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      <Form990PartVIISectionAGrp>
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      <Form990PartVIISectionAGrp>
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      <Form990PartVIISectionAGrp>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Rose Hata</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Alvin Jeffery</PersonNm>
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      <Form990PartVIISectionAGrp>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Rebekah Marsh</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Anna Dermenchyan</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Katie Schatz</PersonNm>
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          <BusinessName>
            <BusinessNameLine1Txt>Howard Building Corporation</BusinessNameLine1Txt>
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        <ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Merrill Lynch</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>H Hendy Associates</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
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            <ZIPCd>92660</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Tekworks Inc</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
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            <ZIPCd>92064</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      <FederatedCampaignsAmt>0</FederatedCampaignsAmt>
      <MembershipDuesAmt>0</MembershipDuesAmt>
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      <ProgramServiceRevenueGrp>
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      <ProgramServiceRevenueGrp>
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      <FeesForServicesAccountingGrp>
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      <TravelGrp>
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        <ProgramServicesAmt>119285</ProgramServicesAmt>
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        <FundraisingAmt>0</FundraisingAmt>
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        <ExplanationTxt>During this period, approximately 120 hours of paid staff time was spent writing and reviewing letters in support of or in opposition of legislation and/or endorsing other organizations' requests for support of legislation. These include: (1)Signed on to a Nursing Community Coalition letter expressing strong support for the Centers for Medicare and Medicaid Services' swift and impactful actions to provide regulatory relief for healthcare providers during the current public health emergency. Letter urges CMS to continue to remove the barriers to practice, encourage innovation and ensure that patients have access to the highest quality nursing care by extending, and making permanent, waivers beyond this Public Health Emergency (PHE). (2)Sent a letter to House and Senate leaders asking that personal protective equipment (PPE), testing of healthcare providers, and mental health be considered in legislation related to coronavirus relief. (3)Signed on to a Nursing Community Coalition letter congratulating Dr. Shannon Zenk as the new Director of the National Institute of Nursing Research. (4)Signed on to a Nursing Community Coalition letter thanking members of the Senate and the House for their continued efforts to address the COVID-19 pandemic and the impact it has on communities and patients. Asking to incorporate these shared priorities: Protect and Support Nurses and APRNs on the Front-lines; Increase Funding for Title VIII Nursing Workforce Development Programs; Support Nursing Education Infrastructure; Strengthen Investments in Public Health; Invest in Nursing Research and Promote Access to Telehealth. (5)Signed on to a Nursing Community Coalition letter urging the Chairman and Ranking Member of the Committee on Veteran's Affairs to include and pass the bipartisan United States Cadet Nurse Corps Service Recognition Act of 2019 (S.997) in any legislative package honoring our nation's veterans before the end of the 116th Congress. (6)Signed on to a Nursing Community Coalition letter urging the Chairman and Ranking Member of the Committee on Veteran's Affairs to include and pass the bipartisan United States Cadet Nurse Corps Service Recognition Act of 2019 (H.2056) in any legislative package honoring our nation's veterans before the end of the 116th Congress. (7)AACN, along with other nursing organizations (ENA/AANP/NAPNAP) signed on to joint statement reiterating our belief in the power of an inter professional approach to health care that highlights each provider's unique contributions and mutual commitment to all patients. (8)Signed on to a Nursing Community Coalition letter to House and Senate leaders supporting the Future Advancement of Academic Nursing (FAAN) Act (S.4396/H.R.7945) asking Congress to include FAAN Act in the next COVID-19 Legislative Package. (9)Signed on to a Nursing Community Coalition letter to the President-Elect and Vice-President Elect offering support and encouraging them to include nurses at every step of the process, including in all possible conversations and among all future task forces, commissions, committees, councils and federal boards. (10)November, 2020: AACN signed on to a Nursing Community Coalition letter requesting support of the House of Representatives recommended funding level of at least $269.972 million for Nursing Workforce