2022-11-14T12:48:41-06:00 2021-12-31 FORVIS LLP 211 N BROADWAY SUITE 600 ST LOUIS MO 631022733 990 2021-01-01 823930070 HEALTH CARE ALLIANCE FOR PATIENT SAFETY INC % RYAN P HAYES HEAL 7708802171 1505 PRINCE STREET SUITE 300 ALEXANDRIA VA 22314 RYAN P HAYES CFO 7708802171 2022-05-15 true Ryan Hayes 999009999 Donna J Larson P00043751 3142315544 2 2021 2022-09-23 18:48:47Z DAVID COCKRELL OD 1505 PRINCE ST ALEXANDRIA VA 22314 1225000 false X WWW.PATIENTSAFETYTODAY.COM X 2018 DE THE HEALTH CARE ALLIANCE FOR PATIENT SAFETY ADVOCATES FOR PATIENT SAFETY AND TO PROTECT AND DEFEND THE DOCTOR-PATIENT RELATIONSHIP. 12 12 0 14 0 0 0 1085416 1225000 0 0 0 0 1085416 1225000 0 0 0 0 188854 156337 0 0 0 773327 773622 962181 929959 123235 295041 328395 674865 19827 71256 308568 603609 TO BUILD HEIGHTENED AWARENESS TO LEGISLATORS AND REGULATORS OF PRESSING THREATS TO PATIENT HEALTH AND SAFETY, AND TO ADVOCATE FOR LAWS, REGULATIONS, INCREASED ENFORCEMENT AND OTHER PUBLIC POLICY SOLUTIONS DESIGNED TO SAFEGUARD PUBLIC HEALTH. false false PROVIDE SUPPORT AND ADVOCATE FOR THE DOCTOR-PATIENT RELATIONSHIP, THE SAFEST AND HEALTHIEST MOST EFFECTIVE USE OF MEDICAL DEVICES WHILE PROMOTING THE ADVANCEMENTS IN TECHNOLOGY, THE INVIOLABILITY OF A PATIENT'S PRESCRIPTION AND THE STRENGTHENING OF PATIENT HEALTH AND SAFETY LAWS AND THE EDUCATION OF POLICYMAKERS, THE MEDIA AND THE PUBLIC TO ENSURE THE DELIVERY OF QUALITY CARE AND HEALTHY OUTCOMES. false false false true false false false false false false false false false false false false true false false false false false false false false false false false true false false false false false false false false false false false true false false true 5 0 true 0 false false false false false false false false X 12 12 false true false false true true false true true false false true true true true true true false false false X RYAN P HAYES 8003652219 243 N LINDBERGH BLVD ST LOUIS MO 63141 X ALISON TEITELBAUM EXECUTIVE DIRECTOR 40.0 0.0 X 0 169894 9341 EMILY DALGO IMMEDIATE PAST EXECUTIVE DIREC 40.0 0.0 X 0 54557 6470 TERRI GOSSARD OD TRUSTEE 2.0 9.15 X 0 32500 0 TERI GEIST OD TRUSTEE 2.0 10.54 X 0 30810 0 JACQUELINE BOWEN OD TRUSTEE 2.0 7.77 X 0 27787 0 DAVID COCKRELL OD CHAIR 5.0 0.0 X X 0 0 0 BEN CASELLA OD TRUSTEE 2.0 0.0 X 0 0 0 MARRIE READ OD TRUSTEE 2.0 0.0 X 0 0 0 MICHELE ANDREWS OD TRUSTEE 2.0 0.0 X 0 0 0 MILLICENT KNIGHT OD TRUSTEE 2.0 0.0 X 0 0 0 CARL SPEAR OD TRUSTEE 2.0 0.0 X 0 0 0 RICK WEISBARTH OD TRUSTEE 2.0 0.0 X 0 0 0 CAROL ALEXANDER OD TRUSTEE 2.0 0.0 X 0 0 0 LEIF BRIERLEY TRUSTEE 2.0 0.0 X 0 0 0 0 315548 15811 0 false true false CORNERSTONE GOVERNMENT AFFAIRS 800 MAINE AVE SW 7TH FLOOR WASHINGTON DC 20024 CONSULTING SERVICES 450000 BEEKEEPER GROUP LLC 1101 14TH ST NW WASHINGTON DC 20005 CONSULTING SERVICES 105146 2 0 MEMBERSHIP DUES 561499 1225000 1225000 1225000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1225000 1225000 0 0 0 0 146351 0 0 0 0 9986 30000 0 4885 568333 0 0 103757 1389 0 0 0 7200 3125 0 46930 0 0 0 6439 BANK & CREDIT CARD FEES 1539 0 0 0 BUSINESS TAXES, LICENSES & FEE 25 0 0 0 929959 0 0 0 303930 448235 0 0 0 0 22916 225000 0 0 0 0 0 0 0 0 1549 1630 0 0 0 0 0 0 0 0 0 0 0 0 328395 674865 19827 71256 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19827 71256 X 308568 603609 0 0 308568 603609 