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 | |||||
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Total |
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Calendar year
(or fiscal year beginning in)
![]() |
(a) 2019 | (b) 2020 | (c) 2021 | (d) 2022 | (e) 2023 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | 4,057,175 | 7,258,618 | 9,143,911 | 6,492,813 | 10,850,408 | 37,802,925 |
| 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 | 4,057,175 | 7,258,618 | 9,143,911 | 6,492,813 | 10,850,408 | 37,802,925 |
| 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) .. | 5,447,321 | |||||
| 6 | Public support. Subtract line 5 from line 4. | 32,355,604 | |||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2019 | (b) 2020 | (c) 2021 | (d) 2022 | (e) 2023 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 4,057,175 | 7,258,618 | 9,143,911 | 6,492,813 | 10,850,408 | 37,802,925 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | 195,510 | 183,387 | 261,713 | 286,178 | 389,881 | 1,316,669 |
| 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.).. | 354 | 354 | ||||
| 11 | Total support. Add lines 7 through 10 | 39,119,948 | |||||
Calendar year (or fiscal
year beginning in) ![]() |
(a) 2019 | (b) 2020 | (c) 2021 | (d) 2022 | (e) 2023 | (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) 2019 | (b) 2020 | (c) 2021 | (d) 2022 | (e) 2023 | (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 2023 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-2023 |
(iii) Distributable Amount for 2023 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2023 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2023 (reasonable cause required-- explain in Part VI).
See instructions. |
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| 3 Excess distributions carryover, if any, to 2023: | ||||
| a From 2018....... | ||||
| b From 2019....... | ||||
| c From 2020....... | ||||
| d From 2021....... | ||||
| e From 2022....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2023 distributable amount | ||||
|
i
Carryover from 2018 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2023 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2023 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
|
5
Remaining underdistributions for years prior to 2023, 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 2023. 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 2024. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2019..... | ||||
| b Excess from 2020..... | ||||
| c Excess from 2021..... | ||||
| d Excess from 2022..... | ||||
| e Excess from 2023..... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
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| Software Version: |
| Return Reference | Explanation |
