Civic Intelligence

Nebraska Coalition for Patient Safety

990 • Fiscal year 2018 • EIN 20-5408605

Jul 01, 2017 to Jun 30, 2018 • Filed on Jan 28, 2019

986055 Nebraska Medical CenterOmaha, NE 68198-6055

(402) 559-8421

Siviq Scores

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

Liabilities / Assets

61st percentile

0.08x

Higher debt load relative to assets than 61% of similar nonprofits.

2018 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2018

Liabilities / Revenue

79th percentile

0.27x

Higher debt load relative to revenue than 79% of similar nonprofits.

2018 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2018

Net Margin

32nd percentile

-2.7%

Higher net margin than 32% of similar nonprofits.

2018 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2018

Top Officer Pay

50th percentile

$0

Higher top officer pay than 50% of similar nonprofits.

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

2018 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2018

Asset Growth

46th percentile

0.3%

Faster asset growth than 46% of similar nonprofits.

2018 filings • 501(c)3 • $500k-$1M nonprofits • Annualized from 2017 to 2018

Revenue Growth

14th percentile

-22%

Faster revenue growth than 14% of similar nonprofits.

2018 filings • 501(c)3 • $500k-$1M nonprofits • Annualized from 2017 to 2018

Assets

Up

$647,634

Up $2,066 (+0.3%) from 2017

Net Assets

Down

$593,133

Down $5,594 (-0.9%) from 2017

Liabilities

Up

$54,501

Up $7,660 (+16%) from 2017

Revenue

Down

$205,045

Down $56,828 (-22%) from 2017

Expenses

Down

$210,639

Down $35,357 (-14%) from 2017

Net Income

Down

-$5,594

Down $21,471 (-135%) from 2017

Historical Trend

Balance Sheet Trend

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

$1.5M$1.0M$500K$0Assets 2010: $405,914Liabilities 2010: $15,827Net Assets 2010: $390,0872010Assets 2011: $522,875Liabilities 2011: $14,872Net Assets 2011: $508,0032011Assets 2012: $525,734Liabilities 2012: $11,515Net Assets 2012: $514,2192012Assets 2013: $532,060Liabilities 2013: $12,082Net Assets 2013: $519,9782013Assets 2014: $549,933Liabilities 2014: $12,082Net Assets 2014: $537,8512014Assets 2015: $717,489Liabilities 2015: $62,972Net Assets 2015: $654,5172015Assets 2016: $621,740Liabilities 2016: $38,890Net Assets 2016: $582,8502016Assets 2017: $645,568Liabilities 2017: $46,841Net Assets 2017: $598,7272017Assets 2018: $647,634Liabilities 2018: $54,501Net Assets 2018: $593,1332018Assets 2019: $651,516Liabilities 2019: $57,952Net Assets 2019: $593,5642019Assets 2020: $599,446Liabilities 2020: $102,270Net Assets 2020: $497,1762020Assets 2021: $500,968Liabilities 2021: $78,880Net Assets 2021: $422,0882021Assets 2022: $758,206Liabilities 2022: $82,541Net Assets 2022: $675,6652022Assets 2023: $929,413Liabilities 2023: $84,097Net Assets 2023: $845,3162023Assets 2024: $1,013,391Liabilities 2024: $82,636Net Assets 2024: $930,7552024Assets 2025: $1,196,502Liabilities 2025: $75,758Net Assets 2025: $1,120,7442025

