2018-11-02T09:57:10-05:00 2017-12-31 410746749 CLIFTONLARSONALLEN LLP 1301 W 22ND ST STE 1100 OAK BROOK IL 60523 990 2017-01-01 362181944 AMERICAN SOCIETY OF ANESTHESIOLOGISTS AMER 8478255586 1061 AMERICAN LANE SCHAUMBURG IL 601734973 PAUL POMERANTZ CEO 8478255586 2018-10-29 1 MICHAEL STEPHENS P01302903 6305738600 2018-10-24 67.137.57.251 2018-10-29 11:42:29 CD P 8A62A67B0CF66BC4F922050F57FA14743E0C529F AEEFB092F20D0663DDFFCB72F896404226BA8DAE 2017 2019-02-21 02:37:17Z PAUL POMERANTZ 1061 AMERICAN LANE SCHAUMBURG IL 601734973 53922301 0 X WWW.ASAHQ.ORG X 1936 NY ADVANCING THE PRACTICE AND SECURING THE FUTURE OF ANESTHESIOLOGY THROUGH MEDICAL EDUCATION, CREATION AND DISSEMINATION OF NEW KNOWLEDGE, IMPROVEMENT OF PATIENT CARE, AND LEGISLATIVE AND REGULATORY ADVOCACY. 65 62 190 1576 882627 0 36545 51147 44809520 47890566 -2755378 2240317 3041058 3165059 45131745 53347089 5198255 5212827 0 0 20830162 21288486 0 0 0 27943760 25138766 53972177 51640079 -8840432 1707010 122370781 132753546 51514721 51389085 70856060 81364461 X ADVANCING THE PRACTICE AND SECURING THE FUTURE OF ANESTHESIOLOGY THROUGH MEDICAL EDUCATION, CREATION AND DISSEMINATION OF NEW KNOWLEDGE, IMPROVEMENT OF PATIENT CARE, AND LEGISLATIVE AND REGULATORY ADVOCACY. 0 0 MEMBERSHIP - MEMBERS OF ASA INCLUDE MD/DOS WHO ARE LICENSED PHYSICIANS AND HAVE COMPLETED A TRAINING PROGRAM IN ANESTHESIOLOGY, AS WELL AS MEDICAL STUDENTS INTERESTED IN ANESTHESIOLOGY AND RESIDENTS ENROLLED IN AN ANESTHESIOLOGY TRAINING PROGRAM. ANESTHESIOLOGISTS PRACTICING OUTSIDE THE US AND SCIENTISTS INVOLVED IN ANESTHESIA RESEARCH MAY BECOME AFFILIATE MEMBERS. EDUCATIONAL MEMBERS INCLUDE NURSE ANESTHETISTS AND ANESTHESIOLOGIST ASSISTANTS. THE SOCIETY HAS 53,363 MEMBERS. THE SOCIETY MANAGES INDIVIDUAL AND GROUP DUES INVOICING AND PROCESSING FOR ASA MEMBERS. THE SOCIETY MAINTAINS A COMPREHENSIVE MEMBER AND CUSTOMER DATABASE TRACKING ALL SALES AND TRANSACTIONS WITH THE SOCIETY. PUBLICATIONS - ASA PRODUCES STATEMENTS, GUIDELINES, AND STANDARDS WHICH FOCUS ON WAYS OF IMPROVING THE PRACTICE OF ANESTHESIOLOGY. ADDITIONAL PUBLICATIONS PROVIDE INFORMATION ON THE VARIOUS ASPECTS OF ANESTHETIC CARE FOR BOTH MEDICAL PERSONNEL AND THE LAY PUBLIC. A DISTINGUISHED SCIENTIFIC JOURNAL, "ANESTHESIOLOGY", IS PUBLISHED MONTHLY, AS IS THE OFFICIAL NEWSLETTER, "MONITOR", WHICH PROVIDES GENERAL INFORMATION AND NEWS ON CURRENT ISSUES AFFECTING ANESTHESIOLOGY. CONTINUING EDUCATION - ASA SPONSORS CONTINUING MEDICAL EDUCATION VIA ONLINE COURSES, TANGIBLE PRODUCTS, AND LIVE MEETINGS THAT ARE DESIGNED TO ADVANCE PHYSICIAN ANESTHESIOLOGISTS' CURRENT KNOWLEDGE AND BUILD SKILLS ON NEWEST CLINICAL DEVELOPMENTS, TECHNOLOGY ADVANCEMENTS, AND RESEARCH. SELF STUDY COURSES INCLUDE TWO BASED ON A QUESTION AND ANSWER FORMAT: ANESTHESIOLOGY CONTINUING EDUCATION (ACE), AND THE SELF-EDUCATION AND EVALUATION (SEE), THAT ARE USED TO ASSESS PROFESSIONAL KNOWLEDGE AND PREPARE FOR MAINTENANCE OF CERTIFICATION AND LICENSURE. OTHER SELF-STUDY COURSES INCLUDE A JOURNAL CME PROGRAM