2018-08-10T16:30:08-05:00 2017-09-30 910189318 Moss Adams LLP 101 Second Street Suite 900 San Francisco CA 94105 990 2016-10-01 943084159 Northern California Institute for Research and Education Inc NORT 4157506954 4150 Clement Street 151NC San Francisco CA 94121 REBECCA A ROSALES Executive Director 4157506954 2018-08-10 1 Joua V Lo P01225144 4159561500 2018-08-10 2016 2022-09-23 18:48:47Z Rebecca A Rosales 4150 Clement Street 151NC San Francisco CA 94121 36999862 0 X www.ncire.org X 1988 CA Medical research to find new and improved ways to combat disease and impairments of man. 14 4 295 22 0 0 41308047 34836192 2072683 2118366 34270 21314 0 23990 43415000 36999862 0 0 0 0 15191683 14770983 0 0 2705 27723615 22186600 42915298 36957583 499702 42279 25827364 13324294 23377693 10832344 2449671 2491950 X To improve the health and well-being of veterans and the general public by supporting a world-class biomedical research program conducted by UCSF faculty at the San Francisco VA Medical Center 0 0 33050715 2118366 THE NORTHERN CALIFORNIA INSTITUTE FOR RESEARCH AND EDUCATION, INC. ("NCIRE") IS A RESEARCH INSTITUTE AFFILIATED WITH THE US DEPARTMENT OF VETERANS AFFAIRS ("VA") IN SAN FRANCISCO, CALIFORNIA AND THE UNIVERSITY OF CALIFORNIA AT SAN FRANCISCO. NCIRE WORKS WITH SPONSORS AND THE US DEPARTMENT OF VETERANS AFFAIRS IN ADMINISTERING CONTRIBUTIONS FOR CONDUCTING RESEARCH TO FIND NEW AND IMPROVED WAYS TO COMBAT HUMAN DISEASE AND TO HELP PEOPLE WITH DISABILITIES. THE RESEARCH ADMINISTERED BY NCIRE IS VA-APPROVED RESEARCH, CONDUCTED AT VA FACILITIES. NCIRE WAS ESTABLISHED UNDER TITLE 38, SUBCHAPTER IV, SUBSECTIONS 7361-7366 AND IS SUBJECT TO DEPARTMENT OF VETERANS AFFAIRS HANDBOOK 1200 17. UNDER TITLE 38, SUSBSECTION 7 363, NCIRE'S BOARD OF DIRECTORS CURRENTLY INCLUDES THREE MEMBERS WHO SERVE BY VIRTUE OF THEIR STATUTORY POSITIONS WITHIN THE SAN FRANCISCO VA MEDICAL CENTER. THEY ARE THE MEDICAL CENTER DIRECTOR, THE CHIEF OF STAFF, AND THE ASSOCIATE CHIEF OF STAFF FOR RESEARCH. 33050715 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 63 0 1 295 1 0 0 0 0 0 0 0 0 0 0 X 14 4 0 0 0 0 0 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X Rebecca A Rosales 4157506954 4150 Clement Street 151NC San Francisco CA 94121 Raymond A Swanson MD Chair 8.00 40.00 X 0 256466 0 Hubert Kim MD PhD Vice Chair 1.00 40.00 X 0 401264 0 Donald Bacon Director (thru 12/31/2016) 1.00 0.00 X 0 0 0 John W Bitoff Director (thru 12/31/2016) 1.00 0.00 X 0 0 0 Jody A Breckenridge Director (thru 12/31/2016) 1.00 0.00 X 0 0 0 Neal H Cohen MD Director 1.00 0.00 X 0 0 0 Steve Countouriotis Director 1.00 0.00 X 0 0 0 Michael Fernandez Director (thru 12/31/2016) 1.00 0.00 X 0 0 0 Bonnie S Graham Director 1.00 40.00 X 0 177625 0 Carl Grunfeld MD PhD Director 1.00 40.00 X 0 262162 25748 Theodora Mauro MD Director 1.00 40.00 X 0 291002 0 John R McQuaid PhD Director 1.00 40.00 X 0 159928 0 Kenneth R McQuaid MD Director 1.00 40.00 X 0 324728 0 J Michael Myatt Director (thru 12/31/2016) 1.00 0.00 X 0 0 0 C Diana Nicoll Director (thru 7/7/2017) 1.00 40.00 X 0 301466 0 Stephen Peary Director 1.00 0.00 X 0 0 0 Rina Shah MD Director 1.00 40.00 X 0 254596 0 Michael Shlipak MD Director 1.00 40.00 X 0 234596 0 Paul Volberding Director (thru 12/31/2016) 1.00 4.00 X 0 16468 0 Louise C Walter MD Director 1.00 15.00 X 0 234565 0 Judy Yee Director (thru 7/7/2017) 1.00 40.00 X 0 357972 0 Keith R Yamamoto PhD Director 1.00 0.00 X 0 0 0 Rebecca A Rosales Executive Director (start Jan 2017) 40.00 0.00 X 0 0 0 Stephen Morange Chief Financial Officer 40.00 0.00 X 196515 0 43952 Karen