FURP.ORG / PUBLIC DATA EXPLORER

NATIONAL PATIENT SAFETY FOUNDATION: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
NATIONAL PATIENT SAFETY FOUNDATION (EIN 36-7166993)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-07-02
IRS object ID
201301839349300500
Schema version
2012v2.1
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)
Timestamp2013-07-02T06:55:15-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN205711238EIN

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1100 NORTH STAddressLine1
CityPITTSFIELDCity
StateMAState
ZIP Code01201ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN367166993EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1NATIONAL PATIENT SAFETY FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlNATINameControl
Phone6173919900Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NamePATRICIA MCGAFFIGANName
TitleINTERIM PRESIDENTTitle
Phone6173919900Phone
Date Signed2013-06-27DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameVINCENT T VISCUSO CPAName
PTINP00097031PTIN
Phone4134436408Phone
Date Prepared2013-06-27DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonPATRICIA MCGAFFIGANNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1268 SUMMER STREET 6TH FLAddressLine1
CityBOSTONCity
StateMAState
ZIP Code02210ZIPCode
FieldValueIRS element (for citing)
Gross Receipts4208789GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.NPSF.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2001YearFormation
State Legal DomicileMAStateLegalDomicile
Activity Or Mission DescriptionTO STIMULATE THE DEVELOPMENT OF NEW KNOWLEDGE ON HEALTH CARE SAFETY ISSUES, BROADLY DISSEMINATE SUCH KNOWLEDGE AND WORK CONSTRUCTIVELY WITH PATIENT REPRESENTATIVES AND ALL OTHER STAKEHOLDERS TO IMPLEMENT INITIATIVES TO IMPROVE THE SAFETY OF PATIENTS.ActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members14NbrIndependentVotingMembers
Total Nbr Employees37TotalNbrEmployees
Total Nbr Volunteers50TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1177947ContributionsGrantsPriorYear
Contributions Grants Current Year730967ContributionsGrantsCurrentYear
Program Service Revenue Prior Year1685799ProgramServiceRevenuePriorYear
Program Service Revenue CY1816075ProgramServiceRevenueCY
Investment Income Prior Year215199InvestmentIncomePriorYear
Investment Income Current Year292699InvestmentIncomeCurrentYear
Other Revenue Prior Year169845OtherRevenuePriorYear
Other Revenue Current Year179686OtherRevenueCurrentYear
Total Revenue Prior Year3248790TotalRevenuePriorYear
Total Revenue Current Year3019427TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year199989GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY199947GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year1754063SalariesEtcPriorYear
Salaries Etc Current Year1559202SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year274990TotalFundrsngExpCurrentYear
Other Expense Prior Year1959293OtherExpensePriorYear
Other Expenses Current Year2187123OtherExpensesCurrentYear
Total Expenses Prior Year3913345TotalExpensesPriorYear
Total Expenses Current Year3946272TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-664555RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-926845RevenuesLessExpensesCY
Total Assets BOY4530005TotalAssetsBOY
Total Assets EOY3903522TotalAssetsEOY
Total Liabilities BOY793665TotalLiabilitiesBOY
Total Liabilities EOY1037566TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY3736340NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY2865956NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO IMPROVE THE SAFETY OF PATIENTS THROUGH OUR EFFORTS TO:- IDENTIFY AND CREATE A CORE BODY OF KNOWLEDGE- IDENTIFY PATHWAYS TO APPLY THE KNOWLEDGE- DEVELOP AND ENHANCE THE CULTURE OF RECEPTIVITY TO PATIENT SAFETYMissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense1827584Expense
Grants199947Grants
Revenue1161545Revenue
DescriptionTHE 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 2012 CONGRESS ATTRACTED 1,200 REGISTRATIONS.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense274189Expense
Revenue160378Revenue
DescriptionTHE 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.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense222979Expense
Revenue205364Revenue
DescriptionTHE 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. IN ADDITION, THERE IS AN ANNUAL GALA THAT COMBINES AN EDUCATIONAL DISCUSSION WITH DINNER AND A SPEAKER THAT SUPPORTS THE TRANSFORMATIONAL WORK OF THE INSTITUTE AT NPSF. IN 2012 310 GUESTS ATTENDED THE GALA.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense478889Expense
Revenue494152Revenue
Description- STAND UP FOR PATIENT SAFETY- PARTNERSHIP FOR CLEAR HEALTH COMMUNICATION AT THE NATIONAL PATIENT SAFETY FOUNDATION- PATIENT AND FAMILY INITIATIVES- CORPORATE COUNCIL- RESEARCH PROGRAMS- PATIENT SAFETY AWARENESS WEEK- PATIENT SAFETY LEADERSHIP FELLOWSHIP- CURRENT AWARENESS LITERATURE ALERT- PATIENT SAFETY LISTSERV- FOCUS ON PATIENT SAFETY NEWSLETTER- PROFESSIONAL LEARNING SERIESDescription
FieldValueIRS element (for citing)
Total Of Other Program Service Exp478889TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev494152TotalOfOtherProgramServiceRev
Total Program Service Expense2803641TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109616NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees37NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members14NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledILStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledMAStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1CORPORATIONBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number6173919900TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (17 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
