HEALTH CARE COST INSTITUTE INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
HEALTH CARE COST INSTITUTE INC (EIN 45-3263912)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-08-07
IRS object ID
201342199349301154
Schema version
2012v2.1
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)
Timestamp2013-08-07T13:12:31-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN521855942EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1TATE AND TRYONBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line12021 L STREET NW SUITE 400AddressLine1
CityWASHINGTONCity
StateDCState
ZIP Code20036ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN453263912EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1HEALTH CARE COST INSTITUTE INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlHEALNameControl
Phone2028035200Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11310 G STREET NW NO 720AddressLine1
CityWASHINGTONCity
StateDCState
ZIP Code20005ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDAVID NEWMANName
TitleEXECUTIVE DIRECTORTitle
Phone2028035200Phone
Date Signed2013-08-07DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameKAY L VOLLANSName
PTINP01404047PTIN
Phone2022932200Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1HCCIBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonDAVID NEWMANNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11310 G STREET NW NO 720AddressLine1
CityWASHINGTONCity
StateDCState
ZIP Code20005ZIPCode
FieldValueIRS element (for citing)
Gross Receipts2001247GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteHEALTHCOSTINSTITUTE.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2011YearFormation
State Legal DomicileGAStateLegalDomicile
Activity Or Mission DescriptionOUR MISSION IS TO PROMOTE INDEPENDENT RESEARCH AND ANALYSIS ON THE CAUSES OF RISING US HEALTH SPENDING, TO PROVIDE POLICY MAKERS, CONSUMERS, AND RESEARCHERS WITH BETTER, MORE TRANSPARENT INFORMATION ON WHAT IS DRIVING HEALTH CARE COSTS, AND TO HELP ENSURE THAT, OVER TIME, THE NATION IS ABLE TO GET GREATER VALUE FROM ITS HEALTH SPENDING. RESEARCHERS WILL BE ABLE TO USE THE DATA TO ACCURATELY EVALUATE EXISTING AND NEW WAYS TO CONTAIN COSTS WHILE MAINTAINING HIGH QUALITY HEALTH CARE.ActivityOrMissionDescription
Nbr Voting Members Governing Body8NbrVotingMembersGoverningBody
Nbr Independent Voting Members8NbrIndependentVotingMembers
Total Nbr Employees5TotalNbrEmployees
Total Nbr Volunteers6TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1000100ContributionsGrantsPriorYear
Contributions Grants Current Year2000000ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year0InvestmentIncomePriorYear
Investment Income Current Year647InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year600OtherRevenueCurrentYear
Total Revenue Prior Year1000100TotalRevenuePriorYear
Total Revenue Current Year2001247TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY57108GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year19388SalariesEtcPriorYear
Salaries Etc Current Year444650SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year102881OtherExpensePriorYear
Other Expenses Current Year434563OtherExpensesCurrentYear
Total Expenses Prior Year122269TotalExpensesPriorYear
Total Expenses Current Year936321TotalExpensesCurrentYear
Revenues Less Expenses Prior Year877831RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1064926RevenuesLessExpensesCY
Total Assets BOY877831TotalAssetsBOY
Total Assets EOY1985562TotalAssetsEOY
Total Liabilities BOY0TotalLiabilitiesBOY
Total Liabilities EOY42805TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY877831NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1942757NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionHCCI WILL PROVIDE ACCESS TO AN UNPRECEDENTED AMOUNT OF HEALTH CARE COST AND UTILIZATION DATA TO RESEARCHERS AND POLICYMAKERS TRYING TO UNDERSTAND THE FACTORS INFLUENCING HEALTH CARE COSTS.MissionDescription
Significant New Program Services1SignificantNewProgramServices
Significant Change0SignificantChange
Expense509376Expense
Grants57000Grants
DescriptionTHE INSTITUTE WILL PRODUCE A TWICE-YEARLY HEALTH CARE COST TRACKER REPORT, OR "SCORECARDS", DEMONSTRATING THE PRIMARY DRIVERS BEHIND INCREASING HEALTH CARE COSTS. THESE REGULARLY PRODUCED SCORECARDS WILL CONTAIN TIMELY INFORMATION ON AGGREGATE TRENDS FOR HEALTH CARE COSTS FOR COMMERCIAL PAYERS, THE MOST RECENT DATA AVAILABLE FOR FEE FOR SERVICE GOVERNMENT PAYERS, AND WILL BREAK OUT TRENDS IN INPATIENT HOSPITAL SPENDING BY UNIT PRICES FOR SERVICES, NUMBER OF ADMISSIONS, AND INTENSITY OF ADMISSION. THESE REPORTS WILL INCLUDE COST TREND DATA AT A NATIONAL AGGREGATE LEVEL, WITH ADDITIONAL GEOGRAPHIC INFORMATION AVAILABLE OVER FOUR OR FIVE REGIONS. DATA PROVIDED IN THE SCORECARDS WILL BE FREELY AVAILABLE ONLINE TO THE PUBLIC, WITH ACCESS PROVIDED TO MORE DETAILED BACKGROUND DATA TABLES THAT WILL BE AVAILABLE FOR DOWNLOAD.Description

