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. Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
COMMISSION ON ACCREDITATION FOR HEALTH INFORMATICS AND INFO MGMT EDUCATION
Employer identification number
27-4536530
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 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) 2013
Schedule A (Form 990 or 990-EZ) 2013
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)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3
The value of services or facilities furnished by a governmental unit to the organization without charge..
4
Total. Add lines 1 through 3
5
The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included
on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6
Public support. Subtract line 5 from line 4.
Section B. Total Support
Calendar year
(or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
7
Amounts from line 4..
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
10
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
11
Total support (Add lines 7 through 10).
12
Gross receipts from related activities, etc. (see instructions)
..................
12
13
First five years.
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.................................................
Section C. Computation of Public Support Percentage
14
Public support percentage for 2013 (line 6, column (f) divided by line 11, column (f))
.........
14
15
Public support percentage for 2012 Schedule A, Part II, line 14
...............
15
16a
33 1/3% support test—2013.
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—2012.
If the organization did not check a 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—2013.
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—2012.
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) 2013
Schedule A (Form 990 or 990-EZ) 2013
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)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
231,755
250,000
250,000
731,755
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......
676,770
707,268
849,291
2,233,329
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.
908,525
957,268
1,099,291
2,965,084
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
231,755
250,000
250,000
731,755
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.
0
c
Add lines 7a and 7b..
231,755
250,000
250,000
731,755
8
Public support (Subtract line 7c from line 6.)
2,233,329
Section B. Total Support
Calendar year (or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
9
Amounts from line 6...
908,525
957,268
1,099,291
2,965,084
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.)..
908,525
957,268
1,099,291
2,965,084
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 2013 (line 8, column (f) divided by line 13, column (f))
.........
15
16
Public support percentage from 2012 Schedule A, Part III, line 15
...............
16
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2013 (line 10c, column (f) divided by line 13, column (f))
......
17
18
Investment income percentage from 2012 Schedule A, Part III, line 17
.............
18
19a
33 1/3% support tests—2013.
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—2012.
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) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 4
Part IV
Supplemental Information.
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) 2013
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.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
COMMISSION ON ACCREDITATION FOR HEALTH INFORMATICS AND INFO MGMT EDUCATION
Employer identification number
27-4536530
Return Reference
Explanation
FORM 990, PART VI, SECTION A, LINE 4
SINCE THE LAST 990 WAS FILED CAHIIM HAS AMENDED ARICLE IV OF IT'S BI-LAWS TO REMOVE THE FOLLOWING LANGUAGE RELATED TO NUMBER AND SELECTION OF BOARD MEMBERS NUMBER - THE NUMBER OF DIRECTORS OF THE CORPORAITON ("DIRECTORS" SHALL BE AT LEAST 12 AND NOT MORE THAN 17 AT LARGE DIRECTORS PLUS THE EXECUTIVE DIRECTOR OF THE CORPORATION WHO SHALL SERVE EX OFFICIO VOTE. SELECTION OF DIRECTORS. UPON THE EXPIRATION OF THE INITIAL APPOIMTMENTS OF THE INTIAL BOARD OF DIRECTORS OF THE CORPORATION, DIRECTORS SHALL BE SELECTED AS FOLLOWS: (A) THE FOUNDING MEMBER SHALL, IN ACCORDANCE WITH ANY REQUIREMENTS OF THE FOUNDING MEMBERS BYLAWS APPOINT 10 AT-LARGE DIRECTORS (THE FOUNDING MEMBER APPOINTED DIRECTORS) (B) THE CORPORATE MEMBERS, BY MAJORITY VOTE SHALL APPOINT 2 OF THE AT-LARGE DIRECTORS (THE "CORPORATE MEMBER APPOINTED DIRECTORS" AND WHO TOGETHER WITH THE FOUNDING MEMBER APPOINTED DIRECTORS SHALL BE REFERRED TO AS THE "MEMBER APPOINTED DIRECTORS") AND (C)THE BOARD OF DIRECTORS MAY, BY MAJORITY VOTE, APPOINT UP TO 5 ADDITIONAL AT-LARGE DIRECTORS (THE "BOARD APPOINTED DIRECTORS") AND REPLACE IT WITH THE FOLLOWING: NUMBER - THE NUMBER OF DIRECTORS OF CAHIIM ("DIRECTORS") SHALL BE AT LEAST 12 AND NOT MORE THAN 17 DIRECTORS PLUS THE EXECUTIVE DIRECTOR OF CAHIIM WHO SHALL SERVE EX OFFICIO WITH VOTE. SELECTION OF DIRECTORS - UPON THE EXPIRATION OF THE INITIAL APPOINTMENTS OF THE INTIAL BOARD OF DIRECTORS OF CAHIIM, DIRECTORS SHALL BE SELECTED AS FOLLOWS: (A) EACH MEMBER MAY NOMINATE PERSONS TO SERVE AS DIRECTORS IN THE MANNER IT CHOOSES EXCEPT THAT NO PERSON WHO IS AN EMPLOYEE OF ANY MEMBER MAY BE NOMINATED TO SERVE AS A DIRECTOR. FROM AMONG THE NOMINEES OF EACH MEMBER, THE BOARD OF DIRECTORS SHALL ELECT FROM ONE TO FOUR DIRECTORS PER MEMBER ("MEMBER NOMINATED DIRECTORS"), THE NUMBER TO BE DETERMINED BY THE BOARD OF DIRECTORS AT THE ANNUAL MEETING OF THE BOARD OF DIRECTORS, WHICH DETERMINATION SHALL NOT SHORTEN THE DIRECTOR TERM OR MAXIMUM DIRECTOR TENURE OF ANY THEN CURRENT DIRECTOR. (B) THE BOARD OF DIRECTORS MAY, BY MAJORITY VOTE, ELECT UP TO 13 ADDITIONAL DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 11
THE BOARD RETAINS THE SERVICES OF AN INDEPENDENT CPA FIRM TO PREPARE THE ORGANIZATION'S FORM 990. MANAGEMENT REVIEWS THE COMPLETED FORM 990. A FULL COPY OF THE FORM 990 IS PROVIDED TO THE BOARD PRIOR TO FILING THE RETURN.
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 15A
THE CAHIIM BOARD OF DIRECTORS EVALUATES THE EXECUTIVE DIRECTOR ANNUALLY. THIS EVALUATION IS COMMUNICATED TO AHIMA HUMAN RESOURCES AND PAYROLL SERVICES, WHICH OUTSOURCES THE EXECUTIVE DIRECTOR AND STAFF TO CAHIIM. THE SALARY AND BONUS OF THE CAHIIM EXECUTIVE DIRECTOR FOLLOWS THE GUIDELINES OF A THIRD PARTY COMPENSATION CONSULTING FIRM UTILZED TO DETERMINE A REASONABLE SALARY RANGE.
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.
FORM 990 - PART VII - SECTION A - COMPENSATION DISCLOSURES
COMPENSATION REPORTED FOR CLAIRE DIXON-LEE, HAS BEEN PAID BY A COMMON PAYMASTER AND AFFILIATED ORGANIZATION, AHIMA EIN# 36-2181841. SINCE ALL SERVICES PERFORMED BY DR. DIXON-LEE WERE FOR THE ORGANIZATION CAHIIM, THE COMPENSATION HAS BEEN REPORTED IN COLUMN D AS IF PAID BY THE ORGANIZATION. AHIMA HAS COMPLIED WITH PAYROLL FILING REQUIREMENTS.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.