2015-07-06T10:18:59-05:00 2014-08-31 420714325 McGladrey LLP 1 S Wacker Drive Suite 800 Chicago IL 60606 990 2013-09-01 362113743 American Association of Nurse Anesthetists AMER 8476927050 222 S Prospect Avenue Park Ridge IL 60068 Wanda O Wilson Executive Director 8476927050 2015-07-06 1 Zack Fortsch P00052725 3126343400 2013 2016-02-25 16:41:14Z Wanda O Wilson 222 S Prospect Avenue Park Ridge IL 60068 27784435 0 X www.aana.com X 1939 IL To advance patient safety and excellence in anesthesia, promote the profession of nurse anesthesia, and support its members through advocacy, education and professional practice. 11 9 108 103 437250 2724 0 0 21383093 19714405 615921 902922 1822017 1793988 23821031 22411315 3169265 3023353 0 0 10095549 9618391 0 129875 0 9628909 8329965 22893723 21101584 927308 1309731 38180846 42049474 16092208 17399863 22088638 24649611 X American Association of Nurse Anesthetists (AANA) advances patient safety, practice excellence, and its members' profession. 0 0 Advocacy: AANA, which represents more than 48,000 certified registered nurse anesthetists (CRNA's) and student nurse anesthetists nationwide, advocates for changes to the nation's healthcare system which increase anesthesia patient safety and affordability of anesthesia services, maximize patient access to care, support patients' rights to receive care from the providers of their choice, and ensure nurse anesthesia educational opportunities. The nurse anesthesia profession also supports public and institutional policy which enables maximum utilization of CRNA's and their ability to work within their full and legal scope of practice. Their record of patient safety is excellent. According to a 1999 report from the Institute of Medicine, anesthesia care is nearly 50 times safer today than it was in the 1980's. Numerous outcome studies have demonstrated that there is no difference in the quality of care provided by CRNA's and their physician anesthesiologist counterparts. Educational/Professional Development: The nurse anesthesia specialty requires the development of expert clinical judgment skills and critical thinking capabilities that prepare the nurse anesthetist to safely engage in the full scope of anesthesia practice as defined by the profession. The educational preparation of certified registered nurse anesthetists (CRNA's) is conducted in more than 100 accredited graduate-level programs throughout the United States and Puerto Rico. Graduates of accredited nurse anesthesia educational programs must pass the rigorous national certification examination for nurse anesthetists in order to become qualified to practice as a CRNA. Recertification, which includes requirements for anesthesia practice as well as continuing education, must be successfully accomplished every two years in order to continue to practice as a CRNA. AANA, as well as external organizations, provide both in-person and online continuing education opportunities for CRNA's.The education of nurse anesthetists has been a priority of the AANA since it was established in 1931. The certification examination was first administered in 1945, and mandatory continuing education became in 1978. In 1986, bachelor's degree in nursing or a related degree was required for admission to nurse anesthesia programs and by 1998 all programs were required to be at the graduate level, awarding at least a masters degree. In 2007, the AANA adopted a position statement supporting doctoral education for entry into practice by 2025. The educational cost to prepare CRNA's is significantly less than the cost to prepare physician anesthesiologists. Becoming a CRNA usually takes a minimum of seven to eight years (including a year of acute care nursing experience); becoming an anesthesiologist usually takes 12 years. Research has shown that approximately 10 CRNA's can be educated for the cost of one anesthesiologist. Additionally, CRNA's enter the workforce and start providing patient care four years sooner than anesthesiologists, another benefit to the overall healthcare system. Scope of Practice: Nurse anesthetists have a documented history of providing safe, high-quality anesthesia care. Today, nearly 150 years after the profession's humble yet heroic