2022-05-27T11:25:42-05:00 2021-12-31 521853933 JM&M 1730 RHODE ISLAND AVE NW SUITE 800 WASHINGTON DC 20036 990 2021-01-01 521336656 INSTITUTE FOR CLINICAL RESEARCH INC INST 2024626820 PO BOX 29545 WASHINGTON DC 20017 FELIX OLIVER EXECUTIVE DIRECTOR 2024626820 2022-05-27 1 FELIX OLIVER XXX-XX-XXXX TINA PEACHER P01608826 2022963306 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z FELIX OLIVER PO BOX 29545 WASHINGTON DC 20017 12644363 0 X ICLINICALRESEARCH.NET X 1984 DC TO SUPPORT AND PERFORM MEDICAL AND PHARMACOLOGICAL RESEARCH, RELATED EDUCATIONAL ACTIVITIES AND OTHER RELATED ENDEAVORS. 10 2 30 2 0 0 6108714 2093848 0 10504396 80411 39870 4613 6249 6193738 12644363 1548851 6429582 0 0 1585400 1687655 0 0 85598 3179684 2692682 6313935 10809919 -120197 1834444 13491504 20629782 3698105 9026856 9793399 11602926 TO SUPPORT AND PERFORM MEDICAL AND PHARMACOLOGICAL RESEARCH, RELATED EDUCATIONAL ACTIVITIES AND OTHER RELATED ENDEAVORS. 0 0 10206787 6429582 10504396 CONDUCT INVESTIGATIONS, EXPERIMENTS AND STUDIES TO DISCOVER, DEVELOP OR CERTIFY KNOWLEDGE RELATING TO THE CAUSES, DIAGNOSES, TREATMENT, PREVENTION, OR CONTROL OF PHYSICAL DISEASE AND IMPAIRMENTS OF PEOPLE. 10206787 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 1 1 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 29 0 1 30 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 2 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 0 1 0 0 0 X FELIX OLIVER 2024626820 PO BOX 29545 WASHINGTON DC 20017 FELIX OLIVER EXECUTIVE DIRECTOR 20.00 X 159481 0 0 MICHAEL J VJECHA PROJECT ADMINISTRATOR 40.00 X 159229 0 14603 ADRIANA SANCHEZ RESEARCH MANAGER 40.00 X 136398 0 10187 DR SAMIR PATEL MD CHAIRMAN 2.00 40.00 X X 0 271046 0 DR PAMELA KARASIK MD DIRECTOR 1.00 40.00 X 0 377580 0 DR CHARLES FASELIS MD DIRECTOR 1.00 40.00 X 0 304839 0 DR SAMANTHA MCINTOSH MD DIRECTOR 1.00 40.00 X 0 289914 0 DR GAIL KERR MD DIRECTOR 1.00 40.00 X 0 289544 0 DR MATTHEW TUCK MD DIRECTOR 1.00 40.00 X 0 254878 0 COL RET MICHAEL S HEIMALL DIRECTOR 1.00 40.00 X 0 209300 0 DR DANIEL TAUB DIRECTOR 1.00 40.00 X 0 168150 0 DR BIDHAN BANDYOPADHYAY DIRECTOR 1.00 40.00 X 0 134798 0 MELVIN GOODWEATHER DIRECTOR 1.00 40.00 X 2000 0 0 457108 2300049 24790 3 0 1 0 0 1541180 552668 2093848 CONTRACT INCOME 900099 10504396 10504396 10504396 39870 39870 OTHER MISC. REFUND 900099 4750 4750 INSURANCE REFUND 900099 1499 1499 6249 12644363 10504396 0 46119 X 5559435 5559435 870147 870147 159481 133225 18972 7284 1317094 1100257 156678 60159 86383 73616 6044 6723 124697 104701 14647 5349 36345 650 35695 20200 20200 2428844 2234976 187785 6083 688 110 578 140519 117397 23122 7976 6193 1783 33370 33370 3207 3207 BAD DEBT EXPENSE 14768 14768 STUDY CLINICAL COSTS 6080 6080 MISCELLANEOUS 685 685 10809919 10206787 517534 85598 208215 155474 2711115 9943879 3469308 3392295 15203 15176 705607 644274 40535 61333 7047128 7061625 13491504 20629782 1056579 350452 2641526 8291515 384889 3698105 9026856 X 9793399 11602926 9793399 11602926 13491504 20629782 1834444 -24917 0 X X 0 1 X 1 1 1 X VETERANS ADMINISTRATION MEDICAL CENTER WASHINGTON DC RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 705607 644274 61333 61333 X 12619446 -24917 -24917 12644363 0 12644363 10809919 0 10809919 0 10809919 PART X, LINE 2: ICR BELIEVES THAT THEY HAVE APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN, AND AS SUCH, DO NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS OR THAT WOULD HAVE AN EFFECT ON ITS TAX-EXEMPT STATUS. THERE ARE NO UNRECOGNIZED TAX BENEFITS OR LIABILITIES THAT NEED TO BE RECORDED. 