Online Membership Application

Interested in becoming a member of PACAH? Complete the form below to get started.
Please select from only one of the four membership options.

FULL-VOTING MEMBERSHIP

Long-term skilled nursing facilities located within the Commonwealth of PA that are approved or licensed by the Commonwealth of PA.

Annual Dues Calculation

$4,184.38 (base rate) + _____ (number of beds X $7.40) + $2,000.00 (Legal Add-On) = TOTAL

Example - A 100-bed facility would pay $6,924.38 ($4,184.38 + $740 + $2,000)

Select this Membership Option

Number of Beds

Facility Type Private Non-Profit County-Owned State

ASSOCIATE BUSINESS MEMBERSHIP

Nursing facility management companies or other professional businesses interested in long-term care facility operations

Select your membership category Basic - $897.754/year Plus - $1,350.00/year Premium - $2025.00/year

EDUCATIONAL MEMBERSHIP Select - $105.00/year

Personal care or assisted living entities licensed by the Commonweath of PA

PERSONAL MEMBERSHIP Select - $71.00/year

Individuals not employed by an organization which is part of the long-term care continuum. Candidates include retired NHAs and students.

Facility/Organization/Individual Name

First Name

Last Name

Job Title

City

State

Zip Code

Street Address

Phone Number

reCAPTCHA

Pennsylvania Coalition of Affiliated Healthcare & Living Communities
PO Box 60769
Harrisburg, PA 17106

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