FURP.ORG / PUBLIC DATA EXPLORER

MARYLAND PATIENT SAFETY CENTER: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
MARYLAND PATIENT SAFETY CENTER (EIN 26-2188491)
Tax period
2021-07-01 to 2022-06-30
Filed
2022-12-08
IRS object ID
202233429349300108
Schema version
2021v4.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2022-12-08T08:16:49-06:00ReturnTs
Tax Period End2022-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN462982708PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1FITZPATRICK LEARY & SZARKOLLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11447 YORK ROAD STE 703AddressLine1Txt
CityLUTHERVILLECityNm
State AbbreviationMDStateAbbreviationCd
ZIP21093ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN262188491EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MARYLAND PATIENT SAFETY CENTER INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMARYBusinessNameControlTxt
Phone4105409210PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line16820 DEERPATH ROADAddressLine1Txt
CityELKRIDGECityNm
State AbbreviationMDStateAbbreviationCd
ZIP21075ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonBLAIR EIGPersonNm
Person TitlePRESIDENT/CEOPersonTitleTxt
Phone4105409210PhoneNum
Signature2022-12-07SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstBLAIRPersonFirstNm
Person LastEIGPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonNICOLE R SZARKO CPAPreparerPersonNm
PTINP00646988PTIN
Phone4103071400PhoneNum
Preparation2022-11-21PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerBLAIR EIGPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line16820 DEERPATH ROADAddressLine1Txt
CityELKRIDGECityNm
State AbbreviationMDStateAbbreviationCd
ZIP21075ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,399,697GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.MARYLANDPATIENTSAFETY.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2007FormationYr
Legal Domicile StateMDLegalDomicileStateCd
Activity Or MissionTO DEVELOP AND IMPLEMENT STRATEGIES TO IMPROVE THE SAFETY OF PATIENT CARE IN MARYLAND.ActivityOrMissionDesc
Voting Members Governing Body17VotingMembersGoverningBodyCnt
Voting Members Independent17VotingMembersIndependentCnt
Total Employee4TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$572,899PYContributionsGrantsAmt
CY Contributions Grants$556,288CYContributionsGrantsAmt
PY Program Service Revenue$1,529,671PYProgramServiceRevenueAmt
CY Program Service Revenue$841,656CYProgramServiceRevenueAmt
PY Investment Income$207PYInvestmentIncomeAmt
CY Investment Income$1,110CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$2,102,777PYTotalRevenueAmt
CY Total Revenue$1,399,054CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$740,639PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$763,610CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$884,872PYOtherExpensesAmt
CY Other Expenses$1,093,469CYOtherExpensesAmt
PY Total Expenses$1,625,511PYTotalExpensesAmt
CY Total Expenses$1,857,079CYTotalExpensesAmt
PY Revenues Less Expenses$477,266PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$458,025CYRevenuesLessExpensesAmt
Total Assets BOY$2,364,809TotalAssetsBOYAmt
Total Assets EOY$1,736,302TotalAssetsEOYAmt
Total Liabilities BOY$358,053TotalLiabilitiesBOYAmt
