2014-11-13T04:32:02-00:00 2013-12-31 KPMG LLP 1676 International Drive McLean VA 22102 990 2013-01-01 131623888 American Diabetes Association AMER 7035491500 1701 N Beauregard Street Alexandria VA 22311 MSuzanne Berry Interim CEO 111114 2014-11-11 true Jocelyne C Miller 7032868000 2014-11-11 2013 2015-11-30 17:44:51Z Larry Hausner 1701 N Beauregard Street Alexandria VA 22311 262635827 false X www.diabetes.org X 1940 OH The mission of the American Diabetes Association the Association is to prevent and cure diabetes and to improve the lives of all people affected by diabetes. Please see Schedule O for more details. 38 38 1562 411000 5645074 -995363 152820180 165940291 35710854 36800425 768487 1045453 14509113 12557467 203808634 216343636 33470257 37490009 0 66537919 73151519 3210860 2873849 49354972 99135581 107132635 202354617 220648012 1454017 -4304376 124462724 146654507 42433582 67563858 82029142 79090649 X The mission of the American Diabetes Association is to prevent and cure diabetes and to improve the lives of all people affected by diabetes. false false 48749748 37320700 12831204 Research - See Schedule O 56180299 114701 30480183 Information - See Schedule O 56653413 11615 Advocacy and Public Awareness - See Schedule O 1968782 161583460 true true false true true false false false true true true false true true true false true false false true true false true true true false true true true false false false false false false false false true false false false false true true true false false true 1513 8 true 1562 true true true false false false false true true false false false false true false false false false X 38 38 false false false false true true false true true false true true true true true true true true true true false WV WI WA VA UT TN SC RI PA OR OK OH NY NJ NH ND NC MT MS MO MN MI ME MD MA LA KY KS IN IL HI GA FL DC CT CO CA AZ AR AL AK X X Deborah L Johnson CFO 7035491500 1701 N Beauregard Street Alexandria VA 22311 X Karen Talmadge PhD Chair of the Board 006.00 004.20 X X 0 0 0 John E Anderson MD President, Medicine Science 006.00 000.20 X X 0 0 0 Lurelean B Gaines RN MSN President, Health Care Education 006.00 000.20 X X 0 0 0 Patrick L Shuler CPA Secretary-Treasurer 006.00 000.20 X X 0 0 0 Dwight Holing Chair of the Board-Elect 002.00 000.20 X X 0 0 0 Elizabeth R Seaquist MD President-Elect, Medicine Science 002.00 000.20 X X 0 0 0 Marjorie Cypress PhD RN CNP CDE President-Elect, Health Care Education 002.00 000.20 X X 0 0 0 Robert J Singley MBA Secretary/Treasurer-Elect 002.00 000.20 X X 0 0 0 Janel L Wright JD Vice Chair of the Board 002.00 000.20 X X 0 0 0 Samuel E Dagogo-Jack MD FRCP Vice President, Medicine Science 002.00 000.20 X X 0 0 0 David G Marrero PhD Vice President, Health Care Education 002.00 000.20 X X 0 0 0 Richard Farber MBA Vice Secretary/Treasurer 002.00 000.20 X X 0 0 0 Samuel Arce MD FAAFP Board of Directors 001.00 X 0 0 0 Michael J Bond Board of Directors 001.00 X 0 0 0 Vanessa J Briscoe PhD NPCDE Board of Directors 001.00 X 0 0 0 Michael Ching CPA Board of Directors 001.00 X 0 0 0 Kieth Cockrell Board of Directors 001.00 X 0 0 0 Brian Bertha Board of Directors 001.00 X 0 0 0 Jay Dunigan Board of Directors 001.00 X 0 0 0 Gina Gavlak RN BSN Board of Directors 001.00 X 0 0 0 Aida L Giachello PhD Board of Directors 001.00 X 0 0 0 George L King MD Board of Directors 001.00 X 0 0 0 Guillermo Umpierrez MD Board of Directors 001.00 X 0 0 0 Umesh K Verma Board of Directors 001.00 X 0 0 0 Daniel B Kohrman JD MPA Board of Directors 001.00 X 0 0 0 Mary T Korytkowski RN MN MD Board of Directors 001.00 X 0 0 0 Lorrie W Liang Board of Directors 001.00 X 0 0 0 Anne Peters MD FACP CDE Board of Directors 001.00 X 0 0 0 Vincent Poitout DVM PhD Board of Directors 001.00 X 0 0 0 Margaret A Powers PhD RD CDE Board of Directors 001.00 X 0 0 0 Henry Rodriguez MD Board of Directors 001.00 X 0 0 0 Darryl Tonemah PhD MEd BS Board of Directors 001.00 X 0 0 0 Patti Urbanski MEd RD LD CDE Board of Directors 001.00 X 0 0 0 Roniece Weaver MS RD LD Board of Directors 001.00 X 0 0 0 Vivian Fonseca MD Board of Directors 001.00 X 0 0 0 Pearson C Cummin III MBA Board of Directors 001.00 003.00 X 0 0 0 Geralyn R Spollett MSN ANP-CS CDE Board of Directors 001.00 X 0 0 0 L Hunter Limbaugh Board of Directors 001.00 X 0 0 0 Larry Hausner Chief Executive Officer 035.00 002.50 X 593656 0 141375 Deborah Johnson Chief Financial Officer 034.00 003.50 X 237258 0 58325 Robert Ratner Chief Scientific and Medical Officer 035.00 002.50 X 438529 0 47561 Greg Elfers Chief Field Development Officer 037.50 X 373841 0 56413 Vaneeda Bennett Chief Revenue Officer 037.50 X 265885 0 35982 Don Laing SVP Human Resource 037.50 X 207422 0 43618 Rodney Sampson SVP ITS and Chief Technical Officer 037.50 X 194283 0 54940 Andrea Maddox SVP Eastern Key Mkts Program Implementation 037.50 X 197920 0 30472 Tamara Darsow VP Research Programs 037.50 X 183008 0 33790 Lori Stevens VP Key Markets West Division 037.50 X 176025 0 22210 Richard Erb VP Director Response Marketing 037.50 X 165719 0 12874 Nancy Stinson-Harris VP Corporate Alliance 037.50 X 157358 0 20905 Shereen Arent Exec VP Government Affairs and Advocacy 037.50 X 228286 0 36620 Lois Witkop SVP Marketing Communications 037.50 X 205186 0 35886 Peter Braun EF112013-10242013 Exec Director Los Angeles County 037.50 X 177309 0 14445 Iris Hunter EF112013-6122013 VP High Risk Program and Health Disparities 037.50 X 184673 0 5227 Kate Giblin Rooper VP Campaign Development 037.50 X 165600 0 21011 4151958 671654 17 false true false Infocision Management Corporation 325 Springside Drive Akron OH 44333 Professional Fundraising 3024258 Blackbaud Inc 11501 Domain Drive Suite 200 Austin TX 78758 Application Technical Services 1611587 Thompson Habib & Denison Inc 80 Hayden Avenue Suite 300 Lexington MA 02421 Professional Fundraising 773500 Automotive Recovery Services Inc dba IAA 13085 Hamilton Crossing Suite 500 Carmel IN 46032 Professional Fundraising 521664 Mullen 40 24th Street Pittsburgh PA 15222 Media Planning and Production 446632 32 7514381 58247206 386761 99791943 3553115 165940291 Subscriptions 511120 15220534 15220534 Registration 611710 10845752 10845752 Sales of Material 511130 4462778 4462778 Booth Rental 611710 4707319 4707319 Education Recognition Program 900099 707385 707385 856657 856657 36800425 1122580 1122580 2421951 2421951 37088210 37111713 53624 -23503 -53624 -77127 -77127 9095282 58247206 9095282 69992 31572 38420 38420 Advertising Income 541800 5362527 5362527 Catalog Sales Income 454110 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22854089 6740096 17074529 59107 271760 54182536 57226724 5989840 3825439 1558850 1591697 3987411 5551535 38199626 28961750 7473968 9237876 20571818 26156489 5794738 8040955 18104360 17677503 124462724 146654507 17771566 24177065 12584797 12975761 12077219 30411032 42433582 67563858 X 17734836 7388174 54154733 59316963 10139573 12385512 82029142 79090649 124462724 146654507 X -4304376 1365883 X false true X true false X 146831892 143706525 153296538 152820180 165940291 762595426 146831892 143706525 153296538 152820180 165940291 762595426 762595426 1688389 1581901 1760782 3097640 3544529 11673241 -86353 -986067 -764699 -1796639 -995363 -4629121 769639546 242612227 0.99080 0.99170 X 0.00000 0.00000 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED true true true 47925 false true 61200 false true 1241584 true 30288 false 1380997 false II-B The American Diabetes Association advocacy efforts and achievements are at the core of creating effective and lasting change for people living with, and at risk for, diabetes. The Association advocacy efforts give 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. From Capitol Hill to state houses to court houses across the country, the Association Diabetes Advocates continue to drive momentum in the ongoing fight to Stop DiabetesR. The primary goals of the American Diabetes Association Government Affairs Advocacy efforts are - To increase federal and state funding for diabetes prevention, treatment and research - Prevent diabetes through advocacy of increased funding and raising awareness on national, state and local levels - Improve the availability of accessible, adequate and affordable health care - End the discrimination people with diabetes face at school, work, and elsewhere in their lives. II-B The Association has trained advocates around the country who represent those with diabetes who need a raised voice to protect their rights. A growing volunteer network of attorneys, health care professionals, and advanced school advocates help thousands facing discrimination because of their diabetes. The Association held its premier advocacy day - Call to Congress- in Washington, D.C in March 2013. More than 200 Diabetes Advocates from 45 states and Washington, D.C. journeyed across the country taking part in more than 220 meetings with members of Congress and their staff. The Associations Diabetes Advocates shared their personal diabetes stories to put a name and face to the diabetes epidemic, and to make the case for an increased investment to curb the trajectory of the disease. II-B In 2013, the Association also launched an aggressive educational outreach plan around the Affordable Care Act ACA, developing key documents reaching more than 2.5 million people. Media about the American Diabetes