CENTER FOR COMPREHENSIVE CARE AND DIAGNOSIS OF INHERITED BLOOD: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- CENTER FOR COMPREHENSIVE CARE AND DIAGNOSIS OF INHERITED BLOOD (EIN 27-0179192)
- Tax period
- 2011-10-01 to 2012-09-30
- Filed
- 2013-05-14
- IRS object ID
- 201341349349305044
- Schema version
- 2011v1.5
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-05-14T17:22:34-05:00 | Timestamp |
| Tax Period End Date | 2012-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 952302617 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SINGERLEWAK LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2050 MAIN STREET 7TH FLOOR | AddressLine1 |
| City | IRVINE | City |
| State | CA | State |
| ZIP Code | 92614 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 270179192 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE CENTER FOR COMPREHENSIVE CARE AND | BusinessNameLine1 |
| Business Name Line2 | DIAGNOSIS OF INHERITED BLOOD DISORDERS | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | CENT | NameControl |
| Phone | 9497487542 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1310 W STEWART DRIVE NO 606 | AddressLine1 |
| City | ORANGE | City |
| State | CA | State |
| ZIP Code | 92868 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DIANE J NUGENT MD | Name |
| Title | PRESIDENT | Title |
| Phone | 9497487542 | Phone |
| Date Signed | 2013-05-13 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | LIOR TEMKIN CPA | Name |
| PTIN | P00748170 | PTIN |
| Phone | 9492618600 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CIBD | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | DIANE J NUGENT MD | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1310 W STEWART DRIVE NO 606 | AddressLine1 |
| City | ORANGE | City |
| State | CA | State |
| ZIP Code | 92868 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 16034875 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.C3DIBD.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2009 | YearFormation |
| State Legal Domicile | CA | StateLegalDomicile |
| Activity Or Mission Description | PROVIDE COMPREHENSIVE CARE FOR PATIENTS WITH RARE, CHRONIC INHERITED BLOOD DISORDERS. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 6 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 6 | NbrIndependentVotingMembers |
| Total Nbr Employees | 4 | TotalNbrEmployees |
| Total Nbr Volunteers | 6 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1833294 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1158304 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 10319238 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 14875864 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 13148 | InvestmentIncomePriorYear |
| Investment Income Current Year | 707 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 12165680 | TotalRevenuePriorYear |
| Total Revenue Current Year | 16034875 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 302681 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 892906 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 30274 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 589427 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 9282272 | OtherExpensePriorYear |
| Other Expenses Current Year | 15103891 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 9615227 | TotalExpensesPriorYear |
| Total Expenses Current Year | 16586224 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 2550453 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -551349 | RevenuesLessExpensesCY |
| Total Assets BOY | 5621855 | TotalAssetsBOY |
| Total Assets EOY | 5072863 | TotalAssetsEOY |
| Total Liabilities BOY | 3071402 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 3073759 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 2550453 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 1999104 | NetAssetsOrFundBalancesEOY |
| Mission Description | TO 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 Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 16178045 | Expense |
| Grants | 892906 | Grants |
| Revenue | 14875864 | Revenue |
| Description | THE 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 Expense | 16178045 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 0 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 0 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 5 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 4 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 6 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 6 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | CA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARY PHAM | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 9497487546 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 18011 SKY PARK CIRCLE SUITE N | AddressLine1 |
