TY 2020 Form 990

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(1) Tracey D Brown...................................................................... Chief Executive Officer	36.90 ................. 000.60		X			733,386	358,773
(2) Robert Gabbay effective 7120...................................................................... Chief Scientific Medical Officer	37.40 ................. 000.10			X		324,140	7,650
(3) Eloise Scavella through 103020...................................................................... Chief Operating Strategy Officer	37.50 .................			X		276,559	16,966
(4) Charlotte M Carter...................................................................... Chief Financial Officer	36.90 ................. 000.60		X			246,353	16,311
(5) Linda Cann...................................................................... Senior Vice President, Professional Services	37.50 .................				X	214,553	43,097
(6) John Agos through 7120...................................................................... Chief Strategic Development Officer	37.50 .................			X		234,280	16,868
(7) Paul Nalbandian...................................................................... Associate Publisher, Advertising Sales Sponsor	37.50 .................				X	208,937	23,026
(8) Jacqueline Sebany effective 12120...................................................................... Chief Marketing Digital Officer	37.50 .................			X		202,557	21,705
(9) Charles Henderson effective 1620...................................................................... Chief Development Officer	37.50 .................			X		218,833	972
(10) Jeanine Jones...................................................................... Vice President, HR Operations	37.50 .................				X	194,587	15,122
(11) Greg Liptak...................................................................... Vice President, Quality Improvement	37.50 .................				X	188,342	14,365
(12) Sean McDonough...................................................................... Vice President General Counsel	37.50 .................				X	188,445	6,629
(13) Umesh Verma...................................................................... Chair of the Board	6.00 ................. 000.30	X	X			0	0
(14) Robert H Eckel MD...................................................................... President, Medicine Science	6.00 ................. 000.20	X	X			0	0
(15) Mary de Groot PhD...................................................................... President, Health Care Education	6.00 ................. 000.20	X	X			0	0
(16) Martha Parry Clark MBA...................................................................... Secretary-Treasurer	6.00 ................. 000.20	X	X			0	0
(17) John Schlosser...................................................................... Chair of the Board-Elect	2.00 ................. 000.20	X	X			0	0

(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) C Ronald Kahn MD through June 25 20........................................................................ President-Elect, Medicine Science	2.00 .......................000.20	X	X
(19) Cynthia E Munoz PhD MPH........................................................................ President-Elect, Health Care Education	2.00 .......................000.20	X	X
(20) Christopher K Ralston JD........................................................................ Secretary/Treasurer-Elect	2.00 .......................000.20	X	X
(21) Robert M Cuddihy MD........................................................................ Board of Directors	1.00 .......................	X
(22) Sherita Hill Golden MD MHS........................................................................ Board of Directors	1.00 .......................	X
(23) Amporo Gonzalez MPH RN CDE FAADE........................................................................ Board of Directors	1.00 .......................	X
(24) David Herrick MBA........................................................................ Board of Directors	1.00 .......................	X
(25) Otis W Kirksey PharmD RPh CDE BC-AD........................................................................ Board of Directors	1.00 .......................	X
(26) Jean O'Connor through May 11 2020........................................................................ Board of Directors	1.00 .......................	X
(27) Julio Rosenstock MD through June 30........................................................................ Board of Directors	1.00 .......................	X
(28) Stephanie Silverman MBA........................................................................ Board of Directors	1.00 .......................	X
(29) Glen Tullman........................................................................ Board of Directors	1.00 .......................	X
(30) Gretchen Youssef MS RD CDE........................................................................ 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	1,753,744
SPECTRUM SCIENCE COMMUNICATIONS LLC 2001 Pennsylvania Avenue NW Washington,DC20006	Health Communications	1,187,019
CONTRAVENT LLC 916 South Main Street Salt Lake City,UT84101	Digital Marketing	885,590
RESOURCES GLOBAL PROFESSIONALS 17101 Armstrong Avenue Suite 100 Irvine,CA92614	Project Management Services	749,615
VENN STRATEGIES 1341 G Street NW 6th Floor Washington,DC20005	Government Affairs	701,545
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

2020

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) 2020

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) 2016	(b) 2017	(c) 2018	(d) 2019	(e) 2020	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..	122,553,876	102,801,334	118,306,745	108,955,331	88,149,776	540,767,062
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	122,553,876	102,801,334	118,306,745	108,955,331	88,149,776	540,767,062
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)..						1,977,720
6	Public support. Subtract line 5 from line 4.						538,789,342

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2016	(b) 2017	(c) 2018	(d) 2019	(e) 2020	(f) Total
7	Amounts from line 4..	122,553,876	102,801,334	118,306,745	108,955,331	88,149,776	540,767,062
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...	4,337,308	4,063,059	4,492,015	3,352,336	2,566,585	18,811,303
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.)..	34,645	45,752	2,730			83,127
11	Total support. Add lines 7 through 10						559,661,492

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

176,858,057

First 5 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 2020 (line 6, column (f) divided by line 11, column (f)) .........

96.270 %

Public support percentage for 2019 Schedule A, Part II, line 14 ...............

96.560 %

16a

33 1/3% support test—2020. 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—2019. 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—2020. 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—2019. 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) 2020

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) 2016	(b) 2017	(c) 2018	(d) 2019	(e) 2020	(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) 2016	(b) 2017	(c) 2018	(d) 2019	(e) 2020	(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 5 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 2020 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2019 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2020 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2019 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2020. 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—2019. 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) 2020

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, 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 lines 3b and 3c 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 box 12a or 12b in Part I, answer lines 4b and 4c 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 lines 5b and 5c 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) 2020

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 lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described in 11a above?

11b

A 35% controlled entity of a person described in line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, 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 line 2 above, 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 lines 2a and 2b 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 line 2a, above 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 lines 3a and 3b 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?If "Yes" or "No", 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) 2020

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 0.015 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 0.035	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) 2020

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	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2020 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2020	(iii) Distributable Amount for 2020
1 Distributable amount for 2020 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 2020:
a From 2015.......
b From 2016.......
c From 2017.......
d From 2018.......
e From 2019.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2020 distributable amount
i Carryover from 2015 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2020 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2020 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2020, 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 2020. 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 2021. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2016.....
b Excess from 2017.....
c Excess from 2018.....
d Excess from 2019.....
e Excess from 2020.....

Schedule A (Form 990 or 990-EZ) (2020)

Schedule A (Form 990 or 990-EZ) 2020

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) 2020

Additional Data

Software ID:	20011406
Software Version:	20.0.2.0

- 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

2020

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) (2020)

Schedule B (Form 990, 990-EZ, or 990-PF) (2020) 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) (2020)

Schedule B (Form 990, 990-EZ, or 990-PF) (2020)

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) (2020)

Schedule B (Form 990, 990-EZ, or 990-PF) (2020)

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) (2020)

Additional Data

Software ID:	20011406
Software Version:	20.0.2.0

- 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

2020

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) 2020

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) 2017	(b) 2018	(c) 2019	(d) 2020	(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) 2020

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

440,993

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

Yes

17,813

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

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

524,326

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 advocacy priorities include Increasing federal and state funding for diabetes prevention, treatment, and research, Improving access to adequate and affordable health care, Ending discrimination people with diabetes face at school, work and elsewhere in their lives, Achieving health equity, Addressing health disparities people with diabetes face during the COVID19 pandemic
II-B	In 2020, the ADA achieved Increased funding for National Institute of Diabetes and Digestive and Kidney Diseases from 2.114 billion in FY2020 to 2.132 billion in FY2021, increased funding for the Centers for Disease Control and Prevention Division of Diabetes from 148 million in FY2020 to 148.1 million in FY2021, and increased funding for the National Diabetes Prevention Program from 27.3 million in FY2020 to 29.3 million in FY2021. Participated in hundreds of meetings, briefings events and other actions in support of our advocacy priorities which led to 100 legislative and regulatory wins in states across the country. Submitted a statement for the record on the pandemics effect on people with diabetes to the Ways and Means Committee on their hearing on the disproportionate impact of COVID19 on communities of color. Achieved nearly 70 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. Built support in the House and Senate for the Insulin Price Reduction Act to reduce the cost of insulin through rebate reform. Built support for several bills to help people with diabetes during the COVID19 pandemic afford their insulin, afford health insurance and access COVID19 testing in their communities, including the Affordable Insulin for the COVID19 Emergency Act, the Ending Health Disparities During COVID19 Act, and the COVID19 Testing, Reaching, And Contacting Everyone TRACE Act. Educated and inspired action among our 525,000 plus advocates about state and legal advocacy through calls to action and updates throughout the year. Improved access to continuous glucose monitors and telehealth services for Medicare beneficiaries. Increased access to nutritious foods through increased funding for SNAP benefits, 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 advocacy priorities include Increasing federal and state funding for diabetes prevention, treatment, and research, Improving access to adequate and affordable health care, Ending discrimination people with diabetes face at school, work and elsewhere in their lives, Achieving health equity, Addressing health disparities people with diabetes face during the COVID19 pandemic