Steeber Director of Development 40.00 0.00 X 131035 0 21774 Diana Sacrey Laboratory Manager 40.00 0.00 X 127403 0 40695 Zin Kay Chan Director of Information Systems 40.00 0.00 X 121905 0 14902 Kathleen Stanley Administrative Nurse III 40.00 0.00 X 122422 0 36176 Derek Flenniken IT Manager 40.00 0.00 X 115122 0 35414 Robert Obana Executive Director (Thru 7/9/16) 0.00 0.00 X 190522 0 25351 1004924 3272838 244012 9 1 1 0 Chant Newall Development Group LLC 595 6th Street Brooklyn NY 11215 Tech Services 117230 The Ultimate Software Group Inc 2000 Ultimate Way Weston FL 33326 Payroll Services 104446 2 34203163 633029 34836192 Clinical Research Revenue 541700 2072724 2072724 Service Revenue 541900 45642 45642 2118366 21314 21314 Other Revenue 900099 23990 23990 23990 36999862 2118366 0 45304 X 399345 399345 10465999 8531794 1934205 821402 631911 189491 2097583 1704173 393410 986654 809383 177271 51517 16267 35250 172089 172089 12000 12000 17411220 17349711 61509 524852 283950 240445 457 343245 324503 17176 1566 112743 105560 7125 58 324085 257913 66172 54028 54028 SUPPLIES 1135459 1108911 26548 OUTSIDE RESEARCH 1058498 1058498 986864 868141 118099 624 36957583 33050715 3904163 2705 4478191 4080997 6535437 0 12175623 6831791 1467141 1338591 74940 111999 4642869 3765085 1087532 877784 8500 83132 25827364 13324294 12210353 5705882 10268390 5126462 898950 0 23377693 10832344 X 1687851 1380385 761820 1111565 2449671 2491950 25827364 13324294 42279 0 X 0 1 X 1 1 1 X US DEPARTMENT VETERANS AFFAIRS MEDICAL CENTER SAN FRANCISCO CA RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 12000 0 0 12000 0 Part II-B, Line 1: Government relations firms were retained to monitor, promote, and advocate on behalf of NCIRE in regards to federal legislation, regulations, and programs that could have an effect on NCIRE. 999680 748557 251123 2135806 1754450 381356 1507383 1262078 245305 877784 X 36999862 0 36999862 0 36999862 36957583 0 36957583 0 36957583 Part X, Line 2: NCIRE is a nonprofit corporation exempt from federal income tax under Internal Revenue Code ("IRC") section 501(c)(3) and state income tax under California Revenue and Taxation Code section 23701d. However, income from certain activities not directly related to NCIRE's tax-exempt purpose may be subject to taxation as unrelated business income. NCIRE qualifies for the charitable contribution deduction under IRC section 170(b)(1)(A)(iii) and has been classified as an organization that is not a private foundation under section 509(a)(1). As of September 30, 2017, NCIRE had no unrecognized tax benefits or uncertain tax positions requiring accrual. Therefore, no provision for income taxes has been provided in the financial statements. X X X 0 0 0 0 0 0 0 0 0 Raymond A Swanson MD Chair 0 256466 0 0 0 0 0 0 0 0 0 256466 0 0 Hubert Kim MD PhD Vice Chair 0 401264 0 0 0 0 0 0 0 0 0 401264 0 0 Bonnie S Graham Director 0 177625 0 0 0 0 0 0 0 0 0 177625 0 0 Carl Grunfeld MD PhD Director 0 262162 0 0 0 0 0 18000 0 7748 0 287910 0 0 Theodora Mauro MD Director 0 291002 0 0 0 0 0 0 0 0 0 291002 0 0 John R McQuaid PhD Director 0 159928 0 0 0 0 0 0 0 0 0 159928 0 0 Kenneth R McQuaid MD Director 0 324728 0 0 0 0 0 0 0 0 0 324728 0 0 C Diana Nicoll Director (thru 7/7/2017) 0 301466 0 0 0 0 0 0 0 0 0 301466 0 0 Rina Shah MD Director 0 254596 0 0 0 0 0 0 0 0 0 254596 0 0 Michael Shlipak MD Director 0 234596 0 0 0 0 0 0 0 0 0 234596 0 0 Louise C Walter MD Director 0 234565 0 0 0 0 0 0 0 0 0 234565 0 0 Judy Yee Director (thru 7/7/2017) 0 357972 0 0 0 0 0 0 0 0 0 357972 0 0 Stephen Morange Chief Financial