Total Liabilities EOY$204,169TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$2,006,756NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,532,133NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO DEVELOP AND IMPLEMENT STRATEGIES TO IMPROVE THE SAFETY OF PATIENT CARE IN MARYLAND. MPSC BRINGS TOGETHER HEALTH CARE PROVIDERS TO STUDY CAUSES OF UNSAFE PRACTICES AND PUT PRACTICAL IMPROVEMENTS IN PLACE TO PREVENT HEALTHCARE RELATED ERRORS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$287,204ExpenseAmt
Revenue$64,400RevenueAmt
DescCLEAN COLLABORATIVE - THIS IS AN INITIATIVE FOR MARYLAND HOSPITALS, LONG TERM CARE FACILITIES, AND AMBULATORY CARE CENTERS TO IMPROVE FACILITY CLEANLINESSS AS A MEANS OF REDUCING HEALTHCARE ASSOCIATED INFECTIONS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$356,517ExpenseAmt
Revenue$405,024RevenueAmt
DescANNUAL PATIENT SAFETY CONFERENCE - THE ANNUAL PATIENT SAFETY CONFERENCE BRINGS TOGETHER OVER 1,200 HEALTHCARE PROFESSIONALS AND NATIONALLY RECOGNIZED SPEAKERS AND PRESENTERS TO LEARN AND EXCHANGE BEST PRACTICES RELATED TO CURRENT ISSUES SURROUNDING PATIENT SAFETY.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$329,748ExpenseAmt
Revenue$59,430RevenueAmt
DescMATERNAL HEALTH EQUITY - THE ORGANIZATION WITH THE HELP OF AN ADVISORY GROUP COMPRISED OF LOCAL EXPERTS IN THE FIELDS OF MATERNAL HEALTH, EMERGENCY MEDICINE, FAMILY PRACTICE, RACIAL BIAS AND HEALTH CARE INEQUITIES, CREATES EDUCATIONAL TOOLS FOR NON-OBSTETRIC PROVIDERS TO ADDRESS THE SUBSTANTIAL DISPARITY IN THE MATERNAL MORBIDITY RATE FOR BLACK MOTHERS IN MARYLAND.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (11 entries)

ExpenseExpenseAmtRevenueRevenueAmtDescDesc
$13,021$15,419EDUCATION - THE ORGANIZATION OFFERS SEVERAL EDUCATION PROGRAMS AS PART OF A COMPREHENSIVE SET OF ACTIVITIES DESIGNED TO HELP HEALTHCARE PROVIDERS DEVELOP THE SKILLS AND BEHAVIORS NECESSARY TO MAKE MARYLAND THE SAFEST STATE IN THE NATION FOR RECEIVING PATIENT CARE.
$78,810$748MEDICATION SAFETY INITIATIVE - THE ORGANIZATION CONDUCTS AN ANNUAL CONFERENCE AND BI-ANNUAL SURVEY TO ASSESS THE STATUS OF THE MEDICATION SAFETY EFFORTS UNDERWAY, IDENTIFY BEST PRACTICES AND SHARE THIS INFORMATION AMONG HOSPITALS.
$8,903OPIOID MISUSE - STATEWIDE EFFORT TO PROACTIVELY INFORM CONSUMERS ABOUT THE RISKS OF OPIOID USE; WHAT QUESTIONS TO ASK THEIR DOCTOR, WHAT ARE THE ALTERNATIVE PAIN MANAGEMENT TECHNIQUES, HOW TO PROPERLY STORE AND DISPOSE OF UNUSED PRESCRIPTIONS.
$10,145$0PATIENT SAFETY CERTIFICATION - THE PATIENT SAFETY CERTIFICATION PROGRAM IS A COMPREHENSIVE, PROACTIVE EFFORT THAT WILL ASSESS, IDENTIFY AND RESOLVE PATIENT SAFETY ISSUES. THE PROGRAM WILL EXAMINE THESE ISSUES THROUGH AN ORGANIZATIONAL LENS, INCORPORATING A COMBINATION OF CLASSROOM EDUCATION, PRACTICAL APPLICATIONS AND COACHING/MENTORING. POSITIVE PSYCHOLOGY PRINCIPLES WILL BE APPLIED AS THE PERFORMANCE IMPROVEMENT MODEL - FOCUSING ON WHAT THAT ORGANIZATION DOES RIGHT AS A METHOD OF RESOLVING AND SUSTAINING SUCCESS WITH THE IDENTIFIED ISSUES. THE PROGRAM WILL EMPOWER AND EDUCATE PSOS AS A FOCAL POINT FOR AFFECTING CULTURAL CHANGE WITHIN THE ENTIRE ORGANIZATION.
$3,020DIAGNOSIS ERRORS - FOCUSING ON STROKE AND HEART ATTACK DIAGNOSES, THIS INITIATIVE WILL ATTEMPT TO DETERMINE THE SCOPE AND EXTENT OF MISDIAGNOSIS. THE PROGRESSION FROM THIS STUDY WILL THEN BE USED TO EXAMINE CAUSATION AND CORRESPONDING SOLUTIONS.
$3,003$0PERINATAL/NEONATAL - THE ORGANIZATION'S MISSION REGARDING PERINATAL IS TO CREATE UNITS THAT DELIVER CARE SAFELY AND RELIABLY WITH ZERO PREVENTABLE ADVERSE OUTCOMES. ADDITIONAL CONCENTRATIONS INCLUDE IMPROVING TEAMWORK AND COMMUNICATION THROUGH THE IMPLEMENTATION OF TEAM BEHAVIORS, INCLUDING THE FAMILY, INTO NEONATAL CARE.
