FURP.ORG / PUBLIC DATA EXPLORER

CENTER FOR COMPREHENSIVE CARE AND DIAGNOSIS OF INHERITED BLOOD: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
CENTER FOR COMPREHENSIVE CARE AND DIAGNOSIS OF INHERITED BLOOD (EIN 27-0179192)
Tax period
2019-10-01 to 2020-09-30
Filed
2021-08-12
IRS object ID
202112249349301946
Schema version
2019v5.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2021-08-12T14:03:22-05:00ReturnTs
Tax Period End2020-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN813071614PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1TALLEY LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1600 CITY PARKWAY WEST 650AddressLine1Txt
CityORANGECityNm
State AbbreviationCAStateAbbreviationCd
ZIP92868ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN270179192EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE CENTER FOR COMPREHENSIVE CARE ANDBusinessNameLine1Txt
Business Name Line2DIAGNOSIS OF INHERITED BLOOD DISORDERSBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlCENTBusinessNameControlTxt
Phone6572328122PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12670 N MAIN STREET SUITE 150AddressLine1Txt
CitySANTA ANACityNm
State AbbreviationCAStateAbbreviationCd
ZIP92705ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDIANE J NUGENT MDPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone6572328122PhoneNum
Signature2021-08-10SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonA TROY ABERCROMBIEPreparerPersonNm
PTINP02004351PTIN
Phone7148672200PhoneNum
Preparation2021-08-09PreparationDt
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1CENTER FOR INHERITED BLOOD DISORDERSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerDIANE J NUGENT MDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12670 N MAIN STREET SUITE 150AddressLine1Txt
CitySANTA ANACityNm
State AbbreviationCAStateAbbreviationCd
ZIP92705ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$68,646,232GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressCIBD-CA.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2009FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionPROVIDE COMPREHENSIVE CARE FOR PATIENTS WITH RARE, CHRONIC INHERITED BLOOD DISORDERS.ActivityOrMissionDesc
Voting Members Governing Body7VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee48TotalEmployeeCnt
Total Volunteers9TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,176,467PYContributionsGrantsAmt
CY Contributions Grants$1,753,405CYContributionsGrantsAmt
PY Program Service Revenue$70,667,869PYProgramServiceRevenueAmt
CY Program Service Revenue$66,293,230CYProgramServiceRevenueAmt
PY Investment Income$240,377PYInvestmentIncomeAmt
CY Investment Income$599,597CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$72,084,713PYTotalRevenueAmt
CY Total Revenue$68,646,232CYTotalRevenueAmt
PY Grants And Similar Paid$1,091,411PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$1,257,143CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$4,048,109PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$5,095,664CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$46,813,485PYOtherExpensesAmt
CY Other Expenses$64,868,428CYOtherExpensesAmt
PY Total Expenses$51,953,005PYTotalExpensesAmt
CY Total Expenses$71,221,235CYTotalExpensesAmt
PY Revenues Less Expenses$20,131,708PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$2,575,003CYRevenuesLessExpensesAmt
Total Assets BOY$56,670,406TotalAssetsBOYAmt
Total Assets EOY$56,342,926TotalAssetsEOYAmt
Total Liabilities BOY$5,301,969TotalLiabilitiesBOYAmt
Total Liabilities EOY$7,549,492TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$51,368,437NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$48,793,434NetAssetsOrFundBalancesEOYAmt
