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COLORADO HOSPITAL ASSOCIATION: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
COLORADO HOSPITAL ASSOCIATION (EIN 84-0468242)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-09-24
IRS object ID
201212689349300536
Schema version
2011v1.2
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)
Timestamp2012-09-24T18:22:48-05:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1JDS PROFESSIONAL GROUPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line15670 GREENWOOD PLAZA BLVD STE 200AddressLine1
CityGREENWOOD VILLAGECity
StateCOState
ZIP Code80111ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN840468242EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1COLORADO HOSPITAL ASSOCIATIONBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCOLONameControl
Phone7204891630Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line17335 E ORCHARD RDAddressLine1
Address Line2ROOM/SUITE 100AddressLine2
CityGREENWOOD VILLAGECity
StateCOState
ZIP Code80111ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSTEVEN SUMMERName
TitlePRESIDENT/CEOTitle
Phone7204891630Phone
Date Signed2012-09-24DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameLORI B BAUER CPAName
Phone3037710123Phone
Date Prepared2012-09-24DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonSTEVEN SUMMERNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line17335 E ORCHARD RD SUITE 100AddressLine1
CityGREENWOOD VILLAGECity
StateCOState
ZIP Code801112512ZIPCode
FieldValueIRS element (for citing)
Gross Receipts15622859GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteWWW.CHA.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1951YearFormation
State Legal DomicileCOStateLegalDomicile
Activity Or Mission DescriptionTO PROMOTE AND INFORM COLORADO HOSPITALS.ActivityOrMissionDescription
Nbr Voting Members Governing Body20NbrVotingMembersGoverningBody
Nbr Independent Voting Members20NbrIndependentVotingMembers
Total Nbr Employees46TotalNbrEmployees
Total Nbr Volunteers20TotalNbrVolunteers
Total Gross UBI502029TotalGrossUBI
Contributions Grants Prior Year767631ContributionsGrantsPriorYear
Contributions Grants Current Year809397ContributionsGrantsCurrentYear
Program Service Revenue Prior Year5322057ProgramServiceRevenuePriorYear
Program Service Revenue CY5411816ProgramServiceRevenueCY
Investment Income Prior Year237523InvestmentIncomePriorYear
Investment Income Current Year187737InvestmentIncomeCurrentYear
Other Revenue Prior Year182850OtherRevenuePriorYear
Other Revenue Current Year352140OtherRevenueCurrentYear
Total Revenue Prior Year6510061TotalRevenuePriorYear
Total Revenue Current Year6761090TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year11624GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year3716274SalariesEtcPriorYear
Salaries Etc Current Year4337609SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year2675569OtherExpensePriorYear
Other Expenses Current Year2388017OtherExpensesCurrentYear
Total Expenses Prior Year6403467TotalExpensesPriorYear
Total Expenses Current Year6725626TotalExpensesCurrentYear
Revenues Less Expenses Prior Year106594RevenuesLessExpensesPriorYear
Revenues Less Expenses CY35464RevenuesLessExpensesCY
Total Assets BOY6516286TotalAssetsBOY
Total Assets EOY6574940TotalAssetsEOY
Total Liabilities BOY2674096TotalLiabilitiesBOY
Total Liabilities EOY2795313TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY3842190NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY3779627NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROMOTE AND INFORM COLORADO HOSPITALS.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
DescriptionSERVED 91 COLORADO HOSPITAL MEMBERS IN 2011.Description

Activity2 Activity2

FieldValueIRS element (for citing)
DescriptionDATA 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.Description

