2014-11-14T15:25:47-06:00 2014-06-30 205804172 BGBC PARTNERS LLP 300 N MERIDIAN ST STE 1100 INDIANAPOLIS IN 46204 990 2013-07-01 270962095 INDIANAPOLIS COALITION FOR PATIENT SAFETY INC INDI 3172233090 351 W 10TH STREET SUITE 342 INDIANAPOLIS IN 46202 JAMES FULLER PHARMD PRESIDENT 3172233090 2014-11-13 1 CYNTHIA M MCCULLOUGH CPA P01261354 3176334700 2013 2015-11-30 17:44:51Z CHARLES MIRAMONTI MD 351 W 10TH STREET SUITE 342 INDIANAPOLIS IN 46202 351031 0 X INDYPATIENTSAFETY.ORG X 2009 IN 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. 14 14 0 0 0 0 70000 50000 275000 300000 1272 1031 75 0 346347 351031 0 0 0 0 61460 0 0 0 0 210748 296069 272208 296069 74139 54962 427624 482586 25000 25000 402624 457586 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. 0 0 293769 300000 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. 293769 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 4 0 1 0 1 0 0 0 0 0 0 0 0 0 0 X 14 14 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 0 0 0 0 0 IN X JAMES FULLER PHARMD 3172233090 10401 N MERIDIAN STREET SUITE 300 INDIANAPOLIS IN 46290 X CHARLES MIRAMONTI MD CHAIR 6.00 X X 0 0 0 CLIF KNIGHT MD FAAFP VICE-CHAIR 1.00 X X 0 0 0 JAMES FULLER PHARMD PRESIDENT 40.00 X X 0 0 0 BILL CORLEY SECRETARY 1.00 X 0 0 0 SUSAN BROWN MS MBA TREASURER 1.00 X 0 0 0 VINCENT C CAPONI MEMBER 1.00 X 0 0 0 LISA HARRIS MD MEMBER 1.00 X 0 0 0 THOMAS MATTICE MEMBER 1.00 X 0 0 0 BRYAN MILLS MEMBER 1.00 X 0 0 0 DAN EVANS MEMBER 1.00 X 0 0 0 BOB BRODY MEMBER 1.00 X 0 0 0 LEE ANN BLUE RN MEMBER 1.00 X 0 0 0 PATRICIA CALVIN RN MEMBER 1.00 X 0 0 0 TRISHA SQROW MEMBER 1.00 X 0 0 0 0 0 0 0 0 0 0 0 50000 50000 MEMBERSHIP DUES 900099 300000 300000 300000 1031 1031 351031 300000 0 1031 X 178736 178736 2300 2300 78440 78440 225 225 1589 1589 284 284 13043 13043 4180 4180 6746 6746 2174 2174 MISCELLANEOUS EXPENSES 8352 8352 296069 293769 2300 0 49 4779 422524 472756 35 35 5016 5016 427624 482586 25000 25000 25000 25000 X 0 0 0 0 402624 457586 402624 457586 427624 482586 54962 0 X 0 0 0 X X 0 0 0 INDIANA UNIVERSITY HEALTH INC 351955872 501(A)(1) 1 1 1 0 COMMUNITY HEALTH NETWORK INC 311038302 501(A)(1) 1 1 1 0 COMMUNITY HOSPITALS OF INDIANA INC 350983617 501(A)(1) 1 1 1 0 COMMUNITY HOSPITAL SOUTH INC 351088640 501(A)(1) 1 1 1 0 COMMUNITY LTC INC 351877441 501(A)(1) 1 1 1 0 COMMUNITY HOME HEALTH SERVICES INC 350953467 501(A)(1) 1 1 1 0 HEALTH AND HOSPITAL CORP OF MARION COUNTY DBA WISHARD HEALTH SERVICES 356005697 501(A)(1) 1 1 1 0 RICHARD ROUDEBUSH VETERANS AFFAIRS MEDICAL CENTER 351511916 501(A)(1) 1 1 1 0 ST VINCENT HEALTH INC 352052591 501(A)(1) 1 1 1 0 ST VINCENT HOSPITAL AND HEALTH CARE CENTER INC 350869066 501(A)(1) 1 1 1 0 ST VINCENT CARMEL HOSPITAL INC 743107055 501(A)(1) 1 1 1 0 SETON SPECIALTY HOSPITAL INC 351712001 501(A)(1) 1 1 1 0 FRANCISCAN ALLIANCE INC DBA FRANCISCAN ST FRANCIS HEALTH 351330472 501(A)(1) 1 1 1 0 13 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED FORM 990, PART VI, SECTION B, LINE 11 A COPY OF FORM 990 IS PROVIDED TO AND REVIEWED BY EACH MEMBER OF THE BOARD OF DIRECTORS UPON COMPLETION. FORM 990, PART VI, SECTION B, LINE 12C EACH DIRECTOR, OFFICER, AND EMPLOYEE OF THE ORGANIZATION IS REQUIRED TO PROVIDE AN ANNUAL DISCLOSURE OF ACTUAL OR POTENTIAL CONFLICTS OF INTEREST THAT ARISE AS A RESULT OF THAT PERSON'S ROLE WITH THE ORGANIZATION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, POLICIES AND PROCEDURES, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G CONTRACTOR & OUTSIDE SERVICES: PROGRAM SERVICE EXPENSES 78,440. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 78,440.