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            <City>Malibu</City>
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            <State>FL</State>
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            <State>VA</State>
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        <ProgramServices>162082</ProgramServices>
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      <GrantsToDomesticIndividuals>
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      <BenefitsToMembers>
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      <FeesForServicesAccounting>
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        <ManagementAndGeneral>0</ManagementAndGeneral>
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        <ManagementAndGeneral>76016</ManagementAndGeneral>
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      <OtherExpenses>
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      <OtherExpenses>
        <Description>Allocation of overhead to related organizations</Description>
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        <EOY>335131</EOY>
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        <CurrentTaxYear>736579</CurrentTaxYear>
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        <CurrentTaxYearMinus1Year>0</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>0</CurrentTaxYear>
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        <CurrentTaxYear>0</CurrentTaxYear>
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        <CurrentTaxYearMinus1Year>72653</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>39197</CurrentTaxYear>
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        <CurrentTaxYearMinus4Years>5343216</CurrentTaxYearMinus4Years>
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        <CurrentTaxYearMinus1Year>1797524</CurrentTaxYearMinus1Year>
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        <CurrentTaxYear>33566</CurrentTaxYear>
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        <CurrentTaxYearMinus3Years>25011865</CurrentTaxYearMinus3Years>
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      <ThirtyThreePercntTestsCY509>X</ThirtyThreePercntTestsCY509>
      <GeneralExplanation>Miscellaneous income, primarily funds received from disbanded chapters.</GeneralExplanation>
    </IRS990ScheduleA>
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      <ContributorInfo>
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      <PublicationsOrBroadcast>1</PublicationsOrBroadcast>
      <PublicationsOrBroadcastAmount>18600</PublicationsOrBroadcastAmount>
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      <DirectContactLegislatorsAmount>8085</DirectContactLegislatorsAmount>
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      <OtherActivities>0</OtherActivities>
      <TotalLobbyingExpendituresIIB>26685</TotalLobbyingExpendituresIIB>
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      <Form990ScheduleCPartIV>
        <Identifier>SchC_P2B_S00_L01</Identifier>
        <ReturnReference>Schedule C, Part II-B, Line 1</ReturnReference>
        <Explanation>During the fiscal year, approximately 40 hours of paid staff time was spent writing and reviewing letters in support of or in opposition of legislation and/or endorsing other organizations' request for support of legislation. Houses of Congress and federal agencies contacted include the House, Senate and Department of Health &amp; Human Services. Specific issues in which AACN engaged in lobbying activities that consisted of Capitol Hill visits, sending letters to members of Congress and federal agencies include: (1) Signed on in July 2010 to a letter drafted by the Nursing Community to the chair and ranking member of the Senate Committee on Appropriations Subcommittee on Labor, HHS and Education requesting a budget investment comparable to that proposed by the House Labor, Health and Human Services, and Education and Related Agencies Appropriations Subcommittee. (2) Signed on in September 2010 to a letter drafted by the Nursing Community to the chairs of the House and Senate Committee on Appropriations Subcommittees on Labor, Health and Human Services, and Education expressing appreciation for the level of funding provided to the Nursing Workforce Development Programs. (3) Signed on in December 2010 to recommendations drafted by the Nursing Community for the Office of Management and Budget urging that a strong healthcare workforce be a priority in the Fiscal Year 2012 budget request as recommended by the Institute of Medicine report on the future of nursing. (4) Signed on in February 2011 to a letter drafted by the Nursing Community to the House leadership expressing concern over proposed funding cuts to key nursing programs in the Fiscal Year 2011 Continuing Resolution and urging continued support for programs, especially those that support the nursing workforce, critical to meeting the nation's health demands. (5) Signed on in March 2011 to a letter drafted by the