2015-11-02T15:59:42-06:00 2014-12-31 381357951 PLANTE & MORAN PLLC 10 S RIVERSIDE PLAZA 9TH FLOOR CHICAGO IL 60606 990 2014-01-01 362181944 AMERICAN SOCIETY OF ANESTHESIOLOGISTS AMER 8478255586 1061 AMERICAN LANE SCHAUMBURG IL 601734973 PAUL POMERANTZ CEO 8478255586 2015-10-29 1 LU ANN TRAPP P01506476 3122071040 2015-10-29 2014 2016-04-25 22:37:26Z PAUL POMERANTZ 1061 AMERICAN LANE SCHAUMBURG IL 601734973 57808447 0 X WWW.ASAHQ.ORG X 1936 NY ADVANCING THE PRACTICE AND SECURING THE FUTURE OF ANESTHESIOLOGY (SEE SCHEDULE O CONTINUATION)THROUGH MEDICAL EDUCATION, CREATION AND DISSEMINATION OF NEW KNOWLEDGE, IMPROVEMENT OF PATIENT CARE, AND LEGISLATIVE AND REGULATORY ADVOCACY. 65 62 164 1122 784113 0 40620 52057 37638460 39343948 3346494 4738226 3719995 2944180 44745569 47078411 5056693 4221924 0 0 14529839 18136361 0 0 0 21276393 21744545 40862925 44102830 3882644 2975581 107734029 125545851 28937067 46336201 78796962 79209650 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, 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 52,000 MEMBERS. THE SOCIETY MANAGES INDIVIDUAL AND GROUP DUES INVOICING AND PROCESSING FOR ASA MEMBERS, AS WELL AS FOR 9 COMPONENT SOCIETIES. 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 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 SAFETY, 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 2014 ANNUAL MEETING NUMBER OF ATTENDEES WAS THE FOLLOWING:MEMBERS 6,884NON-MEMBERS 1,424EXHIBITORS 2,408GUEST/SPOUSE 1,591FOR A TOTAL OF 12,307 ATTENDEES.OTHER 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 1 1 1 0 0 0 1 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 1 440 0 1 164 1 1 1 0 0 0 1 1 0 X 65 62 0 0 1 0 0 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X STEVE LOTHARY 8472689150 1061 AMERICAN LANE SCHAUMBURG IL 601734973 JOHN P ABENSTEIN MSEE MD PRESIDENT OF BOARD 50.00 0.00 X X 156250 0 0 JANE CK FITCH MD IMMEDIATE PAST PRESIDENT OF BOARD 50.00 0.00 X X 187500 0 0 JOHN M ZERWAS MD IMMEDIATE PAST PRESIDENT OF BOARD 6.00 0.00 X X 7400 0 0 DANIEL J COLE MD PRESIDENT ELECT OF BOARD 50.00 0.00 X X 70833 0 0 JEFFREY PLAGENHOEF MD FIRST VICE PRESIDENT OF BOARD 14.00 0.00 X X 18750 0 0 BEVERLY K PHILIP MD BOARD VP - SCIENTIFIC AFFAIRS 12.00 0.00 X X 15100 250 0 STANLEY W STEAD MD BOARD VP - PROFESSIONAL AFFAIRS 28.00 0.00 X X 36750 0 0 LINDA J MASON MD SECRETARY OF BOARD 4.00 0.00 X X 5750 0 0 JAMES D GRANT MD TREASURER OF BOARD 4.00 0.00 X X 5500 0 0 JOHN F DOMBROWSKI MD ASST. SECRETARY OF BOARD 2.00 0.00 X X 3000 0 0 MARY DALE PETERSON MD ASST. TREASURER OF BOARD 5.00 0.00 X X 6250 0 0 STEVEN L SWEEN MD SPEAKER, HOUSE OF DELEGATES 2.00 0.00 X X 3000 0 0 RONALD L HARTER MD VICE