STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

LIFESHARE COMMUNITY BLOOD SERVICES INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
LIFESHARE COMMUNITY BLOOD SERVICES INC (EIN 34-1163202)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-14
IRS object ID
201303199349300005
Schema version
2012v2.0
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)
Timestamp2013-11-14T21:32:11-08:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1ALAN V JANUZZI CPABusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line17710 RICE RDAddressLine1
CityAMHERSTCity
StateOHState
ZIP Code440019609ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN341163202EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1LIFESHARE COMMUNITY BLOOD SERVICES INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlLIFENameControl
Phone4403225700Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1105 CLEVELAND STREETAddressLine1
CityELYRIACity
StateOHState
ZIP Code44035ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameRICHARD L CLUCKName
TitlePRESIDENT AND CEOTitle
Phone4403225700Phone
Date Signed2013-08-29DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameALAN V JANUZZI CPAName
Phone4409852550Phone
Date Prepared2013-11-15DatePrepared
Self EmployedXSelfEmployed
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonRICHARD L CLUCK PRESIDENT AND CEONameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1105 CLEVELAND STREETAddressLine1
CityELYRIACity
StateOHState
ZIP Code44035ZIPCode
FieldValueIRS element (for citing)
Gross Receipts19621571GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1975YearFormation
State Legal DomicileOHStateLegalDomicile
Activity Or Mission DescriptionLifeShare Community Blood Services is a community- focused nonprofit organization committed to providing a safe and adequate blood supply and component supply for patient healthcare in Northeast Ohio. With the deep understanding that donors are our most valuable community resource, we strive for excellence in customer care.ActivityOrMissionDescription
Nbr Voting Members Governing Body10NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees176TotalNbrEmployees
Total Nbr Volunteers20TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year34746ContributionsGrantsPriorYear
Contributions Grants Current Year1152ContributionsGrantsCurrentYear
Program Service Revenue Prior Year19854186ProgramServiceRevenuePriorYear
Program Service Revenue CY18913775ProgramServiceRevenueCY
Investment Income Prior Year66534InvestmentIncomePriorYear
Investment Income Current Year90349InvestmentIncomeCurrentYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year19955466TotalRevenuePriorYear
Total Revenue Current Year19005276TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year951272GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY2736774GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year6276736SalariesEtcPriorYear
Salaries Etc Current Year6799304SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year171885TotalFundrsngExpCurrentYear
Other Expense Prior Year10566933OtherExpensePriorYear
Other Expenses Current Year10658677OtherExpensesCurrentYear
Total Expenses Prior Year17794941TotalExpensesPriorYear
Total Expenses Current Year20194755TotalExpensesCurrentYear
Revenues Less Expenses Prior Year2160525RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-1189479RevenuesLessExpensesCY
Total Assets BOY13038789TotalAssetsBOY
Total Assets EOY11578776TotalAssetsEOY
Total Liabilities BOY849008TotalLiabilitiesBOY
Total Liabilities EOY587048TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY12189781NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY10991728NetAssetsOrFundBalancesEOY
Mission DescriptionLifeShare Community Blood Services is a community-MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense16716507Expense
Revenue13480670Revenue
DescriptionLIFESHARE'S SERVICES INCLUDED RECRUITMENT, COLLECTION, TESTING, PROCESSING AND DISTRIBUTION OF WHOLE BLOOD AND COMPONENTS FOR HOSPITALS. LIFESHARE IS A MEMBER OF AMERICA'S BLOOD CENTERS, THE NATIONAL ORGANIZATION OF INDEPENDENT BLOOD CENTERS, IS ACCREDITED BY THE AMERICAN ASSOCIATION OF BLOOD BANKS AND LICENSED BY THE FDA. IN 2012 LIFESHARE DISTRIBUTED OVER 88,000 UNITS OF BLOOD PRODUCTS.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense1638512Expense
Revenue5409507Revenue
Description10,606 UNITS OF PHERESIS PLATELETS WERE COLLECTED. THESE UNITS ARE TRANSFUSED INTO INDIVIDUALS BATTLING CANCER OR LEUKEMIA. PLATELETS HELP PATIENT'S BLOOD CLOT AND PREVENT FATAL HEMORRHAGING.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense55231Expense
Revenue46825Revenue
DescriptionTHE ORGANIZATION PROVIDES PATIENT PROGRAMS SUCH AS AUTOLOGOUS DONATIONS (DONATIONS FOR AN INDIVIDUAL'S OWN SURGERY), DIRECTED DONATIONS (DONATIONS FOR FAMILY MEMBERS OWN SURGERY), THERAPUETIC PHLEBOTOMY (INDIVIDUALS WHOSE IRON IS TOO HIGH) AND OTHER SIMILAR SERVICES. DURING 2012, 924 UNITS OF THESE SERVICES WERE DRAWN.Description
FieldValueIRS element (for citing)
