STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

COLORADO HOSPITAL ASSOCIATION: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
COLORADO HOSPITAL ASSOCIATION (EIN 84-0468242)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-08-23
IRS object ID
202212359349300746
Schema version
2021v4.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2022-08-23T16:56:33-05:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1FORVIS LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1111 South Tejon Suite 800AddressLine1Txt
CityColorado SpringsCityNm
State AbbreviationCOStateAbbreviationCd
ZIP809039848ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN840468242EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1COLORADO HOSPITAL ASSOCIATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% COLORADO HOSPITAL ASSOCIATIOInCareOfNm
Business Name ControlCOLOBusinessNameControlTxt
Phone7204891630PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line17335 E ORCHARD RD Suite 100AddressLine1Txt
CityGREENWOOD VILLAGECityNm
State AbbreviationCOStateAbbreviationCd
ZIP801112512ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonRICHARD PRESTIDGEPersonNm
Person TitleCFOPersonTitleTxt
Phone7204891630PhoneNum
Signature2022-09-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstRICHARDPersonFirstNm
Person LastPRESTIDGEPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAdam R Smith CPAPreparerPersonNm
PTINP00958966PTIN
Phone7194714290PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMARYJANE WURTHPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line17335 E ORCHARD RD100AddressLine1Txt
CityGREENWOOD VILLAGECityNm
State AbbreviationCOStateAbbreviationCd
ZIP80111ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$8,069,781GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Website AddressWWW.CHA.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1951FormationYr
Legal Domicile StateCOLegalDomicileStateCd
Activity Or MissionSUPPORT MEMBERS' COLLABORATIVE COMMITMENT TO ADVANCE THE HEALTH OF THEIR COMMUNITIES THROUGH AFFORDABLE, ACCESSIBLE, HIGH-QUALITY HEALTH CARE.ActivityOrMissionDesc
Voting Members Governing Body21VotingMembersGoverningBodyCnt
Voting Members Independent20VotingMembersIndependentCnt
Total Employee54TotalEmployeeCnt
Total Volunteers20TotalVolunteersCnt
Total Gross UBI$1,021,462TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$24,272NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$3,073,639PYContributionsGrantsAmt
CY Contributions Grants$418,599CYContributionsGrantsAmt
PY Program Service Revenue$7,064,152PYProgramServiceRevenueAmt
CY Program Service Revenue$7,000,257CYProgramServiceRevenueAmt
PY Investment Income$216,897PYInvestmentIncomeAmt
CY Investment Income$280,911CYInvestmentIncomeAmt
PY Other Revenue$296,269PYOtherRevenueAmt
CY Other Revenue$268,791CYOtherRevenueAmt
PY Total Revenue$10,650,957PYTotalRevenueAmt
CY Total Revenue$7,968,558CYTotalRevenueAmt
PY Grants And Similar Paid$2,638,490PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$5,578,688PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$6,553,170CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$1,822,698PYOtherExpensesAmt
CY Other Expenses$1,525,251CYOtherExpensesAmt
PY Total Expenses$10,039,876PYTotalExpensesAmt
CY Total Expenses$8,078,421CYTotalExpensesAmt
PY Revenues Less Expenses$611,081PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$109,863CYRevenuesLessExpensesAmt
Total Assets BOY$12,008,586TotalAssetsBOYAmt
Total Assets EOY$13,190,689TotalAssetsEOYAmt
Total Liabilities BOY$6,102,538TotalLiabilitiesBOYAmt
Total Liabilities EOY$7,588,991TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$5,906,048NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$5,601,698NetAssetsOrFundBalancesEOYAmt
MissionSUPPORT MEMBERS' COLLABORATIVE COMMITMENT TO ADVANCE THE HEALTH OF THEIR COMMUNITIES THROUGH AFFORDABLE, ACCESSIBLE, HIGH-QUALITY HEALTH CARE.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
DescPOLICY AND ADVOCACY: CHA MEETS WITH AND PROVIDES INFORMATION TO STATE ELECTED OFFICIALS ON HEALTHCARE MATTERS IN COLORADO.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
DescEDUCATIONAL MEETINGS AND SEMINARS: MEET BOTH THE ONGOING AND EMERGING EDUCATIONAL NEEDS OF ITS MEMBERS BY PROVIDING A RANGE OF TIMELY AND COST EFFECTIVE EDUCATIONAL PROGRAMS.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
