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LIFESERVE BLOOD CENTER: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
LIFESERVE BLOOD CENTER (EIN 27-2092557)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-07-30
IRS object ID
201342119349300919
Schema version
2012v2.1
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)
Timestamp2013-07-30T15:21:12-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN410746749EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line12700 WESTOWN PARKWAY SUITE 400AddressLine1
CityWEST DES MOINESCity
StateIAState
ZIP Code50266ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN272092557EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1LIFESERVE BLOOD CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlLIFENameControl
Phone5152880276Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1431 EAST LOCUST STREETAddressLine1
CityDES MOINESCity
StateIAState
ZIP Code503091909ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSTACY SIMEName
TitlePRESIDENT AND CEOTitle
Phone5152880276Phone
Date Signed2013-07-18DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameANTHONY E WAGNER CPAName
PTINP01263080PTIN
Phone5152224400Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonSTACY SIMENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1431 EAST LOCUST STREETAddressLine1
CityDES MOINESCity
StateIAState
ZIP Code503091909ZIPCode
FieldValueIRS element (for citing)
Gross Receipts53962144GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.LIFESERVEBLOODCENTER.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2010YearFormation
State Legal DomicileIAStateLegalDomicile
Activity Or Mission DescriptionWE SAVE LIVES IN PARTNERSHIP WITH THE COMMUNITIES WE SERVE BY PROVIDING HIGH QUALITY BLOOD.ActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members6NbrIndependentVotingMembers
Total Nbr Employees410TotalNbrEmployees
Total Nbr Volunteers127TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year28967ContributionsGrantsPriorYear
Contributions Grants Current Year34167ContributionsGrantsCurrentYear
Program Service Revenue Prior Year31321656ProgramServiceRevenuePriorYear
Program Service Revenue CY41593858ProgramServiceRevenueCY
Investment Income Prior Year395640InvestmentIncomePriorYear
Investment Income Current Year408431InvestmentIncomeCurrentYear
Other Revenue Prior Year221711OtherRevenuePriorYear
Other Revenue Current Year4851OtherRevenueCurrentYear
Total Revenue Prior Year31967974TotalRevenuePriorYear
Total Revenue Current Year42041307TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year24800GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY15000GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year12647772SalariesEtcPriorYear
Salaries Etc Current Year14386785SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year18436704OtherExpensePriorYear
Other Expenses Current Year23303907OtherExpensesCurrentYear
Total Expenses Prior Year31109276TotalExpensesPriorYear
Total Expenses Current Year37705692TotalExpensesCurrentYear