Development Programs and at least $177.976 million for the National Institute of Nursing Research (NINR, National Institutes of Health) as recommended in the Senate Appropriations Committee for Fiscal Year 2021. (11)AACN sent a letter to Vice-President Elect, Kamala Harris, asking for a nurse representative to be considered for the Coronavirus Task Force under Biden's Administration. (12)AACN sent a letter to three representatives of the Biden COVID-19 Task Force asking them to consider the need for nursing expertise on the Task Force. (13)AACN sent a letter to three representatives of the Biden COVID-19 Task Force asking them to consider the need for nursing expertise on the Task Force and asking them to consider Elizabeth Bridges as a candidate for that position. (14)AACN signed on to a Joint Statement from CCSC to the Trump Administration, President-Elect Biden's COVID-19 Task force, Congressional Leadership &amp; State Governors on the distribution of personal protective equipment (PPE) and allocation of other resources. (15)AACN sent a letter congratulating Jane Hopkins on her selection to President-Elect Biden's COVID-19 Advisory Board. (16)AACN sent a letter to the National Governor's Association (all State Governor's) asking for bold action at the state level to assure that the entire healthcare workforce is able to meet patients' needs for the months to come. (17)AACN signed on to a Nursing Community Coalition congratulatory letter to Rosa DeLauro, Chairwoman of US House Committee on Appropriations on her election to the chair position. (18)AACN signed to an AACN-Colleges letter to the Comptroller General of the United States GAO nominating Dr. Michelle Edwards for the Medicare Payment Advisory Commission (MedPAC). (19)AACN signed on to a Nursing Community Coalition letter urging the House and Senate to include these priorities as they continue to address COVID-19 pandemic: 1) protect and support those on the front lines; 2) support nursing education infrastructure (pass the FAAN Act); 3) include nurses, APRNs, and nursing students in all National Public Health plans; 4) invest in Federal programs that support nursing workforce and nursing research; and 5) promote access to telehealth. (20)AACN signed on to a CCSC letter to the Food and Drug Administration on the accuracy of pulse oximetry on darker skin colors. (21)AACN signed on to a Nursing Community Coalition letter to Senators Murray and Blount requesting support for $530 million for the Nursing Workforce Development Programs and $193 million for the National Institute of Nursing Research (NINR) in FY 2022. (22)AACN signed on to a Nursing Community Coalition letter to U.S. Representatives DeLauro and Cole requesting support for $530 million for the Nursing Workforce Development Programs and $193 million for the National Institute of Nursing Research (NINR) in FY 2022. (23)AACN signed on to a Nursing Community Coalition letter to House leaders urging support for the Workplace Violence Prevention for Health Care and Social Service Workers Act (H.R. 1195). (24)AACN signed on to a Nursing Community Coalition letter to representatives of the House and Senate thanking them for introducing the Black Maternal Health Momnibus Act of 2021 (H.R. 959/S. 346). (25)AACN signed on to a Nursing Community Coalition letter to Rachel Levine, the new Assistant Secretary for Health, congratulating her on her confirmation. (26)AACN signed on to a Nursing Community Coalition letter to Vice Admiral Vivek H. Murthy, congratulating him on his confirmation as U.S. Surgeon General. (27)AACN signed on to a Nursing Community Coalition letter to Martin Walsh, Secretary of the Department of Labor, congratulating him on his confirmation. (28)AACN signed on to a Nursing Community Coalition letter to Senator Elizabeth Warren thanking her for introducing S.1220, the United States Cadet Nurse Corps Service Recognition Act of 2021. (29)AACN signed on to a Nursing Community Coalition letter to Representative Cheri Bustos thanking her for introducing H.R. 2568, the United States Cadet Nurse Corps Service Recognition Act of 2021. (30)AACN sent a letter to Ruby Jason and Peggy Lightfoot, the executive director and rule coordinator of the Oregon State Board of Nursing, asking them to delay voting on the Emergency Nurse Practitioner Draft Rule 851-053-0010 that offers a separate license to a small subset of family nurse practitioners. (31)AACN signed on to a Nursing Community Coalition letter congratulating Andrea Palm on her confirmation as the Deputy Secretary of the U.S. Department of Health and Human Services. (32)AACN signed on to a Nursing Community Coalition letter to Chiquita Brooks-LaSure congratulating her on her confirmation as Administrator of the U.S. Centers for Medicare and Medicaid Services (CMS). (33)AACN signed on to a Nursing Community Coalition Signed letter to the Chairman and Ranking Member of the Committee on Veterans' Affairs commending them for including the United States Cadet Nurse Corps Service Recognition Act in the June 23, 2021 hearing and urge them to support and pass this bipartisan bill before the end of the year.</ExplanationTxt>
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        <ExplanationTxt>The Association follows the accounting standard regarding the recognition and measurement of uncertain tax positions. The Association evaluated its tax positions and determined that its positions are more likely than not to be sustained on examination. The Association's tax returns are subject to review and examination by the federal and state authorities.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule D, Part XI, Line 4b</FormAndLineReferenceDesc>
