2022-03-17T13:28:10-05:00 2021-09-30 351489521 GREENWALT CPAS INC 5342 W VERMONT STREET INDIANAPOLIS IN 46224 990 2020-10-01 270179192 THE CENTER FOR COMPREHENSIVE CARE AND DIAGNOSIS OF INHERITED BLOOD DISORDERS CENT 9497487521 2670 N MAIN ST NO 150 SANTA ANNA CA 92705 DIANE J NUGENT PRESIDENT 6572328122 2022-03-09 DIANE NUGENT XXX-XX-XXXX AMANDA MEKO CPA P01062615 3172412999 2022-03-09 0 AAL1 IAL1 2020 2022-09-23 18:48:47Z DIANE J NUGENT MD 2670 N MAIN STREET SUITE 150 SANTA ANA CA 92705 81128386 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 48 9 0 0 1753405 2573545 66293230 1642278 599597 -22064 0 7331572 68646232 11525331 1257143 5103035 0 0 5095664 5523839 0 0 0 64868428 3987611 71221235 14614485 -2575003 -3089154 56342926 53330145 7549492 7625865 48793434 45704280 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 12584136 5103035 76052698 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. 12584136 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 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 18 0 1 48 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 6572328122 2670 N MAIN STREET SUITE 150 SANTA ANA CA 92705 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 RANDALL CURTIS DIRECTOR 1.00 X 0 0 0 BERTIL GLADER MD PHD DIRECTOR 1.00 X 0 0 0 BARRY STATON CHIEF EXECUTIVE OFFICER 40.00 X 339831 0 41306 MICHAEL WARDEN CHIEF FINANCIAL OFFICER 40.00 X 189139 0 29699 SAMANTHA CHAN PHARMACY MANAGER 40.00 X 189043 0 18419 NINA HWANG PHYSICIAN 32.00 X 174982 0 21182 MATTHEW CIANCIULLI DIRECTOR OF CLINIC 40.00 X 164296 0 17357 VANESSA SALINAS LUNA PHYSICIAN 40.00 X 190888 0 22869 SPENCER DUNN BUSINESS DEVELOPMENT 40.00 X 169124 0 17183 SHALINI VORA DIRECTOR OF GRANTS 40.00 X 160343 0 13980 1577646 0 181995 6 0 1 0 SICKLE CELL FOUNDATION OF SOUTHERN CALIF 3602 INLAND EMPIRE BLVD SUITE B220 ONTARIO CA 91764 CONTRACTUAL SERVICES 3185044 CHILDREN'S HOSPITAL ORANGE COUNTY 1201 W LA VETA AVE ORANGE CA 92868 CONTRACTUAL SERVICES 1037208 PEDIATRIC SUBSPECIALTIES 1201 W LA VETA AVE ORANGE CA 92868 CONTRACTUAL SERVICES 266126 RED CHIP ENTERPRISES 18009 SKY PARK CIRCLE SUITE G IRVINE CA 92614 BILLING SERVICES 263050 4 2573545 2573545 ALL OTHER PROGRAM SERVICE REVENUE 900099 1207496 1207496 FEES FOR SERVICE CONTRACTS 900099 400624 400624 CONTRACT PHARMACY SERVICES 900099 34158 34158 1642278 -5148 -5148 3247291 3264207 -16916 -16916 -16916 73670420 66338848 7331572 7331572 11525331 8973850 0 -22064 5103035 5103035 579949 579949 3992684 2824732 1167952 189792 141315 48477 454566 338460 116106 306848 228472 78376 84190 25162 59028 