2024-11-04T16:20:28-06:00 2023-12-31 410746749 CLIFTONLARSONALLEN LLP 2021 SPRING ROAD SUITE 200 OAK BROOK IL 60523 990 2023-01-01 454946512 ASA CHARITABLE FOUNDATION ASAC 8475855586 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 412202 0 X WWW.ASACHARITY.ORG X FOUNDATION 2011 DC THE MISSION OF THE FOUNDATION IS TO IMPROVE HEALTH AND MEDICAL CARE IN UNDER-SERVED COMMUNITIES BY ADVANCING THE QUALITY OF ANESTHESIA CARE; TO INCREASE ACCESS TO QUALITY ANESTHESIA CARE; TO SUPPORT THE ANESTHESIOLOGY PROFESSION'S RESPONSE TO DISASTERS AND HEALTH CRISES; AND TO PROMOTE EDUCATIONAL OPPORTUNITIES IN THE ANESTHESIOLOGY FIELD TO EDUCATE AND DEVELOP LEADERS OF THESE EFFORTS IN THE FUTURE. 10 10 0 25 0 0 198692 412202 0 0 0 0 0 0 198692 412202 110000 264644 0 0 0 0 0 0 0 68450 3794 178450 268438 20242 143764 150949 1651363 41940 1398590 109009 252773 X THE MISSION OF THE FOUNDATION IS TO IMPROVE HEALTH AND MEDICAL CARE IN UNDER-SERVED COMMUNITIES BY ADVANCING THE QUALITY OF ANESTHESIA CARE; TO INCREASE ACCESS TO QUALITY ANESTHESIA CARE; TO SUPPORT THE ANESTHESIOLOGY PROFESSION'S RESPONSE TO DISASTERS AND HEALTH CRISES; AND TO PROMOTE EDUCATIONAL OPPORTUNITIES IN THE ANESTHESIOLOGY FIELD TO EDUCATE AND DEVELOP LEADERS OF THESE EFFORTS IN THE FUTURE. 0 0 205523 205515 $200,000 WAS CONTRIBUTED TO AQI FOR ONGOING SUPPORT TO THEIR OPERATION AND THE REMAINING $5,515 WAS CONTRIBUTED TO THE LIFEBOX FOUNDATION. 59129 59129 THE GLOBAL SCHOLARS PROGRAM IS A STRUCTURED PROGRAM WHERE PARTICIPANTS MUST COMPLETE AN OBSERVERSHIP, ATTEND THE ANNUAL MEETING, PRESENT A MEDICALLY CHALLENGING CASE, AND REPORT BACK TO ASACF AFTER THE MEETING TO SHARE HOW THEIR EXPERIENCE IMPACTED PRACTICE IN THEIR HOME COUNTRY. THE GRANTS PROVIDED COMPENSATE FOR THE INDIVIDUALS' TRAVEL AND OTHER EXPENSES TO ATTEND THE ANNUAL MEETING. 264652 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 1 0 1 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 IL X MARK MANKA 8472689251 1061 AMERICAN LANE SCHAUMBURG IL 601734973 ALEXANDER HANNENBERG TRUSTEE 1.00 X 0 0 0 KA KELLY MCQUEEN TRUSTEE 1.00 X 0 0 0 MARY DALE PETERSON TRUSTEE 1.00 1.00 X 0 3823 0 BRIAN VAUGHAN TRUSTEE 1.00 X 0 0 0 ELIZABETH T DRUM TRUSTEE 1.00 X 0 0 0 FAYE EVANS TRUSTEE 1.00 1.00 X 0 0 0 CHERYL K GOODEN TRUSTEE 1.00 X 0 1500 0 STEVEN SWEEN PRESIDENT 6.00 1.00 X 0 400 0 ARTHUR M BOUDREAUX SECRETARY 1.00 X 0 0 0 JAMES WEST TREASURER 1.00 X 0 0 0 PAUL POMERANTZ CEO 1.00 X 0 785762 88793 LISA STEININGER CFO 1.00 X 0 408395 76996 0 1199880 165789 0 0 1 0 0 412202 412202 412202 0 0 0 205515 205515 59129 59129 3686 3686 8 8 CREDIT CARD FEES 100 100 268438 264652 3786 0 150949 1651363 9941 9941 0 0 150949 1651363 0 1250000 41940 148590 41940 1398590 X 108104 67013 905 185760 109009 252773 150949 1651363 143764 0 X X 0 1 X 1 0 X X X 1 AMERICAN SOCIETY OF ANESTHESIOLOGISTS 362181944 10 1 0 0 1 0 0 1 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 PART IV, SECTION A, LINE 3B: ASA CHARITABLE FOUNDATION CONFIRMED THAT THE SUPPORTED ORGANIZATION, AMERICAN SOCIETY OF ANESTHESIOLOGISTS (ASA), IS A 501 (C)(6) TAX EXEMPT ORGANIZATION BY REVIEWING THEIR IRS DETERMINATION LETTER AND ALSO ANNUALLY COMPLETING A PRO FORMA SCHEDULE A, PART III TEST TO CONFIRM THAT ASA SATISFIES THE PUBLIC SUPPORT TESTS UNDER SECTION 509(A)(2). PART IV, SECTION A, LINE 3C: THE ACTIVITIES OF ASACF ARE PERFORMED IN FURTHERANCE OF THEIR EXEMPT PURPOSE WHICH IS TO IMPROVE HEALTH AND MEDICAL CARE IN UNDER-SERVED COMMUNITIES BY ADVANCING THE QUALITY OF ANESTHESIA CARE, TO INCREASE ACCESS TO QUALITY ANESTHESIA CARE, TO SUPPORT THE ANESTHESIOLOGY PROFESSION'S RESPONSE TO DISASTERS AND HEALTH CRISES, AND TO PROMOTE EDUCATIONAL OPPORTUNITIES IN THE ANESTHESIOLOGY FIELD TO EDUCATE AND DEVELOP LEADERS OF THESE EFFORTS IN THE FUTURE. THESE ACTIVITIES ARE ALSO IN FURTHERANCE OF THEIR SUPPORTED ORGANIZATIONS ASA'S EXEMPT PURPOSE OF ADVANCING THE PRACTICE OF AND SECURING THE FUTURE OF ANESTHESIOLOGY. ASACF ENSURES THAT ALL SUPPORT PROVIDED TO ASA IS USED EXCLUSIVELY FOR CHARITABLE PURPOSES. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 9941 9941 0 0 DUE TO ASA 38590 DUE TO AQI 110000 148590 X 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 INSTITUTE 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 FOUNDATUON 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. 1 SUB-SAHARAN AFRICA 0 0 GRANTS TO RECIPIENTS LOCATED IN THE REGION 42235 EAST ASIA AND THE PACIFIC 0 0 GRANTS TO RECIPIENTS LOCATED IN THE REGION 8447 SOUTH AMERICA 0 0 GRANTS TO RECIPIENTS LOCATED IN THE REGION 8447 0 0 0 0 0 0 59129 0 59129 GLOBAL SCHOLARS SUB-SAHARAN AFRICA 5 42235 CASH PAYMENT GLOBAL SCHOLARS EAST ASIA AND THE PACIFIC 1 8447 CASH PAYMENT GLOBAL SCHOLARS SOUTH AMERICA 1 8447 CASH PAYMENT 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. 0 ANESTHESIA QUALITY INSTITUTE 1061 AMERICAN LANE SCHAUMBURG IL 60173 263848288 501(C)(3) 200000 0 GENERAL OPERATING SUPPORT LIFEBOX FOUNDATION 81 WASHBURN AVE WELLESLEY HILLS MA 02481 462266526 501(C)(3) 5515 0 GENERAL OPERATING SUPPORT 2 0 0 0 0 0 0 0 0 0 PAUL POMERANTZ CEO 0 657080 0 128682 0 0 0 42900 0 45893 0 874555 0 0 LISA STEININGER CFO 0 369500 0 38895 0 0 0 42900 0 34096 0 485391 0 0 FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION UTILIZES THE MANAGEMENT OF AMERICAN SOCIETY OF ANESTHESIOLOGISTS (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 ORGANIZATIONS'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 ON AN ANNUAL BASIS, THE ORGANIZATION'S 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. BOARD MEMBERS ARE REQUIRED TO ABSTAIN FROM VOTING ON ANY ISSUES WHERE THEY HAVE A POTENTIAL CONFLICT. THE MEMBERS WHO HAVE A CONFLICT MUST FILL OUT A FORM TO DESCRIBE THE CONFLICT. ASA MANAGEMENT MAINTAINS THE COMPLETED FORMS FOR THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 15 OUTSIDE COMPENSATION EXPERTS ARE UTILIZED REGARDING BENCHMARKED POSITION OF THE CHIEF EXECUTIVE OFFICER. 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 GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE THROUGH APPLICABLE GOVERNMENT AGENCIES; THE CONFLICT OF INTEREST POLICY IS AVAILABLE UPON WRITTEN REQUEST TO THE ORGANIZATION. 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 ANESTHESIOLOGIST 1061 AMERICAN LANE SCHAUMBURG IL 60173 362181944 ADVANCE THE SPECIALITY OF ANESTHESIA NY 0 ANESTHESIA QUALITY INSTITUTE 1061 AMERICAN LANE SCHAUMBURG IL 60173 263848288 ADVANCES IN QUALITY OF CARE MEASUREMENT AND DELIIVERY IN ANESTHESIA DC 0 WOOD LIBRARY MUSEUM OF ANESTHESIOLOGY 1061 AMERICAN LANE SCHAUMBURG IL 60173 363573324 COLLECTION OF ANESTHESIA LITERATURE IL 0 FOUNDATION FOR ANESTHESIA EDUCATION 1061 AMERICAN LANE SCHAUMBURG IL 60173 521494164 ANESTHESIA CARE EDUCATION AND RESEARCH IL 0 THE ANESTHESIA PATIENT SAFETY FOUNDATION 1061 AMERICAN LANE SCHAUMBURG IL 60173 510287258 ANESTHESIA PATIENT SAFETY EDUCATION DE 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 ANESTHESIA QUALITY INSTITUTE B 200000 FMV AMERICAN SOCIETY OF ANESTHESIOLOGISTS P 67752 FMV AMERICAN SOCIETY OF ANESTHESIOLOGISTS Q 11614 FMV