CONNECTICUT CENTER FOR PATIENT SAFETY: Form 990EZ, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
CONNECTICUT CENTER FOR PATIENT SAFETY (EIN 20-1517678)
Tax period
2014-07-01 to 2015-06-30
Filed
2015-11-14
IRS object ID
201533199349200503
Schema version
2014v5.0
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)
Return2015-11-14T19:01:18-07:00ReturnTs
Tax Period End2015-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN061555293PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Dixon & CompanyBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1POBox 938AddressLine1Txt
CityWindsorCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06095ZIPCd
FieldValueIRS element (for citing)
Return Type990EZReturnTypeCd
Tax Period Begin2014-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN201517678EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Connecticut Center for Patient SafetyBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCONNBusinessNameControlTxt
Phone2036100610PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1857 Post Road Number 220AddressLine1Txt
CityFairfieldCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06824ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonLisa FreemanPersonNm
Person TitleExecutive DirectorPersonTitleTxt
Phone2036100610PhoneNum
Signature2015-10-29SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSharon Dixon PeayPreparerPersonNm
PTINP01275297PTIN
Phone8606885818PhoneNum
Preparation2015-10-29PreparationDt
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-04-25 22:37:26ZBuildTS

Form 990-EZ IRS990EZ

FieldValueIRS element (for citing)
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Website Addresswww.ctcps.orgWebsiteAddressTxt
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Gross Receipts$116,717GrossReceiptsAmt
Info In Schedule O Part IYes (X)InfoInScheduleOPartIInd
Contributions Gifts Grants Etc$115,928ContributionsGiftsGrantsEtcAmt
Program Service Revenue$780ProgramServiceRevenueAmt
Membership Dues$0MembershipDuesAmt
Investment Income$9InvestmentIncomeAmt
Sale Of Assets Gross$0SaleOfAssetsGrossAmt
Cost Or Other Basis Expense Sale$0CostOrOtherBasisExpenseSaleAmt
Gain Or Loss From Sale Of Assets$0GainOrLossFromSaleOfAssetsAmt
Gaming Gross Income$0GamingGrossIncomeAmt
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Special Events Direct Expenses$0SpecialEventsDirectExpensesAmt
Special Events Net Income Loss$0SpecialEventsNetIncomeLossAmt
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt
Gross Profit Loss Sls Of Invntry$0GrossProfitLossSlsOfInvntryAmt
Other Revenue Total$0OtherRevenueTotalAmt
Total Revenue$116,717TotalRevenueAmt
Grants And Similar Amounts Paid$10,000GrantsAndSimilarAmountsPaidAmt
Benefits Paid To Or For Members$0BenefitsPaidToOrForMembersAmt
Salaries Other Comp Empl Bnft$0SalariesOtherCompEmplBnftAmt
Fees And Other Pymt To Ind Cntrct$86,886FeesAndOtherPymtToIndCntrctAmt
Occupancy Rent Utlts And Maint$3,434OccupancyRentUtltsAndMaintAmt
Printing Publications Postage$76PrintingPublicationsPostageAmt
Other Expenses Total$22,753OtherExpensesTotalAmt
Total Expenses$123,149TotalExpensesAmt
Excess Or Deficit For Year-$6,432ExcessOrDeficitForYearAmt
Net Assets Or Fund Balances BOY$83,068NetAssetsOrFundBalancesBOYAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Net Assets Or Fund Balances EOY$76,636NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIYes (X)InfoInScheduleOPartIIInd

Cash Savings And Investments CashSavingsAndInvestmentsGrp

FieldValueIRS element (for citing)
BOY$83,335BOYAmt
EOY$76,821EOYAmt

Land And Buildings LandAndBuildingsGrp

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

Other Assets Total Detail OtherAssetsTotalDetail

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

Form990 Total Assets Form990TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$83,335BOYAmt
EOY$76,821EOYAmt

Sum Of Total Liabilities SumOfTotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$267BOYAmt
EOY$185EOYAmt

Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp

FieldValueIRS element (for citing)
BOY$83,068BOYAmt
EOY$76,636EOYAmt
FieldValueIRS element (for citing)
Primary Exempt PurposeImprove quality of healthcare and protect patient rightsPrimaryExemptPurposeTxt

Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp (2 entries)

