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Nonprofiteer
← INDIANAPOLIS COALITION FOR PATIENT SAFETY INC

Form 990 for tax year 2022

Filed by INDIANAPOLIS COALITION FOR PATIENT SAFETY INC.

Totals

Total revenue
$291,214
Total expenses
$298,708
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$291,038
Investment income
$176
Other revenue
$0
Total assets, end of year
$823,011
Total liabilities, end of year
$31,829
Net assets or fund balances, end of year
$791,182
Program services expenses (Part IX)
$294,355
Management and general expenses
$4,353
Fundraising expenses
$0
Program service expenses (Part III)
$294,355

Program services were 98.5% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 2a · Program service revenue: SUBSCRIPTION FEES

    total $275,000 · excluded $275,000

  • 2f · All other program service revenue

    total $16,038 · excluded $16,038

  • 3 · Investment income

    total $176 · excluded $176

Functional expenses

Part IX, the statement of functional expenses.

  • 11c · Fees: accounting

    total $4,353 · management and general $4,353

  • 13 · Office expenses

    total $2,257 · program services $2,257

  • 14 · Information technology

    total $1,491 · program services $1,491

  • 16 · Occupancy

    total $4,801 · program services $4,801

  • 19 · Conferences, conventions and meetings

    total $49,265 · program services $49,265

  • 23 · Insurance

    total $1,334 · program services $1,334

  • 24a · Other expenses: LEASED EMPLOYEE EXPENSE

    total $234,538 · program services $234,538

  • 24b · Other expenses: MISCELLANEOUS EXPENSES

    total $669 · program services $669

Balance sheet

Part X, book values.

  • 2 · Savings and temporary cash investments

    beginning of year $800,860 · end of year $823,011

  • 15 · Other assets

    beginning of year $6,664 · end of year $0

  • 25 · Other liabilities

    beginning of year $8,848 · end of year $31,829

  • 29 · Capital stock, trust principal or current funds

    beginning of year $0 · end of year $0

  • 30 · Paid-in or capital surplus, or land, building or equipment fund

    beginning of year $0 · end of year $0

  • 31 · Retained earnings, endowment or other funds

    beginning of year $798,676 · end of year $791,182

Mission and programs · 2022

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.

  • UNDERTAKING PROJECTS THAT FOCUS ON PATIENT-CENTERED STRATEGIES TO IMPROVE SAFETY BY ADDRESSING ALL OF THE BARRIERS OBSERVED BY PATIENTS AND PROVIDERS TO ACHIEVING A STANDARDIZED APPROACH TO PATIENT CARE.

    Expenses $294,355 · Revenue $275,000

As filed on the 2022 return.

Listed in Part VII

  • Michele Saysana MD

    CHAIR

    Total calculated
    $36,000
    From this org
    $36,000
    From related orgs
    $0
    Other
    $0
    Hours/week
    3

    Schedule J breakdown matched by us

    Base
    $36,000
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $36,000

  • Stephen Swinney MD MBA Facp

    VICE-CHAIR

    Total calculated
    $0
    Hours/week
    1

  • James Fuller Pharmd

    PRESIDENT

    Total calculated
    $198,538
    From this org
    $198,538
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $198,538
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $198,538

  • Bill Corley

    SECRETARY

    Total calculated
    $0
    Hours/week
    1

  • Lee Ann Blue RN

    TREASURER

    Total calculated
    $0
    Hours/week
    1

  • Lisa Harris MD

    MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Bryan Mills

    MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Dennis Murphy

    MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Dawn Moore Pharmd

    MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Tim Lawson

    MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Julie Glover RN

    MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Daniel Parod

    MEMBER

    Total calculated
    $0
    Hours/week
    1

  • David Silver

    MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Lori Price

    MEMBER

    Total calculated
    $0
    Hours/week
    1

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 3 · Approval by the board or compensation committee

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Provenance

Return type
form_990
Tax year
2022
Filed
30 April 2024
IRS schema version
2022v5.0
Source object
202421359349307547

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