FURP.ORG / PUBLIC DATA EXPLORER

CENTER FOR COMPREHENSIVE CARE AND DIAGNOSIS OF INHERITED BLOOD: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
CENTER FOR COMPREHENSIVE CARE AND DIAGNOSIS OF INHERITED BLOOD (EIN 27-0179192)
Tax period
2012-10-01 to 2013-09-30
Filed
2014-05-14
IRS object ID
201431349349307078
Schema version
2012v2.1
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)
Timestamp2014-05-14T16:50:23-05:00Timestamp
Tax Period End Date2013-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN952302617EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1SINGERLEWAK LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line12050 MAIN STREET 7TH FLOORAddressLine1
CityIRVINECity
StateCAState
ZIP Code92614ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN270179192EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1THE CENTER FOR COMPREHENSIVE CARE ANDBusinessNameLine1
Business Name Line2DIAGNOSIS OF INHERITED BLOOD DISORDERSBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlCENTNameControl
Phone7145865336Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11310 W STEWART DRIVE NO 606AddressLine1
CityORANGECity
StateCAState
ZIP Code92868ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDIANE J NUGENT MDName
TitlePRESIDENTTitle
Phone7145865336Phone
Date Signed2014-05-12DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameLIOR TEMKIN CPAName
PTINP00748170PTIN
Phone9492618600Phone
Date Prepared2014-05-12DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1CIBDBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonDIANE J NUGENT MDNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11310 W STEWART DRIVE NO 606AddressLine1
CityORANGECity
StateCAState
ZIP Code92868ZIPCode
FieldValueIRS element (for citing)
Gross Receipts21477567GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteCIBD-CA.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2009YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionPROVIDE COMPREHENSIVE CARE FOR PATIENTS WITH RARE, CHRONIC INHERITED BLOOD DISORDERS.ActivityOrMissionDescription
Nbr Voting Members Governing Body8NbrVotingMembersGoverningBody
Nbr Independent Voting Members8NbrIndependentVotingMembers
Total Nbr Employees9TotalNbrEmployees
Total Nbr Volunteers8TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1158304ContributionsGrantsPriorYear
Contributions Grants Current Year924968ContributionsGrantsCurrentYear
Program Service Revenue Prior Year14875864ProgramServiceRevenuePriorYear
Program Service Revenue CY20552492ProgramServiceRevenueCY
Investment Income Prior Year707InvestmentIncomePriorYear
Investment Income Current Year107InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year16034875TotalRevenuePriorYear
Total Revenue Current Year21477567TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year892906GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY719167GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year589427SalariesEtcPriorYear
Salaries Etc Current Year929416SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year15103891OtherExpensePriorYear
Other Expenses Current Year20041273OtherExpensesCurrentYear
Total Expenses Prior Year16586224TotalExpensesPriorYear
Total Expenses Current Year21689856TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-551349RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-212289RevenuesLessExpensesCY
Total Assets BOY5072863TotalAssetsBOY
Total Assets EOY4171319TotalAssetsEOY
Total Liabilities BOY3073759TotalLiabilitiesBOY
Total Liabilities EOY2384504TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1999104NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1786815NetAssetsOrFundBalancesEOY
Mission DescriptionTO 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.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense21140512Expense
Grants719167Grants
Revenue20552492Revenue
DescriptionTHE 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.Description
Total Program Service Expense21140512TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10967NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees9NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members8NbrVotingGoverningBodyMembers
Number Independent Voting Members8NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest
Other Explain In Sch OXOtherExplainInSchO