beginnings on the battlefields of the Civil War, certified registered nurse anesthetists (CRNAs) are the hands-on providers of more than 32 million anesthetics given to patients each year in the United States. The longevity and growth of the specialty can be attributed directly to nurse anesthetists' commitment to excellence and patient safety, their willingness to provide services when and where needed, and the provision of those services at reasonable cost. They are qualified to make independent judgments concerning all aspects of anesthesia care based on their education, licensure and certification. CRNAs are legally responsible for the anesthesia care they provide and are recognized in state law in all 50 states, the District of Columbia, Puerto Rico, and the Virgin Islands. With its stated mission of "advancing patient safety in anesthesia," the American Association of Nurse Anesthetists (AANA) has been committed to improving the quality of anesthesia care provided by nurse anesthetists since it was established in 1931. To that end, the AANA has developed standards for pre-, peri-, and post-anesthesia care, as well as guidelines for obstetrical analgesia and anesthesia, waste gas management, and infection control that are acknowledged by nursing, medical, and allied health specialty groups. Additionally, the AANA fosters CRNA participation in and support for continuing education programs, patient safety research, patient satisfaction surveys, the advancement of anesthesia techniques and technology, and the development of practice standards and guidelines. Numerous studies have shown that anesthesia care provided by CRNAs and physician anesthesiologists, whether working independently or together, has never been safer. According to the 1999 Institute of Medicine report, "To Err is Human: Building a Safer Health System," anesthesia is nearly 50 times safer than it was in the 1980s. Contributing factors include advances in anesthetic drugs, monitoring technology, practice standards and techniques, and the preparation and continuing education of CRNAs and anesthesiologists.Working in collaboration with surgeons, physician anesthesiologists, and other qualified healthcare professionals, CRNA's practice in every setting in which anesthesia is delivered: traditional hospital surgical suites and obstetrical delivery rooms; critical access hospitals; ambulatory surgical centers; the offices of dentists, podiatrists, ophthalmologists, plastic surgeons and pain management specialists; U.S. military, public health services, and Department of Veterans Affairs healthcare facilities. When anesthesia is administered by a nurse anesthetist, it is recognized as the practice of nursing; when administered by an anesthesiologist, it is recognized as the practice of medicine. Regardless of whether their educational background is in nursing or medicine, all anesthesia professionals give anesthesia the same way. 0 0 0 1 0 0 0 0 0 1 1 0 0 1 1 0 1 0 0 1 1 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 1 121 0 1 108 1 1 1 0 0 0 0 0 X 11 9 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X Kim Paczesny 8476551120 222 S Prospect Avenue Park Ridge IL 60068 Dennis Bless President 35.00 1.00 X X 66600 0 0 Sharon Pearce President-Elect 12.00 1.00 X X 29500 0 0 John F Hanlon Vice President 3.00 0.00 X X 7300 0 0 Cheryl L Nimmo Treasurer 3.00 0.00 X X 3450 0 0 Dean T Mazurek Director 2.50 0.00 X 0 0 0 Anthony J Chipas Director 2.50 0.00 X 7350 0 0 Danette J Plautz Director 2.50 0.00 X 7350 0 0 Mark G Odden Director 2.50 0.00 X 3700 0 0 Kate Jansky Director 2.50 0.00 X 3700 0 0 Donna M Jasinski Director 2.50 0.00 X 7400 0 0 Juan F Quintana Director 2.50 0.00 X 8400 0 0 Wanda O Wilson Executive Director 40.00 8.40 X 327494 0 40601 Kim Paczesny Senior Director, Finance 40.00 0.00 X 89418 0 6497 Margaret Jung Chief Operating Officer 35.00 7.40 X 185033 0 23785 Francis Purcell Senior Director, FGA 35.00 0.00 X 202468 0 41018 John Preston Professional Development 35.00 0.00 X 200963 0 30501 Luis Rivera State Management Affairs 35.00 0.00 X 183739 0 40899 Lynn Reede Professional Practice 35.00 0.00 X 183218 0 24373 Lorraine Jordan Exec. Dir. - AANA Foundation 20.00 20.00 X 91675 91675 36302 