FURP.ORG / PUBLIC DATA EXPLORER

CENTER FOR COMPREHENSIVE CARE AND DIAGNOSIS OF INHERITED BLOOD: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
CENTER FOR COMPREHENSIVE CARE AND DIAGNOSIS OF INHERITED BLOOD (EIN 27-0179192)
Tax period
2018-10-01 to 2019-09-30
Filed
2020-08-13
IRS object ID
202032269349302288
Schema version
2018v3.2
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)
Return2020-08-13T16:21:09-05:00ReturnTs
Tax Period End2019-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN952302617PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1SINGERLEWAK LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12050 MAIN STREET 7TH FLOORAddressLine1Txt
CityIRVINECityNm
State AbbreviationCAStateAbbreviationCd
ZIP92614ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-10-01TaxPeriodBeginDt

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
Signature2020-08-11SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLIOR TEMKINPreparerPersonNm
PTINP00748170PTIN
Phone9492618600PhoneNum
Preparation2020-08-11PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address206.169.119.90IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-08-11IPDt
IP Tm17:18:21IPTm
IP TimezonePDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdAE9E94AFA7F703EAD3F7092BC671DDB5B1F9F9DAAtSubmissionCreationDeviceId
At Submission Filing Device IdC14DC999BAA172C90D200CD9E32A18BF3788F0C9AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-11-06 18:47:13ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1CENTER FOR INHERITED BLOOD DISORDERS (CIBD)BusinessNameLine1Txt
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$72,084,713GrossReceiptsAmt
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 Employee50TotalEmployeeCnt
Total Volunteers9TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,301,992PYContributionsGrantsAmt
CY Contributions Grants$1,176,467CYContributionsGrantsAmt
PY Program Service Revenue$59,959,865PYProgramServiceRevenueAmt
CY Program Service Revenue$70,667,869CYProgramServiceRevenueAmt
PY Investment Income$19,765PYInvestmentIncomeAmt
CY Investment Income$240,377CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$61,281,622PYTotalRevenueAmt
CY Total Revenue$72,084,713CYTotalRevenueAmt
PY Grants And Similar Paid$1,047,688PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$1,091,411CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$3,732,442PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$4,048,109CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$36,107,529PYOtherExpensesAmt
CY Other Expenses$46,813,485CYOtherExpensesAmt
PY Total Expenses$40,887,659PYTotalExpensesAmt
CY Total Expenses$51,953,005CYTotalExpensesAmt
PY Revenues Less Expenses$20,393,963PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$20,131,708CYRevenuesLessExpensesAmt
Total Assets BOY$35,584,652TotalAssetsBOYAmt
Total Assets EOY$56,670,406TotalAssetsEOYAmt
Total Liabilities BOY$4,347,923TotalLiabilitiesBOYAmt
Total Liabilities EOY$5,301,969TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$31,236,729NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$51,368,437NetAssetsOrFundBalancesEOYAmt
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$50,490,103ExpenseAmt
Grant$1,091,411GrantAmt
Revenue$70,667,869RevenueAmt
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 SUBSPECIALTY 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$50,490,103TotalProgramServiceExpensesAmt
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
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
