2017-04-13T12:03:30-05:00 2016-05-31 721396621 CARR RIGGS & INGRAM LLC 4010 NW 25TH PLACE GAINESVILLE FL 32606 990 2015-06-01 591545914 LIFESOUTH COMMUNITY BLOOD CENTERS INC LIFE 3522241600 4039 NEWBERRY ROAD GAINESVILLE FL 326072342 NANCY ECKERT CHIEF EXECUTIVE OFFICER 3522241600 2017-04-13 1 LORIE KEEGAN CPA P01287643 3523726300 2015 2021-01-29 14:40:06Z NANCY ECKERT 4039 NEWBERRY ROAD GAINESVILLE FL 326072342 77265126 0 X WWW.LIFESOUTH.ORG X 1974 FL TO COLLECT VOLUNTEER BLOOD DONATIONS AND PROVIDE A SAFE AND ADEQUATE SUPPLY OF BLOOD COMPONENTS TO HOSPITALS IN OUR COMMUNITIES 27 25 1099 180 0 0 980870 9400 79254222 76665777 -63588 -2011 546089 550427 80717593 77223593 100000 100000 0 0 36532801 35064980 0 0 0 40810168 38735998 77442969 73900978 3274624 3322615 68445807 71830587 32787416 32849581 35658391 38981006 X TO PROVIDE A SAFE BLOOD SUPPLY THAT MEETS OR EXCEEDS THE NEEDS OF EACH COMMUNITY WE SERVE, AND TO PROVIDE A VARIETY OF SERVICES IN SUPPORT OF ONGOING AND EMERGING BLOOD AND TRANSFUSION-RELATED ACTIVITIES. 0 0 66422349 100000 77208183 LIFESOUTH IS IN THE BUSINESS OF SAVING LIVES BY COLLECTING AND PROCESSING BLOOD AND BLOOD COMPONENTS FROM VOLUNTEER DONORS IN FLORIDA, GEORGIA AND ALABAMA. IT COLLECTED MORE THAN 265,000 DONATIONS IN FY 2016. EACH UNIT COLLECTED IS TESTED TO FULFILL OUR MISSION OF PROVIDING AN ADEQUATE AND SAFE BLOOD SUPPLY TO MORE THAN 100 HOSPITALS IN THE THREE STATES. LIFESOUTH ALSO PROVIDES COMPATIBILITY TESTING AND OTHER IMMUNOHEMATOLOGY REFERENCE LABORATORY SERVICES FOR MANY OF THE HOSPITALS IT SERVES. IT SUPPLIES SPECIAL ANTIGEN BLOOD PRODUCTS AND SPECIALIZED TESTING. LIFESOUTH TESTED MORE THAN 1,350 PATIENT SAMPLES AND PERFORMED MORE THAN 21,000 TESTS. LIFESOUTH ALSO PROVIDED MORE THAN 1,600 CROSS MATCHES AND 785 ANTIBODY SCREENS FOR PATIENTS DURING THE PAST YEAR. IN ADDITION, LIFESOUTH ADMINISTERED MORE THAN 490 THERAPEUTIC PROCEDURES FOR PATIENTS DURING THE YEAR. LIFESOUTH'S UMBILICAL CORD BANK PROVIDES UNITS FOR TRANSPLANTATION WORLDWIDE. IN 2016, LIFESOUTH SAFELY ADDED AND CRYOPRESERVED 1,216 NEW CORD BLOOD UNITS. LIFESOUTH OPERATES A MEDICAL TECHNOLOGY TRAINING PROGRAM. 66422349 1 0 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 1 94 0 1 1099 1 0 0 0 0 0 0 0 0 0 0 X 27 25 1 0 0 0 1 1 0 1 1 0 1 1 1 1 1 1 1 1 1 0 0 GA X X PAUL GREBE 3522241600 4039 NEWBERRY ROAD GAINESVILLE FL 32607 PHILIP BAKER CHAIRMAN 2.00 X X 0 0 0 REEVES BYRD VICE CHAIRMAN 2.00 X X 0 0 0 RONALD SPITZNAGEL SECRETARY 2.00 X X 0 0 0 JAMES KELLY JR TREASURER 2.00 X X 0 0 0 BRENDA CARLISLE BOARD MEMBER 1.00 X 0 