2016-06-15T12:16:24-05:00 2015-07-30 420714325 RSM US LLP 7351 OFFICE PARK PL MELBOURNE FL 32940 990 2014-10-01 590752920 THE BLOOD ALLIANCE INC BLOO 4074557551 7595 CENTURION PARKWAY JACKSONVILLE FL 32256 JOHN MURPHY CFO - ONEBLOOD 4072485000 2016-06-14 1 THERESA A BURDINE CPA P00362629 3217516200 2014 2016-08-17 19:52:53Z X JOHN MURPHY AUTH OFFICER 8669 COMMODITY CIRCLE ORLANDO FL 32819 23899146 0 X WWW.THEBLOODALLIANCE.ORG X 1967 FL PROVIDE BLOOD, BLOOD COMPONENTS, AND RELATED SERVICES. 3 0 270 26 0 0 5716 0 29800863 23681473 0 0 370643 217673 30177222 23899146 0 0 0 0 13829790 11938052 0 0 0 15263125 19368034 29092915 31306086 1084307 -7406940 9647046 0 2251450 0 7395596 0 X PROVIDE BLOOD, BLOOD COMPONENTS, AND RELATED SERVICES 0 0 28801371 23899146 THE SERVICE AREA OF THE BLOOD ALLIANCE INCLUDED NORTHEAST FLORIDA, PARTS OF GEORGIA AND SOUTH CAROLINA.THE BLOOD ALLIANCE EMPLOYED APPROXIMATELY 270 EMPLOYEES, AND A NUMBER OF VOLUNTEERS IN NEARLY 11 LOCATIONS.THE BLOOD ALLIANCE'S LOYAL AND GENEROUS DONOR BASE HELPED ENSURE IT MAINTAINED A SAFE, AVAILABLE, AND AFFORDABLE BLOOD SUPPLY AT ALL TIMES. EVERY UNIT OF BLOOD UNDERGOES RIGOROUS PROCESSING, TESTING, AND LABELING TO ENSURE IT MEETS THE U.S. FOOD AND DRUG ADMINISTRATION SAFETY STANDARDS.BLOOD PRODUCTS WERE DISTRIBUTED TO OVER 20 HOSPITALS AND BLOOD CENTERS IN THE AREA IT SERVED. 28801371 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 1 0 1 5 0 1 270 1 0 0 0 0 0 0 0 0 0 0 X 3 0 0 0 1 0 1 1 1 1 1 1 0 1 1 1 1 1 1 1 1 0 FL X X JOHN MURPHY CFO OF ONEBLOOD INC 4072485000 8669 COMMODITY CIRCLE ORLANDO FL 32819 ED LAWSON PRESIDENT/CEO (FROM 3/1/14) 40.00 X 204116 0 63084 JACK WOLCOTT TREASURER/CFO 40.00 X 168763 0 80416 SUSAN WEEKS DIR OF ADMIN 40.00 X 142957 0 47993 WILLIAM MIMBS INFO TECH MANAGER 40.00 X 134323 0 35208 MARILYN HALL DIR QUALITY 40.00 X 120879 0 35780 DR MARSHA BERTHOLF MEDICAL DIRECTOR 40.00 X 263505 0 80708 THERESA COTTRELL LAB TECHNICAL DIRECTOR 40.00 X 106399 0 30988 CHRISTOPHER WILLIAMS SR PROGRAM ANALYST 40.00 X 106766 0 8181 VALERIE COLLINS FORMER PRESIDENT & CEO 40.00 X 153479 0 16767 DALE MALLOY FORMER PRESIDENT & CEO 40.00 X 154752 0 3538 1555939 0 402663 15 1 1 0 CREATIVE TESTING SOLUTIONS PO BOX 29871 PHOENIX AZ 85038 BLOOD TESTING 3189822 ENTERPRISE FM TRUST PO BOX 800086 KANSAS CITY MO 64180 FLEET MAINTENANCE 284217 AMBASSADOR CUSTOM CLEANING SERVICE 17015 WELLS RD BALDWIN FL 32234 CLEANING 194251 JACKSONVILLE JAGUARS ONE EVERBANK FIELD DRIVE JACKSONVILLE FL 32202 ADVERTISING 156240 BLOOD BANK COMPUTER SYSTEMS 1002 15TH ST SW STE 102 AUBURN WA 980016502 SYSTEM MAINTENANCE 144689 6 BLOOD AND COMPONENT FE 541900 20151399 20151399 LABORATORY & PROCEDURE 541900 3824718 3824718 DISCOUNTS ALLOWED 541900 -294644 -294644 23681473 FIXED ASSET INCOME 999999 160666 160666 MISCELLANEOUS REVENUE 541900 57007 57007 217673 23899146 23899146 0 0 1377732 1212404 165328 7839906 6885205 954701 123909 95602 28307 1936381 1735540 200841 660124 579919 80205 229157 229157 27570 27570 210425 197965 12460 345695 304212 41483 1975826 1488449 487377 18527 7547 10980 106299 103539 2760 94818 94818 114 114 425294 276441 148853 CANCELLATION OF DEBT 6690840 6690840 IMPORTED BLOOD 4209807 4209807 BLOOD TESTING 4132095 4132095 TRANSPORTATION 572224 560747 11477 329343 320945 8398 31306086 28801371 2504715 0 4960271 0 0 0 2576680 0 0 0 0 803078 0 234084 0 0 0 0 0 0 1072933 0 9647046 0 1730696 520754 0 2251450 0 X 7391993 0 3603 0 7395596 0 9647046 0 X -7406940 11344 X 0 0 0 X 3479 861 6523 5716 16579 34684213 34519991 36084041 30171506 23899146 159358897 34687692 34520852 36090564 30177222 23899146 159375476 0 0 0 159375476 34687692 34520852 36090564 30177222 23899146 159375476 1.00000 1.00000 0.00000 X PART III, SECTION A, LINE 2 THE BLOOD ALLIANCE IS FILING A SHORT-PERIOD RETURN AS A RESULT OF ITS MERGER INTO ONEBLOOD, INC. EFFECTIVE 07/31/15. THERFORE, THE AMOUNT REPORTED ON LINE 2 REFLECTS THE TOTAL INCOME FOR THE SHORT-PERIOD 10/01/14 THROUGH 07/31/15. X X X X X 0 1 0 0 0 0 0 0 0 ED LAWSON PRESIDENT/CEO (FROM 3/1/14) 166756 0 26250 0 11110 0 52018 0 11066 0 267200 0 0 0 JACK WOLCOTT TREASURER/CFO 126926 0 12976 0 28861 0 55537 0 24879 0 249179 0 0 0 SUSAN WEEKS DIR OF ADMIN 117290 0 14155 0 11512 0 36386 0 11607 0 190950 0 0 0 WILLIAM MIMBS INFO TECH MANAGER 100599 0 11369 0 22355 0 6122 0 29086 0 169531 0 0 0 MARILYN HALL DIR QUALITY 89060 0 11804 0 20015 0 25130 0 10650 0 156659 0 0 0 DR MARSHA BERTHOLF MEDICAL DIRECTOR 222363 0 27435 0 13707 0 78967 0 1741 0 344213 0 0 0 VALERIE COLLINS FORMER PRESIDENT & CEO 2079 0 0 0 151400 0 117 0 16650 0 170246 0 114500 0 DALE MALLOY FORMER PRESIDENT & CEO 133750 0 0 0 21002 0 3538 0 0 0 158290 0 0 0 PART I, LINE 4B CERTAIN EMPLOYEES WERE ELIGIBLE TO PARTICIPATE IN EMPLOYER-FUNDED 457F AND 457B PLANS. IN 2014, DISTRIBUTIONS WERE AS FOLLOWS: VALERIE COLLINS 457(F) - $132,972 $114,500 WAS REPORTED IN PRIOR YEARS FORM 990 AMBASSADOR CUSTOM CLEANING FAMILY MEMBER OF SUSAN WEEKS 192356 CLEANING SERVICE 0 SARAH MIMBS FAMILY MEMBER OF WILLIAM MIMBS 41840 0 ACCOUNTS RECEIVABLE 2015-07-31 2379970 ACTUAL COST 593145469 ONEBLOOD INC 8669 COMMODITY CIRCLE ORLANDO FL 32819 501(C)(3) PREPAID EXPENSES 2015-07-31 235010 ACTUAL COST 593145469 ONEBLOOD INC 8669 COMMODITY CIRCLE ORLANDO FL 32819 501(C)(3) INVENTORIES 2015-07-31 712770 ACTUAL COST 593145469 ONEBLOOD INC 8669 COMMODITY CIRCLE ORLANDO FL 32819 501(C)(3) PROPERTY & EQUIPMENT 2015-07-31 973758 ACTUAL COST LESS DEPRECIATION 593145469 ONEBLOOD INC 8669 COMMODITY CIRCLE ORLANDO FL 32819 501(C)(3) OTHER ASSETS 2015-07-31 756498 ACTUAL COST 593145469 ONEBLOOD INC 8669 COMMODITY CIRCLE ORLANDO FL 32819 501(C)(3) ACCOUNTS PAYABLE 2015-07-31 -902814 ACTUAL COST 593145469 ONEBLOOD INC 8669 COMMODITY CIRCLE ORLANDO FL 32819 501(C)(3) OTHER ACCRUED EXPENSES 2015-07-31 -884740 ACTUAL COST 593145469 ONEBLOOD INC 8669 COMMODITY CIRCLE ORLANDO FL 32819 501(C)(3) DEFERRED COMPENSATION 2015-07-31 -748729 ACTUAL COST 593145469 ONEBLOOD INC 8669 COMMODITY CIRCLE ORLANDO FL 32819 501(C)(3) 1 1 0 0 0 0 0 0 0 FORM 990, PART VI, SECTION A, LINE 4 THE BLOOD ALLIANCE WAS ACQUIRED BY ONEBLOOD, INC. ON JULY 31, 2015. FORM 990, PART VI, SECTION A, LINE 6 COASTAL BLOOD ALLIANCE, INC. IS THE SOLE MEMBER. FORM 990, PART VI, SECTION A, LINE 7A COASTAL BLOOD ALLIANCE, INC. IS THE SOLE MEMBER. FORM 990, PART VI, SECTION A, LINE 7B COASTAL BLOOD ALLIANCE, INC. IS THE SOLE MEMBER. FORM 990, PART VI, SECTION B, LINE 11 A COPY OF THE FORM 990 WAS PROVIDED TO THE CFO OF ONEBLOOD, INC. THE BLOOD ALLIANCE WAS ACQUIRED BY ONEBLOOD, INC. ON 07/31/15. FORM 990, PART VI, SECTION B, LINE 12C A) UPDATED ANNUALLY IN WRITING B) CHAIRMAN REQUESTED ORAL STATEMENTS OF CONFLICTS ARISING DURING THE COURSE OF MEETINGS, IF ANY. C) REFERENCES TO WRITTEN CONFLICT OF INTEREST DISCLOSURES WERE INCLUDED IN MINUTES, INCLUDING HOW COI ARE HANDLED/ADDRESSED ACCORDING TO BOARD APPROVED POLICIES. FORM 990, PART VI, SECTION B, LINE 15 ANNUAL SALARIES FOR THE CEO AND COO WERE REVIEWED AND APPROVED BY THE COASTAL BLOOD ALLIANCE, INC. BOARD. AS PART OF THE REVIEW PROCESS, A SALARY STUDY WAS DONE TO COMPARE SALARY RATES OF SIMILARLY SIZED BLOOD BANKS TO DETERMINE CURRENT RATES FOR STAFF. OTHER OFFICERS AND KEY EMPLOYEES' SALARIES WERE APPROVED BY THE COASTAL BLOOD ALLIANCE BOARD AS PART OF THE ANNUAL BUDGETING PROCESS. FORM 990, PART VI, SECTION C, LINE 19 CONFLICT OF INTEREST AND FINANCIAL STATEMENTS WERE MADE AVAILABLE UPON REQUEST FORM 990, PART XI, LINE 9: ACQUISITION BY ONEBLOOD, INC. 11,344. FORM 990, PART VI, SECTION A, LINE 9 VALERIE COLLINS IS DECEASED. THE FOLLOWING INDIVIDUALS ARE NO LONGER WITH THE ORGANIZATION: ED LAWSON JACK WOLCOTT SUSAN WEEKS DALE MALLOY WILLIAM MIMBS FIRST COAST BLOOD ALLIANCE INC 7595 CENTURION PARKWAY JACKSONVILLE FL 32256 590766984 RENTAL FL 501(C)(3) LINE 9 COASTAL BLOOD ALLIANCE 0 COASTAL BLOOD ALLIANCE INC 7595 CENTURION PARKWAY JACKSONVILLE FL 32256 900473736 CONTROLLING FL 501(C)(3) LINE 11C, III-FI COASTAL BLOOD ALLIANCE 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 1 0 FIRST COAST BLOOD ALLIANCE K 730350 FMV FIRST COAST BLOOD ALLIANCE R 2230118 FORGIVENESS OF DEBT COASTAL BLOOD ALLIANCE R 4460723 FORGIVENESS OF DEBT