Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (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 |
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Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | ||||||
| 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) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (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) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | 485,027 | 27,814 | 25,020 | 113,716 | 16,274 | 667,851 |
| 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 | 637,102 | 1,012,857 | 937,674 | 756,633 | 773,421 | 4,117,687 |
| 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 | 1,122,129 | 1,040,671 | 962,694 | 870,349 | 789,695 | 4,785,538 |
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons | 1,775 | 3,040 | 1,750 | 6,565 | ||
| 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.. | 1,775 | 3,040 | 1,750 | 6,565 | ||
| 8 | Public support. (Subtract line 7c from line 6.) | 4,778,973 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 1,122,129 | 1,040,671 | 962,694 | 870,349 | 789,695 | 4,785,538 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 24 | 262 | 183 | 187 | 190 | 846 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 24 | 262 | 183 | 187 | 190 | 846 |
| 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.) .. | 623 | 623 | ||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | 1,122,153 | 1,040,933 | 962,877 | 870,536 | 790,508 | 4,787,007 |
| 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) |
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| 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): |
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| 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 | ||||
| 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 2019 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-2019 |
(iii) Distributable Amount for 2019 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2019 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions. |
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| 3 Excess distributions carryover, if any, to 2019: | ||||
| a From 2014....... | ||||
| b From 2015....... | ||||
| c From 2016....... | ||||
| d From 2017....... | ||||
| e From 2018....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2019 distributable amount | ||||
|
i
Carryover from 2014 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2019 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2019 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2019, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
6
Remaining underdistributions for 2019. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
7 Excess distributions carryover to 2020. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2015..... | ||||
| b Excess from 2016..... | ||||
| c Excess from 2017..... | ||||
| d Excess from 2018..... | ||||
| e Excess from 2019..... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