Description Program Srvc AccomDescriptionProgramSrvcAccomTxtGrants And AllocationsGrantsAndAllocationsAmtProgram Service ExpensesProgramServiceExpensesAmt
Education to Professionals -provide education to health professionals, participate as a patient voice on panels, committees and national organizations. We put a face on the patient experience. Work to form partnerships to improve patient outcomes. Produces data, information and analysis pertaining to the extent, type and source of hospital infections and pharmaceuticals in Connecticut$0$16,169
Public Education- raise public awareness and provide factual information to the public and members. Educate consumers/patients on patient engagement and what they need to know and do as informed consumers. During the year, we hold educational sessions, build relationships with legislative, advocacy and business organizations. Maintain our websites. Work to form partnerships to improve patient outcomes.$0$98,878
FieldValueIRS element (for citing)
Total Program Service Expenses$115,047TotalProgramServiceExpensesAmt

Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (9 entries)

TitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
Gus Velez
President5$0
Alan Manning
Director5$0$0$0
Jeanne Hamilton
President Emeritus0$0$0$0
Patricia Kelmar
Vice President5$0$0$0
Rebecca Iannantuoni
Director5$0
Hope Kasper
Director5$0
Tanya Court
Secretary/ Treasurer5$0$0$0
John Torello
Vice President5$0$0$0
Lisa Freeman
Board Member Former Treasurer12.88$10,002
FieldValueIRS element (for citing)
Activities Not Previously Rpt0ActivitiesNotPreviouslyRptInd
Chg Made To Orgnzng Doc Not Rpt0ChgMadeToOrgnzngDocNotRptInd
Organization Had UBI0OrganizationHadUBIInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Organization Dissolved Etc0OrganizationDissolvedEtcInd
Direct Indirect Pltcl Expend$0DirectIndirectPltclExpendAmt
Form1120 Pol Filed0Form1120PolFiledInd
Made Loans To From Officers0MadeLoansToFromOfficersInd
Tax Imposed Under IRC4911$0TaxImposedUnderIRC4911Amt
Tax Imposed Under IRC4912$0TaxImposedUnderIRC4912Amt
Tax Imposed Under IRC4955$0TaxImposedUnderIRC4955Amt
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
Tax Imposed On Organization Mgr$0TaxImposedOnOrganizationMgrAmt
Tax Reimbursed By Organization$0TaxReimbursedByOrganizationAmt
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
States Where Copy Of Return Is FldCTStatesWhereCopyOfReturnIsFldCd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonLisa FreemanPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1857 Post RoadAddressLine1Txt
Address Line2Number 220AddressLine2Txt
CityFairfieldCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06824ZIPCd
FieldValueIRS element (for citing)
Phone2036100610PhoneNum
FieldValueIRS element (for citing)
Foreign Financial Account0ForeignFinancialAccountInd
Foreign Office0ForeignOfficeInd
Donor Advised Fnds0DonorAdvisedFndsInd
Operate Hospital0OperateHospitalInd
Tanning Services Provided0TanningServicesProvidedInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Transaction With Control Ent0TransactionWithControlEntInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
School Operating0SchoolOperatingInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Part VI Of Comp Of Hghst Pd EmplNONEPartVIOfCompOfHghstPdEmplTxt
Part VI Hghst Pd Cntrct Prof SrvcNONEPartVIHghstPdCntrctProfSrvcTxt
Filed Schedule AYes (1)FiledScheduleAInd

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$152,545CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$116,016CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$245,173CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$299,433CurrentTaxYearMinus1YearAmt
Current Tax Year$116,708CurrentTaxYearAmt
Total$929,875TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$152,545CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$116,016CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$245,173CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$299,433CurrentTaxYearMinus1YearAmt
Current Tax Year$116,708CurrentTaxYearAmt
Total$929,875TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$929,875PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$144CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7CurrentTaxYearMinus1YearAmt
Current Tax Year$9CurrentTaxYearAmt
Total$161TotalAmt
FieldValueIRS element (for citing)
Total Support$930,036TotalSupportAmt
Public Support CY1700.99983PublicSupportCY170Pct
Public Support PY1700.99983PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests PY170Yes (X)ThirtyThrPctSuprtTestsPY170Ind

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 O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990-EZ, Part I, Line 10During the year, Connecticut Center for Patient Safety acted as the fiduciary sponsor for Patient Voice Institute. The payments for PVI totaled $8,820
Form 990-EZ, Part I, Line 16Description;Amount^Conference Expenses;16169|Fees;789|Office Supplie Travel and Meeting;5795^Total;22753^
Form 990-EZ, Part II, Line 26Description;EOY Amount^Accounts Payable;185^Total;185^

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