STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

QUANTUM LEAP HEALTH CARECOLLABORATIVE: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
QUANTUM LEAP HEALTH CARECOLLABORATIVE (EIN 20-4284925)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-11-11
IRS object ID
202013169349305526
Schema version
2019v5.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2020-11-11T18:26:22-06:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN814234542PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BPM LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line14200 BOHANNON DRIVE SUITE 250AddressLine1Txt
CityMENLO PARKCityNm
State AbbreviationCAStateAbbreviationCd
ZIP940251021ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN204284925EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1QUANTUM LEAP HEALTHCARE COLLABORATIVEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlQUANBusinessNameControlTxt
Phone8558660505PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13450 CALIFORNIA STREETAddressLine1Txt
CitySAN FRANCISCOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP941181837ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJAMES PALAZZOLOPersonNm
Person TitleCEOPersonTitleTxt
Phone8558660505PhoneNum
Signature2020-10-12SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCAROLYN R AMSTERPreparerPersonNm
PTINP00189994PTIN
Phone6508556800PhoneNum
Preparation2020-10-12PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address208.184.139.130IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-10-12IPDt
IP Tm18:30:11IPTm
IP TimezonePDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device Id98C12E8E5E1AA7A5910964E34E069994ED632D96AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJAMES PALAZZOLOPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line13450 CALIFORNIA STREETAddressLine1Txt
CitySAN FRANCISCOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP941181837ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$15,573,514GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.QUANTUMLEAPHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2005FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionTHE MISSION OF QUANTUM LEAP HEALTHCARE COLLABORATIVE IS TO PROVIDE MANAGEMENT AND FINANCIAL SUPPORT TO HEALTHCARE RESEARCH ORGANIZATIONS, PARTICULARLY INVOLVING BREAST CANCER RESEARCH AND TREATMENT.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee21TotalEmployeeCnt
Total Volunteers12TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,203,352PYContributionsGrantsAmt
CY Contributions Grants$1,876,103CYContributionsGrantsAmt
PY Program Service Revenue$11,242,100PYProgramServiceRevenueAmt
CY Program Service Revenue$13,088,922CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$119,258CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$4,890CYOtherRevenueAmt
PY Total Revenue$12,445,452PYTotalRevenueAmt
CY Total Revenue$15,089,173CYTotalRevenueAmt
PY Grants And Similar Paid$29,000PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$297,497CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$2,067,461PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$2,619,028CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$267,439CYTotalFundraisingExpenseAmt
PY Other Expenses$9,624,111PYOtherExpensesAmt
CY Other Expenses$11,722,540CYOtherExpensesAmt
PY Total Expenses$11,720,572PYTotalExpensesAmt
CY Total Expenses$14,639,065CYTotalExpensesAmt
PY Revenues Less Expenses$724,880PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$450,108CYRevenuesLessExpensesAmt
Total Assets BOY$13,623,504TotalAssetsBOYAmt
Total Assets EOY$16,681,889TotalAssetsEOYAmt
Total Liabilities BOY$13,096,013TotalLiabilitiesBOYAmt
Total Liabilities EOY$15,939,504TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$527,491NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$742,385NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE MISSION OF QUANTUM LEAP HEALTHCARE COLLABORATIVE IS TO PROVIDE MANAGEMENT AND FINANCIAL SUPPORT TO HEALTHCARE RESEARCH ORGANIZATIONS, PARTICULARLY INVOLVING BREAST CANCER RESEARCH AND TREATMENT.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$11,173,117ExpenseAmt
