AMERICAN DIABETES ASSOCIATION INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: AMERICAN DIABETES ASSOCIATION INC (EIN 13-1623888)
Tax period: 2020-01-01 to 2020-12-31
Filed: 2021-10-26
IRS object ID: 202122999349300422
Schema version: 2020v4.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule G
Schedule I
Schedule J
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2021-10-26T09:35:28-00:00	ReturnTs
Tax Period End	2020-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	BDO USA LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	8401 Greensboro Drive Suite 800	AddressLine1Txt
City	McLean	CityNm
State Abbreviation	VA	StateAbbreviationCd
ZIP	22102	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2020-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	131623888	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	American Diabetes Association	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	AMER	BusinessNameControlTxt
Phone	7035491500	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2451 Crystal Drive Room 900	AddressLine1Txt
City	Arlington	CityNm
State Abbreviation	VA	StateAbbreviationCd
ZIP	22202	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Charlotte M Carter	PersonNm
Person Title	Chief Financial Officer	PersonTitleTxt
Signature	2021-10-26	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	Charlotte M	PersonFirstNm
Person Last	Carter	PersonLastNm

Field	Value	IRS element (for citing)
SSN	XXX-XX-XXXX	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Marc Berger	PreparerPersonNm
PTIN	P01871563	PTIN
Phone	7038930600	PhoneNum
Preparation	2021-10-26	PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2020	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	Tracey D Brown	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2451 Crystal Drive Suite 900	AddressLine1Txt
City	Arlington	CityNm
State Abbreviation	VA	StateAbbreviationCd
ZIP	22202	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$169,905,823	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.diabetes.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1940	FormationYr
Legal Domicile State	OH	LegalDomicileStateCd
Activity Or Mission	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.	ActivityOrMissionDesc
Voting Members Governing Body	15	VotingMembersGoverningBodyCnt
Voting Members Independent	14	VotingMembersIndependentCnt
Total Employee	515	TotalEmployeeCnt
Total Volunteers	6708	TotalVolunteersCnt
Total Gross UBI	$1,709,433	TotalGrossUBIAmt
PY Contributions Grants	$108,955,331	PYContributionsGrantsAmt
CY Contributions Grants	$88,149,703	CYContributionsGrantsAmt
PY Program Service Revenue	$28,450,236	PYProgramServiceRevenueAmt
CY Program Service Revenue	$16,498,746	CYProgramServiceRevenueAmt
PY Investment Income	$1,530,692	PYInvestmentIncomeAmt
CY Investment Income	$1,246,206	CYInvestmentIncomeAmt
PY Other Revenue	$7,830,233	PYOtherRevenueAmt
CY Other Revenue	$11,589,471	CYOtherRevenueAmt
PY Total Revenue	$146,766,492	PYTotalRevenueAmt
CY Total Revenue	$117,484,126	CYTotalRevenueAmt
PY Grants And Similar Paid	$17,772,729	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$8,454,738	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$50,193,748	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$40,437,237	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$687,202	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$587,704	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$23,563,447	CYTotalFundraisingExpenseAmt
PY Other Expenses	$69,006,671	PYOtherExpensesAmt
CY Other Expenses	$50,417,490	CYOtherExpensesAmt
PY Total Expenses	$137,660,350	PYTotalExpensesAmt
CY Total Expenses	$99,897,169	CYTotalExpensesAmt
PY Revenues Less Expenses	$9,106,142	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$17,586,957	CYRevenuesLessExpensesAmt
Total Assets BOY	$135,486,015	TotalAssetsBOYAmt
Total Assets EOY	$147,139,202	TotalAssetsEOYAmt
Total Liabilities BOY	$64,272,981	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$55,961,915	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$71,213,034	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$91,177,287	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	The mission of the American Diabetes Association is to prevent and cure diabetes and to improve the lives of all people affected by diabetes.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$37,412,622	ExpenseAmt
Grant	$1,097,518	GrantAmt
Revenue	$13,231,374	RevenueAmt
Desc	Information - See Schedule O	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$18,002,017	ExpenseAmt
Grant	$50,000	GrantAmt
Desc	Advocacy and Public Awareness - See Schedule O	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$12,376,877	ExpenseAmt
Grant	$7,307,220	GrantAmt
Revenue	$11,799,552	RevenueAmt
Desc	Research - See Schedule O	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Revenue	$1,815,585	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$67,791,516	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	Yes (true)	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	Yes (true)	ProfessionalFundraisingInd
Fundraising Activities	Yes (true)	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	false	OperateHospitalInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	Yes (true)	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	Yes (true)	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	Yes (true)	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	559	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	515	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (true)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (true)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Form8899 Filedind	false	Form8899Filedind
Form1098 C Filed	Yes (true)	Form1098CFiledInd
DAF Excess Business Holdings	false	DAFExcessBusinessHoldingsInd
Taxable Distributions	false	TaxableDistributionsInd
Distribution To Donor	false	DistributionToDonorInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	15	GoverningBodyVotingMembersCnt
Independent Voting Member	14	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (true)	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	Yes (true)	LocalChaptersInd
Policies Reference Chapters	Yes (true)	PoliciesReferenceChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	AK	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	AL	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	AR	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	AZ	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	CA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	CO	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	CT	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	DC	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	FL	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	GA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	HI	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	IL	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	IN	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	KS	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	KY	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	LA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MD	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	ME	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MI	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MN	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MO	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MS	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MT	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NC	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	ND	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NH	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NJ	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NV	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NY	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	OH	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	OK	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	OR	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	PA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	RI	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	SC	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	TN	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	UT	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	VA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	WA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	WI	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	WV	StatesWhereCopyOfReturnIsFldCd
Own Website	Yes (X)	OwnWebsiteInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	Charlotte M Carter CFO	PersonNm
Phone	7035491500	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2451 Crystal Drive Suite 900	AddressLine1Txt
City	Arlington	CityNm
State Abbreviation	VA	StateAbbreviationCd
ZIP	22202	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd
Tracey D Brown
Chief Executive Officer	036.90	000.60	Yes (X)	$733,386	$0	$358,773
Robert Gabbay effective 7120
Chief Scientific Medical Officer	037.40	000.10		$324,140	$0	$7,650	Yes (X)
Eloise Scavella through 103020
Chief Operating Strategy Officer	037.50			$276,559	$0	$16,966	Yes (X)
Charlotte M Carter
Chief Financial Officer	036.90	000.60	Yes (X)	$246,353	$0	$16,311
Linda Cann
Senior Vice President, Professional Services	037.50			$214,553	$0	$43,097		Yes (X)
John Agos through 7120
Chief Strategic Development Officer	037.50			$234,280	$0	$16,868	Yes (X)
Paul Nalbandian
Associate Publisher, Advertising Sales Sponsor	037.50			$208,937	$0	$23,026		Yes (X)
Jacqueline Sebany effective 12120
Chief Marketing Digital Officer	037.50			$202,557	$0	$21,705	Yes (X)
Charles Henderson effective 1620
Chief Development Officer	037.50			$218,833	$0	$972	Yes (X)
Jeanine Jones
Vice President, HR Operations	037.50			$194,587	$0	$15,122		Yes (X)
Greg Liptak
Vice President, Quality Improvement	037.50			$188,342	$0	$14,365		Yes (X)
Sean McDonough
Vice President General Counsel	037.50			$188,445	$0	$6,629		Yes (X)
Umesh Verma
Chair of the Board	006.00	000.30	Yes (X)	$0	$0	$0			Yes (X)
Robert H Eckel MD
President, Medicine Science	006.00	000.20	Yes (X)	$0	$0	$0			Yes (X)
Mary de Groot PhD
President, Health Care Education	006.00	000.20	Yes (X)	$0	$0	$0			Yes (X)
Martha Parry Clark MBA
Secretary-Treasurer	006.00	000.20	Yes (X)	$0	$0	$0			Yes (X)
John Schlosser
Chair of the Board-Elect	002.00	000.20	Yes (X)	$0	$0	$0			Yes (X)
C Ronald Kahn MD through June 25 20
President-Elect, Medicine Science	002.00	000.20	Yes (X)	$0	$0	$0			Yes (X)
Cynthia E Munoz PhD MPH
President-Elect, Health Care Education	002.00	000.20	Yes (X)	$0	$0	$0			Yes (X)
Christopher K Ralston JD
Secretary/Treasurer-Elect	002.00	000.20	Yes (X)	$0	$0	$0			Yes (X)
Robert M Cuddihy MD
Board of Directors	001.00			$0	$0	$0			Yes (X)
Sherita Hill Golden MD MHS
Board of Directors	001.00			$0	$0	$0			Yes (X)
Amporo Gonzalez MPH RN CDE FAADE
Board of Directors	001.00			$0	$0	$0			Yes (X)
David Herrick MBA
Board of Directors	001.00			$0	$0	$0			Yes (X)
Otis W Kirksey PharmD RPh CDE BC-AD
Board of Directors	001.00			$0	$0	$0			Yes (X)
Jean O'Connor through May 11 2020
Board of Directors	001.00			$0	$0	$0			Yes (X)
Julio Rosenstock MD through June 30
Board of Directors	001.00			$0	$0	$0			Yes (X)
Stephanie Silverman MBA
Board of Directors	001.00			$0	$0	$0			Yes (X)
Glen Tullman
Board of Directors	001.00			$0	$0	$0			Yes (X)
Gretchen Youssef MS RD CDE
Board of Directors	001.00			$0	$0	$0			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$3,230,972	TotalReportableCompFromOrgAmt
Total Other Compensation	$541,484	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	74	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
BLACKBAUD INC
11501 Domain Drive Suite 200	Austin	TX	78758	Constituent Records Application Technical Services	$1,753,744
SPECTRUM SCIENCE COMMUNICATIONS LLC
2001 Pennsylvania Avenue NW	Washington	DC	20006	Health Communications	$1,187,019
CONTRAVENT LLC
916 South Main Street	Salt Lake City	UT	84101	Digital Marketing	$885,590
RESOURCES GLOBAL PROFESSIONALS
17101 Armstrong Avenue Suite 100	Irvine	CA	92614	Project Management Services	$749,615
VENN STRATEGIES
1341 G Street NW 6th Floor	Washington	DC	20005	Government Affairs	$701,545

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	35	CntrctRcvdGreaterThan100KCnt
Federated Campaigns	$2,803,620	FederatedCampaignsAmt
Fundraising	$8,771,865	FundraisingAmt
Government Grants	$1,460,782	GovernmentGrantsAmt
All Other Contributions	$75,113,436	AllOtherContributionsAmt
Noncash Contributions	$534,010	NoncashContributionsAmt
Total Contributions	$88,149,703	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
Subscriptions	511120	$8,747,452	$8,747,452
Registration	611710	$5,046,480	$5,046,480
Sales of Material	511130	$1,302,950	$1,302,950
Booth Rental	611710	$403,650		$403,650
Other Program Service Revenue	900099	$998,214	$998,214

