Tristate Patient Safety Foundation

990EZ • Fiscal year 2011 • EIN 20-0735895

Jan 01, 2011 to Dec 31, 2011 • Filed on Nov 15, 2012

Organization Profile

1024 Iron Point Road95630

Siviq Scores

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

No value available

Liabilities-to-assets requires both liabilities and assets on this filing.

Source year 2011

No value available

Liabilities-to-revenue requires both liabilities and revenue on this filing.

Source year 2011

-198450%

Higher net margin than 1% of similar nonprofits.

2011 filings • 501(c)3 • <$500k nonprofits • Source year 2011

No value available

This filing does not contain officer compensation rows.

Source year 2011

-100%

Faster asset growth than 2% of similar nonprofits.

2011 filings • 501(c)3 • <$500k nonprofits • Annualized from 2010 to 2011

-83%

Faster revenue growth than 4% of similar nonprofits.

2011 filings • 501(c)3 • <$500k nonprofits • Annualized from 2010 to 2011

Balance Sheet

Liabilities / AssetsScore unavailable

Assets

Down

Down $12,027 (-100%) from 2010

Net Assets

Down

Down $9,347 (-100%) from 2010

Liabilities

No earlier filing loaded for comparison.

Revenue And Expenses

Liabilities / RevenueScore unavailable Net Margin1st percentile

Revenue

Down

Down $19 (-83%) from 2010

Expenses

Down

$7,942

Down $27,743 (-78%) from 2010

Net Income

-$7,938

Up $27,724 (+78%) from 2010

Historical Trend

Balance Sheet Trend

Asset Growth2nd percentile

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

Highlighted filing

2011

Assets$0

Liabilities-

Net Assets$0

Open 2011 Filing

Operations Trend

Revenue Growth4th percentile

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

Highlighted filing

2011

Revenue$4

Expenses$7,942

Net Income-$7,938

Open 2011 Filing

Jump To

Filing Snapshot

Filing Period: Jan 1, 2011 to Dec 31, 2011
Signed: Nov 15, 2012
Return Version: 2011v1.2

Filing and Contact Details

Filer

EIN: 20-0735895

Raw XML Appendix175 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.

