2018-03-13T07:46:48-05:00 2017-04-30 205711238 ADELSON & COMPANY PC 100 NORTH STREET PITTSFIELD MA 01201 990 2017-01-01 367166993 NATIONAL PATIENT SAFETY FOUNDATION NATI 6173919900 280 SUMMER STREET 9TH FL BOSTON MA 02210 TEJAL GANDHI PRESIDENT & CEO 6173919900 2018-03-02 1 VINCENT T VISCUSO CPA P00097031 4134436408 2018-03-02 208.125.165.90 2018-03-02 13:02:32 ES 04627120171310341e38 2017-05-11 P 6D1E4CFCA7DE48B62F7FE8F61DF71FF1029C08A3 34EA2F57D52FEF4E38C8322E44BC3A1A3A8C91D9 2016 2021-01-29 14:40:06Z X TEJAL GANDHI 280 SUMMER STREET 9TH FL BOSTON MA 02210 793614 0 X WWW.NPSF.ORG X 2001 MA NPSF PARTNERS WITH PATIENTS AND FAMILIES, THE HEALTH CARE COMMUNITY, AND KEY STAKEHOLDERS TO ADVANCE PATIENT SAFETY AND HEALTH CARE WORKFORCE SAFETY AND DISSEMINATE STRATEGIES TO PREVENT HARM. X 15 15 24 50 0 0 750772 260121 3192191 510520 58555 13647 264417 9326 4265935 793614 0 0 0 0 2339365 877524 0 0 149567 1848280 632875 4187645 1510399 78290 -716785 3329440 0 1547186 0 1782254 0 X NPSF PARTNERS WITH PATIENTS AND FAMILIES, THE HEALTH CARE COMMUNITY, AND KEY STAKEHOLDERS TO ADVANCE PATIENT SAFETY AND HEALTH CARE WORKFORCE SAFETY AND DISSEMINATE STRATEGIES TO PREVENT HARM. 0 1 258780 55 THE NATIONAL PATIENT SAFETY FOUNDATION (NPSF) PATIENT SAFETY CONGRESS BRINGS TOGETHER KEY HEALTH CARE STAKEHOLDERS COMMITTED TO PATIENT SAFETY AND IS DESIGNED TO SHARE NEW LEARNINGS, PRESENT PRACTICAL TOOLS AND INNOVATIVE SOLUTIONS, AND ARM ATTENDEES WITH THE IMPLEMENTATION STRATEGIES AND KNOWLEDGE THEY NEED TO FOSTER CHANGE. THE 2017 CONGRESS HELD IN MAY ATTRACTED 1,158 REGISTRATIONS. 123296 127610 THE NPSF PROFESSIONAL LEARNING SERIES OFFERS CONTINUING EDUCATION IN AN ONLINE LEARNING ENVIRONMENT. DRAWING ON THE KNOWLEDGE AND EXPERTISE OF THE NATIONAL PATIENT SAFETY FOUNDATION, PROGRAMS OFFER BEST PRACTICES, CUTTING-EDGE PERSPECTIVES, AND UNMATCHED RESOURCES TO ADDRESS CURRENT AND EMERGING ISSUES IN PATIENT SAFETY. THROUGH THIS ONLINE LEARNING SERIES, HEALTHCARE PROFESSIONALS CAN ACHIEVE BOTH PERSONAL AND PROFESSIONAL MILESTONES, WHILE ALSO MEETING NATIONAL AND ORGANIZATION-SPECIFIC PATEIENT SAFETY GOALS. SPECIFIC PROGRAMS INCLUDE THE ONLINE PATIENT SAFETY CURRICULUM, ONLINE MODULES, AND MONTHLY WEBCASTS. 