2013-11-14T16:15:06-06:00 2013-06-30 910189318 MOSS ADAMS LLP 999 THIRD AVENUE SUITE 2800 SEATTLE WA 98104 990 2012-07-01 911019655 PUGET SOUND BLOOD CENTER AND PROGRAM PUGE 2062926500 921 TERRY AVENUE SEATTLE WA 981041256 ROBERT GLEASON 2062926500 2013-11-14 1 WENDY CAMPOS P00448102 2063026500 2012 2016-02-24 21:20:13Z DR JAMES AUBUCHON 921 TERRY AVENUE SEATTLE WA 981041256 185003464 0 X WWW.PSBC.ORG X 1944 WA SAVING LIVES THROUGH RESEARCH, INNOVATION, EDUCATION AND EXCELLENCE IN BLOOD, MEDICAL AND LABORATORY SERVICES IN PARTNERSHIP WITH OUR COMMUNITY. 21 20 1048 1964 0 0 6913549 1609433 150260881 147588876 1766054 2249485 360098 713464 159300582 152161258 551778 322557 0 0 68001306 64312361 0 0 840468 90849223 90409892 159402307 155044810 -101725 -2883552 123331145 129109846 46223205 54367061 77107940 74742785 SAVING LIVES THROUGH RESEARCH, INNOVATION, EDUCATION AND EXCELLENCE IN BLOOD, MEDICAL AND LABORATORY SERVICES IN PARTNERSHIP WITH OUR COMMUNITY. 0 0 125678740 67785 140342130 COLLECTED, TESTED, PROCESSED AND FRACTIONATED DONATED BLOOD AND COMPONENTS INTO PRODUCTS (WHOLE BLOOD, RED CELLS, PLATELETS, PLASMA AND CRYOPRECIPITATE) FOR STORAGE, DELIVERY AND USE PRIMARILY BY MORE THAN 70 HOSPITALS IN 15 COUNTIES IN WESTERN WASHINGTON. 12895355 254772 7245654 RESEARCH INSTITUTE COMPRISES 40 SCIENTISTS AND INVESTIGATIVE TEAMS WHO ARE RECOGNIZED WORLDWIDE FOR BREAKTHROUGHS IN TRANSFUSION MEDICINE, BLOOD STORAGE, CANCER THERAPIES, TREATMENT OF CLOTTING DISORDERS INCLUDING HEMOPHILIA, TRANSPLANTATION MEDICINE, BLOOD DISORDERS LIKE SICKLE CELL DISEASE, AND THROMBOSIS DIAGNOSIS AND PREVENTION. 138574095 1 1 0 0 0 0 0 0 0 1 1 1 0 0 0 1 1 0 0 0 1 1 0 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 127 0 1 1048 1 0 0 0 0 0 1 1 0 0 0 0 X 21 20 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 0 WA X ROBERT GLEASON 2062921881 921 TERRY AVENUE SEATTLE WA 981041256 NANCY SCLATER 1.00 X X 0 0 0 A KENT FISHER 1.00 X 0 0 0 ADRIANO SAVOJNI 1.00 X 0 0 0 DAVID H KOSLOFF 1.00 X 0 0 0 ERIC MENDELSOHN 1.00 X 0 0 0 JANE A GROSS 1.00 X 0 0 0 KATERIE CHAPMAN 1.00 X 0 0 0 MOHIT KATHURIA 1.00 X 0 0 0 PENELOPE J LIE 1.00 X 0 0 0 STEVE NICHOLES 1.00 X 0 0 0 WILLIAM C PARKS 1.00 X 0 0 0 ALAN W SCHULKIN 1.00 X 0 0 0 FREDERICK APPELBAUM 1.00 X 0 0 0 DR WILLIAM HAMMOND 1.00 X 0 0 0 DR MEREDITH MATHEWS 1.00 X 0 0 0 DEBORAH MILTER 1.00 X 0 0 0 MARK QUEHRN 1.00 X 0 0 0 ROBERT WALLACE 1.00 X 0 0 0 GLENN WISEGARVER 1.00 X 0 0 0 VICTOR COLLYMORE 1.00 X 0 0 0 DR JAMES P AUBUCHON 40.00 X X 493886 0 124506 ROBERT GLEASON 40.00 X 206099 0 34861 ALEXA ZEPEDA 40.00 X 76745 0 