Revenues Less Expenses Prior Year858698RevenuesLessExpensesPriorYear
Revenues Less Expenses CY4335615RevenuesLessExpensesCY
Total Assets BOY27284564TotalAssetsBOY
Total Assets EOY31820233TotalAssetsEOY
Total Liabilities BOY4970606TotalLiabilitiesBOY
Total Liabilities EOY4519145TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY22313958NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY27301088NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionWE SAVE LIVES IN PARTNERSHIP WITH THE COMMUNITIES WE SERVE BY PROVIDING HIGH QUALITY BLOOD. AS ONE OF THE 15TH LARGEST BLOOD CENTERS IN THE COUNTRY, LIFESERVE BLOOD CENTER PROVIDES BLOOD AND BLOOD PRODUCTS TO MORE THAN NINETY HOSPITALS LOCATED ACROSS IOWA, NEBRASKA, AND SOUTH DAKOTA. LIFESERVE BLOOD CENTER IS COMMITTED TO PROVIDING PREMIER SERVICE TO VOLUNTEER BLOOD DONORS AND ACCESS TO A SAFE, QUALITY BLOOD SUPPLY FOR HOSPITALS AND PATIENTS.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense12591786Expense
Grants0Grants
Revenue9642550Revenue
DescriptionDONOR SERVICES: THE DONOR SERVICES DEPARTMENT AT LIFESERVE BLOOD CENTER IS RESPONSIBLE FOR ALL PROCESSES RELATED TO BLOOD COLLECTION SERVICES FOR VOLUNTEER BLOOD DONORS AND THERAPEUTIC PATIENTS. FOR VOLUNTEER BLOOD DONORS, THESE PROCESSES INCLUDES THE COMPLETION OF A TRAVEL AND MEDICAL HISTORY QUESTIONNAIRE TO ENSURE DONOR/PATIENT SUITABILITY FOR BLOOD DONATION, PHLEBOTOMY SERVICES FOR BLOOD COLLECTION, AND SIGNIFICANT CUSTOMER SERVICE FUNCTIONS TO ASSURE POSITIVE DONOR AND PATIENT EXPERIENCES. THE DONOR SERVICES DEPARTMENT COLLECTS BLOOD IN DONOR CENTER ENVIRONMENTS AND MOBILE BLOOD DRIVES WITH THE MAJORITY OF BLOOD COLLECTED OCCURRING IN MOBILE SETTINGS LOCATED AT BUSINESSES, SCHOOLS, CHURCHES, AND COMMUNITY LOCATIONS THROUGH THE PARTNERSHIP OF VOLUNTEER SPONSORS GROUPS.AN EXTENSION OF THE DONOR SERVICES DEPARTMENT IS THE THERAPEUTIC EXCHANGE PROGRAM. THIS AREA OF THE DONOR SERVICES DEPARTMENT WORKS SPECIFICALLY WITHIN VARIOUS HOSPITALS AIDING HOSPITAL STAFF IN THE CARE OF PATIENTS WITH SPECIFIC MEDICAL CONDITIONS. THIS PROGRAM IS A SPECIALTY SERVICE OFFERED TO HOSPITAL CUSTOMERS BY PROVIDING ASSISTANCE FOR THERAPY PROCEDURES PRIMARILY INVOLVING THE REMOVAL OF VARIOUS BLOOD COMPONENTS FOR GRAVELY ILL PATIENTS.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense13949891Expense
Grants0Grants
Revenue31951308Revenue
DescriptionHOSPITAL SERVICES: THE HOSPITAL SERVICES DEPARTMENT AT LIFESERVE BLOOD CENTER HOUSES THREE SPECIFIC DEPARTMENTS RESPONSIBLE FOR BLOOD TESTING, BLOOD COMPONENT MANUFACTURING, AND BLOOD TRANSPORTATION AND STORAGE. THOSE DEPARTMENTS ARE LABORATORY, COMPONENT MANUFACTURING & DISTRIBUTION. THE LABORATORY DEPARTMENT ENSURES THE SAFETY AND QUALITY OF ALL BLOOD AND BLOOD PRODUCTS COLLECTED BY THE ORGANIZATION BY PERFORMING SPECIFIC LABORATORY TESTING FUNCTIONS. IN FACT, FOURTEEN DIFFERENT TESTS ARE PERFORMED ON EACH UNIT OF DONATED BLOOD INCLUDING SPECIFIC TESTS FOR HEPATITIS AND HIV. IN ADDITION TO ENSURING THE SAFETY OF THE VOLUNTEER DONATED