2015-04-13T17:44:56-05:00 2014-09-30 910189318 MOSS ADAMS LLP 101 SECOND STREET SUITE 900 SAN FRANCISCO CA 94105 990 2013-10-01 770207331 PALO ALTO VETERANS INSTITUTE FOR RESEARCH PALO 6508583970 3801 MIRANDA AVENUE PALO ALTO CA 94304 KERSTIN LYNAM CEO 6508583970 2015-04-13 1 RICHARD CROGHAN P00089862 4159561500 2013 2016-02-25 16:41:14Z KERSTIN LYNAM 3801 MIRANDA AVENUE PALO ALTO CA 94304 24249138 0 X WWW.PAVIR.ORG X 1988 CA RESEARCH & EDUCATION TOWARD DISCOVERY OF INNOVATIVE HEALTH SOLUTIONS FOR VETERANS. 10 3 291 0 0 0 19890790 22064702 3041179 2134015 13272 17978 0 32443 22945241 24249138 0 0 0 0 13210713 13407114 0 0 0 9386194 10902541 22596907 24309655 348334 -60517 8188268 8621232 2468396 2959987 5719872 5661245 X SEE SCHEDULE O. 0 0 953158 TESTING POTENTIAL DRUG TREATMENTS TO FIGHT THE PROGRESSION OF ALZHEIMERS DISEASE ALZHEIMERS DISEASE IS A NEURODEGENERATIVE DISEASE THAT LEADS TO PROGRESSIVE COGNITIVE DYSFUNCTION AND AFFECTS INCREASING NUMBERS OF VETERANS. CURRENT KNOWLEDGE OF THE PROCESSES LEADING TO THIS TERRIBLE DISEASE ARE STILL LIMITED, AND NO EFFECTIVE TREATMENTS ARE AVAILABLE. STUDIES FROM DR. WYSS-CORAYS LABORATORY, SUPPORTED BY PAVIR, HAVE SHOWN EARLY SUCCESSES IN MANIPULATING ONE OF THE UNDERLYING PROCESSES CONTRIBUTING TO THE DEVELOPMENT OF ALZHEIMERS DISEASE. THE LABORATORY HAS GENERATED A NEW DRUG WHICH CAN IMPROVE LEARNING AND MEMORY IN CONTEXT OF ALZHEIMERS DISEASE IN A LABORATORY SETTING, WHICH IS CURRENTLY BEING ADVANCED FOR FIRST USE IN HUMANS. WHILE STILL IN THE EARLY STAGES, THIS GROUND BREAKING RESEARCH OFFERS NEW OPPORTUNITIES FOR THE FIGHT AGAINST THIS TERRIBLE DISEASE. 907147 TREATING PTSD IN DIVERSE POPULATIONSPOST TRAUMATIC STRESS DISORDER (PTSD) IS TYPICALLY THOUGHT OF AS AFFLICTING RETURNING MILITARY AND VETERANS WHO HAVE ENDURED EXTREME WARTIME STRESSORS THAT CHALLENGE THEIR VALUE SYSTEM AND MENTAL HEALTH. BUT PTSD IS MUCH MORE PREVALENT AND IS MORE VARIED THAN THAT. MANY INDIVIDUALS WHO SUFFER FROM PTSD HAVE NO TIES TO THE MILITARY AND DEVELOP PTSD AS A RESULT OF CIVILIAN VIOLENCE IN THE COMMUNITY, IN THE FAMILY AND IN INTIMATE RELATIONSHIPS AND SEEK TREATMENT IN COMMUNITY MENTAL HEALTH SETTINGS. IN ADDITION, MANY VETERANS SEEK THEIR CARE OUTSIDE OF THE VA. THIS IS WHY IT IS IMPORTANT TO EVALUATE THE EFFECTIVENESS OF AN EVIDENCE BASED PTSD TREATMENT THAT INCLUDES FLEXIBLE DELIVERY STRATEGIES FOR DIFFERENT CIRCUMSTANCES IN THE CONTEXT OF THE BROADER COMMUNITY. IN THIS PAVIR ADMINISTERED STUDY, DR. CLOITRE AND HER RESEARCH TEAM WILL ASSESS