SPEAKER, HOUSE OF DELEGATES 4.00 0.00 X X 4750 250 0 CHARLES K ANDERSON MD DIRECTOR 11.00 0.00 X 14000 0 0 DONALD ARNOLD MD DIRECTOR 4.00 0.00 X 5000 0 0 DAVID BROUSSARD MD DIRECTOR 2.00 0.00 X 2000 0 0 PATRICIA M BROWNE MD DIRECTOR 1.00 0.00 X 1500 0 0 CLAUDE BRUNSON MD DIRECTOR 1.00 0.00 X 750 0 0 FREDERICK W BURGESS MD DIRECTOR 1.00 0.00 X 750 0 0 ANJUM BUX MD DIRECTOR 2.00 0.00 X 2000 0 0 MICHAEL K CAHALAN MD DIRECTOR 1.00 0.00 X 750 0 0 JOSEPH F CASSADY JR MD DIRECTOR 3.00 0.00 X 3250 0 0 MICHAEL CHAMPEAU MD DIRECTOR 2.00 0.00 X 2500 0 0 RANDALL M CLARK MD DIRECTOR 5.00 0.00 X 6150 0 0 GERARD T COSTELLO MD DIRECTOR 2.00 0.00 X 2000 0 0 JAY D CUNNINGHAM DO DIRECTOR 2.00 0.00 X 2000 0 0 PETER DUNBAR MB DIRECTOR 5.00 0.00 X 6750 0 0 SHEILA J ELLIS MD DIRECTOR 1.00 0.00 X 1500 0 0 KENNETH ELMASSIAN DO DIRECTOR 2.00 0.00 X 2500 0 0 VIJAY K GABA MD DIRECTOR 1.00 0.00 X 1500 0 0 MATTHEW C GERTSCH MD DIRECTOR 2.00 0.00 X 2750 0 0 MICHAEL C GOSNEY MD DIRECTOR 1.00 0.00 X 1250 0 0 JEFFREY B GROSS MD DIRECTOR 1.00 0.00 X 1500 0 0 SCOTT B GROUDINE MD DIRECTOR 2.00 0.00 X 2750 0 0 BRIAN E HARRINGTON MD DIRECTOR 2.00 0.00 X 2400 0 0 STEVEN HATTAMER MD DIRECTOR 14.00 0.00 X 18000 0 0 DAVID L HEPNER MD DIRECTOR 1.00 0.00 X 1500 0 0 ROBERT E JOHNSTONE MD DIRECTOR 1.00 0.00 X 750 500 0 ZEEV N KAIN MD DIRECTOR 3.00 0.00 X 3500 0 0 MURRAY A KALISH MD DIRECTOR 3.00 0.00 X 3500 0 0 SCOTT KERCHEVILLE MD DIRECTOR 9.00 0.00 X 11600 0 0 JAMES D KINDSCHER MD DIRECTOR 2.00 0.00 X 2000 0 0 CHRIS A KITTLE MD DIRECTOR 1.00 0.00 X 1500 0 0 GERALD A MACCIOLI MD DIRECTOR 1.00 0.00 X 1250 0 0 ALAN P MARCO MD DIRECTOR 2.00 0.00 X 2250 0 0 JAMES R MESROBIAN MD DIRECTOR 5.00 0.00 X 6000 0 0 WILLIAM MONTGOMERY MD DIRECTOR 10.00 0.00 X 13350 0 0 JEFF MUELLER MD DIRECTOR 3.00 0.00 X 3250 0 0 HOWARD ODOM MD DIRECTOR 1.00 0.00 X 750 0 0 STEPHEN D SHUMPERT DIRECTOR 3.00 0.00 X 3500 0 0 ERIN A SULLIVAN MD DIRECTOR 3.00 0.00 X 3500 0 0 JOSEPH W SZOKOL MD DIRECTOR 2.00 0.00 X 2050 0 0 DAVID VARLOTTA DO DIRECTOR 1.00 0.00 X 1500 0 0 JAMES M WEST MD DIRECTOR 2.00 0.00 X 2250 0 0 JOHN WILLS MD DIRECTOR 1.00 0.00 X 1500 0 0 BRETT E WINTHROP MD DIRECTOR 1.00 0.00 X 750 0 0 BYRON WORK MD DIRECTOR 1.00 0.00 X 750 0 0 CHRISTOPHER A YEAKEL MD DIRECTOR 1.00 0.00 X 1500 0 0 DANIEL CAMPOS III MD DIRECTOR 1.00 0.00 X 0 0 0 FRANCISCO GRINBERG MD DIRECTOR 1.00 0.00 X 0 0 0 RAAFAT S HANNALLAH MD DIRECTOR 1.00 0.00 X 0 0 0 JAMES R HEBL R MD DIRECTOR 1.00 0.00 X 0 0 0 VERNON C HILL MD DIRECTOR 1.00 0.00 X 0 0 0 CORRY J KUCIK MD DIRECTOR 1.00 0.00 X 0 0 0 STEPHEN B PACKER MD DIRECTOR 1.00 0.00 X 0 0 0 CATHERINE C SCHMIDT MD DIRECTOR 1.00 0.00 X 0 0 0 DAVID W SIEGEL MD DIRECTOR 1.00 0.00 X 0 0 0 