STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

COLORADO HOSPITAL ASSOCIATION: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
COLORADO HOSPITAL ASSOCIATION (EIN 84-0468242)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-09-07
IRS object ID
201712509349301111
Schema version
2016v3.0
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)
Return2017-09-07T15:13:13-05:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BKD 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 Begin2016-01-01TaxPeriodBeginDt

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% THE ORGANIZATIONInCareOfNm
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)
PersonSTEVEN SUMMERPersonNm
Person TitlePRESIDENT/CEOPersonTitleTxt
Phone7204891630PhoneNum
Signature2017-07-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

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

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address64.22.227.161IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id84022720172505000011FederalOriginalSubmissionId
Federal Original Submission Id2017-09-07FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id9FA4587EFF0C3538BA7A022E3664664341CA183BAtSubmissionCreationDeviceId
At Submission Filing Device Id9FA4587EFF0C3538BA7A022E3664664341CA183BAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSTEVEN SUMMERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line17335 E Orchard Rd100AddressLine1Txt
CityGreenwood VillageCityNm
State AbbreviationCOStateAbbreviationCd
ZIP80111ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$8,005,875GrossReceiptsAmt
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 Body19VotingMembersGoverningBodyCnt
Voting Members Independent18VotingMembersIndependentCnt
Total Employee60TotalEmployeeCnt
Total Volunteers20TotalVolunteersCnt
Total Gross UBI$970,989TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$26,234NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$435,204PYContributionsGrantsAmt
CY Contributions Grants$448,653CYContributionsGrantsAmt
PY Program Service Revenue$6,577,783PYProgramServiceRevenueAmt
CY Program Service Revenue$7,153,592CYProgramServiceRevenueAmt
PY Investment Income$195,466PYInvestmentIncomeAmt
CY Investment Income$237,628CYInvestmentIncomeAmt
PY Other Revenue$63,545PYOtherRevenueAmt
CY Other Revenue$34,721CYOtherRevenueAmt
PY Total Revenue$7,271,998PYTotalRevenueAmt
CY Total Revenue$7,874,594CYTotalRevenueAmt
PY Grants And Similar Paid$23,850PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$4,727,162PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$5,149,401CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,162,814PYOtherExpensesAmt
CY Other Expenses$2,661,845CYOtherExpensesAmt
PY Total Expenses$6,913,826PYTotalExpensesAmt
CY Total Expenses$7,811,246CYTotalExpensesAmt
PY Revenues Less Expenses$358,172PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$63,348CYRevenuesLessExpensesAmt
Total Assets BOY$9,724,287TotalAssetsBOYAmt
Total Assets EOY$9,984,356TotalAssetsEOYAmt
Total Liabilities BOY$4,530,512TotalLiabilitiesBOYAmt
Total Liabilities EOY$4,812,690TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$5,193,775NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$5,171,666NetAssetsOrFundBalancesEOYAmt
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 ActyfalsePoliticalCampaignActyInd
Subject To Proxy TaxYes (true)SubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
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 With Officer EntfalseBusinessRlnWithOfficerEntInd
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 Document46IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee60EmployeeCnt
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
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members19GoverningBodyVotingMembersCnt
Independent Voting Member18IndependentVotingMemberCnt
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)
PersonTHE ORGANIZATIONPersonNm
Phone7204891630PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line17335 E ORCHARD RD STE 100AddressLine1Txt
CityGREENWOOD VILLAGECityNm
State AbbreviationCOStateAbbreviationCd
ZIP801112512ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
STEVEN J SUMMER
PRESIDENT/CEO40.01.0Yes (X)Yes (X)$993,092$0$50,253
RICHARD HAMMET
CHAIRMAN1.01.0Yes (X)Yes (X)$0$0$0
FRANK MAY
CHAIRMAN-ELECT1.01.0Yes (X)Yes (X)$0$0$0
MIKE FORDYCE
PAST CHAIRMAN1.01.0Yes (X)Yes (X)$0$0$0
KEVIN UNGER
SECRETARY/TREASURER1.01.0Yes (X)Yes (X)$0$0$0
Art Gonzalez
TRUSTEE1.00.0Yes (X)$0$0$0
Dave Hamm
Trustee1.00.0Yes (X)$0$0$0
Doris Kirchner
Trustee1.00.0Yes (X)$0$0$0
Elicia Bunch
Trustee1.00.0Yes (X)$0$0$0
Jason Cleckler
Trustee1.00.0Yes (X)$0$0$0
John Hicks
Trustee1.00.0Yes (X)$0$0$0
Ken Harman
Trustee1.00.0Yes (X)$0$0$0
Kevin Stansbury
Trustee1.00.0Yes (X)$0$0$0
Konnie Martin
Trustee1.00.0Yes (X)$0$0$0
Mason Smith
Trustee1.00.0Yes (X)$0$0$0
Rob Santilli
Trustee1.01.0Yes (X)$0$0$0
Rob Vissers
Trustees1.00.0Yes (X)$0$0$0
Russ Johnson
Trustee1.00.0Yes (X)$0$0$0
Tamaan Osbourne Roberts
Trustee1.00.0Yes (X)$0$0$0
Jeff Brickman
Trustee Through 07/20161.01.0Yes (X)$0$0$0
John Gardner
Trustee Through 09/20161.01.0Yes (X)$0$0$0
Todd Oberheu
Chairman Through 06/20161.01.0Yes (X)$0$0$0
Christopher Tholen
CFO40.01.0Yes (X)$326,488$0$53,443
Gail Finley
VP Rural Health and Hospitals40.00.0$162,361$0$28,777Yes (X)
Katherine Mulready - VP
Legislative Policy & CSO40.00.0$152,569$0$34,783Yes (X)
Kevin Reed
Senior Director, Databank40.00.0$124,317$0$35,350Yes (X)
Laura Woodruff VP Education
and Membership Development40.00.0$135,946$0$26,011Yes (X)
Robert Finn
Director Information Services40.00.0$145,080$0$24,485Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,039,853TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$253,102TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K14IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
POLICY MATTERS LLC
PO BOX 1326WHEAT RIDGECO80034CONSULTING$140,000
POLSINELLI PC
PO BOX 878681KANSAS CITYMO64187LEGAL$126,969
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt
Related Organizations$125,000RelatedOrganizationsAmt
Government Grants$323,653GovernmentGrantsAmt
Total Contributions$448,653TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
MEMBERSHIP DUES900099$4,928,593$4,928,593
MEETINGS & SEMINARS900099$540,364$540,364
DATA REVENUE519100$831,760$195,050$636,710
PROVIDER FEE900099$546,875$546,875
MANAGEMENT FEES900099$300,000$300,000

