Form 990 for tax year 2022
Filed by MIDWEST ALLIANCE FOR PATIENT SAFETY.
Totals
- Total revenue
- $745,475
- Total expenses
- $703,887
- Contributions and grants received
- $0
- Grants paid
- $0
- Program service revenue
- $740,936
- Investment income
- $4,539
- Other revenue
- $0
- Total assets, end of year
- $462,422
- Total liabilities, end of year
- $611,217
- Net assets or fund balances, end of year
- -$148,795
- Program services expenses (Part IX)
- $652,577
- Management and general expenses
- $51,310
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $652,577
Program services were 92.7% 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: MEMBERSHIP FEES
total $740,936 · related or exempt $740,936
-
3 · Investment income
total $4,539 · excluded $4,539
Functional expenses
Part IX, the statement of functional expenses.
-
7 · Other salaries and wages
total $185,440 · program services $185,440
-
8 · Pension plan contributions
total $13,417 · program services $13,417
-
9 · Other employee benefits
total $18,610 · program services $18,610
-
10 · Payroll taxes
total $14,014 · program services $14,014
-
11a · Fees: management
total $194,149 · program services $194,149
-
11c · Fees: accounting
total $11,310 · management and general $11,310
-
11g · Fees: other
total $2,459 · program services $2,459
-
13 · Office expenses
total $366 · program services $366
-
14 · Information technology
total $169,922 · program services $169,922
-
17 · Travel
total $12 · program services $12
-
19 · Conferences, conventions and meetings
total $19,768 · program services $19,768
-
23 · Insurance
total $22,717 · program services $22,717
-
24a · Other expenses: BAD DEBT
total $40,000 · management and general $40,000
-
24b · Other expenses: MEMBERSHIP FEES
total $5,285 · program services $5,285
-
24c · Other expenses: BANK FEES
total $4,687 · program services $4,687
-
24d · Other expenses: GIFTS
total $780 · program services $780
-
24e · All other expenses
total $951 · program services $951
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $0 · end of year $0
-
2 · Savings and temporary cash investments
beginning of year $0 · end of year $0
-
3 · Pledges and grants receivable
beginning of year $0 · end of year $0
-
4 · Accounts receivable
beginning of year $84,640 · end of year $191,077
-
5 · Loans and receivables from officers and key people
beginning of year $0 · end of year $0
-
6 · Loans and receivables from disqualified persons
beginning of year $0 · end of year $0
-
7 · Other notes and loans receivable
beginning of year $0 · end of year $0
-
8 · Inventories for sale or use
beginning of year $0 · end of year $0
-
9 · Prepaid expenses and deferred charges
beginning of year $5,000 · end of year $25,916
-
10a · Land, buildings and equipment: cost or other basis
$0
-
10b · Land, buildings and equipment: accumulated depreciation
$0
-
10c · Land, buildings and equipment, net
beginning of year $0 · end of year $0
-
11 · Investments: publicly traded securities
beginning of year $0 · end of year $0
-
12 · Investments: other securities
beginning of year $0 · end of year $0
-
13 · Investments: program-related
beginning of year $0 · end of year $0
-
14 · Intangible assets
beginning of year $0 · end of year $0
-
15 · Other assets
beginning of year $327,209 · end of year $245,429
-
17 · Accounts payable and accrued expenses
beginning of year $26,015 · end of year $41,055
-
19 · Deferred revenue
beginning of year $581,217 · end of year $570,162
-
27 · Net assets without donor restrictions
beginning of year -$190,383 · end of year -$148,795
Mission and programs · 2022
Mission
OPERATION OF A FEDERALLY CERTIFIED PATIENT SAFETY ORGANIZATION TO PROMOTE THE ADOPTION OF BEST PRACTICES TO IMPROVE THE DELIVERY OF SAFE AND QUALITY CARE TO PATIENTS.
Activities or mission (Part I)
THE MIDWEST ALLIANCE FOR PATIENT SAFETY FOCUSES ITS EFFORTS ON IMPROVING PATIENT SAFETY AND REDUCING HARM IN HEALTH CARE.
-
OPERATION OF A FEDERALLY CERTIFIED PATIENT SAFETY ORGANIZATION TO PROMOTE THE ADOPTION OF BEST PRACTICES TO IMPROVE THE DELIVERY OF SAFE AND QUALITY CARE TO PATIENTS.
Expenses $652,577 · Revenue $740,936
As filed on the 2022 return.
