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AMERICAN THROMBOSIS AND HEMOSTASISNETWORK INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
AMERICAN THROMBOSIS AND HEMOSTASISNETWORK INC (EIN 20-5244339)
Tax period
2022-01-01 to 2022-12-31
Filed
2023-11-14
IRS object ID
202343189349303474
Schema version
2022v5.0
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)
Return2023-11-14T09:08:03-06:00ReturnTs
Tax Period End2022-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN161131146PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BONADIO & CO LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1171 SULLYS TRAILAddressLine1Txt
CityPITTSFORDCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14534ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN205244339EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1AMERICAN THROMBOSIS AND HEMOSTASISBusinessNameLine1Txt
Business Name Line2NETWORK INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlAMERBusinessNameControlTxt
Phone5852817301PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line167 RED ROCK CIRCLEAddressLine1Txt
CityROCHESTERCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14626ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCRYSTAL WATSONPersonNm
Person TitleCEOPersonTitleTxt
Phone5852817301PhoneNum
Signature2023-11-10SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstCRYSTALPersonFirstNm
Person LastWATSONPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMICHAEL VOLLMERPreparerPersonNm
PTINP01322902PTIN
Phone5853811000PhoneNum
Preparation2023-11-10PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerCRYSTAL WATSONPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line167 RED ROCK CIRCLEAddressLine1Txt
CityROCHESTERCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14626ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$13,595,220GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.ATHN.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2006FormationYr
Legal Domicile StateGALegalDomicileStateCd
Activity Or MissionNON-PROFIT ORGANIZATION DEDICATED TO ADVANCE AND IMPROVE THE CARE OF INDIVIDUALS WITH BLEEDING AND CLOTTING DISORDERS.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee55TotalEmployeeCnt
Total Volunteers17TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$13,254,943PYContributionsGrantsAmt
CY Contributions Grants$13,465,526CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$94,766PYInvestmentIncomeAmt
CY Investment Income$101,383CYInvestmentIncomeAmt
PY Other Revenue$14,831PYOtherRevenueAmt
CY Other Revenue$28,311CYOtherRevenueAmt
PY Total Revenue$13,364,540PYTotalRevenueAmt
CY Total Revenue$13,595,220CYTotalRevenueAmt
PY Grants And Similar Paid$5,016,733PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$5,395,276CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$6,162,323PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$6,993,690CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,381,921PYOtherExpensesAmt
CY Other Expenses$2,145,875CYOtherExpensesAmt
PY Total Expenses$13,560,977PYTotalExpensesAmt
CY Total Expenses$14,534,841CYTotalExpensesAmt
PY Revenues Less Expenses-$196,437PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$939,621CYRevenuesLessExpensesAmt
Total Assets BOY$10,168,996TotalAssetsBOYAmt
Total Assets EOY$8,367,265TotalAssetsEOYAmt
Total Liabilities BOY$3,334,622TotalLiabilitiesBOYAmt