MissionTO 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.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$69,193,946ExpenseAmt
Grant$1,257,143GrantAmt
Revenue$66,293,230RevenueAmt
DescTHE 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.Desc
Total Program Service Expenses$69,193,946TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document18IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee48EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members7GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd
OtherYes (X)OtherInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MICHAEL WARDENBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6572328122PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12670 N MAIN STREET SUITE 150AddressLine1Txt
CitySANTA ANACityNm
State AbbreviationCAStateAbbreviationCd
ZIP92705ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
DIANE J NUGENT MD
PRESIDENT/CHAIRPERSON5.00Yes (X)Yes (X)$0$0$0
AMIT SONI
VICE PRESIDENT5.00Yes (X)Yes (X)$0$0$0
KATHIE BIRSCHBACH
SECRETARY1.00Yes (X)Yes (X)$0$0$0
BARRY STATON
TREASURER1.00Yes (X)Yes (X)$0$0$0
MARY BROWN
DIRECTOR0.50Yes (X)$0$0$0
RANDALL CURTIS
DIRECTOR1.00Yes (X)$0$0$0
BERTIL GLADER MD PHD
DIRECTOR1.00Yes (X)$0$0$0
SAMANTHA CHAN
PHARMACY MANAGER40.00$181,376$0$13,221Yes (X)
NINA HWANG
PHYSICIAN32.00$172,312$0$21,129Yes (X)
BARRY STATON
CHIEF EXECUTIVE OFFICER40.00$293,937$0$31,049Yes (X)
MATT CIANCIULLI
DIRECTOR OF CLINIC40.00$163,146$0$13,194Yes (X)
VANESSA SALINAS LUNA
PHYSICIAN40.00$186,243$0$22,350Yes (X)
MICHAEL WARDEN
CHIEF FINANCIAL OFFICER40.00$146,691$0$12,823Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,143,705TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$113,766TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K6IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
SICKLE CELL FOUNDATION OF SOUTHERN CALIF
3602 INLAND EMPIRE BLVD SUITE B220ONTARIOCA91764CONTRACTUAL SERVICES$3,141,113
CHILDREN'S HOPSITAL ORANGE COUNTY
1201 W LA VETA AVEORANGECA92868CONTRACTUAL SERVICES$1,077,922
PEDIATRIC SUBSPECIALTIES
1201 W LA VETA AVEORANGECA92868CONTRACTUAL SERVICES$285,983
RED CHIP ENTERPRISES
18009 SKY PARK CIRCLE SUITE GIRVINECA92614BILLING SERVICES$221,600
APOGENICS
8775 CENTRE PARK DRIVE 701COLUMBIAMD21045CONTRACTUAL SERVICES$149,399
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
Government Grants$1,753,405GovernmentGrantsAmt
Total Contributions$1,753,405TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
FACTOR REPLACEMENT621990$39,799,192$39,799,192
WHOLESALE PHARMACY621990$25,279,632$25,279,632
ALL OTHER PROGRAM SERVICE REVENUE900099$552,902$552,902
CONTRACT PHAMARCY SERVICES900099$491,410$491,410
FEES FOR SERVICE CONTRACTS900099$170,094$170,094
FieldValueIRS element (for citing)
Total Program Service Revenue$66,293,230TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$599,597TotalRevenueColumnAmt
Exclusion$599,597ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$68,646,232TotalRevenueColumnAmt
Related Or Exempt Func Income$66,293,230RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$599,597ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$1,257,143TotalAmt
Program Services$1,257,143ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$181,377TotalAmt
Program Services$181,377ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$4,062,184TotalAmt
Program Services$3,051,974ProgramServicesAmt
Management And General$1,010,210ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$120,566TotalAmt
Program Services$91,864ProgramServicesAmt
