2012-11-15T11:38:53-06:00 2011-12-31 521855942 TATE AND TRYON 2021 L STREET NW SUITE 400 WASHINGTON DC 20036 990 2011-01-01 530260105 AMERICAN HEALTH CARE ASSOCIATION AMER 2028424444 1201 L STREET NW WASHINGTON DC 20005 MARK PARKINSON 2028424444 2012-11-12 1 DAVID M DUREN P00439717 2022932200 2011 2016-02-24 21:20:13Z MARK PARKINSON 1201 L STREET NW WASHINGTON DC 20005 29346255 0 X WWW.AHCA.ORG X 1956 DC IMPROVING LIVES BY DELIVERING SOLUTIONS FOR QUALITY CARE 16 16 105 500 1787539 0 0 0 25414849 25832696 340355 264673 2778755 3248886 28533959 29346255 0 0 0 0 11817468 12896752 0 0 0 14629689 18162823 26447157 31059575 2086802 -1713320 30944541 29183923 10029601 10293437 20914940 18890486 HELP MEMBERS DELIVER HIGH QUALITY CARE BY PROVIDING SOLUTIONS FOR AND ADVOCATING FOR A CUSTOMER-FOCUSED HEALTHCARE SYSTEM 0 0 CONVENTION HELD TO PROMOTE AND DISCUSS HEALTH CARE MATTERS AND DISSEMINATE INFORMATION. SALES OF MATERIALS AND PUBLICATIONS FOR TRAINING AND EDUCATION RELATING TO HEALTH CARE ISSUES AND CONCERNS, AND PROVIDING INDUSTRY INFORMATION TO MEMBERS AND SUBSCRIBERS EDUCATION AND ADVOCACY OF QUALITY CARE ACCOMPLISHED THROUGH ASSOCIATION'S QUALITY INITIATIVE, POLICY ADVOCACY EFFORTS, AND MEMBER SERVICES. 0 0 1 1 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 1 110 0 1 105 1 1 1 0 0 0 1 1 0 X 16 16 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X THE ORGANIZATION 2028424444 1201 L ST NW WASHINGTON DC 20005 NEIL PRUITT JR 3.00 X X 0 0 0 LEONARD RUSS 3.00 X X 0 0 0 ROBERT VAN DYK 1.00 X 0 0 0 LANE BOWEN 2.00 X X 0 0 0 TED LENEAVE 1.00 X 0 0 0 GARY KELSO 1.00 X 0 0 0 MIKE T SHEPARD 1.00 X 0 0 0 ORLANDO BISBANO JR 1.00 X 0 0 0 FRANK ROMANO 1.00 X 0 0 0 TIMOTHY LUKENDA 1.00 X 0 0 0 STEVE ACKERSON 1.00 X 0 0 0 ROBIN HILLIER 1.00 X 0 0 0 RICHARD KASE 1.00 X 0 0 0 TOM COBLE 1.00 X 0 0 0 PHILLIP G FOGG 1.00 X 0 0 0 SHAWN SCOTT 1.00 X 0 0 0 MARK PARKINSON 37.50 X 1061827 0 8348 JENNIFER SHIMER 37.50 X 360331 0 40437 PAULA WARREN 37.50 X 189104 0 9809 EILEEN RAMAGE 37.50 X 296048 0 30232 JEFFERSON MYERS 37.50 X 300365 0 4841 GREGORY CRIST 37.50 X 260077 0 8182 DAVID GIFFORD 37.50 X 232950 0 4008 ELISE SMITH 37.50 X 229128 0 40901 DAVID KYLLO 37.50 X 222293 0 26530 RAE ANNE DAVIS 37.50 X 197354 0 18540 WILLIAM HARTUNG 37.50 X 227662 0 23938 SHARON PURVIS 37.50 X 194678 0 20112 MARYANNE SAPIO 37.50 X 170397 0 8781 DIANNE DE LA MARE 37.50 X 159743 0 13007 BRUCE YARWOOD 37.50 X 102888 0 22071 DAVID HEBERT 37.50 X 297428 0 38548 PRISCILLA SHOEMAKER 37.50 X 202280 0 26963 4704553 0 345248 40 1 1 0 MANDALAY BAY RESORT & CASINO 3950 LAS VEGAS BLVD SOUTH LAS VEGAS NV 89119 CONVENTION SERVICES 