Revenue$12,598,772RevenueAmt
DescI-SPY TRIALS: QUANTUM LEAP SPONSORS THE I-SPY TRIALS (INVESTIGATION OF SERIAL STUDIES TO PREDICT YOUR THERAPEUTIC RESPONSE WITH IMAGING AND MOLECULAR ANALYSIS). I-SPY HAS BEEN RE-ENGINEERING THE APPROACH TO CLINICAL TRIALS, WITH A GOAL OF GETTING THE RIGHT DRUG TO THE RIGHT PATIENT AT THE TIME WHEN THEY WILL BENEFIT MOST, AND TO ACHIEVE THIS FASTER THAN POSSIBLE IN PREVIOUS TRIAL MODELS. ADDITIONALLY, I-SPY AIMS TO SIGNIFICANTLY REDUCE THE OVERALL COST, TIME, AND NUMBER OF PATIENTS REQUIRED TO BRING NEW DRUGS TO MARKET. THE I-SPY TRIAL PROGRAM INTEGRATES AND LINKS PHASE I (I-SPY PHASE 1), PHASE II (I-SPY 2), AND FUTURE PHASES TO BUILD A PIPELINE OF NOVEL AGENTS AND ACCELERATE THE PROCESS OF IDENTIFYING THE SUBSET OF HIGH RISK BREAST CANCER PATIENTS THAT WILL BENEFIT FROM THESE NEW AGENTS, AND GET THESE DRUG INTO THE CLINIC IN A TIMELY MANNER.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$686,419ExpenseAmt
DescCOLLABORATION WITH THE ATHENA BREAST HEALTH NETWORK: THE ATHENA BREAST HEALTH NETWORK IS A COLLABORATION OF THE FIVE UNIVERSITY OF CALIFORNIA MEDICAL CENTERS AND SANFORD HEALTH TO DRIVE INNOVATION IN BREAST CANCER PREVENTION, SCREENING AND TREATMENT. A LARGE-SCALE DEMONSTRATION PROJECT, ATHENA INTEGRATES CLINICAL CARE AND RESEARCH TO DRIVE INNOVATION IN PREVENTION, SCREENING, TREATMENT AND MANAGEMENT OF BREAST CANCER.THIS PROJECT WILL IMPROVE SURVIVAL AND REDUCE SUFFERING FROM BREAST CANCER BY ACCELERATING THE TIME BETWEEN RESEARCH DISCOVERIES AND INNOVATIVE PATIENT TREATMENTS. MAJOR INITIATIVES INCLUDE RISK ASSESSMENT AND EVALUATION, RADIOLOGY HARMONIZATION, PATHOLOGY HARMONIZATION, AND IMPROVING SURVIVORSHIP CARE. ONE OF ATHENA'S CURRENT INITIATIVES IS THE WISDOM STUDY. THIS FIVE-YEAR STUDY WILL INVOLVE APPROXIMATELY 100,000 WOMEN 40 TO 80 YEARS OLD. IT WILL TEST A MORE TARGETED APPROACH TO BREAST CANCER SCREENING: THOSE AT HIGHER RISK ARE SCREENED MORE OFTEN AND THOSE AT LOWER RISK ARE SCREENED LESS OFTEN. ANNUAL SCREENING WILL BE WEIGHED AGAINST A PERSONALIZED SCHEDULE OF SCREENING BASED ON EACH WOMAN'S INDIVIDUAL RISK.QUANTUM LEAP PROVIDES IT AND SOFTWARE DEVELOPMENT SUPPORT, MARKETING SUPPORT, AND FUNDRAISING ASSISTANCE FOR THE ATHENA BREAST HEALTH NETWORK.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$631,645ExpenseAmt
DescONESOURCE: THE INITIATIVE SEEKS TO INTEGRATE CARE AND RESEARCH BY STREAMLINING THE COLLECTION AND DISTRIBUTION OF PATIENT HEALTH DATA. HEALTH INDUSTRIES TODAY ARE CHARACTERIZED BY HIGH OPERATING COSTS WITH VERY LITTLE CORRESPONDING IMPROVEMENT IN QUALITY OF CARE OR MEANINGFUL SCIENTIFIC DISCOVERIES. AT THE HEART OF THE PROBLEM ARE THE LACK OF DATA RECONCILIATION, THE COMPLEXITY OF SYSTEMS INTEGRATIONS, AND THE ABUNDANCE OF INTEROPERABILITY GAPS. AS A RESULT, DOCTORS, RESEARCHERS, AND PATIENTS ARE TRAPPED IN AN INEFFICIENT SYSTEM THAT NOT ONLY GENERATES HIGH COSTS, BUT ALSO INCREASES COMPLIANCE RISK AND CREATE BARRIERS TO CLINICAL TRIAL PARTICIPATION.ONESOURCE IS A RADICAL SIMPLIFICATION THAT WILL UTILIZE GLOBAL DATA STANDARDS IN ORDER TO INTEGRATE CLINICAL CARE AND RESEARCH. IN THE ONESOURCE APPROACH, CRITICAL CLINICAL DATA IS ENTERED ONCE AT THE POINT OF CARE - THE DOCTOR'S APPOINTMENT, FOR EXAMPLE - AND ACCESSIBLE TO MANY. BY IMPLEMENTING BEST-IN-CLASS INTEROPERABLE SYSTEMS AND LEVERAGING EXISTING CAPABILITIES AND RELATIONSHIPS TO FACILITATE THE COLLECTION, SHARING, AND REPORTING OF STRUCTURED DATA FROM AUTHORITATIVE SOURCES, ULTIMATELY ONESOURCE WILL CREATE A QUALITY MANAGEMENT INFRASTRUCTURE IN MEDICINE THAT CAN ENABLE USERS TO IMPROVE HEALTH CARE QUALITY, ACCELERATE CLINICAL RESEARCH, AND ADVANCE HEALTHCARE VALUE.QUANTUM LEAP IS WORKING WITH RESEARCH AND EDUCATIONAL INSTITUTIONS, AS WELL AS COMMERCIAL ENTITIES, TO UTILIZE THE ONESOURCE DATA PLATFORM TO SUPPORT PATIENT AND PROVIDER PORTALS THROUGH ELECTRONIC DATA CAPTURE, WITH THE INTENT TO CREATE INTERACTIVE HEALTH CARE MANAGEMENT SYSTEMS THAT PROVIDE COMPREHENSIVE INFORMATION FOR IMPROVED PATIENT CARE.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$515,619ExpenseAmt
