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      <ContractorCompensationGrp>
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      <ContractorCompensationGrp>
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          <BusinessName>
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        <ExplanationTxt>During this period, approximately 125 hours of paid staff time was spent writing and reviewing letters in support of or in opposition of legislation and/or endorsing other organizations' requests for support of legislation. Houses of Congress and federal agencies contacted include the House, Senate and Department of Health &amp; Human Services. Specific issues in which AACN engaged in lobbying activities that consisted of Capitol Hill visits, sending letters to members of Congress and federal agencies include: (1) July, 2024: AACN signed on to a Nursing Community Coalition letter to the Senate Appropriations Committee reiterating support for at least $530 million for the Title VIII Nursing Workforce Development Programs and at least $210 million for the National Institute of Nursing Research (NINR) in FY 2025. (2) August, 2024: AACN signed on to a statement from the American Association of Nurse Practitioners (AANP) crafted to correct inaccuracies in an article published by Bloomberg News. (3) August, 2024: AACN signed on to a Nursing Community Coalition letter to the Associate Commissioner for Policy/Office of Policy urging the Food and Drug Administration to ensure that nurses are among those represented within federal advisory committees, taskforces, and councils. (4) September, 2024: AACN signed on to a letter initiated by the American Nurses Association (ANA) urging the Secretary of Homeland Security to promptly add nursing as a STEM degree to the STEM Designated Degree Program List. (5) September, 2024: AACN signed on to a Nursing Community Coalition letter to Congressional Leadership, as well as to House and Senate Appropriations Committees, requesting at least $310.472 million for Title VIII Nursing Workforce Development Programs and at least $197.693 million for the National Institute of Nursing Research (NINR) in Fiscal Year 25. (6) September, 2024: AACN signed on a Nursing Community Coalition letter to the House of Representatives urging them to consider and pass H.R. 618, the Improving Access to Workers' Compensation for Injured Federal Workers Act. (7) October, 2024: AACN signed on to a letter initiated by the Society of Critical Care Medicine (SCCM) expressing to the Commissioner of the Food and Drug Administration their deep concern regarding the potential for significant supply chain disruptions resulting from the damage inflicted by Hurricane Helene on Baxter's North Cove manufacturing site in North Carolina. (8) November, 2024: AACN signed on to a Nursing Community Coalition letter to Congressional Leadership, as well as to House and Senate Appropriations Committees, requesting at least $310.472 million for Title VIII Nursing Workforce Development Programs and at least $197.693 million for the National Institute of Nursing Research (NINR) in Fiscal Year 25. (9) November, 2024: AACN signed on to a Nursing Community Coalition letter to Congressional Leadership urging Congress to co-sponsor and pass shared legislative priorities impacting nursing education, workforce, and research before the end of the 118th Congress. (10) February, 2025: AACN signed on to a letter, along with other health care organizations, directed to Congressional leadership thanking them for their ongoing efforts to advance access to health care through telehealth and to request their leadership in ensuring Americans are able to access the same telehealth that they were able to utilize in 2024. (11) February, 2025: AACN signed on to a Nursing Community Coalition letter to Congressional leadership as well as House and Senate Appropriations Committees requesting at least $310.472 million for Title VIII Nursing Workforce Development Programs and at least $197.693 million for the National Institute of Nursing Research (NINR) in fiscal year 2025. (12) February, 2025: AACN signed on to a Nursing Community Coalition letter thanking Senator Mark Kelly (D-AZ) and Representative Jen Kiggans (R-VA-02) for introducing the bipartisan and bicameral Providing Real-World Education and Clinical Experience by Precepting Tomorrow's (PRECEPT) Nurses Act (H.R. 392/S. 131). (13) March, 2025: AACN signed on to a letter, along with other health care organizations, directed to the House Committee on Ways and Means and Senate Finance Committee members expressing support for The Improving Care and Access to Nurses (ICAN) Act. (14) March, 2025: AACN signed on to a letter initiated by the American Colleges of Emergency Physicians (ACEP) to Congressional Leadership urging them to swiftly consider and pass the bipartisan Dr. Lorna Breen Health Care Provider Protection Reauthorization Act (H.R. 715/S. 3679). (15) March, 2025: AACN signed on to a Nursing Community Coalition letter to House and Senate Appropriations Subcommittees on Labor, Health and Human Services, Education, and Related Agencies requesting at least $530 million for Title VIII Nursing Workforce Development Programs and at least $210 million for the National Institute of Nursing Research (NINR). The letter also reiterates the need to retain the NINR as an independent institute. (16) April, 2025: AACN signed on to a nomination letter from the American Association of Colleges of Nursing nominating Dr. Robert Dorman to the Advisory Committee on Childhood Vaccines. (17) April, 2025: AACN signed on to a letter initiated by the American Nurses Association (ANA) to Congressional Leadership articulating the importance of Medicaid to patients and nurses and asking Congress to consider this when making cuts to the Fiscal Year 2026 budget. (18) April, 2025: AACN signed on to the Nursing Community Coalition's written testimony submitted to the House Appropriations Subcommittee on Labor, Health and Human Services, and Education. The testimony featured the coalition's