BLOOD, THIS AREA ALSO PERFORMS OTHER TESTING SUCH AS ANTIGEN TYPING, ANTIBODY IDENTIFICATION AND CROSS-MATCHING AT THE REQUEST OF HOSPITAL CUSTOMERS.THE COMPONENT MANUFACTURING DEPARTMENT IS RESPONSIBLE FOR MANUFACTURING BLOOD PRODUCTS FROM DONATED BLOOD THAT IS USED FOR PATIENT TRANSFUSION PURPOSES. COMPONENTS ARE MANUFACTURED BY SEPARATING THE DONATED BLOOD INTO SPECIFIC PRODUCTS. THESE PRODUCTS MAINLY INCLUDE RED BLOOD CELLS, PLATELETS, PLASMA. SINCE ONE BLOOD DONATION CAN HELP UP TO THREE DIFFERENT PATIENTS IN NEED, THIS DEPARTMENT'S ROLE IS ENSURING THESE COMPONENT PRODUCTS ARE AVAILABLE TO CUSTOMERS AFTER THEY HAVE BEEN SUCCESSFULLY TESTED.THE DISTRIBUTION DEPARTMENT IS RESPONSIBLE FOR THE STORAGE, DELIVERY AND TRANSPORTATION OF ALL BLOOD AND BLOOD COMPONENTS TO CUSTOMERS. THIS AREA OF THE ORGANIZATION ALSO SERVES AS THE POINT OF CONTACT FOR MOST OF LIFESERVE BLOOD CENTER'S HOSPITAL CUSTOMERS.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense1726753Expense
Grants0Grants
Revenue0Revenue
DescriptionRECRUITMENT DEPARTMENT: THE ULTIMATE GOAL OF THIS DEPARTMENT IS TO RECRUIT VOLUNTEER BLOOD DONORS TO ENSURE A STABLE AND ADEQUATE BLOOD SUPPLY. THE RECRUITMENT DEPARTMENT IS SPLIT INTO TWO AREAS, MOBILE BLOOD DRIVE RECRUITMENT AND CALL CENTER RECRUITMENT. MORE THAN 75% OF THE DONORS RECRUITED BY LIFESERVE BLOOD CENTER WILL GIVE BLOOD AT A MOBILE BLOOD DRIVE WITH THE REMAINING 25% RECRUITED TO DONATE IN A DONOR CENTER. THE CALL CENTER RECRUITMENT EFFORTS FOCUS ON PHONE CALLING DONORS TO SCHEDULE BLOOD DONATION APPOINTMENTS AT MOBILE BLOOD DRIVES OR DONOR CENTER LOCATIONS. MOBILE BLOOD DRIVE RECRUITMENT FOCUSES ON SECURING VOLUNTEER SPONSOR GROUPS TO HOST BLOOD DRIVES WHILE ALSO GUIDING AND TRAINING THEM IN BLOOD DONOR RECRUITMENT EFFORTS.Description

Activity Other ActivityOther (2 entries)

ExpenseExpenseGrantsGrantsRevenueRevenueDescriptionDescription
1070845150005564COMMUNICATIONS & RESOURCES: THE COMMUNICATIONS DEPARTMENT IS RESPONSIBLE FOR ALL MARKETING, PUBLIC RELATIONS AND COMMUNICATIONS EFFORTS NEEDED TO ENGAGE INDIVIDUALS TO BECOME BLOOD DONORS. THIS DEPARTMENT IS ALSO RESPONSIBLE FOR ENSURING A POSITIVE COMMUNITY IMAGE THROUGH VISIBILITY EVENTS AND BRAND AWARENESS EFFORTS. ADDITIONALLY, THIS AREA OF THE ORGANIZATION ALSO HANDLES AND/OR PERFORMS ALL MEDIA OUTREACH. AS A PART OF THE COMMUNICATION DEPARTMENT, LIFESERVE BLOOD CENTER MANAGES A VOLUNTEER OUTREACH PROGRAM SPECIFICALLY GEARED TOWARD ENGAGING VOLUNTEERS TO PERFORM A WIDE VARIETY OF OPERATIONAL TASKS AND FUNCTIONS FOR THE ORGANIZATION. THESE UNPAID INDIVIDUALS HELP TRANSPORT BLOOD TO AND FROM HOSPITALS, PERFORM FILING AND/OR CLERICAL DUTIES AS WELL AS HELP ENSURE SUPPLIES ARE PACKED AND RECEIVED APPROPRIATELY. THIS OUTREACH PROGRAM IS EXTREMELY VITAL TO THE OPERATION OF THE ORGANIZATION BY PROVIDING ADDITIONAL RESOURCES WITHOUT INCURRING EXTRA EXPENSE. THE EMPLOYEE RESOURCE SCHEDULING DEPARTMENT IS RESPONSIBLE FOR ENSURING ADEQUATE STAFF, EQUIPMENT, AND VEHICLES ARE AVAILABLE FOR MOBILE BLOOD DRIVES AND DONOR CENTERS.