1608758 91675 243976 23 0 1 0 Dartmouth Printing PO Box 842371 Boston MA 02284 Printing Services 461359 Duane Morris LLP 30 S 17th Street Philadelphia PA 19103 Legal Services 259995 Crowe Horwath LLP PO Box 7 South Bend IN 46624 Audit and Tax Services 222324 Randstad North America LP PO Box 847472 Dallas TX 75284 Consulting & Interim Mngmt 201916 Sardis Media Ltd 888 East Belvidere Rd Ste 319 Grayslake IL 60030 Audio Visual Services 190417 16 Membership Dues 900099 16090623 16090623 Service Fees 900099 1616243 1616243 Workshop & Conference Fees 900099 1017629 1017629 Advertising Revenue 541800 555599 430570 125029 434311 434311 19714405 419906 419906 682699 682699 579580 0 579580 579580 6680 572900 5856136 5373120 483016 483016 483016 List Rental 900099 181315 181315 Corporate Sponsorship 900099 164947 164947 185447 185447 531709 22411315 19158806 437250 2815259 2906883 116470 677097 6475931 863646 1065014 536703 546540 123660 129875 43157 705012 386275 1180644 430533 838939 774641 913083 102182 Printing and Publicatio 748290 Board and Committee Exp 723440 Income Tax Expense 29430 784139 21101584 2204141 4564621 12436172 12160792 454581 784364 115308 106989 312331 658662 15956048 8999682 7117669 6956366 11589400 12915285 2368946 2441346 1582298 1461049 38180846 42049474 9399358 5374292 6627883 9085988 64967 2939583 16092208 17399863 X 21872051 24649611 216587 0 22088638 24649611 38180846 42049474 X 1309731 965834 285408 X 0 1 X 1 0 0 0 0 16090623 836667 836667 2402400 -1565733 1575000 1575000 4008514 1675134 2333380 3832805 2431952 1400853 6471729 4881263 1590466 68000 11333 56667 6956366 Alternative Investments 2441346 F 2441346 Dues Payable to State Associations 2939583 2939583 X Part X, Line 2: AANA is subject to income taxes pertaining to unrelated business income. AANA follows accounting standards applicable to uncertain income tax positions. A tax position is recognized as a benefit only if it is "more likely than not" that the tax position would be sustained in a tax examination, with a tax examination being presumed to occur. The amount recognized is the largest amount of tax benefit that is greater than 50% likely of being realized on examination. For tax positions not meeting the "more likely than not" test, no tax benefit is recorded. AANA recognizes interest and penalties related to unrecognized tax benefits in interest and income tax expense, respectively. The organization recognized and accrued no amounts for interest and penalties as of August 31, 2014 and for the years then ended. The tax years and activities subsequent to August 31, 2010, remain open and subject to examination by U.S. federal and state tax authorities. Management does not expect the total amount of unrecognized tax benefits to significantly change in the next 12 months. 1 Europe (Including Iceland & Greenland) 0 0 Grant to recipients located in region 116470 0 0 0 0 0 0 116470 0 116470 Europe (Including Iceland & Greenland) General Support 116470 Wire Transfer 1 0 0 0 0 0 0 0 Part I, Line 2: The organization granted funds to an organization for which it is affiliated. Grants are provided for general support, grant funds are used for the intended purpose and not monitored by AANA. X 1 Evolution Strategies LLC 5620 James Gunnell Lane Alexandria VA 22310 Telemarketing 0 0 50117 -50117 Sagac Public Affairs LLC 4308 North Classen Blvd Oklahoma City OK 73118 Fundraising Consultant 0 0 60308 -60308 110425 -110425 IL 1 Council on Accreditation 222 S Prospect Ave Park Ridge IL 60068 271433694 501(c)(3) 500000 General Support AANA Foundation 222 S Prospect Ave Park Ridge IL 60068 363145692 501(c)(3) 300000 General Support Oregon ANA 1199 Crowley Ave SE Salem OR 97302 237451789 501(c)(6) 108900 General Support Utah ANA 1154 N 3050 East Layton UT 84040 870452961 501(c)(6) 86309 General Support Wyoming ANA PO Box 231 Diamondville WY 83116 233022116 501(c)(6) 39650 General Support Nevada ANA PO Box 96685 Las Vegas NV 89193 880190695 501(c)(6) 38030 General Support Vermont ANA 8 Pine Brook Ln Apt D6 North Springfield VT 05150 521374459 501(c)(6) 36410 General Support District of Columbia ANA Anatwombly Road Monroe MD 04951 521033380 501(c)(6) 34220 General Support Montana ANA PO Box 496 Havre MT 59501 