Total Liabilities EOY$3,104,627TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$6,834,374NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$5,262,638NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionATHN PROVIDES STEWARDSHIP OF A SECURE NATIONAL DATABASE, ADHERENT TO ALL PRIVACY GUIDELINES, WHICH WILL BE USED TO SUPPORT CLINICAL OUTCOMES ANALYSIS, RESEARCH, ADVOCACY AND PUBLIC HEALTH REPORTING IN THE HEMOSTASIS AND THROMBOSIS COMMUNITY.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$4,253,536ExpenseAmt
Grant$3,690,055GrantAmt
DescCDC SURVEILLANCE - THIS CENTER FOR DISEASE CONTROL COOPERATIVE AGREEMENT FUNDS THE COMMUNITY COUNTS CDC PUBLIC HEALTH SURVEILLANCE PROJECT TO CREATE A UNIFORM SET OF DEMOGRAPHIC AND HEALTH SERVICES UTILIZATION DATA CHARACTERIZING THE POPULATION WITH BLEEDING AND CLOTTING DISORDERS AND TO MONITOR HEALTH INDICATORS OF THESE POPULATIONS. COMMUNITY COUNTS CONSISTS OF THREE PARTS, HTC POPULATION PROFILE, MORTALITY REPORTING, AND THE REGISTRY FOR BLEEDING DISORDERS SURVEILLANCE. MORE THAN 122,809 PATIENTS ARE INVOLVED IN THE CDC SURVEILLANCE PROJECT.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$3,306,761ExpenseAmt
Grant$642,150GrantAmt
DescATHN SYSTEMS - THIS PROGRAM COMPRISES THE SOFTWARE SYSTEMS AND CAPABILITIES REQUIRED AS A STEWARD OF A SECURE NATIONAL DATABASE USED TO SUPPORT CLINICAL OUTCOMES ANALYSIS, RESEARCH, AND PUBLIC HEALTH WITH REPORTING BY OVER 140 TREATMENT CENTERS, GOVERNMENT ENTITIES, AND RESEARCHERS.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$514,419ExpenseAmt
DescHRSA MCHB - THIS NATIONAL HEMOPHILIA PROGRAM IS A COOPERATIVE AGREEMENT WHICH FUNDS THE FIRST NATIONAL HEMOPHILIA PROGRAM COORDINATING CENTER. THE PROJECT CREATES A NATIONAL NETWORK TO OPTIMIZE THE CARE FOR PATIENTS WITH BLEEDING AND THROMBOTIC DISORDERS OVER THEIR LIFETIME AND ACROSS GENERATIONS AND EXTENDS ATHN'S LEADERSHIP FROM THE HTCS AND REGIONS TO A BROADER GROUP OF STAKEHOLDERS SUCH AS PROFESSIONAL ORGANIZATIONS, PATIENT ADVOCACY GROUPS, PAYERS, AND GOVERNMENT PARTNERS.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (3 entries)

ExpenseExpenseAmtDescDescGrantGrantAmt
$664,230DATA QUALITY COUNTS
$260,419CDC COVID VTE PROGRAM$895
$2,880,009ATHN RESEARCH PRGORAMS$1,062,176
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$3,804,658TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$1,063,071TotalOtherProgSrvcGrantAmt
Total Program Service Expenses$11,879,374TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document15IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee55EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldGAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MICHAEL NIEKAMPBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5852817301PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line167 REDROCK CIRCLEAddressLine1Txt
CityROCHESTERCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14626ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
ROBERT SIDONIO MD
BOARD MEMBER1.00Yes (X)$0$0$0
TAMARA VOGEL MBA
TREASURER1.00Yes (X)$0$0$0Yes (X)
SARAH O'BRIEN MD
SECRETARY1.00Yes (X)$0$0$0Yes (X)
VANESSA BYAMS MPH
BOARD MEMBER (NON-VOTING)1.00Yes (X)$0$0$0
CHRSTOPHER E WALSH MD
BOARD MEMBER1.00Yes (X)$0$0$0
JANNA JOURNEYCAKE MD MSCS
CHAIR1.00Yes (X)$0$0$0Yes (X)
KATHRYN MCLAUGHLIN MPH
BOARD MEMBER (NON-VOTING)1.00Yes (X)$0$0$0
CRYSTAL WATSON
PRESIDENT AND CEO40.00Yes (X)$323,881$0$26,213Yes (X)
STEVEN PIPE MD
BOARD MEMBER (NON-VOTING)1.00Yes (X)$0$0$0
W KEITH HOOTS MD