Grant$297,497GrantAmt
Revenue$495,157RevenueAmt
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$515,619TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$297,497TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$495,157TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$13,006,800TotalProgramServiceExpensesAmt
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 SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
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 ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control Ent0TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document26IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee21EmployeeCnt
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 Members13GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
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 Policy0DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Own WebsiteYes (X)OwnWebsiteInd
Upon RequestYes (X)UponRequestInd
OtherYes (X)OtherInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE ORGANIZATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8558660505PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13450 CALIFORNIA STREETAddressLine1Txt
CitySAN FRANCISCOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP941181837ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
LAURA ESSERMAN
DIRECTOR, COFOUNDER20.00Yes (X)Yes (X)$0$0$0
JEFFREY PFEFFER
DIRECTOR, COFOUNDER0.50Yes (X)Yes (X)$0$0$0
DAVE MANDELKERN
CHAIRMAN24.00Yes (X)Yes (X)$204,882$0$0
ANNA BARKER
DIRECTOR0.50Yes (X)$0$0$0
LUCAS DEBREED
DIRECTOR0.50Yes (X)$0$0$0
SUSAN FOLEY
TREASURER0.50Yes (X)Yes (X)$0$0$0
MICHELE MARKUS
DIRECTOR0.50Yes (X)$0$0$0
ROBERT PATTERSON
DIRECTOR0.50Yes (X)$0$0$0
ROBYN LAWRIE RUTLEDGE
DIRECTOR0.50Yes (X)$0$0$0
GREGORY C SIMON
DIRECTOR0.50Yes (X)$0$0$0
MARK SIMON
DIRECTOR0.50Yes (X)$0$0$0
N MARCUS THYGESON
DIRECTOR0.50Yes (X)$0$0$0
LAMBERT VAN DER WALDE
DIRECTOR0.50Yes (X)$0$0$0
JAMES PALAZZOLO
CEO (FROM 9/2019)40.00Yes (X)$96,253$0$0
ADAM ASARE
CHIEF DATA OFFICER40.00$147,458$0$6,104Yes (X)
KARYN DIGIORGIO
COO40.00$217,264$0$7,644Yes (X)
TRACEY L HEATHER
DIRECTOR OF DEVELOPMENT40.00$162,838$0$6,597Yes (X)
MICHAEL RESENDEZ
SENIOR SOFTWARE ENGINEER40.00$147,499$0$4,422Yes (X)
KATHRYN J WATSON-FEINER
DIRECTOR OF FINANCE40.00$174,000$0$4,640Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,150,194TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$29,407TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K9IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
OPENCLINICA LLC
460 TOTTEN POND ROAD SUITE 200WALTHAMMA02451CLINICAL DATA MANAGEMENT$222,339
SURESH GADAMSETTY
1501 DECOTO ROAD APT 118UNION CITYCA94587BUSINESS DEVELOPMENT AND TECHNICAL ASSIS$212,485
DAVID MANDELKERN
PO BOX 19564STANFORDCA94309INTERIM CHIEF EXECUTIVE OFFICER$204,882
BPM LLP
600 CALIFORNIA ST SUITE 600SAN FRANCISCOCA94108TAX AND AUDIT SERVICES$110,786
OWL BROOK ASSOCIATES LLC
PO BOX 5218HANOVERNH03755CLINICAL DATA WORKFLOW, DESIGN, & TESTIN$108,005
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
All Other Contributions$1,876,103AllOtherContributionsAmt
Noncash Contributions$544,160NoncashContributionsAmt
Total Contributions$1,876,103TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CLINICAL TRIAL CONTRACTS541511$12,598,772$12,598,772
CONSULTING AND RESEARCH CONTRACTS541511$490,150$490,150
FieldValueIRS element (for citing)
Total Program Service Revenue$13,088,922TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$121,682TotalRevenueColumnAmt
Exclusion$121,682ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$481,917SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$483,958SecuritiesAmt
Other$383OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$2,041SecuritiesAmt
Other-$383OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$2,424TotalRevenueColumnAmt
Exclusion-$2,424ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUSDesc
Business900099BusinessCd
