2016-04-13T09:35:29-05:00 2015-05-31 410746749 CLIFTONLARSONALLEN LLP 220 SOUTH SIXTH STREET SUITE 300 MINNEAPOLIS MN 55402 990 2014-06-01 410693869 INNOVATIVE BLOOD RESOURCES INNO 6513327000 737 PELHAM BOULEVARD ST PAUL MN 551141739 JEFFREY D ALLEN COO AND CFO 6513327000 2016-04-07 1 JOHN TAUER P00294068 6123764500 2014 2016-08-17 19:52:53Z DONALD C BERGLUND 737 PELHAM BOULEVARD ST PAUL MN 551141739 58247462 0 X WWW.INNOVATIVEBLOODRESOURCES.ORG X 1947 MN SAVING LIVES BY PROVIDING BLOOD AND BIOMEDICAL SERVICES. 12 12 584 96000 0 0 9394038 479556 53006759 53049280 91919 155153 460187 626848 62952903 54310837 0 0 0 0 24941502 26129985 0 0 303227 28650524 28813572 53592026 54943557 9360877 -632720 43183688 43015738 8558165 9065986 34625523 33949752 X SAVING LIVES BY PROVIDING BLOOD AND BIOMEDICAL SERVICES. THROUGH EFFECTIVE OUTREACH TO DONORS, CONTINUAL DEVELOPMENT OF BIOMEDICAL EXPERTISE, AND BRAND-BUILDING PARTNERSHIPS WITH BLOOD DRIVE SPONSORS, HEALTH CARE FACILITIES, AND GLOBAL MEDICAL PROVIDERS, INNOVATIVE BLOOD RESOURCES CONNECTS THOSE WHO NEED BLOOD WITH THOSE GENEROUS VOLUNTEERS WHO GIVE, AND DELIVERS THE HIGHEST LEVEL OF TECHNICAL EXPERTISE AND LABORATORY TESTING SERVICES TO CUSTOMERS AROUND THE WORLD. 0 0 46383901 0 53049280 INNOVATIVE BLOOD RESOURCES IS A NONPROFIT COMMUNITY BLOOD CENTER THAT SERVES AS THE MAJOR SUPPLIER OF BLOOD AND BLOOD COMPONENTS TO 50 HOSPITALS IN THE TWIN CITIES METRO AREA, NORTHERN MINNESOTA, NORTHWESTERN WISCONSIN, AND NEBRASKA. INNOVATIVE BLOOD RESOURCES IS A LEADER IN TRANSFUSION MEDICINE, PROVIDING EXPERT TECHNICAL SERVICES TO CLIENTS THROUGHOUT THE COUNTRY. AMONG THE SERVICES INNOVATIVE BLOOD RESOURCES PROVIDES ARE CONSULTING, REFERENCE LABORATORY WORK, VIROLOGY TESTING, RESEARCH, AND ORGAN AND MARROW TRANSPLANTATION SUPPORT. 46383901 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 33 0 584 1 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MN WI X JEFFREY D ALLEN CHIEF OPERATING O 6513327000 737 PELHAM BOULEVARD ST PAUL MN 551141739 ANDREW J DETLEFSEN CHAIRMAN 1.00 X X 0 0 0 THOMAS F HEANEY VICE CHAIR 1.00 X X 0 0 0 THOMAS E BECKER MD SECRETARY - TREASURER 1.00 X X 0 0 0 SCOTT BECKER DIRECTOR 1.00 X 0 0 0 PATRICK COURNEYA MD DIRECTOR 1.00 X 0 0 0 MATTHEW DOKKEN DIRECTOR 1.00 X 0 0 0 JAMES DOWIAK DIRECTOR 1.00 X 0 0 0 TIMOTHY KUCK DIRECTOR 1.00 X 0 0 0 DEREK LESTER MD DIRECTOR 1.00 X 0 0 0 SCOTT LYNCH DIRECTOR 1.00 X 0 0 0 PHILLIP MARTIN DIRECTOR 1.00 X 0 0 0 ARTHUR MOLNAR MD DIRECTOR 1.00 X 0 0 0 LAURA REDOUTEY DIRECTOR 1.00 X 0 0 0 PAUL TORGERSON DIRECTOR 1.00 X 0 0 0 DONALD C BERGLUND CEO 40.00 X 378013 0 32401 JOHN M BUSKE VP OF FINANCE & BUSINESS A 40.00 X 224545 0 9281 JED B GORLIN MD VP OF MED & QUALITY AFFAIRS 40.00 X 331771 0 39104 KRISTINE A BELANGER VP OF DONOR SERVICES 40.00 X 149025 0 6852 ELLEN C DISALVO PRESIDENT NCBB DIVISION 40.00 X 147907 