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        <PersonNm>Tracey Van Dell</PersonNm>
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        <PersonNm>Elizabeth Gothard</PersonNm>
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        <PersonNm>Miguel Villela</PersonNm>
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        <PersonNm>Gregory Reinhart</PersonNm>
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        <PersonNm>Michael Wulf</PersonNm>
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        <PersonNm>Juan Sanchez</PersonNm>
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        <FormAndLineReferenceDesc>Schedule J, Part I, Line 1a</FormAndLineReferenceDesc>
        <ExplanationTxt>The volunteer President and President-elect receive a travel and clothing allowance to defray the personal cost for speaking engagements on behalf of the Association. The allowance is for purchases up to $5,000 and is grossed up 50% to ensure the volunteer is not impacted financially by the clothing compensation. The CEO contract allows for up to $5,000 annually in travel upgrades. For the reporting year, due to the COVID pandemic, we did not incur the travel costs contemplated in the CEO contract.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>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 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 Human Resources leader provides consultation to the committee related to CEO compensation benchmarking surveys. An independent consulting firm was engaged to review and opine on the CEO compensation. The last CEO compensation review and adjustment occurred in January 2020. 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, 2020 as there were no 2021 adjustments to salaries due to the Covid-19 pandemic.</ExplanationTxt>
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    </IRS990ScheduleJ>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>American Association of Critical-Care Nurses (AACN) is a membership organization with over 129,000 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."</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 7a</FormAndLineReferenceDesc>
        <ExplanationTxt>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 3% 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 7b</FormAndLineReferenceDesc>
        <ExplanationTxt>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 a majority approval by the total eligible voting membership.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 8b</FormAndLineReferenceDesc>
        <ExplanationTxt>The Board of Directors have delegated some responsibilities to the Audit Committee and the CEO Compensation and Evaluation Committee. The Audit Committee is charged with appointing, compensating and overseeing the external auditor's work and to review the external auditor's reports and consider whether they need to make recommendations to the full board to improve financial reporting practices and management practices. The committee is also charged with the review and approval of the Form 990 prior to filing with the Internal Revenue Service. The CEO Compensation and Evaluation Committee performs an annual review of the CEO performance and adjustments to CEO compensation based on performance and evaluation of benchmarking data.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>The completed form 990 and related schedules were disseminated to the Audit Committee for review in advance of a conference call for the purpose to review and approve the return. All Audit Committee members, along with the Chief Financial Officer and/or Controller, 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 findings to the full Board of Directors and the completed return is disseminated to all members of the Board.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>The Conflict of Interest Policy is reviewed annually at the Summer (August) Board meeting. Each Director is required annually to complete a Conflicts of Interest Statement that lists any potential conflicts. The procedure followed includes the following steps: 1. The first step in understanding and managing potential conflicts is for the Board to annually review the Conflict of Interest Policy and for each board member to complete a conflict of interest statement declaring any real or potential conflicts. It is recommended that any declared conflicts be shared with the full board so there is transparency and shared understanding. The board can then discuss any issues or concerns. 2. Secondly, each board member has an ongoing accountability to declare potential conflicts that may emerge during the course of the year for the board's review. Board members are also responsible for inquiring with one another if they think another board member may have a conflict that has yet to be recognized. Board members are requested to contact the board leadership to begin these conversations. 3. During board discussions (face-to-face, conference call and e-mail) an opportunity is provided for potential conflicts to be surfaced and discussed. To facilitate this work, a standard question is included at the time the meeting agenda is approved to ask if any board members have identified a potential conflict related to anything on the agenda that should be discussed. A similar question can be included for any business being managed via email. 