2025-04-30T10:19:31-05:00 2024-09-30 910189318 MOSS ADAMS LLP 101 SECOND STREET SUITE 900 SAN FRANCISCO CA 94105 990 2023-10-01 943084159 NORTHERN CALIFORNIA INSTITUTE FOR RESEARCH AND EDUCATION INC NORT 4157506954 4150 CLEMENT STREET 151NC SAN FRANCISCO CA 941211563 REBECCA A ROSALES CEO/EXECUTIVE DIRECTOR 4157506954 2025-04-29 1 0 MICHAEL LUMSDEN P01262236 4159561500 2025-04-29 2023 2025-03-06 01:10:19Z REBECCA A ROSALES 4150 CLEMENT STREET 151NC SAN FRANCISCO CA 941211563 62406965 0 X WWW.NCIRE.ORG X 1988 CA TO IMPROVE THE HEALTH AND WELL-BEING OF VETERANS AND THE PUBLIC BY SUPPORTING A WORLD-CLASS BIOMEDICAL RESEARCH PROGRAM CONDUCTED BY SAN FRANCISCO VETERANS AFFAIRS HEALTH CARE SYSTEM. 19 6 270 6 0 0 47061295 55571066 5372575 6577211 179212 171042 0 0 52613082 62319319 0 0 0 0 27197605 28814707 0 0 0 24471081 32817030 51668686 61631737 944396 687582 19731206 21337777 9891978 10810967 9839228 10526810 X TO IMPROVE THE HEALTH AND WELL-BEING OF VETERANS AND THE GENERAL PUBLIC BY SUPPORTING A WORLD-CLASS BIOMEDICAL RESEARCH PROGRAM CONDUCTED BY UCSF FACULTY AT THE SAN FRANCISCO VETERANS AFFAIRS HEALTH CARE SYSTEM. 0 0 50673739 0 6577211 THE NORTHERN CALIFORNIA INSTITUTE FOR RESEARCH AND EDUCATION, INC. ("NCIRE") IS A RESEARCH INSTITUTE AFFILIATED WITH THE U.S. DEPARTMENT OF VETERANS AFFAIRS ("VA") IN SAN FRANCISCO, CALIFORNIA AND THE UNIVERSITY OF CALIFORNIA AT SAN FRANCISCO. NCIRE WORKS WITH SPONSORS AND THE U.S. DEPARTMENT OF VETERANS AFFAIRS IN ADMINISTERING CONTRIBUTIONS FOR CONDUCTING RESEARCH TO FIND NEW AND IMPROVED WAYS TO COMBAT HUMAN DISEASE AND TO HELP PEOPLE WITH DISABILITIES. THE RESEARCH ADMINISTERED BY NCIRE IS VA-APPROVED RESEARCH, CONDUCTED AT VA FACILITIES. NCIRE WAS ESTABLISHED UNDER TITLE 38, SUBCHAPTER IV, SUBSECTIONS 7361-7366 AND IS SUBJECT TO DEPARTMENT OF VETERANS AFFAIRS HANDBOOK 1200 17. UNDER TITLE 38, SUBSECTION 7363, NCIRE'S BOARD OF DIRECTORS CURRENTLY INCLUDES MEMBERS WHO SERVE BY VIRTUE OF THEIR STATUTORY POSITIONS WITHIN THE SAN FRANCISCO VETERANS AFFAIRS HEALTH CARE SYSTEM. THEY ARE THE MEDICAL CENTER DIRECTOR, CHIEF OF STAFF, AND THE ASSOCIATE CHIEF OF STAFF FOR RESEARCH, IN ADDITION TO SEVERAL PRINCIPAL INVESTIGATORS OF THE SAN FRANCISCO VETERANS AFFAIRS HEALTH CARE SYSTEM. 50673739 1 1 0 0 0 0 0 0 0 0 1 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 48 0 1 270 1 0 0 0 0 0 0 0 0 0 0 0 0 X 19 6 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X JOANNA ZHAO 4157506954 4150 CLEMENT STREET 151NC SAN FRANCISCO CA 941211563 X MICHAEL SHLIPAK MD MPH CHAIR 8.00 40.00 X X 0 278139 0 HUBERT T KIM MD PHD VICE CHAIR 8.00 40.00 X X 0 0 0 NEAL H COHEN MD MPH MS DIRECTOR 1.00 0.00 X 0 0 0 LT COLONEL STEVE COUNTOURIOTIS DIRECTOR 1.00 0.00 X 0 0 0 KARUNESH GANGULY MD PHD DIRECTOR 1.00 40.00 X 0 270832 0 WARREN J GASPER MD DIRECTOR 1.00 40.00 X 0 389119 0 VANESSA JACOBY MD MAS DIRECTOR START 1/2023 1.00 0.00 X 0 0 0 JIA F LI MBA FACHE DIRECTOR 1.00 40.00 X 0 0 0 THEODORA