2025-10-24T11:37:35-05:00 2024-12-31 410746749 CLIFTONLARSONALLEN LLP 2021 SPRING ROAD SUITE 200 OAK BROOK IL 60523 990 2024-01-01 510287258 THE ANESTHESIA PATIENT SAFETY FOUNDATION ANES 8478255586 1061 AMERICAN LANE SCHAUMBURG IL 601734973 DANIEL COLE MD PRESIDENT 8472689251 2025-10-15 1 0 THURE ROSS CPA P00577278 6305738600 2025-10-15 2024 2025-03-06 01:10:19Z MARK MANKA 1061 AMERICAN LANE SCHAUMBURG IL 601734973 3823110 0 X WWW.APSF.ORG X 1985 DE THE APSF'S MISSION IS TO IMPROVE THE SAFETY OF PATIENTS DURING ANESTHESIA CARE BY: IDENTIFYING SAFETY INITIATIVES AND CREATING RECOMMENDATIONS TO IMPLEMENT DIRECTLY AND WITH PARTNER ORGANIZATIONS, BEING A LEADING VOICE FOR ANESTHESIA PATIENT SAFETY WORLDWIDE, AND SUPPORTING AND ADVANCING ANESTHESIA PATIENT SAFETY CULTURE, KNOWLEDGE, AND LEARNING. 18 18 0 125 0 0 1516135 1343094 0 0 1737589 1060046 457 0 3254181 2403140 532248 620465 0 0 255853 266735 119630 135239 410104 1419851 1492539 2327582 2514978 926599 -111838 14867025 16260647 327452 336585 14539573 15924062 X THE APSF'S MISSION IS TO IMPROVE THE SAFETY OF PATIENTS DURING ANESTHESIA CARE BY: IDENTIFYING SAFETY INITIATIVES AND CREATING RECOMMENDATIONS TO IMPLEMENT DIRECTLY AND WITH PARTNER ORGANIZATIONS, BEING A LEADING VOICE FOR ANESTHESIA PATIENT SAFETY WORLDWIDE, AND SUPPORTING AND ADVANCING ANESTHESIA PATIENT SAFETY CULTURE, KNOWLEDGE, AND LEARNING. 0 0 1815462 620465 THE SPECIFIC PURPOSES OF THE FOUNDATION ARE TO FOSTER INVESTIGATIONS THAT WILL PROVIDE A BETTER UNDERSTANDING OF PREVENTABLE ANESTHETIC INJURIES, TO ENCOURAGE PROGRAMS THAT WILL REDUCE THE NUMBER OF ANESTHETIC INJURIES, AND TO PROMOTE NATIONAL AND INTERNATIONAL COMMUNICATION OF INFORMATION AND IDEAS ABOUT THE CAUSES AND PREVENTION OF ANESTHETIC INJURIES. THE APSF IS MADE UP OF INDIVIDUALS AND CORPORATIONS INVOLVED IN ALL ASPECTS OF ANESTHESIA, AND IS A MAJOR SOURCE OF GRANTS FOR RESEARCH. THE FOUNDATION'S NEWSLETTER IS PUBLISHED THREE TIMES A YEAR AND IS DISTRIBUTED WITHOUT CHARGE TO ANESTHESIOLOGISTS, NURSE ANESTHETISTS, ANESTHESIOLOGIST ASSISTANTS, AND TO THOUSANDS OF HOSPITAL ADMINISTRATORS AND GOVERNMENT OFFICIALS IN THE US, CANADA, AND OTHER VARIOUS COUNTRIES. THE APSF HAS ALSO INITIATED AND SPONSORED MANY OTHER ACTIVITIES IN FULFILLMENT OF ITS MISSION, INCLUDING SUPPORTING MEETINGS ON ANESTHESIA SAFETY AND FACILITATING DEVELOPMENT OF SIMULATORS FOR TRAINING ANESTHESIOLOGISTS IN CRISIS MANAGEMENT AS WELL AS OTHER ANESTHESIA MANAGEMENT PROBLEMS. 1815462 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 53 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 18 18 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 IL X MARK MANKA 8472689251 1061 AMERICAN LANE SCHAUMBURG IL 601734973 DANIEL J COLE MD PRESIDENT 25.00 20.00 X X 126000 800 0 STEVEN B GREENBERG MD FCCP FCCM VICE PRESIDENT 10.00 X X 33400 0 0 DOUGLAS BARTLETT TREASURER 1.00 X X 1000 0 0 DELLA M LIN MS MD FASA SECRETARY 1.00 X X 4600 0 0 LYNN REEDE DNP MBA CRNA FNAP