2024-08-14T09:48:00-05:00 2023-09-30 351489521 GREENWALT CPAS INC 5342 W VERMONT STREET INDIANAPOLIS IN 46224 990 2022-10-01 270179192 THE CENTER FOR COMPREHENSIVE CARE AND DIAGNOSIS OF INHERITED BLOOD DISORDERS CENT 9497487521 701 S PARKER STREET 1200 ORANGE CA 92868 DIANE J NUGENT PRESIDENT 9497487521 2024-08-08 1 AMANDA MEKO CPA P01062615 3172412999 2024-08-08 2022 2024-08-08 14:25:15Z DIANE J NUGENT MD 701 S PARKER STREET SUITE 1200 ORANGE CA 92868 105926610 0 X CIBD-CA.ORG X 2009 CA TO IMPROVE HEALTH AND LONGEVITY AND LOWER COSTS OF CARE; BY PROVIDING EDUCATION, SUPPORT, AND SERVICES TO DELIVER COMPREHENSIVE CARE FOR PATIENTS AND THEIR FAMILIES WITH RARE, CHRONIC INHERITED BLOOD DISORDERS. 6 6 51 6 0 0 3416876 7433018 1669208 2637670 216649 611301 6839361 9380558 12142094 20062547 3849632 7156307 0 0 5983106 6581806 0 0 0 5639366 5088207 15472104 18826320 -3330010 1236227 46446654 61282179 5607186 19206484 40839468 42075695 TO IMPROVE HEALTH AND LONGEVITY AND LOWER COSTS OF CARE; BY PROVIDING EDUCATION, SUPPORT, AND SERVICES TO DELIVER COMPREHENSIVE CARE FOR PATIENTS AND THEIR FAMILIES WITH RARE, CHRONIC INHERITED BLOOD DISORDERS. 0 0 16566811 7156307 82850422 THE CENTER FOR COMPREHENSIVE CARE AND DIAGNOSTICS OF INHERITED BLOOD DISORDERS (CIBD) IS A COMMUNITY BASED CLINIC THAT PROVIDES COMPREHENSIVE CARE FOR CHILDREN AND ADULTS WITH RARE, CHRONIC INHERITED BLOOD DISORDERS UTILIZING THE COMPREHENSIVE CARE MODEL. AS A SAFETY NET CLINIC, CIBD PROVIDES INCREASED ACCESS TO SUBSPECIALITY CARE THROUGH A MULTIDISCIPLINARY TEAM APPROACH. THROUGH PHARMACY SERVICES AND INNOVATIVE HEALTH INFORMATION TECHNOLOGY, CIBD IS ABLE TO EDUCATE PATIENTS AND FAMILIES AS WELL AS MONITOR AND DRIVE DOWN COST OF CARE THROUGH THE 340B PROGRAM. 16566811 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 20 0 1 51 1 0 0 0 0 0 0 0 0 0 0 0 0 X 6 6 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X X MICHAEL WARDEN 6573750502 701 S PARKER STREET SUITE 1200 ORANGE CA 92868 DIANE J NUGENT MD PRESIDENT/CHAIRPERSON 5.00 X X 0 0 0 AMIT SONI MD VICE PRESIDENT 5.00 X X 0 0 0 KATHIE BIRSCHBACH SECRETARY 1.00 X X 0 0 0 MARY BROWN DIRECTOR 0.50 X 0 0 0 BERTIL GLADER MD PHD DIRECTOR 1.00 X 0 0 0 RANDALL CURTIS DIRECTOR 1.00 X 0 0 0 BARRY STATON CHIEF EXECUTIVE OFFICER 40.00 X 384322 0 38754 MICHAEL WARDEN CHIEF FINANCIAL OFFICER 40.00 X 241899 0 39534 SAMANTHA CHAN PHARMACY MANAGER 40.00 X 188930 0 18694 JUDITH BAKER PUBLIC HEALTH POLICY DIRECTOR 40.00 X 168079 0 8531 NINA HWANG PHYSICIAN 32.00 X 197663 0 22480 MATTHEW CIANCIULLI DIRECTOR OF CLINIC 40.00 X 190557 0 18945 VANESSA SALINAS LUNA PHYSICIAN 40.00 X 213878 0 25383 ROBIN TAPPEY HUMAN RESOURCES DIRECTOR 40.00 X 193514 0 9633 ESTEBAN GOMEZ PHYSICIAN 32.00 X 275892 0 19651 2054734 0 201605 11 0 1 0 SICKLE CELL FOUNDATION OF SOUTHERN CALIF 3602 INLAND EMPIRE BLVD SUITE B220 ONTARIO CA 91764 CONTRACTUAL SERVICES 3148566 CHILDREN'S HOSPITAL