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.") .. | 118,306,745 | 108,955,331 | 88,149,776 | 113,184,567 | 93,952,438 | 522,548,857 |
| 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 | 118,306,745 | 108,955,331 | 88,149,776 | 113,184,567 | 93,952,438 | 522,548,857 |
| 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) .. | 34,043,883 | |||||
| 6 | Public support. Subtract line 5 from line 4. | 488,504,974 | |||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 118,306,745 | 108,955,331 | 88,149,776 | 113,184,567 | 93,952,438 | 522,548,857 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | 4,492,015 | 3,352,336 | 2,566,585 | 3,236,138 | 3,502,605 | 17,149,679 |
| 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.).. | 2,730 | 2,730 | ||||
| 11 | Total support. Add lines 7 through 10 | 539,701,266 | |||||
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: | 22015461 |
| Software Version: | 22.0.1.0 |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| Form 990, Part III, Line 4 | Connected for Life. Today, more than 133 million Americans in the United States have diabetes or prediabetes an invasive, unrelenting, and debilitating disease that spans all ages, geographic areas, and education levels. This chronic disease affects children, the elderly, and minority populations more than others and costs the United States 327 billion each year. It is a global epidemic that contributes to heart disease, stroke, nerve and kidney disease, and vision loss. The American Diabetes Association ADA is the only organization dedicated specifically to the research, education, and advocacy required to improve the lives of over 37 million adults and children in the U.S. with diabetes and the 96 million American adults with prediabetes. For over 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. In recent years, our mission has taken on new urgency, as the COVID 19 pandemic shined a very bright spotlight on diabetes as a public health crisis and on the severe health inequities in our country. The ADA quickly adapted our research focus, resources, programs, and events in service to people living with diabetes and the health care professionals who treat them. In 2022 we continued to support critical research, advocate for affordable health care, and convene the worlds leading scientists to find new ways to tackle diabetes. |
| Form 990, Part III, Line 4 | The moving force behind the work of the ADA is a network of more than 400,000 volunteers, their families and caregivers, a professional society of nearly 12,000 health care professionals, as well as more than 250 staff members. 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 our vision is 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. Support the Highest Quality Science. Diabetes is an extremely complex disease, caused by a combination of various genetic and environmental factors that lead to an inability to produce or effectively use insulin. This leads to higher blood glucose blood sugar levels that are eventually high enough to be considered diabetes. The complex number of causes and individuality of each persons diabetes makes finding a cure particularly difficult, and its expected that more than one will be needed. While a cure has been elusive, critical research efforts in recent decades have led to significantly improved care for people with diabetes, resulting in better health outcomes and fewer complications for people with diabetes. |
| Form 990, Part III, Line 4 | The ADA funds critical, innovative diabetes research and invests in promising scientists early in their careers. Our leadership 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. Since the ADA started its Research Program in 1952, we have invested approximately 950 million in innovative diabetes research projects. In 2022 alone, we supported over 140 active research projects and awarded 82 new grants. All these projects were dedicated to progressing the fight against diabetes, and many were led by early career investigators. While we have learned much about diabetes, there is so much left to discover. 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 and move those discoveries into practice. |
| Form 990, Part III, Line 4 | Peer Review Process. One of the factors that sets ADA funded research apart and ensures 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 peers of the individual submitting the grant. ADA grant applications undergo peer review by three or more volunteer experts who are 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 used to determine which grants to support. Our Research Approach. About two years ago, the ADA refocused our longstanding research program, allowing us to respond more quickly to the most mission-critical needs in diabetes prevention and care, and accelerate innovations ready for expansion. This strategy has been met with much enthusiasm and is growing in size and stature. In addition to our standard grant cycles, in 2022 we partnered with the National Institute of Diabetes and Digestive and Kidney Diseases NIDDK to support next generation researchers in the Centers for Diabetes Translation Research, which aim to improve the translation of research findings related to diabetes prevention, treatment, and health equity. |
| Form 990, Part III, Line 4 | Another 2022 highlight was the Health Disparities Grantee Workshop in Washington, DC, which brought together ADA research grantees for collaboration, project reporting, and exposure to future funding opportunities with NIDDK program officers. This workshop will become our model moving forward as we convene ADA funded researchers to foster cross pollination and a collaborative spirit throughout the field of diabetes. Restarting Pathway. This year we restarted our Pathway to Stop Diabetes Pathway awards program, after a pause due to the COVID19 pandemic. Pathway is a revolutionary five year grant designed to transform diabetes research by attracting innovative scientists, physicians, and researchers through financial support and professional mentorship. The program funds this new generation of scientists 36 to date at the peak of their creativity, providing them with the freedom, autonomy, and resources to discover the next breakthroughs in the field of diabetes. For the first time in Pathways history, in 2022 we diversified our strategy to emphasize translational research while continuing to support basic science projects. Our newest awardees are Anna Kahkoska, MD, PhD, Gillings School of Public Health, University of North Carolina at Chapel Hill, Project Fusing rapid cycle testing and adaptive interventions A scientific pipeline to translate and individualize evidence based psychosocial and behavioral interventions in routine type 1 diabetes care. |