II-B

In 2020, the ADA achieved Increased funding for National Institute of Diabetes and Digestive and Kidney Diseases from 2.114 billion in FY2020 to 2.132 billion in FY2021, increased funding for the Centers for Disease Control and Prevention Division of Diabetes from 148 million in FY2020 to 148.1 million in FY2021, and increased funding for the National Diabetes Prevention Program from 27.3 million in FY2020 to 29.3 million in FY2021. Participated in hundreds of meetings, briefings events and other actions in support of our advocacy priorities which led to 100 legislative and regulatory wins in states across the country. Submitted a statement for the record on the pandemics effect on people with diabetes to the Ways and Means Committee on their hearing on the disproportionate impact of COVID19 on communities of color. Achieved nearly 70 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. Built support in the House and Senate for the Insulin Price Reduction Act to reduce the cost of insulin through rebate reform. Built support for several bills to help people with diabetes during the COVID19 pandemic afford their insulin, afford health insurance and access COVID19 testing in their communities, including the Affordable Insulin for the COVID19 Emergency Act, the Ending Health Disparities During COVID19 Act, and the COVID19 Testing, Reaching, And Contacting Everyone TRACE Act. Educated and inspired action among our 525,000 plus advocates about state and legal advocacy through calls to action and updates throughout the year. Improved access to continuous glucose monitors and telehealth services for Medicare beneficiaries. Increased access to nutritious foods through increased funding for SNAP benefits, 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) 2020

Additional Data

Software ID:	20011406
Software Version:	20.0.2.0

- 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

2020

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)
4	Aggregate value at end of year ........	704,299

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) 2020

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 ....	23,451,734	22,635,671	22,899,249	22,534,220	22,460,102
b	Contributions ...	371	80,442	4,547	182,068	-3,646
c	Net investment earnings, gains, and losses	2,318,586	2,949,834	1,449,845	2,556,516	1,972,812
d	Grants or scholarships ...	2,605,866	2,214,213	1,717,970	2,373,555	1,895,048
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......	23,164,825	23,451,734	22,635,671	22,899,249	22,534,220

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	5,884,537	2,429,649	3,454,888
d	Equipment ....	8,931,523	7,295,814	1,635,709
e	Other .....	13,237,635	9,957,935	3,279,700
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				8,374,797

Schedule D (Form 990) 2020

Page 3

Part VII

Investments - Other 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	11,725,984	F
(D)
(E)
(F)
(G)
(H)
(I)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	11,725,984

Part VIII

Investments - Program 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
(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.)...........				12,817,875

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
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	20,607,421
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) 2020

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	122,300,303
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a	2,377,296
b	Donated services and use of facilities .........	2b	505,441
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d	2,648,865
e	Add lines 2a through 2d .....................			2e	5,531,602
3	Subtract line 2e from line 1..................			3	116,768,701
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	198,135
b	Other (Describe in Part XIII.) ...........	4b	517,290
c	Add lines 4a and 4b....................			4c	715,425
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	117,484,126

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	108,650,675
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a	505,441
b	Prior year adjustments ............	2b
c	Other losses ................	2c	-394,155
d	Other (Describe in Part XIII.) ............	2d	16,147,575
e	Add lines 2a through 2d....................			2e	16,258,861
3	Subtract line 2e from line 1...................			3	92,391,814
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	198,135
b	Other (Describe in Part XIII.) ............	4b	7,307,220
c	Add lines 4a and 4b.....................			4c	7,505,355
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	99,897,169

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
V 4	The following was disclosed in the consolidated financial statements related to the intended use of the Association endowment funds The Association has adopted an investment policy for endowment assets that provides continued financial stability for the Association and a revenue stream for spending on the Association mission.
V 4	To fulfill this mission, the American Diabetes Association funds research, publishes scientific findings, provides information and other services to people with diabetes, their families, health professionals, and the public.
X 2	The following was disclosed related to uncertain tax positions in the audited financial statements The American Diabetes Association and the American Diabetes Association Research Foundation, Inc. are generally exempt from income taxes under Section 501c3 of the Internal Revenue Code the Code and charitable contributions to these organizations qualify for tax deductions as described in the Code. The American Diabetes Association Property Title Holding Corporation is generally exempt from income taxes under Section 501c2 of the Code. These entities are subject to taxation on any net unrelated business income and have been classified as organizations that are not private foundations under Section 509a of the Code. The Association recognizes the effect of income tax positions only if those positions more likely than not would not be sustained upon examination by the Internal Revenue Service. The Association has analyzed the tax positions taken and has concluded that as of December 31, 2020, there are no uncertain tax positions taken or expected to be taken that would require recognition of a liablility 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 2,566,077. Contributed services reported by the American Diabetes Association Research Foundation, Inc. EIN 54-1734511 82,788.
XI 4b	Management fee earned from the American Diabetes Association Research Foundation, Inc. EIN 54-1734511 517,290.
XII 2d	American Diabetes Association Research Foundation, Inc. EIN 54-1734511 expenses 16,147,575.
XII 4b	Grant to the American Diabetes Association Research Foundation, Inc. EIN 54-1734511 7,307,220.

Schedule D (Form 990) 2020

Additional Data

Software ID:	20011406
Software Version:	20.0.2.0

- 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

2020

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		(b) Number of offices in the region	(c) Number of employees, agents, and independent contractors in the region	(d) Activities conducted in region (by type) (such as, fundraising, program services, investments, grants to recipients located in the region)	(e) If activity listed in (d) is a program service, describe specific type of service(s) in the region	(f) Total expenditures for and investments in the region

















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

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2020

Schedule F (Form 990) 2020

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.

1 (a) Name of organization		(b) IRS code section and EIN (if applicable)	(c) Region	(d) Purpose of grant	(e) Amount of cash grant	(f) Manner of cash disbursement	(g) Amount of noncash assistance	(h) Description of noncash assistance	(i) Method of valuation (book, FMV, appraisal, other)

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 .......
3	Enter total number of other organizations or entities .......................

Schedule F (Form 990) 2020

Schedule F (Form 990) 2020Page 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) 2020

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2020

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

Schedule F (Form 990) 2020

Additional Data

Software ID:	20011406
Software Version:	20.0.2.0

- 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

2020

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	12,587,907	566,400	12,021,507
	Automotive Recovery Services Inc 13085 Hamilton Crossing Blvd Carmel, IN46032	See Part IV	Yes		498,400	150,080	348,320
	Gordon and Schwenkmeyer Inc 20300 S Vermont Ave Torrance, CA90502	Telemarketing		No	3,532	1,943	1,589







Total . . . . . . . . . . . . . . . . . . . .					13,089,839	718,423	12,371,416

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) 2020

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 (total number)	(d) Total events (add col. (a) through col. (c))
1	Gross receipts . . . . .	1,013,675	7,548,146	893,234	9,455,055
2	Less: Contributions . . . .	970,755	7,030,974	770,136	8,771,865
3	Gross income (line 1 minus line 2) . . . . . .	42,920	517,172	123,098	683,190

4	Cash prizes . . . . .
5	Noncash prizes . . . .	12,042	173,823	10,430	196,295
6	Rent/facility costs . . . .	14,560	120,728	29,766	165,054
7	Food and beverages . . .	329	22,116	4,159	26,604
8	Entertainment . . . .	30	2,392	30,511	32,933
9	Other direct expenses . . .	15,959	198,113	48,232	262,304
10	Direct expense summary. Add lines 4 through 9 in column (d) . . . . . . . . . .				683,190
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) 2020