USING ARTICLES FROM "ANESTHESIOLOGY, REFRESHER COURSES IN ANESTHESIOLOGY" AN EXPANSION OF ANNUAL MEETING COURSES, PATIENT SAEFETY, ETHICS, AND A VARIETY OF E-LEARNING PROGRAMS ON CLINICAL TOPICS. ASA IN-PERSON EDUCATION PROGRAMS INCLUDE AN ANNUAL MEETING, THE WORLD'S LARGEST EDUCATION PROGRAM FOR PHYSICIAN ANESTHESIOLOGISTS, OFFERING A VARIETY OF SESSIONS AND WORKSHOPS THAT COVER THE CURRENT TOPICS AND EMERGING SCIENCE. THE 2017 ANNUAL MEETING NUMBER OF ATTENDEES WAS AS FOLLOWS:MEMBERS 8,285NON-MEMBERS 1,730EXHIBITORS 2,450GUEST/SPOUSE 1,552FOR A TOTAL OF 14,017 ATTENDEESOTHER ANNUAL PROGRAMS INCLUDE CONFERENCE ON PRACTICE MANAGEMENT, ANESTHESIA QUALITY MEETING, LEGISLATIVE CONFERENCE, AND THE CERTIFICATE IN BUSINESS ADMINISTRATION. OFFICE OF GOVERNMENTAL AFFAIRS - ASA'S OFFICE OF GOVERNMENTAL AFFAIRS (OGA), LOCATED IN WASHINGTON D.C., MONITORS LEGISLATIVE AND REGULATORY ACTIVITIES AT THE STATE AND FEDERAL LEVEL; PARTICULARLY THOSE ISSUES THAT AFFECT THE PRACTICE OF ANESTHESIOLOGY AND THE DELIVERY OF QUALITY MEDICAL CARE IN THE UNITED STATES. 0 0 1 1 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 1 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 1 395 0 190 1 1 1 0 0 0 1 1 0 X 65 62 0 0 0 0 0 1 1 1 1 0 0 1 1 1 1 1 1 1 0 0 X LISA STEININGER 8472689220 1061 AMERICAN LANE SCHAUMBURG IL 601734973 JEFFREY PLAGENHOEF PRESIDENT/IMMEDIATE PAST PRESIDENT 40.00 X 187500 0 0 JAMES D GRANT PRESIDENT ELECT/PRESIDENT 40.00 X 0 0 0 DANIEL J COLE PAST PRESIDENT 0.00 X 0 750 0 LINDA MASON PRESIDENT ELECT 40.00 X 51563 0 0 BEVERLY K PHILIP VICE PRESIDENT OF SCIENTIC AFFAIRS 20.00 X 10206 168 0 STANLEY W STEAD VICE PRESIDENT OF PROFESSIONAL AFFAIRS 20.00 X 0 0 0 JOHN F DOMBROWSKI SECRETARY 5.00 X 1800 0 0 MARY DALE PETERSON FIRST VICE PRESIDENT 15.00 X 4000 0 0 KENNETH ELMASSIAN ASSISTANT SECRETARY 5.00 X 3600 0 0 MICHAEL CHAMPEAU TREASURER 6.00 X 2326 0 0 MICHAEL C GOSNEY DIRECTOR 1.00 X 1350 0 0 JENNIFER R DOLLAR DIRECTOR 0.00 X 0 0 0 STEVEN J SIVILS DIRECTOR 1.00 X 1350 0 0 CLINT G HUMPHERYS DIRECTOR 0.00 X 0 0 0 JEFF T MUELLER DIRECTOR 2.00 X 2500 0 0 BRIAN J CAMMARATA DIRECTOR 0.00 X 0 0 0 DANNY L WILKERSON DIRECTOR 1.00 X 1350 0 0 J GRADY CROSLAND DIRECTOR 0.00 X 0 0 0 LINDA B HERTZ BERG DIRECTOR 3.00 X 3754 0 0 JONATHAN PREGLER DIRECTOR 1.00 X 1930 0 0 RANDALL M CLARK DIRECTOR 0.00 X 0 0 0 DANIEL J JANIK DIRECTOR 0.00 X 0 0 0 KENNETH R STONE DIRECTOR 2.00 X 2604 0 0 JOHN SATTERFIELD DIRECTOR 0.00 X 0 0 0 CHRIS A KITTLE DIRECTOR 1.00 X 1350 0 0 TETSU UEJIMA DIRECTOR 3.00 X 3900 0 0 RAAFAT S HANNALLAH DIRECTOR 1.00 X 1850 0 0 YEWANDE JOHNSON DIRECTOR 0.00 X 0 0 0 DAVID VARLOTTA DIRECTOR 1.00 X 1350 0 0 JEFFREY S JACOBS DIRECTOR 0.00 X 0 0 0 HOWARD ODOM DIRECTOR 0.00 X 0 0 0 TIMOTHY N BEESON DIRECTOR 0.00 X 0 0 0 LILLIAN KANAI DIRECTOR 0.00 X 0 0 0 WILLIAM MONTGOMERY DIRECTOR 0.00 X 0 0 0 R SCOTT HERD DIRECTOR 0.00 X 0 0 0 BLAKE PEDERSON DIRECTOR 0.00 X 0 0 0 JOSEPH SZOKOL DIRECTOR 3.00 X 3455 0 0 ASOKUMAR BUVANENDRAN DIRECTOR 1.00 X 1750 0 0 GERARD T COSTELLO DIRECTOR 