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,000TotalRevenueColumnAmt
Related Or Exempt Func Income$6,000RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$7,153,592TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$237,246TotalRevenueColumnAmt
Exclusion$237,246ExclusionAmt

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$120,000RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$131,281RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$11,281RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$11,281TotalRevenueColumnAmt
Unrelated Business Revenue$34,279UnrelatedBusinessRevenueAmt
Exclusion-$45,560ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$382SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$382SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$382TotalRevenueColumnAmt
Exclusion$382ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Net Income From Gaming NetIncomeFromGamingGrp

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

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$179,156$179,156
NET INCOME FROM SUBSIDIARY900099-$133,154-$133,154
FieldValueIRS element (for citing)
Other Revenue Total$46,002OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,874,594TotalRevenueColumnAmt
Related Or Exempt Func Income$6,262,884RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$970,989UnrelatedBusinessRevenueAmt
Exclusion$192,068ExclusionAmt

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$1,423,275TotalAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$2,587,100TotalAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$209,594TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$679,003TotalAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$250,429TotalAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$144,748TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$7,493TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$325,920TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$131TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$518,566TotalAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$71,443TotalAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$167,417TotalAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$98,640TotalAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$154,241TotalAmt

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$137,006TotalAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$60,885TotalAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmt
EVENT EXPENSES$448,751
DUES & SUBSCRIPTIONS$481,550
PROFESSIONAL DEVELOPMENT$20,868
RECRUITING$1,352

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$22,834TotalAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$7,811,246TotalAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$704,110BOYAmt
EOY$1,151,579EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,987,831BOYAmt
EOY$1,442,792EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$99,646BOYAmt
EOY$64,095EOYAmt

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$484,249BOYAmt
EOY$412,761EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$3,593,570LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,548,497LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,194,052BOYAmt
EOY$1,045,073EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$2,848,268BOYAmt
EOY$3,603,730EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$381,184BOYAmt
EOY$248,030EOYAmt

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$2,024,947BOYAmt
EOY$2,016,296EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$9,724,287BOYAmt
EOY$9,984,356EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,092,861BOYAmt
EOY$934,060EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$1,502,780BOYAmt
EOY$2,046,878EOYAmt

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$1,934,871BOYAmt
EOY$1,831,752EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,530,512BOYAmt
EOY$4,812,690EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$5,193,775BOYAmt
EOY$5,171,666EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

