TY 2018 Form 990

(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)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) Karen Talmadge PhD...................................................................... Chair of the Board	6.00 ................. 000.30	X	X
(2) Jane Reusch MD...................................................................... President, Medicine Science	6.00 ................. 000.20	X	X
(3) Felicia Hill-Briggs PhD ABPP...................................................................... President, Health Care Education	6.00 ................. 000.20	X	X
(4) Michael Ching CPA...................................................................... Secretary-Treasurer	6.00 ................. 000.20	X	X
(5) David Herrick MBA...................................................................... Chair of the Board-Elect	2.00 ................. 000.20	X	X
(6) Louis Philipson MD PhD...................................................................... President-Elect, Medicine Science	2.00 ................. 000.20	X	X
(7) Gretchen Youssef MS RD CDE...................................................................... President-Elect, Health Care Education	2.00 ................. 000.20	X	X
(8) Brian Bertha JD MBA...................................................................... Secretary/Treasurer-Elect	2.00 ................. 000.20	X	X
(9) Martha Parry Clark MBA effective 61...................................................................... Board of Directors	1.00 .................	X
(10) Robert H Eckel MD...................................................................... Board of Directors	1.00 .................	X
(11) Janet Brown Friday RN MSN MPH...................................................................... Board of Directors	1.00 .................	X
(12) Mary de Groot PhD...................................................................... Board of Directors	1.00 .................	X
(13) Sherita Hill Golden...................................................................... Board of Directors	1.00 .................	X
(14) C Ronald Kahn MD...................................................................... Board of Directors	1.00 .................	X
(15) Cynthia E Munoz PhD MPH...................................................................... Board of Directors	1.00 .................	X
(16) Christopher K Ralston JD...................................................................... Board of Directors	1.00 .................	X
(17) Tracey D Brown ended 53118...................................................................... Board of Directors	1.00 .................	X

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) Tracey D Brown effective 6118........................................................................ Chief Executive Officer	37.00 .......................000.50	X			794,734	149,147
(19) Charlotte M Carter........................................................................ Chief Financial Officer	36.90 .......................000.60	X			271,022	24,502
(20) Martha Parry Clark ended 53118........................................................................ Interim Chief Executive Officer	36.90 .......................000.60	X			159,979	366
(21) Eloise Scavella (effective 72318) Chief Operating and Strategy Officer	37.50 .......................		X		268,760	3,132
(22) Corey Gordon ended 13118........................................................................ Chief Development and Stewardship Officer	37.50 .......................		X		189,162	23,595
(23) Michael Eisenstein ended 71118........................................................................ SVP Products	37.50 .......................		X		201,848	15,411
(24) William Cefalu........................................................................ Chief Scientific, Medical Mission Officer	37.40 .......................000.10		X		441,164	49,594
(25) Chris Boynton ended 71118........................................................................ VP Eastern Division	37.50 .......................		X		173,930	12,705
(26) Kerry Lenahan........................................................................ VP Constituent Engagement	37.50 .......................		X		175,360	11,607
(27) Elaine Currin........................................................................ VP Development	37.50 .......................		X		176,070	14,215
(28) Anthony Webster........................................................................ Chief Human Resources Officer	37.50 .......................		X		189,948	25,908
(29) John Agos........................................................................ Chief Strategic Development Officer	37.50 .......................		X		274,584	22,740
(30) Andrea Bruno........................................................................ VP West Territory	37.50 .......................		X		167,746	32,292
(31) Tricia Cedotal........................................................................ VP Corporate Alliances	37.50 .......................		X		166,358	6,594
(32) Tory Smith........................................................................ VP East Territory	37.50 .......................		X		158,731	3,731
(33) Tony Chiles........................................................................ Chief Information Officer	37.50 .......................		X		228,432	32,604
(34) Linda Cann........................................................................ Sr Vice President, Professional Services	37.50 .......................			X	207,862	48,356
(35) Roy Furman........................................................................ Medical Director, Quality Improvement	37.50 .......................			X	187,731	11,751
(36) Sean McDonough........................................................................ Vice President General Counsel	37.50 .......................			X	196,023	10,584
(37) Paul Nalbandian........................................................................ Assoc. Publisher, Advertising Sales Sponsor	37.50 .......................			X	223,741	29,293
(38) Greg Liptak........................................................................ Vice President, Quality Improvement Services	37.50 .......................			X	183,071	20,060

(A) Name and business address	(B) Description of services	(C) Compensation
BLACKBAUD INC 11501 Domain Drive Suite 200 Austin,TX78758	Constituent Records Application Technical Services	1,693,775
INFOCISION MANAGEMENT CORP 325 Springside Drive Akron,OH44333	Professional fundraising and consulting	608,086
BROADAXIS INC 2591 Dallas Pkwy Ste 300 Frisco,TX75034	Information Systems	560,080
RICOH USA INC 70 Valley Stream Parkway Malvern,PA19355	Printing Services	458,730
ORACLE AMERICA INC 500 Oracle Parkway Redwood Shores,CA94065	Information Systems	418,521
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 28

- TIN:

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

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization

American Diabetes Association

Employer identification number

13-1623888

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 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross 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.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2018

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv), 170(b)(1)(A)(vi), and 170(b)(1)(A)(ix)
(Complete only if you checked the box on line 5, 7, 8, or 9 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) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..	146,055,657	135,304,032	122,553,876	102,801,334	118,306,745	625,021,644
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	146,055,657	135,304,032	122,553,876	102,801,334	118,306,745	625,021,644
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.						625,021,644

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
7	Amounts from line 4..	146,055,657	135,304,032	122,553,876	102,801,334	118,306,745	625,021,644
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...	4,009,899	4,560,225	4,337,308	4,063,059	4,492,015	21,462,506
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.)..	47,055	33,439	34,645	45,752	2,730	163,621
11	Total support. Add lines 7 through 10						646,647,771

Gross receipts from related activities, etc. (see instructions) ..................

207,384,612

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2018 (line 6, column (f) divided by line 11, column (f)) .........

96.660 %

Public support percentage for 2017 Schedule A, Part II, line 14 ...............

97.010 %

16a

33 1/3% support test—2018. 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 ....................... right arrow

33 1/3% support test—2017. 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 ..................... right arrow

17a

10%-facts-and-circumstances test—2018. 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 VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2017. 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 VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

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) 2018

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 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) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(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) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(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 VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2018 (line 8, column (f) divided by line 13, column (f)) .........

0 %

Public support percentage from 2017 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2018 (line 10c, column (f) divided by line 13, column (f)) ......

0 %

Investment income percentage from 2017 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2018. 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 ....... right arrow

33 1/3% support tests—2017. 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 .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990 or 990-EZ) 2018

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 12a or 12b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990 or 990-EZ) 2018

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2018

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
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

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2018

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)

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 2018 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-2018	(iii) Distributable Amount for 2018
1 Distributable amount for 2018 from Section C, line 6
2 Underdistributions, if any, for years prior to 2018 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2018:
a From 2013.......
b From 2014.......
c From 2015.......
d From 2016.......
e From 2017.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2018 distributable amount
i Carryover from 2013 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2018 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2018 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2018, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2018. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2019. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2014......
b Excess from 2015.....
c Excess from 2016.....
d Excess from 2017.....
e Excess from 2018.....

Schedule A (Form 990 or 990-EZ) (2018)

Schedule A (Form 990 or 990-EZ) 2018

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2018

Additional Data

Software ID:	18007340
Software Version:	19.1.1.0

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Name of the organization

American Diabetes Association

Employer identification number

13-1623888

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution. An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018) Page 2

Name of organization American Diabetes Association

Part I	Contributors (See instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Page 3

Name of organization American Diabetes Association		Employer identification number 13-1623888

Part II	Noncash Property (See instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Page 4


Name of organization American Diabetes Association			Employer identification number 13-1623888
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Additional Data

Software ID:	18007340
Software Version:	19.1.1.0

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

American Diabetes Association

Employer identification number

13-1623888

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV (see instructions for definition of “political campaign activities")

Political campaign activity expenditures (see instructions) .................................................................... SchCMd Bullet

Volunteer hours for political campaign activities (see instructions) ..................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b........... SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2018

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ...............................
c	Total lobbying expenditures (add lines 1a and 1b) ...................................................................
d	Other exempt purpose expenditures ........................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ...............................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................................................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ...................................................................................................................	Yes No

4-Year Averaging Period Under section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2018

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? ...........................................................................................................

Yes

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Yes

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Yes

65,520

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Yes

601,067

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Yes

63,141

Other activities? ...................................................................................................................

Total. Add lines 1c through 1i ....................................................................................................

729,728

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

Taxable amount of lobbying and political expenditures (see instructions) .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
II-B	The American Diabetes Associations advocacy efforts and achievements are at the core of creating effective and lasting change for people living with and at risk for diabetes. Raising our voices from Capitol Hill to state legislatures across the country, our dedicated Diabetes Advocates continue to drive momentum in our ongoing fight to Stop Diabetes. Our advocacy work gives people with diabetes, their families and health care professionals the power to influence public policy issues that affect people with diabetes at the local, state and national levels. Our primary goals are to increase federal and state funding for diabetes prevention, treatment and research to prevent diabetes to improve the availability of accessible, adequate and affordable health care to end the discrimination people with diabetes face at school, work and elsewhere in their lives to achieve health equity. In 2018, the ADA achieved Increased funding for National Institute of Diabetes and Digestive and Kidney Diseases by over 159 million dollars, for the Division of Diabetes Translation by 8 million dollars and for the National Diabetes Prevention Program by 2.8 million dollars in federal Fiscal Years 2018 and 2019 Achieved 600 million dollar reauthorization of the Special Diabetes Program, which supports critical research toward better treatments and a cure for type 1 diabetes and essential prevention and management programs for American Indians through Fiscal Year 2019. Participated in hundreds of meetings, briefings events and other actions in support of our legislative and regulatory priorities which led to a record setting 80 legislative and regulatory wins in states across the country Added two states to the 27 states already requiring diabetes action plans that assess the burden of diabetes and prioritize policy recommendations to reduce the burden of diabetes Achieved 30 state level wins that advance prevention policies including school based policies, community based policies, and budget allocations that increase state investment in prevention programs Mobilized Diabetes Advocates through our Congress at Home initiative to host nearly 60 in district meetings across the country with Congressional members and their staff Convened nearly 200 people living with and affected by diabetes, health care professionals, researchers, and 17 current and former professional football players at Call to Congress to advocate on Capitol Hill in Washington, D.C. for increased federal funding for diabetes research, affordable insulin and health care access and coverage and more Achieved the goal of congressional hearing on insulin affordability and delivered testimony to the Senate Special Committee on Aging about the rising cost of this lifesaving drug Secured an additional 181,000 signatures for ADAs insulin affordability petition for a total of over 432,000 signatures. This ongoing campaign included the launch of a new animated video to explain the complexities of the insulin supply chain Achieved 37 state level wins protecting or improving health care for millions of people with diabetes in states across the country. Continued efforts to protect the Affordable Care Act ACA by filing an amicus friend of the court brief defending the ACA against a lawsuit challenging the laws constitutionality. The brief, which was jointly filed with four other patient advocacy organizations, brought to the courts attention the ADAs significant interest in protecting the ACA for Americans impacted by diabetes Introduced in the House and Senate for the first time the Expanding Access to Diabetes Self Management Training Act, which would remove barriers to Diabetes Self Management Education and Support in Medicare and encourage beneficiaries to participate in such programs Educated and inspired action among our 525,000 advocates in more than 70 federal, state and legal advocacy calls to action throughout the year, Improved access to continuous glucose monitors used with a mobile device for Medicare beneficiaries Increased access to nutritious foods through healthy food financing, school based meal assistance programs, and other state level health equity legislation that impacts communities across the country.