GERALD B HICKSON MD
CHAIR2.00XX000
CHARLES G BENDA PHD
TREASURER2.00XX000
SUSAN EDGMAN-LEVITAN PA
SECRETARY0.50XX000
GREGG S MEYER MD
VICE CHAIR2.00XX000
SAUL N WEINGART MD
DIRECTOR0.50X000
RICHARD E ANDERSON MD
DIRECTOR0.50X000
PATRICIA MCGAFFIGAN RN
INTERIM PRESIDENT40.00XX10944607496
LINDA K KENNEY
DIRECTOR0.50X000
ANN SCOTT BLOUIN PHD
DIRECTOR0.50X000
DOUG BONACUM MBA
DIRECTOR0.50X000
JENNIFER DALEY MD
DIRECTOR0.50X000
LILLEE GELINAS MSN
DIRECTOR0.50X000
JONATHAN PERLIN MD
DIRECTOR0.50X000
MARY BETH NAVARRA-SIRIO MBA
DIRECTOR0.50X000
GARY S KAPLAN MD
DIRECTOR0.50X000
DIANE C PINAKIEWICZ
PRESIDENT40.00X270395013743
DAVID COLETTA
VP, STRATEGIC ALLIANCES40.00174893014993X
FieldValueIRS element (for citing)
Total Reportable Comp From Org554734TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation36232TotalOtherCompensation
Number Individuals GT100 K3NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
PERFECT PLANIT
317 TIFFANY COURTGIBSONIAPA15044TRADE SHOW MANAGEMENT209785
AUDIO VISUAL ONE LIMITED
PO BOX 115BEDFORD PARKIL60499SOUND AND LIGHTING SERVICES106079
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
Membership Dues569267MembershipDues
Fundraising Events21000FundraisingEvents
All Other Contributions140700AllOtherContributions
Total Contributions730967TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
EDUCATION AND LIASON900099973592973592
CONFERENCE REGISTRATION FEES900099628405628405
CORPORATE COUNCIL900099206669206669
CONSULTING & MISCELLANEOUS90009974097409
FieldValueIRS element (for citing)
Total Program Service Revenue1816075TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column96130TotalRevenueColumn
Exclusion$96,130ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities1299388Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities1102819Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities196569Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column196569TotalRevenueColumn
Exclusion$196,569ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events205364GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events21000CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses86543FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column118821TotalRevenueColumn
Exclusion$118,821ExclusionAmount
FieldValueIRS element (for citing)
Gross Sales Of Inventory44538GrossSalesOfInventory
Cost Of Goods Sold0CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column44538TotalRevenueColumn
Exclusion$44,538ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionINCOME FROM EQUITY INTEREST IN CBDescription
Business Code900099BusinessCode
Total Revenue Column16327TotalRevenueColumn
Exclusion$16,327ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue16327TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column3019427TotalRevenueColumn
Related Or Exempt Function Income1816075RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$472,385ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total199947Total
Program Services199947ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total741023Total
Program Services508977ProgramServices
Management And General127644ManagementAndGeneral
Fundraising104402Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total629537Total
Program Services459542ProgramServices
Management And General93223ManagementAndGeneral
Fundraising76772Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total64652Total
Program Services48326ProgramServices
Management And General8455ManagementAndGeneral
Fundraising7871Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total123990Total
Program Services88960ProgramServices
Management And General19210ManagementAndGeneral
Fundraising15820Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total53100Total
Management And General53100ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total22929Total
Management And General22929ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total7688Total
Management And General7688ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total533216Total
Program Services215593ProgramServices
Management And General313515ManagementAndGeneral
Fundraising4108Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total166687Total
Program Services139607ProgramServices
Management And General14849ManagementAndGeneral
Fundraising12231Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total40817Total
Program Services36357ProgramServices
Management And General2446ManagementAndGeneral
Fundraising2014Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total294151Total
Program Services202964ProgramServices
Management And General50006ManagementAndGeneral
Fundraising41181Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total72188Total
Program Services58900ProgramServices
Management And General7287ManagementAndGeneral
Fundraising6001Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total16877Total
Program Services11645ProgramServices
Management And General2869ManagementAndGeneral
Fundraising2363Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total6490Total
Program Services6490ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
PROGRAM DEVELOPMENT857416816250394941672
RECRUITING & RELOCATION104252104252
DUES & SUBSCRIPTIONS73487348
EQUIPMENT RENTAL & MAIN39642735674555