THE EFFECTIVENESS OF A TREATMENT REFINED HERE IN PALO ALTO, AGAINST THE TREATMENT AS USUAL (TAU) IN THE CONTEXT OF EVERY DAY CLINICAL CARE IN COMMUNITY MENTAL HEALTH SETTINGS. THIS IS AN ACTIVE PROJECT AND MANY STUDY PARTICIPANTS HAVE BEEN ENROLLED TO BENEFIT FROM THIS NOVEL AND FLEXIBLE CARE OPTION. ONCE THE STUDY IS COMPLETED, RESULTS WILL BE PUBLISHED AT NATIONAL MENTAL HEALTH CONFERENCES AND IN SCIENTIFIC JOURNALS SO MORE CLINICIANS CAN LEARN FROM AND IMPLEMENT WHAT WORKS BEST TO TREAT PTSD. 631248 624616 DEFENSE AND VETERANS BRAIN INJURY CENTER (DVBIC)THE DEFENSE AND VETERANS BRAIN INJURY CENTER (DVBIC) IS A KEY COMPONENT OF THE U.S. MILITARY HEALTH SYSTEM. SPECIFICALLY, IT FUNCTIONS AS THE TRAUMATIC BRAIN INJURY (TBI) OPERATIONAL COMPONENT OF THE DEFENSE CENTERS OF EXCELLENCE FOR PSYCHOLOGICAL HEALTH AND TRAUMATIC BRAIN INJURY (DCOE). FOUNDED IN 1992 BY CONGRESS, DVBICS RESPONSIBILITIES HAVE GROWN AS ITS MULTI-SITE NETWORK COMPRISING CLINICAL RESEARCH, EDUCATION/OUTREACH AND CARE COORDINATION/TREATMENT HAS EXPANDED TO 11 MILITARY TREATMENT FACILITIES AND 5 VETERANS AFFAIRS (VA) HOSPITALS. DVBICS MISSION IS TO ASSIST THE DEPARTMENT OF DEFENSE (DOD) AND VA IN OPTIMIZING CARE FOR ACTIVE DUTY MILITARY, THEIR BENEFICIARIES, AND VETERANS WHO HAVE SUSTAINED A TBI AT HOME AND IN THE DEPLOYED SETTING, THROUGH STATE-OF-THE-ART CLINICAL CARE, INNOVATIVE CLINICAL RESEARCH INITIATIVES, EDUCATIONAL PROGRAMS, AND SUPPORT FOR FORCE HEALTH PROTECTION SERVICES. 18395224 1509399 PAVIRS MEDICAL RESEARCH FOCUSES ON ADVANCING THE HEALTH OF OUR NATIONS VETERANS, BUT OUR EFFORTS RESULT IN HEALTH CARE IMPROVEMENTS AND INNOVATIONS FOR SOCIETY AT LARGE. PAVIR IS PRIVILEGED TO WORK WITH VETERANS, AS WELL AS A LARGE COMMUNITY OF UNIQUELY TALENTED MEDICAL RESEARCHERS. THE RANGE OF RESEARCH ACTIVITIES IS BROAD AND INCLUDES SPECIAL EMPHASIS ON-CARDIOVASCULAR MEDICINE,-CANCER,-MENTAL HEALTH - INCLUDING TRAUMATIC BRAIN INJURY (TBI) AND POST TRAUMATIC STRESS DISORDER (PTSD),-CHRONIC INFLAMMATORY DISEASE, AND-STEM CELL/REGENERATIVE MEDICINEADDITIONALLY, GENOMIC MEDICINE IS A MAJOR OVERARCHING INTEREST IN OUR PURSUIT OF HEALTH IMPROVEMENTS FOR VETERANS. DURING FY14, PAVIR SUPPORTED MORE THAN 200 MEDICAL RESEARCH PROJECTS CONDUCTED BY MORE THAN 100 RESEARCHERS. 