FURP.ORG / PUBLIC DATA EXPLORER

NATIONAL PATIENT SAFETY FOUNDATION: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
NATIONAL PATIENT SAFETY FOUNDATION (EIN 36-7166993)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-05-08
IRS object ID
201421289349300937
Schema version
2013v3.0
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)
Return2014-05-08T11:29:30-05:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN205711238PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ADELSON & COMPANY PCBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1100 NORTH STAddressLine1
CityPITTSFIELDCity
StateMAState
ZIP Code01201ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN367166993EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1NATIONAL PATIENT SAFETY FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlNATIBusinessNameControlTxt
Phone6173919900PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1268 SUMMER STREET 6TH FLAddressLine1
CityBOSTONCity
StateMAState
ZIP Code02210ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTEJAL GANDHIPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone6173919900PhoneNum
Signature2014-05-06SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonVINCENT T VISCUSO CPAPreparerPersonNm
PTINP00097031PTIN
Phone4134436408PhoneNum
Preparation2014-05-06PreparationDt
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerTEJAL GANDHIPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1268 SUMMER STREET 6TH FLAddressLine1
CityBOSTONCity
StateMAState
ZIP Code02210ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$4,300,350GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.NPSF.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2001FormationYr
Legal Domicile StateMALegalDomicileStateCd
Activity Or MissionNPSF 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.ActivityOrMissionDesc
Voting Members Governing Body17VotingMembersGoverningBodyCnt
Voting Members Independent16VotingMembersIndependentCnt
Total Employee25TotalEmployeeCnt
Total Volunteers50TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$730,967PYContributionsGrantsAmt
CY Contributions Grants$827,720CYContributionsGrantsAmt
PY Program Service Revenue$1,816,075PYProgramServiceRevenueAmt
CY Program Service Revenue$2,030,688CYProgramServiceRevenueAmt
PY Investment Income$292,699PYInvestmentIncomeAmt
CY Investment Income$269,852CYInvestmentIncomeAmt
PY Other Revenue$179,686PYOtherRevenueAmt
CY Other Revenue$108,074CYOtherRevenueAmt
PY Total Revenue$3,019,427PYTotalRevenueAmt
CY Total Revenue$3,236,334CYTotalRevenueAmt
PY Grants And Similar Paid$199,947PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$33,331CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$1,559,202PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,517,522CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$343,947CYTotalFundraisingExpenseAmt
PY Other Expenses$2,187,123PYOtherExpensesAmt
CY Other Expenses$2,286,781CYOtherExpensesAmt
PY Total Expenses$3,946,272PYTotalExpensesAmt
CY Total Expenses$3,837,634CYTotalExpensesAmt
PY Revenues Less Expenses-$926,845PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$601,300CYRevenuesLessExpensesAmt
Total Assets BOY$3,903,522TotalAssetsBOYAmt
Total Assets EOY$3,389,271TotalAssetsEOYAmt
Total Liabilities BOY$1,037,566TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,029,384TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$2,865,956NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$2,359,887NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionNPSF 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.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$1,334,549ExpenseAmt
Revenue$1,158,185RevenueAmt
DescTHE 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 2013 CONGRESS ATTRACTED MORE THAN 800 REGISTRATIONS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$491,125ExpenseAmt
Revenue$582,179RevenueAmt
DescTHE 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.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$245,176ExpenseAmt
Revenue$52,800RevenueAmt
DescTHE LUCIAN LEAPE INSTITUTE PROVIDES A STRATEGIC VISION FOR IMPROVING PATIENT SAFETY. COMPOSED OF NATIONAL THOUGHT LEADERS WITH A COMMON INTEREST IN PATIENT SAFETY, THE INSTITUTE FUNCTIONS AS A THINK TANK TO IDENTIFY NEW APPROACHES TO IMPROVING PATIENT SAFETY, CALLING FOR THE INNOVATION NECESSARY TO EXPEDITE THE WORK, CREATE SIGNIFICANT, SUSTAINABLE IMPROVEMENTS IN CULTURE, PROCESS AND OUTCOMES, AND ENCOURAGES KEY STAKEHOLDERS TO ASSUME SIGNIFICANT ROLES IN ADVANCING PATIENT SAFETY.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$751,203ExpenseAmt
Grant$33,331GrantAmt
Revenue$1,271,248RevenueAmt