$53,430MARYLAND MATERNAL HEALTH INNOVATION PROGRAM - THIS PROGRAM IS AN EFFORT TO WORK WITH MHIP INVESTIGATORS TO DESIGN QUALITY IMPROVEMENT TRAININGS AND FACILITATION SUPPORTS FOR FRONTLINE STAFF IN BIRTHING HOSPITALS IN MARYLAND.
$15,329PATIENT FAMILY ADVISORY COUNCIL FOR QUALITY (PFACQ) - THIS PROGRAM HAS BEEN DESIGNED TO HELP ORGANIZATIONS TAKE THEIR PATIENT AND FAMILY ENGAGEMENT STRATEGIES TO THE NEXT LEVEL WITH A FOCUS ON IMPROVING OUTCOMES, REDUCING COSTS, PROMOTING TRANSPARENCY AND REINFORCING STAFF JOY AND MEANING IN HEALTHCARE WORK.
$246,050$286,200CARING FOR THE CAREGIVER - THIS PROGRAM IS BASED ON THE JOHNS HOPKINS HOSPITAL PEER SUPPORT PROGRAM FOR HEALTHCARE PROVIDERS KNOWN AS THE RESILIENCE IN STRESSFUL EVENTS OR RISE PROGRAM. A "TRAIN THE TRAINER" MODEL WITH SUPPORT AND COACHING FROM THE RISE STAFF, THIS PROGRAM PROVIDES TIMELY SUPPORT TO HEALTHCARE EMPLOYEES WHO ENCOUNTER STRESSFUL, PATIENT-RELATED EVENTS RELATED TO THE "SECOND VICTIM" SITUATION.
$57,776ADVERSE EVENT REPORTING - THE ORGANIZATION PARTNERS WITH HEALTHCARE PROVIDERS IN MARYLAND TO COLLECT AND ANALYZE DATA ON ADVERSE EVENTS AND NEAR MISSES. THE DATA ARE USED TO EXPLORE PATTERNS AND TRENDS RELATED TO PATIENT SAFETY.
$1,728$10,435OTHER - INCLUDES A WIDE RANGE OF CONSULTING AND ADVISORY SERVICES ON VARIOUS TOPICS.
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$491,215TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$312,802TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$1,464,684TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document17IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee4EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members17GoverningBodyVotingMembersCnt
Independent Voting Member17IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BLAIR EIGBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4105409210PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line16820 DEERPATH ROADAddressLine1Txt
CityELKRIDGECityNm
State AbbreviationMDStateAbbreviationCd
ZIP21075ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
ROLLIN J FAIRBANKS
CHAIR2.00Yes (X)Yes (X)$0$0$0
GERALD ABRAMS
TREASURER2.00Yes (X)Yes (X)$0$0$0
BARBARA TACHOVSKY MSN RN
DIRECTOR1.00Yes (X)$0$0$0
E ROBERT FEROLI JR
DIRECTOR1.00Yes (X)$0$0$0
ALLEN KACHALIA MD
DIRECTOR1.00Yes (X)$0$0$0
JACK GENTRY
DIRECTOR1.00Yes (X)$0$0$0
KEVIN HEFFNER
DIRECTOR1.00Yes (X)$0$0$0
DEL SHEREE SAMPLE-HUGHES
DIRECTOR1.00Yes (X)$0$0$0
SEN MALCOLM AUGUSTINE
DIRECTOR1.00Yes (X)$0$0$0
DEBRA ILLIG
DIRECTOR1.00Yes (X)$0$0$0
MARCIA BOYLE
DIRECTOR1.00Yes (X)$0$0$0
ROBERT ATLAS MD
DIRECTOR1.00Yes (X)$0$0$0
BADIA FADDOUL RN
SECRETARY2.00Yes (X)Yes (X)$0$0$0
NICOLE STALLINGS
DIRECTOR1.00Yes (X)$0$0$0
CHERIF BOUTROS MD
DIRECTOR1.00Yes (X)$0$0$0
DENEEN RICHMOND MHA RN
DIRECTOR1.00Yes (X)$0$0$0
BARBARA EPKE
VICE CHAIR2.00Yes (X)Yes (X)$0$0$0
BONNIE DIPETRO
DIRECTOR40.00Yes (X)$185,277$0$46,429
BLAIR EIG MD
PRESIDENT & CEO40.00Yes (X)$235,937$0$55,338
ANNA KOERBEL
BUSINESS DEVELOPMENT MANAG40.00$101,367$0$32,028Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$522,581TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$133,795TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K2IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
MAYORYK CONSULTING SERVICES
1 HAZELNUT COURTSHEWSBURYPA17361CONSULTING$110,687
CLEANHEALTH ENVIRONMENTAL
1304 MILLGROVE PLACESILVER SPRINGMD20905CONSULTING$102,167
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt
Membership Dues$163,833MembershipDuesAmt
All Other Contributions$392,455AllOtherContributionsAmt
Total Contributions$556,288TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEMBERSHIP DUES611710$349,467$349,467
PROGRAM SALES611710$286,200$286,200
CONSULTING REVENUE611710$134,265$134,265
EDUCATION AND CONFEREN611710$71,724$71,724
FieldValueIRS element (for citing)
Total Program Service Revenue$841,656TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,143TotalRevenueColumnAmt
Exclusion$1,143ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$610SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$643SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$33SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$33TotalRevenueColumnAmt
Exclusion-$33ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,399,054TotalRevenueColumnAmt
Related Or Exempt Func Income$841,656RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1,110ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$433,911TotalAmt
Program Services$333,066ProgramServicesAmt
