL AFFAIRS

    Total calculated
    $306,448
    From this org
    $6,627
    From related orgs
    $258,445
    Other
    $41,376
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $5,528 + $215,612 related
    Bonus
    $1,093 + $42,608 related
    Other
    $6 + $225 related
    Deferred
    $612 + $23,878 related
    Nontaxable benefits
    $422 + $16,464 related
    Filer's total
    $7,661 + $298,787 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

SCHEDULE J, PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN
THE FOLLOWING LISTED EMPLOYEE PARTICIPATED IN A 457(F) PLAN DURING THE YEAR: - MATTHEW COOK (NO DISTRIBUTION IN 2025, $180,960 WAS CONTRIBUTED TO THE PLAN).
SCHEDULE J, PART I, LINE 3 ESTABLISHMENT OF COMPENSATION
THE NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS AND RELATED INSTITUTIONS, INC. (NACHRI) ACTS AS THE "COMMON PAYMASTER" FOR CHILD HEALTH PATIENT SAFETY ORGANIZATION (CHPSO). 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 CHPSO 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.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

  • NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS INC (NACH)

    501(C)(6) · ASSIST CHILDREN'S HOSPITALS IN COMMON BUSINESS INTEREST AND ECONOMIC WELFARE · GA

    Directly controlled by NA

  • NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS AND RELATED INSTITUTIONS INC

    501(C)(3) · TO PROMOTE SUPPORT OF CHILDREN'S HOSPITALS · GA · controlled entity

    Directly controlled by NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS

  • SPEAK OUR MINDS ENDING THE YOUTH MENTAL HEALTH CRISIS

    501(C)(3) · RAISE AWARENESS, PROMOTE EDUCATION & RESOURCES, & SUPPORT YOUTH MENTAL HEALTH ADVOCACY EFFORTS. · CO · controlled entity

    Directly controlled by NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS AND RELATED INSTITUTIONS

  • NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS POLITICAL ACTION COMMITTEE

    527 · TO SUPPORT & ENCOURAGE ELECTION TO FEDERAL OFFICES OF PERSONS WHO SUPPORT NEEDS OF BUSINESS · DC · controlled entity

    Directly controlled by NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • CHILD HEALTH CORPORATION OF AMERICA

    C CORPORATION · HOSPITAL BUSINESS ALLIANCE TO BETTER SERVE CHILDREN · DE · controlled entity

    Directly controlled by NA

Provenance

Return type
form_990
Tax year
2025
Filed
26 August 2026
IRS schema version
2025v4.2
Source object
202642389349300214

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

The source document this was parsed from is served over the API, which is where bulk and document access live.