Desc- STAND UP FOR PATIENT SAFETY- PATIENT AND FAMILY INITIATIVES- NPSF PATIENT SAFETY COALITION- AMERICAN SOCIETY OF PROFESSIONALS IN PATIENT SAFETY- RESEARCH PROGRAMS- PATIENT SAFETY AWARENESS WEEK- PATIENT SAFETY LEADERSHIP FELLOWSHIP- CURRENT AWARENESS LITERATURE ALERT- PATIENT SAFETY LISTSERV- FOCUS ON PATIENT SAFETY NEWSLETTERDesc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$751,203TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$33,331TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$1,271,248TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$2,822,053TotalProgramServiceExpensesAmt
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
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
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 ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
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 With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document15IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee25EmployeeCnt
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 ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members17GoverningBodyVotingMembersCnt
Independent Voting Member16IndependentVotingMemberCnt
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 PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldILStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldMAStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CORPORATIONBusinessNameLine1
FieldValueIRS element (for citing)
Phone6173919900PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1268 SUMMER STREET 6TH FLOORAddressLine1
CityBOSTONCity
StateMAState
ZIP Code02210ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
TEJAL GANDHI MD
PRESIDENT40.00Yes (X)Yes (X)$158,080$0$400
GERALD B HICKSON MD
CHAIR2.00Yes (X)Yes (X)$0$0$0
CHARLES G BENDA PHD
TREASURER2.00Yes (X)Yes (X)$0$0$0
SUSAN EDGMAN-LEVITAN PA
DIRECTOR0.50Yes (X)$0$0$0
GREGG S MEYER MD
VICE CHAIR2.00Yes (X)Yes (X)$0$0$0
SAUL N WEINGART MD
DIRECTOR0.50Yes (X)$0$0$0
RICHARD E ANDERSON MD
DIRECTOR0.50Yes (X)$0$0$0
PATRICIA MCGAFFIGAN RN
COO & SR. VP OF PROGRAM STRATEGY40.00Yes (X)Yes (X)$194,725$0$15,812
ANN SCOTT BLOUIN PHD
DIRECTOR0.50Yes (X)$0$0$0
DOUG BONACUM MBA
DIRECTOR0.50Yes (X)$0$0$0
JENNIFER DALEY MD
DIRECTOR0.50Yes (X)$0$0$0
LILLEE GELINAS MSN
DIRECTOR0.50Yes (X)$0$0$0
JONATHAN PERLIN MD
DIRECTOR0.50Yes (X)$0$0$0
MARY BETH NAVARRA-SIRIO MBA
SECRETARY0.50Yes (X)Yes (X)$0$0$0
GARY S KAPLAN MD
DIRECTOR0.50Yes (X)$0$0$0
ALAN D AVILES JD
DIRECTOR0.50Yes (X)$0$0$0
RICHARD C BOOTHMAN JD
DIRECTOR0.50Yes (X)$0$0$0
HELEN HASKELL MA
DIRECTOR0.50Yes (X)$0$0$0
DAVID COLETTA
VP, STRATEGIC ALLIANCES40.00$166,435$0$15,812Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$519,240TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$32,024TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K3IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (4 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
PERFECT PLANIT
317 TIFFANY COURTGIBSONIAPA15044TRADE SHOW MANAGEMENT$264,647
DIANE PINAKIEWICZ
43 MARKET STREETNEWBURYPORTMA01950CONSULTING SERVICES$213,990
ACCOUNTING MANAGEMENT SOLUTIONS
800 SOUTH STREET SUITE 195WALTHAMMA02453CONTRACTED SERVICES$131,000
AUDIO VISUAL ONE
PO BOX 1115BEDFORD PARKIL60499SOUND AND LIGHTING SERVICES$106,773
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K4CntrctRcvdGreaterThan100KCnt
Membership Dues$681,037MembershipDuesAmt
Fundraising$20,300FundraisingAmt
All Other Contributions$126,383AllOtherContributionsAmt
Total Contributions$827,720TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
EDUCATION AND LIASON900099$1,258,139$1,258,139
CONFERENCE REGISTRATION FEES900099$568,114$568,114
CORPORATE COUNCIL900099$191,666$191,666
CONSULTING & MISCELLANEOUS900099$12,769$12,769
FieldValueIRS element (for citing)
Total Program Service Revenue$2,030,688TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$97,620TotalRevenueColumnAmt
Exclusion$97,620ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$1,150,405SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$978,173SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$172,232SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$172,232TotalRevenueColumnAmt
Exclusion$172,232ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$206,005FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$20,300ContriRptFundraisingEventAmt
Fundraising Direct Expenses$85,843FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$120,162TotalRevenueColumnAmt
Exclusion$120,162ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescLOSS FROM EQUITY INTEREST IN CBPPDesc
Business900099BusinessCd
Total Revenue Column-$12,088TotalRevenueColumnAmt
Exclusion-$12,088ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total-$12,088OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,236,334TotalRevenueColumnAmt
Related Or Exempt Func Income$2,030,688RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$377,926ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$33,331TotalAmt
Program Services$33,331ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$841,799TotalAmt
