Civic Intelligence

Certification Board for Professionals in Patient Safety Inc

990 • Fiscal year 2013 • EIN 45-2197138

Jan 01, 2013 to Dec 31, 2013 • Filed on May 06, 2014

Organization ProfileWWW.CBPPS.ORG
268 Summer Street 6th FL02210

(617) 391-9900

Siviq Scores

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

Liabilities / Assets

92nd percentile

0.82x

Higher debt load relative to assets than 92% of similar nonprofits.

2013 filings • 501(c)3 • <$500k nonprofits • Source year 2013

Liabilities / Revenue

80th percentile

0.09x

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

2013 filings • 501(c)3 • <$500k nonprofits • Source year 2013

Net Margin

30th percentile

-5.5%

Higher net margin than 30% of similar nonprofits.

2013 filings • 501(c)3 • <$500k nonprofits • Source year 2013

Top Officer Pay

73rd percentile

$0

Higher top officer pay than 73% of similar nonprofits.

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

2013 filings • 501(c)3 • <$500k nonprofits • Source year 2013

Asset Growth

83rd percentile

45%

Faster asset growth than 83% of similar nonprofits.

2013 filings • 501(c)3 • <$500k nonprofits • Annualized from 2012 to 2013

Revenue Growth

86th percentile

54%

Faster revenue growth than 86% of similar nonprofits.

2013 filings • 501(c)3 • <$500k nonprofits • Annualized from 2012 to 2013

Balance Sheet
Liabilities / Assets92nd percentile

Assets

Up

$23,614

Up $7,287 (+45%) from 2012

Net Assets

Down

$4,239

Down $12,088 (-74%) from 2012

Liabilities

Up

$19,375

Up $19,375 from 2012

Revenue And Expenses
Liabilities / Revenue80th percentileNet Margin30th percentile

Revenue

Up

$221,514

Up $77,589 (+54%) from 2012

Expenses

Up

$233,602

Up $106,004 (+83%) from 2012

Net Income

Down

-$12,088

Down $28,415 (-174%) from 2012

Historical Trend

Balance Sheet Trend

Asset Growth83rd percentile

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

$200K$150K$100K$50K$0Assets 2011: $0Liabilities 2011: $0Net Assets 2011: $02011Assets 2012: $16,327Liabilities 2012: $0Net Assets 2012: $16,3272012Assets 2013: $23,614Liabilities 2013: $19,375Net Assets 2013: $4,2392013Assets 2014: $69,333Liabilities 2014: $50,912Net Assets 2014: $18,4212014Assets 2015: $104,997Liabilities 2015: $68,911Net Assets 2015: $36,0862015Assets 2016: $153,661Liabilities 2016: $25,769Net Assets 2016: $127,8922016

Highlighted filing

2013

Assets$23,614
Liabilities$19,375
Net Assets$4,239
Open 2013 Filing

Operations Trend

Revenue Growth86th percentile

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

$300K$200K$100K$0-$100KRevenue 2011: $0Expenses 2011: $0Net Income 2011: $02011Revenue 2012: $143,925Expenses 2012: $127,598Net Income 2012: $16,3272012Revenue 2013: $221,514Expenses 2013: $233,602Net Income 2013: -$12,0882013Revenue 2014: $179,652Expenses 2014: $165,470Net Income 2014: $14,1822014Revenue 2015: $253,548Expenses 2015: $235,883Net Income 2015: $17,6652015Revenue 2016: $284,559Expenses 2016: $192,753Net Income 2016: $91,8062016

Highlighted filing

2013

Revenue$221,514
Expenses$233,602
Net Income-$12,088
Open 2013 Filing
Jump To
Filing Snapshot
Filing Period
Jan 1, 2013 to Dec 31, 2013
Signed
May 6, 2014
Return Version
2013v3.0
Gross Receipts
$221,514
Mission and Program Overview

Mission

The board's chief responsibility is the development and administration of an evidence-based examination that provides candidates with a process by which they can demonstrate their competency in patient safety science and application.

To oversee a rigorous and comprehensive credentialing process that attests to patient safety competencies and expertise.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$16,327$23,614▲ $7,287
Rtn Earn Endowment Incm Other Fnds$16,327$4,239▼ $12,088
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Cap Stk Tr Prin Current Funds$0$0→ $0
Total Assets$16,327$23,614▲ $7,287
Liabilities
Accounts Payable and Accrued Expenses$0$19,375▲ $19,375
Total Liabilities$0$19,375▲ $19,375
Net Assets / Fund Balance
Total Net Assets Fund Balance$16,327$4,239▼ $12,088
Total Liabilities and Net Assets / Fund Balance$16,327$23,614▲ $7,287
Compensation and Service Providers
Top Officer Pay73rd percentile

Board Members and Trustees

NameTitle
Gerald HicksonChair
Gregg S MeyerVice Chair
Tejal GandhiEx-officio
Susan Edgman-levitanSecretary
Charles G BendaTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$221,514
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$-12,088
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$233,602
Total Fundraising Expense$6,783
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Other$140,962$6,037$5,826$152,825
Travel$12,582$928$896$14,406
Office Expenses$4,415$107-$4,522
Fees for Services Accounting-$1,950-$1,950
Other Expenses$1,622--$1,622
Insurance$852$63$61$976
Advertising$750--$750
Total Functional Expenses$217,734$9,085$6,783$233,602
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
Audit committee
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

“Form 990 will be reviewed by the finance committee who will then report on it to the board of directors.”

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

“A conflict of interest disclosure statement must be completed by members of the board of directors on an annual basis.”

Form 990, Part VI, Section C, Line 19

“The organization makes its governing documents available to their board of directors, board of governors and to the public upon request.”