Return Reference

Explanation

II-B

The American Diabetes Associations advocacy efforts and achievements are at the core of creating effective and lasting change for people living with and at risk for diabetes. Raising our voices from Capitol Hill to state legislatures across the country, our dedicated Diabetes Advocates continue to drive momentum in our ongoing fight to Stop Diabetes. Our advocacy work gives people with diabetes, their families and health care professionals the power to influence public policy issues that affect people with diabetes at the local, state and national levels. Our primary goals are to increase federal and state funding for diabetes prevention, treatment and research to prevent diabetes to improve the availability of accessible, adequate and affordable health care to end the discrimination people with diabetes face at school, work and elsewhere in their lives to achieve health equity. In 2018, the ADA achieved Increased funding for National Institute of Diabetes and Digestive and Kidney Diseases by over 159 million dollars, for the Division of Diabetes Translation by 8 million dollars and for the National Diabetes Prevention Program by 2.8 million dollars in federal Fiscal Years 2018 and 2019 Achieved 600 million dollar reauthorization of the Special Diabetes Program, which supports critical research toward better treatments and a cure for type 1 diabetes and essential prevention and management programs for American Indians through Fiscal Year 2019. Participated in hundreds of meetings, briefings events and other actions in support of our legislative and regulatory priorities which led to a record setting 80 legislative and regulatory wins in states across the country Added two states to the 27 states already requiring diabetes action plans that assess the burden of diabetes and prioritize policy recommendations to reduce the burden of diabetes Achieved 30 state level wins that advance prevention policies including school based policies, community based policies, and budget allocations that increase state investment in prevention programs Mobilized Diabetes Advocates through our Congress at Home initiative to host nearly 60 in district meetings across the country with Congressional members and their staff Convened nearly 200 people living with and affected by diabetes, health care professionals, researchers, and 17 current and former professional football players at Call to Congress to advocate on Capitol Hill in Washington, D.C. for increased federal funding for diabetes research, affordable insulin and health care access and coverage and more Achieved the goal of congressional hearing on insulin affordability and delivered testimony to the Senate Special Committee on Aging about the rising cost of this lifesaving drug Secured an additional 181,000 signatures for ADAs insulin affordability petition for a total of over 432,000 signatures. This ongoing campaign included the launch of a new animated video to explain the complexities of the insulin supply chain Achieved 37 state level wins protecting or improving health care for millions of people with diabetes in states across the country. Continued efforts to protect the Affordable Care Act ACA by filing an amicus friend of the court brief defending the ACA against a lawsuit challenging the laws constitutionality. The brief, which was jointly filed with four other patient advocacy organizations, brought to the courts attention the ADAs significant interest in protecting the ACA for Americans impacted by diabetes Introduced in the House and Senate for the first time the Expanding Access to Diabetes Self Management Training Act, which would remove barriers to Diabetes Self Management Education and Support in Medicare and encourage beneficiaries to participate in such programs Educated and inspired action among our 525,000 advocates in more than 70 federal, state and legal advocacy calls to action throughout the year, Improved access to continuous glucose monitors used with a mobile device for Medicare beneficiaries Increased access to nutritious foods through healthy food financing, school based meal assistance programs, and other state level health equity legislation that impacts communities across the country.

Schedule C (Form 990 or 990EZ) 2018

Additional Data

Software ID:	18007340
Software Version:	19.1.1.0

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on 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

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

American Diabetes Association

Employer identification number

13-1623888

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds
1	Total number at end of year .........	1
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)	62,867
4	Aggregate value at end of year ........	472,890

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? ............

Yes No

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? ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

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.


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 7/25/06, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

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)? .............................

Yes No

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" on Form 990, Part IV, line 8.

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.

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)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

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:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

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) 2018

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

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):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

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?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


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

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

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" on Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	(c)Two years back	(d)Three years back	(e)Four years back

1a	Beginning of year balance ....	22,899,249	22,534,220	22,460,102	22,540,712	22,695,748
b	Contributions ...	4,547	182,068	-3,646	-2,371	16,761
c	Net investment earnings, gains, and losses	1,449,845	2,556,516	1,972,812	1,593,023	2,132,726
d	Grants or scholarships ...	1,717,970	2,373,555	1,895,048	1,671,262	2,304,523
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......	22,635,671	22,899,249	22,534,220	22,460,102	22,540,712

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

20.000 %

Temporarily restricted endowment SchDMd Bullet

80.000 %

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations .................

3a(i)

Yes

(ii) related organizations .................

3a(ii)

Yes

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Yes

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. 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 .....	4,500		4,500
b	Buildings ....
c	Leasehold improvements	6,327,969	1,648,867	4,679,102
d	Equipment ....	15,686,305	12,208,395	3,477,910
e	Other .....	25,714,946	20,053,160	5,661,786
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				13,823,298

Schedule D (Form 990) 2018

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. 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........
(3) Other (A) Financial derivatives and other financial products
(B) Closely-held equity interests
(C) Perpetual Trusts	9,607,301	F
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	9,607,301

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1) Due From Property Title Holding Corporation				6,480,308
(2) Investment in Net Assets of American Diabetes Association Property Title Holding Corporation				12,817,875
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				19,298,183

Part X

Other Liabilities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
Federal income taxes
Due to American Diabetes Association Research Foundation	50,215,101
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	50,215,101
2. Liability for uncertain tax positions. 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) 2018

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......			1	161,268,042
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a	-2,941,202
b	Donated services and use of facilities .........	2b	2,366,548
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d	4,408,553
e	Add lines 2a through 2d .....................			2e	3,833,899
3	Subtract line 2e from line 1..................			3	157,434,143
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	237,791
b	Other (Describe in Part XIII.) ...........	4b	691,869
c	Add lines 4a and 4b....................			4c	929,660
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	158,363,803

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........			1	148,592,488
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a	2,366,548
b	Prior year adjustments ............	2b
c	Other losses ................	2c	-640,052
d	Other (Describe in Part XIII.) ............	2d	27,757,754
e	Add lines 2a through 2d....................			2e	29,484,250
3	Subtract line 2e from line 1...................			3	119,108,238
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	237,791
b	Other (Describe in Part XIII.) ............	4b	12,910,264
c	Add lines 4a and 4b.....................			4c	13,148,055
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	132,256,293

Part XIII

Supplemental Information

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.

Return Reference	Explanation
V 4	The following was disclosed in the consolidated financial statements related to the intended use of the Association endowment funds The Association has adopted an investment policy for endowment assets that provides continued financial stability for the Association and a revenue stream for spending on the Association mission.
V 4	To fulfill this mission, the American Diabetes Association funds research, publishes scientific findings, provides information and other services to people with diabetes, their families, health professionals, and the public.
X 2	The following was disclosed related to uncertain tax positions in the audited financial statements The American Diabetes Association and the American Diabetes Association Research Foundation, Inc. are generally exempt from income taxes under Section 501c3 of the Internal Revenue Code the Code and charitable contributions to these organizations qualify for tax deductions as described in the Code. The American Diabetes Association Property Title Holding Corporation is generally exempt from income taxes under Section 501c2 of the Code. These entities are subject to taxation on any net unrelated business income and have been classified as organizations that are not private foundations under Section 509a of the Code. The Association recognizes the effect of income tax positions only if those positions more likely than not would not be sustained upon examination by the Internal Revenue Service. The Association has analyzed the tax positions taken and has concluded that as of December 31, 2018, there are no uncertain tax positions taken or expected to be taken that would require recognition of a liability or asset or disclosure in the consolidated financial statements.
XI 2d	Donations reported by the American Diabetes Association Research Foundations audited financial statement EIN 54-1734511 3,526,521. Contributed services reported by the American Diabetes Association Research Foundation, Inc. EIN 54-1734511 874,032. Eminent domain revenue reported by the American Diabetes Association Property Title Holding Corp. EIN 54-1948004 8,000.
XI 4b	Management fee earned from the American Diabetes Association Research Foundation, Inc. EIN 54-1734511 691,869.
XII 2d	American Diabetes Association Research Foundation, Inc. EIN 54-1734511 Expenses 27,749,754. Eminent domain expenses reported by the American Diabetes Association Property Title Holding Corp. EIN 54-1948004 8,000.
XII 4b	Grant to the American Diabetes Association Research Foundation, Inc. EIN 54-1734511 12,910,264.

Schedule D (Form 990) 2018

Additional Data

Software ID:	18007340
Software Version:	19.1.1.0

- TIN:

SCHEDULE F(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

Complete if the organization answered "Yes" to Form 990, Part IV, line 14b, 15, or 16. Right pointing arrow large image

Attach to Form 990. Right pointing arrow large image

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization
American Diabetes Association

Employer identification number

13-1623888

Part I

General Information on Activities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 14b.

For grantmakers. Does the organization maintain records to substantiate the amount of its grants and

other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used

to award the grants or assistance? . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.

Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)

(a) Region		(d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region)	(e) If activity listed in (d) is a program service, describe specific type of service(s) in region	(f) Total expenditures for and investments in region
	Europe Including Iceland and Greenland	Program Services	Grantmaking	16,391
















3a	Sub-total .....			16,391
b	Total from continuation sheets to Part I ...
c	Totals (add lines 3a and 3b)			16,391

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2018

Schedule F (Form 990) 2018

Page 2

Part II

Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.

(c) Region	(d) Purpose of grant	(e) Amount of cash grant	(f) Manner of cash disbursement
Europe Including Iceland and Greenland	See Part V	16,391	Check

2	Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .......	1
3	Enter total number of other organizations or entities .......................

Schedule F (Form 990) 2018

Schedule F (Form 990) 2018Page 3

Part III

Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.

Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance		(b) Region	(c) Number of recipients	(d) Amount of cash grant	(e) Manner of cash disbursement	(f) Amount of non-cash assistance	(g) Description of non-cash assistance	(h) Method of valuation (book, FMV, appraisal, other)

Schedule F (Form 990) 2018

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2018

Page 5

Part V

Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information (see instructions).

ReturnReference	Explanation
Part I Line 3	The Association awarded a grant to the International Diabetes Federation IDF as part of the Associations donor advised fund program. The grantees use of the fund is monitored through the Associations membership in the IDF.
Part II Line 1	The primary purpose of the grant is for the annual contribution from the Wendell Mayes donor advised fund to the International Diabetes Federation to support the Mary Jane Mayes scholar program.

Schedule F (Form 990) 2018

Additional Data

Software ID:	18007340
Software Version:	19.1.1.0

- TIN:

SCHEDULE G (Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information Regarding
Fundraising or Gaming Activities

Complete if the organization answered "Yes" on Form 990, Part IV, lines 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization
American Diabetes Association

Employer identification number

13-1623888

Part I

Fundraising Activities. Complete if the organization answered "Yes" on Form 990, Part IV, line 17.

Form 990-EZ filers are not required to complete this part.

Indicate whether the organization raised funds through any of the following activities. Check all that apply.

a	Mail solicitations	e	Solicitation of non-government grants
b	Internet and email solicitations	f	Solicitation of government grants
c	Phone solicitations	g	Special fundraising events
d	In-person solicitations

Did the organization have a written or oral agreement with any individual (including officers, directors, trustees

or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?

YesNo

If "Yes," list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization.

(i) Name and address of individual or entity (fundraiser)		(ii) Activity	(iii) Did fundraiser have custody or control of contributions?		(iv) Gross receipts from activity	(v) Amount paid to (or retained by) fundraiser listed in col. (i)	(vi) Amount paid to (or retained by) organization
			Yes	No
	Infocision Management Corporation 325 Springside Drive Akron, OH44333	Telemarketing		No	792,729	608,089	184,640
	NNE Marketing LLC 1666 Massachusetts Ave Lexington, MA02420	See Part IV		No	14,870,969	224,000	14,646,969
	Automotive Recovery Services Inc 13085 Hamilton Crossing Blvd Carmel, IN46032	See Part IV	Yes		393,825	154,584	239,241
	Telefund Inc 186 Lincoln Street Boston, MA02111	Telemarketing		No	2,664	12,722
	Chapman Cubine and Hussey Inc 2000 N 15th Street Arlington, VA22201	Telemarketing		No		317,905
	Gordon and Schwenkmeyer Inc 20300 S Vermont Ave Torrance, CA90502	Telemarketing		No	6,834	18,527




Total . . . . . . . . . . . . . . . . . . . .					16,067,021	1,335,827	15,070,850

List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing.

AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, IA, ID, IL, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VA, VT, WA, WI, WV, WY

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50083H

Schedule G (Form 990 or 990-EZ) 2018

Page 2

Part II

Fundraising Events. Complete if the organization answered "Yes" on Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.

		(a) Event #1 Step Out (event type)	(b) Event #2 Tour de Cure (event type)	(c) Other events 1 (total number)	(d) Total events (add col. (a) through col. (c))
1	Gross receipts . . . . .	2,463,133	17,614,920	3,539,223	23,617,276
2	Less: Contributions . . . .	2,107,878	14,808,356	2,763,622	19,679,856
3	Gross income (line 1 minus line 2) . . . . . .	355,255	2,806,564	775,601	3,937,420

4	Cash prizes . . . . .
5	Noncash prizes . . . .	37,809	355,912	30,709	424,430
6	Rent/facility costs . . . .	195,863	1,083,747	214,471	1,494,081
7	Food and beverages . . .	15,465	542,618	371,096	929,179
8	Entertainment . . . .	11,634	102,116	73,521	187,271
9	Other direct expenses . . .	94,485	722,171	85,803	902,459
10	Direct expense summary. Add lines 4 through 9 in column (d) . . . . . . . . . .				3,937,420
11	Net income summary. Subtract line 10 from line 3, column (d). . . . . . . . . .

