2024-01-16T09:07:34-06:00 2023-02-28 410746749 CLIFTONLARSONALLEN LLP 1301 WEST 22ND STREET SUITE 1100 OAK BROOK IL 60523 990 2022-03-01 943160988 INTERNATIONAL PAIN AND SPINE INTERVENTION SOCIETY INC INTE 8882550005 120 EAST OGDEN AVENUE 202 HINSDALE IL 60521 MARGARET KLYS MJ CAE CEO 6302032252 2024-01-16 1 MARGARET KLYS MJ CAE 999009999 1 MELISSA STRUCK P01310867 6305738600 2024-01-16 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z X MARGARET KLYS MJ CAE 120 EAST OGDEN AVENUE 202 HINSDALE IL 60521 5108471 0 X WWW.IPSISMED.ORG X 1993 CA TO LEAD THE ADVANCEMENT OF SCIENCE AND STANDARDS FOR INTERVENTIONAL PAIN MEDICINE 17 17 8 200 73918 51878 209764 64577 2503304 2902683 254938 151552 456795 441835 3424801 3560647 34700 226510 0 0 914383 1244285 0 0 0 1351481 1840010 2300564 3310805 1124237 249842 8352167 8307032 1172431 1245599 7179736 7061433 TO LEAD THE ADVANCEMENT OF SCIENCE AND STANDARDS FOR INTERVENTIONAL PAIN MEDICINE 0 0 2762755 226510 3190060 THE ORGANIZATION PROVIDES INTERVENTIONAL PAIN EDUCATION FOR PHYSICIANS IN THE FORM OF CONFERENCES, HANDS-ON BIO-SKILLS LABS, PUBLICATIONS, AND ONLINE LEARNING. 2762755 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 0 0 0 1 1 0 0 0 0 0 1 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 12 0 1 8 1 1 1 0 0 0 0 1 1 0 0 0 0 0 0 X 17 17 0 0 0 0 0 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 CA IL X MARGARET KLYS MJ CAE 6302032252 120 EAST OGDEN SUITE 202 HINSDALE IL 60521 MATTHEW SMUCK MD PAST PRESIDENT 4.00 X 0 0 0 DAVID J KENNEDY MD PRESIDENT 10.00 X X 0 0 0 JOSHUA RITTENBERG MD VICE PRESIDENT 4.00 X X 0 0 0 SCOTT HORN MD SECRETARY 4.00 X X 0 0 0 ALISON STOUT DO TREASURER 4.00 X X 0 0 0 NIKOLAI BOGDUK MD DIRECTOR 2.00 X 0 0 0 BYRON SCHNEIDER MD DIRECTOR 2.00 X 0 0 0 RICHARD DERBY MD DIRECTOR 2.00 X 0 0 0 DAVID M SIBELL MD DIRECTOR 2.00 X 0 0 0 FRED DEFRANCESCH MD DIRECTOR 2.00 X 0 0 0 ZACHARY MCCORMICK MD DIRECTOR 2.00 X 0 0 0 MICHAEL FURMAN MD DIRECTOR 2.00 X 0 0 0 D SCOTT KREINER MD DIRECTOR 2.00 X 0 0 0 JOHN MACVICAR MBCHB DIRECTOR 2.00 X 0 0 0 MILAN STOJANOVIC MD DIRECTOR/EDITOR IN CHIEF-INTERVENTIONAL PAIN MED. 2.00 X 25000 0 0 KATE SAYEED MD DIRECTOR 2.00 X 0 0 0 VINIL SHAH MD DIRECTOR 2.00 X 0 0 0 RICHARD ROSENQUIST MD DIRECTOR 2.00 X 0 0 0 MARGARET KLYS MJ CAE CEO/EXECUTIVE DIRECTOR 48.00 X 249690 0 27556 BELINDA DUSZYNSKI SENIOR DIRECTOR OF POLICY AND PRACTICE 44.00 X 170966 0 16936 ANNE ROUNDS SENIOR DIRECTOR OF MEETINGS AND EDUCATION 45.00 X 127191 0 10265 SARAH CARTEGENA DIRECTOR OF HEALTH POLICY 40.00 X 120048 0 6050 692895 0 60807 4 0 1 0 SCIENCE CARE PO BOX 87119 PHOENIX AZ 85080 COURSE LAB AND F&B EXPENSES 150361 BLUEPAY 184 SHUMAN BLVD 350 NAPERVILLE IL 60563 MERCHANT FEES 115576 2 64577 64577 WORKSHOPS 611430 1228840 