Association and access to care for people with diabetes under the ACA reached more than 70 million people. The Association increased outreach to the health care community through a variety of channels A series of articles in the Association Clinical Diabetes journals focused on high risk populations, access to health care, and diabetes research. The Association reinforced the message about the seriousness of diabetes and its complications through presentations at major conferences. The Association also distributed a new free toolkit for pediatric health care providers aimed at educating providers and their patients about the rights of children to diabetes care at school. Through the our Safe at SchoolR campaign, legislative victories in Arizona and Missouri and a unanimous decision by the California Supreme Court, three more states now meet the key tenets of the Association Safe at School campaign by providing access to insulin, access to the emergency medication glucagon, and the ability for those students who are able to do so to self-manage their diabetes at school. II-B The American Diabetes Association strategically builds outside support for its advocacy efforts, making important inroads in increasing diabetes advocacy in disparately impacted populations by presenting at high profile conferences including the National Hispanic Medical Association Asian American, Native Hawaiian, and Pacific Islander Diabetes Coalition National Association of Black Journalists Congressional Black Caucus National Indian Health Board and the League of United Latin American Citizens. 1 23216 427289 true true 22599517 2507899 2412393 22695023 21974370 -5113 2474180 1843920 22599517 21855975 138992 2072541 2093138 21974370 20659811 526160 2123170 1453166 21855975 19282060 353666 3234277 2210192 20659811 0.19000 0.81000 true true true 191973 191973 1411791 1087108 324683 14437187 11180658 3256529 22158675 16693984 5464691 9237876 8040955 F Financial derivatives and other financial products 8040955 F Closely-held equity interests 8040955 Due From Property Title Holding Corporation 4859628 Investment in Net Assets of American Diabetes Association Property Title Holding Corporation 12817875 17677503 Federal income taxes Due to American Diabetes Association Research Foundation 30411032 30411032 X 221761355 1365883 1786116 3747923 6899922 214861433 173208 1308995 1482203 216343636 221163024 1786116 36212414 37998530 183164494 173208 37310310 37483518 220648012 V 4 The following was disclosed in the consolidated financial statements related to the intended use of the Association endowment funds The Association has adopted an investment policy for endowment assets that provides continued financial stability for the Association and a revenue stream for spending on the Association mission. To fulfill this mission, the American Diabetes Association funds research, publishes scientific findings, provides information and other services to people with diabetes, their families, health professionals, and the public. X 2 The following was disclosed related to uncertain tax positions in the audited financial statements The American Diabetes Association and the American Diabetes Association Research Foundation, Inc. are exempt from income taxes under Section 501c3 of the Internal Revenue Code the Code and charitable contributions to these organizations qualify for tax deductions as described in the Code. The American Diabetes Association Property Title Holding Corporation is exempt from income taxes under Section 501c2 of the Code. These entities have been classified as organizations that are not private foundations under Section 509a of the Code. The Association recognizes the effects of the income tax positions only if those positions more likely than not would not be sustained upon examination by the Internal Revenue Service. The Association has analyzed the tax positions taken and has concluded that as of December 31, 2013, there are no uncertain tax positions taken or expected to be taken that would require recognition of a liability or asset or disclosure in the consolidated financial statements. XI 2d Donations reported by the American Diabetes Association Research Foundation audited financial statements EIN 54-1734511 3,041,228. Contributed services reported by the American Diabetes Association Research Foundation, Inc. EIN 54-1734511 706,695. XI 4b Management fee earned from the American Diabetes Association Research Foundation, Inc. EIN 54-1734511 1,308,995. XII 2d American Diabetes Association Research Foundation, Inc. EIN 54-1734511 Expenses 36,212,414. XII 4b Grant to the American Diabetes Association Research Foundation, Inc. EIN 54-1734511 37,310,310. true East Asia and the Pacific Program Services Grantmaking 15000 Europe Program Services Grantmaking 11608 26608 26608 East Asia and the Pacific See Part V 15000 Check Europe See Part V 11608 Check 2 false false false false false false Part I Line 2 The Association awarded a grant to the International Diabetes Federation IDF as part of the Association donor-advised fund program. The grantee use of the funds is monitored through the Association membership in the IDF. The Association also provided grant funds to Baker IDI Heart and Diabetes Institute to support research on diabetes epidemiology. The Association monitors the use of funds by maintaining records of grantee narrative and financial reports containing detailed information of grant activity to ensure such grant is used for its intended purpose. Part II Line Id Grant contribution awarded to Baker IDI Heart and Diabetes Institute was made to support the 13th Annual Meeting of the International Diabetes Epidemiology Group IDEG held in conjunction with the International Diabetes Federation IDF meeting in Melbourne, Australia to support research on diabetes epidemiology. Part II Line 2d The primary purpose of the grant is for the annual contribution from the Wendell Mayes donor advised fund to the International Diabetes Federation to support the Mary Jane Mayes scholar program. X X X X X X X true Infocision Management Corporation Telemarketing false 4691320 3101293 1590027 Thompson Habib Denison Inc See Part IV false 23249557 773500 22476057 Automotive Recovery Services Inc See Part IV true 1004998 521664 483334 Blackbaud Inc (formerly Convio Inc) See Part IV false 61200 Strategic Fundraising Inc Telefundraising false 99366 53606 45760 29045241 4511263 24595178 AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY Step Out Walk Event 24069838 21936946 2132892 573195 647702 165881 76007 670107 Tour De Cure 29412310 25704571 3707739 953838 951938 523562 97107 1181294 13860340 10605689 3254651 152735 686824 1551204 195174 668714 67342488 58247206 9095282 1679768 2286464 2240647 368288 2520115 9095282 69992 12000 18353 1219 true 0.70000 69992 12000 18353 1219 31572 38420 AK HI IL MI NJ OH OK PA TX true false false false 1.00000 See Part IV Supplemental Info 1701 N Beauregard Street Alexandria VA 22311 false See Part IV Supplemental Info X true 38420 Part I Line 2 The amounts reported in column v represent fees paid to registered professional fundraisers. Additional payments to these vendors include the following consulting fees related to programmatic content 1,451,000, printing 120,000 postage and shipping cost 115,000, marketing expense of 192,000, and total data processing 40,000. The amounts paid for these expenses were determined by review of the detailed invoices supplied by the service provider. Part I Line 2ii Thompson, Habib, Denison, Inc. activities are creative, strategic, and production services for direct mail appeals. Part I Line 3ii Automotive Recovery Services, Inc. activities are advertising, acquisition and disposal of donated vehicles solicited by American Diabetes Association. Part I Line 4ii Convios activities are product and interactive consulting, content management, website administration, email implementation, reporting, data management, technical programming, user/website experience consulting, design services and project/campaign management. Part III Line 14 The Associations records are centralized at the home office at 1701 N. Beauregard St., Alexandria, VA 22311 based on the information submitted by each Executive Director located in field offices. Part III Line 16 The management and administration of the Association gaming/special events are the responsibility of the local Executive Director of each office. Compensation of the Association local executive directors is based on size of the market, and is not specific to the results of an individual gaming activity. true American Diabetes Association Research Foundation Inc 1701 N Beauregard St Alexandria VA 22311 541734511 501 c3 37310310 Research Barton Center For Diabetes Education 30 Ennis Road PO Box 356 North Oxford MA 01537 222701822 501 c3 30000 Camperships Lions Camp Merrick 11855 Holly Lane Suite 104 Waldorf MD 20601 521289731 501 c3 28383 Camperships National Council Of Asian Pacific Islander Physicians 445 Grant Ave Suite 202 San Francisco CA 94108 273429376 501 c3 10000 Advocacy Florida Camp for Children and Youth with Diabetes Inc PO Box 14136 Gainesville FL 32604 237098099 501 c3 7000 Camperships 5 Lecture Honoraria 5 41000 Travel Scientific Confernces 2 1993 Part I Line 2 The American Diabetes Association provides grant funding for research grants to the