TY 2019 Form 990

(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
(1) Tracey D Brown...................................................................... Chief Executive Officer	36.90 ................. 000.60	X			740,424	297,583
(2) Eloise Scavella...................................................................... Chief Operating and Strategy Officer	37.50 .................		X		351,489	34,838
(3) John Agos...................................................................... Chief Strategic Development Officer	37.50 .................		X		299,585	42,037
(4) William Cefalu ended 81519...................................................................... Chief Scientific, Medical Mission Officer	37.40 ................. 000.10		X		290,418	28,732
(5) Vignesh Clingam effective 22819 end...................................................................... Chief Marketing Digital Officer	37.50 .................		X		304,518	11,087
(6) Charlotte M Carter...................................................................... Chief Financial Officer	36.90 ................. 000.60	X			279,844	26,353
(7) Linda Cann...................................................................... Sr Vice President, Professional Services	37.50 .................		X		211,011	48,286
(8) Paul Nalbandian...................................................................... Assoc. Publisher, Advertising Sales Sponsor	37.50 .................			X	223,979	29,908
(9) Sean McDonough...................................................................... Vice President General Counsel	37.50 .................			X	214,573	14,744
(10) Anthony Webster ended 91019...................................................................... Chief Human Resources Officer	37.50 .................		X		200,403	21,436
(11) LaShawn McIver...................................................................... SVP, Government Affairs, Advocacy Community Integrated Health	37.50 .................			X	187,644	32,873
(12) Tricia Cedotal...................................................................... VP Corporate Alliances	37.50 .................			X	187,611	20,086
(13) Roy Furman...................................................................... Medical Director, Quality Improvement	37.50 .................			X	192,292	12,084
(14) Tony Chiles ended 92019...................................................................... Chief Information Officer	37.50 .................		X		172,278	29,585
(15) Jeanine Jones...................................................................... VP, HR Operations	37.50 .................		X		178,382	20,028
(16) Elaine Curran...................................................................... VP Development	37.50 .................		X		175,357	19,033
(17) Christa Wilson...................................................................... VP, Information Technology	37.50 .................		X		156,327	18,258

(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)
(18) David Herrick MBA........................................................................ Chair of the Board	6.00 .......................000.20	X	X
(19) Louis H Philipson MD PhD........................................................................ President, Medicine Science	6.00 .......................000.20	X	X
(20) Gretchen Youssef MS RD CDE........................................................................ President, Health Care Education	6.00 .......................000.20	X	X
(21) Brian Bertha JD MBA........................................................................ Secretary-Treasurer	6.00 .......................000.20	X	X
(22) Umesh Verma........................................................................ Chair of the Board-Elect	2.00 .......................000.30	X	X
(23) Robert H Eckel MD........................................................................ President-Elect, Medicine Science	2.00 .......................000.20	X	X
(24) Mary de Groot PhD........................................................................ President-Elect, Health Care Education	2.00 .......................000.20	X	X
(25) Martha Parry Clark MBA........................................................................ Secretary/Treasurer-Elect	2.00 .......................000.20	X	X
(26) Robert M Cuddihy MD........................................................................ Board of Directors	1.00 .......................	X
(27) Janet Brown Friday RN MSN MPH........................................................................ Board of Directors	1.00 .......................	X
(28) Sherita Hill Golden MD MHS........................................................................ Board of Directors	1.00 .......................	X
(29) C Ronald Kahn MD........................................................................ Board of Directors	1.00 .......................	X
(30) Otis W Kirksey PharmD RPh CDE BC-AD........................................................................ Board of Directors	1.00 .......................	X
(31) Cynthia E Munoz PhD MPH........................................................................ Board of Directors	1.00 .......................	X
(32) Jean O'Connor JD DrPH FACHE........................................................................ Board of Directors	1.00 .......................	X
(33) Christopher K Ralston JD........................................................................ Board of Directors	1.00 .......................	X
(34) Glen Tullman........................................................................ Board of Directors	1.00 .......................	X
(35) Julio Rosenstock MD........................................................................ Board of Directors	1.00 .......................	X

(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	2,443,826
CHAPMAN CUBINE & HUSSEY INC 2000 15th Street North Suite 550 Arlington,VA22201	Professional fundraising and consulting	725,819
CONTRAVENT LLC 916 South Main Street Salt Lake City,UT84101	Digital Marketing	598,440
SPECTRUM SCIENCE COMMUNICATIONS LLC 2001 Pennsylvania Ave NW 2nd Floor Washington,DC20006	Health Communications	539,550
RICOH USA INC 70 Valley Stream Parkway Malvern,PA19355	Printing Services	479,065
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 35

- 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 instructions and the latest information.

OMB No. 1545-0047

2019

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) 2019

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..	135,304,032	122,553,876	102,801,334	118,306,745	108,955,331	587,921,318
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	135,304,032	122,553,876	102,801,334	118,306,745	108,955,331	587,921,318
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.						587,921,318

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(f) Total
7	Amounts from line 4..	135,304,032	122,553,876	102,801,334	118,306,745	108,955,331	587,921,318
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...	4,560,225	4,337,308	4,063,059	4,492,015	3,352,336	20,804,943
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.)..	33,439	34,645	45,752	2,730		116,566
11	Total support. Add lines 7 through 10						608,842,827

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

195,025,409

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 2019 (line 6, column (f) divided by line 11, column (f)) .........

96.560 %

Public support percentage for 2018 Schedule A, Part II, line 14 ...............

96.660 %

16a

33 1/3% support test—2019. 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—2018. 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—2019. 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—2018. 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) 2019

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) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
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) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(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 2019 (line 8, column (f) divided by line 13, column (f)) .........

0 %

Public support percentage from 2018 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2019 (line 10c, column (f) divided by line 13, column (f)) ......

0 %

Investment income percentage from 2018 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2019. 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—2018. 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) 2019

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) 2019

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) 2019

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) 2019

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 2019 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2019	(iii) Distributable Amount for 2019
1 Distributable amount for 2019 from Section C, line 6
2 Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2019:
a From 2014.......
b From 2015.......
c From 2016.......
d From 2017.......
e From 2018.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2019 distributable amount
i Carryover from 2014 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2019 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2019 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2019, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2019. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2020. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2015.....
b Excess from 2016.....
c Excess from 2017.....
d Excess from 2018.....
e Excess from 2019.....

Schedule A (Form 990 or 990-EZ) (2019)

Schedule A (Form 990 or 990-EZ) 2019

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) 2019

Additional Data

Software ID:	19009610
Software Version:	19.2.1.0

- 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

2019

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) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019) Page 2

Name of organization American Diabetes Association

Part I Contributors	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) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

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) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

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) (2019)

Additional Data

Software ID:	19009610
Software Version:	19.2.1.0

- 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

2019

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) 2019

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) 2016	(b) 2017	(c) 2018	(d) 2019	(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) 2019