1 SOUTH AMERICA - ARGENTINA, BOLIVIA, BRAZIL, CHILE, COLUMBIA, ECUADOR, 0 0 PROGRAM SERVICES GRANTS 818522 SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, 0 0 PROGRAM SERVICES GRANTS 51625 0 0 0 0 0 0 870147 0 870147 SOUTH AMERICA - ARGENTINA, BOLIVIA, BRAZIL, CHILE, COLUMBIA, ECUADOR, MEDICAL STUDIES AND RESEARCH. 86022 WIRE 0 SOUTH AMERICA - ARGENTINA, BOLIVIA, BRAZIL, CHILE, COLUMBIA, ECUADOR, MEDICAL STUDIES AND RESEARCH. 732500 WIRE 0 SUB-SAHARAN AFRICA MEDICAL STUDIES AND RESEARCH. 51625 WIRE 0 3 0 0 0 0 0 0 PART I, LINE 2: SUB-GRANTEES ARE EXPECTED TO SUBMIT A FINAL PROGRESS REPORT TO THE ORIGINAL GRANTOR. UPON RECEIVING THE FINAL REPORT, THE ORIGINAL GRANTOR FORWARDS PAYMENT TO ICR TO PAY THE SUB-GRANTEE. PART III ACCOUNTING METHOD: 1 DENVER HEALTH AND HOSPITAL AUTHORITY 605 BANNOCK STREET DENVER CO 80204 841343242 GOVERNMENT 273460 0 CLINICAL RESEARCH AND STUDY. AMERICAN COLLEGE OF RHEUMATOLOGY 2200 LAKE BLVD NE ATLANTA GA 30319 581627547 501(C)(3) 108048 0 CLINICAL RESEARCH AND STUDY. UT SOUTHWESTERN MEDICAL CENTER 5323 HARRY HINES BLVD DALLAS TX 75390 756002868 GOVERNMENT 2303960 0 CLINICAL RESEARCH AND STUDY. UNIVERSIDAD DE PUERTO RICO PROYECTO ACTU PO BOX 365067 BIOMEDICAL BUILDING II SUITE 103 PR MEDICAL CENTER GROU SAN JUAN PR 00935 660433762 GOVERNMENT 12550 0 CLINICAL RESEARCH AND STUDY. BAYSTATE MEDICAL CENTER PO BOX 414168 BOSTON MA 02241 042790311 501(C)(3) 27325 0 CLINICAL RESEARCH AND STUDY. THE HENRY M JACKSON FDN FOR THE ADV OF MILITARY MED INC 6720-A ROCKLEDGE DR SUITE 100 BETHESDA MD 20817 521317896 501(C)(3) 5812 0 CLINICAL RESEARCH AND STUDY. HENRY FORD HEALTH SYSTEM 2799 WEST GRAND BLVD DETROIT MI 48202 381357020 501(C)(3) 68010 0 CLINICAL RESEARCH AND STUDY. CASE WESTERN RESERVE UNIVERSITY 10900 EUCLID AVENUE CLEVELAND OH 44106 341018992 501(C)(3) 16100 0 CLINICAL RESEARCH AND STUDY. CENTER FOR VETERANS RESEARCH & EDUCATION ONE VETERANS DRIVE RESEARCH 151 MINNEAPOLIS MN 55417 411652941 501(C)(3) 55825 0 CLINICAL RESEARCH AND STUDY. ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI 1 GUSTAVE L LEVY PLACE BOX 3500 NEW YORK NY 10029 136171197 501(C)(3) 513020 0 CLINICAL RESEARCH AND STUDY. HARBOR-UCLA MEDICAL CENTER LUNQUIST INSTITUTE FOR BIOMEDICAL INNOVATION 1124 WEST CARSON STREET MRL 4TH FLOOR MRL 4TH FLOOR TORRANCE CA 90213 956092824 501(C)(3) 285525 0 CLINICAL RESEARCH AND STUDY. MAYO CLINIC 200 FIRST STREET SW PO BOX 4006 ROCHESTER MN 55905 416011702 501(C)(3) 65100 0 CLINICAL RESEARCH AND STUDY. MEDSTAR HEALTH RESEARCH INSTITUTE PO BOX 418223 BOSTON MA 02241 526056274 501(C)(3) 76988 0 CLINICAL RESEARCH AND STUDY. MINNESOTA VETERANS MREF ONE VETERANS DRIVE MINNEAPOLIS MN 55417 410696270 501(C)(3) 45414 0 CLINICAL RESEARCH AND STUDY. SWEDISH HEALTH SERVICES PO BOX 94085 SEATTLE WA 98124 910433740 501(C)(3) 