BOARD MEMBER (NON-VOTING)1.00Yes (X)$0$0$0
EDITH ROSATO RPH IOM
BOARD MEMBER1.00Yes (X)$0$0$0
JIM MUNN RN MS
BOARD MEMBER1.00Yes (X)$0$0$0
TYLER BUCKNER MD MSC
BOARD MEMBER1.00Yes (X)$0$0$0
DUC BOBBY TRAN MD MSC
BOARD MEMBER1.00Yes (X)$0$0$0
LINDA MAGLIOCCO
VP, FINANCE AND ADMINISTRA40.00$214,936$0$20,495Yes (X)
MOSES MILES
VP, RESEARCH AND INFORMATI40.00$287,345$0$18,632Yes (X)
MICHAEL NIEKAMP
CHIEF FINANCIAL OFFICER40.00$128,413$0$11,628Yes (X)
ROBERT FROST
SENIOR SOFTWARE DEVELOPER40.00$147,464$0$16,991Yes (X)
TROY VERBRUGGE
LEAD DEVELOPER40.00$178,776$0$17,643Yes (X)
CARRIE O'NEILL
DIRECTOR, RESEARCH PROGRAM40.00$170,900$0$12,573Yes (X)
STEPHANIE ROMPOT
SENIOR DIRECTOR, PRODUCT MANAGEMENT40.00$155,700$0$10,607Yes (X)
NABIL DAOUD
DIRECTOR, BIOSTATICS40.00$143,023$0$18,186Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,750,438TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$152,968TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K9IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Government Grants$5,438,564GovernmentGrantsAmt
All Other Contributions$8,026,962AllOtherContributionsAmt
Total Contributions$13,465,526TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$101,383TotalRevenueColumnAmt
Exclusion$101,383ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHER REVENUEDesc
Business900099BusinessCd
Total Revenue Column$28,311TotalRevenueColumnAmt
Related Or Exempt Func Income$28,311RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$28,311OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$13,595,220TotalRevenueColumnAmt
Related Or Exempt Func Income$28,311RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$101,383ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$5,395,276TotalAmt
Program Services$5,395,276ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,454,104TotalAmt
Program Services$937,890ProgramServicesAmt
Management And General$516,214ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$4,684,563TotalAmt
Program Services$3,651,860ProgramServicesAmt
Management And General$1,032,703ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$204,054TotalAmt
Program Services$159,005ProgramServicesAmt
Management And General$45,049ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$314,195TotalAmt
Program Services$245,702ProgramServicesAmt
Management And General$68,493ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$336,774TotalAmt
Program Services$263,090ProgramServicesAmt
Management And General$73,684ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$115,180TotalAmt
Management And General$115,180ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$44,400TotalAmt
Management And General$44,400ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$39,548TotalAmt
Management And General$39,548ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$958,737TotalAmt
Program Services$646,634ProgramServicesAmt
Management And General$312,103ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$211,964TotalAmt
Program Services$127,147ProgramServicesAmt
Management And General$84,817ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$533,892TotalAmt
Program Services$360,882ProgramServicesAmt
Management And General$173,010ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$167,529TotalAmt
Program Services$91,638ProgramServicesAmt
Management And General$75,891ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$8,907TotalAmt
Management And General$8,907ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MISCELLANEOUS$44,615$250$44,365