| Form 990, Part III, Line 4 | Lisa Beutler, MD, PhD, Northwestern University Medical School, Project Dissecting sugar induced modulation of gut brain circuits This project seeks to understand how sugar consumption alters the connection between the gut and the brain, and how this may link to obesity and type 2 diabetes. For more information, view our 2022 Research Report. Scientific Sessions. Held annually, Scientific Sessions is the worlds largest scientific and medical meeting focused on the latest basic and clinical science research related to diabetes and its complications. The meeting exemplifies the ADAs leadership role in the global diabetes community while providing a critical platform for driving diabetes awareness. In June 2022, the ADA hosted the first hybrid Scientific Sessions from New Orleans, LA, providing a broader reach than ever for the worlds premier meeting on diabetes research, prevention, and care. The enthusiasm was palpable as leading diabetes scientists and health care professionals gathered to present, learn, and discuss the most recent findings and to network with their friends and colleagues in person. Notable presentation topics included COVID19, mental health, adolescent health, and advocacy. The 82nd Scientific Sessions by the numbers 10,000 attendees, 116 countries represented, 193 educational sessions, 1,200 published posters, 80 exhibitors |
| 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 to ensure those affected by and at risk for diabetes, their health care team, and the public receive targeted, timely, and accurate information. We deliver resources people can access at any time in multiple formats including our website for consumers 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. Center for Information. The ADAs Center for Information CFI can be reached at 1 800 DIABETES 1 800 342 2383. The CFI marks the first stop for many of our constituents as they start their journey of living with diabetes. The CFI helps to bend the curve every day by providing constituents with information and resources on prevention, nutrition, and diabetes management medications and supplies discrimination issues ADA events assisting professional members and donors and much more. With every touchpoint, our CFI team takes pride in being helpful, respectful, and kind. |
| Form 990, Part III, Line 4 | In 2022, the CFI supported the ADAs mission by Processing nearly 50,000 contacts from constituents, professional members, and others. Collecting 145,606 in donations. Pointing constituents to our digital resources online and epackets and manually processing and mailing packets of literature to those without internet access. Hosting live agent chats to provide constituents with real time access to CFI staff, should questions arise while browsing diabetes.org. Processing 1,206 intakes for our Legal Advocacy team. Providing five percent of all CFI inquiries with information and resources for assistance with diabetes medications and supplies. We continued our 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. In addition, we fostered a relationship with Patient Advocate Foundations Co Pay Relief program to provide direct financial assistance to those who meet eligibility requirements. Digital Engagement. We maintain a strategic suite of digital channels 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 | Our Consumer Website. Our website for consumers, diabetes.org, is widely regarded as the most informative and credible diabetes and nutrition resource online. In 2022, the site had 12.7 million sessions, 18.3 million unique pageviews, and 9.8 million new users. Social Media. The ADAs flagship social media channels continued to grow in 2022 Facebook follower base exceeds 794,000. Twitter following exceeds 143,000. Instagram following exceeds 62,000. LinkedIn continues to be a dedicated marketing communications channel for the professional audience. Our company page has more than 92,000 followers. We also maintain social media communities for health care professionals on Facebook 40,000 followers and Twitter more than 21,000 followers. Our Professional Website. Our website for professionals, 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 diabetes resources available to professionals, providing them with a convenient way to stay informed. |
| Form 990, Part III, Line 4 | Featured content includes News via DiabetesPro SmartBrief, which has over 50,000 subscribers. Diabetes meetings and continuing education opportunities, including the ADAs Scientific Sessions, Clinical Update Conference, and online interactive programs. Clinical practice recommendations, including the Standards of Care in Diabetes. Webcasts and podcasts, including Diabetes Core Update. Journals and books. DiabetesPro Quarterly, our quarterly membership enewsletter, with about 16,000 subscribers. Professional Member Interest Group resources, including our DiabetesPro Member Forum, an online community with more than 18,000 professional users. Research grant information, including funding cycle information and funded research. Diabetes Education Recognition Program ERP information and resources. Professional Education. The primary goal of the ADAs professional education program is to ensure excellent treatment and improve patient outcomes for people with diabetes by providing quality education for all health care professionals on the diabetes management team. The ADA has been accredited to provide continuing education to health care professionals for more than 30 years and is a Joint Accredited Provider. 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. |
| Form 990, Part III, Line 4 | Our professional education programs were transformed in 2022 through the utilization of new educational technologies available to enhance learning. The Professional Education Portal provides on demand learning with interactive elements to meet the needs of busy clinicians. Learners can earn certificates of completion from popular programs including Diabetes Is Primary, Making Diabetes Technology Work, Diabetes Education 101 for the Behavioral Health Professional, and Behavioral Health in Diabetes Care. Professional Membership. In 2021 the Professional Membership team began the process of identifying a new database platform that would give the ADA a 360 degree view of all professional constituents and significantly improve the member experience. The new platform, Nimble, went live in November 2022 and provides greater efficiencies for ADA staff and professional users. Going forward, the ADA will be able to offer professional members auto renewal recurring billing. Additionally, Nimble enables visitors to professional.diabetes.org to use other ADA websites with a single username and password. It will also simplify the committee application process along with housing their conflict of interest information in one place. |