MICHAEL J VOLLERS MD DIRECTOR 1.00 0.00 X 0 0 0 PAUL POMERANTZ CEO 70.00 0.00 X 610716 0 45526 THOMAS CONWAY COO 50.00 0.00 X 325142 0 61048 MANUAL BONILLA CHIEF ADVOCACY OFFICER 55.00 0.00 X 277996 0 60459 CHRISTOPHER WEHKING CHIEF PROGRAM OFFICER 50.00 0.00 X 240892 0 52758 DANIEL BARRON INFORMATION TECHNOLOGY DIRECTOR 45.00 0.00 X 194666 0 43273 EDWIN DELLERT CHIEF LEARNING OFFICER 45.00 0.00 X 160492 0 19973 KAREN BUEHRING CHIEF HUMAN RESOURCES OFFICER 40.00 0.00 X 294144 0 52758 THOMAS MILLER HEALTH POLICY RESEARCH DIRECTOR 55.00 0.00 X 269095 0 52498 RICHARD DUTTON CHIEF QUALITY OFFICER 60.00 0.00 X 350804 0 61741 JEREMY LEWIN GENERAL COUNSEL 50.00 0.00 X 354292 0 43402 CELESTE KIRSCHNER PERIOPERATIVE SURGICAL HOME EXECUTIVE 42.00 0.00 X 197643 0 50986 SARA MOSER CORPORATE DEVELOPMENT DIRECTOR 45.00 0.00 X 208371 0 43235 BARBARA DIANE GAMBILL FORMER CHIEF LEARNING OFFICER 0.00 0.00 X 220959 0 8629 4378095 1000 596286 30 1 1 0 AWARE WEB SOLUTIONS NW 6431 PO BOX 1450 MINNEAPOLIS MN 55485 WEBSITE MAINTENANCE 678957 CDW DIRECT LLC PO BOX 75723 CHICAGO IL 60675 COMPUTER SERVICES 621522 PERSONIFY 1919 GALLOWS RD SUITE 400 VIENNA VA 22182 IT CONSULTING 620654 LAKE COUNTY PRESS PO BOX 9209 WAUKEGAN IL 60079 PRINTING SERVICES 609951 FREEMAN PO BOX 650036 DALLAS TX 75265 AUDIO SERVICES 458782 22 52057 52057 MEMBERSHIP DUES 541900 21012658 21012658 ANNUAL MEETING 541900 8094328 7803228 291100 OTHER PROGRAM INCOME 541900 4038814 3545801 493013 ANESTHESIA CONTINUING EDUCATION 541900 3021566 3021566 OTHER MEETINGS 900099 1644181 1644181 1532401 1532401 39343948 2287616 2287616 2817389 2817389 126791 0 126791 126791 126791 10036807 3143839 7919613 2810423 2117194 333416 2450610 2450610 47078411 38559835 784113 7682406 4199824 22100 3112726 10710284 923448 2459949 929954 161554 31900 370000 145177 1202704 268192 1416110 484715 1149275 716166 6400809 246047 1696106 106688 OTHER OUTSIDE SERVICES 2628962 SUBSCRIPTIONS 1021200 CREDIT CARD FEES 605317 RESEARCH SERVICE PAYMEN 488724 2604899 44102830 3409785 3073192 848138 172520 1586121 1430325 823386 1081016 40107666 3934400 25602533 36173266 75335211 83329012 128855 286520 107734029 125545851 8445193 6066090 5940513 8544218 14350000 29565000 201361 2160893 28937067 46336201 X 78796962 79209650 78796962 79209650 107734029 125545851 X 2975581 -2473092 -89801 X 0 1 X 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 AMERICAN SOCIETY OF ANESTHESIOLOGISTS POLITICAL ACTION COMMITTEE 1501 M STREET NW SUITE 300 WASHINGTON DC 20005 363887214 22203 0 0 1 21012658 885513 -1395523 -510010 629483 -1139493 PART I-A, LINE 1: THE ORGANIZATION COLLECTS CONTRIBUTIONS ON BEHALF OF A RELATED POLITICAL ACTION COMMITTEE AND PROMPTLY AND DIRECTLY DELIVERS THE CONTRIBUTIONS TO THE POLITICAL ACTION COMMITTEE. 