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LIFESHARE COMMUNITY BLOOD SERVICES INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
LIFESHARE COMMUNITY BLOOD SERVICES INC (EIN 34-1163202)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-13
IRS object ID
201203189349300705
Schema version
2011v1.2
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)
Timestamp2012-11-13T05:16:25-08:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

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 Date2011-01-01TaxPeriodBeginDate

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 Signed2012-08-31DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameALAN V JANUZZI CPAName
Phone4409852550Phone
Date Prepared2012-11-13DatePrepared
Self EmployedXSelfEmployed
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

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 Receipts19955466GrossReceipts
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 Employees160TotalNbrEmployees
Total Nbr Volunteers20TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year9870ContributionsGrantsPriorYear
Contributions Grants Current Year34746ContributionsGrantsCurrentYear
Program Service Revenue Prior Year17337811ProgramServiceRevenuePriorYear
Program Service Revenue CY19854186ProgramServiceRevenueCY
Investment Income Prior Year54399InvestmentIncomePriorYear
Investment Income Current Year66534InvestmentIncomeCurrentYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year17402080TotalRevenuePriorYear
Total Revenue Current Year19955466TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year1043794GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY951272GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year6197502SalariesEtcPriorYear
Salaries Etc Current Year6276736SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year158368TotalFundrsngExpCurrentYear
Other Expense Prior Year8788940OtherExpensePriorYear
Other Expenses Current Year10566933OtherExpensesCurrentYear
Total Expenses Prior Year16030236TotalExpensesPriorYear
Total Expenses Current Year17794941TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1371844RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2160525RevenuesLessExpensesCY
Total Assets BOY10626817TotalAssetsBOY
Total Assets EOY13038789TotalAssetsEOY
Total Liabilities BOY597561TotalLiabilitiesBOY
Total Liabilities EOY849008TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY10029256NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY12189781NetAssetsOrFundBalancesEOY
Mission DescriptionLifeShare Community Blood Services is a community-MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense11505838Expense
Revenue14187225Revenue
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 2011 LIFESHARE DISTRIBUTED OVER 91,000 UNITS OF BLOOD PRODUCTS.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense4562218Expense
Revenue5623150Revenue
Description10,937 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)
Expense31905Expense
Revenue39398Revenue
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 2011, 1,057 UNITS OF THESE SERVICES WERE DRAWN.Description
FieldValueIRS element (for citing)
Total Program Service Expense16099961TotalProgramServiceExpense
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 With10964NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees160NumberOfEmployees
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
BOARD MEMBER1.00X000
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 CEO40.0023240300XX
MIKE DASH
VP OF OPERATIONS40.0012401100X
BARB HALLENBURG
DIRECTOR QUALITY ASSURANCE40.0010622300X
DONYAH PERINE
DIRECTOR FINANCIAL SERVICES40.0010556400X
FieldValueIRS element (for citing)
Total Reportable Comp From Org568201TotalReportableCompFromOrg
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 TESTING1430040
MEDSPEED LLC
PO BOX 190LAKE GENEVAWA53147DELIVERY240893
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
All Other Contributions34746AllOtherContributions
Total Contributions34746TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumn
BLOOD PROCESSING FEES90009919500978
PLASMA SALVAGE900099316259
SHIPPING CHARGES90009936949
FieldValueIRS element (for citing)
Total Program Service Revenue19854186TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column47928TotalRevenueColumn
Exclusion$47,928ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities18606Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities18606Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column18606TotalRevenueColumn
Exclusion$18,606ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column19955466TotalRevenueColumn
Related Or Exempt Function Income19854186RelatedOrExemptFunctionIncome
Exclusion$66,534ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total951272Total
Program Services951272ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total232403Total
Program Services197543ProgramServices
Management And General23508ManagementAndGeneral
Fundraising11352Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total4724003Total
Program Services3701037ProgramServices
Management And General910284ManagementAndGeneral
Fundraising112682Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total130680Total
Program Services102793ProgramServices
Management And General24620ManagementAndGeneral
Fundraising3267Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total754979Total
Program Services593866ProgramServices
Management And General142238ManagementAndGeneral
Fundraising18875Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total434671Total
Program Services341912ProgramServices
Management And General81892ManagementAndGeneral
Fundraising10867Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total47384Total
Program Services0ProgramServices
Management And General47384ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total40850Total
Program Services0ProgramServices
Management And General40850ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total120617Total
Program Services120617ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total750515Total
Program Services746405ProgramServices
Management And General4110ManagementAndGeneral
Fundraising0Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total26218Total
Program Services0ProgramServices
Management And General26218ManagementAndGeneral
Fundraising0Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total462903Total
Program Services325150ProgramServices
Management And General137753ManagementAndGeneral
Fundraising0Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total75410Total
Program Services75410ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total59946Total
Program Services48716ProgramServices
Management And General11230ManagementAndGeneral
Fundraising0Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total211445Total
Program Services190300ProgramServices
Management And General21145ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total132381Total
Program Services123219ProgramServices
Management And General9162ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
BLOOD BAGS1910204191020400
LAB TESTS2036213203621300
BLOOD PURCHASED2524895252489500
RECRUITMENT FEES552975529700