0 14565 MARK A JANZEN VP OF LABORATORY SERVICES 40.00 X 123080 0 28061 ELIZABETH H PERRY MD ASSOC. MEDICAL DIRECTOR 40.00 X 218500 0 23517 JUDITH A PETERSEN VP OF CLIENT SERVICES 40.00 X 177277 0 24801 1750118 0 178582 12 0 1 0 MCGOUGH FACILITY MANAGEMENT 2737 FAIRVIEW AVENUE NORTH ST PAUL MN 55113 FACILITIES COSTS 754063 FEDERAL EXPRESS CORPORATION PO BOX 94515 PALATINE IL 600944515 COURIER SERVICES 485054 MIDNIGHT EXPRESS 26305 NETWORK PLACE CHICAGO IL 606731260 COURIER SERVICES 291768 HYBRID COURIER 29870 HAILEYS COURT CEDAR MN 55013 COURIER SERVICES 240993 LABORATORY CORPORATION OF AMERICA PO BOX 12140 BURLINGTON NC 272162140 TESTING SERVICES 140029 7 90265 389291 20172 479556 SERVICE FEE - UNIT 621500 39794645 39794645 LABORATORY SERVICES 621500 9465639 9465639 PLASMA AND ANTISERUM 621500 3201873 3201873 RESEARCH PROJECTS 621500 513485 513485 TRANSPORTATION 621500 68980 68980 4658 4658 53049280 67752 67752 2438799 1503459 2384942 1469915 53857 33544 87401 87401 31033 90265 81768 -50735 -50735 MISCELLANEOUS 900099 677583 677583 677583 54310837 53049280 0 782001 935091 231966 703125 19562519 16350255 3030203 182061 427956 348081 78170 1705 3816389 2735143 1058988 22258 1388030 1107341 275543 5146 41964 41964 75730 75730 45482 45482 736919 237000 499919 184559 167050 17509 1958309 1673031 285115 163 749665 568523 181142 1812213 1177379 628117 6717 826273 720423 105094 756 187891 3023 130965 53903 314202 265846 45025 3331 2521973 2333378 185018 3577 252965 111091 141874 REAGENTS 10390231 10390231 MEDICAL SUPPLIES 6394693 6380530 14163 EQUIP RENTAL/MAINT 1277050 1149593 127457 DONOR/EMPL RECOGNITION 613205 517849 95356 430248 83218 340929 6101 54943557 46383901 8256429 303227 7704161 7426378 7084592 7219502 1365033 1457127 410278 873389 32690021 16277545 17962235 16412476 7463922 8420778 1085431 1197784 107952 8304 84 0 43183688 43015738 5434028 5338092 13800 0 2435841 2112442 526183 1541073 103362 27755 44951 46624 8558165 9065986 X 34510729 33782124 114794 167628 34625523 33949752 43183688 43015738 X -632720 7528 -50579 X 0 1 X 1 0 X 462287 512135 432545 9394038 479556 11280561 47857318 51648585 50235525 53044642 53080313 255866383 48319605 52160720 50668070 62438680 53559869 267146944 13570 12445 8337 4278 4245 42875 25028021 27789998 27803853 24954937 15138856 120715665 25041591 27802443 27812190 24959215 15143101 120758540 146388404 12692 21959 28567 21610 67752 152580 12692 21959 28567 21610 67752 152580 765888 486745 417017 532198 677583 2879431 49098185 52669424 51113654 62992488 54305204 270178955 0.54180 0.49930 0.00060 0.00030 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2288888 2288888 14987418 5860875 9126543 2067142 1734061 333081 13274835 8682609 4592226 71738 71738 16412476 ASSET RETIREMENT OBLIGATION 46624 46624 X 54061345 7528 61596 69124 53992221 318616 318616 54310837 