Civic Intelligence

Indianapolis Coalition for Patient Safety Inc.

990 • Fiscal year 2016 • EIN 27-0962095

Jul 01, 2015 to Jun 30, 2016 • Filed on Jan 09, 2017

Organization ProfileINDYPATIENTSAFETY.ORG
410 W 10th Street Suite 2101Indianapolis, IN 46202

(317) 223-3090

Siviq Scores

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

Liabilities / Assets

62nd percentile

0.10x

Higher debt load relative to assets than 62% of similar nonprofits.

2016 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2016

Liabilities / Revenue

73rd percentile

0.20x

Higher debt load relative to revenue than 73% of similar nonprofits.

2016 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2016

Net Margin

40th percentile

-0.2%

Higher net margin than 40% of similar nonprofits.

2016 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2016

Top Officer Pay

49th percentile

$0

Higher top officer pay than 49% of similar nonprofits.

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

2016 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2016

Asset Growth

67th percentile

8.8%

Faster asset growth than 67% of similar nonprofits.

2016 filings • 501(c)3 • $500k-$1M nonprofits • Annualized from 2014 to 2016

Revenue Growth

29th percentile

-7.4%

Faster revenue growth than 29% of similar nonprofits.

2016 filings • 501(c)3 • $500k-$1M nonprofits • Annualized from 2014 to 2016

Balance Sheet
Liabilities / Assets62nd percentile

Assets

Up

$570,876

Up $88,290 (+18%) from 2014

Net Assets

Up

$511,967

Up $54,381 (+12%) from 2014

Liabilities

Up

$58,909

Up $33,909 (+136%) from 2014

Revenue And Expenses
Liabilities / Revenue73rd percentileNet Margin40th percentile

Revenue

Down

$301,110

Down $49,921 (-14%) from 2014

Expenses

Up

$301,741

Up $5,672 (+1.9%) from 2014

Net Income

Down

-$631

Down $55,593 (-101%) from 2014

Historical Trend

Balance Sheet Trend

Asset Growth67th percentile

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

$1.0M$500K$0Assets 2011: $372,173Liabilities 2011: $110,034Net Assets 2011: $262,1392011Assets 2012: $378,485Liabilities 2012: $50,000Net Assets 2012: $328,4852012Assets 2013: $427,624Liabilities 2013: $25,000Net Assets 2013: $402,6242013Assets 2014: $482,586Liabilities 2014: $25,000Net Assets 2014: $457,5862014Assets 2016: $570,876Liabilities 2016: $58,909Net Assets 2016: $511,9672016Assets 2019: $723,775Liabilities 2019: $35,454Net Assets 2019: $688,3212019Assets 2021: $760,633Liabilities 2021: $0Net Assets 2021: $760,6332021Assets 2022: $807,524Liabilities 2022: $8,848Net Assets 2022: $798,6762022

Highlighted filing

2016

Assets$570,876
Liabilities$58,909
Net Assets$511,967
Open 2016 Filing

Operations Trend

Revenue Growth29th percentile

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

$400K$300K$200K$100K$0-$100KExpenses 2011: $214,7882011Expenses 2012: $239,2052012Expenses 2013: $272,2082013Revenue 2014: $351,031Expenses 2014: $296,069Net Income 2014: $54,9622014Revenue 2016: $301,110Expenses 2016: $301,741Net Income 2016: -$6312016Revenue 2019: $343,513Expenses 2019: $256,161Net Income 2019: $87,3522019Revenue 2021: $329,597Expenses 2021: $290,434Net Income 2021: $39,1632021Revenue 2022: $327,645Expenses 2022: $289,602Net Income 2022: $38,0432022

Highlighted filing

2016

Revenue$301,110
Expenses$301,741
Net Income-$631
Open 2016 Filing
Jump To
Filing Snapshot
Filing Period
Jul 1, 2015 to Jun 30, 2016
Signed
Jan 9, 2017
Return Version
2015v3.0
Gross Receipts
$301,110
Mission and Program Overview

Mission

To provide a forum for indianapolis-area hospitals to share information about 'best practices and work together to solve patient safety issues in indianapolis and surrounding county hospitals.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$531,355$520,876▼ $10,479
Rtn Earn Endowment Incm Other Fnds$512,598$511,967▼ $631
Pledges and Grants Receivable-$50,000-
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Cap Stk Tr Prin Current Funds$0$0→ $0
Total Assets$531,355$570,876▲ $39,521
Liabilities
Other Liabilities$18,757$58,909▲ $40,152
Total Liabilities$18,757$58,909▲ $40,152
Net Assets / Fund Balance
Total Net Assets Fund Balance$512,598$511,967▼ $631
Total Liabilities and Net Assets / Fund Balance$531,355$570,876▲ $39,521
Compensation and Service Providers
Top Officer Pay49th percentile

