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        <BusinessNameLine1>AMERICAN ASSOCIATION OF CRITICAL CARE NURSES</BusinessNameLine1>
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        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>3444 Cloudcroft Drive</AddressLine1>
            <City>Malibu</City>
            <State>CA</State>
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        </AddressOfContractor>
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      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
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            <City>Dallas</City>
            <State>TX</State>
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        </AddressOfContractor>
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      <NumberOfContractorsGT100K>15</NumberOfContractorsGT100K>
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      <TotalContributions>845109</TotalContributions>
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      <ProgramServiceRevenue>
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      <ProgramServiceRevenue>
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      <MiscellaneousRevenue>
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      <TotalRevenue>
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      <GrantsToDomesticOrgs>
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        <ProgramServices>76873</ProgramServices>
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        <ProgramServices>329177</ProgramServices>
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        <ProgramServices>15000</ProgramServices>
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      <BenefitsToMembers>
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      <CompCurrentOfficersDirectors>
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        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>894628</ManagementAndGeneral>
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      <CompDisqualPersons>
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      <PensionPlanContributions>
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      <PayrollTaxes>
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        <ProgramServices>210224</ProgramServices>
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        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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        <ProgramServices>2807</ProgramServices>
        <ManagementAndGeneral>21480</ManagementAndGeneral>
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      <FeesForServicesAccounting>
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        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>29125</ManagementAndGeneral>
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      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
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      <FeesForServicesProfFundraising>
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        <Fundraising>0</Fundraising>
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        <ProgramServices>700988</ProgramServices>
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        <ManagementAndGeneral>129522</ManagementAndGeneral>
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        <ProgramServices>461578</ProgramServices>
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        <ProgramServices>20617</ProgramServices>
        <ManagementAndGeneral>752031</ManagementAndGeneral>
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      <Travel>
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        <ManagementAndGeneral>361071</ManagementAndGeneral>
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      <TravelEntrtnmntPublicOfficials>
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        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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        <ProgramServices>5525276</ProgramServices>
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        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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        <ProgramServices>429090</ProgramServices>
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        <ProgramServices>656</ProgramServices>
        <ManagementAndGeneral>87402</ManagementAndGeneral>
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        <Fundraising>866</Fundraising>
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      <OtherExpenses>
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        <ManagementAndGeneral>48489</ManagementAndGeneral>
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      <OtherExpenses>
        <Description>Allocation of expenses to related organizations</Description>
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        <ProgramServices>-752576</ProgramServices>
        <ManagementAndGeneral>-3905325</ManagementAndGeneral>
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        <ProgramServices>13920066</ProgramServices>
        <ManagementAndGeneral>6075631</ManagementAndGeneral>
        <Fundraising>83148</Fundraising>
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        <EOY>885035</EOY>
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      <TotalLiabilities>
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        <CurrentTaxYearMinus1Year>719055</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>845109</CurrentTaxYear>
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        <CurrentTaxYearMinus2Years>0</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>0</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>0</CurrentTaxYear>
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        <CurrentTaxYearMinus1Year>0</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>0</CurrentTaxYear>
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        <Explanation>During this period, approximately 40 hours of paid staff time was spent writing letters to representatives in support of or in opposition of legislation and/or endorsing other organizations' requests for support of legislation. Houses of Congress and federal agencies contacted include the House, Senate and Department of Labor. Specific issues in which AACN engaged in lobbying activities that consisted of Capital Hill visits, sending letters to members of Congress and federal agencies include: * Signed on to letter drafted in August by the American Nurse's Association (ANA) to the Majority Leader of the Senate and Members of the Senate Finance Committee in support of Health Care Reform. * Signed on to the NC Senate Merger Letter with other organizations in October. The Affordable Health Choices Act of 2009 and the America's Healthy Future Act were merged. Both bills include provisions that will improve access to quality healthcare. * Signed on to letter in November to President Obama in appreciation for the significant Investment made to strengthening the nursing workforce by proposing a substantial increase