FURP.ORG / PUBLIC DATA EXPLORER

CENTER FOR COMPREHENSIVE CARE AND DIAGNOSIS OF INHERITED BLOOD: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
CENTER FOR COMPREHENSIVE CARE AND DIAGNOSIS OF INHERITED BLOOD (EIN 27-0179192)
Tax period
2017-10-01 to 2018-09-30
Filed
2019-08-15
IRS object ID
201902279349301610
Schema version
2017v2.3
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)
Return2019-08-15T09:23:44-05:00ReturnTs
Tax Period End2018-09-30TaxPeriodEndDt

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 Begin2017-10-01TaxPeriodBeginDt

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
Phone7145865336PhoneNum

US Address USAddress

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

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDIANE J NUGENT MDPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone7145865336PhoneNum
Signature2019-08-08SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLIOR TEMKINPreparerPersonNm
PTINP00748170PTIN
Phone9492618600PhoneNum
Preparation2019-08-08PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address206.169.119.90IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-08-08IPDt
IP Tm09:46:13IPTm
IP TimezonePDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id167F6F37B6C632E6327F4EB24F1709DE37EDB1CBAtSubmissionCreationDeviceId
At Submission Filing Device Id9F1A12430B4C7E4291B25665072C023048629494AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

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 ST SUITE 150AddressLine1Txt
CitySANTA ANACityNm
State AbbreviationCAStateAbbreviationCd
ZIP92705ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$61,281,622GrossReceiptsAmt
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 Employee36TotalEmployeeCnt
Total Volunteers7TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,887,299PYContributionsGrantsAmt
CY Contributions Grants$1,301,992CYContributionsGrantsAmt
PY Program Service Revenue$41,012,713PYProgramServiceRevenueAmt
CY Program Service Revenue$59,959,865CYProgramServiceRevenueAmt
PY Investment Income$14,805PYInvestmentIncomeAmt
CY Investment Income$19,765CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$42,914,817PYTotalRevenueAmt
CY Total Revenue$61,281,622CYTotalRevenueAmt
PY Grants And Similar Paid$1,514,677PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$1,047,688CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$2,854,168PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$3,732,442CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$35,110,132PYOtherExpensesAmt
CY Other Expenses$36,107,529CYOtherExpensesAmt
PY Total Expenses$39,478,977PYTotalExpensesAmt
CY Total Expenses$40,887,659CYTotalExpensesAmt
PY Revenues Less Expenses$3,435,840PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$20,393,963CYRevenuesLessExpensesAmt
Total Assets BOY$14,003,520TotalAssetsBOYAmt
Total Assets EOY$35,584,652TotalAssetsEOYAmt
Total Liabilities BOY$3,160,754TotalLiabilitiesBOYAmt
Total Liabilities EOY$4,347,923TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$10,842,766NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$31,236,729NetAssetsOrFundBalancesEOYAmt
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$39,722,754ExpenseAmt
Grant$1,047,688GrantAmt
Revenue$59,959,865RevenueAmt
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$39,722,754TotalProgramServiceExpensesAmt
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 Document14IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee36EmployeeCnt
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
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 Line1CHERYL BATEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7145865336PhoneNum

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 (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/CHAIRMAN5.00Yes (X)Yes (X)$0$0$0
AMIT SONI
VICE PRESIDENT1.00Yes (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$216,818$0$15,185Yes (X)
NINA HWANG
PHYSICIAN32.00$150,675$0$11,901Yes (X)
CHERYL BATE
DIRECTOR OF FINANCE/CONTRO40.00$147,477$0$15,382Yes (X)
MATT CIANCIULLI
DIRECTOR OF CLINIC40.00$145,005$0$12,837Yes (X)
GRACE HERNANDEZ
PHYSICAL THERAPIST40.00$123,417$0$5,218Yes (X)
JERALYN TUCKER
CLINIC MANAGER40.00$114,795$0$16,230Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$898,187TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$76,753TotalOtherCompensationAmt
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
CHOC CHILDRENS HOSPITAL
1201 W LA VETA AVEORANGECA92868CONTRACTUAL SERVICES$1,113,389
CRESCENT HEALTHCARE
62651 COLLECTIONS CENTER DRCHICAGOIL60693CONTRACTUAL SERVICES$261,521
SICKLE CELL FOUNDATION OF SOUTHERN CALIF
3602 INLAND EMPIRE BLVD SUITE B220ONTARIOCA91764CONTRACTUAL SERVICES$241,582
CHILDREN'S HOSPITAL AND RESEARCH CENTER
5700 MARTIN LUTHER KING J WAYOAKLANDCA94609CONTRACTUAL SERVICES$237,792
RED CHIP ENTERPRISES
18009 SKY PARK CIRCLE SUITE GIRVINECA92614BILLING SERVICES$194,100
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K8CntrctRcvdGreaterThan100KCnt
Government Grants$1,301,992GovernmentGrantsAmt
Total Contributions$1,301,992TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
FACTOR REPLACEMENT621990$39,619,289$39,619,289
RECOUPED PROGRAM INCOME FROM HEMO900099$18,050,825$18,050,825
WHOLESALE PHARMACY621990$773,643$773,643
CONTRACT PHARMACY SERVICES900099$532,042$532,042
OTHER REVENUE900099$413,098$413,098

