ANESTHESIA PATIENT SAFETY FOUNDATION: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
ANESTHESIA PATIENT SAFETY FOUNDATION (EIN 51-0287258)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-09-21
IRS object ID
202202649349300210
Schema version
2021v4.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2022-09-21T09:11:44-05:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN410746749PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11301 WEST 22ND STREET SUITE 1100AddressLine1Txt
CityOAK BROOKCityNm
State AbbreviationILStateAbbreviationCd
ZIP60523ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN510287258EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE ANESTHESIA PATIENT SAFETY FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlANESBusinessNameControlTxt
Phone8478255586PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11061 AMERICAN LANEAddressLine1Txt
CitySCHAUMBURGCityNm
State AbbreviationILStateAbbreviationCd
ZIP601734973ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDANIEL J COLE MDPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone8478255586PhoneNum
Signature2022-09-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstDANIELPersonFirstNm
Person LastCOLE MDPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJAMES R THOMASPreparerPersonNm
PTINP00095586PTIN
Phone6305738600PhoneNum
Preparation2022-09-15PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDANIEL J COLE MDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11061 AMERICAN LANEAddressLine1Txt
CitySCHAUMBURGCityNm
State AbbreviationILStateAbbreviationCd
ZIP601734973ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$3,191,454GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.APSF.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1985FormationYr
Legal Domicile StateDELegalDomicileStateCd
Activity Or MissionTHE 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.ActivityOrMissionDesc
Voting Members Governing Body20VotingMembersGoverningBodyCnt
Voting Members Independent20VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers125TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,521,974PYContributionsGrantsAmt
CY Contributions Grants$1,433,646CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$2,884,717PYInvestmentIncomeAmt
CY Investment Income$956,051CYInvestmentIncomeAmt
PY Other Revenue$6,522PYOtherRevenueAmt
CY Other Revenue$76,305CYOtherRevenueAmt
PY Total Revenue$4,413,213PYTotalRevenueAmt
CY Total Revenue$2,466,002CYTotalRevenueAmt
PY Grants And Similar Paid$304,233PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$655,342CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$227,117PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$240,931CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$316,163CYTotalFundraisingExpenseAmt
PY Other Expenses$1,162,382PYOtherExpensesAmt
CY Other Expenses$1,369,472CYOtherExpensesAmt
PY Total Expenses$1,693,732PYTotalExpensesAmt
CY Total Expenses$2,265,745CYTotalExpensesAmt
PY Revenues Less Expenses$2,719,481PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$200,257CYRevenuesLessExpensesAmt
Total Assets BOY$14,104,656TotalAssetsBOYAmt
Total Assets EOY$16,092,814TotalAssetsEOYAmt
Total Liabilities BOY$302,368TotalLiabilitiesBOYAmt
Total Liabilities EOY$287,981TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$13,802,288NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$15,804,833NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE 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.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$1,631,391ExpenseAmt
Grant$655,342GrantAmt
Revenue$76,305RevenueAmt
DescTHE 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 ANESTHESOLOGSTS, 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.Desc
Total Program Service Expenses$1,631,391TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgYes (1)TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document31IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members20GoverningBodyVotingMembersCnt
Independent Voting Member20IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldILStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1LISA STEININGERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8472689220PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11061 AMERICAN LANEAddressLine1Txt
CitySCHAUMBURGCityNm