Highlighted filing

2018

Assets$647,634
Liabilities$54,501
Net Assets$593,133

Operations Trend

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

$800K$600K$400K$200K$0-$200KRevenue 2010: $184,115Expenses 2010: $126,987Net Income 2010: $57,1282010Expenses 2011: $64,8772011Expenses 2012: $155,3512012Revenue 2013: $173,114Expenses 2013: $167,355Net Income 2013: $5,7592013Revenue 2014: $190,335Expenses 2014: $172,462Net Income 2014: $17,8732014Revenue 2015: $350,574Expenses 2015: $233,908Net Income 2015: $116,6662015Revenue 2016: $173,465Expenses 2016: $245,132Net Income 2016: -$71,6672016Revenue 2017: $261,873Expenses 2017: $245,996Net Income 2017: $15,8772017Revenue 2018: $205,045Expenses 2018: $210,639Net Income 2018: -$5,5942018Revenue 2019: $255,050Expenses 2019: $254,619Net Income 2019: $4312019Revenue 2020: $300,403Expenses 2020: $396,791Net Income 2020: -$96,3882020Revenue 2021: $296,459Expenses 2021: $371,547Net Income 2021: -$75,0882021Revenue 2022: $652,422Expenses 2022: $398,845Net Income 2022: $253,5772022Revenue 2023: $572,911Expenses 2023: $403,260Net Income 2023: $169,6512023Revenue 2024: $520,687Expenses 2024: $435,248Net Income 2024: $85,4392024Revenue 2025: $658,846Expenses 2025: $468,857Net Income 2025: $189,9892025

Highlighted filing

2018

Revenue$205,045
Expenses$210,639
Net Income-$5,594
Jump To
Filing Snapshot
Filing Period
Jul 1, 2017 to Jun 30, 2018
Signed
Jan 28, 2019
Return Version
2017v2.3
Gross Receipts
$205,045
Mission and Program Overview

Mission

Improve healthcare by collecting, analyzing, and sharing information about patient safety; and to ensure compliance with the patient safety improvement act.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$624,196$621,072▼ $3,124
Cash and Non-Interest-Bearing Accounts$21,372$26,562▲ $5,190
Total Assets$645,568$647,634▲ $2,066
Liabilities
Accounts Payable and Accrued Expenses$46,841$54,501▲ $7,660
Total Liabilities$46,841$54,501▲ $7,660
Net Assets / Fund Balance
Unrestricted Net Assets$577,355$581,761▲ $4,406
Temporarily Rstr Net Assets$21,372$11,372▼ $10,000
Total Net Assets Fund Balance$598,727$593,133▼ $5,594
Total Liabilities and Net Assets / Fund Balance$645,568$647,634▲ $2,066
Compensation and Service Providers
Revenue and Support

Revenue Composition

Contributions and Grants
$45,000
Program Service Revenue
$153,902
Investment Income
$6,143
Other Revenue
$0
All Other Contributions
$45,000
Change in Net Assets
$-5,594
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$210,639
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Management-$169,887-$169,887
Conferences and Meetings$18,075--$18,075
Fees for Services Legal-$7,143-$7,143
Insurance-$4,838-$4,838
Information Technology$1,950--$1,950
Travel$1,612--$1,612
Fees for Services Accounting-$1,200-$1,200
Other Expenses$1,170--$1,170
Office Expenses-$980-$980
Total Functional Expenses$26,591$184,048$0$210,639
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
Annual disclosure for covered persons
Yes
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
Yes
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

The form will be reviewed by executive director and treasurer prior to submission.

Form 990, Page 6, Part VI, Line 12C

The policy is enforced through yearly sigining of the conflict of interest statement and review on an as-needed basis.

Form 990, Page 6, Part VI, Line 19

Governing documents are available upon request.

Filing and Contact Details

Filer

Filer Name
Nebraska Coalition for
EIN
20-5408605
Phone
4025598421
Address
986055 NEBRASKA MEDICAL CENTER, OMAHA, NE 68198-6055

Signing Officer

Name
Don Naiberk
Title
Treasurer
Phone
4025598421
Signed
2019-01-28
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Katherine Jones Pt Phd
Formed
2006
Legal Domicile
Ne
Voting Board Members
11
Independent Board Members
11
Employees
0

