2012-11-15T14:29:10-06:00 2012-06-30 910189318 MOSS ADAMS LLP 999 THIRD AVENUE SUITE 2800 SEATTLE WA 98104 990 2011-07-01 911019655 PUGET SOUND BLOOD CENTER AND PROGRAM PUGE 2062926500 921 TERRY AVENUE SEATTLE WA 981041256 ROBERT GLEASON 2062926500 2012-11-13 WENDY CAMPOS P00448102 2063026500 2011 2016-02-24 21:20:13Z ROBERT GLEASON 921 TERRY AVENUE SEATTLE WA 981041256 175459044 0 X WWW.PSBC.ORG X 1944 WA SAVING LIVES THROUGH RESEARCH, INNOVATION, EDUCATION AND EXCELLENCE IN BLOOD AND LABORATORY SERVICES IN PARTNERSHIP WITH OUR COMMUNITY. 14 14 1023 1492 0 0 7189946 6913549 148393694 150260881 5129276 1766054 183233 360098 160896149 159300582 483782 551778 0 0 63936166 68001306 0 0 808212 89612778 90849223 154032726 159402307 6863423 -101725 125522597 123331145 46801062 46223205 78721535 77107940 X SAVING LIVES THROUGH RESEARCH, INNOVATION, EDUCATION AND EXCELLENCE IN BLOOD AND LABORATORY SERVICES IN PARTNERSHIP WITH OUR COMMUNITY. 0 1 133331602 72461 150288707 COLLECTED, TESTED, PROCESSED AND FRACTIONATED DONATED BLOOD AND COMPONENTS INTO PRODUCTS (WHOLE BLOOD, RED CELLS, PLATELETS, PLASMA AND CRYOPRECIPITATE) FOR STORAGE, DELIVERY AND USE PRIMARILY BY MORE THAN 70 HOSPITALS IN 15 COUNTIES IN WESTERN WASHINGTON. 9261345 479317 RESEARCH INSTITUTE COMPRISES 40 SCIENTISTS AND INVESTIGATIVE TEAMS WHO ARE RECOGNIZED WORLDWIDE FOR BREAKTHROUGHS IN TRANSFUSION MEDICINE, BLOOD STORAGE, CANCER THERAPIES, TREATMENT OF CLOTTING DISORDERS INCLUDING HEMOPHILIA, TRANSPLANTATION MEDICINE, BLOOD DISORDERS LIKE SICKLE CELL DISEASE, AND THROMBOSIS DIAGNOSIS AND PREVENTION. 142592947 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 1 1 0 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 106 0 1 1023 1 0 0 0 0 0 1 1 0 0 0 0 X 14 14 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 0 WA X ROBERT GLEASON 2062921881 921 TERRY AVENUE SEATTLE WA 981041256 KATERIE CHAPMAN 1.00 X 0 0 0 COLLEEN FERRIS 1.00 X 0 0 0 JANE A GROSS 1.00 X 0 0 0 A KENT FISHER 1.00 X 0 0 0 MOHIT KATHURIA 1.00 X 0 0 0 DAVID H KOSLOFF 1.00 X 0 0 0 PENELOPE J LIE 1.00 X 0 0 0 ERIC MENDELSOHN 1.00 X 0 0 0 STEVE NICHOLES 1.00 X X 0 0 0 WILLIAM C PARKS 1.00 X 0 0 0 ADRIANO SAVOJNI 1.00 X 0 0 0 ALAN W SCHULKIN 1.00 X 0 0 0 NANCY SCLATER 1.00 X X 0 0 0 BARBARA C SHERLAND 1.00 X 0 0 0 MIRTHA VACA-WILKENS JUL-11 1.00 X 0 0 0 ANSON FATLAND FEB-12 1.00 X 0 0 0 MAURICIO VIVERO MAR-12 1.00 X 0 0 0 DR JAMES P AUBUCHON 40.00 X 848024 0 31679 ROBERT GLEASON 40.00 X 201643 0 40437 ALEXA ZEPEDA 40.00 X 74181 0 15363 DR JOSE A LOPEZ 40.00 X 311720 0 38119 DR THOMAS H PRICE 40.00 X 277134 0 42383 JAMES G GORE 40.00 X 234081 0 15922 DAVID C FENNELL 40.00 X 229659 0 15782 SANDRA E LINAUTS 