Activity2 Activity2

FieldValueIRS element (for citing)
DescriptionTHE INSTITUTE WILL SUPPORT/PROVIDE RELEVANT DATA FOR TOPICAL RESEARCH PROJECTS FROM INDEPENDENT RESEARCHERS AT LEADING UNIVERSITIES, THINK TANKS AND OTHER RESEARCH ORGANIZATIONS. THE INSTITUTE EXPECTS SUCH RESEARCH PROJECTS TO COVER AREAS SUCH AS THE EFFECT OF THE RECESSION ON HEALTH CARE COSTS, OR THE IMPACT OF AGING ON HEALTH CARE COSTS.Description

Activity3 Activity3

FieldValueIRS element (for citing)
DescriptionTHE INSTITUTE WILL SUPPORT STATE LEVEL DATA AND REPORTING ACTIVITIES.Description
FieldValueIRS element (for citing)
Total Program Service Expense509376TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10963NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees5NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members8NbrVotingGoverningBodyMembers
Number Independent Voting Members8NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledGAStatesWhereCopyOfReturnIsFiled
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 Number2028035200TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11310 G STREET NW NO 720AddressLine1
CityWASHINGTONCity
StateDCState
ZIP Code20005ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (9 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
DR MARTIN GAYNOR PHD
CHAIRMAN4.00XX000
DR DAVID DRANOVE PHD
DIRECTOR4.00X000
DR ELIZABETH G NABEL MD
DIRECTOR0.50X000
DALE H YAMAMOTO FSA MAAA
DIRECTOR4.00X000
THEODORE A PROSPECT FSA MAAA
DIRECTOR4.00X000
DR ALAN M GARBER PHD
DIRECTOR0.50X000
DR JONATHAN GRUBER PHD
DIRECTOR4.00X000
DR STEPHEN T PARENTE PHD
SECRETARY & TREASURER4.00XX000
DAVID NEWMAN
EXECUTIVE DIRECTOR40.00X242829013124
FieldValueIRS element (for citing)
Total Reportable Comp From Org242829TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation13124TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1BURNESS COMMUNICATIONSBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line17910 WOODMONT AVENUE SUITE 700AddressLine1
CityBETHESDACity
StateMDState
ZIP Code208147034ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesPUBLIC RELATIONSDescriptionOfServices
Compensation133206Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
All Other Contributions2000000AllOtherContributions
Total Contributions2000000TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column647TotalRevenueColumn
Exclusion$647ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUS INCOMEDescription
Business Code900099BusinessCode
Total Revenue Column600TotalRevenueColumn
Exclusion$600ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue600TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column2001247TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,247ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total57108Total
Program Services57108ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total265856Total
Program Services167709ProgramServices
Management And General98147ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total145110Total
Program Services91539ProgramServices
Management And General53571ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total5936Total
Program Services3745ProgramServices
Management And General2191ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total4580Total
Program Services2889ProgramServices
Management And General1691ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total23168Total
Program Services14615ProgramServices
Management And General8553ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total152238Total
Program Services15224ProgramServices
Management And General137014ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total12005Total
Management And General12005ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total9524Total
Program Services5074ProgramServices
Management And General4450ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total134207Total
Program Services120786ProgramServices
Management And General13421ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total11090Total
Program Services3063ProgramServices
Management And General8027ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total5858Total
Program Services2929ProgramServices
Management And General2929ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total59919Total
Program Services18340ProgramServices
Management And General41579ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total18962Total
Program Services1896ProgramServices
Management And General17066ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2891Total
Management And General2891ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total2661Total
Management And General2661ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneralProgram ServicesProgramServices
SMALL EQUIPMENT PURCHAS1580015800
MISCELLANEOUS EXPENSE50454747298
DUES AND SUBSCRIPTIONS41614161
LICENSES AND PERMITS202202