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) 2020

Additional Data

Software ID:	20011406
Software Version:	20.0.2.0

- 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

2020

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	501 c3	7,307,220	Research
(2) Abundant Life Family Worship Church Inc 259 George St New Brunswick,NJ08901	22-3087483	501 c3	10,000	Education and Development
(3) American Association of Nurse Practitioners 5901 Vega Ave Suite 200 Austin,TX78735	22-2547543	501 c6	13,750	Education and Development
(4) American Kidney Fund Inc 6110 Executive Blvd Rockville,MD20852	23-7124261	501 c3	13,750	Education and Development
(5) Chicago Hispanic Health Coalition 2600 S Michigan Ave Chicago,IL60616	36-4193052	501 c3	50,000	Education and Development
(6) Clemson University 230 Kappa St Suite 200 Clemson,SC29634	57-6000254	501 c3	50,000	Education and Development
(7) Communities Improvement Association Inc 828 Gibbs Road Pike Road,AL36064	23-7095390	501 c4	139,838	Education and Development
(8) The Diatribe Foundation 776 Haight St San Francisco,CA94117	46-2431517	501 c3	13,750	Education and Development
(9) Esperanza 4261 N 5th St Philadelphia,PA19140	23-2480701	501 c3	48,640	Education and Development
(10) Gateway Community Health Center Inc 1515 Pappas St Laredo,TX78041	74-2553409	501 c3	100,000	Education and Development
(11) Healthy Women 1 Harding Road Red Bank,NJ07701	52-1624846	501 c3	13,750	Education and Development
(12) InquisitHealth Inc 41 Grand Ave River Edge,NJ07661	45-4199033		100,000	Education and Development
(13) Johns Hopkins University 12529 Collections Center Dr Chicago,IL60693	52-0595110	501 c3	47,900	Education and Development
(14) New Mexico State University PO Box 30002 Las Cruces,NM88003	85-6000401	501 c3	100,000	Education and Development
(15) Scripps Whittier Diabetes Institute 10140 Campus Point Dr Suite 200 San Diego,CA92121	95-1684089	501 c3	100,000	Education and Development
(16) Diabetes Sisters Alliance 1112 W Boughton Rd Suite 180 Bolingbrook,IL60440	26-2964716	501 c3	13,750	Education and Development
(17) Taking Control of Your Diabetes 990 Highland Dr Suite 312 Solana Beach,CA92075	33-0794608	501 c3	13,750	Education and Development
(18) Texas A&M University 400 Harvey MItchell Parkway S College Station,TX77845	74-6000531	501 c3	100,000	Education and Development
(19) Thomas Jefferson University 901 Walnut St 10th Floor Philadelphia,PA19107	23-1352651	501 c3	48,640	Education and Development
(20) Top Box Foods 222 Merchandise Mart Plaza Chicago,IL60654	45-3930886	501 c3	117,000	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) 2020

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
(1) Lecture Honoraria	8	50,000
(1)
(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 Science and Healthcare 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. When the world went virtual, so did our youth programming. ADA Imagine Camp was born in time for summer connecting kids with diabetes to adventure, education, mentorship, and each other. In 2020, ADA Imagine Camp served over 2,900, connecting kids from all 50 U.S. States and internationally from Canada, China, Ireland, New Zealand, South Africa, and the United Kingdom. Now a year-round program, ADA Imagine Camp facilitates an at-home, virtual experience for children, their caregivers, and their families. Like our in-person programming, ADA Imagine Camp imparts tips and tools for living well with diabetes, reduces feelings of isolation, improves confidence and independence in diabetes management, and fosters lifelong friendships. 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 I 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) 2020

Additional Data

Software ID:	20011406
Software Version:	20.0.2.0

- 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
Graphic Arrow

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

Attach to Form 990.
Graphic Arrow

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

OMB No. 1545-0047

2020

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) 2020

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)	501,476 -------------	207,014 -------------	24,896 -------------	330,219 -------------	28,554 -------------	1,092,159 -------------	207,014 -------------
2Charlotte M Carter Chief Financial Officer	(i) (ii)	242,768 -------------	-------------	3,585 -------------	6,769 -------------	9,542 -------------	262,664 -------------	-------------
3Eloise Scavella through 103020 Chief Operating Strategy Officer	(i) (ii)	265,116 -------------	-------------	11,443 -------------	8,434 -------------	8,532 -------------	293,525 -------------	-------------
4Jacqueline Sebany effective 12120 Chief Marketing Digital Officer	(i) (ii)	199,979 -------------	-------------	2,578 -------------	-------------	21,705 -------------	224,262 -------------	-------------
5Charles Henderson effective 1620 Chief Development Officer	(i) (ii)	216,007 -------------	-------------	2,826 -------------	-------------	972 -------------	219,805 -------------	-------------
6Robert Gabbay effective 7120 Chief Scientific Medical Officer	(i) (ii)	222,655 -------------	100,000 -------------	1,485 -------------	-------------	7,650 -------------	331,790 -------------	-------------
7Jeanine Jones Vice President, HR Operations	(i) (ii)	193,726 -------------	-------------	861 -------------	5,126 -------------	9,996 -------------	209,709 -------------	-------------
8Linda Cann Senior Vice President, Professional Services	(i) (ii)	207,646 -------------	-------------	6,907 -------------	24,956 -------------	18,141 -------------	257,650 -------------	-------------
9Greg Liptak Vice President, Quality Improvement	(i) (ii)	186,478 -------------	-------------	1,864 -------------	4,785 -------------	9,580 -------------	202,707 -------------	-------------
10Sean McDonough Vice President General Counsel	(i) (ii)	184,756 -------------	-------------	3,689 -------------	4,933 -------------	1,696 -------------	195,074 -------------	-------------
11Paul Nalbandian Associate Publisher, Advertising Sales Sponsor	(i) (ii)	133,608 -------------	51,626 -------------	23,703 -------------	6,025 -------------	17,001 -------------	231,963 -------------	-------------
12John Agos through 7120 Chief Strategic Development Officer	(i) (ii)	90,757 -------------	11,722 -------------	131,801 -------------	6,200 -------------	10,668 -------------	251,148 -------------	-------------

Schedule J (Form 990) 2020

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 3	Eloise Scavella, Chief Operating and Strategy Officers employment with the American Diabetes Association ended on October 30, 2020.
Part II Line 12	John Agos, Chief Strategic Development Officers employment with the American Diabetes Association ended on July 1, 2020.
Part I Line 4a	John Agos, Chief Strategic Development Officer, received a severance payment in the amount of 102,208.
Part I Line 4b	Linda Cann, SVP Professional Services, is compensated by the American Diabetes Association and contributed 19,500 to its supplemental 457f retirement plan.
Part I Line 4b	Tracey Brown, Chief Executive Officer, is compensated by the American Diabetes Association and contributed 95,823 to its supplemental 457f retirement plan.

Schedule J (Form 990) 2020

Additional Data

Software ID:	20011406
Software Version:	20.0.2.0

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ.
MediumBullet

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

OMB No. 1545-0047

2020

Open to Public Inspection

Name of the organization

American Diabetes Association

Employer identification number

13-1623888

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and section 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by the organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e) Original principal amount	(f) Balance due	(g) In default?		(h) Approved by board or committee?		(i) Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e) Original principal amount	(f) Balance due	Yes	No	Yes	No	Yes	No






Total ............... $

Part III

Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

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

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2020

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) Stephanie Silverman	Director	701,545	Government Relations Consulting		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation
Part IV Line 1	The American Diabetes Association hired Venn Strategies to provide government relations consulting services. Stephanie Silverman, the Chief Executive Officer of Venn Strategies, served on the Board of Directors of the American Diabetes Association in 2020.

Schedule L (Form 990 or 990-EZ) 2020

Additional Data

Software ID:	20011406
Software Version:	20.0.2.0

- 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

2020

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	830	348,320	See Part II
7 Boats and planes ....
8 Intellectual property ...
9 Securities—Publicly traded .	X	42	185,690	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 .
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) (2020)

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	Column b reports the number of items contributed.

Schedule M (Form 990) (2020)