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|No

(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

584,291

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

Yes

75,540

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

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

725,351

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 access to 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 2019, the ADA achieved Increased funding for National Institute of Diabetes and Digestive and Kidney Diseases by over 84 million, maintained funding for the Division of Diabetes, and increased funding for the National Diabetes Prevention Program by 2 million for federal Fiscal Year 2020. Participated in hundreds of meetings, briefings events and other actions in support of our legislative and regulatory priorities which led to 100 legislative and regulatory wins in states across the country. Achieved 55 state level wins that increase accessibility to affordable and adequate health care. Achieved 42 state level wins that advance prevention policies and increase health equity. Provided review and language for Safe at School legislation and regulation in seven states ensuring laws and regulations align with American Diabetes Association standards and principles. Mobilized Diabetes Advocates through our Congress at Home initiative to host nearly 40 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 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 further congressional hearings on insulin affordability, delivering expert testimony to the Senate Finance Committee and the House Energy and Commerce Committees Subcommittee on Oversight and Investigation 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 to the U.S. Court of Appeals for the Fifth Circuit defending the ACA against a lawsuit challenging the laws constitutionality. The brief, which was jointly filed with numerous other patient advocacy organizations, brought to the courts attention the ADAs significant interest in protecting the ACA for Americans impacted by diabetes. Built support in the House and Senate for 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 110 federal, state and legal advocacy calls to action and biweekly newsletter updates 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 access to 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 2019, the ADA achieved Increased funding for National Institute of Diabetes and Digestive and Kidney Diseases by over 84 million, maintained funding for the Division of Diabetes, and increased funding for the National Diabetes Prevention Program by 2 million for federal Fiscal Year 2020. Participated in hundreds of meetings, briefings events and other actions in support of our legislative and regulatory priorities which led to 100 legislative and regulatory wins in states across the country. Achieved 55 state level wins that increase accessibility to affordable and adequate health care. Achieved 42 state level wins that advance prevention policies and increase health equity. Provided review and language for Safe at School legislation and regulation in seven states ensuring laws and regulations align with American Diabetes Association standards and principles. Mobilized Diabetes Advocates through our Congress at Home initiative to host nearly 40 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 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 further congressional hearings on insulin affordability, delivering expert testimony to the Senate Finance Committee and the House Energy and Commerce Committees Subcommittee on Oversight and Investigation 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 to the U.S. Court of Appeals for the Fifth Circuit defending the ACA against a lawsuit challenging the laws constitutionality. The brief, which was jointly filed with numerous other patient advocacy organizations, brought to the courts attention the ADAs significant interest in protecting the ACA for Americans impacted by diabetes. Built support in the House and Senate for 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 110 federal, state and legal advocacy calls to action and biweekly newsletter updates 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) 2019

Additional Data

Software ID:	19009610
Software Version:	19.2.1.0

- 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 instructions and the latest information.

OMB No. 1545-0047

2019

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)	33,681
4	Aggregate value at end of year ........	582,124

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 FASB 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 FASB 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 FASB 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) 2019

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 ....	22,635,671	22,899,249	22,534,220	22,460,102	22,540,712
b	Contributions ...	80,442	4,547	182,068	-3,646	-2,371
c	Net investment earnings, gains, and losses	2,949,834	1,449,845	2,556,516	1,972,812	1,593,023
d	Grants or scholarships ...	2,214,213	1,717,970	2,373,555	1,895,048	1,671,262
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......	23,451,734	22,635,671	22,899,249	22,534,220	22,460,102

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

21.000 %

Term endowment SchDMd Bullet

79.000 %

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	6,334,906	2,244,320	4,090,586
d	Equipment ....	16,245,961	13,478,019	2,767,942
e	Other .....	26,712,845	21,866,258	4,846,587
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				11,709,615

Schedule D (Form 990) 2019

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	10,549,883	F
(D)
(E)
(F)
(G)
(H)
(I)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	10,549,883

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

(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
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				6,620,288
(2)Investment in Net Assets of American Diabetes Association Property Title Holding Corporation				12,817,875
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				19,438,163

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
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	32,831,409
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) 2019

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	155,962,029
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a	3,270,479
b	Donated services and use of facilities .........	2b	2,837,563
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d	3,935,511
e	Add lines 2a through 2d .....................			2e	10,043,553
3	Subtract line 2e from line 1..................			3	145,918,476
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	210,643
b	Other (Describe in Part XIII.) ...........	4b	637,373
c	Add lines 4a and 4b....................			4c	848,016
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	146,766,492

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	149,563,239
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a	2,837,563
b	Prior year adjustments ............	2b
c	Other losses ................	2c	-674,330
d	Other (Describe in Part XIII.) ............	2d	27,610,366
e	Add lines 2a through 2d....................			2e	29,773,599
3	Subtract line 2e from line 1...................			3	119,789,640
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	210,643
b	Other (Describe in Part XIII.) ............	4b	17,660,067
c	Add lines 4a and 4b.....................			4c	17,870,710
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	137,660,350

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 reseearch, 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, 2019, 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 3,291,589. Contributed services reported by the American Diabetes Association Research Foundation, Inc. EIN 54-1734511 643,924.
XI 4b	Management fee earned from the American Diabetes Association Research Foundation, Inc. EIN 54-1734511 637,373.
XII 2d	American Diabetes Association Research Foundation, Inc. EIN 54-1734511 expenses 27,610,366.
XII 4b	Grant to the American Diabetes Association Research Foundation, Inc. EIN 54-1734511 17,660,067.

Schedule D (Form 990) 2019

Additional Data

Software ID:	19009610
Software Version:	19.2.1.0

- 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

2019

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" on 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) (such as, fundraising, program services, investments, grants to recipients located in the region)	(f) Total expenditures for and investments in the region
	Europe Including Iceland and Greenland	Grantmaking	16,840
















3a	Sub-total ....		16,840
b	Total from continuation sheets to Part I ...
c	Totals (add lines 3a and 3b)		16,840

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2019

Schedule F (Form 990) 2019

Page 2

Part II

Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" on 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	16,840	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) 2019

Schedule F (Form 990) 2019Page 3

Part III

Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" on 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 noncash assistance	(g) Description of noncash assistance	(h) Method of valuation (book, FMV, appraisal, other)

Schedule F (Form 990) 2019

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2019

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 Foundation 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) 2019

Additional Data

Software ID:	19009610
Software Version:	19.2.1.0

- 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

2019

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 10 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
	Chapman Cubine and Hussey Inc 2000 N 15th Street Arlington, VA22201	See Part IV		No	13,925,670	566,400	13,359,270
	Automotive Recovery Services Inc 13085 Hamilton Crossing Blvd Carmel, IN46032	See Part IV	Yes		274,825	89,149	185,676
	Gordon and Schwenkmeyer Inc 20300 S Vermont Ave Torrance, CA90502	Telemarketing		No	26,480	35,676
	Telefund Inc 186 Lincoln Street Boston, MA02111	Telemarketing		No	1,500	14,611






Total . . . . . . . . . . . . . . . . . . . .					14,228,475	705,836	13,544,946

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) 2019

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 . . . . .	2,539,697	16,119,055	3,633,349	22,292,101
2	Less: Contributions . . . .	2,139,337	13,624,343	2,784,492	18,548,172
3	Gross income (line 1 minus line 2) . . . . . .	400,360	2,494,712	848,857	3,743,929

4	Cash prizes . . . . .
5	Noncash prizes . . . .	20,329	243,624	21,425	285,378
6	Rent/facility costs . . . .	257,485	1,139,004	247,175	1,643,664
7	Food and beverages . . .	11,796	439,156	381,995	832,947
8	Entertainment . . . .	17,992	56,647	102,112	176,751
9	Other direct expenses . . .	92,758	616,280	96,151	805,189
10	Direct expense summary. Add lines 4 through 9 in column (d) . . . . . . . . . .				3,743,929
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) 2019

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 2b1	Chapman Cubine and Hussey, Inc. 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 2b2	Automotive Recovery Services, Inc. activities are advertising, acquisition and disposal of donated vehicles solicited by American Diabetes Association.
Part I Line 2b2	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) 2019

Additional Data

Software ID:	19009610
Software Version:	19.2.1.0

- 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

2019

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 Inc 2451 Crystal Drive Suite 900 Arlington,VA22202	54-1734511	501c3	17,660,067	Research
(2) Lions Camp Merrick 11855 Holly Lane Suite 104 Waldorf,MD20601	52-1289731	501c3	30,000	Camperships
(3) Cooper Green Mercy Health Services 1515 6th Avenue South Birmingham,AL35233	63-0658867	501c3	10,250	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) 2019

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	8	50,000
(2) Travel Scientific Conferences	6	5,572
(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 2019, the American Diabetes Association hosted 79 camp sessions in 25 states serving over 5,500 campers with Type I, Type 2, and over 3,000 participants 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) 2019

Additional Data

Software ID:	19009610
Software Version:	19.2.1.0

- 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

2019

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 on 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 on 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) 2019