to the Nursing Workforce Development Programs (Title VIII of the Public Health Service Act) in fiscal year 2010 budget and signing the American Recovery and Reinvestment Act. * In March The American College of Chest Physicians (ACCP) held its 17th "Annual ACCP Capitol Hill Caucus" to provide education about the priority public policies currently affecting chest medicine and to provide attendees with strategies to positively impact these policies. Presentations were done in the Russell Caucus Room Building by several members of Congress. They were focused around the topic Health System Reform-Moving Forward. The afternoon was spent visiting the offices of Senators and Representatives from respective homes. Each participant went on 2-3 visits to lobby legislators for co-sponsorship of the Bills, Critical Workforce Shortage, Abolishing the Sustainable Growth Rate (SGR) formula for Medicare and Resolutions submitted for 2010: The Year of the Lung in both the House and Senate One member of the AACN Board of Directors attended. * AACN supported 21 members to participate in the Nurse In Washington Internship, March 14-16, 2010, with scholarships for registration and funding for travel and lodging costs. NIWI is sponsored annually by the Nursing Organizations Alliance, a coalition to create a strong voice for nurses. The program 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 staff members may consult with AACN members and chapters about specific legislation at the federal, state or local level. The members and chapters contact AACN of their own accord. AACN directs the member or chapter to contact the appropriate representative for information about the specific legislation. AACN posts Action Alerts on the AACN web site for members to respond to. The Following Action Alerts were posted during this period, asking members to contact their legislators regarding: * Nursing Workforce Development Programs - Title VIII - in Fiscal Year 2011 * Title VIII of Public health Service Act 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 on their own time and as individuals without any suggestions that they are participating as a representative of, or on behalf of AACN or an AACN chapter.</Explanation>
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        <Explanation>Cost of good sold shown as an offset to revenue on tax return ($603,180); rental expenses shown as an offset to revenue on tax return ($130,438); special fundraising costs shown as an offset to revenue on tax return ($13,101).</Explanation>
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        <ReturnReference>Schedule D, Part XII, Line 4b</ReturnReference>
        <Explanation>Chapter revenues included in return but not part of audited financial statements ($1,896,429); cash discounts recorded as expense credit in audited financial statements ($8,832).</Explanation>
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        <Explanation>Chapter expenses included in return but not part of audited financial statements ($1,914,724); cash discounts recorded as expense credit in audited financial statements ($8,832).</Explanation>
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        <Region>North America (including Canada and Mexico, but not the United States)</Region>
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        <PurposeOfGrant>The FNSNA, through its general scholarship program and the Promise of Nursing Program, distributes funds for undergraduate nursing students; fellowships to prepare nurse faculty; and grants to nursing schools to increase their capacity to educate more registered nurses. In addition, leadership development grants and programs prepare nursing students to face the many challenges of delivering health care to a diverse population in the future.</PurposeOfGrant>
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        <PurposeOfGrant>Sponsorship of 21 registrations for the Nursing in Washington Internship (NIWI).</PurposeOfGrant>
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          <City>Chapel Hill</City>
          <State>NC</State>
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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 their 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>See description of process at Form 990, Part VI, Section B, Line 15.</Explanation>
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        <Explanation>The exhibits directors has, as part of his compensation, an incentive bonus for exhibit booth sales at our National conference.</Explanation>
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        <Explanation>We do not report these non-cash contributions as revenue and the associated expense simply due to the fact we would be using estimated costs to record these transactions rather than actual costs. These non-cash contributions support the experiences of our conference attendees, but we do not record the revenues or expenses of these non-cash contributions in our financial statements. We estimate the amount of non-cash contributions to total $226,500.</Explanation>
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        <Explanation>American Association of Critical-Care Nurses (AACN) is a membership organization with over 86,000 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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      <GeneralExplanation>
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        <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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        <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 committee members were resolved to ensure unanimous approval of the return. The Audit Committee then reports any findings to the full Board of Directors.</Explanation>
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      <GeneralExplanation>
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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 Board members. 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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      <GeneralExplanation>
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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. The current Treasurer and Secretary of the Board join and serve on the committee whenever decisions related to CEO compensation are required. The Committee performs an annual performance evaluation and a review of comparable compensation data. The Chief Financial Officer (CFO) provides consultation to the compensation committee related to CEO benchmarking surveys. The last CEO compensation review and adjustment occurred in September 2009. 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 for each team member. The last salary adjustments occurred in January, 2010.</Explanation>
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      <GeneralExplanation>
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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. In addition, the audited financial statements are available to the public upon request.</Explanation>
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