54690952 61596 61596 54629356 314201 314201 54943557 PART X, LINE 2: INNOVATIVE BLOOD RESOURCES AND NEBRASKA COMMUNITY BLOOD BANK ARE NONPROFIT ORGANIZATIONS AND EXEMPT, AS A PUBLIC CHARITY, FROM TAXATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND APPLICABLE STATE STATUTES. INNOVATIVE BLOOD RESOURCES FOLLOWS THE ACCOUNTING STANDARDS FOR CONTINGENCIES IN EVALUATING UNCERTAIN TAX POSITIONS. THIS GUIDANCE PRESCRIBES RECOGNITION THRESHOLD PRINCIPLES FOR THE FINANCIAL STATEMENT RECOGNITION OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN THAT ARE NOT CERTAIN TO BE REALIZED. INNOVATIVE BLOOD RESOURCES' TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL AND STATE AUTHORITIES. PART XI, LINE 2D - OTHER ADJUSTMENTS: SPECIAL FUNDRAISING EVENT EXPENSES 61,596. PART XI, LINE 4B - OTHER ADJUSTMENTS: INVESTMENT INCOME 129,137. IN-KIND CONTRIBUTIONS 55,780. DEBT FORGIVENESS 100,155. GAIN ON SALE OF FIXED ASSETS 33,544. PART XII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL FUNDRAISING EVENT EXPENSES 61,596. PART XII, LINE 4B - OTHER ADJUSTMENTS: INTEREST EXPENSE 314,201. WHAT'S YOUR TYPE METRO 121298 90265 31033 24536 13277 12434 2500 29021 121298 90265 31033 24536 13277 12434 2500 29021 81768 -50735 X X X X X X 0 1 0 0 0 0 0 0 0 DONALD C BERGLUND CEO 339985 0 27464 0 10564 0 10400 0 22001 0 410414 0 0 0 JOHN M BUSKE VP OF FINANCE & BUSINESS A 200669 0 14285 0 9591 0 7622 0 1659 0 233826 0 0 0 JED B GORLIN MD VP OF MED & QUALITY AFFAIRS 290844 0 21105 0 19822 0 10400 0 28704 0 370875 0 0 0 KRISTINE A BELANGER VP OF DONOR SERVICES 137844 0 10815 0 366 0 5499 0 1353 0 155877 0 0 0 ELLEN C DISALVO PRESIDENT NCBB DIVISION 137282 0 8292 0 2333 0 5512 0 9053 0 162472 0 0 0 MARK A JANZEN VP OF LABORATORY SERVICES 117208 0 5540 0 332 0 4904 0 23157 0 151141 0 0 0 ELIZABETH H PERRY MD ASSOC. MEDICAL DIRECTOR 208082 0 7946 0 2472 0 4674 0 18843 0 242017 0 0 0 JUDITH A PETERSEN VP OF CLIENT SERVICES 166789 0 8441 0 2047 0 6505 0 18296 0 202078 0 0 0 PART I, LINE 4B INNOVATIVE BLOOD RESOURCES HAS IN PLACE A 457(F) PLAN WHICH DOES COVER VARIOUS INDIVIDUALS OF MANAGEMENT. IN 2015, INVOLVEMENT IN THE PLAN OCCURED AS FOLLOWS: NAME CONTRIBUTIONS WITHDRAWALS DONALD C. BERGLUND $72,415 $ 0 JOHN M. BUSKE $32,125 $ 0 JED B. GORLIN, MD $50,007 $ 0 JUDITH A. PETERSON $17,963 $ 7,217 KRISTINE BELANGER $ 9,427 $ 0 MARK JANZEN $ 8,705 $ 0 ELLEN DISALVO $ 9,639 $ 0 A PORT AUTHORITY OF THE CITY OF ST PAUL MN 416005524 584991AC7 2005-11-08 4500000 BUILDING ACQUISITION & RENOVATION 737 PELHAM BLVD, ST. PAUL, MN 0 0 0 A 2387558 4500000 30000 4500000 2005 0 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 A 0 0 1 0 0 0 0 0 0 A 0 FORM 990, PART VI, SECTION A, LINE 1 THE EXECUTIVE COMMITTEE IS COMPOSED OF THE CHAIR, VICE CHAIR, SECRETARY, TREASURER AND OTHER DIRECTOR(S) DESIGNATED BY THE BOARD OF DIRECTORS TO SERVE