Additional Data

Software ID:	20011406
Software Version:	20.0.2.0

- 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

2020

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, geographic areas, and educational levels. This chronic disease targets children, the elderly, and minority populations more than others and costs the United States 327 billion 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 80 years, we have been working on the front lines 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. The COVID19 pandemic shined a very bright spotlight on diabetes as a public health crisis and on severe health inequities. For people with diabetes, COVID19 poses a much greater threat of severe complications, hospitalization, and even death. Throughout 2020, we adapted our resources, programs, and events in service to people living with diabetes and the health care professionals who treat them.
Form 990, Part III, Line 4	From research labs to the halls of the Capitol to the offices of health care practitioners to communities nationwide, the ADA is 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. 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 ADA funds critical, innovative diabetes research and invests in promising scientists early in their careers. Our direct involvement in diabetes research extends back to the 1940s when Dr. Charles H. Best, one of four scientists credited with discovering insulin, provided the ADA with the framework and early leadership for a formalized diabetes research program.
Form 990, Part III, Line 4	Since the ADA started its Research Programs in 1952, we have invested 861 million in more than 4,800 diabetes research projects. In 2020 alone, the ADA supported 258 research projects at 123 leading research institutions across the U.S., all dedicated to progressing the fight against diabetes. Of these projects, 147 were led by in-training or early-career investigators. While we have learned much, there is so much left to discover about diabetes. 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. In 2020 we also awarded two Cardiovascular-Metabolic Fellowships to Layla A. Abushamat, MD, of the University of Colorado and Jacquelyn M. Walejko, PhD, at Duke University. Their two-year awards, supported by Pfizer, began Jan. 1, 2021.
Form 990, Part III, Line 4	Peer Review Process. One of the factors that sets ADA 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 undergo peer review by three or more volunteer experts who are themselves experienced 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. Research Approach. The ADAs research strategy is targeted and laser focused. This approach is helping us make meaningful, actionable change in specific areas that are highly relevant to the population. In 2020 we focused on COVID19 research and in 2021 we will be emphasizing health disparities and other key initiatives that are aligned with critical societal needs and for those living with diabetes. While we have a targeted approach to funding, we are also continuing to invest in our many career and training awards. Investing in early career diabetes professionals allows us to uplift, support, mentor, and secure the next generation of researchers as they prepare to care for the millions living with diabetes and prediabetes.
Form 990, Part III, Line 4	ADAs research efforts fall broadly into two categories. Research and Innovation and Investing in the Future. This ensures we can make the biggest impacts through formative research and intervention development with real world, translational outcomes. COVID19 Research. COVID19 placed extraordinary demands on health care delivery and raised countless questions about the virus effect on people with diabetes. In 2020 the ADA launched a new, targeted research grant program specifically to address the pandemic. We funded 10 research projects from a pool of 212 proposals, awarding up to 100,000 for one year grants starting July 1, 2020. The COVID19 grants support basic, translational, and clinical studies that will be instrumental to better understanding the virus and its complications for those living with diabetes. 2020 Research Progress. This year 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	Building a Healthy Temple through church based diabetes education. Researchers have long known that churches can be familiar, comfortable settings to deliver health education. In the African American community, studies suggest this approach improves adherence better than diabetes self management classes held at hospitals or doctors offices. ADA funded researcher Dr. Meizi He wondered if incorporating Christian themes into the intervention, and having church members teach the classes, might deliver more lasting results than traditional faith placed education for U.S. Latinos, 90 percent of whom are affiliated with a church. In 2020 Dr. He recruited and trained church members to deliver a diabetes self management support curriculum, along with a sermon on health and seven sessions of health oriented Bible study. Her initial results were encouraging. The groups run by church members lowered their A1Cs significantly after one year, and they kept their blood sugar blood glucose levels close to or within target range for a full year after the classes ended. The same benefit wasnt seen in those who took classes delivered by certified diabetes educators. Next, Dr. He will apply for funding to turn her research into a curriculum that could be adopted by churches nationwide and accredited by the ADA.
Form 990, Part III, Line 4	Getting to the bottom of hypoglycemia unawareness. One of the most unpleasant, fearsome consequences of diabetes is hypoglycemia, when your blood sugar blood glucose drops dangerously low. Yet after frequent hypoglycemic episodes, some people particularly those with type 1 diabetes develop hypoglycemia unawareness. Without the telltale symptoms, people with diabetes dont know to treat hypoglycemia. With ADA research funding, Dr. Janice Hwang sought to determine whether the brains of people with hypoglycemia unawareness reacted differently to low blood sugar than those of people still sensitive to the bodys signals. The results of the brain scans were obvious In hypoglycemia sensitive brains, regions connected to cravings and the brains planning and control centers lit up in response to a drop in blood sugar levels. In people with hypoglycemia unawareness, no places in the brain lit up. Ultimately, Dr. Hwangs goal will be to see if hypoglycemia unawareness can be reversed, helping people with diabetes regain the warning systems so critical to glucose management.
Form 990, Part III, Line 4	The next generation of glucose monitoring. When continuous glucose monitors CGM were introduced more than 20 years ago, they represented a huge leap forward in diabetes care, giving people with diabetes a way to monitor their glucose levels in near real time. Research soon showed that CGMs offered people with both type 1 and type 2 diabetes significantly improved blood sugar blood glucose management. Yet only 33 percent of Americans with type 1 diabetes use a CGM, along with just 10 percent of people with type 2. With the help of an ADA grant, Dr. Bing Wang is searching for ways to change that by making CGMs easier to use and less obtrusive. Specifically, he is working to tweak the newer optical sensors to require fewer, if any, finger sticks to calibrate the devices. Dr. Wangs work could be an important building block for future generations of sensors, and it could reduce the pain and fear associated with CGMs. Pathway to Stop Diabetes. The ADAs Pathway to Stop Diabetes is a groundbreaking research initiative that provides critical financial resources, professional mentorship, and scientific guidance to the nations highest impact investigative pioneers. Pathway has an ambitious goal of bringing 100 brilliant scientists to diabetes research, funding a human pathway, and launching the next generation of investigators inventive, interdisciplinary, progressive, and trailblazing. 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	Since its inception, our Pathway researchers have collectively published 170 plus original publications in high impact scientific journals, filed 13 patent applications, protecting intellectual property to translate discoveries into tools and cures. Delivered 468 engaging and informative presentations and lectures. Founded 3 independent start ups. Two new Pathway awardees began their research projects in January 2020 Judith Agudo, PhD, Dana-Farber Cancer Institute, Boston, MA Harnessing Immune Privilege Mechanisms from Stem Cells to Protect Stem Cells from Immune Attack. Maxence V. Nachury, PhD, University of California, San Francisco Regulation of Body Weight Homeostasis and B Cell Function by Primary Cilia. Also in 2020, our third group of scientists completed their terms of Pathway funding Zhen Gu, PhD, of the University of California, Los Angeles Marie France Hivert, MD, of Harvard Pilgrim Health Care, and Stephen C.J. Parker, PhD, of the University of Michigan. 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 ADAs 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. For the first time in the ADAs 80 year history, the Scientific Sessions was held online due to the COVID19 pandemic. By translating the in person meeting into an entirely virtual experience, we upheld the ADAs reputation for offering the latest advances in diabetes research, treatment, and care, and hosted a prime setting for researchers and health care professionals to exchange ideas. The virtual 80th Scientific Sessions by the numbers. 12,700 plus professionals. 850 plus presentations. 238 sessions, special lectures, and addresses. 2,409 published abstracts. More than 712 million media impressions generated worldwide through the Communication teams press program media engagement. More than 99 percent of surveyed attendees believed the program was independent, balanced, objective, and scientifically rigorous. Nearly 91 percent said the content gave them the necessary knowledge to enhance their clinical or research practice.
Form 990, Part III, Line 4	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 ADA works hard to ensure that those affected by and at risk for diabetes, their health care team, as well as the general public receive targeted, timely, and accurate information. We deliver resources that people can access any time in multiple formats including our website for consumers and professionals, diabetes.org, our flagship social media channels, and our professional journals and publications. We focus our efforts on three areas. Raising awareness of diabetes as a serious disease. Ensuring patients, providers, and caregivers 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. In 2020, we augmented these efforts by developing a continual stream of evidence based resources to help our community respond to COVID19 and diabetes. This included launching a new COVID19 response section on our website complete with FAQs, a vaccination guide, resources for health care professionals, information for voting safely, and more.
Form 990, Part III, Line 4	Center for Information. The ADAs Center for Information CFI at 1 800 DIABETES marks the very first stop for many of our constituents as they start their journey of living with diabetes. 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 2020, CFI supported ADAs mission by Processing nearly 64,000 contacts from constituents, professional members, and others. Collecting 164,210 in donations. Pointing constituents to our digital resources and, during the COVID19 pandemic, implementing a process that allowed CFI to manually process and mail 4,192 packets of literature to those without internet access. Processing 2,712 intakes for our Legal Advocacy team. Assisting 3,538 contacts with information and resources for assistance with medications and supplies. In addition, we 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. 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. From our website, diabetes.org to our blog diabetes.org/blog to our ever-growing presence on Facebook, Twitter, YouTube, and Instagram, the ADA is connected to its constituents 24 7.
