2012-08-14T16:20:15-05:00 2011-09-30 SINGERLEWAK LLP 2050 MAIN STREET 7TH FLOOR IRVINE CA 92614 990 2010-10-01 270179192 THE CENTER FOR COMPREHENSIVE CARE AND DIAGNOSIS OF INHERITED BLOOD DISORDERS CENT 9497487521 1310 W STEWART DRIVE NO 606 ORANGE CA 92868 YVETTE CHONG-COONTZ 9497487521 2012-08-10 1 LIOR TEMKIN CPA 9492618600 2010 2016-02-24 21:20:13Z CIBD DIANE J NUGENT MD 1310 W STEWART DRIVE NO 606 ORANGE CA 92868 12165680 0 X WWW.C3DIBD.ORG X 2009 CA PROVIDE COMPREHENSIVE CARE FOR PATIENTS WITH RARE, CHRONIC INHERITED BLOOD DISORDERS. 6 6 0 6 0 0 0 1833294 0 10319238 0 13148 0 0 0 12165680 0 302681 0 0 0 30274 0 0 0 0 9282272 0 9615227 0 2550453 0 5621855 0 3071402 0 2550453 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 9509353 302681 10319238 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. 9509353 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 3 0 1 0 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 YVETTE CHONG-COONTZ 9497487521 18011 SKY PARK CIRCLE SUITE N IRVINE CA 92614 X X DIANE NUGENT MD 3.00 X X 0 0 0 KATHIE BIRSCHBACH 2.00 X X 0 0 0 MARY BROWN 0.50 X 0 0 0 RANDALL CURTIS 1.00 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 0 0 0 MARY PHAM PHARMD 40.00 X 0 0 0 0 0 0 0 0 0 0 RED CHIP ENTERPRISES 18009 SKY PARK CIRCLE G IRVINE CA 92614 BILLING SERVICES 764514 1 302682 1530612 1365956 1833294 FACTOR REPLACEMENT AND 621990 10319238 10319238 10319238 13148 13148 12165680 10319238 0 13148 302681 302681 27535 12920 14615 2739 1281 1458 10000 10000 837541 787429 50112 27192 19366 7826 39860 32167 7693 6803 6803 1208 440 768 8587 1988 6599 PHARMACEUTICAL COSTS 8351081 8351081 9615227 9509353 105874 0 44047 1442467 183544 3443471 450399 8570 44683 1208 0 43475 0 5882 0 5621855 3071402 0 3071402 X 2385996 164457 0 2550453 0 5621855 2550453 0 X X 0 1 1 X 0 X 1833294 1833294 10319238 10319238 12152532 12152532 0 0 0 12152532 13148 13148 13148 13148 12165680 12165680 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 44683 1208 43475 43475 12165680 9615227 2550453 0 2550453 9645997 0 9645997 2519683 2519683 12165680 9615227 0 9615227 0 9615227 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. PART XII, LINE 4B - OTHER ADJUSTMENTS: RESIDUAL PASS THRU INCOME CONTRIBUTED FROM PREDECESSOR GRANT RECIPIENT 2,519,683. THE CENTER FOR COMPREHENSIVE CARE AND DIAGNOSIS OF INHERITED BLOOD DISORDERS (CIBD) WAS AWARDED A HRSA MCHB REGION IX COMPREHENSIVE HEMOPHILIA CARE PROGRAM GRANT ON APRIL 1, 2011. THE GRANT WAS AWARDED TO CIBD AS A SUCESSOR GRANTEE, THE TERMS OF THE GRANT REQUIRED THE PRIOR GRANTEE TO TRANSFER ANY REMAINING INVENTORY TO THE SUCESSOR GRANTEE,AND THE TERMS ALSO REQUIRED THE TRANSFER OF ANY REMAINING NET ASSETS GENERATED FROM THE GRANT PROGRAM TO BE TRANSFERRED TO THE SUCESSOR GRANT RECIPIENT. 