Total Program Service Expense18410250TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationtrueBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10963NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees176NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members10NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProceduretrueWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledOHStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonDONYAH PERINENamePerson
Telephone Number4403225700TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1105 CLEVELAND STREETAddressLine1
CityELYRIACity
StateOHState
ZIP Code44035ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (14 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
DANIEL P WALSH DO
BOARD MEMBER1.00X000
ROSLYN YOMTOVIAN MD
BOARD SECRETARY1.00X000X
J MONIQUE JACQUES MD
BOARD MEMBER1.00X000
RUBEN ESCURO MD
BOARD MEMBER1.00X000
ESWARI A SIVANANDAM MD
BOARD MEMBER1.00X000
PRISCILLA WALDHEGER MD
VICE CHAR1.00X000X
PHILLIP J BAPTISTE CPA
BOARD CHAIR1.00X000X
CRAIG KOEHLER PHD
BOARD MEMBER1.00X000
ABRAHAM LIEBERMAN
BOARD MEMBER1.00X000
SUSAN M NEIDING
BOARD MEMBER1.00X000
RICHARD L CLUCK
PRESIDENT AND CEO40.0024818100XX
MIKE DASH
VP OF OPERATIONS40.0012826500X
BARB HALLENBURG
DIRECTOR QUALITY ASSURANCE40.0010542200X
DONYAH PERINE
DIRECTOR FINANCIAL SERVICES40.0010833500X
FieldValueIRS element (for citing)
Total Reportable Comp From Org590203TotalReportableCompFromOrg
Number Individuals GT100 K4NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
LIFESOURCE BLOOD SERVICES
1824 PAYSPHERE CIRCHICAGOIL60674BLOOD TESTING2422828
MEDSPEED LLC
PO BOX 190LAKE GENEVAWA53147DELIVERY369701
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
All Other Contributions1152AllOtherContributions
Total Contributions1152TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumn
BLOOD PROCESSING FEES90009918448850
PLASMA SALVAGE900099431974
SHIPPING CHARGES90009932951
FieldValueIRS element (for citing)
Total Program Service Revenue18913775TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column51170TotalRevenueColumn
Exclusion$51,170ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities655474Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities616295Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities39179Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column39179TotalRevenueColumn
Exclusion$39,179ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column19005276TotalRevenueColumn
Related Or Exempt Function Income18913775RelatedOrExemptFunctionIncome
Exclusion$90,349ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total2736774Total
Program Services2736774ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total248181Total
Program Services210916ProgramServices
Management And General25104ManagementAndGeneral
Fundraising12161Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total5138182Total
Program Services4020157ProgramServices
Management And General994589ManagementAndGeneral
Fundraising123436Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total151480Total
Program Services119215ProgramServices
Management And General28478ManagementAndGeneral
Fundraising3787Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total771279Total
Program Services606997ProgramServices
Management And General145000ManagementAndGeneral
Fundraising19282Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total490182Total
Program Services385773ProgramServices
Management And General92154ManagementAndGeneral
Fundraising12255Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total6222Total
Program Services0ProgramServices
Management And General6222ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total25461Total
Program Services0ProgramServices
Management And General25461ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total40900Total
Program Services0ProgramServices
Management And General40900ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total100432Total
Program Services100432ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total819109Total
Program Services819109ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total19618Total
Program Services0ProgramServices
Management And General19618ManagementAndGeneral
Fundraising0Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total429840Total
Program Services316086ProgramServices
Management And General113754ManagementAndGeneral
Fundraising0Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total94405Total
Program Services94405ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total59665Total
Program Services34176ProgramServices
Management And General25489ManagementAndGeneral
Fundraising0Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total188537Total
Program Services167392ProgramServices
Management And General21145ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total146863Total
Program Services137701ProgramServices
Management And General9162ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
BLOOD BAGS2182776218277600
LAB TESTS2393857239385700
BLOOD PURCHASED2167608216760800
RECRUITMENT FEES326973269700