Management And General$28,702ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$423,179TotalAmt
Program Services$322,438ProgramServicesAmt
Management And General$100,741ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$308,358TotalAmt
Program Services$234,951ProgramServicesAmt
Management And General$73,407ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$130,153TotalAmt
Program Services$33,953ProgramServicesAmt
Management And General$96,200ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$160,741TotalAmt
Program Services$41,932ProgramServicesAmt
Management And General$118,809ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$19,390TotalAmt
Program Services$5,058ProgramServicesAmt
Management And General$14,332ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$516,542TotalAmt
Program Services$398,293ProgramServicesAmt
Management And General$118,249ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$550,056TotalAmt
Program Services$437,040ProgramServicesAmt
Management And General$113,016ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$29,563TotalAmt
Program Services$18,754ProgramServicesAmt
Management And General$10,809ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$32,334TotalAmt
Program Services$27,390ProgramServicesAmt
Management And General$4,944ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$116,231TotalAmt
Program Services$81,708ProgramServicesAmt
Management And General$34,523ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
PHARMACEUTICAL COSTS$58,092,991$58,092,991
SICKLE CELL DISEASE CEN$2,808,742$2,808,742
PURCHASED SERVICES$2,411,685$2,108,338$303,347

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$71,221,235TotalAmt
Program Services$69,193,946ProgramServicesAmt
Management And General$2,027,289ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$665,082BOYAmt
EOY$3,617,286EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$34,824,400BOYAmt
EOY$42,277,259EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$14,728,180BOYAmt
EOY$441,166EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$3,961,941BOYAmt
EOY$7,292,225EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$2,251,927BOYAmt
EOY$2,524,054EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$112,618BOYAmt
EOY$97,012EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$733,997LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$691,818LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$74,513BOYAmt
EOY$42,179EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$51,745BOYAmt
EOY$51,745EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$56,670,406BOYAmt
EOY$56,342,926EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$5,301,969BOYAmt
EOY$6,809,492EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
EOY$740,000EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,301,969BOYAmt
EOY$7,549,492EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$15,207,198BOYAmt
EOY$15,469,441EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$36,161,239BOYAmt
EOY$33,323,993EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$51,368,437BOYAmt
EOY$48,793,434EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$56,670,406BOYAmt
EOY$56,342,926EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$2,575,003ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,598,922CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,887,299CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,301,992CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,176,467CurrentTaxYearMinus1YearAmt
Current Tax Year$1,753,405CurrentTaxYearAmt