| Form 990, Part III, Line 4 | Professional Engagement. In 2022, the ADAs volunteer leadership teams accelerated efforts to provide virtual career development and networking opportunities to our professional constituents. The Professional Membership Interest Groups and the Womens Interprofessional Network of the American Diabetes Association WIN ADA elevated the research being presented at the 82nd Scientific Sessions by recognizing 15 researchers and their abstracts. The Membership Advisory Group showcased this research in a webinar post meeting for those unable to attend. Also at the 82nd Scientific Sessions, the Professional Membership Interest Groups and WIN ADA hosted over 300 ADA members at in person networking events. WIN ADA hosted the first cohort of 25 early to mid career women in their member exclusive professional development course. Our interest groups hosted more than 18 exclusive webinars reaching 1,318 professionals, allowing the groups to foster knowledge and share research updates among members throughout the year. The interest groups and WIN ADA cultivated community through open discussion among like minded professionals with 340 new discussion threads and 534 discussion responses on the DiabetesPro Member Forum. The Focus on Fellows program met in person at the 82nd Scientific Sessions in June. A total of 55 endocrine fellows participated in 25 interactive sessions focused on practical issues such as resumes, career paths, and identifying mentors. |
| Form 990, Part III, Line 4 | The Hands On Webinar Series, a program that provides tips to improve diabetes care, completed its third and final year in 2022. Year three webinars drew an attendance of 2,245. This number was comprised of 1,511 unique professional attendees, more than a third of whom attended multiple sessions. Over the course of all three years, 33 webinars drew a total attendance of 7,422. Education Recognition Program. Since 1986 the ADAs Education Recognition Program ERP has been responsible for evaluating and recognizing diabetes self management education and support DSMES services nationwide. In February 2022, the ERP team, aided by experts and collaborating organizations from across the diabetes community, published the National Standards for Diabetes Self Management Education and Support. These standards, updated every five years, provide guidance and evidence-based quality practice for all DSMES services. This edition includes a focus on embracing cultural differences, social determinants of health, and technological advancements that help improve equitable access to DSMES services for people with diabetes. Throughout 2022, the ADAs ERP team conducted multiple symposiums aimed at helping ERP programs stay updated on the latest advances in diabetes care in alignment with the National Standards for DSMES and ADAs Standards of Care in Diabetes. |
| Form 990, Part III, Line 4 | National Diabetes Prevention Program. The evidence based lifestyle change program known as the National Diabetes Prevention Program National DPP is the gold standard in preventing type 2 diabetes. The ADA is committed to promoting Centers for Disease Control and Prevention CDC recognized lifestyle change programs and improving access for the 96 million Americans with prediabetes, as it is important for everyone who has prediabetes to have an opportunity to prevent or delay type 2 diabetes. As part of this commitment, the ADA has worked with the CDC on a five year cooperative agreement. In 2022, the ADA was granted a one year extension of our work supporting affiliate sites in underserved areas across the country. Through this work, the ADAs DPP team has worked to improve retention in the lifestyle change program through the Dropout Study, which examined why participants do not complete the program and what programs can do to retain them. The findings of this study were presented at the Association of Diabetes Care Education Specialists annual conference ADCES22 in August 2022. Another key component to a successful National DPP lifestyle change program is effective data management and reporting. The ADA prioritizes quality data management and reporting and supports lifestyle change programs and networks by providing a user-friendly data collection and reporting platform called DPP Express. DPP Express not only allows programs to collect and report required data, but also ensures they can make data driven decisions making their programs as effective and efficient as possible. |
| Form 990, Part III, Line 4 | In 2022, the ADA launched functionality that would allow medical billing and claims to be processed directly in the DPP Express platform. No longer are lifestyle change programs required to have a billing department to receive reimbursement for National DPP services. They can now simply submit reimbursable claims in the same place where they collect data. This will provide a cost effective way for smaller community based organizations to bill for DPP services. Diabetes Support in the Community. Through the Pfizer Foundations Health Equity Grant focused on addressing social determinants of health in Black communities, the ADA continues to work with community partners to expand the 10 acre community garden we created in Montgomery, AL, and has established a second community garden in Tampa, FL, to increase access to healthy foods and diabetes support in the community. Community Health Workers. To address the ADAs Standards of Care in Diabetes highlighting the importance of community health workers CHWs in diabetes prevention and management, especially among underserved communities, our National Health Disparities Committee has continued to provide oversight of CHW webinar training development and CHW resources featured on the Community Health Worker section of our website. |