ORANGE COUNTY 1201 W LA VETA AVE ORANGE CA 92868 CONTRACTUAL SERVICES 1474751 SV ENVIRONMENTAL COUNSULTING LLC 3219 E CAMELBACK ROAD SUITE 790 PHOENIX AZ 85018 CONTRACTUAL SERVICES 239643 PERRY COMMUNICATIONS GROUP INC 980 9TH STREET SUITE 1480 SACRAMENTO CA 95814 CONTRACTUAL SERVICES 227984 PEDIATRIC SUBSPECIALTIES 1201 W LA VETA AVE ORANGE CA 92868 CONTRACTUAL SERVICES 224931 6 7433018 7433018 ALL OTHER PROGRAM SERVICE REVENUE 2196692 2196692 FEES FOR SERVICE CONTRACTS 440978 440978 2637670 1018012 1018012 11987488 12394199 -406711 -406711 -406711 82850422 73469864 9380558 9380558 20062547 12018228 0 611301 7156307 7156307 1205458 912341 293117 3921835 2968209 953626 188119 142376 45743 908907 687899 221008 357487 270561 86926 73571 29013 44558 87229 34400 52829 30746 12125 18621 34725 28637 6088 780558 647803 132755 50946 49100 1846 178823 178823 171314 127687 43627 166617 123990 42627 PURCHASED SERVICES 2504507 2260753 243754 OTHER COSTS 517264 458735 58529 BAD DEBTS 286974 286974 SUBCONTRACTORS 137104 137104 67829 53974 13855 18826320 16566811 2259509 0 2041105 5277839 33436543 33038542 554323 640349 5651965 7382582 1641902 2385154 149680 134571 4062552 976985 2898966 3085567 72170 9337575 46446654 61282179 5036544 8439171 570642 821149 0 9946164 5607186 19206484 X 15078759 16936443 25760709 25139252 40839468 42075695 46446654 61282179 1236227 0 X X 0 1 X 1 1 1 X 1176467 1753405 1833545 3416876 7433018 15613311 70667869 66293230 76052698 67410040 85488092 365911929 71844336 68046635 77886243 70826916 92921110 381525240 0 0 0 381525240 240377 599597 76618 290055 1018012 2224659 240377 599597 76618 290055 1018012 2224659 72084713 68646232 77962861 71116971 93939122 383749899 0.99420 0.99650 0.00580 0.00350 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3042665 412863 2629802 757664 564122 193542 262223 262223 3085567 SECURITY DEPOSITS 72170 RIGHT OF USE ASSET 9265405 9337575 RIGHT OF USE LIABILITY 9946164 9946164 20062547 0 20062547 0 20062547 18826320 0 18826320 0 18826320 PART X, LINE 2: THE ORGANIZATION WILL RECOGNIZE THE IMPACT OF TAX POSITIONS IN THE FINANCIAL STATEMENTS IF THAT POSITION IS MORE LIKELY THAN NOT OF BEING SUSTAINED ON AUDIT, BASED ON THE TECHNICAL MERITS OF THE POSITION. TO DATE, THE ORGANIZATION HAS NOT RECORDED ANY UNCERTAIN TAX POSITIONS. THE ORGANIZATION RECOGNIZES POTENTIAL ACCRUED INTEREST AND PENALTIES RELATED TO UNCERTAIN TAX POSITIONS IN INCOME TAX EXPENSE. THE ORGANIZATION DID NOT RECOGNIZE ANY AMOUNT IN POTENTIAL INTEREST AND PENALTIES ASSOCIATED WITH UNCERTAIN TAX POSITIONS. THE FOLLOWING SUMMARIZES THE OPEN TAX YEARS FOR EACH MAJOR JURISDICTION: JURISDICTION OPEN TAX YEAR FEDERAL 2019-2021 STATE 2018-2021 1 CHILDREN'S HOSPITAL LOS ANGELES 4650 SUNSET BLVD MS 54 LOS ANGELES CA 90027 951690977 501(C)(3) 89497 89497 SUBCONTRACT HRSA GRANT HEMOPHILIA REGIONAL COMPREHENSIVE CARE PROGRAM VALLEY CHILDREN'S HOSPITAL OF CENTRAL