| City | IRVINE | City |
| State | CA | State |
| ZIP Code | 92614 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (8 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation |
|---|---|---|---|---|---|---|
| DIANE J NUGENT MD | ||||||
| PRESIDENT/CHAIRMAN | 5.00 | X | X | 0 | 0 | 0 |
| KATHIE BIRSCHBACH | ||||||
| SECRETARY | 3.00 | X | X | 0 | 0 | 0 |
| RANDALL CURTIS | ||||||
| TREASURER | 1.00 | X | X | 0 | 0 | 0 |
| MARY BROWN | ||||||
| DIRECTOR | 0.50 | X | 0 | 0 | 0 | |
| BERTIL GLADER MD PHD | ||||||
| DIRECTOR | 0.50 | X | 0 | 0 | 0 | |
| DEREK ROBERTSON JD MBA | ||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |
| YVETTE CHONG-COONTZ | ||||||
| CFO | 40.00 | X | 136209 | 0 | 10051 | |
| MARY PHAM | ||||||
| PHARMACY DIRECTOR | 40.00 | X | 134688 | 0 | 1521 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 270897 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 11572 | TotalOtherCompensation |
| Number Individuals GT100 K | 2 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 0 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation
Name Of Contractor NameOfContractor
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RED CHIP ENTERPRISES | BusinessNameLine1 |
Address Of Contractor AddressOfContractor
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 18009 SKY PARK CIRCLE SUITE G | AddressLine1 |
| City | IRVINE | City |
| State | CA | State |
| ZIP Code | 92614 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Of Services | 340B MANAGEMENT SERVICES | DescriptionOfServices |
| Compensation | 1430793 | Compensation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 1 | NumberOfContractorsGT100K |
| Government Grants | 992111 | GovernmentGrants |
| All Other Contributions | 166193 | AllOtherContributions |
| Total Contributions | 1158304 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| FACTOR REPLACEMENT AND | 621990 | 14786864 | 14786864 |
| CONFERENCE REVENUES | 900099 | 89000 | 89000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 14875864 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 707 | TotalRevenueColumn |
| Exclusion | $707 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 16034875 | TotalRevenueColumn |
| Related Or Exempt Function Income | 14875864 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $707 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 892906 | Total |
| Program Services | 892906 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 302145 | Total |
| Program Services | 141864 | ProgramServices |
| Management And General | 160281 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 238677 | Total |
| Program Services | 170172 | ProgramServices |
| Management And General | 68505 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9575 | Total |
| Program Services | 9575 | ProgramServices |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 39030 | Total |
| Program Services | 22225 | ProgramServices |
| Management And General | 16805 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 23791 | Total |
| Management And General | 23791 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 115090 | Total |
| Program Services | 49090 | ProgramServices |
| Management And General | 66000 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 106929 | Total |
| Program Services | 71803 | ProgramServices |
| Management And General | 35126 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 111930 | Total |
| Program Services | 105295 | ProgramServices |
| Management And General | 6635 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 23849 | Total |
| Program Services | 20119 | ProgramServices |
| Management And General | 3730 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 118469 | Total |
| Program Services | 113711 | ProgramServices |
| Management And General | 4758 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2085 | Total |
| Program Services | 2085 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 34262 | Total |
| Program Services | 31957 | ProgramServices |
| Management And General | 2305 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 23889 | Total |
| Program Services | 3646 | ProgramServices |
| Management And General | 20243 | ManagementAndGeneral |
Other Expenses OtherExpenses (3 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| PHARMACEUTICAL COSTS | 11724977 | 11724977 |
| PURCHASED SERVICES | 2785344 | 2785344 |
| BAD DEBT | 33276 | 33276 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16586224 | Total |
| Program Services | 16178045 | ProgramServices |
| Management And General | 408179 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 44047 | BOY |
