Civic Intelligence

Consumers Advancing Patient Safety

990 • Fiscal year 2016 • EIN 01-0760086

Jan 01, 2016 to Dec 31, 2016 • Filed on Nov 15, 2017

Organization ProfileWWW.PATIENTSAFETY.ORG
405 North Wabash P2wChicago, IL 60611

(312) 464-0602

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

82nd percentile

0.19x

Higher debt load relative to assets than 82% of similar nonprofits.

2016 filings • 501(c)3 • <$500k nonprofits • Source year 2016

Liabilities / Revenue

66th percentile

0.01x

Higher debt load relative to revenue than 66% of similar nonprofits.

2016 filings • 501(c)3 • <$500k nonprofits • Source year 2016

Net Margin

43rd percentile

0.3%

Higher net margin than 43% of similar nonprofits.

2016 filings • 501(c)3 • <$500k nonprofits • Source year 2016

Top Officer Pay

75th percentile

$0

Higher top officer pay than 75% of similar nonprofits.

Top officer pay equals 0.0% of source-year revenue.

2016 filings • 501(c)3 • <$500k nonprofits • Source year 2016

Asset Growth

76th percentile

27%

Faster asset growth than 76% of similar nonprofits.

2016 filings • 501(c)3 • <$500k nonprofits • Annualized from 2015 to 2016

Revenue Growth

99th percentile

1681%

Faster revenue growth than 99% of similar nonprofits.

2016 filings • 501(c)3 • <$500k nonprofits • Annualized from 2015 to 2016

Balance Sheet
Liabilities / Assets82nd percentile

Assets

Up

$32,546

Up $6,953 (+27%) from 2015

Net Assets

Up

$26,391

Up $1,411 (+5.6%) from 2015

Liabilities

Up

$6,155

Up $5,542 (+904%) from 2015

Revenue And Expenses
Liabilities / Revenue66th percentileNet Margin43rd percentile

Revenue

Up

$439,838

Up $415,145 (+1681%) from 2015

Expenses

Up

$438,427

Up $390,564 (+816%) from 2015

Net Income

Up

$1,411

Up $24,581 (+106%) from 2015

Historical Trend

Balance Sheet Trend

Asset Growth76th percentile

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$150K$100K$50K$0-$50KAssets 2011: $4,577Liabilities 2011: $02011Assets 2012: $5,277Liabilities 2012: $02012Assets 2013: $51,368Liabilities 2013: $02013Assets 2014: $50,743Liabilities 2014: $02014Assets 2015: $25,593Liabilities 2015: $613Net Assets 2015: $24,9802015Assets 2016: $32,546Liabilities 2016: $6,155Net Assets 2016: $26,3912016Assets 2017: $98,169Liabilities 2017: $103,617Net Assets 2017: -$5,4482017Assets 2018: $55,769Liabilities 2018: $758Net Assets 2018: $55,0112018Assets 2019: $39,102Liabilities 2019: $152Net Assets 2019: $38,9502019

Highlighted filing

2016

Assets$32,546
Liabilities$6,155
Net Assets$26,391
Open 2016 Filing

Operations Trend

Revenue Growth99th percentile

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$800K$600K$400K$200K$0-$200KRevenue 2011: $57,241Expenses 2011: $70,651Net Income 2011: -$13,4102011Revenue 2012: $3,500Expenses 2012: $7,800Net Income 2012: -$4,3002012Revenue 2013: $50,948Expenses 2013: $4,857Net Income 2013: $46,0912013Revenue 2014: $54,917Expenses 2014: $47,986Net Income 2014: $6,9312014Revenue 2015: $24,693Expenses 2015: $47,863Net Income 2015: -$23,1702015Revenue 2016: $439,838Expenses 2016: $438,427Net Income 2016: $1,4112016Revenue 2017: $438,750Expenses 2017: $470,589Net Income 2017: -$31,8392017Revenue 2018: $748,175Expenses 2018: $687,716Net Income 2018: $60,4592018Revenue 2019: $198,149Expenses 2019: $214,210Net Income 2019: -$16,0612019

Highlighted filing

2016

Revenue$439,838
Expenses$438,427
Net Income$1,411
Open 2016 Filing
Jump To
Filing Snapshot
Filing Period
Jan 1, 2016 to Dec 31, 2016
Signed
Nov 15, 2017
Return Version
2016v3.0
Gross Receipts
$439,838
Mission and Program Overview

Mission

Consumers advancing patient safety (caps) is a consumer-leed nonprofit organization formed to be a collective voice for individuals, families and healers who wish to prevent harm in healthcare encounters through partnership and collaboration