Total$7,718,085TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$33,426,975CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$41,012,713CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$59,959,865CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$70,667,869CurrentTaxYearMinus1YearAmt
Current Tax Year$66,293,230CurrentTaxYearAmt
Total$271,360,652TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$35,025,897CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$42,900,012CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$61,261,857CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$71,844,336CurrentTaxYearMinus1YearAmt
Current Tax Year$68,046,635CurrentTaxYearAmt
Total$279,078,737TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$279,078,737PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$11,076CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$14,805CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$19,765CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$240,377CurrentTaxYearMinus1YearAmt
Current Tax Year$599,597CurrentTaxYearAmt
Total$885,620TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$11,076CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$14,805CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$19,765CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$240,377CurrentTaxYearMinus1YearAmt
Current Tax Year$599,597CurrentTaxYearAmt
Total$885,620TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$35,036,973CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$42,914,817CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$61,281,622CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$72,084,713CurrentTaxYearMinus1YearAmt
Current Tax Year$68,646,232CurrentTaxYearAmt
Total$279,964,357TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99680PublicSupportCY509Pct
Public Support PY5090.99880PublicSupportPY509Pct
Investment Income CY0.00320InvestmentIncomeCYPct
Investment Income PY0.00120InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$193,263OtherCostOrOtherBasisAmt
Depreciation$192,294DepreciationAmt
Book Value$969BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$540,734OtherCostOrOtherBasisAmt
Depreciation$499,524DepreciationAmt
Book Value$41,210BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$42,179TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$68,646,232TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$68,646,232RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$68,646,232TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$71,221,235TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$71,221,235ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$71,221,235TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHE 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 2015-2019ExplanationTxt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (39 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxtAddress Line2USAddress/AddressLine2Txt
CHILDREN'S HOSPITAL AND RESEARCH CENTER AT OAKLAND
5700 MARTIN LUTHER KING JR WAYOAKLANDCA94609940382330501(C)(3)$31,848SUBCONTRACT HRSA GRANTHEMOPHILIA REGIONAL COMPREHENSIVE CARE PROGRAM
CHILDREN'S HOSPITAL LOS ANGELES
4650 SUNSET BLVD MS 54LOS ANGELESCA90027951690977501(C)(3)$39,082SUBCONTRACT HRSA GRANTHEMOPHILIA REGIONAL COMPREHENSIVE CARE PROGRAM
CHILDREN'S HOSPITAL LOS ANGELES
4650 SUNSET BLVD MS 54LOS ANGELESCA90027951690977501(C)(3)$50,339SUBCONTRACT CDC/ATHN GRANTPUBLIC HEALTH SURVEILLANCE
VALLEY CHILDREN'S HOSPITAL OF CENTRAL CALIFORNIA
9300 VALLEY CHILDRENS PLACEMADREACA92636941294954501(C)(3)$12,342SUBCONTRACT HRSA GRANTHEMOPHILIA REGIONAL COMPREHENSIVE CARE PROGRAM
VALLEY CHILDREN'S HOSPITAL
9300 VALLEY CHILDRENS PLACEMADREACA92636941294954501(C)(3)$30,615SUBCONTRACT CDC/ATHN GRANTPUBLIC HEALTH SURVEILLANCE