Field	Value	IRS element (for citing)
Total Program Service Revenue	$16,498,746	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,324,879	TotalRevenueColumnAmt
Exclusion	$1,324,879	ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,241,706	TotalRevenueColumnAmt
Exclusion	$1,241,706	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$51,732,734	SecuritiesAmt
Other	-$72,900	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$51,738,507	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$5,773	SecuritiesAmt
Other	-$72,900	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$78,673	TotalRevenueColumnAmt
Exclusion	-$78,673	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$683,190	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$8,771,865	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$683,190	FundraisingDirectExpensesAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Advertising Income	541800	$1,683,629	$1,683,629
Catalog Sales Income - Gift of Hope	454110	$25,804	$25,804
Abstract Fees Permissions Income	900099	$655,206		$655,206

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$7,983,126	TotalRevenueColumnAmt
Related Or Exempt Func Income	$7,983,126	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$10,347,765	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$117,484,126	TotalRevenueColumnAmt
Related Or Exempt Func Income	$24,733,428	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,709,433	UnrelatedBusinessRevenueAmt
Exclusion	$2,891,562	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$8,404,738	TotalAmt
Program Services	$8,404,738	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$50,000	TotalAmt
Program Services	$50,000	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,675,351	TotalAmt
Program Services	$1,696,176	ProgramServicesAmt
Management And General	$318,976	ManagementAndGeneralAmt
Fundraising	$660,198	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$30,837,575	TotalAmt
Program Services	$19,516,109	ProgramServicesAmt
Management And General	$3,689,568	ManagementAndGeneralAmt
Fundraising	$7,631,899	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$197,677	TotalAmt
Program Services	$126,783	ProgramServicesAmt
Management And General	$22,993	ManagementAndGeneralAmt
Fundraising	$47,901	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$4,086,924	TotalAmt
Program Services	$2,588,569	ProgramServicesAmt
Management And General	$491,541	ManagementAndGeneralAmt
Fundraising	$1,006,814	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$2,639,710	TotalAmt
Program Services	$1,689,639	ProgramServicesAmt
Management And General	$290,980	ManagementAndGeneralAmt
Fundraising	$659,091	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$303,371	TotalAmt
Program Services	$78,573	ProgramServicesAmt
Management And General	$208,656	ManagementAndGeneralAmt
Fundraising	$16,142	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$208,035	TotalAmt
Program Services	$4,162	ProgramServicesAmt
Management And General	$202,833	ManagementAndGeneralAmt
Fundraising	$1,040	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$148,422	TotalAmt
Program Services	$148,422	ProgramServicesAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$587,704	TotalAmt
Fundraising	$587,704	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$198,135	TotalAmt
Management And General	$198,135	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$12,576,940	TotalAmt
Program Services	$10,117,621	ProgramServicesAmt
Management And General	$840,028	ManagementAndGeneralAmt
Fundraising	$1,619,291	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$3,161,162	TotalAmt
Program Services	$1,381,189	ProgramServicesAmt
Management And General	$1,497	ManagementAndGeneralAmt
Fundraising	$1,778,476	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,905,790	TotalAmt
Program Services	$1,090,795	ProgramServicesAmt
Management And General	$345,638	ManagementAndGeneralAmt
Fundraising	$469,357	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$3,964,805	TotalAmt
Program Services	$2,706,434	ProgramServicesAmt
Management And General	$123,149	ManagementAndGeneralAmt
Fundraising	$1,135,222	FundraisingAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$173,776	TotalAmt
Program Services	$173,776	ProgramServicesAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$5,972,213	TotalAmt
Program Services	$3,807,606	ProgramServicesAmt
Management And General	$700,219	ManagementAndGeneralAmt
Fundraising	$1,464,388	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$429,554	TotalAmt
Program Services	$333,939	ProgramServicesAmt
Management And General	$22,731	ManagementAndGeneralAmt
Fundraising	$72,884	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$1,811,529	TotalAmt
Program Services	$1,792,993	ProgramServicesAmt
Management And General	$915	ManagementAndGeneralAmt
Fundraising	$17,621	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$3,336,972	TotalAmt
Program Services	$2,102,292	ProgramServicesAmt
Management And General	$400,437	ManagementAndGeneralAmt
Fundraising	$834,243	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$430,932	TotalAmt
Program Services	$275,821	ProgramServicesAmt
Management And General	$50,262	ManagementAndGeneralAmt
Fundraising	$104,849	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
Supplies	$284,355	$249,018	$10,218	$25,119
Postage and Shipping	$3,609,237	$1,650,706	$15,934	$1,942,597
Printing and Publications	$8,719,703	$5,895,932	$113,989	$2,709,782
Data Processing	$1,006,634	$598,800	$467	$407,367

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,175,925	TotalAmt
Program Services	$1,311,423	ProgramServicesAmt
Management And General	$493,040	ManagementAndGeneralAmt
Fundraising	$371,462	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$99,897,169	TotalAmt
Program Services	$67,791,516	ProgramServicesAmt
Management And General	$8,542,206	ManagementAndGeneralAmt
Fundraising	$23,563,447	FundraisingAmt

Field	Value	IRS element (for citing)
Joint Costs	Yes (X)	JointCostsInd

Total Joint Costs TotalJointCostsGrp

Field	Value	IRS element (for citing)
Total	$13,215,831	TotalAmt
Program Services	$3,184,225	ProgramServicesAmt
Management And General	$212,355	ManagementAndGeneralAmt
Fundraising	$9,819,251	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$1,147,719	BOYAmt
EOY	$822,431	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$6,957,683	BOYAmt
EOY	$29,598,770	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$43,882,563	BOYAmt
EOY	$42,783,631	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$2,228,497	BOYAmt
EOY	$7,023,055	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$2,742,370	BOYAmt
EOY	$949,442	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$3,460,727	BOYAmt
EOY	$2,014,178	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$28,058,195	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$19,683,398	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$11,709,615	BOYAmt
EOY	$8,374,797	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$33,368,795	BOYAmt
EOY	$31,029,039	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$10,549,883	BOYAmt
EOY	$11,725,984	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$19,438,163	BOYAmt
EOY	$12,817,875	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$135,486,015	BOYAmt
EOY	$147,139,202	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$23,073,719	BOYAmt
EOY	$21,322,536	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$8,367,853	BOYAmt
EOY	$5,709,961	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
EOY	$8,321,997	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$32,831,409	BOYAmt
EOY	$20,607,421	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$64,272,981	BOYAmt
EOY	$55,961,915	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	-$1,776,039	BOYAmt
EOY	$12,102,954	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$72,989,073	BOYAmt
EOY	$79,074,333	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$71,213,034	BOYAmt
EOY	$91,177,287	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$135,486,015	BOYAmt
EOY	$147,139,202	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$17,586,957	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$2,377,296	NetUnrlzdGainsLossesInvstAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Public Organization170	Yes (X)	PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$122,553,876	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$102,801,334	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$118,306,745	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$108,955,331	CurrentTaxYearMinus1YearAmt
Current Tax Year	$88,149,776	CurrentTaxYearAmt
Total	$540,767,062	TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$122,553,876	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$102,801,334	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$118,306,745	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$108,955,331	CurrentTaxYearMinus1YearAmt
Current Tax Year	$88,149,776	CurrentTaxYearAmt
Total	$540,767,062	TotalAmt

Field	Value	IRS element (for citing)
Substantial Contributors Tot	$1,977,720	SubstantialContributorsTotAmt
Public Support Total170	$538,789,342	PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$4,337,308	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$4,063,059	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$4,492,015	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$3,352,336	CurrentTaxYearMinus1YearAmt
Current Tax Year	$2,566,585	CurrentTaxYearAmt
Total	$18,811,303	TotalAmt

Other Income170 OtherIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$34,645	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$45,752	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$2,730	CurrentTaxYearMinus2YearsAmt
Total	$83,127	TotalAmt

Field	Value	IRS element (for citing)
Total Support	$559,661,492	TotalSupportAmt
Gross Receipts Rltd Activities	$176,858,057	GrossReceiptsRltdActivitiesAmt
Public Support CY170	0.96270	PublicSupportCY170Pct
Public Support PY170	0.96560	PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170	Yes (X)	ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	Yes (true)	VolunteersInd
Paid Staff Or Management	Yes (true)	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	Yes (true)	MailingsMembersInd
Mailings Members	$65,520	MailingsMembersAmt
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$440,993	DirectContactLegislatorsAmt
Rallies Demonstrations	Yes (true)	RalliesDemonstrationsInd
Rallies Demonstrations	$17,813	RalliesDemonstrationsAmt
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$524,326	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

II-B

The American Diabetes Associations 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 legislatures across the country, our dedicated Diabetes Advocates continue to drive momentum in our ongoing fight to stop diabetes. Our advocacy work gives 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. Our advocacy priorities include Increasing federal and state funding for diabetes prevention, treatment, and research, Improving access to adequate and affordable health care, Ending discrimination people with diabetes face at school, work and elsewhere in their lives, Achieving health equity, Addressing health disparities people with diabetes face during the COVID19 pandemic

II-B

In 2020, the ADA achieved Increased funding for National Institute of Diabetes and Digestive and Kidney Diseases from 2.114 billion in FY2020 to 2.132 billion in FY2021, increased funding for the Centers for Disease Control and Prevention Division of Diabetes from 148 million in FY2020 to 148.1 million in FY2021, and increased funding for the National Diabetes Prevention Program from 27.3 million in FY2020 to 29.3 million in FY2021. Participated in hundreds of meetings, briefings events and other actions in support of our advocacy priorities which led to 100 legislative and regulatory wins in states across the country. Submitted a statement for the record on the pandemics effect on people with diabetes to the Ways and Means Committee on their hearing on the disproportionate impact of COVID19 on communities of color. Achieved nearly 70 state level wins protecting or improving health care for millions of people with diabetes in states across the country. Continued efforts to protect the Affordable Care Act ACA by filing an amicus friend of the court brief to the U.S. Court of Appeals for the Fifth Circuit defending the ACA against a lawsuit challenging the laws constitutionality. The brief, which was jointly filed with numerous other patient advocacy organizations, brought to the courts attention the ADAs significant interest in protecting the ACA for Americans impacted by diabetes. Built support in the House and Senate for the Expanding Access to Diabetes Self-Management Training Act, which would remove barriers to Diabetes Self Management Education and Support in Medicare and encourage beneficiaries to participate in such programs. Built support in the House and Senate for the Insulin Price Reduction Act to reduce the cost of insulin through rebate reform. Built support for several bills to help people with diabetes during the COVID19 pandemic afford their insulin, afford health insurance and access COVID19 testing in their communities, including the Affordable Insulin for the COVID19 Emergency Act, the Ending Health Disparities During COVID19 Act, and the COVID19 Testing, Reaching, And Contacting Everyone TRACE Act. Educated and inspired action among our 525,000 plus advocates about state and legal advocacy through calls to action and updates throughout the year. Improved access to continuous glucose monitors and telehealth services for Medicare beneficiaries. Increased access to nutritious foods through increased funding for SNAP benefits, healthy food financing, school-based meal assistance programs, and other state-level health equity legislation that impacts communities across the country.