Listed in Part VII
-
Arthur J WilhelmiARTHUR J WILHELMI
CHAIRMAN/DIRECTOR
- Total calculated
- $1,516,938
- From this org
- $0
- From related orgs
- $1,305,773
- Other
- $211,165
- Hours/week
- 1.25 + 38.75 related
Schedule J breakdown matched by us
- Base
- $0 + $975,413 related
- Bonus
- $0 + $307,165 related
- Other
- $0 + $23,195 related
- Deferred
- $0 + $174,209 related
- Nontaxable benefits
- $0 + $36,956 related
- Filer's total
- $0 + $1,516,938 related
-
Kumar Nathan MDKUMAR NATHAN MD
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1.25
-
Rachel Prather RNRACHEL PRATHER RN
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1.25
-
Lori Wiegand DnpLORI WIEGAND DNP
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1.25
-
Brian SteinBRIAN STEIN
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1.25
-
Terri L AllenTERRI L ALLEN
TREASURER
- Total calculated
- $427,521
- From this org
- $0
- From related orgs
- $386,373
- Other
- $41,148
- Hours/week
- 2 + 38 related
Schedule J breakdown matched by us
- Base
- $0 + $320,639 related
- Bonus
- $0 + $41,670 related
- Other
- $0 + $24,064 related
- Deferred
- $0 + $25,925 related
- Nontaxable benefits
- $0 + $15,223 related
- Filer's total
- $0 + $427,521 related
-
Helga BrakeHELGA BRAKE
PRESIDENT
- Total calculated
- $297,828
- From this org
- $0
- From related orgs
- $259,634
- Other
- $38,194
- Hours/week
- 3 + 37 related
Schedule J breakdown matched by us
- Base
- $0 + $227,733 related
- Bonus
- $0 + $28,337 related
- Other
- $0 + $3,564 related
- Deferred
- $0 + $22,004 related
- Nontaxable benefits
- $0 + $16,190 related
- Filer's total
- $0 + $297,828 related
-
Karen HarrisKAREN HARRIS
SECRETARY
- Total calculated
- $473,164
- From this org
- $0
- From related orgs
- $433,734
- Other
- $39,430
- Hours/week
- 2 + 38 related
Schedule J breakdown matched by us
- Base
- $0 + $342,998 related
- Bonus
- $0 + $68,166 related
- Other
- $0 + $22,570 related
- Deferred
- $0 + $24,965 related
- Nontaxable benefits
- $0 + $14,465 related
- Filer's total
- $0 + $473,164 related
-
Carrie PinascoCARRIE PINASCO
DIRECTOR
- Total calculated
- $150,831
- From this org
- $0
- From related orgs
- $126,689
- Other
- $24,142
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $0 + $119,258 related
- Bonus
- $0 + $4,917 related
- Other
- $0 + $2,514 related
- Deferred
- $0 + $10,831 related
- Nontaxable benefits
- $0 + $13,311 related
- Filer's total
- $0 + $150,831 related
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
- 4b · Supplemental nonqualified retirement plan
Answered no
- 4a · Severance or change-of-control payment
- 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
The filer's explanations (Part III)
- PART I, LINE 4B
- FORM 990, SCH J, PART I, LINE 4B THE FOLLOWING AMOUNTS WERE CONTRIBUTED TO A NONQUALIFIED RETIREMENT PLAN: AJ WILHELMI: $148,284 THE FOLLOWING AMOUNTS WERE DISTRIBUTED DURING THE YEAR FROM THE NONQUALIFIED RETIREMENT PLAN (CODA): AJ WILHELMI: $242,521 FORM 990, SCHEDULE J, PART II ALL COMPENSATION LISTED IN SCHEDULE J, PART II IS FROM THE ILLINOIS HEALTH AND HOSPITAL ASSOCIATION. NO TRUSTEE RECEIVED COMPENSATION FROM THE FILING ORGANIZATION.
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.
-
ILLINOIS HEALTH AND HOSPITAL ASSOCIATION
501 (C) (6) · TRADE ASSOC. · IL
-
ILLINOIS HOSP RESEARCH & EDUC FOUND
501 (C) (3) · EDUC/RESEARCH · IL
Directly controlled by IHA
-
MCHC - CHICAGO HOSPITAL COUNCIL
501 (C) (3) · HEALTHCARE SPT. · IL
Directly controlled by IHA
Taxable family on this return
Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.
Related corporations and trusts
Part IV: related organizations taxable as a corporation or trust.
-
ASSOCIATION VENTURE CORPORATION
C · HOLDING COMPANY · IL
Directly controlled by IHA
-
ASSOCIATION MANAGEMENT RESOURCES
C · PURCH PRG & DATA · IL
Directly controlled by AVC
-
ILLINOIS RISK MANAGEMENT SERVICES
C · CLAIMS RISK MGT. · IL
Directly controlled by AVC
-
MEDICAL ALLIANCE INSURANCE COMPANY
C · PHYS PL INSURANCE · IL
Directly controlled by AVC
-
MCHC - SERVICE CORPORATION
C · HEALTHCARE SUPPORT · IL
Directly controlled by AVC
-
IHA HUMAN CAPITAL SERVICES INC
C · CONSULTING · IL
Directly controlled by AVC
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 28 August 2023
- IRS schema version
- 2022v5.0
- Source object
- 202342409349301369
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