1 1252456 1462808 2250000 465264 0 6405806 6405806 24316730 351305 23965425 154240 107483 46757 9191700 3474414 5717286 39190 1198 37992 36173266 DEFERRED RENT 2159993 DUE TO RELATED PARTY 900 2160893 X 44214095 -2473092 -2473092 46687187 145177 246047 391224 47078411 43711606 0 43711606 145177 246047 391224 44102830 PART IV, LINE 1B: ASA AND ANESTHESIA QUALITY INSTITUTE (AQI), A RELATED ORGANIZATION HAVE NEGOTIATED AN ARRANGEMENT UNDER WHICH THE FUNDS OF AQI WILL BE INVESTED WITH THE FUNDS OF ASA AND UNDER WHICH ASA MAY PROVIDE ASSISTANCE TO AQI UPON REQUEST. ASA AND AQI AGREE TO HAVE FUNDS FROM THEIR RESPECTIVE FUNDS INVESTED BY, AND TO CONFER INVESTMENT RESPONSIBILITY FOR THEIR FUNDS ON, THE INVESTMENT MANAGER(S) SELECTED BY ASA WITH ASA AS AGENT FOR THE INVESTMENT MANAGER. ASA AND AQI AGREE THAT THE INVESTMENT MANAGER(S) SHALL ASSUME THE MANAGEMENT OF, AND INVESTMENT RESPONSIBILITY FOR, THE FUNDS OF ASA AND AQI THAT ARE HELD AND INVESTED, AND PROVIDING THE INFORMATION THAT WILL BE THE BASIS FOR DISCLOSURE MATERIALS. THE INVESTMENT MANAGER'S PERFORMANCE SHALL BE OVERSEEN BY ASA, WHICH SHALL FROM TIME TO TIME DESIGNATE, AND MAY AT ANY TIME TERMINATE THE DESIGNATION OF, INVESTMENT MANAGERS OF THE COMMONLY INVESTED FUNDS. FROM TIME TO TIME, ASA SHALL REVIEW INVESTMENT PERFORMANCE, OBJECTIVES, GOALS AND FUND MANAGEMENT. 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, 2014 AND 2013, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS. THE SOCIETY IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; THE IRS IS IN THE PROCESS OF AUDITING ASA 2011 FORMS 990 AND 990-T AND, AS OF THE REPORT DATE, IT HAS NOT CONCLUDED ITS AUDIT. MANAGEMENT DOES NOT EXPECT TO MAKE ANY ADJUSTMENTS. IN ADDITION, MANAGEMENT BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2011. PART XI, LINE 4B - OTHER ADJUSTMENTS: INTEREST EXPENSE NETTED AGAINST REVENUE 246,047. PART XII, LINE 4B - OTHER ADJUSTMENTS: INTEREST EXPENSE NETTED AGAINST REVENUE 246,047. EUROPE (INCLUDING ICELAND & GREENLAND) 0 0 PUBLICATION SALES SALES OF PUBLICATIONS, INCLUDING CONTINUING EDUCATION MATERIALS MIDDLE EAST AND NORTH AFRICA 0 0 PUBLICATION SALES SALES OF PUBLICATIONS, INCLUDING CONTINUING EDUCATION MATERIALS SOUTH AMERICA 0 0 PUBLICATION SALES SALES OF PUBLICATIONS, INCLUDING CONTINUING EDUCATION MATERIALS EAST ASIA AND THE PACIFIC 0 0 PUBLICATION SALES SALES OF PUBLICATIONS, INCLUDING CONTINUING EDUCATION MATERIALS NORTH AMERICA 0 0 PUBLICATION SALES SALES OF PUBLICATIONS, INCLUDING CONTINUING EDUCATION MATERIALS SOUTH ASIA 0 0 PUBLICATION SALES SALES OF PUBLICATIONS, INCLUDING CONTINUING