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Donor Advised Funds Held	1	DonorAdvisedFundsHeldCnt
Donor Advised Funds Vl EOY	$704,299	DonorAdvisedFundsVlEOYAmt
Disclosed Org Leg Ctrl	Yes (true)	DisclosedOrgLegCtrlInd
Disclosed For Charitable Prps	Yes (true)	DisclosedForCharitablePrpsInd
Incl Escrow Custodial Acct Liab	false	InclEscrowCustodialAcctLiabInd

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$23,451,734	BeginningYearBalanceAmt
Contributions	$371	ContributionsAmt
Investment Earnings Or Losses	$2,318,586	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$2,605,866	GrantsOrScholarshipsAmt
End Year Balance	$23,164,825	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$22,635,671	BeginningYearBalanceAmt
Contributions	$80,442	ContributionsAmt
Investment Earnings Or Losses	$2,949,834	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$2,214,213	GrantsOrScholarshipsAmt
End Year Balance	$23,451,734	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$22,899,249	BeginningYearBalanceAmt
Contributions	$4,547	ContributionsAmt
Investment Earnings Or Losses	$1,449,845	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$1,717,970	GrantsOrScholarshipsAmt
End Year Balance	$22,635,671	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$22,534,220	BeginningYearBalanceAmt
Contributions	$182,068	ContributionsAmt
Investment Earnings Or Losses	$2,556,516	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$2,373,555	GrantsOrScholarshipsAmt
End Year Balance	$22,899,249	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$22,460,102	BeginningYearBalanceAmt
Contributions	-$3,646	ContributionsAmt
Investment Earnings Or Losses	$1,972,812	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$1,895,048	GrantsOrScholarshipsAmt
End Year Balance	$22,534,220	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	0.21000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.79000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	Yes (true)	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (true)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (true)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,500	OtherCostOrOtherBasisAmt
Book Value	$4,500	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,884,537	OtherCostOrOtherBasisAmt
Depreciation	$2,429,649	DepreciationAmt
Book Value	$3,454,888	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$8,931,523	OtherCostOrOtherBasisAmt
Depreciation	$7,295,814	DepreciationAmt
Book Value	$1,635,709	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$13,237,635	OtherCostOrOtherBasisAmt
Depreciation	$9,957,935	DepreciationAmt
Book Value	$3,279,700	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$8,374,797	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (3 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
Financial derivatives and other financial products
Closely-held equity interests
Perpetual Trusts	$11,725,984	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$11,725,984	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDesc	Book ValueBookValueAmt
Due From Property Title Holding Corporation
Investment in Net Assets of American Diabetes Association Property Title Holding Corporation	$12,817,875

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$12,817,875	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
Federal income taxes
Due to American Diabetes Association Research Foundation	$17,271,147
Due to American Diabetes Association Property Title Holding Corporation	$3,336,274

Field	Value	IRS element (for citing)
Total Liability	$20,607,421	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$122,300,303	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$2,377,296	NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts	$505,441	DonatedServicesAndUseFcltsAmt
Other Revenue	$2,648,865	OtherRevenueAmt
Revenue Not Reported	$5,531,602	RevenueNotReportedAmt
Revenue Subtotal	$116,768,701	RevenueSubtotalAmt
Investment Expenses Not Incld	$198,135	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	$517,290	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$715,425	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$117,484,126	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$108,650,675	TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts	$505,441	DonatedServicesUseFcltsAmt
Losses Reported	-$394,155	LossesReportedAmt
Other Expenses Included	$16,147,575	OtherExpensesIncludedAmt
Expenses Not Reported	$16,258,861	ExpensesNotReportedAmt
Expenses Subtotal	$92,391,814	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$198,135	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	$7,307,220	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$7,505,355	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$99,897,169	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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.
V 4	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 generally 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 generally exempt from income taxes under Section 501c2 of the Code. These entities are subject to taxation on any net unrelated business income and have been classified as organizations that are not private foundations under Section 509a of the Code. The Association recognizes the effect of 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, 2020, there are no uncertain tax positions taken or expected to be taken that would require recognition of a liablility or asset or disclosure in the consolidated financial statements.
XI 2d	Donations reported by the American Diabetes Association Research Foundations audited financial statement EIN 54-1734511 2,566,077. Contributed services reported by the American Diabetes Association Research Foundation, Inc. EIN 54-1734511 82,788.
XI 4b	Management fee earned from the American Diabetes Association Research Foundation, Inc. EIN 54-1734511 517,290.
XII 2d	American Diabetes Association Research Foundation, Inc. EIN 54-1734511 expenses 16,147,575.
XII 4b	Grant to the American Diabetes Association Research Foundation, Inc. EIN 54-1734511 7,307,220.

Schedule F IRS990ScheduleF

Schedule G IRS990ScheduleG

Field	Value	IRS element (for citing)
Mail Solicitations	Yes (X)	MailSolicitationsInd
Email Solicitations	Yes (X)	EmailSolicitationsInd
Phone Solicitations	Yes (X)	PhoneSolicitationsInd
In Person Solicitations	Yes (X)	InPersonSolicitationsInd
Solicitation Of Non Govt Grants	Yes (X)	SolicitationOfNonGovtGrantsInd
Solicitation Of Govt Grants	Yes (X)	SolicitationOfGovtGrantsInd
Special Fundraising Events	Yes (X)	SpecialFundraisingEventsInd
Agrmt Prof Fundraising Acty	Yes (true)	AgrmtProfFundraisingActyInd

Fundraiser Activity Info FundraiserActivityInfoGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	ActivityActivityTxt	Fundraiser Control Of FundsFundraiserControlOfFundsInd	Gross ReceiptsGrossReceiptsAmt	Retained By ContractorRetainedByContractorAmt	Net To OrganizationNetToOrganizationAmt
Chapman Cubine and Hussey Inc
2000 N 15th Street	Arlington	VA	22201	See Part IV	false	$12,587,907	$566,400	$12,021,507
Automotive Recovery Services Inc
13085 Hamilton Crossing Blvd	Carmel	IN	46032	See Part IV	Yes (true)	$498,400	$150,080	$348,320
Gordon and Schwenkmeyer Inc
20300 S Vermont Ave	Torrance	CA	90502	Telemarketing	false	$3,532	$1,943	$1,589

Field	Value	IRS element (for citing)
Total Gross Receipts	$13,089,839	TotalGrossReceiptsAmt
Total Retained By Contractors	$718,423	TotalRetainedByContractorsAmt
Total Net To Organization	$12,371,416	TotalNetToOrganizationAmt
Licensed States	AK	LicensedStatesCd
Licensed States	AL	LicensedStatesCd
Licensed States	AR	LicensedStatesCd
Licensed States	AZ	LicensedStatesCd
Licensed States	CA	LicensedStatesCd
Licensed States	CO	LicensedStatesCd
Licensed States	CT	LicensedStatesCd
Licensed States	DC	LicensedStatesCd
Licensed States	DE	LicensedStatesCd
Licensed States	FL	LicensedStatesCd
Licensed States	GA	LicensedStatesCd
Licensed States	HI	LicensedStatesCd
Licensed States	IA	LicensedStatesCd
Licensed States	ID	LicensedStatesCd
Licensed States	IL	LicensedStatesCd
Licensed States	IN	LicensedStatesCd
Licensed States	KS	LicensedStatesCd
Licensed States	KY	LicensedStatesCd
Licensed States	LA	LicensedStatesCd
Licensed States	MA	LicensedStatesCd
Licensed States	MD	LicensedStatesCd
Licensed States	ME	LicensedStatesCd
Licensed States	MI	LicensedStatesCd
Licensed States	MN	LicensedStatesCd
Licensed States	MO	LicensedStatesCd
Licensed States	MS	LicensedStatesCd
Licensed States	MT	LicensedStatesCd
Licensed States	NC	LicensedStatesCd
Licensed States	ND	LicensedStatesCd
Licensed States	NE	LicensedStatesCd
Licensed States	NH	LicensedStatesCd
Licensed States	NJ	LicensedStatesCd
Licensed States	NM	LicensedStatesCd
Licensed States	NV	LicensedStatesCd
Licensed States	NY	LicensedStatesCd
Licensed States	OH	LicensedStatesCd
Licensed States	OK	LicensedStatesCd
Licensed States	OR	LicensedStatesCd
Licensed States	PA	LicensedStatesCd
Licensed States	RI	LicensedStatesCd
Licensed States	SC	LicensedStatesCd
Licensed States	SD	LicensedStatesCd
Licensed States	TN	LicensedStatesCd
Licensed States	TX	LicensedStatesCd
Licensed States	UT	LicensedStatesCd
Licensed States	VA	LicensedStatesCd
Licensed States	VT	LicensedStatesCd
Licensed States	WA	LicensedStatesCd
Licensed States	WI	LicensedStatesCd
Licensed States	WV	LicensedStatesCd
Licensed States	WY	LicensedStatesCd

