2025-10-21T15:00:16-05:00 2024-12-31 410746749 CLIFTONLARSONALLEN LLP 2021 SPRING ROAD SUITE 200 OAK BROOK IL 60523 990 2024-01-01 263848288 ANESTHESIA QUALITY INSTITUTE ANES 8478255586 1061 AMERICAN LANE SCHAUMBURG IL 601734973 MARK MANKA CHIEF FINANCIAL OFFICER 8472689251 2025-10-15 1 0 THURE ROSS CPA P00577278 6305738600 2025-10-06 2024 2025-03-06 01:10:19Z MARK MANKA 1061 AMERICAN LANE SCHAUMBURG IL 601734973 2714496 0 X WWW.AQIHQ.ORG X 2008 DC THE AQI'S MISSION IS TO DEVELOP AND MAINTAIN AN ONGOING REGISTRY OF ANESTHESIA CASES AND OUTCOMES TO HELP ANESTHESIOLOGISTS ASSESS AND IMPROVE PATIENT CARE. THE AQI IS AGGREGATING ELECTRONIC ANESTHESIA CASE DATA AND REPORTING IT BACK TO CONTRIBUTING PRACTICES, ALLOWING THEM TO BENCHMARK THEIR CARE RELATIVE TO PEER GROUPS AND OTHER HOSPITALS. 12 12 0 63 0 0 328637 1122033 2073541 1197934 0 0 11250 394529 2413428 2714496 0 0 0 0 1259477 1442832 0 0 0 1479153 1479688 2738630 2922520 -325202 -208024 284268 488119 187619 475744 96649 12375 THE AQI'S MISSION IS TO DEVELOP AND MAINTAIN AN ONGOING REGISTRY OF ANESTHESIA CASES AND OUTCOMES TO HELP ANESTHESIOLOGISTS ASSESS AND IMPROVE PATIENT CARE. 0 0 1606782 1182724 THE NATIONAL ANESTHESIA CLINICAL OUTCOMES REGISTRY (NACOR) IS DESIGNATED AS A QUALIFIED REGISTRY (QR) AND QUALIFIED CLINICAL DATA REGISTRY (QCDR) BY THE CENTERS FOR MEDICARE & MEDICAID SERVICES. WITH MILLIONS OF CASES AND GROWING, NACOR'S CLINICAL DATA INFORMS TREATMENT CHOICES AND HELPS CONTROL TREATMENT COSTS. NACOR IS OPERATED AND MAINTAINED BY AQI, WITH DATA WAREHOUSING AND ANALYTICS PROVIDED BY AN OUTSIDE VENDOR WITH AQI'S OVERSIGHT. NACOR PROVIDES CUSTOM CONTINUOUS PERFORMANCE MONITORS, GAP ANALYSIS AND PATIENT OUTLIER IDENTIFICATION, PEER-TO-PEER BENCHMARKS, ETC. IN ADDITION, NACOR SENDS QR AND QCDR DATA TO CMS ON BEHALF OF NACOR PRACTICES ELECTING TO PARTICIPATE IN QUALITY REPORTING. 89792 0 THE CLOSED CLAIMS PROJECT IS DEDICATED TO THE SCIENTIFIC STUDIES OF ADVERSE ANESTHETIC OUTCOMES AND STUDIES OF MALPRACTICE CLAIMS AGAINST ANESTHESIOLOGISTS. THE PROJECT HAS OVER 10,000 CLAIMS FOR EVENTS FROM 1970-PRESENT. THE PROJECT WORKS TO IDENTIFY MAJOR SAFETY CONCERNS, PATTERNS OF INJURY AND STRATEGIES FOR IMPROVING PATIENT SAFETY BY ANESTHESIOLOGISTS WORKING IN PAIN MANAGEMENT, OPERATING ROOMS, LABOR FLOORS, REMOTE LOCATIONS AND CRITICAL CARE. 908556 38820 908556 38820 2605130 1 1 0 0 0 0 0 0 0 0 1 0 0 1 0 1 1 1 0 0 0 0 0 0 0 0 0 0 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 12 12 