| Form 990, Part III, Line 4 | In 2022, the ADA also continued to partner with the National Center for Farmworker Health as part of a Health Resources and Services Administration-funded grant to deliver professional education opportunities. We also participated in the in-person and virtual forum for Migrant and Community Health, reaching over 1,000 health care professionals and CHWs nationwide. Overcoming Therapeutic Inertia. Despite advances in guidelines and therapies over the last two decades, data show that fewer people with diabetes are achieving an A1C under seven percent. One explanation for this problem is therapeutic inertia a delay or inaction to initiate or intensify therapy when glycemic treatment goals are not met. The ADAs Overcoming Therapeutic Inertia initiative OTI seeks to better understand and address the factors that contribute to therapeutic inertia in diabetes care. If we can overcome therapeutic inertia and manage blood glucose levels early in a persons diabetes journey, as recommended in the ADAs Standards of Care in Diabetes, it will reduce their risk of developing complications and lead to better long term outcomes. |
| Form 990, Part III, Line 4 | In 2022, we Introduced the OTI Certificate Program to empower health care professionals to master strategies that will help patients overcome therapeutic inertia. Developed a new Patient Engagement Toolkit and Practice Improvement Resources, which have been downloaded nearly 3,200 times. Developed infographics for people with diabetes on deintensifying insulin and simplifying diabetes treatment plans. Updated relevant information in the ADA Consumer Guide, which has been accessed by more than 67,000 people to date. Funded a three arm pragmatic randomized control trial to evaluate the effects of physician education regarding therapeutic inertia, with and without proactive outreach by a non-physician clinician, on the achievement of glycemic targets at six months. Developed a practice guide tool for clinicians in small-to-medium sized health care practices to identify and intervene in the care of patients who might be experiencing therapeutic inertia. Supporters Sanofi, Novo Nordisk, Merck, AstraZeneca. Making Diabetes Technology Work. Technology has been a game-changer for diabetes management, and the ADA is dedicated to making these devices, apps, and other tools work harder for the people who need them. |
| Form 990, Part III, Line 4 | Making Diabetes Technology Work focuses on educating health professionals and people with diabetes on how to incorporate these cutting-edge technologies into disease management. With knowledge of available technology, providers can better match their patients with the right tools to reach their blood glucose and other targets. Similarly, people with diabetes can learn how to use diabetes tech and data to streamline their day to day and improve their health outcomes. In 2022, we introduced and enhanced several program resources including nine new elearning modules which attracted over 2,300 participants as well as a webinar and self-assessment program for health care professionals who treat people with diabetes. Supporters Abbott Diabetes Care, LifeScan Mental Health. Diabetes is one of the hardest chronic diseases to manage, requiring people to constantly monitor their blood glucose levels, meals, activities, and mood. Because of this emotional drain, distress and depression are much more common in people with diabetes than people who do not have diabetes. And yet, mental health remains an overlooked topic in diabetes care. |
| Form 990, Part III, Line 4 | To address the mental health burden of diabetes, the ADA maintains a Mental Health Professional Directory a vetted list of 269 licensed practitioners who have specialized training in diabetes related issues. In addition, there are resources for practitioners such as the Diabetes and Emotional Health Workbook and a Mental Health Toolkit to help integrate mental health into diabetes care. These resources were downloaded more than 5,300 times in 2022. Also in 2022 546 mental health professionals completed the updated Diabetes Education 101 for the Behavioral Health Professional elearning course. 479 people completed the new elearning course, Behavioral Health in Diabetes Care, which is for certified diabetes care and education specialists, social workers, and other members of the diabetes care team. Supporter The Leona M. and Harry B. Helmsley Charitable Trust. Womens Health. Up to 10 percent of pregnancies in the U.S. are affected by gestational diabetes every year, a condition that can adversely affect women and their babies later in life. In fact, 50 percent of people with gestational diabetes go on to develop type 2 diabetes and the risk for adverse outcomes doubles for Black and Hispanic women. |
| Form 990, Part III, Line 4 | With the support of Karp Randel, the ADA launched the Womens Health Initiative in 2022 to enhance prevention, appropriate and timely treatment, and education around gestational diabetes and improve outcomes for both mother and child. These efforts included Recruiting health system partners for quality improvement and best practice sharing. Conducting focus groups with community health workers and doulas. Establishing a Scientific Advisory Council to contribute strategic insight and collaborate on education programs. In 2023, we plan to scale the Womens Health Initiative by Facilitating learning collaborative meetings with health system partners to improve baseline data. Conducting focus groups with midwives and women with gestational diabetes. Developing four education modules on gestational diabetes basics, treatments, technology, and health equity. Time in Range. The Time in Range TIR initiative focuses on teaching health care professionals and their patients how to use data from blood glucose meters and continuous glucose monitors CGMs to make treatment and lifestyle decisions. TIR measures the amount of time blood glucose levels are on target between 70 and 180 mg dL for most people. And its more than a number, its a means to improve both the daily quality of life and long term outcomes for people with diabetes. |
