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IMPACTLIFE: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
IMPACTLIFE (EIN 42-0859501)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-08-29
IRS object ID
201742419349301119
Schema version
2016v3.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2017-08-29T15:17:27-05:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN420714325PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1RSM US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1201 N HARRISON STREET SUITE 300AddressLine1Txt
CityDAVENPORTCityNm
State AbbreviationIAStateAbbreviationCd
ZIP528011999ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN420859501EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MISSISSIPPI VALLEY REGIONAL BLOOD CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMISSBusinessNameControlTxt
Phone5633595401PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15500 LAKEVIEW PARKWAYAddressLine1Txt
CityDAVENPORTCityNm
State AbbreviationIAStateAbbreviationCd
ZIP52807ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMICHAEL J PAREJKOPersonNm
Person TitleCHIEF EXECUTIVE OFFICERPersonTitleTxt
Phone5633595401PhoneNum
Signature2017-08-24SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJENIFER L CHASEPreparerPersonNm
PTINP01306883PTIN
Phone5638884000PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address108.171.131.187IPv4AddressTxt
FieldValueIRS element (for citing)
IP2017-08-24IPDt
IP Tm12:14:56IPTm
IP TimezoneCDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdB876A155820338ED437F0CF2305A406FA7BE98CDAtSubmissionCreationDeviceId
At Submission Filing Device Id19C5BF97776B62867376EAC7317F804689DFFB56AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMICHAEL J PAREJKOPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line15500 LAKEVIEW PARKWAYAddressLine1Txt
CityDAVENPORTCityNm
State AbbreviationIAStateAbbreviationCd
ZIP52807ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$61,867,867GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressBLOODCENTER.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1974FormationYr
Legal Domicile StateIALegalDomicileStateCd
Activity Or MissionMISSISSIPPI VALLEY REGIONAL BLOOD CENTER'S MISSION IS TO PROVIDE WORLD-CLASS BLOOD PRODUCTS AND SERVICES TO COMMUNITIES IN NEED.ActivityOrMissionDesc
Voting Members Governing Body16VotingMembersGoverningBodyCnt
Voting Members Independent15VotingMembersIndependentCnt
Total Employee807TotalEmployeeCnt
Total Volunteers375TotalVolunteersCnt
Total Gross UBI$7,239TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$10,553PYContributionsGrantsAmt
CY Contributions Grants$12,484CYContributionsGrantsAmt
PY Program Service Revenue$61,227,385PYProgramServiceRevenueAmt
CY Program Service Revenue$61,661,277CYProgramServiceRevenueAmt
PY Investment Income$40,247PYInvestmentIncomeAmt
CY Investment Income-$28,584CYInvestmentIncomeAmt
PY Other Revenue-$52,325PYOtherRevenueAmt
CY Other Revenue$7,239CYOtherRevenueAmt
PY Total Revenue$61,225,860PYTotalRevenueAmt
CY Total Revenue$61,652,416CYTotalRevenueAmt
PY Grants And Similar Paid$49,493PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$41,999CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$30,025,832PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$30,165,843CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$31,177,599PYOtherExpensesAmt
CY Other Expenses$31,022,347CYOtherExpensesAmt
PY Total Expenses$61,252,924PYTotalExpensesAmt
CY Total Expenses$61,230,189CYTotalExpensesAmt
PY Revenues Less Expenses-$27,064PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$422,227CYRevenuesLessExpensesAmt
Total Assets BOY$44,483,588TotalAssetsBOYAmt
Total Assets EOY$46,239,067TotalAssetsEOYAmt
Total Liabilities BOY$8,870,243TotalLiabilitiesBOYAmt
Total Liabilities EOY$10,155,247TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$35,613,345NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$36,083,820NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionMISSISSIPPI VALLEY REGIONAL BLOOD CENTER'S MISSION IS TO PROVIDE WORLD-CLASS BLOOD PRODUCTS AND SERVICES TO COMMUNITIES IN NEED.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$56,101,564ExpenseAmt
Grant$41,999GrantAmt
Revenue$61,661,277RevenueAmt
DescSEE SCHEDULE O FOR DESCRIPTION OF PROGRAM SERVICE ACCOMPLISHMENTS.Desc
Total Program Service Expenses$56,101,564TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign ActivitiesYes (1)ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document28IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee807EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members16GoverningBodyVotingMembersCnt
