Indiana Chapter of the American Academy of Pediatrics Inc

What it reported doing in 2024

Advocacy in 2024 inaap continued its role as a leading advocate for children's health in Indiana. During the state's 2024 legislative session inaap testified on nearly a dozen different bills, both in-person and through written testimony. Critically, many of the bills on which inaap provided its expertise were related to efforts that would have had a disproportionately negative impact of populations that have been historically marginalized. Education was the prominent topic during the 2024 session, and there were several ideas put forward that were of concern to pediatricians. Through its involvement with the Indiana coalition for youth justice, inaap was able to provide the medical perspective on issues like chronic absenteeism, the negative effects of efforts to hold more kids back a grade, and increasing restrictions on access to school-based mental health services. Two examples of inaap's written testimony are being provided as pdfs. Though Indiana did pass a bill requiring children to be held back if they did meet the third grade reading level requirement, inaap's testimony helped ensure that those kids received access to summer school and other resources to actually address their reading skill deficiencies. In 2024 inaap also recognized the perilous state of medicaid funding early in the year, and called together a coalition in the summer of 2024 to preemptively engage lawmakers on the importance of protecting kids' access to coverage. Acting in the leading role, inaap brought together the Indiana's leading medical organizations to sound the alarm - a letter from that effort is provided. Programs inaap is incredibly proud of both the reach and impact its programs had on Indiana's children and their families in 2024. Inaap currently supports three major initiatives - reach out and read, Indiana's cease tobacco cessation program, and the care mental health referral program. Collectively, these programs served 209,578 children and their families over the course of 2024. Though all of the programs are meaningful, inaap is especially proud of the work that its care program did in 2024. Care is a unique and vital initiative that inaap created to help address Indiana's growing pediatric mental health crisis. By connecting children and families with mental health providers, the program removes barriers to care and ensures that families receive the support they need. Unlike general referral services, the care line uses full-time family navigators to provide a hands-on intake and referral process - helping families find providers, navigate insurance complexities, and follow up to ensure services are successfully established. Further, the program follows up with primary care providers which fosters collaboration between medical and mental health professionals and improves care coordination. Care began serving its first families in 2023, but expanded rapidly in 2024 by adding two additional full-time navigators. The program has now served families in 70 of Indiana's 92 counties. In 2024 the program helped 534 new children and adolescents access crucial mental health services, including those in underserved early childhood populations. A pdf which more fully explains the care program is included with this application. Recruitment and retention inaap's strategy for membership recruitment and retention was a direct result of priorities identified as part of its 2024 board of directors retreat and the strategic planned that was formulated as part of that meeting. Broadly, the board recognized a need to offer strong member value that offered a variety of ways to engage with the chapter and was also responsive to the things that members identified as most valuable to them. To be as responsive as possible, inaap conducted a chapter-wide member survey in 2024 which established that state level advocacy and communication of emerging pediatric updates were top priorities. This information allowed the chapter to implement new services and host

Financial Efficiency

• Mission deployment rate: 98.4%; rating input score 98
• Program expense ratio: 99.7%; rating input score 100
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 63rd percentile among comparable filings
• Pay-setting controls: Limited
• Foreign activity oversight: Limited
• Grant itemization coverage: Limited
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Limited

Accountability

• Independent voting board: 100%; rating input score 100; 63rd percentile among comparable filings
• Governance controls: 7 of 8 controls in place; rating input score 88
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: NotApplicable
  • Other executive compensation review process: Fail
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: 1.4%; rating input score 40; 40th percentile among comparable filings
• Total-asset coverage ratio: 0.65; rating input score 30; 30th percentile among comparable filings
• Liabilities to assets ratio: 0; rating input score 91; 91st percentile among comparable filings
• Officer compensation ratio: 15.7%; rating input score 22; 22nd percentile among comparable filings

Growth

• Program expense growth: 14.8% per year; rating input score 100; 75th percentile among comparable filings
• Revenue growth: 15% per year; rating input score 100; 79th percentile among comparable filings
• Asset growth: 14.5% per year; rating input score 100; 71st percentile among comparable filings