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 RANDALL CLARK CHAIR 5.00 20.00 X X 0 0 0 ROBERT THOMSEN MD TREASURER 2.00 6.00 X X 0 0 2400 CRYSTAL WRIGHT TREASURER 1.00 7.00 X X 0 0 2646 LOIS A CONNOLLY DIRECTOR 1.00 20.00 X 0 0 7510 PATRICK J MCCORMICK DIRECTOR 1.00 X 0 0 0 MARK DESHUR DIRECTOR 1.00 X 0 0 0 PATRICK GUFFEY DIRECTOR 1.00 X 0 0 0 KIMBERLEE OLSEN DIRECTOR 1.00 X 0 0 0 SHEILA BARNETT DIRECTOR 1.00 X 0 0 0 IRVING YE DIRECTOR 1.00 X 0 0 0 JIAPENG HUANG ASA BOD REPRESENTATIVE 1.00 1.00 X 0 0 1600 NEEJU RAVIKANT ASA BOD REPRESENTATIVE 1.00 1.00 X 0 0 0 MARC J BERNSTEIN AQI EXECUTIVE DIRECTOR 25.00 25.00 X 0 316357 72118 BRIAN REILLY CEO/EX-OFFICIO 1.00 75.00 X 0 627485 107173 MARK MANKA CFO 1.00 55.00 X 0 274747 66031 LISA STEININGER CFO (THRU MARCH 2024) 1.00 55.00 X 0 139778 23766 PAUL POMERANTZ EX OFFICIO 1.00 70.00 X 0 409970 38055 DIANE M ZIEGENHORN AQI DIRECTOR 25.00 25.00 X 0 161088 53582 GERARD M TARAFA AQI SR. COMPLIANCE MANAGER 40.00 X 0 137793 40804 HUBERT KORDYLEWSKI AQI SYSTEMS ARCHITECT 40.00 X 0 152089 47929 BENJAMIN WESTLAKE AQI SR. APP DEVELOPER MANA 40.00 X 0 141694 29629 0 2361001 493243 0 0 1 0 PROVATION SOFTWARE INC 533 S 3RD ST STE 300 MINNEAPOLIS MN 55415 REGISTRY FEES 1300000 1 1122033 1122033 PARTICIPATION FEES 900099 867425 867425 SUBSCRIPTION REVENUE 900099 315299 315299 WORKSHOPS AND ONLINE L 900099 15210 15210 1197934 370919 370919 LICENSING FEES 900099 23610 23610 23610 2714496 1221544 0 370919 151556 119729 31827 938993 741804 197189 97157 76754 20403 186037 146969 39068 69089 54581 14508 2459 2403 56 6930 6772 158 26207 23754 2453 27864 26717 1147 5381 5258 123 51322 49210 2112 24289 20035 4254 7087 7087 4092 4092 24057 24057 QCDR SUBSCRIPTION FEES 1300000 1300000 2922520 2605130 317390 0 163661 12375 38425 144517 596722 596722 4092 0 78090 331227 284268 488119 475744 187619 0 187619 475744 X 96649 12375 96649 12375 284268 488119 -208024 123750 0 X X 0 1 X 1 0 X X X 1 AMERICAN SOCIETY OF ANESTHESIOLOGISTS 362181944 10 1 243865 0 1 243865 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: ANESTHESIA QUALITY INSTITUTE CONFIRMED THAT THE SUPPORTED ORGANIZATION, AMERICAN SOCIETY OF ANESTHESIOLOGISTS (ASA), IS A 501 (C)(6) TAX EXEMPT ORGANIZATION BY REVEIWING 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 SCTION 509(A)(2). PART IV, SECTION A, LINE 3C: THE ACTIVITIES OF THE ANESTHESIA QUALITY INSITITUTE ARE PERFORMED IN FURTHERANCE OF THEIR EXEMPT PURPOSE WHICH IS TO DEVELOP AND MAINTAIN AN ONGOING REGISTRY OF CASE DATA THAT HELPS