State AbbreviationILStateAbbreviationCd
ZIP601734973ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
LYNN REEDE DNP MBA CRNA FNAP
DIRECTOR-AT-LARGE1.00Yes (X)$0$0$0
BRIAN THOMAS JD
DIRECTOR1.00Yes (X)$0$0$0
DELLA M LIN MS MD FASA
DIRECTOR1.00Yes (X)$1,200$0$0
DRU RIDDLE PHD DNP CRNA
DIRECTOR2.00Yes (X)$800$0$0
ELIZABETH REBELLO MD FASA CPPS
DIRECTOR1.00Yes (X)$800$0$0
JEFFREY M FELDMAN MD MSE
DIRECTOR2.00Yes (X)$2,900$0$0
JOHN W BEARD MD
DIRECTOR1.00Yes (X)$800$0$0
JOSHUA LEA DNP MBA CRNA
DIRECTOR1.00Yes (X)$1,200$0$0
MARJORIE P STIEGLER MD
DIRECTOR5.00Yes (X)$40,000$0$0
MAY C M PIAN-SMITH MD MS
DIRECTOR1.00Yes (X)$0$0$0
PATTY MULLEN REILLY CRNA
DIRECTOR1.00Yes (X)$0$0$0
SEEMA KUMBHAT MD
DIRECTOR1.00Yes (X)$0$0$0
SHANE ANGUS CAA
DIRECTOR1.00Yes (X)$800$0$0
STEVEN K HOWARD MD
DIRECTOR1.00Yes (X)$0$2,700$0
DANIEL J COLE MD
PRESIDENT25.00$0$600$0Yes (X)
MEGHAN LANE-FALL MD
VICE PRESIDENT2.00$0$450$0Yes (X)
STEVEN B GREENBERG MD FCCP FCCM
SECRETARY10.00$26,200$0$0Yes (X)
DOUGLAS BARTLETT
TREASURER1.00$0$0$0Yes (X)
MARK A WARNER MD
PAST PRESIDENT0.00$0$0$0Yes (X)
ALICE ROMIE PHARMD
DIRECTOR0.00$0$0$0Yes (X)
LINDA GROAH MSN RN CNOR NEA-BC
DIRECTOR1.00$0$0$0Yes (X)
MARIA VAN PELT CRNA PHD
DIRECTOR1.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$74,700TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$3,750TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
ROYAL PALMS
5200 E CAMELBACK RDPHOENIXAZ85018APSF SEPTEMBER STOELTING CONFERENCE$237,372
MAYO CLINIC
200 FIRST STREET SWROCHESTERMN55905EXECUTIVE OFFICE SUPPORT AND WEBSITE HON$180,000
EDENS WORKS
409 23RD AVE SWROCHESTERMN55902WESBSITE HOSTING AND CONSULTING SERVICES$176,818
LANGUAGE LINE TRANSLATION SOLUTIONS
PO BOX 202560DALLASTX75320TRANSLATION OF NEWSLETTERS$118,308
MOSER STRATEGY GROUP
640 WELSH PARTRIDGE CIRCLEBALTIMORENC28715FUNDRAISING SERVICES$115,817
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
Related Organizations$340,000RelatedOrganizationsAmt
All Other Contributions$1,093,646AllOtherContributionsAmt
Total Contributions$1,433,646TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$163,758TotalRevenueColumnAmt
Exclusion$163,758ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$1,517,745SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$725,452SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$792,293SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$792,293TotalRevenueColumnAmt
Exclusion$792,293ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUS INCOMEDesc
Business900099BusinessCd
Total Revenue Column$76,305TotalRevenueColumnAmt
Related Or Exempt Func Income$76,305RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$76,305OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,466,002TotalRevenueColumnAmt
Related Or Exempt Func Income$76,305RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$956,051ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$655,342TotalAmt
Program Services$655,342ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$74,700TotalAmt
Program Services$35,856ProgramServicesAmt
Management And General$27,639ManagementAndGeneralAmt
Fundraising$11,205FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$166,231TotalAmt
Program Services$80,475ProgramServicesAmt
Management And General$61,361ManagementAndGeneralAmt
Fundraising$24,395FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$16,000TotalAmt
Management And General$16,000ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$25TotalAmt
Program Services$16ProgramServicesAmt
Management And General$1ManagementAndGeneralAmt
Fundraising$8FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$12,769TotalAmt
Program Services$8,172ProgramServicesAmt
Management And General$383ManagementAndGeneralAmt
Fundraising$4,214FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$81,134TotalAmt
Management And General$81,134ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$643,153TotalAmt
Program Services$413,756ProgramServicesAmt
Management And General$17,411ManagementAndGeneralAmt
Fundraising$211,986FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$2,158TotalAmt
Program Services$1,381ProgramServicesAmt
Management And General$65ManagementAndGeneralAmt
Fundraising$712FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$20,998TotalAmt
Program Services$20,998ProgramServicesAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$172,842TotalAmt
Program Services$110,619ProgramServicesAmt