American Diabetes Association Research Foundation. The American Diabetes Association closely monitors the use of all grant funds. Each grantee is required to submit an annual progress report, which includes a scientific and a financial portion, 30 days after the end of each previously committed funding year. Each year of funding after the first is contingent upon approval of the annual progress report and the availability of funds. If the complete report is not received within 90 days after the due date, the award will be terminated. Part I Line 2 Continued After the completion of the final year of the grant, a cumulative final report, which includes a scientific and financial portion, is due within 60 days after the expiration date of the grant. If the complete final report is not received by the due date, the grantee will not be eligible to apply for any future American Diabetes Association Research Foundation awards until the obligations for the award are complete. This process is monitored and reviewed by the American Diabetes Association scientific/medical management staff for award status and compliance. Part I Line 2 Continued The American Diabetes Association continues to be the worlds largest provider of camps for children with diabetes to help ensure the well-being of families affected by diabetes. The Association provides grants, scholarships and targeted youth programs for persons with diabetes. Each summer, thousands of children have the opportunity to spend time at diabetes camp, meeting other children with diabetes and sharing their experiences, challenges, hopes, and dreams. In 2013, the American Diabetes Association hosted 50 camp sessions serving nearly 5,300 campers with Type I Type 2 diabetes. In addition, more than 2,200 volunteers made camp possible by donating their time and expertise. Part I Line 2 Continued... An assessment/planning meeting including camp volunteers and staff leadership is held within two months of the conclusion of the camp session. At this time, camp results are evaluated and compared to goals. The strengths and weaknesses of the camp program, opportunities for growth and improvement, emerging issues and needs and the viability of continuation/initiation of new programs are evaluated. The Association monitors the use of all grants funds. Each grantee is required submit proof of required insurance coverage and proof of accreditation by the American Camp Association. Part I Line 2 Continued The American Diabetes Association also provides grants to support advocacy programs. In 2013, the Association awarded grant funds to The National Council of Asian Pacific Islander Physicians NCAPIP. The grant contribution was made in recognition of the coalition outstanding work to address the disparate impact of diabetes on vulnerable populations. The Association monitors the use of the funds by maintaining an on-going communication and periodic financial reports. X X X true true X X X X X true true false false false false false true false Larry Hausner Chief Executive Officer 490544 77846 25266 115500 25875 735031 77846 Deborah Johnson Chief Financial Officer 234927 2331 39720 18605 295583 Robert Ratner Chief Scientific and Medical Officer 406194 26680 5655 45958 1603 486090 Greg Elfers Chief Field Development Officer 320187 53654 44538 11875 430254 Vaneeda Bennett Chief Revenue Officer 237472 20000 8414 21455 14527 301868 Don Laing SVP Human Resource 204988 2434 34202 9416 251040 Rodney Sampson SVP ITS and Chief Technical Officer 192032 2251 35811 19129 249223 Andrea Maddox SVP Eastern Key Mkts Program Implementation 196055 1866 16189 14282 228392 Tamara Darsow VP Research Programs 181644 1364 14884 18906 216798 Lori Stevens VP Key Markets West Division 174594 1431 14058 8152 198235 Richard Erb VP Director Response Marketing 164222 1496 11017 1857 178592 Nancy Stinson-Harris VP Corporate Alliance 155670 1688 12790 8115 178263 Shereen Arent Exec VP Government Affairs and Advocacy 224807 3479 35166 1454 264906 Lois Witkop SVP Marketing Communications 203308 1878 33819 2067 241072 Peter Braun EF112013-10242013 Exec Director Los Angeles County 133162 44147 7705 6740 191754 Iris Hunter EF112013-6122013 VP High Risk Program and Health Disparities 76197 108476 1939 3288 189900 Kate Giblin Rooper VP Campaign Development 136109 29490 12289 8722 186610 Part I Line 1a The Chief Executive Officer is provided compensation for travel companion included in other reportable compensation. Part I Line 1a Greg Elfers, Chief Field Development Officer, is provided housing on a continuing basis. Part I Line 1a Payments related to housing and additional pension benefits are grossed up for individual tax reporting purposes. Part I Line 4a Compensation reported in Part II includes severance for the following reported employees Iris Hunter, Vice President High Risk Program and Health Disparities, 102,864. Peter Braun, Executive Director Los Angeles 25,354. Part I Line 4b The Chief Executive Officer is compensated by the American Diabetes Association and participates in its supplemental retirement plan. The reported retirement and other deferred compensation includes 2013 contributions to the Chief Executive Officers 457f plan totalling 90,544. Part I Line 7 The following non-fixed payment is reported for the Chief Executive Office an accrued 457f deferred compensation contribution of 90,544. X 1832 490187 See Part II X 52 942046 Fair Market Value X 34982 2120882 Fair Market Value false true true Part I Line 6 The method of determining noncash contributions amounts is the sales of comparable property and/or opinion of expert to determine the fair market value. Part I Line 32b The American Diabetes Association contracts with Automotive Recovery Services, Inc. 13085 Hamilton Crossing, Suite 500, Carmel, IN 46032, to advertise for donation of vehicles, as well as receive and sell/dispose of the donated vehicles on behalf of the American Diabetes Association. Form 990, Part I, Line 1 Organization mission-most significant activities The mission of the American Diabetes Association the Association is to prevent and cure diabetes and to improve the lives of all people affected by diabetes. There are nearly 30 million children and adults in the United States, or 9.3 of the population, who have diabetes while another 86 million have been diagnosed with pre-diabetes, putting them at high risk of developing type 2 diabetes. Form 990, Part III, Line 4 Together We Can Stop Diabetesr A crisis is at hand, affecting all Americans. Nearly 30 million Americans, or 9.3 of the population, have diabetes while another 86 million have been diagnosed with pre-diabetes, putting them at high risk of developing type 2 diabetes and suffering its potentially deadly complications. As a key leader and moving force within the global diabetes community, the American Diabetes Association the Association is working relentlessly to provide targeted programs and lifesaving resources for those living with diabetes, their families, health care professionals, high-risk populations as well as the general public. Our mission is to prevent and cure diabetes and to improve the lives of all people affected by diabetes. Diabetes can affect many parts of the body and is associated with serious complications, such as heart disease and stroke, blindness, kidney failure, and lower-limb amputation. The American Diabetes Association funds research and implements prevention and education programs to help curb the trajectory of the diabetes epidemic and lessen the severity of these potentially deadly complications. Some complications, especially micro vascular e.g., eye, kidney, and nerve disease, can be reduced with proper blood glucose control. Also, early detection and treatment of complications can prevent progression, so monitoring health with dilated eye exams, urine tests, and foot exams is essential. Our resources and programs, which can be accessed online, over the phone or through activities and events in communities across the county, help to educate both those living with, and at risk for diabetes to better know the warning signs of the disease and offer assistance on how to take control of their personal health. Among many complications, the risk of cardiovasculardisease is increased in diabetes and prediabetes, making blood pressure and lipid management, along with smoking cessation, especially important. By working together, people with diagnosed diabetes, their support network, and their health care providers can reduce the occurrence of these and other complications. According to the latest National Diabetes Statistics report releases by the Centers for Disease Control and Prevention CDC, the total estimated cost of diagnosed diabetes in 2012 was 245 billion, including 176 billion in direct medical costs and 69 billion in decreased productivity. Decreased productivity includes costs associated with people being absent from work, being less productive while at work, or not being able to work at all because of diabetes. Diabetes and its complications account for 10 percent of all U.S. health care dollars. Worse yet, the Centers for Disease Control and Prevention estimates that one in three American adults will have diabetes by 2050, making our movement to Stop Diabetesr even more critical. Form 990, Part III, Line 4 Continued... Research -Taking the Lead