128043400QUALITY & TRAINING: THE QUALITY & TRAINING DEPARTMENT AT LIFESERVE BLOOD CENTER IS RESPONSIBLE FOR ENSURING THE SAFETY AND QUALITY OF THE BLOOD AND BLOOD PRODUCTS COLLECTED, TESTED AND DISTRIBUTED TO CUSTOMERS. THE FUNCTION OF THIS AREA OF THE COMPANY IS TO ENSURE THAT ALL EMPLOYEES AND VENDORS ARE WORKING WITHIN SET GUIDELINES AND STANDARD OPERATING PROCEDURES SET BY REGULATORY AGENCIES SUCH AS THE FDA (FOOD & DRUG ADMINISTRATION) AND AABB (AMERICAN ASSOCIATION OF BLOOD BANKS). ADDITIONALLY, THIS AREA IS RESPONSIBLE FOR HANDLING ALL TRAINING PROGRAMS FOR LIFESERVE BLOOD CENTER STAFF TO ENSURE PROPER COMPETENCY TO PERFORM VITAL JOB FUNCTIONS. THE QUALITY DEPARTMENT ALSO LEADS THE ORGANIZATION'S PROCESS IMPROVEMENT EFFORTS, ENSURING EFFICIENT AND EFFECTIVE OPERATIONS.
FieldValueIRS element (for citing)
Total Of Other Program Service Exp2351279TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt15000TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev5564TotalOfOtherProgramServiceRev
Total Program Service Expense30619709TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10964NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees410NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members6NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure0WrittenPolicyOrProcedure
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1CHERYL RITTERBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5152880276TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1431 EAST LOCUST STREETAddressLine1
CityDES MOINESCity
StateIAState
ZIP Code503091909ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (17 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
SCOTT FROYEN
BOARD CHAIR2.00XX000
DR DALE ANDRES
BOARD VICE CHAIR1.00XX000
KATIE MARCHIK
SECRETARY/TREASURER2.00XX000
DR JEFF ANDERSON
BOARD MEMBER1.00X000
DR GREGG GALLOWAY
BOARD MEMBER1.00X000
BRENDA GILL
BOARD MEMBER1.00X000
TERRI JENSEN
BOARD MEMBER1.00X000
NICK LENHARDT
BOARD MEMBER1.00X000
DAVE LYONS
BOARD MEMBER1.00X000
DONNA MILLER
BOARD MEMBER1.00X000
MARK REINDERS
BOARD MEMBER1.00X000
GARY SCHROEDER
BOARD MEMBER1.00X000
STACY SIME
PRESIDENT AND CEO40.00X214233016225
CHERYL RITTER
VICE PRESIDENT OF FINANCE40.00X135617021663
DR BRUCE KLOSTER
MEDICAL DIRECTOR40.00223386026330X
JAN TWAIT
EXECUTIVE VICE PRESIDENT - BUSINESS DEVELPOMENT40.00138762013552X
CHRISTINE HAYES
VICE PRESIDENT - OPERATIONS40.0011359705456X
FieldValueIRS element (for citing)
Total Reportable Comp From Org825595TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation83226TotalOtherCompensation
Number Individuals GT100 K5NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
VITAL SUPPORT SYSTEMS LLC
11191 AURORA AVENUEURBANDALEIA50322IT SERVICE AND SUPPORT615194
PURCELL PRINTING
2869 99TH STREETURBANDALEIA50322PRINTING SERVICES265103
RJ DELIVERY
1775 GUTHRIE AVENUEDES MOINESIA50316BLOOD PRODUCTS DELIVERY181558
FEDERAL EXPRESS
PO BOX 94515PALENTINEIL600944515BLOOD PRODUCTS DELIVERY157597
FieldValueIRS element (for citing)
Number Of Contractors GT100 K4NumberOfContractorsGT100K
Fundraising Events28970FundraisingEvents
All Other Contributions5197AllOtherContributions
Total Contributions34167TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
RED BLOOD CELLS6215002583564425835644
PLATELETS62150091470989147098
SALVAGE PLASMA62150022848352284835
TESTING AND OTHER PROGRAM REVENUE62150020687762068776
PLASMA AND CRYO62150016431301643130

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column614375TotalRevenueColumn
Related Or Exempt Function Income614375RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue41593858TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column374018TotalRevenueColumn
Exclusion$374,018ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities11926528Securities
Other18795Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities11910910Securities
Other0Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities15618Securities
Other18795Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column34413TotalRevenueColumn
Exclusion$34,413ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events9214GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events28970CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses9927FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-713TotalRevenueColumn
Exclusion-$713ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOTHER INCOMEDescription
Business Code900099BusinessCode
Total Revenue Column5564TotalRevenueColumn
Related Or Exempt Function Income5564RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue5564TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column42041307TotalRevenueColumn
