Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation)

MediumBullet The organization may have to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0047
2012
Open to Public Inspection
A For the 2012 calendar year, or tax year beginning 07-01-2012 , 2012, and ending 06-30-2013
BCheck if applicable:
CName of organization
COMMUNITY HEALTH CHARITIES
OF COLORADO
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
1660 SOUTH ALBION STREET
ROOM/SUITE 1004
Room/suite
City or town, state or country, and ZIP + 4
DENVER, CO80222
D Employer identification number

31-1543705
E Telephone number

G Gross receipts $ 1,339,903
F Name and address of principal officer:
 
 
 
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.HEALTHCHARITIES.ORG
H(a)
Is this a group return for
affiliates?
H(b)
Are all affiliates included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 1991
M State of legal domicile: CO
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: A COMMUNITY-BASED FEDERATION UTILIZING GIVING CAMPAIGNS TO UNITE CARING DONORS IN THE WORKPLACE WITH OUR NATION'S MOST TRUSTED HEALTH CHARITIES.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 15
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 15
5 Total number of individuals employed in calendar year 2011 (Part V, line 2a) ...... 5 4
6 Total number of volunteers (estimate if necessary) ............. 6 25
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 0
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b  
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 1,275,751 1,311,326
9 Program service revenue (Part VIII, line 2g) ......... 53,797 27,972
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 775 605
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)   0
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 1,330,323 1,339,903
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 1,002,432 1,035,232
14 Benefits paid to or for members (Part IX, column (A), line 4).....   0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 209,214 211,467
16a Professional fundraising fees (Part IX, column (A), line 11e).....   0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet4,901    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 112,211 85,107
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 1,323,857 1,331,806
19 Revenue less expenses. Subtract line 18 from line 12....... 6,466 8,097
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 1,391,285 1,371,808
21 Total liabilities (Part X, line 26)............. 961,348 933,774
22 Net assets or fund balances. Subtract line 21 from line 20..... 429,937 438,034
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
 
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ............
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2012)
Form 990 (2012)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response to any question in this Part III ...............
1
Briefly describe the organization’s mission: A COMMUNITY-BASED FEDERATION UTILIZING GIVING CAMPAIGNS TO UNITE CARING DONORS IN THE WORKPLACE WITH OUR NATION'S MOST TRUSTED HEALTH CHARITIES.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ......................
If “Yes,” describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ............................
If “Yes,” describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 1,035,232 including grants of $ 1,035,232 ) (Revenue $   )
ADMINSTRATION AND DISTRIBUTION OF CONTRIBUTIONS RAISED THROUGH WORKPLACE GIVING CAMPAIGNS, INCLUDING COLLECTING PAYMENTS ON PAYROLL DEDUCTION PLEDGES AND DISTRIBUTING THESE CONTRIBUTIONS TO MEMBER AGENCIES AND DONOR- DESIGNATED NON-MEMBER CHARITIES.
4b (Code:   ) (Expenses $ 210,675 including grants of $   ) (Revenue $   )
PROGRAM SERVICES OF COMMUNITY HEALTH CHARITIES OF COLORADO INCLUDE: DEVELOPMENT: CHC CULTIVATES AND MANAGES WORKPLACE EMPLOYEE GIVING PROGRAMS FOR THE PURPOSE OF RAISING, COLLECTING AND DISTRIBUTING CONTRIBUTIONS TO NON-PROFIT MEMBER AGENCIES TO SUPPORT THEIR MISSIONS AND OPERATIONS. AGENCY RELATIONS: CHC PROVIDES INFORMATION SERVICES TO, AND PROMOTES COLLABORATION AMONG MEMBER AGENCIES TO ENSURE THEIR CONTINUED WELL-BEING, PARTICIPATION AND MEMBERSHIP. CHC STAFF INVESTED INCREASED TIME AND RESOURCES TO EDUCATING OUR MEMBER CHARITIES ABOUT LEVERAGING CAMPAIGN OPPORTUNITIES AND WORKING TOGETHER TO DEVELOP ADDITIONAL WORKPLACES. COMMUNITY SERVICE: CHC PROVIDES REFERRALS, INFORMATION AND EDUCATION TO THE COMMUNITY ABOUT COMMUNITY HEALTH CHARITIES (CHC) AND CHC'S NON-PROFIT MEMBER CHARITIES. HEALTH MATTERS AT WORK IS A PROGRAM IMPLEMENTED TO EXPAND CHC'S EFFECTIVENESS IN DISSEMINATING HEALTH INFORMATION, BOTH VIRTUAL AND IN-PERSON, TO OUR PARTNERING WORKPLACES. VOLUNTEER MATTERS 365: ANOTHER NATIONWIDE CHC EFFORT, HAS BROADENED OUR VALUE-ADDED OPTIONS TO EMPLOYERS BY HELPING THEM ENGAGE THEIR STAFF IN VOLUNTEER PROJECTS WITH CHC MEMBER CHARITIES.
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet1,245,907
Form 990 (2012)
Form 990 (2012)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule AClick to see attachment........................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? ...
2
 