92108 27528 64580 60103 17963 42140 25927 22030 3897 617644 450661 166983 7724 7703 21 118426 118426 13439 8495 4944 148109 106648 41461 PURCHASED SERVICES 1852156 1692928 159228 OTHER COSTS 362435 298771 63664 SUBCONTRACTORS 326835 326835 BAD DEBTS 227834 226150 1684 50681 38873 11808 14614485 12584136 2030349 0 3617286 2747572 42277259 38256698 441166 585951 7292225 8702677 2524054 2744290 97012 97174 849815 705777 42179 144038 51745 51745 56342926 53330145 6809492 7625865 740000 0 7549492 7625865 X 15469441 16536908 33323993 29167372 48793434 45704280 56342926 53330145 -3089154 0 X X 0 1 X 1 1 1 X 1887299 1301992 1176467 1753405 1833545 7952708 41012713 59959865 70667869 66293230 76052698 313986375 42900012 61261857 71844336 68046635 77886243 321939083 0 0 0 321939083 14805 19765 240377 599597 76618 951162 14805 19765 240377 599597 76618 951162 42914817 61281622 72084713 68646232 77962861 322890245 0.99710 0.99680 0.00290 0.00320 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 193263 193263 0 540734 512514 28220 115818 115818 144038 11525331 0 11525331 0 11525331 14614485 0 14614485 0 14614485 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 2016-2019 STATE 2015-2019 1 CHILDREN'S HOSPITAL LOS ANGELES 4650 SUNSET BLVD MS 54 LOS ANGELES CA 90027 951690977 501(C)(3) 42525 SUBCONTRACT HRSA GRANT HEMOPHILIA REGIONAL COMPREHENSIVE CARE PROGRAM CHILDREN'S HOSPITAL LOS ANGELES 4650 SUNSET BLVD MS 54 LOS ANGELES CA 90027 951690977 501(C)(3) 62443 SUBCONTRACT CDC/ATHN GRANT PUBLIC HEALTH SURVEILLANCE VALLEY CHILDREN'S HOSPITAL OF CENTRAL CALIFORNIA 9300 VALLEY CHILDRENS PLACE MADREA CA 92636 941294954 501(C)(3) 14850 SUBCONTRACT HRSA GRANT HEMOPHILIA REGIONAL COMPREHENSIVE CARE PROGRAM VALLEY CHILDREN'S HOSPITAL 9300 VALLEY CHILDRENS PLACE MADREA CA 92636 941294954 501(C)(3) 40288 SUBCONTRACT CDC/ATHN GRANT PUBLIC HEALTH SURVEILLANCE KAPI'OLANI MEDICAL CENTER FOR WOMEN AND CHILDREN 1319 PUNAHOU STREET HONOLULU HI 96826 990177350 501(C)(3) 30330 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) 15092 SUBCONTRACT CDC/ATHN GRANT PUBLIC HEALTH SURVEILLANCE LUCILE PACKARD CHILDREN'S HOSPITAL AT STANFORD 1000 WELCH RD SUITE 300 MC5798 PALO ALTO CA 94304 941156365 501(C)(3) 42760 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) 11837 SUBCONTRACT CDC/ATHN GRANT PUBLIC HEALTH SURVEILLANCE ORTHOPAEDIC HOSPITAL 2400 SOUTH FLOWER ST LOS ANGELES CA 90007 951644604 501(C)(3) 45218 SUBCONTRACT HRSA GRANT HEMOPHILIA REGIONAL COMPREHENSIVE CARE PROGRAM ORTHOPAEDIC HOSPITAL 2400 SOUTH FLOWER ST LOS ANGELES CA 90007 951644604 501(C)(3) 24250 