Civic Intelligence

Certification Board for Professionals in Patient Safety Inc

990 • Fiscal year 2014 • EIN 45-2197138

Jan 01, 2014 to Dec 31, 2014 • Filed on May 11, 2015

Organization ProfileWWW.CBPPS.ORG
268 Summer Street 6th FLBoston, MA 02210

(617) 391-9900

Siviq Scores

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

Liabilities / Assets

92nd percentile

0.73x

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

2014 filings • 501(c)3 • <$500k nonprofits • Source year 2014

Liabilities / Revenue

89th percentile

0.28x

Higher debt load relative to revenue than 89% of similar nonprofits.

2014 filings • 501(c)3 • <$500k nonprofits • Source year 2014

Net Margin

60th percentile

7.9%

Higher net margin than 60% of similar nonprofits.

2014 filings • 501(c)3 • <$500k nonprofits • Source year 2014

Top Officer Pay

74th percentile

$0

Higher top officer pay than 74% of similar nonprofits.

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

2014 filings • 501(c)3 • <$500k nonprofits • Source year 2014

Asset Growth

95th percentile

194%

Faster asset growth than 95% of similar nonprofits.

2014 filings • 501(c)3 • <$500k nonprofits • Annualized from 2013 to 2014

Revenue Growth

23rd percentile

-19%

Faster revenue growth than 23% of similar nonprofits.

2014 filings • 501(c)3 • <$500k nonprofits • Annualized from 2013 to 2014

Balance Sheet
Liabilities / Assets92nd percentile

Assets

Up

$69,333

Up $45,719 (+194%) from 2013

Net Assets

Up

$18,421

Up $14,182 (+335%) from 2013

Liabilities

Up

$50,912

Up $31,537 (+163%) from 2013

Revenue And Expenses
Liabilities / Revenue89th percentileNet Margin60th percentile

Revenue

Down

$179,652

Down $41,862 (-19%) from 2013

Expenses

Down

$165,470

Down $68,132 (-29%) from 2013

Net Income

Up

$14,182

Up $26,270 (+217%) from 2013

Historical Trend

Balance Sheet Trend

Asset Growth95th 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

2014

Assets$69,333
Liabilities$50,912
Net Assets$18,421
Open 2014 Filing

Operations Trend

Revenue Growth23rd 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

2014

Revenue$179,652
Expenses$165,470
Net Income$14,182
Open 2014 Filing
Jump To
Filing Snapshot
Filing Period
Jan 1, 2014 to Dec 31, 2014
Signed
May 11, 2015
Return Version
2014v5.0
Gross Receipts
$179,652
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$23,614$61,536▲ $37,922
Rtn Earn Endowment Incm Other Fnds$4,239$18,421▲ $14,182
Accounts Receivable$0$7,797▲ $7,797
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Cap Stk Tr Prin Current Funds$0$0→ $0
Total Assets$23,614$69,333▲ $45,719
Liabilities
Accounts Payable and Accrued Expenses$19,375$50,912▲ $31,537
Total Liabilities$19,375$50,912▲ $31,537
Net Assets / Fund Balance
Total Net Assets Fund Balance$4,239$18,421▲ $14,182
Total Liabilities and Net Assets / Fund Balance$23,614$69,333▲ $45,719
Compensation and Service Providers
Top Officer Pay74th percentile

Board Members and Trustees

NameTitle
Gregg S MeyerChair
Mary Beth Navarra-sirioVice Chair
Tejal GandhiEx-officio
Ann Scott BlouinSecretary
Charles G BendaTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$179,652
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$14,182
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$165,470
Total Fundraising Expense$3,708
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$104,743$6,038$3,663$114,444
Office Expenses$3,675$70-$3,745
Fees for Services Accounting-$2,100-$2,100
Insurance$880$75$45$1,000
Other Expenses$249--$249
Advertising$239--$239
Total Functional Expenses$153,479$8,283$3,708$165,470
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

Filer Name
Certification Board for Professionals
EIN
45-2197138
Phone
6173919900
Address
268 SUMMER STREET 6TH FL, BOSTON, MA 02210

Signing Officer

Name
Tejal Gandhi
Title
President & CEO
Phone
6173919900
Signed
2015-05-11
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Tejal Gandhi
Formed
2011
Legal Domicile
Ma
Voting Board Members
5
Independent Board Members
4
Employees
0
Volunteers
0

Preparer

Firm
Adelson & Company Pc
Address
100 NORTH ST, PITTSFIELD, MA 01201
Preparer
Vincent T Viscuso CPA
Phone
4134436408
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G

“Contracted services: program service expenses 33,864. Management and general expenses 0. Fundraising expenses 0. Total expenses 33,864. Allocated compensation: program service expenses 70,879. Management and general expenses 6,038. Fundraising expenses 3,663. Total expenses 80,580.”