1.00 X 1600 0 0 ROBERT W BRANDT DIRECTOR 0.00 X 0 0 0 JOSEPH F CASSADY JR DIRECTOR 1.00 X 1350 0 0 PATRICK H ALLAIRE DIRECTOR 1.00 X 905 0 0 JAMES D KINDSCHER DIRECTOR 1.00 X 1800 0 0 JOHN D NACHTIGAL DIRECTOR 0.00 X 0 0 0 ANJAM BUX DIRECTOR 1.00 X 600 0 0 KEVIN HATTAN DIRECTOR 1.00 X 750 0 0 KRAIG S DE LANZAC DIRECTOR 1.00 X 1750 0 0 DAVID M BROUSSARD DIRECTOR 0.00 X 0 0 0 DANIEL J CAMPOS III DIRECTOR 1.00 X 1350 0 0 ALLEN J HAYMAN DIRECTOR 0.00 X 0 0 0 MURRAY A KALISH DIRECTOR 3.00 X 4450 0 0 ROBERT W THOMSEN DIRECTOR 0.00 X 0 0 0 DAVID L HEPNER DIRECTOR 1.00 X 600 0 0 SELINA A LONG DIRECTOR 1.00 X 1150 0 0 JOHN LAGORIO DIRECTOR 0.00 X 0 0 0 MICHAEL LEWIS DIRECTOR 0.00 X 0 0 0 DAVID MARTIN DIRECTOR 5.00 X 6100 0 0 CLAUDE D BRUNSON DIRECTOR 1.00 X 1350 0 0 CANDACE E KELLER DIRECTOR 2.00 X 3200 0 0 DONALD E ARNOLD ASSISTANT TREASURER 6.00 X 3775 0 0 JAMES B KELLY JR DIRECTOR 0.00 X 0 0 0 BRIAN E HARRINGTON DIRECTOR 1.00 X 1350 0 0 ANDREW SCHMITT DIRECTOR 0.00 X 0 0 0 ELIZABETH W LAU BABCOCK DIRECTOR 1.00 X 1350 0 0 MOHANAD SHUKRY DIRECTOR 0.00 X 0 0 0 BRETT WINTHROP DIRECTOR 1.00 X 600 0 0 NARIMAN RAHIMZADEH DIRECTOR 0.00 X 0 0 0 STEVEN J HATTAMER DIRECTOR 2.00 X 2699 0 0 SEAN E HUNT DIRECTOR 1.00 X 750 0 0 PATRICIA M BROWNE DIRECTOR 1.00 X 1350 0 0 PETER GOLDWEIG DIRECTOR 0.00 X 0 0 0 DAVID W SIEGEL DIRECTOR 1.00 X 1350 0 0 RUTH E BURSTROM DIRECTOR 0.00 X 0 0 0 SCOTT B GROUDINE DIRECTOR 3.00 X 4300 0 0 MICHAEL SIMON DIRECTOR 4.00 X 5805 0 0 ROBERT P RIEKER JR DIRECTOR 1.00 X 1350 0 0 VIJAY K GABA DIRECTOR 2.00 X 2012 0 0 ALAN P MARCO DIRECTOR 1.00 X 1350 0 0 JOSHUA L LUMBLEY DIRECTOR 2.00 X 2200 0 0 JAY D CUNNINGHAM DIRECTOR 1.00 X 1350 0 0 CHRISTOPHER D EMERSON DIRECTOR 0.00 X 0 0 0 MARK A GILBERT DIRECTOR 0.00 X 0 0 0 CHRISTOPHER E SWIDE DIRECTOR 0.00 X 0 0 0 ERIN A SULLIVAN DIRECTOR 2.00 X 2150 0 0 JOSEPH F ANSWINE DIRECTOR 0.00 X 0 0 0 RICHARDO D GALAN DIRECTOR 0.00 X 0 0 0 BRETT ARRON DIRECTOR 0.00 X 0 0 0 FRED ABRAHAM ROTENBERG DIRECTOR 0.00 X 0 0 0 JENNIFER ROOT DIRECTOR 1.00 X 800 0 0 LOC NGUYEN DIRECTOR 0.00 X 0 0 0 BRENT THURNESS DIRECTOR 0.00 X 0 0 0 JAMES M WEST DIRECTOR 1.00 X 1800 0 0 CHRISTOPHER E YOUNG DIRECTOR 0.00 X 0 0 0 SCOTT E KERCHEVILLE DIRECTOR 1.00 X 1849 0 0 CRYSTAL WRIGHT DIRECTOR 1.00 X 400 0 0 MICHAEL K CAHALAN DIRECTOR 1.00 X 600 0 0 RUSSELL S PETERSEN DIRECTOR 0.00 X 0 0 0 FRANCISCO GRINBERG DIRECTOR 1.00 X 1350 0 0 TIMOTHY DOMINICK DIRECTOR 0.00 X 0 0 0 MAXINE M LEE DIRECTOR 1.00 X 1350 0 0 EMIL ENGELS DIRECTOR 0.00 X 0 0 0 PETER DUNBAR DIRECTOR 1.00 X 1849 0 0 MARK F FLANERY DIRECTOR 0.00 X 0 0 0 ROBERT E JOHNSTONE DIRECTOR 1.00 X 1350 485 0 PAUL A SKAFF DIRECTOR 0.00 X 0 0 0 JAMES R MESROBIAN DIRECTOR 3.00 X 3459 0 0 LOIS A CONNOLLY DIRECTOR 1.00 X 499 0 0 MARY B WEBER DIRECTOR 0.00 X 0 0 0 JOHN LEROY MANSELL DIRECTOR 1.00 X 600 0 0 JEFFREY R KIRSCH DIRECTOR 1.00 X 1350 0 0 D HALE MCMICHAEL DIRECTOR 0.00 X 0 0 0 JOHN R ROTRUCK DIRECTOR 1.00 X 1350 0 0 GEOFFREY WILSON DIRECTOR 1.00 X 750 0 0 RONALD L HARTER SPEAKER 6.00 X 4250 