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 Chief Executive Officer	(i) (ii)	592,408 -------------	140,000 -------------	8,016 -------------	270,347 -------------	27,236 -------------	1,038,007 -------------	133,140 -------------
2Charlotte M Carter Chief Financial Officer	(i) (ii)	273,279 -------------	4,640 -------------	1,925 -------------	16,565 -------------	9,788 -------------	306,197 -------------	-------------
3Eloise Scavella Chief Operating and Strategy Officer	(i) (ii)	346,039 -------------	4,640 -------------	810 -------------	25,572 -------------	9,266 -------------	386,327 -------------	-------------
4Vignesh Clingam effective 22819 end Chief Marketing Digital Officer	(i) (ii)	172,531 -------------	126,885 -------------	5,102 -------------	-------------	11,087 -------------	315,605 -------------	-------------
5Christa Wilson VP, Information Technology	(i) (ii)	153,227 -------------	-------------	3,101 -------------	9,252 -------------	9,006 -------------	174,586 -------------	-------------
6William Cefalu ended 81519 Chief Scientific, Medical Mission Officer	(i) (ii)	286,279 -------------	-------------	4,139 -------------	16,341 -------------	12,391 -------------	319,150 -------------	-------------
7Jeanine Jones VP, HR Operations	(i) (ii)	173,912 -------------	-------------	4,470 -------------	10,492 -------------	9,536 -------------	198,410 -------------	-------------
8LaShawn McIver SVP, Government Affairs, Advocacy Community Integrated Health	(i) (ii)	186,763 -------------	-------------	881 -------------	5,867 -------------	27,006 -------------	220,517 -------------	-------------
9Elaine Curran VP Development	(i) (ii)	171,829 -------------	-------------	3,528 -------------	10,441 -------------	8,592 -------------	194,390 -------------	-------------
10Anthony Webster ended 91019 Chief Human Resources Officer	(i) (ii)	187,690 -------------	-------------	12,713 -------------	8,865 -------------	12,571 -------------	221,839 -------------	-------------
11Linda Cann Sr Vice President, Professional Services	(i) (ii)	207,045 -------------	-------------	3,966 -------------	30,818 -------------	17,468 -------------	259,297 -------------	-------------
12Roy Furman Medical Director, Quality Improvement	(i) (ii)	187,121 -------------	-------------	5,171 -------------	11,037 -------------	1,047 -------------	204,376 -------------	-------------
13Sean McDonough Vice President General Counsel	(i) (ii)	207,562 -------------	4,640 -------------	2,370 -------------	12,496 -------------	2,248 -------------	229,316 -------------	-------------
14Paul Nalbandian Assoc. Publisher, Advertising Sales Sponsor	(i) (ii)	159,736 -------------	61,776 -------------	2,467 -------------	12,635 -------------	17,273 -------------	253,887 -------------	-------------
15John Agos Chief Strategic Development Officer	(i) (ii)	245,396 -------------	50,000 -------------	4,189 -------------	15,752 -------------	26,285 -------------	341,622 -------------	-------------
16Tricia Cedotal VP Corporate Alliances	(i) (ii)	180,066 -------------	4,640 -------------	2,905 -------------	11,226 -------------	8,860 -------------	207,697 -------------	-------------
17Tony Chiles ended 92019 Chief Information Officer	(i) (ii)	170,804 -------------	-------------	1,474 -------------	9,111 -------------	20,475 -------------	201,864 -------------	-------------

Schedule J (Form 990) 2019

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.
Part II Line 6	William Cefalu, Chief Scientific, Medical and Mission Officers employment with the American Diabetes Association ended on August 15, 2019.
Part II Line 4	Vignesh Clingam, Chief Marketing Digital Officers employment with the American Diabetes Association ended on November 15, 2019.
Part II Line 17	Tony Chiles, Chief Information Officers employment with the American Diabetes Association ended on September 20, 2019.
Part II Line 10	Anthony Webster, Chief Human Resources Officers employment with the American Diabetes Association ended on September 10, 2019.
Part I Line 4a	Anthony Webster, Chief Human Resources Officer, received a severance payment in the amount of 8,369.
Part I Line 4b	Linda Cann, SVP Professional Services, is compensated by the American Diabetes Association and contributed 18,208 to its supplemental 457f retirement plan.
Part I Line 4b	Tracey Brown, Chief Executive Officer, is compensated by the American Diabetes Association and contributed 45,297 to its supplemental 457f retirement plan.
Part I Line 4b	Eloise Scavella, Chief Operating Strategy Officer, is compensated by the American Diabetes Association and contributed 16,950 to its supplemental 457f retirement plan.

Schedule J (Form 990) 2019

Additional Data

Software ID:	19009610
Software Version:	19.2.1.0

- 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

2019

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	547	185,513	See Part II
7 Boats and planes ....
8 Intellectual property ...
9 Securities—Publicly traded .	X	100	914,883	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	66,963	3,069,939	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 isn't 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 didn't 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) (2019)

Page 2

Part IISupplemental 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 contribution 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) (2019)