No
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part I..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If “Yes,” complete Schedule C, Part II........
4
 
No
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If “Yes,” complete Schedule C,
Part III............................
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If “Yes,” complete Schedule D, Part IClick to see attachment........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If “Yes,” complete Schedule D, Part IIClick to see attachment...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,” complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If “Yes,” complete Schedule D, Part IVClick to see attachment..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If “Yes,” complete Schedule D, Part VClick to see attachment......
10
 
No
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10?
If “Yes,” complete Schedule D, Part VI.Click to see attachment...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIIClick to see attachment.......
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIIIClick to see attachment.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part IXClick to see attachment............
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If “Yes,” complete Schedule D, Part XClick to see attachment
11e
 
No
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If “Yes,” complete Schedule D, Part XClick to see attachment.........................
11f
 
No
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If “Yes,” complete Schedule D, Parts XI and XII Click to see attachment.................
12a
Yes
 
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If “Yes,” and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
 
No
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E....
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?.....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If “Yes,” complete Schedule F, Parts I and IV.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the United States? If “Yes,” complete Schedule F, Parts II and IV
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals located outside the United States? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If “Yes,” complete Schedule G, Part I (see instructions)....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If “Yes,” complete Schedule G, Part II............
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If “Yes,” complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If “Yes,” complete Schedule H....
20a
 
No
b
If “Yes” to line 20a, did the organization attach a copy of its audited financial statements to this return?
20b
 
 
Form 990 (2012)
Form 990 (2012)
Page 4
Part IV
Checklist of Required Schedules (continued)
21
Did the organization report more than $5,000 of grants and other assistance to any government or organization in the United States on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II... Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........ Click to see attachment
22
 
No
23
Did the organization answer “Yes” to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If “Yes,” complete Schedule J.......................
23
 
No
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25................
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?......................
24c
 
 
d
Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If “Yes,” complete Schedule L, Part I........
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I...................
25b
 
No
26
Was a loan to or by a current or former officer, director, trustee, key employee, highest compensated employee, or disqualified person outstanding as of the end of the organization’s tax year? If “Yes,” complete Schedule L,
Part II..........................
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If “Yes,” complete Schedule L, Part III.........
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If “Yes,” complete Schedule L, Part IV ..........................
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If “Yes,”
complete Schedule L, Part IV.....................
28b
 
No
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If “Yes,” complete Schedule L, Part IV...
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M.............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N,
Part I...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,” complete Schedule N, Part II......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If “Yes,” complete Schedule R, Part I........
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Part II, III, or IV, and Part V, line 1........................
34
 
No
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
 
No
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete Schedule R, Part V, line 2...
35b
 
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If “Yes,” complete Schedule R, Part V, line 2.............
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R, Part VI
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2012)
Form 990 (2012)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response to any question in this Part V ...............
Yes
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..
1a
5
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
 
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
4
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
 
No
b
If “Yes,” has it filed a Form 990-T for this year? If “No,” provide an explanation in Schedule O.....
3b
 
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)?..........................
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If “Yes,” to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions?...
6a
 
No
b
If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
 
 
b
If “Yes,” did the organization notify the donor of the value of the goods or services provided?.....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
 
d
If “Yes,” indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?............................
7e
 
 
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
 
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?............................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?............
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?..........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?.......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If “Yes,” enter the amount of tax-exempt interest received or accrued during the year. ....................
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..
14b
 
 
Form 990 (2012)
Form 990 (2012)
Page 6
Part VI
Governance, Management, and Disclosure For each “Yes” response to lines 2 through 7b below, and for a “No” response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response to any question in this Part VI ...............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year .....................
1a
15
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent ...................
1b
15
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? ...........................
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If “Yes,” provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If “Yes,” did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If “No,” go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe in Schedule O how this was done.......................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If “Yes,” did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how), the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization:
MediumBulletJP BUSTAMANTE1331 GARDEN HWYSACRAMENTOCA95833 (916) 285-1869
Form 990 (2012)
Form 990 (2012)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response to any question in this Part VII ...............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(1) KATHRYN ARBOUR........................................................................
BOARD CHAIR
 2.00
.......................   		X   X       0 0 0
(2) EDWARD ARCHULETA........................................................................
DIRECTOR
 1.00
.......................   		X           0 0 0
(3) TOM RENNELL CPA........................................................................
VICE CHAIR
 1.00
.......................   		X   X       0 0 0
(4) MATTHEW CRADER........................................................................
DIRECTOR
 1.00
.......................   		X           0 0 0
(5) TIFFANY FEINGOLD........................................................................
DIRECTOR
 1.00
.......................   		X           0 0 0
(6) BARBARA GOLDMAN........................................................................
DIRECTOR
 1.00
.......................   		X           0 0 0
(7) ERIK LEMMON........................................................................
DIRECTOR
 1.00
.......................   		X           0 0 0
(8) ROBYN MOORE........................................................................
DIRECTOR
 1.00
.......................   		X           0 0 0
(9) TARA MOYER........................................................................
DIRECTOR
 1.00
.......................   		X           0 0 0
(10) STEVEN COOPER OSJ........................................................................
DIRECTOR
 1.00
.......................   		X           0 0 0
(11) ED PIERCE........................................................................
DIRECTOR
 1.00
.......................   		X           0 0 0
(12) ROD REGALADO........................................................................
DIRECTOR
 1.00
.......................   		X           0 0 0
(13) CHERYL SIEFERT........................................................................
DIRECTOR
 1.00
.......................   		X           0 0 0
(14) AARON TALBOT........................................................................
DIRECTOR
 1.00
.......................   		X           0 0 0
(15) PAM WHITAKER........................................................................
DIRECTOR
 1.00
.......................   		X           0 0 0
(16) ANN SHAW KUSIC........................................................................
PRESIDENT/CE
 50.00
.......................   		    X       86,995 0 0