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 With Officer Ent0BusinessRlnWithOfficerEntInd
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 Document21IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee50EmployeeCnt
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
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
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 DutiesYes (1)DelegationOfMgmtDutiesInd
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
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (14 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
JASON ZAMORA
DIRECTOR OF PHARMACY40.00$228,607$0$15,509Yes (X)
ATEEFA CHAUDHURY
PHYSICIAN40.00$221,445$0$14,670Yes (X)
PHILLIP CHUNG
PHARMACY MANAGER40.00$181,346$0$15,524Yes (X)
NINA HWANG
PHYSICIAN32.00$157,346$0$12,136Yes (X)
CHERYL BATE
DIRECTOR OF FINANCE/CONTRO40.00$156,083$0$14,236Yes (X)
MATT CIANCIULLI
DIRECTOR OF CLINIC40.00$151,925$0$12,083Yes (X)
VANESSA SALINAS LUNA
PHYSICIAN40.00$142,902$0$18,388Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,239,654TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$102,546TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K7IndivRcvdGreaterThan100KCnt
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
CHOC CHILDRENS HOSPITAL
1201 W LA VETA AVEORANGECA92868CONTRACTUAL SERVICES$954,250
SICKLE CELL FOUNDATION OF SOUTHERN CALIF
3602 INLAND EMPIRE BLVD SUITE B220ONTARIOCA91764CONTRACTUAL SERVICES$363,232
RED CHIP ENTERPRISES
18009 SKY PARK CIRCLE SUITE GIRVINECA92614BILLING SERVICES$220,425
APOGENICS
8775 CENTRE PARK DRIVE 701COLUMBIAMD21045CONTRACTUAL SERVICES$217,670
PEDIATRIC SUBSPECIALTIES
1201 W LA VETA AVEORANGECA92868CONTRACTUAL SERVICES$201,301
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K8CntrctRcvdGreaterThan100KCnt
Government Grants$1,176,467GovernmentGrantsAmt
Total Contributions$1,176,467TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
FACTOR REPLACEMENT621990$48,511,451$48,511,451
FEES FOR SERVICE CONTRACTS900099$14,809,068$14,809,068
RECOUPED PROGRAM INCOME FROM HEMO900099$3,767,700$3,767,700
WHOLESALE PHARMACY621990$2,026,085$2,026,085
CONTRACT PHARMACY SERVICES900099$665,589$665,589

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$887,976TotalRevenueColumnAmt
Related Or Exempt Func Income$887,976RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$70,667,869TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$240,377TotalRevenueColumnAmt
Exclusion$240,377ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$72,084,713TotalRevenueColumnAmt
Related Or Exempt Func Income$70,667,869RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$240,377ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$1,091,411TotalAmt
Program Services$1,091,411ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$230,168TotalAmt
Program Services$230,168ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$3,118,148TotalAmt
Program Services$2,557,779ProgramServicesAmt
Management And General$560,369ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$106,368TotalAmt
Program Services$87,007ProgramServicesAmt
Management And General$19,361ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$339,715TotalAmt
Program Services$274,603ProgramServicesAmt
Management And General$65,112ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$253,710TotalAmt
Program Services$213,850ProgramServicesAmt
Management And General$39,860ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$81,890TotalAmt
Program Services$76,794ProgramServicesAmt