40.00 X 181829 0 30991 THERESA A NESTER 40.00 X 171086 0 36415 MARIA ELENA GEYER 40.00 X 170740 0 33203 SALLY J SULLIVAN 40.00 X 169132 0 26477 NEIL C JOSEPHSON 40.00 X 168789 0 30726 LAKSHMI K GAUR 40.00 X 341802 0 31939 SHERRILL J SLICHTER 40.00 X 309703 0 35610 BARBARA A KONKLE 40.00 X 245848 0 23329 TERRY B GERNSHEIMER 40.00 X 223782 0 35598 JO-ANNA REEMS 40.00 X 170233 0 24123 4329386 0 508096 49 0 1 0 BN BUILDERS INC 2601 4TH AVE SEATTLE WA 98121 CONSTRUCTION SERVICES 623189 OPENWORKS 4742 N 24TH ST SUITE 450 PHOENIX AZ 85016 JANITORIAL SERVICES 437127 BLOOD BANK COMPUTER SYSTEMS 1002 15TH ST SUITE 120 AUBURN WA 98001 COMPUTER CONSULTING 376121 ERIN AIR INC 6501 PERIMETER ROAD SOUTH SUITE 10 SEATTLE WA 98108 AIR FLIGHT CHARTER SERVICES 279015 SIGHTLIFE 221 YALE AVE N SUITE 450 SEATTLE WA 98109 TISSUE DONATION REFERRAL COORDINATION 240000 12 142404 5305507 1465638 440357 6913549 SERVICE FEES 541900 107611870 107611870 BLOOD DERIVATIVES 339110 39516325 39516325 MISCELLANEOUS INCOME 900099 2582582 2582582 DELIVERY FEES 480000 550104 550104 150260881 1271726 1271726 127593 99767 27826 27826 27826 12299885 4076561 12195268 3686850 104617 389711 494328 494328 508849 142404 176577 332272 332272 159300582 150288707 0 2098326 523129 523129 28649 28649 3430577 1982064 1448513 49522596 42580799 6474229 467568 3318245 2845646 462220 10379 7039900 5965482 1010785 63633 4689988 3958427 689841 41720 228764 80279 148485 111996 111996 343108 343108 3758039 3286086 471953 391410 248801 115256 27353 3347493 1919429 1367418 60646 2593366 2153348 417926 22092 5396895 4555070 793827 47998 540276 456211 82243 1822 220729 125762 93696 1271 744897 739681 5216 5364105 4527393 788995 47717 856102 722565 125922 7615 DRUGS & SUPPLIES 63209807 63209807 TRANSPORTATION 3210476 2892240 315054 3182 PROVISION FOR DOUBTFUL 531760 531760 159402307 142592947 16001148 808212 2910 900 3190557 5100857 512605 797569 25281132 22461500 7293292 4042957 1105037 1408290 107418004 59219355 47448075 48198649 40094722 40156313 594267 1164110 125522597 123331145 19747239 19716409 843823 1026796 26210000 25480000 46801062 46223205 X 77918302 75962282 553874 720497 249359 425161 78721535 77107940 125522597 123331145 X -101725 -1511870 X X 0 1 1 X 1 1 X 6088423 5549031 6242609 7189946 6913549 31983558 135219743 147805225 144542592 148393694 150260881 726222135 141308166 153354256 150785201 155583640 157174430 758205693 52434 39041 37867 21762 39465 190569 0 52434 39041 37867 21762 39465 190569 758015124 452723 309800 783090 1037671 1399319 3982603 452723 309800 783090 1037671 1399319 3982603 141760889 153664056 151568291 156621311 158573749 762188296 0.99450 0.99410 0.00520 