Form 990, Part III, Line 4	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 2020, the site had 12.1 million sessions, 18.6 million unique pageviews, and 9.4 million new users. Social Media. The ADAs flagship social media channels continue to grow Facebook fan base is now more than 774,000. Twitter following is up to 144,000. Instagram following is now over 45,000. LinkedIn continues to be a dedicated marketing communications channel for the professional audience. Our company page has more than 61,000 followers. Facebook Fundraisers continue to be a major source of donations, accounting for more than 2 million in 2020. ADA supporters gave on Facebook to mark birthdays, dia versarys, ADM, and more. DiabetesPro. DiabetesPro at professional.diabetes.org provides the latest resources in diabetes care and research for health care professionals and scientists. Through this mobile friendly platform, the ADA delivers enhanced and customized content as well as access to members only benefits. DiabetesPro is the most advanced collection of resources available to professionals that have diabetes in the center of their careers, providing them a convenient way to stay informed.
Form 990, Part III, Line 4	Featured content includes News via DiabetesPro SmartBrief, which has 56,000 subscribers. Diabetes meetings and continuing education opportunities, including ADAs Scientific Sessions. Social media, including Facebook 32,000 professional followers and Twitter more than 16,000 professional followers. Clinical practice recommendations, including the Standards of Medical Care in Diabetes. Webcasts and podcasts, including Diabetes Core Update. Journals and books. DiabetesPro Quarterly, our quarterly membership newsletter with about 16,000 subscribers. Professional Interest Group resources, including our Professional Member Community. This forum has more than 15,000 professional users. Research grant information, including funding cycle information and funded research. Diabetes Recognized Education Program information and resources. Youth, Young Adult, and Family Initiatives. Reaching Type 1 and Type 2 Diabetes Families ADA Camps. The ADA continues to be the worlds largest provider of camps for children with diabetes. ADA Imagine Camp was born in time for summer 2020 connecting kids with diabetes to adventure, education, mentorship, and each other virtually.
Form 990, Part III, Line 4	Now a year round program, ADA Imagine Camp facilitates an at home, virtual experience for children, their caregivers, and their families. Kids from all 50 states and internationally from Canada, China, Ireland, New Zealand, South Africa, and the United Kingdom joined us in 2020. Like our in person programming, ADA Imagine Camp imparts tips and tools for living well with diabetes, reduces feelings of isolation, improves confidence and independence in diabetes management, and fosters lifelong friendships. 2020 ADA Imagine Camp by the numbers 2,912 campers. 41 percent first time campers. 147 volunteer counselors. 856 Zoom meetings. 0 cost to each participant ADA Imagine Camp is fully subsidized. Of campers assessed One-third increased their knowledge of proper diabetes management including when to check blood sugar, counting carbohydrates, and the effect of exercise on blood sugar. Meanwhile, 40 percent increased their confidence in trying new methods of diabetes management. Feelings of loneliness decreased among 23 percent of campers. ADA Imagine Camp would not be possible without the dedication and enthusiasm of our partner organizations, who help provide resources, training materials, support groups, video content, and more Beyond Type 1, College Diabetes Network, Riding On Insulin, and Children With Diabetes Moms of Friends for Life. Youth, Young Adult, 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. Project Power aims to slow the trajectory of childhood obesity and ultimately prevent type 2 diabetes and its complications. Created for elementary and middle school-aged youths, its evidenced-based curriculum is built on three pillars nutrition education, fitness education, and family engagement. In fall 2020, we delivered Project Power as a virtual after-school program to 1,465 participants, at no cost to families. Project Power assessments showed improvements across all knowledge areas, including 33 of participants were more confident in their ability to choose healthy snacks and exercise regularly. 16 increased their physical activity to the recommended five-plus days/week, ate more fruits and vegetables, and drank more water. Ask the Experts. To address issues commonly faced by people living with diabetes, the ADA developed a free education series focused on diabetes management. The wellness series includes live QA with diabetes experts 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.
Form 990, Part III, Line 4	The series is delivered as part of the Know Diabetes by HeartTM initiative to help people living with type 2 diabetes learn how to reduce their risk of cardiovascular disease, and the Focus on DiabetesTM initiative to raise awareness of the link between diabetes and eye disease. Across 14 events held in 2020, experts connected with nearly 11,000 participants who engaged for 20 minutes on the phone or online.Know Diabetes by Heart sponsored event outcomes 17 of participants, on average, increased their diabetes knowledge from before an event to after an event. 22 of participants discussed their risk for cardiovascular disease with their health care provider within one month of an event among those who had not previously had a discussion. 91 intend to enroll in diabetes education after attending the event.Focus on Diabetes sponsored event outcomes 66 were aware that eye disease can have no visuals signs or symptoms, an increase of 21 from baseline. 95 were confident in their ability to reduce their risk for diabetes-related eye disease, a 12 increase from baseline. 98 intend to get eye exams regularly after attending the event.
Form 990, Part III, Line 4	Diabetes Self-Management Support DSMS. ADA continues to the promote the Diabetes Support Initiative and ADA approved DSMS 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. Learn more at professional.diabetes.org/dsi. In 2020 ADA developed additional DSMS resources including a new DSMS Toolkit and DSMS Plan. The Diabetes Self Management Support DSMS Toolkit provides information and guidance to help diabetes care providers and educators meet the National Standards for Diabetes Self-Management Education and Support, specifically Standard 8 Ongoing Support. The DSMS Plan provides a format through which diabetes care providers and educators can create personalized plans for participants and identify local resources and activities that may benefit them as part of ongoing diabetes support. ADA has developed a Community Grants process to offer financial support to deliver ADA approved diabetes support programs in high risk communities. ADA awarded 800,000 in grant funding through the Know Diabetes by Heart initiative to implement eight of the ADA approved diabetes support programs in high-risk communities nationwide. ADA was awarded 250,000 from The Pfizer Foundations Social Determinants of Health Grant to develop a Community Garden and implement an ADA approved diabetes support programs in Montgomery, Ala.
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, our National Health Disparities Committee developed the new CHW webpage for COVID19 Community Health Worker Resources. The Health Disparities Committee, in collaboration with the National Association of Community Health Workers NACHW, participated in the ADAs COVID19 webcast The Role of Community Health Workers as First Responders in the COVID19 Outbreak. The Health Disparities Committee and ADAs Professional Membership team continued to promote the new 35 CHW Professional Membership for community health representatives, peer health educators, and other frontline public health workers. In 2020, there were a total of 126 CHW professional members. In 2020 the ADA also continued the Health Disparities Community Health Workers Resources continuing education webcast series developed by the Health Disparities Committee to provide professional education resources addressing various topics related to CHWs and social determinants of health. The webcasts series included Diabetes 101 Resources for Community Health Workers held in February 2020 with a total of 726 registrants, and What Health Care Professionals Need to Know About Addressing Diabetes and Food Insecurity. Resources for Communities in Need held in July 2020 with a total of 895 registrants.
Form 990, Part III, Line 4	Professional Education. The primary goal of the ADAs 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 and competence, advancing skills, and apprising health care professionals of the latest developments in diabetes research and clinical practice. The ADA has been accredited to provide continuing education to health care professionals for more than 30 years and is a Joint Accredited Provider. 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 ADA became a National Accrediting Organization NAO for Medicare in 1986, our Education Recognition Program ERP has recognized more than 6,600 diabetes self-management education and support DSMES services across the United States plus U.S territories including as far as Guam.
Form 990, Part III, Line 4	The pandemic did not diminish the need for diabetes self-management education and support DSMES services, as organizations continued to apply for ERP recognition. We maintained 1,500 ERP programs and awarded recognition to 50 new ones in 2020. This included adding the fourth National Virtual Recognition for the U.S. Departments of Veteran Affairs and Defense, which will offer DSMES services to all members of the military and their dependents nationwide. We also introduced ERP University ERPU, a series of webinars providing practical solutions for each of the DSMES National Standards. ERPU is only available to ADA-recognized programs and has been in high demand since launching in September 2020. National Diabetes Prevention Program National DPP. The ADA continues to help Americans prevent or delay type 2 diabetes through our cooperative agreement with the Centers for Disease Control and Prevention CDC. In 2020, our National DPP affiliate sites enrolled 929 participants in this proven lifestyle change program. Due to the pandemic, 37 of the 70 new cohorts and 64 cohorts who were currently in progress were conducted or transitioned to distance-learning classes. Of the National DPP participants who completed core sessions and at least one core maintenance session, 95 lost weight and nearly half met the goal of losing at least 5 of their starting body weight.
Form 990, Part III, Line 4	Professional Engagement. The pandemic challenged the ADA to connect with health care professionals in new ways. Across the board, our professional engagement programs pivoted to a deliver an innovative virtual experience. The newly minted COVID-19 Professional Leadership Team hosted nearly 20 webinars for professionals around the world as the pandemic evolved. More than 4,000 attendees participated in the live events, and the corresponding podcasts have been downloaded nearly 56,000 times. Our Professional Membership Interest Groups hosted 15 webinars and professional development programs to grow relationships, foster knowledge, and share research updates throughout the year. The Focus on Fellows program met every other week from June through November. A total of 208 endocrine fellows participated in 22 interactive sessions focused on practical issues such as resumes, career paths, and work-life balance. Under the banner of the Know Diabetes by HeartTM and Focus on DiabetesTM initiatives, we launched digital pocket guides, podcasts, webinars, and other continuing education CE and non-CE professional education activities.
