Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
|
Total |
||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | ||||||
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3 | ||||||
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f).. | ||||||
| 6 | Public support. Subtract line 5 from line 4. | ||||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | ||||||
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | ||||||
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | ||||||
| 11 | Total support. Add lines 7 through 10 | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | 2,064,517 | 2,867,773 | 3,963,009 | 3,117,863 | 2,594,466 | 14,607,628 |
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose | 6,342,022 | 5,951,984 | 5,940,785 | 5,646,508 | 2,780,827 | 26,662,126 |
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513 ..... | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge | ||||||
| 6 | Total. Add lines 1 through 5 | 8,406,539 | 8,819,757 | 9,903,794 | 8,764,371 | 5,375,293 | 41,269,754 |
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons | 0 | |||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | 0 | |||||
| c | Add lines 7a and 7b.. | 0 | |||||
| 8 | Public support. (Subtract line 7c from line 6.) | 41,269,754 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 8,406,539 | 8,819,757 | 9,903,794 | 8,764,371 | 5,375,293 | 41,269,754 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 199,859 | 209,312 | 272,286 | 329,578 | 284,645 | 1,295,680 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 199,859 | 209,312 | 272,286 | 329,578 | 284,645 | 1,295,680 |
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | 93,202 | -5,156 | 757 | 218,728 | 522,606 | 830,137 |
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | 8,699,600 | 9,023,913 | 10,176,837 | 9,312,677 | 6,182,544 | 43,395,571 |
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
|||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by .035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | ||
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
||
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | ||
| 4 Amounts paid to acquire exempt-use assets | ||
| 5 Qualified set-aside amounts (prior IRS approval required) | ||
| 6 Other distributions (describe in Part VI). See instructions | ||
| 7Total annual distributions. Add lines 1 through 6. | ||
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
||
| 9 Distributable amount for 2018 from Section C, line 6 | ||
| 10 Line 8 amount divided by Line 9 amount | ||
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2018 |
(iii) Distributable Amount for 2018 |
|
|---|---|---|---|---|
|
1
Distributable amount for 2018 from Section C, line 6 |
||||
|
2
Underdistributions, if any, for years prior to 2018 (reasonable cause required-- explain in Part VI). See instructions. |
||||
| 3 Excess distributions carryover, if any, to 2018: | ||||
| a From 2013....... | ||||
| b From 2014....... | ||||
| c From 2015....... | ||||
| d From 2016....... | ||||
| e From 2017....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2018 distributable amount | ||||
|
i
Carryover from 2013 not applied (see instructions) |
||||
| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2018 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2018 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2018, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
||||
|
6
Remaining underdistributions for 2018. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
||||
|
7 Excess distributions carryover to 2019. Add lines 3j and 4c. |
||||
| 8 Breakdown of line 7: | ||||
| a Excess from 2014...... | ||||
| b Excess from 2015..... | ||||
| c Excess from 2016..... | ||||
| d Excess from 2017..... | ||||
| e Excess from 2018..... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|
| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990, PART III, LINE 1, DESCRIPTION OF ORGANIZATION MISSION: | THE MISSION OF CLINICAL AND LABORATORY STANDARDS INSTITUTE (CLSI) IS TO "DEVELOP CLINICAL AND LABORATORY PRACTICES AND PROMOTE THEIR USE WORLDWIDE." WORKING TOGETHER, CLSI STAFF AND VOLUNTEER EXPERTS GUIDE THE DEVELOPMENT AND PROMOTE THE USE OF VOLUNTARY LABORATORY STANDARDS AND GUIDELINES WITHIN THE US AND INTERNATIONAL HEALTH CARE COMMUNITIES. CLSI FACILITATES A UNIQUE PROCESS OF DEVELOPING THESE TESTING STANDARDS BASED ON INPUT FROM AND CONSENSUS AMONG INDUSTRY, GOVERNMENT, AND HEALTH CARE PROFESSIONALS. IMPROVING THE QUALITY OF PATIENT CARE BY FOSTERING EXCELLENCE IN LABORATORY MEDICINE IS THE