Management And General$5,096ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$118,957TotalAmt
Management And General$118,957ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$10,408TotalAmt
Program Services$6,608ProgramServicesAmt
Management And General$3,800ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$595,638TotalAmt
Program Services$320,029ProgramServicesAmt
Management And General$275,609ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$579,751TotalAmt
Program Services$456,211ProgramServicesAmt
Management And General$123,540ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$134,958TotalAmt
Program Services$111,922ProgramServicesAmt
Management And General$23,036ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$75,504TotalAmt
Program Services$73,420ProgramServicesAmt
Management And General$2,084ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$62,180TotalAmt
Program Services$51,907ProgramServicesAmt
Management And General$10,273ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$104,911TotalAmt
Program Services$77,965ProgramServicesAmt
Management And General$26,946ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
PHARMACEUTICAL COSTS$42,743,098$42,743,098
PURCHASED SERVICES$2,306,190$2,117,331$188,859

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$51,953,005TotalAmt
Program Services$50,490,103ProgramServicesAmt
Management And General$1,462,902ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$895,522BOYAmt
EOY$665,082EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$27,675,245BOYAmt
EOY$34,824,400EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$544,099BOYAmt
EOY$14,728,180EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$4,739,174BOYAmt
EOY$3,961,941EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,422,524BOYAmt
EOY$2,251,927EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$129,607BOYAmt
EOY$112,618EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$733,997LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$659,484LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$139,369BOYAmt
EOY$74,513EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$39,112BOYAmt
EOY$51,745EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$35,584,652BOYAmt
EOY$56,670,406EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$4,347,923BOYAmt
EOY$5,301,969EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,347,923BOYAmt
EOY$5,301,969EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$13,183,190BOYAmt
EOY$15,207,198EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$18,053,539BOYAmt
EOY$36,161,239EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$31,236,729BOYAmt
EOY$51,368,437EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$35,584,652BOYAmt
EOY$56,670,406EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$20,131,708ReconcilationRevenueExpnssAmt
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$1,755,441CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,598,922CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,887,299CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,301,992CurrentTaxYearMinus1YearAmt
Current Tax Year$1,176,467CurrentTaxYearAmt
Total$7,720,121TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$27,793,103CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$33,426,975CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$41,012,713CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$59,959,865CurrentTaxYearMinus1YearAmt
Current Tax Year$70,667,869CurrentTaxYearAmt