166608 129486 THE NATIONAL PATIENT SAFETY FOUNDATION'S GRANTS PROGRAM SEEKS TO STIMULATE NEW, INNOVATIVE PROJECTS DIRECTED TOWARD ENHANCING PATIENT SAFETY IN THE UNITED STATES. THE PROGRAM'S OBJECTIVE IS TO ACCELERATE SAFETY PROGRESS RELATED TO THE PREVENTION OF HUMAN ERRORS, SYSTEM ERRORS, AND PATIENT INJURIES, AND THE CONSEQUENCES OF SUCH ADVERSE EVENTS IN THE HEALTH CARE SETTING. DURING 2017, NPSF CONTINUED WORK ON A GRANT FUNDED BY THE AMERICAN COLLEGE OF HEALTHCARE EXECUTIVES TO PROVIDE PRACTICAL RESOURCES FOR CHIEF EXECUTIVE OFFICERS ON CREATING AND SUSTAINING A CULTURE OF SAFETY. NPSF BEGAN WORK ON TWO ADDITIONAL GRANTS IN 2017, THE FOCUS OF WHICH IS PATIENT SAFETY IN THE HOME SETTING FUNDED BY THE GORDON & BETTY MOORE FOUNDATION AND IDENTIFYING BEST PRACTICES FOR REFERRAL MANAGEMENT IN ELECTRONIC HEALTH RECORDS, FUNDED BY CRICO/RMF. 523054 253369 - STAND UP FOR PATIENT SAFETY- LUCIAN LEAPE INSTITUTE AT THE NATIONAL PATIENT SAFETY FOUNDATION- PARTNERSHIP FOR CLEAR HEALTH COMMUNICATION AT THE NATIONAL PATIENT SAFETY FOUNDATION (ASK ME 3 PROGRAM)- PATIENT AND FAMILY INITIATIVES- NPSF PATIENT SAFETY COALITION- AMERICAN SOCIETY OF PROFESSIONALS IN PATIENT SAFETY- THE CERTIFIED PROFESSIONAL IN PATIENT SAFETY (CPPS) REVIEW COURSE- PATIENT SAFETY AWARENESS WEEK- PATIENT SAFETY LEADERSHIP FELLOWSHIP- CURRENT AWARENESS LITERATURE ALERT- NPSF COMMUNITY FORUM- BMJ QUALITY AND SAFETY 523054 253369 1071738 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 1 33 0 1 24 1 0 0 0 0 0 1 1 0 0 0 0 X 15 15 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 IL MA X X CORPORATION 6173919900 280 SUMMER STREET 9TH FLOOR BOSTON MA 02210 TEJAL GANDHI PRESIDENT & CEO 40.00 X X 175968 0 738 RICHARD ANDERSON DIRECTOR 0.50 X 0 0 0 PETER ARANOW DIRECTOR 0.50 X 0 0 0 ANN SCOTT BLOUIN VICE CHAIR 2.00 X X 0 0 0 KAREN FRUSH DIRECTOR 0.50 X 0 0 0 RICHARD BOOTHMAN SECRETARY 0.50 X X 0 0 0 MARY BETH NAVARRA-SIRIO CHAIR 2.00 X 0 0 0 JENNIFER DALEY TREASURER 2.00 X X 0 0 0 ROBERT DEVORE DIRECTOR 0.50 X 0 0 0 LILLEE SMITH GELINAS DIRECTOR 0.50 X 0 0 0 HELEN HASKELL DIRECTOR 0.50 X 0 0 0 GERALD HICKSON DIRECTOR 0.50 X 0 0 0 GARY KAPLAN DIRECTOR 0.50 X 0 0 0 GREGG MEYER IMMEDIATE PAST CHAIR 0.50 X 0 0 0 TRENT HAYWOOD DIRECTOR 0.50 X 0 0 0 SAUL WEINGART DIRECTOR 0.50 X 0 0 0 PATRICIA MCGAFFIGAN COO & SR. VP PROGRAMS 40.00 X 73472 0 9333 249440 0 10071 1 0 1 0 0 233131 26990 260121 EDUCATION AND LIASON 900099 399130 399130 PATIENT SAFETY COALITI 900099 110000 110000 CONSULTING & MISCELLAN 900099 1390 1390 510520 13647 13647 GAIN FROM EQUITY INTER 900099 9326 9326 9326 793614 510520 0 22973 X 539062 366091 95593 77378 246858 167648 43776 35434 32778 22260 5813 4705 58826 39950 10432 8444 3382 3382 29079 29079 290338 213610 74484 2244 70869 66152 2368 2349 18767 12745 3328 2694 79804 54197 14152 11455 23228 