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| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | CLASSES OF MEMBERSHIP INCLUDE 1) VOTING 2) NON-VOTING EACH CLASSIFICATION SHALL BE UNDER SUCH TERMS, BENEFITS, CONDITIONS OF ELIGIBILITY, AND CATEGORIES OF MEMBERSHIP AS ESTABLISHED BY THE BY-LAWS OR OTHERWISE DIRECTED BY THE ACHCA BOARD OF DIRECTORS ALL MEMBERS OF ACHCA MUST BE A MEMBER OF A CHAPTER(S). THE MEMBERSHIP YEAR SHALL BE DETERMINED BY THE BOARD OF DIRECTORS MEMBERS MAY SELECT A CHANGE IN MEMBERSHIP CATEGORY AT ANY TIME IF THEY MEET THE CATEGORY REQUIREMENTS. VOTING MEMBERS SHALL BE THOSE PERSONS WHO ARE PROFESSIONALLY QUALIFIED BY LICENSURE, CERTIFICATION, EDUCATION, AND /OR EXPERIENCE, TO SERVE AS EXECUTIVES OR ACADEMICS IN LONG-TERM CARE ADMINISTRATION, AND WHO ARE ACCOUNTABLE FOR ENSURING THAT QUALITY OF CARE IS PROVIDED IN LONG-TERM CARE, RESIDENTIAL CARE, AND/OR POST-ACUTE CARES SETTINGS VOTING MEMBERS SHALL HAVE FULL MEMBERSHIP IN ACHCA FULL MEMBERSHIP BENEFITS INCLUDE ELIGIBILITY TO VOTE FOR DIRECTORS AND ON ALL MATTERS SUBMITTED TO A VOTE OF THE MEMBERSHIP, TO BE ELIGIBLE FOR ELECTION OR APPOINTMENT TO THE ACHCA BOARD OF DIRECTORS, OR THE BOARDS OF DIRECTORS OF THE CHAPTERS, AND TO SERVE ON ACHCA AND CHAPTER COMMITTEES/TASK GROUPS ONLY VOTING MEMBERS MAY ADVANCE TO FELLOW OF ACHCA NON-VOTING MEMBERS SHALL BE THOSE INDIVIDUALS OR PROVIDERS OF HEALTH CARE RELATED PRODUCTS OR SERVICES OR WHO HAVE AN INTEREST IN LONG-TERM HEALTH CARE QUALITY AND ADMINISTRATION BUT DO NOT MEET THE QUALIFICATIONS ESTABLISHED FOR VOTING MEMBERS NON-VOTING MEMBERS ARE INELIGIBLE TO VOTE FOR DIRECTORS OR VOTE ON ANY MATTER SUBMITTED FOR A VOTE OF THE MEMBERSHIP, TO HOLD OFFICE IN ACHCA OR IN AN ACHCA CHAPTER, OR SERVE ON THE ACHCA BOARD, BUT, IF APPOINTED, MAY SERVE ON CHAPTER BOARDS OF DIRECTORS, AND ON CHAPTER/NATIONAL COMMITTEES/TASK GROUPS NON-VOTING MEMBERS ARE INELIGIBLE TO ADVANCE TO FELLOW OF ACHCA THE BOARD MAY PROVIDE FOR FURTHER CATEGORIZATION OF NON-VOTING MEMBERS SENIOR RETIRED MEMBERSHIP IS AVAILABLE TO FULL MEMBERS OR FELLOWS WHO HAVE BEEN VOTING MEMBERS FOR FIVE OR MORE YEARS, HAVE RETIRED FROM HEALTHCARE ADMINISTRATION, AND ARE AT LEAST 55 YEARS OF AGE A SENIOR RETIRED MEMBER SHALL HAVE ALL RIGHTS AND PRIVILEGES OF FULL MEMBERS PROFESSIONAL ADVANCEMENT FELLOW IS THE HIGHEST STATUS THAT VOTING MEMBERS CAN ATTAIN AN ACHCA FELLOW IS DISTINGUISHED BY PROFESSIONAL ACHIEVEMENTS AND SERVICE STANDARDS WELL ABOVE THE ORDINARY DEMANDS OF HIS OR HER POSITION FURTHER QUALIFICATIONS OF THE PROCESS FOR RECOGNITION AS FELLOW SHALL BE AS ESTABLISHED BY THE BOARD OR PROFESSIONAL ADVANCEMENT COMMITTEE FELLOW EMERITUS FELLOW EMERITUS IS A STATUS THAT IS CONFERRED BY THE BOARD OF DIRECTORS ON A VOTING MEMBER WHO HAS RETIRED FROM ACTIVE PARTICIPATION IN THE FIELD OF HEALTH CARE, WHO HAS ATTAINED THE STATUS OF FELLOW OF ACHCA, AND WHO HAS RENDERED DISTINGUISHED SERVICE TO BOTH THE PROFESSION AND ACHCA INDIVIDUALS WHO HAVE BEEN RECOGNIZED AS FELLOW EMERITUS SHALL HOLD LIFETIME VOTING MEMBERSHIP CLASSIFICATION IN ACHCA HONORARY FELLOWSHIP HONORARY FELLOWSHIP IS A RECOGNITION CONFERRED BY THE BOARD OF DIRECTORS UPON INDIVIDUALS WHO ARE NATIONALLY RECOGNIZED, AND ARE DETERMINED BY THE BOARD OF DIRECTORS AND PROFESSIONAL ADVANCEMENT COMMITTEE, AS HAVING DEMONSTRATED DISTINGUISHED SERVICE IN HEALTH CARE ADMINISTRATION OR RELATED FIELDS CERTIFICATION ACHCA'S PROFESSIONAL CERTIFICATION IS A CREDENTIAL THAT CAN BE EARNED BY VOTING MEMBERS OF ACHCA AND NON-MEMBERS WHO HAVE VOLUNTARILY DEMONSTRATED EXCEPTIONAL EXPERTISE IN A PARTICULAR SPECIALTY OF HEALTH CARE ADMINISTRATION AND MET ESTABLISHED REQUIREMENTS CERTIFICATION SHALL BE IN ACCORDANCE WITH SUCH POLICIES AND PROCEDURES AS ESTABLISHED BY THE BOARD OF DIRECTORS AND THE PROFESSIONAL ADVANCEMENT COMMITTEE. |