Total$232,860,525TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$29,548,544CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$35,025,897CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$42,900,012CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$61,261,857CurrentTaxYearMinus1YearAmt
Current Tax Year$71,844,336CurrentTaxYearAmt
Total$240,580,646TotalAmt

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$240,580,646PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,625CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$11,076CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$14,805CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$19,765CurrentTaxYearMinus1YearAmt
Current Tax Year$240,377CurrentTaxYearAmt
Total$289,648TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,625CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$11,076CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$14,805CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$19,765CurrentTaxYearMinus1YearAmt
Current Tax Year$240,377CurrentTaxYearAmt
Total$289,648TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$29,552,169CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$35,036,973CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$42,914,817CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$61,281,622CurrentTaxYearMinus1YearAmt
Current Tax Year$72,084,713CurrentTaxYearAmt
Total$240,870,294TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99880PublicSupportCY509Pct
Public Support PY5090.99970PublicSupportPY509Pct
Investment Income CY0.00120InvestmentIncomeCYPct
Investment Income PY0.00030InvestmentIncomePYPct
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$174,369DepreciationAmt
Book Value$18,894BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$540,734OtherCostOrOtherBasisAmt
Depreciation$485,115DepreciationAmt
Book Value$55,619BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$74,513TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$72,084,713TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$72,084,713RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$72,084,713TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$51,953,005TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$51,953,005ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$51,953,005TotalExpensesPerForm990Amt

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 2015-2018 STATE 2014-2018ExplanationTxt

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (41 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 GRANT - HEMOPHILIA REGIONAL COMPREHENSIVE CARE PROGRAM
CHILDREN'S HOSPITAL LOS ANGELES
4650 SUNSET BLVD MS 54LOS ANGELESCA90027951690977501(C)(3)$76,126SUBCONTRACT HRSA GRANT - HEMOPHILIA REGIONAL COMPREHENSIVE CARE PROGRAM
CHILDREN'S HOSPITAL LOS ANGELES
4650 SUNSET BLVD MS 54LOS ANGELESCA90027951690977501(C)(3)$32,213SUBCONTRACT CDC/ATHN GRANT - PUBLIC HEALTH SURVEILLANCE
CHILDREN'S HOSPITAL OF CENTRAL CALIFORNIA
9300 VALLEY CHILDRENS PLACEMADERACA92636941294954501(C)(3)$12,873SUBCONTRACT HRSA GRANT - HEMOPHILIA REGIONAL COMPREHENSIVE CARE PROGRAM
CHILDREN'S HOSPITAL AND RESEARCH CENTER AT OAKLAND
5700 MARTIN LUTHER KING JR WAYOAKLANDCA94609940382330501(C)(3)$25,409SUBCONTRACT CDC/ATHN GRANT - PUBLIC HEALTH SURVEILLANCE
KAPI'OLANI MEDICAL CENTER FOR WOMEN AND CHILDREN
1319 PUNAHOU STREETHONOLULUHI96826990177350501(C)(3)$32,329SUBCONTRACT HRSA GRANT - HEMOPHILIA REGIONAL COMPREHENSIVE CARE PROGRAM
KAPI'OLANI MEDICAL CENTER FOR WOMEN AND CHILDREN