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$570,968TotalRevenueColumnAmt
Related Or Exempt Func Income$570,968RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$59,959,865TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$19,765TotalRevenueColumnAmt
Exclusion$19,765ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$61,281,622TotalRevenueColumnAmt
Related Or Exempt Func Income$59,959,865RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$19,765ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$1,047,688TotalAmt
Program Services$1,047,688ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$224,537TotalAmt
Program Services$224,537ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$2,850,407TotalAmt
Program Services$2,334,912ProgramServicesAmt
Management And General$515,495ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$107,491TotalAmt
Program Services$82,543ProgramServicesAmt
Management And General$24,948ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$316,530TotalAmt
Program Services$234,058ProgramServicesAmt
Management And General$82,472ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$233,477TotalAmt
Program Services$188,198ProgramServicesAmt
Management And General$45,279ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$66,000TotalAmt
Management And General$66,000ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$114,279TotalAmt
Program Services$102,333ProgramServicesAmt
Management And General$11,946ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$126,965TotalAmt
Management And General$126,965ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$21,696TotalAmt
Program Services$21,696ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$324,934TotalAmt
Program Services$250,475ProgramServicesAmt
Management And General$74,459ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$515,508TotalAmt
Program Services$377,251ProgramServicesAmt
Management And General$138,257ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$145,467TotalAmt
Program Services$117,196ProgramServicesAmt
Management And General$28,271ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$167,758TotalAmt
Program Services$158,682ProgramServicesAmt
Management And General$9,076ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$92,737TotalAmt
Program Services$74,333ProgramServicesAmt
Management And General$18,404ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$93,863TotalAmt
Program Services$70,530ProgramServicesAmt
Management And General$23,333ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
PHARMACEUTICAL COSTS$31,895,640$31,895,640
PURCHASED SERVICES$2,542,682$2,542,682

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$40,887,659TotalAmt
Program Services$39,722,754ProgramServicesAmt
Management And General$1,164,905ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$267,485BOYAmt
EOY$895,522EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$7,980,710BOYAmt
EOY$27,675,245EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$899,877BOYAmt
EOY$544,099EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$3,944,615BOYAmt
EOY$4,739,174EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$551,990BOYAmt
EOY$1,422,524EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$118,296BOYAmt
EOY$129,607EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$736,672LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$597,303LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$201,435BOYAmt
EOY$139,369EOYAmt

Other Assets Total OtherAssetsTotalGrp

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

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$14,003,520BOYAmt
EOY$35,584,652EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$3,160,754BOYAmt
EOY$4,347,923EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,160,754BOYAmt
EOY$4,347,923EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$10,840,052BOYAmt
EOY$13,183,190EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,714BOYAmt
EOY$18,053,539EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$10,842,766BOYAmt
EOY$31,236,729EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$14,003,520BOYAmt
EOY$35,584,652EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$20,393,963ReconcilationRevenueExpnssAmt
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$979,356CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,755,441CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,598,922CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,887,299CurrentTaxYearMinus1YearAmt
Current Tax Year$1,301,992CurrentTaxYearAmt
Total$7,523,010TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$24,822,141CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$27,793,103CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$33,426,975CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$41,012,713CurrentTaxYearMinus1YearAmt
Current Tax Year$59,959,865CurrentTaxYearAmt
Total$187,014,797TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$25,801,497CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$29,548,544CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$35,025,897CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$42,900,012CurrentTaxYearMinus1YearAmt
Current Tax Year$61,261,857CurrentTaxYearAmt
Total$194,537,807TotalAmt

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$194,537,807PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$67CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,625CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$11,076CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$14,805CurrentTaxYearMinus1YearAmt
Current Tax Year$19,765CurrentTaxYearAmt
Total$49,338TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$67CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,625CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$11,076CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$14,805CurrentTaxYearMinus1YearAmt
Current Tax Year$19,765CurrentTaxYearAmt
Total$49,338TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$25,801,564CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$29,552,169CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$35,036,973CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$42,914,817CurrentTaxYearMinus1YearAmt
Current Tax Year$61,281,622CurrentTaxYearAmt
Total$194,587,145TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99970PublicSupportCY509Pct
Public Support PY5090.99980PublicSupportPY509Pct
Investment Income CY0.00030InvestmentIncomeCYPct
Investment Income PY0.00020InvestmentIncomePYPct
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$141,341DepreciationAmt
Book Value$51,922BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$543,409OtherCostOrOtherBasisAmt
Depreciation$455,962DepreciationAmt
Book Value$87,447BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$139,369TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$61,281,622TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$61,281,622RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$61,281,622TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$40,887,659TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$40,887,659ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$40,887,659TotalExpensesPerForm990Amt