Management And General$100,845ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$173,079TotalAmt
Program Services$140,264ProgramServicesAmt
Management And General$32,815ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$30,002TotalAmt
Program Services$23,643ProgramServicesAmt
Management And General$6,359ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$89,317TotalAmt
Program Services$70,385ProgramServicesAmt
Management And General$18,932ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$37,301TotalAmt
Program Services$29,394ProgramServicesAmt
Management And General$7,907ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$67,850TotalAmt
Management And General$67,850ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$567,698TotalAmt
Program Services$545,841ProgramServicesAmt
Management And General$21,857ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$16,192TotalAmt
Program Services$243ProgramServicesAmt
Management And General$15,949ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$54,460TotalAmt
Program Services$39,836ProgramServicesAmt
Management And General$14,624ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$152,100TotalAmt
Program Services$152,100ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$34,192TotalAmt
Program Services$1,936ProgramServicesAmt
Management And General$32,256ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$534TotalAmt
Program Services$169ProgramServicesAmt
Management And General$365ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$28,426TotalAmt
Program Services$27,338ProgramServicesAmt
Management And General$1,088ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,564TotalAmt
Management And General$2,564ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$6,101TotalAmt
Management And General$6,101ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
PROGRAM DEVELOPMENT$47,082$47,082
PUBLIC RELATIONS / COMM$36,302$90$36,212
DUES AND SUBSCRIPTIONS$20,444$20,444
PARTICIPATION EXPENSE$17,000$17,000

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$42,524TotalAmt
Program Services$36,297ProgramServicesAmt
Management And General$6,227ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,857,079TotalAmt
Program Services$1,464,684ProgramServicesAmt
Management And General$392,395ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$316,619BOYAmt
EOY$248,163EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,609,062BOYAmt
EOY$635,591EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$11,332BOYAmt
EOY$14,747EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$129,420BOYAmt
EOY$35,648EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$291,637BOYAmt
EOY$74,995EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$36,192LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$34,332LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$3,101BOYAmt
EOY$1,860EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
EOY$722,115EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$3,638BOYAmt
EOY$2,315EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$868EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,364,809BOYAmt
EOY$1,736,302EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$189,932BOYAmt
EOY$166,369EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$168,121BOYAmt
EOY$37,800EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$358,053BOYAmt
EOY$204,169EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,945,764BOYAmt
EOY$1,464,926EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$60,992BOYAmt
EOY$67,207EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,006,756BOYAmt
EOY$1,532,133EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,364,809BOYAmt
EOY$1,736,302EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$458,025ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$16,598NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,273,656CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,131,523CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$533,656CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,366,625CurrentTaxYearMinus1YearAmt
Current Tax Year$905,755CurrentTaxYearAmt
Total$5,211,215TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,273,656CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,131,523CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$533,656CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,366,625CurrentTaxYearMinus1YearAmt
Current Tax Year$905,755CurrentTaxYearAmt
