Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
|
Total |
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Calendar year
(or fiscal year beginning in)
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(a) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | 7,475,421 | 6,093,329 | 4,620,135 | 10,560,717 | 9,435,220 | 38,184,822 |
| 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 | 7,475,421 | 6,093,329 | 4,620,135 | 10,560,717 | 9,435,220 | 38,184,822 |
| 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) .. | 7,089,286 | |||||
| 6 | Public support. Subtract line 5 from line 4. | 31,095,536 | |||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 7,475,421 | 6,093,329 | 4,620,135 | 10,560,717 | 9,435,220 | 38,184,822 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | 205,895 | 442,086 | 447,065 | 37,940 | 925 | 1,133,911 |
| 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.).. | 34,369 | 26,351 | 16,306 | 2,857 | 9,219 | 89,102 |
| 11 | Total support. Add lines 7 through 10 | 39,456,059 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (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.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (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 on 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.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
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| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 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 | ||||
| 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 2022 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-2022 |
(iii) Distributable Amount for 2022 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2022 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2022 (reasonable cause required-- explain in Part VI).
See instructions. |
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| 3 Excess distributions carryover, if any, to 2022: | ||||
| a From 2017....... | ||||
| b From 2018....... | ||||
| c From 2019....... | ||||
| d From 2020....... | ||||
| e From 2021....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2022 distributable amount | ||||
|
i
Carryover from 2017 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2022 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2022 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
|
5
Remaining underdistributions for years prior to 2022, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
6
Remaining underdistributions for 2022. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
7 Excess distributions carryover to 2023. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2018..... | ||||
| b Excess from 2019..... | ||||
| c Excess from 2020..... | ||||
| d Excess from 2021..... | ||||
| e Excess from 2022..... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
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| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THE ELIGIBILITY CRITERIA FOR MEMBERSHIP IN THE ASSOCIATION IS PRESCRIBED BY THE BOARD OF DIRECTORS AND MAY BE MODIFIED FROM TIME TO TIME BY RESOLUTION OF THE BOARD OF DIRECTORS. SUCH CRITERIA INCLUDES, WITHOUT LIMITATION, AS FOLLOWS (A) ANY AGENCY ADMINISTERING A PUBLIC HUMAN SERVICE PROGRAM ON THE STATE OR LOCAL LEVEL; (B) ANY OTHER COMMUNITY-BASED AGENCY OR ORGANIZATION THAT MANIFESTS AN INTEREST IN PUBLIC HUMAN SERVICES CONSISTENT WITH THE PURPOSE OF THE ASSOCIATION; (C) ANY OFFICER OR EMPLOYEE OF SUCH COMMUNITY-BASED AGENCY OR ORGANIZATION; (D) OR ANY OTHER PERSON WHO, IN THE SOLE JUDGMENT OF THE BOARD OF DIRECTORS, MANIFESTS AN INTEREST IN PUBLIC HUMAN SERVICES CONSISTENT WITH THE PURPOSE OF THE ASSOCIATION. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE BOARD OF DIRECTORS IS THE GOVERNING BODY OF THE ASSOCIATION. THE BOARD OF DIRECTORS CONSISTS OF: THE IMMEDIATE PAST CHAIR OF THE ASSOCIATION; THE CHAIR OF THE APHSA LEADERSHIP COUNCIL, WHO MUST BE A MEMBER OF THE NATIONAL COUNCIL OF STATE HUMAN SERVICES ADMINISTRATORS; THE CHAIR OF THE NATIONAL COUNCIL OF LOCAL HUMAN SERVICE ADMINISTRATORS; THE CHIEF EXECUTIVE OFFICER/PRESIDENT OF THE ASSOCIATION; AND ADDITIONAL DIRECTORS, AS DETERMINED AND ELECTED BY THE BOARD OF DIRECTORS IN ACCORDANCE WITH A NOMINATION PROCESS SET FORTH AND DETERMINED BY THE BOARD OF DIRECTORS, AND WHO ARE SELECTED BASED ON THE PREVAILING BUSINESS, OPERATIONAL AND PRACTICE NEEDS OF THE ASSOCIATION. AT LEAST ONE ELECTED DIRECTOR MUST BE FROM AN AFFINITY GROUP. THE BOARD OF DIRECTORS CONSISTS OF THE NUMBER OF DIRECTORS AS DETERMINED FROM TIME TO TIME BY THE BOARD OF DIRECTORS (INCLUDING THE NUMBER OF ELECTED DIRECTORS) WITHOUT AMENDMENT TO THESE BYLAWS; PROVIDED HOWEVER THE BOARD OF DIRECTORS SHOULD NOT CONSIST OF ANY FEWER THAN THREE (3) DIRECTORS. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS REVIEWED AND APPROVED BY THE AUDIT COMMITTEE, A COPY OF THE FORM 990 IS MADE AVAILBLE FOR THE FULL BOARD PRIOR TO EXECUTION AND FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | ALL BOARD MEMBERS ARE PROVIDED AND REQUIRED TO COMPLETE AND SIGN THE APHSA BOARD MEMBER CONFLICT OF INTEREST DISCLOSURE FORM. IF AT ANY TIME, A BOARD MEMBER BECOMES AWARE OF ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST, OR ANY OF THE INFORMATION ON THE DISCLOSURE FORM BECOMES INACCURATE OR INCOMPLETE, THE BOARD MEMBER PROMPTLY NOTIFIES THE APHSA CEO, WHO IN TURN WILL SHARE THE UPDATED INFORMATION WITH THE CHAIR OF BOARD OF DIRECTORS (OR THE VICE CHAIR OF THE BOARD OF DIRECTORS IF THE CHAIR HAS A CONFLICT OF INTEREST). ALL ACTUAL OR POTENTIAL CONFLICTS OF INTEREST ARE DISCLOSED BY BOARD MEMBERS TO THE APHSA CEO THROUGH THE DISCLOSURE FORM AND WHENEVER A CONFLICT ARISES. THE EXECUTIVE COMMITTEE WILL REVIEW ALL DISCLOSED CONFLICTS AND MAKE A DETERMINATION OF WHETHER AN ACTUAL OR PERCEIVED CONFLICT EXISTS AND WHAT SUBSEQUENT ACTION IS APPROPRIATE, IF ANY. IN MAKING ITS DETERMINATION, THE EXECUTIVE COMMITTEE MAY REQUESTS ADDITIONAL INFORMATION FROM THE BOARD MEMBER DETAILING THE NATURE OF THE RELATIONSHIP OR TRANSACTION. APPROPRIATE ACTIONS MAY INCLUDE BUT ARE NOT LIMITED TO: WAIVING THE CONFLICT BECAUSE IT IS NOT LIKELY TO NEGATIVELY AFFECT APHSA; DETERMINING THAT THE INDIVIDUAL BOARD MEMBER SHOULD BE RECUSED FROM DISCUSSIONS OR VOTING ON A PARTICULAR TRANSACTION OR MATTER; OR RECOMMENDING THE BOARD MEMBER RESIGN (OR BE REMOVED) FROM SERVICE ON THE BOARD BECAUSE THE CONFLICT IS SO PERVASIVE THAT THE BOARD MEMBER IS UNABLE TO ACT IN THE BEST INTERESTS OF APHSA. THE EXECUTIVE COMMITTEE INFORMS THE FULL BOARD OF ITS DETERMINATION AND ACTION. THE BOARD RETAINS THE RIGHT TO MODIFY OR REVERSE THE DETERMINATION AND ACTION, AND HAS FINAL AUTHORITY OVER THE RESOLUTION. |
| FORM 990, PART VI, SECTION B, LINE 15A | THE BOARD OF DIRECTORS IS RESPONSIBLE FOR IDENTIFYING AND SELECTING THE CHIEF EXECUTIVE OFFICER. THE EXECUTIVE COMMITTEE IS RESPONSIBLE FOR FINAL APPROVAL OF SALARY. THE PROCESS INCLUDES USING THE GUIDESTAR NONPROFIT COMPENSATION REPORT FOR BENCHMARKING PURPOSES. THE PROCESS IS DOCUMENTED IN THE BOARD MEETING MINUTES. THE LAST COMPENSATION REVIEW TOOK PLACE JULY 2022. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE GOVERNING DOCUMENTS CAN BE FOUND ON THE ASSOCIATION WEBSITE (WWW.APHSA.ORG). THE 990 IS AVAILABLE BY REQUEST AND ON GUIDESTAR.ORG. THE CONFLICT OF INTEREST POLICY IS AVAILABLE BY REQUEST. THESE DOCUMENTS ARE AVAILABLE FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN SECTION 6104(D). |
| FORM 990, PART IX, LINE 11G | CONSULTANTS: PROGRAM SERVICE EXPENSES 862,580. MANAGEMENT AND GENERAL EXPENSES 65,270. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 927,850. COMMISSION EXPENSE: PROGRAM SERVICE EXPENSES 144,074. MANAGEMENT AND GENERAL EXPENSES 10,902. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 154,976. SUBCONTRACTORS: PROGRAM SERVICE EXPENSES 238,443. MANAGEMENT AND GENERAL EXPENSES 46,900. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 285,343. SUBAWARDEES: PROGRAM SERVICE EXPENSES 381,371. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 381,371. |
| Software ID: | |
| Software Version: |