Civic Intelligence

Indianapolis Coalition for Patient Safety Inc.

990 • Fiscal year 2017 • EIN 27-0962095

Jul 01, 2016 to Jun 30, 2017 • Filed on Jan 24, 2018

Organization ProfileINDYPATIENTSAFETY.ORG

Refreshing map…

410 W 10th Street Suite 3107Indianapolis, IN 46202

(317) 223-3090

Siviq Scores

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

Liabilities / Assets

67th percentile

0.14x

Higher debt load relative to assets than 67% of similar nonprofits.

2017 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2017

Liabilities / Revenue

80th percentile

0.30x

Higher debt load relative to revenue than 80% of similar nonprofits.

2017 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2017

Net Margin

75th percentile

18%

Higher net margin than 75% of similar nonprofits.

2017 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2017

Top Officer Pay

95th percentile

$167,487

Higher top officer pay than 95% of similar nonprofits.

Top officer pay equals 53.0% of source-year revenue.

2017 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2017

Asset Growth

74th percentile

16%

Faster asset growth than 74% of similar nonprofits.

2017 filings • 501(c)3 • $500k-$1M nonprofits • Annualized from 2016 to 2017

Revenue Growth

51st percentile

5.0%

Faster revenue growth than 51% of similar nonprofits.

2017 filings • 501(c)3 • $500k-$1M nonprofits • Annualized from 2016 to 2017

Balance Sheet
Liabilities / Assets67th percentile

Assets

Up

$664,902

Up $94,026 (+16%) from 2016

Net Assets

Up

$568,552

Up $56,585 (+11%) from 2016

Liabilities

Up

$96,350

Up $37,441 (+64%) from 2016

Revenue And Expenses
Liabilities / Revenue80th percentileNet Margin75th percentile

Revenue

Up

$316,262

Up $15,152 (+5.0%) from 2016

Expenses

Down

$259,677

Down $42,064 (-14%) from 2016

Net Income

Up

$56,585

Up $57,216 (+9068%) from 2016

Historical Trend

Balance Sheet Trend

Asset Growth74th 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 2017: $664,902Liabilities 2017: $96,350Net Assets 2017: $568,5522017Assets 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

2017

Assets$664,902
Liabilities$96,350
Net Assets$568,552
Open 2017 Filing

Operations Trend

Revenue Growth51st 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 2017: $316,262Expenses 2017: $259,677Net Income 2017: $56,5852017Revenue 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

2017

Revenue$316,262
Expenses$259,677
Net Income$56,585
Open 2017 Filing
Jump To
Filing Snapshot
Filing Period
Jul 1, 2016 to Jun 30, 2017
Signed
Jan 24, 2018
Return Version
2016v3.0
Gross Receipts
$316,262
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$520,876$664,902▲ $144,026
Rtn Earn Endowment Incm Other Fnds$511,967$568,552▲ $56,585
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$570,876$664,902▲ $94,026
Liabilities
Other Liabilities$58,909$96,350▲ $37,441
Total Liabilities$58,909$96,350▲ $37,441
Net Assets / Fund Balance
Total Net Assets Fund Balance$511,967$568,552▲ $56,585
Total Liabilities and Net Assets / Fund Balance$570,876$664,902▲ $94,026
Compensation and Service Providers
Top Officer Pay95th percentile

Employees

NameTitleFull / Part TimeBaseTotal
James Fuller PharmdPresidentFT$167,487$167,487

Board Members and Trustees

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

Revenue Composition

Contributions and Grants
$15,000
Program Service Revenue
$300,736
Investment Income
$526
Other Revenue
$0
Change in Net Assets
$56,585
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$198,653
Other Expenses$61,024
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Current Officers, Directors, Trustees, and Key Employees$187,713--$187,713
Fees for Services Management$38,166--$38,166
Payroll Taxes$10,940--$10,940
Conferences and Meetings$7,708--$7,708
Occupancy$5,362--$5,362
Fees for Services Accounting-$4,350-$4,350
Insurance$2,274--$2,274
Information Technology$1,647--$1,647
Advertising$736--$736
Other Expenses$568--$568
Office Expenses$213--$213
Total Functional Expenses$255,327$4,350$0$259,677
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$96,350
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 11B

“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 3107, INDIANAPOLIS, IN 46202

Signing Officer

Name
James Fuller Pharmd
Title
President
Phone
3172233090
Signed
2018-01-24
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Michele Saysana Md
Formed
2009
Legal Domicile
In
Voting Board Members
13
Independent Board Members
13
Employees
1
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/OrganizationTypeCd03
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IRS990ScheduleA/SupportedOrgInformationGrp/OtherSupportAmt00
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IRS990ScheduleA/SupportedOrgInformationGrp/OtherSupportAmt20
IRS990ScheduleA/SupportedOrgInformationGrp/OtherSupportAmt30
IRS990ScheduleA/SupportedOrgInformationGrp/OtherSupportAmt40
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IRS990ScheduleA/SupportedOrgInformationGrp/OtherSupportAmt90
IRS990ScheduleA/SupportedOrgInformationGrp/OtherSupportAmt100
IRS990ScheduleA/SupportedOrgInformationGrp/OtherSupportAmt110
IRS990ScheduleA/SupportedOrgInformationGrp/OtherSupportAmt120
IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt00
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IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt120
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/Amt096350
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0CHECKS WRITTEN IN EXCESS OF CASH BALANCE
IRS990ScheduleD/TotalBookValueLandBuildingsAmt00
IRS990ScheduleD/TotalLiabilityAmt096350
IRS990ScheduleJ/AnyNonFixedPaymentsInd00
IRS990ScheduleJ/CompBasedOnRevenueOfFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsFlngOrgInd00
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IRS990ScheduleJ/EquityBasedCompArrngmInd00
IRS990ScheduleJ/InitialContractExceptionInd00
IRS990/ScheduleJRequiredInd01
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt0167487
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount00
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0JAMES FULLER PHARMD
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0PRESIDENT
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt0167487
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt00
IRS990ScheduleJ/SeverancePaymentInd00
IRS990ScheduleJ/SupplementalNonqualRtrPlanInd00
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.

Document Assets

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Filings

Displayed year

2017 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$664,902
Liabilities
$96,350
Net assets
$568,552
Revenue
$316,262
Expenses
$259,677
Net income
$56,585
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
2017Detailed filing. Detailed filing data is available for this year.$6.65$0.96$5.69$3.16$2.60$0.57
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