Board Members and Trustees

NameTitle
Michele Saysana MdChair
James Fuller PharmdPresident
Robert Lindeman MdVice-chair
Brian J Hancock MdMember
Bryan MillsMember
Dawn Moore PharmdMember
Dennis MurphyMember
Jim Callaghan MdMember
Jonathan NalliMember
Lisa Harris MdMember
Patricia Calvin RnMember
Tim LawsonMember
Trisha SqrowMember
Bill CorleySecretary
Lee Ann Blue RnTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$300,589
Investment Income
$521
Other Revenue
$0
Change in Net Assets
$-631
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$214,562
Salaries, Compensation, and Employee Benefits$87,179
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Management$189,405--$189,405
Current Officers, Directors, Trustees, and Key Employees$81,123--$81,123
Occupancy$8,439--$8,439
Conferences and Meetings$7,379--$7,379
Payroll Taxes$6,056--$6,056
Travel$2,459--$2,459
Fees for Services Accounting-$2,220-$2,220
Insurance$2,197--$2,197
Advertising$1,182--$1,182
Other Expenses$819--$819
Office Expenses$425--$425
Fees for Services Legal-$37-$37
Total Functional Expenses$299,484$2,257$0$301,741
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
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Checks Written in Excess of Cash Balance$58,909
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Backup withholding compliance
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, Part VI, Section B, Line 11

“A copy of form 990 is provided to and reviewed by each member of the board of directors upon completion.”

Form 990, Part VI, Section B, Line 12C

“Each director, officer, and employee of the organization is required to provide an annual disclosure of actual or potential conflicts of interest that arise as a result of that person's role with the organization.”

Form 990, Part VI, Section C, Line 19

“The organization makes its governing documents, policies and procedures, and financial statements available to the public upon request.”

Filing and Contact Details

Filer

Filer Name
Indianapolis Coalition for Patient
EIN
27-0962095
Phone
3172233090
Address
410 W 10TH STREET SUITE 2101, INDIANAPOLIS, IN 46202

Signing Officer

Name
James Fuller Pharmd
Title
President
Phone
3172233090
Signed
2017-01-09
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Michele Saysana Md
Formed
2009
Legal Domicile
In
Voting Board Members
14
Independent Board Members
14
Employees
0
Volunteers
0

Preparer

Firm
Bgbc Partners Llp
Address
300 N MERIDIAN ST STE 1100, INDIANAPOLIS, IN 46204
Preparer
Cynthia M Mccullough CPA
Phone
3176334700
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IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt0INDIANA UNIVERSITY HEALTH INC
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt1COMMUNITY HEALTH NETWORK INC
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt2COMMUNITY HOSPITALS OF INDIANA INC
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt3COMMUNITY HOSPITAL SOUTH INC
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt4COMMUNITY LTC INC
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt5COMMUNITY HOME HEALTH SERVICES INC
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt6HEALTH AND HOSPITAL CORP OF MARION COUNTY DBA WISHARD HEALTH SERVICES
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt7RICHARD ROUDEBUSH VETERANS AFFAIRS MEDICAL CENTER
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt8ST VINCENT HEALTH INC
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt9ST VINCENT HOSPITAL AND HEALTH CARE CENTER INC
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt10ST VINCENT CARMEL HOSPITAL INC
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt11SETON SPECIALTY HOSPITAL INC
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt12FRANCISCAN ALLIANCE INC DBA FRANCISCAN ST FRANCIS HEALTH
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IRS990ScheduleA/SupportingOrgType1Ind0X
IRS990ScheduleA/SupportSumAmt00
IRS990/ScheduleBRequiredInd00
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt058909
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0CHECKS WRITTEN IN EXCESS OF CASH BALANCE
IRS990ScheduleD/TotalBookValueLandBuildingsAmt00
IRS990ScheduleD/TotalLiabilityAmt058909
IRS990/ScheduleJRequiredInd00
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0A COPY OF FORM 990 IS PROVIDED TO AND REVIEWED BY EACH MEMBER OF THE BOARD OF DIRECTORS UPON COMPLETION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1EACH DIRECTOR, OFFICER, AND EMPLOYEE OF THE ORGANIZATION IS REQUIRED TO PROVIDE AN ANNUAL DISCLOSURE OF ACTUAL OR POTENTIAL CONFLICTS OF INTEREST THAT ARISE AS A RESULT OF THAT PERSON'S ROLE WITH THE ORGANIZATION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, POLICIES AND PROCEDURES, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION B, LINE 11
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION B, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION C, LINE 19
IRS990/SchoolOperatingInd00
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IRS990/StatesWhereCopyOfReturnIsFldCd0IN
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IRS990/TaxExemptBondsInd00
IRS990/TempOrPermanentEndowmentsInd00
IRS990/TerminateOperationsInd00

Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Displayed year

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

Open filing
Assets
$570,876
Liabilities
$58,909
Net assets
$511,967
Revenue
$301,110
Expenses
$301,741
Net income
-$631
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2022XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$8.08$0.09$7.99$3.28$2.90$0.38
2021Facts available. Structured filing facts are available, but richer extracted sections are limited.$7.61$0.00$7.61$3.30$2.90$0.39
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$7.24$0.35$6.88$3.44$2.56$0.87
2016Detailed filing. Detailed filing data is available for this year.$5.71$0.59$5.12$3.01$3.02$0.01
2014Detailed filing. Detailed filing data is available for this year.$4.83$0.25$4.58$3.51$2.96$0.55
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$4.28$0.25$4.03$2.72
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$3.78$0.50$3.28$2.39
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$3.72$1.10$2.62$2.15