Additional Data

Software ID:	19009610
Software Version:	19.2.1.0

- 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

2019

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. Today, more than 122 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 34 million adults and children in the U. S. with diabetes and the 88 million people with prediabetes. For 79 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. 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 American Diabetes Association 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 more than 4,800 research projects and investing more than 860 million in diabetes research. In 2019, the ADA supported 295 new and continuing research projects at 118 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. 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 2019, a total of 609 research grant applications were submitted from scientists based at institutions across the United States. ADA-supported researchers made significant progress in understanding how diabetes develops and progresses, and in identifying new ways to combat the disease.
Form 990, Part III, Line 4	A new way to prevent immune cells from attacking insulin-producing beta-cells Replacing insulin producing beta cells that have been lost in people with type 1 diabetes is a promising strategy to restore control of glucose levels. However, because the autoimmune disease is a continuous process, replacing beta cells results in another immune attack if immunosorbent drugs are not used, which carry significant side effects. This year, ADA funded researcher Dr. Jianxun Song reported on the potential of an immunotherapy he developed that prevents immune cells from attacking beta-cells and reduces inflammatory processes. This immunotherapy offers several potential benefits, including eliminating the need for immunosuppression, long lasting effects, and the ability to customize the treatment to each patient. The ability to suppress autoimmunity has implications for both prevention of type 1 diabetes and improving success rates of islet transplantation. A novel therapy to prevent type 1 diabetes The hormone insulin normally acts like a key, traveling through the blood and opening the cellular lock to enable the entry of glucose into muscle and fat cells. However, in people with type 2 diabetes, the lock on the cellular door has, in effect, been changed, meaning insulin isnt as effective. This phenomenon is called insulin resistance. Scientists have long sought to understand what causes insulin resistance and develop therapies to enable insulin to work correctly again. In 2019, ADA funded researcher Dr. Scott Summers determined an essential role for a molecule called ceramides as a driver of insulin resistance in mice. He also presented a new therapeutic strategy for lowering ceramides and reversing insulin resistance. His findings were published in one of the most prestigious scientific journals, Science. Soon, Dr. Summers and his team will attempt to validate these findings in humans, with the ultimate goal of developing a new medication to help improve outcomes in people with diabetes.
Form 990, Part III, Line 4	Revealing the relationship between food insecurity and diabetes. Food insecurity is defined as the state of being without reliable access to a sufficient quantity of affordable, notorious food. For people living with prediabetes or type 2 diabetes, food insecurity can be even more detrimental as it can result in an inability to follow nutritional guidelines, even if they are motivated to do so. In 2019, ADA funded researcher Dr. Rebekah J. Walker conducted a study to determine the direct and indirect ways in which food insecurity influences glucose control and self-care behaviors. Her research determined that food insecurity was indirectly associated with A1C, and different self-care behaviors including diet, exercise and medication adherence. This year, she plans to test the effect of a culturally tailored food box to reduce food insecurity in African Americans with diabetes and improve outcomes. Pathway to Stop Diabetes. 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 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.
Form 990, Part III, Line 4	Three new Pathway awardees began their research projects in January 2019. During the 2019 calendar year these new awardees, along with the 27 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 2019, all nine Pathway Initiator award recipients have secured their first independent faculty positions. Thirteen 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. Several exciting outcomes that have the potential to help patients with diabetes resulted from Pathway research in 2019. Dr. Zachary Knight identified a new pathway that regulates appetite which could help to explain the effectiveness of bariatric surgery to induce rapid weight loss and improve glucose control. Dr. Alexander Nectow discovered that a specific type of neuron in the brain potently regulates energy expenditure and could be targeted to help with weight-loss. Dr. Sumita Pennathur and her team of researchers developed a new molecule with the potential to improve the durability and accuracy of continuous glucose monitoring.
Form 990, Part III, Line 4	The Pathway scientists came together at the 6th annual Pathway to Stop Diabetes Symposium, held at the 79th Scientific Sessions in San Francisco, CA, 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 American Diabetes Association leadership. The 7th annual Pathway to Stop Diabetes grant competition was held in 2019. The Mentor Advisory Group reviewed 72 outstanding nominations and selected two new Pathway awardees who began their grants in January 2020. With selection of these new awardees, the Pathway program has supported 34 outstanding investigators in total. In 2019, the second group of scientists completed their terms of Pathway funding, which had started in 2015. These scientists, Mayland Chang, PhD, of the University of Notre Dame Thomas Delong, PhD, of the University of Colorado, Denver Zhen Gu, PhD, of the University of California, Los Angeles and Stephen C.J. Parker, of the University of Michigan, 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 79th Scientific Sessions, held June 7 to 11, 2019 in San Francisco, California, brought together over 12,000 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, 2,544 were presented as either Oral or Poster presentations. The remaining abstracts were published on the journal Diabetes website as Published Only or not accepted for presentation by the Scientific Sessions Meeting Planning Committee. 6th Annual Focus on Fellows The 6th Annual Focus on Fellows program was held in conjunction with the 79th Scientific Sessions. This meeting is dedicated to fostering growth development of future diabetes clinicians, researchers and leaders and engage fellows early in their careers to encourage them to remain in the diabetes field.
Form 990, Part III, Line 4	ADA Host Research Symposium with European Association for the Study of Diabetes EASD. The ADA hosted a research symposium on Advancing Precision Diabetes Medicine in Madrid, Spain in October of 2019. The symposium, held in conjunction with the European Association for the Study of Diabetes, focused on the future of precision medicine in diagnosing, preventing, and treating diabetes. As part of the ADAs new Precision Medicine in Diabetes Initiative, this scientific meeting was designed to engage diverse stakeholders in incorporating and building the evidence base for the adoption of a precision medicine approach to diabetes. The ultimate goals of the initiative are to better predict who is at risk for diabetes, determine how best to diagnose for treatment, and identify ways to improve treatment outcomes and reduce the risk of diabetes complications. INFORMATION. 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.
Form 990, Part III, Line 4	We focus our efforts on three areas Raising awareness of diabetes as a serious disease. Ensuring patients, providers and care givers have tools and resources to effectively treat and manage diabetes. 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. 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 90,000 contacts from constituents, professional members and others in 2019. CFI helps to bend the curve every day by providing constituents with information and resources on prevention, nutrition and diabetes management, help with medications and supplies, discrimination issues, ADA events, assisting professional members and donors and much more In 2019, CFI supported ADAs mission by Helping nearly 90,000 contacts, Collecting a total of 178,544 in donations, Distributing more than 30,000 packets of information, Processing 3,100 intakes for our Legal Advocacy team, Assisting over 6,000 contacts with information and resources for assistance with medications and supplies. In addition, established working relationships with Novo Nordisk and Eli Lilly to connect constituents who need financial assistance for their insulin directly to the Novo Nordisk Customer Care Center and the Lilly Diabetes Solution Center., Handling logistics after the Living with Diabetes Ask the Expert Series assembled and mailed over 5,000 giveaways to Ask the Experts participants and assisted with over 500 unanswered questions from constituents., Providing onsite support at Scientific Sessions
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 newly refreshed website, diabetes.org, our new blog diabetes.org/blog to our ever growing presence on Facebook, Twitter, YouTube, 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 2019, the site had 25 million sessions, 34 million unique pageviews, and 15 million new users. Social Media. The ADAs flagship social media channels continue to grow Facebook fan base is now more than 740,000, Twitter following is up to 145,000, Pinterest following is over 15,000, Instagram following is now over 35,000, LinkedIn continues to be a dedicated marketing communications channel for the professional audience. Our company page has more than 49,000 followers. The ADAs 79th Scientific Sessions generated more than 340 million media impressions worldwide. In August 2019, the ADA launched a new blog diabetes.org/blog to lift up the stories of real people living and thriving with diabetes. Over the four and a half months it was live in 2019, it received nearly 175,000 pageviews. Constituent acquisition through digital channels continued to be a major focus for the ADA in 2019. The ADA continued promoting the new Facebook Fundraisers tool with great success, raising more than 3 million in 2019.
Form 990, Part III, Line 4	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. Youth, Young Adult and Family Initiatives Reaching Type 1 and Type 2 Diabetes Families. Reaching People. The American Diabetes Association continues to be the worlds largest provider of camps for children with diabetes. The ADA hosted 57 summer Camp and winter camp sessions serving 5,827 children and teens and more than 10,000 loved ones.