0 0 HERB BEVIS BOARD MEMBER 1.00 X 0 0 0 AVIS CRIAG BOARD MEMBER 1.00 X 0 0 0 CARL SMITH BOARD MEMBER 1.00 X 0 0 0 DAN BUNDY BOARD MEMBER 1.00 X 0 0 0 DON BARBEE JR BOARD MEMBER 1.00 X 0 0 0 EVERETT SCROGGIE BOARD MEMBER 1.00 X 0 0 0 GARY BROOKS BOARD MEMBER 1.00 X 0 0 0 GARY MOODY BOARD MEMBER 1.00 X 0 0 0 GEORGIANN ELLIS BOARD MEMBER 1.00 X 0 0 0 JOE STOUGH BOARD MEMBER 1.00 X 0 0 0 KATHERINE LAURENZANO BOARD MEMBER 1.00 X 0 0 0 KRIST FULZ-BUTTS BOARD MEMBER 1.00 X 0 0 0 LENNART LILIEHOLM BOARD MEMBER 1.00 X 0 0 0 MERRICK WILSON BOARD MEMBER 1.00 X 0 0 0 MICHAEL LUKOWSKI BOARD MEMBER 1.00 X 0 0 0 PERRY MCGRIFF BOARD MEMBER 1.00 X 0 0 0 RICK STAAB BOARD MEMBER 1.00 X 0 0 0 ROBERT SMITH BOARD MEMBER 1.00 X 0 0 0 ROBIN BARCA BOARD MEMBER 1.00 X 0 0 0 WILLARD SHAFER BOARD MEMBER 1.00 X 0 0 0 WILLIAM NORTHCUTT BOARD MEMBER 1.00 X 0 0 0 CHRISTOPHER MONTGOMERY BOARD MEMBER 1.00 X 0 0 0 NANCY E ECKERT CHIEF EXECUTIVE OFFICER 40.00 X 334557 0 31207 PAUL T GREBE CHIEF FINANCIAL OFFICER 40.00 X 178341 0 27471 THOMAS H WURZBACH III CHIEF INFORMATION OFFICER 40.00 X 204916 0 33977 KIMBERLY E KINSELL GENERAL COUNSEL 40.00 X 174888 0 31441 JUAN A MERAYO-RODRIGUEZ MEDICAL DIRECTOR 40.00 X 163212 0 14783 JB BOWLES VP OF OPERATIONS 40.00 X 187438 0 11754 JILL ANN EVANS VP OF QUALITY 40.00 X 158698 0 21002 JAMES D PETTYJOHN DIRECTOR OF DISTRICT OPERA 40.00 X 118984 0 17614 WILLIAM WURZBACH SYSTEMS ENGINEER 40.00 X 106973 0 16157 DANIEL R GALASSO DIRECTOR OF FINANCE 40.00 X 103651 0 17406 1731658 0 222812 10 0 1 0 CREATIVE TESTING SOLUTIONS PO BOX 29871 PHOENIX AZ 850389871 EXTERNAL DONOR TESTING LAB 10114186 UNIVERSITY AIR CENTER 4701 NE 40TH TERRACE GAINESVILLE FL 32609 AIR COURIER 538382 ULTIMATE SOFTWARE GROUP INC PO BOX 930953 ATLANTA GA 311930953 PAYROLL & BENEFIT ADMINISTRATION 216169 HEIN & ASSOCIATES LLP 1999 BROADWAY STE 4000 DENVER CO 80202 SOFTWARE IMPLEMENTATION SERVICES 192276 CARLTON FIELDS JORDEN BURT PO BOX 3239 TAMPA FL 336012329 LEGAL SERVICES 140383 5 9400 9400 PROCESSING FEES FOR BLOOD & COMPO 541900 76665777 76665777 76665777 6010 6010 33512 41533 -8021 -8021 -8021 DEFERRED REVENUE 900099 371185 371185 OTHER 900099 111159 111159 EXCISE TAX REFUNDS 900099 68083 68083 550427 77223593 77208183 0 6010 100000 100000 790255 790255 28483475 26165223 2318252 1386660 1254158 132502 2280347 2150048 130299 2124243 1954922 169321 254983 139433 115550 406828 406828 85727 13946 71781 40773 40773 387879 280812 107067 273180 269849 3331 1731802 1502902 228900 981609 853587 128022 2869962 1890210 979752 3423538 3154044 269494 137839 