2022-11-14T12:29:43-08:00 2021-12-31 990 2021-01-01 951708743 Blood Bank of San Bernardino and Riverside Counties BLOO 9098856503 PO Box 1429 San Bernardino CA 92402 Scott Miller CFO 2022-11-14 Scott Miller 999009999 0 AAL1 IAL1 FAL1 2021 2022-09-23 18:48:47Z FREDERICK B AXELROD MD 384 W ORANGE SHOW RD San Bernardino CA 924021429 67138312 false 6167 X WWW.LIFESTREAM.ORG X 1951 CA WE HELP SAVE LIVES BY CONNECTING DONORS AND PATIENTS THROUGH THE GIFT OF BLOOD. 13 12 647 156 0 287101 5888032 58668186 57429844 334946 214388 8388 70447 59298621 63602711 1000 7520 0 27224121 28457165 0 0 29198027 31182697 56423148 59647382 2875473 3955329 41224484 38616037 15404985 7390788 25819499 31225249 THE MISSION OF LIFESTREAM, A NONPROFIT ORGANIZATION ENGAGED IN THE COLLECTION, DEVELOPMENT, AND DISBURSEMENT OF BLOOD AND BLOOD PRODUCTS, IS TO HELP SAVE LIVES BY CONNECTING DONORS AND PATIENTS THROUGH THE GIFT OF BLOOD. IN ADDITION TO COLLECTING AND SUPPLYING BLOOD THROUGH A NUMBER OF FIXED COLLECTION SITES AND BLOOD DRIVES AROUND THE SAN BERNARDINO AND RIVERSIDE COUNTIES, LIFESTREAM PREPARES AND SUPPLIES SPECIALTY BLOOD PRODUCTS TO PATIENTS THROUGHOUT THE COUNTIES IT SERVES. false false 50371107 7520 57446621 APPROXIMATELY 125,064 INDIVIDUALS DONATED MORE THAN 98,355 RED BLOOD CELLS 24,924 PLATELETS AND 10,348 PLASMA PRODUCTS FROM WHOLE BLOOD AND APHERESIS COLLECTIONS. BLOOD WAS COLLECTED AT FIXED COLLECTION SITES AND BLOOD DRIVES THROUGHOUT THE SAN BERNARDINO AND RIVERSIDE COMMUNITIES. LIFESTREAM ALSO SUPPLIED SPECIALTY PRODUCTS SUCH AS RED CELLS AND PLASMA FOR PEDIATRIC PATIENTS, HIGH DOSE WHITE BLOOD CELLS TO TREAT PATIENTS WITH INFECTIONS, LARGE VOLUME APHERESIS PLASMA FOR BURN, TRAUMA AND TRANSPLANT PATIENTS AND POOLED CRYOPRECIPITATE AND FACTOR CONCENTRATES FOR PATIENTS WITH BLEEDING DISORDERS. AUTOLOGOUS AND DIRECTED DONATION SERVICES WERE MADE AVAILABLE TO PATIENTS AND THEIR FAMILIES WHO DESIRED TO DONATE BLOOD IN ADVANCE OF ANTICIPATED NEED. AS ONE OF TWO AABB (AMERICAN ASSOCIATION OF BLOOD BANKS) ACCREDITED IMMUNOHEMATOLOGY LABS IN SAN BERNARDINO AND RIVERSIDE COUNTIES, LIFESTREAM IS AN EXPERT AT SOLVING COMPLEX PROBLEMS INVOLVING RARE BLOOD TYPES AND OTHER SOPHISTICATED BLOOD CENTER SERVICES AND PREPARES SPECIALIZED BLOOD PRODUCTS FOR UNIQUE BLOOD CONDITIONS. LIFESTREAM ALSO CONTRIBUTES TO THE EDUCATION AND ADVANCEMENT OF THE BLOOD BANKING AND TRANSFUSION COMMUNITY BY OFFERING CONTINUING EDUCATION PROGRAMS, INTERNSHIPS FOR STUDENTS, AND LECTURES FOR HOSPITALS AND MEDICAL SOCIETIES. 