Form 990 (2012)
Form 990 (2012)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;


























1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 86,995    
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organizationMediumBullet  
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If “Yes,” complete Schedule J for such individual ..............
3
 
No
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual...........................
4
 
No
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet  
Form 990 (2012)
Form 990 (2012)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response to any question in this Part VIII ..............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, Gifts, Grants and Other Similar Amounts 1a Federated campaigns..1a 1,085,380
b Membership dues....1b 47,000
c Fundraising events....1c  
d Related organizations...1d  
e Government grants (contributions)1e  
f All other contributions, gifts, grants, and
similar amounts not included above1f 		178,946
g Noncash contributions included in lines
1a-1f:$ 		 
h Total. Add lines 1a-1f.......MediumBullet 1,311,326
Program Service Revenue Business Code
2a FISCAL MANAGEMENT SERVICES 900099 27,972 27,972    
b
c
d
e
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet 27,972
Other Revenue 3 Investment income (including dividends, interest, and other similar amounts).......MediumBullet 605     605
4 Income from investment of tax-exempt bond proceeds..MediumBullet        
5 Royalties...........MediumBullet        
(i) Real (ii) Personal
6a Gross rents    
b Less: rental expenses    
c Rental income or (loss)    
d Net rental income or (loss).......MediumBullet        
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory    
b Less: cost or other basis and sales expenses    
c Gain or (loss)    
d Net gain or (loss)..........MediumBullet        
8a Gross income from fundraising events (not including
$  
of contributions reported on line 1c). See Part IV, line 18 ..
a  
b Less: direct expenses ...b  
c Net income or (loss) from fundraising events..MediumBullet      
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities...MediumBullet        
10a Gross sales of inventory, less
returns and allowances .
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet        
Miscellaneous Revenue Business Code
11a            
b            
c            
d All other revenue ....        
e Total. Add lines 11a–11d ...... MediumBullet  
12 Total revenue. See Instructions......MediumBullet 1,339,903 27,972   605
Form 990 (2012)
Form 990 (2012)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response to any question in this Part IX ...............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising expenses
1 Grants and other assistance to governments and organizations in the United States. See Part IV, line 21 1,035,232 1,035,232
2 Grants and other assistance to individuals in the United States. See Part IV, line 22    
3 Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16    
4 Benefits paid to or for members    
5 Compensation of current officers, directors, trustees, and key employees .... 86,995 66,116 19,139 1,740
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....        
7 Other salaries and wages 94,126 71,536 20,708 1,882
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 7,467 5,675 1,643 149
9 Other employee benefits ....... 8,811 6,696 1,938 177
10 Payroll taxes ........... 14,068 10,692 3,095 281
11 Fees for services (non-employees):        
a Management ......        
b Legal .........        
c Accounting ........... 15,773   15,773  
d Lobbying ...........        
e Professional fundraising services. See Part IV, line 17    
f Investment management fees ......        
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........        
12 Advertising and promotion ....        
13 Office expenses ....... 14,567 10,875 3,426 266
14 Information technology ...... 4,931   4,931  
15 Royalties ..        
16 Occupancy ........... 9,692 7,366 2,132 194
17 Travel ............ 5,562 4,227 1,224 111
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ......        
19 Conferences, conventions, and meetings .... 8,071 8,071    
20 Interest ...........        
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization ..... 782   782  
23 Insurance .............. 2,600 616 1,968 16
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a CHC NATIONAL FEES 6,132 6,132    
b CAMPAIGN PROMOTION 6,000 6,000    
c AWARDS & RECOGNITION 4,426 3,452 974  
d EQUIPMENT RENTALS 4,238 3,221 932 85
e All other expenses 2,333   2,333  
25 Total functional expenses. Add lines 1 through 24e 1,331,806 1,245,907 80,998 4,901
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2012)
Form 990 (2012)
Page 11
Part X Balance Sheet Check if Schedule O contains a response to any question in this Part X ...............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash—non-interest-bearing ............. 168,029 1 134,541
2 Savings and temporary cash investments ......... 249,486 2 248,431
3 Pledges and grants receivable, net ........... 971,302 3 981,151
4 Accounts receivable, net .............   4  
5 Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..................
  5  
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
  6  
7 Notes and loans receivable, net .............   7  
8 Inventories for sale or use ..............   8  
9 Prepaid expenses and deferred charges .......... 1,846 9 4,863
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 23,419
b Less: accumulated depreciation ..... 10b 20,597 622 10c 2,822
11 Investments—publicly traded securities ..........   11  
12 Investments—other securities. See Part IV, line 11 .....   12  
13 Investments—program-related. See Part IV, line 11 .....   13  
14 Intangible assets ...............   14  
15 Other assets. See Part IV, line 11 ...........   15  
16 Total assets. Add lines 1 through 15 (must equal line 34)...... 1,391,285 16 1,371,808
Liabilities 17 Accounts payable and accrued expenses ......... 961,348 17 933,774
18 Grants payable .................   18  
19 Deferred revenue ................   19  
20 Tax-exempt bond liabilities .............   20  
21 Escrow or custodial account liability. Complete Part IV of Schedule D..   21  
22 Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L..........   22  
23 Secured mortgages and notes payable to unrelated third parties ..   23  
24 Unsecured notes and loans payable to unrelated third parties ....   24  
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................   25  
26 Total liabilities. Add lines 17 through 25......... 961,348 26 933,774
Net Assets or Fund Balance Organizations that follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets .............. 429,937 27 438,034
28 Temporarily restricted net assets ...........   28  
29 Permanently restricted net assets ...........   29  
Organizations that do not follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds ........   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ........... 429,937 33 438,034
34 Total liabilities and net assets/fund balances ........ 1,391,285 34 1,371,808
Form 990 (2012)
Form 990 (2012)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response to any question in this Part XI ...............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
1,339,903
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
1,331,806
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
8,097
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
429,937
5
Net unrealized gains (losses) on investments ...............
5
 