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total2112655Total
Program Services2055112ProgramServices
Management And General56218ManagementAndGeneral
Fundraising1325Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total17794941Total
Program Services16099961ProgramServices
Management And General1536612ManagementAndGeneral
Fundraising158368Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY4635363BOY
EOY5771483EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1954431BOY
EOY3306181EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY1035832BOY
EOY943840EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY214014BOY
EOY222438EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis2944642LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1718804LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1289038BOY
EOY1225838EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY1494943BOY
EOY1556159EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY3196BOY
EOY12850EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY10626817BOY
EOY13038789EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY597561BOY
EOY849008EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY597561BOY
EOY849008EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY10029256BOY
EOY12189781EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY10029256BOY
EOY12189781EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY10626817BOY
EOY13038789EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses2160525ReconcilationRevenueExpenses
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement BothXFinancialStatementBoth
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 Minus4 Years13016CurrentTaxYearMinus4Years
Current Tax Year Minus1 Year9870CurrentTaxYearMinus1Year
Current Tax Year34746CurrentTaxYear
Total57632Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years14638415CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years15798731CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years16776560CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year17337811CurrentTaxYearMinus1Year
Current Tax Year19854186CurrentTaxYear
Total84405703Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years14651431CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years15798731CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years16776560CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year17347681CurrentTaxYearMinus1Year
Current Tax Year19888932CurrentTaxYear
Total84463335Total
FieldValueIRS element (for citing)
Public Support Total50984463335PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years61762CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years46334CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years18472CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year54399CurrentTaxYearMinus1Year
Current Tax Year23404CurrentTaxYear
Total204371Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years61762CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years46334CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years18472CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year54399CurrentTaxYearMinus1Year
Current Tax Year23404CurrentTaxYear
Total204371Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Total84667706Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99760PublicSupportPercentage509
Prior Year Support Percentage0.99750PriorYearSupportPercentage
Investment Income Percentage0.00240InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00250PriorYrInvestIncomePercentage
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 Basis1243460OtherCostOrOtherBasis
Depreciation582022Depreciation
Book Value661438BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis925825OtherCostOrOtherBasis
Depreciation650823Depreciation
Book Value275002BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis700357OtherCostOrOtherBasis
Depreciation485959Depreciation
Book Value214398BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1225838TotalOfBookValueLandBuildings
Total Revenue19955466TotalRevenue
Total Expenses17794941TotalExpenses
Excess Or Deficit For Year2160525ExcessOrDeficitForYear
Excess Or Deficit Per FS2160525ExcessOrDeficitPerFS

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 Grant940014AmountOfCashGrant
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 Org189231BaseCompensationFilingOrg
Bonus Filing Org34231BonusFilingOrg
Other Compensation Filing Org8941OtherCompensationFilingOrg
Total Compensation Filing Org232403TotalCompensationFilingOrg

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
DR PRISCILLA WALDHEGER
CO-MEDICAL DIRECTOR52057MEDICAL DIRECTORfalse
DR MONIQUE JACQUES
CO-MEDICAL DIRECTOR52057MEDICAL DIRECTORfalse

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (43 entries)

IdentifierIdentifierExplanationExplanation
Pt VI, Line 11aTHE BOARD REVIEWED THE 990 AS AN AGENDA ITEM AT A BOARD MEETING
Pt VI, Line 12cANNUALLY, BOARD MEMBERS COMPLETE CONFLICT STATEMENTS
Pt VI, Line 15The 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 determinig 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
and Medical Director which is data from June of the previous
year and most comprehensive in terms of comparable wage
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 169538. 169538. 0. 0. DUES AND SUBSCRIPTIONS 43019. 39043. 3976. 0. PAYROLL FEES 52988. 41680. 9983. 1325. REPAIRS 249908. 224917. 24991. 0. BLOOD DISTRIBUTION 531416. 531416. 0. 0. COLLECTION SUPPLIES 214741. 214741. 0. 0. LAB SUPPLIES 408996. 408996. 0. 0. VEHICLE RENTAL 51153. 51153. 0. 0. EQUIPMENT AND STORAGE RENTAL 55486. 49034. 6452. 0. DONOR INCIDENTS 3888. 3888. 0. 0. SUPPLIES 58276. 58276. 0. 0. TELEPHONE 108156. 97340. 10816. 0. MISCELLANEOUS 31016. 310
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.
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

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)
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
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 Involved940014AmountInvolved
Method Of Amt DeterminationACTUALMethodOfAmtDetermination