1319 PUNAHOU STREETHONOLULUHI96826990177350501(C)(3)$17,431SUBCONTRACT CDC/ATHN GRANT - PUBLIC HEALTH SURVEILLANCE
LUCILE PACKARD CHILDREN'S HOSPITAL AT STANFORD
1000 WELCH RD SUITE 300MC5798PALO ALTOCA94304941156365501(C)(3)$32,008SUBCONTRACT HRSA GRANT - HEMOPHILIA REGIONAL COMPREHENSIVE CARE PROGRAM
LUCILE PACKARD CHILDREN'S HOSPITAL AT STANFORD
1000 WELCH RD SUITE 300 MC5798PALO ALTOCA94304941156365501(C)(3)$19,727SUBCONTRACT CDC/ATHN GRANT - PUBLIC HEALTH SURVEILLANCE
ORTHOPAEDIC HOSPITAL
2400 SOUTH FLOWER STLOS ANGELESCA90007951644604501(C)(3)$40,531SUBCONTRACT HRSA GRANT - HEMOPHILIA REGIONAL COMPREHENSIVE CARE PROGRAM
ORTHOPAEDIC HOSPITAL
2400 SOUTH FLOWER STLOS ANGELESCA90007951644604501(C)(3)$21,532SUBCONTRACT CDC/ATHN GRANT - PUBLIC HEALTH SURVEILLANCE
PEDIATRIC SUBSPECIALTY FACULTY
1010 WEST LA VETA AVE SUITE 670ORANGECA92868330930025501(C)(3)$37,920SUBCONTRACT HRSA GRANT - HEMOPHILIA REGIONAL COMPREHENSIVE CARE PROGRAM
PEDIATRIC SUBSPECIALTY FACULTY
1010 WEST LA VETA AVE SUITE 670ORANGECA92868330930025501(C)(3)$10,248SUBCONTRACT CDC/ATHN GRANT - PUBLIC HEALTH SURVEILLANCE
RADY CHILDREN'S HOSPITAL - SAN DIEGO
3020 CHILDRENS WAYSAN DIEGOCA92123951691313501(C)(3)$7,053SUBCONTRACT HRSA GRANT - HEMOPHILIA REGIONAL COMPREHENSIVE CARE PROGRAM
RADY CHILDREN'S HOSPITAL - SAN DIEGO
3020 CHILDRENS WAYSAN DIEGOCA92123951691313501(C)(3)$25,352SUBCONTRACT CDC/ATHN GRANT - PUBLIC HEALTH SURVEILLANCE
THE REGENTS OF THE UNIVERSITY OF CALIFORNIA (DAVIS)
2360 STOCKTON BLVD SUITE 1100SACRAMENTOCA95817946036494501(C)(3)$47,585SUBCONTRACT HRSA GRANT - HEMOPHILIA REGIONAL COMPREHENSIVE CARE PROGRAM
THE REGENTS OF THE UNIVERSITY OF CALIFORNIA (DAVIS)
2360 STOCKTON BLVD SUITE 1100SACRAMENTOCA95817946036494501(C)(3)$42,656SUBCONTRACT CDC/ATHN GRANT - PUBLIC HEALTH SURVEILLANCE
THE REGENTS OF THE UNIVERSITY OF CALIFORNIA (UCLA)
10883 LE CONTE AVE ROOM A2-410 MDCCLOS ANGELESCA90095956006143501(C)(3)$57,667SUBCONTRACT HRSA GRANT - HEMOPHILIA REGIONAL COMPREHENSIVE CARE PROGRAMMDCC
THE REGENTS OF THE UNIVERSITY OF CALIFORNIA (UCLA)
10883 LE CONTE AVE ROOM A2-410 MDCCLOS ANGELESCA90095956006143501(C)(3)$45,377SUBCONTRACT CDC/ATHN GRANT - PUBLIC HEALTH SURVEILLANCEMDCC
THE REGENTS OF THE UNIVERSITY OF CALIFORNIA (UCLA)
10883 LE CONTE AVE ROOM A2-410 MDCCLOS ANGELESCA90095956006143501(C)(3)$9,680SUBCONTRACT HRSA GRANT - SICKLE CELL TREATMENT DEMONSTRATION PROGRAMMDCC
THE REGENTS OF THE UNIVERSITY OF CALIFORNIA (UCSD)
200 W ARBOR DRIVE MC8651SAN DIEGOCA92103956006144501(C)(3)$27,069SUBCONTRACT HRSA GRANT - HEMOPHILIA REGIONAL COMPREHENSIVE CARE PROGRAM
THE REGENTS OF THE UNIVERSITY OF CALIFORNIA (UCSF)
650 MOFFITT BOX 0106SAN FRANCISCOCA94143946036493501(C)(3)$40,701SUBCONTRACT HRSA GRANT - HEMOPHILIA REGIONAL COMPREHENSIVE CARE PROGRAM
THE REGENTS OF THE UNIVERSITY OF CALIFORNIA (UCSD)
200 W ARBOR DRIVE MC8651SAN DIEGOCA92103956006144501(C)(3)$18,745SUBCONTRACT CDC/ATHN GRANT - PUBLIC HEALTH SURVEILLANCE
SICKLE CELL DISEASE FOUNDATION OF CALIFORNIA
3602 INLAND EMPIRE BLVD SUITE B220ONTARIOCA91764956155962501(C)(3)$100,503SUBCONTRACT HRSA GRANT - SICKLE CELL TREATMENT DEMONSTRATION PROGRAM
(no name)
SUBCONTRACT HRSA GRANT - HEMOPHILIA REGIONAL COMPREHENSIVE CARE PROGRAM
THE UNIVERSITY OF ARIZONA
1303 E UNIVERSITY BLVD BOX 3TUCSONAZ85719742652689501(C)(3)$24,480SUBCONTRACT HRSA GRANT - SICKLE CELL TREATMENT DEMONSTRATION PROGRAM
CHILDREN'S HOSPITAL AND RESEARCH CENTER AT OAKLAND
5700 MARTIN LUTHER KING JR WAYOAKLANDCA94609940382330501(C)(3)$62,240SUBCONTRACT HRSA GRANT - SICKLE CELL TREATMENT DEMONSTRATION PROGRAM
