Civic Intelligence

Indianapolis Coalition for Patient Safety Inc.

990 • Fiscal year 2019 • EIN 27-0962095

Jul 01, 2018 to Jun 30, 2019 • Filed on Jul 29, 2020

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

56th percentile

0.05x

Higher debt load relative to assets than 56% of similar nonprofits.

2019 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2019

Liabilities / Revenue

68th percentile

0.10x

Higher debt load relative to revenue than 68% of similar nonprofits.

2019 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2019

Net Margin

81st percentile

25%

Higher net margin than 81% of similar nonprofits.

2019 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2019

Top Officer Pay

95th percentile

$182,713

Higher top officer pay than 95% of similar nonprofits.

Top officer pay equals 53.2% of source-year revenue.

2019 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2019

Asset Growth

53rd percentile

4.3%

Faster asset growth than 53% of similar nonprofits.

2019 filings • 501(c)3 • $500k-$1M nonprofits • Annualized from 2017 to 2019

Revenue Growth

50th percentile

4.2%

Faster revenue growth than 50% of similar nonprofits.

2019 filings • 501(c)3 • $500k-$1M nonprofits • Annualized from 2017 to 2019

Balance Sheet
Liabilities / Assets56th percentile

Assets

Up

$723,775

Up $152,899 (+27%) from 2016

Net Assets

Up

$688,321

Up $176,354 (+34%) from 2016

Liabilities

Down

$35,454

Down $23,455 (-40%) from 2016

Revenue And Expenses
Liabilities / Revenue68th percentileNet Margin81st percentile

Revenue

Up

$343,513

Up $42,403 (+14%) from 2016

Expenses

Down

$256,161

Down $45,580 (-15%) from 2016

Net Income

Up

$87,352

Up $87,983 (+13943%) from 2016

Historical Trend

Balance Sheet Trend

Asset Growth53rd 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

2019

Assets$723,775
Liabilities$35,454
Net Assets$688,321
Open 2019 Filing

Operations Trend

Revenue Growth50th 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

2019

Revenue$343,513
Expenses$256,161
Net Income$87,352
Open 2019 Filing
Jump To
Filing Snapshot
Filing Period
Jul 1, 2018 to Jun 30, 2019
Signed
Jul 29, 2020
Return Version
2018v3.2
Gross Receipts
$343,513
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$734,481$723,775▼ $10,706
Rtn Earn Endowment Incm Other Fnds$600,969$688,321▲ $87,352
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Cap Stk Tr Prin Current Funds$0$0→ $0
Total Assets$734,481$723,775▼ $10,706
Liabilities
Other Liabilities$133,512$35,454▼ $98,058
Total Liabilities$133,512$35,454▼ $98,058
Net Assets / Fund Balance
Total Net Assets Fund Balance$600,969$688,321▲ $87,352
Total Liabilities and Net Assets / Fund Balance$734,481$723,775▼ $10,706
Compensation and Service Providers
Top Officer Pay95th percentile

Employees

NameTitleFull / Part TimeBaseTotal
James Fuller PharmdPresidentFT$182,713$182,713