EDUCATION MATERIALS CENTRAL AMERICA AND THE CARIBBEAN 0 0 PUBLICATION SALES SALES OF PUBLICATIONS, INCLUDING CONTINUING EDUCATION MATERIALS RUSSIA AND NEIGHBORING STATES 0 0 PUBLICATION SALES SALES OF PUBLICATIONS, INCLUDING CONTINUING EDUCATION MATERIALS CENTRAL AMERICA AND THE CARIBBEAN 0 0 REGISTRATION INCOME ANNUAL MEETING SOUTH AMERICA 0 0 REGISTRATION INCOME ANNUAL MEETING EAST ASIA AND THE PACIFIC 0 0 REGISTRATION INCOME ANNUAL MEETING EUROPE (INCLUDING ICELAND & GREENLAND) 0 0 REGISTRATION INCOME ANNUAL MEETING MIDDLE EAST AND NORTH AFRICA 0 0 REGISTRATION INCOME ANNUAL MEETING SOUTH ASIA 0 0 REGISTRATION INCOME ANNUAL MEETING NORTH AMERICA 0 0 REGISTRATION INCOME ANNUAL MEETING SUB-SAHARAN AFRICA 0 0 REGISTRATION INCOME ANNUAL MEETING RUSSIA AND NEIGHBORING STATES 0 0 REGISTRATION INCOME ANNUAL MEETING NORTH AMERICA 0 0 REGISTRATION INCOME CONFERENCE ON PRACTICE MANAGEMENT EAST ASIA AND THE PACIFIC 0 0 REGISTRATION INCOME CERTIFICATE IN BUSINESS ADMINISTRATION NORTH AMERICA 0 0 REGISTRATION INCOME QUALITY IMPROVEMENT MEETING EAST ASIA AND THE PACIFIC 0 0 REGISTRATION INCOME QUALITY IMPROVEMENT MEETING SOUTH AMERICA 0 0 REGISTRATION INCOME QUALITY IMPROVEMENT MEETING CENTRAL AMERICA AND THE CARIBBEAN 0 0 DUES REVENUE MEMBERSHIP DUES SOUTH AMERICA 0 0 DUES REVENUE MEMBERSHIP DUES EAST ASIA AND THE PACIFIC 0 0 DUES REVENUE MEMBERSHIP DUES EUROPE (INCLUDING ICELAND & GREENLAND) 0 0 DUES REVENUE MEMBERSHIP DUES MIDDLE EAST AND NORTH AFRICA 0 0 DUES REVENUE MEMBERSHIP DUES SOUTH ASIA 0 0 DUES REVENUE MEMBERSHIP DUES NORTH AMERICA 0 0 DUES REVENUE MEMBERSHIP DUES SUB-SAHARAN AFRICA 0 0 DUES REVENUE MEMBERSHIP DUES 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 FOUNDATION FOR ANESTHESIA EDUCATION & RESEARCH 1061 AMERICAN LANE SCHAUMBURG IL 60193 521494164 501(C)(3) 1720492 OPERATING SUPPORT ANESTHESIA QUALITY INSTITUTE 1061 AMERICAN LANE SCHAUMBURG IL 60193 263848288 501(C)(3) 1462808 OPERATING SUPPORT ANESTHESIA PATIENT SAFETY FOUNDATION 1061 AMERICAN LANE SCHAUMBURG IL 60193 510287258 501(C)(3) 317349 OPERATING SUPPORT WOOD LIBRARY MUSEUM 1061 AMERICAN LANE SCHAUMBURG IL 60193 363573324 501(C)(3) 400000 OPERATING SUPPORT MEDICAL COLLEGE OF WISCONSIN 3729 N 101ST STREET WAUWATOSA WI 53222 390806261 501(C)(3) 5000 OPERATING SUPPORT MALIGNANT HYPERTHERMIA ASSOCIATION 11 E STATE STREET SHERBURNE NY 13460 061076301 501(C)(3) 20000 OPERATING SUPPORT MINNESOTA SOCIETY OF ANESTHESIOLOGISTS 1821 UNIVERSITY AVE W S256 SAINT PAUL MN 55104 410884371 501(C)(3) 20000 OPERATING SUPPORT PENNSYLVANIA SOCIETY OF ANESTHESIOLOGISTS 777 E PARK STREET HARRISBURGH PA 17111 256168908 501(C)(6) 6000 OPERATING SUPPORT MICHIGAN SOCIETY OF ANESTHESIOLOGISTS 