100800 0 CLINICAL RESEARCH AND STUDY. THE COOPER HEALTH SYSTEM 3 EXECUTIVE CAMPUS ROUTE 70 SUITE 310 CHERRY HILL NJ 08002 210634462 501(C)(3) 54235 0 CLINICAL RESEARCH AND STUDY. USF RESEARCH FOUNDATION PO BOX 864568 ORLANDO FL 32886 593102112 GOVERNMENT 825673 0 CLINICAL RESEARCH AND STUDY. THE RESEARCH FOUNDATION FOR THE STATE UNIVERSITY OF NEW YORK PO BOX 9 ALBANY NY 12201 141368361 501(C)(3) 87643 0 CLINICAL RESEARCH AND STUDY. VA CONNECTICUT RESEARCH AND EDUCATION FOUNDATION INC 950 CAMPBELL AVE BLDG 35A ROOM 104 WEST HAVEN CT 06516 202206467 501(C)(3) 91600 0 CLINICAL RESEARCH AND STUDY. HENNEPIN HEALTHCARE RES INSTITUTE 701 PARK AVE SUITE PP7700 MINNEAPOLIS MN 55415 411677920 501(C)(3) 434525 0 CLINICAL RESEARCH AND STUDY. WAKE FOREST UNIVERSITY HEALTH SERVICES MEDICAL CENTER BLVD WINSTONSALEM NC 27157 223849199 501(C)(3) 42550 0 CLINICAL RESEARCH AND STUDY. WHOLE FAMILY HEALTH CENTER 725 NORTH US HIGHWAY 1 FORT PIERCE FL 34950 650715258 501(C)(3) 61350 0 CLINICAL RESEARCH AND STUDY. 22 PART I, LINE 2: SUB-GRANTEES ARE EXPECTED TO SUBMIT A FINAL PROGRESS REPORT TO THE ORIGINAL GRANTOR. UPON RECEIVING THE FINAL REPORT, THE ORIGINAL GRANTOR INSTRUCTS ICR TO RELEASE THE FUNDS TO SUB-GRANTEES. X X 0 0 0 0 0 0 0 0 0 FELIX OLIVER EXECUTIVE DIRECTOR 159481 0 0 0 0 0 0 0 0 0 159481 0 0 0 MICHAEL J VJECHA PROJECT ADMINISTRATOR 159229 0 0 0 0 0 0 0 14603 0 173832 0 0 0 DR SAMIR PATEL MD CHAIRMAN 0 271046 0 0 0 0 0 0 0 0 0 271046 0 0 DR PAMELA KARASIK MD DIRECTOR 0 377580 0 0 0 0 0 0 0 0 0 377580 0 0 DR CHARLES FASELIS MD DIRECTOR 0 304839 0 0 0 0 0 0 0 0 0 304839 0 0 DR SAMANTHA MCINTOSH MD DIRECTOR 0 289914 0 0 0 0 0 0 0 0 0 289914 0 0 DR GAIL KERR MD DIRECTOR 0 289544 0 0 0 0 0 0 0 0 0 289544 0 0 DR MATTHEW TUCK MD DIRECTOR 0 254878 0 0 0 0 0 0 0 0 0 254878 0 0 COL RET MICHAEL S HEIMALL DIRECTOR 0 209300 0 0 0 0 0 0 0 0 0 209300 0 0 DR DANIEL TAUB DIRECTOR 0 168150 0 0 0 0 0 0 0 0 0 168150 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION'S FORM 990 IS REVIEWED BY THE EXECUTIVE DIRECTOR, THE FINANCE OFFICER AND CONTRACT CFO MANAGER PRIOR TO BEING SIGNED BY THE EXECUTIVE DIRECTOR AND FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C ALL MEMBERS OF THE BOARD OF DIRECTORS, INVESTIGATORS, OFFICERS AND EMPLOYEES OF THE ORGANIZATION ARE REQUIRED TO CERTIFY THAT THEY ARE AWARE OF AND IN COMPLIANCE WITH FEDERAL CONDUCT AND CONFLICT OF INTEREST LAWS AND REGULATIONS ON AN ANNUAL BASIS. THE ORGANIZATION'S EXECUTIVE DIRECTOR REVIEWS, MONITORS AND ENFORCES COMPLIANCE WITH THE POLICY. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC ONLY UPON REQUEST. FORM 990, PART IX, LINE 11G SUBCONTRACTORS: PROGRAM SERVICE EXPENSES 1,753,875. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,753,875. OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 481,101. MANAGEMENT AND GENERAL EXPENSES 187,785. FUNDRAISING EXPENSES 6,083. TOTAL EXPENSES 674,969. FORM 99, PART XII, LINE 2C: THE ORGANIZATION HAS NOT CHANGED ITS AUDIT OVERSIGHT OR AUDITOR SELECTION PROCESS DURING THE TAX YEAR. WASHINGTON DC VA MEDICAL CENTER 50 IRVING STREET NW WASHINGTON DC 20422 HOSPITAL DC 501(C)(1) N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0