16241 DAVID C FENNELL 40.00 X 302636 0 23280 DR JOSE A LOPEZ 40.00 X 312037 0 29505 DR THOMAS H PRICE 40.00 X 471256 0 41482 JAMES G GORE 40.00 X 236142 0 21712 MARIA ELENA GEYER 40.00 X 251810 0 35024 DR NEIL C JOSEPHSON 40.00 X 210058 0 26736 SALLY J SULLIVAN 40.00 X 180491 0 26387 SANDRA E LINAUTS 40.00 X 193172 0 30450 DR THERESA A NESTER 40.00 X 215780 0 40142 KARYN L DENTON 40.00 X 154704 0 20108 DR BARBARA A KONKLE 40.00 X 268363 0 22104 DR SHERRILL J SLICHTER 40.00 X 294031 0 36554 DR THERESA GERNSHEIMER 40.00 X 261818 0 38234 DR JAMES C ZIMRING 40.00 X 240555 0 9850 LYNN C CRAIG 40.00 X 227792 0 31786 4597375 0 608962 55 0 1 0 BN BUILDERS INC 2601 4TH AVE SEATTLE WA 98121 CONSTRUCTION SERVICES 811942 POINT B INC PO BOX 749711 LOS ANGELES CA 900749711 CONSULTING SERVICES 577568 BLOOD BANK COMPUTER SYSTEMS 1002 15TH ST SUITE 120 AUBURN WA 98001 COMPUTER CONSULTING SERVICES 503448 AMERICAN ASSOCIATION OF BLOOD BANKS 8101 GLENBROOK ROAD BETHESDA MD 20814 CONSULTING SERVICES 469913 FEDERAL EXPRESS CORP PO BOX 94515 PALATINE IL 600944515 POSTAL SERVICES 411849 18 8849 245514 1355070 104111 1609433 SERVICE FEES 541900 93024640 93024640 BLOOD DERIVATIVES 339110 45245153 45245153 RESEARCH REVENUE 541700 7245654 7245654 MISCELLANEOUS INCOME 900099 1530177 1530177 DELIVERY FEES 480000 543252 543252 147588876 1348771 1348771 1226060 761599 464461 464461 464461 32749379 3850 31810643 41872 938736 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3408409 50172975 INVESTMENT IN BCA 350000 C INVESTMENT IN CTS 9000000 C 9350000 X 153039352 224607 224607 152814745 281260 -934747 -653487 152161258 155404507 640957 640957 154763550 281260 281260 155044810 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: INTENDED USE OF ENDOWMENT FUND EARNINGS IS FOR MEDICAL RESEARCH AS WELL AS AN ANNUAL LECTURE SERIES. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: PSBC IS EXEMPT FROM FEDERAL INCOME TAX AS AN ENTITY DESCRIBED IN INTERNAL REVENUE CODE (IRC) SECTION 501(C)(3) EXCEPT TO THE EXTENT OF UNRELATED BUSINESS TAXABLE INCOME AS DEFINED UNDER IRC SECTIONS 511 THROUGH 515. PSBC DID NOT INCUR UNRELATED BUSINESS INCOME TAX FOR THE YEAR ENDED JUNE 30, 2013. ACCORDINGLY, NO PROVISION HAS BEEN MADE FOR FEDERAL INCOME TAX IN THE ACCOMPANYING FINANCIAL STATEMENTS. PSBC FOLLOWS THE PROVISIONS OF AUTHORITATIVE GUIDANCE RELATING TO ACCOUNTING FOR UNCERTAIN TAX POSITIONS. PSBC RECOGNIZES THE TAX BENEFIT FROM UNCERTAIN TAX POSITIONS ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITIONS WILL BE SUSTAINED ON EXAMINATION BY THE TAX AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFIT IS MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. PSBC RECOGNIZES INTEREST AND PENALTIES RELATED TO INCOME TAX MATTERS IN INCOME TAX EXPENSE. AS OF JUNE 30, 2013, PSBC IS UNAWARE OF ANY UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL. PSBC IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY TAXING AUTHORITIES FOR YEARS BEFORE 2009 FOR ITS FEDERAL AND STATE TAX FILINGS. PART XI, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING FEES NETTED WITH FUNDRAISING REVENUE -172,056. RENTAL EXPENSES NETTED WITH RENTAL REVENUE -761,599. JOINT VENTURE INVESTMENT -1,092. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING FEES NETTED WITH FUNDRAISING REVENUE 172,056. RENTAL EXPENSES NETTED WITH RENTAL REVENUE 761,599. UNREALIZED GAIN OR LOSS ON SWAPS/SERP -292,698. 1 NORTH AMERICA 0 0 GRANTS TO RECIPIENTS LOCATED IN REGION 44804 0 0 0 0 0 0 44804 0 44804 NORTH AMERICA CLINICAL TRIAL 44804 CHECK PAYMENT 1 0 0 0 0 0 0 0 PROCEDURE FOR MONITORING GRANTS OUTSIDE THE U.S.: SCHEDULE F, PART I, LINE 2: PROCEDURES FOR MONITORING THE USE OF GRANTS AND OTHER ASSISTANCE OUTSIDE THE UNITED STATES INCLUDE REVIEW OF THE SUBRECIPIENT'S FINANCIAL AUDIT AND FOLLOW UP, IF NEEDED, ON ANY FINDINGS. ADDITIONALLY, THERE IS A PROCESS TO REVIEW GENERAL LEDGERS AND WORK CLOSELY WITH THE FINANCIAL DEPARTMENT OF THE SUBRECIPIENT TO ENSURE THAT EXPENSES, INCLUDING SALARY EFFORTS, ARE REASONABLE, PRUDENT, WITHIN THE TERMS OF THE AFREEMENT AND COMPLIANT WITH FEDERAL GUIDELINES. FACES FOR LIFE 415941 145336 270605 56036 59435 40492 GOLF GETS IN YOUR BLOOD 216752 62075 154677 26200 17893 18546 2 91008 38103 52905 3187 1680 4623 723701 245514 478187 56036 29387 79008 63661 228092 250095 1 THE UNIVERSITY OF WASHINGTON 4333 BROOKLYN AVE NE SEATTLE WA 98195 916001537 501(C)(3) 33491 BLOOD RESEARCH SWEDISH RESEARCH INSTITUTE 500 17TH AVE CHERRY HILL PROFESSION L BLDG SUITE 303 SEATTLE WA 98122 910433740 501(C)(3) 120382 BLOOD RESEARCH FRED HUTCHINSON CANCER RESEARCH CENTER 1100 FAIRVIEW AVE N SEATTLE WA 98109 237156071 501(C)(3) 20320 BLOOD RESEARCH BLEEDING DISORDER FOUNDATION OF WA 8659 FIRDALE AVE NORTH EDMONDS WA 98020 916068857 501(C)(3) 67785 BLOOD RESEARCH 4 0 RESEARCH PARTICIPANTS FOR BLOOD STUDIES 53 34891 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: MONITORING/REVIEW/PROCEDURES: PRIOR TO ISSUING A SUBAWARD, PSBC REVIEWS THE ENTITY ON WWW.SAM.GOV FOR DEBARMENT OR SUSPENSION FROM RECEIVING FEDERAL FUNDS AND CONFIRMS THE CCR STANDING OF THE ENTITY. GRANT AND CONTRACTS SPECIALIST REVIEWS THIS INFORMATION ANNUALLY. IN