0.00560 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 315629 175802 -4010 23893 3649 459879 269940 3100 59721 15560 1572 315629 260919 900 8121 269940 322251 3297 -63095 1534 260919 1.00000 0 0 2496213 2496213 43268438 18618192 24650246 16807487 10480960 6326527 43848196 30120203 13727993 997670 997670 48198649 159300582 159402307 -101725 -1511955 85 -1511870 -1613595 157721863 -1511955 276344 -1235611 158957474 343108 343108 159300582 159335543 276344 276344 159059199 343108 343108 159402307 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: INTENDED USE OF ENDOWMENT FUND EARNINGS IS FOR MEDICAL RESEARCH AS WELL AS AN ANNUAL LECTURE SERIES. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: PSBC IS EXEMPT FROM FEDERAL INCOME TAX AS AN ENTITY DESCRIBED IN INTERNAL REVENUE CODE (IRC) SECTION 501(C)(3) EXCEPT TO THE EXTENT OF UNRELATED BUSINESS TAXABLE INCOME AS DEFINED UNDER IRC SECTIONS 511 THROUGH 515. PSBC DID NOT INCUR UNRELATED BUSINESS INCOME TAX FOR THE YEAR ENDED JUNE 30, 2012. ACCORDINGLY, NO PROVISION HAS BEEN MADE FOR FEDERAL INCOME TAX IN THE ACCOMPANYING FINANCIAL STATEMENTS. PSBC FOLLOWS THE PROVISIONS OF AUTHORITATIVE GUIDANCE RELATING TO ACCOUNTING FOR UNCERTAIN TAX POSITIONS. PSBC RECOGNIZES THE TAX BENEFIT FROM UNCERTAIN TAX POSITIONS ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITIONS WILL BE SUSTAINED ON EXAMINATION BY THE TAX AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFIT IS MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. PSBC RECOGNIZES INTEREST AND PENALTIES RELATED TO INCOME TAX MATTERS IN INCOME TAX EXPENSE. AS OF JUNE 30, 2012, PSBC IS UNAWARE OF ANY UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING FEES NETTED WITH FUNDRAISING REVENUE 176,577. RENTAL EXPENSES REPORTED ON REVENUE PAGE 99,767. PART XIII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING FEES NETTED WITH FUNDRAISING REVENUE 176,577. RENTAL EXPENSES REPORTED ON REVENUE PAGE 99,767. PART XIII, LINE 4B - OTHER ADJUSTMENTS: INVESTMENT FEES NETTED WITH INVESTMENT INCOME 343,108. GOLF GETS IN YOUR BLOOD 240901 39050 201851 1770 27437 26180 23311 SWIM FOR LIFE 72302 30979 41323 1128 1972 2 338050 72375 265675 12644 60184 1215 20736 651253 142404 508849 1770 41209 86364 1215 46019 176577 332272 1 THE UNIVERSITY OF WASHINGTON 4333 BROOKLYN AVE NE SEATTLE WA 98195 916001537 115(1) 24293 BLOOD RESEARCH SWEDISH MEDICAL CENTER 1120 CHERRY STREET SEATTLE WA 98104 910433740 501(C)(3) 34797 BLOOD RESEARCH FRED HUTCHINSON CANCER RESEARCH CENTER 1100 FAIRVIEW AVE N SEATTLE WA 98109 237156071 501(C)(3) 50480 BLOOD RESEARCH THE UNIVERSITY OF PENNSYLVANIA 3451 WALNUT STREET ROOM P-221 PHILADELPHIA PA 