0 0 PATRICK GIAM VICE SPEAKER 6.00 X 1800 0 0 EVAN KHARASCH DIRECTOR 0.00 X 0 0 0 DAVID WLODY DIRECTOR 2.00 X 2634 0 0 MARK WARNER DIRECTOR 2.00 X 1950 750 0 NEAL H COHEN DIRECTOR 6.00 X 8150 0 0 ESI DICKSON DIRECTOR 1.00 X 800 0 0 RAMANI PERUVEMBA DIRECTOR 0.00 X 0 0 0 JAMES HEBL DIRECTOR 0.00 X 0 0 0 STEVEN J SAMOYA DIRECTOR 0.00 X 0 0 0 CHAD GREENE DIRECTOR 2.00 X 2800 0 0 CALVIN GRUSS DIRECTOR 1.00 X 1000 0 0 SULPICIO SORIANO DIRECTOR 2.00 X 2434 0 0 MICHAEL C ROSENBERG DIRECTOR 0.00 X 0 0 0 PAUL POMERANTZ CEO 70.00 2.00 X X 656846 0 86204 JEREMY B LEWIN GENERAL COUNSEL 50.00 X X 452427 0 57875 THOMAS CONWAY CFO 40.00 X 373095 0 54908 BRIAN REILLY COO 50.00 X 315256 0 65465 MANUEL BONILLA CHIEF ADVOCACY OFFICER 50.00 X 323380 0 65762 CHRISTOPHER WEHKING CHIEF PROGRAM OFFICER 50.00 X 269966 0 63975 THOMAS RAY MILLER ANALYSTICS & RESEARCH SVCS DIRECTOR 50.00 X 271442 0 50188 NORA B MATUS CONGRESSIONAL & POLITICAL AFFAIRS DIRECTOR 50.00 X 232965 0 32691 ROSEANNE FISCHOFF ECON & PRACTICE INNOVATION EXECUTIVE 50.00 X 219544 0 26550 SHARON MERRICK PAYMENT & PRACTICE MANAGEMENT DIRECTOR 50.00 X 194265 0 32944 JASON C HANSEN STATE AFFAIRS DIRECTOR 50.00 X 182924 0 45188 3887468 2153 581750 40 0 1 0 NUMERATE PARTNERS LLC 125 S WACKER DR STE 1150 CHICAGO IL 60606 TEMP STAFFING 443113 LEVY RESTAURANTS 980 MICHIGAN AVENUE CHICAGO IL 60611 ANNUAL MEETING FOOD SERVICE 374302 RIGHTPOINT 29 N WACKER 4TH FLOOR CHICAGO IL 60606 IT CONSULTING 295827 MCDERMOTT WILL EMERY 227 W MONROE CHICAGO IL 60606 CONSULTING 275250 RICHARD T CONNIS PHD 18204 NE 159TH ST WOODINVILLE WA 98072 CONSULTING 242653 11 51147 51147 DUES 900099 24441301 24441301 ANNUAL MEETING 541900 8524459 8125609 398850 ANESTHESIA CONTINUING EDUCATION 541900 6495454 6495454 OTHER SUPPORT 541900 3598178 3171814 426364 OTHER PROGRAM INCOME 541900 2895660 2895660 1935514 1935514 47890566 2240261 2240261 2923521 57413 2866108 233713 0 233713 233713 233713 575268 575212 56 56 56 SHARED SERVICES 900099 7825 7825 7825 53347089 47065352 882627 5347963 5179027 33800 3887468 12448421 1557181 2428265 967151 124961 82912 148098 58627 1071508 329084 1127423 858152 1628491 710730 7456861 578627 2049306 146787 OTHER OUTSIDE SERVICES 5227511 OTHER EXPENSES 1143164 SUBSCRIPTIONS 1025397 CREDIT CARD FEES 797239 573888 51640079 4501280 7845663 3382846 2083770 1302997 1158297 43580343 10056833 35661890 33523510 75277071 86915273 2244697 1227033 122370781 132753546 10577024 9144978 10132543 11426522 28772834 27780667 2032320 3036918 51514721 51389085 X 70856060 81364461 70856060 81364461 122370781 132753546 X 1707010 8664625 136766 X X 0 1 X 1 0 0 0 AMERICAN SOCIETY OF ANESTHESIOLOGISTS POLITICAL ACTION COMMITTEE 1501 M STREET NW SUITE 300 WASHINGTON DC DC 20005 363887214 31147 0 0 0 24441301 148098 320571 468669 488826 -20157 PART I-A, LINE 1: AT TIMES, THE SOCIETY COLLECTS CONTRIBUTIONS FROM ENTITIES ON BEHALF OF A RELATED POLITICAL ACTION COMMITTEE ("RELATED PAC"). THESE FUNDS ARE USED TO OFFSET THE RELATED PAC'S EXPENSES INCLUDING EMPLOYEE COSTS, MAILING COSTS, AND OTHER. 