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	Step Out	Event1Nm
Gross Receipts Event1	$1,013,675	GrossReceiptsEvent1Amt
Charitable Contri Event1	$970,755	CharitableContriEvent1Amt
Gross Revenue Event1	$42,920	GrossRevenueEvent1Amt
Non Cash Prizes Event1	$12,042	NonCashPrizesEvent1Amt
Rent Facility Costs Event1	$14,560	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$329	FoodAndBeverageEvent1Amt
Entertainment Event1	$30	EntertainmentEvent1Amt
Other Direct Expenses Event1	$15,959	OtherDirectExpensesEvent1Amt
Event2	Tour de Cure	Event2Nm
Gross Receipts Event2	$7,548,146	GrossReceiptsEvent2Amt
Charitable Contri Event2	$7,030,974	CharitableContriEvent2Amt
Gross Revenue Event2	$517,172	GrossRevenueEvent2Amt
Non Cash Prizes Event2	$173,823	NonCashPrizesEvent2Amt
Rent Facility Costs Event2	$120,728	RentFacilityCostsEvent2Amt
Food And Beverage Event2	$22,116	FoodAndBeverageEvent2Amt
Entertainment Event2	$2,392	EntertainmentEvent2Amt
Other Direct Expenses Event2	$198,113	OtherDirectExpensesEvent2Amt
Gross Receipts Other Events	$893,234	GrossReceiptsOtherEventsAmt
Charitable Contri Other Events	$770,136	CharitableContriOtherEventsAmt
Gross Revenue Other Events	$123,098	GrossRevenueOtherEventsAmt
Non Cash Prizes Other Events	$10,430	NonCashPrizesOtherEventsAmt
Rent Fclty Costs Other Events	$29,766	RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events	$4,159	FoodAndBeverageOtherEventsAmt
Entertainment Other Events	$30,511	EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events	$48,232	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$9,455,055	GrossReceiptsTotalAmt
Charitable Contributions Tot	$8,771,865	CharitableContributionsTotAmt
Gross Revenue Total Events	$683,190	GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events	$196,295	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$165,054	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$26,604	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$32,933	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$262,304	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$683,190	DirectExpenseSummaryEventsAmt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I Line 2b1	Chapman Cubine and Hussey, Inc. activities are strategic services including account and project management, data processing analysis and reporting, meeting, and/or project services requested by ADA.
Part I Line 2b2	Automotive Recovery Services, Inc. activities are advertising, acquisition and disposal of donated vehicles solicited by American Diabetes Association.
Part I Line 2b2	Upon sale of the donated vehicle, the funds are deposited into the Automotive Recovery Services, Inc. bank account. The net proceeds from the donated car are then sent by Automotive Recovery Services, Inc. to the American Diabetes Association bank account.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (20 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
American Diabetes Association Research Foundation Inc
2451 Crystal Drive Suite 900	Arlington	VA	22202	541734511	501 c3	$7,307,220	Research
Abundant Life Family Worship Church Inc
259 George St	New Brunswick	NJ	08901	223087483	501 c3	$10,000	Education and Development
American Association of Nurse Practitioners
5901 Vega Ave Suite 200	Austin	TX	78735	222547543	501 c6	$13,750	Education and Development
American Kidney Fund Inc
6110 Executive Blvd	Rockville	MD	20852	237124261	501 c3	$13,750	Education and Development
Chicago Hispanic Health Coalition
2600 S Michigan Ave	Chicago	IL	60616	364193052	501 c3	$50,000	Education and Development
Clemson University
230 Kappa St Suite 200	Clemson	SC	29634	576000254	501 c3	$50,000	Education and Development
Communities Improvement Association Inc
828 Gibbs Road	Pike Road	AL	36064	237095390	501 c4	$139,838	Education and Development
The Diatribe Foundation
776 Haight St	San Francisco	CA	94117	462431517	501 c3	$13,750	Education and Development
Esperanza
4261 N 5th St	Philadelphia	PA	19140	232480701	501 c3	$48,640	Education and Development
Gateway Community Health Center Inc
1515 Pappas St	Laredo	TX	78041	742553409	501 c3	$100,000	Education and Development
Healthy Women
1 Harding Road	Red Bank	NJ	07701	521624846	501 c3	$13,750	Education and Development
InquisitHealth Inc
41 Grand Ave	River Edge	NJ	07661	454199033		$100,000	Education and Development
Johns Hopkins University
12529 Collections Center Dr	Chicago	IL	60693	520595110	501 c3	$47,900	Education and Development
New Mexico State University
PO Box 30002	Las Cruces	NM	88003	856000401	501 c3	$100,000	Education and Development
Scripps Whittier Diabetes Institute
10140 Campus Point Dr Suite 200	San Diego	CA	92121	951684089	501 c3	$100,000	Education and Development
Diabetes Sisters Alliance
1112 W Boughton Rd Suite 180	Bolingbrook	IL	60440	262964716	501 c3	$13,750	Education and Development
Taking Control of Your Diabetes
990 Highland Dr Suite 312	Solana Beach	CA	92075	330794608	501 c3	$13,750	Education and Development
Texas A&M University
400 Harvey MItchell Parkway S	College Station	TX	77845	746000531	501 c3	$100,000	Education and Development
Thomas Jefferson University
901 Walnut St 10th Floor	Philadelphia	PA	19107	231352651	501 c3	$48,640	Education and Development
Top Box Foods
222 Merchandise Mart Plaza	Chicago	IL	60654	453930886	501 c3	$117,000	Education and Development

Field	Value	IRS element (for citing)
Total501c3 Org	17	Total501c3OrgCnt
Total Other Org	3	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	Lecture Honoraria	GrantTypeTxt
Recipient	8	RecipientCnt
Cash Grant	$50,000	CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I Line 2	Related to Research 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, payments will not be disbursed until all reporting requirements have been met. 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 Science and Healthcare Management for award status and compliance.
Part I Line 2	Related to Camps The American Diabetes Association continues to be the worlds largest provider of camps for children with diabetes to help ensure the wellbeing of families affected by diabetes. The Association provides grants, scholarships and targeted youth programs for persons with diabetes. When the world went virtual, so did our youth programming. ADA Imagine Camp was born in time for summer connecting kids with diabetes to adventure, education, mentorship, and each other. In 2020, ADA Imagine Camp served over 2,900, connecting kids from all 50 U.S. States and internationally from Canada, China, Ireland, New Zealand, South Africa, and the United Kingdom. Now a year-round program, ADA Imagine Camp facilitates an at-home, virtual experience for children, their caregivers, and their families. Like our in-person programming, ADA Imagine Camp imparts tips and tools for living well with diabetes, reduces feelings of isolation, improves confidence and independence in diabetes management, and fosters lifelong friendships. An assessment planning meeting including camp volunteers and staff leadership is held within two months of the conclusion of the camp season. 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.
Part I Line 2	Related to Education The American Diabetes Association is committed to preventing diabetes. The Diabetes Prevention Program DPP was a major multicenter clinical research study, funded in part by the American Diabetes Association, aimed at discovering whether modest weight loss through dietary changes and increased physical activity or treatment with the oral diabetes drug metformin Glucophage could prevent or delay the onset of type 2 diabetes in study participants. The DPP found that participants who lost a modest amount of weight through dietary changes and increased physical activity sharply reduced their chances of developing diabetes. Taking metformin also reduced risk, although less dramatically. The DPPs results indicate that millions of high-risk people can delay or avoid developing type 2 diabetes by losing weight through regular physical activity and a diet low in fat and calories. Weight loss and physical activity lower the risk of diabetes by improving the bodys ability to use insulin and process glucose. The DPP contributed to a better understanding of how diabetes develops in people at risk and how they can prevent or delay the development of diabetes by making behavioral changes leading to weight loss. These findings are reflected in recommendations from the American Diabetes Association for the prevention or delay of type 2 diabetes, which stress the importance of lifestyle changes and weight loss. Building on the success of the DPP, the Centers for Disease Control CDC led National Diabetes Prevention Program is an evidence-based lifestyle change program for preventing type 2 diabetes. The year-long program helps participants make real lifestyle changes such as eating healthier, including physical activity into their daily lives, and improving problem-solving and coping skills.
Part III Line 1,2	Each year, the American Diabetes Association recognizes the outstanding contributions of individuals in the service of the diabetes community through its National Achievement Awards. These awards are among the Associations most noteworthy and coveted recognition opportunities, celebrating those whose significant contributions to our cause have been national in scope and impact. Past recipients represent individuals or groups that have never faltered in their efforts to improve the lives of all people affected by diabetes.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt
Tracey D Brown
Chief Executive Officer	$501,476	$207,014	$24,896	$330,219	$28,554	$1,092,159	$207,014
Charlotte M Carter
Chief Financial Officer	$242,768		$3,585	$6,769	$9,542	$262,664
Eloise Scavella through 103020
Chief Operating Strategy Officer	$265,116		$11,443	$8,434	$8,532	$293,525
Jacqueline Sebany effective 12120
Chief Marketing Digital Officer	$199,979		$2,578		$21,705	$224,262
Charles Henderson effective 1620
Chief Development Officer	$216,007		$2,826		$972	$219,805
Robert Gabbay effective 7120
Chief Scientific Medical Officer	$222,655	$100,000	$1,485		$7,650	$331,790
Jeanine Jones
Vice President, HR Operations	$193,726		$861	$5,126	$9,996	$209,709
Linda Cann
Senior Vice President, Professional Services	$207,646		$6,907	$24,956	$18,141	$257,650
Greg Liptak
Vice President, Quality Improvement	$186,478		$1,864	$4,785	$9,580	$202,707
Sean McDonough
Vice President General Counsel	$184,756		$3,689	$4,933	$1,696	$195,074
Paul Nalbandian
Associate Publisher, Advertising Sales Sponsor	$133,608	$51,626	$23,703	$6,025	$17,001	$231,963
John Agos through 7120
Chief Strategic Development Officer	$90,757	$11,722	$131,801	$6,200	$10,668	$251,148

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I Line 1a	Payments related to additional pension benefits are grossed up for individual tax reporting purposes.
Part II Line 3	Eloise Scavella, Chief Operating and Strategy Officers employment with the American Diabetes Association ended on October 30, 2020.
Part II Line 12	John Agos, Chief Strategic Development Officers employment with the American Diabetes Association ended on July 1, 2020.
Part I Line 4a	John Agos, Chief Strategic Development Officer, received a severance payment in the amount of 102,208.
Part I Line 4b	Linda Cann, SVP Professional Services, is compensated by the American Diabetes Association and contributed 19,500 to its supplemental 457f retirement plan.
Part I Line 4b	Tracey Brown, Chief Executive Officer, is compensated by the American Diabetes Association and contributed 95,823 to its supplemental 457f retirement plan.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	Stephanie Silverman	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	Director	RelationshipDescriptionTxt
Transaction	$701,545	TransactionAmt
Transaction	Government Relations Consulting	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part IV Line 1	FormAndLineReferenceDesc
Explanation	The American Diabetes Association hired Venn Strategies to provide government relations consulting services. Stephanie Silverman, the Chief Executive Officer of Venn Strategies, served on the Board of Directors of the American Diabetes Association in 2020.	ExplanationTxt

Schedule M IRS990ScheduleM

Cars And Other Vehicles CarsAndOtherVehiclesGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	830	ContributionCnt
Noncash Contributions Rpt F990	$348,320	NoncashContributionsRptF990Amt
Method Of Determining Revenues	See Part II	MethodOfDeterminingRevenuesTxt