120 N WASHINGTON SQUARE 110A LANSING MI 48933 386077098 501(C)(6) 31125 OPERATING SUPPORT MASSACHUSETTS SOCIETY OF ANESTHESIOLOGISTS 318 BEAR HILL ROAD 4A WALTHAM MA 02451 046180165 501(C)(6) 30000 OPERATING SUPPORT WISCONSIN SOCIETY OF ANESTHESIOLOGISTS 6737 W WASHINGTON STREET 1300 MILWAUKEE WI 53214 391087656 501(C)(6) 6000 OPERATING SUPPORT TEXAS SOCIETY OF ANESTHESIOLOGISTS 401 W 15TH STREET 990 AUSTIN TX 78701 741445957 501(C)(6) 7500 OPERATING SUPPORT NEW YORK STATE SOCIETY OF ANESTHESIOLOGISTS 110 E 40TH STREET 300 NEW YORK NY 10016 131938679 501(C)(6) 6000 OPERATING SUPPORT NEVADA STATE SOCIETY OF ANESTHESIOLOGISTS 3825 BOULDER PATCH RENO NV 85911 880335875 501(C)(6) 7500 OPERATING SUPPORT IOWA SOCIETY OF ANESTHESIOLOGISTS 1215 PLEASANT ST 400 DES MOINES IA 50309 426066162 501(C)(6) 14000 OPERATING SUPPORT NEW MEXICO SOCIETY OF ANESTHESIOLOGISTS 316 OSUNA RD NE SUITE 501 ALBUQUERQUE NM 87107 850352129 501(C)(6) 35000 OPERATING SUPPORT HOPE FOR THE WARRIORS 1335 WESTERN BLVD SUITE E JACKSONVILLE NC 28546 205182295 501(C)(3) 20000 OPERATING SUPPORT 8 9 EDUCATIONAL GRANTS - POLICY RESEARCH ROTATION IN POLITICAL AFFAIRS PROGRAM 5 22100 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 X 1 1 X X X X X 1 0 0 JOHN P ABENSTEIN MSEE MD PRESIDENT OF BOARD 156250 0 0 0 0 0 0 0 0 0 156250 0 0 0 JANE CK FITCH MD IMMEDIATE PAST PRESIDENT OF BOARD 187500 0 0 0 0 0 0 0 0 0 187500 0 0 0 PAUL POMERANTZ CEO 511356 0 99360 0 0 0 33800 0 11726 0 656242 0 0 0 THOMAS CONWAY COO 290256 0 34886 0 0 0 33800 0 27248 0 386190 0 0 0 MANUAL BONILLA CHIEF ADVOCACY OFFICER 246874 0 31122 0 0 0 32982 0 27477 0 338455 0 0 0 CHRISTOPHER WEHKING CHIEF PROGRAM OFFICER 215809 0 25083 0 0 0 25658 0 27100 0 293650 0 0 0 DANIEL BARRON INFORMATION TECHNOLOGY DIRECTOR 171881 0 22785 0 0 0 23330 0 19943 0 237939 0 0 0 EDWIN DELLERT CHIEF LEARNING OFFICER 160492 0 0 0 0 0 2500 0 17473 0 180465 0 0 0 KAREN BUEHRING CHIEF HUMAN RESOURCES OFFICER 225728 0 21233 0 47183 0 25658 0 27100 0 346902 0 0 0 THOMAS MILLER HEALTH POLICY RESEARCH DIRECTOR 242527 0 26568 0 0 0 33022 0 19476 0 321593 0 0 0 RICHARD DUTTON CHIEF QUALITY OFFICER 350804 0 0 0 0 0 33800 0 27941 0 412545 0 0 0 JEREMY LEWIN GENERAL COUNSEL 324292 0 30000 0 0 0 25051 0 18351 0 397694 0 0 0 CELESTE KIRSCHNER PERIOPERATIVE SURGICAL HOME EXECUTIV 175267 0 22376 0 0 0 24316 0 26670 0 248629 0 0 0 SARA MOSER CORPORATE DEVELOPMENT DIRECTOR 184825 0 23546 0 0 0 25418 0 17817 0 251606 0 0 0 BARBARA DIANE GAMBILL FORMER CHIEF LEARNING OFFICER 0 0 0 0 220959 0 8629 0 0 0 229588 0 0 0 PART I, LINE 1A THE ASA ADMINISTRATIVE PROCEDURES ALLOW DOMESTIC FIRST-CLASS AIRFARE FOR PRESIDENT, PRESIDENT-ELECT, FIRST