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1MARY PHAMBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7145865336TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12670 N MAIN STREET SUITE 150AddressLine1
CitySANTA ANACity
StateCAState
ZIP Code92705ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (10 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
DIANE J NUGENT MD
PRESIDENT/CHAIRMAN5.00XX000
AMIT SONI
VICE PRESIDENT1.00XX000
KATHIE BIRSCHBACH
SECRETARY3.00XX000
BARRY STATON
TREASURER0.50XX000
MARY BROWN
DIRECTOR0.50X000
RANDALL CURTIS
DIRECTOR1.00X000
BERTIL GLADER MD PHD
DIRECTOR0.50X000
DEREK ROBERTSON JD MBA
DIRECTOR2.00X000
YVETTE CHONG-COONTZ
CFO (UNTIL OCTOBER 2012)40.00X15130200
MARY PHAM
COO/CCO40.00X14626000
FieldValueIRS element (for citing)
Total Reportable Comp From Org297562TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1RED CHIP ENTERPRISESBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line118009 SKY PARK CIRCLE SUITE GAddressLine1
CityIRVINECity
StateCAState
ZIP Code92614ZIPCode
FieldValueIRS element (for citing)
Description Of Services340B MANAGEMENT SERVICESDescriptionOfServices
Compensation1257274Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
Government Grants918496GovernmentGrants
All Other Contributions6472AllOtherContributions
Total Contributions924968TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
FACTOR REPLACEMENT6219902027503220275032
CONFERENCE REVENUES900099135150135150
NET PATIENT SERVICES621400125900125900
FEES FOR SERVICE CONTRACTS9000991641016410
FieldValueIRS element (for citing)
Total Program Service Revenue20552492TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column107TotalRevenueColumn
Exclusion$107ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column21477567TotalRevenueColumn
Related Or Exempt Function Income20552492RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$107ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total719167Total
Program Services719167ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total175932Total
Program Services87966ProgramServices
Management And General87966ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total652528Total
Program Services488532ProgramServices
Management And General163996ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total20205Total
Program Services6199ProgramServices
Management And General14006ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total35941Total
Program Services32024ProgramServices
Management And General3917ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total44810Total
Program Services27010ProgramServices
Management And General17800ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total20000Total
Program Services10000ProgramServices
Management And General10000ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total119506Total
Management And General119506ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total53514Total
Program Services40493ProgramServices
Management And General13021ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total20054Total
Program Services3696ProgramServices
Management And General16358ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total364246Total
Program Services333155ProgramServices
Management And General31091ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total147301Total
Program Services127800ProgramServices
Management And General19501ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total57909Total
Program Services53555ProgramServices
Management And General4354ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total72218Total
Program Services67686ProgramServices
Management And General4532ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total77069Total
Program Services72613ProgramServices
Management And General4456ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total41674Total
Program Services3669ProgramServices
Management And General38005ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
PHARMACEUTICAL COSTS1632090616320906
PURCHASED SERVICES27460412746041
BAD DEBT835835

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total21689856Total
Program Services21140512ProgramServices
Management And General549344ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY156913BOY
EOY819106EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY244143BOY
EOY247820EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY331120BOY
EOY398198EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY3688029BOY
