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
2010
Open to Public Inspection
Name of the organization
AHIMA FOUNDATION
Employer identification number
51-0245159
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) 2010
Schedule A (Form 990 or 990-EZ) 2010
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) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
4,742,007
3,409,610
4,844,110
3,653,725
3,596,930
20,246,382
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..
4,742,007
3,409,610
4,844,110
3,653,725
3,596,930
20,246,382
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)..
4,872,936
6
Public Support. Subtract line 5 from line 4.
15,373,446
Section B. Total Support
Calendar year(or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
7
Amounts from line 4..
4,742,007
3,409,610
4,844,110
3,653,725
3,596,930
20,246,382
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
38,926
35,628
36,917
25,053
25,386
161,910
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).
20,408,292
12
Gross receipts from related activities, etc. (See instructions.)
..................
12
153,088
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
75.330 %
15
Public Support Percentage for 2009 Schedule A, Part II, line 14
...............
15
72.830 %
16a
33 1/3% support test—2010.
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—2009.
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—2010.
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—2009.
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) 2010
Schedule A (Form 990 or 990-EZ) 2010
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) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(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)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(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
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 2010 (line 8 column (f) divided by line 13 column (f))
.........
15
16
Public support percentage from 2009 Schedule A, Part III, line 15
...............
16
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2010 (line 10c column (f) divided by line 13 column (f))
......
17
18
Investment income percentage from 2009 Schedule A, Part III, line 17
.............
18
19a
33 1/3% support tests—2010.
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—2009.
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) 2010
Schedule A (Form 990 or 990-EZ) 2010
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) 2010
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
2010
Open to Public Inspection
Name of the organization
AHIMA FOUNDATION
Employer identification number
51-0245159
Identifier
Return Reference
Explanation
CHANGES IN PROGRAM SERVICES
FORM 990, PART III, LINE 3
THE LIBRARY SERVICES ARE NO LONGER PART OF AHIMA FOUNDATION. THESE PROGRAM SERVICES ARE NOW CONDUCTED UNDER AHIMA.
FORM 990, PART VI, SECTION A, LINE 6
AHIMA FOUNDATION HAS ONE MEMBER, AHIMA, AN ILLINOIS NOT FOR PROFIT CORPORATION. THE SOLE MEMBER SHALL HAVE RESERVED POWERS AND VOTING RIGHTS TO DO THE FOLLOWING: - TO AMEND THE ARTICLES OF INCORPORATION, CORPORATE BYLAWS AND MISSION STATEMENT, IF ANY, OF THE CORPORATION. - TO APPOINT THE DIRECTORS OF THE CORPORATION. - TO REMOVE A DIRECTOR AT ANY TIME, WITH OR WITHOUT CAUSE. - TO ELECT THE CHAIR/PRESIDENT AND VICE CHAIRS, AND APPOINT THE EXECUTIVE DIRECTOR OF THE CORPORATION FROM AMONG THOSE NOMINATED BY THE BOARD. - TO APPROVE ALL PLANS OF MERGER, CONSOLIDATION, JOINT VENTURE OR LONG TERM AFFILIATION WITH THE CORPORATION. - TO ESTABLISH FROM TIME TO TIME THE "CORPORATE LIMIT" REFERRED TO IN THESE RESERVED POWERS, WHICH MAY BE EXPRESSED EITHER AS A DOLLAR AMOUNT OR AS A PERCENTAGE OF A BUDGET. - TO APPROVE ANNUAL OPERATING BUDGETS AND MULTI-YEAR CAPITAL BUDGETS AND STRATEGIC PLANS OF THE CORPORATION BEFORE EXPENDITURES PURSUANT TO SUCH BUDGETS AND PLANS THAT MAY BE MADE. ONCE THE BUDGETS ARE SO APPROVED, THE BOARD MAY AUTHORIZE EXPENDITURES WITHIN THE CORPORATE LIMIT ESTABLISHED FROM TIME TO TIME BY THE SOLE CORPORATE MEMBER. - TO APPROVE THE NON-BUDGETED SALE, LEASE (CAPITALIZED OR OTHERWISE), EXCHANGE, MORTGAGE, PLEDGE OR OTHER DISPOSITION OF PROPERTY AND ASSETS OF THE CORPORATION IN ANY ONE FISCAL YEAR WHICH IS IN EXCESS OF THE CORPORATE LIMIT. - TO APPROVE ALL NON-BUDGETED CONTRACTS OBLIGATING THE CORPORATION TO EXPEND OR REPAY AN AMOUNT IN EXCESS OF THE CORPORATE LIMIT. - TO APPROVE THE CREATION OR ACQUISITION OF MAJORITY-CONTROLLED OR MAJORITY-OWNED SUBSIDIARIES OR AFFILIATES OF THE CORPORATION. - TO APPROVE THE CORPORATION'S NON-BUDGETED INCURRENCE OF LONG-TERM DEBT OR OTHER OBLIGATING OF ITS ASSETS IN EXCESS OF THE CORPORATE LIMIT. - TO APPROVE THE APPOINTMENT OF INDEPENDENT CERTIFIED PUBLIC ACCOUNTANTS FOR THE CORPORATION. - TO APPROVE ANY VOLUNTARY DISSOLUTION OF ANY LIQUIDATION OF CORPORATE ASSETS. - TO APPROVE ALL EXECUTIVE COMPENSATION ARRANGEMENTS, INCLUDING INCENTIVE COMPENSATION, FOR THE CORPORATION. AHIMA FOUNDATION SHALL MAKE NO DISTRIBUTION OF ITS ASSETS TO ANY OF ITS MEMBERS DURING THE PERIOD OF ITS OPERATION OR UPON ITS LIQUIDATION. UPON THE DISSOLUTION OR FINAL LIQUIDATION OF AHIMA FOUNDATION, ANY ASSETS REMAINING AFTER ALL OBLIGATIONS HAVE BEEN SATISFIED OR PROVIDED SHALL BE TRANSFERRED TO AN ORGANIZATION OR ORGANIZATIONS THAT ARE ORGANIZED AND OPERATED EXCLUSIVELY FOR CHARITABLE, EDUCATIONAL OR SCIENTIFIC PURPOSES UNDER SECTION 501(C)(3) OF THE CODE, AS THE BOARD SHALL DETERMINE. ANY SUCH ASSETS NOT SO DISPOSED OF SHALL BE DISPOSED OF BY A COURT OF COMPETENT JURISDICTION OF THE COUNTY IN WHICH THE PRINCIPAL OFFICE OF THE CORPORATION IS THEN LOCATED, EXCLUSIVELY FOR SUCH PURPOSES OR TO SUCH ORGANIZATION OR ORGANIZATIONS, AS SAID COURT SHALL DETERMINE, WHICH ARE ORGANIZED AND OPERATED EXCLUSIVELY FOR SUCH PURPOSES.
