2019-11-14T16:52:25-06:00 2018-12-31 420714325 RSM US LLP 4650 E 53RD ST DAVENPORT IA 528073479 990 2018-01-01 420859501 MISSISSIPPI VALLEY REGIONAL BLOOD CENTER MISS 5633595401 5500 LAKEVIEW PKWY DAVENPORT IA 528073481 MICHAEL J PAREJKO CHIEF EXECUTIVE OFFICER 5633595401 2019-11-12 1 JENIFER L CHASE P01306883 5638884000 66.98.98.135 2019-11-12 15:39:08 CS P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 9D8C4631151EF1E1BB3DDB3444689A82E6B5C400 2018 2020-03-31 21:24:44Z MICHAEL J PAREJKO 5500 LAKEVIEW PKWY DAVENPORT IA 528073481 63331381 0 X BLOODCENTER.ORG X 1974 IA MISSISSIPPI VALLEY REGIONAL BLOOD CENTER'S MISSION IS TO PROVIDE WORLD-CLASS BLOOD PRODUCTS AND SERVICES TO COMMUNITIES IN NEED. 17 16 821 345 -16863 0 32825 35593 62946558 63245965 109187 69070 -66005 -45805 63022565 63304823 22662 23308 0 0 32361499 32241706 0 0 0 31649871 30783010 64034032 63048024 -1011467 256799 43856262 43642206 8731348 8225948 35124914 35416258 X MISSISSIPPI VALLEY REGIONAL BLOOD CENTER'S MISSION IS TO PROVIDE WORLD-CLASS BLOOD PRODUCTS AND SERVICES TO COMMUNITIES IN NEED. 0 0 59744671 23308 63215503 SEE SCHEDULE O FOR DESCRIPTION OF PROGRAM SERVICE ACCOMPLISHMENTS 59744671 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 23 0 1 821 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 17 16 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 IL X DARREN KLOCKE 5638234109 5500 LAKEVIEW PKWY DAVENPORT IA 528073481 DAVID DETTMANN DIRECTOR 2.00 X 0 0 0 CHAD EVERITT CHAIRPERSON 2.00 X X 0 0 0 SUSANNAH FRIEMEL MD FORMER DIRECTOR 2.00 X 0 0 0 PAULA GARROTT DIRECTOR 2.00 X 0 0 0 TOM LICEA DIRECTOR 2.00 X 0 0 0 DARRIN LINDQUIST VICE CHAIRMAN 2.00 X X 0 0 0 JANET JOKELA MD DIRECTOR 2.00 X 0 0 0 THERESA MAIN DIRECTOR 2.00 X 0 0 0 SANJAI NAGENDRA MD DIRECTOR 2.00 X 0 0 0 MICHAEL J PAREJKO PRESIDENT / CHIEF EXECUTIVE OFFICER 40.00 X X 381066 0 42783 TRACY POELVOORDE DIRECTOR 2.00 X 0 0 0 DAVID PRATT MD DIRECTOR 2.00 X 0 0 0 RICHARD SCHIMMEL EDD DIRECTOR 2.00 X 0 0 0 TOM SHEEHAN DIRECTOR 2.00 X 0 0 0 NATHAN SONDGEROTH SECRETARY 2.00 X X 0 0 0 MICHELLE STEINING TREASURER 2.00 X X 0 0 0 JOHN SUTYAK MD FORMER DIRECTOR 2.00 X 0 0 0 JARRED WALL MD DIRECTOR 2.00 X 0 0 0 DEDRA WILLIAMS EDM DIRECTOR 2.00 X 0 0 0 DARREN KLOCKE CHIEF FINANCIAL OFFICER 40.00 X 199365 0 35258 YASUKO ERICKSON MD CHIEF MEDICAL OFFICER 40.00 X 296119 0 41128 JEANNINE MCCULLOUGH VICE PRESIDENT, BLOOD SERVICES 40.00 X 190916 0 11344 JENNIFER FEENEY VICE PRESIDENT, HUMAN RESOURCES 40.00 X 134743 0 31821 NANCY KELTING VICE PRESIDENT, BUSINESS DEVELOPMENT 40.00 X 144468 0 38174 GREGORY LUX DIRECTOR, DONOR SERVICES 40.00 X 113341 0 14737 LAWRENCE O'TOOL DIRECTOR, LAB 40.00 X 136096 0 12750 MICHAEL