Path	#	Value
IRS990EZ/ActivitiesNotPreviouslyRpt	0	false
IRS990EZ/CashSavingsAndInvestments/BOY	0	11388
IRS990EZ/CostOfGoodsSold	0	0
IRS990EZ/CostOtherBasisAndSalesExpenses	0	0
IRS990EZ/DidOrgFileForm1120POLThisYear	0	false
IRS990EZ/DoesOrgHaveHospital	0	false
IRS990EZ/EngagedInExcessBenefitTrans	0	false
IRS990EZ/EngageInLobbyingActivities	0	false
IRS990EZ/EngagePoliticalCmpgnActivities	0	false
IRS990EZ/ExcessOrDeficitForYear	0	-7938
IRS990EZ/FiledScheduleA	0	true
IRS990EZ/ForeignFinancialAccount	0	false
IRS990EZ/ForeignOffice	0	false
IRS990EZ/Form720Filed	0	false
IRS990EZ/FundraisingGrossIncome	0	0
IRS990EZ/GrossReceipts	0	4
IRS990EZ/GrossReceiptsForPublicUse	0	0
IRS990EZ/GrossReceiptsLessThan25000	0	X
IRS990EZ/InfoInScheduleOPartI	0	X
IRS990EZ/InfoInScheduleOPartII	0	X
IRS990EZ/InfoInScheduleOPartV	0	X
IRS990EZ/InitiationFeesAndCapitalContri	0	0
IRS990EZ/InvestmentIncome	0	4
IRS990EZ/MadeChangesToOrgnzngEtcDoc	0	false
IRS990EZ/MadeLoansToFromOfficers	0	false
IRS990EZ/MaintainAnyDonorAdvisedFunds	0	false
IRS990EZ/MethodOfAccountingAccrual	0	X
IRS990EZ/NetAssetsOrFundBalances/BOY	0	9347
IRS990EZ/NetAssetsOrFundBalancesBOY	0	9347
IRS990EZ/NetAssetsOrFundBalances/EOY	0	0
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/AddressUS/AddressLine1	0	1024 Iron Point Road
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/AddressUS/AddressLine1	1	1024 Iron Point Road
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/AddressUS/City	0	Folsom
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/AddressUS/City	1	Folsom
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/AddressUS/State	0	CA
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/AddressUS/State	1	CA
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/AddressUS/ZIPCode	0	95630
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/AddressUS/ZIPCode	1	95630
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/AvgHoursPerWkDevotedToPosition	0	0
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/AvgHoursPerWkDevotedToPosition	1	0
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/Compensation	0	0
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/Compensation	1	0
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/PersonName	0	Dianne Vass-Watson
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/PersonName	1	William Michael McCullough MD
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/Title	0	Executive Direc
IRS990EZ/OfficerDirectorTrusteeKeyEmpl/Title	1	Chairman
IRS990EZ/OperatingSchool	0	false
IRS990EZ/Organization501c3	0	X
IRS990EZ/OrganizationDissolvedEtc	0	true
IRS990EZ/OrganizationFiled990T	0	false
IRS990EZ/OrganizationHadUBI	0	false
IRS990EZ/OtherAssetsTotal/BOY	0	639
IRS990EZ/OtherChangesInNetAssets	0	-1409
IRS990EZ/OtherExpensesTotal	0	7942
IRS990EZ/PartVIAHghstPaidCntrctProfSer	0	NONE
IRS990EZ/PartVIOfCompOfHighestPaidEmpl	0	NONE
IRS990EZ/PrimaryExemptPurpose	0	To promote patient safety in the practice of medicine throughout the Tri State region of Ohio, Kentucky and Indiana.
IRS990EZ/ProgramServiceAccomplishment/DescriptionProgramServiceAccom	0	Organization was able to wind up its affairs and provide its remaining net assets to a qualified 501(c)(3) with a similar mission.
IRS990EZ/ProhibitedTaxShelterTrans	0	false
IRS990EZ/RelatedOrgControlledEntity	0	false
IRS990EZ/RelatedOrgSection527Org	0	false
IRS990EZ/ScheduleBNotRequired	0	X
IRS990EZ/SpecialEventsDirectExpenses	0	0
IRS990EZ/SubjectToProxyTax	0	false
IRS990EZ/SumOfTotalLiabilities/BOY	0	2680
IRS990EZ/TanningServicesProvided	0	false
IRS990EZ/TerminatedReturn	0	X