408775 FREEMAN AUDIO VISUAL PO BOX 650519 DALLAS TX 75265 AUDIO VISUAL SERVICES 405669 SCHMIDT PUBLIC AFFAIRS 917 PRINCE STREET ALEXANDRIA VA 22314 CONSULTING 302793 THE MORAN COMPANY 1655 NORTH FORT MYER DRIVE SUITE 1 ARLINGTON VA 22209 CONSULTING 229594 HELMSIN & YARWOOD ASSOCIATES 2637 N MARCEY DRIVE ARLINGTON VA 22207 CONSULTING 221390 18 MEMBERSHIP DUES 900099 20228041 20228041 MEETINGS & EXHIBIT 900099 2863181 2863181 SPONSORSHIP 900099 1546454 1546454 PUBLICATIONS 900099 1195020 1195020 25832696 264673 264673 296324 0 296324 296324 110478 185846 ADVERTISING 541800 1677061 1677061 LEGISLATIVE CNTRBS 900099 1035960 1035960 OTHER INCOME 900099 213965 213965 25576 25576 2952562 29346255 27082621 1787539 476095 3553219 7859736 379413 444456 659928 347139 39270 2409775 484955 299575 498451 1184621 2776012 264537 918684 109198 POLICY PROGRAM EXPENSE 3536840 MEMBER SVCS/COMMUNICATN 2175706 PRINTING & PUBLICATIONS 1076650 PROVIDER/PERIODICAL 826992 1214418 31059575 96142 682446 713327 512187 2318767 2942082 180997 111309 268121 262686 901031 949731 14893174 7129103 8075793 7764071 18390363 15959411 30944541 29183923 2414280 2423502 755962 923721 4653051 4495234 2206308 2450980 10029601 10293437 X 21121255 18938391 -206315 -47905 20914940 18890486 30944541 29183923 X -1713320 -311134 X X 0 1 1 X 0 173500 173500 173500 1 0 0 1 20228041 6308733 -301391 6007342 5582239 425103 ORGANIZATIONS DIRECT AND INDIRECT POLITICAL CAMPAIGN ACTIVITIES: PART I-A, LINE 1: THE ASSOCIATION PAID CONTRIBUTIONS OR DUES TO REPUBLICAN AND DEMOCRATIC ASSOCIATIONS, AS WELL AS SOME CONTRIBUTIONS TO STATE AND LOCAL CANDIDATES. PART IV, SUPPLEMENTAL INFORMATION: INCLUDED IN PART III-B ARE FUND-RAISING EXPENSES INCURRED FOR THE ORGANIZATION'S 527 PAC, INCLUDING SPONSORSHIP OF FUND-RAISING EVENTS. 2491587 2491587 4052190 3014427 1037763 4724380 1862286 2862094 1830000 1084881 745119 1795017 1167509 627508 7764071 PAYROLL LIABILITIES 1592407 MORTGAGE INTEREST PAYABLE 21209 SECURITY DEPOSIT 22505 INTEREST RATE SWAP AGREEMENT 814859 2450980 29346255 31059575 -1713320 -56619 -254515 -311134 -2024454 30019628 -56619 729992 673373 29346255 0 29346255 31798075 738500 738500 31059575 0 31059575 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE ASSOCIATION BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN, AND AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. THE ASSOCIATION'S INCOME TAX RETURNS ARE GENERALLY SUBJECT TO EXAMINATION BY THE IRS FOR THREE YEARS AFTER THEY WERE FILED. PART XI, LINE 8 - OTHER ADJUSTMENTS: SWAP AGREEMENT GAIN LOSS -254,515. PART XII, LINE 2D - OTHER ADJUSTMENTS: REVENUES OF OTHER