Board Members and Trustees

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

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$342,860
Investment Income
$653
Other Revenue
$0
Change in Net Assets
$87,352
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$193,323
Other Expenses$62,838
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$182,713--$182,713
Conferences and Meetings$42,126--$42,126
Payroll Taxes$10,610--$10,610
Fees for Services Management$6,504--$6,504
Occupancy$4,458--$4,458
Fees for Services Accounting-$3,232-$3,232
Other Expenses$3,157--$3,157
Insurance$2,368--$2,368
Office Expenses$714--$714
Advertising$225--$225
Information Technology$54--$54
Total Functional Expenses$252,929$3,232$0$256,161
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$35,454
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
2020-07-29
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
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/OtherSupportSumAmt00
IRS990ScheduleA/SupportedOrganizationsCnt013
IRS990ScheduleA/SupportedOrganizationsTotalCnt013
IRS990ScheduleA/SupportedOrgInformationGrp/EIN0351955872
IRS990ScheduleA/SupportedOrgInformationGrp/EIN1311038302
IRS990ScheduleA/SupportedOrgInformationGrp/EIN2350983617
IRS990ScheduleA/SupportedOrgInformationGrp/EIN3351088640
IRS990ScheduleA/SupportedOrgInformationGrp/EIN4351877441
IRS990ScheduleA/SupportedOrgInformationGrp/EIN5350953467
IRS990ScheduleA/SupportedOrgInformationGrp/EIN6356005697
IRS990ScheduleA/SupportedOrgInformationGrp/EIN7351511916
IRS990ScheduleA/SupportedOrgInformationGrp/EIN8352052591
IRS990ScheduleA/SupportedOrgInformationGrp/EIN9350869066
IRS990ScheduleA/SupportedOrgInformationGrp/EIN10743107055
IRS990ScheduleA/SupportedOrgInformationGrp/EIN11351712001
IRS990ScheduleA/SupportedOrgInformationGrp/EIN12351330472
IRS990ScheduleA/SupportedOrgInformationGrp/GoverningDocumentListedInd01
IRS990ScheduleA/SupportedOrgInformationGrp/GoverningDocumentListedInd11
IRS990ScheduleA/SupportedOrgInformationGrp/GoverningDocumentListedInd21
IRS990ScheduleA/SupportedOrgInformationGrp/GoverningDocumentListedInd31
IRS990ScheduleA/SupportedOrgInformationGrp/GoverningDocumentListedInd41
IRS990ScheduleA/SupportedOrgInformationGrp/GoverningDocumentListedInd51
IRS990ScheduleA/SupportedOrgInformationGrp/GoverningDocumentListedInd61
IRS990ScheduleA/SupportedOrgInformationGrp/GoverningDocumentListedInd71
IRS990ScheduleA/SupportedOrgInformationGrp/GoverningDocumentListedInd81
IRS990ScheduleA/SupportedOrgInformationGrp/GoverningDocumentListedInd91
IRS990ScheduleA/SupportedOrgInformationGrp/GoverningDocumentListedInd101
IRS990ScheduleA/SupportedOrgInformationGrp/GoverningDocumentListedInd111
IRS990ScheduleA/SupportedOrgInformationGrp/GoverningDocumentListedInd121
IRS990ScheduleA/SupportedOrgInformationGrp/OrganizationTypeCd03
IRS990ScheduleA/SupportedOrgInformationGrp/OrganizationTypeCd13
IRS990ScheduleA/SupportedOrgInformationGrp/OrganizationTypeCd23
IRS990ScheduleA/SupportedOrgInformationGrp/OrganizationTypeCd33
IRS990ScheduleA/SupportedOrgInformationGrp/OrganizationTypeCd43
IRS990ScheduleA/SupportedOrgInformationGrp/OrganizationTypeCd53
IRS990ScheduleA/SupportedOrgInformationGrp/OrganizationTypeCd63
IRS990ScheduleA/SupportedOrgInformationGrp/OrganizationTypeCd73
IRS990ScheduleA/SupportedOrgInformationGrp/OrganizationTypeCd83
IRS990ScheduleA/SupportedOrgInformationGrp/OrganizationTypeCd93
IRS990ScheduleA/SupportedOrgInformationGrp/OrganizationTypeCd103
IRS990ScheduleA/SupportedOrgInformationGrp/OrganizationTypeCd113
IRS990ScheduleA/SupportedOrgInformationGrp/OrganizationTypeCd123
IRS990ScheduleA/SupportedOrgInformationGrp/OtherSupportAmt00
IRS990ScheduleA/SupportedOrgInformationGrp/OtherSupportAmt10
IRS990ScheduleA/SupportedOrgInformationGrp/OtherSupportAmt20
IRS990ScheduleA/SupportedOrgInformationGrp/OtherSupportAmt30
IRS990ScheduleA/SupportedOrgInformationGrp/OtherSupportAmt40
IRS990ScheduleA/SupportedOrgInformationGrp/OtherSupportAmt50
IRS990ScheduleA/SupportedOrgInformationGrp/OtherSupportAmt60
IRS990ScheduleA/SupportedOrgInformationGrp/OtherSupportAmt70
IRS990ScheduleA/SupportedOrgInformationGrp/OtherSupportAmt80
IRS990ScheduleA/SupportedOrgInformationGrp/OtherSupportAmt90
IRS990ScheduleA/SupportedOrgInformationGrp/OtherSupportAmt100
IRS990ScheduleA/SupportedOrgInformationGrp/OtherSupportAmt110
IRS990ScheduleA/SupportedOrgInformationGrp/OtherSupportAmt120
IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt00
IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt10
IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt20
IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt30
IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt40
IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt50
IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt60
IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt70
IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt80
IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt90
IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt100
IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt110
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
IRS990ScheduleA/SupportingOrganization509a3Ind0X
IRS990ScheduleA/SupportingOrgType1Ind0X
IRS990ScheduleA/SupportSumAmt00
IRS990/ScheduleBRequiredInd00
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt035454
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0CHECKS WRITTEN IN EXCESS OF CASH BALANCE
IRS990ScheduleD/TotalBookValueLandBuildingsAmt00
IRS990ScheduleD/TotalLiabilityAmt035454
IRS990ScheduleJ/AnyNonFixedPaymentsInd00
IRS990ScheduleJ/BoardOrCommitteeApprovalInd0X
IRS990ScheduleJ/CompBasedOnRevenueOfFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsRltdOrgsInd00
IRS990ScheduleJ/CompBsdOnRevRelatedOrgsInd00
IRS990ScheduleJ/EquityBasedCompArrngmInd00
IRS990ScheduleJ/InitialContractExceptionInd00
IRS990/ScheduleJRequiredInd01
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt0182713
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt00
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/TotalCompensationFilingOrgAmt0182713
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt00
IRS990ScheduleJ/SeverancePaymentInd00

Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Displayed year

2019 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$723,775
Liabilities
$35,454
Net assets
$688,321
Revenue
$343,513
Expenses
$256,161
Net income
$87,352
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
2019Detailed filing. Detailed filing data is available for this year.$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