STAFF DEVELOPMENT$21,103$21,103

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$14,534,841TotalAmt
Program Services$11,879,374ProgramServicesAmt
Management And General$2,655,467ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,847,330BOYAmt
EOY$681,789EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,439,924BOYAmt
EOY$1,810,411EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
EOY$163,603EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$4,410,217LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$4,410,217LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$6,881,742BOYAmt
EOY$5,711,462EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$10,168,996BOYAmt
EOY$8,367,265EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$32,331BOYAmt
EOY$642,753EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$3,302,291BOYAmt
EOY$2,461,874EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,334,622BOYAmt
EOY$3,104,627EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$6,834,374BOYAmt
EOY$4,960,916EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$301,722EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$6,834,374BOYAmt
EOY$5,262,638EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$10,168,996BOYAmt
EOY$8,367,265EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$939,621ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$632,116NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$11,564,183CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$11,989,888CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$12,722,348CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$12,747,943CurrentTaxYearMinus1YearAmt
Current Tax Year$13,465,526CurrentTaxYearAmt
Total$62,489,888TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$11,564,183CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$11,989,888CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$12,722,348CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$12,747,943CurrentTaxYearMinus1YearAmt
Current Tax Year$13,465,526CurrentTaxYearAmt
Total$62,489,888TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$62,489,888PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$113,233CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$88,367CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$88,549CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$94,766CurrentTaxYearMinus1YearAmt
Current Tax Year$101,383CurrentTaxYearAmt
Total$486,298TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,865CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$46,786CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$26,978CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$14,831CurrentTaxYearMinus1YearAmt
Current Tax Year$28,311CurrentTaxYearAmt
Total$123,771TotalAmt
FieldValueIRS element (for citing)
Total Support$63,099,957TotalSupportAmt
Public Support CY1700.99030PublicSupportCY170Pct
Public Support PY1700.98980PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,410,217OtherCostOrOtherBasisAmt
Depreciation$4,410,217DepreciationAmt
Book Value$0BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt$12,923,557TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$632,116NetUnrealizedGainsInvstAmt
Revenue Not Reported-$632,116RevenueNotReportedAmt
Revenue Subtotal$13,555,673RevenueSubtotalAmt