Nursing Community to individual senators requesting a vote in support of the Senate Appropriations Committee's Fiscal Year 2011 Continuing Resolution to sustain nursing programs. (6) Signed on in April 2011 to a letter drafted by the Nursing Community to the chair and ranking members of the House Appropriations Subcommittee on Labor, HHS and Education, requesting support for increased funding of the Nursing Workforce Development Programs authorized under Title VIII of the Public Health Service Act and the National Institute of Nursing Research, and funding for Nurse-Managed Health Clinics under Title III of the Public Health Service Act. (7) Signed on in April 2011 to testimony drafted by the Nursing Community to the House Appropriations Subcommittee on Labor, Health and Human Services, and Education regarding appropriations for the Title VIII Nursing Workforce Development Programs, the National Institute of Nursing Research and Nurse-Managed Health Clinics. (8) Signed on in April 2011 to a letter drafted by the Nursing Community to the chair and ranking member of the Senate Committee on Appropriations Subcommittee on Labor, Health and Human Services, and Education requesting support for increased funding in Fiscal Year 2012 for increased funding of the Nursing Workforce Development Programs authorized under Title VIII of the Public Health Service Act and the National Institute of Nursing Research, and funding for Nurse-Managed Health Clinics under Title III of the Public Health Service Act. (9) Signed on in April 2011 to a letter drafted by the Nursing Committee to Hon. Kathleen Sebelius, Secretary, and Dr. Donald Berwick, Center for Medicare and Medicaid Services Administrator, Department of Health &amp; Human Services, with comments regarding the value-based purchasing programs for Medicare providers and professionals. (10) Signed on in May 2011 to testimony drafted by the Nursing Community to the Senate Appropriations Subcommittee on Labor, Health and Human Services, and Education regarding appropriations for the Title VIII Nursing Workforce Development Programs, the National Institute of Nursing Research and Nurse-Managed Health Clinics. (11) Signed on in June 2011 to a letter drafted by the Nursing Community to Dr. Donald Berwick, Center for Medicare and Medicaid Services Administrator, Department of Health &amp; Human Services, requesting that any final rule promoting the Accountable Care Organization model must recognize and advance the contributions of nursing. (12) AACN supported 16 members to participate in the three-day 2011 Nurse in Washington Internship with scholarships for registration and funding for travel and lodging costs. Sponsored annually by the Nursing Organizations Alliance, the internship teaches nurses how to influence health policy at the local and national level and provides the opportunity to acquire skills needed to work with legislators. Participants attended as individuals and visited their own congressional representatives. AACN members and chapters at times may, of their own accord, seek input from AACN staff about specific federal, state or local legislation. AACN staff direct them to contact the appropriate governmental entity for information about the legislation. AACN does not support or oppose any candidate for elective office, nor does it participate in any political campaign on behalf of any client for elective office. AACN members are advised to participate in political campaign activity as individuals on their own time and not as representatives of AACN or its local chapters.</Explanation>
      </Form990ScheduleCPartIV>
    </IRS990ScheduleC>
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        <BeginningOfYearBalance>1799299</BeginningOfYearBalance>
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        <BookValue>56127</BookValue>
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      <Form990ScheduleDPartXIV>
        <Identifier>SchD_P05_S00_L04</Identifier>
        <ReturnReference>Schedule D, Part V, Line 4</ReturnReference>
        <Explanation>The AACN Scholarship Endowment was established in 2001 with a goal of the endowment to reach a maturity level of $2 million and become a self-sustaining funding source. The scholarship program will then be funded by the investment income from the fund instead of using AACN's operating budget. Note that the balance of the fund represents the corpus, but investment income of $226,769 is recorded in a temporarily restricted fund in accordance with UPMIFA. As the funds available exceed $2 million, we will begin using the endowment to fund scholarships beginning in our next fiscal year. The AACN scholarship program is designed to help members enrich their careers and acquire knowledge and skills beyond traditional academic nursing education. The scholarship program continues to award some limited scholarships for specific academic courses. Scholarship applicants must assess gaps in their knowledge and skills, identify and evaluate learning opportunities, and develop a plan to show how an AACN scholarship will help them achieve their professional learning goals. In the current fiscal year, $104,768 was spent from the AACN operating budget on these scholarships.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>SchD_P07_S00_L02</Identifier>