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1950687Total
Program Services1884179ProgramServices
Management And General65544ManagementAndGeneral
Fundraising964Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total20194755Total
Program Services18410250ProgramServices
Management And General1612620ManagementAndGeneral
Fundraising171885Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY5771483BOY
EOY3479152EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY3306181BOY
EOY3641847EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY943840BOY
EOY1095510EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY222438BOY
EOY284388EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis3350698LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1907341LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1225838BOY
EOY1443357EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY1556159BOY
EOY1630668EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY12850BOY
EOY3854EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY13038789BOY
EOY11578776EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY849008BOY
EOY587048EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY849008BOY
EOY587048EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY12189781BOY
EOY10991728EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY12189781BOY
EOY10991728EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY13038789BOY
EOY11578776EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-1189479ReconcilationRevenueExpenses
Reconciliation Unrealized Invest-8574ReconciliationUnrealizedInvest
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement BothXFinancialStatementBoth
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2
Public Support Total1700PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Pertcentage1700PublicSupportPertcentage170

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years9870CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year34746CurrentTaxYearMinus1Year
Current Tax Year1152CurrentTaxYear
Total45768Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years15798731CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years16776560CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years17337811CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year19854186CurrentTaxYearMinus1Year
Current Tax Year18913775CurrentTaxYear
Total88681063Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years15798731CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years16776560CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years17347681CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year19888932CurrentTaxYearMinus1Year
Current Tax Year18914927CurrentTaxYear
Total88726831Total
FieldValueIRS element (for citing)
Public Support Total50988726831PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years46334CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years18472CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years54399CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year23404CurrentTaxYearMinus1Year
Current Tax Year51170CurrentTaxYear
Total193779Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years46334CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years18472CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years54399CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year23404CurrentTaxYearMinus1Year
Current Tax Year51170CurrentTaxYear
Total193779Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Total88920610Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99780PublicSupportPercentage509
Prior Year Support Percentage0.99760PriorYearSupportPercentage
Investment Income Percentage0.00220InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00240PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis75000OtherCostOrOtherBasis
Book Value75000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1260296OtherCostOrOtherBasis
Depreciation640165Depreciation
Book Value620131BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2015402OtherCostOrOtherBasis
Depreciation1267176Depreciation
Book Value748226BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1443357TotalOfBookValueLandBuildings

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1LIFESHARE FOUNDATIONBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1105 CLEVELAND STREETAddressLine1
CityELYRIACity
StateOHState
ZIP Code44035ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient341969359EINOfRecipient
IRC Section3IRCSection
Amount Of Cash Grant2721574AmountOfCashGrant
Purpose Of GrantSUPPORTPurposeOfGrant

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonRICHARD L CLUCKNamePerson
Base Compensation Filing Org208181BaseCompensationFilingOrg
Bonus Filing Org40000BonusFilingOrg
Total Compensation Filing Org248181TotalCompensationFilingOrg

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
DR PRISCILLA WALDHEGER
CO-MEDICAL DIRECTOR50099MEDICAL DIRECTORfalse
DR MONIQUE JACQUES
CO-MEDICAL DIRECTOR50099MEDICAL DIRECTORfalse

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (49 entries)