| Form 990, Part III, Line 4 | In 2022, with the support of Abbott Diabetes Care and LifeScan, the ADA introduced a suite of new TIR resources 12 Practice Pearl videos, 3 podcasts, 5 webinars, 14 infographics, Gamified case study competition for clinicians. Health care professionals engaged more than 27,000 times with these TIR resources, which covered topics ranging from managing TIR in pregnancy to reducing barriers to diabetes technology for diverse populations. Supporters Abbott Diabetes Care, LifeScan. Diabetes INSIDE. In 2022, Diabetes INSIDE continued to impact the lives of people living with type 2 diabetes and cardiovascular disease by focusing on quality improvement work in the Know Diabetes by Heart initiative with health system partners in the Greater Philadelphia, Mid Atlantic, and Chicago regions that target high risk African American and Latino populations. Through Diabetes INSIDE, primary care and university-based clinic staff attended quality improvement education workshops, as well as collected and analyzed data to identify trends and gaps in care and to monitor for change as we facilitated improvement projects across a wide range of operational, system, and clinical challenges. |
| Form 990, Part III, Line 4 | In 2023, the ADA will be expanding the Diabetes INSIDE Know Diabetes by Heart initiative to additional health system partners. We also plan to expand Diabetes INSIDE quality improvement methodology into new initiatives focusing on improving care for pregnant moms with gestational diabetes in the New York City area, as well as eye care for people living with diabetes in urban and rural Alabama. PUBLICATIONS. Promoting Best Practices. Journals. 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 Care in Diabetes. In 2022, our journals received more than 13 million page views from five million unique users at diabetesjournals.org, and ADA published studies were cited more than 157,000 times, roughly an eight percent increase over 2021. Also this year, Diabetes Care achieved an impact factor of 17.152, the highest mark among journals devoted exclusively to original diabetes research. Diabetes Care and Diabetes are the top two journals publishing diabetes research, ranking second and fourth among the 146 journals in the broader field of endocrinology and metabolism. |
| Form 990, Part III, Line 4 | Standards of Care in Diabetes Guidelines. For more than three decades, the ADA has published the Standards of Care in Diabetes Standards of Care the gold standard of diabetes clinical care guidance. In 2022, the Standards of Care reached more than three million professionals via journal publications and millions more via other ADA programs and channels. This year we worked to improve the processes, increase the methodological rigor, and engage even more experts to produce the 2023 edition, which came out in December 2022. Todays Standards of Care is more evidence based, more accessible, and more actionable than ever, helping clinicians around the world keep up with the rapidly changing health care landscape and drive better care, especially in communities disproportionately impacted by diabetes. Notable updates to the Standards of Care 2023 include Emphasis on supporting higher weight loss up to 15 based on the efficacy of and access to newer medications when appropriate. New recommendations related to sleep health and physical activity in people with diabetes. Broad consideration of social determinants of health in guiding the design and delivery of care. New hypertension diagnosis cut offs hypertension is now defined as a systolic blood pressure 130 mmHg or a diastolic blood pressure 80 mmHg. The expanded role of SGLT2 inhibitor use in preserved and reduced heart failure ejection fraction. The role of finerenone in individuals with diabetes and chronic kidney disease with albuminuria. New lipid management recommendations suggesting lower LDL goals for high-risk individuals. |
| Form 990, Part III, Line 4 | The Standards of Care is available online and in print. We also offer an abridged version for primary care providers, an interactive app, plus continuing education webcasts and a slide deck for professional use. It is a living document, published annually in print and online and updated throughout the year in the form of online annotations and published addenda. Professional Papers and ReportsThe ADA published numerous papers and reports in 2022 to help people living with diabetes thrive, including Automated Insulin Delivery Benefits, Challenges, and Recommendations. A Consensus Report of the Joint Diabetes Technology Working Group of the European Association for the Study of Diabetes and the American Diabetes Association. Continuous Glucose Monitoring Optimizing Diabetes Care Clinical Diabetes video series. Diabetes Management in Chronic Kidney Disease A Consensus Report by the American Diabetes Association ADA and Kidney Disease Improving Global Outcomes KDIGO. Health Equity and Diabetes Diabetes Spectrum collection. Management of Hyperglycemia in Type 2 Diabetes, 2022. A Consensus Report by the American Diabetes Association ADA and the European Association for the Study of Diabetes EASD. Optimizing the Use of Glucagon like Peptide 1 Receptor Agonists in Type 2 Diabetes Mellitus Clinical Diabetes video series. Serious Later Risks Associated with Type 2 Diabetes in Adolescents and Young Adults Extended Observations From the TODAY Study Diabetes Care collection |
| Form 990, Part III, Line 4 | Books and Compendia. In 2022, we added the following new editions to our library of professional books and clinical compendia 2022 2023 Guide to Medications for the Treatment of Diabetes Mellitus. John R. White, Jr., PA-C, PharmD Editor. ADA Clinical Compendium Diagnosis and Treatment of Painful Diabetic Peripheral Neuropathy. Rodica Pop-Busui, MD, PhD Editor. ADA Clinical Compendium New Evidence-Based Therapies for Complex Diabetic Foot Wounds. Andrew J.M. Boulton, MD, DSc Hon FACP, FRCP and David G. Armstrong, DPM, MD, PhD Editors. ADA Clinical Compendium A Practical Guide to Diabetes Related Eye Care. Thomas W. Gardner, MD, MS Editor. Annual Review of Diabetes 2022. American Diabetes Association. Medical Management of Type 1 Diabetes, 8th Edition. M. Sue Kirkland, MD Editor. Diabetes Core Update Podcast. Diabetes Core Update is a 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 2022, Diabetes Core Update reached an important milestone in podcasting one million downloads. Listeners can subscribe for free through mainstream podcast platforms or directly through diabetesjournals.org. |