Total Revenue Column$4,890TotalRevenueColumnAmt
Related Or Exempt Func Income$5,007RelatedOrExemptFuncIncomeAmt
Exclusion-$117ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$4,890OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$15,089,173TotalRevenueColumnAmt
Related Or Exempt Func Income$13,093,929RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$119,141ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$297,497TotalAmt
Program Services$297,497ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$274,452TotalAmt
Program Services$171,961ProgramServicesAmt
Management And General$91,567ManagementAndGeneralAmt
Fundraising$10,924FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$1,846,424TotalAmt
Program Services$1,218,014ProgramServicesAmt
Management And General$456,625ManagementAndGeneralAmt
Fundraising$171,785FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$54,299TotalAmt
Program Services$33,501ProgramServicesAmt
Management And General$13,683ManagementAndGeneralAmt
Fundraising$7,115FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$304,342TotalAmt
Program Services$209,043ProgramServicesAmt
Management And General$62,082ManagementAndGeneralAmt
Fundraising$33,217FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$139,511TotalAmt
Program Services$87,209ProgramServicesAmt
Management And General$40,576ManagementAndGeneralAmt
Fundraising$11,726FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$48,694TotalAmt
Program Services$33,421ProgramServicesAmt
Management And General$15,273ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$137,418TotalAmt
Management And General$137,418ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$727,531TotalAmt
Program Services$414,802ProgramServicesAmt
Management And General$299,617ManagementAndGeneralAmt
Fundraising$13,112FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$439,450TotalAmt
Program Services$350,466ProgramServicesAmt
Management And General$74,912ManagementAndGeneralAmt
Fundraising$14,072FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$159,108TotalAmt
Program Services$111,708ProgramServicesAmt
Management And General$47,400ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$203,744TotalAmt
Program Services$170,386ProgramServicesAmt
Management And General$29,005ManagementAndGeneralAmt
Fundraising$4,353FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$15,467TotalAmt
Management And General$15,467ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$51,219TotalAmt
Program Services$32,148ProgramServicesAmt
Management And General$19,071ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
RESEARCH SITES$5,913,768$5,913,768
PROGRAM MANAGEMENT$3,949,441$3,949,441
PAYROLL FEE$50,752$1,118$49,634
OTHER PROGRAM EXPENSES$20,162$12,317$7,101$744

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$5,786TotalAmt
Management And General$5,395ManagementAndGeneralAmt
Fundraising$391FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$14,639,065TotalAmt
Program Services$13,006,800ProgramServicesAmt
Management And General$1,364,826ManagementAndGeneralAmt
Fundraising$267,439FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$9,999,821BOYAmt
EOY$255,778EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
EOY$3,589,960EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$454,000BOYAmt
EOY$298,498EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$3,026,845BOYAmt
EOY$3,197,897EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$50,498BOYAmt
EOY$271,841EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$52,978LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$23,410LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$15,060BOYAmt
EOY$29,568EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$8,941,267EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$77,280BOYAmt
EOY$97,080EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$13,623,504BOYAmt
EOY$16,681,889EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$10,484,013BOYAmt
EOY$10,661,346EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$2,612,000BOYAmt