in Research The American Diabetes Association direct involvement in diabetes research extends back to the 1940s when Dr. Charles H. Best, one of four scientists credited with discovering insulin, provided the Association with the framework and early leadership for a formalized diabetes research program. Since the Research Program inception in 1952, the Association has been the leader in funding and supporting cutting-edge diabetes research that has made a crucial difference to people affected by diabetes around the world. In 2013, the Association has 35.7 million was awarded to support a broad spectrum of diabetes research. Over the years, the Association has supported more than 4,000 research projects and invested more than 675 million in diabetes research. Association-funded research leads to innovative solutions that improve the lives of all people with diabetes. The program supports basic science to increase the understanding of how diabetes develops and to identify novel targets for development of new drugs to treat diabetes. Clinical investigations supported by the Association test the effects of new treatments in people with diabetes, and examine the impact of educational and behavioral approaches on diabetes care. Association research has been critical in the development of technologies leading to modern insulin pumps and blood glucose sensors laid the groundwork for development of many of the new classes of oral medications that are now used to prevent and treat diabetes and has provided evidence for the importance of diet and exercise in diabetes management and the role of blood glucose control in reducing complications. New investigators and innovative ideas are critical to improving diabetes care and to finding a cure. Believing in the drive and potential of young and promising researchers, the Association offers training and career development awards to support scientists interested in diabetes research at the early stages of their research careers-from graduate and medical school through assistant professorship. A focus on early-career researchers and innovation makes the Association research programs distinct from what is funded by the federal government, and is essential to the mission. As evidence of the impact of funding these early career scientists, 98 percent of researchers supported by the Association continue their careers in diabetes research. The primary goals of the Association Research Program are-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. Form 990, Part III, Line 4 Continued... 2013 Research Highlights In 2013, Association -supported researchers made significant progress in understanding how diabetes develops and progresses, and in identifying new ways to potentially combat the disease. Notable discoveries include studies providing new insight into how the brain is impacted by and regulates metabolism, characterizing how brown fat regulates metabolism and can be leveraged to control body weight and metabolism, and testing new ways of manipulating the immune system to slow and potentially reverse autoimmune destruction of beta-cells in type 1 diabetes. Headlines from projects supported by the American Diabetes Association Research Program in 2013 included-Vitamin D Deficiency May Contribute to Clogged Arteries in People with Type 2 Diabetes-Brown Fat Transplant May Aid in Weight Loss and Diabetes Management-Occasional Binge Drinking May Increase Risk for Type 2 Diabetes-Methane-producing Bacteria in Gut May Increase Risk for Diabetes-Researcher Blocks the Harmful Effects of a High-Fructose Diet-Biological Clock May Influence Obesity and Diabetes-Repairing Nerve Damage in Diabetes-Novel Approach to Suppress Autoimmunity in Type 1 Diabetes-New Open Access Journal Launched in Collaboration with BMJ BMJ is a global academic publisher Form 990, Part III, Line 4 Continued... Pathway to Stop Diabetes With the vision of achieving a new generation of brilliant scientists focused on diabetes, the Association officially launched the Pathway to Stop Diabetes program in 2013. The program Mentor Advisory Group reviewed 115 outstanding applications from research institutions across the U.S. and selected an inaugural class of five Pathway Scientists. This bold initiative will inspire a fresh generation of scientists to discover new diabetes prevention and treatment approaches. Through awards of 1.625 million over the course of five to seven years, the program will allow researchers to have the time and focus needed to explore new ideas. This program aims to find the modern day counterparts to the game-changing scientific breakthroughs of the Nobel Laureates of the past. The target is to fund 100 brilliant researchers over the course of the next ten years - a notable assembly of outstanding scientists that will bring unparalleled prestige to the program and attract an ever-increasing elite talent pool from which to identify future candidates. Form 990, Part III, Line 4 Continued... Scientific Sessions Held annually, Scientific Sessions exemplifies the American Diabetes Association leadership role in the global diabetes community, while providing a critical platform for driving diabetes awareness. Scientific Sessions is the world largest scientific and medical meeting focused on the latest basic and clinical science research related to diabetes and its complications. The 73rd Annual Scientific Sessions, held in Chicago, June 21-25, 2013, brought together more than 17,600 scientists, health care professionals and industry representatives from 117 countries. The program included more than 700 speakers, delivering presentations in symposia, major lectures and oral abstract sessions, and 2,178 original research poster presentations. In addition, more than 155 companies showcased their latest products and services in the exhibit hall.Research Symposium The Biologic Reponses to Weight Loss and Weight Regain Research Symposium, held April 26-28, 2013, in Washington, D.C., brought together national and global research expertise to focus on emerging science and clinical implications on the involvement of the central and peripheral aspects of energy homeostasis. The presentations and topic discussions reached 134 scientists and health care professionals through the live program and online viewing of the webcasts. Form 990, Part III, Line 4 Continued... Information - Leading the Field in Information Sharing Life - saving Tools and Resources When it comes to diabetes, knowing the facts can make the difference between life and death. As a trusted leader in the global diabetes community, the American Diabetes Association is committed to ensuring that those at risk for developing diabetes, those affected by the disease and their health care team, as well as the general public receive targeted, timely, and accurate information. The Association delivers trusted information and resources that people can access at any time, in multiple formats. Its all about providing high - quality, accurate, and relevant content for people affected by diabetes - how they want it and when they want it. We focus our efforts on three outcomes 1.Raising awareness of diabetes as a serious disease. 2.Raising the visibility of the epidemic of diabetes through awareness and education initiatives.3.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. A key component in making a difference in the fight against diabetes is to help people understand their risk. The Association works to educate people about the warning signs and dangers surrounding this disease, and that information is followed with resourcesencouraging healthy eating, physical activity, and appropriate clinical care. The Association residential program enlists neighborhood representatives to share American Diabetes Association diabetes information with people living in their communities. In 2013, this program engaged 145,830 volunteers to distribute 1.1 million Diabetes Risk Tests throughout the country. Additionally, the Association mailed diabetes information directly to the homes of 43 million individuals. The messaging is clear that diabetes is a serious disease and that individuals need to know the warning signs and health risks of diabetes. The mail program focuses on individuals who are at high risk for diabetes because of known family history or public health trends. The information educates individuals not only on the disease, but also on ways to prevent diabetes and its complications through healthy eating and physical activity. To underscore the seriousness of the disease, the Association asks individuals to seek help from a physician if the individual, a friend, or relative shows any symptom. The public health information coupled with the request to take specific action combines to create a powerful educational tool, especially in the hands of persons already concerned with health risks.All of the mail recipients are considered to be affected by diabetes. Research has proven that just about all Americans are affected by diabetes- if not through known direct contact with the disease, then through legislation or rising costs of a health system which must support the cost of diabetes, or perhaps they are one of the millions with diabetes who are unaware they have the disease or even one of the 86 million Americans who have prediabetes, a type of high blood glucose