EOY2080532EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY476850BOY
EOY465643EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY18415BOY
EOY28543EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis225711LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec112257LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY149836BOY
EOY113454EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY7557BOY
EOY18023EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY5072863BOY
EOY4171319EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY3006967BOY
EOY2377004EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY33457BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY33335BOY
EOY7500EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY3073759BOY
EOY2384504EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1751459BOY
EOY1635979EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY247645BOY
EOY150836EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1999104BOY
EOY1786815EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5072863BOY
EOY4171319EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-212289ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years1833294CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1158304CurrentTaxYearMinus1Year
Current Tax Year908043CurrentTaxYear
Total3899641Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years10319238CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year14875864CurrentTaxYearMinus1Year
Current Tax Year20569417CurrentTaxYear
Total45764519Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years12152532CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year16034168CurrentTaxYearMinus1Year
Current Tax Year21477460CurrentTaxYear
Total49664160Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50949664160PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years13148CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year707CurrentTaxYearMinus1Year
Current Tax Year107CurrentTaxYear
Total13962Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years13148CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year707CurrentTaxYearMinus1Year
Current Tax Year107CurrentTaxYear
Total13962Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years12165680CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year16034875CurrentTaxYearMinus1Year
Current Tax Year21477567CurrentTaxYear
Total49678122Total
FieldValueIRS element (for citing)
First5 Years509XFirst5Years509

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis16378OtherCostOrOtherBasis
Depreciation3047Depreciation
Book Value13331BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis209333OtherCostOrOtherBasis
Depreciation109210Depreciation
Book Value100123BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings113454TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionUNEARNED GRANT REVENUEDescription
Amount$7,500Amount
FieldValueIRS element (for citing)
Total Of Amounts7500TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt21477567TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal21477567RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99021477567TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt21689856TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal21689856ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99021689856TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X, LINE 2:ReturnReference
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 2009-2012 STATE 2009-2012Explanation

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (26 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrantAddress Line2AddressUS/AddressLine2
CHILDREN'S HOSPITAL AND RESEARCH CENTER AT OAKLAND
5700 MARTIN LUTHER KING JR WAYOAKLANDCA94609940382330501(C)(3)34716SUBCONTRACT HRSA GRANT - HEMOPHILIA REGIONAL COMPREHENSIVE CARE PROGRAM
CHILDREN'S HOSPITAL AND RESEARCH CENTER AT OAKLAND
5700 MARTIN LUTHER KING JR WAYOAKLANDCA94609940382330501(C)(3)18041SUBCONTRACT CDC/ATHN GRANT - PUBLIC HEALTH SURVEILLANCE
CHILDREN'S HOSPITAL LOS ANGELES
4650 SUNSET BLVD MS 54LOS ANGELESCA90027951690977501(C)(3)53988SUBCONTRACT HRSA GRANT - HEMOPHILIA REGIONAL COMPREHENSIVE CARE PROGRAM
CHILDREN'S HOSPITAL LOS ANGELES
4650 SUNSET BLVD MS 54LOS ANGELESCA90027951690977501(C)(3)48143SUBCONTRACT CDC/ATHN GRANT - PUBLIC HEALTH SURVEILLANCE
CHILDREN'S HOSPITAL OF CENTRAL CALIFORNIA
