​Celebrating its momentous 75th anniversary, the American Health Care Association and the National Center for Assisted Living (AHCA/NCAL), is the largest association in the United States representing long term and post-acute care providers, with a robust membership of more than 14,000 facilities. Membership is comprised of a diverse array of non-profit and proprietary skilled nursing centers, assisted living communities, sub-acute centers, and homes for individuals with intellectual and developmental disabilities.

AHCA/NCAL's origins can be traced to an inaugural gathering of nursing home administrators in Indiana in 1945. This pivotal meeting resulted in the first state association, which spurred the formation of additional state associations in Ohio, Iowa, Tennessee, Nebraska, Michigan, and Missouri over the subsequent four years. In 1949, a conference convened in Toledo, Indiana, drew 185 attendees from 15 states, and sparked discussion about a national association. On September 15, 1949, the first constitution of the American Association of Nursing Homes (now AHCA/NCAL) was adopted. One year later, the first annual convention was held in Omaha, Nebraska, representing the first significant milestone in AHCA/NCAL’s mission to serve the long term and post-acute care communities. 

For 75 years, AHCA/NCAL has remained unwavering in its dedication to providing quality care solutions for people who are frail, elderly, or living with disabilities and receiving care from our member facilities.

​AHCA/NCAL's Mission: Improving Lives by Delivering Solutions for Quality Care

AHCA/NCAL represents the long term care community to the nation at large – to government, business leaders, and the general public. We serve as a force for change, providing information, education, and administrative tools that enhance quality at every level.
As part of our extensive portfolio of member services, AHCA/NCAL maintains legislative, regulatory and public affairs. Our dedicated staff work both internally and externally to assist member providers, the government, and the general public.
AHCA/NCAL, its affiliates, and member providers advocate for individuals who – because of social needs, disability, trauma or illness – require services provided in a long term care setting. We continue to advocate for the continuing vitality of the long term care provider community.
AHCA/NCAL is committed to developing necessary and reasonable public policies which balance economic and regulatory principles to support quality care and quality of life.




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