18125 2802 2301 5384 3656 955 773 2396 1627 425 344 PROGRAM DEVELOPMENT 97138 94017 2129 992 DUES & SUBSCRIPTIONS 12490 11660 376 454 1510399 1071738 289094 149567 X 200 0 926602 0 0 72591 0 0 0 0 0 60345 0 0 38619 0 2055181 0 0 127892 0 0 48010 0 3329440 0 154581 1392605 1547186 0 X 1420999 0 361255 0 1782254 0 3329440 0 X -716785 82906 -1148375 X 0 1 X 1 0 X 827720 768242 778876 750772 260121 3385731 827720 768242 778876 750772 260121 3385731 3385731 97620 102164 46082 58555 13647 318068 3703799 11889209 0.91410 0.90590 X PART II, SHORT YEAR EXPLANATION: ON MARCH 9, 2017, THE BOARD OF DIRECTORS OF THE NATIONAL PATIENT SAFETY FOUNDATION (NPSF) VOTED UNANIMOUSLY TO APPROVE A MERGER WITH THE INSTITUTE FOR HEALTHCARE IMPROVEMENT (IHI). THE MERGER WILL BE EFFECTIVE MAY 1, 2017 AND IHI WILL BE THE SURVIVING ORGANIZATION. THEREFORE, THIS A SHORT YEAR FINAL RETURN FOR THE PERIOD JANUARY 1, 2017 TO APRIL 30, 2017. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 876520 82906 82906 793614 0 793614 1510398 0 1510398 0 1510398 X X 0 0 0 0 0 0 0 0 0 TEJAL GANDHI PRESIDENT & CEO 175968 0 0 0 0 0 0 0 738 0 176706 0 0 0 CASH & INVESTMENTS $3,181,716 LESS $53,534 PAYABLES, $54,165 ACCRUED EXPENSES AND $2,367,362 DEFERRED REVENUE = $706,655 NET AVAILABLE 2017-05-01 706655 BOOK VALUE 383017223 INSTITUTE FOR HEALTHCARE IMPROVEMENT 20 UNIVERSITY RD CAMBRIDGE MA 02138 501(C)(3) ACCOUNTS RECEIVABLE 2017-05-01 58355 BOOK VALUE 383017223 INSTITUTE FOR HEALTHCARE IMPROVEMENT 20 UNIVERSITY RD CAMBRIDGE MA 02138 501(C)(3) PREPAID EXPENSES 2017-05-01 133886 BOOK VALUE 383017223 INSTITUTE FOR HEALTHCARE IMPROVEMENT 20 UNIVERSITY RD CAMBRIDGE MA 02138 501(C)(3) PROPERTY AND EQUIPMENT, NET 2017-05-01 44621 HISTORICAL COST LESS ACCUMULATED DEPRECIATION 383017223 INSTITUTE FOR HEALTHCARE IMPROVEMENT 20 UNIVERSITY RD CAMBRIDGE MA 02138 501(C)(3) OTHER ASSETS 2017-05-01 67641 FAIR MARKET VALUE 383017223 INSTITUTE FOR HEALTHCARE IMPROVEMENT 20 UNIVERSITY RD CAMBRIDGE MA 02138 501(C)(3) INVESTMENT IN CERTIFICATION BOARD FOR PROFESSIONALS IN PATIENT SAFETY 2017-05-01 137218 BOOK VALUE 383017223 INSTITUTE FOR HEALTHCARE IMPROVEMENT 20 UNIVERSITY RD CAMBRIDGE MA 02138 501(C)(3) 1 1 0 0 1 1 1 1 0 PART I, LINE 2E: PERSON(S) INVOLVED: 2.A. MARY BETH NAVARRA-SIRIO, GERALD HICKSON, ANN SCOTT BLOUIN AND SAM WATSON WERE MEMBERS OF THE BOARD OF DIRECTORS OF THE FOUNDATION AND ARE BOARD MEMBERS IN IHI, SUCCESSOR.2.B. TEJAL GANDHI, PRESIDENT & CEO OF THE ORGANIZATION IS EMPLOYED BY SUCCESSOR IHI IN SENIOR MANAGEMENT POSITION. FORM 