92866 44973 214751 82531 132220 3381309 2155228 1226081 390630 358597 32033 OPERATIONAL SUPPLIES 12577124 12574188 2936 EXTERNAL DONOR TESTING 10060455 10060455 EQUIPMENT 912230 884648 27582 OTHER 517183 396506 120677 88196 88196 73900978 66422349 7478629 0 8796003 6281701 2500000 7639636 9318902 4335406 3337216 1127253 1396167 77123891 31823855 44286742 45300036 611175 572449 1649592 3124116 68445807 71830587 6095175 6300800 940476 26382241 25292105 310000 316200 32787416 32849581 X 35658391 38981006 35658391 38981006 68445807 71830587 3322615 0 X 0 1 X 1 0 X 13976 13014 8442 980870 757874 1774176 77627188 78129965 81498473 79254222 75489033 391998881 77641164 78142979 81506915 80235092 76246907 393773057 677966 677966 0 677966 677966 393095091 9 32 6010 6051 9 32 6010 6051 221295 281785 531669 546089 978697 2559535 77862468 78424796 82038584 80781181 77231614 396338643 0.99180 0.99350 0.00000 X 0 1 0 1 0 0 1 40773 1 0 0 40773 0 PART II-B, LINE 1: DURING THE FISCAL YEAR, LIFESOUTH MADE DIRECT AND INDIRECT ATTEMPTS TO INFLUENCE LEGISLATION IN AN ATTEMPT TO BE GRANTED AN EXEMPTION FROM ALABAMA STATE SALES AND USE TAX UNDER ALABAMA STATUTE. THESE DIRECT AND INDIRECT ATTEMPTS CONSISTED PRIMARILY OF WRITTEN LETTERS, EMAIL COMMUNICATIONS, AND PAYMENT TO A FIRM THAT ASSISTED IN THE ORGANIZATION OF THE EFFORT. LIFESOUTH ALSO MADE DIRECT AND INDIRECT ATTEMPTS TO CLARIFY THE FLORIDA LEGISLATURE'S POSITION REGARDING A PROVISION FOR EXEMPTION FROM AD VALOREM TAXATION FOR NONPROFIT BLOOD ESTABLISHMENTS 6817176 6817176 39013652 11207028 27806624 329123 279258 49865 30963940 20337569 10626371 45300036 OTHER LIABILITIES 316200 316200 X 77223593 0 77223593 0 77223593 73900978 0 73900978 0 73900978 PART X, LINE 2: THE ORGANIZATION EVALUATES ALL SIGNIFICANT TAX POSITIONS AS REQUIRED BY GENERALLY ACCEPTED ACCOUNTING PRINCIPLES IN THE UNITED STATES. AS OF MAY 31, 2016, THE ORGANIZATION DOES NOT BELIEVE THAT IT HAS TAKEN ANY TAX POSITIONS THAT WOULD REQUIRE THE RECORDING OF ANY ADDITIONAL TAX LIABILITY NOR DOES IT BELIEVE THAT THERE ARE ANY UNREALIZED TAX BENEFITS THAT WOULD EITHER INCREASE OR DECREASE WITHIN THE NEXT TWELVE MONTHS. THEREFORE, NO PROVISION FOR INCOME TAXES HAS BEEN PROVIDED IN THE ACCOMPANYING FINANCIAL STATEMENTS. THE ORGANIZATIONS INCOME TAX RETURNS ARE SUBJECT TO EXAMINATION BY THE APPROPRIATE TAXING JURISDICTIONS. AS OF MAY 31, 2016, THE ORGANIZATIONS FEDERAL TAX RETURNS GENERALLY REMAIN OPEN FOR THREE YEARS FROM THE DATE OF FILING. 