IRS990EZ/TheBooksAreInCareOf/AddressUS/AddressLine1	0	1024 Iron Point Road
IRS990EZ/TheBooksAreInCareOf/AddressUS/City	0	Folsom
IRS990EZ/TheBooksAreInCareOf/AddressUS/State	0	CA
IRS990EZ/TheBooksAreInCareOf/AddressUS/ZIPCode	0	95630
IRS990EZ/TheBooksAreInCareOf/NamePerson	0	Dianne Vass
IRS990EZ/TheBooksAreInCareOf/TelephoneNumber	0	9163576723
IRS990EZ/TotalAssets/BOY	0	12027
IRS990EZ/TotalAssets/EOY	0	0
IRS990EZ/TotalExpenses	0	7942
IRS990EZ/TotalRevenue	0	4
IRS990EZ/TransactionWithControlEntity	0	false
IRS990EZ/TrnsfrsExemptNonCharRelatedOrg	0	false
IRS990EZ/WebSite	0	www.tristatepsf.org
IRS990ScheduleA/AmountsSubstContributorsTotal	0	0
IRS990ScheduleA/GiftsGrantsContribReceived170/CurrentTaxYearMinus3Years	0	13500
IRS990ScheduleA/GiftsGrantsContribReceived170/CurrentTaxYearMinus4Years	0	32250
IRS990ScheduleA/GiftsGrantsContribReceived170/Total	0	45750
IRS990ScheduleA/GrossInvestmentIncome170/CurrentTaxYear	0	4
IRS990ScheduleA/GrossInvestmentIncome170/CurrentTaxYearMinus1Year	0	23
IRS990ScheduleA/GrossInvestmentIncome170/CurrentTaxYearMinus2Years	0	47
IRS990ScheduleA/GrossInvestmentIncome170/CurrentTaxYearMinus3Years	0	46
IRS990ScheduleA/GrossInvestmentIncome170/CurrentTaxYearMinus4Years	0	80
IRS990ScheduleA/GrossInvestmentIncome170/Total	0	200
IRS990ScheduleA/NetUBI/Total	0	0
IRS990ScheduleA/OtherIncome170/Total	0	0
IRS990ScheduleA/PubliclySupportedOrg170b1Avi	0	X
IRS990ScheduleA/PublicSupportPertcentage170	0	0.99560
IRS990ScheduleA/PublicSupportTotal170	0	45750
IRS990ScheduleA/TaxRevLeviedForOrgBenefit170/Total	0	0
IRS990ScheduleA/ThirtyThreePercntTestsCY170	0	X
IRS990ScheduleA/Total170/CurrentTaxYearMinus3Years	0	13500
IRS990ScheduleA/Total170/CurrentTaxYearMinus4Years	0	32250
IRS990ScheduleA/Total170/Total	0	45750
IRS990ScheduleA/TotalSupport	0	45950
IRS990ScheduleA/ValueSrvcFcltsFurnishedByGovt/Total	0	0
IRS990ScheduleN/AGNotified	0	false
IRS990ScheduleN/AssetsDistributed	0	true
IRS990ScheduleN/BondLiabilitiesDischarged	0	false
IRS990ScheduleN/BondsOutstanding	0	false
IRS990ScheduleN/DirectorOfSuccessor	0	false
IRS990ScheduleN/EmployeeOfSuccessor	0	false
IRS990ScheduleN/LiabilitiesPaid	0	true
IRS990ScheduleN/LiquidationTable/LiquidationDetail/AddressUS/AddressLine1	0	1024 Iron Point Road
IRS990ScheduleN/LiquidationTable/LiquidationDetail/AddressUS/City	0	Folsom
IRS990ScheduleN/LiquidationTable/LiquidationDetail/AddressUS/State	0	CA
IRS990ScheduleN/LiquidationTable/LiquidationDetail/AddressUS/ZIPCode	0	95630
IRS990ScheduleN/LiquidationTable/LiquidationDetail/DateOfDistribution	0	2011-02-02
IRS990ScheduleN/LiquidationTable/LiquidationDetail/DescriptionOfAsset	0	Cash
IRS990ScheduleN/LiquidationTable/LiquidationDetail/EIN	0	270057395
IRS990ScheduleN/LiquidationTable/LiquidationDetail/FMVOfAsset	0	1409
IRS990ScheduleN/LiquidationTable/LiquidationDetail/IRCSection	0	501(c)3
IRS990ScheduleN/LiquidationTable/LiquidationDetail/MethodOfFMVDetermination	0	Book value
IRS990ScheduleN/OwnerOfSuccessor	0	false
IRS990ScheduleN/ReceiveCompensation	0	false
IRS990ScheduleN/RequiredToNotifyAG	0	false
IRS990ScheduleO/GeneralExplanation/Explanation	0	Accounts Payable and Accrued Expenses - Beginning $2680 Accounts Payable and Accrued Expenses - Ending $0
IRS990ScheduleO/GeneralExplanation/Explanation	1	Prepaid Expenses and Deferred Charges - Beginning $639 Prepaid Expenses and Deferred Charges - Ending $0
IRS990ScheduleO/GeneralExplanation/Explanation	2	Final Year Distributions to Qualified charities $1409
IRS990ScheduleO/GeneralExplanation/Explanation	3	Business Licenses & Fees $50