50371107 true true false false false false false false false false true false false false true true false true false false false false false false false true false true false true false false false false false false false false true false false false false true true true false false true 50 0 true 647 true false false false false false false false 0 false false false false false false false X 13 12 false false false false true true true true true false false true true true true true true true true false CA X SCOTT MILLER 9098856503 384 W ORANGE SHOW RD SAN BERNARDINO CA 92408 ROBERT VAN TUYLE Trustee 0.00 55.00 X 0 638317 69763 FREDERICK B AXELROD MD President & CEO 55.00 0.00 X X 450178 0 27212 SCOTT A MILLER CFO 45.00 0.00 X 245591 0 30475 DONALD J CHAFFIN MD VP CHIEF MED OFFR 45.00 0.00 253282 0 21388 MICHELLE JOHNSON VP OPERATIONS 45.00 0.00 236345 0 7170 JULIANNA H QUARLES VP TEC/CLIN AFFAIR 45.00 0.00 175750 0 31522 WENDY KADI MD ASST MED DIRECTOR 40.00 0.00 150541 0 17846 DONALD HUYNH TECHNICAL DIRECTOR 40.00 0.00 146327 0 15963 JAMES R SCHRAITH Trustee 2.00 3.00 X 0 42875 0 RAYMOND PROSPERO JD Trustee 1.00 2.00 X X 0 17500 0 JAMES PETERSON Trustee 1.00 2.00 X 0 17500 0 TERRI PROCTOR ESQ Trustee 1.00 0.00 X X 0 0 0 RICHARD TEICHERT Trustee 1.00 0.00 X X 0 0 0 ANDREW CORR MD Trustee 1.00 0.00 X 0 0 0 JP FLETCHER Trustee 1.00 0.00 X 0 0 0 THELMA KORPMAN MD Trustee 1.00 0.00 X 0 0 0 FRANK YAMANISHI MD Trustee 1.00 0.00 X 0 0 0 CALVIN PATEL MD Trustee 1.00 0.00 X 0 0 0 ELIZABETH ROMERO Trustee 1.00 0.00 X 0 0 0 1658014 716192 221339 29 false true false CREATIVE TESTING SOLUTIOINS 2424 W ERIE DRIVE TEMPE AZ 85282 BLOOD TESTING SERVICES 4501433 INCEPT CORPORATION 4150 BELDEN VILLAGE ST NW STE 205 CANTON OH 44718 CONSULTANTS 1401218 MERCHANTS BUILDING MAINTENANCE LLC 1190 MONTEREY PASS RD MONTEREY PARK CA 91757 MAINTENANCE SERVICES 351708 APOLLO COURIERS INC 1039 W HILLCREST BLVD INGLEWOOD CA 90301 DELIVERY SERVICES 286998 SIPOVAC CONSTRUCTION INC 72651THEODORALANE PALM DESERT CA 92260 CONTRACTOR/CONSTRUCTION 228861 8 5888032 194485 5888032 ALL OTHER PROGRAM SERVCE 900099 415994 415994 BLOOD AND COMPONENT FEES 900099 49058013 49058013 LABORATORY SERVICES 621500 4371348 4371348 PLASMA FOR FRACTIONATION 446110 3584489 3584489 57429844 388969 388969 0 0 0 1241017 2057097 1090837 2381858 150180 -324761 -174581 -174581 0 116575 62906 53669 53669 0 MISCELLANEOUS INCOME 900099 16778 16778 16778 63602711 57446622 268057 7520 7520 0 0 0 753456 753456 0 22937623 18421554 4516069 642801 494208 148593 2730683 2200613 530070 1392602 1049948 342654 0 186767 186767 11660 11660 0 0 105770 105770 1560404 1444518 115886 92371 92371 1740195 1488505 251690 613684 383101 230583 0 2062491 1188144 874347 1768954 1742564 26390 0 0 81415 81415 0 1445538 857891 587647 339310 247549 91761 OPERATING & TESTING SUPPLIES 10534779 10534779 BLOOD AND COMPONENT PRODUCTS 7539626 7539626 DONOR RECOGNITION & PROMO 1663109 1663109 REQ/QA/TECH