Part III

Gaming. Complete if the organization answered "Yes" on Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.

		(a) Bingo	(b) Pull tabs/Instant bingo/progressive bingo	(c) Other gaming	(d) Total gaming (add col.(a) through col.(c))
1	Gross revenue . . . . .

2	Cash prizes . . . . .
3	Noncash prizes . . . .
4	Rent/facility costs . . . .
5	Other direct expenses . . .

Volunteer labor . . . .

	Yes %
	No

	Yes %
	No

	Yes %
	No

Direct expense summary. Add lines 2 through 5 in column (d) . . . . . . . . . . right arrow

Net gaming income summary. Subtract line 7 from line 1, column (d). . . . . . . . . right arrow

Enter the state(s) in which the organization conducts gaming activities:

Is the organization licensed to conduct gaming activities in each of these states? . . . . . . . .

YesNo

If "No," explain:

10a

Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? . . .

YesNo

If "Yes," explain:

Schedule G (Form 990 or 990-EZ) 2018

Page 3

Does the organization conduct gaming activities with nonmembers? . . . . . . . . . . .

YesNo

Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity

formed to administer charitable gaming? . . . . . . . . . . . . . . . . .

YesNo

Indicate the percentage of gaming activity conducted in:

The organization's facility . . . . . . . . . . . . . . . . . .

13a

An outside facility . . . . . . . . . . . . . . . . . . . .

13b

Enter the name and address of the person who prepares the organization's gaming/special events books and records:

Name

Address

15a

Does the organization have a contract with a third party from whom the organization receives gaming

revenue? . . . . . . . . . . . . . . . . . . . . . . . .

YesNo

If "Yes," enter the amount of gaming revenue received by the organization right arrow

$ and the

amount of gaming revenue retained by the third party right arrow

$ .

If "Yes," enter name and address of the third party:

Name

Address

Gaming manager information:

Name

Gaming manager compensation right arrow

Description of services provided right arrow

Director/officer Employee Independent contractor

Mandatory distributions:

Is the organization required under state law to make charitable distributions from the gaming proceeds to

retain the state gaming license? . . . . . . . . . . . . . . . . . . .

YesNo

Enter the amount of distributions required under state law distributed to other exempt organizations or spent

in the organization's own exempt activities during the tax year right arrow

Part IV

Supplemental Information. Provide the explanations required by Part I, line 2b, columns (iii) and (v); and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also provide any additional information. See instructions.

Return Reference	Explanation
Part I Line 2ii	NNE Marketing, LLC activities are strategic services including account and project management, data processing analysis and reporting, meeting, and/or project services requested by ADA.
Part I Line 3ii	Automotive Recovery Services, Inc. activities are advertising, acquisition and disposal of donated vehicles solicited by American Diabetes Association.
Part I Line 3iii	Upon sale of the donated vehicle, the funds are deposited into the Automotive Recovery Services, Inc. bank account. The net proceeds from the donated car are then sent by Automotive Recovery Services, Inc. to the American Diabetes Association bank account.

Schedule G (Form 990 or 990-EZ) 2018

Additional Data

Software ID:	18007340
Software Version:	19.1.1.0

- TIN:

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

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," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization
American Diabetes Association

Employer identification number
13-1623888

Part I

General Information on Grants and Assistance

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? ........................

Yes No

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 Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on 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 section (if applicable)	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) American Diabetes Association Research Foundation 2451 Crystal Drive Suite 900 Arlington,VA22202	54-1734511	501 c3	12,910,264	Research
(2) Lions Camp Merrick 11855 Holly Lane Suite 104 Waldorf,MD20601	52-1289731	501 c3	30,000	Campership
(3) BAPTIST HEALTH SOUTH FLORIDA INC 6855 Red Road Suite 600 Coral Gables,FL33143	65-0267668	501 c3	12,840	Education and Development
(4) FLORIDA DEPARTMENT OF HEALTH 5150 NW Milner Dr Port St Lucie,FL34983	59-3502843	170c1	12,937	Education and Development
(5) FLORIDA DEPARTMENT OF HEALTH IN SEMINOLE 400 W Airport Blvd Sanford,FL32773	59-3502843	170c1	15,000	Education and Development
(6) HOLY CROSS HOSPITAL INC 4725 North Federal Highway Fort Lauderdale,FL33308	59-0791028	501 c3	11,400	Education and Development
(7) T1D FIRST INC 11 Ave De Lafayette 5th Floor Boston,MA02111	45-1623549	501 c3	100,000	Research
(8) YMCA OF FLORIDA'S FIRST COAST 12735 Gran Bay Parkway Jacksonville,FL32258	59-0638514	501 c3	10,337	Education and Development
(9) YMCA OF GREATER ST PETERSBURG 600 First Avenue North Suite 201 St Petersburg,FL33701	59-0624468	501 c3	13,820	Education and Development
(10) YMCA OF THE SUNCOAST INC 2469 Enterprise Rd Clearwater,FL33763	59-0810731	501 c3	12,248	Education and Development
(11) MEMORIAL HEALTHCARE GROUP INC 3625 University Boulevard South Jacksonville,FL32216	59-3283127		6,275	Education and Development

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

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) 2018

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on 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 noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1) Lecture Honoraria	6	42,000
(2) Travel Scientific Conferences	8	6,713
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.

Return Reference	Explanation
Part I Line 2	Related to Research The American Diabetes Association provides grant funding for Research grants to the American Diabetes Association Research Foundation. The American Diabetes Association closely monitors the use of all grant funds. Each grantee is required to submit an Annual Progress Report, which includes a scientific and a financial portion, 30 days after the end of each previously committed funding year. Each year of funding after the first is contingent upon approval of the Annual Progress Report and the availability of funds. If the complete report is not received within 90 days after the due date, payments will not be disbursed until all reporting requirements have been met. After the completion of the final year of the grant, a Cumulative Final Report, which includes a scientific and financial portion, is due within 60 days after the expiration date of the grant. If the complete final report is not received by the due date, the grantee will not be eligible to apply for any future American Diabetes Association Research Foundation awards until the obligations for the award are complete. This process is monitored and reviewed by the American Diabetes Association Scientific/Medical Management for award status and compliance.
Part I Line 2	Related to Camps The American Diabetes Association continues to be the worlds largest provider of camps for children with diabetes to help ensure the wellbeing of families affected by diabetes. The Association provides grants, scholarships and targeted youth programs for persons with diabetes. Each summer, thousands of children have the opportunity to spend time at Diabetes Camp, meeting other children with diabetes and sharing their experiences, challenges, hopes, and dreams. In 2018, the American Diabetes Association hosted 79 camp sessions in 25 states serving over 6,000 campers with Type I, Type 2, and at risk for Type 2 diabetes. In addition, more than 2,000 volunteers made camp possible by donating their time and expertise. Camp provides an outdoor recreational experience in which the child for children with diabetes ages 4 to 17 can develop as a person while including informal education about the management of diabetes. Children are carefully supervised by a staff of doctors, nurses, dietitians, and other volunteers and staff. Program Evaluation and outcome measurement provide valuable data to the Association regarding camp programs and how to improve them. An assessment/planning meeting including camp volunteers and staff leadership is held within two months of the conclusion of the camp season. At this time, camp results are evaluated and compared to goals. The strengths and weaknesses of the camp program, opportunities for growth and improvement, emerging issues and needs and the viability of continuation/initiation of new programs are evaluated.
Part II Line 2	Related to Education The American Diabetes Association is committed to preventing diabetes. The Diabetes Prevention Program DPP was a major multicenter clinical research study, funded in part by the American Diabetes Association, aimed at discovering whether modest weight loss through dietary changes and increased physical activity or treatment with the oral diabetes drug metformin Glucophage could prevent or delay the onset of type 2 diabetes in study participants. The DPP found that participants who lost a modest amount of weight through dietary changes and increased physical activity sharply reduced their chances of developing diabetes. Taking metformin also reduced risk, although less dramatically. The DPPs results indicate that millions of high-risk people can delay or avoid developing type 2 diabetes by losing weight through regular physical activity and a diet low in fat and calories. Weight loss and physical activity lower the risk of diabetes by improving the bodys ability to use insulin and process glucose. The DPP contributed to a better understanding of how diabetes develops in people at risk and how they can prevent or delay the development of diabetes by making behavioral changes leading to weight loss. These findings are reflected in recommendations from the American Diabetes Association for the prevention or delay of type 2 diabetes, which stress the importance of lifestyle changes and weight loss. Building on the success of the DPP, the Centers for Disease Control CDC led National Diabetes Prevention Program is an evidence-based lifestyle change program for preventing type 2 diabetes. The year-long program helps participants make real lifestyle changes such as eating healthier, including physical activity into their daily lives, and improving problem-solving and coping skills.
Part III Line 1,2	Each year, the American Diabetes Association recognizes the outstanding contributions of individuals in the service of the diabetes community through its National Achievement Awards. These awards are among the Associations most noteworthy and coveted recognition opportunities, celebrating those whose significant contributions to our cause have been national in scope and impact. Past recipients represent individuals or groups that have never faltered in their efforts to improve the lives of all people affected by diabetes.

Schedule I (Form 990) 2018

Additional Data

Software ID:	18007340
Software Version:	19.1.1.0

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

American Diabetes Association

Employer identification number

13-1623888

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .........

Yes

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..

Yes

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2018

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1Tracey D Brown effective 6118 Chief Executive Officer	(i) (ii)	345,458 -------------	300,000 -------------	149,276 -------------	133,140 -------------	16,007 -------------	943,881 -------------	-------------
2Charlotte M Carter Chief Financial Officer	(i) (ii)	269,780 -------------	-------------	1,242 -------------	15,770 -------------	8,732 -------------	295,524 -------------	-------------
3Eloise Scavella (effective 72318) Chief Operating and Strategy Officer	(i) (ii)	154,285 -------------	100,000 -------------	14,475 -------------	-------------	3,132 -------------	271,892 -------------	-------------
4Corey Gordon ended 13118 Chief Development and Stewardship Officer	(i) (ii)	26,559 -------------	-------------	162,603 -------------	1,625 -------------	21,970 -------------	212,757 -------------	-------------
5Michael Eisenstein ended 71118 SVP Products	(i) (ii)	104,555 -------------	-------------	97,293 -------------	5,179 -------------	10,232 -------------	217,259 -------------	-------------
6Martha Parry Clark ended 53118 Interim Chief Executive Officer	(i) (ii)	125,000 -------------	31,451 -------------	3,528 -------------	-------------	366 -------------	160,345 -------------	-------------
7William Cefalu Chief Scientific, Medical Mission Officer	(i) (ii)	437,600 -------------	-------------	3,564 -------------	30,555 -------------	19,039 -------------	490,758 -------------	-------------
8Chris Boynton ended 71118 VP Eastern Division	(i) (ii)	96,944 -------------	-------------	76,986 -------------	-------------	12,705 -------------	186,635 -------------	-------------
9Kerry Lenahan VP Constituent Engagement	(i) (ii)	175,000 -------------	-------------	360 -------------	10,500 -------------	1,107 -------------	186,967 -------------	-------------
10Elaine Currin VP Development	(i) (ii)	171,670 -------------	-------------	4,400 -------------	5,746 -------------	8,469 -------------	190,285 -------------	-------------
11Anthony Webster Chief Human Resources Officer	(i) (ii)	187,255 -------------	-------------	2,693 -------------	8,043 -------------	17,865 -------------	215,856 -------------	-------------
12Linda Cann Sr Vice President, Professional Services	(i) (ii)	204,432 -------------	-------------	3,430 -------------	31,184 -------------	17,172 -------------	256,218 -------------	-------------
13Roy Furman Medical Director, Quality Improvement	(i) (ii)	184,820 -------------	-------------	2,911 -------------	11,100 -------------	651 -------------	199,482 -------------	-------------
14Sean McDonough Vice President General Counsel	(i) (ii)	195,000 -------------	-------------	1,023 -------------	9,405 -------------	1,179 -------------	206,607 -------------	-------------
15Paul Nalbandian Assoc. Publisher, Advertising Sales Sponsor	(i) (ii)	157,335 -------------	63,937 -------------	2,469 -------------	12,242 -------------	17,051 -------------	253,034 -------------	-------------
16Greg Liptak Vice President, Quality Improvement Services	(i) (ii)	182,687 -------------	-------------	384 -------------	10,869 -------------	9,191 -------------	203,131 -------------	-------------
17John Agos Chief Strategic Development Officer	(i) (ii)	217,305 -------------	-------------	57,279 -------------	-------------	22,740 -------------	297,324 -------------	-------------
18Andrea Bruno VP West Territory	(i) (ii)	167,206 -------------	-------------	540 -------------	10,500 -------------	21,792 -------------	200,038 -------------	-------------
19Tricia Cedotal VP Corporate Alliances	(i) (ii)	164,167 -------------	-------------	2,191 -------------	6,075 -------------	519 -------------	172,952 -------------	-------------
20Tory Smith VP East Territory	(i) (ii)	158,414 -------------	-------------	317 -------------	3,224 -------------	507 -------------	162,462 -------------	-------------
21Tony Chiles Chief Information Officer	(i) (ii)	227,245 -------------	-------------	1,187 -------------	5,400 -------------	27,204 -------------	261,036 -------------	-------------