ON THE EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE HAS THE AUTHORITY OF THE BOARD OF DIRECTORS IN THE MANAGEMENT OF THE BUSINESS OF THE ORGANIZATION BETWEEN MEETINGS OF THE BOARD OF DIRECTORS, MONITORS THE ACTIVITIES OF THE STANDING COMMITTEES OF THE CORPORATION AND ASSISTS IN IMPROVING PROCESSES WHERE APPROPRIATE, AND AT ALL TIMES IS SUBJECT TO THE CONTROL AND DIRECTION OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 WILL BE REVIEWED AND APPROVED BY THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS. ONCE APPROVED BY THE FINANCE COMMITTEE, THE FORM 990 IS SHARED WITH THE BOARD OF DIRECTORS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C DIRECTORS AND OFFICERS MUST DISCLOSE ALL CONFLICTS OF INTEREST AND MUST ANNUALLY COMPLETE AND RETURN TO THE NOMINATING AND GOVERNANCE COMMITTEE THE QUESTIONNAIRE WHICH IS A PART OF THE ORGANIZATION'S CONFLICT OF INTEREST POLICY. WHENEVER IN THE COURSE OF EVENTS A DIRECTOR'S OR OFFICER'S CIRCUMSTANCES CHANGE, SO THAT HE OR SHE KNOWS OR HAS REASON TO KNOW THAT AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST MAY ARISE, SUCH DIRECTOR OR OFFICER SHALL PROMPTLY DISCLOSE THE POTENTIAL CONFLICT TO THE NOMINATING AND GOVERNANCE COMMITTEE. THE DIRECTOR OR OFFICER SHALL NOT PARTICIPATE IN, TAKE ANY ACTION UPON, OR VOTE UPON SUCH MATTERS UNTIL THE QUESTION OF THE EXISTENCE OF THE CONFLICT OF INTEREST HAS BEEN DETERMINED BY THE NOMINATING AND GOVERNANCE COMMITTEE. WHEN A CONFLICT OF INTEREST DOES IN FACT EXIST UNDER THE DEFINITION SET FORTH ABOVE, THE PERSON WITH THE CONFLICT OF INTEREST SHALL NOT BE COUNTED FOR DETERMINING THE PRESENCE OF A QUORUM, EVEN WHEN PERMITTED BY LAW AND SHALL NOT PARTICIPATE IN ANY WAY IN, OR BE PRESENT DURING, THE DELIBERATIONS AND DECISION-MAKING VOTE WITH RESPECT TO THE MATTER. NEVERTHELESS, THE INTERESTED PARTY SHALL HAVE AN OPPORTUNITY TO PROVIDE FACTUAL INFORMATION ABOUT THE MATTER. THE MINUTES OF THE MEETING SHOULD REFLECT THAT THE DIRECTOR OR OFFICER HAVING A CONFLICT DISCLOSED SUCH INTEREST AND ABSTAINED VOTING ON THE MATTER AND THAT A QUORUM WAS PRESENT FOR SUCH ACTION. FORM 990, PART VI, SECTION B, LINE 15 THE HUMAN RESOURCES COMMITTEE OF THE BOARD OF DIRECTORS, COMPOSED ENTIRELY OF INDEPENDENT PERSONS, OVERSEES EXECUTIVE COMPENSATION AND, IN DOING SO, RETAINS AN EXTERNAL PARTY TO CONDUCT AN INDEPENDENT MARKET SURVEY ON A REGULAR BASIS (EVERY 2 - 3 YEARS). THE PROCESS INCLUDED REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA AND CONTEMPORANEOUS SUBSTANTIATION IN 2015 FOR THE CEO, D. BERGLUND; COO/CFO, J. ALLEN; VP OF MEDICAL & QUALITY AFFAIRS, J. GORLIN; VP OF CLIENT SERVICES, J. PETERSEN; AND ASSOCIATE MEDICAL DIRECTOR, E. PERRY. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY OR FINANCIAL STATEMENTS OPEN TO THE PUBLIC. FORM 990, PART XI, LINE 9: LOSS ON IMPAIRMENT OF FIXED ASSETS -50,579.