Attach to Form 990 or Form 990-EZ.
Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
| (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 listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
| Total | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (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. | ||||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (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 VI.).. | ||||||
| 11 | Total support Add lines 7 through 10. | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | 3,208,250 | 3,150,506 | 3,181,690 | 3,408,936 | 3,453,962 | 16,403,344 |
| 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...... | 157,014 | 196,277 | 170,062 | 159,654 | 162,934 | 845,941 |
| 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. | 3,365,264 | 3,346,783 | 3,351,752 | 3,568,590 | 3,616,896 | 17,249,285 |
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons... | 0 | |||||
| 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.. | 0 | |||||
| 8 | Public support (Subtract line 7c from line 6.) | 17,249,285 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 3,365,264 | 3,346,783 | 3,351,752 | 3,568,590 | 3,616,896 | 17,249,285 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 55,606 | 66,210 | 93,299 | 92,752 | 94,398 | 402,265 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 55,606 | 66,210 | 93,299 | 92,752 | 94,398 | 402,265 |
| 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 VI.) .. | 2,500 | 2,500 | ||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | 3,423,370 | 3,412,993 | 3,445,051 | 3,661,342 | 3,711,294 | 17,654,050 |
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e | Discount claimed for blockage or other factors (explain in detail in Part VI): | |||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by .035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| 7 | Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions) | |||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | ||
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
||
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | ||
| 4 Amounts paid to acquire exempt-use assets | ||
| 5 Qualified set-aside amounts (prior IRS approval required) | ||
| 6 Other distributions (describe in Part VI). See instructions | ||
| 7Total annual distributions. Add lines 1 through 6. | ||
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
||
| 9 Distributable amount for 2014 from Section C, line 6 | ||
| 10 Line 8 amount divided by Line 9 amount | ||
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2014 |
(iii) Distributable Amount for 2014 |
|
|---|---|---|---|---|
|
1
Distributable amount for 2014 from Section C, line 6 |
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|
2
Underdistributions, if any, for years prior to 2014 (reasonable cause required--see instructions) |
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| 3 Excess distributions carryover, if any, to 2014: | ||||
| a From 2009.......X | ||||
| b From 2010.......X | ||||
| c From 2011.......X | ||||
| d From 2012.......X | ||||
| e From 2013....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2014 distributable amount | ||||
|
i
Carryover from 2009 not applied (see instructions) |
||||
| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2014 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2014 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2014, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions) |
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|
6
Remaining underdistributions for 2014. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions) |
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|
7 Excess distributions carryover to 2015. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a From 2010.......X | ||||
| b From 2011.......X | ||||
| c From 2012.......X | ||||
| d From 2013....... | ||||
| e From 2014....... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|---|
| SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: | INCOME FROM ACTIVITIES NOT NORMALLY RECURRING - 2010 AMOUNT: $ 2,500. |