Schedule J (Form 990) 2018

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference	Explanation
Part I Line 1a	Payments related to additional pension benefits are grossed up for individual tax reporting purposes. The housing allowances paid to Tracey D. Brown, Martha Parry Clark, Eloise Scavella and John Agos are grossed up for individual tax reporting purposes.
Part II Line 4	Corey Gordon, Chief Development and Stewardship Officers employment ended January 31, 2018 with the American Diabetes Association.
Part II Line 6	Michael Eisenstein, SVP Products employment ended July 11, 2018 with the American Diabetes Association.
Part II Line 7	Martha Parry Clark, Interim Chief Executive Officers employment ended May 31, 2018 with the American Diabetes Association.
Part II Line 9	Chris Boynton, VP Eastern Divisions employment ended July 11, 2018 with the American Diabetes Association.
Part I Line 1b, 2	The Interim Chief Executive Officers housing and living allowances were paid as outlined and in accordance with the employment contract.
Part I Line 4a	Corey Gordon, Chief Development and Stewardship Officer, received a severance payment in the amount of 162,500. Michael Eisenstein, SVP Products, received a severance payment of 91,666. Chris Boynton, VP Eastern Division, received a severance payment of 70,125.
Part I Line 4b	William Cefalu, Chief Scientific, Medical and Mission Officer, is compensated by the American Diabetes Association and contributed 18,500 to its supplemental 457f retirement plan.
Part I Line 4b	Linda Cann, SVP Professional Services, is compensated by the American Diabetes Association and contributed 18,500 to its supplemental 457f retirement plan.

Schedule J (Form 990) 2018

Additional Data

Software ID:	18007340
Software Version:	19.1.1.0

- TIN:

SCHEDULE M
(Form 990)

Department of the Treasury

Internal Revenue Service

Noncash Contributions

Complete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image

Attach to Form 990.
Right pointing arrow large image

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

American Diabetes Association

Employer identification number

13-1623888

Part I

Types of Property

	(a) Check if applicable	(b) Number of contributions or items contributed	(c) Noncash contribution amounts reported on Form 990, Part VIII, line 1g	(d) Method of determining noncash contribution amounts
1 Art—Works of art ....
2 Art—Historical treasures .
3 Art—Fractional interests ..
4 Books and publications ..
5 Clothing and household goods .......
6 Cars and other vehicles ..	X	810	228,739	See Part II
7 Boats and planes ....
8 Intellectual property ...
9 Securities—Publicly traded .	X	54	197,183	Fair Market Value
10 Securities—Closely held stock .
11 Securities—Partnership, LLC, or trust interests ....
12 Securities—Miscellaneous ..
13 Qualified conservation contribution—Historic structures .....
14 Qualified conservation contribution—Other ...
15 Real estate—Residential .
16 Real estate—Commercial ..
17 Real estate—Other ...
18 Collectibles .....
19 Food inventory ...
20 Drugs and medical supplies .	X	42,285	2,198,335	Fair Market Value
21 Taxidermy ......
22 Historical artifacts ....
23 Scientific specimens ..
24 Archeological artifacts ...
25 Other ( )
26 Other ( )
27 Other ( )
28 Other ( )

Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement

Yes

30a

During the year, did the organization receive by contribution any property reported in Part I, lines 1 through 28, that it must hold for at least three years from the date of the initial contribution, and which is not required to be used for exempt purposes for the entire holding period? ...................

30a

If "Yes," describe the arrangement in Part II.

Does the organization have a gift acceptance policy that requires the review of any nonstandard contributions?

Yes

32a

Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash

contributions? ..........................

32a

Yes

If "Yes," describe in Part II.

If the organization did not report an amount in column (c) for a type of property for which column (a) is checked,

describe in Part II.

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 51227J

Schedule M (Form 990) (2018)

Page 2

Part II

Supplemental Information. Provide the information required by Part I, lines 30b, 32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.

Return Reference	Explanation
Part I Line 6	The method of determining noncash contributions amounts is the sales of comparable property and/or opinion of expert to determine the fair market value.
Part I Line 32b	The American Diabetes Association contracts with Automotive Recovery Services, Inc. 13085 Hamilton Crossing, Suite 500, Carmel, IN 46032, to advertise for donation of vehicles, as well as receive and sell/dispose of the donated vehicles on behalf of the American Diabetes Association.
Part I Line 6, 9, 20	Column b reports the number of items contributed.

Schedule M (Form 990) (2018)

Additional Data

Software ID:	18007340
Software Version:	19.1.1.0

- 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 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization

American Diabetes Association

Employer identification number

13-1623888

Return Reference	Explanation
Form 990, Part III, Line 4	Connected for Life
Form 990, Part III, Line 4	Today, more than 100 million Americans in the United States have diabetes or prediabetes an invasive, unrelenting and debilitating disease that spans all ages, geography and educational levels. This chronic disease targets children, the elderly and minority populations more than others and costs the United States 327 billion dollars each year in lost productivity. It is a global epidemic that contributes to heart disease, stroke, nerve and kidney disease and vision loss. The American Diabetes Association is the only organization dedicated specifically to the research, education and advocacy required to improve the lives of the 30.3 million adults and children in the U. S. with diabetes and the 84.1 million people with prediabetes. For 78 years, we have been working on the frontlines to educate at risk populations, protect the rights of people with diabetes at work, school and other aspects of daily life, pioneer clinical and research breakthroughs and foster a pipeline of the best and brightest scientists. From research labs to the halls of the Capitol to the offices of health care practitioners to communities nationwide, we are there. We are bending the curve to help people living with diabetes and their families thrive. Why Because we envision a life free of diabetes and all its burdens, which is fueled by our mission to prevent and cure diabetes and to improve the lives of all people affected by diabetes.
Form 990, Part III, Line 4	DIABETES RESEARCH
Form 990, Part III, Line 4	Diabetes is an extremely complex disease, caused by a combination of various genetic and environmental factors that progressively lead to an inability to produce or effectively utilize insulin. The complexity of causes conspiring to diminish the bodys production or response to insulin, leading to high blood glucose and eventual development of diabetes, makes finding a single cure particularly difficult. While a cure has been elusive, critical research efforts in recent decades have led to significantly improved patient care, resulting in fewer complications and better health outcomes for individuals with diabetes. As a leader in diabetes research, and the only organization dedicated specifically to the research, education and advocacy required to improve the lives of all people with diabetes, the American Diabetes Association funds critical, innovative diabetes research and invests in promising scientists early in their careers. Our direct involvement in diabetes research extends back to the 1940s when Dr. Charles H. Best, one of four scientists credited with discovering insulin, provided the ADA with the framework and early leadership for a formalized diabetes research program.
Form 990, Part III, Line 4	Since our Research Programs inception in 1952, we have been the leader in funding cutting edge diabetes research, supporting nearly 4,800 research projects and investing more than 834.4 million in diabetes research. In 2018, the ADA supported 318 new and continuing research projects at 104 leading research institutions across the United States. The projects cover the broad spectrum of research approaches, including basic, clinical and translational science and address all types of diabetes, diabetes related disease states and complications. The primary goals of the ADAs Research Program are to Support the highest quality science across the broad spectrum of diabetes research, Support investigators early in their careers to encourage them to dedicate their efforts to diabetes research, Support innovative research with a high potential to have a significant impact for patients with diabetes.
Form 990, Part III, Line 4	Peer Review Process. One of the factors that sets American Diabetes Association funded research apart and ensures that we are supporting the very best science is peer review. Peer review is a process whereby grant applications are reviewed and evaluated by individuals who are experts in the field or peers of the individual submitting the grant. ADA grant applications all undergo peer review by three or more volunteer experts who are themselves diabetes researchers. Reviewers provide both a score and detailed comments regarding the strengths and weaknesses of each grant they review. Scores from all reviewers for each grant are averaged to arrive at a composite merit score that is then used to determine which grants to support.
Form 990, Part III, Line 4	Types of Research Awards. Research awards are divided into four major categories that reflect our research goals and priorities, provide extraordinary opportunities for researchers from diverse backgrounds, and foster the professional development of young scientists interested in diabetes research. The categories are Investigator-Initiated Awards Core Program Pathway to Stop Diabetes Collaborative Targeted Research and Research Co-Support. Approximately 80 percent of American Diabetes Association-funded research falls under the Core Research Awards. The ADA uses a single annual grant application cycle for its Core Research Program, featuring a streamlined grant portfolio. In 2018, a total of 884 research grant applications were submitted. With donor-directed funding, the ADA supported a targeted initiative in 2018 to fund three postdoctoral fellows with clinical or translational research projects focused on understanding the cardiovascular complications of type 1 diabetes.
Form 990, Part III, Line 4	The ADA hosted a research symposium on the Use of Real-World Data to Improve the Prevention and Care of Diabetes-Related Outcomes in Washington D.C. in November of 2018. The symposium offered presentations and discussion with the goal of driving consensus to accelerate guidance on the design and use of real-world data to improve the prevention and care of diabetes-related outcomes. ADA-supported researchers made significant progress in understanding how diabetes develops and progresses, and in identifying new ways to combat the disease. Notable advances include assessing the potential of community programs to combat health disparities in type 2 diabetes a novel therapy to prevent type 1 diabetes leading to a better understanding of why the immune system attacks insulin-producing beta-cells in type 1 diabetes and preserving eyesight in people with diabetes by studying a unique molecule that seems to play an important role in the development of diabetic retinopathy, a progressive complication of diabetes that affects nearly 100 million people worldwide and leads to blindness.
Form 990, Part III, Line 4	Research Program Outcomes. The American Diabetes Association-funded researchers show an exemplary commitment to advancing their careers within the field of diabetes research. Within five years of their award 99 percent of the researchers we fund remain committed to diabetes research for at least five years. 9 out of 10 researchers secure new funding within five years to expand their work, leveraging 7.36 for every 1 invested by the American Diabetes Association
Form 990, Part III, Line 4	Pathway to Stop Diabetes. Launched in 2013, the American Diabetes Associations Pathway to Stop Diabetes initiative aims to inspire a new generation of diabetes researchers who are early in their career or are established but would like to expand their focus on diabetes research. Through awards of 1.625 million over the course of five to seven years, the program allows researchers to have the time and focus needed to explore new ideas. With a goal of funding 100 new diabetes researchers over the next decade, Pathway provides crucial support to individuals focusing on innovative ideas and transformational approaches that will lead to new discoveries in diabetes prevention and treatment. Importantly, Pathway is in addition to ongoing ADA research activities and is significantly expanding our research efforts. Six new Pathway awardees began their research projects in January 2018. During the 2018 calendar year these new awardees, along with the 23 Pathway scientists who were continuing in their terms of Pathway funding, collectively published 30 high impact original research manuscripts and seven reviews. They delivered 151 presentations at scientific meetings. Through 2018, eight Pathway Initiator award recipients of nine funded to date have secured their first independent faculty positions. Ten patent applications have been filed by Pathway awardees to date. These outcomes demonstrate that the Pathway initiative continues to exceed its objectives and progress toward our vision of bringing 100 brilliant scientists to diabetes research.
Form 990, Part III, Line 4	The Pathway scientists came together at the fourth annual Pathway to Stop Diabetes Symposium, held at the 78th Scientific Sessions in Orlando, Florida, where the newest cohort of Pathway awardees presented their project plans and progress to date. This exclusive symposium brought the awardees together with the Mentor Advisory Group, program sponsors, philanthropic supporters, and ADA leadership. The sixth annual Pathway to Stop Diabetes grant competition was held in 2018. The Mentor Advisory Group reviewed 89 outstanding nominations and selected three new Pathway awardees who began their grants in January 2018. With selection of these new awardees, the Pathway program has supported 32 outstanding investigators in total. 2018, the first group of scientists completed their terms of Pathway funding, which had started in 2014. These scientists, Kathleen Page, MD, of the University of Southern California Wolfgang Peti, PhD, of the University of Arizona and Joshua P. Thaler, MD, PhD, of the University of Washington, all completed their fifth and final year of their awards. Each of them has already added substantially to our understanding of diabetes and diabetes risk, and their contributions will continue throughout their careers in diabetes science, because they are now set up for success in conducting the kind of innovative, transformative research that holds promise to ultimately stop the health crisis that is diabetes.
Form 990, Part III, Line 4	Scientific Sessions. Held annually, Scientific Sessions exemplifies the American Diabetes Associations leadership role in the global diabetes community, while providing a critical platform for driving diabetes awareness. Scientific Sessions is the worlds largest scientific and medical meeting focused on the latest basic and clinical science research related to diabetes and its complications. The 78th Scientific Sessions, held June 22 to 26, 2018 in Orlando, Florida, brought together more than 14,000 physicians, scientists, researchers, and health care providers. Over the course of five days, participants received exclusive access to more than 3,000 original research presentations, increasing their knowledge on the latest advances in diabetes research, care, and education. More than 3,000 abstracts were received. Of those received, 2,491 were presented as either Oral or Poster presentations. The remaining abstracts were either printed in the Journal Diabetes as Published Only or not accepted for presentation by the Scientific Sessions Meeting Planning Committee.
Form 990, Part III, Line 4	5th ANNUAL FOCUS ON FELLOWS. The 5th Annual Focus on Fellows program was held in conjunction with the 78th Scientific Sessions. This meeting is dedicated to fostering growth/development of future diabetes clinicians, researchers and leaders. The 131 attendees participated in a program that covered clinical, research and career development topics
Form 990, Part III, Line 4	DIABETES IS PRIMARY. Diabetes Is Primary, an education program for primary care providers, was piloted in several markets in 2018. More than 600 primary care providers participated in these five pilots. Diabetes Is Primary was also held as a Scientific Sessions preconference. During 2018, more than 10,000 CE certificates were provided to individuals who participated in the programs webcasts.
Form 990, Part III, Line 4	WIN ADA. The Womens Interprofessional Network of the American Diabetes Association WIN ADA, ADAs membership group for female clinicians, scientists, and educators in diabetes, grew significantly in 2018 from 400 to 2,000 members. This group held its first mini-symposium titled Overcoming Gender Gaps in Science, as well as an evening networking reception at the 78th Scientific Sessions, which approximately 300 professionals attended.
Form 990, Part III, Line 4	INFORMATION
Form 990, Part III, Line 4	Saving Lives through Knowledge. For people affected by or at risk for diabetes, having access to the most up-to-date tools and resources can literally make the difference between life and death. As a trusted leader, the American Diabetes Association works hard to ensure that those affected by and at risk for diabetes, their health care team as well as the general public receive targeted, timely and accurate information. We deliver resources that people can access any time in multiple formats including our website for consumers and professionals, diabetes.org, our flagship social media channels, and our professional journals and publications. We focus our efforts on three areas 1. Raising awareness of diabetes as a serious disease. 2. Ensuring patients, providers and care givers have tools and resources to effectively treat and manage diabetes 3. Reaching diverse groups of people who are at risk for or have diabetes, their families and health care professionals, with the goal of reducing the incidence of diabetes and the impact of complications.
Form 990, Part III, Line 4	Center for Information. The ADAs Center for Information CFI at 1 800 DIABETES, marks the very first stop for many of our constituents as they start their journey of living with diabetes. The CFI processed nearly 100,000 contacts from constituents, professional members and others in 2018. Requests ranged from receiving information and resources for the care and management of diabetes, discrimination issues and enrolling in programs such as Living with Type 2 Diabetes, to inquiries about local and national ADA events, managing professional memberships and donations. CFI continued to support mission activities by Providing onsite support at trade shows and Scientific Sessions, Supporting the ADAs Hurricane Michael, Florence and Lane relief efforts, during regular and extended hours, including weekends, directing constituents and health care professionals to diabetes medication, food and other resources, Handling the logistics of the Living with Diabetes Ask the Expert Series, Collecting a total of 200,000 in donations, Distributing more than 40,000 packets of ADA produced information
Form 990, Part III, Line 4	Digital Engagement. We offer a variety of targeted and interactive online properties to connect with our consumer and professional audiences, while providing the latest diabetes-related information and news. Through our website, diabetes.org, to our Diabetes Stops Here blog and ever-growing presence on Facebook, Twitter, YouTube, Pinterest and Instagram, the American Diabetes Association is connected to its constituents 24/7. Diabetes.org. Our website for consumers and professionals, diabetes.org, is widely regarded as the most informative and credible diabetes and nutrition resource on the Internet. In 2018, the site had 18 million sessions, 28 million unique pageviews, and 13 million new users. Professional.diabetes.org. DiabetesPro at professional.diabetes.org provides the latest resources in diabetes care and research for health care professionals and scientists. The mobile-friendly platform gives the ADA enhanced ability to deliver customized members-only content. DiabetesPro is the most advanced professional education website in any branch of medicine, giving those who have placed diabetes in the center of their careers the opportunity to stay informed and take advantage of various resources and educational offerings. Featured content includes Diabetes meetings and continuing education opportunities. News. Clinical practice recommendations. Webcasts and podcasts. Journals and books. Research grants. Recognition programs. Professional section interest groups
Form 990, Part III, Line 4	Stopdiabetes.com. Stopdiabetes.com is the online hub of the American Diabetes Associations Stop Diabetes movement. The site invites visitors to pledge their support, add their name to the map and take action in the ADAs fight to Stop Diabetes. The sections include Ways to Act, Whats Happening, Get the Facts, Advocacy Center, and Donate Now. Social Media. The ADAs flagship social media channels continue to grow. Facebook fan base is now more than 727,000. Twitter following is up to 140,000. Pinterest following is over 13,000 with more than 62,000 monthly viewers. Instagram following is now over 28,000. LinkedIn continues to be a dedicated marketing communications channel for the professional audience. Our company page has more than 35,000 followers. The ADAs 78th Scientific Sessions generated more than 792 million media impressions worldwide. In 2018, the ADAs Diabetes Stops Here blog diabetesstopshere.org continued to publish regular, mission oriented content. Constituent acquisition through digital channels continued to be a major focus for the ADA in 2018. The ADA continued promoting the new Facebook Fundraisers tool with great success, raising more than 4.4 million dollars in 2018.
Form 990, Part III, Line 4	Youth, Young Adult and Family Initiatives Reaching Type 1 and Type 2 Diabetes Families. For children living with type 1 diabetes, the everyday challenges of being a kid must be balanced with the management of a disease that is constant, demanding and scary. They walk a tightrope between blood glucose levels that are too high and those that are too low both of which can be life threatening. Because type 1 diabetes is a life-long disease and challenges vary at every stage of life, the American Diabetes Association strives to reach those with type 1 diabetes with relevant programs throughout their life from early diagnosis through adulthood and advanced management. The Youth, Young Adult and Family Initiatives team hosted a conference in October 2018 to examine and address the needs of rapidly advancing medical technology and data with the support of The Leona M. and Harry B. Helmsley Charitable Trust. At the conference, 41 stakeholders, including leaders from the ADAs camp network, the Diabetes Education and Camping Association DECA, industry representatives, ADA Youth and Family Initiative staff, and The Helmsley Charitable Trust convened in Arlington, Virginia to plan for the future. The goal was to share best practices and information to create a living document entitled, Best Practices for the use of Diabetes Technology at Summer Camps, and a set of training materials entitled, Diabetes Basics that are available for download at diabetes.org summercamp.