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	42	ContributionCnt
Noncash Contributions Rpt F990	$185,690	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Fair Market Value	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (true)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	Yes (true)	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I Line 6	The method of determining noncash contribution 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.
Part I Line 6,9	Column b reports the number of items contributed.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (52 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 4	Connected for Life. Today, more than 122 million Americans in the United States have diabetes or prediabetes an invasive, unrelenting, and debilitating disease that spans all ages, geographic areas, and educational levels. This chronic disease targets children, the elderly, and minority populations more than others and costs the United States 327 billion each year in lost productivity. It is a global epidemic that contributes to heart disease, stroke, nerve and kidney disease, and vision loss. The American Diabetes Association is the only organization dedicated specifically to the research, education, and advocacy required to improve the lives of the 34 million adults and children in the U.S. with diabetes and the 88 million people with prediabetes. For 80 years, we have been working on the front lines to educate at risk populations protect the rights of people with diabetes at work, school, and other aspects of daily life pioneer clinical and research breakthroughs, and foster a pipeline of the best and brightest scientists. The COVID19 pandemic shined a very bright spotlight on diabetes as a public health crisis and on severe health inequities. For people with diabetes, COVID19 poses a much greater threat of severe complications, hospitalization, and even death. Throughout 2020, we adapted our resources, programs, and events in service to people living with diabetes and the health care professionals who treat them.
Form 990, Part III, Line 4	From research labs to the halls of the Capitol to the offices of health care practitioners to communities nationwide, the ADA is there. We are bending the curve to help people living with diabetes and their families thrive. Why Because we envision a life free of diabetes and all its burdens, which is fueled by our mission to prevent and cure diabetes and to improve the lives of all people affected by diabetes. DIABETES RESEARCH. Diabetes is an extremely complex disease, caused by a combination of various genetic and environmental factors that progressively lead to an inability to produce or effectively utilize insulin. The complexity of causes conspiring to diminish the bodys production or response to insulin, leading to high blood glucose and eventual development of diabetes, makes finding a single cure particularly difficult. While a cure has been elusive, critical research efforts in recent decades have led to significantly improved patient care, resulting in fewer complications and better health outcomes for individuals with diabetes. As a leader in diabetes research, and the only organization dedicated specifically to the research, education, and advocacy required to improve the lives of all people with diabetes, the ADA funds critical, innovative diabetes research and invests in promising scientists early in their careers. Our 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 ADA with the framework and early leadership for a formalized diabetes research program.
Form 990, Part III, Line 4	Since the ADA started its Research Programs in 1952, we have invested 861 million in more than 4,800 diabetes research projects. In 2020 alone, the ADA supported 258 research projects at 123 leading research institutions across the U.S., all dedicated to progressing the fight against diabetes. Of these projects, 147 were led by in-training or early-career investigators. While we have learned much, there is so much left to discover about diabetes. The primary goals of the ADAs Research Program are to 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. In 2020 we also awarded two Cardiovascular-Metabolic Fellowships to Layla A. Abushamat, MD, of the University of Colorado and Jacquelyn M. Walejko, PhD, at Duke University. Their two-year awards, supported by Pfizer, began Jan. 1, 2021.
Form 990, Part III, Line 4	Peer Review Process. One of the factors that sets ADA funded research apart and ensures that we are supporting the very best science is peer review. Peer review is a process whereby grant applications are reviewed and evaluated by individuals who are experts in the field or peers of the individual submitting the grant. ADA grant applications undergo peer review by three or more volunteer experts who are themselves experienced researchers. Reviewers provide both a score and detailed comments regarding the strengths and weaknesses of each grant they review. Scores from all reviewers for each grant are averaged to arrive at a composite merit score that is then used to determine which grants to support. Research Approach. The ADAs research strategy is targeted and laser focused. This approach is helping us make meaningful, actionable change in specific areas that are highly relevant to the population. In 2020 we focused on COVID19 research and in 2021 we will be emphasizing health disparities and other key initiatives that are aligned with critical societal needs and for those living with diabetes. While we have a targeted approach to funding, we are also continuing to invest in our many career and training awards. Investing in early career diabetes professionals allows us to uplift, support, mentor, and secure the next generation of researchers as they prepare to care for the millions living with diabetes and prediabetes.
Form 990, Part III, Line 4	ADAs research efforts fall broadly into two categories. Research and Innovation and Investing in the Future. This ensures we can make the biggest impacts through formative research and intervention development with real world, translational outcomes. COVID19 Research. COVID19 placed extraordinary demands on health care delivery and raised countless questions about the virus effect on people with diabetes. In 2020 the ADA launched a new, targeted research grant program specifically to address the pandemic. We funded 10 research projects from a pool of 212 proposals, awarding up to 100,000 for one year grants starting July 1, 2020. The COVID19 grants support basic, translational, and clinical studies that will be instrumental to better understanding the virus and its complications for those living with diabetes. 2020 Research Progress. This year ADA supported researchers made significant progress in understanding how diabetes develops and progresses, and in identifying new ways to combat the disease.
Form 990, Part III, Line 4	Building a Healthy Temple through church based diabetes education. Researchers have long known that churches can be familiar, comfortable settings to deliver health education. In the African American community, studies suggest this approach improves adherence better than diabetes self management classes held at hospitals or doctors offices. ADA funded researcher Dr. Meizi He wondered if incorporating Christian themes into the intervention, and having church members teach the classes, might deliver more lasting results than traditional faith placed education for U.S. Latinos, 90 percent of whom are affiliated with a church. In 2020 Dr. He recruited and trained church members to deliver a diabetes self management support curriculum, along with a sermon on health and seven sessions of health oriented Bible study. Her initial results were encouraging. The groups run by church members lowered their A1Cs significantly after one year, and they kept their blood sugar blood glucose levels close to or within target range for a full year after the classes ended. The same benefit wasnt seen in those who took classes delivered by certified diabetes educators. Next, Dr. He will apply for funding to turn her research into a curriculum that could be adopted by churches nationwide and accredited by the ADA.
Form 990, Part III, Line 4	Getting to the bottom of hypoglycemia unawareness. One of the most unpleasant, fearsome consequences of diabetes is hypoglycemia, when your blood sugar blood glucose drops dangerously low. Yet after frequent hypoglycemic episodes, some people particularly those with type 1 diabetes develop hypoglycemia unawareness. Without the telltale symptoms, people with diabetes dont know to treat hypoglycemia. With ADA research funding, Dr. Janice Hwang sought to determine whether the brains of people with hypoglycemia unawareness reacted differently to low blood sugar than those of people still sensitive to the bodys signals. The results of the brain scans were obvious In hypoglycemia sensitive brains, regions connected to cravings and the brains planning and control centers lit up in response to a drop in blood sugar levels. In people with hypoglycemia unawareness, no places in the brain lit up. Ultimately, Dr. Hwangs goal will be to see if hypoglycemia unawareness can be reversed, helping people with diabetes regain the warning systems so critical to glucose management.
Form 990, Part III, Line 4	The next generation of glucose monitoring. When continuous glucose monitors CGM were introduced more than 20 years ago, they represented a huge leap forward in diabetes care, giving people with diabetes a way to monitor their glucose levels in near real time. Research soon showed that CGMs offered people with both type 1 and type 2 diabetes significantly improved blood sugar blood glucose management. Yet only 33 percent of Americans with type 1 diabetes use a CGM, along with just 10 percent of people with type 2. With the help of an ADA grant, Dr. Bing Wang is searching for ways to change that by making CGMs easier to use and less obtrusive. Specifically, he is working to tweak the newer optical sensors to require fewer, if any, finger sticks to calibrate the devices. Dr. Wangs work could be an important building block for future generations of sensors, and it could reduce the pain and fear associated with CGMs. Pathway to Stop Diabetes. The ADAs Pathway to Stop Diabetes is a groundbreaking research initiative that provides critical financial resources, professional mentorship, and scientific guidance to the nations highest impact investigative pioneers. Pathway has an ambitious goal of bringing 100 brilliant scientists to diabetes research, funding a human pathway, and launching the next generation of investigators inventive, interdisciplinary, progressive, and trailblazing. Pathway provides crucial support to individuals focusing on innovative ideas and transformational approaches that will lead to new discoveries in diabetes prevention and treatment.
Form 990, Part III, Line 4	Since its inception, our Pathway researchers have collectively published 170 plus original publications in high impact scientific journals, filed 13 patent applications, protecting intellectual property to translate discoveries into tools and cures. Delivered 468 engaging and informative presentations and lectures. Founded 3 independent start ups. Two new Pathway awardees began their research projects in January 2020 Judith Agudo, PhD, Dana-Farber Cancer Institute, Boston, MA Harnessing Immune Privilege Mechanisms from Stem Cells to Protect Stem Cells from Immune Attack. Maxence V. Nachury, PhD, University of California, San Francisco Regulation of Body Weight Homeostasis and B Cell Function by Primary Cilia. Also in 2020, our third group of scientists completed their terms of Pathway funding Zhen Gu, PhD, of the University of California, Los Angeles Marie France Hivert, MD, of Harvard Pilgrim Health Care, and Stephen C.J. Parker, PhD, of the University of Michigan. Each of them has already added substantially to our understanding of diabetes and diabetes risk, and their contributions will continue throughout their careers in diabetes science, because they are now set up for success in conducting the kind of innovative, transformative research that holds promise to ultimately stop the health crisis that is diabetes.
Form 990, Part III, Line 4	Scientific Sessions. Held annually, Scientific Sessions exemplifies the ADAs leadership role in the global diabetes community while providing a critical platform for driving diabetes awareness. Scientific Sessions is the worlds largest scientific and medical meeting focused on the latest basic and clinical science research related to diabetes and its complications. For the first time in the ADAs 80 year history, the Scientific Sessions was held online due to the COVID19 pandemic. By translating the in person meeting into an entirely virtual experience, we upheld the ADAs reputation for offering the latest advances in diabetes research, treatment, and care, and hosted a prime setting for researchers and health care professionals to exchange ideas. The virtual 80th Scientific Sessions by the numbers. 12,700 plus professionals. 850 plus presentations. 238 sessions, special lectures, and addresses. 2,409 published abstracts. More than 712 million media impressions generated worldwide through the Communication teams press program media engagement. More than 99 percent of surveyed attendees believed the program was independent, balanced, objective, and scientifically rigorous. Nearly 91 percent said the content gave them the necessary knowledge to enhance their clinical or research practice.
Form 990, Part III, Line 4	INFORMATION Saving Lives through Knowledge. For people affected by or at risk for diabetes, having access to the most up to date tools and resources can literally make the difference between life and death. As a trusted leader, the ADA works hard to ensure that those affected by and at risk for diabetes, their health care team, as well as the general public receive targeted, timely, and accurate information. We deliver resources that people can access any time in multiple formats including our website for consumers and professionals, diabetes.org, our flagship social media channels, and our professional journals and publications. We focus our efforts on three areas. Raising awareness of diabetes as a serious disease. Ensuring patients, providers, and caregivers have tools and resources to effectively treat and manage diabetes. 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. In 2020, we augmented these efforts by developing a continual stream of evidence based resources to help our community respond to COVID19 and diabetes. This included launching a new COVID19 response section on our website complete with FAQs, a vaccination guide, resources for health care professionals, information for voting safely, and more.