IRS990ScheduleO/GeneralExplanation/Explanation	4	IT Services $73
IRS990ScheduleO/GeneralExplanation/Explanation	5	Accounting $500
IRS990ScheduleO/GeneralExplanation/Explanation	6	Audit $500
IRS990ScheduleO/GeneralExplanation/Explanation	7	Consulting Services $2500
IRS990ScheduleO/GeneralExplanation/Explanation	8	Legal $4319
IRS990ScheduleO/GeneralExplanation/Identifier	0	Form 990-EZ, Part II, Line 26.1001
IRS990ScheduleO/GeneralExplanation/Identifier	1	Form 990-EZ, Part II, Line 24.1011
IRS990ScheduleO/GeneralExplanation/Identifier	2	Form 990-EZ, Part I, Line 20.1
IRS990ScheduleO/GeneralExplanation/Identifier	3	Form 990-EZ, Part I, Line 16.6
IRS990ScheduleO/GeneralExplanation/Identifier	4	Form 990-EZ, Part I, Line 16.5
IRS990ScheduleO/GeneralExplanation/Identifier	5	Form 990-EZ, Part I, Line 16.4
IRS990ScheduleO/GeneralExplanation/Identifier	6	Form 990-EZ, Part I, Line 16.3
IRS990ScheduleO/GeneralExplanation/Identifier	7	Form 990-EZ, Part I, Line 16.2
IRS990ScheduleO/GeneralExplanation/Identifier	8	Form 990-EZ, Part I, Line 16.1
IRS990ScheduleO/GeneralExplanation/ReturnReference	0	Total Liabilities.1001
IRS990ScheduleO/GeneralExplanation/ReturnReference	1	Other Assets.1011
IRS990ScheduleO/GeneralExplanation/ReturnReference	2	Other Changes In Net Assets Or Fund Balances - Other Decreases.1
IRS990ScheduleO/GeneralExplanation/ReturnReference	3	Other Expenses.6
IRS990ScheduleO/GeneralExplanation/ReturnReference	4	Other Expenses.5
IRS990ScheduleO/GeneralExplanation/ReturnReference	5	Other Expenses.4
IRS990ScheduleO/GeneralExplanation/ReturnReference	6	Other Expenses.3
IRS990ScheduleO/GeneralExplanation/ReturnReference	7	Other Expenses.2
IRS990ScheduleO/GeneralExplanation/ReturnReference	8	Other Expenses.1
ReturnHeader/BuildTS	0	2016-02-24 21:20:13Z
ReturnHeader/Filer/EIN	0	200735895
ReturnHeader/Filer/Name/BusinessNameLine1	0	Tristate Patient Safety Foundation
ReturnHeader/Filer/NameControl	0	TRIS
ReturnHeader/Filer/Phone	0	9163576723
ReturnHeader/Filer/USAddress/AddressLine1	0	1024 Iron Point Road
ReturnHeader/Filer/USAddress/City	0	Folsom
ReturnHeader/Filer/USAddress/State	0	CA
ReturnHeader/Filer/USAddress/ZIPCode	0	95630
ReturnHeader/Officer/AuthorizeThirdParty	0	true
ReturnHeader/Officer/DateSigned	0	2012-11-15
ReturnHeader/Officer/Name	0	Dianne Vass-Watson
ReturnHeader/Officer/Title	0	Executive Direc
ReturnHeader/PreparerFirm/PreparerFirmBusinessName/BusinessNameLine1	0	Scinto Graziano LLP
ReturnHeader/PreparerFirm/PreparerFirmUSAddress/AddressLine1	0	PO Box 1797
ReturnHeader/PreparerFirm/PreparerFirmUSAddress/City	0	Grass Valley
ReturnHeader/PreparerFirm/PreparerFirmUSAddress/State	0	CA
ReturnHeader/PreparerFirm/PreparerFirmUSAddress/ZIPCode	0	95945
ReturnHeader/Preparer/Name	0	George Graziano
ReturnHeader/Preparer/Phone	0	5302733200
ReturnHeader/Preparer/SelfEmployed	0	X
ReturnHeader/ReturnType	0	990EZ
ReturnHeader/TaxPeriodBeginDate	0	2011-01-01
ReturnHeader/TaxPeriodEndDate	0	2011-12-31
ReturnHeader/TaxYear	0	2011
ReturnHeader/Timestamp	0	2012-11-15T10:10:36-08:00

Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Displayed year

2011 • Form 990EZFacts available. Structured filing facts are available, but richer extracted sections are limited.

Open filing

Assets: $0
Liabilities: -
Net assets: $0
Revenue: $4
Expenses: $7,942
Net income: -$7,938

	Balance Sheet			Operations
Year	Assets	Liabilities	Net Assets	Revenue	Expenses	Net Income
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.	$0.00		$0.00	$0.00	$7.94	$7.94
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.	$12.0	$2.68	$9.35	$0.02	$35.7	$35.7