For many years, the "Superintendents," as most of the executive officers were referred to at the time, met to share problems about their homes and solicit helpful solutions from their counterparts around the nation. They eventually agreed to form a national association of Masonic-related organizations which would meet periodically to exchange views and be of assistance to one another.
They formed the Masonic Homes Executives Association and their first official meeting was in 1931 in Nashville, TN. Meetings have continued annually with the exception of two years during World War II(1943 & 1945). Over time, the scope of the meetings changed from one of largely fraternal fellowship to a focus on education, which included continuing education credits to help meet the administrator's expanding licensing requirements.