Form 990, Part III, Line 4	2,236 campers were new in 2019. 2,425 volunteers made these programs possible. 1,208 trained medical professionals served as medical, dietary and social work staff during the summer season. ADA also held two winter camps throughout the year, engaging parents and children who are newly diagnosed or new to the Camp community.. 5,219 of our 5,827 campers have Type 1 diabetes. All camps offer camp fee subsidies for participants of 50 or more. In addition to this subsidy, 24 of our campers received need-based financial aid and 513,456 was awarded in 2019. This program ensures that the cost of camp is not a barrier for any family.. Gaining New Diabetes Management Skills. After camp, 97 of campers were able to perform at least one diabetes management skill independently. Rotate injection sites 17 increase. Draw up insulin without assistance 12 increase. Recognize own low blood glucose levels 10 increase. Gave own injections 10 increase. Understand insulin to carb ratios 13 increase. Checked for ketones 13 increase. Changed pump site/sets 17 increase. In addition, 69 of campers were always or often able to solve diabetes management problems after attending camp a 17 increase from before Camp. Among all campers and across all areas, knowledge increased by 31 after camp. Nearly 30 of our youngest campers increased their knowledge of when to check blood sugar. 27 of parents and caregivers stated that their familial communication improved or significantly improved after their child attended Camp
Form 990, Part III, Line 4	Sharing Best Practices. The Youth, Young Adult and Family Initiatives team hosted a conference in October 2019 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, 45 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. Engaging Partners. Industry and professional partners contributed more than 4 million in donated services and supplies. Top supporters included Novo Nordisk, Lilly Diabetes, Sanofi-Aventis, Direct Relief, Animas/LifeScan, Medtronic, Omnipod, Insulet, and Nova Diabetes Care Camp supplies include, insulin, meters, pens needles, strips, lancets and insulin pump supplies. Youth and Family Initiatives were supported nationally by the generosity of Novo Nordisk, The Leona M. and Harry B. Helmsley Charitable Trust, and Lilly Diabetes.
Form 990, Part III, Line 4	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. 3,866 participants in Project Power 600 growth in 2019. 23 total programs 4 new in 2019. Ask the Experts. To address issues commonly faced by people living with diabetes, the American Diabetes Association developed a free education series focused on diabetes management. The monthly wellness series includes live QA with diabetes experts, aimed to reinforce and increase participant knowledge of and engagement in healthy lifestyle behaviors as well as provide a community where individuals can ask questions and hear from others who might share similar experiences. As part of the Know Diabetes by Heart initiative, this series provides tools and resources for people living with type 2 diabetes to learn how to reduce their risk of cardiovascular disease. In 2019, experts connected with 6,141 participants who engaged for 20 minutes on the phone or online. Many participants attended multiple events, with 32 of unique participants attending six or more. Participants were highly satisfied with events and experienced notable impact. Across events, individual level knowledge increased 16 on average from before an event to after an event. On average, 23 of participants who had not done so previously, had a conversation with a healthcare provider about the link between heart disease and diabetes one month after attending an event. Additionally, 17 of participants who had not done so before, enrolled in a diabetes education program within one month after attending an event.
Form 990, Part III, Line 4	Diabetes Self-Management Support DSMS. ADA launched the new Diabetes Support Initiative to identify and promote Diabetes Self-Management Support programs. ADA convened a subject matter expert workgroup to review, vet, and identify DSMS program curriculums and resources that meet the ADA criteria for support programming, align with the Standards of Care, and demonstrate significant positive outcomes. http//professional.diabetes.org/dsi. An online application platform was developed and a call for applications were submitted in March and July 2019 to review research-tested and practice-tested DSMS programs. 10 organizations diabetes support program curriculums and resources were approved based on ADA diabetes support criteria. ADA developed a new Diabetes Support Directory, a free online tool to help connect communities to a qualified, ADA-approved diabetes support program. The ADA-approved diabetes support programs currently listed on the Diabetes Support Directory are promoted to Education Recognition Programs, partner health clinics, community-based organizations, and health systems. http//professional.diabetes.org/dsdirectory ADA has developed a Community Grants process to offer financial support to deliver ADA approved diabetes support programs in high risk communities. ADA was awarded 98,000 in grant funding from Janssen Pharmaceuticals to implement one of the ADA approved diabetes support programs in partnership with one of our Education Recognition Programs FQHC as a 2020 pilot.
Form 990, Part III, Line 4	Community Health Workers CHWs. To address ADAs Standards of Care highlighting the importance of CHWs in diabetes prevention and management, especially among underserved communities, the ADAs National Health Disparities Committee developed the new CHW webpage Resources for CHWs. The Health Disparities Committee and ADAs Professional Membership team established the new CHW Professional Membership for only 35 for community health representatives, peer health educators and other frontline public health workers. Promotions of the new CHW professional membership were done in collaboration with the National Association of Community Health Workers NACHW and through other ADA partner networks. In 2019, there were a total of 49 CHW professional members. A free Health Disparities Community Health Workers Resources continuing education webcast series was developed by the Health Disparities Committee to provide professional education resources addressing various topics related to CHWs and social determinants of health. The first webcast entitled Community Health Workers CHWs Strong Evidence base for Embracing CHWs into the Public Health and Healthcare Workforce held in December 2019, had a total of 870 registrants.
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. Education Recognition Program. Since the American Diabetes Association became a National Accrediting Organization NAO for Medicare in 1986, our Education Recognition Program ERP has recognized more than 6,500 diabetes self-management education and support DSMES services across the Unites States plus U.S territories including as far as Guam
Form 990, Part III, Line 4	In 2019, The ADA supported over 1,500 services in more than 3,600 sites across the U.S. These services are located within hospitals, clinics, pharmacies, health departments, Federally Qualifies Health Centers FQHC, rural health clinics, Indian health services and VA hospitals among others. More than 750,000 patients were served by the ADAs Recognized services. These services are provided by over 8,000 trained professionals such as Registered Nurses, Registered Dietitians, Pharmacists, and Certified Diabetes Care and Education Specialists CDCED. The ADA received 600 applications from services to renew, expand or start a new Recognized program. The average A1C decrease was 1.28 among patients documented in Chronicle Diabetes ADAs diabetes education platform. Nutrition Programs. What Can I Eat Program. Many high risk populations do not receive culturally appropriate prevention services. To address this need, the American Diabetes Association created What Can I Eat, a community based, nutrition focused support program for adults living with type 2 diabetes, their families and caregivers. This program is designed to promote positive dietary behavior change among disparately impacted adults with type 2 diabetes.
Form 990, Part III, Line 4	In 2018, the What Can I Eat program was piloted in communities across the country - including Spanish language sites and American Indian Alaska Native pilot sites. Program participants demonstrated a significant increase in non-starchy vegetable consumption 17, use of the diabetes plate method 15, and use of food labels 14 following the program. Among participants with an A1C of 9 of higher, A1C significantly decreased 2 percentage points. The American Diabetes Association will continue working to scale and expand the What Can I Eat program to reach diverse communities of PWD where they are in their communities, in their life stage, and in their circumstances. Overcoming Therapeutic Inertia Accelerating Diabetes Care for Life. Despite more than 40 new diabetes treatment options being approved since 2005, and the ADA and other organizations developing clear guidelines and treatment algorithms, there has been no measurable improvement in glycemic control. In fact, between 1999 and 2014 the percentage of diabetes patients with an A1C 9 actually increased. At the root of this problem is therapeutic inertia, The failure to establish appropriate goals and to initiate or intensify therapy when therapeutic goals are not reached.
Form 990, Part III, Line 4	During 2019, the ADA worked closely with a key opinion leaders and stakeholders to execute Phase Two of the Overcoming Therapeutic Inertia OTI Initiative. In October, a Steering Committee came together for an intensive one-day meeting, charting an ambitious course for addressing this long-term and multifaceted challenge. The plan includes three primary components Research to identify, evaluate and curate the most effective approaches for overcoming therapeutic inertia in clinical practice. An Awareness and Education Campaign promoting the urgent need for addressing therapeutic inertia now while sharing of practical approaches for identifying therapeutic inertia and rapidly intensifying therapy to achieve control quickly. Systems Level Barrier Busting aimed at engaging electronic medical record companies, insurance companies and key alliance partners to provide better clinical decision-making support and reduce barriers to medication and device access, including cost and coverage confusion. As Phase Two was being developed, the ADA executed several projects to support and inform OTI goals. These included A series of interactive clinical workshops held in Los Angeles, Chicago, Baltimore and Phoenix engaging over 280 clinicians. Participants left with an increased appreciation for the impact therapeutic inertia on patient outcomes, and increased confidence in assessing treatment barriers, setting explicit and collaborative treatment goals and helping patients achieve optimal control quickly.