Form 990, Part III, Line 4	Diabetes Camps. The American Diabetes Association continues to be the worlds largest provider of camps for children with diabetes. Our Diabetes Camps have become one of the most powerful and life changing avenues to improve the lives of children affected by diabetes. Offered each summer to nearly 6,000 youth with diabetes across the U.S., the overarching purpose of our Diabetes Camps is to promote diabetes self care in an environment thats fun, peer oriented and medically safe. Since 1947, these camps have provided a traditional summer camp experience while giving children the chance to master basic diabetes self management skills. At camp, children connect with peers facing the same daily struggles, build their confidence and overcome feelings of isolation and despair. Some campers learn how to inject insulin and count their own carbohydrates for the first time, while others advance their skills in insulin pump use. 2018 Diabetes Camp Highlights. The ADA hosted 80 Camp and Retreat sessions serving 6,677 children and teens and more than 10,000 of their loved ones. 2,019 campers were new in 2018. 2,661 volunteers made these programs possible. 1,553 trained medical professionals served as medical, dietary and social work staff during the summer season. The ADA also held five family retreats throughout the year, engaging parents and children who are newly diagnosed or new to the Camp community. The ADA continues to be the worlds largest provider of camps for children with diabetes. 5,689 of our 6,677 campers have type 1 diabetes. All camps offer camp fee subsidies for participants of 50 percent or more. In addition to this subsidy, 24 percent of our campers received need based financial aid and 535,974 dollars was awarded in 2018. This program ensures that the cost of camp is not a barrier for any family.
Form 990, Part III, Line 4	Gaining New Diabetes Management Skills. After camp, 91 of campers were able to perform at least one diabetes management skill independently. Rotate injection sites 21 increase. Draw up insulin without assistance 20 increase. Recognize own low blood glucose levels 20 increase. Gave own injections 19 increase. Understand insulin to carb ratios 18 increase. Checked for ketones 18 increase. Changed pump site/sets 18 increase. Project Power. The ADA continues to take on the growing rates of type 2 in youth with Project Power, our healthy lifestyle intervention program for children at risk for type 2 diabetes and their families. 605 participants in Project Power 25 growth in 2018. 19 total programs 5 new in 2018. Project Power participants identified as 59 Latino, 19 African American, 9 Caucasian, 5 Multi Racial, and 8 Other with 37 of campers having a primary language other than English or Bilingual.
Form 990, Part III, Line 4	Diabetes Disaster Response Coalition. The American Diabetes Association is a founding partner and convener of the Diabetes Disaster Response Coalition, a coordinated domestic disaster-response effort that also includes Insulin for Life USA, Juvenile Diabetes Research Foundation JDRF, the American Association of Clinical Endocrinologists AACE, the American Association of Diabetes Educators AADE, Beyond Type 1, the Diabetes Research Institute Foundation, the Endocrine Society, Insulet Corporation, The Leona M. and Harry B. Helmsley Charitable Trust, Lilly Diabetes, Sociedad Puertorriquena Endocrinologia Y Diabetologia SPED and T1D Exchange. The coalition was developed in 2017 following hurricanes Harvey, Irma, and Maria, in order to help make disaster-response efforts more efficient and responsive to the needs of people with diabetes. In 2018, the Coalition responded to seven hurricanes, storms, fires and disaster events and formalized the foundation of our work with the support of The Helmsley Charitable Trust. The Coalition is focused on its roles as educator, communicator, and advocate, leveraging its collective resources and influence to bring together the diabetes community, public agencies, disaster response organizations, retailers, elected officials, drug and device manufacturers and others to 1 prepare people with diabetes and their caregivers with the information and resources to remain healthy and safe during a disaster 2 remove road blocks to patient access to prescriptions and diabetes supplies during times of disaster 3 support and increase access to diabetes specialists to assist with diabetes care in shelters and other health care settings during times of disaster by sharing information between diabetes specialists/providers and those organizations that place volunteers on the ground and 4 serve as a communications hub during times of disaster, helping to identify and address unmet medical needs of people living with diabetes by connecting them to providers on the ground.
Form 990, Part III, Line 4	Professional Education. The primary goal of our professional education program is to affect the quality of treatment and improve patient outcomes for people with diabetes by providing quality education for those health care professionals who provide their care. We conduct professional education activities directed toward enhancing knowledge, competence, advancing skills and apprising health care professionals of the latest developments in diabetes research and clinical practice. The American Diabetes Association has been accredited to provide continuing education to health care professionals for more than 30 years and is accredited by seven accrediting boards. The ADA remains in exemplary standing with each accrediting board proving our compliance with the continuing education guidelines. The ADA continues to be at the forefront of professional continuing education for the diabetes community as an accredited provider of continuing education credit for all health care professionals on the diabetes management team. In November of 2018, Professional Services Department received Joint Accreditation for Interprofessional Continuing Education for health care professionals, and the ability to offer Maintenance of Certification MOC credit to physicians through the American Board of Internal Medicine AIBM. The ADA was awarded Joint Accreditation for Continuing Interprofessional Education through the Accreditation Council for Continuing Medical Education, the Accreditation Council for Pharmacy Education, and the American Nurses Credentialing Center. This designation allows the ADA to offer continuing education credit for physicians, nurses, pharmacists, physician assistants, psychologists and social workers. The intensive 18-month accreditation process included a self-study, an audit of the ADA and select programs, and an interprofessional interview with leaders of our Professional Education team and the accrediting boards. Based on our stellar programs, the ADA was awarded the maximum six-year accreditation term.
Form 990, Part III, Line 4	Diabetes Is Primary An education program for primary care providers, Diabetes Is Primary, was piloted in several markets in 2018. More than 600 primary care providers participated in these five pilots. Diabetes Summit. On November 28, 2018, the ADA hosted a full-day in person summit in Arlington, Virginia entitled Overcoming Therapeutic Inertia Accelerating Diabetes Care For Life. More than 130 professionals from across the spectrum of health care including health systems, clinicians, industry, researchers, payors, diabetes non-profits, technology companies, and more attended. Presentations were comprehensive in scope and the audience of key stakeholders were extremely interactive. There were more than 200 comments received throughout the day. A steering committee, representing key stakeholder groups, met the following day and discussed the presentations and all feedback received. The committee and ADA senior leadership agreed that to maintain the momentum of this project, the ADA would publish a Summary of Proceedings in early 2019 and distribute it to all attendees and all ADA journal subscribers. This summary will include the key points made from each speaker, recommendations for the creation of work groups to immediately begin solving key identified problems, and a high-level roadmap of timing and next steps for the project. The latest information and updates will be available on https//professional.diabetes.org therapeuticinertia. The site includes a full roster of attendees, the summit agenda, and the presentations given at the summit. This is a multi year campaign to address and provide solutions to this long-standing problem. It will require all stakeholders working together to fix it.
Form 990, Part III, Line 4	WIN ADA. The Womens Interprofessional Network of the American Diabetes Association WIN ADA, ADAs membership group for female clinicians, scientists, and educators in diabetes, grew significantly in 2018 from 400 to 2,000 members. The ADA also launched an online community for WIN ADA members within the DiabetesPro Forum, which will facilitate ongoing communication between women in the diabetes field and enhance the exchange of career development and womens health resources. Diabetes INSIDE. The ADAs Diabetes INSIDE continues to improve population health at participating health care systems. Parkland Health and Hospital system presented an oral session at ADAs 78th Scientific Sessions describing their Diabetes INSIDE experience and results. As part of the Know Diabetes by Heart initiative in partnership with the American Heart Association, Diabetes INSIDE has enrolled new health care systems with a focus on the mid Atlantic region to improve population health for people with diabetes and cardiovascular disease. Diabetes INSIDE has established multiple partnerships including the Jefferson College of Population Health, who will act as the academic partner for KDBH and host for live events, and HealthShare Exchange, a health information exchange that supports data sharing in the Greater Philadelphia health care market.
Form 990, Part III, Line 4	Diabetes INSIDE has also received new funding from Abbott to support QI activities in therapeutic inertia, with a focus on Philadelphia health care systems. These partnerships will ultimately allow Diabetes INSIDE to realize a strategic goal to form a regional collaborative of health care stakeholders to improve diabetes population health. The Education Recognition Program ERP continues to operate as the largest and longest standing of the two Medicare National Accrediting Organizations NAO with 1,600 Diabetes Self Management Education and Support DSMES services, with more than 3,700 sites and over 800,000 patients are served in 2018. The 2017 National Standards for DSMES workgroup, convened by ADA and AADE, finalized their evidence review and standards revisions in 2017. The Standards were simultaneously published in the ADAs October issue of Diabetes Care and the fall issue of AADEs The Diabetes Educator. The ERP national committee revised the ADA interpretive guidance of the standards and Medicare accepted their revisions in late 2017. In 2018, all ERP website resources, audit toolkits, auditor training and monthly program calls were updated according to the 2017 National DSMES. Three successful DSMES symposia during 2018 San Francisco, California, Lowell, Massachusetts, and Greenville, South Carolina. This one day program guides attendees on establishing and maintaining an ADA recognized service that adheres to the 2017 National DSMES Standards. The ADA Diabetes Prevention Program Charting Platform DPP Express was launched in the spring of 2017 in response to Medicares announcement of the expansion of Medicare Part B reimbursable services to include the CDC Diabetes Prevention Program starting in 2018. This has provided ERP another opportunity to support our current and potential Recognized DSMES services. DPP Express captures the CDC required DPP data, DPP sessions, and generates the required CDC reports. The ERP adapted the online Recognition application to allow for virtual DSMES services to apply for National Virtual DSMES Recognition. The National Application was developed to align with the evolving delivery of DSMES which is changing rapidly with the advancement of technology. The ADA Prevention Program Charting Platform was launched in the spring of 2017 in response to Medicares announcement of the expansion of Medicare Part B reimbursable services to include the CDC Diabetes Prevention Program starting in 2018. This has provided ERP another opportunity to support our current and potential Recognized DSMES services. The charting platform captures the CDC required DPP data, DPP sessions, and generates the required CDC reports. The DPP charting platform adaptations to align with the CMS final DPP coverage ruling and the revised 2018 CDC DPP standards was an element included in the CDC grant awarded to the ADA in the fall of 2017. The platform is available to ERP and non ERP programs for a nominal fee. The ERP adapted the online Recognition application to allow for virtual DSMES services to apply for National Virtual DSMES Recognition. The National Application was developed to align with the evolving delivery of DSMES, which is changing rapidly with the advancement of technology. The National Application allows a virtual DSMES service to apply for DSMES Recognition in all 50 states with a single application versus 50 separate applications. This also streamlines the annual status reporting processes to one annual report rather than 50 separate reports. National DSMES Recognition follows the same DSMES standards application requirements as traditional recognition
Form 990, Part III, Line 4	PUBLICATIONS. The American Diabetes Association is the leading authority in creating and publishing the worlds most respected consumer magazine, books, and professional journals about diabetes. Our award-winning monthly magazine, Diabetes Forecast, is the premier healthy living magazine for individuals affected by diabetes. Numerous books by well known and credentialed authors are published each year, including consumer-oriented books on diabetes treatment, self-care, nutrition, cooking and psychosocial issues, as well as a variety of titles for our professional readers, such as the frequently updated Medical Management Series. The ADA also publishes four highly valued professional journals, Diabetes, Diabetes Care, Clinical Diabetes and Diabetes Spectrum, as well as numerous articles, position and other professional papers.
Form 990, Part III, Line 4	Professional Journals. The ADA continued to publish the leading scientific and medical journals related to the prevention and treatment of diabetes and diabetes complications. In 2018, Diabetes, Diabetes Care, Clinical Diabetes and Diabetes Spectrum reached more than 40,000 health care professionals, including researchers, physicians and diabetes educators, with information on cutting edge diabetes research, state of the art treatment advances and clinical treatment guidelines. The ADAs professional journals at www.diabetesjournals.org received more than 10 million visits and 20 million page views, and studies published in ADA journals were cited more than 120,000 times by studies published in other science and medical publications. The 2017 impact factors for Diabetes and Diabetes Care were released in July 2018. Diabetes Care achieved the highest impact factor ever recorded for an ADA journal 13.4 and Diabetes achieved an impact factor of 7.3. The two journals rank 5th and 9th, respectively, of 138 publications in the field of endocrinology/metabolism. In addition, according to Eigenfactor, a measure of a journals total importance to the scientific community, Diabetes Care and Diabetes are the top two journals devoted to diabetes research, and ranked 1st and 3rd, respectively, among the 143 journals indexed in the broader field of endocrinology and metabolism. In January 2018, the ADA published the Standards of Medial Care in Diabetes and the abridged version of the Standards of Care for primary care physicians in Diabetes Care and Clinical Diabetes, respectively. In addition to these critical resources for diabetes health care professionals, numerous ADA position and other professional papers were published in Diabetes Care in 2018, including ADA Statement Economic Costs of Diabetes in the US. https//doi.org/10.2337/dci18-0007 May 2018. ADA Statement Insulin Access and Affordability. https//doi.org/10.2337/dci18-0019 June 2018. ADA Statement Evaluation and Management of Youth-Onset Type 2 Diabetes. https//doi.org/10.2337/dci18-0023 September 2018. Position Statement Type 1 Diabetes in Children and Adolescents. https//doi.org/10.2337/dci18-0052 December 2018. ADA Consensus Statement Management of Hyperglycemia in Type 2 Diabetes ADA-EASD Consensus Report. https//doi.org/10.2337/dci18-0033 December 2018
Form 990, Part III, Line 4	Diabetes Forecast. The ADAs consumer magazine, Diabetes Forecast, published six issues in 2018, reaching nearly 6 million readers. It reaches people where they are at home with the print magazine, in their inboxes with a biweekly e newsletter, and wherever on the web. The magazine covered topics of interest to those living with diabetes and their families, including eating healthfully, staying active, preventing complications, and learning to best manage day to day diabetes related activities. In 2018, Diabetes Forecast magazine celebrated its 70th year of providing people with diabetes with relevant, accurate, and engaging information that helps them better manage their diabetes. Each issue throughout the year highlighted people with diabetes who have lived long lives with diabetes, focusing on topics like how diabetes treatment has changed in the past several decades, from medication advancements to new technology to innovations in diabetes education and awareness. In addition, Diabetes Forecast content was packaged into mini, advertiser backed supplements and included in select issues of the magazine. These supplements focused on topics of relevance to the Diabetes Forecast audience retinopathy, continuous glucose monitors, and pneumococcal vaccination. The magazine took first steps to integrate its recipe content with the ADAs Food Hub. In the print edition of Diabetes Forecast, the food section has been rebranded as Food Hub, and the Food Hub logo reinforces the connection between the two products. Recipes appearing in the magazine are now posted to Food Hub.
Form 990, Part III, Line 4	Awareness Education. National Diabetes Prevention Program. The Centers for Disease Control and Prevention CDC awarded the ADA a five-year, DP17-1705 cooperative agreement to support the expansion of the National Diabetes Prevention Program National DPP to underserved areas in the U.S. In 2018, the ADA provided funding, technical assistance, and resources to six affiliate sites in five states including Arizona, California, Kansas, Oklahoma and Texas. The affiliate sites have worked to increase referrals from health care providers, increasing awareness and enrollment, improving retention rates, and developing agreements to cover the CDC-recognized lifestyle change program. In 2018, the ADA was instrumental in helping five affiliate sites apply for recognition with the CDC. Affiliate sites enrolled more than 600 new participants into lifestyle change programs, reached more than 138,600 people with messages of awareness and recruitment, and developed referral agreements with seven health care providers in their community. The cooperative agreement runs from September 30, 2017 through September 29, 2022.
Form 990, Part III, Line 4	American Diabetes Month. Observed every November, American Diabetes Month ADM is an important element in the efforts of the ADA to focus the nations attention on diabetes and the tens of millions of people affected by it. Through the ADAs flagship awareness campaign, the ADA speaks directly to constituents and rally them to increase awareness and understanding of the prevalence of diabetes and the burden it places on individual lives. In 2018, the ADA partnered with Colgate Total and CVS Pharmacy to raise a unified voice for diabetes awareness through an integrated marketing and communications strategy. The result was a powerfully themed campaign Everyday Reality with messaging illustrating the everyday realities from the perspective of the person caring for or living with diabetes. The individuals shared their Everyday Reality to help people understand the daily management required for diabetes, but more importantly, to make them feel that diabetes is personally relevant and connected to them. The team promoted the campaign using paid media, earned media, ADA channels, and partner outreach. The campaign was incredibly successful with more than 472,000 in Facebook donations during November, the highest ever received through that channel. Additionally, the campaign garnered nearly 60,000 pageviews to the ADM landing page, and more than 3.5 million impressions through social media.