19104 231352685 115(1) 176109 BLOOD RESEARCH THE CHILDREN'S HOSPITAL OF PHILADELPHIA 139 ABRAMSON RESEARCH CENTER BLVD PHILADELPHIA PA 19104 231352166 501(C)(3) 70274 BLOOD RESEARCH BLEEDING DISORDER FOUNDATION OF WA 8659 FIRDALE AVE NORTH EDMONDS WA 98020 916068857 501(C)(3) 72461 PROGRAM SUPPORT 6 RESEARCH PARTICIPANTS FOR BLOOD STUDIES 44 28649 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: MONITORING/REVIEW/PROCEDURES: PRIOR TO ISSUING A SUBAWARD, PSBC CONFIRMS THE EPLS AND CCR STANDING OF EACH VENDOR. GRANT AND CONTRACTS SPECIALIST REVIEWS THIS INFORMATION ANNUALLY. IN ADDITION, PSBC RECEIVES AND REVIEWS THE ANNUAL OMB A-133 AUDIT FOR OUR SUBRECIPIENTS AND ADDRESSES ANY FINDINGS FROM THE AUDIT. THE SUBAWARD IDENTIFIES THE MAXIMUM AMOUNT OF AWARD AND PSBC STAFF VERIFIES THAT THE PAYMENTS DO NOT EXCEED THIS AMOUNT. SUBRECIPIENTS ARE SELECTED BASED ON THE NEEDS OF THE AWARD AND WHICH ORGANIZATION IS ABLE TO BEST PARTNER WITH THE PRINCIPAL INVESTIGATOR. X X 1 1 X X X X 1 1 0 0 0 0 0 0 0 DR JAMES P AUBUCHON 491642 0 40000 0 316382 0 12250 0 19429 0 879703 0 0 0 ROBERT GLEASON 199723 0 0 0 1920 0 14807 0 25630 0 242080 0 0 0 DR JOSE A LOPEZ 309800 0 0 0 1920 0 21565 0 16554 0 349839 0 0 0 DR THOMAS H PRICE 271302 0 0 0 5832 0 24500 0 17883 0 319517 0 0 0 JAMES G GORE 196609 0 35000 0 2472 0 3673 0 12249 0 250003 0 0 0 DAVID C FENNELL 227187 0 0 0 2472 0 10645 0 5137 0 245441 0 0 0 SANDRA E LINAUTS 179909 0 0 0 1920 0 18368 0 12623 0 212820 0 0 0 THERESA A NESTER 169838 0 0 0 1248 0 15188 0 21227 0 207501 0 0 0 MARIA ELENA GEYER 168820 0 0 0 1920 0 17502 0 15701 0 203943 0 0 0 SALLY J SULLIVAN 168244 0 0 0 888 0 16933 0 9545 0 195610 0 0 0 NEIL C JOSEPHSON 167349 0 0 0 1440 0 12125 0 18600 0 199514 0 0 0 LAKSHMI K GAUR 105042 0 0 0 236760 0 24500 0 7439 0 373741 0 0 0 SHERRILL J SLICHTER 304171 0 0 0 5532 0 24500 0 11110 0 345313 0 0 0 BARBARA A KONKLE 243941 0 0 0 1907 0 12380 0 10948 0 269176 0 0 0 TERRY B GERNSHEIMER 222162 0 0 0 1620 0 22795 0 12803 0 259380 0 0 0 JO-ANNA REEMS 90253 0 0 0 79980 0 17189 0 6934 0 194356 0 0 0 PART I, LINE 1A FIRST CLASS TRAVEL IS PROVIDED TO THE PRESIDENT UNDER VERY SPECIFIC AND APPROVED CIRCUMSTANCES. SOCIAL CLUB DUES WERE PROVIDED FOR THE PRESIDENT AND FOR THE EVP MARKETING & COMMUNITY RELATIONS. SOCIAL CLUBS ARE USED FOR BUSINESS RELATED MEETINGS. PART I, LINES 4A-B SCHEDULE I, PART I, LINE 4A: THE FOLLOWING INDIVIDUALS RECEIVED ONE-TIME TOTAL SEVERENCE PAYMENTS DURING THE YEAR: MARIA ELENA GEYER: $180,000.00 JO-ANNA REEMS: $79,126.66 LAKSHMI GUAR: $235,319.83 SCHEDULE I, PART I, LINE 4B: PUGET SOUND BLOOD CENTER HAS A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ESTABLISHED