1 FIVE POINTS OF LIFE FOUNDATION INC 4039 NEWBERRY ROAD GAINESVILLE FL 32607 272091960 501(C)(3) 100000 SUPPORT FOR THE FIVE POINTS OF LIFE FOUNDATION, INC. 1 1 PART I, LINE 2: LIFESOUTH MONITORS THE USE OF THE GRANT FUNDS ON A REGULAR BASIS DUE TO THE NATURE OF THE RELATIONSHIP BETWEEN THE TWO RELATED ORGANIZATIONS. NO OTHER GRANT FUNDS WERE AWARDED THAT WOULD REQUIRE SUCH MONITORING FOR THE YEAR ENDED MAY 31, 2016 X X X 0 0 0 0 0 0 0 0 0 NANCY E ECKERT CHIEF EXECUTIVE OFFICER 289237 0 22320 0 23000 0 26000 0 5207 0 365764 0 0 0 PAUL T GREBE CHIEF FINANCIAL OFFICER 167821 0 10000 0 520 0 17622 0 9849 0 205812 0 0 0 THOMAS H WURZBACH III CHIEF INFORMATION OFFICER 187516 0 10000 0 7400 0 20465 0 13512 0 238893 0 0 0 KIMBERLY E KINSELL GENERAL COUNSEL 146888 0 10000 0 18000 0 17451 0 13990 0 206329 0 0 0 JUAN A MERAYO-RODRIGUEZ MEDICAL DIRECTOR 145712 0 0 0 17500 0 6593 0 8190 0 177995 0 0 0 JB BOWLES VP OF OPERATIONS 177438 0 10000 0 0 0 10519 0 1235 0 199192 0 0 0 JILL ANN EVANS VP OF QUALITY 145898 0 10000 0 2800 0 15115 0 5887 0 179700 0 0 0 A ALACHUA COUNTY HEALTH FACILITIES AUTHORITY 592442398 2009-12-22 30000000 PURPOSE & CONSTRUCTION OF REAL PROPERTY & EQUIPMENT/RETIREMENT OF OLD DEBT 0 0 0 A 30000000 200000 29411645 2012 1 0 1 1 A 0 0 0 0 0 0 0 A 0 0 0 0 1 0 0 0 0 A 0 UNIVERSITY AIR CENTER AN ENTITY MORE THAN 35% OWNED BY MICHAEL LUKOWSKI,BOARD MEMBER 538382 COURIER FEES FOR DAILY EXEMPT ORGANIZATION OPERATIONS - SEE SCHEDULE O 0 SCHEDULE L PART V ITEM (E) GULF ATLANTIC AIRWAYS, INC., A FLORIDA CORPORATION (D/B/A UNIVERSITY AIR CENTER - UAC), 4701 NE 40TH TERRACE, GAINESVILLE, FL 32609, IS OWNED BY DR. MICHAEL J. LUKOWSKI OF GAINESVILLE, FLORIDA WHO SERVES ON THE BOARD OF DIRECTORS FOR LIFESOUTH. AFTER A FULL REQUEST FOR PROPOSAL, UAC AND LIFESOUTH ENTERED INTO A THREE-YEAR AGREEMENT FOR MANAGEMENT SERVICES OF LIFESOUTH'S CARGO PLANE ON MARCH 10TH, 2015. ALL AGREEMENTS AND TRANSACTIONS BETWEEN UAC AND LIFESOUTH WERE AND HAVE PREVIOUSLY BEEN VOTED ON BY THE FULL BOARD OF DIRECTORS. DR. LUKOWSKI ABSTAINED FROM ALL RELATED VOTES. THE BOARD OF DIRECTORS REVIEWS THE MANAGEMENT SERVICES AGREEMENT ON AN ANNUAL BASIS, AS A MEANS OF DISCLOSING CONFLICTS OF INTEREST. EVERY 3-5 YEARS, LIFESOUTH CONDUCTS A REQUEST FOR PROPOSAL THROUGHOUT THE SOUTHEAST FOR THE MANAGEMENT SERVICES RELATED TO THE CARGO PLANE. UAC'S COURIER FEES CONTINUE TO BE CONSIDERABLY LESS EXPENSIVE THAN COMPETITORS' BIDS. UAC PROVIDES MANAGEMENT SERVICES FOR AIR TRANSPORTATION OPERATING OUT OF GAINESVILLE REGIONAL AIRPORT IN GAINESVILLE, FLORIDA. LIFESOUTH USES THE SERVICES OF UAC FOR TIME SENSITIVE CARGO DELIVERIES BETWEEN AND AMONG ITS OFFICES IN