4. If a conflict is surfaced, the board has several options as to how to manage the conflict including but not limited to the following: (1) Restrict the board member's access to information such as board meeting materials on the relevant topic (e.g. PE candidates do not receive the documents used by the board for the PE evaluation and selection) (2) Exclude the board member from a committee or work group dealing with a specific topic (3) Withdraw from discussing or voting on a particular item of business at the board meeting (4)Have certain tasks or duties reassigned to another person (e.g. PE candidates who serve as Board Learning Partners are excused from those duties as it relates to the PE selection process and meeting; instead another board member is assigned as a resource to the new board member);(5)Relinquish the interest that creates the conflict (e.g. resign a position on a committee for another nursing organization if the work competes with the work of AACN or the AACN Certification Corporation). In addition, all employees agree to Conflict of Interest and Work Ethics statements contained in the Employee Handbook.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>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 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 Human Resources leader provides consultation to the committee related to CEO compensation benchmarking surveys. An independent consulting firm was engaged to review and opine on the CEO compensation. The last CEO compensation review and adjustment occurred in January 2020. 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, 2020 as there were no 2021 adjustments to salaries due to the Covid-19 pandemic.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>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 120 days of the end of the fiscal year. The audited financial statements are posted on the AACN website and are available to the public upon request. The AACN 990 tax return is made available upon request.</ExplanationTxt>
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        <PrimaryActivitiesTxt>AACN Certification Corporation credentials nurses caring for the critically ill.</PrimaryActivitiesTxt>
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        <MethodOfAmountDeterminationTxt>AACN Certification Corporation guaranteed a mortgage loan on behalf of its affiliate related to the purchase of a commercial property for its headquarters site in 2019.</MethodOfAmountDeterminationTxt>
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        <MethodOfAmountDeterminationTxt>Included in the allocation of overhead costs is the cost of salaries and benefits for these support departments. In these departments, salaries and benefits expenses make up 69.5% of the overall costs. Based on this percentage, the amount recorded here represents 69.5% of the $3,909,471 total general and administrative costs allocated to AACN Certification Corporation.</MethodOfAmountDeterminationTxt>
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        <MethodOfAmountDeterminationTxt>Corporate overhead costs are allocated among the related entities using a step-basis methodology based on each entities usage of these shared services. Each department cost (includes customer care, finance, information technology, human resources, meetings, executive, fulfillment, facilities, business strategy and insights, and organizational effectiveness) is allocated based on estimated time spent by team members, space allocations, percentage of direct program costs, etc. Allocations are done on each department based on these estimates and charged to each separate entity on a monthly basis.</MethodOfAmountDeterminationTxt>
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        <MethodOfAmountDeterminationTxt>Reimbursements from one entity to another flow through the intercompany account balances. As an example, all cash is deposited to the AACN account. Amounts from Certification create a receivable due them and a payable on AACN's records. Similarly, most expenses are paid by AACN, and when Certification related payments are made they create a receivable for AACN and a payable for Certification Corporation. Quarterly we review the intercompany account balances and transfer funds between organizations to ensure that the intercompany balances are reduced.</MethodOfAmountDeterminationTxt>
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        <OtherOrganizationName>
          <BusinessNameLine1Txt>AACN Certification Corporation</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>q</TransactionTypeTxt>
        <InvolvedAmt>3909471</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Reimbursements from one entity to another flow through the intercompany account balances. As an example, all cash is deposited to the AACN account. Amounts from Certification create a receivable due them and a payable on AACN's records. Similarly, most expenses are paid by AACN, and when Certification related payments are made they create a receivable for AACN and a payable for Certification Corporation. Quarterly we review the intercompany account balances and transfer funds between organizations to ensure that the intercompany balances are reduced.</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>