Civic Intelligence

Certification Board for Professionals in Patient Safety Inc

990 • Fiscal year 2015 • EIN 45-2197138

Jan 01, 2015 to Dec 31, 2015 • Filed on Apr 20, 2016

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

91st percentile

0.66x

Higher debt load relative to assets than 91% of similar nonprofits.

2015 filings • 501(c)3 • <$500k nonprofits • Source year 2015

Liabilities / Revenue

89th percentile

0.27x

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

2015 filings • 501(c)3 • <$500k nonprofits • Source year 2015

Net Margin

58th percentile

7.0%

Higher net margin than 58% of similar nonprofits.

2015 filings • 501(c)3 • <$500k nonprofits • Source year 2015

Top Officer Pay

75th percentile

$0

Higher top officer pay than 75% of similar nonprofits.

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

2015 filings • 501(c)3 • <$500k nonprofits • Source year 2015

Asset Growth

84th percentile

51%

Faster asset growth than 84% of similar nonprofits.

2015 filings • 501(c)3 • <$500k nonprofits • Annualized from 2014 to 2015

Revenue Growth

83rd percentile

41%

Faster revenue growth than 83% of similar nonprofits.

2015 filings • 501(c)3 • <$500k nonprofits • Annualized from 2014 to 2015

Balance Sheet
Liabilities / Assets91st percentile

Assets

Up

$104,997

Up $35,664 (+51%) from 2014

Net Assets

Up

$36,086

Up $17,665 (+96%) from 2014

Liabilities

Up

$68,911

Up $17,999 (+35%) from 2014

Revenue And Expenses
Liabilities / Revenue89th percentileNet Margin58th percentile

Revenue

Up

$253,548

Up $73,896 (+41%) from 2014

Expenses

Up

$235,883

Up $70,413 (+43%) from 2014

Net Income

Up

$17,665

Up $3,483 (+25%) from 2014

Historical Trend

Balance Sheet Trend

Asset Growth84th 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

2015

Assets$104,997
Liabilities$68,911
Net Assets$36,086
Open 2015 Filing

Operations Trend

Revenue Growth83rd 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

2015

Revenue$253,548
Expenses$235,883
Net Income$17,665
Open 2015 Filing
Jump To
Filing Snapshot
Filing Period
Jan 1, 2015 to Dec 31, 2015
Signed
Apr 20, 2016
Return Version
2015v2.1
Gross Receipts
$253,548
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$61,536$92,990▲ $31,454
Rtn Earn Endowment Incm Other Fnds$18,421$36,086▲ $17,665
Accounts Receivable$7,797$12,007▲ $4,210
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Cap Stk Tr Prin Current Funds$0$0→ $0
Total Assets$69,333$104,997▲ $35,664
Liabilities
Accounts Payable and Accrued Expenses$50,912$68,911▲ $17,999
Total Liabilities$50,912$68,911▲ $17,999
Net Assets / Fund Balance
Total Net Assets Fund Balance$18,421$36,086▲ $17,665
Total Liabilities and Net Assets / Fund Balance$69,333$104,997▲ $35,664
Compensation and Service Providers
Top Officer Pay75th percentile

Board Members and Trustees

NameTitle
Gregg S MeyerChair
Tejal GandhiPresident
Mary Beth Navarra-sirioVice Chair
Ann Scott BlouinClerk
Jennifer DaleyTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$253,548
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$17,665
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$235,883
Total Fundraising Expense$2,631
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$177,749$7,420$2,604$187,773
Office Expenses$8,892$107-$8,999
Fees for Services Accounting-$2,100-$2,100
Insurance$896$77$27$1,000
Other Expenses$756--$756
Advertising$219--$219
Total Functional Expenses$223,548$9,704$2,631$235,883
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
2016-04-20
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 90,823. Management and general expenses 0. Fundraising expenses 0. Total expenses 90,823. Allocated compensation: program service expenses 86,547. Management and general expenses 7,420. Fundraising expenses 2,604. Total expenses 96,571. Temporary staffing: program service expenses 379. Management and general expenses 0. Fundraising expenses 0. Total expenses 379.”

Raw XML Appendix377 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 90,823. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 90,823. ALLOCATED COMPENSATION: PROGRAM SERVICE EXPENSES 86,547. MANAGEMENT AND GENERAL EXPENSES 7,420. FUNDRAISING EXPENSES 2,604. TOTAL EXPENSES 96,571. TEMPORARY STAFFING: PROGRAM SERVICE EXPENSES 379. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 379.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION B, LINE 11
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IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART IX, LINE 11G
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IRS990ScheduleR/TransactionsRelatedOrgGrp/MethodOfAmountDeterminationTxt1FAIR MARKET VALUE
IRS990ScheduleR/TransactionsRelatedOrgGrp/MethodOfAmountDeterminationTxt2FAIR MARKET VALUE
IRS990ScheduleR/TransactionsRelatedOrgGrp/OtherOrganizationName/BusinessNameLine1Txt0NATIONAL PATIENT SAFETY FOUNDATION
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/TotalAssetsBOYAmt069333
IRS990/TotalAssetsEOYAmt0104997
IRS990/TotalAssetsGrp/BOYAmt069333
IRS990/TotalAssetsGrp/EOYAmt0104997
IRS990/TotalCompGreaterThan150KInd00
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt02631
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt09704
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0223548
IRS990/TotalFunctionalExpensesGrp/TotalAmt0235883
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt050912
IRS990/TotalLiabilitiesEOYAmt068911
IRS990/TotalLiabilitiesGrp/BOYAmt050912
IRS990/TotalLiabilitiesGrp/EOYAmt068911
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt018421
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt036086
IRS990/TotalOtherCompensationAmt00
IRS990/TotalProgramServiceExpensesAmt0223548
IRS990/TotalProgramServiceRevenueAmt0253548
IRS990/TotalReportableCompFromOrgAmt00
IRS990/TotalRevenueGrp/ExclusionAmt00
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt0253548
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0253548
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt00
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt069333
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt0104997
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/BuildTS02016-09-27 15:27:22Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0TEJAL GANDHI
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0PRESIDENT & CEO
ReturnHeader/BusinessOfficerGrp/PhoneNum06173919900
ReturnHeader/BusinessOfficerGrp/SignatureDt02016-04-20
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/PreparationDt02016-04-20
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0VINCENT T VISCUSO CPA
ReturnHeader/ReturnTs02016-04-27T15:19:56-05:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02015-01-01
ReturnHeader/TaxPeriodEndDt02015-12-31
ReturnHeader/TaxYr02015

Document Assets

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Filings

Displayed year

2015 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$104,997
Liabilities
$68,911
Net assets
$36,086
Revenue
$253,548
Expenses
$235,883
Net income
$17,665
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