ANESTHESIOLOGISTS ASSESS AND IMPROVE PATIENT CARE, ORGANIZE THE REGISTRY SO THAT ANESTHESIOLOGY PRACTICE GROUPS DESIRE TO SUBMIT THEIR CASE INFORMATION, AND SO THAT INDIVIDUAL ANESTHESIOLOGISTS, PRACTICE GROUPS, RESEARCHERS, AND PROFESSIONAL SOCIETIES FIND THE DATA USEFUL FOR IMPROVING THE QUALITY OF CARE. THESE ACTIVITIES ARE ALSO IN FURTHERANCE OF THE SUPPORTED ORGANIZATION ASA'S EXEMPT PURPOSE OF ADVANCING THE PRACTICE OF AND SECURING THE FUTURE OF ANESTHESIOLOGY. AQI ENSURES THAT ALL SUPPORT PROVIDED TO ASA IS USED EXCUSIVELY FOR CHARITABLE PURPOSE BY PERFORMING THESE ACTIVITIES AND FUNCTIONS ON BEHALF OF THEIR OWN MISSION WHICH IN TURN FURTHERS ASA'S MISSION, AS OPPOSED TO TRANSFERRING FUNDS TO THE SUPPORTED ORGANIZATION TO PERFORM THESE FUNCTIONS. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 505962 505962 0 90760 90760 0 0 DUE FROM ASA 331227 331227 X 2714496 0 2714496 0 2714496 2922520 0 2922520 0 2922520 PART X, LINE 2: THE INSTITUTE 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 INSTITUTE 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 INSTITUTE AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2024, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE FINANCIAL STATEMENTS. X 0 0 0 0 0 0 0 0 0 BRIAN REILLY CEO/EX-OFFICIO 0 567691 0 59794 0 0 0 44850 0 62323 0 734658 0 0 PAUL POMERANTZ EX OFFICIO 0 283598 0 126372 0 0 0 33362 0 4693 0 448025 0 0 MARC J BERNSTEIN AQI EXECUTIVE DIRECTOR 0 289560 0 26797 0 0 0 38495 0 33623 0 388475 0 0 MARK MANKA CFO 0 248249 0 26498 0 0 0 32486 0 33545 0 340778 0 0 DIANE M ZIEGENHORN AQI DIRECTOR 0 153534 0 7554 0 0 0 20735 0 32847 0 214670 0 0 HUBERT KORDYLEWSKI AQI SYSTEMS ARCHITECT 0 152089 0 0 0 0 0 14611 0 33318 0 200018 0 0 GERARD M TARAFA AQI SR. COMPLIANCE MANAGER 0 137793 0 0 0 0 0 17338 0 23466 0 178597 0 0 BENJAMIN WESTLAKE AQI SR. APP DEVELOPER MANA 0 141694 0 0 0 0 0 17409 0 12220 0 171323 0 0 LISA STEININGER CFO (THRU MARCH 2024) 0 99522 0 40256 0 0 0 15009 0 8757 0 163544 0 0 PART I, LINE 3 COMPENSATION REVIEW PROCEDURES FOR THE CHIEF EXECUTIVE OFFICER, THE CHIEF FINANCIAL OFFICER AND AQI EXECUTIVE DIRECTOR ARE PERFORMED BY A RELATED ORGANIZATION, ASA. OUTSIDE COMPENSATION EXPERTS ARE UTILIZED REGARDING BENCHMARKING THE POSITIONS. THE PRESIDENT AND THE PRESIDENT-ELECT OF ASA MAKE DECISIONS ON ANY MERIT INCREASE FOR THE CHIEF EXECUTIVE OFFICER, THE CHIEF FINANCIAL OFFICER, AND THE AQI EXECUTIVE DIRECTOR. 