EOY$5,278,158EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$13,096,013BOYAmt
EOY$15,939,504EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$2,086,653BOYAmt
EOY-$1,117,638EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,614,144BOYAmt
EOY$1,860,023EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$527,491BOYAmt
EOY$742,385EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$13,623,504BOYAmt
EOY$16,681,889EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$450,108ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$19,800NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$255,014OtherChangesInNetAssetsAmt
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)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

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$808,721CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,285,937CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,033,157CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,203,352CurrentTaxYearMinus1YearAmt
Current Tax Year$1,876,103CurrentTaxYearAmt
Total$8,207,270TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$808,721CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,285,937CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,033,157CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,203,352CurrentTaxYearMinus1YearAmt
Current Tax Year$1,876,103CurrentTaxYearAmt
Total$8,207,270TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$4,139,975SubstantialContributorsTotAmt
Public Support Total170$4,067,295PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$199CurrentTaxYearMinus4YearsAmt
Current Tax Year$121,682CurrentTaxYearAmt
Total$121,881TotalAmt
FieldValueIRS element (for citing)
Total Support$8,329,151TotalSupportAmt
Gross Receipts Rltd Activities$52,205,083GrossReceiptsRltdActivitiesAmt
Public Support CY1700.48830PublicSupportCY170Pct
Public Support PY1700.49580PublicSupportPY170Pct
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$52,978OtherCostOrOtherBasisAmt
Depreciation$23,410DepreciationAmt
Book Value$29,568BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$29,568TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (3 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
U.S. TREASURIES$6,483,267F
MONEY MARKET FUNDS$1,569,882F
OTHER INVESTMENTS$888,118F
FieldValueIRS element (for citing)
Total Book Value Securities$8,941,267TotalBookValueSecuritiesAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$15,105,346TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$19,800NetUnrealizedGainsInvstAmt
Revenue Not Reported$19,800RevenueNotReportedAmt
Revenue Subtotal$15,085,546RevenueSubtotalAmt
Other Revenues Not Included$3,627OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$3,627RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$15,089,173TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$14,635,438TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$14,635,438ExpensesSubtotalAmt
Other Expenses Not Included$3,627OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$3,627ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$14,639,065TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:QUANTUM LEAP IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES UNDER THE PROVISIONS OF SECTION 501(C)(3) AND SECTION 170(B)(1)(A)(VI) OF THE INTERNAL REVENUE CODE AND CORRESPONDING PROVISIONS OF THE CALIFORNIA REVENUE AND TAXATION CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN MADE IN THE ACCOMPANYING FINANCIAL STATEMENTS. QUANTUM LEAP MAY BE SUBJECT TO UNRELATED BUSINESS INCOME TAX.
PART XI, LINE 4B - OTHER ADJUSTMENTS:MISCELLANEOUS EXPENSES 3,627.
PART XII, LINE 4B - OTHER ADJUSTMENTS:MISCELLANEOUS EXPENSES 3,627.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records Maintained0GrantRecordsMaintainedInd

Recipient Table RecipientTable (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
UNIVERSITY OF ALABAMA AT BIRMINGHAM
1530 3RD AVE S AB-1230BIRMINGHAMAL35294636005396GOVERNMENT$60,000TO SUPPORT EXPANSION SITES PARTICIPATING IN THE WISDOM STUDY