Form 990, Part III, Line 4	What Can I Eat Program. The number one question we hear from individuals recently diagnosed with diabetes is, What can I eat To address this, the ADA developed and conducted a pilot study for adults living with type 2 diabetes, their families, and caregivers. This in-person, community based, nutrition focused support program was launched as the What Can I Eat WCIE program in 2015. The curriculum consists of five interactive group sessions featuring goal setting, problem solving, storytelling, visuals, and demonstrations. It complements Diabetes Self Management Education and Support DSMES programs and is designed to promote and sustain positive behavior changes related to healthy food choices. According to a two-year pilot study, the five-session WCIE program significantly impacts a wide range of promoted dietary outcomes and leads to notably positive trends in health. Outcomes are sustained in the months following the intervention, such as Decreased A1C, weight, and blood pressure. Increased positive eating habits Consuming more non-starchy vegetables, lower fat meat, and water. Using the diabetes plate method. Using food labels. Purchasing healthy sides at restaurants. Decreased negative eating habits Consuming less red meat, sweets, salty snacks, and sugary drinks. Using less solid fats and frying when cooking. Eating at restaurants less frequently. Choosing fewer fried foods at restaurants. Improved food shopping behaviors. Improved cooking habits. Increased self-efficacy confidence to change
Form 990, Part III, Line 4	Notably, 99 percent of WCIE participants reported making better dietary choices because of this program. The ADA will continue working to scale and expand the What Can I Eat program to reach diverse communities of people with diabetes where they are in their communities, in their life stage, and in their circumstances. Overcoming Therapeutic Inertia OTI. The average A1C for people with diabetes has remained unchanged last 20 years, despite advances in technology, education, and treatments. The root of this problem is therapeutic inertia, which is defined as a delay in starting or intensifying therapy when its appropriate to do so. If we can overcome therapeutic inertia and manage blood sugar blood glucose levels early in a persons diabetes journey, it will lead to better long term outcomes and reduce their chances of developing complications. Started in 2018, our OTI initiative marks an ambitious paradigm shift in type 2 diabetes care as we seek to better understand and address the factors that contribute to therapeutic inertia in diabetes care and help people with type 2 live longer, healthier lives. The OTI education and awareness campaign got underway in 2020 with a six module curriculum and other materials for clinicians and their patients. An average of 832 health care professionals registered for each of the corresponding educational webinars. The videos, fact sheets, self assessments, conversation guides, and other tools provide practical strategies and tips for identifying and overcoming therapeutic inertia in primary care.
Form 990, Part III, Line 4	As of 2020 we have formed OTI alliance partnerships with AMGA formerly the American Medical Group Association. American Association of Nurse Practitioners AANP. American Association of Physician Assistants AAPA. American College of Osteopathic Family Physicians ACOFP. American Pharmacists Association APhA. American Society for Health-System Pharmacists ASHP. Association of Diabetes Care and Education Specialists ADCES. The Overcoming Therapeutic Inertia initiative is supported by Strategic Sponsors AstraZeneca and Sanofi, plus Supporting Sponsors Merck and Novo Nordisk. Learn more at therapeuticinertia.diabetes.org. Diabetes INSIDE. Despite COVID19s impact on health care systems, in 2020 Diabetes INSIDE continued to expand its regional collaboration of stakeholders in the Greater Philadelphia and mid Atlantic regions and improve care for people with diabetes and cardiovascular disease. Our network of partners now supports community health interventions that target high risk African American and Latino populations. Diabetes INSIDE has collected and analyzed data on over 300,000 patients over several million visits to identify trends and gaps in care and to monitor for change as we facilitate improvement projects across a wide range of clinical challenges. We are also initiating an expansion plan to launch Diabetes INSIDE in new markets, with a focus on Chicago.
Form 990, Part III, Line 4	Professional Membership. COVID19 impacted ADAs ability to reach health care professionals to ask them to join or renew their membership. Consequently, all digital promotions were increased with geofencing being tested as a new option to reach researchers and clinicians.New membership levels continued to grow in 2020. Community Health Workers 126. Student 81. Early Career generated 175. Emeritus generated 1. Digital Clinical Diabetes Roundtable Discussions. In 2019, the ADA launched a new educational opportunity to facilitate dialogue and improve understanding with primary care audiences on important subjects 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 a landing page on the Clinical Diabetes website. A corresponding summary paper outlining the content is published in the journal. The landing page includes the roundtable discussion videos, speaker biographies, and funding information. The latest roundtable discussions include Effective Initiation and Treatment With Basal Insulin in People With Type 2 Diabetes Focus on Mitigating Hypoglycemia in Patients at Increased Risk released in October 2020.
Form 990, Part III, Line 4	Diabetes Core Update Podcast. Diabetes Core Update is an 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 related content from other sources. In addition to monthly episodes, in 2020 we produced themed podcast series on topics including therapeutic inertia, influenza, SGLT2 inhibitors, and COVID19. Each podcast episode can be accessed via Apple Podcasts, Google Play, RSS feed, or at diabetesjournals.org. PUBLICATIONS. ADA journals provide more than 40,000 researchers, physicians, and diabetes care specialists with the latest information on scientific research and clinical practice. The ADAs four highly respected professional journals, Diabetes, Diabetes Care, Clinical Diabetes, and Diabetes Spectrum, publish original research, consensus reports, scientific statements, and more, in addition to supplemental issues including the ADAs clinical practice guidelines the Standards of Medical Care in Diabetes. In 2020, our journals received more than 12 million visits and 25 million page views at diabetesjournals.org, and ADA-published studies were cited more than 130,000 times a 5 percent increase over 2019. Also this year, Diabetes Care achieved the highest Impact Factor ever recorded for an ADA journal 16.02. Diabetes Care and Diabetes are consistently ranked as the top two journals devoted to diabetes research, ranking second and third among the 145 journals in the field of endocrinology and metabolism.
Form 990, Part III, Line 4	Standards of Care Guidelines. The Standards of Medical Care in Diabetes 2021 Standards of Care was developed throughout 2020 and is published as a supplement to Diabetes Care journal each December. Key changes for the 2021 edition include 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 to address the treatment of this growing population. Revised recommendations and additional supporting evidence in section 7, Diabetes Technology. The Standards of Medical Care in Diabetes 2021 is available online and in print. We also offer an abridged version for primary care providers, an interactive app, plus CE webcasts and a slide deck for professional use. The Standards of Care is a living document. It is published annually online and then updated throughout the year in the form of online annotations and published addenda. Reports, Reviews, and Consensus. In addition, in 2020 the ADA published several important reports, reviews, and consensus documents in the journal Diabetes Care.
Form 990, Part III, Line 4	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 January 2020. 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 February 2020. Cost-effectiveness of Diabetes Prevention Interventions Targeting High-risk Individuals and Whole Populations A Systematic Review July 2020. Precision Medicine in Diabetes A Consensus Report From the American Diabetes Association ADA and the European Association for the Study of Diabetes EASD July 2020. Diabetes Self-management Education and Support in Adults With Type 2 Diabetes A Consensus Report of the American Diabetes Association, the Association of Diabetes Care Education Specialists, the Academy of Nutrition and Dietetics, the American Academy of Family Physicians, the American Academy of PAs, the American Association of Nurse Practitioners, and the American Pharmacists Association July 2020. Social Determinants of Health and Diabetes A Scientific Review online November 2020
Form 990, Part III, Line 4	Article Collections and Clinical Compendia. ADA journals also published several special article collections in 2020, including Diagnosis and Management of Diabetic Foot Infections January 2020. Nonalcoholic Fatty Liver Disease in Diabetes February 2020. Person Centered, Outcomes Driven Treatment A New Paradigm for Type 2 Diabetes in Primary Care April 2020. COVID19 and Diabetes May 2020. The Role of Blood Glucose Monitoring in Diabetes Management October 2020. Diabetes Technology in Primary Care December 2020. Compendia cover important topics of interest to health care providers who treat diabetes and concomitant conditions. Through sponsorship support of our industry partners, the ADA convenes 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 receive the ADAs four professional journals, Diabetes, Diabetes Care, Clinical Diabetes, and Diabetes Spectrum. The compendia are available on the ADAs professional membership website, professional.diabetes.org. Compendia published in 2020 include Diagnosis and Management of Diabetic Foot Infections January 2020. Person Centered, Outcomes Driven Treatment A New Paradigm for Type 2 Diabetes in Primary Care May 2020. The Role of Blood Glucose Monitoring in Diabetes Management October 2020
Form 990, Part III, Line 4	New Book Titles. In 2020, the ADA Books Department distributed 102,580 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 38 percent decrease over 2019. However, with the changes ADA Books experienced in 2020 in particular, the reduction of our Consumer Book list and our expanded focus on Professional Book content we feel that there will continue to be a strong interest in book content, and that ADA Books will remain the authoritative source for diabetes information. Consumer. Pocket Guide to Diabetic Food Choices, 5th edition. American Diabetes Association. Pregnancy and Diabetes. Marina Chapparo, RDN, CDE, MPH. Cocinando para Latinos con Diabetes, 3rd edition. Olga Fuste, MS, RD, CDE. Diabetic Cooking Made Easy. Jennifer Bucko Lamplough. The Create Your Plate Diabetes Cookbook. Tobi Amidor, MS, RD, CDN. What Do I Eat Now, 3rd edition. Tami Ross, RDN, LD, CDCES, MLDE. What Do I Cook Now. Tami Ross, RDN, LD, CDCES, MLDE. Clean and Simple Diabetes Cookbook. Jackie Newgent, RDN, CDN. Intimacy and Diabetes eBook only. Janis Roszler, LMFT, RD, LDN, CDE and Donna Rice, MBA, BSN, RN, CDE