Preparer

Firm
Dohman Akerlund & Eddy LLC
Address
PO BOX 470, AURORA, NE 68818-0470
Preparer
Timothy J Coufal
Phone
4026946404
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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE FORM WILL BE REVIEWED BY EXECUTIVE DIRECTOR AND TREASURER PRIOR TO SUBMISSION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE POLICY IS ENFORCED THROUGH YEARLY SIGINING OF THE CONFLICT OF INTEREST STATEMENT AND REVIEW ON AN AS-NEEDED BASIS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PAGE 6, PART VI, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PAGE 6, PART VI, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PAGE 6, PART VI, LINE 19
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IRS990/USAddress/AddressLine1Txt0SAME AS C ABOVE
IRS990/USAddress/AddressLine2Txt0984220 THE NEBRASKA MEDICAL CENTER
IRS990/USAddress/CityNm0OMAHA
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IRS990/USAddress/ZIPCd0681984420
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ReturnHeader/BusinessOfficerGrp/PersonNm0DON NAIBERK
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0TREASURER
ReturnHeader/BusinessOfficerGrp/PhoneNum04025598421
ReturnHeader/BusinessOfficerGrp/SignatureDt02019-01-28
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0NEBRASKA COALITION FOR
ReturnHeader/Filer/BusinessName/BusinessNameLine2Txt0PATIENT SAFETY
ReturnHeader/Filer/BusinessNameControlTxt0NEBR
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ReturnHeader/Filer/PhoneNum04025598421
ReturnHeader/Filer/USAddress/AddressLine1Txt0986055 NEBRASKA MEDICAL CENTER
ReturnHeader/Filer/USAddress/CityNm0OMAHA
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ReturnHeader/FilingSecurityInformation/AtSubmissionCreationDeviceId0E144B8C64C33D7B8D14B928B392543FF2AF635AB
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ReturnHeader/FilingSecurityInformation/FilingLicenseTypeCd0P
ReturnHeader/FilingSecurityInformation/IPAddress/IPv4AddressTxt0199.36.118.40
ReturnHeader/FilingSecurityInformation/IPDt02019-01-30
ReturnHeader/FilingSecurityInformation/IPTimezoneCd0CS
ReturnHeader/FilingSecurityInformation/IPTm016:40:01
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0470585450
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0DOHMAN AKERLUND & EDDY LLC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0PO BOX 470
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0AURORA
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0NE
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd0688180470
ReturnHeader/PreparerPersonGrp/PhoneNum04026946404
ReturnHeader/PreparerPersonGrp/PreparationDt02019-01-28
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0TIMOTHY J COUFAL
ReturnHeader/ReturnTs02019-01-30T16:40:01-06:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02017-07-01
ReturnHeader/TaxPeriodEndDt02018-06-30
ReturnHeader/TaxYr02017

Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2025Detailed filing. Detailed filing data is available for this year.$1.20$0.08$1.12$0.66$0.47$0.19
2024Detailed filing. Detailed filing data is available for this year.$1.01$0.08$0.93$0.52$0.44$0.09
2023Detailed filing. Detailed filing data is available for this year.$0.93$0.08$0.85$0.57$0.40$0.17
2022Detailed filing. Detailed filing data is available for this year.$0.76$0.08$0.68$0.65$0.40$0.25
2021Detailed filing. Detailed filing data is available for this year.$0.50$0.08$0.42$0.30$0.37$0.08
2020Detailed filing. Detailed filing data is available for this year.$0.60$0.10$0.50$0.30$0.40$0.10
2019Detailed filing. Detailed filing data is available for this year.$0.65$0.06$0.59$0.26$0.25$0.00
2018Detailed filing. Detailed filing data is available for this year.$0.65$0.05$0.59$0.21$0.21$0.01
2017Detailed filing. Detailed filing data is available for this year.$0.65$0.05$0.60$0.26$0.25$0.02
2016Detailed filing. Detailed filing data is available for this year.$0.62$0.04$0.58$0.17$0.25$0.07
2015Detailed filing. Detailed filing data is available for this year.$0.72$0.06$0.65$0.35$0.23$0.12
2014Detailed filing. Detailed filing data is available for this year.$0.55$0.01$0.54$0.19$0.17$0.02
2013Summary only. Only limited summary data is available for this year.$0.53$0.01$0.52$0.17$0.17$0.01
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.53$0.01$0.51$0.16
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.52$0.01$0.51$0.06
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.41$0.02$0.39$0.18$0.13$0.06