MAURO MD DIRECTOR 1.00 40.00 X 0 377500 0 KENNETH R MCQUAID MD DIRECTOR 1.00 40.00 X 0 391370 0 JENNIFER MITCHELL PHD DIRECTOR 1.00 40.00 X 0 168192 0 DAVID O MORGAN PHD DIRECTOR 1.00 0.00 X 0 0 0 THOMAS C NEYLAN MD DIRECTOR 1.00 40.00 X 0 309238 0 BRUCE OVBIAGELE MD MSC MAS MBA M DIRECTOR 1.00 40.00 X 0 427003 0 STEPHEN PEARY JD LLM DIRECTOR 1.00 0.00 X 0 0 0 JULES WALKER MBA DIRECTOR 1.00 0.00 X 0 0 0 LOUISE C WALTER MD DIRECTOR 1.00 40.00 X 0 137520 0 KRISTINE YAFFE MD DIRECTOR 1.00 40.00 X 0 155869 0 STEVEN A YUKL MD DIRECTOR START 1/2023 1.00 40.00 X 0 252590 0 REBECCA ROSALES CEO/EXECUTIVE DIRECTOR 40.00 0.00 X 314208 0 35590 JOANNA ZHAO CFO, SECRETARY, AND TREASURER 40.00 0.00 X 233005 0 57758 DIANA SACREY DIRECTOR, VAARC RESEARCH OPERATIONS 40.00 0.00 X 204757 0 55957 ZIN KAY CHAN DIRECTOR, INFORMATION TECHNOLOGY 40.00 0.00 X 181424 0 27576 DEREK FLENNIKEN CIND IT DIRECTOR 40.00 0.00 X 200264 0 52816 CYNTHIA HUYNH ADMINISTRATIVE NURSE II 40.00 0.00 X 188986 0 19830 MICHAEL WEINER PRINCIPAL INVESTIGATOR 40.00 0.00 X 241809 0 9801 1564453 3157372 259328 52 0 1 0 ALANIZ MARKETING INC 7250 REDWOOD BLVD 355 NOVATO CA 94945 SUBJECT RECRUITMENT MARKETING 277340 THE ULTIMATE SOFTWARE GROUP INC PO BOX 930953 ATLANTA GA 311930953 PAYROLL AND HR SERVICES PROVIDER 131783 TREYGUS INFORMATION SYSTEMS 432 WALNUT STREET 1100 CINCINNATI OH 45202 CONSULTING SERVICES 124735 3 54627970 943096 55571066 PERSONNEL REIMBURSEMENTS - SFVA 541700 4776300 4776300 CLINICAL RESEARCH REVENUE 541700 1788962 1788962 SERVICE REVENUE 541700 12016 12016 OTHER PROGRAM REVENUE 541700 -67 -67 6577211 258688 258688 87646 -87646 -87646 -87646 62319319 6577211 0 171042 927409 268994 658415 22998972 16513358 6485614 1261482 920803 340679 2384993 1695318 689675 1241851 873686 368165 163346 10509 152837 135365 135365 1684436 1214757 469679 482736 107503 375233 151425 38797 112628 139173 139173 602646 306408 296238 153637 84980 68657 278365 134764 143601 133673 133673 SUBCONTRACTS 26859912 26859912 LAB SUPPLIES / EQUIPMEN 994448 841128 153320 SUBJECT COSTS 700421 668117 32304 DUES 152775 63376 89399 184672 71329 113343 61631737 50673739 10957998 0 1494735 159348 6251861 6686207 9084372 10806652 656376 901154 146244 213497 3758352 2803080 1008817 955272 1088801 1615647 19731206 21337777 7736788 8690393 2155190 2120574 9891978 10810967 X 8445400 9188953 1393828 1337857 9839228 10526810 19731206 21337777 687582 0 X 0 1 X 1 1 1 X SAN FRANCISCO VETERANS AFFAIRS HEALTH CARE SYSTEM SAN FRANCISCO CA RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3752235 2796963 955272 6117 6117 0 955272 DEPOSITS 184583 DUE FROM SAN FRANCISCO VETERANS AFFAIRS HEALTH CARE SYSTEM 1431064 1615647 X 62406965 0 62406965 -87646 -87646 62319319 61719383 87646 87646 61631737 0 61631737 PART X, LINE 2: NCIRE IS A NONPROFIT CORPORATION EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE (IRC) SECTION 501(C)(3) AND STATE INCOME TAX UNDER CALIFORNIA REVENUE AND TAXATION