Officer 196515 0 0 0 0 0 20119 0 23833 0 240467 0 0 0 Karen Steeber Director of Development 131035 0 0 0 0 0 0 0 21774 0 152809 0 0 0 Diana Sacrey Laboratory Manager 127403 0 0 0 0 0 13554 0 27141 0 168098 0 0 0 Kathleen Stanley Administrative Nurse III 122422 0 0 0 0 0 12499 0 23677 0 158598 0 0 0 Derek Flenniken IT Manager 115122 0 0 0 0 0 11774 0 23640 0 150536 0 0 0 Robert Obana Executive Director (Thru 7/9/16) 155257 0 0 0 35265 0 19204 0 6147 0 215873 0 0 0 Form 990, Part VI, Section A, line 7a THE DIRECTOR OF THE SAN FRANCISCO VA MEDICAL CENTER HOLDS THE AUTHORITY TO APPOINT MEMBERS OF THE BOARD FOLLOWING NOMINATION BY THE BOARD NOMINATING COMMITTEE, REMOVE A NON-STATUTORY BOARD MEMBER, APPOINT SUCCESSOR BOARD MEMBERS IN THE EVENT OF A VACANCY, AND APPOINT THE CHAIR OF THE BOARD. Form 990, Part VI, Section A, line 7b NO AMENDMENT TO THE BYLAWS SHALL BE EFFECTIVE UNTIL APPROVED BY THE DIRECTOR OF THE SAN FRANCISCO DEPARTMENT OF VETERANS AFFAIRS MEDICAL CENTER. Form 990, Part VI, Section B, line 11b The Form 990 is prepared by an independent public accounting firm based on audited financial statements and with the assistance of the organization's finance and accounting staff. The final draft of the 990 is reviewed by the Controller and the Executive Director. The Board receives the final version of the Form 990 prior to filing. Form 990, Part VI, Section B, line 12c All NCIRE directors, officers, and any employees with decision making authority ("key employees") submit a conflict of interest disclosure questionnaire and affirmation of compliance annually by January 31st to the Executive Director. Any questionnaire with a disclosure will be provided to the Board to review. The Board then decides whether any disclosures represent actual, perceived, or potential conflicts of interest. Whenever there is reason to believe that a potential conflict exists between the interests of NCIRE and any board member, officer, or employee, the interested party will have an opportunity to provide factual information about the proposed conflict and/or matter that provoked the potential conflict. The interested party does not participate in any way, or is present during, the deliberations and decision-making vote of NCIRE with respect to such matter. Form 990, Part VI, Section B, line 15 The process for determining the compensation of the Executive Director and other top management officials is as follows: two custom surveys were used and market data was gathered and analyzed by the Human Resource Department. Results were reviewed by the Audit and Risk Management Committee of the Board and were used to formally review and confirm that compensation is appropriate. The process was last done in 2017 and was contemporaneously documented. Form 990, Part VI, Section C, line 19 Audited financial statements are made available to the public via the company website. Governing documents and conflict of interest policy are not made available to the public. Form 990, Part IX, line 11g OTHER FEES: Program service expenses 207,244. Management and general expenses 61,509. Fundraising expenses 0. Total expenses 268,753. Subcontracts: Program service expenses 10,477,674. Management and general expenses 0. Fundraising expenses 0. Total expenses 10,477,674. JPA PAYROLL: Program service expenses 6,664,793. Management and general expenses 0. Fundraising expenses 0. Total expenses 6,664,793. San Francisco VA Health Care System 4150 Clement Street San Francisco CA 94121 health care benefits and services CA N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0