Related Or Exempt Function Income41599422RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$407,718ExclusionAmount

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total15000Total
Program Services15000ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total637456Total
Program Services302517ProgramServices
Management And General334939ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total11345716Total
Program Services9532662ProgramServices
Management And General1813054ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total243159Total
Program Services190081ProgramServices
Management And General53078ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1239845Total
Program Services1072123ProgramServices
Management And General167722ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total920609Total
Program Services777812ProgramServices
Management And General142797ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total50783Total
Management And General50783ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total84180Total
Management And General84180ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total10000Total
Management And General10000ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total79765Total
Management And General79765ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total374670Total
Program Services178068ProgramServices
Management And General196602ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total427556Total
Program Services418023ProgramServices
Management And General9533ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total716688Total
Program Services515764ProgramServices
Management And General200924ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1039092Total
Management And General1039092ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total429409Total
Program Services47061ProgramServices
Management And General382348ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total22472Total
Program Services17183ProgramServices
Management And General5289ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total73565Total
Management And General73565ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1131320Total
Program Services741693ProgramServices
Management And General389627ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total402992Total
Management And General402992ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
LABORATORY REAGENTS71117117111711
BLOOD BAGS50571055057105
SUPPLIES41735584037193136365
EQUIPMENT RENTAL & MAIN19375675890031348564

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total181474Total
Program Services16710ProgramServices
Management And General164764ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total37705692Total
Program Services30619709ProgramServices
Management And General7085983ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY3199676BOY
EOY2611507EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY6276158BOY
EOY11114304EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY5079301BOY
EOY4106753EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY1537570BOY
EOY1092204EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY348411BOY
EOY335468EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis18054992LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec9563093LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY7909941BOY
EOY8491899EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY2439113BOY
EOY3641699EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY494394BOY
EOY426399EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY27284564BOY
EOY31820233EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2624317BOY
EOY2647756EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY2346289BOY
EOY1871389EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY4970606BOY
EOY4519145EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY22313958BOY
EOY27301088EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY22313958BOY
EOY27301088EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY27284564BOY
EOY31820233EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses4335615ReconcilationRevenueExpenses
Reconciliation Unrealized Invest651515ReconciliationUnrealizedInvest
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year28967CurrentTaxYearMinus1Year
Current Tax Year34167CurrentTaxYear
Total63134Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years142965CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year31321656CurrentTaxYearMinus1Year