18395224 1509399 20886777 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 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 42 0 1 291 1 0 0 0 0 0 0 0 0 0 0 X 10 3 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 1 1 0 CA X LILY IBRAGIMOV 6508583970 3801 MIRANDA AVENUE PALO ALTO CA 94304 LAWRENCE LEUNG STATUTORY VA DIRECTOR 0.50 40.00 X 0 0 0 ELIZABETH JOYCE FREEMAN STATUTORY VA DIRECTOR 0.50 40.00 X 0 0 0 MARK NICOLLS DIRECTOR, SECRETARY/TREASURER 0.50 40.00 X 0 0 0 THOMAS RANDO DIRECTOR (THROUGH 6/11/14) 1.00 40.00 X 0 0 0 JOHN POLLARD STATUTORY VA DIRECTOR 0.50 40.00 X 0 0 0 DAVID CLARK DIRECTOR, BOARD CHAIR 1.00 40.00 X 0 0 0 PHILLIP L JELSMA DIRECTOR 0.50 X 0 0 0 BARCLAY KAMB STATUTORY NON-FEDERAL DIRECTOR 0.50 X 0 0 0 ROBERTA OKA DIRECTOR 0.50 40.00 X 0 0 0 PHILIP TSAO STATUTORY VA DIRECTOR 0.50 40.00 X 0 0 0 CAROL OLSON STATUTORY NON-FEDERAL DIRECTOR 0.50 X 0 0 0 MARY THORNTON COO 40.00 X 140574 0 31232 DONNA MCCARTNEY EXECUTIVE DIRECTOR 40.00 X 164275 0 16186 KERSTIN LYNAM CEO 40.00 X 106806 0 7460 STEPHANIE HENSEY DATABASE ADMINISTRATOR 40.00 X 136828 0 20625 MAURINO ALBENETYH PURCHASING MANAGER 40.00 X 112513 0 15447 BRIAN ZABEL RESEARCH SCIENTIST 40.00 X 109619 0 16252 LILY IBRAGIMOV CONTROLLER 40.00 X 114648 0 17869 BRIAN DOHERTY IT MANAGER 40.00 X 134388 0 16003 1019651 0 141074 12 0 1 0 KONO CONSULTING INC 268 BUSH STREET 429 SAN FRANCISCO CA 94104 SOFTWARE CONSULTING 101382 1 20073081 1991621 21743 22064702 MEDICAL RESEARCH 541700 1479192 1479192 GOVT FEES & CONTRACTS 541700 654823 654823 2134015 17978 17978 OTHER REVENUES 541700 32443 32443 32443 24249138 2134015 0 50421 448074 448074 10504114 9134326 1369788 595941 481502 114439 1145761 977437 168324 713224 603019 110205 62925 478 62447 85700 85700 2201564 1776163 425401 73433 60637 12796 655222 310474 344748 139537 127458 12079 186382 186382 239547 207585 31962 227531 220981 6550 38189 38189 RESEARCH MATERIAL COSTS 3106032 3103689 2343 PERSONNEL COST 1709950 1539164 170786 SUBRECIPIENTS 1580255 1580255 EQUIPMENT RENTAL & MAIN 414653 406937 7716 181621 170290 11331 24309655 20886777 3422878 0 1598943 1019700 3133822 3568124 2584905 3111896 95717 48485 2281391 1414964 768281 866427 6600 6600 8188268 8621232 538016 769292 679601 859922 1250779 1330773 2468396 2959987 X 5097934 4815714 621938 845531 5719872 5661245 8188268 8621232 -60517 1890 0 X X 0 1 X 1 1 1 X VA PALO ALTO HEALTH CARE SYSTEM PALO ALTO CA RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 435 0 0 0 435 0 PART II-B, LINE 1: OUR ORGANIZATION PAID MEMBERSHIP DUES TO THE NATIONAL ASSOCIATION OF VETERANS RESEARCH AND EDUCATION FOUNDATIONS (NAVREF). THE REPORTED FIGURE IS THE PORTION OF THOSE DUES WHICH NAVREF ESTIMATES WENT TOWARD ITS LOBBYING ACTIVITIES. 