1228840 MEMBERSHIP DUES 541900 1088750 1088750 MEETINGS 611430 569999 569999 PUBLICATIONS 541800 15094 15094 2902683 168965 168965 1505632 1523045 -17413 -17413 -17413 327250 24779 302471 302471 OTHER 541900 80540 80540 GPO INCOME 541900 58824 58824 139364 3560647 3190060 73918 232092 16870 16870 209640 209640 277157 231792 45365 721453 603367 118086 59947 50135 9812 113176 94651 18525 72552 60677 11875 1106 1106 135230 91805 43425 37818 37818 51936 51936 17200 15354 1846 188949 47106 141843 81025 67763 13262 302747 253635 49112 810981 787526 23455 12360 10337 2023 47411 39651 7760 JOURNAL PUBLICATIONS 129404 129404 INCOME TAX AND OTHER 15708 15708 FUNDRAISING 8135 8135 3310805 2762755 548050 0 2951181 750566 746874 409310 2946 2946 27031 2253 137765 214807 82118 64378 26297 17740 4460073 6897015 0 12395 8352167 8307032 135634 233846 96464 152324 940333 846849 0 12580 1172431 1245599 X 7139077 7020774 40659 40659 7179736 7061433 8352167 8307032 249842 -368145 0 X X 0 1 X 1 0 X 957699 1078248 1001555 1216699 1153327 5407528 1963018 2388173 934910 1884417 2181850 9352368 20417 20417 2941134 3466421 1936465 3101116 3335177 14780313 0 0 0 14780313 91813 107643 137609 128803 168965 634833 83982 68808 48415 48415 51924 301544 175795 176451 186024 177218 220889 936377 3116929 3642872 2122489 3278334 3556066 15716690 0.94040 0.94510 0.05960 0.05490 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1588762 -113686 1475076 1559534 29228 1588762 1348447 211087 1559534 1274988 73459 1348447 1225066 49922 1274988 0.97000 0.03000 0 0 82118 64378 17740 17740 LEASE LIABILITY 12580 12580 X 3154684 -368145 -368145 3522829 37818 37818 3560647 3272987 0 3272987 37818 37818 3310805 PART V, LINE 4: BOARD-DESIGNATED AND DONOR RESTRICTED ENDOWMENT TO SUPPORT RESEARCH ACTIVITIES PART X, LINE 2: THE SOCIETY FOLLOWS THE REQUIREMENTS FOR ACCOUNTING FOR UNCERTAIN TAX POSITIONS. THE SOCIETY HAS DETERMINED THAT IT IS NOT REQUIRED TO RECORD A LIABILITY RELATED TO UNCERTAIN TAX POSITIONS AS OF FEBRUARY 28, 2023 AND FEBRUARY 28, 2022. 1 EUROPE (INCLUDING ICELAND & GREENLAND) -ALBANIA, ANDORRA, AUSTRIA, BELGIUM 0 0 FORUM FOR THE EXCHANGE OF IDEAS THROUGH MEDICAL CONFERENCES FORUM FOR THE EXCHANGE OF IDEAS THROUGH MEDICAL CONFERENCES 74153 NORTH AMERICA - CANADA AND MEXICO, BUT NOT THE UNITED STATES 0 0 GRANTS TO RECIPIENTS IN THE REGION GRANTS TO RECIPIENTS IN THE REGION 209640 0 0 0 0 0 0 283793 0 283793 NORTH AMERICA - CANADA AND MEXICO, BUT NOT THE UNITED STATES RESEARCH GRANT 119640 PAYMENTS WILL BE MADE VIA WIRE/ACH 0 NORTH AMERICA RESEARCH GRANT 65000 PAYMENTS WILL BE MADE VIA WIRE/ACH 0 NORTH AMERICA RESEARCH GRANT 25000 PAYMENTS WILL BE MADE VIA WIRE/ACH 0 3 0 0 0 0 0 0 PART I, LINE 2: PHYSICIANS APPLY FOR A RESEARCH GRANT. THE