2013-05-14T17:22:34-05:00 2012-09-30 952302617 SINGERLEWAK LLP 2050 MAIN STREET 7TH FLOOR IRVINE CA 92614 990 2011-10-01 270179192 THE CENTER FOR COMPREHENSIVE CARE AND DIAGNOSIS OF INHERITED BLOOD DISORDERS CENT 9497487542 1310 W STEWART DRIVE NO 606 ORANGE CA 92868 DIANE J NUGENT MD 9497487542 2013-05-13 1 LIOR TEMKIN CPA P00748170 9492618600 2011 2016-02-24 21:20:13Z CIBD DIANE J NUGENT MD 1310 W STEWART DRIVE NO 606 ORANGE CA 92868 16034875 0 X WWW.C3DIBD.ORG X 2009 CA PROVIDE COMPREHENSIVE CARE FOR PATIENTS WITH RARE, CHRONIC INHERITED BLOOD DISORDERS. 6 6 4 6 0 0 1833294 1158304 10319238 14875864 13148 707 0 0 12165680 16034875 302681 892906 0 0 30274 589427 0 0 0 9282272 15103891 9615227 16586224 2550453 -551349 5621855 5072863 3071402 3073759 2550453 1999104 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. 0 0 16178045 892906 14875864 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. 16178045 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 5 0 1 4 1 0 0 0 0 0 0 0 0 0 0 X 6 6 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X MARY PHAM 9497487546 18011 SKY PARK CIRCLE SUITE N IRVINE CA 92614 DIANE J NUGENT MD 5.00 X X 0 0 0 KATHIE BIRSCHBACH 3.00 X X 0 0 0 RANDALL CURTIS 1.00 X X 0 0 0 MARY BROWN 0.50 X 0 0 0 BERTIL GLADER MD PHD 0.50 X 0 0 0 DEREK ROBERTSON JD MBA 2.00 X 0 0 0 YVETTE CHONG-COONTZ 40.00 X 136209 0 10051 MARY PHAM 40.00 X 134688 0 1521 270897 0 11572 2 0 0 0 RED CHIP ENTERPRISES 18009 SKY PARK CIRCLE SUITE G IRVINE CA 92614 340B MANAGEMENT SERVICES 1430793 1 992111 166193 1158304 FACTOR REPLACEMENT AND 621990 14786864 14786864 CONFERENCE REVENUES 900099 89000 89000 14875864 707 707 16034875 14875864 0 707 892906 892906 302145 141864 160281 238677 170172 68505 9575 9575 39030 22225 16805 23791 23791 115090 49090 66000 106929 71803 35126 111930 105295 6635 23849 20119 3730 118469 113711 4758 2085 2085 34262 31957 2305 23889 3646 20243 PHARMACEUTICAL COSTS 11724977 11724977 PURCHASED SERVICES 2785344 2785344 BAD DEBT 33276 33276 16586224 16178045 408179 0 44047 156913 1442467 244143 183544 331120 3443471 3688029 450399 476850 8570 18415 185307 35471 43475 149836 5882 7557 5621855 5072863 3071402 3006967 0 33457 0 33335 3071402 3073759 X 2385996 1751459 164457 247645 2550453 1999104 5621855 5072863 -551349 0 X X 0 1 1 X 1 1 X 1833294 1158304 2991598 10319238 14875864 25195102 12152532 16034168 28186700 0 0 0 28186700 13148 707 13855 13148 707 13855 12165680 16034875 28200555 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 6452 896 5556 178855 34575 144280 149836 UNEARNED GRANT REVENUE 33335 33335 16034875 16586224 -551349 -551349 16034875 0 16034875 0 16034875 16586224 0 16586224 0 16586224 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: 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 1 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 MDCC LOS ANGELES CA 90095 956006143 84491 SUBCONTRACT HRSA GRANT - HEMOPHILIA REGIONAL COMPREHENSIVE CARE PROGRAM THE REGENTS OF THE UNIVERSITY OF CALIFORNIA (UCLA) 10883 LE CONTE AVE ROOM A2-410 MDCC MDCC LOS ANGELES CA 90095 956006143 29044 SUBCONTRACT CDC/ATHN GRANT - PUBLIC HEALTH SURVEILLANCE 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 12 1 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: 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. 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.