2015-05-12T15:49:21-05:00 2014-12-31 205711238 ADELSON & COMPANY PC 100 NORTH ST PITTSFIELD MA 01201 990 2014-01-01 367166993 NATIONAL PATIENT SAFETY FOUNDATION NATI 6173919900 268 SUMMER STREET 6TH FL BOSTON MA 02210 TEJAL GANDHI PRESIDENT & CEO 6173919900 2015-05-11 1 VINCENT T VISCUSO CPA P00097031 4134436408 2015-05-11 2014 2016-03-07 17:11:31Z TEJAL GANDHI 268 SUMMER STREET 6TH FL BOSTON MA 02210 4893634 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. 17 16 24 55 0 0 827720 768242 2030688 2415293 269852 211241 108074 202279 3236334 3597055 33331 66662 0 0 1517522 1920328 0 0 451001 2286781 1992497 3837634 3979487 -601300 -382432 3389271 2740488 1029384 926084 2359887 1814404 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 0 1276902 1286323 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 2014 CONGRESS ATTRACTED MORE THAN 950 REGISTRATIONS. 221849 249420 THE AMERICAN SOCIETY OF PROFESSIONALS IN PATIENT SAFETY (ASPPS) AT NPSF IS THE FIRST AND ONLY INDIVIDUAL MEMBERSHIP PROGRAM FOR THE PATIENT SAFETY FIELD. ASPPS WAS ESTABLISHED TO ADVANCE PATIENT SAFETY AS A DISTINCT AND VITAL HEALTH CARE DISCIPLINE, AND TO BUILD AN ENGAGED, FOCUSED COMMUNITY OF INDIVIDUALS COMMITTED TO ACCELERATING THE DELIVERY OF SAFE PATIENT CARE. MEMBERSHIP IN ASPPS IS OPEN TO ANYONE WHO WORKS DIRECTLY OR INDIRECTLY TO SUPPORT AND IMPROVE THE SAFETY OF PATIENTS. AT THE END OF 2014, THERE WERE 1,845 MEMBERS IN THE ASPPS. 453928 318457 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 ACCELERATE THEIR EFFORTS TO ADVANCE PATIENT SAFETY. 990917 66662 1524596 - 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- RESEARCH PROGRAMS- THE CERTIFIED PROFESSIONAL IN PATIENT SAFETY (CPPS) REVIEW COURSE- PATIENT SAFETY AWARENESS WEEK- PATIENT SAFETY LEADERSHIP FELLOWSHIP- CURRENT AWARENESS LITERATURE ALERT- PATIENT SAFETY LISTSERV- BMJ QUALITY AND SAFETY 990917 66662 1524596 2943596 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 21 0 1 24 1 0 0 0 0 0 1 1 0 0 0 0 X 17 16 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 268 SUMMER STREET 6TH FLOOR BOSTON MA 02210 TEJAL GANDHI MD PRESIDENT & CEO 40.00 X X 392185 0 2018 GERALD B HICKSON MD DIRECTOR 0.50 X 0 0 0 CHARLES G BENDA PHD TREASURER 2.00 X X 0 0 0 SUSAN EDGMAN-LEVITAN PA DIRECTOR 0.50 X 0 0 0 GREGG S MEYER MD CHAIR 2.00 X X 0 0 0 SAUL N WEINGART MD DIRECTOR 0.50 X 0 0 0 RICHARD E ANDERSON MD DIRECTOR 0.50 X 0 0 0 ANN SCOTT BLOUIN PHD SECRETARY 0.50 X X 0 0 0 DOUG BONACUM MBA DIRECTOR 0.50 X 0 0 0 JENNIFER DALEY MD DIRECTOR 0.50 X 0 0 0 LILLEE GELINAS MSN DIRECTOR 0.50 X 0 0 0 MARY BETH NAVARRA-SIRIO MBA VICE CHAIR 2.00 X X 0 0 0 GARY S KAPLAN MD DIRECTOR 0.50 X 0 0 0 RICHARD C BOOTHMAN JD DIRECTOR 0.50 X 0 0 0 HELEN HASKELL MA DIRECTOR 0.50 X 0 0 0 JANE ENGLEBRIGHT PHD EX OFFICIO 0.50 X 0 0 0 ROBERT DEVORE DIRECTOR 0.50 X 0 0 0 PATRICIA MCGAFFIGAN RN COO & SR. VP OF PROGRAM ST 40.00 X 188723 0 20165 DAVID COLETTA SR. VP, STRATEGIC ALLIANCE 40.00 