SEE SCHEDULE O

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$25,593$32,546▲ $6,953
Total Assets$25,593$32,546▲ $6,953
Liabilities
Grants Payable-$6,155-
Other Liabilities$613--
Total Liabilities$613$6,155▲ $5,542
Net Assets / Fund Balance
Unrestricted Net Assets$24,980$26,391▲ $1,411
Total Net Assets Fund Balance$24,980$26,391▲ $1,411
Total Liabilities and Net Assets / Fund Balance$25,593$32,546▲ $6,953
Compensation and Service Providers
Top Officer Pay75th percentile

Board Members and Trustees

NameTitle
Helen HaskellPresident
Alan LevineDirector
DENNIS O'LEARY MDDirector
Jonathan C PeckDirector
Knitasha WashingtonDirector
Laura Batz TownsendDirector
Timothy Mcdonald Md JdDirector
Martin Hatlie JdSecretary

Highest Paid Contractors

ContractorServicesLocationCompensation
Atw Health Solutions INCConsulting20301 FAIRFIELD AVE, 20301 FAIRFIELD AVE, Olympia Fields, IL 60461$219,506
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$439,838
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$1,411
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$407,133
Salaries, Compensation, and Employee Benefits$31,294
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Other$357,989--$357,989
Other Salaries and Wages$29,070--$29,070
Travel$14,786--$14,786
Occupancy$11,422--$11,422
Fees for Services Accounting$6,375--$6,375
Office Expenses$6,220--$6,220
Payroll Taxes$2,224--$2,224
Advertising$1,677--$1,677
Conferences and Meetings$1,660--$1,660
All Other Expenses$1,121--$1,121
Insurance$998--$998
Other Expenses$739--$739
Total Functional Expenses$438,427$0$0$438,427
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
No
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Page 6, Part VI, Line 11B

“No review was or will be conducted.”

Form 990, Page 6, Part VI, Line 19

“No documents available to the public”

Filing and Contact Details

Filer

Filer Name
Consumers Advancing Patient Safety
EIN
01-0760086
Phone
3124640602
Address
405 NORTH WABASH P2W, CHICAGO, IL 60611

Signing Officer

Name
Knitasha Washington
Title
Director
Phone
3124640602
Signed
2017-11-15
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Knitasha Washington
Voting Board Members
8
Independent Board Members
7
Employees
1
Volunteers
1

Preparer

Firm
Lauzen Accounting
Address
27W430 WARRENVILLE RD, WARRENVILLE, IL 60555-3910
Preparer
Teresa R Hoffmann Ea
Phone
6303930202
Supplemental Narrative

Additional Explanations

Form 990, Page 2, Part III, Line 4D

“To be a consumer led nonprofit formed to be a collective voice for individuals, families and healers who wish to prevent harm in healthcare encounters through partnership and collaboration.”

Form 990, Part IX, Line 11G

“Independent contractors 357,989 0 0”

Form 990, Part XI, Line 9

“Penalties 0 prior year liabilities not reported 0”

Raw XML Appendix311 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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ReturnHeader/FilingSecurityInformation/AtSubmissionFilingDeviceId04027B5A73B157B248207BFBDE3DB7A8530CB9FA0
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0261157436
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0LAUZEN ACCOUNTING
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt027W430 WARRENVILLE RD
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0WARRENVILLE
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0IL
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd0605553910
ReturnHeader/PreparerPersonGrp/PhoneNum06303930202
ReturnHeader/PreparerPersonGrp/PreparationDt02017-11-15
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0TERESA R HOFFMANN EA
ReturnHeader/ReturnTs02017-11-15T16:00:58-06:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02016-01-01
ReturnHeader/TaxPeriodEndDt02016-12-31
ReturnHeader/TaxYr02016

Document Assets

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Filings

Displayed year

2016 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$32,546
Liabilities
$6,155
Net assets
$26,391
Revenue
$439,838
Expenses
$438,427
Net income
$1,411
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2019Detailed filing. Detailed filing data is available for this year.$0.39$0.00$0.39$1.98$2.14$0.16
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.56$0.01$0.55$7.48$6.88$0.60
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.98$1.04$0.05$4.39$4.71$0.32
2016Detailed filing. Detailed filing data is available for this year.$0.33$0.06$0.26$4.40$4.38$0.01
2015Detailed filing. Detailed filing data is available for this year.$0.26$0.01$0.25$0.25$0.48$0.23
2014Summary only. Only limited summary data is available for this year.$0.51$0.00$0.55$0.48$0.07
2013Summary only. Only limited summary data is available for this year.$0.51$0.00$0.51$0.05$0.46
2012Summary only. Only limited summary data is available for this year.$0.05$0.00$0.04$0.08$0.04
2011Summary only. Only limited summary data is available for this year.$0.05$0.00$0.57$0.71$0.13