KAPI'OLANI MEDICAL CENTER FOR WOMEN AND CHILDREN
1319 PUNAHOU STREETHONOLULUHI96826990177350501(C)(3)$32,932SUBCONTRACT HRSA GRANTHEMOPHILIA REGIONAL COMPREHENSIVE CARE PROGRAM
KAPI'OLANI MEDICAL CENTER FOR WOMEN AND CHILDREN
1319 PUNAHOU STREETHONOLULUHI96826990177350501(C)(3)$16,000SUBCONTRACT CDC/ATHN GRANTPUBLIC HEALTH SURVEILLANCE
LUCILE PACKARD CHILDREN'S HOSPITAL AT STANFORD
1000 WELCH RD SUITE 300 MC5798PALO ALTOCA94304941156365501(C)(3)$40,340SUBCONTRACT HRSA GRANTHEMOPHILIA REGIONAL COMPREHENSIVE CARE PROGRAM
LUCILE PACKARD CHILDREN'S HOSPITAL AT STANFORD
1000 WELCH RD SUITE 300 MC5798PALO ALTOCA94304941156365501(C)(3)$23,439SUBCONTRACT CDC/ATHN GRANTPUBLIC HEALTH SURVEILLANCE
ORTHOPAEDIC HOSPITAL
2400 SOUTH FLOWER STLOS ANGELESCA90007951644604501(C)(3)$52,501SUBCONTRACT HRSA GRANTHEMOPHILIA REGIONAL COMPREHENSIVE CARE PROGRAM
ORTHOPAEDIC HOSPITAL
2400 SOUTH FLOWER STLOS ANGELESCA90007951644604501(C)(3)$27,540SUBCONTRACT CDC/ATHN GRANTPUBLIC HEALTH SURVEILLANCE
PEDIATRIC SUBSPECIALTY FACULTY
1010 WEST LA VETA AVE SUITE 670ORANGECA92868330930025$38,496SUBCONTRACT HRSA GRANTHEMOPHILIA REGIONAL COMPREHENSIVE CARE PROGRAM
PEDIATRIC SUBSPECIALTY FACULTY
1010 WEST LA VETA AVE SUITE 670ORANGECA92868330930025$8,198SUBCONTRACT CDC/ATHN GRANTPUBLIC HEALTH SURVEILLANCE
PEDIATRIC SUBSPECIALTY FACULTY
1010 WEST LA VETA AVE SUITE 670ORANGECA92868330930025$3,846SUBCONTRACT HRSA GRANTSICKLE CELL TREATMENT DEMONSTRATION PROGRAM
PEDIATRIC SUBSPECIALTY FACULTY
1010 WEST LA VETA AVE SUITE 670ORANGECA92868330930025$1,923SUBCONTRACT QUEENS CARELA COUNTY ADULTS LIVING WITH SICKLE CELL DISEASE
PEDIATRIC SUBSPECIALTY FACULTY
1010 WEST LA VETA AVE SUITE 670ORANGECA92868330930025$57,690SUBCONTRACT CALIFORNIA DEPARTMENT OF PUBLIC HEALTH NETWORKING CALIFORNIA FOR SICKLE CELL CARE (NCSCC)
RADY CHILDREN'S HOSPITAL - SAN DIEGO
3020 CHILDRENS WAYSAN DIEGOCA92123951691313501(C)(3)$7,071SUBCONTRACT HRSA GRANTHEMOPHILIA REGIONAL COMPREHENSIVE CARE PROGRAM
RADY CHILDREN'S HOSPITAL - SAN DIEGO
3020 CHILDRENS WAYSAN DIEGOCA92123951691313501(C)(3)$19,996SUBCONTRACT CDC/ATHN GRANTPUBLIC HEALTH SURVEILLANCE
THE REGENTS OF THE UNIVERSITY OF CALIFORNIA (DAVIS)
2360 STOCKTON BLVD SUITE 1100SACRAMENTOCA95817946036494501(C)(3)$38,823SUBCONTRACT HRSA GRANTHEMOPHILIA REGIONAL COMPREHENSIVE CARE PROGRAM
THE REGENTS OF THE UNIVERSITY OF CALIFORNIA (DAVIS)
2360 STOCKTON BLVD SUITE 1100SACRAMENTOCA95817946036494501(C)(3)$28,097SUBCONTRACT CDC/ATHN GRANTPUBLIC HEALTH SURVEILLANCE
THE REGENTS OF THE UNIVERSITY OF CALIFORNIA (UCSD)
200 W ARBOR DRIVE MC8651SAN DIEGOCA92103956006144501(C)(3)$31,578SUBCONTRACT HRSA GRANTHEMOPHILIA REGIONAL COMPREHENSIVE CARE PROGRAM
THE REGENTS OF THE UNIVERSITY OF CALIFORNIA (UCSD)
200 W ARBOR DRIVE MC8651SAN DIEGOCA92103956006144501(C)(3)$16,879SUBCONTRACT CDC/ATHN GRANTPUBLIC HEALTH SURVEILLANCE
THE REGENTS OF THE UNIVERSITY OF CALIFORNIA (UCSD)
200 W ARBOR DRIVE MC8651SAN DIEGOCA92103956006144501(C)(3)$17,385SUBCONTRACT CALIFORNIA DEPARTMENT OF PUBLIC HEALTH NETWORKING CALIFORNIA FOR SICKLE CELL CARE (NCSCC)
THE REGENTS OF THE UNIVERSITY OF CALIFORNIA (UCSF)
650 MOFFITT BOX 0106SAN FRANCISCOCA94143946036493501(C)(3)$53,999SUBCONTRACT HRSA GRANTHEMOPHILIA REGIONAL COMPREHENSIVE CARE PROGRAM
THE REGENTS OF THE UNIVERSITY OF CALIFORNIA (UCSF)
650 MOFFITT BOX 0106SAN FRANCISCOCA94143946036493501(C)(3)$51,992SUBCONTRACT CDC/ATHN GRANTPUBLIC HEALTH SURVEILLANCE
THE REGENTS OF THE UNIVERSITY OF CALIFORNIA (UCSF)
650 MOFFITT BOX 0106SAN FRANCISCOCA94143946036493501(C)(3)$102,240SUBCONTRACT HRSA GRANTSICKLE CELL TREATMENT DEMONSTRATION PROGRAM
THE REGENTS OF THE UNIVERSITY OF CALIFORNIA (UCSF)
