American Association of Nurse Anesthetists

What it reported doing in 2024

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 (crna's) are the hands-on providers of more than 32 million anesthetists 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 a reasonable cost. They are qualified to make independent judgments concerning all aspects of anesthesia care based on their education, licensure, and certification. Crna's 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, practice excellence, and its members' profession," 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 anesthesia care and pain management. Additionally, the aana supports crna participation in continuing education programs, patient, quality and safety research, patient satisfaction, advancement in anesthesia techniques and technology, and the development of anesthesia practice standards and guidelines. Working in collaboration with surgeions, physicians 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, opthalmologists, plastic surgeons and pain management specialists; u.s. Military, public health services, and department of veterans affairs healthcare facilities.

Financial Efficiency

• Mission deployment rate: Limited
• Program expense ratio: Limited
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 90%; rating input score 90; 3rd percentile among comparable filings
• Pay-setting controls: 6 of 6 controls in place; rating input score 100
  • Compensation committee: Pass
  • Independent consultant: Pass
  • Other Form 990s reviewed: Pass
  • Written employment contract: Pass
  • Compensation survey or study: Pass
  • Board or committee approval: Pass
• Foreign activity oversight: Limited
• Grant itemization coverage: 35.3%; rating input score 35; 10th percentile among comparable filings
• Major donor itemization: Limited
• Related-party transparency: Limited

Accountability

• Independent voting board: 0%; rating input score 0; 3rd percentile among comparable filings
• Governance controls: 9 of 9 controls in place; rating input score 100
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Pass
  • Other executive compensation review process: Pass
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: -9.1%; rating input score 11; 11th percentile among comparable filings
• Total-asset coverage ratio: 6.56; rating input score 88; 88th percentile among comparable filings
• Liabilities to assets ratio: 0.35; rating input score 41; 41st percentile among comparable filings
• Officer compensation ratio: 30.1%; rating input score 1; 1st percentile among comparable filings

Growth

• Program expense growth: Limited
• Revenue growth: 1.1% per year; rating input score 100; 12th percentile among comparable filings
• Asset growth: 5.8% per year; rating input score 100; 41st percentile among comparable filings