Current Tax Year41593858CurrentTaxYear
Total73058479Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years142965CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year31350623CurrentTaxYearMinus1Year
Current Tax Year41628025CurrentTaxYear
Total73121613Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50973121613PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years1433CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year232064CurrentTaxYearMinus1Year
Current Tax Year374018CurrentTaxYear
Total607515Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years1433CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year232064CurrentTaxYearMinus1Year
Current Tax Year374018CurrentTaxYear
Total607515Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year5564CurrentTaxYear
Total5564Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years144398CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year31582687CurrentTaxYearMinus1Year
Current Tax Year42007607CurrentTaxYear
Total73734692Total
FieldValueIRS element (for citing)
First5 Years509XFirst5Years509
Public Support Percentage5090.99170PublicSupportPercentage509

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations1GrantsOtherOrganizations
Grants Other Organizations$10,000GrantsOtherOrganizationsAmount
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities0OtherActivities
Total Lobbying Expenditures IIB10000TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1:ReturnReference
ExplanationLIFESERVE BLOOD CENTER, IN CONJUNCTION WITH OTHER IOWA BLOOD CENTERS HAVE HIRED A LOBBYIST FOR THE SOLE PURPOSE OF ATTEMPTING TO CHANGE IOWA LAW REGARDING PAYMENT OF SALES TAX ON REAGENTS USED IN TESTING. IOWA IS ONE OF SEVEN STATES THAT CURRENTLY SUBJECT COMMUNITY BLOOD CENTERS TO SALES AND USE TAX. UNDER CURRENT LAW, REAGENTS THAT ARE USED TO PERFORM INFECTIOUS DISEASE TESTING ARE TAXED. THIS TAX RESULTS IN COMMUNITY BLOOD CENTERS IN IOWA PAYING NEARLY $500,000 ANNUALLY IN USE TAX, WHILE HOSPITAL-BASED BLOOD CENTERS AND COMMUNITY BLOOD CENTERS INCORPORATED OUTSIDE OF IOWA PAY NO COMPARABLE TAX. UNDER PROPOSED LEGISLATION, A COMMUNITY BLOOD CENTER THAT IS LICENSED BY THE FDA WOULD BE EXEMPT FROM PAYING SALES AND USE TAX.Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1048536OtherCostOrOtherBasis
Book Value1048536BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis6981430OtherCostOrOtherBasis
Depreciation2668471Depreciation
Book Value4312959BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis8910099OtherCostOrOtherBasis
Depreciation6817577Depreciation
Book Value2092522BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1114927OtherCostOrOtherBasis
Depreciation77045Depreciation
Book Value1037882BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings8491899TotalOfBookValueLandBuildings

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionLONG-TERM INVESTMENTSDescription
Book Value3641699BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities3641699TotalOfBookValueSecurities
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt42677822TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments651515NetUnrealizedGainsInvestments
Revenue Not Rptd F990651515RevenueNotRptdF990
Revenue Subtotal42026307RevenueSubtotal
Other Revenues Not Included15000OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt15000RevenueNotRptdOnFinStmt
Total Revenue Per Form99042041307TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt37690692TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal37690692ExpensesSubtotal
Other Expenses Not Included15000OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt15000ExpensesNotRptdOnFinStmt
Total Expenses Per Form99037705692TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X, LINE 2:THE CENTER IS A TAX-EXEMPT ORGANIZATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (CODE). AS SUCH, THE CENTER IS SUBJECT TO FEDERAL AND STATE INCOME TAXES ONLY ON NET UNRELATED BUSINESS INCOME UNDER THE PROVISIONS OF SECTION 511 OF THE CODE. THE CENTER HAS NOT BEEN DETERMINED TO BE A PRIVATE FOUNDATION BY THE INTERNAL REVENUE SERVICE. THE CENTER FILES INFORMATION RETURNS WITH THE U.S. FEDERAL JURISDICTION. THE CENTER HAS DETERMINED THAT IT IS NOT REQUIRED TO RECORD A LIABILITY RELATED TO UNCERTAIN TAX POSITIONS AT DECEMBER 31, 2012 AND 2011. THE FEDERAL AND STATE INCOME TAX RETURNS OF THE CENTER FOR 2009 AND THEREAFTER ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE AND STATE TAXING AUTHORITIES, GENERALLY FOR THREE YEARS AFTER THEY WERE FILED.
PART XI, LINE 4B - OTHER ADJUSTMENTS:GRANT EXPENSE TO INDIVIDUALS, INCLUDED IN REVENUE PER FS 15,000.