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 2014-2017 STATE 2013-2017ExplanationTxt

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (35 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)$21,843SUBCONTRACT HRSA GRANT - HEMOPHILIA REGIONAL COMPREHENSIVE CARE PROGRAM
CHILDREN'S HOSPITAL LOS ANGELES
4650 SUNSET BLVD MS 54LOS ANGELESCA90027951690977501(C)(3)$74,984SUBCONTRACT HRSA GRANT - HEMOPHILIA REGIONAL COMPREHENSIVE CARE PROGRAM
CHILDREN'S HOSPITAL LOS ANGELES
4650 SUNSET BLVD MS 54LOS ANGELESCA90027951690977501(C)(3)$35,259SUBCONTRACT CDC/ATHN GRANT - PUBLIC HEALTH SURVEILLANCE
CHILDREN'S HOSPITAL OF CENTRAL CALIFORNIA
9300 VALLEY CHILDRENS PLACEMADERACA92636941294954501(C)(3)$12,806SUBCONTRACT HRSA GRANT - HEMOPHILIA REGIONAL COMPREHENSIVE CARE PROGRAM
CHILDREN'S HOSPITAL AND RESEARCH CENTER AT OAKLAND
5700 MARTIN LUTHER KING JR WAYOAKLANDCA94609940382330501(C)(3)$17,998SUBCONTRACT CDC/ATHN GRANT - PUBLIC HEALTH SURVEILLANCE
KAPI'OLANI MEDICAL CENTER FOR WOMEN AND CHILDREN
1319 PUNAHOU STREETHONOLULUHI96826990177350501(C)(3)$36,386SUBCONTRACT HRSA GRANT - HEMOPHILIA REGIONAL COMPREHENSIVE CARE PROGRAM
KAPI'OLANI MEDICAL CENTER FOR WOMEN AND CHILDREN
1319 PUNAHOU STREETHONOLULUHI96826990177350501(C)(3)$8,272SUBCONTRACT CDC/ATHN GRANT - PUBLIC HEALTH SURVEILLANCE
LUCILE PACKARD CHILDREN'S HOSPITAL AT STANFORD
1000 WELCH RD SUITE 300MC5798PALO ALTOCA94304941156365501(C)(3)$40,032SUBCONTRACT HRSA GRANT - HEMOPHILIA REGIONAL COMPREHENSIVE CARE PROGRAM
LUCILE PACKARD CHILDREN'S HOSPITAL AT STANFORD
1000 WELCH RD SUITE 300 MC5798PALO ALTOCA94304941156365501(C)(3)$23,439SUBCONTRACT CDC/ATHN GRANT - PUBLIC HEALTH SURVEILLANCE
ORTHOPAEDIC HOSPITAL
2400 SOUTH FLOWER STLOS ANGELESCA90007951644604501(C)(3)$40,302SUBCONTRACT HRSA GRANT - HEMOPHILIA REGIONAL COMPREHENSIVE CARE PROGRAM
ORTHOPAEDIC HOSPITAL
2400 SOUTH FLOWER STLOS ANGELESCA90007951644604501(C)(3)$27,540SUBCONTRACT CDC/ATHN GRANT - PUBLIC HEALTH SURVEILLANCE
PEDIATRIC SUBSPECIALTY FACULTY
1010 WEST LA VETA AVE SUITE 670ORANGECA92868330930025$37,573SUBCONTRACT HRSA GRANT - HEMOPHILIA REGIONAL COMPREHENSIVE CARE PROGRAM
PEDIATRIC SUBSPECIALTY FACULTY
1010 WEST LA VETA AVE SUITE 670ORANGECA92868330930025$18,700SUBCONTRACT CDC/ATHN GRANT - PUBLIC HEALTH SURVEILLANCE
RADY CHILDREN'S HOSPITAL - SAN DIEGO
3020 CHILDRENS WAYSAN DIEGOCA92123951691313501(C)(3)$7,510SUBCONTRACT HRSA GRANT - HEMOPHILIA REGIONAL COMPREHENSIVE CARE PROGRAM
RADY CHILDREN'S HOSPITAL - SAN DIEGO
3020 CHILDRENS WAYSAN DIEGOCA92123951691313501(C)(3)$19,996SUBCONTRACT CDC/ATHN GRANT - PUBLIC HEALTH SURVEILLANCE
THE REGENTS OF THE UNIVERSITY OF CALIFORNIA (DAVIS)
2360 STOCKTON BLVD SUITE 1100SACRAMENTOCA95817946036494501(C)(3)$45,217SUBCONTRACT HRSA GRANT - HEMOPHILIA REGIONAL COMPREHENSIVE CARE PROGRAM
THE REGENTS OF THE UNIVERSITY OF CALIFORNIA (DAVIS)