Activity3 Activity3

FieldValueIRS element (for citing)
DescriptionPOLICY AND ADVOCACY: CHA MEETS WITH AND PROVIDES INFORMATION TO STATE ELECTED OFFICIALS ON HEALTHCARE MATTERS IN COLORADO.Description
FieldValueIRS element (for citing)
Described In501 C3falseDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Subject To Proxy TaxtrueSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiestrueReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109637NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees46NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members20NbrVotingGoverningBodyMembers
Number Independent Voting Members20NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1THE ORGANIZATIONBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7204891630TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line17335 E ORCHARD RD STE 100AddressLine1
CityGREENWOOD VILLAGECity
StateCOState
ZIP Code80111ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (25 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
MAUREEN TARRANT
PAST CHAIR1.00XX000
DAVE HAMM
TRUSTEE1.00X000
JOHN GARDNER
CHAIRMAN1.00XX000
CAZ MATTHEWS
TRUSTEE1.00X000
RUSSELL JOHNSON
TRUSTEE1.00X000
BRUCE SCHROFFEL
TRUSTEE1.00X000
GEORGE HAYES
CHAIR-ELECT1.00XX000
KEN LEISHER
TRUSTEE1.00X000
MIKE MCBRIDE
TRUSTEE1.00X000
JAN KIEF MD
TRUSTEE1.00X000
JAN PERKINS
TRUSTEE1.00X000
ROBB AUSTIN
TRUSTEE1.00X000
MIKE FORDYCE
TRUSTEE1.00X000
JOE STRATTON
TRUSTEE1.00X000
ARLENE HARMS
TRUSTEE1.00X000
MIKE BAXTER
SECRETARY TR1.00XX000
JIM SHMERLING
TRUSTEE1.00X000
GARY CAMPBELL
TRUSTEE1.00X000
MARILYN SCHOCK
TRUSTEE1.00X000
STEVEN J SUMMER
PRES/CEO40.00X766647087132
THOMAS NASH
CFO40.00220538035220X
SCOTT ANDERSON
VP PROF ACT40.00151129044461X
GAIL FINLEY
VP40.00125044023453X
KEVIN REED
MANAGER40.00111474044290X
ROBERT FINN
DIR IT40.00109701031252X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1484533TotalReportableCompFromOrg
Total Other Compensation265808TotalOtherCompensation
Number Individuals GT100 K6NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1FAEGRE & BENSON LLPBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11700 LINCOLN ST 3200AddressLine1
CityDENVERCity
StateCOState
ZIP Code80205ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesLEGALDescriptionOfServices
Compensation230036Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
Government Grants809397GovernmentGrants
Total Contributions809397TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeBusiness CodeBusinessCodeUnrelated Business RevenueUnrelatedBusinessRevenue
MEMBERSHIP DUES40328674032867
MEETINGS & SEMINARS437783437783
DATA REVENUE-LICENSURE FEES295500519100295500
DATA REVENUE256637256637
DATA REVENUE-SALARY SURVEY149191519100149191

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column239838TotalRevenueColumn
Related Or Exempt Function Income135000RelatedOrExemptFunctionIncome
Unrelated Business Revenue104838UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Program Service Revenue5411816TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column199143TotalRevenueColumn
Exclusion$199,143ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real85000Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real132500Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-47500Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-47500TotalRevenueColumn
Unrelated Business Revenue-47500UnrelatedBusinessRevenue

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities8717863Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities8729269Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-11406Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-11406TotalRevenueColumn
Exclusion-$11,406ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUSDescription
Total Revenue Column399640TotalRevenueColumn
Related Or Exempt Function Income399640RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue399640TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column6761090TotalRevenueColumn
Related Or Exempt Function Income5261927RelatedOrExemptFunctionIncome
Unrelated Business Revenue502029UnrelatedBusinessRevenue
Exclusion$187,737ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1109537Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total2090982Total

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total346997Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total591797Total

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total198296Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total243699Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total26240Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total804333Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total133538Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total218064Total

Travel Travel

FieldValueIRS element (for citing)
Total274840Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total7167Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total238024Total

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotal
EVENT EXPENSES359453
DATA PROCESSING105438
MISCELLANEOUS95611
RECRUITING & MARKETING14110

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total-132500Total

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total6725626Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY334903BOY
EOY512919EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
EOY218745EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY368019BOY
EOY259590EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1344046BOY
EOY1371313EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis3429923LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1978366LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1665200BOY
EOY1451557EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY2354790BOY
EOY2420460EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY278767BOY
EOY340249EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY170561BOY
EOY107EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY6516286BOY
EOY6574940EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY819263BOY
EOY805055EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY328307BOY
EOY551460EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1526526BOY
EOY1438798EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2674096BOY
EOY2795313EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY3788656BOY
EOY3726093EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY53534BOY
EOY53534EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3842190BOY
EOY3779627EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY6516286BOY
EOY6574940EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses35464ReconcilationRevenueExpenses
Reconcilation Other Changes-98027ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Form4720 Filed4955 TaxfalseForm4720Filed4955Tax
Correction MadefalseCorrectionMade
Form1120 Pol FiledfalseForm1120PolFiled
Form4720 FiledfalseForm4720Filed
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiesfalseOtherActivities
Not Described In501c3falseNotDescribedIn501c3
Form4720 Filed4912 TaxfalseForm4720Filed4912Tax
Substantially All Dues NondeductfalseSubstantiallyAllDuesNondeduct
Only In House LobbyingfalseOnlyInHouseLobbying
Agree To Carryover Prior YearfalseAgreeToCarryoverPriorYear
Dues Assessments4000020DuesAssessments
Non Ded Lobby Political Current351518NonDedLobbyPoliticalCurrent
Non Ded Lobby Political Total351518NonDedLobbyPoliticalTotal
Aggr Amt Reported In Dues Notices351518AggrAmtReportedInDuesNotices