Filing and Contact Details

Filer

EIN
45-2197138
Phone
6173919900

Signing Officer

Name
Charles G Benda
Title
Treasurer
Phone
6173919900
Signed
2014-05-06
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Charles G Benda
Formed
2011
Legal Domicile
Ma
Voting Board Members
5
Independent Board Members
4
Employees
0
Volunteers
0

Preparer

Preparer
Vincent T Viscuso CPA
Phone
4134436408
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G

“Contracted services: program service expenses 59,105. Management and general expenses 0. Fundraising expenses 0. Total expenses 59,105. Allocated compensation: program service expenses 81,857. Management and general expenses 6,037. Fundraising expenses 5,826. Total expenses 93,720.”

Raw XML Appendix369 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0FORM 990 WILL BE REVIEWED BY THE FINANCE COMMITTEE WHO WILL THEN REPORT ON IT TO THE BOARD OF DIRECTORS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1A CONFLICT OF INTEREST DISCLOSURE STATEMENT MUST BE COMPLETED BY MEMBERS OF THE BOARD OF DIRECTORS ON AN ANNUAL BASIS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AVAILABLE TO THEIR BOARD OF DIRECTORS, BOARD OF GOVERNORS AND TO THE PUBLIC UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 59,105. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 59,105. ALLOCATED COMPENSATION: PROGRAM SERVICE EXPENSES 81,857. MANAGEMENT AND GENERAL EXPENSES 6,037. FUNDRAISING EXPENSES 5,826. TOTAL EXPENSES 93,720.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION B, LINE 11
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IRS990ScheduleR/TransactionsRelatedOrgGrp/OtherOrganizationName/BusinessNameLine12NATIONAL PATIENT SAFETY FOUNDATION
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IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt06783
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt09085
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0217734
IRS990/TotalFunctionalExpensesGrp/TotalAmt0233602
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt00
IRS990/TotalLiabilitiesEOYAmt019375
IRS990/TotalLiabilitiesGrp/BOYAmt00
IRS990/TotalLiabilitiesGrp/EOYAmt019375
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt016327
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt04239
IRS990/TotalOtherCompensationAmt00
IRS990/TotalProgramServiceExpensesAmt0217734
IRS990/TotalProgramServiceRevenueAmt0221514
IRS990/TotalReportableCompFromOrgAmt00
IRS990/TotalRevenueGrp/ExclusionAmt00
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt0221514
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0221514
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt00
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt016327
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt023614
IRS990/TotReportableCompRltdOrgAmt00
IRS990/TravelGrp/FundraisingAmt0896
IRS990/TravelGrp/ManagementAndGeneralAmt0928
IRS990/TravelGrp/ProgramServicesAmt012582
IRS990/TravelGrp/TotalAmt014406
IRS990/TrnsfrExmptNonChrtblRltdOrgInd00
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd00
IRS990/USAddress/AddressLine10268 SUMMER STREET
IRS990/USAddress/City0BOSTON
IRS990/USAddress/State0MA
IRS990/USAddress/ZIPCode002210
IRS990/VotingMembersGoverningBodyCnt05
IRS990/VotingMembersIndependentCnt04
IRS990/WebsiteAddressTxt0WWW.CBPPS.ORG
IRS990/WhistleblowerPolicyInd01
ReturnHeader/BuildTS02015-11-30 17:44:51Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0CHARLES G BENDA
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0TREASURER
ReturnHeader/BusinessOfficerGrp/PhoneNum06173919900
ReturnHeader/BusinessOfficerGrp/SignatureDt02014-05-06
ReturnHeader/Filer/BusinessName/BusinessNameLine10CERTIFICATION BOARD FOR PROFESSIONALS
ReturnHeader/Filer/BusinessName/BusinessNameLine20IN PATIENT SAFETY INC
ReturnHeader/Filer/BusinessNameControlTxt0CERT
ReturnHeader/Filer/EIN0452197138
ReturnHeader/Filer/PhoneNum06173919900
ReturnHeader/Filer/USAddress/AddressLine10268 SUMMER STREET 6TH FL
ReturnHeader/Filer/USAddress/City0BOSTON
ReturnHeader/Filer/USAddress/State0MA
ReturnHeader/Filer/USAddress/ZIPCode002210
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0205711238
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine10ADELSON & COMPANY PC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine10100 NORTH ST
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/City0PITTSFIELD
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/State0MA
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCode001201
ReturnHeader/PreparerPersonGrp/PhoneNum04134436408
ReturnHeader/PreparerPersonGrp/PreparationDt02014-05-06
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0VINCENT T VISCUSO CPA
ReturnHeader/ReturnTs02014-05-13T08:07:13-05:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02013-01-01
ReturnHeader/TaxPeriodEndDt02013-12-31
ReturnHeader/TaxYr02013

Document Assets

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Filings

Displayed year

2013 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$23,614
Liabilities
$19,375
Net assets
$4,239
Revenue
$221,514
Expenses
$233,602
Net income
-$12,088
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2016Detailed filing. Detailed filing data is available for this year.$1.54$0.26$1.28$2.85$1.93$0.92
2015Detailed filing. Detailed filing data is available for this year.$1.05$0.69$0.36$2.54$2.36$0.18
2014Detailed filing. Detailed filing data is available for this year.$0.69$0.51$0.18$1.80$1.65$0.14
2013Detailed filing. Detailed filing data is available for this year.$0.24$0.19$0.04$2.22$2.34$0.12
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.16$0.00$0.16$1.44$1.28$0.16
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.00$0.00$0.00$0.00$0.00$0.00