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| FORM 990, PART VI, SECTION A, LINE 4 | MHA MADE VARIOUS CHANGES TO ITS BYLAWS IN 2023, APPOINTING A TASK FORCE OF BOARD MEMBERS AND STAFF TO IDENTIFY AND RECOMMEND CHANGES FOR SIMPLICITY, CLARITY, MODERNIZATION, OR SUBSTANTIVE CHANGES TO BOARD FUNCTION IN LIGHT OF CURRENT BEST PRACTICES. A SUMMARY OF SIGNIFICANT CHANGES FOLLOWS. THE VOTING MEMBER OF EACH AFFILIATE, FOR THE PURPOSE OF THE ANNUAL MEETING, WAS UPDATED FOR PRACTICAL PURPOSES FROM THE AFFILIATE'S BOARD CHAIR TO THE AFFILIATE'S EXECUTIVE DIRECTOR/CEO, WHO IS HISTORICALLY MOST LIKELY TO ATTEND. CHANGES WERE MADE TO PROVIDE MORE CLARITY AROUND VACANCIES OR RESIGNATIONS FROM MHA'S BOARD, SUCH AS ALLOWING FOR EXCUSED ABSENCES. THE MEMBERSHIP OF THE EXECUTIVE COMMITTEE WAS UPDATED TO ALIGN WITH BOARD LEADERSHIP AND NOW CONSISTS OF THE CHAIR, CHAIR-ELECT, SECRETARY-TREASURER, AND IMMEDIATE PAST CHAIR, WITH THE PRESIDENT/CEO AS AN EX OFFICIO MEMBER. LANGUAGE WAS ADDED TO PROVIDE MORE CLARITY AROUND LIMITS TO THE EXECUTIVE COMMITTEE'S POWER. THE PRIOR PERSONNEL COMMITTEE WAS REMOVED AS NO LONGER BEING NECESSARY. THE STANDING COMMITTEES LISTED IN THE BYLAWS WERE UPDATED TO BETTER REFLECT SCOPE OF WORK, SIMPLIFY THEIR CHARGES, AND TO REMOVE COMMITTEES THAT SERVED VARIOUS AD HOC FUNCTIONS WHICH WERE ALREADY ADDRESSED BY LANGUAGE AROUND ADVISORY COMMITTEES. COMMITTEE MEMBERSHIP AND CHAIRSHIP WERE INCREASED FROM ONE-YEAR TERMS TO TWO-YEAR TERMS FOR CONSISTENCY. THE NOMINATING AND BOARD DEVELOPMENT COMMITTEE WAS RENAMED TO THE BOARD DEVELOPMENT AND GOVERNANCE COMMITTEE. OFFICER DESCRIPTIONS WERE SIMPLIFIED AND REFRESHED. LIMITS ON AFFILIATE MEMBERSHIP AMONG THE NATIONAL BOARD WERE CHANGED TO ALLOW FOR MORE OPPORTUNITIES FOR AFFILIATES TO SERVE. |
| FORM 990, PART VI, SECTION A, LINE 6 | THE DIRECTORS OF THE CORPORATION ELECTED UNDER ARTICLE IV OF THE BYLAWS AND THE PRESIDING OFFICERS (CHAIRS, PRESIDENTS, OR EQUIVALENTS) OF GOVERNING BOARDS (BOARDS OF DIRECTORS OR EQUIVALENT) OF LOCAL AND STATE AFFILIATES OF THE CORPORATION, OR THEIR DESIGNEES, SHALL CONSTITUTE THE MEMBERSHIP OF THE CORPORATION. THE PRESIDENT OR CHIEF EXECUTIVE OFFICER, EXECUTIVE DIRECTOR, OR ANY INTERIM STAFF MEMBER OR BOARD MEMBER ACTING AS THE HEAD OF LOCAL AND STAFF AFFILIATES OF THE CORPORATION OR THEIR PROXIES SHALL ACT AS DELEGATES TO THE NATIONAL DELEGATE ASSEMBLY. ALL AFFILIATES SHALL BE TREATED THE SAME, REGARDLESS OF THE ORGANIZATIONAL RELATIONSHIP MODEL THAT THEY HAVE ADOPTED. VOTING FORMULA: EACH AFFILIATE SHALL BE ELIGIBLE TO CAST TWO VOTES AT THE NATIONAL DELEGATE ASSEMBLY. EACH AFFILIATE SHALL BE ELIGIBLE TO CAST ONE ADDITIONAL VOTE FOR EVERY 300 DUES-PAYING MEMBERS OR FRACTION THEREOF THAT THE AFFILIATE CAN DEMONSTRATE DURING THE IMMEDIATE PAST CALENDAR YEAR AND ONE ADDITIONAL VOTE FOR EVERY $3,000 OR FRACTION THEREOF PAID BY THAT AFFILIATE TO THE CORPORATION FOR ITS AFFILIATION FEE DURING THE IMMEDIATE PAST CALENDAR YEAR. MEMBERS OF THE BOARD: DIRECTORS OF THE CORPORATION SHALL BE CONSIDERED "AT-LARGE" MEMBERS OF THE NATIONAL DELEGATE ASSEMBLY AND SHALL NOT BE COUNTED IN AN AFFILIATE'S TOTAL. THEY SHALL EACH BE PERMITTED TO CAST ONE VOTE AT THE NATIONAL DELEGATE ASSEMBLY. ELIGIBILITY TO VOTE: IN ORDER TO CAST ANY VOTES, EACH AFFILIATE MUST HAVE PAID ALL AFFILIATION FEES APPROVED BY THE BOARD FOR THAT AFFILIATE FOR THE IMMEDIATE PAST CALENDAR YEAR PRIOR TO THE DEADLINE SET BY THE BOARD. LOCAL AFFILIATES WHICH DO NOT PAY AFFILIATION FEES TO THE CORPORATION SHALL BE PERMITTED TO VOTE IF THE AFFILIATE TO WHICH THE LOCAL AFFILIATE PAYS AFFILIATION FEES HAS PAID ALL AFFILIATION FEES APPROVED BY THE BOARD FOR THE STATE AFFILIATE FOR THE IMMEDIATE PAST CALENDAR YEAR PRIOR TO THE DEADLINE SET BY THE BOARD UNLESS THE STATE AFFILIATE CERTIFIES THAT CURRENT FEES TO THE STATE AFFILIATE ARE UNPAID AND REQUESTS THAT THE LOCAL AFFILIATE NOT BE PERMITTED TO VOTE. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE BOARD SHALL CONSIST OF BETWEEN 18 AND 24 DIRECTORS, 15 TO 21 OF WHICH SHALL BE ELECTED BY THE NATIONAL DELEGATE ASSEMBLY FROM A SLATE PRESENTED BY THE BOARD DEVELOPMENT AND GOVERNANCE OR FROM NOMINATIONS MADE AS HEREINAFTER PROVIDED AND THREE OF WHICH, THE IMMEDIATE PAST CHAIR, CHAIR, AND CHAIR-ELECT, SHALL BE ELECTED BY THE BOARD AT THE BOARD MEETING FOLLOWING THE NATIONAL DELEGATE ASSEMBLY EACH YEAR. |
| FORM 990, PART VI, SECTION A, LINE 7B | FOR THE MANAGEMENT OF THE BUSINESS AND FOR THE CONDUCT OF THE AFFAIRS OF THE CORPORATION, AND IN FURTHER DEFINITION, LIMITATION AND REGULATION OF THE POWERS OF THE CORPORATION AND OF ITS DIRECTORS AND MEMBERS, IT IS FURTHER PROVIDED THAT, NOTWITHSTANDING ANYTHING IN THE CORPORATION'S BYLAWS TO THE CONTRARY, THE MEMBERSHIP SHALL HAVE FINAL AUTHORITY ON ALL MATTERS GOVERNING AMENDMENTS TO THE CERTIFICATE OF INCORPORATION, SIZE OF THE BOARD OF DIRECTORS, ELECTION OF THE BOARD DEVELOPMENT AND GOVERNANCE COMMITTEE, ACTION RECOMMENDATIONS FROM THE BOARD OF DIRECTORS ON AMENDING THE STANDARDS OF AFFILIATION AND OTHER MISCELLANEOUS MATTERS. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE ACCOUNTING DEPARTMENT AND MANAGEMENT REVIEW THE DRAFT 990 FOR ACCURACY. THE FORM IS THEN FORWARDED TO THE SECRETARY/TREASURER OF THE BOARD FOR THEIR REVIEW. ONCE COMMENTS, IF ANY, ARE RECEIVED FROM THE SECRETARY/TREASURER, A DRAFT IS FORWARDED TO THE FULL BOARD OF DIRECTORS. FINAL COMMENTS ARE THEN FORWARDED TO THE OUTSIDE ACCOUNTING FIRM, WHO FILES THE FORM WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | EACH BOARD AND COMMITTEE MEMBER IS REQUIRED TO SIGN A CONFLICT OF INTEREST DISCLOSURE STATEMENT ANNUALLY; THE STATEMENTS ARE REVIEWED BY THE SECRETARY/TREASURER. ANY CONFLICTS OF INTEREST ARE BROUGHT BY THE SECRETARY/TREASURER TO THE EXECUTIVE COMMITTEE. THE MEMBER IS ASKED TO EXCUSE THEMSELVES IN COMMENTING OR VOTING ON ISSUES THAT ARE OR MIGHT APPEAR TO BE OF CONFLICT. |
| FORM 990, PART VI, SECTION B, LINE 15 | MHA USES COMPENSATION ANALYSES TO MONITOR THE COMPENSATION OF ALL POSITIONS, INCLUDING OFFICERS AND KEY EMPLOYEES. THE COMPENSATION STUDIES INCLUDE SIMILAR POSITIONS WITHIN THE WASHINGTON, DC METRO AREA, WITHIN THE HEALTH CARE FIELD, AND WITHIN THE NON-PROFIT INDUSTRY, AND DECISIONS ARE DOCUMENTED AS WELL. |
| FORM 990, PART VI, SECTION C, LINE 19 | MHA MAKES ITS GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN SECTION 6104(D). OUR WEBSITE, WWW.MHANATIONAL.ORG, IS THE MAIN SOURCE OF COMMUNICATION. IF SOMEONE CALLS OR EMAILS TO REQUEST THIS INFORMATION, IT IS SENT OUT PROMPTLY. |
| FORM 990, PART IX, LINE 11G | OTHER FEES: PROGRAM SERVICE EXPENSES 1,045,178. MANAGEMENT AND GENERAL EXPENSES 72,337. FUNDRAISING EXPENSES 53,104. TOTAL EXPENSES 1,170,619. |
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