DescDATA SERVICES: CHA COLLECTS REAL-TIME DATA, ANALYZES IT AND THEN PROVIDES BENCHMARKING INFORMATION TO MEMBERS, OTHER STATE HOSPITAL ASSOCIATIONS AND OTHERS WITH AN INTEREST IN HOSPITAL RELATED COST DATA.Desc
FieldValueIRS element (for citing)
Described In Section501c3falseDescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyYes (true)PoliticalCampaignActyInd
Subject To Proxy TaxYes (true)SubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document33IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee54EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtYes (true)SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members21GoverningBodyVotingMembersCnt
Independent Voting Member20IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonCOLORADO HOSPITAL ASSOCIATIOPersonNm
Phone7204891630PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line17335 E ORCHARD RD STE 100AddressLine1Txt
CityGREENWOOD VILLAGECityNm
State AbbreviationCOStateAbbreviationCd
ZIP801112512ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (35 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
CHRISTOPHER THOLEN
PRESIDENT & CEO THROUGH 9/2140.01.0Yes (X)Yes (X)$1,019,141$0$59,127
KATHERINE MULREADY
CHIEF STRATEGY OFFICER/ SR VP40.00.0Yes (X)$329,445$0$60,766
THOMAS RENNELL
SVP FINANCIAL POLICY40.00.0$303,105$0$46,648Yes (X)
JULIE LONBORG
SVP COMMUNICATIONS40.00.0$260,167$0$42,689Yes (X)
DARLENE TAD-Y
VP CLINICAL AFFAIRS24.016.0$238,181$0$48,082Yes (X)
BENJAMIN ANDERSON
VP RURAL HEALTH AND HOSPITALS40.00.0$223,303$0$52,689Yes (X)
RICHARD PRESTIDGE
CFO30.010.0Yes (X)$221,775$0$52,675
JOSHUA EWING
VP, LEGISLATIVE AFFAIRS40.00.0$173,313$0$47,384Yes (X)
RYAN WESTROM
SR DIRECTOR, FINANCE40.00.0$129,967$0$40,480Yes (X)
ANGELA SIGURDSON
SR DIRECTOR HUMAN RESOURCES40.00.0$144,725$0$20,150Yes (X)
ESSEY YIRDAW
DIRECTOR DATA ANALYTICS40.00.0$123,373$0$38,956Yes (X)
LYLE MOORE
DIRECTOR EMERGENCY AWARENESS40.00.0$120,556$0$39,129Yes (X)
JAMES CARR
MANAGER, INFORMATION SYSTEMS40.00.0$125,345$0$17,178Yes (X)
MARYJANE WURTH
INTERIM PRESIDENT AND CEO40.00.0Yes (X)$138,462$0$0
ROB VISSERS MD
CHAIRMAN1.01.0Yes (X)Yes (X)$0$0$0
KEVIN STANSBURY
CHAIRMAN ELECT1.01.0Yes (X)Yes (X)$0$0$0
JAMIE SMITH
IMMEDIATE PAST CHAIRMAN1.01.0Yes (X)Yes (X)$0$0$0
KEVIN UNGER
SECRETARY/TREASURER1.01.0Yes (X)Yes (X)$0$0$0
ANDREW DANIELS
TRUSTEE1.00.0Yes (X)$0$0$0
ARLENE HARMS
TRUSTEE1.01.0Yes (X)$0$0$0
DAVE RESSLER
TRUSTEE1.01.0Yes (X)$0$0$0
DEAN SANPEI
TRUSTEE1.00.0Yes (X)$0$0$0
DEBBIE FARRELL
TRUSTEE1.00.0Yes (X)$0$0$0
DEWANE PACE
TRUSTEE1.00.0Yes (X)$0$0$0
EDDIE SIM
TRUSTEE1.01.0Yes (X)$0$0$0
GRANT WICKLAND
TRUSTEE1.00.0Yes (X)$0$0$0
JANDEL ALLEN-DAVIS
TRUSTEE1.00.0Yes (X)$0$0$0
JASON CLECKLER
TRUSTEE1.00.0Yes (X)$0$0$0
JOHN TUCKER
TRUSTEE1.00.0Yes (X)$0$0$0
KONNIE MARTIN
TRUSTEE1.01.0Yes (X)$0$0$0
MARGO KARSTEN
TRUSTEE1.00.0Yes (X)$0$0$0
MICHAEL CANCRO
TRUSTEE1.00.0Yes (X)$0$0$0
PIA DEAN
TRUSTEE1.00.0Yes (X)$0$0$0
RYAN TOBIN
TRUSTEE1.00.0Yes (X)$0$0$0
JAMES KISER
TRUSTEE THROUGH 11/211.00.0Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,550,858TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$565,953TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K14IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Federated Campaigns$0FederatedCampaignsAmt
Membership Dues$0MembershipDuesAmt
Fundraising$0FundraisingAmt
Related Organizations$135,000RelatedOrganizationsAmt
Government Grants$283,599GovernmentGrantsAmt
All Other Contributions$0AllOtherContributionsAmt
Noncash Contributions$0NoncashContributionsAmt
Total Contributions$418,599TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
MEMBERSHIP DUES813920$5,513,513$5,513,513
MEETINGS & SEMINARS900099$9,788$9,788
DATA REVENUE519100$861,956$252,574$609,382
MANAGEMENT FEES531110$609,000$225,000$384,000
MISCELLANEOUS REVENUE900099$6,000$6,000
FieldValueIRS element (for citing)
Total Program Service Revenue$7,000,257TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$276,836TotalRevenueColumnAmt
Exclusion$276,836ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$136,000RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$101,223RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$34,777RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$34,777TotalRevenueColumnAmt
Unrelated Business Revenue$28,080UnrelatedBusinessRevenueAmt