DIRECTOR-AT-LARGE 1.00 X 1200 0 0 MEGHAN LANE-FALL MD MSHP FCCM DIRECTOR 1.00 1.00 X 600 0 0 SHANE ANGUS CAA MSA DIRECTOR 1.00 X 1400 0 0 JOHN W BEARD MD DIRECTOR 1.00 X 800 0 0 JEFFREY M FELDMAN MD MSE DIRECTOR 2.00 X 7800 0 0 JAY MESROBIAN MD MBA FASA FACHE DIRECTOR 1.00 5.00 X 1200 3600 0 MAY C M PIAN-SMITH MD MS DIRECTOR 1.00 3.00 X 0 0 0 ELIZABETH REBELLO MD FASA CPPS DIRECTOR 1.00 20.00 X 4400 5259 0 ANGIE LINDSEY DIRECTOR 1.00 X 0 0 0 DRU RIDDLE PHD DNP CRNA DIRECTOR 1.00 X 1400 0 0 DESIREE CHAPPELL CRNA DIRECTOR 1.00 X 0 0 0 BRIAN THOMAS JD DIRECTOR 1.00 X 0 0 0 FRANK CHAN PHD DIRECTOR 1.00 X 0 0 0 EMILY METHANGKOOL MD MPH DIRECTOR 1.00 X 39000 1000 0 SEEMA KUMBHAT MD DIRECTOR (THRU SEPT 2024) 1.00 X 1400 0 0 JOSHUA LEA DNP MBA CRNA DIRECTOR (THRU SEPT 2024) 1.00 X 3100 0 0 BRIAN REILLY CHIEF EXECUTIVE OFFICER 1.00 75.00 X 0 627485 627485 MARK MANKA CHIEF FINANCIAL OFFICER 1.00 55.00 X 0 274747 274747 LISA STEININGER CHIEF FINANCIAL OFFICER (THRU MARCH 2024) 1.00 55.00 X 0 139778 139778 227300 1052669 1042010 1 0 1 0 EDENS WORKS INC 5810 S SHADOW WOOD PL SIOUX FALLS SD 57108 WEBSITE HOSTING AND CONSULTING SERVICES 190725 THE ROW AUTOGRAPH COLLECTION DBA ASSEM 360 FOLEY STREET SOMERVILLE MA 02145 MEETING VENUE 187074 DANIEL J COLE MD 2910 NEILSON WAY 506 SANTA MONICA CA 90405 EXECUTIVE OFFICE SUPPORT 144344 MOSER STRATEGY GROUP 640 WELSH PARTRIDGE CIRCLE BILTMORE LAKE NC 28715 FUNDRAISING SERVICES 125524 AMY PEARSON MD FASA 11 REDWOOD COURT WIND POINT WI 53402 APSF DIGITAL STRATEGY DIRECTOR 110769 7 340000 1003094 1343094 287914 287914 2192102 1419970 772132 772132 772132 2403140 0 0 1060046 X 620465 620465 227300 104558 68190 54552 39435 17912 11715 9808 16000 16000 6782 4883 203 1696 6720 4838 202 1680 135239 135239 85301 85301 578878 421699 12460 144719 5451 5451 197879 142473 5936 49470 220306 182854 33046 4406 328905 273141 47230 8534 SUBSCRIPTIONS 41799 37188 4611 CREDIT CARD FEES 3798 3798 BANK FEES 720 720 2514978 1815462 289412 410104 567170 438093 426487 319052 51654 28750 60875 159387 13735648 15315365 25191 0 14867025 16260647 87452 100734 125000 75000 115000 45000 0 115851 327452 336585 X 14307139 15740318 232434 183744 14539573 15924062 14867025 16260647 -111838 1496327 0 X X 0 1 X 1 0 X 1521974 1433646 1505528 1516135 1343094 7320377 1521974 1433646 1505528 1516135 1343094 7320377 1456870 5863507 172620 163758 195269 254243 287914 1073804 6522 1305 856 457 9140 8403321 0.69780 0.62690 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2020 AMOUNT: $ 6,522. 2021 AMOUNT: $ 1,305. 2022 AMOUNT: $ 856. 2023 AMOUNT: $ 457. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 DUE TO ASA 115851 115851 X 3814166 1496327 1496327 2317839 85301 85301 2403140 2429677 0 2429677 85301 85301 2514978 PART X, LINE 2: THE FOUNDATION IS EXEMPT FROM INCOME TAX UNDER PROVISIONS OF INTERNAL REVENUE CODE SECTION 501(C)(3). ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE FOUNDATION AND RECOGNIZE A TAX LIABILITY IF THE FOUNDATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE OR OTHER APPLICABLE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE FOUNDATION AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2024, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE FINANCIAL STATEMENTS. X X X X 0 THE MOSER STRATEGY GROUP 640 WELSH PARTRIDGE CIRCLE BILTMORE NC 28715 TO CULTIVATE CORPORATE SUPPORT 0 0 125524 -125524 JILL MAKSIMOVICH - J MAK CORP 1024 S CRESCENT AVE PARK RIDGE IL 60068 FUNDRAISING STRATEGY, CORPORATE OUTREACH, DONOR PROGRAMS 0 0 9715 -9715 135239 -135239 IL SCHEDULE G, PART I, LINE 2B, COLUMN (V) THE MOSER STRATEGY GROUP PURPOSE IS TO CULTIVATE CORPORATE SUPPORT FOR THE APSF. 1 UNIVERSITY OF WASHINGTON 4333 BROOKLYN AVENUE NE BOX 359472 SEATTLE WA 981959472 916001537 501(C)(3) 160000 0 APSF RESEARCH GRANT AND THE ELLISON C. PIERCE, JR. MD MERIT AWARD THE REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN DIEGO 9500 GILMAN DRIVE DEPT 0934 LA JOLLA CA 920930934 956006144 501(C)(3) 150000 0 APSF RESEARCH GRANT MILLER SCHOOL OF MEDICINE OF THE UNIVERSITY OF MIAMI 1320 S DIXIE HIGHWAY SUITE 650 MIAMI FL 33165 590624458 501(C)(3) 149999 0 APSF RESEARCH GRANT THE UNIVERSITY OF PENNSYLVANIA 3451 WALNUT ST PHILADELPHIA PA 19104 231352685 501(C)(3) 150000 0 APSF-FAER MRTG GRANT 4 PART I, LINE 2: THE GRANTS FUNDED BY THE SCIENTIFIC EVALUATION COMMITTEE (SEC) UNDERGO A RIGOROUS REVIEW PROCESS. THE APPLICATIONS HAVE TO DESCRIBE IN DETAIL THE LINE-ITEMIZED BUDGET, WHICH IS REVIEWED BY SEC MEMBERS ON AT LEAST THREE DIFFERENT OCCASIONS. FOR MANY OF THE APPLICATIONS, CHANGES AND/OR CORRECTIONS TO THE BUDGET ARE REQUESTED BY THE MEMBERS OF THE SEC, SUCH THAT THE FINAL GRANT, IF APPROVED, DETAILS SPECIFICALLY HOW THE GRANT MONEY WILL BE USED. A COPY OF THE APPLICATION, INCLUDING THE BUDGET, IS ALSO SENT TO THE OFFICE OF SPONSORED RESEARCH AT THE APPLICANT'S INSTITUTION, AND THE INSTITUTIONAL GRANTS AND CONTRACTS OFFICER IS THEN SENT THE GRANT MONEY FOR DISTRIBUTION TO THE APPLICANT. IN ADDITION, THE APPLICANT'S DEPARTMENTAL CHAIR HAS TO WRITE A LETTER OF SUPPORT ON BEHALF OF THE APPLICANT, AND THE CHAIR CONFIRMS THAT THE APPLICANT WILL PERFORM THE STUDY AS PROPOSED, AND THAT ANY MONEY NOT USED AT THE END OF THE FUNDED PERIOD WILL BE RETURNED TO THE APSF. X 0 0 0 0 0 0 0 0 0 BRIAN REILLY CHIEF EXECUTIVE OFFICER 0 567691 0 59794 0 0 0 44850 0 62323 0 734658 0 0 MARK MANKA CHIEF FINANCIAL OFFICER 0 248249 0 26498 0 0 0 32486 0 33545 0 340778 0 0 LISA STEININGER CHIEF FINANCIAL OFFICER (THRU MARCH 0 99522 0 40256 0 0 0 15009 0 8757 0 163544 0 0 PART I, LINE 3 COMPENSATION REVIEW PROCEDURES FOR THE CHIEF EXECUTIVE OFFICER AND THE CHIEF FINANCIAL OFFICER ARE PERFORMED BY A RELATED ORGANIZATION, ASA. OUTSIDE COMPENSATION EXPERTS ARE UTILIZED REGARDING BENCHMARKING BOTH POSITIONS. THE PRESIDENT AND THE PRESIDENT-ELECT OF ASA MAKE DECISIONS ON ANY MERIT INCREASE FOR THE CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER OF THE APSF. FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION UTILIZES THE MANAGEMENT OF AMERICAN SOCIETY OF ANESTHESIOLOGISTS,INC (ASA) TO PROVIDE CERTAIN PROGRAM AND ADMINISTRATIVE SERVICES. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION RETAINS THE SERVICES OF AN INDEPENDENT CPA FIRM TO PREPARE THE ORGANIZATION'S FORM 990. MANAGEMENT REVIEWS THE COMPLETED FORM 990 AND PROVIDES A COPY TO EACH MEMBER OF THE GOVERNING BODY PRIOR TO FILING. THE GOVERNING BODY IS GIVEN A CHANCE TO COMMENT AND/OR ASK QUESTIONS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REQUIRES EVERY BOARD AND COMMITTEE MEMBER TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT ON AN ANNUAL BASIS. A CONFLICT OF INTEREST MAY NOT DISQUALIFY THE MEMBER FROM SERVING, BUT MAY NECESSITATE DISCLOSURE OF THE CONFLICT OR APPARENT CONFLICT SO THAT THE WORDS OR DEEDS OF THE APSF MEMBER CAN BE EVALUATED BY OTHERS. FORM 990, PART VI, SECTION B, LINE 15 MANAGEMENT DUTIES NORMALLY PERFORMED BY CEO,EXECUTIVE DIRECTOR OR TOP MANAGEMENT OFFICIAL ARE PERFORMED BY BOARD MEMBERS. BOARD MEMBER STIPENDS ARE DETERMINED ANNUALLY BY THE EXECUTIVE COMMITTEE WHILE APPROVING THE BUDGET. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE THROUGH APPLICABLE GOVERNMENTAL AGENCIES. FORM 990, PART IX, LINE 11G OUTSOURCED SERVICES AND STIPENDS: PROGRAM SERVICE EXPENSES 421,699. MANAGEMENT AND GENERAL EXPENSES 12,460. FUNDRAISING EXPENSES 6,416. TOTAL EXPENSES 440,575. NEWSLETTER TRANSLATION AND DESIGN: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 138,303. TOTAL EXPENSES 138,303. FORM 990, PART XII, LINE 2C: THE BOARD OF DIRECTORS IS RESPONSIBLE FOR OVERSIGHT OF THE AUDIT AND THE SELECTION OF AN INDEPENDENT CPA FIRM. AMERICAN SOCIETY OF ANESTHESIOLOGISTS 1061 AMERICAN LANE SCHAUMBURG IL 60173 362181944 ADVANCE THE SPECIALTY OF ANESTHESIA NY 501(C)(6) 0 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 0 FOUNDATION FOR ANESTHESIA EDUCATION AND RESEARCH 1061 AMERICAN LANE SCHAUMBURG IL 60173 521494164 ANESTHESIA CARE EDUCATION AND RESEARCH DE 501(C)(3) LINE 7 AMERICAN SOCIETY OF ANESTHESIOLOGISTS 0 ANESTHESIA QUALITY INSTITUTE 1061 AMERICAN LANE SCHAUMBURG IL 60173 263848288 ADVANCES IN QUALITY OF CARE MEASUREMENT AND DELIVERY IN ANESTHESIA DC 501(C)(3) LINE 12A, I AMERICAN SOCIETY OF ANESTHESIOLOGISTS 0 ASA CHARITABLE FOUNDATION 1061 AMERICAN LANE SCHAUMBURG IL 60173 454946512 IMPROVE HEALTH AND MEDICAL CARE IN UNDER-SERVICED COMMUNITIES DC 501(C)(3) LINE 12A, I AMERICAN SOCIETY OF ANESTHESIOLOGISTS 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 1 1 1 0 AMERICAN SOCIETY OF ANESTHESIOLOGISTS C 19936 FMV AMERICAN SOCIETY OF ANESTHESIOLOGISTS P 73022 FMV AMERICAN SOCIETY OF ANESTHESIOLOGISTS Q 48353 FMV FOUNDATION FOR ANESTHESIA EDUCATION AND RESEARCH R 75000 FMV ASA CHARITABLE FOUNDATION C 320064 FMV AMERICAN SOCIETY OF ANESTHESIOLOGISTS R 50000 FMV AMERICAN SOCIETY OF ANESTHESIOLOGISTS E 115851 FMV