2805805 2805805 24397252 2293451 22103801 1214940 122628 1092312 15013484 7604285 7409199 148862 36469 112393 33523510 DEFERRED RENT 3036918 3036918 X PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE SOCIETY AND RECOGNIZE A TAX LIABILITY IF THE SOCIETY HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS OR OTHER APPLICABLE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE SOCIETY AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2017, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY IN THE FINANCIAL STATEMENTS. AFRICA 0 0 DUES MEMBERSHIP DUES EUROPE 0 0 DUES MEMBERSHIP DUES SOUTH AMERICA 0 0 DUES MEMBERSHIP DUES EAST ASIA 0 0 DUES MEMBERSHIP DUES CENTRAL AMERICA 0 0 DUES MEMBERSHIP DUES MIDDLE EAST 0 0 DUES MEMBERSHIP DUES MEXICO AND CANADA 0 0 DUES MEMBERSHIP DUES SUB-SAHARAN AFRICA 0 0 DUES MEMBERSHIP DUES SOUTH ASIA 0 0 DUES MEMBERSHIP DUES RUSSIA 0 0 DUES MEMBERSHIP DUES EUROPE 0 0 EDUCATIONAL MATERIALS SALES OF PUBLICATIONS, INCLUDING CONTINUING EDUCATION MATERIALS SOUTH AMERICA 0 0 EDUCATIONAL MATERIALS SALES OF PUBLICATIONS, INCLUDING CONTINUING EDUCATION MATERIALS EAST ASIA 0 0 EDUCATIONAL MATERIALS SALES OF PUBLICATIONS, INCLUDING CONTINUING EDUCATION MATERIALS MEXICO AND CANADA 0 0 EDUCATIONAL MATERIALS SALES OF PUBLICATIONS, INCLUDING CONTINUING EDUCATION MATERIALS CENTRAL AMERICA 0 0 EDUCATIONAL MATERIALS SALES OF PUBLICATIONS, INCLUDING CONTINUING EDUCATION MATERIALS MIDDLE EAST 0 0 EDUCATIONAL MATERIALS SALES OF PUBLICATIONS, INCLUDING CONTINUING EDUCATION MATERIALS SUB-SAHARAN AFRICA 0 0 EDUCATIONAL MATERIALS SALES OF PUBLICATIONS, INCLUDING CONTINUING EDUCATION MATERIALS SOUTH ASIA 0 0 EDUCATIONAL MATERIALS SALES OF PUBLICATIONS, INCLUDING CONTINUING EDUCATION MATERIALS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 WOOD LIBRARY - MUSEUM OF ANESTHESIOLOGY 1061 AMERICAN LANE SCHAUMBURG IL 60173 363573324 501(C)3 400000 OPERATION SUPPORT FOUNDATION FOR ANESTHESIA EDUCATION AND RESEARCH 1061 AMERICAN LANE SCHAUMBURG IL 60173 521494164 501(C)3 2000000 OPERATION SUPPORT ANESTHESIA QUALITY INSTITUTE 1061 AMERICAN LANE SCHAUMBURG IL 60173 263848288 501(C)3 1080049 OPERATION SUPPORT ANESTHESIA PATIENT SAFETY FOUNDATION 1061 AMERICAN LANE SCHAUMBURG IL 60173 510287258 501(C)3 425000 OPERATION SUPPORT MALIGNANT HYPERTHERMIA 1 NORTH MAIN STREET SHERBURNE NY 134601069 011076301 501(C)3 25000 OPERATION SUPPORT WORLD FEDERATION OF SOCIETIES OF ANAESTHESIOLOGISTS 21 PORTAND PLACE LONDON UK 133211128 100839 OPERATION SUPPORT ARKANSAS SOCIETY OF ANESTHESIOLOGISTS PO BOX 55088 LITTLE ROCK AR 72215 731038724 501(C)6 10000 OPERATION SUPPORT NSSA 3825 BOULDER PATCH RENO NV 85911 880335875 501(C)6 25000 OPERATION SUPPORT RHODE ISLAND SOCIETY OF ANESTHESIOLOGISTS 235 PROMENADE ST RM 500 PROVIDENCE RI 029085763 050455740 501(C)6 10000 OPERATION SUPPORT MAINE SOCIETY OF ANESTHESIOLOGISTS PO BOX 190 MANCHESTER ME 04358 223086719 501(C)6 15000 OPERATION SUPPORT WYOMING SOCIETY OF ANESTHESIOLOGISTS PO