Exclusion$6,697ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$4,075SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$4,075SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,075TotalRevenueColumnAmt
Exclusion$4,075ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
OTHER REVENUE900099$27,679$27,679
NET INCOME FROM SUBSIDIARY900099$206,335$206,335
FieldValueIRS element (for citing)
Other Revenue Total$234,014OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,968,558TotalRevenueColumnAmt
Related Or Exempt Func Income$6,240,889RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$1,021,462UnrelatedBusinessRevenueAmt
Exclusion$287,608ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$3,316,952TotalAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$2,580,804TotalAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$81,623TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$314,337TotalAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$259,454TotalAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$127,093TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$31,617TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$200,223TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$1,280TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$397,774TotalAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$55,858TotalAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$159,370TotalAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$28,009TotalAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$10,640TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$80,032TotalAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$86,704TotalAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmt
DUES & SUBSCRIPTIONS$351,286
OTHER TAXES$428
UBI TAX-$17,682
MISCELLANEOUS EXPENSES$12,619

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$8,078,421TotalAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$873,473BOYAmt
EOY$1,037,535EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$82,500BOYAmt
EOY$0EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$243,758BOYAmt
EOY$137,462EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$297,056BOYAmt
EOY$312,649EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$4,125,013LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,988,089LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$975,764BOYAmt
EOY$1,136,924EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$6,932,251BOYAmt
EOY$7,794,572EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$392,264BOYAmt
EOY$598,599EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$2,211,520BOYAmt
EOY$2,172,948EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$12,008,586BOYAmt
EOY$13,190,689EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$516,919BOYAmt
EOY$549,669EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$3,418,121BOYAmt
EOY$3,652,472EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,167,498BOYAmt
EOY$3,386,850EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$6,102,538BOYAmt
EOY$7,588,991EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$5,906,048BOYAmt
EOY$5,601,698EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$5,906,048BOYAmt
EOY$5,601,698EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$12,008,586BOYAmt
EOY$13,190,689EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$109,863ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$190,709NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$3,778OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Expended527 Activities$0Expended527ActivitiesAmt
Internal Funds Contributed$40,000InternalFundsContributedAmt
Total Exempt Function Expend$40,000TotalExemptFunctionExpendAmt
Form1120 POL FiledYes (true)Form1120POLFiledInd
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
Substantially All Dues NondedfalseSubstantiallyAllDuesNondedInd
Only In House LobbyingYes (true)OnlyInHouseLobbyingInd
Agree Carryover Prior YearYes (true)AgreeCarryoverPriorYearInd
Dues Assessments$5,513,913DuesAssessmentsAmt
Non Deductible Lbbyng Pltcl CY$218,446NonDeductibleLbbyngPltclCYAmt
Non Ded Lbbyng Pltcl Cyov$0NonDedLbbyngPltclCyovAmt
Non Deductible Lbbyng Pltcl Tot$218,446NonDeductibleLbbyngPltclTotAmt
Aggregate Reported Dues Ntc$218,351AggregateReportedDuesNtcAmt
Taxable$95TaxableAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$178,670OtherCostOrOtherBasisAmt