| Form 990, Part III, Line 4 | AWARENESS EDUCATION. American Diabetes Month Todays Diabetes Hits Different. November is American Diabetes Month ADM. Every year, our community comes together to ring the alarm on the diabetes epidemic. For the millions of us who are at risk for it, its a time to get educated, find resources and make sure all those around us are aware of their risk, too. And for the millions of us living with diabetes, its a chance to tell our stories and awaken the world. The theme for ADM in 2022 was Todays Diabetes Hits Different. Todays diabetes hits different. Different than it did even two years ago. Different risk factors and complications. Different communities, but it affects us all. Today, there are different ways to hit back. New technologies to manage diabetes. New public health policies. Better resources to educate ourselves. The ADAs 2022 ADM campaign, encouraged our audiences to share the current reality of diabetes and how they hit back. Everyones journey may be different, but it was time to highlight where weve been and how far weve come. With support from CVS Health, WeightWatchers, and Optum Store, we ran an integrated, multichannel campaign throughout November to help Americans know, share, make, and be the difference in our fight for better health with diabetes. It takes all of us to educate and inspire one another. Todays diabetes hits different, but our community people living with diabetes, those who care for them, and those who support the cause is stronger than ever before. |
| Form 990, Part III, Line 4 | Campaign highlights 3.5M organic social media impressions, 118K social media engagements, 20K views of the ADM homepage, 27 livestreamed events, 612 media mentions 217.8M total potential reach. Focus on Diabetes. Focus on Diabetes FOD addresses the alarming prevalence of eye disease among people with diabetes about 95 percent of which is preventable. In 2022, together with our FOD Visionary Partners, Regeneron and VSP, the ADA increased education and awareness around the importance of routine comprehensive and dilated eye exams to prevent eye disease and vision loss caused by diabetes. Complementing our multi channel consumer awareness campaign were efforts to improve access to screening opportunities and type 2 diabetes risk testing. With the support of the VSP Eyes of Hope Mobile Clinic, community partner Ochsner Health, and local health and eye care professionals, the ADA hosted events in Lafayette and Baton Rouge, LA two communities substantially impacted by diabetes. There we provided no cost dilated eye exams, prescription eyewear, and eye health and diabetes education to 240 at risk constituents. |
| Form 990, Part III, Line 4 | Through our strategic alliances, FOD increased engagement with optometrists, ophthalmologists, and primary care professionals by providing comprehensive education on diabetes related eye diseases. We also leveraged the expertise of a multi disciplinary team to develop FOD Provider Practice Toolkit, Diabetic Retinopathy Eye Health Guide, Eye Care Interprofessional Communication Protocol, A collaboration with and endorsed by the American Optometric Association, American Academy of Ophthalmology, American Society of Retina Specialists, National Eye Institute, and our Visionary Partners, A compendium A Practical Guide to Diabetes Related Eye Care. Supporters Regeneron Pharmaceuticals, Inc., VSP Vision. Know Diabetes by Heart. People living with type 2 diabetes are twice as likely to develop cardiovascular disease as people who do not have diabetes. Launched in 2018, Know Diabetes by Heart is a joint initiative between the ADA and American Heart Association AHA that aims to comprehensively combat the national public health impact of these intertwined diseases. The program turns ADA and AHA practice guidelines into lifelines by providing innovative resources for people with type 2 and targeted education for health care professionals. A total of 158,554 constituents accessed these resources this year. |
| Form 990, Part III, Line 4 | In 2022, Know Diabetes by Heart Hosted 12 live Ask the Experts events for people with diabetes to discuss the relationship between diabetes, heart disease, and stroke. More than 6,000 people joined these sessions. Launched an interactive e learning opportunity to help people with diabetes learn about their risk and take action to prevent heart disease. Engaged with more than 4,000 health care professionals on guideline directed management and therapy. Through the ADAs quality improvement initiative, Diabetes INSIDE, worked with health care systems in Illinois, Maryland, New Jersey, and Pennsylvania to improve health care delivery and clinical outcomes for people with diabetes. Supporters Novo Nordisk, Bayer. ADA Camp. More than 18,000 children are diagnosed with type 1 diabetes every year, a life-changing moment that requires 24/7 control for the rest of their lives. For 74 years, ADA Camp has offered a traditional summer camp experience in a medically safe environment while creating opportunities for children with diabetes to forge life-long relationships, overcome feelings of isolation, and gain self confidence in their diabetes care. After two years of being online, our camps returned in person in 2022. More than 1,700 campers in 27 locations around the country joined in the summer fun, complete with swimming, fishing, kayaking, and the beauty of nature. With help from our partners, we award more than 430,000 in need-based financial assistance annually so even more children with type 1 have the chance to experience ADA Camp. |
| Form 990, Part III, Line 4 | Year after year, the feedback from campers and families is overwhelming 78 of caregivers rated their childs overall health good or excellent, an increase of 22 from before camp. 82 of campers reported less than five days of poor mental health in a 30 day period after camp, a 20 decrease. 45 of caregivers reported that teamwork and communication improved within their family after camp. 41 of campers increased their confidence to try new methods to manage their diabetes. ADA Camp would not be possible without the support of Novo Nordisk Inc., The Leona M. and Harry B. Helmsley Charitable Trust, and Lilly Diabetes. Project Power. Youre never too young or old to lower your risk for type 2 diabetes and its complications. The ADAs Project Power aims to make living healthy second nature for both adults and kids living with prediabetes and type 2. For years, Project Power has aimed to slow the trajectory of childhood obesity and type 2 among youth aged 5 12. Using an outcomes based curriculum, the no cost virtual and in person program promotes making healthy food choices, increasing physical activity, and building family and peer support. In 2022, Project Power for youth grew to serve 27,605 children across more than 40 states. |