| EOY | 156913 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1442467 | BOY |
| EOY | 244143 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 183544 | BOY |
| EOY | 331120 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3443471 | BOY |
| EOY | 3688029 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 450399 | BOY |
| EOY | 476850 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8570 | BOY |
| EOY | 18415 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 185307 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 35471 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 43475 | BOY |
| EOY | 149836 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5882 | BOY |
| EOY | 7557 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5621855 | BOY |
| EOY | 5072863 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3071402 | BOY |
| EOY | 3006967 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 33457 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 33335 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3071402 | BOY |
| EOY | 3073759 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2385996 | BOY |
| EOY | 1751459 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 164457 | BOY |
| EOY | 247645 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2550453 | BOY |
| EOY | 1999104 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5621855 | BOY |
| EOY | 5072863 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | -551349 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | 1833294 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1158304 | CurrentTaxYear |
| Total | 2991598 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | 10319238 | CurrentTaxYearMinus1Year |
| Current Tax Year | 14875864 | CurrentTaxYear |
| Total | 25195102 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | 12152532 | CurrentTaxYearMinus1Year |
| Current Tax Year | 16034168 | CurrentTaxYear |
| Total | 28186700 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 28186700 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | 13148 | CurrentTaxYearMinus1Year |
| Current Tax Year | 707 | CurrentTaxYear |
| Total | 13855 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | 13148 | CurrentTaxYearMinus1Year |
| Current Tax Year | 707 | CurrentTaxYear |
| Total | 13855 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | 12165680 | CurrentTaxYearMinus1Year |
| Current Tax Year | 16034875 | CurrentTaxYear |
| Total | 28200555 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| First5 Years509 | X | First5Years509 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 6452 | OtherCostOrOtherBasis |
| Depreciation | 896 | Depreciation |
| Book Value | 5556 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 178855 | OtherCostOrOtherBasis |
| Depreciation | 34575 | Depreciation |
| Book Value | 144280 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 149836 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | UNEARNED GRANT REVENUE | Description |
| Amount | $33,335 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 33335 | TotalOfAmounts |
| Total Revenue | 16034875 | TotalRevenue |
| Total Expenses | 16586224 | TotalExpenses |
| Excess Or Deficit For Year | -551349 | ExcessOrDeficitForYear |
| Excess Or Deficit Per FS | -551349 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 16034875 | TotRevenueEtcAuditedFinclStmt |
| Revenue Not Rptd F990 | 0 | RevenueNotRptdF990 |
| Revenue Subtotal | 16034875 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 16034875 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 16586224 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 16586224 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 16586224 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | Identifier |
| Return Reference | PART X: | ReturnReference |
| Explanation | THE 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 2009-2011 STATE 2009-2011 | Explanation |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (22 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant | Address Line2AddressUS/AddressLine2 |
|---|---|---|---|---|---|---|---|---|
| CHILDREN'S HOSPITAL AND RESEARCH CENTER AT OAKLAND | ||||||||
| 5700 MARTIN LUTHER KING JR WAY | OAKLAND | CA | 94609 | 940382330 | 501(C)(3) | 42307 | SUBCONTRACT HRSA GRANT - HEMOPHILIA REGIONAL COMPREHENSIVE CARE PROGRAM | |
| CHILDREN'S HOSPITAL AND RESEARCH CENTER AT OAKLAND | ||||||||
| 5700 MARTIN LUTHER KING JR WAY | OAKLAND | CA | 94609 | 940382330 | 501(C)(3) | 11687 | SUBCONTRACT CDC/ATHN GRANT - PUBLIC HEALTH SURVEILLANCE | |
| CHILDREN'S HOSPITAL LOS ANGELES | ||||||||