CALIFORNIA 9300 VALLEY CHILDRENS PLACE MADREA CA 92636 941294954 501(C)(3) 130309 130309 SUBCONTRACT HRSA GRANT HEMOPHILIA REGIONAL COMPREHENSIVE CARE PROGRAM KAPI'OLANI MEDICAL CENTER FOR WOMEN AND CHILDREN 1319 PUNAHOU STREET HONOLULU HI 96826 990177350 501(C)(3) 41004 41004 SUBCONTRACT HRSA GRANT HEMOPHILIA REGIONAL COMPREHENSIVE CARE PROGRAM LUCILE PACKARD CHILDREN'S HOSPITAL AT STANFORD 1000 WELCH RD SUITE 300 MC5798 PALO ALTO CA 94304 941156365 501(C)(3) 85194 85194 SUBCONTRACT HRSA GRANT HEMOPHILIA REGIONAL COMPREHENSIVE CARE PROGRAM LOS ANGELES ORTHOPAEDIC HOSPITAL 2400 SOUTH FLOWER ST LOS ANGELES CA 90007 951644604 501(C)(3) 53923 53923 SUBCONTRACT HRSA GRANT HEMOPHILIA REGIONAL COMPREHENSIVE CARE PROGRAM RADY CHILDREN'S HOSPITAL - SAN DIEGO 3020 CHILDRENS WAY SAN DIEGO CA 92123 951691313 501(C)(3) 56817 56817 SUBCONTRACT CDC/ATHN GRANT PUBLIC HEALTH SURVEILLANCE THE REGENTS OF THE UNIVERSITY OF CALIFORNIA (DAVIS) 2360 STOCKTON BLVD SUITE 1100 SACRAMENTO CA 95817 946036494 501(C)(3) 274434 274434 SUBCONTRACT HRSA & CDPH GRANTS SICKLE CELL TREATMENT DEMONSTRATION PROGRAM THE REGENTS OF THE UNIVERSITY OF CALIFORNIA (UCSD) 200 W ARBOR DRIVE MC8651 SAN DIEGO CA 92103 956006144 501(C)(3) 374999 374999 SUBCONTRACT HRSA & CDPH GRANTS SICKLE CELL TREATMENT DEMONSTRATION PROGRAM THE REGENTS OF THE UNIVERSITY OF CALIFORNIA (UCSF) 650 MOFFITT BOX 0106 SAN FRANCISCO CA 94143 946036493 501(C)(3) 1299001 1299001 SUBCONTRACT HRSA & CDPH GRANTS SICKLE CELL TREATMENT DEMONSTRATION PROGRAM SICKLE CELL DISEASE FOUNDATION OF CALIFORNIA 3602 INLAND EMPIRE BLVD SUITE B220 ONTARIO CA 91764 956155962 501(C)(3) 3111913 3111913 SUBCONTRACT HRSA & CDPH GRANTS SICKLE CELL TREATMENT DEMONSTRATION PROGRAM THE UNIVERSITY OF ARIZONA 1303 E UNIVERSITY BLVD BOX 3 TUCSON AZ 857190521 742652689 501(C)(3) 33413 33413 SUBCONTRACT HRSA GRANT SICKLE CELL TREATMENT DEMONSTRATION PROGRAM OREGON HEALTH AND SCIENCE UNIVERSITY 3181 SW SAM JACKSON PARK ROAD PORTLAND OR 972013011 931176109 501(C)(3) 45769 45769 SUBCONTRACT HRSA GRANT SICKLE CELL TREATMENT DEMONSTRATION PROGRAM SEATTLE CHILDREN'S HOSPITAL 2101 E YESLER WAY SEATTLE WA 98122 910564748 501(C)(3) 29786 29786 SUBCONTRACT HRSA GRANT SICKLE CELL TREATMENT DEMONSTRATION PROGRAM HEMOSTASIS AND THROMBOSIS CENTER OF NV 8352 W WARM SPRINGS RD SUITE 200 LAS VEGAS NV 89113 822793154 501(C)(3) 96921 96921 SUBCONTRACT HRSA GRANT HEMOPHILIA REGIONAL COMPREHENSIVE CARE PROGRAM UNIVERSITY OF COLORADO 13121 E 17TH AVENUE C-222 ROOM L28-3211 AURORA CO 800452571 846000555 501(C)(3) 46360 46360 SUBCONTRACT HRSA GRANT SICKLE CELL TREATMENT DEMONSTRATION PROGRAM PHOENIX CHILDREN'S HOSPITAL 1919 E THOMAS RD PHOENIX AZ 850167710 860422559 501(C)(3) 54308 54308 SUBCONTRACT HRSA GRANT SICKLE CELL TREATMENT DEMONSTRATION PROGRAM IHC HEALTH SERVICES INC 100 N MARIO CAPECCHI DR SALT LAKE CITY UT 84113 942854057 501(C)(3) 33732 33732 SUBCONTRACT HRSA GRANT SICKLE