SUBCONTRACT CDC/ATHN GRANT PUBLIC HEALTH SURVEILLANCE PEDIATRIC SUBSPECIALTY FACULTY 1010 WEST LA VETA AVE SUITE 670 ORANGE CA 92868 330930025 501(C)(3) 39039 SUBCONTRACT HRSA GRANT HEMOPHILIA REGIONAL COMPREHENSIVE CARE PROGRAM PEDIATRIC SUBSPECIALTY FACULTY 1010 WEST LA VETA AVE SUITE 670 ORANGE CA 92868 330930025 501(C)(3) 3946 SUBCONTRACT CDC/ATHN GRANT PUBLIC HEALTH SURVEILLANCE PEDIATRIC SUBSPECIALTY FACULTY 1010 WEST LA VETA AVE SUITE 670 ORANGE CA 92868 330930025 501(C)(3) 3692 SUBCONTRACT HRSA GRANT SICKLE CELL TREATMENT DEMONSTRATION PROGRAM PEDIATRIC SUBSPECIALTY FACULTY 1010 WEST LA VETA AVE SUITE 670 ORANGE CA 92868 330930025 501(C)(3) 58215 SUBCONTRACT CALIFORNIA DEPARTMENT OF PUBLIC HEALTH NETWORKING CALIFORNIA FOR SICKLE CELL CARE (NCSCC) RADY CHILDREN'S HOSPITAL - SAN DIEGO 3020 CHILDRENS WAY SAN DIEGO CA 92123 951691313 501(C)(3) 7128 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) 23371 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) 45196 SUBCONTRACT HRSA GRANT HEMOPHILIA REGIONAL COMPREHENSIVE CARE PROGRAM THE REGENTS OF THE UNIVERSITY OF CALIFORNIA (DAVIS) 2360 STOCKTON BLVD SUITE 1100 SACRAMENTO CA 95817 946036494 501(C)(3) 22509 SUBCONTRACT CDC/ATHN GRANT PUBLIC HEALTH SURVEILLANCE THE REGENTS OF THE UNIVERSITY OF CALIFORNIA (UCSD) 200 W ARBOR DRIVE MC8651 SAN DIEGO CA 92103 956006144 501(C)(3) 26729 SUBCONTRACT HRSA GRANT HEMOPHILIA REGIONAL COMPREHENSIVE CARE PROGRAM THE REGENTS OF THE UNIVERSITY OF CALIFORNIA (UCSD) 200 W ARBOR DRIVE MC8651 SAN DIEGO CA 92103 956006144 501(C)(3) 19121 SUBCONTRACT CDC/ATHN GRANT PUBLIC HEALTH SURVEILLANCE THE REGENTS OF THE UNIVERSITY OF CALIFORNIA (UCSD) 200 W ARBOR DRIVE MC8651 SAN DIEGO CA 92103 956006144 501(C)(3) 75143 SUBCONTRACT CALIFORNIA DEPARTMENT OF PUBLIC HEALTH NETWORKING CALIFORNIA FOR SICKLE CELL CARE (NCSCC) THE REGENTS OF THE UNIVERSITY OF CALIFORNIA (UCSF) 650 MOFFITT BOX 0106 SAN FRANCISCO CA 94143 946036493 501(C)(3) 70989 SUBCONTRACT HRSA GRANT HEMOPHILIA REGIONAL COMPREHENSIVE CARE PROGRAM THE REGENTS OF THE UNIVERSITY OF CALIFORNIA (UCSF) 650 MOFFITT BOX 0106 SAN FRANCISCO CA 94143 946036493 501(C)(3) 72908 SUBCONTRACT CDC/ATHN GRANT PUBLIC HEALTH SURVEILLANCE THE REGENTS OF THE UNIVERSITY OF CALIFORNIA (UCSF) 650 MOFFITT BOX 0106 SAN FRANCISCO CA 94143 946036493 501(C)(3) 131112 SUBCONTRACT HRSA GRANT 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) 692850 SUBCONTRACT CALIFORNIA DEPARTMENT OF PUBLIC HEALTH NETWORKING CALIFORNIA FOR SICKLE CELL CARE (NCSCC) SICKLE CELL DISEASE FOUNDATION OF CALIFORNIA 3602 INLAND EMPIRE BLVD SUITE B220 