Civic Intelligence

Nebraska Coalition for Patient Safety

990 • Fiscal year 2021 • EIN 20-5408605

Jul 01, 2020 to Jun 30, 2021 • Filed on Oct 07, 2021

Organization ProfileWWW.NEPATIENTSAFETY.ORG
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

71st percentile

0.16x

Higher debt load relative to assets than 71% of similar nonprofits.

2021 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2021

Liabilities / Revenue

77th percentile

0.27x

Higher debt load relative to revenue than 77% of similar nonprofits.

2021 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2021

Net Margin

10th percentile

-25%

Higher net margin than 10% of similar nonprofits.

2021 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2021

Top Officer Pay

52nd percentile

$0

Higher top officer pay than 52% of similar nonprofits.

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

2021 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2021

Asset Growth

8th percentile

-16%

Faster asset growth than 8% of similar nonprofits.

2021 filings • 501(c)3 • $500k-$1M nonprofits • Annualized from 2020 to 2021

Revenue Growth

32nd percentile

-1.3%

Faster revenue growth than 32% of similar nonprofits.

2021 filings • 501(c)3 • $500k-$1M nonprofits • Annualized from 2020 to 2021

Balance Sheet
Liabilities / Assets71st percentile

Assets

Down

$500,968

Down $98,478 (-16%) from 2020

Net Assets

Down

$422,088

Down $75,088 (-15%) from 2020

Liabilities

Down

$78,880

Down $23,390 (-23%) from 2020

Revenue And Expenses
Liabilities / Revenue77th percentileNet Margin10th percentile

Revenue

Down

$296,459

Down $3,944 (-1.3%) from 2020

Expenses

Down

$371,547

Down $25,244 (-6.4%) from 2020

Net Income

Up

-$75,088

Up $21,300 (+22%) from 2020

Historical Trend

Balance Sheet Trend

Asset Growth8th percentile

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

2021

Assets$500,968
Liabilities$78,880
Net Assets$422,088
Open 2021 Filing

Operations Trend

Revenue Growth32nd percentile

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

2021

Revenue$296,459
Expenses$371,547
Net Income-$75,088
Open 2021 Filing
Jump To
Filing Snapshot
Filing Period
Jul 1, 2020 to Jun 30, 2021
Signed
Oct 7, 2021
Return Version
2020v4.0
Gross Receipts
$296,459
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$536,203$437,732▼ $98,471
Accounts Receivable$52,578$42,887▼ $9,691
Cash and Non-Interest-Bearing Accounts$5,796$20,349▲ $14,553
Prepaid Expenses and Deferred Charges$4,869--
Total Assets$599,446$500,968▼ $98,478
Liabilities
Accounts Payable and Accrued Expenses$102,270$78,880▼ $23,390
Total Liabilities$102,270$78,880▼ $23,390
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$497,176$422,088▼ $75,088
Total Net Assets Fund Balance$497,176$422,088▼ $75,088
Total Liabilities and Net Assets / Fund Balance$599,446$500,968▼ $98,478
Compensation and Service Providers
Top Officer Pay52nd percentile

Board Members and Trustees

NameTitle
Katherine Jones Pt PhdPresident
Gail Brondum Lpn BsExecutive Di
Brian Martin FacheMember
Britt Thedinger MdMember
Carol Wahl Dnp Rn Mba Nea-bcMember
Jennifer Rystrom Msn RnMember
Kenneth Kester Pharmd JdMember
Michael German Pharmd BcpsMember
Michael Rapp Md FacsMember
Pamela Dickey Mpas Pa-cMember
Shaun Horak Mpas Pa-cMember
Nicole Blaser Msn RnSecretary
Douglas Elting Aia Acha EdacTreasurer
Daniel Rosenquist MdVice Preside
Revenue and Support

Revenue Composition

Contributions and Grants
$94,149
Program Service Revenue
$199,087
Investment Income
$3,223
Other Revenue
$0
All Other Contributions
$94,149
Change in Net Assets
$-75,088
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$371,547
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$304,275$30,512-$334,787
Conferences and Meetings$11,970--$11,970
Fees for Services Legal-$5,281-$5,281
Insurance-$4,869-$4,869
Advertising$3,361--$3,361
Information Technology$2,396--$2,396
Fees for Services Accounting-$2,000-$2,000
Office Expenses-$1,860-$1,860
Other Expenses$5,000$23-$23
Total Functional Expenses$327,002$44,545$0$371,547
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 35% controlled entity
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
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
Douglas Elting Aia Acha Edac
Title
Treasurer
Phone
4025598421
Signed
2021-10-07
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Katherine Jones Pt Phd
Formed
2006
Legal Domicile
Ne
Voting Board Members
13
Independent Board Members
13
Employees
0

Preparer

Firm
Dohman Akerlund & Eddy LLC
Address
PO BOX 470, AURORA, NE 68818-0470
Preparer
Timothy J Coufal CPA
Phone
4026946404
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IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus2YearsAmt0206494
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus3YearsAmt0153902
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus4YearsAmt0212672
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IRS990ScheduleB/ContributorInformationGrp/TotalContributionsAmt0RESTRICTED
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IRS990/ScheduleORequiredInd0true
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/SubjectToExcsTaxNetInvstIncInd0false
IRS990/SubjectToProxyTaxInd0false
IRS990/SubjToTaxRmnrtnExPrchtPymtInd0false
IRS990/TaxablePartyNotificationInd0false
IRS990/TaxExemptBondsInd0false
IRS990/TerminateOperationsInd0false
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IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0327002
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IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt0SAME AS C ABOVE
IRS990/USAddress/AddressLine2Txt0984220 THE NEBRASKA MEDICAL CENTER
IRS990/USAddress/CityNm0OMAHA
IRS990/USAddress/StateAbbreviationCd0NE
IRS990/USAddress/ZIPCd0681984420
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IRS990/VotingMembersIndependentCnt013
IRS990/WebsiteAddressTxt0WWW.NEPATIENTSAFETY.ORG
IRS990/WhistleblowerPolicyInd0false
ReturnHeader/BuildTS02022-09-23 18:48:47Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0DOUGLAS ELTING AIA ACHA EDAC
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0TREASURER
ReturnHeader/BusinessOfficerGrp/PhoneNum04025598421
ReturnHeader/BusinessOfficerGrp/SignatureDt02021-10-07
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0NEBRASKA COALITION FOR
ReturnHeader/Filer/BusinessName/BusinessNameLine2Txt0PATIENT SAFETY
ReturnHeader/Filer/BusinessNameControlTxt0NEBR
ReturnHeader/Filer/EIN0205408605
ReturnHeader/Filer/PhoneNum04025598421
ReturnHeader/Filer/USAddress/AddressLine1Txt0986055 NEBRASKA MEDICAL CENTER
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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/PreparationDt02021-10-07
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0TIMOTHY J COUFAL CPA
ReturnHeader/ReturnTs02021-11-15T07:58:59-06:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonFirstNm0DOUGLAS

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Filings

Displayed year

2021 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$500,968
Liabilities
$78,880
Net assets
$422,088
Revenue
$296,459
Expenses
$371,547
Net income
-$75,088
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