X 179096 0 17552 JENNIFER WALKER SR. DIRECTOR OF ADMINISTRATION 40.00 X 107246 0 17551 JANINE CARPENTER ASST. VICE PRESIDENT - PROGRAMS 40.00 X 119552 0 7283 986802 0 64569 5 0 1 0 PERFECT PLANIT 317 TIFFANY COURT GIBSONIA PA 15044 CONSULTING SERVICES 222543 AUDIO VISUAL ONE PO BOX 1115 BEDFORD PARK IL 60499 CONGRESS 2014 AUDIO VISUAL 118825 2 638950 20600 108692 768242 EDUCATION AND LIASON 900099 1533278 1533278 CONFERENCE REGISTRATION FEES 900099 628612 628612 CORPORATE COUNCIL 900099 242500 242500 CONSULTING & MISCELLANEOUS 900099 10903 10903 2415293 102164 102164 1292188 1183111 109077 109077 109077 301565 20600 113468 188097 188097 GAIN FROM EQUITY INTEREST IN CBPP 900099 14182 14182 14182 3597055 2415293 0 413520 X 66662 66662 1134315 769281 201640 163394 575023 389975 102218 82830 78487 53229 13952 11306 132503 89862 23554 19087 13136 13136 24415 24415 16579 16579 442768 294118 53055 95595 190762 169604 11677 9481 65490 44771 11445 9274 311163 211028 55313 44822 119335 103873 7927 7535 12399 8409 2204 1786 7033 4770 1250 1013 PROGRAM DEVELOPMENT 736267 701660 32029 2578 DUES & SUBSCRIPTIONS 39482 36354 1728 1400 RECRUITING & RELOCATION 13668 12768 900 3979487 2943596 584890 451001 X 200 200 2884284 2425515 292537 189975 138139 34234 266974 257385 21988 9589 52123 80975 3389271 2740488 212698 144385 816686 781699 1029384 926084 X 2359887 1638822 0 175582 2359887 1814404 3389271 2740488 -382432 -163051 0 X 0 1 X 1 0 X 1109177 1177947 730967 827720 768242 4614053 1109177 1177947 730967 827720 768242 4614053 4614053 107458 103226 96130 97620 102164 506598 5120651 10966450 0.90110 0.86300 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 36344 29854 6490 230630 227531 3099 9589 3417425 -163051 -163051 3580476 16579 16579 3597055 3962908 0 3962908 16579 16579 3979487 GALA 322165 20600 301565 113468 322165 20600 301565 113468 113468 188097 1 TEXAS TECH UNIVERSITY 2500 BROADWAY STREET LUBBOCK TX 79409 756002622 501(C)(3) 66662 PATIENT SAFETY RESEARCH 1 PART I, LINE 2: PROGRAMMATIC AND FINANCIAL REPORTS ARE SUBMITTED BY GRANT RECIPIENTS. X X 0 0 0 0 0 0 0 0 0 TEJAL GANDHI MD PRESIDENT & CEO 392185 0 0 0 0 0 0 0 2018 0 394203 0 0 0 PATRICIA MCGAFFIGAN RN COO & SR. VP OF PROGRAM ST 188723 0 0 0 0 0 0 0 20165 0 208888 0 0 0 DAVID COLETTA SR. VP, STRATEGIC ALLIANCE 179096 0 0 0 0 0 0 0 17552 0 196648 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 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 294,118. MANAGEMENT AND GENERAL EXPENSES 53,055. FUNDRAISING EXPENSES 95,595. TOTAL EXPENSES 442,768. CERTIFICATION BOARD FOR PROFESSIONALS IN PATIENT SAFETY INC 268 SUMMER STREET 6TH FL BOSTON MA 02210 452197138 HEALTH CARE SAFETY MA 501(C)(3) LINE 9 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 PUBLIC SAFETY N NO VALUE ASSIGNED CERTIFICATION BOARD FOR PROFESSIONALS IN PUBLIC SAFETY O 80580 FAIR MARKET VALUE CERTIFICATION BOARD FOR PROFESSIONALS IN PUBLIC SAFETY Q 80580 FAIR MARKET VALUE