        <ReturnReference>Schedule D, Part VII, Line 2</ReturnReference>
        <Explanation>Cost basis book value of fully owned subsidiary, The InnoVision Group, Inc. ($2,249,567).</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>SchD_P11_S00_L08</Identifier>
        <ReturnReference>Schedule D, Part XI, Line 8</ReturnReference>
        <Explanation>Increase in permanently restricted funds ($120,259), gain of for-profit subsidiary ($208,119), contributions to temporarily restricted net assets ($131,315) less temporarily restricted net assets released from restrictions ($166,088).</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>SchD_P12_S00_L02d</Identifier>
        <ReturnReference>Schedule D, Part XII, Line 2d</ReturnReference>
        <Explanation>Cost of goods sold as an offset to revenue on tax return ($681,272), rental expenses shown as an offset to revenue on tax return ($78,622), and special fundraising costs shown as an offset to revenue on tax return ($17,604).</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>SchD_P12_S00_L04b</Identifier>
        <ReturnReference>Schedule D, Part XII, Line 4b</ReturnReference>
        <Explanation>Chapter revenues included in the tax return but not part of audited financial statements ($2,741,141), and cash discounts recorded as expense credit in audited financial statements ($8,143).</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>SchD_P13_S00_L02d</Identifier>
        <ReturnReference>Schedule D, Part XIII, Line 2d</ReturnReference>
        <Explanation>Cost of goods sold shown as an offset to revenue on tax return ($681,272), rental expense shown as an offset to revenue on tax return ($78,622), and special fundraising costs shown as an offset to revenue on tax return ($17,604).</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>SchD_P13_S00_L04b</Identifier>
        <ReturnReference>Schedule D, Part XIII, Line 4b</ReturnReference>
        <Explanation>Chapter expenses included in return but not part of audited financial statements ($2,674,611), and cash discounts recorded as expense credit in the audited financial statements ($8,143).</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
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      <EventsInformation>
        <NameOfEvent1>Chapter reported fundraising events</NameOfEvent1>
        <GrossReceiptsEvent1>75373</GrossReceiptsEvent1>
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        <GrossRevenueEvent1>75373</GrossRevenueEvent1>
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        <FoodAndBeverageEvent1>0</FoodAndBeverageEvent1>
        <EntertainmentEvent1>0</EntertainmentEvent1>
        <OtherDirectExpensesEvent1>17604</OtherDirectExpensesEvent1>
        <FoodAndBeverageOtherEvents>0</FoodAndBeverageOtherEvents>
        <EntertainmentOtherEvents>0</EntertainmentOtherEvents>
        <GrossReceiptsTotal>75373</GrossReceiptsTotal>
        <CharitableContributionsTotal>0</CharitableContributionsTotal>
        <GrossRevenueTotalEvents>75373</GrossRevenueTotalEvents>
        <CashPrizesTotalEvents>0</CashPrizesTotalEvents>
        <NonCashPrizesTotalEvents>0</NonCashPrizesTotalEvents>
        <RentFacilityCostsTotalEvents>0</RentFacilityCostsTotalEvents>
        <FoodAndBeverageTotalEvents>0</FoodAndBeverageTotalEvents>
        <EntertainmentTotalEvents>0</EntertainmentTotalEvents>
        <OtherDirectExpensesTotalEvents>17604</OtherDirectExpensesTotalEvents>
        <DirectExpenseSummaryEvents>17604</DirectExpenseSummaryEvents>
        <NetIncomeSummary>57769</NetIncomeSummary>
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    </IRS990ScheduleG>
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      <RecordsMaintained>1</RecordsMaintained>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Rush University Medical Center</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>600 South Paulina Avenue</AddressLine1>
          <City>Chicago</City>
          <State>IL</State>
          <ZIPCode>60612</ZIPCode>
        </AddressUS>
        <EINOfRecipient>362174823</EINOfRecipient>
        <IRCSection>501c3</IRCSection>
        <AmountOfCashGrant>40000</AmountOfCashGrant>
        <AmountOfNonCashAssistance>0</AmountOfNonCashAssistance>
        <PurposeOfGrant>Assessing the Impact of Telemedicine on ICU nursing care.</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Foundation of National Student Nursing Association</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>45 Main Street</AddressLine1>
          <AddressLine2>Suite 606</AddressLine2>
          <City>Brooklyn</City>
          <State>NY</State>
          <ZIPCode>11201</ZIPCode>
        </AddressUS>
        <EINOfRecipient>133123125</EINOfRecipient>
        <IRCSection>501c3</IRCSection>
        <AmountOfCashGrant>17000</AmountOfCashGrant>