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Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at| Return Reference | Explanation |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | MEMBERSHIP SHALL BE OPEN TO ENTITIES THAT QUALIFY UNDER ONE OF THE MEMBERSHIP CLASSES, THAT ARE INTERESTED IN AND SUPPORTIVE OF THE PURPOSES OF THE CORPORATION, AND THAT REMAIN CURRENT WITH RESPECT TO PAYMENT OF THEIR APPLICABLE DUES. THERE SHALL BE THREE CLASSES OF MEMBERS OF THE ASSOCIATION: UNITED STATES INSTITUTIONAL MEMBERS, INTERNATIONAL INSTITUTIONAL MEMBERS, AND INTERNATIONAL ASSOCIATE MEMBERS. UNITED STATES INSTITUTIONAL MEMBERS: UNITED STATES INSTITUTIONAL MEMBERS SHALL BE ACCREDITED, 501(C)(3) DEGREE-GRANTING INSTITUTIONS OF HIGHER EDUCATION IN THE UNITED STATES THAT EDUCATE A WIDE VARIETY OF HEALTH CARE PROFESSIONALS, OFFER COMPREHENSIVE BASIC AND ADVANCED PATIENT CARE, AND CONDUCT A BROAD SPECTRUM OF BIOMEDICAL AND HEALTH SERVICES RESEARCH. UNITED STATES INSTITUTIONAL MEMBERS SHALL ALSO CONSIST OF STATE INSTITUTIONS AND STATE SYSTEMS OF HIGHER EDUCATION WHERE THERE IS AN ADMINISTRATIVE OFFICER WITH AUTHORITY OVER THE EDUCATIONAL AND TRAINING PROGRAMS OF THE MEDICAL AND HEALTH SCIENCES OF THE STATE INSTITUTION OR SYSTEM. UNITED STATES INSTITUTIONAL MEMBERS SHALL ALSO CONSIST OF FEDERAL ENTITIES THAT COULD MEET THE UNITED STATES INSTITUTIONAL MEMBERS CRITERIA AND HAVE A DESIGNATED REPRESENTATIVE. INTERNATIONAL INSTITUTIONAL AND INTERNATIONAL ASSOCIATE MEMBERS: INTERNATIONAL INSTITUTIONAL MEMBERS ARE INSTITUTIONS SITUATED IN COUNTRIES OTHER THAN THE UNITED STATES THAT HAVE A SCHOOL OF MEDICINE, ONE OR MORE OTHER HEALTH PROFESSIONS SCHOOLS AND/OR ADVANCED MEDICAL RESEARCH PROGRAMS, AND A RELATIONSHIP TO ONE OR MORE TEACHING HOSPITALS OR HEALTH SYSTEMS. INTERNATIONAL ASSOCIATE MEMBERS ARE INSTITUTIONS SITUATED IN COUNTRIES OTHER THAN THE UNITED STATES THAT DO NOT MEET THE QUALIFICATION CRITERIA FOR INTERNATIONAL INSTITUTIONAL MEMBERSHIP BUT THAT INTEND TO DEVELOP, BECOME PART OF, OR OVERSEE AN ACADEMIC HEALTH CENTER. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE BOARD OF DIRECTORS SHALL CONSIST OF: (A) REPRESENTATIVES OF AT LEAST SIX UNITED STATES INSTITUTIONAL MEMBERS OF THE ASSOCIATION, WITH THE PRECISE NUMBER AS FIXED BY RESOLUTION OF THE BOARD, WHO ARE ELECTED BY A MAJORITY VOTE OF THE UNITED STATES INSTITUTIONAL MEMBERSHIP PRESENT AT THE ANNUAL MEETING; (B) AS APPOINTED BY MAJORITY VOTE OF THE BOARD, THE CHAIR OF THE AAHC INTERNATIONAL STEERING COMMITTEE OR EQUIVALENT BODY, OR, IN THE EVENT OF THE ABSENCE OR UNAVAILABILITY OF THAT CHAIR, ANOTHER MEMBER OF THE INTERNATIONAL STEERING COMMITTEE, AND, (C) THE CHAIR OF THE ASSOCIATION , THE CHAIR-ELECT OF THE ASSOCIATION AND THE ASSOCIATION'S IMMEDIATE PAST CHAIR. |
| FORM 990, PART VI, SECTION B, LINE 11 | A DRAFT OF THE FORM 990 IS SENT TO THE FINANCE COMMITTEE FOR REVIEW BEFORE BEING MADE FINAL. ANY QUESTIONS OR COMMENTS ARE SHARED WITH AAHC'S EXECUTIVE STAFF AND ACCOUNTANTS. |
| FORM 990, PART VI, SECTION B, LINE 12C | IN CASE OF ANY BOARD MEMBER-DISCLOSED CONFLICT, THE BOARD, ABSENT THE MEMBER IN QUESTION, WILL DETERMINE HOW TO RESOLVE THE CONFLICT INCLUDING: (1) WHETHER THE BOARD MEMBER SHOULD BE ENTITLED TO VOTE ON THE MATTER; AND (2) WHETHER THE BOARD MEMBER SHOULD BE REMOVED FROM (A) ANY PORTION OF, OR (B) ALL OF, THE DISCUSSION OF THE MATTER. IN RARE INSTANCES, A CONFLICT MAY BE SO EXTENSIVE AND IRRECONCILABLE THAT THE BOARD WILL HAVE TO CONSIDER AND VOTE ON WHETHER THE BOARD MEMBER INVOLVED IN THE CONFLICT CAN CONTINUE TO SERVE AS A BOARD MEMBER, OR IF THE BOARD MEMBER MUST RESIGN OR BE REMOVED (E.G., WHEN A BOARD MEMBER OWNS A COMPANY THAT COMPETES DIRECTLY WITH AAHC'S SERVICES). TO PROTECT AAHC AND THE BOARD, THIS DETERMINATION SHOULD BE NOTED IN THE BOARD MINUTES. WHEN A STAFF MEMBER OR VOLUNTEER DISCLOSES A CONFLICT, THE IMMEDIATE SUPERVISOR AND THE PRESIDENT SHALL DETERMINE HOW TO RESOLVE THE CONFLICT INCLUDING WHETHER THE STAFF PERSON INVOLVED CAN HAVE ANY DECISION-MAKING OR SUPERVISORY AUTHORITY OVER THE MATTER. IN RARE INSTANCES, A CONFLICT MAY BE SO EXTENSIVE AND IRRECONCILABLE THAT THE IMMEDIATE SUPERVISOR AND THE PRESIDENT WILL HAVE TO DETERMINE WHETHER THE STAFF MEMBER OR VOLUNTEER CAN CONTINUE WORKING WITH AAHC (E.G., WHEN A STAFF MEMBER OWNS A COMPANY THAT COMPETES DIRECTLY WITH AAHC'S SERVICES). |
| FORM 990, PART VI, SECTION B, LINE 15 | EXECUTIVE COMMITTEE OF THE BOARD (CHAIR, CHAIR-ELECT, AND PAST-CHAIR) DETERMINES SALARY FOR DR. WARTMAN ANNUALLY. DR. WARTMAN, IN CONJUNCTION WITH THE BOARD OF DIRECTORS, DETERMINES THE STAFF SALARY CHANGES YEAR TO YEAR (HE WORKS WITH EACH DEPARTMENT HEAD TO DISCUSS EACH STAFF MEMBER'S PROGRESS). |
| FORM 990, PART VI, SECTION C, LINE 19 | THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND AUDITED FINANCIAL STATEMENTS ARE NOT GENERALLY MADE AVAILABLE TO THE GENERAL PUBLIC, BUT IF REQUESTS FOR COPIES OF THESE DOCUMENTS WERE TO BE RECEIVED, THE ORGANIZATION WOULD CONSIDER MAKING THEM AVAILABLE TO THE REQUESTOR. |
| FORM 990, PART XII, LINE 2C: | THE AUDIT OVERSIGHT PROCESS HAS REMAINED UNCHANGED FROM THE PREVIOUS YEAR. |
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