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total936321Total
Program Services509376ProgramServices
Management And General426945ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY877831BOY
EOY1970629EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
EOY3395EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis8673LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec2891LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY0BOY
EOY5782EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
EOY5756EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY877831BOY
EOY1985562EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
EOY28934EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY13871EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY42805EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY877831BOY
EOY1942757EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY877831BOY
EOY1942757EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY877831BOY
EOY1985562EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses1064926ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year1000100CurrentTaxYearMinus1Year
Current Tax Year2000000CurrentTaxYear
Total3000100Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year1000100CurrentTaxYearMinus1Year
Current Tax Year2000000CurrentTaxYear
Total3000100Total
FieldValueIRS element (for citing)
Public Support Total1703000100PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year647CurrentTaxYear
Total647Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year600CurrentTaxYear
Total600Total
FieldValueIRS element (for citing)
Total Support3001347TotalSupport
First5 Years170XFirst5Years170

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 D IRS990ScheduleD

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis8673OtherCostOrOtherBasis
Depreciation2891Depreciation
Book Value5782BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings5782TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDEFERRED LEASE OBLIGATIONDescription
Amount$13,871Amount
FieldValueIRS element (for citing)
Total Of Amounts13871TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt2001247TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal2001247RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form9902001247TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt933789TotExpensesEtcAuditedFinclStmt
Other Expenses Included-2532OtherExpensesIncluded
Expenses Not Rptd F990-2532ExpensesNotRptdF990
Expenses Subtotal936321ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form990936321TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X, LINE 2:THE ORGANIZATION BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN, AND AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. THE ORGANIZATION'S FORM 990, RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX, FOR THE YEAR ENDED DECEMBER 31, 2011 IS SUBJECT TO EXAMINATION BY THE IRS, GENERALLY FOR 3 YEARS AFTER IT WAS FILED.
PART XII, LINE 2D - OTHER ADJUSTMENTS:IMMATERIAL ERROR ON AUDITED FINANCIAL STATEMENTS
DUE TO AN IMMATERIAL ERROR ON THE AUDITED FINANCIAL STATEMENTS, THERE HAVE BEEN CHANGES MADE TO THE STATEMENT OF FUNCTIONAL EXPENSES, PREPAID ASSETS, AND NET ASSETS FOR THE CURRENT TAX PERIOD; GOING FORWARD THERE WILL BE A PRIOR PERIOD ADJUSTMENT FOR THIS DIFFERENCE.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained0RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1CARNEGIE MELLON UNIVERSITYBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line15000 FORBES AVENUEAddressLine1
CityPITTSBURGHCity
StatePAState
ZIP Code152133890ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient250969449EINOfRecipient
IRC Section501(C)(3)IRCSection
Amount Of Cash Grant57000AmountOfCashGrant
Method Of ValuationCASHMethodOfValuation
Purpose Of GrantGIFTPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonDAVID NEWMANNamePerson
TitleEXECUTIVE DIRECTORTitle
Base Compensation Filing Org218791BaseCompensationFilingOrg
Comp Based On Related Orgs0CompBasedOnRelatedOrgs
Bonus Filing Org24038BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org9621DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org13407NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org265857TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
NEW PROGRAM SERVICESFORM 990, PART III, LINE 2THE INSTITUTE WILL SUPPORT STATE LEVEL DATA AND REPORTING ACTIVITIES.
FORM 990, PART VI, SECTION B, LINE 11A COPY OF THE FORM 990 WILL BE PROVIDED FOR THE BOARD OF DIRECTORS FOR REVIEW PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12CEACH PERSON SHALL SUBMIT IN WRITING TO THE EXECUTIVE DIRECTOR A COMPLETED CONFLICT OF INTEREST QUESTIONNAIRE. EACH QUESTIONNAIRE WILL BE RESUBMITTED WITH ANY NECESSARY CHANGES EACH YEAR OR AS CIRCUMSTANCES CHANGE. THE CHAIRMAN OF THE BOARD SHALL BECOME FAMILIAR WITH ALL QUESTIONNAIRES IN CASE A CONFLICT ARISES. THE SECRETARY OF THE BOARD SHALL BE FAMILIAR WITH THE QUESTIONNAIRE FILED BY THE CHAIRMAN.
FORM 990, PART VI, SECTION B, LINE 15AFOR THE EXECUTIVE DIRECTOR COMPENSATION, THE BOARD AND THE EXECUTIVE DIRECTOR ENGAGED IN AN ARM'S LENGTH SET OF NEGOTIATIONS.
FORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS CAN BE MADE AVAILABLE UPON REQUEST.
FORM 990, PART XII, LINE 2C:THE AUDIT OVERSIGHT PROCESS HAS REMAINED UNCHANGED FROM THE PRIOR YEAR.

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