990, PART III, LINE 3 ON MARCH 9, 2017, THE BOARD OF DIRECTORS OF THE NATIONAL PATIENT SAFETY FOUNDATION (NPSF) VOTED UNANIMOUSLY TO APPROVE A MERGER WITH THE INSTITUTE FOR HEALTHCARE IMPROVEMENT (IHI). THE MERGER WILL BE EFFECTIVE MAY 1, 2017 AND IHI WILL BE THE SURVIVING ORGANIZATION. THE MERGER INVOLVES SIGNIFICANT NEW INVESTMENT FROM IHI IN PATIENT SAFETY. THE MERGED PATIENT SAFETY TEAMS WILL COMBINE EXISTING NPSF AND IHI PATIENT SAFETY PROGRAMS AND REFLECT AN ENHANCED COMMITMENT TO ACHIEVE PATIENT SAFETY AROUND THE WORLD. NPSF PROGRAMS, INCLUDING THE NPSF LUCIAN LEAPE INSTITUTE ARE EXPECTED TO CONTINUE. THE CERTIFIED PROFESSIONAL IN PATIENT SAFETY CREDENTIALING PROGRAM, WILL CONTINUE AND WILL BE OVERSEEN BY THE CERTIFICATION BOARD FOR PROFESSIONALS IN PATIENT SAFETY. BY JOINING FORCES, IHI AND NPSF WILL BE MORE EFFECTIVE IN HELPING LEADERS AND FRONTLINE CLINICIANS MEET ALL OF TODAY'S CHALLENGES WHILE ENSURING THAT PATIENT SAFETY REMAINS A PRIORITY ALONG THE WAY. ON MAY 1, 2017 ALL OF THE ORGANIZATION'S CONSOLIDATED ASSETS OF $3,640,440, LIABILITIES OF $2,492,064, AND NET ASSETS OF $1,148,376 WERE MERGED INTO IHI. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 WILL BE REVIEWED BY THE FINANCE COMMITTEE WHO WILL THEN REPORT ON IT TO THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 12C A CONFLICT OF INTEREST DISCLOSURE STATEMENT MUST BE COMPLETED BY MEMBERS OF THE BOARD OF DIRECTORS, BOARD OF GOVERNORS, MEMBERS OF NPSF STAFF, AND LUCIAN LEAPE INSTITUTE AT NPSF ON AN ANNUAL BASIS. FORM 990, PART VI, SECTION B, LINE 15 BASED UPON RECOMMENDATIONS FROM AN INDEPENDENT CONSULTANT, THE BOARD SETS THE BASE SALARY AND BONUS STRUCTURE FOR THE CEO. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AVAILABLE TO THEIR BOARD OF DIRECTORS, BOARD OF GOVERNORS AND TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 213,610. MANAGEMENT AND GENERAL EXPENSES 74,484. FUNDRAISING EXPENSES 2,244. TOTAL EXPENSES 290,338. FORM 990, PART XI, LINE 9: TRANSFER NET ASSETS TO SURVIVING ORGANIZATION THROUGH MERGER - SEE SCH. N -1,148,375. CERTIFICATION BOARD FOR PROFESSIONALS IN PATIENT SAFETY INC 280 SUMMER STREET 9TH FL BOSTON MA 02210 452197138 HEALTH CARE SAFETY MA 501(C)(3) LINE 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0 CERTIFICATION BOARD FOR PROFESSIONALS IN PATIENT SAFETY INC N NO VALUE ASSIGNED CERTIFICATION BOARD FOR PROFESSIONALS IN PATIENT SAFETY INC O 34894 FAIR MARKET VALUE CERTIFICATION BOARD FOR PROFESSIONALS IN PATIENT SAFETY INC Q 34894 FAIR MARKET VALUE