2018-08-20T15:50:05-05:00 2017-12-31 420714325 RSM US LLP 201 N HARRISON STREET SUITE 300 DAVENPORT IA 528011999 990 2017-01-01 420859501 MISSISSIPPI VALLEY REGIONAL BLOOD CENTER MISS 5633595401 5500 LAKEVIEW PARKWAY DAVENPORT IA 52807 MICHAEL J PAREJKO CHIEF EXECUTIVE OFFICER 5633595401 2018-08-14 1 JOHN J ROMANO P00227323 5638884000 2017 2022-09-23 18:48:47Z MICHAEL J PAREJKO 5500 LAKEVIEW PARKWAY DAVENPORT IA 52807 63022565 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. 16 15 848 365 -22536 -22536 12484 32825 61661277 62946558 -28584 109187 7239 -66005 61652416 63022565 41999 22662 0 0 30165843 32361499 0 0 0 31022347 31649871 61230189 64034032 422227 -1011467 46239067 43856262 10155247 8731348 36083820 35124914 X MISSISSIPPI VALLEY REGIONAL BLOOD CENTER'S MISSION IS TO PROVIDE WORLD-CLASS BLOOD PRODUCTS AND SERVICES TO COMMUNITIES IN NEED. 0 0 59466045 22662 62903089 SEE SCHEDULE O FOR DESCRIPTION OF PROGRAM SERVICE ACCOMPLISHMENTS. 59466045 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 1 0 0 0 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 26 0 1 848 1 1 1 0 0 0 0 0 0 0 0 0 X 16 15 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 PARKWAY DAVENPORT IA 52807 WALTER BRADLEY MD FORMER DIRECTOR 2.00 X 0 0 0 DAVID DETTMANN DIRECTOR 2.00 X 0 0 0 CHAD EVERITT CHAIRPERSON 2.00 X X 0 0 0 SUSANNAH FRIEMEL MD DIRECTOR 2.00 X 0 0 0 PAULA GARROTT DIRECTOR 2.00 X 0 0 0 DARRIN LINDQUIST VICE CHAIRMAN 2.00 X X 0 0 0 DAVID MERCER FORMER CHAIRPERSON 2.00 X 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 412751 0 50122 DAVID PRATT MD FORMER 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 MICHELLE STEINING TREASURER 2.00 X X 0 0 0 NATHAN SONDGEROTH SECRETARY 2.00 X X 0 0 0 JOHN SUTYAK MD DIRECTOR 2.00 X 0 0 0 DEDRA WILLIAMS EDM DIRECTOR 2.00 X 0 0 0 THERESA MAIN DIRECTOR 2.00 X 0 0 0 TRACY POELVOORDE DIRECTOR 2.00 X 0 0 0 JANET JOKELA DIRECTOR 2.00 X 0 0 0 DARREN KLOCKE CHIEF FINANCIAL OFFICER 40.00 X 198575 0 34521 YASUKO ERICKSON MD CHIEF MEDICAL OFFICER 40.00 X 268298 0 45121 JEANNINE MCCULLOUGH VICE PRESIDENT, BLOOD SERVICES 40.00 X 195956 0 11164 JENNIFER FEENEY VICE PRESIDENT, HUMAN RESOURCES 40.00 X 129235 0 31108 NANCY KELTING VICE PRESIDENT, BUSINESS DEVELOPMENT 40.00 X 147932 0 30922 GREGORY LUX DIRECTOR, DONOR SERVICES 40.00 X 115413 0 14770 LAWRENCE O'TOOL DIRECTOR, LAB 40.00 X 120843 0 12630 TINA CHANEZ VP, QUALITY SUPPORT SERVICES 40.00 X 120067 0 4267 1709070 0 234625 12 0 1 0 CROSSROADS COURIER 4348 GREEN ASH DRIVE EARTH CITY MO 63045 FREIGHT 492795 IT SYNERGISTICS 26 SECURITY DRIVE JACKSON TN 38305 IT CONSULTING 419234 CARDINAL HEALTH PO BOX 70539 CHICAGO IL 60673 FREIGHT 382876 TAG COMMUNICATIONS INC 230 EAST SECOND STREET DAVENPORT IA 52801 ADVERTISING 302638 PROMOTION FULFILLMENT CENTER 311 21ST STREET CAMANCHE IA 52730 WAREHOUSING/DISTRIBUTOR 283457 16 32825 32825 BLOOD SUPPLY SALES 900099 57055626 57055626 SALE OF BY-PRODUCTS 900099 4561345 4561345 TESTING INCOME 900099 832282 832282 OUTPATIENT INCOME 900099 467725 467725 PHARMACY INCOME 900099 29580 29580 62946558 15253 15253 93934 0 93934 93934 93934 INCOME(LOSS) FROM PARTNERSHIPS 900099 -66005 -43469 -22536 -66005 63022565 62903089 -22536 109187 22662 22662 1216508 1129695 86813 24260700 22529405 1731295 777591 722100 55491 4165216 3867977 297239 1941484 1802936 138548 58025 53884 4141 44521 41344 3177 50240 46655 3585 7425 6895 530 166140 154284 11856 1507874 1400269 107605 2746089 2550122 195967 1257650 1167901 89749 1484140 1378229 105911 915281 849965 65316 558457 518604 39853 27204 25263 1941 3174811 2948250 226561 844463 784200 60263 TESTING 8315017 7721640 593377 