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. ON JANUARY 1, 2010, AQI ENTERED INTO A SHARED SERVICES AGREEMENT WITH ASA WHEREAS AQI WILL SUPPORT THE EDUCATIONAL MISSION OF ASA BY PROMOTING THE HEALTH AND SAFETY OF PATIENTS OF ANESTHESIOLGISTS BY FOSTERING ADVANCES IN QUALITY OF CARE MEASUREMENT AND IMPROVEMENTS IN THE DELIVERY OF ANESTHESIA MEDICAL CARE; AND WHEREAS AQI, AS A NEWLY-FORMED CORPORATION, HAS A NEED FOR CERTAIN PROFESSIONAL SERVICES, INCLUDING COMMUNICATIONS, FINANCE, INFORMATION, TECHNOLOGY, HUMAN RESOURCES MANAGEMENT, PRACTICE MANAGEMENT/REGULATORY AFFAIRS AND ADMINISTRATIVE SERVICES. THE AGREEMENT ALSO INCLUDES ASA LEASING OFFICE SPACE AT ITS HEADQUARTES TO AQI. 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 THE INSTITUTE ESTABLISHED A COMPENSATION AND PERSONNEL COMMITTEE THAT IS RESPONSIBLE FOR DETERMINING APPROPRIATE COMPENSATION FOR ALL INDIVIDUALS RETAINED BY AQI USING THE IRS REBUTTABLE PRESUMPTION TEST. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE THROUGH APPLICABLE GOVERNMENTAL 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 ULTIMATELY RESPONSIBLE FOR THE OVERSIGHT OF THE AUDIT AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THE BOARD UTILIZES THE SECTION OF FISCAL AFFAIRS OF THE AMERICAN SOCIETY OF ANESTHESIOLOGISTS TO ASSIST IN THE PROCESS. AMERICAN SOCIETY OF ANESTHESIOLOGISTS 1061 AMERICAN LANE SCHAUMBURG IL 60173 362181944 ADVANCE THE SPECIALTY OF ANESTHESIA NY 501(C)(6) 0 WOOD LIBRARY-MUSEUM OF ANESTHESIOLOGY 1061 AMERICAN LANE SCHAUMBURG IL 60173 363573324 COLLECTION OF ANESTHESIA LITERATURE IL 501(C)(3) LINE 12A, I AMERICAN SOCIETY OF ANESTHESIOLOGISTS 0 FOUNDATION FOR ANESTHESIA EDUCATION AND RESEARCH 1061 AMERICAN LANE SCHAUMBURG IL 60173 521494164 ANESTHESIA CARE EDUCATION AND RESEARCH DE 501(C)(3) LINE 7 AMERICAN SOCIETY OF ANESTHESIOLOGISTS 0 THE ANESTHESIA PATIENT SAFETY FOUNDATION 1061 AMERICAN LANE SCHAUMBURG IL 60173 510287258 ANESTHESIA PATIENT SAFETY EDUCATION DE 501(C)(3) LINE 7 AMERICAN SOCIETY OF ANESTHESIOLOGISTS 0 ASA CHARITABLE FOUNDATION 1061 AMERICAN LANE SCHAUMBURG IL 60173 454946512 IMPROVE HEALTH AND MEDICAL CARE IN UNDER-SERVICED COMMUNITIES DC 501(C)(3) LINE 12A, I AMERICAN SOCIETY OF ANESTHESIOLOGISTS 0 0 0 1 1 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 AMERICAN SOCIETY OF ANESTHESIOLOGISTS K 57079 FMV AMERICAN SOCIETY OF ANESTHESIOLOGISTS N 3308 FMV AMERICAN SOCIETY OF ANESTHESIOLOGISTS O 189235 FMV AMERICAN SOCIETY OF ANESTHESIOLOGISTS C 1052033 FMV ASA CHARITABLE FOUNDATION C 70000 FMV AMERICAN SOCIETY OF ANESTHESIOLOGISTS D 398724 FMV