| Form 990, Part III, Line 4 | And with the support of our national sponsors, in late 2022 we expanded Project Power to serve the whole family. Project Power for adults over 18 is a 12 month, no cost lifestyle change program that raises diabetes awareness and offers diabetes risk reduction education to people with type 2 diabetes and prediabetes. The program combines interactive lessons with a health coach, small support groups, and tools and resources to empower participants to reach their personal health goals. By 2024, we hope to serve 2,400 constituents in 24 high-risk areas through Project Power because healthy families mean healthy communities and ultimately a healthier world. Project Power was supported in 2022 by CVS, Eli Lilly, OneTouch by LifeScan, Sun Life Financial, and Quest Diagnostics. Diabetes Food Hub. Diabetes Food Hub continues to be a popular destination for people living with diabetes, caregivers, and health care professionals. In 2022, Diabetes Food Hub part recipe database, part grocery list builder, part meal planner, and 100 percent backed by the ADAs nutrition expertise grew by 17 percent. Its enewsletter now reaches over 350,000 subscribers with healthy recipes, cooking tips, and special content to help people cook more meals at home and shop safely in light of COVID19. Video content from our new live cooking class series in partnership with Homemade is now available on the site. |
| 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 and at times those claims can be both questionable and confusing. In March 2021, the ADA officially launched the Better Choices for Life program, designed to help shoppers make better choices while shopping for three product categories food and nutrition, health and wellness, and diabetes management. With its science and evidence based approach, Better Choices for Life provides a simple way to identify products and services that are suitable for people with or at risk for diabetes. Following an extensive evaluation process, companies applying for participation and passing the evaluation may place the Better Choices for Life mark on their packaging. Consumers can look for the mark to understand whether the products claims are supported by scientific evidence and meet the ADAs guidelines. As of 2022, participating companies include CeraVe, Cintas, Crest, Daiya, Egglife, Lavior, Level 2, Lean Cuisine, Listerine, Metamucil, Steel Blue, and Vicks products. What Can I Eat Program. The number one question we hear from people recently diagnosed with diabetes is, What can I eat To address this, in 2015 the ADA launched the What Can I Eat WCIE program to promote and sustain positive behavior changes related to healthy food choices. |
| Form 990, Part III, Line 4 | In 2022 we completed development of the digital WCIE programs nine interactive nutrition education modules and supporting resources. In partnership with Elevance Health, we launched a multi state pilot program in Ohio, Indiana, New York, and Virginia. The program utilized Bento, a food company, to deliver healthy food boxes of items curated by ADA staff. We also trained coaches from community based organizations in local areas to provide program support. Combined, the digital modules and community support resources provide an interactive nutrition education experience, skill building activities, group support, and healthy food boxes in low income communities. Program enrollment began in late 2022. Signature Events. For the first time since February 2020, our signature events were conducted in person across the country, bringing together walkers, riders, and donors to raise critical funds for ADA programs and show their resounding support for all people living with diabetes. We also offered a virtual option, so anyone and everyone could participate. In 2022, 9,986 participants raised a total of 7,191,487 toward our mission. In the lead were Tour de Cure Wine Country, raising over 1.3 million, and Step Out Walk to Stop Diabetes Pittsburgh, which raised 227,590. Another event highlight was the 20th annual Kiss a Pig Gala, held in Bentonville, AR. With over 700 attendees, Kiss a Pig is the most-attended charity gala in the state and the largest ADA gala in the country. The October 2022 event successfully raised over 1.4 million the most in Kiss a Pig history. |
| 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. 2022 was a landmark year for diabetes advocacy, with the ADA leading the charge for groundbreaking policies that will improve the lives of the over 133 million Americans living with diabetes and prediabetes. From Capitol Hill to state capitals across the country, our more than 400,000 Diabetes Advocates devoted their efforts to supporting and advancing critical ADA-sponsored legislation and diabetes prevention policies. United in a common goal against this pervasive disease, the ADA continues to work endlessly to implement impactful policy reforms aimed towards bending the curve and promoting a healthier future for diabetes patient communities. |
| Form 990, Part III, Line 4 | Making Diabetes Care More Affordable. Managing diabetes can be financially devastating, dually impacting patients and members of their support system. As more Americans are burdened with rising out of pocket costs, many find themselves skipping care and rationing medications just to make ends meet. While we understand these methods adversely impact treatment plans, this has become the harsh reality for millions of patients struggling with diabetes. In 2022, the ADA worked tirelessly to ensure diabetes treatments are widely accessible and affordable for the American population. Our commitment to advocacy Ushered in the passage of landmark federal legislation limiting the monthly cost of lifesaving insulin to 35 for Americas seniors on Medicare. Yielded policies that capped annual out of pocket costs for seniors on Medicare at no more than 2,000. Ensured premium subsidies for those on Affordable Care Act health insurance plans would continue through 2025. Enacted monthly cost sharing caps on insulin for people with state regulated plans in 22 states, plus the District of Columbia. Prompted Delaware to sign a law capping diabetes equipment and supply costs at a collective 35 per month. |
