2013-07-02T06:55:15-05:00 2012-12-31 205711238 ADELSON & COMPANY PC 100 NORTH ST PITTSFIELD MA 01201 990 2012-01-01 367166993 NATIONAL PATIENT SAFETY FOUNDATION NATI 6173919900 268 SUMMER STREET 6TH FL BOSTON MA 02210 PATRICIA MCGAFFIGAN 6173919900 2013-06-27 1 VINCENT T VISCUSO CPA P00097031 4134436408 2013-06-27 2012 2016-02-24 21:20:13Z PATRICIA MCGAFFIGAN 268 SUMMER STREET 6TH FL BOSTON MA 02210 4208789 0 X WWW.NPSF.ORG X 2001 MA TO 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. 15 14 37 50 0 0 1177947 730967 1685799 1816075 215199 292699 169845 179686 3248790 3019427 199989 199947 0 0 1754063 1559202 0 0 274990 1959293 2187123 3913345 3946272 -664555 -926845 4530005 3903522 793665 1037566 3736340 2865956 X TO 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 SAFETY 0 0 1827584 199947 1161545 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 2012 CONGRESS ATTRACTED 1,200 REGISTRATIONS. 274189 160378 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. 222979 205364 THE 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. 478889 494152 - 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 SERIES 478889 494152 2803641 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 0 0 0 0 1 16 0 1 37 1 0 0 0 0 0 1 1 0 0 0 0 X 15 14 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 GERALD B HICKSON MD 2.00 X X 0 0 0 CHARLES G BENDA PHD 2.00 X X 0 0 0 SUSAN EDGMAN-LEVITAN PA 0.50 X X 0 0 0 GREGG S MEYER MD 2.00 X X 0 0 0 SAUL N WEINGART MD 0.50 X 0 0 0 RICHARD E ANDERSON MD 0.50 X 0 0 0 PATRICIA MCGAFFIGAN RN 40.00 X X 109446 0 7496 LINDA K KENNEY 0.50 X 0 0 0 ANN SCOTT BLOUIN PHD 0.50 X 0 0 0 DOUG BONACUM MBA 0.50 X 0 0 0 JENNIFER DALEY MD 0.50 X 0 0 0 LILLEE GELINAS MSN 0.50 X 0 0 0 JONATHAN PERLIN MD 0.50 X 0 0 0 MARY BETH NAVARRA-SIRIO MBA 0.50 X 0 0 0 GARY S KAPLAN MD 0.50 X 0 0 0 DIANE C PINAKIEWICZ 40.00 X 270395 0 13743 DAVID COLETTA 40.00 X 174893 0 14993 554734 0 36232 3 0 1 0 PERFECT PLANIT 317 TIFFANY COURT GIBSONIA PA 15044 TRADE SHOW MANAGEMENT 209785 AUDIO VISUAL ONE LIMITED PO BOX 115 BEDFORD PARK IL 60499 SOUND AND LIGHTING SERVICES 106079 2 569267 21000 140700 730967 EDUCATION AND LIASON 900099 973592 973592 CONFERENCE REGISTRATION FEES 900099 628405 628405 CORPORATE COUNCIL 900099 206669 206669 CONSULTING & MISCELLANEOUS 900099 7409 7409 1816075 96130 96130 1299388 1102819 196569 196569 196569 205364 21000 86543 118821 118821 44538 0 44538 44538 INCOME FROM EQUITY INTEREST IN CB 900099 16327 16327 16327 3019427 1816075 0 472385 X 199947 199947 741023 508977 127644 104402 629537 459542 93223 76772 64652 48326 8455 7871 123990 88960 19210 15820 53100 53100 22929 22929 7688 7688 533216 215593 313515 4108 166687 139607 14849 12231 40817 36357 2446 2014 294151 202964 50006 41181 72188 58900 7287 6001 16877 11645 2869 2363 6490 6490 PROGRAM DEVELOPMENT 857416 816250 39494 1672 RECRUITING & RELOCATION 104252 104252 DUES & SUBSCRIPTIONS 7348 7348 EQUIPMENT RENTAL & MAIN 3964 2735 674 555 3946272 2803641 867641 274990 X 200 200 4081427 3515147 179547 180449 113324 74766 60500 43302 264345 226810 42884 37535 52123 52123 4530005 3903522 154785 351250 638880 686316 793665 1037566 X 3722415 2856156 13925 9800 3736340 2865956 4530005 3903522 -926845 56461 0 X 0 1 X 1 0 X 1236475 1236809 1109177 1177947 730967 5491375 1236475 1236809 1109177 1177947 730967 5491375 399310 5092065 175894 102663 107458 103226 96130 585371 6076746 10178292 0.83800 0.83840 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 36344 19470 16874 228001 207340 20661 37535 3082125 56461 13925 70386 3011739 7688 7688 3019427 3938584 0 3938584 7688 7688 3946272 PART XI, LINE 2D - OTHER ADJUSTMENTS: ASSETS RELEASED FROM RESTRICTION 13,925. GALA 226364 21000 205364 86543 226364 21000 205364 86543 86543 118821 1 JOHNS HOPKINS HOSPITAL 1800 ORLEANS STREET BALTIMORE MD 21287 520591656 501(C)(3) 100000 PATIENT SAFETY RESEARCH THE OHIO STATE UNIVERSITY 1960 KENNY ROAD COLUMBUS OH 43210 311145986 501(C)(3) 84898 PATIENT SAFETY RESEARCH UNIVERSITY OF PITTSBURGH 4200 FIFTH AVENUE PITTSBURGH PA 15260 250965591 501(C)(3) 15049 PATIENT SAFETY RESEARCH PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: PROGRAMMATIC AND FINANCIAL REPORTS ARE SUBMITTED BY GRANT RECIPIENTS. X X 0 0 0 0 0 0 0 0 0 PATRICIA MCGAFFIGAN RN 109446 0 0 0 0 0 0 0 7496 0 116942 0 0 0 DIANE C PINAKIEWICZ 270395 0 0 0 0 0 0 0 13743 0 284138 0 0 0 DAVID COLETTA 174893 0 0 0 0 0 0 0 14993 0 189886 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 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. OTHER FEES FORM 990, PART IX, LINE 11G CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 215,593. MANAGEMENT AND GENERAL EXPENSES 313,515. FUNDRAISING EXPENSES 4,108. TOTAL EXPENSES 533,216.