9300 VALLEY CHILDRENS PLACEMADERACA92636941294954501(C)(3)15709SUBCONTRACT HRSA GRANT - HEMOPHILIA REGIONAL COMPREHENSIVE CARE PROGRAM
CHILDREN'S HOSPITAL OF CENTRAL CALIFORNIA
9300 VALLEY CHILDRENS PLACEMADERACA92636941294954501(C)(3)14597SUBCONTRACT CDC/ATHN GRANT - PUBLIC HEALTH SURVEILLANCE
CITY OF HOPE
1450 EAST DUARTE RDDUARTECA910103000953432210501(C)(3)24726SUBCONTRACT CDC/ATHN GRANT - PUBLIC HEALTH SURVEILLANCE
HEMOPHILIA TREATMENT CENTER OF NEVADA
3121 S MARYLAND PARKWAY 200LAS VEGASNV89109260286469501(C)(3)33288SUBCONTRACT HRSA GRANT - HEMOPHILIA REGIONAL COMPREHENSIVE CARE PROGRAM
HEMOPHILIA TREATMENT CENTER OF NEVADA
3121 S MARYLAND PKWAY 200LAS VEGASNV89109260286469501(C)(3)29472SUBCONTRACT CDC/ATHN GRANT - PUBLIC HEALTH SURVEILLANCE
KAPI'OLANI MEDICAL CENTER FOR WOMEN AND CHILDREN
1319 PUNAHOU STREETHONOLULUHI96826990177350501(C)(3)35616SUBCONTRACT HRSA GRANT - HEMOPHILIA REGIONAL COMPREHENSIVE CARE PROGRAM
KAPI'OLANI MEDICAL CENTER FOR WOMEN AND CHILDREN
1319 PUNAHOU STREETHONOLULUHI96826990177350501(C)(3)9567SUBCONTRACT CDC/ATHN GRANT - PUBLIC HEALTH SURVEILLANCE
LUCILE PACKARD CHILDREN'S HOSPITAL AT STANFORD
1000 WELCH RD SUITE 300 MC5798PALO ALTOCA94304941156365501(C)(3)49962SUBCONTRACT HRSA GRANT - HEMOPHILIA REGIONAL COMPREHENSIVE CARE PROGRAM
LUCILE PACKARD CHILDREN'S HOSPITAL AT STANFORD
1000 WELCH RD SUITE 300 MC5798PALO ALTOCA94304941156365501(C)(3)17471SUBCONTRACT CDC/ATHN GRANT - PUBLIC HEALTH SURVEILLANCE
ORTHOPAEDIC HOSPITAL
2400 SOUTH FLOWER STLOS ANGELESCA90007951644604501(C)(3)46860SUBCONTRACT HRSA GRANT - HEMOPHILIA REGIONAL COMPREHENSIVE CARE PROGRAM
ORTHOPAEDIC HOSPITAL
2400 SOUTH FLOWER STLOS ANGELESCA90007951644604501(C)(3)28530SUBCONTRACT CDC/ATHN GRANT - PUBLIC HEALTH SURVEILLANCE
PEDIATRIC SUBSPECIALTY FACULTY
455 S MAIN STREETORANGECA9286833093002534808SUBCONTRACT HRSA GRANT - HEMOPHILIA REGIONAL COMPREHENSIVE CARE PROGRAM
PEDIATRIC SUBSPECIALTY FACULTY
455 S MAIN STREETORANGECA9286833093002513314SUBCONTRACT CDC/ATHN GRANT - PUBLIC HEALTH SURVEILLANCE
RADY CHILDREN'S HOSPITAL - SAN DIEGO
3020 CHILDRENS WAY MC5081SAN DIEGOCA92123951691313501(C)(3)24744SUBCONTRACT CDC/ATHN GRANT - PUBLIC HEALTH SURVEILLANCE
THE REGENTS OF THE UNIVERSITY OF CALIFORNIA (DAVIS)
2360 STOCKTON BLVD SUITE 1100SACRAMENTOCA95817946036494501(C)(3)16751SUBCONTRACT HRSA GRANT - HEMOPHILIA REGIONAL COMPREHENSIVE CARE PROGRAM
THE REGENTS OF THE UNIVERSITY OF CALIFORNIA (DAVIS)
2360 STOCKTON BLVD SUITE 1100SACRAMENTOCA95817946036494501(C)(3)24007SUBCONTRACT 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)10336SUBCONTRACT 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)39155SUBCONTRACT CDC/ATHN GRANT - PUBLIC HEALTH SURVEILLANCEMDCC
THE REGENTS OF THE UNIVERSITY OF CALIFORNIA (UCSD)
200 W ARBOR DRIVE MC8651SAN DIEGOCA92103956006144501(C)(3)16140SUBCONTRACT HRSA GRANT - HEMOPHILIA REGIONAL COMPREHENSIVE CARE PROGRAM
THE REGENTS OF THE UNIVERSITY OF CALIFORNIA (UCSD)
200 W ARBOR DRIVE MC8651SAN DIEGOCA92103956006144501(C)(3)12266SUBCONTRACT CDC/ATHN GRANT - PUBLIC HEALTH SURVEILLANCE
THE REGENTS OF THE UNIVERSITY OF CALIFORNIA (UCSF)
650 MOFFITT BOX 0106SAN FRANCISCOCA94143946036493501(C)(3)34944SUBCONTRACT HRSA GRANT - HEMOPHILIA REGIONAL COMPREHENSIVE CARE PROGRAM
THE REGENTS OF THE UNIVERSITY OF CALIFORNIA (UCSF)
650 MOFFITT BOX 0106SAN FRANCISCOCA94143946036493501(C)(3)21303SUBCONTRACT CDC/ATHN GRANT - PUBLIC HEALTH SURVEILLANCE
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants13TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations1TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, PART I, LINE 2: THE 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.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment1SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonYVETTE CHONG-COONTZNamePerson
TitleCFO (UNTIL OCTOBER 2012)Title
Base Compensation Filing Org151302BaseCompensationFilingOrg
Comp Based On Related Orgs0CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org0DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org0NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org151302TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePART I, LINE 4AReturnReference
ExplanationYVETTE CHONG-COONTZ - $6,154.40 SEVERANCE PAYMENTExplanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION B, LINE 11A DRAFT COPY OF FORM 990 WAS PROVIDED TO THE ORGANIZATION'S GOVERNING BODY, BOARD OF DIRECTORS, AND THE CHIEF OPERATING OFFICER 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.