Independent Voting Member15IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldILStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DARREN KLOCKEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5638234109PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15500 LAKEVIEW PARKWAYAddressLine1Txt
CityDAVENPORTCityNm
State AbbreviationIAStateAbbreviationCd
ZIP52807ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
WALTER BRADLEY MD
DIRECTOR2.00Yes (X)$0$0$0
DAVID DETTMANN
DIRECTOR2.00Yes (X)$0$0$0
PAT EIKENBERRY
FORMER DIRECTOR2.00Yes (X)$0$0$0
CHAD EVERITT
VICE CHAIRPERSON2.00Yes (X)$0$0$0Yes (X)
SUSANNAH FRIEMEL MD
DIRECTOR2.00Yes (X)$0$0$0
PAULA GARROTT
DIRECTOR2.00Yes (X)$0$0$0
DARRIN LINDQUIST
TREASURER2.00Yes (X)$0$0$0Yes (X)
DAVID MERCER
CHAIRPERSON2.00Yes (X)$0$0$0Yes (X)
SNJAI NAGENDRA MD
DIRECTOR2.00Yes (X)$0$0$0
MICHAEL OBERHAUS EDD
FORMER DIRECTOR2.00Yes (X)$0$0$0
MICHAEL J PAREJKO
PRESIDENT/CHIEF EXECUTIVE OFFICER40.00Yes (X)$355,657$0$35,973Yes (X)
DAVID PRATT MD
DIRECTOR2.00Yes (X)$0$0$0
RICHARD SCHIMMEL EDD
DIRECTOR2.00Yes (X)$0$0$0
TOM SHEEHAN
DIRECTOR2.00Yes (X)$0$0$0
JOE B SLAVENS
FORMER CHAIRPERSON2.00Yes (X)$0$0$0Yes (X)
MICHELLE STEINING
DIRECTOR2.00Yes (X)$0$0$0
NATHAN SONDGEROTH
DIRECTOR2.00Yes (X)$0$0$0
JOHN SUTYAK MD
DIRECTOR2.00Yes (X)$0$0$0
DEDRA WILLIAMS EDM
SECRETARY2.00Yes (X)$0$0$0Yes (X)
DARREN KLOCKE
CHIEF FINANCIAL OFFICER40.00$175,804$0$32,753Yes (X)
SUSAN BLASKOVICH
FORMER CHIEF OPERATING OFFICER40.00$264,253$0$22,220Yes (X)
YASUKO ERICKSON MD
CHIEF MEDICAL OFFICER40.00$317,473$0$36,958Yes (X)
JEANNINE MCCULLOUGH
VICE PRESIDENT, BLOOD SERVICES40.00$162,830$0$10,258Yes (X)
JENNIFER FEENEY
VICE PRESIDENT, HUMAN RESOURCES40.00$119,002$0$29,858Yes (X)
NANCY KELTING
VICE PRESIDENT, BUSINESS DEVELOPMENT40.00$127,479$0$30,049Yes (X)
GREGORY LUX
DIRECTOR, DONOR SERVICES40.00$109,834$0$13,224Yes (X)
BRUCE MARSHALL
FORMER DIRECTOR, MEDICAL LAB20.00$105,373$0$19,212Yes (X)
LAWRENCE O'TOOL
DIRECTOR, LAB40.00$115,297$0$11,958Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,853,002TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$242,463TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K10IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
CROSSROADS COURIER
4348 GREEN ASH DRIVEEARTH CITYMO63045FREIGHT$478,877
IT SYNERGISTICS
26 SECURITY DRIVEJACKSONTN38305IT CONSULTING$390,293
TAG COMMUNICATIONS INC
230 EAST SECOND STREETDAVENPORTIA52801ADVERTISING$352,541
CARDINAL HEALTH
PO BOX 70539CHICAGOIL60673FREIGHT$272,558
OLD SEVILLE EXPENSE REDUCTION
PO BOX 967GULF BREEZEFL32562WASTE REMOVAL$222,771
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K16CntrctRcvdGreaterThan100KCnt
All Other Contributions$12,484AllOtherContributionsAmt
Total Contributions$12,484TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
BLOOD SUPPLY SALES900099$57,002,726$57,002,726
SALE OF BY-PRODUCTS900099$4,029,676$4,029,676
OUTPATIENT INCOME900099$490,225$490,225
TESTING INCOME900099$101,316$101,316
PHARMACY INCOME900099$37,334$37,334
FieldValueIRS element (for citing)
Total Program Service Revenue$61,661,277TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$10,844TotalRevenueColumnAmt
Exclusion$10,844ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$176,023OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$215,451OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$39,428OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$39,428TotalRevenueColumnAmt
Exclusion-$39,428ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescINCOME(LOSS) FROM PARTNERSHIPDesc
Business900099BusinessCd
Total Revenue Column$7,239TotalRevenueColumnAmt
Unrelated Business Revenue$7,239UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Other Revenue Total$7,239OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$61,652,416TotalRevenueColumnAmt
Related Or Exempt Func Income$61,661,277RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$7,239UnrelatedBusinessRevenueAmt
Exclusion-$28,584ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$41,999TotalAmt
Program Services$41,999ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,414,179TotalAmt
Program Services$1,295,646ProgramServicesAmt
Management And General$118,533ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$22,815,994TotalAmt
Program Services$20,903,607ProgramServicesAmt
Management And General$1,912,387ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$596,722TotalAmt
Program Services$546,706ProgramServicesAmt
Management And General$50,016ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$3,538,882TotalAmt
Program Services$3,242,261ProgramServicesAmt
Management And General$296,621ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,800,066TotalAmt
Program Services$1,649,188ProgramServicesAmt
Management And General$150,878ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$63,450TotalAmt
Program Services$58,132ProgramServicesAmt
Management And General$5,318ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$100,360TotalAmt
Program Services$91,948ProgramServicesAmt
Management And General$8,412ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$51,031TotalAmt
Program Services$46,754ProgramServicesAmt
Management And General$4,277ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$7,589TotalAmt
Program Services$6,953ProgramServicesAmt
Management And General$636ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$152,997TotalAmt
Program Services$140,173ProgramServicesAmt
Management And General$12,824ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,298,925TotalAmt
Program Services$1,190,052ProgramServicesAmt
Management And General$108,873ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$2,640,743TotalAmt
Program Services$2,419,402ProgramServicesAmt
Management And General$221,341ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$1,065,351TotalAmt
Program Services$976,056ProgramServicesAmt
Management And General$89,295ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,459,354TotalAmt
Program Services$1,337,034ProgramServicesAmt
Management And General$122,320ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$852,039TotalAmt
Program Services$780,623ProgramServicesAmt
Management And General$71,416ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$335,391TotalAmt
Program Services$307,279ProgramServicesAmt
Management And General$28,112ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$21,949TotalAmt
Program Services$20,109ProgramServicesAmt
Management And General$1,840ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$3,047,433TotalAmt
Program Services$2,792,004ProgramServicesAmt
Management And General$255,429ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$758,807TotalAmt
Program Services$695,205ProgramServicesAmt
Management And General$63,602ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$7,818,032$7,162,742$655,290
TESTING$7,562,422$6,928,556$633,866
EQUIPMENT RENTAL & MAIN$2,172,234$1,990,162$182,072
PACKAGING EXPENSE$279,195$255,793$23,402

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,335,045TotalAmt
Program Services$1,223,180ProgramServicesAmt
Management And General$111,865ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$61,230,189TotalAmt
Program Services$56,101,564ProgramServicesAmt
Management And General$5,128,625ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$531,313BOYAmt
EOY$51,577EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$2,648,860BOYAmt
EOY$4,646,630EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$6,345,791BOYAmt
EOY$7,388,545EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$74BOYAmt
EOY$1,213EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$3,024,600BOYAmt
EOY$2,648,921EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,124,335BOYAmt
EOY$915,364EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$50,717,778LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$20,522,755LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$30,479,132BOYAmt
EOY$30,195,023EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$329,483BOYAmt
EOY$391,794EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$44,483,588BOYAmt
EOY$46,239,067EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$4,902,753BOYAmt
EOY$5,685,322EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$642,857EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,750,000BOYAmt
EOY$3,250,000EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$217,490BOYAmt
EOY$577,068EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$8,870,243BOYAmt
EOY$10,155,247EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$35,613,345BOYAmt
EOY$36,083,820EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$35,613,345BOYAmt
EOY$36,083,820EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$44,483,588BOYAmt
EOY$46,239,067EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$422,227ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$48,248OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$30,374CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,013,956CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$270,211CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$10,553CurrentTaxYearMinus1YearAmt
Current Tax Year$12,484CurrentTaxYearAmt
Total$2,337,578TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$65,036,965CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$61,016,148CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$61,973,101CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$61,227,385CurrentTaxYearMinus1YearAmt
Current Tax Year$61,661,277CurrentTaxYearAmt
Total$310,914,876TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$65,067,339CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$63,030,104CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$62,243,312CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$61,237,938CurrentTaxYearMinus1YearAmt
Current Tax Year$61,673,761CurrentTaxYearAmt
Total$313,252,454TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$31,356,234CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$28,197,534CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$28,123,642CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$28,539,625CurrentTaxYearMinus1YearAmt
Current Tax Year$27,414,755CurrentTaxYearAmt
Total$143,631,790TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$31,356,234CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$28,197,534CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$28,123,642CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$28,539,625CurrentTaxYearMinus1YearAmt
Current Tax Year$27,414,755CurrentTaxYearAmt
Total$143,631,790TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$169,620,664PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$20,668CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$53,378CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$68,613CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,708CurrentTaxYearMinus1YearAmt
Current Tax Year$10,844CurrentTaxYearAmt
Total$158,211TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$20,668CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$53,378CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$68,613CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,708CurrentTaxYearMinus1YearAmt
Current Tax Year$10,844CurrentTaxYearAmt
Total$158,211TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$65,088,007CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$63,083,482CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$62,311,925CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$61,242,646CurrentTaxYearMinus1YearAmt
Current Tax Year$61,684,605CurrentTaxYearAmt
Total$313,410,665TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.54120PublicSupportCY509Pct
Public Support PY5090.55020PublicSupportPY509Pct
Investment Income CY0.00050InvestmentIncomeCYPct
Investment Income PY0.00060InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$7,589OtherActivitiesAmt
Total Lobbying Expenditures$7,589TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationMISSISSIPPI VALLEY REGIONAL BLOOD CENTER PAID ONE VENDOR TO LOBBY BLOOD BANKING ISSUES.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,998,322OtherCostOrOtherBasisAmt
Book Value$4,998,322BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$26,908,555OtherCostOrOtherBasisAmt
Depreciation$8,607,110DepreciationAmt
Book Value$18,301,445BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$10,286,707OtherCostOrOtherBasisAmt
Depreciation$6,367,030DepreciationAmt
Book Value$3,919,677BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,524,194OtherCostOrOtherBasisAmt
Depreciation$5,548,615DepreciationAmt
Book Value$2,975,579BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$30,195,023TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
INTEREST RATE SWAP$74,250
CAPITAL LEASE OBLIGATIONS$502,818
FieldValueIRS element (for citing)
Total Liability$577,068TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHE MISSISSIPPI VALLEY REGIONAL BLOOD 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 JANUARY 1, 2017 AND JANUARY 3, 2016, 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 31, 2012 AND PRIOR.ExplanationTxt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

FieldValueIRS element (for citing)
RegionEUROPERegionTxt
Offices0OfficesCnt
Employee0EmployeeCnt
Type Of Activities ConductedPROGRAM SERVICESTypeOfActivitiesConductedTxt
Specific Services ProvidedBLOOD PRODUCT SALESSpecificServicesProvidedTxt
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees0SubtotalEmployeesCnt
Continutation Total Office0ContinutationTotalOfficeCnt
Continutation Total Employee0ContinutationTotalEmployeeCnt
Total Office0TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Subtotal Spent$0SubtotalSpentAmt
Continuation Spent$0ContinuationSpentAmt
Total Spent$0TotalSpentAmt
Transfer To Foreign Corp0TransferToForeignCorpInd
Interest In Foreign Trust0InterestInForeignTrustInd
Foreign Corp Ownership0ForeignCorpOwnershipInd
Passive Foreign Investmest Co0PassiveForeignInvestmestCoInd
Foreign Partnership0ForeignPartnershipInd
Boycott Countries0BoycottCountriesInd

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
GENESIS HEALTH SERVICES FOUNDATION
1227 E RUSHOLME STREETDAVENPORTIA52803421421670501(C)(3)$5,000GENERAL SUPPORT
THE FOUNDATION FOR AMERICAS BLOOD CENTERS
725 15TH STREET NW STE 700WASHINGTONDC20005522038372501(C)(3)$10,000GENERAL SUPPORT
GREATER SPRINGFIELD CHAMBER OF COMMERCE
1011 SOUTH SECOND STREETSPRINGFIELDIL62704370710280501(C)(6)$10,000GENERAL SUPPORT
QUAD CITIES CHAMBER OF COMMERCE
622 19TH STREETMOLINEIL61265273065786501(C)(6)$15,000GENERAL SUPPORT
FieldValueIRS element (for citing)
Total501c3 Org2Total501c3OrgCnt
Total Other Org2TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationMISSISSIPPI VALLEY REGIONAL BLOOD CENTER ISSUES CHECKS DIRECTLY TO THE ORGANIZATIONS TO BE USED AT THEIR DISCRETION.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MICHAEL J PAREJKO
PRESIDENT/CHIEF EXECUTIVE OFFICER$296,619$0$25,000$0$34,038$0$10,600$0$25,373$0$391,630$0$0$0
DARREN KLOCKE
CHIEF FINANCIAL OFFICER$175,253$0$0$0$551$0$7,243$0$25,510$0$208,557$0$0$0
SUSAN BLASKOVICH
FORMER CHIEF OPERATING OFFICER$183,400$0$0$0$80,853$0$7,462$0$14,758$0$286,473$0$0$0
YASUKO ERICKSON MD
CHIEF MEDICAL OFFICER$315,151$0$0$0$2,322$0$17,048$0$19,910$0$354,431$0$0$0
JEANNINE MCCULLOUGH
VICE PRESIDENT, BLOOD SERVICES$161,401$0$0$0$1,429$0$6,556$0$3,702$0$173,088$0$0$0
NANCY KELTING
VICE PRESIDENT, BUSINESS DEVELOPMENT$125,823$0$0$0$1,656$0$6,325$0$23,724$0$157,528$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1AMISSISSIPPI 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 4ATHE FOLLOWING INDIVIDUALS RECEIVED A SEVERANCE PAYMENT FROM THE ORGANIZATION IN 2016: SUSAN BLASKOVICH - $80,365 AND BRUCE MARSHALL - $24,461. THE DOLLAR AMOUNT IS INCLUDED IN REPORTABLE COMPENSATION ON THE FORM 990, PART VII AND SCHEDULE J, PART II.
PART I, LINE 7PURSUANT 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.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1IOWA FINANCE AUTHORITYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN521699886BondIssuerEIN
CUSIP46246KWW8CUSIPNum
Bond Issued2003-02-13BondIssuedDt
Issue Price$10,000,000IssuePriceAmt
PurposeBUILDING PURCHASEPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Total Proceeds$10,000,000TotalProceedsAmt
Issuance Costs From Proceeds$158,061IssuanceCostsFromProceedsAmt
Capital Expenditures$9,841,939CapitalExpendituresAmt
Substantial Completion2004SubstantialCompletionYr
Current Refunding0CurrentRefundingInd
Advance Refunding0AdvanceRefundingInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Private Bus Use By Others0.00000PrivateBusUseByOthersPct
Private Bus Concerning UBI0.00000PrivateBusConcerningUBIPct
Total Private Business Use0.00000TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd0ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due Yet0RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate DueYes (1)NoRebateDueInd
Variable Rate IssueYes (1)VariableRateIssueInd
Hedge Identified In Bks And RecYes (1)HedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

FieldValueIRS element (for citing)
Business Name Line1WELLS FARGO BANKBusinessNameLine1Txt
Business Name Line2NABusinessNameLine2Txt
FieldValueIRS element (for citing)
Term Of Hedge10.000000000000TermOfHedgePct
Superintegrated Hedge0SuperintegratedHedgeInd
Hedge Terminated0HedgeTerminatedInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor Reqs0WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective Action0ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceDATE REBATE COMPUTATION PERFORMEDFormAndLineReferenceDesc
ExplanationISSUER NAME: IOWA FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 03/29/2013ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 4A: PROGRAM SERVICE ACCOMPLISHMENTSTHE 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 4.0-MILLION UNITS OF BLOOD FROM VOLUNTEER DONORS AND HAS SERVED MILLIONS OF PATIENTS THROUGHOUT OUR REGION AND THROUGH NATIONAL RESOURCE SHARING PROGRAMS. IN 2016, 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 2016, 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 11BPRIOR 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 12CTHE 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 15ATHE 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 2016.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART IV, SECTION BTHE 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 52,262. BOOK/TAX DIFFERENCE IN PARTNERSHIP INCOME -4,014.
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.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1MIDWEST REGIONAL BLOOD TESTING SERVICES LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line15500 LAKEVIEW PARKWAYAddressLine1Txt
CityDAVENPORTCityNm
State AbbreviationIAStateAbbreviationCd
ZIP52807ZIPCd
FieldValueIRS element (for citing)
EIN273051422EIN
Primary ActivitiesDONOR TESTINGPrimaryActivitiesTxt
Legal Domicile StateIALegalDomicileStateCd
Total Income$138TotalIncomeAmt
End Of Year Assets$1,899,753EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1MISSISSIPPI VALLEY REGIONAL BLOOD CENTERBusinessNameLine1Txt