2281391 1414964 866427 866427 PAYROLL PAYABLE 563999 ACCRUED VACATION 597222 OTHER ACCRUED LIABILITIES 169552 1330773 X 24251028 1890 1890 24249138 0 24249138 24309655 0 24309655 0 24309655 PART X, LINE 2: PALO ALTO VETERANS INSTITUTE FOR RESEARCH IS A NONPROFIT CORPORATION EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE SECTION 501(C)(3) AND STATE INCOME TAX UNDER CALIFORNIA REVENUE AND TAXATION CODE SECTION 23701D. THE ORGANIZATION 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, 2014, THE ORGANIZATION HAD NO UNRECOGNIZED TAX BENEFITS OR UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL. THEREFORE, NO PROVISION FOR INCOME TAXES HAS BEEN PROVIDED IN THE FINANCIAL STATEMENTS. WITH FEW EXCEPTIONS, THE ORGANIZATION IS NO LONGER SUBJECT TO THE UNITED STATES FEDERAL OR STATE LOCAL INCOME TAX EXAMINATIONS BY TAX AUTHORITIES FOR FISCAL YEARS BEFORE 2009. X 1 1 X X X 1 0 0 0 0 0 0 0 0 MARY THORNTON COO 137574 0 3000 0 0 0 15418 0 15814 0 171806 0 0 0 DONNA MCCARTNEY EXECUTIVE DIRECTOR 139275 0 25000 0 0 0 16186 0 0 0 180461 0 0 0 STEPHANIE HENSEY DATABASE ADMINISTRATOR 136828 0 0 0 0 0 13891 0 6734 0 157453 0 0 0 BRIAN DOHERTY IT MANAGER 134388 0 0 0 0 0 13768 0 2235 0 150391 0 0 0 PART I, LINE 1A ONE OF THE BOARD MEMBERS USED THE UNITED BUSINESS FIRST (R) CLASS WHEN HE FLEW TO A CONFERENCE IN MELBOURNE, AUSTRALIA. PAVIR SUPPORT FOR TRAVEL POLICY ALLOWS USE OF UPGRADED SERVICE FOR MORE THAN 8 HOURS FLIGHT DURATION AND INVOLVING INTERNATIONAL TRAVEL. PART I, LINE 4A MAURINO ALBENETYH, ONE OF OUR HIGHEST COMPENSATED EMPLOYEES, WAS PAID SEVERANCE PAY IN MARCH 2014. 990, PART III, LINE 1 MISSION STATEMENT: THE MISSION OF THE PALO ALTO VETERANS INSTITUTE FOR RESEARCH (PAVIR) IS TO FACILITATE RESEARCH AND EDUCATION CONDUCTED AT THE VA PALO ALTO HEALTH CARE SYSTEM (VAPAHCS). PAVIR'S MEDICAL RESEARCH AND EDUCATION ACTIVITIES ARE AIMED AT TRANSLATING INNOVATIONS INTO HEALTH IMPROVEMENTS FOR VETERANS. PAVIR WORKS WITH MORE THAN 100 RESEARCHERS WHOSE STUDIES SPAN THE INVESTIGATION OF DISEASES IN THE LABORATORY, TO TESTING NEW DRUG TREATMENTS, TO DEVELOPING IMPROVED MODELS OF HEALTH CARE DELIVERY. PAVIR'S MEDICAL RESEARCH COVERS MENTAL HEALTH INCLUDING CHALLENGES SUCH AS POST TRAUMATIC STRESS DISCORDER AND TRAUMATIC BRAIN INJURY, GERIATRIC MEDICINE, REHABILITATION, STEM CELL/REGENERATIVE MEDICINE, AND OTHER MEDICAL SPECIALTIES. IN ADDITION TO OUR RESEARCHERS APPOINTMENTS AT THE VAPAHCS, MOST HOLD DUAL APPOINTMENTS AT THE STANFORD UNIVERSITY SCHOOL OF MEDICINE. OUR RESEARCHERS ARE RECOGNIZED