PART XII, LINE 4B - OTHER ADJUSTMENTS:GRANT EXPENSE TO INDIVIDUALS, INCLUDED IN REVENUE PER F/S 15,000.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1RUN FOR BLOODNameOfEvent1
Gross Receipts Event138184GrossReceiptsEvent1
Charitable Contributions Event128970CharitableContributionsEvent1
Gross Revenue Event19214GrossRevenueEvent1
Non Cash Prizes Event12337NonCashPrizesEvent1
Other Direct Expenses Event17590OtherDirectExpensesEvent1
Gross Receipts Total38184GrossReceiptsTotal
Charitable Contributions Total28970CharitableContributionsTotal
Gross Revenue Total Events9214GrossRevenueTotalEvents
Non Cash Prizes Total Events2337NonCashPrizesTotalEvents
Other Direct Expenses Total Events7590OtherDirectExpensesTotalEvents
Direct Expense Summary Events9927DirectExpenseSummaryEvents
Net Income Summary-713NetIncomeSummary

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantSCHOLORSHIPS RANGING FROM $166 TO $1,000 WERE AWARDED TO 34 STUDENTS IN THE AREAS SERVED BY THE ORGANIZATION.TypeOfGrant
Number Of Recipients34NumberOfRecipients
Amount Of Cash Grant15000AmountOfCashGrant
Method Of ValuationCASH VALUEMethodOfValuation

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, PART I, LINE 2: SCHOLARSHIPS ARE PAID DIRECTLY TO THE HIGHER EDUCATION INSTITUTION ONLY UPON CONFIRMATION THAT THE SELECTED STUDENT HAS ENROLLED IN AND BEEN ACCEPTED TO THE INSTITUTION. IF THE STUDENT, FOR WHATEVER REASON, CANCELS THEIR ENROLLMENT, THE FUNDS ARE NOT SENT OR IF THE FUNDS HAVE ALREADY BEEN SENT, THEY ARE RETURNED TO LIFESERVE BLOOD CENTER.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (4 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
STACY SIME
PRESIDENT AND CEO214233000008620076050230458000
CHERYL RITTER
VICE PRESIDENT OF FINANCE1356170000047650168980157280000
DR BRUCE KLOSTER
MEDICAL DIRECTOR2233860000090780172520249716000
JAN TWAIT
EXECUTIVE VICE PRESIDENT - BUSINESS138762000005545080070152314000

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (7 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
DR DALE ANDRES
DIRECTOR OF THE ORGANIZATION AND KEY EMPLOYEE OF A HOSPITAL CUSTOMER4046360BLOOD PRODUCT SALES IN THE ORDINARY COURSE OF BUSINESS.0
SCOTT FROYEN
DIRECTOR OF THE ORGANIZATION AND KEY EMPLOYEE OF A VENDOR1226713PURCHASE OF HEALTH INSURANCE FOR EMPLOYEES IN THE ORDINARY COURSE OF BUSINESS.0
DR GREG GALLOWAY
DIRECTOR OF THE ORGANIZATION AND KEY EMPLOYEE OF A HOSPITAL CUSTOMER1423497BLOOD PRODUCT SALES IN THE ORDINARY COURSE OF BUSINESS.0
BRENDA GILL
DIRECTOR OF THE ORGANIZATION AND KEY EMPLOYEE OF A VENDOR85208PURCHASE OF INSURANCE FOR THE ORGANIZATION IN THE ORDINARY COURSE OF BUSINESS.0
DR MICHAEL KAFKA
MEDICAL DIRECTOR OF ORGANIZATION AND KEY VENDOR103000MEDICAL DIRECTOR0
KATIE MARCHIK
DIRECTOR OF THE ORGANIZATION AND KEY EMPLOYEE OF A HOSPITAL CUSTOMER7465862BLOOD PRODUCT SALES IN THE ORDINARY COURSE OF BUSINESS.0
GARY SCHROEDER
DIRECTOR OF THE ORGANIZATION AND KEY EMPLOYEE OF A HOSPITAL CUSTOMER367812BLOOD PRODUCT SALES IN THE ORDINARY COURSE OF BUSINESS.0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION B, LINE 11THE FINANCE COMMITTEE OF THE BOARD WILL REVIEW THE COMPLETED FORM 990 VIA EMAIL BEFORE IT IS FILED. ANY QUESTIONS OR COMMENTS RELATED TO ITS PREPARATION WILL BE DOCUMENTED BY ACCOUNTING STAFF AND FORWARDED TO THE INDEPENDENT ACCOUNTING FIRM PREPARING THE RETURN FOR REVISION AND RECONCILIATION. AFTER THE REVIEW HAS BEEN COMPLETED AND ANY CHANGES HAVE BEEN MADE, THE FULL BOARD RECEIVES A COPY BEFORE IT IS FILED.