Form 990, Part III, Line 4	Center for Information. The ADAs Center for Information CFI at 1 800 DIABETES marks the very first stop for many of our constituents as they start their journey of living with diabetes. CFI helps to bend the curve every day by providing constituents with information and resources on prevention, nutrition, and diabetes management, help with medications and supplies discrimination issues, ADA events, assisting professional members and donors, and much more. In 2020, CFI supported ADAs mission by Processing nearly 64,000 contacts from constituents, professional members, and others. Collecting 164,210 in donations. Pointing constituents to our digital resources and, during the COVID19 pandemic, implementing a process that allowed CFI to manually process and mail 4,192 packets of literature to those without internet access. Processing 2,712 intakes for our Legal Advocacy team. Assisting 3,538 contacts with information and resources for assistance with medications and supplies. In addition, we established working relationships with Novo Nordisk and Eli Lilly to connect constituents who need financial assistance for their insulin directly to the Novo Nordisk Customer Care Center and the Lilly Diabetes Solution Center. Digital Engagement. We offer a variety of targeted and interactive online properties to connect with our consumer and professional audiences, while providing the latest diabetes-related information and news. From our website, diabetes.org to our blog diabetes.org/blog to our ever-growing presence on Facebook, Twitter, YouTube, and Instagram, the ADA is connected to its constituents 24 7.
Form 990, Part III, Line 4	Diabetes.org. Our website for consumers and professionals, diabetes.org, is widely regarded as the most informative and credible diabetes and nutrition resource on the internet. In 2020, the site had 12.1 million sessions, 18.6 million unique pageviews, and 9.4 million new users. Social Media. The ADAs flagship social media channels continue to grow Facebook fan base is now more than 774,000. Twitter following is up to 144,000. Instagram following is now over 45,000. LinkedIn continues to be a dedicated marketing communications channel for the professional audience. Our company page has more than 61,000 followers. Facebook Fundraisers continue to be a major source of donations, accounting for more than 2 million in 2020. ADA supporters gave on Facebook to mark birthdays, dia versarys, ADM, and more. DiabetesPro. DiabetesPro at professional.diabetes.org provides the latest resources in diabetes care and research for health care professionals and scientists. Through this mobile friendly platform, the ADA delivers enhanced and customized content as well as access to members only benefits. DiabetesPro is the most advanced collection of resources available to professionals that have diabetes in the center of their careers, providing them a convenient way to stay informed.
Form 990, Part III, Line 4	Featured content includes News via DiabetesPro SmartBrief, which has 56,000 subscribers. Diabetes meetings and continuing education opportunities, including ADAs Scientific Sessions. Social media, including Facebook 32,000 professional followers and Twitter more than 16,000 professional followers. Clinical practice recommendations, including the Standards of Medical Care in Diabetes. Webcasts and podcasts, including Diabetes Core Update. Journals and books. DiabetesPro Quarterly, our quarterly membership newsletter with about 16,000 subscribers. Professional Interest Group resources, including our Professional Member Community. This forum has more than 15,000 professional users. Research grant information, including funding cycle information and funded research. Diabetes Recognized Education Program information and resources. Youth, Young Adult, and Family Initiatives. Reaching Type 1 and Type 2 Diabetes Families ADA Camps. The ADA continues to be the worlds largest provider of camps for children with diabetes. ADA Imagine Camp was born in time for summer 2020 connecting kids with diabetes to adventure, education, mentorship, and each other virtually.
Form 990, Part III, Line 4	Now a year round program, ADA Imagine Camp facilitates an at home, virtual experience for children, their caregivers, and their families. Kids from all 50 states and internationally from Canada, China, Ireland, New Zealand, South Africa, and the United Kingdom joined us in 2020. Like our in person programming, ADA Imagine Camp imparts tips and tools for living well with diabetes, reduces feelings of isolation, improves confidence and independence in diabetes management, and fosters lifelong friendships. 2020 ADA Imagine Camp by the numbers 2,912 campers. 41 percent first time campers. 147 volunteer counselors. 856 Zoom meetings. 0 cost to each participant ADA Imagine Camp is fully subsidized. Of campers assessed One-third increased their knowledge of proper diabetes management including when to check blood sugar, counting carbohydrates, and the effect of exercise on blood sugar. Meanwhile, 40 percent increased their confidence in trying new methods of diabetes management. Feelings of loneliness decreased among 23 percent of campers. ADA Imagine Camp would not be possible without the dedication and enthusiasm of our partner organizations, who help provide resources, training materials, support groups, video content, and more Beyond Type 1, College Diabetes Network, Riding On Insulin, and Children With Diabetes Moms of Friends for Life. Youth, Young Adult, and Family Initiatives were supported nationally by the generosity of Novo Nordisk, The Leona M. and Harry B. Helmsley Charitable Trust, and Lilly Diabetes.
Form 990, Part III, Line 4	Project Power. The ADA continues to take on the growing rates of type 2 in youth with Project Power, our healthy lifestyle intervention program for children at risk for type 2 diabetes and their families. Project Power aims to slow the trajectory of childhood obesity and ultimately prevent type 2 diabetes and its complications. Created for elementary and middle school-aged youths, its evidenced-based curriculum is built on three pillars nutrition education, fitness education, and family engagement. In fall 2020, we delivered Project Power as a virtual after-school program to 1,465 participants, at no cost to families. Project Power assessments showed improvements across all knowledge areas, including 33 of participants were more confident in their ability to choose healthy snacks and exercise regularly. 16 increased their physical activity to the recommended five-plus days/week, ate more fruits and vegetables, and drank more water. Ask the Experts. To address issues commonly faced by people living with diabetes, the ADA developed a free education series focused on diabetes management. The wellness series includes live QA with diabetes experts to reinforce and increase participant knowledge of and engagement in healthy lifestyle behaviors, as well as provide a community where individuals can ask questions and hear from others who might share similar experiences.
Form 990, Part III, Line 4	The series is delivered as part of the Know Diabetes by HeartTM initiative to help people living with type 2 diabetes learn how to reduce their risk of cardiovascular disease, and the Focus on DiabetesTM initiative to raise awareness of the link between diabetes and eye disease. Across 14 events held in 2020, experts connected with nearly 11,000 participants who engaged for 20 minutes on the phone or online.Know Diabetes by Heart sponsored event outcomes 17 of participants, on average, increased their diabetes knowledge from before an event to after an event. 22 of participants discussed their risk for cardiovascular disease with their health care provider within one month of an event among those who had not previously had a discussion. 91 intend to enroll in diabetes education after attending the event.Focus on Diabetes sponsored event outcomes 66 were aware that eye disease can have no visuals signs or symptoms, an increase of 21 from baseline. 95 were confident in their ability to reduce their risk for diabetes-related eye disease, a 12 increase from baseline. 98 intend to get eye exams regularly after attending the event.
Form 990, Part III, Line 4	Diabetes Self-Management Support DSMS. ADA continues to the promote the Diabetes Support Initiative and ADA approved DSMS programs. ADA convened a subject matter expert workgroup to review, vet, and identify DSMS program curriculums and resources that meet the ADA criteria for support programming, align with the Standards of Care, and demonstrate significant positive outcomes. Learn more at professional.diabetes.org/dsi. In 2020 ADA developed additional DSMS resources including a new DSMS Toolkit and DSMS Plan. The Diabetes Self Management Support DSMS Toolkit provides information and guidance to help diabetes care providers and educators meet the National Standards for Diabetes Self-Management Education and Support, specifically Standard 8 Ongoing Support. The DSMS Plan provides a format through which diabetes care providers and educators can create personalized plans for participants and identify local resources and activities that may benefit them as part of ongoing diabetes support. ADA has developed a Community Grants process to offer financial support to deliver ADA approved diabetes support programs in high risk communities. ADA awarded 800,000 in grant funding through the Know Diabetes by Heart initiative to implement eight of the ADA approved diabetes support programs in high-risk communities nationwide. ADA was awarded 250,000 from The Pfizer Foundations Social Determinants of Health Grant to develop a Community Garden and implement an ADA approved diabetes support programs in Montgomery, Ala.
Form 990, Part III, Line 4	Community Health Workers CHWs. To address ADAs Standards of Care highlighting the importance of CHWs in diabetes prevention and management, especially among underserved communities, our National Health Disparities Committee developed the new CHW webpage for COVID19 Community Health Worker Resources. The Health Disparities Committee, in collaboration with the National Association of Community Health Workers NACHW, participated in the ADAs COVID19 webcast The Role of Community Health Workers as First Responders in the COVID19 Outbreak. The Health Disparities Committee and ADAs Professional Membership team continued to promote the new 35 CHW Professional Membership for community health representatives, peer health educators, and other frontline public health workers. In 2020, there were a total of 126 CHW professional members. In 2020 the ADA also continued the Health Disparities Community Health Workers Resources continuing education webcast series developed by the Health Disparities Committee to provide professional education resources addressing various topics related to CHWs and social determinants of health. The webcasts series included Diabetes 101 Resources for Community Health Workers held in February 2020 with a total of 726 registrants, and What Health Care Professionals Need to Know About Addressing Diabetes and Food Insecurity. Resources for Communities in Need held in July 2020 with a total of 895 registrants.
Form 990, Part III, Line 4	Professional Education. The primary goal of the ADAs 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. We conduct professional education activities directed toward enhancing knowledge and competence, advancing skills, and apprising health care professionals of the latest developments in diabetes research and clinical practice. The ADA has been accredited to provide continuing education to health care professionals for more than 30 years and is a Joint Accredited Provider. The ADA remains in exemplary standing with each accrediting board proving our compliance with the continuing education guidelines. The ADA continues to be at the forefront of professional continuing education for the diabetes community as an accredited provider of continuing education credit for all health care professionals on the diabetes management team. Education Recognition Program. Since the ADA became a National Accrediting Organization NAO for Medicare in 1986, our Education Recognition Program ERP has recognized more than 6,600 diabetes self-management education and support DSMES services across the United States plus U.S territories including as far as Guam.
Form 990, Part III, Line 4	The pandemic did not diminish the need for diabetes self-management education and support DSMES services, as organizations continued to apply for ERP recognition. We maintained 1,500 ERP programs and awarded recognition to 50 new ones in 2020. This included adding the fourth National Virtual Recognition for the U.S. Departments of Veteran Affairs and Defense, which will offer DSMES services to all members of the military and their dependents nationwide. We also introduced ERP University ERPU, a series of webinars providing practical solutions for each of the DSMES National Standards. ERPU is only available to ADA-recognized programs and has been in high demand since launching in September 2020. National Diabetes Prevention Program National DPP. The ADA continues to help Americans prevent or delay type 2 diabetes through our cooperative agreement with the Centers for Disease Control and Prevention CDC. In 2020, our National DPP affiliate sites enrolled 929 participants in this proven lifestyle change program. Due to the pandemic, 37 of the 70 new cohorts and 64 cohorts who were currently in progress were conducted or transitioned to distance-learning classes. Of the National DPP participants who completed core sessions and at least one core maintenance session, 95 lost weight and nearly half met the goal of losing at least 5 of their starting body weight.