Book Value$178,670BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,470,082OtherCostOrOtherBasisAmt
Depreciation$2,586,586DepreciationAmt
Book Value$883,496BookValueAmt
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovementsGrp

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$476,261OtherCostOrOtherBasisAmt
Depreciation$401,503DepreciationAmt
Book Value$74,758BookValueAmt
FieldValueIRS element (for citing)
Other Land BuildingsOtherLandBuildingsGrp
Total Book Value Land Buildings$1,136,924TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
DUE FROM AFFILIATE$6,284
OTHER RECEIVABLES$135,193
DEFERRED COMP$1,907,171
DEFERRED TAX ASSET$124,300
FieldValueIRS element (for citing)
Total Book Value Other Assets$2,172,948TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
DEFERRED COMPENSATION LIABILIT$1,907,171
ACCRUED BONUS AND SEVERANCE$1,388,091
REFUNDABLE DEPOSITS$88,986
DUE TO AFFILIATES$2,602
FieldValueIRS element (for citing)
Total Liability$3,386,850TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$7,873,418TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$190,709NetUnrealizedGainsInvstAmt
Revenue Not Reported-$190,709RevenueNotReportedAmt
Revenue Subtotal$8,064,127RevenueSubtotalAmt
Other Revenues Not Included-$95,569OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt-$95,569RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$7,968,558TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$8,177,768TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$99,347OtherExpensesIncludedAmt
Expenses Not Reported$99,347ExpensesNotReportedAmt
Expenses Subtotal$8,078,421ExpensesSubtotalAmt
Total Expenses Per Form990$8,078,421TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PART X, LINE 2UNCERTAIN TAX POSITIONS: UNCERTAIN TAX POSITIONS ARE RECOGNIZED IF IT IS MORE-LIKELY-THAN- NOT, BASED ON THE TECHNICAL MERITS, THAT THE TAX POSITION WILL BE REALIZED OR SUSTAINED UPON EXAMINATION. THE TERM MORE-LIKELY-THAN-NOT MEANS A LIKELIHOOD OF MORE THAN 50%; THE TERMS EXAMINED AND UPON EXAMINATION ALSO INCLUDE RESOLUTION OF THE RELATED APPEALS OR LITIGATION PROCESSES, IF ANY. A TAX POSITION THAT MEETS THE MORE-LIKELY-THAN NOT RECOGNITION THRESHOLD IS INITIALLY AND SUBSEQUENTLY MEASURED AS THE LARGEST AMOUNT OF TAX BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON SETTLEMENT WITH A TAXING AUTHORITY THAT HAS FULL KNOWLEDGE OF ALL RELEVANT INFORMATION. THE DETERMINATION OF WHETHER OR NOT A TAX POSITION HAS MET THE MORE-LIKELY THAN-NOT RECOGNITION THRESHOLD CONSIDERS THE FACTS, CIRCUMSTANCES AND INFORMATION AVAILABLE AT THE REPORTING DATE AND IS SUBJECT TO THE MANAGEMENT'S JUDGMENT.
SCHEDULE D, PART XI, LINE 4BREVENUE ON RETURN NOT ON BOOKS: (101,223)- RENTAL EXPENSES 5,654 - CHA TRUST FOR WORKERS COMPENSATION REVENUE
SCHEDULE D, PART XII, LINE 2DEXPENSE ON BOOKS NOT ON RETURN: 101,223 - Rental Expenses
SCHEDULE D, PART XII, LINE 4BEXPENSE ON RETURN, NOT ON BOOKS: 1,876 - CHA TRUST FOR WORKERS COMPENSATION

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmountOther Compensation Filing OrgOtherCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt
CHRISTOPHER THOLEN
PRESIDENT & CEO THROUGH 9/21$469,427$227,000$322,714$35,525$23,602$1,078,268$82,500
THOMAS RENNELL
SVP FINANCIAL POLICY$263,680$39,011$414$35,525$11,123$349,753
KATHERINE MULREADY
CHIEF STRATEGY OFFICER/ SR VP$287,620$41,663$162$35,525$25,241$390,211
JULIE LONBORG
SVP COMMUNICATIONS$228,679$30,300$1,188$31,745$10,944$302,856
DARLENE TAD-Y
VP CLINICAL AFFAIRS$217,195$20,806$180$29,433$18,649$286,263
BENJAMIN ANDERSON
VP RURAL HEALTH AND HOSPITALS$202,923$20,200$180$27,681$25,008$275,992
RICHARD PRESTIDGE
CFO$201,305$20,200$270$27,681$24,994$274,450
JOSHUA EWING
VP, LEGISLATIVE AFFAIRS$156,486$16,665$162$22,837$24,547$220,697
RYAN WESTROM
SR DIRECTOR, FINANCE$124,594$5,193$180$16,263$24,217$170,447
ANGELA SIGURDSON
SR DIRECTOR HUMAN RESOURCES$139,455$5,000$270$18,357$1,793$164,875
ESSEY YIRDAW
DIRECTOR DATA ANALYTICS$117,844$5,385$144$14,737$24,219$162,329
LYLE MOORE
DIRECTOR EMERGENCY AWARENESS$113,962$6,000$594$14,775$24,354$159,685

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PART I, LINE 4ASEVERANCE OR CHANGE OF CONTROL PAYMENT: CHRISTOPHER THOLEN, PRESIDENT AND CEO RECEIVED A QUALIFYING PAYMENT OF $150,000 DURING THE TAX YEAR. THIS PAYMENT IS INCLUDED IN OTHER REPORTABLE COMPENSATION ON SCHEDULE J, PART II.