Raw XML Appendix374 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 33,864. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 33,864. ALLOCATED COMPENSATION: PROGRAM SERVICE EXPENSES 70,879. MANAGEMENT AND GENERAL EXPENSES 6,038. FUNDRAISING EXPENSES 3,663. TOTAL EXPENSES 80,580.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION B, LINE 11
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IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART IX, LINE 11G
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IRS990ScheduleR/TransactionsRelatedOrgGrp/OtherOrganizationName/BusinessNameLine1Txt1NATIONAL PATIENT SAFETY FOUNDATION
IRS990ScheduleR/TransactionsRelatedOrgGrp/OtherOrganizationName/BusinessNameLine1Txt2NATIONAL PATIENT SAFETY FOUNDATION
IRS990ScheduleR/TransactionsRelatedOrgGrp/TransactionTypeTxt0N
IRS990ScheduleR/TransactionsRelatedOrgGrp/TransactionTypeTxt1O
IRS990ScheduleR/TransactionsRelatedOrgGrp/TransactionTypeTxt2P
IRS990ScheduleR/TransferFromOtherOrgInd00
IRS990ScheduleR/TransferToOtherOrgInd00
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/StatesWhereCopyOfReturnIsFldCd0MA
IRS990/SubjectToProxyTaxInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TempOrPermanentEndowmentsInd00
IRS990/TerminateOperationsInd00
IRS990/TotalAssetsBOYAmt023614
IRS990/TotalAssetsEOYAmt069333
IRS990/TotalAssetsGrp/BOYAmt023614
IRS990/TotalAssetsGrp/EOYAmt069333
IRS990/TotalCompGreaterThan150KInd00
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt03708
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt08283
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0153479
IRS990/TotalFunctionalExpensesGrp/TotalAmt0165470
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt019375
IRS990/TotalLiabilitiesEOYAmt050912
IRS990/TotalLiabilitiesGrp/BOYAmt019375
IRS990/TotalLiabilitiesGrp/EOYAmt050912
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt04239
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt018421
IRS990/TotalOtherCompensationAmt00
IRS990/TotalProgramServiceExpensesAmt0153479
IRS990/TotalProgramServiceRevenueAmt0179652
IRS990/TotalReportableCompFromOrgAmt00
IRS990/TotalRevenueGrp/ExclusionAmt00
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt0179652
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0179652
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt00
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt023614
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt069333
IRS990/TotReportableCompRltdOrgAmt00
IRS990/TrnsfrExmptNonChrtblRltdOrgInd00
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd00
IRS990/USAddress/AddressLine1Txt0268 SUMMER STREET
IRS990/USAddress/CityNm0BOSTON
IRS990/USAddress/StateAbbreviationCd0MA
IRS990/USAddress/ZIPCd002210
IRS990/VotingMembersGoverningBodyCnt05
IRS990/VotingMembersIndependentCnt04
IRS990/WebsiteAddressTxt0WWW.CBPPS.ORG
IRS990/WhistleblowerPolicyInd01
ReturnHeader/BuildTS02016-03-07 17:11:31Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0TEJAL GANDHI
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0PRESIDENT & CEO
ReturnHeader/BusinessOfficerGrp/PhoneNum06173919900
ReturnHeader/BusinessOfficerGrp/SignatureDt02015-05-11
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0CERTIFICATION BOARD FOR PROFESSIONALS
ReturnHeader/Filer/BusinessName/BusinessNameLine2Txt0IN PATIENT SAFETY INC
ReturnHeader/Filer/BusinessNameControlTxt0CERT
ReturnHeader/Filer/EIN0452197138
ReturnHeader/Filer/PhoneNum06173919900
ReturnHeader/Filer/USAddress/AddressLine1Txt0268 SUMMER STREET 6TH FL
ReturnHeader/Filer/USAddress/CityNm0BOSTON
ReturnHeader/Filer/USAddress/StateAbbreviationCd0MA
ReturnHeader/Filer/USAddress/ZIPCd002210
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0205711238
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0ADELSON & COMPANY PC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0100 NORTH ST
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0PITTSFIELD
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0MA
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd001201
ReturnHeader/PreparerPersonGrp/PhoneNum04134436408
ReturnHeader/PreparerPersonGrp/PreparationDt02015-05-11
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0VINCENT T VISCUSO CPA
ReturnHeader/ReturnTs02015-05-12T15:49:21-05:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02014-01-01
ReturnHeader/TaxPeriodEndDt02014-12-31
ReturnHeader/TaxYr02014

Document Assets

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Filings

Displayed year

2014 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$69,333
Liabilities
$50,912
Net assets
$18,421
Revenue
$179,652
Expenses
$165,470
Net income
$14,182
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