        <AmountOfNonCashAssistance>0</AmountOfNonCashAssistance>
        <PurposeOfGrant>Funding for ten nursing student scholarships.</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Nursing Organizations Alliance</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>PO Box 2131</AddressLine1>
          <City>Lexington</City>
          <State>KY</State>
          <ZIPCode>40588</ZIPCode>
        </AddressUS>
        <EINOfRecipient>223024817</EINOfRecipient>
        <IRCSection>501c3</IRCSection>
        <AmountOfCashGrant>11600</AmountOfCashGrant>
        <AmountOfNonCashAssistance>0</AmountOfNonCashAssistance>
        <PurposeOfGrant>Grant to fund 16 registrations to the Nurse in Washington internship.</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Duke University</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>PO Box 104008</AddressLine1>
          <City>Durham</City>
          <State>NC</State>
          <ZIPCode>27710</ZIPCode>
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        <EINOfRecipient>560532129</EINOfRecipient>
        <IRCSection>501c3</IRCSection>
        <AmountOfCashGrant>9992</AmountOfCashGrant>
        <AmountOfNonCashAssistance>0</AmountOfNonCashAssistance>
        <PurposeOfGrant>Development of Cerebral Oxygenation in Premature Infants.</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Columbia University</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>622 West 168th Street</AddressLine1>
          <City>New York</City>
          <State>NY</State>
          <ZIPCode>10032</ZIPCode>
        </AddressUS>
        <EINOfRecipient>135598093</EINOfRecipient>
        <IRCSection>501c3</IRCSection>
        <AmountOfCashGrant>9917</AmountOfCashGrant>
        <AmountOfNonCashAssistance>0</AmountOfNonCashAssistance>
        <PurposeOfGrant>Communicating Necessary Concerns and Evidence from RN's (CONCERN).</PurposeOfGrant>
      </RecipientTable>
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      <Form990ScheduleIPartIII>
        <TypeOfGrant>Grant: Alarm Identification and Response Simulation: An Education Program to sensitize inexperienced ICU nurses to correctly identify and appropriately respond to alarms.</TypeOfGrant>
        <NumberOfRecipients>1</NumberOfRecipients>
        <AmountOfCashGrant>10000</AmountOfCashGrant>
        <AmountOfNonCashAssistance>0</AmountOfNonCashAssistance>
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      <Form990ScheduleIPartIII>
        <TypeOfGrant>Grant: Identification of NANDA-International, Nursing outcomes classification, and nursing interventions classifications for critically ill patient care in Intensive Care Units.</TypeOfGrant>
        <NumberOfRecipients>1</NumberOfRecipients>
        <AmountOfCashGrant>7150</AmountOfCashGrant>
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        <Identifier>SchI_P01_S00_L02</Identifier>
        <ReturnReference>Schedule I, Part I, Line 2</ReturnReference>
        <Explanation>The organization keeps files of all past, active and completed grants. Part of the grant agreement is to submit progress reports throughout the award period. These annual reports typically include a budget progress report showing how the funds have been spent. If there are funds remaining at the end of the project, those funds are expected to be returned to AACN.</Explanation>
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        <Explanation>The CEO contract allows for her to bring her husband to our national conference, the National Teaching Institute (NTI), held annually in May. This is the only trip where she is reimbursed for companion travel. This amount is included in her taxable compensation. The volunteer President receives a clothing allowance to defray the personal cost for speaking engagements on behalf of the Association. The allowance is for purchases up to $4,000 and is grossed up 50% to ensure the volunteer is not impacted financially by the clothing compensation.</Explanation>
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        <Explanation>All qualified employees of AACN, with the exception of the CEO, were participants in an employee incentive compensation plan. The plan was based primarily on customer growth and satisfaction measures (70%), but also based on the association financial performance (30%). The plan covered AACN and its affiliate and subsidiaries. The plan was based on the fiscal year, and a payout from FY2010 was paid out in August 2010. In addition to this plan, the exhibits director has, as part of his compensation, an incentive bonus for exhibit booth sales at our National conference. This incentive bonus for FY2010 was also paid out in August 2010.</Explanation>
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        <Explanation>American Association of Critical-Care Nurses (AACN) is a membership organization with over 91,000 members throughout the country. The AACN Bylaws state that "any person who is interested in any aspect of critical-care nursing and who subscribes to the mission of AACN, agrees to abide by its charter and Bylaws, and meets such other criteria for membership as may be established by these Bylaws or by the Board of Directors, shall be eligible for membership."</Explanation>