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Disclosed Orgs Legal ControlfalseDisclosedOrgsLegalControl
Disclosed For Charitable PurposesfalseDisclosedForCharitablePurposes
Written Policy MonitoringfalseWrittenPolicyMonitoring
Sect170h Requirements SatisfiedfalseSect170hRequirementsSatisfied
Solicited Assets For SalefalseSolicitedAssetsForSale
Agent Trustee EtcfalseAgentTrusteeEtc
Included On FSfalseIncludedOnFS
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis178670OtherCostOrOtherBasis
Book Value178670BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2358680OtherCostOrOtherBasis
Depreciation1357652Depreciation
Book Value1001028BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis3116OtherCostOrOtherBasis
Depreciation3116Depreciation

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis889457OtherCostOrOtherBasis
Depreciation617598Depreciation
Book Value271859BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1451557TotalOfBookValueLandBuildings

Closely Held Equity Interests CloselyHeldEquityInterests

FieldValueIRS element (for citing)
Book Value340249BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities340249TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
DEFERRED COMPENSATION$1,279,871
REFUNDABLE DEPOSITS$102,339
LEASE PAYABLE$56,481
AMOUNTS HELD ON BEHALF OF OTHERS$107
FieldValueIRS element (for citing)
Total Of Amounts1438798TotalOfAmounts
Total Revenue6761090TotalRevenue
Total Expenses6725626TotalExpenses
Excess Or Deficit For Year35464ExcessOrDeficitForYear
Net Unrealized GL On Investments-159509NetUnrealizedGLOnInvestments
Other$61,482OtherAmount
Total Adjustments-98027TotalAdjustments
Excess Or Deficit Per FS-62563ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt6795563TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-159509NetUnrealizedGainsInvestments
Other Revenues193982OtherRevenues
Revenue Not Rptd F99034473RevenueNotRptdF990
Revenue Subtotal6761090RevenueSubtotal
Total Revenue Per Form9906761090TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt6858126TotExpensesEtcAuditedFinclStmt
Other Expenses Included132500OtherExpensesIncluded
Expenses Not Rptd F990132500ExpensesNotRptdF990
Expenses Subtotal6725626ExpensesSubtotal
Total Expenses Per Form9906725626TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
LIABILITY UNDER FIN 48 FOOTNOTESCHEDULE D, PAGE 3, PART XTHE ASSOCIATION FOLLOWS THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES STANDARD, WHICH CLARIFIES THE ACCOUNTING AND REPORTING FOR UNCERTAINTIES IN INCOME TAX LAW. THE STANDARD PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN AN IMPACT OF THE TAX POSITION IF THAT POSITION WILL MORE LIKELY THAN NOT BE SUSTAINED ON AUDIT, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE STANDARD ALSO PROVIDES GUIDANCE RELATED TO DE-RECOGNITION, CLASSIFICATION, AND INTEREST AND PENALTIES. DURING THE YEARS ENDED DECEMBER 31, 2011 AND 2010, THE ASSOCIATION PERFORMED AN EVALUATION OF UNCERTAIN TAX POSITIONS AND DID NOT NOTE ANY MATTERS THAT WOULD REQUIRE RECOGNITION.
RECONCILIATION OF CHANGES - OTHERSCHEDULE D, PAGE 4, PART XI, LINE 8RENTAL EXPENSES 132,500 NET GAIN ON SUBSIDIARY 61,482 RENTAL EXPENSES -132,500 DEPRECIATION 990T -57,204 BOOK / TAX DEPRECIATION DIFFERENCE 57,204
REVENUE AMOUNTS INCLUDED IN FINANCIALS - OTHERSCHEDULE D, PAGE 4, PART XII, LINE 2DRENTAL EXPENSES 132,500 NET GAIN ON SUBSIDIARY 61,482
EXPENSE AMOUNTS INCLUDED IN FINANCIALS - OTHERSCHEDULE D, PAGE 4, PART XIII, LINE 2DRENTAL EXPENSES 132,500
EXPENSE AMOUNTS INCLUDED ON RETURN - OTHERSCHEDULE D, PAGE 4, PART XIII, LINE 4BDEPRECIATION 990T -57,204 BOOK / TAX DEPRECIATION DIFFERENCE 57,204