MEDICAL SUPPLIES 6666591 6190849 475742 EQUIPMENT RENTAL & MAIN 2160214 2006057 154157 VOLUNTEER TRANSPORTATIO 426092 395685 30407 1239637 1151174 88463 64034032 59466045 4567987 0 51577 347515 4646630 2690955 7388545 7401897 1213 423 2648921 3053352 915364 980899 52042005 23055649 30195023 28986356 391794 394865 46239067 43856262 5685322 5404843 642857 535714 3250000 2750000 577068 40791 10155247 8731348 X 36083820 35124914 36083820 35124914 46239067 43856262 X -1011467 52561 X X 0 1 X 1 0 X 2013956 270211 10553 12484 32825 2340029 61016148 61973101 61227385 61661277 62946559 308824470 63030104 62243312 61237938 61673761 62979384 311164499 0 28197534 28123642 28539625 27414755 28926701 141202257 28197534 28123642 28539625 27414755 28926701 141202257 169962242 53378 68613 4708 10844 15253 152796 53378 68613 4708 10844 15253 152796 63083482 62311925 61242646 61684605 62994637 311317295 0.54590 0.54120 0.00050 0.00050 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 7425 7425 0 PART II-B, LINE 1: MISSISSIPPI VALLEY REGIONAL BLOOD CENTER PAID ONE VENDOR TO LOBBY BLOOD BANKING ISSUES. 4998322 4998322 27108745 9818612 17290133 10750304 7187099 3563205 9184634 6049938 3134696 28986356 INTEREST RATE SWAP 40791 40791 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 31,2017 AND JANUARY 1, 2017, 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, 2013 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 1 GENESIS HEALTH SERVICES FOUNDATION 1227 E RUSHOLME STREET DAVENPORT IA 52803 421421670 501(C)(3) 5000 GENERAL SUPPORT GREATER SPRINGFIELD CHAMBER OF COMMERCE 1011 SOUTH SECOND STREET SPRINGFIELD IL 62704 370710280 501(C)(6) 5000 GENERAL SUPPORT QUAD CITIES CHAMBER OF COMMERCE 622 19TH STREET MOLINE IL 61265 273065786 501(C)(6) 11250 GENERAL SUPPORT 1 2 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 322619 0 52500 0 37632 0 23916 0 26206 0 462873 0 0 0 DARREN KLOCKE CHIEF FINANCIAL OFFICER 189124 0 8876 0 575 0 8159 0 26362 0 233096 0 0 0 YASUKO ERICKSON MD CHIEF MEDICAL OFFICER 253251 0 12725 0 2322 0 24695 0 20426 0 313419 0 0 0 JEANNINE MCCULLOUGH VICE PRESIDENT, BLOOD SERVICES 185143 0 9138 0 1675 0 7851 0 3313 0 207120 0 0 0 JENNIFER FEENEY VICE PRESIDENT, HUMAN RESOURCES 122654 0 6212 0 369 0 5391 0 25717 0 160343 0 0 0 NANCY KELTING VICE PRESIDENT, BUSINESS DEVELOPMENT 139057 0 7000 0 1875 0 6482 0 24440 0 178854 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 THEIR EMPLOYMENT AGREEMENTS, MEMBERS OF THE EXECUTIVE TEAM ARE ELIGIBLE FOR A DISCRETIONARY BONUS BASED ON THEIR PERFORMANCE AS DETERMINED BY THE BOARD OF DIRECTORS. A IOWA FINANCE AUTHORITY 521699886 46246KWW8 2003-02-13 10000000 BUILDING PURCHASE 0 0 0 A 10000000 158061 9841939 2004 0 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 A 0 0 0 1 1 1 WELLS FARGO BANK NA 10.000000000000 0 0 0 0 0 A 0 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: IOWA FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 03/29/2013 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 86 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 4.2 MILLION UNITS OF BLOOD FROM VOLUNTEER DONORS AND HAS SERVED MILLIONS OF PATIENTS THROUGHOUT OUR REGION AND THROUGH NATIONAL RESOURCE SHARING PROGRAMS. IN 2017, 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 2017, 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 MOST 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 2017. 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 33,459. BOOK/TAX DIFFERENCE IN PARTNERSHIP INCOME 19,102. 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 208 1847123 MISSISSIPPI VALLEY REGIONAL BLOOD CENTER