BOX 50546 CASPER WY 82605 830299710 501(C)6 28000 OPERATION SUPPORT MISSISSIPPI SOCIETY OF ANESTHESIOLOGISTS PO BOX 13405 JACKSON MS 329363405 640795061 501(C)6 10000 OPERATION SUPPORT TEXAS CHILDREN'S HOSPITAL 6621 FANININ STE A 3300 HOUSTON TX 77030 391087656 501(C)6 5000 OPERATION SUPPORT 5 8 EDUCATIONAL GRANTS - POLICY RESEARCH ROTATION IN POLITICAL AFFAIRS PROGRAM 9 33800 PART I, LINE 2: ASA ISSUES GRANTS TO ITS RELATED ORGANIZATIONS WHICH, IN TURN, ADHERE TO THEIR PARTICULAR GUIDELINES FOR REVIEWING GRANT APPLICATIONS, THE DISBURSEMENT OF AWARDS AND THE MONITORING OF GRANT FUNDS. ASA ALSO AWARDS GRANTS TO OUTSIDE ENTITIES, WHO ARE THEN REQUIRED TO PROVIDE WRITTEN REPORTS ON THE PROGRESS OF THE INITIATIVE. X X 1 1 X X X X X 1 0 0 JEFFREY PLAGENHOEF PRESIDENT/IMMEDIATE PAST PRESIDENT 187500 0 0 0 0 0 0 0 0 0 187500 0 0 0 PAUL POMERANTZ CEO 564678 0 92168 0 0 0 54034 0 32170 0 743050 0 0 0 JEREMY B LEWIN GENERAL COUNSEL 400502 0 51925 0 0 0 35100 0 22775 0 510302 0 0 0 THOMAS CONWAY CFO 339936 0 33159 0 0 0 32134 0 22774 0 428003 0 0 0 BRIAN REILLY COO 315256 0 0 0 0 0 35100 0 30365 0 380721 0 0 0 MANUEL BONILLA CHIEF ADVOCACY OFFICER 287953 0 35427 0 0 0 35100 0 30662 0 389142 0 0 0 CHRISTOPHER WEHKING CHIEF PROGRAM OFFICER 241266 0 28700 0 0 0 33888 0 30087 0 333941 0 0 0 THOMAS RAY MILLER ANALYSTICS & RESEARCH SVCS DIRECTOR 239689 0 31753 0 0 0 35100 0 15088 0 321630 0 0 0 NORA B MATUS CONGRESSIONAL & POLITICAL AFFAIRS DI 207654 0 25311 0 0 0 30230 0 2461 0 265656 0 0 0 ROSEANNE FISCHOFF ECON & PRACTICE INNOVATION EXECUTIVE 195256 0 24288 0 0 0 24118 0 2432 0 246094 0 0 0 SHARON MERRICK PAYMENT & PRACTICE MANAGEMENT DIRECT 173041 0 21224 0 0 0 21744 0 11200 0 227209 0 0 0 JASON C HANSEN STATE AFFAIRS DIRECTOR 164771 0 18153 0 0 0 23660 0 21528 0 228112 0 0 0 PART I, LINE 1A THE ASA ADMINISTRATIVE PROCEDURES ALLOW DOMESTIC FIRST-CLASS AIRFARE FOR PRESIDENT, PRESIDENT-ELECT, FIRST VP, ROVENSTEIN LECTURER, RECIPIENT OF THE DISTINGUISHED SERVICE AWARD, RECIPIENT OF THE EXCELLANCE IN RESEARCH AWARD, LEGISLATIVE CONFERENCE KEYNOTE SPEAKER, AND THE NICHOLAS M. GREENE, MD, OUTSTANDING HUMANITARIAN CONTRIBUTION AWARD, ALONG WITH THE SPOUSES OF EACH. ASA ALLOWS DOMESTIC FIRST-CLASS TRAVEL FOR THE SPEAKER AT THE JOHN W. SEVERINGHAUS LECTURE ON TRANSLATIONAL SCIENCE. PART I, LINE 3 OUTSIDE COMPENSATION EXPERTS ARE UTILIZED REGARDING BENCHMARKED POSITION OF THE CHIEF EXECUTIVE OFFICER. THE EXECUTIVE COMPENSATION COMMITTEE MAKES DECISIONS ON ANY MERIT INCREASES FOR THE CHIEF EXECUTIVE OFFICER BASED ON DATA PROVIDED BY AN EXTERNAL COMPENSATION CONSULTANT. FORM 990, PART VI, SECTION A, LINE 7A THE HOUSE OF DELEGATES MEETS ON AN ANNUAL BASIS TO AFFIRM THE MANAGEMENT OF THE ORGANIZATION BY THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS EXERCISES FINAL AUTHORITY OVER AND MANAGES THE BUSINESS AND FINANCIAL AFFAIRS OF THE SOCIETY, INCLUDING, BUT NOT LIMITED TO, THE ACQUISITION, MANAGEMENT, CONTROL AND DISPOSITION OF ITS PROPERTY AND THE AUTHORIZATION OF ALL CONTRACTS