Management And General$5,185ManagementAndGeneralAmt
Fundraising$57,038FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$7,864TotalAmt
Management And General$7,864ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$204,036TotalAmt
Program Services$150,831ProgramServicesAmt
Management And General$50,505ManagementAndGeneralAmt
Fundraising$2,700FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$202,207TotalAmt
Program Services$151,445ProgramServicesAmt
Management And General$46,857ManagementAndGeneralAmt
Fundraising$3,905FundraisingAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmtProgram ServicesProgramServicesAmt
CREDIT CARD FEES$3,786$3,786
SPEAKER FEES$2,500$2,500

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$2,265,745TotalAmt
Program Services$1,631,391ProgramServicesAmt
Management And General$318,191ManagementAndGeneralAmt
Fundraising$316,163FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$504,691BOYAmt
EOY$341,101EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,351,554BOYAmt
EOY$2,833,872EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$34,230BOYAmt
EOY$84,664EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$109,648BOYAmt
EOY$82,542EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$12,104,533BOYAmt
EOY$12,750,635EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$14,104,656BOYAmt
EOY$16,092,814EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$37,819BOYAmt
EOY$38,710EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$225,000BOYAmt
EOY$75,000EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
EOY$120,000EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$39,549BOYAmt
EOY$54,271EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$302,368BOYAmt
EOY$287,981EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$13,624,794BOYAmt
EOY$15,509,467EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$177,494BOYAmt
EOY$295,366EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$13,802,288BOYAmt
EOY$15,804,833EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$14,104,656BOYAmt
EOY$16,092,814EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$200,257ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$1,802,288NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,058,817CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,338,849CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,293,067CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,521,974CurrentTaxYearMinus1YearAmt
Current Tax Year$1,433,646CurrentTaxYearAmt
Total$6,646,353TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,058,817CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,338,849CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,293,067CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,521,974CurrentTaxYearMinus1YearAmt
Current Tax Year$1,433,646CurrentTaxYearAmt
Total$6,646,353TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$1,963,186SubstantialContributorsTotAmt
Public Support Total170$4,683,167PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$180,633CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$202,604CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$214,443CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$172,620CurrentTaxYearMinus1YearAmt
Current Tax Year$163,758CurrentTaxYearAmt
Total$934,058TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$107CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$348CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,991CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,522CurrentTaxYearMinus1YearAmt
Current Tax Year$1,305CurrentTaxYearAmt
Total$10,273TotalAmt
FieldValueIRS element (for citing)
Total Support$7,590,684TotalSupportAmt
Public Support CY1700.61700PublicSupportCY170Pct
Public Support PY1700.60470PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:FormAndLineReferenceDesc
ExplanationOTHER INCOME - 2017 AMOUNT: $ 107. 2018 AMOUNT: $ 348. 2019 AMOUNT: $ 1,991. 2020 AMOUNT: $ 6,522. 2021 AMOUNT: $ 1,305.ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDUE TO ASADesc
Amt$54,271Amt
FieldValueIRS element (for citing)
Total Liability$54,271TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$4,187,156TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$1,802,288NetUnrealizedGainsInvstAmt
Revenue Not Reported$1,802,288RevenueNotReportedAmt
Revenue Subtotal$2,384,868RevenueSubtotalAmt