Form 990, Part III, Line 4	A newly formed Diabetes Technology Coalition brought together 18 diabetes patient and professional organizations to address issues impacting access to diabetes technologies and devices. Working in collaboration with device manufacturers, this group is developing coverage policy proposals for pumps, monitors, software/algorithms, and telehealth to be shared with CMS Centers for Medicare and Medicaid Services and Congress. A free Online Consumer Guide tool will be available late April 2020, where anyone can search, review and compare all diabetes therapies and devices. The Overcoming Therapeutic Inertia initiative is supported by Founding Sponsors Abbott, AstraZeneca, Merck, Novo Nordisk and Sanofi, plus Strategic Sponsors Dexcom, Janssen, Lilly Diabetes and Medtronic. Learn more at professional.diabetes.org/therapeuticinertia. Diabetes Is Primary. In 2019, ADA expanded its reach to primary care providers by hosting 10 Diabetes Is Primary programs. Since the program launched its national expansion in 2018, it has reached 7,508 primary care providers through both live programs and webcasts. This results in an estimated reach of 2.7 million patients with diabetes, and 1.4 million patients with prediabetes. To date, significant increases in referrals to diabetes education have been seen 55 referred patients with prediabetes to Diabetes Prevention Programs more often after attending a program. 51 referred patients with diabetes to Diabetes Self-Management Education and Support programs more often
Form 990, Part III, Line 4	Diabetes INSIDE. In 2019, the American Diabetes Association launched a new Diabetes INSIDE collaboration centered in the Greater Philadelphia region, and extending into New Jersey and Maryland. The commitments from regional health partners include the areas largest healthcare systems whose service areas cover more than 18 million people. The Diabetes INSIDE leadership team also sits on the steering committee for the American Medical Association Philadelphia Diabetes Prevention Collaborative, the AMA CDC partnership with Philadelphia health systems, non profits, community groups, business leaders, and government to identify undiagnosed prediabetes patients and enroll them into DPP programs throughout PA, DE, and NJ. Novo Nordisks Cities Changing Diabetes global initiative has also selected Philadelphia as its next U.S. city, and has included the Diabetes INSIDE team on its advisory committee. Our involvement in these three major initiatives solidifies ADAs role as a leader in population health. Diabetes INSIDE has also now published results in Diabetes Care. This publication helps propel Diabetes INSIDE as an evidence based solution to improving diabetes population health outcomes.
Form 990, Part III, Line 4	WIN ADA for Women in Diabetes. The Womens Interprofessional Network of the American Diabetes Association WIN ADA held its first full day Career Development Program in Indianapolis, Indiana on Nov. 15, 2019. More than 120 women clinicians, scientists, educators, and industry professionals attended this event, which focused on the advancement of women in the diabetes field. Sessions topics included leadership, networking, grant writing, work-life integration, and more. Attendees learned career development skills that they can apply in clinical and research settings and use to improve patient outcomes. Professional Membership. Exceeded the 19,000 benchmark for the first time since 2007 and achieved a 24 YOY increase. The growth was largely attributed to the addition of 5,000 third-party sponsored Adjunct Members from India. Added new membership category Community Health Worker. Refined existing categories by sunsetting in-training and replacing it with two separate categories Student and Early Career. Moved Emeritus retired from free to a nominal fee. Grew Scientific Sessions Membership Lounge visitors to 53 YOY, the largest number of visitors ever at 3,893.
Form 990, Part III, Line 4	Digital Clinical Diabetes Roundtable Discussions. In 2019, the ADA launched a new educational opportunity whose goal is to facilitate dialogue and improve understanding with primary care audiences on important subjects and topics related to diabetes prevention and treatment. The program consists of a panel of experts who are recruited to participate in a roundtable discussion on a diabetes related topic, which is video recorded and posted on the Clinical Diabetes website along with a summary paper outlining content to be discussed. A separate sponsored landing page will also be developed and reside on the Clinical Diabetes website. It will house the roundtable discussion and carry speaker biographies and affiliations. Diabetes Core Update Podcast Sponsorships. Diabetes Core Update is a monthly audio podcast series devoted to presenting and discussing the latest clinically relevant articles from the ADAs four scholarly journals Diabetes, Diabetes Care, Clinical Diabetes and Diabetes Spectrum, as well as content gleaned from other sources. New for 2019, industry stakeholders were invited to sponsor podcast episodes covering important topics of mutual interest to both the ADA and the sponsoring partner. Each podcast episode can be accessed via iTunes, RSS feed or directly through diabetes.org.
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. Standards of Care Medical Affairs. The Standards of Medical Care in Diabetes Standards of Care 2019, the ADAs key clinical practice guidelines, was published in December 2018. By the end of 2019, we had expanded the number of unique users of our Standards of Medical Care in Diabetes by 10.
Form 990, Part III, Line 4	The Standards of Medical Care in Diabetes 2020 was developed throughout 2019 and published in December 2019, and includes key changes The Standards of Medical Care in Diabetes 2020 includes simplified figures and tables that more easily guide providers through treatment options and individualized recommendations for treatment of cardiovascular disease based on patients pre-existing conditions. Special considerations for older adults with type 1 diabetes have also been added to address the treatment of this growing population. Because diabetes technology is rapidly changing, revised recommendations and additional supporting evidence were included in section 7, Diabetes Technology. The Standards of Medical Care in Diabetes 2019 was disseminated through multiple channels Revised interactive Standards of Care app with digital tools for providers and the full Standards of Care for mobile devices. The abridged Standards of Care for primary care providers was published simultaneously in Clinical Diabetes, and is updated continuously based on Living Standard updates. A continuing education webcast with free CE credit, along with a comprehensive slide set for professionals to use in their own presentations, updated throughout the year based on Living Standard updates. Worked with expert writing committees on the publication of Nutrition Therapy for Adults with Diabetes or Prediabetes A Consensus Report. Diabetes Care, April 2019. Diabetes Digital App Technology Benefits, Challenges, and Recommendations. A Consensus Report by the European Association for the Study of Diabetes EASD and the American Diabetes Association ADA Diabetes Technology Working Group. Diabetes Care, December 2019. 2019 Update to Management of Hyperglycemia in Type 2 Diabetes, 2018. A Consensus Report by the American Diabetes Association ADA and the European Association for the Study of Diabetes EASD. Diabetes Care, December 2019
Form 990, Part III, Line 4	Professional Journals. The American Diabetes Association continued to publish the leading scientific and medical journals related to the prevention and treatment of diabetes and diabetes complications. In 2019, 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 American Diabetes Associations professional journals at diabetesjournals.org received more than 12 million visits and 25 million page views, and studies published in ADA journals were cited more than 124,000 times by studies published in other science and medical publications. The 2018 impact factors for Diabetes and Diabetes Care were released in July 2019. Diabetes Care achieved the highest impact factor ever recorded for an ADA journal 15.2 and Diabetes achieved an impact factor of 7.2. 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 second and fourth, respectively, among the 145 journals indexed in the broader field of endocrinology and metabolism.
Form 990, Part III, Line 4	In January 2019, the American Diabetes Association published the Standards of Medical 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 Association papers and special topic collections were published in ADA journals in 2019, including Predicting Diabetes Using Genetic Risk Scores. https//care.diabetesjournals.org/content/42/2 February 2019. Gestational Diabetes Mellitus New Evidence for the Continuing Challenge. https//care.diabetesjournals.org/content/42/3 March 2019. Continuing Evolution of Nutritional Therapy for Diabetes. https//care.diabetesjournals.org/content/42/5 May 2019. ADA Consensus Report Nutrition Therapy for Adults with Diabetes or Prediabetes A Consensus Report. https//doi.org/10.2337/dci19 0014 May 2019. Consensus Report International Consensus on Risk Management of Diabetic Ketoacidosis in Patients with Type 1 Diabetes Treated with Sodium Glucose Cotransporter SGLT Inhibitors. https//doi.org/10.2337/dc18 2316 June 2019. International Consensus Report Clinical Targets for Continuous Glucose Monitoring Data Interpretation Recommendations From the International Consensus on Time in Range. https//doi.org/10.2337/dci19 0028 August 2019. Realizing Better Diabetes Outcomes Through a Diabetes Data Revolution. https//spectrum.diabetesjournals.org/content/32/3 August 2019. Innovative Solutions to Care for Individuals With Diabetes in Underserved Populations. https//spectrum.diabetesjournals.org/content/32/4 November 2019
Form 990, Part III, Line 4	Compendia An Important Educational Tool for Health Care ProfessionalsThe development of educational compendia continued in 2019 and are focused on covering important topics of interest to health care providers who are treating diabetes and concomitant conditions. Through the sponsorship support of our industry partners, the ADAs task is to convene a panel of experts who author individual sections of educational compendia with distribution implemented via direct mail to approximately 40,000 health care professionals who are recipients of the ADAs four professional journals, Diabetes, Diabetes Care, Clinical Diabetes and Diabetes Spectrum. The compendia are also accessed digitally via diabetes.org to enhance reach. Currently two compendia are nearing completion CV and Renal Outcomes of Type 2 Diabetes Pharmacotherapies. The Role of SMBG in Diabetes Management