IdentifierIdentifierExplanationExplanation
Pt VI, Line 11bTHE BOARD REVIEWED THE 990 AS AN AGENDA ITEM AT A BOARD MEETING
Pt VI, Line 12cANNUALLY, BOARD MEMBERS COMPLETE CONFLICT STATEMENTS
Pt VI, Line 15aThe process for determining annually the compensation for the president and CEO of LifeShare Community Blo
Services is as follows: The most current available wage and salary information for this position is submitted to the full
board of directors. This information includes America's Blood Centers annual publication (our national trade
organization) "Executive Compensation Survey" which is data from June of the previous year and most comprehensive
in terms of comparable wage and salary information, including fringe benefit information, from blood centers across the
country, including those of similar size.
Other comparability data reviewed and considered include
the CHAMPS Salary Survey - wage and salary information
regarding health care professional positions locally and regionally. In addition, various productivity and financial ratio
data published annually by America's Blood Centers (comparing LifeShare Community Blood Services to all other
blood centers participating) is reviewed and considered. Other targeted information reviewed and considered includes:
blood center financial performance - balance sheet growth - management of Union issues - financial investements'
growth - manufacturing, operations, quality assurance, employee, board, hospital customer and community relations -
regulatory agencies' compliance - leadership. The full board of directors participates in the president and CEO's
compensation review process and recommends the compensation level each year.
The process for determining annually the compensation for the
medical director(s) of Lifeshare Community Blood Services
is as follows: The most current available wage and salary
information for this position is submitted to the full
board of directors. This information includes American's
Blood Centers annual publication (our national trade
organization) "Executive Compensation Survey" for CEO, COO
Form 990EZ, Part I, Line 16BLOOD BAGS LAB TESTS BLOOD PURCHASED DONOR RECRUITMENT WASTE DISPOSAL PROMOTIONS CONSULTING DUES AND SUBSCRIPTIONS INSURANCE LICENSES PAYROLL FEES REPAIRS
Form 990EZ, Part II, Line 24ACCOUNTS RECEIVABLE - NET INVENTORIES PREPAIDS DEPOSITS DEFERRED FINANCING COSTS
Form 990EZ, Part II, Line 26ACCOUNTS PAYABLE & ACCRUED EXPENSES BONDS, MORTGAGES & OTHER NOTES
Form 990, Part IX, Line 24fSOFTWARE CONSULTING AND SUPPORT 176354. 176354. 0. 0. DUES AND SUBSCRIPTIONS 63684. 61732. 1952. 0. PAYROLL FEES 38560. 30347. 7249. 964. REPAIRS 253513. 228162. 25351. 0. BLOOD DISTRIBUTION 495661. 495661. 0. 0. COLLECTION SUPPLIES 241195. 241195. 0. 0. LAB SUPPLIES 406712. 406712. 0. 0. VEHICLE RENTAL 70465. 70465. 0. 0. EQUIPMENT AND STORAGE RENTAL 35605. 31760. 3845. 0. DONOR INCIDENTS 3429. 3429. 0. 0. SUPPLIES 41411. 41411. 0. 0. TELEPHONE 105888. 95299. 10589. 0. SCANNING FEES 4231. 4231.
and Medical Director which is data from June of the previous
year and most comprehensive in terms of comparable wage
and salary information from blood centers across the country,
including those of similar size and also broken down by
part time vs. full time medical director status. Other
factors reviewed and considered center on blood center
clinical operations and quality assurance. The full board of
directors participates in the medical director(s) compensation
review process and recommends the compensation level each year.
The medical directors who are board members and any associates
who are board members are excused from the board meeting
and do not vote when the board considers and recommends
the annual compensation level for the medical directors
of Lifeshare Community Blood Services.
Pt VI, Line 2BOARD MEMBERS DR. J. MONIQUE JACQUES, M.D. AND PRISCILLA
WALDHEGER, M.D. HAVE COMMON OWNERSHIP IN A BUSINESS ENTITY
AND WORK AT THE SAME HOSPITAL.
Pt VI, Line 19THESE DOCUMENTS ARE AVAILABLE UPON REQUEST
Pt XII, Line 2cTHE ORGANIZATION HAS AN AUDIT COMMITTEE THAT ASSUMES
RESPONSIBILITY FOR OVERSEEING THE AUDIT PROCESS
Pt VI, Line 15bSEE EXPLANATION UNDER LINE 15a

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1LIFESHARE FOUNDATIONBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1105 CLEVELAND STREETAddressLine1
CityELYRIACity
StateOHState
ZIP Code44035ZIPCode
FieldValueIRS element (for citing)
EIN341969359EIN
Primary ActivitiesSUPPORT OF LIFESHARE COMMUNITY BLOOD SERVICES INC.PrimaryActivities
Legal Domicile StateOHLegalDomicileState
Exempt Code Section501(c)(3)ExemptCodeSection
Public Charity StatusTYPE II 509(a)(3)PublicCharityStatus

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NOBusinessNameLine1
FieldValueIRS element (for citing)
Controlled OrgfalseControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1LIFESHARE FOUNDATION INCBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypebmnTransactionType
Amount Involved2759112AmountInvolved
Method Of Amt DeterminationACTUALMethodOfAmtDetermination