650 MOFFITT BOX 0106SAN FRANCISCOCA94143946036493501(C)(3)$107,100SUBCONTRACT CALIFORNIA DEPARTMENT OF PUBLIC HEALTH NETWORKING CALIFORNIA FOR SICKLE CELL CARE (NCSCC)
SICKLE CELL DISEASE FOUNDATION OF CALIFORNIA
3602 INLAND EMPIRE BLVD SUITE B220ONTARIOCA91764956155962501(C)(3)$94,941SUBCONTRACT HRSA GRANTSICKLE CELL TREATMENT DEMONSTRATION PROGRAM
SICKLE CELL DISEASE FOUNDATION OF CALIFORNIA
3602 INLAND EMPIRE BLVD SUITE B220ONTARIOCA91764956155962501(C)(3)$283,844SUBCONTRACT QUEENS CARELA COUNTY ADULTS LIVING WITH SICKLE CELL DISEASE
SICKLE CELL DISEASE FOUNDATION OF CALIFORNIA
3602 INLAND EMPIRE BLVD SUITE B220ONTARIOCA91764956155962501(C)(3)$2,748,742SUBCONTRACT CALIFORNIA DEPARTMENT OF PUBLIC HEALTH NETWORKING CALIFORNIA FOR SICKLE CELL CARE (NCSCC)
SICKLE CELL DISEASE FOUNDATION OF CALIFORNIA
3602 INLAND EMPIRE BLVD SUITE B220ONTARIOCA91764956155962501(C)(3)$13,586GLOBAL BLOOD THERAPEUTICSSTRENGTHENING ACCESS TO SICKLE CELL CARE IN CALIFORNIA
THE UNIVERSITY OF ARIZONA
1303 E UNIVERSITY BLVD BOX 3TUCSONAZ857190521742652689501(C)(3)$21,463SUBCONTRACT HRSA GRANTSICKLE CELL TREATMENT DEMONSTRATION PROGRAM
OREGON HEALTH AND SCIENCE UNIVERSITY
3181 SW SAM JACKSON PARK ROADPORTLANDOR972013011931176109501(C)(3)$15,592SUBCONTRACT HRSA GRANTSICKLE CELL TREATMENT DEMONSTRATION PROGRAM
SEATTLE CHILDREN'S HOSPITAL
2101 E YESLER WAYSEATTLEWA98122910564748501(C)(3)$22,042SUBCONTRACT HRSA GRANTSICKLE CELL TREATMENT DEMONSTRATION PROGRAM
HEMOSTASIS AND THROMBOSIS CENTER OF NV
8352 W WARM SPRINGS RD SUITE 200LAS VEGASNV89113822793154501(C)(3)$27,473SUBCONTRACT HRSA GRANTHEMOPHILIA REGIONAL COMPREHENSIVE CARE PROGRAM
HEMOSTASIS AND THROMBOSIS CENTER OF NV
8352 W WARM SPRINGS RD SUITE 200LAS VEGASNV89113822793154501(C)(3)$36,858SUBCONTRACT CDC/ATHN GRANTPUBLIC HEALTH SURVEILLANCE
HEMOSTASIS AND THROMBOSIS CENTER OF NV
8352 W WARM SPRINGS RD SUITE 200LAS VEGASNV89113822793154501(C)(3)$15,427SUBCONTRACT HRSA GRANTSICKLE CELL TREATMENT DEMONSTRATION PROGRAM
UNIVERSITY OF COLORADO
13121 E 17TH AVENUE C-222 ROOMAURORACO800452571846000555501(C)(3)$22,161SUBCONTRACT HRSA GRANTSICKLE CELL TREATMENT DEMONSTRATION PROGRAML28-3211
PHOENIX CHILDREN'S HOSPITAL
1919 E THOMAS RDPHOENIXAZ850167710860422559501(C)(3)$18,924SUBCONTRACT HRSA GRANTSICKLE CELL TREATMENT DEMONSTRATION PROGRAM
FieldValueIRS element (for citing)
Total501c3 Org34Total501c3OrgCnt
Total Other Org5TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION MONITORS THE USE OF GRANT FUNDS IN THE UNITED STATES BY ENTERING INTO SUBCONTRACT AGREEMENTS THAT ARE ON A COST REIMBURSEMENT BASIS. GRANTEES ARE REQUIRED TO SUBMIT COPIES OF INVOICES PRIOR TO DISBURSEMENT OF THE GRANT FUNDS. THERE ARE NO ADVANCE PAYMENTS PERMITTED.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
SAMANTHA CHAN
PHARMACY MANAGER$181,376$0$0$0$0$0$6,676$0$6,545$0$194,597$0$0$0
NINA HWANG
PHYSICIAN$172,312$0$0$0$0$0$6,801$0$14,328$0$193,441$0$0$0
BARRY STATON
CHIEF EXECUTIVE OFFICER$293,937$0$0$0$0$0$9,000$0$22,049$0$324,986$0$0$0
MATT CIANCIULLI
DIRECTOR OF CLINIC$163,146$0$0$0$0$0$5,953$0$7,241$0$176,340$0$0$0
VANESSA SALINAS LUNA
PHYSICIAN$186,243$0$0$0$0$0$7,003$0$15,347$0$208,593$0$0$0
MICHAEL WARDEN
CHIEF FINANCIAL OFFICER$146,691$0$0$0$0$0$5,535$0$7,288$0$159,514$0$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BA 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 12CCIBD'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 15THE 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 18THE 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 19THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTERST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.