2360 STOCKTON BLVD SUITE 1100SACRAMENTOCA95817946036494501(C)(3)$28,019SUBCONTRACT 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)$49,100SUBCONTRACT 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)$10,758SUBCONTRACT HRSA GRANT - SICKLE CELL TREATMENT DEMONSTRATION PROGRAMMDCC
THE REGENTS OF THE UNIVERSITY OF CALIFORNIA (UCSD)
200 W ARBOR DRIVE MC8651SAN DIEGOCA92103956006144501(C)(3)$21,087SUBCONTRACT HRSA GRANT - HEMOPHILIA REGIONAL COMPREHENSIVE CARE PROGRAM
THE REGENTS OF THE UNIVERSITY OF CALIFORNIA (UCSF)
650 MOFFITT BOX 0106SAN FRANCISCOCA94143946036493501(C)(3)$42,307SUBCONTRACT HRSA GRANT - HEMOPHILIA REGIONAL COMPREHENSIVE CARE PROGRAM
THE REGENTS OF THE UNIVERSITY OF CALIFORNIA (UCSD)
200 W ARBOR DRIVE MC8651SAN DIEGOCA92103956006144501(C)(3)$16,879SUBCONTRACT CDC/ATHN GRANT - PUBLIC HEALTH SURVEILLANCE
SICKLE CELL DISEASE FOUNDATION OF CALIFORNIA
3602 INLAND EMPIRE BLVD SUITE B220ONTARIOCA91764956155962501(C)(3)$107,432SUBCONTRACT HRSA GRANT - SICKLE CELL TREATMENT DEMONSTRATION PROGRAM
ALLIANCE FOR CHILDHOOD DISEASES
3121 S MARYLAND PARKWAY SUITE 601LAS VEGASNV89109260286469501(C)(3)$9,158SUBCONTRACT HRSA GRANT - HEMOPHILIA REGIONAL COMPREHENSIVE CARE PROGRAM
THE UNIVERSITY OF ARIZONA
1303 E UNIVERSITY BLVD BOX 3TUCSONAZ85719742652689501(C)(3)$47,928SUBCONTRACT 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 670ORANGECA92868330930025$8,343SUBCONTRACT HRSA GRANT - SICKLE CELL TREATMENT DEMONSTRATION PROGRAM
OREGON HEALTH AND SCIENCE UNIVERSITY
3181 SW SAM JACKSON PARK ROADPORTLANDOR97201931176109501(C)(3)$21,351SUBCONTRACT HRSA GRANT - SICKLE CELL TREATMENT DEMONSTRATION PROGRAM
CITY OF HOPE
1500 EAST DUARTE ROADDUARTECA91010953432210501(C)(3)$16,326SUBCONTRACT CDC/ATHN GRANT - PUBLIC HEALTH SURVEILLANCE
CHILDREN'S HOSPITAL OF CENTRAL CALIFORNIA
9300 VALLEY CHILDRENS PLACEMADERACA92636941294954501(C)(3)$22,452SUBCONTRACT 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)$25,183SUBCONTRACT HRSA GRANT - HEMOPHILIA REGIONAL COMPREHENSIVE CARE PROGRAM
HEMOSTASIS AND THROMBOSIS CENTER OF NV
8352 W WARM SPRINGS RD SUITE 200LAS VEGASNV89113822793154501(C)(3)$36,858SUBCONTRACT HRSA GRANT - PUBLIC HEALTH SURVEILLANCE
UNIVERSITY OF COLORADO
13121 E 17TH PL RM W1124AURORACO80045846000555501(C)(3)$22,161SUBCONTRACT HRSA GRANT - SICKLE CELL TREATMENT DEMONSTRATION PROGRAM
FieldValueIRS element (for citing)
Total501c3 Org19Total501c3OrgCnt
Total Other Org1TotalOtherOrgCnt

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 (4 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$216,818$0$0$0$0$0$7,556$0$7,629$0$232,003$0$0$0
NINA HWANG
PHYSICIAN$150,675$0$0$0$0$0$5,335$0$6,566$0$162,576$0$0$0
CHERYL BATE
DIRECTOR OF FINANCE/CONTRO$147,477$0$0$0$0$0$5,481$0$9,901$0$162,859$0$0$0
MATT CIANCIULLI
DIRECTOR OF CLINIC$145,005$0$0$0$0$0$5,765$0$7,072$0$157,842$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.