ADDITION, PSBC RECEIVES AND REVIEWS THE ANNUAL OMB A-133 AUDIT FOR OUR SUBRECIPIENTS AND ADDRESSES ANY FINDINGS FROM THE AUDIT. THE SUBAWARD IDENTIFIES THE MAXIMUM AMOUNT OF AWARD AND PSBC STAFF VERIFIES THAT THE PAYMENTS DO NOT EXCEED THIS AMOUNT. SUBRECIPIENTS ARE SELECTED BASED ON THE NEEDS OF THE AWARD AND WHICH ORGANIZATION IS ABLE TO BEST PARTNER WITH THE PRINCIPAL INVESTIGATOR. X X 1 1 X X X X 1 1 0 0 0 0 0 1 0 DR JAMES P AUBUCHON 491414 0 0 0 2472 0 108500 0 16006 0 618392 0 0 0 ROBERT GLEASON 204179 0 0 0 1920 0 15153 0 19708 0 240960 0 0 0 DAVID C FENNELL 300164 0 0 0 2472 0 12500 0 10780 0 325916 0 0 0 DR JOSE A LOPEZ 310417 0 0 0 1620 0 17500 0 12005 0 341542 0 0 0 DR THOMAS H PRICE 266396 0 0 0 204860 0 25000 0 16482 0 512738 0 0 0 JAMES G GORE 203670 0 30000 0 2472 0 11808 0 9904 0 257854 0 0 0 MARIA ELENA GEYER 71170 0 0 0 180640 0 25000 0 10024 0 286834 0 0 0 DR NEIL C JOSEPHSON 208918 0 0 0 1140 0 15398 0 11338 0 236794 0 0 0 SALLY J SULLIVAN 179603 0 0 0 888 0 18052 0 8335 0 206878 0 0 0 SANDRA E LINAUTS 191252 0 0 0 1920 0 19480 0 10970 0 223622 0 0 0 DR THERESA A NESTER 214532 0 0 0 1248 0 22478 0 17664 0 255922 0 0 0 KARYN L DENTON 153084 0 0 0 1620 0 7894 0 12214 0 174812 0 0 0 DR BARBARA A KONKLE 266443 0 0 0 1920 0 12500 0 9604 0 290467 0 0 0 DR SHERRILL J SLICHTER 288799 0 0 0 5232 0 25000 0 11554 0 330585 0 0 0 DR THERESA GERNSHEIMER 260198 0 0 0 1620 0 25000 0 13234 0 300052 0 0 0 DR JAMES C ZIMRING 213916 0 0 0 26639 0 0 0 9850 0 250405 0 0 0 LYNN C CRAIG 64110 0 0 0 163682 0 22880 0 8906 0 259578 0 0 0 PART I, LINE 1A FIRST CLASS TRAVEL IS PROVIDED TO THE PRESIDENT UNDER VERY SPECIFIC AND APPROVED CIRCUMSTANCES. SOCIAL CLUB DUES WERE PROVIDED FOR THE PRESIDENT. SOCIAL CLUBS ARE USED FOR BUSINESS RELATED MEETINGS. PART I, LINES 4A-B SCHEDULE I, PART I, LINE 4A: THE FOLLOWING INDIVIDUALS RECEIVED ONE-TIME TOTAL SEVERENCE PAYMENTS DURING THE YEAR: MARIA ELENA GEYER: $180,000.00 DR. THOMAS PRICE: $200,000.00 LYNN CRAIG: $163,202.00 MARIA ELENA GEYER'S SEVERANCE PAYMENT WAS PAID IN THE FISCAL YEAR ENDING 6/30/2012. AS SUCH IT WAS REPORTED ON THE ORGANIZATION'S 2011 FORM 990, SCHEDULE J. IT IS BEING DISCLOSED AGAIN AS IT IS INCLUDED IN HER COMPENSATION REPORTED IN PART II WHICH IS REPORTED ON A CALENDAR YEAR END BASIS. SCHEDULE I, PART I, LINE 4B: PUGET SOUND BLOOD CENTER HAS A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ESTABLISHED TO PROVIDE ADDITIONAL RETIREMENT COMPENSATION TO DR. JAMES AUBUCHON, PRESIDENT AND CEO. AMOUNTS ARE ACCRUED ON AN ANNUAL BASIS, WITH A CORRESPONDING LIABILITY RECORDED IN THE FINANCIAL