2024-11-05T09:33:49-06:00 2023-12-31 410746749 CLIFTONLARSONALLEN LLP 2021 SPRING ROAD SUITE 200 OAK BROOK IL 60523 990 2023-01-01 510287258 THE ANESTHESIA PATIENT SAFETY FOUNDATION ANES 8478255586 1061 AMERICAN LANE SCHAUMBURG IL 601734973 MARK MANKA CHIEF FINANCIAL OFFICER 8472689251 2024-11-04 1 0 JAMES R THOMAS P00095586 6305738600 2024-11-04 2023 2024-10-15 13:58:12Z MARK MANKA 1061 AMERICAN LANE SCHAUMBURG IL 601734973 3726474 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 1505528 1516135 0 0 1818985 1737589 856 457 3325369 3254181 461569 532248 0 0 279138 255853 123513 119630 364471 1399170 1419851 2263390 2327582 1061979 926599 13172936 14867025 210597 327452 12962339 14539573 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 1613676 532248 457 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. 1613676 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 1 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 125000 3000 0 MEGHAN LANE-FALL MD MSHP FCCM DIRECTOR 1.00 X 600 350 0 STEVEN B GREENBERG MD FCCP FCCM VICE PRESIDENT 10.00 X X 32000 0 0 DOUGLAS BARTLETT TREASURER 1.00 X X 0 0 0 LYNN REEDE DNP MBA CRNA FNAP DIRECTOR-AT-LARGE 1.00 X 200 0 0 SHANE ANGUS CAA MSA DIRECTOR 1.00 X 1800 400 0 JOHN W BEARD MD DIRECTOR 1.00 X 0 0 0 JEFFREY M FELDMAN MD MSE DIRECTOR 2.00 X 1400 0 0 SEEMA KUMBHAT MD DIRECTOR 1.00 X 0 0 0 JOSHUA LEA DNP MBA CRNA DIRECTOR 1.00 X 4500 0 0 DELLA M LIN MS MD FASA SECRETARY 1.00 X X 3200 0 0 JAY MESROBIAN MD MBA FASA FACHE DIRECTOR 1.00 X 600 2400 0 MAY C M PIAN-SMITH MD MS DIRECTOR 1.00 X 0 0 0 ELIZABETH REBELLO MD FASA CPPS DIRECTOR 1.00 X 2200 1128 0 PATTY MULLEN REILLY CRNA DIRECTOR (THRU SEPT 2023) 1.00 X 1200 0 0 DRU RIDDLE PHD DNP CRNA DIRECTOR 1.00 X 1000 0 0 MARJORIE P STIEGLER MD DIRECTOR (THRU SEPT 2023) 1.00 X 600 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 29100 0 0 PAUL POMERANTZ CHIEF EXECUTIVE OFFICER 1.00 70.00 X 0 785762 88793 LISA STEININGER CHIEF FINANCIAL OFFICER 1.00 50.00 X 0 408395 76996 203400 1201435 165789 1 0 1 0 RED ROCK LLC 11011 W CHARLESTON BLVD LAS VEGAS NV 89135 MEETING VENUE 282458 EDENS WORKS INC 409 23RD AVE SW ROCHESTER MN 55902 WEBSITE HOSTING AND CONSULTING SERVICES 202555 LANGUAGE LINE TRANSLATION SOLUTIONS PO BOX 202560 DALLAS TX 75320 TRANSLATION SERVICES 141644 MOSER STRATEGY GROUP 640 WELSH PARTRIDGE CIRCLE BILTMORE LAKE NC 28715 FUNDRAISING SERVICES 119630 STACEY JO MAXWELL 305 4TH STREET NE KASSON MN 55944 ADMINISTRATIVE SUPPORT 101888 5 425000 1091135 1516135 254243 254243 1955639 472293 1483346 1483346 1483346 MISCELLANEOUS INCOME 900099 457 457 457 3254181 457 0 1737589 X 377249 377249 154999 154999 203400 58986 103734 40680 52453 13673 27119 11661 16000 16000 10703 6529 642 3532 16202 9883 972 5347 119630 119630 75131 75131 573715 423917 36230 113568 7256 7256 221268 