Form 990, Part III, Line 4	Professional Engagement. The pandemic challenged the ADA to connect with health care professionals in new ways. Across the board, our professional engagement programs pivoted to a deliver an innovative virtual experience. The newly minted COVID-19 Professional Leadership Team hosted nearly 20 webinars for professionals around the world as the pandemic evolved. More than 4,000 attendees participated in the live events, and the corresponding podcasts have been downloaded nearly 56,000 times. Our Professional Membership Interest Groups hosted 15 webinars and professional development programs to grow relationships, foster knowledge, and share research updates throughout the year. The Focus on Fellows program met every other week from June through November. A total of 208 endocrine fellows participated in 22 interactive sessions focused on practical issues such as resumes, career paths, and work-life balance. Under the banner of the Know Diabetes by HeartTM and Focus on DiabetesTM initiatives, we launched digital pocket guides, podcasts, webinars, and other continuing education CE and non-CE professional education activities.
Form 990, Part III, Line 4	What Can I Eat Program. The number one question we hear from individuals recently diagnosed with diabetes is, What can I eat To address this, the ADA developed and conducted a pilot study for adults living with type 2 diabetes, their families, and caregivers. This in-person, community based, nutrition focused support program was launched as the What Can I Eat WCIE program in 2015. The curriculum consists of five interactive group sessions featuring goal setting, problem solving, storytelling, visuals, and demonstrations. It complements Diabetes Self Management Education and Support DSMES programs and is designed to promote and sustain positive behavior changes related to healthy food choices. According to a two-year pilot study, the five-session WCIE program significantly impacts a wide range of promoted dietary outcomes and leads to notably positive trends in health. Outcomes are sustained in the months following the intervention, such as Decreased A1C, weight, and blood pressure. Increased positive eating habits Consuming more non-starchy vegetables, lower fat meat, and water. Using the diabetes plate method. Using food labels. Purchasing healthy sides at restaurants. Decreased negative eating habits Consuming less red meat, sweets, salty snacks, and sugary drinks. Using less solid fats and frying when cooking. Eating at restaurants less frequently. Choosing fewer fried foods at restaurants. Improved food shopping behaviors. Improved cooking habits. Increased self-efficacy confidence to change
Form 990, Part III, Line 4	Notably, 99 percent of WCIE participants reported making better dietary choices because of this program. The ADA will continue working to scale and expand the What Can I Eat program to reach diverse communities of people with diabetes where they are in their communities, in their life stage, and in their circumstances. Overcoming Therapeutic Inertia OTI. The average A1C for people with diabetes has remained unchanged last 20 years, despite advances in technology, education, and treatments. The root of this problem is therapeutic inertia, which is defined as a delay in starting or intensifying therapy when its appropriate to do so. If we can overcome therapeutic inertia and manage blood sugar blood glucose levels early in a persons diabetes journey, it will lead to better long term outcomes and reduce their chances of developing complications. Started in 2018, our OTI initiative marks an ambitious paradigm shift in type 2 diabetes care as we seek to better understand and address the factors that contribute to therapeutic inertia in diabetes care and help people with type 2 live longer, healthier lives. The OTI education and awareness campaign got underway in 2020 with a six module curriculum and other materials for clinicians and their patients. An average of 832 health care professionals registered for each of the corresponding educational webinars. The videos, fact sheets, self assessments, conversation guides, and other tools provide practical strategies and tips for identifying and overcoming therapeutic inertia in primary care.
Form 990, Part III, Line 4	As of 2020 we have formed OTI alliance partnerships with AMGA formerly the American Medical Group Association. American Association of Nurse Practitioners AANP. American Association of Physician Assistants AAPA. American College of Osteopathic Family Physicians ACOFP. American Pharmacists Association APhA. American Society for Health-System Pharmacists ASHP. Association of Diabetes Care and Education Specialists ADCES. The Overcoming Therapeutic Inertia initiative is supported by Strategic Sponsors AstraZeneca and Sanofi, plus Supporting Sponsors Merck and Novo Nordisk. Learn more at therapeuticinertia.diabetes.org. Diabetes INSIDE. Despite COVID19s impact on health care systems, in 2020 Diabetes INSIDE continued to expand its regional collaboration of stakeholders in the Greater Philadelphia and mid Atlantic regions and improve care for people with diabetes and cardiovascular disease. Our network of partners now supports community health interventions that target high risk African American and Latino populations. Diabetes INSIDE has collected and analyzed data on over 300,000 patients over several million visits to identify trends and gaps in care and to monitor for change as we facilitate improvement projects across a wide range of clinical challenges. We are also initiating an expansion plan to launch Diabetes INSIDE in new markets, with a focus on Chicago.
Form 990, Part III, Line 4	Professional Membership. COVID19 impacted ADAs ability to reach health care professionals to ask them to join or renew their membership. Consequently, all digital promotions were increased with geofencing being tested as a new option to reach researchers and clinicians.New membership levels continued to grow in 2020. Community Health Workers 126. Student 81. Early Career generated 175. Emeritus generated 1. Digital Clinical Diabetes Roundtable Discussions. In 2019, the ADA launched a new educational opportunity to facilitate dialogue and improve understanding with primary care audiences on important subjects related to diabetes prevention and treatment. The program consists of a panel of experts who are recruited to participate in a roundtable discussion on a diabetes related topic, which is video-recorded and posted on a landing page on the Clinical Diabetes website. A corresponding summary paper outlining the content is published in the journal. The landing page includes the roundtable discussion videos, speaker biographies, and funding information. The latest roundtable discussions include Effective Initiation and Treatment With Basal Insulin in People With Type 2 Diabetes Focus on Mitigating Hypoglycemia in Patients at Increased Risk released in October 2020.
Form 990, Part III, Line 4	Diabetes Core Update Podcast. Diabetes Core Update is an audio podcast series devoted to presenting and discussing the latest clinically relevant articles from the ADAs four scholarly journals Diabetes, Diabetes Care, Clinical Diabetes, and Diabetes Spectrum, as well as related content from other sources. In addition to monthly episodes, in 2020 we produced themed podcast series on topics including therapeutic inertia, influenza, SGLT2 inhibitors, and COVID19. Each podcast episode can be accessed via Apple Podcasts, Google Play, RSS feed, or at diabetesjournals.org. PUBLICATIONS. ADA journals provide more than 40,000 researchers, physicians, and diabetes care specialists with the latest information on scientific research and clinical practice. The ADAs four highly respected professional journals, Diabetes, Diabetes Care, Clinical Diabetes, and Diabetes Spectrum, publish original research, consensus reports, scientific statements, and more, in addition to supplemental issues including the ADAs clinical practice guidelines the Standards of Medical Care in Diabetes. In 2020, our journals received more than 12 million visits and 25 million page views at diabetesjournals.org, and ADA-published studies were cited more than 130,000 times a 5 percent increase over 2019. Also this year, Diabetes Care achieved the highest Impact Factor ever recorded for an ADA journal 16.02. Diabetes Care and Diabetes are consistently ranked as the top two journals devoted to diabetes research, ranking second and third among the 145 journals in the field of endocrinology and metabolism.
Form 990, Part III, Line 4	Standards of Care Guidelines. The Standards of Medical Care in Diabetes 2021 Standards of Care was developed throughout 2020 and is published as a supplement to Diabetes Care journal each December. Key changes for the 2021 edition include Simplified figures and tables that more easily guide providers through treatment options and individualized recommendations for treatment of cardiovascular disease based on patients pre existing conditions. Special considerations for older adults with type 1 diabetes to address the treatment of this growing population. Revised recommendations and additional supporting evidence in section 7, Diabetes Technology. The Standards of Medical Care in Diabetes 2021 is available online and in print. We also offer an abridged version for primary care providers, an interactive app, plus CE webcasts and a slide deck for professional use. The Standards of Care is a living document. It is published annually online and then updated throughout the year in the form of online annotations and published addenda. Reports, Reviews, and Consensus. In addition, in 2020 the ADA published several important reports, reviews, and consensus documents in the journal Diabetes Care.
Form 990, Part III, Line 4	Diabetes Digital App Technology Benefits, Challenges, and Recommendations. A Consensus Report by the European Association for the Study of Diabetes EASD and the American Diabetes Association ADA Diabetes Technology Working Group January 2020. 2019 Update to Management of Hyperglycemia in Type 2 Diabetes, 2018. A Consensus Report by the American Diabetes Association ADA and the European Association for the Study of Diabetes EASD February 2020. Cost-effectiveness of Diabetes Prevention Interventions Targeting High-risk Individuals and Whole Populations A Systematic Review July 2020. Precision Medicine in Diabetes A Consensus Report From the American Diabetes Association ADA and the European Association for the Study of Diabetes EASD July 2020. Diabetes Self-management Education and Support in Adults With Type 2 Diabetes A Consensus Report of the American Diabetes Association, the Association of Diabetes Care Education Specialists, the Academy of Nutrition and Dietetics, the American Academy of Family Physicians, the American Academy of PAs, the American Association of Nurse Practitioners, and the American Pharmacists Association July 2020. Social Determinants of Health and Diabetes A Scientific Review online November 2020
Form 990, Part III, Line 4	Article Collections and Clinical Compendia. ADA journals also published several special article collections in 2020, including Diagnosis and Management of Diabetic Foot Infections January 2020. Nonalcoholic Fatty Liver Disease in Diabetes February 2020. Person Centered, Outcomes Driven Treatment A New Paradigm for Type 2 Diabetes in Primary Care April 2020. COVID19 and Diabetes May 2020. The Role of Blood Glucose Monitoring in Diabetes Management October 2020. Diabetes Technology in Primary Care December 2020. Compendia cover important topics of interest to health care providers who treat diabetes and concomitant conditions. Through sponsorship support of our industry partners, the ADA convenes a panel of experts who author individual sections of educational compendia with distribution implemented via direct mail to approximately 40,000 health care professionals who receive the ADAs four professional journals, Diabetes, Diabetes Care, Clinical Diabetes, and Diabetes Spectrum. The compendia are available on the ADAs professional membership website, professional.diabetes.org. Compendia published in 2020 include Diagnosis and Management of Diabetic Foot Infections January 2020. Person Centered, Outcomes Driven Treatment A New Paradigm for Type 2 Diabetes in Primary Care May 2020. The Role of Blood Glucose Monitoring in Diabetes Management October 2020
Form 990, Part III, Line 4	New Book Titles. In 2020, the ADA Books Department distributed 102,580 book units to physical booksellers, online resellers, international wholesalers, direct customers, and public libraries, where constituents can access our award winning materials free of charge. This is a 38 percent decrease over 2019. However, with the changes ADA Books experienced in 2020 in particular, the reduction of our Consumer Book list and our expanded focus on Professional Book content we feel that there will continue to be a strong interest in book content, and that ADA Books will remain the authoritative source for diabetes information. Consumer. Pocket Guide to Diabetic Food Choices, 5th edition. American Diabetes Association. Pregnancy and Diabetes. Marina Chapparo, RDN, CDE, MPH. Cocinando para Latinos con Diabetes, 3rd edition. Olga Fuste, MS, RD, CDE. Diabetic Cooking Made Easy. Jennifer Bucko Lamplough. The Create Your Plate Diabetes Cookbook. Tobi Amidor, MS, RD, CDN. What Do I Eat Now, 3rd edition. Tami Ross, RDN, LD, CDCES, MLDE. What Do I Cook Now. Tami Ross, RDN, LD, CDCES, MLDE. Clean and Simple Diabetes Cookbook. Jackie Newgent, RDN, CDN. Intimacy and Diabetes eBook only. Janis Roszler, LMFT, RD, LDN, CDE and Donna Rice, MBA, BSN, RN, CDE