RASSO DIRECTOR, IMD 40.00 X 118246 0 13466 1714360 0 241461 12 0 1 0 CROSSROADS COURIER 2008 ALTOM COURT MARYLAND HEIGHTS MO 63146 FREIGHT 629702 IT SYNERGISTICS 26 SECURITY DRIVE JACKSON TN 38305 CONSULTING 376081 CARDINAL HEALTH PO BOX 70539 CHICAGO IL 60673 FREIGHT 352854 INVOLTA PO BOX 1986 CEDAR RAPIDS IA 52406 CONSULTING 290472 PROMOTION FULFILLMENT CENTER 311 21ST STREET CAMANCHE IA 52730 FREIGHT 210195 14 21670 13923 35593 BLOOD SUPPLY SALES 900099 57294262 57294262 SALE OF BY-PRODUCTS 900099 4704677 4704677 TESTING INCOME 900099 806139 806139 OUTPATIENT INCOME 900099 418613 418613 PHARMACY INCOME 900099 22274 22274 63245965 13474 13474 78389 22793 55596 55596 55596 5285 21670 3765 1520 1520 INCOME(LOSS) FROM PARTNERSHIPS 900099 -47325 -30462 -16863 -47325 63304823 63215503 -16863 70590 23308 23308 1197978 1135188 62790 24129161 22864465 1264696 758232 718490 39742 4374223 4144954 229269 1782112 1688705 93407 11600 10992 608 60551 57377 3174 48940 46375 2565 4800 4548 252 195495 185248 10247 624223 591505 32718 2651523 2512547 138976 1333977 1264058 69919 1575771 1493179 82592 937666 888520 49146 646784 612884 33900 113076 107149 5927 3163712 2997890 165822 707516 670433 37083 TESTING 7934241 7518379 415862 MEDICAL SUPPLIES 7207086 6829337 377749 EQUIPMENT RENTAL & MAIN 2054195 1946527 107668 VOLUNTEER TRANSPORTATIO 300346 284604 15742 1211508 1148009 63499 63048024 59744671 3303353 0 347515 2690955 3854893 7401897 7136517 423 25 3053352 2868427 980899 1039677 53549980 25684787 28986356 27865193 394865 877474 43856262 43642206 5404843 5322294 535714 441891 2750000 2271094 40791 190669 8731348 8225948 X 35124914 35416258 35124914 35416258 43856262 43642206 X 256799 34545 X X 0 1 X 1 0 X 270211 10553 12484 32825 35593 361666 61973101 61227385 61661277 62946559 63245965 311054287 62243312 61237938 61673761 62979384 63281558 311415953 0 28123642 28539625 27414755 28926701 29909952 142914675 28123642 28539625 27414755 28926701 29909952 142914675 168501278 68613 4708 10844 15253 13474 112892 68613 4708 10844 15253 13474 112892 62311925 61242646 61684605 62994637 63295032 311528845 0.54090 0.54590 0.00040 0.00050 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 4800 4800 0 PART II-B, LINE 1: MISSISSIPPI VALLEY REGIONAL BLOOD CENTER PAID ONE VENDOR TO LOBBY BLOOD BANKING ISSUES. 