VP, ROVENSTINE LECTURER, RECIPIENT OF THE DISTINGUISHED SERVICE AWARD, RECIPIENT OF THE EXCELLENCE 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. IN 2014 ASA PAID FOR AN APARTMENT FOR ASA CEO PAUL POMERANTZ IN WASHINGTON DC IN LIEU OF HOTEL REIMBURSEMENTS FOR MR. POMERANTZ'S FREQUENT BUSINESS TRIPS TO WASHINGTON DC. THE AMOUNT WAS REPORTED AS COMPENSATION ON MR. POMERANTZ'S 2014 W-2. PART I, LINE 4A BARBARA DIANE GAMBILL, FORMER CHIEF LEARNING OFFICER, RECEIVED $220,959 IN SEVERANCE COMPENSATION IN 2014. KAREN BUEHRING, PRIOR CHIEF HUMAN RESOURCES OFFICER, RECEIVED $47,183 IN SEVERANCE COMPENSATION IN 2014. FORM 990, PART VI, SECTION A, LINE 4 THE ORGANIZATION HAS MADE THE FOLLOWING CHANGES TO ITS BY-LAWS: 1. THE COMMITTEE ON BLOOD MANAGEMENT AS STATED IN 6.5.2.1 WAS AMENDED TO READ "COMMITTEE ON PATIENT BLOOD MANAGEMENT". 2. BY-LAW 6.2.2.2 WHICH OUTLINED THE COMMITTEE ON OUTREACH EDUCATION WAS DELETED AS THIS COMMITTEE NO LONGER EXISTS. 3. THE ASA PAST PRESIDENTS ARE IDENTIFIED AS BEING NON-VOTING INASMUCH AS SECTION 1.2.8.1 STATES THAT "EACH DELEGATE, DIRECTOR, OFFICER AND RESIDENT DELEGATE SHALL HAVE ONE VOTE."IN ORDER TO MAKE SECTION 1.2.1 ON THE COMPOSITION OF THE HOUSE OF DELEGATES MORE UNIFORM, BY-LAW 1.2.1.6 WAS AMENDED TO READ "PAST PRESIDENTS (NON-VOTING)" 4. SECTION 1.3.1 LISTS THE COMPOSITION OF THE BOARD OF DIRECTORS. IN IT, THE MEDICAL STUDENT COMPONENT IS GRANTED ONE REPRESENTATIVE WITHOUT A VOTE. HOWEVER, THE RESIDENT COMPONENT IS NOT MENTIONED. TRADITION HAS GIVEN THE RESIDENT COMPONENT A DIRECTOR AND AN ALTERNATE DIRECTOR (WITH VOTE). THEREFORE, TO MAKE ASA'S BY-LAWS CONGRUENT WITH ACTUAL PRACTICE, BY-LAW SECTION 1.3.1 WAS AMENDED TO ADD A NEW SUBSECTION GRANTING THE RESIDENT COMPONENT A DIRECTOR AND AN ALTERNATE DIRECTOR TO THE BOARD OF DIRECTORS. 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 11 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 SERVICE, 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 INITIAL 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 COUNCIL, OR IN THE CASE 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 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 15 OUTSIDE COMPENSATION EXPERTS ARE UTILIZED REGARDING BENCHMARKED POSITION OF THE CHIEF EXECUTIVE OFFICER. OUTSIDE COMPENSATION EXPERTS ARE UTILIZED FOR RECOMMENDATIONS ON COMPENSATION FOR OTHER OFFICERS AND KEY EMPLOYEES. 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 CONFLICT OF INTEREST POLICY, GOVERNING DOCUMENTS, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: BENEFIT PLAN CHANGES OTHER THAN NET PERIODIC POSTRETIREMENT BENEFIT COSTS -89,801. 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