that places them at high risk for developing type 2 diabetes. Form 990, Part III, Line 4 Continued... Professional Education Outreach The primary goal of the American Diabetes Association professional education program is to affect the quality of treatment and improve patient outcomes for people with diabetes by providing quality education for those health care professionals who provide their care. The Association conducts professional education activities directed toward enhancing knowledge, competence, advancing skills, and apprising health care professionals of the latest developments in diabetes research and clinical practice. The American Diabetes Association has been accredited to provide continuing education to health care professionals for more than 26 years and is accredited by seven accrediting boards. The Association remains in exemplary standing with each accrediting board proving our compliance with the continuing education guidelines. The 60th Annual Advanced Postgraduate Course, held February 22-24, 2013, in New York, brought together more than 520 health careprofessionals for educational sessions that focused on the translation of the latest diabetes research into clinical practice strategies for improving patient care and outcomes. Webcasts from the event were viewed by more than 4,300 health care professionals, with approximately 2,700 claiming continuing education credit. In conjunction with Scientific Sessions in Chicago, the American Diabetes Association brought together physicians, physician assistants, and nurse practitioners for a day-long program entitled Diabetes is Primary. This innovative educational activity was developed specifically for the primary care community and focused on clinical information and tools to improve outcomes in patients with diabetes. It was attended by 85 health care professionals. As of December 31, 2013, the webcasts were viewed by more than 2,100 health care professionals, with 1,700 claiming continuing education credit.The American Diabetes Association collaborated with other organizations and corporate partners to conduct educational programs in Spain, Thailand, India, China, Korea, and Indonesia through its International Continuing Medical Education CME Programs. These programs gave the Association the opportunity to provide high quality education in areas of the world where there is a high prevalence of diabetes. All of these international programs were developed with corporate support. In conjunction with live continuing education programs, the American Diabetes Association developed several online Continuing Education CE programs for health care professionals which focused on specific topics for improving clinical practice. These were delivered as webcasts and self-assessment modules. Through the live and online programs, the Association reached more than 35,000 health care providers. Form 990, Part III, Line 4 Continued... Education Recognition Program Designed to ensure and promote quality education for people with diabetes, the American Diabetes Association Education RecognitionProgram ERP began in 1986 with 35 recognized diabetes education programs. Today, the ERP features more than 3,600 program sites nationwide. In 2013, the number of Education Recognition Program-recognized sites saw a net increase to 3,656 from 3,533 in the previous year, serving nearly one million people with diabetes in 2013. Staff efforts to strengthen resources available to recognized programs resulted in a 400 percent increase in the number of programs that renewed recognition in 2013 over 2012. In 2013, 589 ERP applications wererenewed compare to 115 in 2012.The recognition database, Chronicle Diabetes, facilitated the aggregation and presentation on trends in diabetes education at the 2013 Association Scientific Sessions and is slated for publication soon.Center for Information and Community Support American Diabetes Association representatives at the Center for Information and Community Support 1-800-DIABETES are a personal guide to information on diabetes as well as Association programs and events. In 2013, the center processed 170,000 contacts from constituents, professional members and others seeking information. Requests ranged from receiving information and resources for thecare and management of diabetes, enrolling in programs such as Living With Type 2 Diabetes, inquiring about local and national Association events, and managing professional membership and donation management. The Center for Information and Community Support continued to support mission activities by providing translation and onsite support at American Diabetes Association EXPO events and conferences and promoting Association initiatives such as Living With Type 2 Diabetes program, Step Out Walk to Stop Diabetes campaign, and Hispanic Heritage Month. Form 990, Part III, Line 4 Continued... Publications The American Diabetes Association is the leading authority in creating and publishing the world most respected consumer magazine, books, and professional journals about diabetes. Our award-winning monthly magazine, Diabetes Forecast, is the premier healthy-living magazine for individuals affected by diabetes. Numerous books by well-known and credentialed authors are published each year, including consumer-oriented books on diabetes treatment, self-care, nutrition, cooking, and psychosocial issues, as well as a variety oftitles for our professional readers, such as the frequently updated Medical Management Series. The Association also publishes four highly valued professional journals.Publications for Consumers In the fall of 2013, Diabetesforecast.org, the website of the Association healthy living magazine, Diabetes Forecast, unveiled a redesign. The new site provides a one-stop visit for people living with diabetes, their families and caregivers, featuring healthy reminders and tips for a busy life, motivational pick-me-ups from members of the diabetes community, scientific and medical news, delicious recipes and key information users may share with their doctor. Content is organized by topic tags, which makes it easy to explore the magazine archive of trusted diabetes self-management information, inspiring people stories and recipes. Readers are now able to view trusted Diabetes Forecast content through print editions, digital editions displayed on computers, tablets, and smartphones and the website, which is appealing and functional on device screens of all sizes. Digital use grew significantly throughout 2013. The digital use for the January 2014 issue of Diabetes Forecast actually published in 2013 was 20 times greater than for the January 2013 issue. In addition, the magazine began distribution in Wal-Mart stores in 2013. The magazine is also available at Barnes Noble and CVS stores. Form 990, Part III, Line 4 Continued... Publications for Professionals The American Diabetes Association continued to publish the leading scientific and medical journals related to the prevention and treatment of diabetes and diabetes complications. In 2013, Diabetes, Diabetes Care, Clinical Diabetes, and Diabetes Spectrum reached more than 51,000 health care professionals, including researchers, physicians, and diabetes educators with information on cutting-edge diabetes research, state-of-the-art treatment advances, and clinical treatment guidelines. The 2012 impact factors for Diabetes and Diabetes Care, which were released in June 2013, show that Diabetes and Diabetes Care rank 6th and 7th, respectively, of 116 publications in the field of endocrinology-metabolism, and 2nd and 3rd among journals publishing originalresearch in that field. Impact factor is a measure of a journal prestige, and is calculated by determining the frequency with which the -average- article in a journal is cited by other publications. Diabetes and Diabetes Care are the highest-ranked journals devoted exclusively to diabetes-related research. The Association professional journals at diabetesjournals.org received more than 9 million visits and 20 million page views. In 2013, the Association partnered with the BMJ Group on the launch of an online only, open access journal titled, BMJ Open-Diabetes Research Care. Guillermo Umpierrez, MD, FACP, FACE, is the editor-in-chief of the journal. The new journal provides an option for American Diabetes Association authors who are mandated to submit their papers to an immediate open-access publication. In addition to the publication of the Association Clinical Practice Recommendations in January 2013, numerous Association position and other professional papers were published including Consensus Report Twenty-First Century Behavioral Medicine A Context for Empowering Clinicians and Patients With Diabetes Scientific Statements Economic Costs of Diabetes in the U.S. in 2012 Hypoglycemia and Diabetes A Report of a Workgroup of the American Diabetes Association and The Endocrine Society Socioecological Determinants of Prediabetes and Type 2 Diabetes Position Statement Nutrition Therapy Recommendations for the Management of Adults With Diabetes. Form 990, Part III, Line 4 Continued... Stopdiabetes.com Stopdiabetes.com is the online hub of the American Diabetes Association Stop Diabetes movement. The site invites visitors to pledgetheir support, add their name to the map and take action in the Association fight to