| 4650 SUNSET BLVD MS 54 | LOS ANGELES | CA | 90027 | 951690977 | 501(C)(3) | 49717 | SUBCONTRACT HRSA GRANT - HEMOPHILIA REGIONAL COMPREHENSIVE CARE PROGRAM | |
| CHILDREN'S HOSPITAL OF CENTRAL CALIFORNIA | ||||||||
| 9300 VALLEY CHILDRENS PLACE | MADERA | CA | 92636 | 941294954 | 501(C)(3) | 18042 | SUBCONTRACT HRSA GRANT - HEMOPHILIA REGIONAL COMPREHENSIVE CARE PROGRAM | |
| CHILDREN'S HOSPITAL OF CENTRAL CALIFORNIA | ||||||||
| 9300 VALLEY CHILDRENS PLACE | MADERA | CA | 92636 | 941294954 | 501(C)(3) | 17006 | SUBCONTRACT CDC/ATHN GRANT - PUBLIC HEALTH SURVEILLANCE | |
| HEMOPHILIA TREATMENT CENTER OF NEVADA | ||||||||
| 3121 S MARYLAND PARKWAY 200 | LAS VEGAS | NV | 89109 | 260286469 | 501(C)(3) | 20350 | SUBCONTRACT HRSA GRANT - HEMOPHILIA REGIONAL COMPREHENSIVE CARE PROGRAM | |
| HEMOPHILIA TREATMENT CENTER OF NEVADA | ||||||||
| 3121 S MARYLAND PKWAY 200 | LAS VEGAS | NV | 89109 | 260286469 | 501(C)(3) | 22104 | SUBCONTRACT CDC/ATHN GRANT - PUBLIC HEALTH SURVEILLANCE | |
| KAPI'OLANI MEDICAL CENTER FOR WOMEN AND CHILDREN | ||||||||
| 1319 PUNAHOU STREET | HONOLULU | HI | 96826 | 990177350 | 501(C)(3) | 35792 | SUBCONTRACT HRSA GRANT - HEMOPHILIA REGIONAL COMPREHENSIVE CARE PROGRAM | |
| LUCILE PACKARD CHILDREN'S HOSPITAL AT STANFORD | ||||||||
| 1000 WELCH RD SUITE 300 MC5798 | PALO ALTO | CA | 94304 | 941156365 | 501(C)(3) | 34306 | SUBCONTRACT HRSA GRANT - HEMOPHILIA REGIONAL COMPREHENSIVE CARE PROGRAM | |
| LUCILE PACKARD CHILDREN'S HOSPITAL AT STANFORD | ||||||||
| 1000 WELCH RD SUITE 300 MC5798 | PALO ALTO | CA | 94304 | 941156365 | 501(C)(3) | 16309 | SUBCONTRACT CDC/ATHN GRANT - PUBLIC HEALTH SURVEILLANCE | |
| ORTHOPAEDIC HOSPITAL | ||||||||
| 2400 SOUTH FLOWER ST | LOS ANGELES | CA | 90007 | 951644604 | 501(C)(3) | 31747 | SUBCONTRACT HRSA GRANT - HEMOPHILIA REGIONAL COMPREHENSIVE CARE PROGRAM | |
| ORTHOPAEDIC HOSPITAL | ||||||||
| 2400 SOUTH FLOWER ST | LOS ANGELES | CA | 90007 | 951644604 | 501(C)(3) | 8881 | SUBCONTRACT CDC/ATHN GRANT - PUBLIC HEALTH SURVEILLANCE | |
| PEDIATRIC SUBSPECIALTY FACULTY | ||||||||
| 455 S MAIN STREET | ORANGE | CA | 92868 | 330930025 | 41429 | SUBCONTRACT HRSA GRANT - HEMOPHILIA REGIONAL COMPREHENSIVE CARE PROGRAM | ||
| PEDIATRIC SUBSPECIALTY FACULTY | ||||||||
| 455 S MAIN STREET | ORANGE | CA | 92868 | 330930025 | 19970 | SUBCONTRACT CDC/ATHN GRANT - PUBLIC HEALTH SURVEILLANCE | ||
| RADY CHILDREN'S HOSPITAL - SAN DIEGO | ||||||||
| 3020 CHILDRENS WAY MC5081 | SAN DIEGO | CA | 92123 | 951691313 | 501(C)(3) | 10258 | SUBCONTRACT HRSA GRANT - HEMOPHILIA REGIONAL COMPREHENSIVE CARE PROGRAM | |
| THE REGENTS OF THE UNIVERSITY OF CALIFORNIA (DAVIS) | ||||||||
| 2360 STOCKTON BLVD SUITE 1100 | SACRAMENTO | CA | 95817 | 946036494 | 71281 | SUBCONTRACT HRSA GRANT - HEMOPHILIA REGIONAL COMPREHENSIVE CARE PROGRAM | ||
| THE REGENTS OF THE UNIVERSITY OF CALIFORNIA (DAVIS) | ||||||||
| 2360 STOCKTON BLVD SUITE 1100 | SACRAMENTO | CA | 95817 | 946036494 | 22370 | SUBCONTRACT CDC/ATHN GRANT - PUBLIC HEALTH SURVEILLANCE | ||
| THE REGENTS OF THE UNIVERSITY OF CALIFORNIA (UCLA) | ||||||||
| 10883 LE CONTE AVE ROOM A2-410 MDCC | LOS ANGELES | CA | 90095 | 956006143 | 84491 | SUBCONTRACT HRSA GRANT - HEMOPHILIA REGIONAL COMPREHENSIVE CARE PROGRAM | MDCC | |
| THE REGENTS OF THE UNIVERSITY OF CALIFORNIA (UCLA) | ||||||||
| 10883 LE CONTE AVE ROOM A2-410 MDCC | LOS ANGELES | CA | 90095 | 956006143 | 29044 | SUBCONTRACT CDC/ATHN GRANT - PUBLIC HEALTH SURVEILLANCE | MDCC | |
| THE REGENTS OF THE UNIVERSITY OF CALIFORNIA (UCSD) | ||||||||
| 200 W ARBOR DRIVE MC8651 | SAN DIEGO | CA | 92103 | 956006144 | 40103 | SUBCONTRACT HRSA GRANT - HEMOPHILIA REGIONAL COMPREHENSIVE CARE PROGRAM | ||
| THE REGENTS OF THE UNIVERSITY OF CALIFORNIA (UCSD) | ||||||||
| 200 W ARBOR DRIVE MC8651 | SAN DIEGO | CA | 92103 | 956006144 | 8218 | SUBCONTRACT CDC/ATHN GRANT - PUBLIC HEALTH SURVEILLANCE | ||
| THE REGENTS OF THE UNIVERSITY OF CALIFORNIA (UCSF) | ||||||||
| 650 MOFFITT BOX 0106 | SAN FRANCISCO | CA | 94143 | 946036493 | 31808 | SUBCONTRACT HRSA GRANT - HEMOPHILIA REGIONAL COMPREHENSIVE CARE PROGRAM | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 12 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 1 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURE FOR MONITORING GRANTS IN THE U.S.: | Identifier |
| Return Reference | PART I, LINE 2: | ReturnReference |
| Explanation | SCHEDULE 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 O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | A 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 12C | CIBD'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 15 | THE 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 18 | THE ORGANIZATION MAKES TAX FORMS AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE 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. |