| FORM 990, PART VI, SECTION A, LINE 7A | ALL FULL MEMBER SHALL BE ENTITLED TO ONE VOTE. ALL VOTING FOR THE ELECTION OF DIRECTORS, ACADEMIC DIRECTOR, THE ACADEMY OF LONG-TERM CARE LEADERSHIP AND DEVELOPMENT AND NOMINATING COMMITTEE SHALL BE ACCOMPLISHED BY MAIL BALLOT SENT VIA US MAIL OR BY ANY ELECTRONIC MEANS FROM THE NATIONAL OFFICE NOT LESS THAN SIXTY DAYS IN ADVANCE. |
| FORM 990, PART VI, SECTION A, LINE 7B | ALL FULL MEMBERS SHALL BE ENTITLED TO ONE VOTE. ALL VOTING ON ANY PROPOSITION SHALL BE DECIDED BY MAJORITY VOTE UNLESS OTHERWISE SET FORTH IN THESE BY-LAWS MEMBERS VOTING AT A MEMBERSHIP MEETING MAY ONLY VOTE IF THEY ARE PRESENT IN PERSON. |
| FORM 990, PART VI, SECTION A, LINE 8B | THERE ARE NO COMMITTEES THAT HAVE THE AUTHORITY TO ACT ON BEHALF OF THE BOARD. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS PREPARED BY AN OUTSIDE PUBLIC ACCOUNTING FIRM THE FORM 990 IS THEN REVIEWED BY THE EXECUTIVE DIRECTOR LAST, IT IS PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW AND APPROVAL PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | ALL BOARD MEMBERS AND COMMITTEE MEMBERS OF THE AMERICAN COLLEGE OF HEALTH CARE ADMINISTRATORS ARE REQUIRED TO ANNUALLY SIGN A CONFLICT OF INTEREST STATEMENT IN WHICH THE BOARD MEMBERS AND COMMITTEE MEMBERS ACKNOWLEDGE RECEIPT OF THE CONFLICT OF INTEREST POLICY, DECLARE UNDERSTANDING OF THE CONFLICT OF INTEREST POLICY, AND LIST ANY POTENTIAL CONFLICTS OF INTEREST THAT MAY ARISE THE BOARD MEMBERS AND COMMITTEE MEMBERS ARE REQUIRED TO LIST ANY ASSOCIATION, ORGANIZATION AND HEALTH CARE INSTITUTION WITH WHICH THEY HAVE A PROFESSIONAL OR BUSINESS INTEREST THAT COULD POSSIBLY BE CONSIDERED A POTENTIAL CONFLICT. THE PRESIDENT/CEO OVERSEES THE MONITORING OF THIS PROCESS AND WHEN A CONFLICT IS REPORTED IT WILL BR BROUGHT TO THE BOARD FOR REVIEW AND DETERMINATION OF NEXT STEPS. |
| FORM 990, PART VI, SECTION B, LINE 15A | THE EXECUTIVE COMMITTEE IS MADE UP OF INDEPENDENT MEMBERS OF THE BOARD OF DIRECTORS AND DETERMINES THE COMPENSATION OF THE PRESIDENT/CEO OF THE ORGANIZATION BASED ON COMPARABILITY DATA FROM SIMILARLY SITUATED HEALTH CARE PROFESSIONAL ASSOCIATIONS. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | EVENT MANAGEMENT : PROGRAM SERVICE EXPENSES 32,837. MANAGEMENT AND GENERAL EXPENSES 40,135. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 72,972. REGISTRATION/CE MANAGEMENT : PROGRAM SERVICE EXPENSES 7,626. MANAGEMENT AND GENERAL EXPENSES 9,320. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 16,946. CONTINUING EDUCATION FEES : PROGRAM SERVICE EXPENSES 1,757. MANAGEMENT AND GENERAL EXPENSES 2,148. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,905. CONSULTING FEES : PROGRAM SERVICE EXPENSES 13,806. MANAGEMENT AND GENERAL EXPENSES 16,875. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 30,681. ALL OTHER CONTRACT SERVICE FEES : PROGRAM SERVICE EXPENSES 7,625. MANAGEMENT AND GENERAL EXPENSES 9,319. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 16,944. |
| Software ID: | |
| Software Version: |