ONTARIO CA 91764 956155962 501(C)(3) 141067 SUBCONTRACT HRSA GRANT SICKLE CELL TREATMENT DEMONSTRATION PROGRAM SICKLE CELL DISEASE FOUNDATION OF CALIFORNIA 3602 INLAND EMPIRE BLVD SUITE B220 ONTARIO CA 91764 956155962 501(C)(3) 218254 SUBCONTRACT QUEENS CARE LA COUNTY ADULTS LIVING WITH SICKLE CELL DISEASE SICKLE CELL DISEASE FOUNDATION OF CALIFORNIA 3602 INLAND EMPIRE BLVD SUITE B220 ONTARIO CA 91764 956155962 501(C)(3) 2808742 SUBCONTRACT CALIFORNIA DEPARTMENT OF PUBLIC HEALTH NETWORKING CALIFORNIA FOR SICKLE CELL CARE (NCSCC) SICKLE CELL DISEASE FOUNDATION OF CALIFORNIA 3602 INLAND EMPIRE BLVD SUITE B220 ONTARIO CA 91764 956155962 501(C)(3) 16982 GLOBAL BLOOD THERAPEUTICS STRENGTHENING ACCESS TO SICKLE CELL CARE IN CALIFORNIA THE UNIVERSITY OF ARIZONA 1303 E UNIVERSITY BLVD BOX 3 TUCSON AZ 857190521 742652689 501(C)(3) 49267 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) 25113 SUBCONTRACT HRSA GRANT SICKLE CELL TREATMENT DEMONSTRATION PROGRAM SEATTLE CHILDREN'S HOSPITAL 2101 E YESLER WAY SEATTLE WA 98122 910564748 501(C)(3) 32015 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) 34341 SUBCONTRACT HRSA GRANT HEMOPHILIA REGIONAL COMPREHENSIVE CARE PROGRAM HEMOSTASIS AND THROMBOSIS CENTER OF NV 8352 W WARM SPRINGS RD SUITE 200 LAS VEGAS NV 89113 822793154 501(C)(3) 32609 SUBCONTRACT CDC/ATHN GRANT PUBLIC HEALTH SURVEILLANCE HEMOSTASIS AND THROMBOSIS CENTER OF NV 8352 W WARM SPRINGS RD SUITE 200 LAS VEGAS NV 89113 822793154 501(C)(3) 37785 SUBCONTRACT HRSA GRANT SICKLE CELL TREATMENT DEMONSTRATION PROGRAM UNIVERSITY OF COLORADO 13121 E 17TH AVENUE C-222 ROOM L28-3211 AURORA CO 800452571 846000555 501(C)(3) 49606 SUBCONTRACT HRSA GRANT SICKLE CELL TREATMENT DEMONSTRATION PROGRAM PHOENIX CHILDREN'S HOSPITAL 1919 E THOMAS RD PHOENIX AZ 850167710 860422559 501(C)(3) 35713 SUBCONTRACT HRSA GRANT SICKLE CELL TREATMENT DEMONSTRATION PROGRAM 37 X X X X X 0 0 0 0 0 0 0 0 0 BARRY STATON CHIEF EXECUTIVE OFFICER 339831 0 0 0 0 0 18160 0 23146 0 381137 0 0 0 MICHAEL WARDEN CHIEF FINANCIAL OFFICER 189139 0 0 0 0 0 5114 0 24585 0 218838 0 0 0 VANESSA SALINAS LUNA PHYSICIAN 190888 0 0 0 0 0 7173 0 15696 0 213757 0 0 0 SAMANTHA CHAN PHARMACY MANAGER 189043 0 0 0 0 0 10776 0 7643 0 207462 0 0 0 NINA HWANG PHYSICIAN 174982 0 0 0 0 0 6854 0 14328 0 196164 0 0 0 SPENCER DUNN BUSINESS DEVELOPMENT 169124 0 0 0 0 0 5580 0 11603 0 186307 0 0 0 MATTHEW CIANCIULLI DIRECTOR OF CLINIC 164296 0 0 0 0 0 9018 0 8339 0 181653 0 0 0 SHALINI VORA DIRECTOR OF GRANTS 160343 0 0 0 0 0 5880 0 8100 0 174323 0 0 0 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.