328395 674865 295041 X false true X true false false false true 1225000 772583 -24820 747763 796250 -48487 1225000 1225000 1225000 929959 929959 929959 SCHEDULE D, PART X, LINE 2 UNCERTAIN TAX POSITIONS MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. false false false ALISON TEITELBAUM EXECUTIVE DIRECTOR 0 168845 0 1000 0 49 0 9341 0 0 0 179235 0 0 SCHEDULE J, PART 1, LINE 3 THE EXECUTIVE DIRECTOR'S COMPENSATION IS DETERMINED BY AMERICAN OPTOMETRIC ASSOCIATION, A RELATED ORGANIZATION. AMERICAN OPTOMETRIC ASSOCIATION USES THE FOLLOWING TO DETERMINE THE EXECUTIVE DIRECTOR'S COMPENSATION: 1. COMPENSATION COMMITTEE, 2. INDEPENDENT COMPENSATION CONSULTANT, 3. COMPENSATION SURVEY OR STUDY, 4. APPROVAL BY BOARD OR COMPENSATION COMMITTEE FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION HAS A CONTRACT WITH A MANAGEMENT COMPANY TO PROVIDE ALL DAY-TO-DAY MANAGEMENT SERVICES. THE MANAGEMENT COMPANY HAS WHISTLEBLOWER AND DOCUMENT RETENTION POLICIES APPLICABLE TO ITS EMPLOYEES AND OPERATIONS. FORM 990, PART VI, SECTION A, LINE 6 THERE ARE THREE CLASSES OF MEMBERS: EXECUTIVE COUNCIL MEMBERS, ASSOCIATE MEMBERS AND BASIC MEMBERS. EXECUTIVE COUNCIL INCLUDES TWO APPOINTMENTS TO EXECUTIVE COUNCIL AS CO-CHAIRS AND ONE APPOINTMENT TO THE POLICY CMTE. ASSOCIATE MEMBERS INCLUDE ONE APPOINTMENT TO EXECUTIVE COUNCIL. BASIC MEMBERS INCLUDE NO APPOINTMENTS. EACH CLASS INCLUDES SPECIFIC RECOGNITIONS, PARTICIPATION IN EVENTS, AND BRIEFINGS, THE NUMBER OF WHICH IS DETERMINED BY THE MEMBER CLASS. FORM 990, PART VI, SECTION A, LINE 7A THE EXECUTIVE COUNCIL MEMBERS INCLUDES TWO APPOINTMENTS TO EXECUTIVE COUNCIL AS CO-CHAIRS AND ONE APPOINTMENT TO THE POLICY CMTE. ASSOCIATE MEMBERS INCLUDE ONE APPOINTMENT TO EXECUTIVE COUNCIL. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY AN EXTERNAL ACCOUNTING FIRM. THE PREPARED FORM IS THEN REVIEWED BY THE EXECUTIVE DIRECTOR AND THE BOARD OF DIRECTORS PRIOR TO FINAL SUBMISSION TO THE IRS. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY EACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER OF COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS MUST SIGN A CONFLICT OF INTEREST STATEMENT AFFIRMING RECEIPT AND COMPLIANCE WITH POLICY. PERIODIC REVIEWS ARE DONE TO ENSURE THE ALLIANCE IS CONDUCTING ACTIVITIES CONSISTENT WITH ITS PURPOSE AND TAX-EXEMPT STATUS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION UTILIZES AN EXTERNAL CONSULTANT TO PROVIDE A MARKET-BASED COMPENSATION RANGE FOR EVERY POSITION WITHIN THE ORGANIZATION AT LEAST ANNUALLY. THESE RANGES ARE REVIEWED BY THE EXECUTIVE DIRECTOR OF THE MANAGEMENT COMPANY TO DETERMINE ANY IRREGULARITIES IN ACCORDANCE WITH THE ORGANIZATION'S COMPENSATION POLICY. THIS LAST OCCURRED IN NOVEMBER 2018. FORM 990 PART IX LINE 11G DESCRIPTION:OTHER CONSULTING SERVICES TOTAL FEES:103757 AMERICAN OPTOMETRIC ASSOCIATION 243 N LINDBERGH BLVD ST LOUIS MO 63141 430684708 MEMBERSHIP MO 501(C)(6) NA false OPTOMETRY CARES-THE AOA FOUNDATION 243 N LINDBERGH BLVD ST LOUIS MO 63141 237292391 CHARITY MO 501(C)(3) 10 AOA false AOA EXCEL INC 243 N LINDBERGH BLVD ST LOUIS MO 63141 455262310 MEMBERSHIP SRVCES MO AOA C CORP false false false false false false false false false false false true false false false true true false false false AMERICAN OPTOMETRIC ASSOCIATION P 158743 FMV