SCHEDULE J, PART I, LINE 4BDESCRIPTION OF SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN: COLORADO HOSPITAL ASSOCIATION (CHA) HAS A 457(F) DEFERRED COMPENSATION PLAN THAT ALLOWS CERTAIN EXECUTIVES TO CONTRIBUTE MONEY INTO INVESTMENTS AND TO ACCUMULATE TAX-DEFERRED EARNINGS. $82,500 OF PRIOR YEAR CONTRIBUTIONS TO THE 457(F) PLAN THAT VESTED DURING THE TAX YEAR, ALONG WITH $90,000 OF CURRENT YEAR CONTRIBUTIONS THAT ALSO VESTED DURING 2021 ARE ARE INCLUDED IN SCHEDULE J, PART II OTHER REPORTABLE COMPENSATION PAID TO CHRISTOPHER THOLEN.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6MEMBERS: MEMBERSHIP IN THE ORGANIZATION WILL BE ON AN INSTITUTIONAL BASIS AND AVAILABLE TO ORGANIZATIONS MEETING THE REQUIREMENTS AND OBJECTIVES OF THE ASSOCIATION institutions WILL BE CONSIDERED FOR MEMBERSHIP UPON APPLICATION AND ELECTION AS PROVIDED IN THE BYLAWS.
FORM 990, PART VI, SECTION A, LINE 7A & 7BDESCRIBE CIRCUMSTANCES FOR HAVING MEMBERS: THE MEMBER HOSPITALS OF COLORADO HOSPITAL ASSOCIATION ELECT THE BOARD OF DIRECTORS. ADDITIONALLY, AMENDMENTS TO THE BYLAWS MUST BE APPROVED BY THE MEMBER HOSPITALS.
FORM 990, PART VI, SECTION B, LINE 11BPROCESS TO REVIEW THE FORM 990: THE FORM 990 IS PREPARED BY A THIRD PARTY PREPARER AND REVIEWED BY THE ORGANIZATION'S CFO AND CEO. AFTER INITIAL REVIEW, THE 990 IS PRESENTED TO THE TREASURER AND THEN THE EXECUTIVE COMMITTEE FOR REVIEW PRIOR TO FILING WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CPROCESS FOR MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY: ALL BOARD MEMBERS AND OFFICERS ARE COVERED UNDER THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND MUST DISCLOSE ANY CONFLICTS ANNUALLY TO THE BOARD OF DIRECTORS. INDIVIDUALS WITH A CONFLICT OF INTEREST WILL ABSTAIN FROM VOTING ON THE MATTER IN WHICH THEY HAVE A CONFLICT. IN ADDITION, EMPLOYEES ARE REQUIRED TO IMMEDIATELY NOTIFY SUPERVISORS OF ANY POTENTIAL CONFLICT OF INTEREST. FAILURE TO REPORT A CONFLICT OF INTEREST IS SUBJECT TO DISCIPLINARY ACTION.
FORM 990, PART VI, SECTION B, LINE 15AREVIEW OF CEO OR TOP MGMT OFFICIAL COMPENSATION: THE EXECUTIVE COMPENSATION COMMITTEE IS RESPONSIBLE FOR THE ANNUAL PERFORMANCE REVIEW AND EVALUATION OF THE PRESIDENT OF THE ASSOCIATION. THE COMMITTEE HIRES AN OUTSIDE FIRM TO HELP THEM ANALYZE THE BASE COMPENSATION AND INCENTIVE PARAMETERS. EVALUATION POINTS ARE PREPARED AT THE BEGINNING OF THE YEAR TO EVALUATE THE PRESIDENT'S PERFORMANCE. AT THE END OF THE YEAR THE COMMITTEE REVIEWS THE CEO'S PERFORMANCE AND DECIDES WHAT PERCENTAGE OF THE POTENTIAL INCENTIVE COMPENSATION SHALL BE PAID. AT THE COMPLETION OF THEIR REVIEW, THEY ISSUE A SINGLE LETTER TO DOCUMENT THEIR DECISIONS.
FORM 990, PART VI, SECTION B, LINE 15BREVIEW OF OTHER OFFICER OR KEY EMPLOYEES COMPENSATION: NEAR THE END OF EACH YEAR, THE EXECUTIVE COMPENSATION COMMITTEE HAS AN OUTSIDE CONSULTANT GATHER INFORMATION FROM SHAEF AND OTHER SOURCES. THE EXECUTIVE COMPENSATION COMMITTEE CONSIDERS THIS INFO IN GRANTING COMPENSATION AND IN SETTING THE NEXT YEARS' POTENTIAL INCENTIVE COMPENSATION. AT THE END OF THE YEAR, THE COMMITTEE REVIEWS PERFORMANCE AND DECIDES WHAT PERCENT OF THE POTENTIAL INCENTIVE COMPENSATION SHALL BE PAID. AT THE COMPLETION OF THEIR REVIEW, THEY ISSUE A SINGLE LETTER TO DOCUMENT THEIR DECISIONS AS TO: THE PERCENT OF POTENTIAL INCENTIVE COMPENSATION EARNED, THE COMPENSATION FOR THE UPCOMING YEAR, AND THE POTENTIAL INCENTIVE COMPENSATION FOR THE UPCOMING YEAR.
FORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC: THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST. THE FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC FOR VIEWING FOR VALID BUSINESS PURPOSES.
FORM 990, PART VIII, LINE 6BRENTAL EXPENSES: THE RENTAL EXPENSES ON LINE 6B REFLECT EXPENSES PER THE ORGANIZATION'S BOOKS, WITHOUT ANY ADJUSTMENTS FOR TAX DEPRECIATION. THE FORM 990-T RENTAL EXPENSES WILL REFLECT ADJUSTMENTS MADE FOR TAX PURPOSES.
FORM 990, PART XI, Line 9Other Changes In Net Assets: 3,778 - Gain from CHA Trust for Workers Compensation

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1CO CTR FOR ADV OF PATIENT SAFETYBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line17335 E ORCHARD RD STE 100AddressLine1Txt
CityGREENWOOD VLGCityNm
State AbbreviationCOStateAbbreviationCd
ZIP80111ZIPCd
FieldValueIRS element (for citing)
EIN841228675EIN
Primary ActivitiesPAT. SAFETYPrimaryActivitiesTxt
Legal Domicile StateCOLegalDomicileStateCd
Exempt Code Section501(C)(3)ExemptCodeSectionTxt
Public Charity StatusLINE 7PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1CHABusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled OrganizationYes (true)ControlledOrganizationInd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1SUPPORT SERVICES INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line17335 E ORCHARD RD SUITE 200AddressLine1Txt
CityGREENWOOD VILLAGECityNm
State AbbreviationCOStateAbbreviationCd
ZIP80111ZIPCd
FieldValueIRS element (for citing)
EIN841218043EIN
Primary ActivitiesCLAIMS PROCESPrimaryActivitiesTxt
Legal Domicile StateCOLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1CHABusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeC CORPEntityTypeTxt
Share Of Total Income$2,359,743ShareOfTotalIncomeAmt
Share Of EOY Assets$998,753ShareOfEOYAssetsAmt
Ownership1.00000OwnershipPct
Controlled OrganizationYes (true)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (true)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationYes (true)DivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (8 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
SUPPORT SERVICES INC
A,J$136,000CASH
SUPPORT SERVICES INC
C$135,000CASH
SUPPORT SERVICES INC
F$45,000CASH
SUPPORT SERVICES INC
O$384,000CASH
SUPPORT SERVICES INC
Q$608,626CASH
CO CTR FOR ADV OF PATIENT SAFETY
A$6,000CASH
CO CTR FOR ADV OF PATIENT SAFETY
O$225,000CASH
CO CTR FOR ADV OF PATIENT SAFETY
Q$1,232,191CASH