Form 990, Part III, Line 4	Professional. Annual Review of Diabetes 2020. American Diabetes Association. Medical Management of Type 2 Diabetes, 8th edition. Luigi Meneghini, MD, MBA. Life With Diabetes, 6th edition. Martha Funnell, MS, RN, CDCES. 2020 2021 Guide to Medications for the Treatment of Diabetes Mellitus. John White, Jr., PAC, PharmD. AWARENESS and EDUCATION American Diabetes Month ADM. From the nonstop bad news to the bleak forecasts, everything about 2020 seemed to conspire against us. People living with diabetes and those who love them felt powerless, afraid, and small. Thats why we embraced a message of hope for ADM in November. We sought to empower one another, regardless of background or circumstance, to conquer diabetes and all that comes with it. We Stand Greater Than became a powerful theme for encouraging action Equity Prejudice Holding elected officials accountable for health equity. Speaking Silence Expanding COVID19 care. Thriving Surviving Embracing diabetes wellness and management. Advancement Acceptance Donating to make a difference. National Strategic Partner CVS Pharmacy returned as a proud sponsor for the ADM campaign, which integrated organic, paid, partner, and influencer marketing strategies to build awareness. Throughout the month we hosted eight virtual events with our partners in the diabetes space, such as a cooking demo with JDRF and a live concert featuring some of our favorite musical artists.
Form 990, Part III, Line 4	The ADM microsite at diabetes.org greaterthan earned 232.5K pageviews, accounting for 10.2 percent of all website traffic to diabetes.org in the month of November. More than 60 percent of this traffic came from social media. The campaign also generated more than 16 million social media impressions and 430 media articles for a total audience of over 127 million. Know Diabetes by Heart. Know Diabetes by Heart is our landmark partnership with the American Heart Association to reduce cardiovascular deaths, heart attacks, heart failure, and strokes in people with type 2 diabetes. This initiative focuses on improving outcomes through a long term consumer activation campaign, quality and systems improvement efforts, professional resources and education, and patient resources and support. With Know Diabetes by Heart, were driving important conversations between people with type 2 and their health care teams. In 2020 we Launched a campaign and companion website to reach Spanish-speaking audiences in culturally relevant ways. Recruited 10 community-based organizations to deliver DSMES services in high-need areas. Developed more than 25 new patient education materials, including content to address COVID19 and chronic kidney disease. Awarded the inaugural Target Type 2 Diabetes Recognition to 934 hospitals and 205 outpatient clinics that met core performance metrics. Secured over 1.09 billion media impressions, driving awareness of the link between type 2 diabetes and cardiovascular disease.
Form 990, Part III, Line 4	Learn more about the Know Diabetes by Heart initiative at knowdiabetesbyheart.org and diabetesdecorazon.org.Diabetes Food Hub. Diabetes Food Hub continued to be a popular destination for people living with diabetes, caregivers, and health care professionals. In 2020, nearly 40,000 new people registered for the platform part recipe database, part grocery list builder, part meal planner, and 100 percent backed by the ADAs nutrition expertise. Its newsletter now reaches over 330,000 subscribers with healthy recipes, cooking tips, and special content to help people cook more meals at home and shop safely during lockdowns and quarantine.
Form 990, Part III, Line 4	Better Choices for Life. Many consumer products and services make health claims, including preventing, managing, or even reversing diabetes. In 2020 we unveiled Better Choices for Life to inform consumers everyday purchases. The program brings science and evidence based approaches, including elements of the Standards of Medical Care in Diabetes, to consumers to help guide their life decisions and provide a simple way to identify products and services that are suitable for people with or at risk for diabetes. Signature Campaigns and Events. Our signature campaigns provide a great opportunity for the ADA to raise awareness about our mission and drive revenue. These campaigns are an integral part of our strategic vision. Tour de Cure is the ADAs premier cycling fundraising event and Step Out Walk to Stop Diabetes is our signature walk fundraising event. In 2020 we virtually engaged over 17,000 individuals nationwide and raised more than 9.4 million.
Form 990, Part III, Line 4	ADVOCACY. Speaking Up for All People with Diabetes. The ADAs advocacy efforts and achievements are at the core of creating effective and lasting change for people living with and at risk for diabetes. Our advocacy work gives people with diabetes, their families, and health care professionals the power to influence public policy issues that affect people with diabetes at the local, state, and national levels. Our primary goals are to increase federal and state funding for diabetes prevention, treatment, and research. to prevent diabetes. to improve the availability of accessible, adequate, and affordable health care. to end the discrimination people with diabetes face at school, work, and elsewhere in their lives. Amid the global pandemic, the ADA sharpened our advocacy focus to one important goal ensuring that the diabetes community could not only live safely, but live well. Our work aimed to improve health equity and care for people with diabetes and prediabetes, particularly in the communities of color hit hardest by both diabetes and COVID19.
Form 990, Part III, Line 4	The ADAs Diabetes Advocates more than 500,000 of them are the heart of our grassroots efforts. At the local, state, and federal levels, they speak up for key policies that support people affected by diabetes. In 2020, we also kicked off an ADA Influencers group to provide high-impact engagement opportunities. In any other year, our Advocates would be visiting Washington, D.C., and state capitals to meet with elected officials. We took those meetings online in 2020, holding eight virtual congressional townhalls where our Advocates could engage with their senators and representatives safely. We also launched our new digital Communication and Engagement Platform to help volunteers make their voices heard. Our Advocates used the platform to generate nearly 50,000 messages to congressional and state policymakers in support of COVID19 relief legislation, health equity, affordable insulin, research funding, and other critical issues facing the diabetes community.
Form 990, Part III, Line 4	COVID19 Advocacy. The ADA is the loudest voice in the room when it comes to pushing for diabetes funding. In fiscal year 2021, we secured 2.6 billion in such funding, an increase of more than 60 million over 2020.Then there were the resources so desperately needed to fight COVID19. We secured 22.4 billion for testing and contact tracing and 8.75 billion for CDC vaccine distribution and infrastructure, money that went directly to states. Portions of these funds were targeted to high risk and medically underserved areas and communities of color most affected by the pandemic. We also worked with the Centers for Medicare and Medicaid Services CMS so seniors with diabetes could access important diabetes management tools without having to see a doctor in person and risk exposure to COVID19. Because of our advocacy, CMS changed several Medicare policies during the COVID19 pandemic, including waiving in person visit requirements for coverage of insulin pumps and continuous glucose monitors CGMs, permanently waiving Medicares blood sugar testing requirement for CGM coverage, and allowing seniors to use audio-only telehealth services. We also submitted comments to CMS and led a group of diabetes organizations in aligning on a proposed rule that would cut reimbursement for certain CGMs. The ADA also led 43 other patient organizations in urging insurance companies to continue covering patient out of pocket expenses for certain telehealth visits for the duration of the pandemic.
Form 990, Part III, Line 4	Health Equity Now. The current health pandemic and its disproportionate toll on minority, low income, and historically underserved Americans shines a troubling light on historic, systemic inequities in American health care. Thats why we introduced our Health Equity Now platform in 2020. The ADAs Health Equity Bill of Rights envisions a future without unjust health disparities. It ensures the 122 million Americans living with diabetes and prediabetes, along with the millions more who are at high risk for diabetes no matter their race, income, Zip code, age, education, or gender get equal access to the most basic of human rights their health. Working with anchor partners Abbott, Baxter International Foundation, and Walmart, the ADA seeks to dismantle pervasive health inequities one by one so people living with diabetes can truly thrive.
Form 990, Part III, Line 4	State-Level Wins. Additionally, the ADA secured 98 state-level legislative wins in 2020, achieving greater health equity from coast to coast. These victories improved access to affordable and adequate health care, food and nutrition policies, and diabetes prevention programs for a total of over 28.6 million Americans, a 30 increase over the previous year. Making Insulin Affordable. Insulin is essential to life, and the ADA has led the way to lower costs and increase access to this medication. In 2020 we helped launch the Medicare Part D Senior Savings Model that caps insulin at 35 per 30-day supply. The model became effective Jan. 1, 2021, a welcome relief for the more than 3.3 million Medicare beneficiaries who rely on insulin to treat their diabetes. We endorsed federal legislation to make insulin available to Medicare beneficiaries with no out-of-pocket costs during the public health emergency. We also sponsored or supported insulin co-pay caps that were approved in 13 states. These laws address insulin affordability by limiting monthly cost-sharing for this lifesaving medication.
Form 990, Part III, Line 4	Dismantling Discrimination. For nearly two decades, the ADAs unique legal advocacy program has knocked down blanket bans and other unfair policies that discriminate against people with diabetes at work, at school, and in daily life. In 2020, that also meant working to ensure those with diabetes could vote safely in their elections, with options that protected them from unnecessary exposure to COVID19. Our team also broke barriers with the Federal Aviation Administration FAA to allow commercial pilots with insulin-treated diabetes to fly for the first time.
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 ADA is a network of more than 526,000 volunteers, including our dedicated Board of Directors, a membership of more than 500,000 people with diabetes, their families, and caregivers, the hundreds of thousands of health care professionals we serve across the globe, over 2.7 million email subscribers, as well as nearly 250 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 1,626,611 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. 188,974 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 1a1	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 2020. Changes to the bylaws include 1 Directors required to serve on at least one bylaws or standing committee, 2 Number of at-large directors reduced from six to five, 3 Board reduced to not more than 13 elected directors, 4 Board Development Committee and Executive Compensation Committee combined to form Talent, Composition Board Development Committee, 5 Audit Committee changed to Audit Governance Committee, and 6 Three new standing committees formed - Advocacy Committee, Fundraising Committee and Council for Medicine, Education, Science and Healthcare.
Form 990, Part VI, Section A, Line 9	Employment term for Robert Gabbay, Chief Scientific and Medical Officer, started on July 1, 2020. Employment term for Eloise Scavella, Chief Operating and Strategy Officer, ended on October 30, 2020.Employment term for John Agos, Chief Strategic Development Officer, ended on July 1, 2020. Employment term for Charles Henderson, Chief Development Officer, started on January 6, 2020. Employment term for Jacqueline Sebany, Chief Marketing and Digital Officer, started on January 21, 2020.