ON ITS BEHALF; THE BOARD OF DIRECTORS MAY DELEGATE PORTIONS OF SUCH AUTHORITY TO THE OFFICERS, COUNCILS, SECTIONS OR COMMITTEES AND PERFORM SUCH OTHER DUTIES AS ARE PROVIDED FOR IN THE BYLAWS. CERTAIN MEMBERS OF THE HOUSE OF DELEGATES ARE MEMBERS OF THE BOARD OF DIRECTORS UNDER THE ORGANIZATION'S BYLAWS. OFFICERS ARE ELECTED BY THE HOUSE OF DELEGATES AT THE ANNUAL MEETING. FORM 990, PART VI, SECTION A, LINE 7B THE HOUSE OF DELEGATES HAS THE AUTHORITY TO CHANGE THE ORGANIZATION'S BYLAWS AND MODIFY SELECT DECISIONS OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11B THE SECTION ON FISCAL AFFAIRS, WHICH IS A SUB-COMMITTEE OF THE BOARD OF DIRECTORS REVIEWS THE FORM 990 WITH THE INDEPENDENT CPA FIRM THAT PREPARED THE RETURN. A REPORT OF THIS REVIEW AND A FULL COPY WILL BE POSTED TO THE "MEMBERS ONLY" PORTION OF THE WEBSITE, WWW.ASAHQ.ORG, AS SOON AS POSSIBLE FOLLOWING THE MEETING WITH THE CPA FIRM. FORM 990, PART VI, SECTION B, LINE 12C ON AN ANNUAL BASIS, ASA BOARD MEMBERS AND OFFICERS ARE REQUIRED TO DISCLOSE WHETHER OR NOT THEY HAVE ANY POTENTIAL CONFLICTS OF INTEREST, AND IF SO, ARE REQUIRED TO DISCLOSE THEM. THE GOVERNANCE UNIT SHALL MONITOR COMPLIANCE WITH THE POLICY. THE ASA OFFICE OF GENERAL COUNSEL, IN CONSULTATION WITH THE ADMINISTRATIVE COUNCIL, SHALL HAVE PRIMARY RESPONSIBILITY TO MONITOR AND ENFORCE THE CONFLICT OF INTEREST POLICY AS IT PERTAINS TO THE ADMINISTRATIVE COUNCIL. ON OR BEFORE COMMENCEMENT OF A NEW TERM OF OFFICE OR SERIVCE, THE INCOMING COMMITTEE CHAIRS, ADMINISTRATIVE COUNCIL, AND THE OFFICE OF GENERAL COUNSEL SHALL INITIATE REVIEW OF THE POTENTIAL CONFLICT OF INTEREST DISCLOSURE STATEMENTS AND COMPLETE INIITAL REVIEW OF SUCH STATEMENTS WITHIN 30 DAYS OF THE COMMENCEMENT OF THE TERM. THE SECRETARY SHALL BE NOTIFIED IN THE EVENT OF AN ALLEGED FAILURE TO CONFORM TO THE STANDARDS. THE SECRETARY SHALL REFER THE EXCEPTION OR FAILURE TO THE ADMINISTRATIVE COUNCIL. THE ADMINISTRATIVE COUNCIL MAY DETERMINE THAT A CONFLICT DOES NOT EXIST, DETERMINE THAT A CONFLICT DOES EXIST BUT GRANT A WAIVER, DETERMINE THAT THE MATTER SHOULD BE HEARD BY THE JUDICIAL CONCIL, OR IN THE BASE OF ALLEGED CONFLICT BY A DIRECTOR OR ALTERNATE DIRECTOR, REFER THE MATTER TO THE COMPONENT SOCIETY NOMINATING THE DIRECTOR OR ALTERNATE DIRECTOR FOR APPROPRIATE ACTION. THESE REQUIREMENTS SHALL APPLY EQUALLY TO THE MEMBERS OF THE ASA EXECUTIVE STAFF. IN THE CASE OF SUCH INDIVIDUALS, THE EXECUTIVE COMMITTEE OF THE ADMINISTRATIVE COUNCIL SHALL BE RESPONSIBLE FOR MONITORING AND ENFORCING COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY AS IT PERTAINS TO THE ASA EXECUTIVE STAFF, INCLUDING THE DETERMINATION OF ANY WAIVER OR FOR THE APPLICATION OF SANCTIONS IN THE EVENT OF ANY VIOLATIONS OF THE POLICY. THE COI STATEMENT AND THE FORMS ARE AVAILABLE ON THE ASA WEBSITE IN THE "MEMBERS ONLY" SECTION. HARD COPIES MAY BE OBTAINED FROM THE ASA EXECUTIVE OFFICE. FORM 990, PART VI, SECTION B, LINE 15A OUTSIDE COMPENSATION EXPERTS ARE UTILIZED REGARDING BENCHMARKED POSITION OF