STATEMENTS. FOR THE CURRENT YEAR, $96,000 WAS ACCRUED. PART I, LINE 7 NON-QUALIFIED, TAXABLE MOVING EXPENSES WERE PAID TO DR. JAMES ZIMRING IN THE AMOUNT OF $26,187. A WA ECONOMIC DEVELOPMENT FINANCE AUTHORITY 911493002 939758CW6 2008-08-14 27625000 PURCHASE AND RENOVATION OF RENTON, WA FACILITY 0 0 0 A 27625000 361737 27263263 2009 0 0 1 1 A 0 0 0 0 0 0 0 A 0 0 1 0 1 0 0 0 0 A 0 X 1 1043 FAIR VALUE X 1 11340 SELLING PRICE OF ITEMS X AUCTION ITEMS 196 56036 FAIR VALUE X BEER/WINE FOR EVENT 3 425 FAIR VALUE X ONAN 12.5KW GENERATOR 1 12268 FAIR VALUE X CG ACCURI FLOW CYTOMETER - GRANT ASSET TRANSFER 1 19500 FAIR VALUE X ROTO CARBON FIBER FEBERTITE - GRANT ASSET TRANSFER 1 3499 FAIR VALUE 0 1 0 FORM 990, PART VI, SECTION B, LINE 11 INTERNALLY, DATA FOR THE FORM 990 IS PREPARED BY THE ACCOUNTING REPORTING MANAGER AND REVIEWED BY THE CONTROLLER AND THE CHIEF FINANCIAL OFFICER. THE FORM 990 IS THEN PREPARED BY OUR CPA FIRM. EXTERNAL REVIEW CONSISTS OF THE FORM 990 BEING POSTED TO THE BOARD OF TRUSTEE WEBSITE, AND THE BOARD MEMBERS ARE EMAILED A LINK TO THIS PASSWORD PROTECTED SITE SO THAT THE FORM 990 CAN BE REVIEWED. FORM 990, PART VI, SECTION B, LINE 12C PSBC HAS ALL HUMAN RESOURCE POLICIES (INCLUDING CONFLICT OF INTEREST) ONLINE AND ACCESSIBLE. ANY CHANGES ARE HIGHLIGHTED AND SENT TO ALL EMPLOYEES. UPON HIRE AND UPON MAJOR POLICY CHANGES, EMPLOYEE SIGNS ACKNOWLEDGEMENT FORM TO EVIDENCE THAT SHE/HE IS RESPONSIBLE TO READ AND BECOME ACQUAINTED WITH THE POLICIES. ANUALLY BOARD MEMBERS MUST SIGN A FORM AND DISCLOSE CONFLICTS OF INTEREST. THESE ARE REVIEWED BY THE BOARD CHAIR AND PRESIDENT. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE COMMITTEE OF THE BOARD REVIEWS AND APPROVES THE PRESIDENT'S COMPENSATION BASED ON RESEARCH OF OTHER COMPARABLE ORGANIZATIONS AND INDUSTRY STANDARDS PERFORMED BY A COMPENSATION CONSULTING FIRM. IN ADDITION, EVERY FEW YEARS AN ALTERNATE COMPENSATION CONSULTING FIRM IS USED TO ENSURE VALIDITY OF THE DATA. REVIEW OF COMPENSATION FOR OFFICERS AND KEY EMPLOYEES HAS BEEN COMPLETED BY AN EXTERNAL COMPENSATION CONSULTING FIRM AS WELL. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS AND AUDITED FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: JOINT VENTURE LOSS 1,092. FINANCIAL STATEMENT REVIEW FORM 990, PART XII, LINE 2C THERE HAS BEEN NO CHANGE TO HOW THE COMMITTEE REVIEWS THE FINANCIAL STATEMENTS. NATIONAL BLOOD COLLABORATIVE LLC 737 PELHAM BLVD SAINT PAUL MN 551141739 455601065 BLOOD CENTER MANAGEMENT SERVICES MN N/A RELATED -1092 23908 0 1 0.20000 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0