CELL TREATMENT DEMONSTRATION PROGRAM JOHN HOPKINS UNIVERSITY 1800 ORLEANS STREET BALTIMORE MD 21287 520595110 501(C)(3) 5000 5000 SUBCONTRACT HRSA GRANT SICKLE CELL TREATMENT DEMONSTRATION PROGRAM LOMA LINDA UNIVERSITY HEALTH CARE PO BOX 2000 LOMA LINDA CA 92354 330364239 501(C)(3) 560943 560943 SUBCONTRACT CDPH GRANT SICKLE CELL TREATMENT DEMONSTRATION PROGRAM THE REGENTS OF THE UNIVERSITY OF CALIFORNIA (UCLA) 10889 WILSHIRE BLVD SUITE 700 LOS ANGELES CA 90095 956006143 501(C)(3) 220037 220037 SUBCONTRACT CDPH GRANT SICKLE CELL TREATMENT DEMONSTRATION PROGRAM LUNDQUIST INSTITUTE FOR BIOMEDICAL INNOVATION AT HARBOR-UCLA MEDICAL 1124 WEST CARSON STREET TORRANCE CA 90502 952138184 501(C)(3) 28367 28367 SUBCONTRACT CDPH GRANT SICKLE CELL TREATMENT DEMONSTRATION PROGRAM KERN MEDICAL CENTER FOUNDATION 900 TRUXTUN AVENUE SUITE 330 BAKERSFIELD CA 93301 364642420 501(C)(3) 457891 457891 SUBCONTRACT CDPH GRANT SICKLE CELL TREATMENT DEMONSTRATION PROGRAM ARROWHEAD REGIONAL MEDICAL CENTER 400 NORTH PEPPER AVENUE COLTON CA 92342 956002748 501(C)(3) 26689 26689 SUBCONTRACT CDPH GRANT SICKLE CELL TREATMENT DEMONSTRATION PROGRAM 23 X X X X X 0 0 0 0 0 0 0 0 0 BARRY STATON CHIEF EXECUTIVE OFFICER 384322 0 0 0 0 0 20295 0 18459 0 423076 0 0 0 ESTEBAN GOMEZ PHYSICIAN 275892 0 0 0 0 0 10116 0 9535 0 295543 0 0 0 MICHAEL WARDEN CHIEF FINANCIAL OFFICER 241899 0 0 0 0 0 13080 0 26454 0 281433 0 0 0 VANESSA SALINAS LUNA PHYSICIAN 213878 0 0 0 0 0 8392 0 16991 0 239261 0 0 0 NINA HWANG PHYSICIAN 197663 0 0 0 0 0 7779 0 14701 0 220143 0 0 0 MATTHEW CIANCIULLI DIRECTOR OF CLINIC 190557 0 0 0 0 0 10439 0 8506 0 209502 0 0 0 SAMANTHA CHAN PHARMACY MANAGER 188930 0 0 0 0 0 10848 0 7846 0 207624 0 0 0 ROBIN TAPPEY HUMAN RESOURCES DIRECTOR 193514 0 0 0 0 0 9633 0 0 0 203147 0 0 0 JUDITH BAKER PUBLIC HEALTH POLICY DIRECTOR 168079 0 0 0 0 0 8365 0 166 0 176610 0 0 0 FORM 990, PART V, LINE 13A CA FORM 990, PART VI, SECTION B, LINE 11B A DRAFT COPY OF FORM 990 WAS PROVIDED TO THE ORGANIZATION'S GOVERNING BODY AND BOARD OF DIRECTORS TO REVIEW AND APPROVE BEFORE IT WAS ELECTRONICALLY FILED BY THE CPA FIRM. FORM 990, PART VI, SECTION B, LINE 12C CIBD'S CONFLICT OF INTEREST POLICIES ARE REVIEWED ON A REGULAR BASIS AND PROVIDED TO THE OFFICERS AND DIRECTORS. FORM 990, PART VI, SECTION B, LINE 15 THE PROCESS FOR DETERMINING COMPENSATION OF THE ORGANIZATION'S OFFICERS AND KEY EMPLOYEES INCLUDES A COMPENSATION REVIEW AND APPROVAL BY AN INDEPENDENT RECRUITING FIRM. THE FIRM ANALYZES COMPARABILITY DATA AND THEN PROVIDES THE ORGANIZATION WITH A RANGE OF COMPENSATION. THE FINAL COMPENSATION IS DECIDED BY THE PRESIDENT. FORM 990, PART VI, SECTION C, LINE 18 THE ORGANIZATION MAKES TAX FORMS AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST. THE TAX FORMS ARE ALSO AVAILABLE ON GUIDESTAR.ORG. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTERST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.