810472451 501(c)(6) 33690 General Support Hawaii ANA 98-1277 Kaahumanu Street Aiea HI 96701 205131527 501(c)(6) 31990 General Support Alaska ANA PO Box 232584 Anchorage AK 99523 710962538 501(c)(6) 31920 General Support New Mexico ANA PO Box 92885 Albuquerque NM 87199 510225221 501(c)(6) 27793 General Support Delaware ANA 446 Valley Brook Dr Hockessin DE 19707 510333263 501(c)(6) 24943 General Support New Hampshire ANA 16 Towhee Dr Hudson NH 14800 020334415 501(c)(6) 14105 General Support North Dakota ANA 2900 East Broadway Ave Bismark ND 58501 510166943 501(c)(6) 12620 General Support Puerto Rico ANA 200 Cond Jardines De San Fernando Apt316 Carolina PR 00987 8500 General Support Maine ANA 69 Main Road South Hampden ME 04444 510137366 501(c)(6) 7970 General Support Idaho ANA PO Box 15512 Boise ID 83715 820385509 501(c)(6) 5400 General Support 2 16 Part I, Line 2: The only grants provided to other organizations this year were to related tax-exempt organizations, other local state associations, the Council on Accreditation and the AANA Foundation. The Director of Finance ensures the funds are used for their intended purpose by managing the accounting records for both organizations. X X X X 0 0 0 Wanda O Wilson Executive Director 323910 0 0 0 3584 0 32796 0 7805 0 368095 0 0 0 Margaret Jung Chief Operating Officer 182898 0 0 0 2135 0 12467 0 11318 0 208818 0 0 0 Francis Purcell Senior Director, FGA 202108 0 0 0 360 0 25020 0 15998 0 243486 0 0 0 John Preston Professional Development 199636 0 0 0 1327 0 22109 0 8392 0 231464 0 0 0 Luis Rivera State Management Affairs 183187 0 0 0 552 0 24586 0 16313 0 224638 0 0 0 Lynn Reede Professional Practice 177794 0 0 0 5424 0 14186 0 10187 0 207591 0 0 0 Lorraine Jordan Exec. Dir. - AANA Foundation 87939 87939 0 0 3736 3736 24839 0 11463 0 127977 91675 0 0 Form 990, Part VI, Section A, line 6 AANA shall have six classes of membership: (1) Active (certified, recertified, nonrecertified, life, and emeritus); (2) Inactive; (3) Conditional; (4) Honorary; (5) Associate (student and graduate); and (6) International. Form 990, Part VI, Section A, line 7a In all elections for the Board of Directors, each Active member is entitled to vote for one candidate for each office to be filled. Form 990, Part VI, Section B, line 11 Initial review of the Form 990 is performed by management. The finance committee also performs a review and a copy is provided to all members of the board prior to filing the return with the IRS. Form 990, Part VI, Section B, line 12c All interested persons are required to fill out an electronic conflict of interest questionnaire on an annual basis. This questionnaire encourages disclosure of any conflicts that occur between the organization and the interested person. If a board member has a conflict, they are asked to abstain from voting on an issue related to that conflict. Form 990, Part VI, Section B, line 15 A range of compensation data from other similar organizations Form 990 returns is provided to the independent Board of Directors to determine the Executive Director's and Chief Operating Officer's compensation. A written contract is then reviewed and approved by the board. This approval is documented in the board minutes. The last review was undertaken August 2012. A compensation consultant is used in the process to determine the compensation for officers. The consultant recommends a range for compensation which is approved by the Board of Directors. Form 990, Part VI, Section C, line 19 The governing documents, conflict of interest policy and financial statements are available upon request for the same period of disclosure as set forth in IRC Section 6104(d). Form 990, Part XI, line 9: Change In Pension Obligation -994,097. PAC Event Revenue 72,284. Restricted Grants 576,216. Member Contributions to PAC 631,005. AANA Foundation 222 S Prospect Ave Park Ridge IL 60068 363145692 Fundraising IL 501(c)(3) Line 7 AANA 1 AANA Management Services Inc 222 S Prospect Ave Park Ridge IL 60068 363896648 Insurance Broker IL AANA C 4814347 7185513 1.00000 1 1 1 0 0 0 0 0 0 0 0 0 1 0 1 1 1 1 0 0 AANA Management Services Inc A 434000 Book Value AANA Foundation B 300000 Book Value AANA Management Services Inc L 824000 Book Value