DRIVING FORCE BEHIND THE CREATION OF EVERY CLSI PRODUCT AND PROGRAM. FOUNDED IN 1968 AS A NOT-FOR-PROFIT STANDARDS DEVELOPMENT MEMBERSHIP ORGANIZATION, CLSI HAS EARNED THE CONFIDENCE AND RECOGNITION OF GOVERNMENT REGULATORY BODIES SUCH AS THE US FOOD AND DRUG ADMINISTRATION, CENTERS FOR DISEASE CONTROL AND PREVENTION, AND ORGANIZATIONS SUCH AS THE CENTERS FOR MEDICARE AND MEDICAID SERVICES THAT EITHER DIRECTLY ACCREDIT OR AUTHORIZE DEEMED STATUS ACCREDITATION STATUS. CLSI IS THE ONLY COLLABORATING CENTER RECOGNIZED BY THE WORLD HEALTH ORGANIZATION FOR STANDARDS DEVELOPMENT GLOBALLY. CLSI, ON BEHALF OF THE AMERICAN NATIONAL STANDARDS INSTITUTE, HAS SERVED FOR OVER 25 YEARS AS THE SECRETARIAT FOR THE INTERNATIONAL ORGANIZATION FOR STANDARDIZATION TECHNICAL COMMITTEE (TC 212) THAT AUTHORS GLOBAL STANDARDS FOR THE MEDICAL LABORATORY. CLSI IS FUNDED BY MEMBERSHIP DUES, THE SALES OF ITS PRODUCTS AND SERVICES, SPONSORSHIPS, AND GRANTS. GRANT FUNDING HAS BEEN CRUCIAL TO THE DEVELOPMENT OF OUR INTERNATIONAL OUTREACH INITIATIVE, THE GLOBAL HEALTH PARTNERSHIPS PROGRAM. CLSI STAFF, CONTRACTORS AND VOLUNTEERS PROVIDE SERVICES AND HANDS-ON SUPPORT TO LABORATORIES IN RESOURCE CONSTRAINED COUNTRIES, HELPING THEM ACHIEVE SUSTAINABLE QUALITY WITH SYSTEMS TO BETTER DIAGNOSE AND TREAT PATIENTS WITH INFECTIOUS DISEASES. THROUGH PARTNERSHIPS WITH THE US GOVERNMENT, UNIVERSITIES, AND OTHER NONPROFIT ORGANIZATIONS, CLSI HAS WORKED IN MORE THAN 20 COUNTRIES IN AFRICA, CENTRAL ASIA, SOUTH AMERICA, AND EASTERN EUROPE. FOR OVER 50 YEARS, OUR MEMBERS, VOLUNTEERS, AND CUSTOMERS HAVE MADE CLSI A RESPECTED, TRANSFORMATIVE LEADER IN THE DEVELOPMENT AND IMPLEMENTATION OF CLINICAL AND LABORATORY TESTING STANDARDS. THROUGH OUR UNIFIED EFFORTS, WE WILL CONTINUE TO SET AND UPHOLD THE STANDARDS THAT DRIVE QUALITY TEST RESULTS, ENHANCE PATIENTCARE DELIVERY, AND IMPROVE THE PUBLIC'S HEALTH AROUND THE WORLD. |
| FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS: | THE DEVELOPMENT OF THE ORGANIZATION'S INTERNATIONAL OUTREACH INITIATIVE, THE GLOBAL HEALTH PARTNERSHIPS PROGRAM: CLSI STAFF AND VOLUNTEERS PROVIDE TRAINING AND EDUCATION SERVICES AND HANDS-ON SUPPORT OF LABORATORIES IN RESOURCE-CONSTRAINED COUNTRIES, HELPING THEM ACHIEVE SUSTAINABLE QUALITY WITH SYSTEMS TO BETTER DIAGNOSE AND TREAT PATIENTS WITH INFECTIOUS DISEASES. THROUGH PARTNERSHIPS WITH THE US GOVERNMENT, UNIVERSITIES, AND OTHER NONPROFIT ORGANIZATIONS, CLSI HAS WORKED IN MORE THAN 20 COUNTRIES IN AFRICA, CENTRAL ASIA, SOUTH AMERICA AND EASTERN EUROPE. FOR OVER 50 YEARS, OUR MEMBERS, VOLUNTEERS AND CUSTOMERS HAVE MADE CLSI A RESPECTED, TRANSFORMATIVE LEADER IN THE DEVELOPMENT AND IMPLEMENTATION OF CLINICAL AND LABORATORY TESTING STANDARDS. THROUGH OUR UNIFIED EFFORTS, WE WILL CONTINUE TO SET AND UPHOLD THE STANDARDS THAT DRIVE QUALITY TEST RESULTS, ENHANCE PATIENT CARE DELIVERY, AND IMPROVE THE PUBLIC'S HEALTH AROUND THE WORLD. |
| FORM 990, PART VI, SECTION A, LINE 1 | CLSI'S EXECUTIVE COMMITTEE IS COMPRISED OF THE OFFICERS OF THE BOARD OF DIRECTORS. THEY MEET ON A MONTHLY BASIS AND CAN MAKE DECISIONS ON BEHALF OF THE BOARD UNLESS WHERE IT IS EXPLICITLY NOTED THAT THE FULL BOARD MUST APPROVE/VOTE PER OUR BY-LAWS. |
| FORM 990, PART VI, SECTION A, LINE 6 | ALL ORGANIZATIONS PAYING MEMBERSHIP DUES ARE CONSIDERED MEMBERS OF CLSI |
| FORM 990, PART VI, SECTION A, LINE 7A | POWER TO ELECT OR APPOINT ONE OR MORE MEMBERS OF THE GOVERNING BODY |
| FORM 990, PART VI, SECTION B, LINE 11B | INDEPENDENT AUDITORS PREPARE THE ANNUAL FORM 990 AND THE FORM IS SENT TO THE BOARD OF DIRECTORS FOR REVIEW PRIOR TO SUBMISSION. |
| FORM 990, PART VI, SECTION B, LINE 12C | OFFICERS AND MEMBERS OF THE BOARD ARE REQUIRED TO COMPLETE A DISCLOSURE OF INTEREST FORM AND IT IS A STANDING AGENDA ITEM AT ALL BOARD MEETINGS FOR UPDATES TO EACH MEMBER'S. |
| FORM 990, PART VI, SECTION B, LINE 15 | INDUSTRY COMPARABILITY DATA AND OTHER ANALYSIS IS USED TO DETERMINE APPROPRIATE COMPENSATION FOR THE CEO AS WELL AS OTHER OFFICERS AND KEY EMPLOYEES. THE CEO'S SALARY IS APPROVED BY THE PRESIDENT OF THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION C, LINE 19 | ALL GOVERNING DOCUMENTS, POLICIES AND PROCEDURES, FINANCIAL STATEMENTS AND COPIES OF FORM 990 ARE AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST. |
| FORM 990, PART XI, LINE 9: | CHNAGE IN VALUE OF INTEREST RATE SWAP -14,221. |
| FORM 990, PART XII, LINE 2C | CLSI HAS A FINANCE COMMITTEE WHICH TAKES RESPONSIBLITY FOR OVERSIGHT OF THE ANNUAL FINANCIAL STATEMENT AUDIT. THERE WERE NO CHANGES TO THIS PROCESS FROM PRIOR YEARS. |
| Software ID: | |
| Software Version: |