Form 990, Part III, Line 4	Diabetes Forecast. Each issue of our healthy living magazine, Diabetes Forecast, reaches 6 million people with diabetes and prediabetes, as well as their caregivers. The magazine and website provide readers with recipes, diabetes management tips, stories about people thriving with diabetes, research news, and in-depth looks at issues affecting the diabetes community. In 2019, diabetesforecast.org had more than 5.7 million sessions and more than 6.6 million unique pageviews. Diabetes Forecast conducted a survey to determine reader perceptions of the magazine and 80 of people with diabetes learned something in Diabetes Forecast that improved their care. The magazines content prompted readers to make lifestyle changes, such as making healthy food swaps, exercising more, and beginning to take medications as prescribed. Know Diabetes by Heart Recipe Bookazine. Working with collaborators at the American Heart Association, the Publications department created the Diabetes Heart Healthy Recipes bookazine, a collection of more than five dozen recipes designed specifically for heart health and diabetes management. Branded under the Know Diabetes by Heart Initiative, the bookazine was released to newsstands nationwide in November and available at a number of major retailers, including Walgreens, Krogers brand stores, Barnes Nobles, and many more.
Form 990, Part III, Line 4	New Book Titles. In 2019, the Books Department distributed 166,632 book units to physical booksellers, online resellers, international wholesalers, direct customers, and public libraries, where constituents can access our award-winning materials free of charge. This is a 6.6 increase over 2018, and much of this growth came from popular new titles for both patients and professionals. Consumer. The Instant Pot Diabetes Cookbook. Nancy S. Hughes. The Easy Air Fryer Cookbook. Kathy Moore and Roxanne Wyss. The Mindful Guide to Managing Diabetes Your Path to Reducing Stress and Living Well. Joseph P. Napora, PhD. Diabetes Superfoods Cookbook and Meal Planner. Cassandra L. Verdi, MPH, RD and Stephanie A. Dunbar, MPH, RD. The Diabetes Cookbook Food Hub Walmart edition. American Diabetes Association. The Mediterranean Diabetes Cookbook, 2nd edition. Amy Riolo. Complete Guide to Carb Counting, 4th edition. American Diabetes Association
Form 990, Part III, Line 4	Professional. Diabetes Technology Science and Practice. Boris Draznin, MD, PhD, editor. 2019 Guide to Medications for the Treatment of Diabetes Mellitus. John R. White, Jr., PharmD, PA-C, editor. Medical Management of Pregnancy Complicated by Diabetes, 6th edition. Erika Werner, MD, editor. Practical Insulin, 5th edition. American Diabetes Association. Annual Review of Diabetes 2019. American Diabetes Association. Choose Your Foods Food Lists for Diabetes. American Diabetes Association/Academy of Nutrition and Dietetics. Choose Your Foods Food Lists for Weight Management. American Diabetes Association/Academy of Nutrition and Dietetics. Choose Your Foods Count Your Carbs, 4th edition. American Diabetes Association/Academy of Nutrition and Dietetics. Choose Your Foods Match Your Insulin to Your Carbs, 4th edition. American Diabetes Association/Academy of Nutrition and Dietetics. Choose Your Foods Plan Your Meals with the Plate Method, 3rd edition. American Diabetes Association/Academy of Nutrition and Dietetics. Choose Your Foods Food Lists for Diabetes, 5th edition Escoja Sus Alimentos Listas de Alimentos para la Diabetes. American Diabetes Association/Academy of Nutrition and Dietetics
Form 990, Part III, Line 4	AWARENESS EDUCATION. American Diabetes Month. Observed every November, American Diabetes Month ADM is an important element in the efforts of the American Diabetes Association to focus the nations attention on diabetes and the tens of millions of people affected by the disease. 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. During the month of November, the American Diabetes Association highlighted the numbers that make a difference in fighting diabetes. The campaign dubbed Count Me In was supported by national Sponsors Colgate Total and CVS Pharmacy. Count Me In brought to life stories from all walks of life with diabetes and demonstrated why numbers are so critical in ending this disease. From the number of advocates voices fighting for those living with diabetes to the number of research breakthroughs towards a cure. From the number of people who know their risk, to the numbers people see on their blood glucose meter. Numbers like these can change everything.
Form 990, Part III, Line 4	Throughout the month, we used captivating videos, emails, social media posts and more to reach people nationwide. We encouraged people to change their numbers by taking the Type 2 Diabetes Risk Test, signing up to be an advocate, or even cooking a healthy meal offering multiple ways to get involved. The team promoted the campaign using various mediums, ADA channels, and partner outreach. The campaign garnered nearly 56,300 pageviews to the ADM landing page, and more than 1.3 million impressions through social media. Know Diabetes by Heart The American Diabetes Association and the American Heart Association, along with other industry leaders continued to raise awareness and understanding of the link between diabetes and cardiovascular disease through its collaborative initiative Know Diabetes by Heart. In 2019, the initiative, aimed to reduce cardiovascular deaths, heart attacks and strokes in people living with type 2 diabetes, expanded its reach through the following. Facebook premiere, Satellite Media Tour and educational launches at ADA. Scientific Sessions. Radio integrations through the Tom Joyner Morning Show Guest series with Ask Tom web QA and GetUp Mornings with gospel singer and radio show host Erica Campbell. Ambassador recruitment efforts. Type2 Heart to Heart talk event and media day with actress Angela Bassett . Added 12 new alliances. Learn more about the Know Diabetes by Heart initiative at https//knowdiabetesbyheart.org/.
Form 990, Part III, Line 4	Diabetes Food Hub. Diabetes food Hub continued to be a popular destination for people living with diabetes, caregivers, and health care professionals. In 2019, the food and recipe website received more than 1.3 million unique visitors and more than 5 million pageviews, with nearly half of those users finding the site via search. The site itself also saw a number of enhancements that improved search, navigation, and personalization features, and now boasts more than 1,000 recipes, with dozens of new recipes added on a monthly basis. Because of this, Diabetes Food Hub continues to be a popular opportunity for sponsors, and collaborations with a number of companies, including Saladmaster, Elior, and Luvo Foods, were activated in 2019. Signature Campaigns and Events. 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 2019, 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 and raised more than 2.4 million.
Form 990, Part III, Line 4	Walmart Wellness Days. The ADA has partnered with Walmart to help provide resources, staff and volunteers for their Walmart Wellness Days since 2017. We have distributed 2.4M educational pieces in store for use at the screening table during Wellness events. Materials were shipped directly to all 4,700 stores for each Wellness event day since September 2017. In 2019, we supported 412 stores on each Wellness event day with over 834 ADA staff and volunteers to assist the stores and serve as a resource in the community. Since our partnership began, we have mobilized nearly 2,800 ADA staff and volunteers to attend Wellness events, supporting the stores and driving awareness in the local communities. ADVOCACY. 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.
Form 990, Part III, Line 4	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. 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 2019, the ADA Handled nearly 1,800 discrimination cases, providing expert legal assistance to people with diabetes facing unfair treatment at school, on the job, in custody and detention, and in other parts of daily life. In the nearly 20-year history of the Legal Advocate Program, ADA has helped with more than 25K cases of discrimination.
Form 990, Part III, Line 4	Increased funding for National Institute of Diabetes and Digestive and Kidney Diseases by 84.5 million and for CDCs National Diabetes Prevention Program by 2 million in federal fiscal year 2020 and achieved tremendous bipartisan support of the Special Diabetes Program SDP, with 378 representatives and 68 senators signing letters supporting SDP renewal. Impacted nearly 21 million lives with 99 state legislative and regulatory wins an increase of 24 over the previous year. Convened over 200 people impacted by diabetes, health care professionals, researchers at Call to Congress to advocate on Capitol Hill for increased federal funding for diabetes research, affordable insulin, health care access and coverage and more. Expanded our Advocates in Action grassroots activities to include more advocates than ever before engaging 500,000 grassroots advocates, broadcasting a dozen webinars with a nearly 500 increase in number of advocates participating.
Form 990, Part III, Line 4	The collaboration between Sun Life Financial and American Diabetes Association to deliver the 2019 Call to Congress, provided the opportunity to elevate our shared mission. We engaged the U.S. Congress, supported advocates of critical diabetes related legislation, highlighted the ADAs youth advocates during Call to Congress and executed an exclusive Call to Congress at home. In Late August we closed out with an exceptional Diabetes Advocacy Day featuring representatives from US Sen. Susan Collins office together with our Diabetes Advocates and a finale, Diabetes Awareness Night with the Portland Sea Dogs, both hosted and sponsored by Sun Life.
Form 990, Part III, Line 4	Were Connected for Life. The American Diabetes Association is the nations leading voluntary health organization fighting to bend the curve on the diabetes epidemic to help people live a better life and thrive until we ultimately find a cure. The moving force behind the work of the American Diabetes Association is a network of more than 565,000 volunteers, including our dedicated Board of Directors, a membership of more than 540,000 people with diabetes, their families and caregivers, a professional society of nearly 20,000 health care professionals, as well as more than 450 staff members. Diabetes has brought us all together, what we do next makes us Connected for Life. Learn more about the American Diabetes Association at diabetes.org.
Form 990, Part III, Line 4	Other Program Services revenue reported in Line 4d 1,816,333 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. 249,411 relates to rental income received from tenants of subleased office space.
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 BDO, 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 2019. Changes to the bylaws include 1 Community and Volunteer Development Committee members added to Voting Members, 2 Immediate Past Principal Officers removed from Board of Directors, 3 At-Large Directors expanded from six to ten, and 4 Chief Scientific, Medical and Mission Officer removed from Board of Directors.
Form 990, Part VI, Section A, Line 9	Employment term for William Cefalu, Chief Scientific, Medical and Mission Officer, ended on August 15, 2019. Employment term for Vignesh Clingam, Chief Marketing and Digital Officer, started on February 28, 2019 and ended on November 15, 2019. Employment term for Tony Chiles, Chief Information Officer, ended on September 20, 2019. Employment term for Tony Webster, Chief Human Resources Officer, ended on September 10, 2019.