| Form 990, Part III, Line 4 | Lowering Barriers to Diabetes Technology. Health insurance systems, including Medicare and Medicaid, often have restrictive policies that make it difficult for people to access diabetes-management devices, which have been shown to tremendously improve diabetes outcomes. The ADA recognizes that people who could benefit most from CGMs those with lower incomes, people on Medicaid, and elderly people of color who live in states with the highest rates of diabetes prevalence and mortality are the least likely to have access to this technology. Throughout 2022, the ADA managed to increase access to diabetes technology, and CGMs in particular, at both the federal and state levels. Our concerted advocacy efforts, aimed at the Centers for Medicare and Medicaid, the U.S. Department of Veterans Affairs, and state Medicaid programs and legislatures, resulted in proposed regulations for these federal programs and improvements in Medicaid coverage in more than 10 states. Preventing Amputations. Every three and a half minutes, someone in America undergoes a diabetes-related limb amputation. Sadly, 85 percent of these amputations are preventable, with most occurring among people of color, particularly those with less access to care. |
| Form 990, Part III, Line 4 | In response to these startling amputation statistics, in 2022 the ADA proactively formed an alliance with leading health organizations, professional groups, clinical experts, policymakers, and leaders in the diabetes community, aimed at preventing diabetes related amputations. The Amputation Prevention Alliances APAs overarching mission is to curb the number of amputations among low income and minority individuals with diabetes. Guided by a Clinical Advisory Working Group, the APAs multi-faceted work will include advancing impactful and targeted policy changes, driving clinician awareness of opportunities to prevent amputations, and empowering patients to advocate for the best care. While these reforms will undoubtedly yield a decrease in amputations overall, the ADA will continue to fight to save both limbs and lives. Increased Funding for Diabetes Research and Prevention Programs. Under widespread financial uncertainty, the ADA was successful in increasing federal funding for diabetes research and prevention programs. The National Institutes of Health, the NIDDK, the CDC Division of Diabetes Translation, and the National DPP all received substantial funding increases in 2022. These increases augment vital programs that develop groundbreaking treatments and potential cures for diabetes. |
| Form 990, Part III, Line 4 | Safer Schools for Students with Diabetes. The ADAs Safe at School campaign works to make sure the diabetes management needs of children are met so they are healthy, safe, and able to enjoy the same opportunities as their peers. This campaign maintains a commitment to challenging discriminatory practices and policies on behalf of the nations youth and fostering a healthier learning environment for patients battling the effects of this chronic disease. Historically, New York City Public Schools have failed to meet their legal obligations and provide appropriate accommodations for students with diabetes. Our organization believes students with diabetes deserve to attend school alongside their peers, free from discrimination. In response to these inequities, the ADA filed a lawsuit against the New York City Department of Education and won a settlement in September 2022. Thanks to these efforts, NYC public school students with diabetes now have improved access to diabetes care during the school day and can safely participate in field trips and school sponsored events. We aspire to use this ruling as a model for school districts across the nation. |
| Form 990, Part III, Line 4 | Were Connected for Life. The ADA 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. Diabetes has brought us all together, what we do next makes us Connected for Life. We have a lot to accomplish in 2023, but with our dedicated family of volunteers, advocates, donors, staff, and board members we will continue to make an impact for people with and at risk for diabetes. Learn more about the American Diabetes Association at diabetes.org. |
| Form 990, Part III, Line 4 | Other Program Services revenue reported in Line 4d 1,881,739 relates to the investment in real estate. This investment represents a 1998 donor bequest that restricted the ADA 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. 108,750 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 ADA 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 ADAs 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 ADA 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 ADA 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 ADAs 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 Development Officer, Chief Financial and Administrative Officer, Chief Scientific and Medical Officer, Chief Operating and Strategy Officer, Chief Advocacy Officer, Senior Vice President and Chief Technology Officer, Senior Vice President of Human Resources, Chief Marketing and Digital Officer. 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 ADA is a non-voting member of the Board of Directors. |
| Form 990, Part IX, Line 11g | Other fees for services include the following Total ExpensesProgram Service ExpensesManagement and General ExpensesFundraising ExpensesProgram consulting fees 12,333,397.00 12,333,397.00 0.00 0.00 Other fees for services 4,317,194.00 2,504,900.00 588,507.00 1,223,787.00 Total16,650,591.00 14,838,297.00 588,507.00 1,223,787.00 |
| Form 990, Part VI, Section B, Line 12c | Research Grants Review Committee Conflict of Interest COI within the Research Grants Review Committee is managed through a written COI policy and through COI declarations signed both before and after the review cycle. The COI for grant reviewers is self reported. The primary considerations addressed in the COI policy and program guidelines are as follows Institutional Individuals are required to recuse themselves from reviewing grants for scientists at the same institution, including any institutions with which they may be negotiating employment. Financial Individuals are required to recuse themselves from reviewing grants from which they stand to gain financially if the grant is awarded co PI, collaborator, subcontracts, etc.. Personal Individuals are required to recuse themselves from reviewing grants for investigators with whom they either have a personal or professional relationship collaborators, colleagues or personal friends, or a long standing professional or scientific disagreement that prevents them from unbiased review. |
| Form 990, Part VII, Section A, Line 1-23 | Average hours per week is estimated based on meeting attendance and other ADA activities performed throughout the year. |
| Form 990, Part I, Line 8 | Contributions and grants reported on the 2021 Form 990 included forgiveness of Paycheck Protection Program Loans in the amount of 10,321,000. |
| Software ID: | 22015461 |
| Software Version: | 22.0.1.0 |