SUPPORT 832211 588034 244177 604413 427073 177340 59647382 50371107 9276275 0 7761258 3014459 319258 332959 0 6984046 7378311 0 0 0 913103 774823 136188 302445 27749428 16162936 11843509 11586492 12602393 14473543 0 0 0 664729 753005 41224484 38616037 4998116 4565098 9761032 2058047 645837 767643 15404985 7390788 X 25819499 31225249 25819499 31225249 41224484 38616037 3955329 1450421 X false true X true false X 278860 319930 175392 225022 5888032 6887236 62998487 61694731 63942143 58678389 57446621 304760371 0 0 0 63277347 62014661 64117535 58903411 63334653 311647607 0 0 311647607 326086 390903 479093 276936 388969 1861987 0 326086 390903 479093 276936 388969 1861987 0 0 63603433 62405564 64596628 59180347 63723622 313509594 0.99410 0.99450 0.00590 0.00550 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1932743 1932743 10886045 6756172 4129873 249060 156929 92131 11380276 7870082 3510194 3301304 1379753 1921551 11586492 DEFERRED COMP PAYABLE 680061 RENT STEP UP LT 87582 767643 X Part X : FIN48 Footnote AT DECEMBER 31, 2021, THE COMPANY EVALUATED WHETHER IT HAD UNCERTAIN TAX POSITIONS THAT SHOULD BE RECOGNIZED OR UNRECOGNIZED BASED ON A 'MORE LIKELY THAN NOT' THRESHOLD FOR TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN, INCLUDING THOSE TAX POSITIONS THAT WOULD NOT BE SUSTAINED UPON EXAMINATION IN ACCORDANCE WITH GUIDANCE RELATED TO ASC 740 'ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES.' THE TAX YEARS FOR THE COMPANY THAT ARE SUBJECT TO AUDIT BY THE IRS AND STATE DEPARTMENTS OF REVENUE ARE GENERALLY THE TAX YEARS ENDED DECEMBER 31, 2016, THROUGH THE CURRENT TAX YEAR EXCEPT IN CERTAIN STATES WHERE THE OPEN TAX YEARS GENERALLY BEGIN WITH THE TAX YEAR ENDED DECEMBER 31, 2015. AS OF DECEMBER 31, 2021, THE COMPANY HAS NOT IDENTIFIED ANY SIGNIFICANT UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE THE RECORDING OF A TAX LIABILITY. THE COMPANY DOES NOT ANTICIPATE A CHANGE IN UNCERTAIN TAX POSITIONS FOR THE 12 MONTHS FOLLOWING THE YEAR ENDED DECEMBER 31, 2021. AS OF DECEMBER 31, 2021, THE COMPANY HAD NO INTEREST OR PENALTIES QUALIFIED FOR EITHER RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. false false false 116575 23500 23750 15656 false 116575 23500 23750 15656 62906 53669 CA true false true false 1.00000 DAN BALLISTER 384 W ORANGE SHOW RD SAN BERNARDINO CA 92408 false DAN BALLISTER 88629 GAMING MANAGER X false true PALM SPRINGS AIR MUSEUM 745 NGENE AUTRY TRAIL Palm Springs CA 92262 330615350 501(c)(3) 6000 0 Corporate Sponsorship 1 0 Grantmaker's Description of How Grants are Used SPONSORSHIPS AND DONATIONS TO OTHER TAX-EXEMPT ENTITIES ARE MADE IN SUPPORT OF THEIR MISSIONS AND ARE MONITORED VIA THE GOVERNANCE PRACTICES OF THOSE ENTITES. X X X false false false