The American Health Care Association (AHCA) and the National Center For Assisted Living (NCAL) are committed to quality and performance excellence in the long term care profession and actively support Quality First, a covenant for healthy, affordable, and ethical long term care, and adherence to its principles and goals. Nationwide, AHCA and NCAL represent more than 10,000 non-profit and for-profit facilities that are dedicated to professional and compassionate care to more than one million elderly and disabled individuals daily in nursing facilities, assisted living residences, subacute centers and homes for persons with mental retardation and developmental disabilities.