Investment Expenses Not Incld$39,548InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$39,548RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$13,595,221TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$14,495,293TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$14,495,293ExpensesSubtotalAmt
Investment Expenses Not Incld2$39,548InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt$39,548ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$14,534,841TotalExpensesPerForm990Amt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (78 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxtAddress Line2USAddress/AddressLine2Txt
ADMIN OF THE TULANE EDUCATIONAL FUND
1430 TULANE AVENUENEW ORLEANSLA70112720423889501(C)(3)$14,350$0DATA MANAGEMENT CAPACITY RESEARCH
ADVARRA
6100 MERRIWEAHTER DRIVE SUITE 600COLUMBIAMD21044311358981501(C)(3)$147,620$0DATA MANAGEMENT CAPACITY RESEARCH
ALBANY
43 NEW SCOTLAND AVENUE MAIL CODEALBANYNY12208141338310501(C)(3)$9,400$0DATA MANAGEMENT CAPACITY RESEARCH131
AUGUSTA UNIVERSITY RESEARCH INSTITUTE
ATTN KUTLAR - SEQ 37512 1120 15THAUGUSTAGA30912586002053501(C)(3)$11,200$0DATA MANAGEMENT CAPACITY RESEARCHST AA-312
BLEEDING & CLOTTING DISORDERS INSTITUTE
9128 N LINDBERGH DRIVEPEORIAIL61615272050459501(C)(3)$38,700$0DATA MANAGEMENT CAPACITY RESEARCH
BLOODWORKS NW
921 TERRY AVENUESEATTLEWA98104911019655501(C)(3)$50,000$0DATA MANAGEMENT CAPACITY RESEARCHDATA MANAGEMENT CAPACITY RESEARCH
BOSTON CHILDREN'S HOSPITAL - RESEARCH FINANCE
300 LONGWOOD AVENUEBOSTONMA02115042774441501(C)(3)$267,078$0DATA MANAGEMENT CAPACITY RESEARCH
CENTER FOR INHERITED BLOOD DISORDERS
1010 WEST LA VETA AVENUEORANGECA92868270179192501(C)(3)$368,334$0DATA MANAGEMENT CAPACITY RESEARCH
WAYNE STATE UNIVERSITY
390 BEAUBIEN BLVD SUITE 1K40DETROITMI48201383336414501(C)(3)$6,500$0DATA MANAGEMENT CAPACITY RESEARCH
CHILDREN'S MINNESOTA
2525 CHICAGO AVE SOUTH 32-2210MINNEAPOLISMN55404411754276501(C)(3)$15,950$0DATA MANAGEMENT CAPACITY RESEARCH
CHILDREN'S HOSPITAL OF PHILADELPHIA
34TH STREET AND CIVIC CENTER BLVDPHILADELPHIAPA19104231352166501(C)(3)$423,186$0DATA MANAGEMENT CAPACITY RESEARCH
CHILDREN'S HOSPITAL OF THE KING'S DAUGHTERS INC
601 CHILDRENS LANENORFOLKVA23507540506321501(C)(3)$8,700$0DATA MANAGEMENT CAPACITY RESEARCH
CHILDREN'S NATIONAL MEDICAL CENTER
111 MICHIGAN AVENUE NWWASHINGTON DCDC20010521640403501(C)(3)$28,000$0DATA MANAGEMENT CAPACITY RESEARCH
CINCINNATI CHILDRENS HOSPITAL MEDICAL CENTER
11100 EUCLID AVENUECLEVELANDOH44106310833936501(C)(3)$43,700$0DATA MANAGEMENT CAPACITY RESEARCH
CONNECTICUT BLEEDING AND CLOTTING DISORDERS CENTER
282 WASHINGTON STREETHARTFORDCT06106060646755501(C)(3)$9,200$0DATA MANAGEMENT CAPACITY RESEARCH
COOK CHILDREN'S MEDICAL CENTER
801 SEVENTH AVEFORT WORTHTX76104752051646501(C)(3)$6,800$0DATA MANAGEMENT CAPACITY RESEARCH
DAYTON CHILDREN'S HEMOSTASIS & THROMBOSIS CENTER
1 CHILDRENS PLAZADAYTONOH45404310672132501(C)(3)$14,050$0DATA MANAGEMENT CAPACITY RESEARCH
DREXEL UNIVERSITY
3201 ARCH STREET SUITE 420PHILADELPHIAPA19104231352630501(C)(3)$12,150$0DATA MANAGEMENT CAPACITY RESEARCH
EAST CAROLINA UNIVERSITY HEMOPHILIA TREATMENT CENTER
GREENVILLE CENTRE SUITE 2900 2200 SGREENVILLENC27858566000403501(C)(3)$12,200$0DATA MANAGEMENT CAPACITY RESEARCHCHARLES BLVD
EAST TENNESSEE COMP HEMOPHILIA CENTER
1928 ALCOA HWY MB-B SUITE 214KNOXVILLETN37920311626179501(C)(3)$6,350$0DATA MANAGEMENT CAPACITY RESEARCH
EMORY UNIVERSITY
201 DOWMAN DRATLANTAGA30322582137993501(C)(3)$63,550$0DATA MANAGEMENT CAPACITY RESEARCH
GREAT LAKES HEMOPHILIA FOUNDATION