ATLANTA, GA, HUNTSVILLE, AL, BIRMINGHAM, AL, MONTGOMERY, AL, MOBILE, AL, AND GAINESVILLE, FL. LIFESOUTH OPERATES A DAILY ROUTE 363 DAYS PER YEAR WITH THE ASSISTANCE OF UAC IN ORDER TO PROVIDE TEST TUBES CONTAINING BLOOD SAMPLES TO LIFESOUTH'S EXTERNAL DONOR TESTING LAB ON A TIMELY BASIS. LIFESOUTH PREVIOUSLY TRANSPORTED SAMPLES BY GROUND USING LIFESOUTH EMPLOYEES (5-10 COURIERS NIGHTLY, EACH WORKING APPROXIMATELY EIGHT HOUR SHIFTS). BY USING AIR TRANSPORTATION, LIFESOUTH ACHIEVED LABOR SAVINGS, IMPROVED EMPLOYEE SAFETY, AND REDUCED OVERALL COSTS. FORM 990, PART VI, SECTION A, LINE 2 BOARD MEMBER CHRISTOPHER MONTGOMERY IS SON-IN-LAW OF BOARD MEMBER MICHAEL LUKOWSKI FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS MEMBERS. THE MEMBERS OF THE ORGANIZATION CONVENE ONCE A YEAR TO ELECT THE BOARD OF DIRECTORS. THE NOMINEES ARE SELECTED BY THE BOARD OF DIRECTORS NOMINATING COMMITTEE. THERE ARE NO MEMBERSHIP CLASSES. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBERS OF THE ORGANIZATION CONVENE ONCE A YEAR TO ELECT THE BOARD OF DIRECTORS. THE NOMINEES ARE SELECTED BY THE BOARD OF DIRECTORS NOMINATING COMMITTEE. FORM 990, PART VI, SECTION B, LINE 11 FORM 990 IS PRESENTED TO THE BOARD OF DIRECTORS FINANCE AND AUDIT COMMITTEE AND THE BOARD OF DIRECTORS AT THE ANNUAL MEETING FOR REVIEW AND ACCEPTANCE AS SUBMITTED. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY, EACH BOARD MEMBER IS REQUIRED TO REVIEW THE CONFLICT OF INTEREST POLICY AND TO COMPLETE AND RETURN THE CONFLICT OF INTEREST DISCLOSURE FORM. EACH BOARD MEMBER HAS A CONTINUING OBLIGATION TO DISCLOSE ANY REAL OR APPARENT CONFLICTS THROUGHOUT THE YEAR. THESE DISCLOSURES ARE ANNUALLY RECEIVED BY THE GOVERNANCE COMMITTEE FOR REVIEW AND APPROVAL AND THEN SUBMITTED TO THE EXECUTIVE COMMITTEE FOR REVIEW AND APPROVAL AS DICTATED BY THE POLICY AND PROCEDURES MANUAL. FORM 990, PART VI, SECTION B, LINE 15A CEO COMPENSATION RECOMMENDED TO THE EXECUTIVE COMMITTEE BY THE COMPENSATION COMMITTEE AFTER COMPARATIVE SALARY REVIEW. OTHER OFFICERS AND KEY EMPLOYEES COMPENSATION RANGES BASED ON COMPARATIVE SALARY RESEARCH AND REVIEWED AND APPROVED BY COMPENSATION COMMITTEE. THE PRESIDENT AND CEO DETERMINES THE COMPENSATION WITHIN THOSE APPROVED RANGES. FORM 990, PART VI, SECTION C, LINE 19 FINANCIAL DOCUMENTS ARE AVAILABLE IN THE ORGANIZATIONS ANNUAL REPORT TO THE COMMUNITY AND UPON REQUEST. GOVERNING DOUCMENTS ARE AVAILABLE UPON REQUEST. THE CONFLICT OF INTEREST POLICY IS AVAILABLE ON THE ORGANIZATIONS WEBSITE AND UPON REQUEST. 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