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        <OtherCompensation>51257</OtherCompensation>
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      <TotalReportableCompFromOrg>5740259</TotalReportableCompFromOrg>
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      <TotalOtherCompensation>3415937</TotalOtherCompensation>
      <NumberIndividualsGT100K>92</NumberIndividualsGT100K>
      <FormersListed>false</FormersListed>
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      <InfoInScheduleOPartIX>X</InfoInScheduleOPartIX>
      <GrantsToDomesticOrgs>
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        <ProgramServices>17305</ProgramServices>
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      <GrantsToDomesticIndividuals>
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      <BenefitsToMembers>
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      <CompCurrentOfficersDirectors>
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      <FeesForServicesManagement>
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      <FeesForServicesLegal>
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        <ManagementAndGeneral>209184</ManagementAndGeneral>
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      <FeesForServicesAccounting>
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      <FeesForServicesLobbying>
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      <Advertising>
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      <OtherExpenses>
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      <InvestmentIncomePercentage>0.00329</InvestmentIncomePercentage>
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        <ReturnReference>SCH C, PT II, LINE 1B &amp; 1G</ReturnReference>
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      <CurrentYearMinus4Years />
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        <Explanation>Altarum Institute adopted the provisions of FIN 48 for the fiscal year ended December 31, 2007, as required. Altarum Institute's share of the consolidated financial statement provision for FIN 48 for the fiscal year ended December 31, 2012 was zero.</Explanation>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
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      <Form990ScheduleJPartIII>
        <Identifier>Supplemental compensation information</Identifier>
        <ReturnReference>Sch J, Pt I, Line 4a</ReturnReference>
        <Explanation>In 2012, due to business conditions, Holly Korda received a severance payment in the amount of S85,755. $85,755 has been included in Schedule J, Part II, Column (iii). Supplemental nonqualfied returement plan Sch J, pt I, Line 4b Altarum Institute administers a supplemental nonqualified IRC Section 457(f) plan for its senior executives and another such plan for middle management. These IRC Section 457(f) plans provide specific time deferrals of incentive compensation for these employees. The following individuals deferred the listed amounts of 2012 incentive compensation under the plans in which they qualified: Lincoln T Smith $449,826 Mark A Kielb $253,302 Patricia H Ferguson $150,485 Jeff G Moore $154,874 Michael N Potter $197,825 James A Lee $173,170 Glen Greenlee $209,322 Jesse Milan, Jr. $140,179 Daniel C Armijo $133,754 Ray Lay $133,944 Steve J Towell $107,489 Douglas R Gilbert $131,376 Elaine C Ehresmann $47,572 Eric P Gelman $58,898 Catherine A Call $41,909</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="IRS990ScheduleL">
      <LoanTable>
        <NamePerson>mark a kielb</NamePerson>
        <RelationshipWithOrganization>senior vp and CFO</RelationshipWithOrganization>
        <PurposeOfLoan>short term loan</PurposeOfLoan>
        <LoanFromOrganization>X</LoanFromOrganization>
        <OriginalPrincipalAmount>30000</OriginalPrincipalAmount>
        <BalanceDue>30000</BalanceDue>
        <Default>false</Default>
        <ApprovedByBoard>false</ApprovedByBoard>
        <WrittenAgreement>true</WrittenAgreement>
      </LoanTable>
      <TotalBalanceDue>30000</TotalBalanceDue>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>Martin Blanck Associates</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>TRUSTEE</Relationship>
        <AmountOfTransaction>65413</AmountOfTransaction>
        <DescriptionOfTransaction>SEE PART V</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartV>
        <Identifier>DESCRIPTION OF TRANSACTION</Identifier>
        <ReturnReference>Sch L, Part IV, (1)(d)</ReturnReference>
        <Explanation>Altarum and Martin, Blanck &amp; Associates, LLC are parties to a consulting services agreement, wherein Martin, Blanck &amp; Associates provides federal health consulting services to Altarum. Daniel Cohen, MD, is the primary provider of the services on behalf of Martin, Blanck &amp; Associates. Trustee Edward Martin is co-founder and chairman emeritus of Martin, Blanck &amp; Associates, LLC.</Explanation>
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    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>Describe the Process used by Management &amp;/or Governing Body to Review 990</Identifier>
        <ReturnReference>Form 990, Part VI, Question 11B</ReturnReference>
        <Explanation>1. IRS Form 990 is prepared externally by Altarum's tax accounting firm. The process is managed by the office of the Chief Financial Officer. With appropriate guidance from the tax accountants, information gathering and reporting is primarily conducted by the Controller. As part of the information gathering process, the Controller works with Altarum Institute Officers and other managers as necessary. 2. The Chief Financial Officer, also a Trustee of Altarum Institute, presents the completed draft Form 990 to the Chair of the audit and compensation committee of the Altarum Institute Board of Trustees. This Committee has been designated by the Board to review the Form 990 to either approve as written or make suggested modifications, drawing upon whatever Board Committees or individual Trustees it deems necessary. 3. Once reviewed and approved for submission, the Chair of the audit and compensation Committee notifies the Chief Financial Officer that the Form is ready for submission to the IRS. 4. The Chief Financial Officer provides a copy of the form 990 to each member of the board of trustees prior to filing. 5. The Chief Financial Officer instructs the external tax accountants to finalize the IRS Form 990 and present it for signature and filing with the IRS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Description of Process to Monitor Transactions for Conflicts of Interest</Identifier>