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2020

Additional Data

Software ID:	20011406
Software Version:	20.0.2.0

- 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

2020

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) 2020

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?		(k) Percentage ownership
(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	(k) Percentage ownership

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	(h) Percentage ownership	(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	(h) Percentage ownership	Yes	No

Schedule R (Form 990) 2020

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	7,307,220	Cash
(2) American Diabetes Association Research Foundation Inc	l,n,o	517,290	Fair Value
(3) American Diabetes Association Property Title Holding Corporation	s	1,626,611	Cash

Schedule R (Form 990) 2020

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?		(k) Percentage ownership
(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	(k) Percentage ownership

Schedule R (Form 990) 2020

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) 2020

Additional Data

Software ID:	20011406
Software Version:	20.0.2.0

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	15
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	14
5	Total number of individuals employed in calendar year 2020 (Part V, line 2a) ......	5	515
6	Total number of volunteers (estimate if necessary) .............	6	6,708
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	1,709,433
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) .........	108,955,331	88,149,703
9	Program service revenue (Part VIII, line 2g) .........	28,450,236	16,498,746
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	1,530,692	1,246,206
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	7,830,233	11,589,471
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	146,766,492	117,484,126
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	17,772,729	8,454,738
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)	50,193,748	40,437,237
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	687,202	587,704
b	Total fundraising expenses (Part IX, column (D), line 25) 23,563,447
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	69,006,671	50,417,490
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	137,660,350	99,897,169
19	Revenue less expenses. Subtract line 18 from line 12.......	9,106,142	17,586,957
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	135,486,015	147,139,202
21	Total liabilities (Part X, line 26).............	64,272,981	55,961,915
22	Net assets or fund balances. Subtract line 21 from line 20.....	71,213,034	91,177,287

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 37,412,622 including grants of $ 1,097,518 ) (Revenue $ 13,231,374 )
	Information - See Schedule O

4b	(Code: ) (Expenses $ 18,002,017 including grants of $ 50,000 ) (Revenue $ )
	Advocacy and Public Awareness - See Schedule O

4c	(Code: ) (Expenses $ 12,376,877 including grants of $ 7,307,220 ) (Revenue $ 11,799,552 )
	Research - See Schedule O

4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ 1,815,585 )
4e	Total program service expenses67,791,516

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	3,230,972	541,484

1a	Federated campaigns..		1a	2,803,620
b	Membership dues..		1b
c	Fundraising events..		1c	8,771,865
d	Related organizations		1d
e	Government grants (contributions)		1e	1,460,782

f	All other contributions, gifts, grants, and similar amounts not included above		1f	75,113,436

g	Noncash contributions included in lines 1a - 1f:$		1g	534,010

h Total. Add lines 1a-1f.......		88,149,703

		Business Code
2a	Subscriptions	511120	8,747,452	8,747,452
b	Registration	611710	5,046,480	5,046,480
c	Sales of Material	511130	1,302,950	1,302,950
d	Booth Rental	611710	403,650		403,650
e	Other Program Service Revenue	900099	998,214	998,214
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		16,498,746

3 Investment income (including dividends, interest, and othersimilar amounts) ......			1,324,879			1,324,879
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........			1,241,706			1,241,706
		(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	-72,900	51,732,734	7a
b	Less: cost or other basis and sales expenses		51,738,507	7b
c	Gain or (loss)	-72,900	-5,773	7c
d	Net gain or (loss).........			-78,673			-78,673
8a	Gross income from fundraising events (not including $ 8,771,865of contributions reported on line 1c). See Part IV, line 18 ....
			8a	683,190
b	Less: direct expenses ...		8b	683,190
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	1,683,629		1,683,629
b	Catalog Sales Income - Gift of Hope		454110	25,804		25,804
c	Abstract Fees Permissions Income		900099	655,206	655,206
d	All other revenue ....			7,983,126	7,983,126
e	Total. Add lines 11a–11d ......			10,347,765
12	Total revenue. See instructions.....			117,484,126	24,733,428	1,709,433	2,891,562

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	8,404,738	8,404,738
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........	50,000	50,000
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............	0
4	Benefits paid to or for members .......	0
5	Compensation of current officers, directors, trustees, and key employees ...........	2,675,351	1,696,176	318,976	660,198
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........	30,837,575	19,516,109	3,689,568	7,631,899
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	197,677	126,783	22,993	47,901
9	Other employee benefits .......	4,086,924	2,588,569	491,541	1,006,814
10	Payroll taxes ...........	2,639,710	1,689,639	290,980	659,091
11	Fees for services (non-employees):
a	Management ......	0
b	Legal .........	303,371	78,573	208,656	16,142
c	Accounting ...........	208,035	4,162	202,833	1,040
d	Lobbying ...........	148,422	148,422
e	Professional fundraising services. See Part IV, line 17	587,704			587,704
f	Investment management fees ......	198,135		198,135
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	12,576,940	10,117,621	840,028	1,619,291
12	Advertising and promotion ....	3,161,162	1,381,189	1,497	1,778,476
13	Office expenses .......	1,905,790	1,090,795	345,638	469,357
14	Information technology ......	3,964,805	2,706,434	123,149	1,135,222
15	Royalties ..	173,776	173,776
16	Occupancy ...........	5,972,213	3,807,606	700,219	1,464,388
17	Travel ............	429,554	333,939	22,731	72,884
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .	0
19	Conferences, conventions, and meetings ....	1,811,529	1,792,993	915	17,621
20	Interest ...........	0
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization ..	3,336,972	2,102,292	400,437	834,243
23	Insurance ...	430,932	275,821	50,262	104,849
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	284,355	249,018	10,218	25,119
b	Postage and Shipping	3,609,237	1,650,706	15,934	1,942,597
c	Printing and Publications	8,719,703	5,895,932	113,989	2,709,782
d	Data Processing	1,006,634	598,800	467	407,367
e	All other expenses	2,175,925	1,311,423	493,040	371,462
25	Total functional expenses. Add lines 1 through 24e	99,897,169	67,791,516	8,542,206	23,563,447
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).	13,215,831	3,184,225	212,355	9,819,251

1	Cash–non-interest-bearing ........			1,147,719	1	822,431
2	Savings and temporary cash investments .........			6,957,683	2	29,598,770
3	Pledges and grants receivable, net ......			43,882,563	3	42,783,631
4	Accounts receivable, net .............			2,228,497	4	7,023,055
5	Loans and other receivables from 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 ............			2,742,370	8	949,442
9	Prepaid expenses and deferred charges ......			3,460,727	9	2,014,178
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	28,058,195
b	Less: accumulated depreciation	10b	19,683,398	11,709,615	10c	8,374,797
11	Investments—publicly traded securities .			33,368,795	11	31,029,039
12	Investments—other securities. See Part IV, line 11 .....			10,549,883	12	11,725,984
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			19,438,163	15	12,817,875
16	Total assets. Add lines 1 through 15 (must equal line 33)...			135,486,015	16	147,139,202

17	Accounts payable and accrued expenses .....	23,073,719	17	21,322,536
18	Grants payable ...		18
19	Deferred revenue .........	8,367,853	19	5,709,961
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	8,321,997
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	32,831,409	25	20,607,421
26	Total liabilities. Add lines 17 through 25..	64,272,981	26	55,961,915

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	-1,776,039	27	12,102,954
28	Net assets with donor restrictions ...........	72,989,073	28	79,074,333
	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 ...........	71,213,034	32	91,177,287
33	Total liabilities and net assets/fund balances ........	135,486,015	33	147,139,202

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