Investment Expenses Not Incld$81,134InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$81,134RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$2,466,002TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$2,184,611TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$2,184,611ExpensesSubtotalAmt
Investment Expenses Not Incld2$81,134InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt$81,134ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$2,265,745TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHE 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, 2021, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE FINANCIAL STATEMENTS.ExplanationTxt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (7 entries)

Address Line1USAddress/AddressLine1TxtAddress Line2USAddress/AddressLine2TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxtAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmProvince Or StateForeignAddress/ProvinceOrStateNmCountryForeignAddress/CountryCdForeign PostalForeignAddress/ForeignPostalCdRecipient EINRecipientEIN
NORTHWESTERN UNIVERSITY
750 NORTH LAKE SHORE DRIVE 7THFLOORCHICAGOIL60611501(C)(3)$149,592$0APSF RESEARCH AWARD - DR. PALOMA TOLEDO
SUNNYBROOK RESEARCH INSTITUTE
501(C)(3)$150,000$0APSF/ASA PRESIDENT RESEARCH AWARD - DR. STEPHEN CHOIS130 2075 BAYVIEW AVETORONTOONTARIOCAM4N3M5
BRIGHAM AND WOMEN'S HOSPITAL
399 REVOLUTION DR STE 740SOMERVILLEMA21145501(C)(3)$154,998$0APSF/MEDTRONIC RESEARCH AWARD ($149,998) AND APSF ELLISON C. PIERCE MD MERIT AWARD ($5,000) - DR. VESELA KOVACHEVA
NORTHSHORE UNIVERSITY HEALTHSYSTEM FOUNDATION
1033 UNIVERSITY PLACE 450EVANSTONIL60201501(C)(3)$50,000$0DOCTORS COMPANY FOUNDATION GRANT AWARD362167060
HEALTH AND HOSPITAL HARLEM HOSPITAL CENTER
HARLEM KP BUILDING 7TH FL 506 LENOXAVENEW YORKNY10037501(C)(3)$50,000$0DOCTORS COMPANY FOUNDATION GRANT AWARD132655001
UNIVERSITY OF COLORADO
12801 E 17TH AVE 4TH FL MAILSTOP8130AURORACO80045501(C)(3)$50,000$0DOCTORS COMPANY FOUNDATION GRANT AWARD846000555
INSTITUTE FOR SAFE MEDICATION PRACTICES
200 LAKESIDE DR STE 200HORSHAMPA19044501(C)(3)$50,000$0SPONSORSHIP OF ISMP NATIONAL MEDICATION SAFETY SUMMIT FOR PERIOPERATIVE SETTINGS
FieldValueIRS element (for citing)
Total501c3 Org7Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationTHE 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.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 3THE 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 11BTHE 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 12CTHE 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 15MANAGEMENT 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 19GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE THROUGH APPLICABLE GOVERNMENTAL AGENCIES.
FORM 990, PART IX, LINE 11GOTHER PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 413,756. MANAGEMENT AND GENERAL EXPENSES 17,411. FUNDRAISING EXPENSES 211,986. TOTAL EXPENSES 643,153.
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.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtControlled OrganizationControlledOrganizationIndPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
AMERICAN SOCIETY OF ANESTHESIOLOGISTS
1061 AMERICAN LANESCHAUMBURGIL60173362181944ADVANCE THE SPECIALTY OF ANESTHESIANY501(C)(6)0
WOOD LIBRARY-MUSEUM OF ANESTHESIOLOGY
1061 AMERICAN LANESCHAUMBURGIL60173363573324COLLECTION OF ANESTHESIA LITERATUREIL501(C)(3)Yes (1)LINE 12A, IAMERICAN SOCIETY OF ANESTHESIOLOGISTS
FOUNDATION FOR ANESTHESIA EDUCATION AND RESEARCH
1061 AMERICAN LANESCHAUMBURGIL60173521494164ANESTHESIA CARE EDUCATION AND RESEARCHDE501(C)(3)Yes (1)LINE 7AMERICAN SOCIETY OF ANESTHESIOLOGISTS
ANESTHESIA QUALITY INSTITUTE
1061 AMERICAN LANESCHAUMBURGIL60173263848288ADVANCES IN QUALITY OF CARE MEASUREMENT AND DELIVERY IN ANESTHESIADC501(C)(3)Yes (1)LINE 12A, IAMERICAN SOCIETY OF ANESTHESIOLOGISTS
ASA CHARITABLE FOUNDATION
1061 AMERICAN LANESCHAUMBURGIL60173454946512IMPROVE HEALTH AND MEDICAL CARE IN UNDER-SERVICED COMMUNITIESIL501(C)(3)Yes (1)LINE 12A, IAMERICAN SOCIETY OF ANESTHESIOLOGISTS
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
AMERICAN SOCIETY OF ANESTHESIOLOGISTS
C$340,000FMV
AMERICAN SOCIETY OF ANESTHESIOLOGISTS
P$148,321FMV
FOUNDATION FOR ANESTHESIA EDUCATION AND RESEARCH
R$150,000FMV
AMERICAN SOCIETY OF ANESTHESIOLOGISTS
Q$21,304FMV

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