Stop Diabetes. Five different sections- including Ways to Act, What Happening, Get the Facts, Advocacy Center, and Donate Now -provide concrete options for involvement as well as increased awareness. In 2013, stopdiabetes.com continued to be essential in engaging people nationwide. Overall page views increased by 40 percent and visits were up 21 percent over 2012. More than 8,000 visitors took the pledge to help Stop Diabetesr. Websites diabetes.org and professional.diabetes.org. The American Diabetes Association award-winning website for consumers and professionals, diabetes.org, is widely regarded as the most informative and credible diabetes and nutrition resource on the Internet. In 2013, the site had 18 million visits, up 20 percent from 2012. Form 990, Part III, Line 4 Continued... Living With Type 2 Diabetes The Living With Type 2 Diabetes program enrolled a total of 150,672 new participants, bringing the total number of registrants to more than 388,100, and more than 174,000 completed the year long program in 2013. The Association also distributed more than 318,000 Where Do I Begin booklets and added nearly 3,000 new participating primary care providers. With a 34 percent order rate for the booklet, 96 percent of health care providers report they are satisfied with its content. Living With Type 2 Diabetes offers primary care providers a free resource to give to their patients at diagnosis, while supporting people who are newly diagnosed with type 2 diabetes through a series of digital or print information packets, in either English or Spanish, to help them navigate their first year with the disease. In addition, a new free publication, Complete Meal Ideas 10 Perfect Plates, featuring recipes and menus for people with diabetes, was made available to constituents. The Association online acquisition campaigns, Living with Type 2 Diabetes and MyFoodAdvisor Recipes for Healthy Living, continued to thrive in 2013. -Living With Type 2 Diabetes provides people who are newly diagnosed with type 2 diabetes a series of information packets to help them navigate their first year with the disease. In 2013, more than 112,000 people registered online, bringing the total number of registrants to more than 388,100. - MyFoodAdvisor Recipes for Healthy Living provides participants with new recipes and nutrition information every month. In 2013, more than 130,000 people registered online, bringing the total number of enrollees to more than 270,000. The microsite received a Gold Web Health Award from the Health Information Resource Center. Survey results indicate that MyFoodAdvisor is positively affecting constituents with increased engagement with the Association and recipe usage, as well as improved self-reported dietary behaviors.For health care professionals and scientists, DiabetesPro at professional.diabetes.org provides the latest resources in diabetes care and research. DiabetesPro is the most advanced professional education website in any branch of medicine, giving those who have placeddiabetes in the center of their careers the opportunity to stay informed and take advantage of various resources and educational offerings. Featured content includes diabetes meetings and continuing education opportunities, news, clinical practice recommendations, webcasts and podcasts, journals and books, research grants, recognition programs and professional section interest groups.Youth and Diabetes When a child is initially diagnosed with diabetes, the entire family faces a variety of challenges and questions. Families affected by diabetes continue to have unique needs, as routines may change. The American Diabetes Association provides targeted youth programs including Family Link, which connects families to expert guidance, peer support and tools, Diabetes Camps, and other social and educational activities. In 2013, our youthprograms helped ensure the wellbeing of families affected by diabetes via the following avenues -More than 61,000 families were reached through Family Link e-news, Diabetes Camps, and social and educational activities. -The new Family Link Parent Mentor matching system launched, allowing families of newly diagnosed children to be matched withanother parent for support. - 5,130 Everyday Wisdom kits were distributed. Everyday Wisdom kits are designed to help families of children with type 1 diabetes live with diabetes every day. -The Association Safe at Schoolr campaign Form 990, Part III, Line 4 Continued... American Diabetes Association Diabetes Camp The American Diabetes Association continues to be the world largest provider of camps for children with diabetes. Each summer, thousands of children have the opportunity to spend time at Diabetes Camp, meeting other children with diabetes and sharing their experiences, challenges, hopes, and dreams.-In 2013, the American Diabetes Association hosted 50 camp sessions serving nearly 5,300 campers. - The Association was able to award more than 513,000 in camperships financial aid to help families pay for camp. - More than 2,200 volunteers made camp possible by donating their time and expertise. Form 990, Part III, Line 4 Continued... Advocacy and Public Awareness - Advocacy -Initiating Change The American Diabetes Association advocacy efforts and achievements are at the core of creating effective and lasting change for people living with, and at risk for, diabetes. Raising our voices from Capitol Hill to state houses to court houses across the country, our dedicated Diabetes Advocates continue to drive momentum in our ongoing fight to Stop Diabetesr . The American Diabetes Association advocacy efforts give 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. The primary goals are to increase federal and state funding for diabetes prevention, treatment and research prevent diabetes improve the availability of accessible, adequate and affordable health care and end the discrimination people with diabetes face at school, work, and elsewhere in their lives. Trained advocates around the country represent those with diabetes who need a raised voice to protect their rights. A growing volunteer network of attorneys, health care professionals, and advanced school advocates help thousands facing discrimination because of theirdiabetes. Through our Safe at School r campaign, the Association continued our fight to protect the rights-and health-of children, helping families across the country. As a result of our advocacy efforts, legislative victories in Arizona and Missouri and a unanimous decision by the California Supreme Court, three more states now meet the key tenets of the Association Safe at School campaign by providing access to insulin, access to the emergency medication glucagon, and the ability for those students who are able to do so to self-manage theirdiabetes at school. The Association also distributed a new free toolkit for pediatric health care providers aimed at educating providers and their patients about the rights of children to diabetes care at school. In our ongoing efforts to increase funding and raise awareness for vital diabetes research and prevention programs, more than 200 Diabetes Advocates from 45 states and Washington, D.C., journeyed across the country for the Association Call to Congress. Takingpart in more than 220 meetings with Members of Congress and their staff, Diabetes Advocates shared their personal diabetes story to put a name and face to the diabetes epidemic, and to make the case for an increased investment to curb the trajectory of the disease. Our advocacy efforts continued throughout the year, strengthened our voice on Capitol Hill, state capitols, and with the executive branch of government as Diabetes Advocates took action through Congressional briefings, increased in-district meetings, state advocacy days, press events, tens of thousands of emails and phone calls to elected officials, meetings with administration officials, and through coalition work, including founding a coalition to support funding for the National Institute of Diabetes and Digestive and Kidney Diseases at the National Institutes of Health. The Association continued aggressive advocacy efforts to ensure access for people with diabetes during implementation of the Affordable Care Act ACA through numerous official comments, letters and meetings with Administration officials with a focus onexpanding coverage for low income Americans, federal rules around wellness programs and consumer protections, and implementation of state marketplaces. An aggressive educational outreach plan around the ACA, reached more than 2.5 million people. Media about the American Diabetes Association and access to care for people with diabetes under the ACA reached more than 70 million people. Form 990, Part III, Line 4 Continued... The Association continued to strategically build outside support for our advocacy efforts, making important inroads in increasing diabetes advocacy in disparately impacted populations by presenting at high profile conferences including the National Hispanic Medical Association Asian American, Native Hawaiian, and Pacific Islander Diabetes Coalition National Association of Black Journalists Congressional Black Caucus National Indian Health Board and the League of United Latin American Citizens. A series of new consumer and policy sheets for the African American, Asian