138478 12737 70053 158273 133607 24666 298343 255398 42945 SUBSCRIPTIONS 38832 33701 5131 CREDIT CARD FEES 4128 4128 2327582 1613676 349435 364471 523306 567170 419202 426487 36800 51654 46062 60875 12147566 13735648 0 25191 13172936 14867025 68479 87452 50000 125000 75000 115000 17118 0 210597 327452 X 12820594 14307139 141745 232434 12962339 14539573 13172936 14867025 X 926599 632674 17961 X X 0 1 X 1 0 X 1293067 1521974 1433646 1505528 1516135 7270350 1293067 1521974 1433646 1505528 1516135 7270350 2078728 5191622 214443 172620 163758 195269 254243 1000333 1991 6522 1305 856 457 11131 8281814 0.62690 0.64760 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2019 AMOUNT: $ 1,991. 2020 AMOUNT: $ 6,522. 2021 AMOUNT: $ 1,305. 2022 AMOUNT: $ 856. 2023 AMOUNT: $ 457. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 X 3811725 632675 632675 3179050 75131 75131 3254181 2234490 0 2234490 75131 17961 93092 2327582 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, 2023, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE FINANCIAL STATEMENTS. PART XII, LINE 4B - OTHER ADJUSTMENTS: RETURNED GRANT 17,961. 1 NORTH AMERICA 0 0 GRANT TO RECIPIENT LOCATED IN THE REGION 154999 0 0 0 0 0 0 154999 0 154999 NORTH AMERICA RESEARCH GRANT 154999 CASH PAYMENT 0 1 0 0 0 0 0 0 PART I, LINE 2: THE FOUNDATION COLLECTS INFORMATION FROM GRANT RECIPIENTS TO ESTABLISH THAT THE FUNDS ARE SPENT ACCORDING TO THE TERMS OF THE GRANT OBJECTIVES. PART I, LINE 3: EXPENDITURES ARE ACCOUNTED FOR ON THE ACCRUAL BASIS OF ACCOUNTING. X X X X 0 THE MOSER STRATEGY GROUP 640 WELSH PARTRIDGE CIRCLE BILTMORE NC 28715 TO CULTIVATE CORPORATE SUPPORT 0 0 119630 -119630 119630 -119630 IL SCHEDULE G, PART I, LINE 2B, COLUMN (V) THE MOSER STRATEGY GROUP PURPOSE IS TO CULTIVATE CORPORATE SUPPORT FOR THE APSF. 1 ICAHN SCHOOL OF MEDICINE ONE GUSTAVE L LEVY PLACE BOX 3500 NEW YORK NY 100296574 136171197 501(C)(3) 149999 0 APSF RESEARCH GRANT UNIVERSITY OF FLORIDA 33 TIGERT HALL PO BOX 113001 GAINESVILLE FL 32611 596002052 501(C)(3) 77000 0 APSF TECHNOLOGY EDUCATION INITIATIVE GRANT UNIVERSITY OF TEXAS SW MEDICAL CENTER 5323 HARRY HINES BLVD DALLAS TX 75390 746000089 501(C)(3) 150000 0 MENTORED RESEARCH TRAINING GRANT 3 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 PAUL POMERANTZ CHIEF EXECUTIVE OFFICER 0 657080 0 128682 0 0 0 74820 0 13973 0 874555 0 0 LISA STEININGER CHIEF FINANCIAL OFFICER 0 369500 0 38895 0 0 0 42900 0 34096 0 485391 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 OTHER PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 423,917. MANAGEMENT AND GENERAL EXPENSES 36,230. FUNDRAISING EXPENSES 113,568. TOTAL EXPENSES 573,715. FORM 990, PART XI, LINE 9: RETURNED GRANT FUNDS 17,961. 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. 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