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

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$5,193,775BOYAmt
EOY$5,171,666EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$9,724,287BOYAmt
EOY$9,984,356EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$63,348ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$85,065NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$392OtherChangesInNetAssetsAmt
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)
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 LobbyingfalseOnlyInHouseLobbyingInd
Agree Carryover Prior YearfalseAgreeCarryoverPriorYearInd
Dues Assessments$4,928,593DuesAssessmentsAmt
Non Deductible Lbbyng Pltcl CY$325,920NonDeductibleLbbyngPltclCYAmt
Non Deductible Lbbyng Pltcl Tot$325,920NonDeductibleLbbyngPltclTotAmt
Aggregate Reported Dues Ntc$325,920AggregateReportedDuesNtcAmt

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$2,670,293OtherCostOrOtherBasisAmt
Depreciation$2,076,374DepreciationAmt
Book Value$593,919BookValueAmt
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovementsGrp

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$674,607OtherCostOrOtherBasisAmt
Depreciation$472,123DepreciationAmt
Book Value$202,484BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$70,000OtherCostOrOtherBasisAmt
Book Value$70,000BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,045,073TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
DEFERRED COMPENSATION ASSET$1,830,755
DEFERRED TAX ASSET$106,129
OTHER ASSETS$69,687
DUE FROM AFFILIATES$9,725
FieldValueIRS element (for citing)
Total Book Value Other Assets$2,016,296TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
DEFERRED COMPENSATION - LIABIL$1,790,379
DUE TO AFFILIATES$31
REFUNDABLE DEPOSITS$20,382
DEFERRED TAX LIABILITY$20,960
FieldValueIRS element (for citing)
Total Liability$1,831,752TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$7,919,632TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$85,065NetUnrealizedGainsInvstAmt
Other Revenue$131,281OtherRevenueAmt
Revenue Not Reported$46,216RevenueNotReportedAmt
Revenue Subtotal$7,873,416RevenueSubtotalAmt
Other Revenues Not Included$1,178OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$1,178RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$7,874,594TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$7,941,741TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$131,281OtherExpensesIncludedAmt
Expenses Not Reported$131,281ExpensesNotReportedAmt
Expenses Subtotal$7,810,460ExpensesSubtotalAmt
Other Expenses Not Included$786OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$786ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$7,811,246TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 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 2DREVENUE ON BOOKS, NOT ON RETURN: RENTAL EXPENSES 131,281
SCHEDULE D, PART XI, LINE 4BREVENUE ON RETURN, NOT ON BOOKS: CHA TRUST FOR WORKERS COMPENSATION REVENUE 1,178
SCHEDULE D, PART XII, LINE 2DEXPENSE ON BOOKS, NOT ON RETURN: RENTAL EXPENSES 131,281
SCHEDULE D, PART XII, LINE 4BEXPENSE ON RETURN, NOT ON BOOKS: CHA TRUST FOR WORKERS COMPENSATION EXPENSES 786

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
STEVEN J SUMMER
PRESIDENT/CEO$843,596$0$140,600$0$8,896$0$32,463$0$17,790$0$1,043,345$0$0$0
Christopher Tholen
CFO$302,936$0$23,372$0$180$0$32,463$0$20,980$0$379,931$0$0$0
Gail Finley
VP Rural Health and Hospitals$147,567$0$13,606$0$1,188$0$19,738$0$9,039$0$191,138$0$0$0
Katherine Mulready - VP
Legislative Policy & CSO$140,075$0$12,350$0$144$0$18,663$0$16,120$0$187,352$0$0$0
Kevin Reed
Senior Director, Databank$116,443$0$7,100$0$774$0$15,128$0$20,222$0$159,667$0$0$0
Laura Woodruff VP Education
and Membership Development$128,825$0$6,851$0$270$0$9,645$0$16,366$0$161,957$0$0$0
Robert Finn
Director Information Services$108,358$0$35,781$0$941$0$17,657$0$6,828$0$169,565$0$0$0

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, AND 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 CONTROLLER AND CFO. 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. 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.
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: GAIN FROM CHA TRUST FOR WORKERS COMPENSATION (392)

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 PROCESSINGPrimaryActivitiesTxt
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$1,850,376ShareOfTotalIncomeAmt
Share Of EOY Assets$520,344ShareOfEOYAssetsAmt
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 OrgYes (true)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (true)LoansOrGuaranteesFromOthOrgInd
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 (7 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
SUPPORT SERVICES INC
A$120,000CASH
CO CTR FOR ADV OF PATIENT SAFETY
A$6,000cash
SUPPORT SERVICES INC
C$125,000CASH
SUPPORT SERVICES INC
F$75,000CASH
SUPPORT SERVICES INC
L$300,000CASH
CO CTR FOR ADV OF PATIENT SAFETY
Q$1,429,719cash
SUPPORT SERVICES INC
Q$1,098,228cash