4998322 4998322 27191773 11016341 16175432 11788228 8109354 3678874 9571657 6559092 3012565 27865193 NEGATIVE CASH BALANCE 190669 190669 X PART X, LINE 2: THE MISSISSIPPI VALLEY REGIONAL BLOOD CENTER (CENTER) IS EXEMPT FROM FEDERAL INCOME TAXES ON BUSINESS RELATED INCOME UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE CENTER IS ALSO EXEMPT FROM STATE INCOME TAXES. THE CENTER FILES A FORM 990 (RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX) ANNUALLY. MIDWEST REGIONAL BLOOD TESTING SERVICES (MRBTS) IS INCLUDED IN THE CENTER'S FORM 990. WHEN THESE RETURNS ARE FILED, IT IS HIGHLY CERTAIN THAT SOME POSITIONS TAKEN WOULD BE SUSTAINED UPON EXAMINATION BY THE TAXING AUTHORITIES, WHILE OTHERS ARE SUBJECT TO UNCERTAINTY ABOUT THE MERITS OF THE TAX POSITION TAKEN OR THE AMOUNT OF THE POSITION THAT WOULD ULTIMATELY BE SUSTAINED. EXAMPLES OF TAX POSITIONS COMMON TO NONPROFIT ORGANIZATIONS INCLUDE SUCH MATTERS AS THE FOLLOWING: THE TAX EXEMPT STATUS OF EACH ENTITY AND VARIOUS POSITIONS RELATIVE TO POTENTIAL SOURCES OF UNRELATED BUSINESS INCOME (UBI). UBI IS REPORTED ON FORM 990-T, AS APPROPRIATE. THE BENEFIT OF TAX POSITION IS RECOGNIZED IN THE FINANCIAL STATEMENTS IN THE PERIOD DURING WHICH, BASED ON ALL AVAILABLE EVIDENCE, MANAGEMENT BELIEVES THAT IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION, INCLUDING THE RESOLUTION OF APPEALS OR LITIGATION PROCESSES, IF ANY. TAX POSITIONS ARE NOT OFFSET OR AGGREGATED WITH OTHER POSITIONS. TAX POSITIONS THAT MEET THE "MORE LIKELY THAN NOT" RECOGNITION THRESHOLD ARE MEASURED AS THE LARGEST AMOUNT OF TAX BENEFIT THAT IS MORE THAN 50% LIKELY TO BE REALIZED ON SETTLEMENT WITH THE APPLICABLE TAXING AUTHORITY. THE PORTION OF THE BENEFITS ASSOCIATED WITH TAX POSITIONS TAKEN THAT EXCEEDS THE AMOUNT MEASURED AS DESCRIBED ABOVE IS REFLECTED AS A LIABILITY FOR UNCERTAIN TAX BENEFITS IN THE ACCOMPANYING CONSOLIDATED BALANCE SHEETS ALONG WITH ANY ASSOCIATED INTEREST AND PENALTIES THAT WOULD BE PAYABLE TO THE TAXING AUTHORITIES UPON EXAMINATION. AS OF DECEMBER 31,2018 AND JANUARY 1, 2018, THERE WERE NO UNRECOGNIZED TAX BENEFITS IDENTIFIED AND RECORDED AS A LIABILITY. FORMS 990 AND 990-T FILED BY THE CENTER ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE (IRS) UP TO THREE YEARS FROM THE EXTENDED DUE DATE OF EACH RETURN. FORMS 990 AND 990-T FILED BY THE CENTER ARE NO LONGER SUBJECT TO EXAMINATION FOR THE FISCAL YEARS ENDED DECEMBER 29, 2014 AND PRIOR. EUROPE 0 0 PROGRAM SERVICES BLOOD PRODUCT SALES 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5K RUN 26955 21670 5285 3765 26955 21670 5285 3765 3765 1520 1 CHAMBER OF COMMERCE FEDERATION 622 19TH STREET MOLINE IL 61265 273065786 501(C)(6) 15000 GENERAL SUPPORT UNIVERSITY OF ILLINOIS FOUNDATION 1305 W GREEN STREET URBANA IL 61801 376006007 501(C)(3) 5000 GENERAL SUPPORT 1 1 PART I, LINE 2: MISSISSIPPI VALLEY REGIONAL BLOOD CENTER ISSUES CHECKS DIRECTLY TO THE ORGANIZATIONS TO BE USED AT THEIR DISCRETION. X 1 1 X X X X X 0 0 0 0 0 0 0 1 0 MICHAEL J PAREJKO PRESIDENT / CHIEF EXECUTIVE OFFICER 344190 0 0 0 36876 0 