Form 990, Part III, Line 4	Know Diabetes by Heart.The American Diabetes Association joined forces with the American Heart Association, along with other industry leaders to launch a collaborative initiative Know Diabetes by Heart to reduce cardiovascular deaths, heart attacks and strokes in people living with type 2 diabetes. With support from founding sponsors, the Boehringer Ingelheim and Eli Lilly and Company Diabetes Alliance and Novo Nordisk, and national sponsors Sanofi and Astra Zeneca, the Know Diabetes by Heart initiative seeks to comprehensively combat the national public health impact of type 2 diabetes and cardiovascular disease by Raising awareness and understanding of the link between diabetes and cardiovascular disease. Positively empowering people to better manage their risk for cardiovascular disease, heart attacks and strokes. Supporting health care providers in educating their patients living with type 2 diabetes on cardiovascular risk and increasing their patients engagement in prevention of cardiovascular deaths, heart attacks and strokes. Learn more about the Know Diabetes by Heart initiative at knowdiabetesbyheart.org.
Form 990, Part III, Line 4	Diabetes Food Hub. In May of 2018, the Products Department launched the Diabetes Food Hub, the new food and cooking platform designed specifically for people with diabetes. Working with a cross departmental team that represented Mission, Marketing and Communications, Legal, and Corporate Alliances, this platform was designed from the ground up based on the needs and requirements of those living with diabetes, their caregivers, and health care professionals. In 2018, the site had more than 500,000 visitors, 2 million pageviews, and 27,000 registered users, with an average audience growth of 19 percent month over month from May to December. Features of the new site include Hundreds of recipes that meet the ADAs nutrition guidelines, with new content published weekly. An interactive Meal Planner that allows home cooks to build out a week of meals, complete with nutrition information. Automatic and editable shopping lists. Advanced search capabilities, including filters and ingredient search. Dynamic profiles that retains user likes and dislikes over time. Advice and cooking tips from diabetes nutrition and cooking experts.
Form 990, Part III, Line 4	Signature Campaigns. Our special events provide another opportunity for the American Diabetes Association to raise awareness about diabetes and are an integral part of our strategic vision to eradicate the disease. In 2018, all ADA events, including our signature events Step Out Walk to Stop Diabetes and Tour de Cure, incorporated our educational message to bring awareness of the seriousness of this diabetes epidemic. Our special events team formed our brand-new Do-It-Yourself platform, Team Diabetes, that allows constituents to turn their passion into a fundraiser for the American Diabetes Association through www.diabetes.org/teamdiabetes. Our top 64 Step Out Tour de Cure participants who raised 10,000 or more raised a total of more than 1 million.
Form 990, Part III, Line 4	ADVOCACY
Form 990, Part III, Line 4	Speaking Up for All People with Diabetes. The American Diabetes Associations advocacy efforts and achievements are at the core of creating effective and lasting change for people living with and at risk for diabetes. Raising our voices from Capitol Hill to state houses to court houses across the country, our dedicated Diabetes Advocates continue to drive momentum in our ongoing fight to Stop Diabetes. Our advocacy work gives people with diabetes, their families and health care professionals the power to influence public policy issues that affect people with diabetes at the local, state and national levels. Our primary goals are to increase federal and state funding for diabetes prevention, treatment and research, to prevent diabetes, to improve the availability of accessible, adequate and affordable health care. to end the discrimination people with diabetes face at school, work and elsewhere in their lives.
Form 990, Part III, Line 4	We have trained advocates around the country who represent those with diabetes who need a raised voice to protect their rights. An ever-growing volunteer network of attorneys, health care professionals and advanced school advocates help thousands facing discrimination because of their diabetes. In 2018, the ADA Federally increased funding diabetes research and programs by nearly 170 million for Fiscal Years 2018 and 2019 and achieved a 600 million reauthorization of the Special Diabetes program, which supports critical research toward better treatments and a cure for type 1 diabetes and essential prevention and management programs for American Indians through Fiscal Year 2019. Increased funding for National Institute of Diabetes and Digestive and Kidney Diseases by over 159 million, for the Division of Diabetes Translation by 8 million and for the National Diabetes Prevention Program by 2.8 million in federal Fiscal Years 2018 and 2019. Achieved 600 million reauthorization of the Special Diabetes Program, which supports critical research toward better treatments and a cure for type 1 diabetes and essential prevention and management programs for American Indians through Fiscal Year 2019. Participated in hundreds of meetings, briefings events and other actions in support of our legislative and regulatory priorities which led to a record setting 80 legislative and regulatory wins in states across the country. Added two states to the 27 states already requiring diabetes action plans that assess the burden of diabetes and prioritize policy recommendations to reduce the burden of diabetes. Achieved 30 state level wins that advance prevention policies including school-based policies, community-based policies, and budget allocations that increase state investment in prevention programs. Mobilized Diabetes Advocates through our Congress at Home initiative to host nearly 60 in-district meetings across the country with Congressional members and their staff. More than 80 of the meetings were with targeted key congressional member offices those with direct influence and jurisdiction over ADA federal policy priorities and asks. Convened nearly 200 people living with and affected by diabetes, health care professionals, researchers, and 17 current and former professional football players at Call to Congress to advocate on Capitol Hill in Washington, D.C. for increased federal funding for diabetes research, affordable insulin and health care access and coverage and more.
Form 990, Part III, Line 4	Helping Patients and Their Families Thrive. Achieved goal of congressional hearing on insulin affordability and delivered testimony to the Senate Special Committee on Aging about the rising cost of this lifesaving drug. Published a white paper with conclusions and recommendations to address this issue and a public policy statement outlining steps state and federal legislators and regulators can take to address rising insulin costs. Secured an additional 181,000 signatures for ADAs insulin affordability petition for a total of over 432,000 signatures. This ongoing campaign included the launch of a new animated video to explain the complexities of the insulin supply chain. Achieved 37 state level wins protecting or improving health care for millions of people with diabetes in states across the country. Continued efforts to protect the Affordable Care Act ACA by filing an amicus friend of the court brief defending the ACA against a lawsuit challenging the laws constitutionality. The brief, which was jointly filed with four other patient advocacy organizations, brought to the courts attention the ADAs significant interest in protecting the ACA for Americans impacted by diabetes. Introduced in the House and Senate for the first time the Expanding Access to Diabetes Self Management Training Act, which would remove barriers to Diabetes Self Management Education and Support in Medicare and encourage beneficiaries to participate in such programs. Educated and inspired action among our 525,000 advocates in more than 70 federal, state and legal advocacy calls to action throughout the year. Handled 2,005 discrimination cases, a record high in the 18 year history of the Legal Advocate Program. Much of the increase was noted in cases involving discrimination in the workplace, representing a 15 percent increase over 2017.
Form 990, Part III, Line 4	Affirmed positive outcomes for individuals who received assistance from the Legal Advocate Program, such as increased knowledge of relevant laws and increased confidence in responding to discrimination. These outcomes were verified by data from a survey of constituents helped via ADA Safe at School campaign. Celebrated the publication of a Final Rule by the U.S. Department of Transportation, Federal Motor Carrier Safety Administration that eliminated a blanket ban against insulin use for commercial drivers with diabetes. This rule was the culmination of a 12 year rulemaking process and more than two decades of advocacy by ADA. Pursued litigation against the U.S. Army Child, Youth School Services on an appeal to the U.S. Court of Appeals for the Ninth Circuit and organized amicus curiae friend of the court support from a record 32 diabetes, disability, and civil rights organizations. Filed a class action lawsuit against the New York City public school system challenging discriminatory practices that violate the rights of children with diabetes by denying them the necessary services to safely attend school and even exclude them from some school activities. Improved access to continuous glucose monitors used with a mobile device for Medicare beneficiaries. Educated individuals with diabetes and prediabetes about health insurance coverage options and key factors to consider when enrolling. Increased access to nutritious foods through healthy food financing, school-based meal assistance programs, and other state-level health equity legislation that impacts communities across the country. Empowered advocates by launching three new Advocates in Action opportunities, including two webinars, Kids with Diabetes How ADA Helps and Advocacy in an Election Year Legal Dos and Donts of Advocacy, as well as a Local Media Blitz geared at placing opinion editorials in districts with newly elected officials written by Diabetes.
Form 990, Part III, Line 4	We are Connected for Life. Just Imagine. The American Diabetes Association is a lot of things to a lot of different people. But the one thing we are to everyone is a connection point in the fight to cure diabetes to help people live a better life. Just imagine. Imagine the day when diabetes will no longer devastate our families and communities, our neighbors near and far. When a parent doesnt have to hear that their child has an incurable disease that brings with it not only sleepless nights, but constant fears about possible complications and diabetes related discrimination. When nobody has to worry anymore about blood glucose highs and lows and whether that blurred vision is the beginning of a life without sight. When a family can gather at a family reunion and create happy memories instead of having to gather at a graveside to say goodbye to a loved one who has lost their battle against diabetes. We know that, together, we can stop this dreadful disease and realize our vision life free of diabetes and all its burdens. Learn more at www.diabetes.org and www.stopdiabetes.com.
Form 990, Part III, Line 4	Other Program Services revenue reported in Line 4d 1,723,746 relates to the investment in real estate. This investment represents a 1998 donor bequest that restricted the Association from selling the property for 25 years. A portion of the property is leased to corporations and derives monthly income that is reported in investment income.
Form 990, Part VI, Section A, Line 6, 7a	The American Diabetes Association has established the voting membership of the Association as the Voting Members. The Voting Members are comprised of all of the members of the Board of Directors and additional delegates. The Voting Members vote on the election of the organizations governing body each year. No governance decisions are reserved to or subject to approval by the membership.
Form 990, Part VI, Section B, Line 11	IRS Review Process by the Governing Body The American Diabetes Association Board of Directors assigns the Audit Committee the oversight responsibility of the IRS Form 990 and its supplemental schedules prior to completion. After review by management and KPMG, the final signed 990 was provided to the Associations Board of Directors prior to filing with the IRS.
Form 990, Part VI, Section B, Line 12	Managing Conflict of Interest To identify potential conflicts of interest with appropriate due diligence, Officers, Directors, and members of select Board appointed committees and their related subcommittees, journal/periodical editors, and senior staff of the Association must annually disclose any potential conflicts of interest. The American Diabetes Associations Audit Committee and senior staff in Legal Affairs manage the disclosure and monitoring processes. Through review of the annual disclosures and review of the agendas of the relevant Board ,Committee and other meetings, appropriate efforts are made in advance of the meetings to identify potential conflicts of interest. Each person also has the responsibility to report his/her own conflicts of interest actual or perceived as those conflicts may arise during a meeting. Based on the situation, senior volunteers and staff presiding over the discussion are responsible to ensure appropriate action is taken for the individual to publicly disclose the conflict, for the individual to recuse him or herself from the discussion, vote or room as appropriate and to ensure the disclosure and action is documented in the minutes of the meeting.
Form 990, Part VI, Section B, Line 15a	Compensation Process Annually, The American Diabetes Association Principal Officers Chair of the Board President, Medicine Science President, Health Care Education and Secretary/Treasurer are responsible for establishing executive compensation consistent with the guidelines approved by the Compensation Committee. The Principal Officers of the Association use a Compensation Committee, compensation studies and an in dependent consultant to establish the compensation of the Chief Executive Officer and other Key employees. The Chief Executive Officer is responsible for the individual performance evaluations of staff officers and key employees, and establishes the total compensation for key employees subject to the guidelines established by the Executive Compensation Committee. The Executive Compensation Committee develops guidelines for the key employee executive positions listed below following the process described in the IRS intermediate sanctions rules when determining compensation. Specifically, the Committee 1 Is composed entirely of non-employee volunteer leaders who have no familial, business or significant personal relationships with the American Diabetes Association or its executives 2 Assesses the short-term and long-term contribution and performance of CEO and other senior executive employees in meeting very definitive and quantifiable objectives focused on the Associations mission success 3 Engages an independent compensation consulting firm to compile appropriate comparability data including compensation market information for peers with whom the American Diabetes Association competes for executive talent. 4 The Committee reviews this data in detail for all elements of each executives total compensation, including but not limited to base salary, bonuses, perquisites, fringe benefits, and incentive and deferred compensation arrangements. Upon the executives hire, and at each point in time thereafter at which a new or revised compensation arrangement is under consideration with respect to the executive, the Committee meets before the arrangement is implemented to evaluate the reasonableness of the arrangement by comparing both the arrangement itself and the executives entire compensation package to compensation packages paid by similarly situated organizations for functionally comparable positions 5 Documents, concurrently with its determination, the basis for its determination in the minutes of its meeting These minutes are reviewed, revised if necessary and approved at the following meeting of the Executive Compensation Committee. The process described above was used to establish compensation for the following positions Chief Executive Officer, Chief Field Development Officer, Chief Financial Officer, Chief Medical Officer, Chief Revenue Officer, Executive Vice President of Government Affairs Advocacy, Senior Vice President and Chief Technology Officer, Senior Vice President of Human Resources, Senior Vice President of Marketing Communications. The total compensation of executives at the American Diabetes Association is specifically designed to attract and retain the highest qualified executive talent to fulfill the critically important mission to prevent and cure diabetes and to improve the lives of all people affected by diabetes.
Form 990, Part VI, Section C, Line 17	Filing Jurisdiction Registration Number Alabama-AL97-256, Alaska-N/A, Arizona-10145, Arkansas-N/A, California-CT81471, Colorado-2002-3003670, Connecticut-5084, District of Columbia-981855, Florida-CH1618, Georgia-CH-001422, Hawaii-N/A, Illinois-CO 01-025537, Indiana-000103829-000, Kansas- 177-257-3SO, Kentucky-45, Louisiana-N/A, Maine- CO-1247, Maryland-102, Massachusetts-029317, Michigan-MICS 10326, Minnesota-N/A, Mississippi- 100000294, Missouri- CO-021-87, New Hampshire-5006, New Jersey- CH-0581900, New Mexico-N/A, New York- 1/30/1965, North Carolina- SL000618, North Dakota-7894, Ohio- 01-0239, Oklahoma- N/A, Oregon- 16402, Pennsylvania- No. 21, Rhode Island-95-233, South Carolina-641, Tennessee-5104, Utah- 6536093-Char, Virginia-N/A, Washington-7664, West Virginia-N/A, Wisconsin- 3020-800.
Form 990, Part VI, Section C, Line 19	The following information is available on the American Diabetes Associations website http//www.diabetes.org Board of Directors, Audited Consolidated Financial Statements, Latest 990 filed, Whistleblower policy. Available subject to request to the American Diabetes Association Legal Affairs department are the following Current Bylaws, Articles of Incorporation, Conflict of Interest Policy.
Form 990, Part VII, Section A, Line 1a	The Chief Executive Officer of the Association is a non-voting member of the Board of Directors.
Form 990, Part VI, Section A, Line 4	The bylaws of the American Diabetes Association were revised in 2018. Changes to the bylaws include 1 mission statement added, 2 principal office location changed to Arlington, Virginia, 3 Diabetes Epidemic Action Council removed from delegates, 4 categories of non-voting members expanded, and 5 Chief Scientific, Medical and Mission Officer added to Board of Directors.
Form 990, Part VI, Section A, Line 9	Employment term for Tracey D Brown, Chief Executive Officer, started on June 1, 2018. Employment term for Martha Parry Clark, Interim Chief Executive Officer, ended on May 31, 2018. Employment term for Eloise Scavella, Chief Operating Officer, started on July 23, 2018. Employment term for Corey Gordon, Chief Development and Stewardship Officer, ended on January 31, 2018. Employment term for Michael Eisenstein, SVP Products, ended on July 11, 2018. Employment term for Chris Boynton, VP Eastern Division, ended on July 11, 2018.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2018