Form 990, Part III, Line 4	Professional. Annual Review of Diabetes 2020. American Diabetes Association. Medical Management of Type 2 Diabetes, 8th edition. Luigi Meneghini, MD, MBA. Life With Diabetes, 6th edition. Martha Funnell, MS, RN, CDCES. 2020 2021 Guide to Medications for the Treatment of Diabetes Mellitus. John White, Jr., PAC, PharmD. AWARENESS and EDUCATION American Diabetes Month ADM. From the nonstop bad news to the bleak forecasts, everything about 2020 seemed to conspire against us. People living with diabetes and those who love them felt powerless, afraid, and small. Thats why we embraced a message of hope for ADM in November. We sought to empower one another, regardless of background or circumstance, to conquer diabetes and all that comes with it. We Stand Greater Than became a powerful theme for encouraging action Equity Prejudice Holding elected officials accountable for health equity. Speaking Silence Expanding COVID19 care. Thriving Surviving Embracing diabetes wellness and management. Advancement Acceptance Donating to make a difference. National Strategic Partner CVS Pharmacy returned as a proud sponsor for the ADM campaign, which integrated organic, paid, partner, and influencer marketing strategies to build awareness. Throughout the month we hosted eight virtual events with our partners in the diabetes space, such as a cooking demo with JDRF and a live concert featuring some of our favorite musical artists.
Form 990, Part III, Line 4	The ADM microsite at diabetes.org greaterthan earned 232.5K pageviews, accounting for 10.2 percent of all website traffic to diabetes.org in the month of November. More than 60 percent of this traffic came from social media. The campaign also generated more than 16 million social media impressions and 430 media articles for a total audience of over 127 million. Know Diabetes by Heart. Know Diabetes by Heart is our landmark partnership with the American Heart Association to reduce cardiovascular deaths, heart attacks, heart failure, and strokes in people with type 2 diabetes. This initiative focuses on improving outcomes through a long term consumer activation campaign, quality and systems improvement efforts, professional resources and education, and patient resources and support. With Know Diabetes by Heart, were driving important conversations between people with type 2 and their health care teams. In 2020 we Launched a campaign and companion website to reach Spanish-speaking audiences in culturally relevant ways. Recruited 10 community-based organizations to deliver DSMES services in high-need areas. Developed more than 25 new patient education materials, including content to address COVID19 and chronic kidney disease. Awarded the inaugural Target Type 2 Diabetes Recognition to 934 hospitals and 205 outpatient clinics that met core performance metrics. Secured over 1.09 billion media impressions, driving awareness of the link between type 2 diabetes and cardiovascular disease.
Form 990, Part III, Line 4	Learn more about the Know Diabetes by Heart initiative at knowdiabetesbyheart.org and diabetesdecorazon.org.Diabetes Food Hub. Diabetes Food Hub continued to be a popular destination for people living with diabetes, caregivers, and health care professionals. In 2020, nearly 40,000 new people registered for the platform part recipe database, part grocery list builder, part meal planner, and 100 percent backed by the ADAs nutrition expertise. Its newsletter now reaches over 330,000 subscribers with healthy recipes, cooking tips, and special content to help people cook more meals at home and shop safely during lockdowns and quarantine.
Form 990, Part III, Line 4	Better Choices for Life. Many consumer products and services make health claims, including preventing, managing, or even reversing diabetes. In 2020 we unveiled Better Choices for Life to inform consumers everyday purchases. The program brings science and evidence based approaches, including elements of the Standards of Medical Care in Diabetes, to consumers to help guide their life decisions and provide a simple way to identify products and services that are suitable for people with or at risk for diabetes. Signature Campaigns and Events. Our signature campaigns provide a great opportunity for the ADA to raise awareness about our mission and drive revenue. These campaigns are an integral part of our strategic vision. Tour de Cure is the ADAs premier cycling fundraising event and Step Out Walk to Stop Diabetes is our signature walk fundraising event. In 2020 we virtually engaged over 17,000 individuals nationwide and raised more than 9.4 million.
Form 990, Part III, Line 4	ADVOCACY. Speaking Up for All People with Diabetes. The ADAs advocacy efforts and achievements are at the core of creating effective and lasting change for people living with and at risk for diabetes. Our advocacy work gives 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. Our primary goals are to increase federal and state funding for diabetes prevention, treatment, and research. to prevent diabetes. to improve the availability of accessible, adequate, and affordable health care. to end the discrimination people with diabetes face at school, work, and elsewhere in their lives. Amid the global pandemic, the ADA sharpened our advocacy focus to one important goal ensuring that the diabetes community could not only live safely, but live well. Our work aimed to improve health equity and care for people with diabetes and prediabetes, particularly in the communities of color hit hardest by both diabetes and COVID19.
Form 990, Part III, Line 4	The ADAs Diabetes Advocates more than 500,000 of them are the heart of our grassroots efforts. At the local, state, and federal levels, they speak up for key policies that support people affected by diabetes. In 2020, we also kicked off an ADA Influencers group to provide high-impact engagement opportunities. In any other year, our Advocates would be visiting Washington, D.C., and state capitals to meet with elected officials. We took those meetings online in 2020, holding eight virtual congressional townhalls where our Advocates could engage with their senators and representatives safely. We also launched our new digital Communication and Engagement Platform to help volunteers make their voices heard. Our Advocates used the platform to generate nearly 50,000 messages to congressional and state policymakers in support of COVID19 relief legislation, health equity, affordable insulin, research funding, and other critical issues facing the diabetes community.
Form 990, Part III, Line 4	COVID19 Advocacy. The ADA is the loudest voice in the room when it comes to pushing for diabetes funding. In fiscal year 2021, we secured 2.6 billion in such funding, an increase of more than 60 million over 2020.Then there were the resources so desperately needed to fight COVID19. We secured 22.4 billion for testing and contact tracing and 8.75 billion for CDC vaccine distribution and infrastructure, money that went directly to states. Portions of these funds were targeted to high risk and medically underserved areas and communities of color most affected by the pandemic. We also worked with the Centers for Medicare and Medicaid Services CMS so seniors with diabetes could access important diabetes management tools without having to see a doctor in person and risk exposure to COVID19. Because of our advocacy, CMS changed several Medicare policies during the COVID19 pandemic, including waiving in person visit requirements for coverage of insulin pumps and continuous glucose monitors CGMs, permanently waiving Medicares blood sugar testing requirement for CGM coverage, and allowing seniors to use audio-only telehealth services. We also submitted comments to CMS and led a group of diabetes organizations in aligning on a proposed rule that would cut reimbursement for certain CGMs. The ADA also led 43 other patient organizations in urging insurance companies to continue covering patient out of pocket expenses for certain telehealth visits for the duration of the pandemic.
Form 990, Part III, Line 4	Health Equity Now. The current health pandemic and its disproportionate toll on minority, low income, and historically underserved Americans shines a troubling light on historic, systemic inequities in American health care. Thats why we introduced our Health Equity Now platform in 2020. The ADAs Health Equity Bill of Rights envisions a future without unjust health disparities. It ensures the 122 million Americans living with diabetes and prediabetes, along with the millions more who are at high risk for diabetes no matter their race, income, Zip code, age, education, or gender get equal access to the most basic of human rights their health. Working with anchor partners Abbott, Baxter International Foundation, and Walmart, the ADA seeks to dismantle pervasive health inequities one by one so people living with diabetes can truly thrive.
Form 990, Part III, Line 4	State-Level Wins. Additionally, the ADA secured 98 state-level legislative wins in 2020, achieving greater health equity from coast to coast. These victories improved access to affordable and adequate health care, food and nutrition policies, and diabetes prevention programs for a total of over 28.6 million Americans, a 30 increase over the previous year. Making Insulin Affordable. Insulin is essential to life, and the ADA has led the way to lower costs and increase access to this medication. In 2020 we helped launch the Medicare Part D Senior Savings Model that caps insulin at 35 per 30-day supply. The model became effective Jan. 1, 2021, a welcome relief for the more than 3.3 million Medicare beneficiaries who rely on insulin to treat their diabetes. We endorsed federal legislation to make insulin available to Medicare beneficiaries with no out-of-pocket costs during the public health emergency. We also sponsored or supported insulin co-pay caps that were approved in 13 states. These laws address insulin affordability by limiting monthly cost-sharing for this lifesaving medication.
Form 990, Part III, Line 4	Dismantling Discrimination. For nearly two decades, the ADAs unique legal advocacy program has knocked down blanket bans and other unfair policies that discriminate against people with diabetes at work, at school, and in daily life. In 2020, that also meant working to ensure those with diabetes could vote safely in their elections, with options that protected them from unnecessary exposure to COVID19. Our team also broke barriers with the Federal Aviation Administration FAA to allow commercial pilots with insulin-treated diabetes to fly for the first time.
Form 990, Part III, Line 4	Were Connected for Life. The American Diabetes Association is the nations leading voluntary health organization fighting to bend the curve on the diabetes epidemic to help people live a better life and thrive until we ultimately find a cure. The moving force behind the work of the ADA is a network of more than 526,000 volunteers, including our dedicated Board of Directors, a membership of more than 500,000 people with diabetes, their families, and caregivers, the hundreds of thousands of health care professionals we serve across the globe, over 2.7 million email subscribers, as well as nearly 250 staff members. Diabetes has brought us all together, what we do next makes us Connected for Life. Learn more about the American Diabetes Association at diabetes.org.
Form 990, Part III, Line 4	Other Program Services revenue reported in Line 4d 1,626,611 relates to the investment in real estate. This investment represents a 1998 donor bequest that restricted the Association from selling the property for 25 years. A portion of the property is leased to corporations and derives monthly income that is reported in investment income. 188,974 relates to rental income received from tenants of subleased office space.
Form 990, Part VI, Section A, Line 6, 7a	The American Diabetes Association has established the voting membership of the Association as the Voting Members. The Voting Members are comprised of all of the members of the Board of Directors and additional delegates. The Voting Members vote on the election of the organizations 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 BDO, 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 the relevant 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 Associations 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 executives total compensation, including but not limited to base salary, bonuses, perquisites, fringe benefits, and incentive and deferred compensation arrangements. Upon the executives 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 executives 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 1a1	The Chief Executive Officer of the Association is a non-voting member of the Board of Directors.
Form 990, Part VI, Section A, Line 4	The bylaws of the American Diabetes Association were revised in 2020. Changes to the bylaws include 1 Directors required to serve on at least one bylaws or standing committee, 2 Number of at-large directors reduced from six to five, 3 Board reduced to not more than 13 elected directors, 4 Board Development Committee and Executive Compensation Committee combined to form Talent, Composition Board Development Committee, 5 Audit Committee changed to Audit Governance Committee, and 6 Three new standing committees formed - Advocacy Committee, Fundraising Committee and Council for Medicine, Education, Science and Healthcare.
Form 990, Part VI, Section A, Line 9	Employment term for Robert Gabbay, Chief Scientific and Medical Officer, started on July 1, 2020. Employment term for Eloise Scavella, Chief Operating and Strategy Officer, ended on October 30, 2020.Employment term for John Agos, Chief Strategic Development Officer, ended on July 1, 2020. Employment term for Charles Henderson, Chief Development Officer, started on January 6, 2020. Employment term for Jacqueline Sebany, Chief Marketing and Digital Officer, started on January 21, 2020.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
American Diabetes Association Research Foundation Inc
2451 Crystal Drive Ste 900	Arlington	VA	22202	541734511	See Part VII	VA	501 c 3	7	Association	Yes (true)
American Diabetes Association Property Title Holding Corporation
2451 Crystal Drive Ste 900	Arlington	VA	22202	541948004	See Part VII	VA	501 c 2	N/A	Association	Yes (true)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
American Diabetes Association Research Foundation Inc
b	$7,307,220	Cash
American Diabetes Association Research Foundation Inc
l,n,o	$517,290	Fair Value
American Diabetes Association Property Title Holding Corporation
s	$1,626,611	Cash

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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.