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2019

Additional Data

Software ID:	19009610
Software Version:	19.2.1.0

- 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

2019

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) 2019

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) 2019

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	17,660,067	Cash
(2) American Diabetes Association Research Foundation Inc	l,n,o	637,373	Fair Value
(3) American Diabetes Association Property Title Holding Corporation	s	1,816,333	Cash

Schedule R (Form 990) 2019

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) 2019

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) 2019

Additional Data

Software ID:	19009610
Software Version:	19.2.1.0

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	18
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	18
5	Total number of individuals employed in calendar year 2019 (Part V, line 2a) ......	5	956
6	Total number of volunteers (estimate if necessary) .............	6	19,515
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	2,620,644
b	Net unrelated business taxable income from Form 990-T, line 39 .........	7b

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	118,306,745	108,955,331
9	Program service revenue (Part VIII, line 2g) .........	29,206,262	28,450,236
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	2,296,877	1,530,692
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	8,553,919	7,830,233
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	158,363,803	146,766,492
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	13,217,277	17,772,729
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)	52,399,077	50,193,748
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	1,042,033	687,202
b	Total fundraising expenses (Part IX, column (D), line 25) 31,332,973
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	65,597,906	69,006,671
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	132,256,293	137,660,350
19	Revenue less expenses. Subtract line 18 from line 12.......	26,107,510	9,106,142
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	142,466,593	135,486,015
21	Total liabilities (Part X, line 26).............	83,630,180	64,272,981
22	Net assets or fund balances. Subtract line 21 from line 20.....	58,836,413	71,213,034

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 43,649,026 including grants of $ 84,876 ) (Revenue $ 18,050,754 )
	Information - See Schedule O

4b	(Code: ) (Expenses $ 24,045,979 including grants of $ 11,114 ) (Revenue $ )
	Advocacy and Public Awareness - See Schedule O

4c	(Code: ) (Expenses $ 27,604,205 including grants of $ 17,676,739 ) (Revenue $ 14,366,980 )
	Research - See Schedule O

4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ 2,065,744 )
4e	Total program service expenses95,299,210

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	4,366,135	706,951

1a	Federated campaigns..		1a	3,364,611
b	Membership dues..		1b
c	Fundraising events..		1c	18,548,172
d	Related organizations		1d
e	Government grants (contributions)		1e	1,873,884

f	All other contributions, gifts, grants, and similar amounts not included above		1f	85,168,664

g	Noncash contributions included in lines 1a - 1f:$		1g	4,170,335

h Total. Add lines 1a-1f.......		108,955,331

		Business Code
2a	Subscriptions	511120	9,604,470	9,604,470
b	Registration	611710	10,641,500	10,641,500
c	Sales of Material	511130	2,138,452	2,138,452
d	Booth Rental	611710	4,859,545		4,869,545
e	Other Program Service Revenue	900099	1,206,269	1,206,269
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		28,450,236

3 Investment income (including dividends, interest, and othersimilar amounts) ......			1,555,345			1,555,345
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........			1,796,991			1,796,991
		(ii) Personal	(i) Real
6a	Gross rents			6a
b	Less: rental expenses			6b
c	Rental income or (loss)			6c
d	Net rental income or (loss).......
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	27,719	53,500,699	7a
b	Less: cost or other basis and sales expenses		53,553,071	7b
c	Gain or (loss)	27,719	-52,372	7c
d	Net gain or (loss).........			-24,653			-24,653
8a	Gross income from fundraising events (not including $ 18,548,172of contributions reported on line 1c). See Part IV, line 18 ....
			8a	3,743,929
b	Less: direct expenses ...		8b	3,743,929
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..
Business Code			Miscellaneous Revenue
11a	Advertising Income		541800	2,583,185		2,583,185
b	Catalog Sales Income - Gift of Hope		454110	37,459		37,459
c	Abstract Fees Permissions Income		900099	576,963	576,963
d	All other revenue ....			2,835,635	2,835,635
e	Total. Add lines 11a–11d ......			6,033,242
12	Total revenue. See instructions.....			146,766,492	27,003,289	2,620,644	8,197,228

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	17,700,317	17,700,317
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........	55,572	55,572
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............	16,840	16,840
4	Benefits paid to or for members .......	0
5	Compensation of current officers, directors, trustees, and key employees ...........	4,795,200	3,163,931	339,823	1,291,446
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........	35,674,247	21,639,871	4,888,134	9,146,242
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	1,296,827	784,288	178,015	334,524
9	Other employee benefits .......	5,381,305	3,301,046	713,858	1,366,401
10	Payroll taxes ...........	3,046,169	1,864,583	390,956	790,630
11	Fees for services (non-employees):
a	Management ......	0
b	Legal .........	236,129	54,230	171,431	10,468
c	Accounting ...........	327,534	6,551	319,345	1,638
d	Lobbying ...........	180,108	180,108
e	Professional fundraising services. See Part IV, line 17	687,202			687,202
f	Investment management fees ......	210,643		210,643
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	8,962,454	7,134,661	569,955	1,257,838
12	Advertising and promotion ....	4,766,027	2,208,217	3,543	2,554,267
13	Office expenses .......	2,962,916	1,656,568	574,969	731,379
14	Information technology ......	4,503,642	3,088,082	168,160	1,247,400
15	Royalties ..	47,123	47,123
16	Occupancy ...........	8,753,148	6,343,892	801,646	1,607,610
17	Travel ............	2,854,940	2,203,148	147,635	504,157
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .	0
19	Conferences, conventions, and meetings ....	6,012,311	5,937,803	3,640	70,868
20	Interest ...........	110	80	10	20
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization ..	3,678,175	2,243,773	478,059	956,343
23	Insurance ...	663,361	442,930	73,403	147,028
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	3,896,224	3,717,692	19,307	159,225
b	Postage and Shipping	5,633,719	2,725,060	16,122	2,892,537
c	Printing and Publications	10,372,620	6,081,611	98,712	4,192,297
d	Data Processing	1,248,572	742,718	579	505,275
e	All other expenses	3,696,915	1,958,515	860,222	878,178
25	Total functional expenses. Add lines 1 through 24e	137,660,350	95,299,210	11,028,167	31,332,973
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).	18,674,241	4,764,747	292,931	13,616,564

1	Cash–non-interest-bearing ........			10,325,940	1	1,147,719
2	Savings and temporary cash investments .........			273,979	2	6,957,683
3	Pledges and grants receivable, net ......			43,752,266	3	43,882,563
4	Accounts receivable, net .............			2,529,580	4	2,228,497
5	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
					6
7	Notes and loans receivable, net ...........				7
8	Inventories for sale or use ............			2,476,250	8	2,742,370
9	Prepaid expenses and deferred charges ......			2,984,753	9	3,460,727
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	49,298,212
b	Less: accumulated depreciation	10b	37,588,597	13,823,298	10c	11,709,615
11	Investments—publicly traded securities .			37,395,043	11	33,368,795
12	Investments—other securities. See Part IV, line 11 .....			9,607,301	12	10,549,883
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			19,298,183	15	19,438,163
16	Total assets. Add lines 1 through 15 (must equal line 33)...			142,466,593	16	135,486,015

17	Accounts payable and accrued expenses .....	24,291,801	17	23,073,719
18	Grants payable ...		18
19	Deferred revenue .........	9,123,278	19	8,367,853
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 any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			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	50,215,101	25	32,831,409
26	Total liabilities. Add lines 17 through 25..	83,630,180	26	64,272,981

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	-2,177,792	27	-1,776,039
28	Net assets with donor restrictions ...........	61,014,205	28	72,989,073
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	58,836,413	32	71,213,034
33	Total liabilities and net assets/fund balances ........	142,466,593	33	135,486,015

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