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
 
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
438,034
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response to any question in this Part XII ..............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If “Yes,” to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
 
No
b
If “Yes,” did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits
3b
 
 
Form 990 (2012)
Form 990, Special Condition Description:
Special Condition Description
Additional Data


Software ID:  
Software Version:  
SCHEDULE A
(Form 990 or 990EZ)

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.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2012
Open to Public
Inspection
Name of the organization
COMMUNITY HEALTH CHARITIES
OF COLORADO
Employer identification number

31-1543705
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
f
g
(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 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 monetary support
Yes No Yes No Yes No
Total                  

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 2
Part II
Support Schedule for Organizations Described in Sections 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) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .... 1,380,276 1,446,146 1,435,860 1,275,751 1,311,326 6,849,359
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 1,380,276 1,446,146 1,435,860 1,275,751 1,311,326 6,849,359
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.           6,849,359
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (f) Total
7 Amounts from line 4.. 1,380,276 1,446,146 1,435,860 1,275,751 1,311,326 6,849,359
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... 8,975 2,323 1,587 775 605 14,265
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..     8,214     8,214
11 Total support (Add lines 7 through 10).           6,871,838
12
12
27,972
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........................................right arrow
Section C. Computation of Public Support Percentage
14
14
99.670 %
15
15
99.520 %
16a
b
17a
b
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 ..................................................... right arrow
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 3
Part III
Support Schedule for Organizations Described in Section 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) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
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......            
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.            
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.            
c Add lines 7a and 7b..            
8 Public support (Subtract line 7c from line 6.)            
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
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.)..            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 4
Part IV
Supplemental Information. Complete this part to provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and 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) 2012

Additional Data


Software ID:  
Software Version:  
SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
COMMUNITY HEALTH CHARITIES
OF COLORADO
Employer identification number

31-1543705
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .........    
2 Aggregate contributions to (during year) ...    
3 Aggregate grants from (during year) .....    
4 Aggregate value at end of year ........    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register .................... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................
9
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:
(i)
Revenues included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2012

Schedule D (Form 990) 2012
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIII and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If “Yes,” explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current year (b)Prior year b (c)Two years back (d)Three years back (e)Four years back
1a Beginning of year balance ....          
b Contributions ........          
c Net investment earnings, gains, and losses          
d Grants or scholarships .....          
e Other expenditures for facilities
and programs ........ 		         
f Administrative expenses ....          
g End of year balance ......          
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet  
b
Permanent endowment SchDMd Bullet  
c
Temporarily restricted endowment SchDMd Bullet  
The percentages in lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
 
(ii) related organizations ........................
3a(ii)
 
 
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................      
b Buildings ................        
c Leasehold improvements ............        
d Equipment ................        
e Other .................   23,419 20,597 2,822
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......SchDMdBullet 2,822
Schedule D (Form 990) 2012

Schedule D (Form 990) 2012
Page 3
Part VII
Investments—Other Securities. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
Other