UCSF FOUNDATION
220 MONTGOMERY ST 5TH FLOORSAN FRANCISCOCA94104942829914501(C)(3)$72,500SUPPORT CALM PROGRAM
UNIVERSITY OF CHICAGO
5235 S HARPER COURT 4TH FLOORCHICAGOIL60615362177139501(C)(3)$29,000TO SUPPORT EXPANSION SITES PARTICIPATING IN THE WISDOM STUDY
LSU HEALTH SCIENCE CENTER
433 BOLIVAR STNEW ORLEANSLA70112726087770GOVERNMENT$60,000TO SUPPORT EXPANSION SITES PARTICIPATING IN THE WISDOM STUDY
UNIVERSITY OF CALIFORNIA IRVINE
120 THEORY STE 200IRVINECA92617952226406GOVERNMENT$75,997TO SUPPORT EXPANSION SITES PARTICIPATING IN THE WISDOM STUDY
FieldValueIRS element (for citing)
Total501c3 Org5Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
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 (6 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
DAVE MANDELKERN
CHAIRMAN$204,882$0$0$0$0$0$0$0$0$0$204,882$0$0$0
ADAM ASARE
CHIEF DATA OFFICER$147,458$0$0$0$0$0$6,104$0$0$0$153,562$0$0$0
KARYN DIGIORGIO
COO$217,264$0$0$0$0$0$7,644$0$0$0$224,908$0$0$0
TRACEY L HEATHER
DIRECTOR OF DEVELOPMENT$162,838$0$0$0$0$0$6,597$0$0$0$169,435$0$0$0
MICHAEL RESENDEZ
SENIOR SOFTWARE ENGINEER$147,499$0$0$0$0$0$4,422$0$0$0$151,921$0$0$0
KATHRYN J WATSON-FEINER
DIRECTOR OF FINANCE$174,000$0$0$0$0$0$4,640$0$0$0$178,640$0$0$0

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTradedGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution2ContributionCnt
Noncash Contributions Rpt F990$544,160NoncashContributionsRptF990Amt
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, COLUMN (B):FormAndLineReferenceDesc
ExplanationTHE NUMBER PRESENTED ABOVE REPRESENTS THE NUMBER OF CONTRIBUTIONS.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BFORM 990 IS PREPARED BY AN INDEPENDENT CPA FIRM IN CONJUNCTION WITH THE ORGANIZATION'S DIRECTOR OF FINANCE. A DRAFT OF FORM 990 IS REVIEWED BY THE DIRECTOR OF FINANCE, AND CORRECTIONS/MODIFICATIONS ARE MADE BY THE OUTSIDE CPA. THE REVISED DRAFT IS THEN REVIEWED BY THE DIRECTOR OF FINANCE. ANY CONCERNS ARE RAISED WITH THE CPA FIRM AND A CONSENSUS IS ACHIEVED. BOARD MEMBERS ARE SENT A COPY OF THE TAX RETURN PRIOR TO FILING FOR THEIR REVIEW. THE RETURN IS THEN FINALIZED AND ELECTRONICALLY FILED WITH THE TAXING AUTHORITIES.
FORM 990, PART VI, SECTION B, LINE 12CTHE CONFLICT OF INTEREST POLICY IS PRESENTED AND REVIEWED ANNUALLY. EACH BOARD MEMBER IS REQUIRED TO ACKNOWLEDGE IN WRITING THAT NO CONFLICT EXISTS.
FORM 990, PART VI, SECTION B, LINE 15COMPENSATION OF THE PRESIDENT OF THE ORGANIZATION WAS DETERMINED AND APPROVED BY VOTE OF THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. PERSONNEL OF UCSF REVIEWED JOB REQUIREMENTS AGAINST TECHNICAL ABILITIES OF SUBCONTRACTORS AND DETERMINED WHETHER OR NOT THEY MATCHED. ALL SUBCONTRACTORS WERE ENGAGED AT BELOW-MARKET RATES.
FORM 990, PART VI, SECTION C, LINE 19ALL GOVERNING DOCUMENTS, AUDITED FINANCIAL STATEMENTS AND FORM 990, RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX, ARE PROVIDED UPON WRITTEN REQUEST OR THROUGH THE QUANTUM LEAP HEALTHCARE COLLABORATIVE WEBSITE, AS WELL AS TO ANYONE WHO REQUESTS THEM IN WRITING. THEY ARE ALSO AVAILABLE FOR INSPECTION AT THE QLHC OFFICE DURING NORMAL BUSINESS HOURS.
FORM 990, PART XI, LINE 9:ASC 606 -255,014.
FORM 990, PART XII, LINE 2CTHE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1CENTER FOR CLINICAL INNOVATION DBA ENCOMPASS HEALTH FOUNDATIONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1320 FAIRWAY DRIVEAddressLine1Txt
CityHALF MOON BAYCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94019ZIPCd
FieldValueIRS element (for citing)
EIN461637647EIN
Primary ActivitiesFUNDING CLINICAL RESEARCH AND INITIATIVESPrimaryActivitiesTxt
Legal Domicile StateCALegalDomicileStateCd
Exempt Code Section501(C)(3)ExemptCodeSectionTxt
Public Charity StatusLINE 7PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1QUANTUM LEAP HEALTHCARE COLLABORATIVEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled OrganizationYes (1)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART IIFormAndLineReferenceDesc
ExplanationTHE CENTER FOR CLINICAL INNOVATION WAS DISSOLVED IN JUNE 2019.ExplanationTxt