638 N 18TH STREET SUITE 108MILWAUKEEWI53233237367636501(C)(3)$417,962$0DATA MANAGEMENT CAPACITY RESEARCH
HEMOPHILIA CENTER OF WESTERN PA
3636 BLVD OF THE ALLIESPITTSBURGHPA15213251562716501(C)(3)$79,000$0DATA MANAGEMENT CAPACITY RESEARCH & SURVEILANCE
HEMOPHILIA FOUNDATION OF MICHIGAN
1921 W MICHIGAN AVEYPSILANTIMI48197381905673501(C)(3)$604,458$0DATA MANAGEMENT CAPACITY RESEARCH
HEMOPHILIA OF GEORGIA - CDC
8800 ROSWELL RD SUITE 170ATLANTAGA30350581175625501(C)(3)$297,317$0DATA MANAGEMENT CAPACITY RESEARCH
HEMOPHILIA OUTREACH CENTER
2060 BELLEVUE STREETGREEN BAYWI54311391858104501(C)(3)$25,280$0DATA MANAGEMENT CAPACITY RESEARCH
HENRY FORD HEALTH SYSTEM
TIFFANY PEARCE CLINICAL TRIALSDETROITMI48202381357020501(C)(3)$11,000$0DATA MANAGEMENT CAPACITY RESEARCHOFFICE 2799 W GRAND BLVD PALISTER P
ICAHN SCHOOL OF MEDICINE AT MT SINAI
1 GUSTAVE L LEVY PLACENEW YORKNY10029136171197501(C)(3)$349,447$0DATA MANAGEMENT CAPACITY RESEARCH
IHC HEALTH SERVICES INC
36 S STATE STREET 23RD FLOORSALT LAKE CITYUT84103942854057501(C)(3)$33,300$0DATA MANAGEMENT CAPACITY RESEARCH
INDIANA HEMOPHILIA & THROMBOSIS CENTER
8326 NAAB ROADINDIANAPOLISIN46260352047838501(C)(3)$16,550$0DATA MANAGEMENT CAPACITY RESEARCH
JOHNS HOPKINS ALL CHILDREN'S RESEARCH INSTITUTE INC
501 SIXTH AVE SOUTHST PETERSBURGFL33701590683252501(C)(3)$11,600$0DATA MANAGEMENT CAPACITY RESEARCH
LOMA LINDA UNIVERSITY HEALTH
24887 TAYLOR STREET SUITE 202LOMA LINDACA92350953804495501(C)(3)$20,000$0DATA MANAGEMENT CAPACITY RESEARCH & SURVEILANCE
LOUISIANAMISSISSIPP CENTER FOR ADVANCED MEDICINE
JESUS MONICO PHD MPH 7731 OLDMADISONMS39110812061892501(C)(3)$9,590$0DATA MANAGEMENT CAPACITY RESEARCHCANTON ROAD SUITE B
MAINE HEMOPHILIA AND THROMBOSIS CENTER
81 RESEARCH DRIVESCARBOROUGHME04074010238552501(C)(3)$13,300$0DATA MANAGEMENT CAPACITY RESEARCH
MARY M GOOLEY HEMOPHILIA CENTER
1415 PORTLAND AVE SUITE 500ROCHESTERNY14621160836536501(C)(3)$11,300$0DATA MANAGEMENT CAPACITY RESEARCH
MAYO CLINIC
PO BOX 860334MINNEAPOLISMN55486416011702501(C)(3)$10,000$0DATA MANAGEMENT CAPACITY RESEARCH
MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER
4700 WATERS AVENUE ATTN CHRISTINASAVANNAHGA31404821969974501(C)(3)$8,000$0DATA MANAGEMENT CAPACITY RESEARCHKNIGHT
MICHIGAN STATE UNIV CENTER BLEEDING DISORDER
426 AUDITORIAM ROAD SUITE BEAST LASNSINGMI48824386005984501(C)(3)$47,750$0DATA MANAGEMENT CAPACITY RESEARCH
MISSISSIPPI CENTER FOR ADVANCED MEDICINE
7731 OLD CANTON ROAD ROOM 360MADISONMS39110812061892501(C)(3)$16,340$0DATA MANAGEMENT CAPACITY RESEARCH
MONTEFIORE MEDICAL CENTER
111 E 210TH STREETBRONXNY10467131740114501(C)(3)$20,450$0DATA MANAGEMENT CAPACITY RESEARCH
NATIONWIDE CHILDRENS HOSPITAL
700 CHILDRENS DRIVECOLUMBUSOH43205316056230501(C)(3)$21,700$0DATA MANAGEMENT CAPACITY RESEARCH
NEWARK BETH ISRAEL MEDICAL CENTER
201 LYONS AVENUE AT OSBORNENEWARKNJ07112223452311501(C)(3)$21,200$0DATA MANAGEMENT CAPACITY RESEARCHTERRANCE
NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER
PO BOX 33549CHARLOTTENC28233581413074501(C)(3)$7,500$0DATA MANAGEMENT CAPACITY RESEARCH
OREGON HEALTH & SCIENCE UNIVERSITY
PO BOX 3003PORTLANDOR97208931176109501(C)(3)$334,453$0DATA MANAGEMENT CAPACITY RESEARCH
ORTHOPAEDIC HOSPITAL
403 WEST ADAMS BLVDLOS ANGELESCA90007951644604501(C)(3)$19,900$0DATA MANAGEMENT CAPACITY RESEARCH
PENNSYLVANIA STATE UNIVERSITY
500 UNIVERSITY DRIVEHERSHEYPA17033246000376501(C)(3)$20,850$0DATA MANAGEMENT CAPACITY RESEARCH
PHOENIX CHILDREN'S HOSPITAL FOUNDATION