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet  
Part VIII
Investments—Program Related. See Form 990, Part X, line 13.
(a) Description of investment type (b) Book value (c) Method of valuation:
Cost or end-of-year market value








Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. See Form 990, Part X, line 15.
(a) Description (b) Book value








Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet  
Part X
Other Liabilities. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
Federal income taxes  








Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet  
2. Fin 48 (ASC 740) Footnote. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII .....................................................
Schedule D (Form 990) 2012

Schedule D (Form 990) 2012
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1 Total revenue, gains, and other support per audited financial statements ....... 1 311,048
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a  
b Donated services and use of facilities ......... 2b 6,377
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ............ 2d -1,035,232
e Add lines 2a through 2d ..................... 2e -1,028,855
3 Subtract line 2e from line 1..................... 3 1,339,903
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIII.) ........... 4b  
c Add lines 4a and 4b....................... 4c  
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5 1,339,903
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1 Total expenses and losses per audited financial statements ........... 1 302,951
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a 6,377
b Prior year adjustments .............. 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIII.) ............ 2d -1,035,232
e Add lines 2a through 2d...................... 2e -1,028,855
3 Subtract line 2e from line 1..................... 3 1,331,806
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIII.) ............ 4b  
c Add lines 4a and 4b....................... 4c  
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5 1,331,806
Part XIII
Supplemental Information
Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Identifier Return Reference Explanation
REVENUE AMOUNTS INCLUDED IN FINANCIALS - OTHER SCHEDULE D, PAGE 4, PART XI, LINE 2D AMOUNTS RAISED ON BEHALF OF OTHERS -1,035,232
EXPENSE AMOUNTS INCLUDED IN FINANCIALS - OTHER SCHEDULE D, PAGE 4, PART XII, LINE 2D DISTRIBUTIONS TO MEMBER AGENCIES -1,035,232
Schedule D (Form 990) 2012

Additional Data


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Software Version:  




Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990
OMB No. 1545-0047
2012
Open to Public
Inspection
Name of the organization
COMMUNITY HEALTH CHARITIES
OF COLORADO
Employer identification number
31-1543705
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government		 (b) EIN (c) IRC Code section
if applicable		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
non-cash assistance		 (h) Purpose of grant
or assistance
(1) 9HEALTH FAIR COLORADO
1139 DELAWARE STREET
DENVER,CO80204 		74-2452969 501C3 11,481       DONOR PLEDGES
(2) ALS ASSOCIATION
27001 AGOURA ROAD STE 250
CALABASAS HILLS,CA91301 		13-3271855 501C3 5,919       DONOR PLEDGES
(3) ALS ASSOCIATION COLORADO ROCKY MTN
7403 CHURCH RANCH BLVD STE 109
WESTMINSTER,CO80021 		84-1337868 501C3 11,469       DONOR PLEDGES
(4) ALZHEIMER'S ASSOCIATION
225 NORTH MICHIGAN AVE 17TH FLOOR
CHICAGO,IL60601 		13-3039601 501C3 13,155       DONOR PLEDGES
(5) ALZHEIMER'S ASSOCIATION COLORADO
455 SHERMAN STREET STE 500
DENVER,CO80203 		84-0908354 501C3 58,456       DONOR PLEDGES
(6) AMC CANCER RESEARCH CENTER CO
13001 EAST 17TH PLACE MS F-500
AURORA,CO80045 		84-0402535 501C3 20,968       DONOR PLEDGES
(7) AMERICAN CANCER SOCIETY
2255 SOUTH ONEIDA
DENVER,CO80224 		13-1788491 501C3 45,206       DONOR PLEDGES
(8) AMERICAN DIABETES ASSOCIATION
2460 W 26TH AVENUE SUITE 500C
DENVER,CO80211 		13-1623888 501C3 10,802       DONOR PLEDGES
(9) AMERICAN DIABETES ASSOCIATION CO
2460 W 26TH AVENUE SUITE 500C
DENVER,CO80211 		13-1623888 501C3 30,946       DONOR PLEDGES
(10) AMERICAN HEART ASSOCIATION
7272 GREENVILLE AVENUE
DALLAS,TX75231 		13-5613797 501C3 19,662       DONOR PLEDGES
(11) AMERICAN LIVER FOUNDATION COLORADO
5600 GREENWOOD PLAZA BLVD STE100
GREENWOOD VILLAGE,CO80111 		36-2883000 501C3 5,611       DONOR PLEDGES
(12) AMERICAN LUNG ASSOCIATION OF CO
1301 PENNSYLVANIA AVE NW SUITE 800
WASHINGTON,DC200041725 		86-0111676 501C3 11,437       DONOR PLEDGES
(13) ANCHOR CENTER FOR BLIND CHILDREN
2550 ROSLYN STREET
DENVER,CO80238 		84-0893509 501C3 11,952       DONOR PLEDGES
(14) ANGEL EYES FKA COLORADO SIDS PROGRM
425 SOUTH CHERRY STREET
DENVER,CO80246 		74-2159335 501C3 6,822       DONOR PLEDGES
(15) ARTHRITIS FOUNDATION COLORADO
2280 SOUTH ALBION STREET
DENVER,CO802224906 		38-3826066 501C3 11,763       DONOR PLEDGES
(16) AUTISM SOCIETY OF COLORADO
550 S WADSWORTH BLVD STE 100
LAKEWOOD,CO80226 		74-2432216 501C3 19,877       DONOR PLEDGES
(17) BONFILS BLOOD CENTER COLORADO
717 YOSEMITE STREET
DENVER,CO80230 		84-0411209 501C3 10,733       DONOR PLEDGES
(18) BRAIN INJURY ASSOCIATION COLORADO
4200 WEST CONEJOS PLACE 524
DENVER,CO80204 		84-0893049 501C3 5,324       DONOR PLEDGES
(19) COLORADO CANCER RESEARCH PROGRAM
1720 S BELLAIRE ST SUITE 701
DENVER,CO80222 		84-1090476 501C3 16,459       DONOR PLEDGES
(20) CRAIG HOSPITAL COLORADO
3425 S CLARKSON ST
ENGLEWOOD,CO80113 		84-0404233 501C3 10,178       DONOR PLEDGES
(21) CROHNS & COLITIS FNDATION OF AMER
1805 SOUTH BELLAIRE SUITE 285
DENVER,CO80222 		13-6193105 501C3 7,604       DONOR PLEDGES
(22) CYSTIC FIBROSIS FOUNDATION CO
400 S COLORADO BLVD SUITE 840
DENVER,CO80246 		84-0513516 501C3 9,204       DONOR PLEDGES
(23) FREEDOM SERVICE DOGS INC CO
2000 W UNION AVE