1 CHILDREN'S HOSPITAL OF CENTRAL CALIFORNIA 9300 VALLEY CHILDRENS PLACE MADERA CA 93636 941294954 501(C)(3) 7608 SUBCONTRACT HRSA GRANT-HEMOPHILIA COMPREHENSIVE CARE PROGRAM CHILDREN'S HOSPITAL OF LOS ANGELES 4650 SUNSET BLVD LOS ANGELES CA 90027 951690977 501(C)(3) 34810 SUBCONTRACT HRSA GRANT-HEMOPHILIA COMPREHENSIVE CARE PROGRAM CHILDREN'S HOSPITAL & RESEARCH CENTER AT OAKLAND 5700 MARTIN LUTHER KING JR WAY OAKLAND CA 94609 940382330 501(C)(3) 24339 SUBCONTRACT HRSA GRANT-HEMOPHILIA COMPREHENSIVE CARE PROGRAM HEMOPHILIA TREATMENT CENTER NEVADA 3121 S MARYLAND PARKWAY 200 LAS VEGAS NV 89109 260286469 501(C)(3) 20323 SUBCONTRACT HRSA GRANT-HEMOPHILIA COMPREHENSIVE CARE PROGRAM KAPI'OLANI MEDICAL CENTER FOR WOMEN & CHILDREN 1319 PUNAHOU STREET HONOLULU HI 96826 990177350 501(C)(3) 24667 SUBCONTRACT HRSA GRANT-HEMOPHILIA COMPREHENSIVE CARE PROGRAM LOS ANGELES ORTHOPAEDIC HOSPITAL 2400 S FLOWER STREET LOS ANGELES CA 90007 951644604 501(C)(3) 28267 SUBCONTRACT HRSA GRANT-HEMOPHILIA COMPREHENSIVE CARE PROGRAM THE BOARD OF TRUSTEES OF LELAND STANFORD UNIVERSITY PO BOX 44253 SAN FRANCISCO CA 94144 941156365 501(C)(3) 10477 SUBCONTRACT HRSA GRANT-HEMOPHILIA COMPREHENSIVE CARE PROGRAM THE REGENTS OF THE UNIVERSITY OF CALIFORNIA DAVIS (UCD) PO BOX 989062 WEST SACRAMENTO CA 95798 946036494 501(C)(3) 35268 SUBCONTRACT HRSA GRANT-HEMOPHILIA COMPREHENSIVE CARE PROGRAM THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES (UCLA) 405 HILLGARD AVE PO BOX 951432 1125 MURPHY HALL LOS ANGELES CA 90095 956006143 501(C)(3) 34357 SUBCONTRACT HRSA GRANT-HEMOPHILIA COMPREHENSIVE CARE PROGRAM THE REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN DIEGO (UCSD) 9500 GILLMAN DRIVE MC 0954 LA JOLLA CA 92093 956006144 501(C)(3) 6657 SUBCONTRACT HRSA GRANT-HEMOPHILIA COMPREHENSIVE CARE PROGRAM THE REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN FRANCISCO (UCSF) 1855 FOLSOM STREET MC425 BOX 0867 SAN FRANCISCO CA 94143 946036493 501(C)(3) 31992 SUBCONTRACT HRSA GRANT-HEMOPHILIA COMPREHENSIVE CARE PROGRAM 11 X 1 1365956 COST 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 A DRAFT COPY OF FORM 990 WAS PROVIDED TO THE ORGANIZATION'S GOVERNING BODY AND THE CHIEF FINANCIAL 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 ALL DIRECTORS ARE UNPAID AND THERE ARE NO EMPLOYEES WITH COMPENSATION GREATER THAN $150,000. 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 VII, SECTION A: MANAGEMENT CONSULTANTS WERE UTILIZED DURING THE TRANSITION. THERE WAS NO PAYROLL PAID DURING THE 2010 CALENDAR YEAR. 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.