Pacific American, and Latino communities and translated key advocacy documents into Spanish. The Association continued the leadership role in promoting equal employment opportunity for people with diabetes. Years of litigation against an interstate motor coach company resulted in the development of a new policy to individually assess bus drivers with non-insulin treated diabetes, a major victory with nationwide implications both inside and outside the company involved. Working to improve the care of people with diabetes who encounter law enforcement officers, Association efforts included collaborations with two of the largest police departments in the country, New York City and Philadelphia, and campaign to educate law enforcement personnel about diabetes, with Diabetes Advocates blanketing 31 states and the District of Columbia and reaching nearly 400 different law enforcement agencies with educational materials about diabetes and policing.Leading the Call The clock is ticking in the race against diabetes. With nearly 30 million Americans living with diabetes and another 86 million with prediabetes, the time is now to reach out to all Americans and make sure everyone understands that diabetes is not just a condition, but a disease with deadly consequences. The American Diabetes Association is leading a multi-faceted call to action via targeted public awareness efforts and education programs. Form 990, Part III, Line 4 Continued... 25th Annual American Diabetes Association Alert Day The Association Alert Day is one of our most impactful awareness efforts. Also known as a one-day wake-up call, the Association 25th Alert Day took place on March 26, 2013. Americans were challenged to take and share the Diabetes Risk Test via Facebook page,stopdiabetes.com or by calling 1-800-DIABETES. On Alert day alone, 39,358 people took the risk test, and 148,827 throughout the month of March. More than 803,000 people took the online Diabetes Risk Test in 2013, and the Association also distributed 325,450 paper risk tests. Alert Day generated more than 403 million impressions between local and national media outreach, social media efforts, Association promotional channels, collaborative efforts, and unique opportunities. A follow-up online survey highlights the impact of our 2013 Alert Day activities -A large proportion of respondents 46 percent learned about the risk test on Facebook. -78 percent of respondents who took the risk test and were at high risk followed-up with their doctor. -86 percent of respondents reportedly carried out at least one healthy lifestyle change. -36 percent of respondents referred friends, family members, and-or co-workers to a campaign resource i.e. Diabetes Risk Test, Facebook, 1-800-DIABETES, StopDiabetes.com.American Diabetes Month Another key awareness campaign is American Diabetes Monthr ADM, celebrated each November. Through various high impact promotional activities throughout November 2013, the Association helped people nationwide understand the urgency of our mission. Total outreach was tallied at more than 697 million impressions, which included national and local media coverage, social media efforts, celebrity outreach, promotion through Association channels, and collaborative efforts. A Facebook-generated campaign asked Americans to share what A Day in the Life of Diabetes meant to them by adding a personal photo to a Facebook mosaic. The changing images of the mosaic included NASCAR driver Ryan Reed and his race car, hip hop artist and Grammy-award winning producer Lil Jon, and singersongwriter Nick Jonas. In addition, Ryan Reed race car was wrapped with images from the mosaic and it was featured live at his November 2013 races in Phoenix and Miami. Form 990, Part III, Line 4 Continued... EXPO The American Diabetes Association EXPOr is the nation premier diabetes education and awareness initiative, bringing together leading brands and concerned audiences to provide information on healthy eating, active living and diabetes resources and products. In 2013, nearly 65,000 people attended our EXPO in 11 markets around the country to learn how to be healthy, active, and live well with diabetes. Of those, 24,000 people participated in health screenings offered by local health care organizations. In addition, 2,700 volunteers worked together to support EXPO. Reaching High Risk Populations The Association is working to help the many populations that are disproportionately affected by diabetes. African Americans are 1.8 times more likely to develop diabetes compared to non-Latino whites, and in some Native American communities, one in two adults has diabetes. To help curb this inequity, the American Diabetes Association has targeted community-based programs in place, working closely with civic, social, faith-based and health care representatives within these communities. Through the efforts of volunteers and staff, the Association reached more than 1.5 million people through the African American Initiative Live EMPOWERED. In November, local markets participated in the I Decide to Stop Diabetes Day Church Campaign reaching African Americans across the country during American Diabetes Month. The Association Latino Initiative Por Tu Familia - PTF reached 589,560 Hispanic-Latinos in 2013. In collaboration with Community Health Corps-AmeriCorps, PTF successfully concluded two rural pilot projects. Hispanic Heritage Month a Heritage Celebration without Diabetes was re-launched and successfully implemented at 36 events throughout the country. The Association also attended theNational Council of La Raza annual conference in New Orleans in July 2013, reaching more than 2,600 participants at the exhibit booth, which was featured in the local media as one of the 10 Best Booths Not To Miss the Association partnered with the local Walgreens to conduct 811 glucose screenings and also provided several cooking demonstrations in collaboration with the Tulane University Culinary Medical Program. The American Indian-Alaska Native Programs Awakening the Spirit staff participated in multiple local and national conferences, the National Indian Health Board, and meetings with Indian Health Services to drive awareness about the seriousness of diabetes and provide resources to American Indian-Alaska Native communities across the country. Through the Association Awakening the Spirit initiatives, the Association fought for continued support and funding for the Special Diabetes Programs for Indians. During Native American Heritage Month, Awakening the Spirit social media outreach included Indian Country Today Media Network which deliversmore than 22,000 magazines a week and receives hundreds of thousands of views monthly on their website. Form 990, Part III, Line 4 Continued... The Association Asian American, Native Hawaiian and Pacific Islander AANHPI Initiative participated in the 11th Annual Korean American Association KORUS of Greater Washington Festival in Bull Run Park, VA, that had more than 7,000 attendees. For this event, a Control Your Portions one pager was translated into Korean. In addition, a Walking Club Manual, developed by the AANHPI Subcommittee, was released, providing guidance to communities interested in forming large or small walking clubs. In 2013, we also brought together a diverse group of high-profile national figures with an interest in minority health to address the issue of gaps in diabetes health care for high risk populations and to explore collaborative solutions to overcome the challenges that create those gaps. The Sixth Annual Disparities Partnership Forum, Overcoming Disparities Diabetes Care in High Risk Populations, was attended by more than 200 diabetes researchers, caregivers, advocates, people living with diabetes, and other sstakeholders.Signature Campaigns The Association special events in the community are yet another opportunity to raise awareness about diabetes and are an integral part of our strategic vision to eradicate the disease. In 2013, all of the Association local mission and fundraising events, including our signature events, Step Out Walk to Stop Diabetesr and Tour de Curer, incorporated educational messages and brought awareness of the seriousness of diabetes. Form 990, Part III, Line 4 Continued... Prevention - Intensifying Measures In 2013, the Association continued to intensify our diabetes prevention efforts. We reorganized our prevention web pages for a better online user experience, leading to a 22 percent increase in visitors. We also re-launched Health Advisor, the online calculator for type 2 diabetes, heart attack, stroke, and diabetes complications. More than 8,800 people visited the tool and 3,700 users printed a personal action plan that outlines steps for lifestyle changes. Stop Diabetes at Work, the Association healthy worksite initiative, provided online resources to 92 employers and co-branded employee web portals for 74 companies. The Preventive Health Partnership, a collaboration with the American Diabetes Association, American Cancer Society and American Heart Association, continued in the fields of outpatient quality improvement, international health, promotion of physical activity in schools, and worksite wellness. In addition, The Guideline Advantage, an outpatient quality improvement program and a Preventive Health Partnership collaboration, re-launched