        <ReturnReference>Form 990, Part VI, Question 12c</ReturnReference>
        <Explanation>Annually, each member of the Board of Trustees and every officer must complete and submit a disclosure form to the Director of Legal Affairs. Included in the disclosure is any employment, board membership, compensatory arrangements, material interests, etc. with other entities. The Director of Legal Affairs inputs all of the information into a database so that material transactions can be checked against all of the data provided in the disclosure forms. Also, pursuant to policy, the board members and officers have to disclose any interests in or relationship with an entity that Altarum is pursuing a transaction with (at the time of the board member or officer becoming aware of the potential Altarum relationship). In the event of a potential conflict of interest, the interested person must disclose all material facts, and the disinterested board members (in the absence of the interested person) discuss and vote upon whether or not an actual conflict of interest exists. If a conflict of interest exists, then alternative transactions or arrangements will be sought out and considered. If no alternative transaction is suitable, the disinterested members of the board determine whether or not the conflicted transaction is in Altarum's best interests and determine if the terms of the transaction are fair and reasonable. Upon a conflict of interest occurring that was not disclosed, the interested person must explain the failure to disclose the alleged conflict. After hearing the explanation and conducting any necessary further investigation, the board will take appropriate disciplinary and corrective action.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Offices &amp; Positions for Which Process was Used, &amp; Year Process was Begun</Identifier>
        <ReturnReference>Form 990, Part VI, Question 15a &amp; 15b</ReturnReference>
        <Explanation>The Altarum Institute Compensation Committee meets every year for the purpose of reviewing, determining and approving compensation for the executive employees of Altarum Institute. The committee meets in February to evaluate the reasonableness of the amount and conformity with Altarum Institute policies and prior Committee approvals. Review of prior year total compensation also occurs at the February meeting. Executive Positions included in review are: 1. President &amp; CEO 2. Chief Financial Officer 3. Chief Operations Officer 4. Chief HR Officer 5. Chief Development Officer 6. Group Operations Director(s) 7. Business Development Officer 8. Corporate Controller 9. Corporate Information Security and Technology Officer The following information is considered as part of the determination of compensation: 1. Independent and current Salary Survey information compiled by Mercer Human Resource Consulting. 2. Independent and current Salary Survey information compiled by Watson Wyatt Worldwide. 3. Independent and current Salary Survey information compiled by Economic Research Institute. 4. Review of employee performance evaluation data summarized by the President and CEO. After discussion, assuming there are no issues with the reasonableness of the compensation as documented in the record, all members of the compensation committee vote on the compensation presented. If the compensation packages presented are approved as reasonable and in conformity with Altarum Institute's policies, the compensation committee then submits the compensation packages for approval by the board of trustees. After reviewing and discussing the recommendation of the compensation committee, the board of trustees votes on the recommendations. Avail of Gov Docs, Conflict of Interest Policy, &amp; Fin Stmts to Gen Public Form 990, Part VI, Question 19 All available upon request</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Explain Changes in Net Assets</Identifier>
        <ReturnReference>Part XI, Line 5</ReturnReference>
        <Explanation>Profit from Subsidiaries - $4,728,571</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>OTHER FEES FOR SERVICES FOR NON-EMPLOYEES</Identifier>
        <ReturnReference>FORM 990 PART IX LINE 11G</ReturnReference>
        <Explanation>DESCRIPTION:SUBCONTRACT FEES TOTAL FEES:14808090</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>OTHER FEES FOR SERVICES FOR NON-EMPLOYEES</Identifier>
        <ReturnReference>FORM 990 PART IX LINE 11G</ReturnReference>
        <Explanation>DESCRIPTION:CONSULTING FEES TOTAL FEES:936202</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>OTHER FEES FOR SERVICES FOR NON-EMPLOYEES</Identifier>
        <ReturnReference>FORM 990 PART IX LINE 11G</ReturnReference>
        <Explanation>DESCRIPTION:I/C INFRASTRUCTURE CHARGES TOTAL FEES:68300</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
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          <BusinessNameLine1>Altarum Supporting Organization inc</BusinessNameLine1>
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          <State>MI</State>
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        <PrimaryActivities>Support Org</PrimaryActivities>
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        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
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