ENTITY, PART OF CONSOLIDATED AUDIT 984,507. SWAP AGREEMENT GAIN/LOSS -254,515. PART XIII, LINE 2D - OTHER ADJUSTMENTS: EXPENSES OF OTHER ENTITY, PART OF CONSOLIDATED AUDIT 738,500. X 1 1 X X X 1 0 0 MARK PARKINSON 901700 0 160000 0 127 0 0 0 8468 0 1070295 0 0 0 JENNIFER SHIMER 320271 0 40000 0 60 0 19388 0 26337 0 406056 0 0 0 PAULA WARREN 171544 0 17500 0 60 0 2627 0 7470 0 199201 0 0 0 EILEEN RAMAGE 275790 0 20000 0 258 0 22050 0 8470 0 326568 0 0 0 JEFFERSON MYERS 212606 0 87700 0 59 0 0 0 9865 0 310230 0 0 0 GREGORY CRIST 242523 0 17500 0 54 0 0 0 8446 0 268523 0 0 0 DAVID GIFFORD 187066 0 45770 0 114 0 0 0 4056 0 237006 0 0 0 ELISE SMITH 210392 0 17500 0 1236 0 25204 0 15884 0 270216 0 0 0 DAVID KYLLO 202155 0 20000 0 138 0 18848 0 7970 0 249111 0 0 0 RAE ANNE DAVIS 187299 0 10000 0 55 0 9636 0 9024 0 216014 0 0 0 WILLIAM HARTUNG 212524 0 15000 0 138 0 17255 0 6970 0 251887 0 0 0 SHARON PURVIS 184618 0 10000 0 60 0 9086 0 11313 0 215077 0 0 0 MARYANNE SAPIO 131525 0 29300 0 9572 0 8781 0 5288 0 184466 0 0 0 DIANNE DE LA MARE 151985 0 7500 0 258 0 4903 0 8392 0 173038 0 0 0 BRUCE YARWOOD 33846 0 0 0 69042 0 22071 0 0 0 124959 0 0 0 DAVID HEBERT 113663 0 20000 0 163765 0 15957 0 22688 0 336073 0 0 0 PRISCILLA SHOEMAKER 51868 0 2500 0 147912 0 20067 0 6968 0 229315 0 0 0 PART I, LINE 1A MEMBERSHIP TO THE CAPITOL HILL CLUB IS MAINTAINED FOR A FEW EMPLOYEES. THE CLUB IS USED TO HOST LARGE AND INDIVIDUAL MEETINGS WITH MEMBERS OF CONGRESS AND LOBBYISTS. PART I, LINE 3 AN INDEPENDENT COMPENSATION CONSULTANT ALONG WITH AN OUTSIDE RECRUITING FIRM WAS USED TO EVALUATE THE PRESIDENT & CEO POSITION AND TO PROVIDE AN APPROPRIATE SALARY RANGE. AS PART OF THE HIRING PROCESS FOR THE NEW PRESIDENT & CEO IN 2011, THIS INFORMATION WAS USED TO ESTABLISH THE COMPENSATION LEVEL OF THE PRESIDENT & CEO. UPON HIRING OF THE PRESIDENT & CEO, AN EMPLOYMENT CONTRACT WAS EXECUTED BETWEEN THE ORGANIZATION AND THE PRESIDENT & CEO AND APPROVED BY THE BOARD. PART I, LINE 4A SEVERANCE PAID TO DAVID HEBERT ($126,035) AND PRISCILLA SHOEMAKER ($115,000) DAVID HEBERT FORMER KEY EMPLOYEE OF AHCA AND OWNER OF DEH GROUP LLC 80000 CONSULTING 0 BRUCE YARWOOD FORMER PRES. & CEO AND ASSOCIATE OF HELMSIN & YARWOOD ASSOCIATES 220000 CONSULTING 0 FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION IS A 501C(6) TRADE ASSOCIATION COMPOSED OF MEMBERS WHO ARE STATE TAX-EXEMPT ASSOCIATIONS AND SUPPLIERS IN THE LONG-TERM CARE INDUSTRY. FORM 990, PART VI, SECTION A, LINE 7A STATE ASSOCIATION MEMBERS FORM THE "COUNCIL OF STATES," WHICH ELECTS THE BOARD. FORM 990, PART VI, SECTION A, LINE 7B DUES RATES AND BY-LAWS CHANGES ARE SUBJECT TO