FORM 990, PART VI, SECTION B, LINE 12CBOARD MEMBERS ANNUALLY REVIEW AND SIGN THE CONFLICT OF INTEREST POLICY. ALL SIGNIFICANT TRANSACTIONS ARE REVIEWED BY MANAGEMENT, OR THE BOARD IF APPROPRIATE, TO ENSURE COMPLIANCE. IF A CONFLICT ARISES, AFTER EXERCISING DUE DILIGENCE, THE BOARD WOULD DETERMINE WHETHER LIFESERVE BLOOD CENTER CAN OBTAIN WITH REASONABLE EFFORTS AN ARRANGEMENT WITH A PERSON OR ENTITY THAT DOES NOT GIVE RISE TO A CONFLICT. IF A MORE ADVATAGEOUS ARRANGEMENT IS NOT POSSIBLE, A DECISION IS MADE BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 15THE BOARD OF DIRECTORS HAS A HUMAN RESOURCE COMMITTEE. THE RESPONSIBILITIES OF THE HR COMMITTEE ARE DEFINED IN A COMMITTEE CHARTER. THESE RESPONSIBILITES INCLUDE DETERMINATION OF CEO COMPENSATION AND COMPENSATION PHILOSOPHY. A CONSULTING FIRM WAS HIRED TO ESTABLISH RANGES BASED ON MARKET COMPENSATION OF COMPARABLE ORGANIZATIONS. THE CONSULTING FIRM PROVIDED THIS INFORMATION TO THE HR COMMITTEE. THE COMPARABILITY DATA USED INCLUDED OTHER BLOOD CENTERS, OTHER NON-PROFITS AND OTHER REGIONAL ORGANIZATIONS. THE DETERMINATION OF EXECUTIVE SALARY RANGES WAS DOCUMENTED IN A SUMMARY REPORT CREATED BY THE CONSULTANT, AS WELL AS IN HR COMMITTEE AND BOARD MINUTES. THE CEO SALARY RANGE WILL BE EVALUATED EVERY 3 YEARS BY HIRING A CONSULTING FIRM TO ASSESS THE MARKET RANGE. THE NEXT MARKET EVALUATION IS SCHEDULED FOR 1Q 2014 FOR IMPLEMENTATION IN 2015. THE PLACEMENT OF THE CEO WITHIN THE RANGE WAS DONE BASED ON RECOMMENDATIONS FROM THE COMPENSATION CONSULTING FIRM. EACH YEAR, THE CEO'S PERFORMANCE IS REVIEWED BY THE HR COMMITTEE USING THE STANDARD PERFORMANCE EVALUATION TOOL AND THE BUDGET APPROVED MERIT INCREASE. THE HR RECOMMENDATION FOR SALARY INCREASE IS TAKEN TO THE FULL BOARD FOR APPROVAL. THIS PROCEDURE WAS COMPLETED IN 2012. PART VI, SECTION B, LINE 15B: DURING 2011, A COMPENSATION CONSULTANT WAS HIRED TO CONDUCT A MARKET EVALUATION FOR ALL POSITIONS IN THE ORGANIZATION. OTHER BLOOD CENTERS, NON-PROFITS AND REGIONAL ORGANIZATIONS WERE USED TO ESTABLISH THE SALARY RANGES. THE LIFESERVE COMPENSATION PHILOSOPHY IS MARKET BASED. OUR GOAL IS TO PROVIDE FAIR COMPENSATION BASED ON THE MARKET SALARY FOR THE POSITION. THE MARKET EVALUATION WAS USED TO CREATE A SALARY RANGE FOR ALL EMPLOYEES IN THE ORGANIZATION. EMPLOYEES ARE PLACED IN THE RANGE BASED ON EXPERIENCE AND PERFORMANCE. AN EMPLOYEES' ABILITY TO ADVANCE IN THE SALARY RANGE IS BASED ON PERFORMANCE. MERIT INCREASES ARE DETERMINED BY PLACEMENT IN THE RANGE AND BUDGET.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.