1919 E THOMAS ROADPHOENIXAZ85016860422559501(C)(3)$10,550$0DATA MANAGEMENT CAPACITY RESEARCH
PRISMA HEALTH MDILANDS
GRANTS FINANCIAL ANALYST PO BOXCOLUMBIASC29212582296052501(C)(3)$8,050$0DATA MANAGEMENT CAPACITY RESEARCH2266
PROMEDICA RUSSELL J EDEID CHILDREN'S HOSPITAL
2142 N COVE BLVDTOLEDOOH43606344428256501(C)(3)$21,600$0DATA MANAGEMENT CAPACITY RESEARCH
REGENTS OF THE UNIVERSITY OF CALIFORNIA SD (RADY)
9500 GILMAN DRIVELA JOLLACA92093956006144501(C)(3)$23,300$0DATA MANAGEMENT CAPACITY RESEARCH
REGENTS UNIVERSITY OF MICHIGAN
BOX 223131PITTSBURGHPA15251386006309501(C)(3)$10,250$0DATA MANAGEMENT CAPACITY RESEARCH
REGENTS UNIVERSITY OF NEW MEXICO
MSC09 5225 1 UNIVERISITY OF NEWALBUQUERQUENM87131856000642501(C)(3)$7,450$0DATA MANAGEMENT CAPACITY RESEARCHMEXICO
RHODE ISLAND HOSPITAL HEMOSTASIS AND THROMBOSIS CENTER
PO BOX 373PROVIDENCERI02901050258954501(C)(3)$16,150$0DATA MANAGEMENT CAPACITY RESEARCH
RUSH UNIVERSITY MEDICAL CENTER
75 REMITTANCE SUITE 6807CHICAGOIL60675362174823501(C)(3)$5,850$0DATA MANAGEMENT CAPACITY RESEARCH
ST JOSEPH'S CHILDREN'S HOSPITAL TAMPA
3001 W DR MARTIN LUTHER KING JRTAMPAFL33607590774199501(C)(3)$13,050$0DATA MANAGEMENT CAPACITY RESEARCHBLVD
ST JUDE CHILDREN'S RESEARCH HOSPITAL
262 DANNY THOMAS PLACEMEMPHISTN38105620646012501(C)(3)$6,400$0DATA MANAGEMENT CAPACITY RESEARCH
ST LOUIS UNIVERSITY (734)THE JOHN BOUHASIN CENTER FOR CHILDREN WITH BLEEDI
3545 LINDELL BLVDST LOUISMO63103430654872501(C)(3)$10,850$0DATA MANAGEMENT CAPACITY RESEARCH
THE CHILDRENS MERCY HOSPITAL
2401 GILHAM ROADKANSAS CITYMO64108440605373501(C)(3)$33,950$0DATA MANAGEMENT CAPACITY RESEARCH
THE FEINSTEIN INSTITUTE FOR MEDICAL RESEARCH
PO BOX 95000-7530PHILADELPHIAPA19195112241326501(C)(3)$30,650$0DATA MANAGEMENT CAPACITY RESEARCH
THE REGENTS OF THE UNIVERSITY OF CALIFORNIA
USCF MAIN REPOSITORY PO BOX 748872LOS ANGELESCA90074946036493501(C)(3)$15,050$0DATA MANAGEMENT CAPACITY RESEARCH
UNIVERSITY OF ARIZONA
PO BOX 210158 RM 510 SPONSOREDTUCSONAZ85721742652689501(C)(3)$10,650$0DATA MANAGEMENT CAPACITY RESEARCHPROJECTS AND CONTRACTING SERVICES
UNIVERSITY OF COLORADO DENVER
1800 GRANT STREET SUITE 600DENVERCO80203846000555501(C)(3)$41,250$0DATA MANAGEMENT CAPACITY RESEARCH
UNIVERSITY OF FLORIDA
219 GRINTER HALLGAINSVILLEFL32611596002052501(C)(3)$24,950$0DATA MANAGEMENT CAPACITY RESEARCH
UNIVERSITY HOSPITALS CLEVELAND
UH GRANTS DEPT 781686 PO BOX 78000DETROITMI48278341567805501(C)(3)$23,150$0DATA MANAGEMENT CAPACITY RESEARCH
UNIVERSITY OF IOWA HOSPITAL & CLINICS
105 JESSUP HALLIOWA CITYIA52242426004813501(C)(3)$45,500$0DATA MANAGEMENT CAPACITY RESEARCH
UNIVERSITY OF NORTH CAROLINA CHAPEL HILL
104 AIRPORT DR CAMPUS BOX 1220CHAPEL HILLNC27599566001393501(C)(3)$285,177$0DATA MANAGEMENT CAPACITY RESEARCH
UNIVERSITY OF PENNSYLVANIA
3451 WALNUT STREET ROOM P-221PHILADELPHIAPA19104231352685501(C)(3)$9,500$0DATA MANAGEMENT CAPACITY RESEARCH
UNIVERSITY OF TEXAS HOUSTON (671)
PO BOX 301418DALLASTX75303741761309501(C)(3)$434,032$0DATA MANAGEMENT CAPACITY RESEARCH
UT SOUTHWESTERN MEDICAL CENTER (680)
PO BOX 841765 1950 N STEMMONDSDALLASTX75207756002868501(C)(3)$13,500$0DATA MANAGEMENT CAPACITY RESEARCHFREEWAY SUITE 5010
VALLEY CHILDREN'S HOSPITAL
9300 VALLEY CHILDRENS PLACE MS PCMADERACA93636941294954501(C)(3)$18,500$0DATA MANAGEMENT CAPACITY RESEARCH05
VANDERBILT UNIVERSITYFINANCE MANAGEMENT
1161 21ST AVE SOUTH D-D3300 MEDICALNASHVILLETN37232352528741501(C)(3)$23,650$0DATA MANAGEMENT CAPACITY RESEARCHCENTER NORTH
VERSITI WISCONSIN INC