Program Services$556,445ProgramServicesAmt
Management And General$155,795ManagementAndGeneralAmt
Fundraising$129,559FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$515,352TotalAmt
Program Services$340,657ProgramServicesAmt
Management And General$95,378ManagementAndGeneralAmt
Fundraising$79,317FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$37,049TotalAmt
Program Services$24,750ProgramServicesAmt
Management And General$6,715ManagementAndGeneralAmt
Fundraising$5,584FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$123,322TotalAmt
Program Services$81,518ProgramServicesAmt
Management And General$22,824ManagementAndGeneralAmt
Fundraising$18,980FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$53,895TotalAmt
Management And General$53,895ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$18,250TotalAmt
Management And General$18,250ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$14,534TotalAmt
Management And General$14,534ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$570,151TotalAmt
Program Services$408,414ProgramServicesAmt
Management And General$130,564ManagementAndGeneralAmt
Fundraising$31,173FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$202,138TotalAmt
Program Services$180,050ProgramServicesAmt
Management And General$12,101ManagementAndGeneralAmt
Fundraising$9,987FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$61,019TotalAmt
Program Services$43,983ProgramServicesAmt
Management And General$9,301ManagementAndGeneralAmt
Fundraising$7,735FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$301,680TotalAmt
Program Services$199,416ProgramServicesAmt
Management And General$55,833ManagementAndGeneralAmt
Fundraising$46,431FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$130,520TotalAmt
Program Services$111,929ProgramServicesAmt
Management And General$10,150ManagementAndGeneralAmt
Fundraising$8,441FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$18,176TotalAmt
Program Services$12,015ProgramServicesAmt
Management And General$3,364ManagementAndGeneralAmt
Fundraising$2,797FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$6,458TotalAmt
Program Services$4,269ProgramServicesAmt
Management And General$1,195ManagementAndGeneralAmt
Fundraising$994FundraisingAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
PROGRAM DEVELOPMENT$844,281$807,799$33,801$2,681
RECRUITING & RELOCATION$47,612$47,612
DUES & SUBSCRIPTIONS$18,067$17,477$322$268

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$3,837,634TotalAmt
Program Services$2,822,053ProgramServicesAmt
Management And General$671,634ManagementAndGeneralAmt
Fundraising$343,947FundraisingAmt
FieldValueIRS element (for citing)
Joint CostsYes (X)JointCostsInd

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$200BOYAmt
EOY$200EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$3,515,147BOYAmt
EOY$2,884,284EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$180,449BOYAmt
EOY$292,537EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$74,766BOYAmt
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$43,302BOYAmt
EOY$138,139EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$266,974LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$244,986LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$37,535BOYAmt
EOY$21,988EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$52,123BOYAmt
EOY$52,123EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$3,903,522BOYAmt
EOY$3,389,271EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$351,250BOYAmt
EOY$212,698EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$686,316BOYAmt
EOY$816,686EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,037,566BOYAmt
EOY$1,029,384EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,856,156BOYAmt
EOY$2,359,887EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$9,800BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,865,956BOYAmt
EOY$2,359,887EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,903,522BOYAmt
EOY$3,389,271EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$601,300ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$95,231NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
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$1,236,809CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,109,177CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,177,947CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$730,967CurrentTaxYearMinus1YearAmt
Current Tax Year$827,720CurrentTaxYearAmt
Total$5,082,620TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,236,809CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,109,177CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,177,947CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$730,967CurrentTaxYearMinus1YearAmt
Current Tax Year$827,720CurrentTaxYearAmt