with an online tool that provides clinics with real-time data, resulting in a total of 4.3 million patient encounters. The Association also became a partner of the Million Heartsr initiative. More than 92,000 copies of three patient education resources were distributed to help consumers make the link between diabetes, heart attack, and stroke. We also partnered with the YMCA to promote its Diabetes Prevention Program among Medicare enrollees. The pilot program had 604 attendees and 750 participants in 17 markets. Through the CheckUp America Public Service Announcement campaigns, the Association released two transit PSAs. All four CheckUp America PSAs in rotation were awarded airplay awards based on Nielsen ratings, which is the first time that four campaigns were awarded in one year. The PSAs earned more than 1 billion audience impressions. CheckUpAmerica.org, featuring specific information on type 2 diabetes and cardiovascular disease risk factors, had a 48 percent increase in page views over 2012. The Association also distributed more than 478,000 CheckUp America prevention print materials to consumers and health care professionals. Form 990, Part III, Line 4 Continued... We Can Do It Imagine the day when we have won the race against the diabetes epidemic. When diabetes will no longer be in the lead and threaten ourfamilies and communities. When a doctor does not have to tell an anxious parent that their child has an incurable disease, which could come along with numerous complications. When nobody has to worry anymore about blood glucose highs and lows, and whether that tingling sensation or blurred vision is the beginning of a bigger problem. We know that, together, we can stop this dreadful disease andrealize our vision life free of diabetes and all of its burdens.Learn more at www.diabetes.org and www.stopdiabetes.com. Form 990, Part III, Line 4 Continued... Other Program Services revenue reported in Line 4d 1,968,782. Form 990, Part VI, Section A, Line 6,7a The American Diabetes Association has established the voting membership of the Association as the National Leadership Council. The National Leadership Council is comprised of all of the members of the Board of Directors and additional delegates. The National Leadership Council votes on the election of the organization 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 KPMG, the final signed 990 was provided to the Associations Board of Directors prior to filing with the IRS. Form 990, Part VI, Section B, Line 12 Managing Conflict of Interest To identify potential conflicts of interest with appropriate due diligence, Officers, Directors, and members of select Board appointed committees and their related subcommittees, journal/periodical editors, and senior staff of the Association must annually disclose any potential conflicts of interest. The American Diabetes Associations Audit Committee and senior staff in Legal Affairs manage the disclosure and monitoring processes. Through review of the annual disclosures and review of the agendas of therelevant Board ,Committee and other meetings, appropriate efforts are made in advance of the meetings to identify potential conflicts of interest. Each person also has the responsibility to report his/her own conflicts of interest actual or perceived as those conflicts may arise during a meeting. Based on the situation, senior volunteers and staff presiding over the discussion are responsible to ensure appropriate action is taken for the individual to publicly disclose the conflict, for the individual to recuse him or herself from the discussion, vote or room as appropriate and to ensure the disclosure and action is documented in the minutes of the meeting. Form 990, Part VI, Section B, Line 15a Compensation Process Annually, The American Diabetes Association Principal Officers Chair of the Board President, Medicine Science President, Health Care Education and Secretary-Treasurer are responsible for establishing executive compensation consistent with the guidelines approved by the Compensation Committee. The Principal Officers of the Association use a Compensation Committee, compensation studies and an in dependent consultant to establish the compensation of the Chief Executive Officer and other Key employees. The Chief Executive Officer is responsible for the individual performance evaluations of staff officers and key employees, and establishes the total compensation for key employees subject to the guidelines established by the Executive Compensation Committee. The Executive Compensation Committee develops guidelines for the key employee executive positions listed below following the process described in the IRS intermediate sanctions rules when determining compensation. Specifically, the Committee 1 Is composed entirely of non-employee volunteer leaders who have no familial, business or significant personal relationships with the American Diabetes Association or its executives 2 Assesses the short-term and long-term contribution and performance of CEO and other senior executive employees in meeting very definitive and quantifiable objectives focused on the Association 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 executive total compensation, including but not limited to base salary, bonuses, perquisites, fringe benefits, and incentive and deferred compensation arrangements. Upon the executive 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 executive entire compensation package to compensation packages paid by similarly situated organizations for functionally comparable positions 5 Documents, concurrently with its determination, the basis for its determination in the minutes of its meeting These minutes are reviewed, revised if necessary and approved at the following meeting of the Executive Compensation Committee. The process described above was used to establish compensation for the following positions Chief Executive Officer, Chief Field Development Officer, Chief Financial Officer, Chief Medical Officer, Chief Revenue Officer, Executive Vice President of Government Affairs Advocacy, Senior Vice President and Chief Technology Officer, Senior Vice President of Human Resources, Senior Vice President of Marketing Communications. The total compensation of executives at the American Diabetes Association is specifically designed to attract and retain the highest qualified executive talent to fulfill the critically important mission to prevent and cure diabetes and to improve the lives of all people affected by diabetes. Form 990, Part VI, Section C, Line 17 Filing Jurisdiction Registration Number Alabama-AL97-256, Alaska-N/A, Arizona-10145, Arkansas-N/A, California-CT81471, Colorado-2002-3003670, Connecticut-5084, District of Columbia-981855, Florida-CH1618, Georgia-CH-001422, Hawaii-N/A, Illinois-CO 01-025537, Indiana-000103829-000, Kansas- 177-257-3SO, Kentucky-45, Louisiana-N/A, Maine- CO-1247, Maryland-102, Massachusetts-029317, Michigan-MICS 10326, Minnesota-N/A, Mississippi- 100000294, Missouri- CO-021-87, New Hampshire-5006, New Jersey- CH-0581900, New Mexico-N/A, New York- 1/30/1965, North Carolina- SL000618, North Dakota-7894, Ohio- 01-0239, Oklahoma- N/A, Oregon- 16402, Pennsylvania- No. 21, Rhode Island-95-233, South Carolina-641, Tennessee-5104, Utah- 6536093-Char, Virginia-N/A, Washington-7664, West Virginia-N/A, Wisconsin- 3020-800. Form 990, Part VI, Section C, Line 19 The following information is available on the American Diabetes Associations website http//www.diabetes.org Board of Directors, Audited Consolidated Financial Statements, Latest 990 filed, Whistleblower policy. Available subject to request to the American Diabetes Association Legal Affairs department are the following Current Bylaws, Articles of Incorporation, Conflict of Interest Policy. Form 990, Part VII, Section A, Line 1a39 The Chief Executive Officer of the Association is a non-voting member of the Board of Directors. Form 990, Part VII, Section A, Line 1a53, 54 Employment term for Peter Braun, Executive Director Los Angeles County, ended in October 2013. Employment term for Iris Hunter, Vice President High Risk Program and Health Disparities, ended in June 2013. American Diabetes Association Research Foundation Inc 1701 N Beauregard St Alexandria VA 22311 541734511 See Part VII VA 501 c 3 7 American Diabetes Association true American Diabetes Association Property Title Holding Corporation 1701 N Beauregard St Alexandria VA 22311 541948004 See Part VII VA 501 c 2 N/A American Diabetes Association true false true false false false false false false false false false true false true true false false false true American Diabetes Association Research Foundation Inc b 37310310 Cash American Diabetes Association Research Foundation Inc l,n,o 1308995 Fair Value estimated based American Diabetes Association Property Title Holding Corporation s 1968782 Cash Part II Line 1b The Foundations objective is to secure major gifts and grants to fund diabetes related research leading to the prevention and cure of diabetes, the prevention and cure of the complications of diabetes, and new therapies for individuals affected by diabetes. Part II Line 2b The mission of the American Diabetes Association Property Title Holding Corp. is to hold title to real property, collect the income therefrom, and remit to the American Diabetes Association.