638 N 18TH STREETMILWAUKEEWI53233390807235501(C)(3)$22,781$0DATA MANAGEMENT CAPACITY RESEARCH
VIRGINIA COMMONWEALTH UNIVERSITY
BOX 843035RICHMONDVA23284546001758501(C)(3)$12,950$0DATA MANAGEMENT CAPACITY RESEARCH
WAKE UNIVERSITY HEALTH SCIENCES
MEDICAL CENTER BLVDWINSTONSALEMNC27157223849199501(C)(3)$13,600$0DATA MANAGEMENT CAPACITY RESEARCH
WASHINGTON UNIVERSITY
700 ROSEDALE AVE CAMPUS BOX 1034ST LOUISMO63112430653611501(C)(3)$23,600$0DATA MANAGEMENT CAPACITY RESEARCH
WASHINGTON CENTER FOR BLEEDING DISORDERS
701 PIKE ST 1900SEATTLEWA98101832302258501(C)(3)$54,500$0DATA MANAGEMENT CAPACITY RESEARCH
WEILL MEDICAL COLLEGE-CORNELL UNIV
1300 YORK AVENEW YORKNY10065131623978501(C)(3)$15,400$0DATA MANAGEMENT CAPACITY RESEARCH
WNY BLOOD CARE
1010 MAIN STREET SUITE 300BUFFALONY14202160965865$12,050$0DATA MANAGEMENT CAPACITY RESEARCH

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationATHN HAS A FORMAL PROCESS FOR APPLYING, SELECTING, AWARDING, SUBSTANTIATING THE AMOUNTS OF GRANTS AWARDED AND TRACKING ACHIEVEMENT OF MILESTONES FUNDED BY THE GRANTS. THE ATHNDATA.QUALITY.COUNTS APPLICATION PROCESS IS AN ONLINE SUBMISSION PROCESS USING A STANDARD APPLICATION TEMPLATE, WITH SPECIFIC FUNDING REQUIREMENTS AND SUBMISSION DEADLINES ANNOUNCED TO ALL ATHN AFFILIATES. PROPOSALS ARE REVIEWED BY A MULTI-DISCIPLINARY GRANT REVIEW PANEL. EACH PROPOSAL IS WEIGHTED BASED ON CRITERIA ESTABLISHED FOR THAT ROUND OF FUNDING AND APPROPRIATENESS OF FINANCIAL REQUEST. UPON SELECTION OF THE SUBSET OF WINNING PROPOSALS, THE PROPOSED AWARDEES AND AMOUNTS OF EACH AWARD ARE REVIEWED BY THE DATA QUALITY COUNTS COMMITTEE FOR REASONABLENESS AND CONSISTENCY WITH BUDGET, AND APPROVED BY THE ATHN BOARD. LETTER AGREEMENTS CONFIRMING THE AWARDED AMOUNT AND REQUIREMENTS ARE PROVIDED AND EXECUTED BY EACH AWARDEE. PAYMENTS ARE ISSUED IN THREE PARTS: $2,500 UPFRONT AND THE REMAINING PAYMENTS MADE EVERY SUBSEQUENT SIX MONTHS UPON SUBMISSION INTERIM PROJECT REPORTS AND FINAL PROJECT REPORTS AT A RATE OF $50 OR $100 FOR UPDATING CORE DATA ELEMENTS PER PATIENT.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
CRYSTAL WATSON
PRESIDENT AND CEO$282,904$0$40,977$0$0$0$16,968$0$9,245$0$350,094$0$0$0
MOSES MILES
VP, RESEARCH AND INFORMATI$251,428$0$35,917$0$0$0$15,032$0$3,600$0$305,977$0$0$0
LINDA MAGLIOCCO
VP, FINANCE AND ADMINISTRA$187,870$0$27,066$0$0$0$11,250$0$9,245$0$235,431$0$0$0
TROY VERBRUGGE
LEAD DEVELOPER$161,526$0$17,250$0$0$0$8,398$0$9,245$0$196,419$0$0$0
CARRIE O'NEILL
DIRECTOR, RESEARCH PROGRAM$168,800$0$2,100$0$0$0$8,973$0$3,600$0$183,473$0$0$0
STEPHANIE ROMPOT
SENIOR DIRECTOR, PRODUCT MANAGEMENT$155,700$0$0$0$0$0$7,007$0$3,600$0$166,307$0$0$0
ROBERT FROST
SENIOR SOFTWARE DEVELOPER$128,924$0$18,540$0$0$0$7,746$0$9,245$0$164,455$0$0$0
NABIL DAOUD
DIRECTOR, BIOSTATICS$125,023$0$18,000$0$0$0$7,986$0$10,200$0$161,209$0$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BA COPY OF THE FORM 990 WAS EMAILED TO ALL BOARD MEMBERS FOR THEIR REVIEW PRIOR TO BEING FILED.
FORM 990, PART VI, SECTION B, LINE 12CATHN REQUIRES ALL BOARD MEMBERS AND OFFICERS TO COMPLETE CONFLICT OF INTEREST STATEMENTS ON A YEARLY BASIS.
FORM 990, PART VI, SECTION B, LINE 15THE PRESIDENT/CEO'S COMPENSATION IS REVIEWED BY THE EXECUTIVE COMMITTEE AND APPROVED BY THE BOARD.
FORM 990, PART VI, SECTION C, LINE 19ALL REQUIRED PUBLIC DISCLOSURE DOCUMENTS ARE MADE AVAILABLE UPON REQUEST DURING NORMAL BUSINESS HOURS.
PART XII, 2CTHE AUDIT OVERSIGHT PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.