false false false false true false DONALD HUYNH TECHNICAL DIRECTOR 142210 4117 10549 5414 162290 DONALD J CHAFFIN MD VP CHIEF MED OFFR 243900 9382 7453 13935 274670 FREDERICK B AXELROD MD President & CEO 432837 12391 4950 8700 18512 477390 JULIANNA H QUARLES VP TEC/CLIN AFFAIR 170849 4901 7634 23888 207272 MICHELLE JOHNSON VP OPERATIONS 230219 6126 6551 619 243515 ROBERT VAN TUYLE Trustee 464788 160682 12847 26000 43763 708080 SCOTT A MILLER CFO 238719 6872 6587 23888 276066 WENDY KADI MD ASST MED DIRECTOR 150131 410 4632 13214 168387 Part I, Line 7: Non-Fixed payments not listed above LIFESTREAM EMPLOYEES RECEIVED BONUSES FOR MEETING CERTAIN ORGANIZATIONAL GOALS. LIFESTREAM HAS TOTAL DISCRETION IN THE PAYMENT OF THE BONUSES. X Recognition 1 12012 FMV X Recognition 1 15000 FMV X Recognition 1 14400 FMV X Recognition 1 7000 FMV X Recognition 1 5600 FMV X Recognition 1 19500 FMV X RECOGNITION 22 20973 FMV X SERVICE 6 100000 FMV false true false Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder VITALANT IS THE SOLE CORPORATE MEMBER OF LIFESTREAM. Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body VITALANT, AS THE SOLE CORPORATE MEMBER OF LIFESTREAM, WILL HAVE THE RIGHT TO NOMINATE TWO VITALANT DESIGNATED DIRECTORS TO SERVE AS FULL VOTING MEMBERS OF LIFESTREAM BOARD. LIFESTREAM WILL HAVE THE RIGHT TO APPROVE THE NOMINATION. Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders VITALANT, AS THE SOLE CORPORATE MEMBER OF LIFESTREAM, HAS THE RIGHT OF FINAL APPROVAL OF THE FOLLOWING ACTIONS, BUT THE LIFESTREAM BOARD WILL HAVE PRIMARY RESPONSIBILITY: 1) TO NOMINATE MEMBERS OF LIFESTREAM'S BOARD, 2) ESTABLISHMENT OF GOALS AND MONITORING AND EVALUATING THE PERFORMANCE OF LIFESTREAM'S PRESIDENT/CEO, 3) DEVELOPMENT OF LIFESTREAM'S STRATEGIC PLAN, 4) ADOPTION OF LIFESTREAM'S ANNUAL OPERATING AND CAPITAL BUDGET. VITALANT RESERVES THE RIGHT OF FINAL APPROVAL OF THE FOLLOWING ACTIONS, AND LIFESTREAM WILL GIVE ADVANCE NOTICE PRIOR TO TALKING ANY OF THE FOLLOWING ACTIONS: 1) CHANGES TO LIFESTREAM'S MISSION STATEMENT, 2) CHANGES TO LIFESTREAM ARTICLES OF INCORPORATION AND BYLAWS, 3) ESTABLISHMENT OF ANY JOINT VENTURES, MERGERS, PARTNERSHIPS, SUBSIDIARIES AND AFFILIATIONS BETWEEN LIFESTREAM AND ANY OTHER ORGANIZATION, 4) DECISIONS RELATED TO THE HIRING AND TERMINATION OF LIFESTREAM'S PRESIDENT/CEO, 5) APPROVING THE INCURRENCE OR REFINANCING OF DEBT OF LIFESTREAM IN EXCESS OF $250,000 IN AGGREGATE, OTHER THAN IN THE ORDINARY COURSE OF BUSINESS, 6) APPROVING ANY SALE OF LIFESTREAM ASSETS IN EXCESS OF $250,000 IN AGGREGATE, OTHER THAN IN THE ORDINARY COURSE OF BUSINESS. VITALANT RESERVES THE RIGHT TO SELECT THE LIFESTREAM INDEPENDENT AUDITORS (EXTERNAL AND INTERNAL) FOLLOWING CONSULTATION WITH THE LIFESTREAM BOARD. Form 990, Part VI, Line 11b: Form 990 Review Process A COPY OF THE DRAFT FORM 990 AND SCHEDULES IS SUPPLIED TO ALL CURRENT BOARD MEMBERS PRIOR TO THE MEETING HELD TO ACCEPT THE RETURNS. MEMBERS OF MANAGEMENT REVIEW THE FORM 990 WITH THE BOARD AND ARE AVAILABLE FOR ANSWERING QUESTIONS. ANY COMMENTS FROM THE BOARD ARE CONSIDERED PRIOR TO FILING THE FORM 990 WITH THE IRS. Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts EACH YEAR, THE BOARD OF TRUSTEES AND SENIOR MANAGEMENT ARE REQUESTED TO SIGN AND RETURN A CONFLICT OF INTEREST FORM TO COMPANY COUNSEL. ANY CONFLICTS DISCLOSED ARE DISCUSSED IN EXECUTIVE SESSION WITH THE BOARD AND RESOLVED. IN ADDITION, IN PREPARATION FOR THE FORM 990 FILING, THE TRUSTEES, OFFICERS AND KEY EMPLOYEES IDENTIFIED ARE REQUIRED TO RESPOND TO A COMPREHENSIVE CONFLICT OF INTEREST AND FAMILY RELATIONSHIP QUESTIONNAIRE. ANY CONFLICTS DISCLOSED ARE DISCUSSED WITH THE BOARD AND DISCLOSED APPROPRIATELY ON THE FORM 990. Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management THE CEO'S COMPENSATION IS ESTABLISHED BY THE BOARD USING, IN PART, EXTERNAL COMPENSATION DATA FROM THE BLOOD INDUSTRY. THE LAST COMPLETED REVIEW WAS FOR 2021 COMPENSATION. Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees THE CEO'S COMPENSATION IS ESTABLISHED BY THE BOARD USING, IN PART, EXTERNAL COMPENSATION DATA FROM THE BLOOD INDUSTRY. THE LAST COMPLETED REVIEW WAS FOR 2021 COMPENSATION. Form 990, Part VI, Line 19: Other Organization Documents Publicly Available THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S CORPORATE OFFICE DURING NORMAL BUSINESS HOURS. Form 199, Part VIII, Line 2A BUSINESS CODE OF PROGRAM SERVICE REVENUE "BLOOD AND COMPONENT FEES" CODED TO LINE 2A TOTALING $49,058,013 IS 622110. FORM 990, PART I, LINE 6 LIFESTREAM DEPENDS ON THE VALUABLE HELP PROVIDED BY VOLUNTEERS. MORE THAN 156 MEN AND WOMEN GAVE THOUSANDS OF HOURS OF VOLUNTEER TIME TO LIFESTREAM DURING JANUARY THROUGH DECEMBER 2021. THEY ASSISTED AT LIFESTREAM'S LOCATIONS, AS WELL AS HIGH SCHOOLS AND COMMUNITY BLOOD DRIVES. THEY PERFORMED A VARIETY OF CLERICAL DUTIES AND SERVED REFRESHMENTS IN THE CANTEENS. LIFESTREAM HOSTS AN ANNUAL VOLUNTEER RECOGNITION PROGRAM. BLOOD BANK SAN BERNARDINORIVERSIDE FON PO BOX 1429 SAN BERNARDINO CA 92402 208911074 FUNDRAISING CA 501(C)3 12A-1 BBSBRC true VITALANT 6210 E OAK STREET SCOTTSDALE AZ 85257 860098929 BLOOD BANKING AZ 501(C)3 10 NA false BIOCARE INC 6210 E OAK STREET SCOTTSDALE AZ 85257 813906720 PHARMA AZ NA C CORP true CANYON STATE INSURANCE CO 113 S CHURCH ST GRAND CAYMAN CJ CJ KY1-1102 981084327 CAPTIVE INSURANCE CJ NA FOREIGN true false false false false false false true true false false false false true false false true false false false