Organization Membership

Organization Member Application Form

  • Membership Terms and Conditions

    All beds, units, services must be included in membership. IHCA, ICAL, ICHC bylaws state “it shall be expected that any member who owns and operates more than one of the above services shall have 100% of those facilities/services in membership of the IHCA, ICAL, and ICHC.”
  • Payment Information

    Organization members will receive an invoice for their membership dues. A member may voluntarily withdraw from membership in the association with 30-day written notice to the IHCA Vice President, Accounting & Member Services. Upon voluntary termination, dues shall not be refunded. Termination does not reduce or forgive any debt owed at the time of termination.
  • Organization Contact Name
  • Address
  • Billing Address (if different from above)
  • Billing Preference
  • Ownership Type:
  • Does any owner have financial interest in any other health care facilities/agencies in Iowa?
  • Facility Type

    For each applicable facility type, please enter the number of beds/apartments.