IN THEIR FIELD OF SCIENTIFIC INVESTIGATIONS, AND HAVE RECEIVED NUMEROUS NATIONAL AND INTERNATIONAL PRESTIGIOUS AWARDS. FORM 990, PART VI, SECTION A, LINE 8B IN ACCORDANCE WITH THE BYLAWS THE BOARD HAS PREPARED MINUTES THAT ARE APPROVED BY ALL MEMBERS DOCUMENTING ITS ACTIONS. STANDING COMMITTES ARE NOT AUTHORIZED TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11 THE FORM IS PROVIDED TO ALL BOARD MEMBERS FOR THEIR REVIEW AND COMMENT AT A BOARD MEETING. FORM 990, PART VI, SECTION B, LINE 12C EACH YEAR, PAVIR'S DIRECTORS AND OFFICERS MUST REVIEW PAVIR'S CONFLICT OF INTEREST POLICY AND COMPLETE AND SIGN A CONFLICT OF INTEREST DISCLOSURE QUESTIONNAIRE, DISCLOSING ANY POTENTIAL AREAS OF CONFLICT OF INTEREST OCCURRING DURING THE PRECEDING 12 MONTHS. FORM 990, PART VI, SECTION B, LINE 15 THE PAVIR HR DIRECTOR CONDUCTED A COMPENSATION STUDY FOR EXECUTIVE POSITIONS, UTILIZING DATA FROM COMPARABLE ORGANIZATIONS BASED ON GEOGRAPHY, INDUSTRY AND REVENUE. THE STUDY WAS PRESENTED TO THE BOARD OF DIRECTORS FOR REVIEW AND APPROVAL. THE BOARD CONVENES AN EXECUTIVE SESSION, DURING WHICH THE COMPENSATION DATA IS USED TO MAKE EXECUTIVE COMPENSATION DECISIONS. WITHIN 60 DAYS OF ANY EXECUTIVE COMPENSATION DECISION, THE BOARD'S DECISION IS DOCUMENTED. DOCUMENTATION INCLUDES THE TERMS AND DATE OF EACH DECISION, NAMES OF MEMBERS PRESENT DURING THE DEBATE AND HOW THOSE PRESENT VOTED. FORM 990, PART VI, SECTION C, LINE 19 THE AUDITED FINANCIAL STATEMENTS, ORGANIZING/GOVERNING DOCUMENTS, AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON WRITTEN REQUEST. FORM 990 PART XII; 2C AUDIT COMMITTEE: THE PROCESS RELATING TO THE OVERSIGHT OF THE AUDIT HAS BEEN UPDATED AND DOCUMENTED IN THE BOARD APPROVED AUDIT COMMITTEE CHARTER. THE AUDIT COMMITTEE CAN NOW INCLUDE A NON-BOARD MEMBER. FORM 990 PART VII; SCH. J, PART II; SCH. L, PART IV; & SCH. R, PART V, 1N COMPENSATION FROM RELATED ORGANIZATION: ON 2/27/15 PALO ALTO VETERANS INSTITUTE FOR RESEARCH WROTE TO EACH OF THE 7 BOARD MEMBERS WHO ARE COMPENSATED BY THE VA PALO ALTO HEALTH CARE SYSTEM REQUESTING PERMISSION TO OBTAIN HIS/HER COMPENSATION INFORMATION FOR THE TAX YEAR ENDING 12/31/2013. IN RESPONSE, ALL BOARD MEMBERS DECLINED IN WRITING TO PROVIDE THEIR COMPENSATION INFORMATION. VA PALO ALTO HEALTH CARE SYSTEM 3801 MIRANDA AVENUE PALO ALTO CA 94304 941179505 TEACHING HOSPITAL, PROVIDING A FULL RANGE OF PATIENT CARE SERVICES CA 501(C)(1) N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 VA PALO ALTO HEALTH CARE SYSTEM N 145241 FAIR MARKET VALUE