FORM 990, PART VI, SECTION A, LINE 7A
THE BOARD HAS THE RIGHT TO APPOINT ADDITIONAL MEMBERS WHETHER PERIODICALLY OR AS VACANCIES ARISE. THE BOARD SHALL RECOMMEND CANDIDATES TO FILL VACANCIES WITHIN THE BOARD TO THE BOARD OF DIRECTORS OF THE SOLE MEMBER, AHIMA, WHICH WILL FORMALLY ACT ON SUCH RECOMMENDATIONS. IN THE CASE OF DEATH, INCAPACITY, OR WRITTEN RESIGNATION OF ANY OFFICER OR DIRECTOR DURING HIS OR HER TERM OF OFFICE, THE VACANCY SHALL BE FILLED BY ELECTION OF THE SOLE MEMBER, AHIMA, AND SUCH SUCCESSOR IS TO SERVE FOR THE REMAINDER OF THE TERM OF THE VACANT DIRECTOR. ANY ELECTED OR APPOINTED OFFICER OR DIRECTOR OF AHIMA FOUNDATION MAY BE REMOVED BY THE SOLE MEMBER, AHIMA, AT ANY TIME WITH OR WITHOUT CAUSE.
FORM 990, PART VI, SECTION A, LINE 7B
THE SOLE MEMBER, AHIMA, HAS TO APPROVE CERTAIN DECISIONS OF THE GOVERNING BODY, SUCH AS CHANGES IN THE BYLAWS, AS DESCRIBED IN PART VI, SECTION A, LINE 6.
FORM 990, PART VI, SECTION B, LINE 11
THE AMERICAN HEALTH INFORMATION MANAGEMENT ASSOCIATION FINANCE COMMITTEE REVIEWS AND APPROVES THE FORM 990. THIS REVIEW INCLUDES ANALYZING THE 990 FOR REASONABLENESS, ACCURACY, AND RELATIONSHIP TO AHIMA FOUNDATION'S MISSION. THE FORM 990 IS THEN SENT TO THE BOARD PRIOR TO FILING WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12C
ANNUALLY ALL BOARD MEMBERS, VOLUNTEERS, AND STAFF MUST DISCLOSE ANY INTERESTS THAT COULD GIVE RISE TO CONFLICTS. THE BOARD GOVERNANCE TEAM REVIEWS THESE CONFLICT OF INTEREST STATEMENTS. IN ADDITION, AT THE START OF EACH MEETING BOARD MEMBERS ARE ASKED TO DISCLOSE ANY INTERESTS THAT WOULD JEOPARDIZE THEIR INDEPENDENCE.
FORM 990, PART VI, SECTION B, LINE 15
THE BOARD GOVERNANCE TEAM REVIEWS THE CEO'S COMPENSATION ANNUALLY. THIS REVIEW IS DOCUMENTED AND INCLUDES BENCHMARKING AGAINST OTHER COMPARABLE POSITIONS. THE OTHER EXECUTIVES AT AHIMA FOUNDATION ARE COMPENSATED ACCORDING TO AHIMA FOUNDATION'S EMPLOYEE COMPENSATION PLAN WHICH IS REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION C, LINE 19
GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST.
COMPENSATION DISCLOSURES
FORM 990 - PART VII - SECTION A
COMPENSATION REPORTED FOR MARY MADISON, EXECUTIVE DIRECTOR AND NADINE CAPUTO, PROJECT DIRECTOR, HAVE BEEN PAID BY A RELATED ORGANIZATION AND COMMON PAYMASTER, AMERICAN HEALTH INFORMATION ASSOCIATION EIN# 36-2181841. SINCE ALL SERVICES PERFORMED BY THESE INDIVIDUALS WERE FOR THE AHIMA FOUNDATION, THE COMPENSATION HAS BEEN REPORTED IN COLUMN D AS IF PAID BY THE ORGANIZATION. AMERICAN HEALTH INFORMATION ASSOCIATION HAS COMPLIED WITH PAYROLL FILING REQUIREMENTS.
CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XI, LINE 5:
NET UNREALIZED GAINS ON INVESTMENTS: 176,195. OTHER ADJUSTMENT 2. TOTAL TO FORM 990, PART XI, LINE 5: 176,197.
FORM 990, PART XII, LINE 2C: THE ORGANIZATION HAS NOT CHANGED EITHER ITS OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE TAX YEAR.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.