ENGLEWOOD,CO801105567 		84-1068936 501C3 36,094       DONOR PLEDGES
(24) HOSPICE OF ST JOHN
1320 EVERETT COURT
LAKEWOOD,CO80215 		74-2254709 501C3 14,444       DONOR PLEDGES
(25) JUVENILE DIABETES RESEARCH FOUNDATN
26 BROADWAY14TH FLOOR
NEW YORK,NY10004 		23-1907729 501C3 8,533       DONOR PLEDGES
(26) JUVENILE DIABETES RESEARCH FOUNDATN
8055 EAST TUFTS AVE SUITE 770
DENVER,CO80237 		23-1907729 501C3 24,893       DONOR PLEDGES
(27) KARIS COMMUNITY COLORADO
1361 DETROIT ST
DENVER,CO80206 		84-0715042 501C3 5,181       DONOR PLEDGES
(28) KIDS IN NEED OF DENTISTRY (KIND)
2465 S DOWNING ST 210
DENVER,CO80210 		84-6038681 501C3 10,825       DONOR PLEDGES
(29) LEUKEMIA & LYMPHOMA SOCIETY
1311 MAMARONECK AVENUE 3RD FLOOR
WHITE PLAINS,NY10605 		13-5644916 501C3 6,870       DONOR PLEDGES
(30) LEUKEMIA & LYMPHOMA SOCIETY CO
720 SOUTH COLORADO BLVD STE 500-S
DENVER,CO80246 		13-5644916 501C3 19,920       DONOR PLEDGES
(31) LUPUS FOUNDATION OF COLORADO INC
1211 S PARKER RD 103
DENVER,CO80231 		84-0763686 501C3 10,990       DONOR PLEDGES
(32) MAKE A WISH FOUNDATION OF COLORADO
7951 E MAPLEWOOD AVE126
CENTENNIAL,CO80111 		74-2273004 501C3 57,984       DONOR PLEDGES
(33) MARCH OF DIMES FOUNDATION COLORADO
1325 S COLORADO BLVD B-508
DENVER,CO80222 		13-1846366 501C3 14,671       DONOR PLEDGES
(34) MENTAL HEALTH CENTER OF DENVER
4141 E DICKENSON PLACE
DENVER,CO80222 		74-2499946 501C3 16,803       DONOR PLEDGES
(35) METRO COMMUNITY PROVIDER NETWORK
3701 S BROADWAY
ENGLEWOOD,CO80113 		74-2477108 501C3 12,761       DONOR PLEDGES
(36) NAT ALLIANCE ON MENTAL ILNESS
1100 FILLMORE ST
DENVER,CO80206 		74-2240544 501C3 9,389       DONOR PLEDGES
(37) NATIONAL MULTIPLE SCLEROSIS SOCIETY
733 THIRD AVESUITE 304
NEW YORK,NY10017 		13-5661935 501C3 9,027       DONOR PLEDGES
(38) NATIONAL MULTIPLE SCLEROSIS SOCIETY
900 S BROADWAY 2ND FLOOR
DENVER,CO80209 		84-0412595 501C3 25,380       DONOR PLEDGES
(39) PARKINSON ASSOCIATION OF ROCKIES
1325 S COLORADO BLVD STE 204B
DENVER,CO80222 		74-2212593 501C3 10,172       DONOR PLEDGES
(40) RONALD MCDONALD HOUSE CHARITIES
1300 E 21ST AVE
DENVER,CO80205 		84-0728926 501C3 29,470       DONOR PLEDGES
(41) SANGRE DE CRISTO HOSPICE & PALLATIV
1207 PUEBLO BOULEVARD WAY
PUEBLO,CO81005 		74-2336442 501C3 6,520       DONOR PLEDGES
(42) SECOND WIND FUND COLORADO
13701 W JEWELL AVE 251
LAKEWOOD,CO80228 		73-1701536 501C3 14,361       DONOR PLEDGES
(43) SPECIAL OLYMPICS COLORADO
384 INVERNESS PARKWAY STE 100
ENGLEWOOD,CO80112 		84-0713739 501C3 24,403       DONOR PLEDGES
(44) ST JUDE CHILDREN'S RESEARCH HOSPTL
501 ST JUDE PLACE
MEMPHIS,TN38105 		62-0646012 501C3 96,058       DONOR PLEDGES
(45) ST JUDE CHILDREN'S RESEARCH HOSPTL
5575 DTC PARKWAY SUITE 145
GREENWOOD VILLAGE,CO80111 		35-1044585 501C3 63,391       DONOR PLEDGES
(46) SUSAN G KOMEN FOR THE CURE
5005 LBJ FWY SUITE 250
DALLAS,TX75244 		75-1835298 501C3 19,304       DONOR PLEDGES
(47) SUSAN G KOMEN FOR THE CURE CO
1835 FRANKLIN ST
DENVER,CO80218 		84-1199858 501C3 27,076       DONOR PLEDGES
(48) SUSAN G KOMEN FOR THE CURE CO
625 N CASCADE AVE STE 110
COLORADO SPRINGS,CO80903 		75-2844654 501C3 11,630       DONOR PLEDGES
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image
48
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2012