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        <Identifier>F990_P06_S0A_L07a</Identifier>
        <ReturnReference>Form 990, Part VI, Section A, Line 7a</ReturnReference>
        <Explanation>Nominations to the AACN Board of Directors are accepted from the full membership. Nominated candidates are vetted by the AACN Nominating Committee (comprised of appointed and elected members) who determines the slate of candidates for the ballot. The ballot is presented to the full membership for an online election. We must have a minimum of 5% of the eligible voters cast a ballot for the election to close. There is no approval by the Board as the AACN directors are elected by the membership. The number of open positions varies each year as the 3-year terms are staggered to ensure continuity on the Board.</Explanation>
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      <GeneralExplanation>
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        <ReturnReference>Form 990, Part VI, Section A, Line 7b</ReturnReference>
        <Explanation>The bylaws of the Association may be amended by a majority of the Active, International, Emeritus and Lifetime members. In addition, the Association may merge with other national, state or local organizations only upon approval by the total eligible voting membership.</Explanation>
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      <GeneralExplanation>
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        <Explanation>The completed 990 was disseminated to the Audit Committee for review in advance of a conference call designed to review and approve the return. All Audit Committee members, along with the Chief Financial Officer, were on the conference call and all questions or concerns raised by the committee members were resolved to ensure unanimous approval of the return. The Audit Committee then reports any finding to the full Board of Directors.</Explanation>
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        <ReturnReference>Form 990, Part VI, Section B, Line 12c</ReturnReference>
        <Explanation>The Conflict of Interest Policy is reviewed annually at the Fall Board meeting as this is the orientation meeting for new Directors. Each Director is required annually to complete a Conflicts of Interest Statement that lists any potential conflicts. In addition, all employees agree to Conflict of Interest and Work Ethics statements contained in the Employee Handbook.</Explanation>
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        <Explanation>The process of reviewing and setting CEO compensation is the responsibility of the AACN CEO Compensation and Evaluation Committee. This committee is comprised of the President and the President-elect, with the Immediate Past President serving as an ad-hoc member (note that all of these are volunteer, non-compensated positions). The current Treasurer and Secretary of the Board join and serve on the committee whenever decisions related to CEO compensation are required (these too are volunteer, non-compensated positions). The Committee performs an annual performance evaluation and a review of comparable compensation data. The Chief Financial Officer (CFO) provides consultation to the committee related to CEO benchmarking surveys. The last CEO compensation review and adjustment occurred in September 2010. The CEO is accountable for compensation levels for all other positions. Each team member receives an annual review and compensation adjustment at the beginning of the calendar year. Salary adjustments are aligned with the annual budget and are allocated based on benchmark salary data and the performance evaluation of each team member. The last salary adjustment occurred in January, 2011.</Explanation>
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        <Explanation>AACN does not make governing documents or conflict of interest policies available to the public. The financial statements of the organization are published to the membership within one hundred twenty days of the end of the fiscal year. The financial report is included in the Association newsletter, AACN Bold Voices, which is available to the public digitally on the website. The audited financial statements are posted on the AACN website and are available to the public upon request.</Explanation>
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        <ReturnReference>Form 990, Part XI, Line 5</ReturnReference>
        <Explanation>Unrealized gain on investments still on hand at June 30, 2011 ($5,223,549). Contributions to permanently restricted funds ($120,259). Gain of for-profit subsidiary ($208,119). Contributions to temporarily restricted net assets ($131,315) less temporarily restricted net assets released from restrictions ($166,088).</Explanation>
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