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Travel For CompanionsXTravelForCompanions
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement

Form990 Schedule J Part II Form990ScheduleJPartII (4 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrg
STEVEN J SUMMER
7666476265624476853779
THOMAS NASH
2205381441820802255758
SCOTT ANDERSON
1511292290421557195590
KEVIN REED
1114742283721453155764

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
CLASSES OF MEMBERS OR STOCKHOLDERSFORM 990, PAGE 6, PART VI, LINE 6THE ORGANIZATION HAS MEMBERS.
ELECTION OF MEMBERS AND THEIR RIGHTSFORM 990, PAGE 6, PART VI, LINE 7ATHE MEMBERS ELECT THE GOVERNING BOARD.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11BTHE 990 IS REVIEWED BY THE CONTROLLER AND VP OF FINANCE AGAINST THE FINANCIAL RECORDS AND THE PRIOR YEAR 990 BEFORE BEING FILED. A FULL COPY IS PROVIDED TO THE BOARD; THE TREASURER APPROVES BEFORE FILING.
ENFORCEMENT OF CONFLICTS POLICYFORM 990, PAGE 6, PART VI, LINE 12CEMPLOYEES ARE REQUIRED TO IMMEDIATELY NOTIFY SUPERVISORS OF ANY POTENTIAL CONFLICTS OF INTEREST. FAILURE TO REPORT CONFLICTS OF INTERESTS ARE SUBJECT TO DISCIPLINARY ACTION.
COMPENSATION PROCESS FOR TOP OFFICIALFORM 990, PAGE 6, PART VI, LINE 15ANEAR THE END OF EACH YEAR THE EXEC COMPENSATION COMMITTEE HAS AN OUTSIDE CONSULTANT GATHER INFORMATION FROM SHAEF AND OTHER SOURCES. THE EXEC 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 THE CEO'S PERFORMANCE AND DECIDES WHAT % 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 PERCENTAGE OF POTENTIAL INCENTIVE COMPENSATION EARNED THE COMPENSATION FOR THE UPCOMING YEAR, THE POTENTIAL INCENTIVE COMPENSATION FOR THE UPCOMING YEAR
COMPENSATION PROCESS FOR OFFICERSFORM 990, PAGE 6, PART VI, LINE 15BNEAR THE END OF EACH YEAR THE EXEC COMPENSATION COMMITTEE HAS AN OUTSIDE CONSULTANT GATHER INFORMATION FROM SHAEF AND OTHER SOURCES. THE EXEC 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 THE CEO'S PERFORMANCE AND DECIDES WHAT % 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 PERCENTAGE OF POTENTIAL INCENTIVE COMPENSATION EARNED THE COMPENSATION FOR THE UPCOMING YEAR, THE POTENTIAL INCENTIVE COMPENSATION FOR THE UPCOMING YEAR
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1CO CTR FOR ADV OF PATIENT SAFETYBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line17335 EAST ORCHARD ROAD SUITE 100AddressLine1
CityGREENWOOD VILLAGECity
StateCOState
ZIP Code801112512ZIPCode
FieldValueIRS element (for citing)
EIN841228675EIN
Primary ActivitiesSAFETYPrimaryActivities
Legal Domicile StateCOLegalDomicileState
Exempt Code Section501C3ExemptCodeSection
Public Charity Status7PublicCharityStatus
Direct Controlling Entity NAN/ADirectControllingEntityNA
Controlled OrgfalseControlledOrg

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1SUPPORT SERVICES INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line17335 E ORCHARD RD STE 100AddressLine1
CityGREENWOOD VILLAGECity
StateCOState
ZIP Code80111ZIPCode
FieldValueIRS element (for citing)
EIN841218043EIN
Primary ActivityCLAIMS PROPrimaryActivity
Legal Domicile StateCOLegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA
Type Of EntityC CORPTypeOfEntity
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
CENTER FOR THE ADVANCEMENT OF PS
B7167CASH
CENTER FOR THE ADVANCEMENT OF PS
P283688CASH