funding requests of at least $530 million for the Title VIII Nursing Workforce Development Programs and at least $210 million for the National Institute of Nursing Research for Fiscal Year 2026. (19) April, 2025: AACN signed on to a Nursing Community Coalition letter to Congressional representatives thanking them for introducing the bipartisan Ensuring Veterans Timely Access to Anesthesia Care Act (H.R. 2234). (20) May, 2025: AACN signed on to a Nursing Community Coalition letter to Congressional representatives urging them to take action on top appropriations and legislative priorities that impact nursing education, workforce, and research. (21) May, 2025: AACN signed on to a Nursing Community Coalition letter to the House and Senate Nursing Caucuses, along with 16 bipartisan members of the House and Senate, thanking them for introducing S. Res. 206 and H. Res. 389 - a resolution supporting the goals and ideals of National Nurses Week. (22) June, 2025: AACN signed on to an American Association of Nurse Practitioner's statement expressing concern over the dismissal of the Advisory Committee on Immunization Practices (ACIP) representatives. (23) June, 2025: AACN signed on to the Nursing Community Coalition's written testimony submitted to the House Appropriations Subcommittee on Labor, Health and Human Services, and Education. The testimony featured the coalition's funding requests of at least $530 million for the Title VIII Nursing Workforce Development Programs and at least $210 million for the National Institute of Nursing Research for Fiscal Year 2026. (24) June, 2025: AACN signed on a Nursing Community Coalition letter thanking Representatives Courtney and Baldwin for introducing the Workplace Violence Prevention for Health Care and Social Service Workers Act. (25) June, 2025: AACN signed on to a Nursing Community Coalition letter thanking members of Congress for introducing the Nurse Corps Tax Parity Act of 2025. (26) June, 2025: AACN signed on to a Nursing Community Coalition letter thanking Representatives Walberg and Courtney for introducing the Improving Access to Workers' Compensation for Injured Federal Workers Act as well as urging its passage through Congress. AACN members and chapters at times may, of their own accord, seek input from AACN staff about specific federal, state or local legislation. AACN staff direct them to contact the appropriate governmental entity for information about the legislation. AACN does not support or oppose any candidate for elective office, nor does it participate in any political campaign on behalf of any client for elective office. AACN members are advised to participate in political campaign activity as individuals on their own time and not as representatives of AACN or its local chapters.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule D, Part X, Line 2</FormAndLineReferenceDesc>
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        <FormAndLineReferenceDesc>Schedule D, Part XI, Line 4b</FormAndLineReferenceDesc>
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        <FormAndLineReferenceDesc>Schedule D, Part XII, Line 2d</FormAndLineReferenceDesc>
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        <FormAndLineReferenceDesc>Schedule D, Part XII, Line 4b</FormAndLineReferenceDesc>
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        <PersonNm>Michael Wulf</PersonNm>
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        <PersonNm>Devin Ibrahimi</PersonNm>
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        <FormAndLineReferenceDesc>Schedule J, Part I, Line 1a</FormAndLineReferenceDesc>
        <ExplanationTxt>The volunteer President and President-elect receive a travel and clothing allowance to defray the personal cost for speaking engagements on behalf of the Association. The allowance is for purchases up to $6,000 and is grossed up 50% to ensure the volunteer is not impacted financially by the clothing compensation.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>The process of reviewing and setting CEO compensation is the responsibility of the AACN CEO Compensation and Evaluation Committee. This committee is comprised of the President and President-elect, with the Immediate Past President serving as an ad-hoc member (note that all of these are volunteer, non-compensated positions). The current Treasurer and Secretary of the Board join and serve on the committee whenever decisions related to CEO compensation are required (these too are volunteer, non-compensated positions). The Committee performs an annual performance evaluation and a review of comparable compensation data. The Human Resources leader provides consultation to the committee related to CEO compensation benchmarking surveys. An independent consulting firm was engaged to review and opine on the CEO compensation. The last CEO compensation review and adjustment occurred in January 2025. The CEO is accountable for compensation levels for all other positions. Each team member receives an annual review and compensation adjustment at the beginning of the calendar year. Salary adjustments are aligned with the annual budget and are allocated based on benchmark salary data and the performance evaluation of each team member. The last salary adjustment occurred in January, 2025.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>American Association of Critical-Care Nurses (AACN) is a membership organization with over 134,300 members throughout the country. The AACN bylaws state that "any person who is interested in any aspect of critical-care nursing and who subscribes to the mission of AACN, agrees to abide by its charter and Bylaws, and meets such other criteria for membership as may be established by these Bylaws or by the Board of Directors, shall be eligible for membership."</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 7a</FormAndLineReferenceDesc>