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total3946272Total
Program Services2803641ProgramServices
Management And General867641ManagementAndGeneral
Fundraising274990Fundraising
FieldValueIRS element (for citing)
Joint CostsXJointCosts

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY200BOY
EOY200EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY4081427BOY
EOY3515147EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY179547BOY
EOY180449EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY113324BOY
EOY74766EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY60500BOY
EOY43302EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis264345LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec226810LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY42884BOY
EOY37535EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY52123BOY
EOY52123EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY4530005BOY
EOY3903522EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY154785BOY
EOY351250EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY638880BOY
EOY686316EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY793665BOY
EOY1037566EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY3722415BOY
EOY2856156EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY13925BOY
EOY9800EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3736340BOY
EOY2865956EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4530005BOY
EOY3903522EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-926845ReconcilationRevenueExpenses
Reconciliation Unrealized Invest56461ReconciliationUnrealizedInvest
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1236475CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1236809CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1109177CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1177947CurrentTaxYearMinus1Year
Current Tax Year730967CurrentTaxYear
Total5491375Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1236475CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1236809CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1109177CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1177947CurrentTaxYearMinus1Year
Current Tax Year730967CurrentTaxYear
Total5491375Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total399310AmountsSubstContributorsTotal
Public Support Total1705092065PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years175894CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years102663CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years107458CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year103226CurrentTaxYearMinus1Year
Current Tax Year96130CurrentTaxYear
Total585371Total
FieldValueIRS element (for citing)
Total Support6076746TotalSupport
Gross Receipts From Admissions Etc10178292GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.83800PublicSupportPertcentage170
Public Support Pertcent Prior Year0.83840PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis36344OtherCostOrOtherBasis
Depreciation19470Depreciation
Book Value16874BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis228001OtherCostOrOtherBasis
Depreciation207340Depreciation
Book Value20661BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings37535TotalOfBookValueLandBuildings
Tot Revenue Etc Audited Fincl Stmt3082125TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments56461NetUnrealizedGainsInvestments
Other Revenues13925OtherRevenues
Revenue Not Rptd F99070386RevenueNotRptdF990
Revenue Subtotal3011739RevenueSubtotal
Investment Expenses Not Included7688InvestmentExpensesNotIncluded
Revenue Not Rptd On Fin Stmt7688RevenueNotRptdOnFinStmt
Total Revenue Per Form9903019427TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt3938584TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal3938584ExpensesSubtotal
Investment Expenses Not Included27688InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt7688ExpensesNotRptdOnFinStmt
Total Expenses Per Form9903946272TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierPART XI, LINE 2D - OTHER ADJUSTMENTS:Identifier
ExplanationASSETS RELEASED FROM RESTRICTION 13,925.Explanation

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GALANameOfEvent1
Gross Receipts Event1226364GrossReceiptsEvent1
Charitable Contributions Event121000CharitableContributionsEvent1
Gross Revenue Event1205364GrossRevenueEvent1
Other Direct Expenses Event186543OtherDirectExpensesEvent1
Gross Receipts Total226364GrossReceiptsTotal
Charitable Contributions Total21000CharitableContributionsTotal
Gross Revenue Total Events205364GrossRevenueTotalEvents
Other Direct Expenses Total Events86543OtherDirectExpensesTotalEvents
Direct Expense Summary Events86543DirectExpenseSummaryEvents
Net Income Summary118821NetIncomeSummary

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
JOHNS HOPKINS HOSPITAL
1800 ORLEANS STREETBALTIMOREMD21287520591656501(C)(3)100000PATIENT SAFETY RESEARCH
THE OHIO STATE UNIVERSITY
1960 KENNY ROADCOLUMBUSOH43210311145986501(C)(3)84898PATIENT SAFETY RESEARCH
UNIVERSITY OF PITTSBURGH
4200 FIFTH AVENUEPITTSBURGHPA15260250965591501(C)(3)15049PATIENT SAFETY RESEARCH

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, PART I, LINE 2: PROGRAMMATIC AND FINANCIAL REPORTS ARE SUBMITTED BY GRANT RECIPIENTS.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
PATRICIA MCGAFFIGAN RN
INTERIM PRESIDENT109446000000074960116942000
DIANE C PINAKIEWICZ
PRESIDENT2703950000000137430284138000
DAVID COLETTA
VP, STRATEGIC ALLIANCES1748930000000149930189886000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
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 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 215,593. MANAGEMENT AND GENERAL EXPENSES 313,515. FUNDRAISING EXPENSES 4,108. TOTAL EXPENSES 533,216.OTHER FEES