Schedule I (Form 990) 2012
Page 2
Part III
Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a)Type of grant or assistance (b)Number of
recipients		 (c)Amount of
cash grant		 (d)Amount of
non-cash assistance		 (e)Method of valuation (book,
FMV, appraisal, other)		 (f)Description of non-cash assistance












Part IV
Supplemental Information.
Complete this part to provide the information required in Part I, line 2, Part III, column (b), and any other additional information.
Identifier Return Reference Explanation
PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS INSIDE THE UNITED STATES SCHEDULE I, PAGE 1, PART I, LINE 2 THE ORGANIZATION DOES NOT PROVIDE GRANT FUNDS. COMMUNITY HEALTH CHARITIES IS A FEDERATION THAT COLLECTS AND DISTRIBUTES CONTRIBUTIONS, LARGELY FROM EMPLOYER PAYROLL DEDUCTION CAMPAIGNS, TO ITS NON-PROFIT MEMBER AGENCIES.
Schedule I (Form 990) 2012


Additional Data


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Software Version:  


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.
MediumBullet Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2012
Open to Public
Inspection
Name of the organization
COMMUNITY HEALTH CHARITIES
OF COLORADO
Employer identification number

31-1543705
Identifier Return Reference Explanation
EXPLANATION ON VOLUNTEERS AND TYPES OF SERVICES OR BENEFITS FORM 990, PAGE 1, PART I, LINE 6 ON-SITE EMPLOYEES OF PARTICIPATING WORK PLACES COORDINATING PLEDGE DONATIONS WITH COMMUNITY HEALTH CHARITIES OF COLORADO
SECOND ACCOMPLISHMENT DESCRIPTION FORM 990, PAGE 2, PART III, LINE 4B COMMUNITY SERVICE: CHC PROVIDES REFERRALS, INFORMATION AND EDUCATION TO THE COMMUNITY ABOUT COMMUNITY HEALTH CHARITIES (CHC) AND CHC'S NON-PROFIT MEMBER CHARITIES. HEALTH MATTERS AT WORK IS A PROGRAM IMPLEMENTED TO EXPAND CHC'S EFFECTIVENESS IN DISSEMINATING HEALTH INFORMATION, BOTH VIRTUAL AND IN-PERSON, TO OUR PARTNERING WORKPLACES. VOLUNTEER MATTERS 365: ANOTHER NATIONWIDE CHC EFFORT, HAS BROADENED OUR VALUE-ADDED OPTIONS TO EMPLOYERS BY HELPING THEM ENGAGE THEIR STAFF IN VOLUNTEER PROJECTS WITH CHC MEMBER CHARITIES.
MATERIAL DIFFERENCES IN VOTING RIGHTS EXPLANATION FORM 990, PAGE 6, PART VI THE FOLLOWING BOARD MEMBERS COMPRISE THE EXECUTIVE COMMITTEE OF THE CORPORATION: CHAIR, VICE CHAIR, SECRETARY, TREASURER AND UP TO FOUR ADDITIONAL BOARD MEMBERS APPROVED BY THE BOARD OF DIRECTORS. THE PRESIDENT/CEO SERVES AS A NON-VOTING MEMBER OF THE EXECUTIVE COMMITTEE.
AUTHORITY DELEGATED TO COMMITTEE EXPLANATION FORM 990, PAGE 6, PART VI, LINE 1A THE BOARD OF DIRECTORS PROVIDE GUIDANCE AND SUPERVISION OVER THE DIRECTION AND CONTROL OF THE BUSINESS AFFAIRS OF THE CORPORATION. TWO MEMBERS OF THE EXECUTIVE COMMITTEE MAY SIGN ANY DEEDS, MORTGAGES, BONDS, CONTRACTS OR OTHER INSTRUMENTS WHICH THE BOARD OF DIRECTORS HAS AUTHORIZED TO BE EXECUTED, EXCEPT IN CASES WHERE THE SIGNING AND EXECUTION OF SUCH DOCUMENTS IS SPECIFICALLY DELEGATED BY THE BOARD OF DIRECTORS OR BY THE BY-LAWS OR BY STATUTE TO SOME OTHER OFFICER OR AGENT OF THE CORPORATION.
CLASSES OF MEMBERS OR STOCKHOLDERS FORM 990, PAGE 6, PART VI, LINE 6 THE ORGANIZATION HAS ONE CLASS OF MEMBER AGENCIES.
ELECTION OF MEMBERS AND THEIR RIGHTS FORM 990, PAGE 6, PART VI, LINE 7A EACH MEMBER AGENCY HAS THE RIGHT TO ATTEND THE ANNUAL MEETING AND EXERCISE ONE VOTE IN THE ELECTION OF EACH MEMBER OF THE BOARD OF DIRECTORS.
DECISIONS SUBJECT TO APPROVAL OF MEMBERS FORM 990, PAGE 6, PART VI, LINE 7B ANY AMENDMENTS TO THE ORGANIZATION'S BY-LAWS OR ARTICLES OF INCORPORATION ARE SUBJECT TO THE APPROVAL OF AT LEAST TWO-THIRDS OF THE MEMBER AGENCIES.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 FORM 990, PAGE 6, PART VI, LINE 11B COMMUNITY HEALTH CHARITIES OF COLORADO'S FINANCE COMMITTEE REVIEWS THE FORM 990 AND THE ANNUAL AUDIT AND RECOMMENDS THEM FOR APPROVAL TO THE FULL BOARD AT THE ANNUAL MEETING. UPON REVIEW AND APPROVAL BY THE BOARD, THE FORM 990 IS SIGNED BY THE BOARD CHAIR AND FILED WITH THE IRS.
ENFORCEMENT OF CONFLICTS POLICY FORM 990, PAGE 6, PART VI, LINE 12C BOARD MEMBERS AND STAFF ARE REQUIRED TO DISCLOSE ANY POTENTIAL INTERESTS AND SIGN THE CONFLICT OF INTEREST POLICY ANNUALLY. BOARD MEMBERS AND STAFF ARE ASKED TO REVIEW THEIR STATUS AND REPORT ANY CHANGES AT EACH BOARD MEETING TO REMAIN CURRENT AND ADDRESS ANY POTENTIAL ISSUES.
COMPENSATION PROCESS FOR TOP OFFICIAL FORM 990, PAGE 6, PART VI, LINE 15A COMPENSATION FOR THE PRESIDENT/CEO IS RECOMMENDED TO THE FULL BOARD BY THE EXECUTIVE COMMITTEE UTILIZING THE COLORADO NONPROFIT ASSOCIATION BI-ANNUAL SALARY SURVEY AND THE MOUNTAIN STATES EMPLOYERS COUNCIL'S COMPENSATION AND BENEFITS SURVEY, AS WELL AS EXECUTIVE PERFORMANCE AND BUDGETARY FLEXIBILITY.
COMPENSATION PROCESS FOR OFFICERS FORM 990, PAGE 6, PART VI, LINE 15B THE PRESIDENT/CEO DETERMINES COMPENSATION FOR ALL OTHER EMPLOYEES BASED UPON PERFORMANCE APPRAISAL AND INDUSTRY STANDARDS AND RECOMMENDS THESE CHANGES TO THE BOARD THROUGH THE ANNUAL BUDGETING PROCESS.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION FORM 990, PAGE 6, PART VI, LINE 19 THE ORGANIZATION'S ARTICLES OF INCORPORATION, BY-LAWS, BOARD-APPROVED POLICIES AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. MANY OF THESE DOCUMENTS ARE POSTED ON THE COMMUNITY HEALTH CHARITIES OF COLORADO'S WEBSITE.
RECONCILIATION OF CHANGES - OTHER FORM 990, PART XI, LINE 9 AMOUNTS RAISED ON BEHALF OF OTHERS -1,035,232 DISTRIBUTIONS TO MEMBER AGENCIES 1,035,232
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2012

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