        <ExplanationTxt>Nominations to the AACN Board of Directors are accepted from the full membership. Nominated candidates are vetted by the AACN Nominating Committee (comprised of appointed and elected members) who determines the slate of candidates for the ballot. The ballot is presented to the full membership for an online election. We must have a minimum 3% of the eligible voters cast a ballot for the election to close. There is no approval by the Board as the AACN directors are elected by the membership. The number of open positions varies each year as the 3-year terms are staggered to ensure continuity on the Board.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 7b</FormAndLineReferenceDesc>
        <ExplanationTxt>The Bylaws of the Association may be amended by a majority of the Active, International, Emeritus and Lifetime members. In addition, the Association may merge with other national, state, or local organizations only upon a majority approval by the total eligible voting membership.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>The completed form 990 and related schedules were disseminated to the Audit Committee for review in advance of a conference call for the purpose to review and approve the return. All Audit Committee members, along with the Chief Financial Officer and/or Controller, were on the conference call and all questions or concerns raised by the committee members were resolved to ensure unanimous approval of the return. The Audit Committee then reports any findings to the full Board of Directors and the completed return is disseminated to all members of the Board.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>The Conflict of Interest Policy is reviewed annually at the Fall Board meeting as this is the orientation meeting for newly elected Directors. Each Director is required annually to complete a Conflicts of Interest Statement that lists any potential conflicts. The procedure flow includes the following steps: 1. The first step in understanding and managing potential conflicts is for the Board to annually review the Conflict of Interest Policy and for each board member to complete a conflict of interest statement declaring any real or potential conflicts. It is recommended that any declared conflicts be shared with the full board so there is transparency and shared understanding. The board can then discuss any issues or concerns. 2. Secondly, each board member has an ongoing accountability to declare potential conflicts that may emerge during the course of the year for the board's review. Board members are also responsible for inquiring with one another if they think another board member may have a conflict that has yet to be recognized. Board members are requested to contact the board leadership to begin these conversations. 3. During board discussions (face-to-face, conference call and e-mail) an opportunity is provided for potential conflicts to be surfaced and discussed. To facilitate this work, a standard question is included at the time the meeting agenda is approved to ask if any board members have identified a potential conflict related to anything on the agenda that should be discussed. A similar question can be included for any business being managed via email. 4. If a conflict is surfaced, the board has several options as to how to manage the conflict including but not limited to the following: (1) Restrict the board member's access to information such as board meeting materials on the relevant topic (e.g. PE candidates do not receive the documents used by the board for the PE evaluation and selection) (2) Exclude the board member from a committee or work group dealing with a specific topic (3) Withdraw from discussing or voting on a particular item of business at the board meeting; (4) Have certain tasks or duties reassigned to another person (e.g. PE candidates who serve as Board Learning Partners are excused from those duties as it relates to the PE selection process and meeting; instead another board member is assigned as a resource to the new board member); (5) Relinquish the interest that creates the conflict (e.g. resign a position on a committee for another nursing organization if the work competes with the work of AACN or the AACN Certification Corporation). In addition, all employees agree to Conflict of Interest and Work Ethics statements contained in the Employee Handbook.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>The process of reviewing and setting CEO compensation is the responsibility of the AACN CEO Compensation and Evaluation Committee. This committee is comprised of the President and President-elect, with the Immediate Past President serving as an ad-hoc member (note that all of these are volunteer, non-compensated positions). The current Treasurer and Secretary of the Board join and serve on the committee whenever decisions related to CEO compensation are required (these too are volunteer, non-compensated positions). The Committee performs an annual performance evaluation and a review of comparable compensation data. The Human Resources leader provides consultation to the committee related to CEO compensation benchmarking surveys. An independent consulting firm was engaged to review and opine on the CEO compensation. The last CEO compensation review and adjustment occurred in January 2025. The CEO is accountable for compensation levels for all other positions. Each team member receives an annual review and compensation adjustment at the beginning of the calendar year. Salary adjustments are aligned with the annual budget and are allocated based on benchmark salary data and the performance evaluation of each team member. The last salary adjustment occurred in January, 2025.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>AACN does not make governing documents or conflict of interest policies available to the public. The financial statements of the organization are published to the membership within 120 days of the end of the fiscal year. The audited financial statements are posted on the AACN website and are available to the public upon request. The AACN 990 tax return is made available upon request.</ExplanationTxt>
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