PEDIATRIC SUBSPECIALTY FACULTY
1010 WEST LA VETA AVE SUITE 670ORANGECA92868330930025501(C)(3)$4,702SUBCONTRACT HRSA GRANT - SICKLE CELL TREATMENT DEMONSTRATION PROGRAM
OREGON HEALTH AND SCIENCE UNIVERSITY
3181 SW SAM JACKSON PARK ROADPORTLANDOR97201931176109501(C)(3)$16,318SUBCONTRACT HRSA GRANT - SICKLE CELL TREATMENT DEMONSTRATION PROGRAM
CITY OF HOPE
1500 EAST DUARTE ROADDUARTECA91010953432210501(C)(3)$27,263SUBCONTRACT CDC/ATHN GRANT - PUBLIC HEALTH SURVEILLANCE
CHILDREN'S HOSPITAL OF CENTRAL CALIFORNIA
9300 VALLEY CHILDRENS PLACEMADERACA92636941294954501(C)(3)$20,040SUBCONTRACT HRSA GRANT - PUBLIC HEALTH SURVEILLANCE
SEATTLE CHILDREN'S HOSPITAL
2101 E YESLER WAYSEATTLEWA98122910564748501(C)(3)$24,229SUBCONTRACT HRSA GRANT - SICKLE CELL TREATMENT DEMONSTRATION PROGRAM
HEMOSTASIS AND THROMBOSIS CENTER OF NV
8352 W WARM SPRINGS RD SUITE 200LAS VEGASNV89113822793154501(C)(3)$20,605SUBCONTRACT HRSA GRANT - HEMOPHILIA REGIONAL COMPREHENSIVE CARE PROGRAM
HEMOSTASIS AND THROMBOSIS CENTER OF NV
8352 W WARM SPRINGS RD SUITE 200LAS VEGASNV89113822793154501(C)(3)$18,429SUBCONTRACT HRSA GRANT - PUBLIC HEALTH SURVEILLANCE
UNIVERSITY OF COLORADO
13121 E 17TH AVE RM L28-3211AURORACO80045846000555501(C)(3)$25,105SUBCONTRACT HRSA GRANT - SICKLE CELL TREATMENT DEMONSTRATION PROGRAM
PEDIATRIC SUBSPECIALTY FACULTY
1010 WEST LA VETA AVE SUITE 670ORANGECA92868330930025501(C)(3)$12,428SUBCONTRACT QUEENS CARE - LA COUNTY ADULTS LIVING WITH SICKLE CELL DISEASE
THE REGENTS OF THE UNIVERSITY OF CALIFORNIA (UCLA)
10883 LE CONTE AVE ROOM A2-410 MDCCLOS ANGELESCA90095956006143501(C)(3)$13,701SUBCONTRACT QUEENS CARE - LA COUNTY ADULTS LIVING WITH SICKLE CELL DISEASEMDCC
THE REGENTS OF THE UNIVERSITY OF CALIFORNIA (UCSF)
650 MOFFITT BOX 0106SAN FRANCISCOCA94143946036493501(C)(3)$15,657SUBCONTRACT CDC/ATHN GRANT - PUBLIC HEALTH SURVEILLANCE
SICKLE CELL DISEASE FOUNDATION OF CALIFORNIA
3602 INLAND EMPIRE BLVD SUITE B220ONTARIOCA91764956155962501(C)(3)$176,809SUBCONTRACT QUEENS CARE - LA COUNTY ADULTS LIVING WITH SICKLE CELL DISEASE
SICKLE CELL DISEASE FOUNDATION OF CALIFORNIA
3602 INLAND EMPIRE BLVD SUITE B220ONTARIOCA91764956155962501(C)(3)$60,000SUBCONTRACT CALIFORNIA DEPARTMENT OF PUBLIC HEALTH - NETWORKING CALIFORNIA FOR SICKLE CELL CARE (NCSCC)
CITY OF HOPE
1500 EAST DUARTE ROADDUARTECA91010953432210501(C)(3)$2,700SUBCONTRACT HRSA GRANT - HEMOPHILIA REGIONAL COMPREHENSIVE CARE PROGRAM
FieldValueIRS element (for citing)
Total501c3 Org36Total501c3OrgCnt
Total Other Org4TotalOtherOrgCnt

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 (7 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
JASON ZAMORA
DIRECTOR OF PHARMACY$228,607$0$0$0$0$0$8,309$0$7,200$0$244,116$0$0$0
ATEEFA CHAUDHURY
PHYSICIAN$221,445$0$0$0$0$0$8,233$0$6,437$0$236,115$0$0$0
PHILLIP CHUNG
PHARMACY MANAGER$181,346$0$0$0$0$0$6,339$0$9,185$0$196,870$0$0$0
NINA HWANG
PHYSICIAN$157,346$0$0$0$0$0$5,446$0$6,690$0$169,482$0$0$0
CHERYL BATE
DIRECTOR OF FINANCE/CONTRO$156,083$0$0$0$0$0$5,772$0$8,464$0$170,319$0$0$0
MATT CIANCIULLI
DIRECTOR OF CLINIC$151,925$0$0$0$0$0$5,517$0$6,566$0$164,008$0$0$0
VANESSA SALINAS LUNA
PHYSICIAN$142,902$0$0$0$0$0$4,228$0$14,160$0$161,290$0$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 3THE ORGANIZATION DOES NOT HAVE A CFO ON STAFF, INSTEAD USES AN OUTSOURCE CFO COMPANY.
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 INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 2C:THE ORGANIZATION HAS AN AUDIT COMMITTEE THAT ASSUMES RESPONSIBILTY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT.