2016-06-13T11:04:39-05:00 2015-12-31 391173131 SCHENCK SC 200 E WASHINGTON ST PO BOX 1739 APPLETON WI 549121739 990 2015-01-01 390906273 COMMUNITY BLOOD CENTER INC COMM 9207383131 4406 W SPENCER ST APPLETON WI 54914 JOHN HAGINS PRESIDENT/CEO 9207383131 2016-05-25 1 MIKE VANDEN HOGEN P00499282 9207318111 2015 2016-09-27 15:27:22Z JOHN HAGINS 4406 W SPENCER ST APPLETON WI 54914 17573105 0 X WWW.SAVE3LIVES.ORG X 1955 WI THE PURPOSE OF THIS ORGANIZATION SHALL BE TO SUPERVISE AND PERFORM THE COLLECTION, PROCESSING, TESTING AND DISTRIBUTION OF BLOOD, BLOOD COMPONENTS AND OTHER RELATED PRODUCTS, TO HOSPITALS OR TO OTHER BLOOD CENTERS. TO ENGAGE IN OTHER EXCLUSIVE CHARITABLE, SCIENTIFIC AND EDUCATIONAL ACTIVITIES AND ENDEAVORS INCLUDING PARTICIPATION IN ANY BUSINESS OR ENTERPRISE TO PROCURE FUNDS FOR THE FOREGOING, INCLUDING ALSO THE SOLICITATION OF FUNDS FOR THE FINANCIAL SUPPORT OF ITS PURPOSE AND OBJECTIVES. 15 14 202 195 0 0 7842 37884 17009686 16978713 355156 556508 0 0 17372684 17573105 0 21500 0 0 7785082 8304825 0 0 0 8130023 8157973 15915105 16484298 1457579 1088807 26351040 26702319 1975694 1725490 24375346 24976829 THE COMMUNITY BLOOD CENTER PROVIDES RELIABLE, HIGH QUALITY BLOOD PRODUCTS AND SERVICES THAT SAVE LIVES IN THE COMMUNITIES WE SERVE. 0 0 13450801 21500 16876166 COMMUNITY BLOOD CENTER PROVIDES 100% OF THE BLOOD TO 18 HOSPITALS THROUGHOUT NORTHEASTERN WISCONSIN AND THE UPPER PENINSULA OF MICHIGAN. IN 2015 WE COLLECTED MORE THAN 47,000 UNITS OF RED BLOOD CELLS THAT WE THEN TESTED, PROCESSED AND DISTRIBUTED TO HOSPITALS FOR BLOOD TRANSFUSION TO PATIENTS IN NEED. WE ARE ALSO ONE OF THE LOWEST COST PROVIDERS OF BLOOD IN THE NATION THROUGH OUR DEDICATION TO COST CONTAINMENT AND EFFICIENCY. 140392 102547 BONE MARROW DONOR MATCHING PROGRAM 13591193 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 12 0 202 1 0 0 0 0 0 0 0 0 0 0 X 15 14 0 0 0 0 0 0 0 1 1 0 0 1 1 0 1 1 1 1 1 0 WI X LORI GLYNN 9207383131 4406 W SPENCER STREET APPLETON WI 54914 BEN VOGEL TERM END 2018 SECRETARY 1.00 X X 0 0 0 JOHN CAPPY TERM END 2017 DIRECTOR 1.00 X 0 0 0 TOM HUITING TERM END 2016 DIRECTOR 1.00 X 0 0 0 DAN FLANNERY TERM END 2016 DIRECTOR 1.00 X 0 0 0 JOCELYN MOOREMD TERM END 2017 DIRECTOR 1.00 X 0 0 0 STEVE SEIFERT TERM END 2018 EXECUTIVE CHAIR 1.00 X X 0 0 0 MICHAEL WISE TERM END 2016 DIRECTOR 1.00 X 0 0 0 NANCY JOHNSHOY TERM END 2018 DIRECTOR 1.00 X 0 0 0 JENNIFER BETOW TERM END 2018 DIRECTOR 1.00 X 0 0 0 JO ANN LANG TERM END 2018 VICE CHAIR 1.00 X X 0 0 0 RICK SCHINLER TERM END 2016 TREASURER 1.00 X X 0 0 0 LINDA MIRKES TERM END 2017 DIRECTOR 1.00 X 0 0 0 JOHN HAGINS PRESIDENT/CEO 40.00 X X 252220 0 32000 TANIA ERDMANN TERM END 2017 DIRECTOR 1.00 X 0 0 0 JANE METKO TERM END 2018 DIRECTOR 1.00 X 0 0 0 LORI GLYNN DIRECTOR OF FINANCE 40.00 X 106009 0 26610 TODD STRAUS MD MEDICAL DIRECTOR 40.00 X 221229 0 23397 MATT MCCARTER V.P.CUSTOMER RELATIONS AND 40.00 X 153800 0 29324 LAURIE DENNEE V.P. HUMAN RESOURCES 40.00 X 112614 0 26943 845872 0 138274 5 0 1 0 KELLER INC PO BOX 620 KAUKAUNA WI 541300620 2ND FLOOR REMODEL 327992 HAEMONETICS 4925 ROBERT J MATHEWS PKWY STE 100 ELDORADO HILLS CA 09576 COMPUTER MAINTENANCE 297566 FEDEX PO BOX 94515 PALATINE IL 600944515 COURIER SERVICES 133836 3 37884 37884 RED BLOOD CELLS 621500 8926771 8926771 APHERESIS PROCEDURES 621500 5156460 5156460 RECOVERED PLASMA 621500 1282213 1282213 COMPONENTS 621500 952921 952921 BONE MARROW 621500 102547 102547 557801 557801 16978713 556358 556358 150 0 150 150 150 17573105 16978713 0 556508 21500 21500 661465 661465 5911036 4738062 1172974 270829 214688 56141 954141 719706 234435 507354 381644 125710 7173 7173 78878 78878 13085 13085 151884 101848 50036 135726 116050 19676 149536 123064 26472 329213 326671 2542 181944 138116 43828 265119 238209 26910 43262 31767 11495 7929 7929 573774 365446 208328 222404 185615 36789 SUPPLIES AND PURCHASED 2679024 2679024 TESTING 2135194 2135194 REPAIRS AND MAINTENANCE 527688 423922 103766 SHIPPING AND HANDLING 295746 295746 360394 354921 5473 16484298 13591193 2893105 0 630232 1217224 2118406 2038494 404918 281693 245952 251980 12557302 4420049 7784663 8137253 14534987 14113123 523668 559165 108214 103387 26351040 26702319 1117648 1042464 858046 683026 1975694 1725490 X 24375346 24976829 24375346 24976829 26351040 26702319 X 1088807 -488180 856 X 0 1 X 1 0 X 72516 68024 11647 7842 37884 197913 15649916 17152863 16616013 17009686 16978713 83407191 15722432 17220887 16627660 17017528 17016597 83605104 0 0 0 83605104 176478 264075 487807 350294 556358 1835012 176478 264075 487807 350294 556358 1835012 17 17 15898927 17484962 17115467 17367822 17572955 85440133 0.97850 0.98260 0.02150 0.01740 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 108214 -3191 1636 103387 105743 4112 1641 108214 92020 15234 1511 105743 84257 9160 1397 92020 86035 -52 1726 84257 1.00000 1 0 681582 681582 7377907 1685258 5692649 123605 67811 55794 3120626 1732696 1387930 1253582 934284 319298 8137253 17072696 -488180 -12229 -500409 17573105 0 17573105 16471213 0 16471213 13085 13085 16484298 PART V, LINE 4: TO SUPPORT THE MISSION OF THE ORGANIZATION. PART XI, LINE 2D - OTHER ADJUSTMENTS: RECOVERY OF RESTITUTION INVESTMENT FEES PART XII, LINE 4B - OTHER ADJUSTMENTS: INVESTMENT FEES 1 SCHOLARSHIPS 27 21500 PART I, LINE 2: COMMUNITY BLOOD CENTER AWARDS SCHOLARSHIPS TO HIGH SCHOOL STUDENTS FOR POST HIGH SCHOOL EDUCATION. THE AMOUNT OF SCHOLARSHIP FOR EACH HIGH SCHOOL IN TOTAL IS DETERMINED BASED ON THE NUMBER OF DONOR BLOOD COLLECTIONS EACH YEAR AT EACH HIGH SCHOOL. THE HIGH SCHOOL DETERMINES THE SELECTION OF THE STUDENTS TO RECEIVE THE SCHOLARSHIPS AND THE AMOUNT EACH STUDENT RECEIVES. THE BLOOD CENTER PAYS THE SCHOLARSHIP DIRECTLY TO THE COLLEGE/UNIVERSITY/TECHNICAL COLLEGE ONCE DOCUMENTATION OF ENROLLED STATUS IS RECEIVED. X X X 0 0 0 0 0 0 0 0 0 JOHN HAGINS PRESIDENT/CEO 252220 0 0 0 0 0 12383 0 19617 0 284220 0 0 0 TODD STRAUS MD MEDICAL DIRECTOR 221229 0 0 0 0 0 10116 0 13281 0 244626 0 0 0 MATT MCCARTER V.P.CUSTOMER RELATIONS AND 153800 0 0 0 0 0 9851 0 19473 0 183124 0 0 0 PART I, LINE 3 ANNUALLY THE DIRECTOR OF HUMAN RESOURCES PROVIDES THE BOARD WITH INDEPENDENT, COMPARABLE DATA TO USE TO MAKE ANY CHANGES TO THE PRESIDENT/CEO'S COMPENSATION. THE BOARD APPROVES ANY CHANGES TO THE PRESIDENT/CEO'S COMPENSATION. A VILLAGE OF LITTLE CHUTE WISCONSIN 396006304 2009-01-06 3500000 THE RAZING OF BUILDING, IMPROVEMENTS TO BUILDING, AND PURCHASE OF EQUIPMENT 0 0 0 A 1210555 1893581 1893581 2009 0 0 1 1 A 0 0 0 0 0 0 0 A 0 0 0 0 0 0 0 0 0 A 0 SCHEDULE K BOND PROCEEDS ARE LESS THAN TOTAL BOND ISSUE BECAUSE CAPITAL EXPENDITURE NEEDS WAS LESS THAN $3.5 MILLION. FORM 990, PART VI, SECTION B, LINE 11 THE BOARD MEMBERS REVIEW AND APPROVE THE FORM 990 BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY EACH MEMBER OF THE BOARD OF DIRECTORS IS PROVIDED A CONFLICT OF INTEREST QUESTIONAIRE AND ARE REQUIRED TO COMPLETE AND SUBMIT. KEY EMPLOYEES ARE NOT REQUIRED TO SUBMIT A CONFLICT OF INTEREST QUESTIONAIRE. FORM 990, PART VI, SECTION B, LINE 15 ANNUALLY THE DIRECTOR OF HUMAN RESOURCES PROVIDES THE BOARD WITH INDEPENDENT, COMPARABLE DATA TO USE TO MAKE ANY CHANGES TO THE PRESIDENT/CEO'S COMPENSATION. ANNUALLY THE DIRECTOR OF HUMAN RESOURCES DOES A REVIEW OF OUR WAGE RANGES COMPARING THEM TO EXTERNAL SURVEYS AND OTHER DATA TO MAKE SURE WE ARE COMPETITIVE. THIS INFORMATION IS USED TO DETERMINE CHANGES IN KEY EMPLOYEE'S COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS, INCLUDING GOVERNING, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS, ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: RECOVERY OF RESTITUTION 856.