Total$5,211,215TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$5,211,215PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,252CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$12,455CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,580CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$207CurrentTaxYearMinus1YearAmt
Current Tax Year$1,143CurrentTaxYearAmt
Total$24,637TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$346,532CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$594,492CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$478,699CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$735,945CurrentTaxYearMinus1YearAmt
Current Tax Year$492,189CurrentTaxYearAmt
Total$2,647,857TotalAmt
FieldValueIRS element (for citing)
Total Support$7,883,709TotalSupportAmt
Public Support CY1700.66100PublicSupportCY170Pct
Public Support PY1700.70890PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$36,192OtherCostOrOtherBasisAmt
Depreciation$34,332DepreciationAmt
Book Value$1,860BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,860TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$1,397,944TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$1,397,944RevenueSubtotalAmt
Other Revenues Not Included$1,110OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$1,110RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$1,399,054TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$1,857,079TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$1,857,079ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$1,857,079TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:THE ORGANIZATION ACCOUNTS FOR INCOME TAX PROVISIONS IN ACCORDANCE WITH FINANCIAL ACCOUNTING STANDARDS BOARD ACCOUNTING STANDARDS CONCEPT TOPIC 740-10, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, WHICH CREATES A SINGLE MODEL TO ADDRESS UNCERTAINTY IN TAX POSITIONS AND CLARIFIES THE ACCOUNTING FOR INCOME TAXES BY PRESCRIBING THE MINIMUM RECOGNITION THRESHOLD A TAX POSITION IS REQUIRED TO MEET BEFORE BEING RECOGNIZED IN THE FINANCIAL STATEMENTS. THE ORGANIZATION BELIEVES THAT ITS INCOME TAX FILING POSITIONS AND DEDUCTIONS WILL BE SUSTAINED UPON EXAMINATION AND, ACCORDINGLY, HAS NOT RECORDED ANY RESERVES, OR RELATED ACCRUALS FOR INTEREST AND PENALTIES FOR UNCERTAIN INCOME TAX POSITIONS. THE ORGANIZATION CONTINUALLY EVALUATES EXPIRING STATUTES OF LIMITATIONS, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW, AND NEW AUTHORITATIVE RULINGS. THE ORGANIZATION HAS ADOPTED A POLICY UNDER WHICH, IF REQUIRED TO BE RECOGNIZED IN THE FUTURE, WILL CLASSIFY INTEREST RELATED TO THE UNDERPAYMENT OF INCOME TAXES AS A COMPONENT OF INTEREST EXPENSE, AND WILL CLASSIFY ANY RELATED PENALTIES IN ADMINISTRATIVE AND GENERAL EXPENSES IN THE STATEMENTS OF FUNCTIONAL EXPENSES AND STATEMENTS OF ACTIVITIES. THE ORGANIZATION BELIEVES THEY ARE SUBJECT TO INCOME TAX EXAMINATIONS BY TAX AUTHORITIES FOR THE CURRENT YEAR AND THE LAST THREE YEARS.
PART XI, LINE 4B - OTHER ADJUSTMENTS:INVESTMENT INCOME NETTED WITH OTHER INCOME (LOSS) 1,110.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
BLAIR EIG MD
PRESIDENT & CEO$195,937$0$40,000$0$0$0$12,094$0$43,244$0$291,275$0$0$0
BONNIE DIPETRO
DIRECTOR$173,648$0$11,629$0$0$0$9,495$0$36,934$0$231,706$0$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BTHE 990 IS PRESENTED TO THE EXECUTIVE COMMITTEE AND THE BOARD OF DIRECTORS FOR REVIEW AND COMMENTS PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CEACH BOARD MEMBER EXECUTES A DISCLOSURE EACH YEAR.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART IX, LINE 11GMEDICATION SAFETY INTIATIVE CONSULTING FEES: PROGRAM SERVICE EXPENSES 27,915. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 27,915. APSC CONSULTING FEES: PROGRAM SERVICE EXPENSES 283,451. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 283,451. EDUCATION EXPENSE CONSULTING FEES: PROGRAM SERVICE EXPENSES 1,521. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,521. CARING FOR CAREGIVER CONSULTING: PROGRAM SERVICE EXPENSES 552. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 552. MATERNAL HEALTH EQUITY PROJECT: PROGRAM SERVICE EXPENSES 106,109. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 106,109. CLEAN ENVRIONMENT CONSULTING FEE: PROGRAM SERVICE EXPENSES 963. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 963. CLEAN COLLABORATIVE CONSULTING FEE: PROGRAM SERVICE EXPENSES 125,330. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 125,330. ADMIN EXPENSE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 21,857. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 21,857.
FORM 990, PART XII, LINE 2C:THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.