APPROVAL BY THE COUNCIL OF STATES. FORM 990, PART VI, SECTION B, LINE 11 THE DRAFT OF THE 990 IS FIRST REVIEWED BY MANAGEMENT. IT IS THEN PROVIDED TO THE BOARD OF GOVERNORS ELECTRONICALLY FOR REVIEW. ANY AND ALL COMMENTS FROM THE BOARD OF GOVERNORS ARE ADDRESSED BY MANAGEMENT. IF ANY CHANGES TO THE FORM 990 ARE REQUIRED BASED ON REVIEW BY THE BOARD OF GOVERNORS, A REVISED VERSION IS THEN DISTRIBUTED TO THE BOARD OF GOVERNORS PRIOR TO FILING THE RETURN. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS A WRITTEN CONFLICT OF INTEREST POLICY DESIGNED TO HELP DIRECTORS, OFFICERS, EMPLOYEES OF, AND OTHER INDIVIDUALS WITH DECISION-MAKING AUTHORITY FOR THE ORGANIZATION ("RESPONSIBLE PERSONS") IDENTIFY SITUATIONS THAT PRESENT POTENTIAL CONFLICTS OF INTEREST AND PROVIDE PROCEDURES TO ADDRESS ACTUAL AND POTENTIAL CONFLICTS OF INTEREST. EACH NEW RESPONSIBLE PERSON IS REQUIRED TO REVIEW THE POLICY AND ACKNOWLEDGE IN WRITING. ANNUALLY, EACH RESPONSIBLE PERSON MUST COMPLETE A DISCLOSURE FORM IDENTIFYING RELATIONSHIPS, POSITIONS OR CIRCUMSTANCES IN WHICH THE RESPONSIBLE PARTY IS INVOLVED THAT HE BELIEVES COULD CONTRIBUTE TO A CONFLICT OF INTEREST ARISING. ALSO, THE OFFICERS AND DIRECTORS APPLYING FOR A POSITION ON THE BOARD ARE REQUIRED TO COMPLETE AN APPLICATION WHICH INCLUDES A CONFLICT OF DISCLOSURE STATEMENT AND POLICY. MEMBERS OF THE CREDENTIALING COMMITTEE REVIEW THE APPLICATIONS. ANNUAL DISCLOSURE FORMS FOR EMPLOYEES ARE REVIEWED BY HUMAN RESOURCES. CONFLICTS IDENTIFIED ARE MADE AVAILABLE TO THE CHAIR OR THE CHAIR'S DESIGNEE AND ANY COMMITTEE APPOINTED TO ADDRESS CONFLICTS OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 THE ASSOCIATION UTILIZES A REPUTABLE, NATIONALLY KNOWN COMPENSATION CONSULTING FIRM WITH A SPECIAL EXPERTISE IN THE WASHINGTON, DC TRADE ASSOCIATION MARKET. FORM 990, PART VI, SECTION C, LINE 19 NOT NORMALLY MADE AVAILABLE TO GENERAL PUBLIC, BUT FURNISHED TO ANY MEMBER ON REQUEST. ALSO, THE BY-LAWS ARE ACCESSIBLE IN A MEMBERS-ONLY SECTION OF THE WEBSITE. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -56,619. SWAP AGREEMENT GAIN LOSS -254,515. TOTAL TO FORM 990, PART XI, LINE 5: -311,134. FORM 990, PART XI, LINE 2C THE AUDIT REVIEW PROCESS HAS REMAINED UNCHANGED FROM THE PRIOR YEAR. FOUNDATION FOR THE FUTURE OF AGING 1201 L ST NW 400 WASHINGTON DC 20005 300212598 WORKS TO IMPROVE QUALITY OF LONG-TERM CARE SERVICES. DC 501(C)(3) 509A3 TYPE I 0 AMERICAN HEALTH CARE ASSOCIATION POLITICAL ACTION COMMITTEE 1201 L ST NW WASHINGTON DC 20005 SEPARATE SEGREGATED FUND WHICH REPORTS TO THE FEDERAL ELECTION COMM DC 527(F) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0