THE CHIEF EXECUTIVE OFFICER. THE EXECUTIVE COMPENSATION COMMITTEE MAKES DECISIONS ON ANY MERIT INCREASES FOR THE CHIEF EXECUTIVE OFFICER BASED ON DATA PROVIDED BY AN EXTERNAL COMPENSATION CONSULTANT. FORM 990, PART VI, SECTION C, LINE 19 THE CONFLICT OF INTEREST POLICY, GOVERNING DOCUMENTS, AND FINANCIAL STATEMENTS ARE AVAILBALE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: BENEFIT PLAN CHANGES OTHER THAN NET PERIODIC POSTRETIREMENT BENEFIT COSTS 136,766. FORM 990, PART XII, LINE 2C: THE PROCESS RELATED TO THE COMMITTEE WHICH ASSUMES THE OVERALL RESPONSIBILITY FOR THE AUDIT HAS NOT CHANGED FROM THE PRIOR YEAR. WOOD LIBRARY-MUSEUM OF ANESTHESIOLOGY 1061 AMERICAN LANE SCHAUMBURG IL 60173 363573324 COLLECTION OF ANESTHESIA LITERATURE IL 501(C)(3) LINE 12A, I AMERICAN SOCIETY OF ANESTHESIOLOGISTS 1 FOUNDATION FOR ANESTHESIA EDUCATION AND RESEARCH 1061 AMERICAN LANE SCHAUMBURG IL 60173 521494164 ANESTHESIA CARE EDUCATION AND RESEARCH IL 501(C)(3) LINE 7 AMERICAN SOCIETY OF ANESTHESIOLOGISTS 1 ANESTHESIA PATIENT SAFETY FOUNDATION 1061 AMERICAN LANE SCHAUMBURG IL 60173 510287258 ANESTHESIA PATIENT SAFETY EDUCATION IL 501(C)(3) LINE 7 AMERICAN SOCIETY OF ANESTHESIOLOGISTS 1 AMERICAN SOCIETY OF ANESTHESIOLOGISTS POLITICAL ACTION COMMITTEE 1061 AMERICAN LANE SCHAUMBURG IL 60173 363887214 POLITICAL CAMPAIGN ACTIVITIES IL 527 0 ANESTHESIA QUALITY INSTITUTE 1061 AMERICAN LANE SCHAUMBURG IL 60173 263848288 ADVANCES IN QUALITY OF CARE MEASUREMENT AND DELIVERY IN ANESTHESIA IL 501(C)(3) LINE 12A, I AMERICAN SOCIETY OF ANESTHESIOLOGISTS 1 ASA CHARITABLE FOUNDATION 1061 AMERICAN LANE SCHAUMBURG IL 60173 454946512 IMPROVE HEALTH AND MEDICAL CARE IN UNDER-SERVICED COMMUNITIES IL 501(C)(3) LINE 12A, I AMERICAN SOCIETY OF ANESTHESIOLOGISTS 1 0 1 0 0 0 0 0 0 0 1 0 1 1 1 1 1 1 1 1 ANESTHESIA PATIENT SAFETY FOUNDATION B 425000 RECORDS MAINTAINED AT FMV ANESTHESIA PATIENT SAFETY FOUNDATION Q 91225 RECORDS MAINTAINED AT FMV ANESTHESIA PATIENT SAFETY FOUNDATION P 39854 RECORDS MAINTAINED AT FMV ANESTHESIA QUALITY INSTITUTE B 1080049 RECORDS MAINTAINED AT FMV ANESTHESIA QUALITY INSTITUTE J 43669 RECORDS MAINTAINED AT FMV ANESTHESIA QUALITY INSTITUTE M 162363 RECORDS MAINTAINED AT FMV ANESTHESIA QUALITY INSTITUTE L 102974 RECORDS MAINTAINED AT FMV ANESTHESIA QUALITY INSTITUTE N 3308 RECORDS MAINTAINED AT FMV FOUNDATION FOR ANESTHESIA EDUCATION AND RESEARCH B 2000000 RECORDS MAINTAINED AT FMV FOUNDATION FOR ANESTHESIA EDUCATION AND RESEARCH J 28281 RECORDS MAINTAINED AT FMV FOUNDATION FOR ANESTHESIA EDUCATION AND RESEARCH N 3506 RECORDS MAINTAINED AT FMV FOUNDATION FOR ANESTHESIA EDUCATION AND RESEARCH Q 907065 RECORDS MAINTAINED AT FMV FOUNDATION FOR ANESTHESIA EDUCATION AND RESEARCH P 50375 RECORDS MAINTAINED AT FMV WOOD LIBRARY MUSEUM B 400000 RECORDS MAINTAINED AT FMV WOOD LIBRARY MUSEUM J 160488 RECORDS MAINTAINED AT FMV WOOD LIBRARY MUSEUM R 135701 RECORDS MAINTAINED AT FMV WOOD LIBRARY MUSEUM Q 391056 RECORDS MAINTAINED AT FMV WOOD LIBRARY MUSEUM P 71101 RECORDS MAINTAINED AT FMV