Department of the Treasury Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
Attach to Form 990 or Form 990-EZ. See separate instructions.
OMB No. 1545-0047
2011
Open to Public Inspection
Name of the organization
Altarum Institute
Employer identification number
38-1983442
Part I
Reason for Public Charity Status
(All organizations must complete this part.) See instructions
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).
f
If the organization received a written determination from the IRS that it is a Type I, Type II or Type III supporting organization, check this box
..................................................
g
Since August 17, 2006, has the organization accepted any gift or contribution from any of the following persons?
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the the supported organization?
................
11g(i)
(ii)
a family member of a person described in (i) above?
......................
11g(ii)
(iii)
a 35% controlled entity of a person described in (i) or (ii) above?
................
11g(iii)
h
Provide the following information about the supported organization(s).
(i) Name of supported organization
(ii) EIN
(iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions))
(iv) Is the organization in col. (i) listed in your governing document?
(v) Did you notify the organization in col. (i) of your support?
(vi) Is the organization in col. (i) organized in the U.S.?
(vii) Amount of support?
Yes
No
Yes
No
Yes
No
Total
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2011
Schedule A (Form 990 or 990-EZ) 2011
Page 2
Part II
Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5, 7, or 8 of Part I or if the
organization failed to qualify under Part III. If the organization fails to
qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year(or fiscal year beginning in)
(a) 2007
(b) 2008
(c) 2009
(d) 2010
(e) 2011
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3
The value of services or facilities furnished by a governmental unit to the organization without charge..
4
Total. Add lines 1 through 3..
5
The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included
on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6
Public Support. Subtract line 5 from line 4.
Section B. Total Support
Calendar year(or fiscal year beginning in)
(a) 2007
(b) 2008
(c) 2009
(d) 2010
(e) 2011
(f) Total
7
Amounts from line 4..
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
10
Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..
11
Total support (Add lines 7 through 10).
12
Gross receipts from related activities, etc. (See instructions.)
..................
12
13
First Five Years
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here..........................................
Section C. Computation of Public Support Percentage
14
Public Support Percentage for 2010 (line 6 column (f) divided by line 11 column (f))
.........
14
15
Public Support Percentage for 2009 Schedule A, Part II, line 14
...............
15
16a
33 1/3% support test—2011.
If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization
......................
b
33 1/3% support test—2010.
If the organization did not check the box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization
.....................
17a
10%-facts-and-circumstances test—2011.
If the organization did not check a box on line 13, 16a, or 16b and line 14
is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported
organization
..................................................
b
10%-facts-and-circumstances test—2010.
If the organization did not check a box on line 13, 16a, 16b, or 17a and line
15 is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported organization
..............................................
18
Private Foundation
If the organization did not check a box on line 13, 16a, 16b, 17a or 17b, check this box and see
instructions
...................................................
Schedule A (Form 990 or 990-EZ) 2011
Schedule A (Form 990 or 990-EZ) 2011
Page 3
Part III
Support Schedule for Organizations Described in IRC 509(a)(2) (Complete only if you checked the box on line 9 of Part I or if the organization
failed to qualify under Part II. If the organization fails to qualify under
the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year(or fiscal year beginning in)
(a) 2007
(b) 2008
(c) 2009
(d) 2010
(e) 2011
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
96,815
1,025,708
12,845,484
15,464,931
13,525,528
42,958,466
2
Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
14,619,922
38,195,538
39,300,019
46,234,117
49,881,406
188,231,002
3
Gross receipts from activities that are not an unrelated trade or business under section 513..
4
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5
The value of services or facilities furnished by a governmental unit to the organization without charge..
6
Total. Add lines 1 through 5.
14,716,737
39,221,246
52,145,503
61,699,048
63,406,934
231,189,468
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
b
Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
5,230,747
23,207,126
24,763,873
31,315,964
32,608,395
117,126,105
c
Add lines 7a and 7b..
5,230,747
23,207,126
24,763,873
31,315,964
32,608,395
117,126,105
8
Public Support (Subtract line 7c from line 6.)
114,063,363
Section B. Total Support
Calendar year (or fiscal year beginning in)
(a) 2007
(b) 2008
(c) 2009
(d) 2010
(e) 2011
(f) Total
9
Amounts from line 6...
14,716,737
39,221,246
52,145,503
61,699,048
63,406,934
231,189,468
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
804,910
830,829
37,009
37,036
3,648
1,713,432
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
13,168
33,690
46,858
c
Add lines 10a and 10b.
818,078
830,829
37,009
37,036
37,338
1,760,290
11
Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
13
Total support (Add lines 9, 10c, 11 and 12.).
15,534,815
40,052,075
52,182,512
61,736,084
63,444,272
232,949,758
14
First Five Years
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.............................................
Section C. Computation of Public Support Percentage
15
Public Support Percentage for 2011 (line 8 column (f) divided by line 13 column (f))
.........
15
48.965 %
16
Public support percentage from 2010 Schedule A, Part III, line 15
...............
16
47.406 %
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2011 (line 10c column (f) divided by line 13 column (f))
......
17
0.756 %
18
Investment income percentage from 2010 Schedule A, Part III, line 17
.............
18
8.808 %
19a
33 1/3% support tests—2011.
If the organization did not check the box on line 14, and line 15 is more than 33 1/3% and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
..........
b
33 1/3% support tests—2010.
If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
....
20
Private Foundation
If the organization did not check a box on line 14, 19a or 19b, check this box and see instructions
.....
Schedule A (Form 990 or 990-EZ) 2011
Schedule A (Form 990 or 990-EZ) 2011
Page 4
Part IV
Supplemental Information.
Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
Explanation
Schedule A (Form 990 or 990-EZ) 2011
Additional Data
Software ID:
Software Version:
-
TIN:
SCHEDULE O (Form 990 or 990-EZ)
Department of the Treasury Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ
Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2011
Open to Public Inspection
Name of the organization
Altarum Institute
Employer identification number
38-1983442
Identifier
Return Reference
Explanation
Describe the Process used by Management &/or Governing Body to Review 990
Form 990, Part VI, Question 11B
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 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 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.
Description of Process to Monitor Transactions for Conflicts of Interest
Form 990, Part VI, Question 12c
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.
Offices & Positions for Which Process was Used, & Year Process was Begun
Form 990, Part VI, Question 15a & 15b
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 & 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.
Explain Changes in Net Assets
Part XI, Line 5
Loss from Subsidiaries $(306,776) Unrealized Gain on Investments $ 33,925 ____________ Total Change in Net Assets $(272,851)
Avail of Gov Docs, Conflict of Interest Policy, & Fin Stmts to Gen Public
Form 990, Part VI, Question 19
All available upon request
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.