Additional Data

Software ID:	18007340
Software Version:	19.1.1.0

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

American Diabetes Association

Employer identification number

13-1623888

Part I

Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)American Diabetes Association Research Foundation Inc 2451 Crystal Drive Ste 900 Arlington,VA22202 54-1734511	See Part VII	VA	501 c 3	7	Association	Yes
(2)American Diabetes Association Property Title Holding Corporation 2451 Crystal Drive Ste 900 Arlington,VA22202 54-1948004	See Part VII	VA	501 c 2	N/A	Association	Yes

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2018

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	Yes	No

Schedule R (Form 990) 2018

Page 3

Part V

Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

b Gift, grant, or capital contribution to related organization(s) ............................

Yes

c Gift, grant, or capital contribution from related organization(s) ............................

d Loans or loan guarantees to or for related organization(s) ............................

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

k Lease of facilities, equipment, or other assets from related organization(s) ......................

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

Yes

m Performance of services or membership or fundraising solicitations by related organization(s) .................

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

Yes

o Sharing of paid employees with related organization(s) ............................

Yes

p Reimbursement paid to related organization(s) for expenses ............................

q Reimbursement paid by related organization(s) for expenses ............................

r Other transfer of cash or property to related organization(s) ............................

s Other transfer of cash or property from related organization(s) ............................

Yes

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) American Diabetes Association Research Foundation Inc	b	12,910,264	Cash
(2) American Diabetes Association Research Foundation Inc	l,n,o	691,869	Fair Value
(3) American Diabetes Association Property Title Holding Corporation	s	1,723,746	Cash

Schedule R (Form 990) 2018

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2018

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

Return Reference	Explanation
Part II Line 1b	The Foundations objective is to secure major gifts and grants to fund diabetes related research leading to the prevention and cure of diabetes, the prevention and cure of the complications of diabetes, and new therapies for individuals affected by diabetes.
Part II Line 2b	The mission of the American Diabetes Association Property Title Holding Corp. is to hold title to real property, collect the income therefrom, and remit to the American Diabetes Association.

Schedule R (Form 990) 2018

Additional Data

Software ID:	18007340
Software Version:	19.1.1.0

1	Briefly describe the organization’s mission or most significant activities: The mission of the American Diabetes Association the Association is to prevent and cure diabetes and to improve the lives of all people affected by diabetes.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	16
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	16
5	Total number of individuals employed in calendar year 2018 (Part V, line 2a) ......	5	1,007
6	Total number of volunteers (estimate if necessary) .............	6	209,749
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	2,457,693
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	102,801,334	118,306,745
9	Program service revenue (Part VIII, line 2g) .........	29,176,181	29,206,262
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	2,165,485	2,296,877
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	9,714,434	8,553,919
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	143,857,434	158,363,803
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	32,094,041	13,217,277
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)	60,276,025	52,399,077
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	1,373,868	1,042,033
b	Total fundraising expenses (Part IX, column (D), line 25) 31,024,183
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	74,778,098	65,597,906
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	168,522,032	132,256,293
19	Revenue less expenses. Subtract line 18 from line 12.......	-24,664,598	26,107,510
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	134,328,413	142,466,593
21	Total liabilities (Part X, line 26).............	98,658,308	83,630,180
22	Net assets or fund balances. Subtract line 21 from line 20.....	35,670,105	58,836,413

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 43,200,984 including grants of $ 198,702 ) (Revenue $ 16,819,070 )
	Information - See Schedule O

4b	(Code: ) (Expenses $ 25,147,214 including grants of $ 65,698 ) (Revenue $ )
	Advocacy and Public Awareness - See Schedule O

4c	(Code: ) (Expenses $ 23,636,582 including grants of $ 12,952,877 ) (Revenue $ 14,037,485 )
	Research - See Schedule O

4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ 1,723,746 )
4e	Total program service expenses91,984,780

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	5,036,256	548,187

1a	Federated campaigns..		1a	4,335,041
b	Membership dues..		1b
c	Fundraising events..		1c	19,679,856
d	Related organizations		1d
e	Government grants (contributions)		1e	1,508,433

f	All other contributions, gifts, grants, and similar amounts not included above		1f	92,783,415

g	Noncash contributions included in lines 1a - 1f:$ 2,624,257
h Total. Add lines 1a-1f.......		118,306,745

		Business Code
2a	Subscriptions	511120	10,261,625	10,261,625
b	Registration	611710	9,972,064	9,972,064
c	Sales of Material	511130	2,688,652	2,688,652
d	Booth Rental	611710	5,015,420		5,015,420
e	Other Program Service Revenue	900099	1,268,501	1,268,501
f	All other program service revenue.
g	Total. Add lines 2a–2f ....		29,206,262

3 Investment income (including dividends, interest, and othersimilar amounts) ......			1,927,934			1,927,934
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........			2,564,081			2,564,081
		(ii) Personal	(i) Real
6a	Gross rents
b	Less: rental expenses
c	Rental income or (loss)
d	Net rental income or (loss)......
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	15,589	38,916,330
b	Less: cost or other basis and sales expenses		38,562,976
c	Gain or (loss)	15,589	353,354
d	Net gain or (loss).....			368,943			368,943
8a	Gross income from fundraising events (not including $ 19,679,856of contributions reported on line 1c). See Part IV, line 18 ....
	a		3,937,420
b	Less: direct expenses ...b		3,937,420
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a		2,730
b	Less: direct expenses ...b		829
c	Net income or (loss) from gaming activities..			1,901			1,901
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..
Business Code			Miscellaneous Revenue
11a	Advertising Income		541800	2,402,879		2,402,879
b	Catalog Sales Income - Gift of Hope		454110	54,814		54,814
c	Abstract Fees Permissions Income		900099	709,877	709,877
d	All other revenue ....			2,820,367	2,820,367
e	Total. Add lines 11a–11d ......			5,987,937
12	Total revenue. See Instructions......			158,363,803	27,721,086	2,457,693	9,878,279

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21	13,152,173	13,152,173
2	Grants and other assistance to domestic individuals. See Part IV, line 22	48,713	48,713
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, line 15 and 16.	16,391	16,391
4	Benefits paid to or for members	0
5	Compensation of current officers, directors, trustees, and key employees ....	4,826,301	3,184,433	342,099	1,299,769
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	0
7	Other salaries and wages	37,988,230	25,125,364	3,653,890	9,208,976
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	1,317,143	873,533	120,130	323,480
9	Other employee benefits .......	5,120,627	3,065,539	966,239	1,088,849
10	Payroll taxes ...........	3,146,776	2,084,506	281,025	781,245
11	Fees for services (non-employees):
a	Management ......	0
b	Legal .........	222,363	108,887	111,563	1,913
c	Accounting ...........	353,541	7,071	344,702	1,768
d	Lobbying ...........	177,974	177,974
e	Professional fundraising services. See Part IV, line 17	1,042,033			1,042,033
f	Investment management fees ......	237,791		237,791
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	5,515,446	4,535,444	371,876	608,126
12	Advertising and promotion ....	3,306,721	1,859,632	19,209	1,427,880
13	Office expenses .......	3,365,244	2,038,691	567,499	759,054
14	Information technology ......	5,165,689	3,535,819	196,403	1,433,467
15	Royalties ..	73,011	73,011
16	Occupancy ...........	9,302,435	7,010,940	607,566	1,683,929
17	Travel ............	2,742,965	2,140,336	41,726	560,903
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .	0
19	Conferences, conventions, and meetings ....	4,967,904	4,920,899	2,365	44,640
20	Interest ...........	101	89	3	9
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization ..	3,889,815	2,567,278	350,083	972,454
23	Insurance ...	672,474	465,838	54,281	152,355
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	Supplies	2,944,658	2,801,435	13,721	129,502
b	Postage and Shipping	6,012,269	2,705,978	16,639	3,289,652
c	Printing and Publications	11,100,652	6,377,327	178,706	4,544,619
d	Data Processing	1,755,920	1,044,516	814	710,590
e	All other expenses	3,790,933	2,062,963	769,000	958,970
25	Total functional expenses. Add lines 1 through 24e	132,256,293	91,984,780	9,247,330	31,024,183
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 if following SOP 98-2 (ASC 958-720).	18,626,989	4,843,529	305,619	13,477,841

1	Cash–non-interest-bearing ........			8,555,546	1	10,325,940
2	Savings and temporary cash investments .........			58,477	2	273,979
3	Pledges and grants receivable, net ......			31,304,541	3	43,752,266
4	Accounts receivable, net .............			2,906,399	4	2,529,580
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 ........			2,296,004	8	2,476,250
9	Prepaid expenses and deferred charges ......			3,377,486	9	2,984,753
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	47,733,720
b	Less: accumulated depreciation	10b	33,910,422	16,094,972	10c	13,823,298
11	Investments—publicly traded securities .			40,127,034	11	37,395,043
12	Investments—other securities. See Part IV, line 11 .....			10,345,570	12	9,607,301
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			19,262,384	15	19,298,183
16	Total assets. Add lines 1 through 15 (must equal line 34)...			134,328,413	16	142,466,593

17	Accounts payable and accrued expenses .....	25,593,911	17	24,291,801
18	Grants payable ...		18
19	Deferred revenue .........	9,774,932	19	9,123,278
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	63,289,465	25	50,215,101
26	Total liabilities. Add lines 17 through 25..	98,658,308	26	83,630,180

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	-18,379,826	27	-2,177,792
28	Temporarily restricted net assets ...........	39,166,992	28	46,858,807
29	Permanently restricted net assets	14,882,939	29	14,155,398
	Organizations that do not follow SFAS 117 (ASC 958), check here 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 ...........	35,670,105	33	58,836,413
34	Total liabilities and net assets/fund balances ........	134,328,413	34	142,466,593

1	Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes,"the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
2	Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to separately file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A; don't file with Form 990). . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
3	Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471). . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
4	Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621) .	Yes	No
5	Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships (see Instructions for Form 8865). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
6	Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to separately file Form 5713, International Boycott Report (see Instructions for Form 5713; don't file with Form 990).. . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No