Total$5,082,620TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$258,792SubstantialContributorsTotAmt
Public Support Total170$4,823,828PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$102,663CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$107,458CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$103,226CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$96,130CurrentTaxYearMinus1YearAmt
Current Tax Year$97,620CurrentTaxYearAmt
Total$507,097TotalAmt
FieldValueIRS element (for citing)
Total Support$5,589,717TotalSupportAmt
Gross Receipts Rltd Activities$10,256,688GrossReceiptsRltdActivitiesAmt
Public Support CY1700.86300PublicSupportCY170Pct
Public Support PY1700.83800PublicSupportPY170Pct
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

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$36,344OtherCostOrOtherBasisAmt
Depreciation$24,662DepreciationAmt
Book Value$11,682BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$230,630OtherCostOrOtherBasisAmt
Depreciation$220,324DepreciationAmt
Book Value$10,306BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$21,988TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt$3,326,831TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$95,231NetUnrealizedGainsInvstAmt
Other Revenue$9,800OtherRevenueAmt
Revenue Not Reported$105,031RevenueNotReportedAmt
Revenue Subtotal$3,221,800RevenueSubtotalAmt
Investment Expenses Not Incld$14,534InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$14,534RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$3,236,334TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$3,823,100TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$3,823,100ExpensesSubtotalAmt
Investment Expenses Not Incld2$14,534InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt$14,534ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$3,837,634TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART XI, LINE 2D - OTHER ADJUSTMENTS:FormAndLineReferenceDesc
ExplanationASSETS RELEASED FROM RESTRICTION 9,800.ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Name Of Event1GALANameOfEvent1Amt
Gross Receipts Event1$226,305GrossReceiptsEvent1Amt
Charitable Contri Event1$20,300CharitableContriEvent1Amt
Gross Revenue Event1$206,005GrossRevenueEvent1Amt
Other Direct Expenses Event1$85,843OtherDirectExpensesEvent1Amt
Gross Receipts Total$226,305GrossReceiptsTotalAmt
Charitable Contributions Tot$20,300CharitableContributionsTotAmt
Gross Revenue Total Events$206,005GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$85,843OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$85,843DirectExpenseSummaryEventsAmt
Net Income Summary$120,162NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1TEXAS TECH UNIVERSITYBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line12500 BROADWAY STREETAddressLine1
CityLUBBOCKCity
StateTXState
ZIP Code79409ZIPCode
FieldValueIRS element (for citing)
Recipient EIN756002622RecipientEIN
IRC Section501(C)(3)IRCSectionDesc
Cash Grant$33,331CashGrantAmt
Purpose Of GrantPATIENT SAFETY RESEARCHPurposeOfGrantTxt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationPROGRAMMATIC AND FINANCIAL REPORTS ARE SUBMITTED BY GRANT RECIPIENTS.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
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 (3 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
TEJAL GANDHI MD
PRESIDENT$158,080$0$0$0$0$0$0$0$400$0$158,480$0$0$0
PATRICIA MCGAFFIGAN RN
COO & SR. VP OF PROGRAM STRATEGY$194,725$0$0$0$0$0$0$0$15,812$0$210,537$0$0$0
DAVID COLETTA
VP, STRATEGIC ALLIANCES$166,435$0$0$0$0$0$0$0$15,812$0$182,247$0$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11FORM 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 12CA 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 15BASED 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 19THE 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 11GCONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 408,414. MANAGEMENT AND GENERAL EXPENSES 130,564. FUNDRAISING EXPENSES 31,173. TOTAL EXPENSES 570,151.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1CERTIFICATION BOARD FOR PROFESSIONALS IN PATIENT SAFETY INCBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line1268 SUMMER STREET 6TH FLAddressLine1
CityBOSTONCity
StateMAState
ZIP Code02210ZIPCode
FieldValueIRS element (for citing)
EIN452197138EIN
Primary ActivitiesHEALTH CARE SAFETYPrimaryActivitiesTxt
Legal Domicile StateMALegalDomicileStateCd
Exempt Code Section501(C)(3)ExemptCodeSectionTxt
Public Charity StatusLINE 9PublicCharityStatusTxt
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
CERTIFICATION BOARD FOR PROFESSIONALS IN PUBLIC SAFETY
L$233,602FAIR MARKET VALUE
CERTIFICATION BOARD FOR PROFESSIONALS IN PUBLIC SAFETY
NNO VALUE ASSIGNED
CERTIFICATION BOARD FOR PROFESSIONALS IN PUBLIC SAFETY
O$93,720FAIR MARKET VALUE
CERTIFICATION BOARD FOR PROFESSIONALS IN PUBLIC SAFETY
Q$93,720FAIR MARKET VALUE