TO PROVIDE ADDITIONAL RETIREMENT COMPENSATION TO DR. JAMES AUBUCHON, PRESIDENT. AMOUNTS ARE ACCRUED ON AN ANNUAL BASIS, WITH A CORRESPONDING LIABILITY RECORDED IN THE FINANCIAL STATEMENTS. FOR THE CURRENT YEAR, $96,000 WAS ACCRUED. DURING THE CURRENT YEAR, DR. AUBUCHON BECAME 100% VESTED IN THE PLAN. INCLUDED IN HIS W-2 FOR CALENDAR YEAR 2011 WAS $314,462 FOR THIS VESTING, HOWEVER, NO CASH PAYMENTS WERE MADE TO HIM. WA ECONOMIC DEVELOPMENT FINANCE AUTHORITY 939758CW6 2008-08-14 27625000 PURCHASE AND RENOVATION OF RENTON, WA FACILITY 0 0 0 27625000 361737 27263263 2009 0 0 1 1 0 0 0 0 0.00000 0.00000 0.00000 1 0 1 0 0 0 0 X 2 294391 FAIR VALUE X SOFTWARE LICENSES 1 5000 FAIR VALUE X AUCTION ITEMS 301 117841 FAIR VALUE X FILEMAKER VIVARIUM DATABASE 1 23125 FAIR VALUE 0 1 0 CHANGES IN PROGRAM SERVICES FORM 990, PART III, LINE 3 IN APRIL 2012, PUGET SOUND BLOOD CENTER SOLD NORTHWEST TISSUE SERVICES TO LIFENET HEALTH. AFTER THIS SALE, PUGET SOUND BLOOD CENTER CEASED TO PROVIDE TISSUE SERVICES. FORM 990, PART VI, SECTION B, LINE 11 INTERNALLY, DATA FOR THE FORM 990 IS PREPARED BY THE SENIOR ACCOUNTANT AND REVIEWED BY THE CONTROLLER AND THE CHIEF FINANCIAL OFFICER. THE FORM 990 IS THEN PREPARED BY CPA FIRM. EXTERNAL REVIEW CONSISTS OF THE FORM 990 BEING POSTED TO THE BOARD OF TRUSTEE WEBSITE, AND THE BOARD MEMBERS ARE EMAILED A LINK TO THIS PASS-WORD PROTECTED SITE SO THAT THE FORM 990 CAN BE REVIEWED. FORM 990, PART VI, SECTION B, LINE 12C PSBC SENDS OUT AN ACKNOWLEDGEMENT FORM OF ALL HR POLICIES (INCLUDING CONFLICT OF INTEREST) EVERY FEW YEARS FOR SIGNATURE. EMPLOYEE IS SIGNING TO EVIDENCE THAT SHE/HE IS RESPONSIBLE TO READ AND BECOME ACQUAINTED WITH THE POLICIES. ALL NEW HIRES SIGN UPON HIRE. ANNUALLY BOARD MEMBERS MUST SIGN A FORM AND DISCLOSE CONFLICTS OF INTEREST. THESE ARE REVIEWED BY THE BOARD CHAIR AND PRESIDENT. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE COMMITTEE OF THE BOARD REVIEWS AND APPROVES THE PRESIDENT'S COMPENSATION BASED ON RESEARCH OF OTHER COMPARABLE ORGANIZATIONS AND INDUSTRY STANDARDS PERFORMED BY A COMPENSATION CONSULTING FIRM. IN ADDITION, EVERY FEW YEARS AN ALTERNATE COMPENSATION CONSULTING FIRM IS USED TO ENSURE VALIDITY OF THE DATA. REVIEW OF COMPENSATION FOR OFFICERS AND KEY EMPLOYEES HAS BEEN COMPLETED BY AN EXTERNAL COMPENSATION CONSULTING FIRM AS WELL. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS AND AUDITED FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -1,511,955. PRIOR PERIOD ADJUSTMENTS: 85. TOTAL TO FORM 990, PART XI, LINE 5: -1,511,870. FINANCIAL STATEMENT REVIEW FORM 990, PART XII, LINE 2C THERE HAS BEEN NO CHANGE TO HOW THE COMMITTEE REVIEWS THE FINANCIAL STATEMENTS.