CODE SECTION 23701D. HOWEVER, INCOME FROM CERTAIN ACTIVITIES NOT DIRECTLY RELATED TO NCIRE'S TAX-EXEMPT PURPOSE MAY BE SUBJECT TO TAXATION AS UNRELATED BUSINESS INCOME. NCIRE QUALIFIES FOR THE CHARITABLE CONTRIBUTION DEDUCTION UNDER IRC SECTION 170(B)(1)(A)(III) AND HAS BEEN CLASSIFIED AS AN ORGANIZATION THAT IS NOT A PRIVATE FOUNDATION UNDER SECTION 509(A)(1). AS OF SEPTEMBER 30, 2024 AND 2023, NCIRE HAD NO UNRECOGNIZED TAX BENEFITS OR UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL. THEREFORE, NO PROVISION FOR INCOME TAXES HAS BEEN PROVIDED IN THE FINANCIAL STATEMENTS. PART XI, LINE 4B - OTHER ADJUSTMENTS: LOSS ON DISPOSAL OF FIXED ASSETS -87,646. PART XII, LINE 2D - OTHER ADJUSTMENTS: LOSS ON DISPOSAL OF FIXED ASSETS 87,646. X X X X 0 0 0 0 0 0 0 0 0 BRUCE OVBIAGELE MD MSC MAS MBA M DIRECTOR 0 427003 0 0 0 0 0 0 0 0 0 427003 0 0 KENNETH R MCQUAID MD DIRECTOR 0 391370 0 0 0 0 0 0 0 0 0 391370 0 0 WARREN J GASPER MD DIRECTOR 0 389119 0 0 0 0 0 0 0 0 0 389119 0 0 THEODORA MAURO MD DIRECTOR 0 377500 0 0 0 0 0 0 0 0 0 377500 0 0 REBECCA ROSALES CEO/EXECUTIVE DIRECTOR 314208 0 0 0 0 0 32992 0 2598 0 349798 0 0 0 THOMAS C NEYLAN MD DIRECTOR 0 309238 0 0 0 0 0 0 0 0 0 309238 0 0 JOANNA ZHAO CFO, SECRETARY, AND TREASURER 233005 0 0 0 0 0 23167 0 34591 0 290763 0 0 0 MICHAEL SHLIPAK MD MPH CHAIR 0 278139 0 0 0 0 0 0 0 0 0 278139 0 0 KARUNESH GANGULY MD PHD DIRECTOR 0 270832 0 0 0 0 0 0 0 0 0 270832 0 0 DIANA SACREY DIRECTOR, VAARC RESEARCH OPERATIONS 204757 0 0 0 0 0 21366 0 34591 0 260714 0 0 0 DEREK FLENNIKEN CIND IT DIRECTOR 200264 0 0 0 0 0 20405 0 32411 0 253080 0 0 0 STEVEN A YUKL MD DIRECTOR START 1/2023 0 252590 0 0 0 0 0 0 0 0 0 252590 0 0 MICHAEL WEINER PRINCIPAL INVESTIGATOR 241809 0 0 0 0 0 9384 0 417 0 251610 0 0 0 ZIN KAY CHAN DIRECTOR, INFORMATION TECHNOLOGY 181424 0 0 0 0 0 17888 0 9688 0 209000 0 0 0 CYNTHIA HUYNH ADMINISTRATIVE NURSE II 188986 0 0 0 0 0 19159 0 671 0 208816 0 0 0 JENNIFER MITCHELL PHD DIRECTOR 0 168192 0 0 0 0 0 0 0 0 0 168192 0 0 KRISTINE YAFFE MD DIRECTOR 0 155869 0 0 0 0 0 0 0 0 0 155869 0 0 FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION DOES NOT HAVE "MEMBERS" BY DEFINITION OF THE BYLAWS; HOWEVER, THE FORM 990 INSTRUCTIONS ALSO DEFINE A "MEMBER" AS ANY PERSON (INCLUDING A CORPORATION OR OTHER LEGAL ENTITY) WHO, PURSUANT TO A PROVISION OF THE ORGANIZATION'S GOVERNING DOCUMENTS, HAS THE RIGHT TO PARTICIPATE IN THE ORGANIZATION'S GOVERNANCE (INCLUDING ELECTING MEMBERS OF THE GOVERNING BODY) OR RECEIVE A SHARE OF THE ORGANIZATION'S NET ASSETS UPON DISSOLUTION. ACCORDINGLY, NCIRE HAS ONE SOLE MEMBER: THE SAN FRANCISCO VETERANS AFFAIRS HEALTH CARE SYSTEM. FORM 990, PART VI, SECTION A, LINE 7A THE DIRECTOR OF THE SAN FRANCISCO VETERANS AFFAIRS HEALTH CARE SYSTEM HOLDS THE AUTHORITY TO APPOINT MEMBERS OF THE BOARD (FOLLOWING NOMINATION BY THE BOARD NOMINATING COMMITTEE), REMOVE A NON-STATUTORY BOARD MEMBER, APPOINT SUCCESSOR BOARD MEMBERS IN THE EVENT OF A VACANCY, AND APPOINT THE CHAIR OF THE BOARD. FORM 990, PART VI, SECTION A, LINE 7B NO AMENDMENT TO THE BYLAWS SHALL BE EFFECTIVE UNTIL APPROVED BY THE DIRECTOR OF THE SAN FRANCISCO VETERANS AFFAIRS HEALTH CARE SYSTEM. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY AN INDEPENDENT PUBLIC ACCOUNTING WITH THE ASSISTANCE OF THE ORGANIZATION'S FINANCE AND ACCOUNTING STAFF. THE FINAL DRAFT OF THE 990 IS REVIEWED BY THE CFO, SECRETARY & TREASURER AND THE CEO/EXECUTIVE DIRECTOR. A COMPLETE COPY OF THE FORM 990 IS DISTRIBUTED TO ALL MEMBERS OF THE BOARD OF DIRECTORS PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C ALL NCIRE DIRECTORS, OFFICERS, AND ANY EMPLOYEES WITH DECISION MAKING AUTHORITY ("KEY EMPLOYEES") SUBMIT A CONFLICT OF INTEREST DISCLOSURE QUESTIONNAIRE AND AFFIRMATION OF COMPLIANCE ANNUALLY TO THE CEO/EXECUTIVE DIRECTOR. ANY QUESTIONNAIRE WITH A DISCLOSURE WILL BE PROVIDED TO THE BOARD TO REVIEW. THE BOARD THEN DECIDES WHETHER ANY DISCLOSURES REPRESENT ACTUAL, PERCEIVED, OR POTENTIAL CONFLICTS OF INTEREST. WHENEVER THERE IS REASON TO BELIEVE THAT A POTENTIAL CONFLICT EXISTS BETWEEN THE INTERESTS OF NCIRE AND ANY BOARD MEMBER, OFFICER, OR EMPLOYEE, THE INTERESTED PARTY WILL HAVE AN OPPORTUNITY TO PROVIDE FACTUAL INFORMATION ABOUT THE PROPOSED CONFLICT AND/OR MATTER THAT PROVOKED THE POTENTIAL CONFLICT. THE INTERESTED PARTY DOES NOT PARTICIPATE IN ANY WAY, OR IS PRESENT DURING, THE DELIBERATIONS AND DECISION-MAKING VOTE OF NCIRE WITH RESPECT TO SUCH MATTER. FORM 990, PART VI, SECTION B, LINE 15 THE PROCESS FOR DETERMINING THE COMPENSATION OF THE CEO/EXECUTIVE DIRECTOR IS AS FOLLOWS: TWO CUSTOM SURVEYS WERE USED AND MARKET DATA WAS GATHERED AND ANALYZED BY THE HUMAN RESOURCE DEPARTMENT. RESULTS WERE REVIEWED BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD AND WERE USED TO FORMALLY REVIEW AND CONFIRM THAT COMPENSATION IS APPROPRIATE. THE PROCESS WAS LAST DONE IN 2024 AND WAS CONTEMPORANEOUSLY DOCUMENTED. THE CFO AND ADMINISTRATIVE LEADERSHIP TEAM'S COMPENSATION ARE DETERMINED BASED ON SALARY AND MARKET DATA PROVIDED BY THE HR DEPARTMENT. FORM 990, PART VI, SECTION C, LINE 19 AUDITED FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC VIA THE COMPANY WEBSITE. GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC. FORM 990, PART VII, SECTION A: FORM 990, PART VII, SECTION A ONLY REPORTS REPORTABLE COMPENSATION PAID BY A RELATED ORGANIZATION TO THE ORGANIZATION'S DIRECTORS, AS THE AMOUNT OF DEFERRED COMPENSATION AND NON-TAXABLE BENEFITS WAS NOT AVAILABLE AT THE TIME OF FILING. ADDITIONALLY, CERTAIN DIRECTORS REPORTED ON FORM 990, PART VII MAY RECEIVE COMPENSATION FROM A RELATED ORGANIZATION WHICH IS NOT REFLECTED ON THIS SCHEDULE AS IT WAS NOT AVAILABLE AT THE TIME OF FILING THIS FORM 990. SAN FRANCISCO VETERANS AFFAIRS HEALTH CARE SYSTEM 4150 CLEMENT STREET SAN FRANCISCO CA 94121 941160824 HEALTH CARE BENEFITS AND SERVICES CA N/A 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 0 0