APPLICATIONS ARE DISTRIBUTED TO THE RESEARCH DIVISION MEMBERS WHO REVIEW AND GRADE THE APPLICATIONS. A GRANT IS FUNDED UPON APPROVAL OF THE BOARD. GRANT RECIPIENTS ARE REQUIRED TO PRESENT THE RESULTS OF THEIR RESEARCH AT THE ORGANIZATION'S ANNUAL MEETING. GRANTS ARE RECORDED IN THE ACCOUNTING RECORDS AND BOARD MINUTES. PART I, LINE 3: EXPENDITURES ARE ACCOUNTED FOR ON THE ACCRUAL BASIS OF ACCOUNTING. PART III ACCOUNTING METHOD: 1 JORDAN-YOUNG INSTITUTE 5716 CLEVELAND ST 200 VIRGINIA BEACH VA 23462 541377454 7950 0 RESEARCH GRANT UNIVERSITY OF UTAH 201 S PRESIDENTS CIRCLE RM 210 PARK BUILDING SALT LAKE CITY UT 84112 876000525 501C3 8000 0 RESEARCH GRANT 1 1 PART I, LINE 2: PHYSICIANS APPLY FOR A RESEARCH GRANT. THE APPLICATIONS ARE DISTRIBUTED TO THE RESEARCH DIVISION MEMBERS WHO REVIEW AND GRADE THE APPLICATIONS. A GRANT IS FUNDED UPON APPROVAL OF THE BOARD. GRANT RECIPIENTS ARE REQUIRED TO PRESENT THE RESULTS OF THEIR RESEARCH AT THE ORGANIZATION'S ANNUAL MEETING. GRANTS ARE RECORDED IN THE ACCOUNTING RECORDS AND BOARD MINUTES. X X X 0 0 0 0 0 0 0 0 0 MARGARET KLYS MJ CAE CEO/EXECUTIVE DIRECTOR 249690 0 0 0 0 0 27466 0 90 0 277246 0 0 0 BELINDA DUSZYNSKI SENIOR DIRECTOR OF POLICY AND PRACTI 170966 0 0 0 0 0 16936 0 0 0 187902 0 0 0 DR BYRON SCHNEIDER DR. SCHEIDER IS AN IPSIS BOARD MEMBER AND CHAIRS THE RESEARCH DIVISION 51271 RESEARCH GRANT PAYMENTS TO VANDERBILT UNIVERSITY. DR. SCHNEIDER IS CURRENTLY AN ASSISTANT PROFESSOR AT VANDERBILT UNIVERSITY AND IS INVOLVED IN THE GRANT RESEARCH STUDY. 0 FORM 990, PART VI, SECTION A, LINE 7A MEMBERS OF THE ORGANIZATION WHO ARE ALLOWED TO VOTE PER ORGANIZATION'S BYLAWS VOTE TO ELECT BOARD MEMBERS. FORM 990, PART VI, SECTION A, LINE 7B MEMBERS OF THE ORGANIZATION WHO ARE ALLOWED TO VOTE HAVE THE RIGHT TO VOTE OR APPROVE ANY DECISION THAT AFFECTS THEIR VOTING RIGHTS, PER ORGANIZATION'S BYLAWS. FORM 990, PART VI, SECTION B, LINE 11B THE 990 WAS REVIEWED BY THE FINANCE COMMITTEE. UPON THEIR APPROVAL, IT WAS SENT TO THE BOARD WITH A RECOMMENDATION FOR APPROVAL AND FILING. FORM 990, PART VI, SECTION B, LINE 12C ANNUAL FULL DISCLOSURE STATEMENTS ARE REQUIRED OF ALL OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES AND ARE PROVIDED TO ALL OFFICERS FOR REVIEW. CONFLICTS OR POTENTIAL CONFLICTS OF INTEREST ARE HANDLED IN A PEER REVIEW FORMAT. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION USES BENCHMARKING DATA FROM SALARY SURVEYS. EXECUTIVE COMMITTEE OF THE BOARD REVIEWS THE PERFORMANCE, COMPENSATION, AND BENEFITS OF THE CEO. COMPARABILITY DATA IS USED TO DETERMINE COMPENSATION FOR OTHER EMPLOYEES AND REVIEWS ARE DOCUMENTED. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XII, LINE 2C: THERE HAVE BEEN NO CHANGES IN THE PROCESS FROM THE PRIOR YEAR.