15957 0 26826 0 423849 0 0 0 DARREN KLOCKE CHIEF FINANCIAL OFFICER 198780 0 0 0 585 0 8222 0 27036 0 234623 0 0 0 YASUKO ERICKSON MD CHIEF MEDICAL OFFICER 293797 0 0 0 2322 0 29015 0 12113 0 337247 0 0 0 JEANNINE MCCULLOUGH VICE PRESIDENT, BLOOD SERVICES 189214 0 0 0 1702 0 7673 0 3671 0 202260 0 0 0 JENNIFER FEENEY VICE PRESIDENT, HUMAN RESOURCES 129367 0 5000 0 376 0 5635 0 26186 0 166564 0 0 0 NANCY KELTING VICE PRESIDENT, BUSINESS DEVELOPMENT 142562 0 0 0 1906 0 13768 0 24406 0 182642 0 0 0 PART I, LINE 1A MISSISSIPPI VALLEY REGIONAL BLOOD CENTER PROVIDES THE FOLLOWING TO AN INDIVIDUAL REPORTED IN PART VII, SECTION A, LINE 1A: HEALTH OR SOCIAL CLUB DUES: THE ORGANIZATION PROVIDED CLUB DUES TO ITS CHIEF EXECUTIVE OFFICER, MICHAEL J PAREJKO. THE DUES ARE INCLUDED IN THE REPORTABLE COMPENSATION OF THE INDIVIDUAL. PART I, LINE 7 PURSUANT TO HIS EMPLOYMENT AGREEMENT, THE CEO, MICHAEL J PAREJKO, IS ELIGIBLE FOR A DISCRETIONARY BONUS BASED ON HIS PERFORMANCE AS DETERMINED BY THE BOARD OF DIRECTORS. FORM 990, PART III, LINE 4A: PROGRAM SERVICE ACCOMPLISHMENTS THE MISSISSIPPI VALLEY REGIONAL BLOOD CENTER (MVRBC) IS THE PRIMARY PROVIDER OF BLOOD PRODUCTS AND SERVICES TO 88 HOSPITALS IN ILLINOIS, IOWA, MISSOURI AND WISCONSIN. THE BLOOD CENTER WORKS TOGETHER WITH GENEROUS BLOOD DONORS THROUGHOUT THE MVRBC SERVICE REGION TO FULFILL ITS MISSION OF PROVIDING WORLD CLASS BLOOD PRODUCTS TO PATIENTS IN NEED. MVRBC'S HEADQUARTERS IS IN DAVENPORT, IOWA, WHERE ITS TESTING, PROCESSING AND PRIMARY DISTRIBUTION CENTER HANDLES MORE THAN 250,000 BLOOD COMPONENTS EACH YEAR. SINCE ITS FOUNDING IN 1974, MVRBC HAS COLLECTED MORE THAN 4.5 MILLION UNITS OF BLOOD FROM VOLUNTEER DONORS AND HAS SERVED MILLIONS OF PATIENTS THROUGHOUT OUR REGION AND THROUGH NATIONAL RESOURCE SHARING PROGRAMS. IN 2018, VOLUNTEER BLOOD DONORS PROVIDED MORE THAN 180,000 DONATIONS TO MVRBC. THESE DONATIONS WERE COLLECTED AT THE BLOOD CENTER'S 18 FIXED SITE DONOR CENTERS AND AT MORE THAN 3,500 MOBILE BLOOD DRIVES HELD THROUGH THE SERVICE REGION. MVRBC HAS PROVIDED LIFE-SAVING BLOOD PRODUCTS AND SERVICES TO HOSPITALS IN THE QUAD CITIES AND SURROUNDING REGION FOR MORE THAN 40 YEARS. IN 2018, THE MVRBC SERVICE REGION INCLUDED HOSPITALS IN SOUTHWESTERN WISCONSIN, WESTERN, CENTRAL AND NORTHWESTERN ILLINOIS, EASTERN AND SOUTHEASTERN IOWA AND IN EASTERN AND CENTRAL MISSOURI. MVRBC'S DONOR RESOURCE CONSULTANTS AND PUBLIC RELATIONS STAFF ROUTINELY LEAD TOURS OF THE BLOOD CENTER AND PROVIDE INFORMAL PROGRAMS ON BLOOD AND BLOOD DONATION THROUGHOUT MVRBC'S SERVICE REGION. FORM 990, PART VI, SECTION B, LINE 11B PRIOR TO FILING THE FORM 990 WITH THE IRS, THE FORM 990 IS PROVIDED ELECTRONICALLY TO THE ORGANIZATION'S BOARD MEMBERS. IN ADDITION, RSM US LLP, THE ACCOUNTING FIRM THAT PREPARES MISSISSIPPI VALLEY REGIONAL BLOOD CENTER'S RETURN, MEETS WITH THE AUDIT AND BUSINESS SUPPORT COMMITTEE TO REVIEW THE FORM 990 PRIOR TO FILING THE TAX RETURN. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD OF DIRECTORS SIGN A CONFIDENTIALITY AND CONFLICT DISCLOSURE STATEMENT ANNUALLY FOLLOWING THE ANNUAL MEETING. THE BOARD APPROVED THE CONFLICT POLICY THAT DEFINES CONFLICTS AND THE POLICY IS REVIEWED ANNUALLY. THE DIRECTOR WHO BELIEVES THEY HAVE A CONFLICT REPORTS THAT ON THE FORM AND IS RESPONSIBLE FOR SELF-IDENTIFYING IF A VOTE IS TAKEN WHERE THEY SHOULD ABSTAIN OR DECLARE A CONFLICT. ANY OTHER BOARD DIRECTOR CAN RAISE CONCERN ABOUT SOMEONE ELSE HAVING A CONFLICT. THIS PROCESS IS INCLUDED IN THE NEW BOARD DIRECTOR ORIENTATION CLASS. CONFLICTS USUALLY LIMIT VOTING RIGHTS BUT ALSO MAY RESULT IN THE DIRECTOR BEING ASKED TO LEAVE THE BOARD ROOM DURING CONVERSATIONS RELATED TO THE ISSUE WHERE THERE IS A CONFLICT. BOARD MINUTES REFLECT ANY DECLARED CONFLICT. FORM 990, PART VI, SECTION B, LINE 15A THE EXECUTIVE COMMITTEE SERVES AS THE COMPENSATION COMMITTEE FOR THE BOARD OF DIRECTORS IN DETERMINING THE COMPENSATION OF THE CEO. THE EXECUTIVE COMMITTEE IS PROVIDED THE ABC NATIONAL SURVEY OF CEO, MEDICAL DIRECTOR, AND COO EACH YEAR TO REVIEW FOR SETTING COMPENSATION. THE SURVEY INCLUDES ALL INDEPENDENT BLOOD CENTERS IN THE UNITED STATES. IN 2016, THE BOARD ALSO COMMISSIONED AN OUTSIDE COMPENSATION CONSULTANT WHO CONDUCTED EXTENSIVE SURVEYS OF SIMILAR OPERATIONS FOR ALL JOB CATEGORIES WITHIN MISSISSIPPI VALLEY BLOOD CENTER, INCLUDING THE CEO POSITION. THE EXECUTIVE COMMITTEE PRESENTS THE RECOMMENDATION FOR COMPENSATION TO THE FULL BOARD IN EXECUTIVE SESSION. THE FULL BOARD VOTES ON THE CEO'S COMPENSATION EACH YEAR. THE COMPENSATION AS REPORTED WAS DETERMINED IN FEBRUARY 2018. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART IV, SECTION B THE FILING ORGANIZATION'S POLICIES ARE APPLICABLE TO THE ORGANIZATION'S DISREGARDED ENTITY: MIDWEST REGIONAL BLOOD TESTING SERVICES, LLC (27-3051422). FORM 990, PART XI, LINE 9: CHANGE IN FAIR VALUE OF INTEREST SWAP AGREEMENT 11,491. BOOK/TAX DIFFERENCE IN PARTNERSHIP INCOME 23,054. FORM 990, PART XII, LINE 2C: A COMMITTEE, WHICH MEETS ON A QUARTERLY BASIS, ENGAGES THE INDEPENDENT ACCOUNTANTS TO PERFORM THE AUDIT. IN ADDITION, THEY MEET WITH THE AUDITORS TO GO OVER THE AUDIT REPORT AND MANAGEMENT LETTER. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR REPORTING YEAR. MIDWEST REGIONAL BLOOD TESTING SERVICES LLC 5500 LAKEVIEW PARKWAY DAVENPORT IA 52807 273051422 DONOR TESTING IA 2429 1877709 MISSISSIPPI VALLEY REGIONAL BLOOD CENTER