2012-12-12T14:44:45-06:00 2012-06-30 231909723 MCKONLY & ASBURY LLP 415 FALLOWFIELD ROAD CAMP HILL PA 17011 990 2011-07-01 231639036 CENTRAL PENNSYLVANIA BLOOD BANK CENT 7175666161 8167 ADAMS DRIVE HUMMELSTOWN PA 17036 PATRICK J BRADLEY 7175666161 2012-12-11 1 GARY J DUBAS P00252339 7177617910 X 2011 2016-02-24 21:20:13Z PATRICK J BRADLEY 8167 ADAMS DRIVE HUMMELSTOWN PA 17036 14196391 0 X WWW.CPBB.ORG X 1960 PA THE CENTRAL PENNSYLVANIA BLOOD BANK (CPBB) IS A COMMUNITY BASED BLOOD PROGRAM COMMITTED TO PROVIDING A QUALITY BLOOD SUPPLY, RESPONSIVE TO COMMUNITY NEEDS, IN A COST EFFECTIVE MANNER. CPBB WORKS TO PROMOTE, SECURE, AND COORDINATE 100% OF THE CENTRAL PENNSYLVANIA'S REGION'S BLOOD/BLOOD PRODUCT SUPPLY. 16 16 140 16 0 0 130896 95348 13177353 14018891 58942 65017 17732 17135 13384923 14196391 0 0 0 0 5012629 5424082 0 0 7978 6547320 7465460 11559949 12889542 1824974 1306849 7453192 8888873 1547147 1622546 5906045 7266327 X THE CENTRAL PENNSYLVANIA BLOOD BANK (CPBB) IS A COMMUNITY BASED BLOOD PROGRAM COMMITTED TO PROVIDING A QUALITY BLOOD SUPPLY, RESPONSIVE TO COMMUNITY NEEDS, IN A COST EFFECTIVE MANNER. CPBB WORKS TO PROMOTE, SECURE, AND COORDINATE 100% OF THE CENTRAL PENNSYLVANIA REGION'S BLOOD/BLOOD PRODUCT SUPPLY. 0 0 12376729 14036026 CPBB OPERATES BLOOD BANK FACILITIES FOR THE RECRUITMENT,COLLECTION AND DISTRIBUTION OF HUMAN BLOOD AND BLOOD PRODUCTS IN CENTRAL PENNSYLVANIA. CPBB IS THE PRIMARY BLOOD SUPPLIER FOR 15 OF THE REGIONS HOSPITALS. 12376729 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 22 0 1 140 1 0 0 0 0 0 0 0 0 0 0 X 16 16 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 PA X BLOOD BANK OFFICE (DIANE ROUSH) 7175666161 8167 ADAMS DRIVE HUMMELSTOWN PA 17036 ANDREW CLARK 0.00 X 0 0 0 DR SUN KIM 0.00 X 0 0 0 JUDY DARR 0.00 X X 0 0 0 DR CHARLES D EVANCHO 0.00 X 0 0 0 RONALD FOUCHE 0.00 X 0 0 0 TERI FREY 0.00 X 0 0 0 FRED KIRETA 0.00 X X 0 0 0 DRMARY MEIHOFER 0.00 X 0 0 0 BERNT NYMAN 0.00 X X 0 0 0 LOUIS WOLFEL 0.00 X X 0 0 0 SANDRA K LAMEREAUX 0.00 X 0 0 0 STEVE MANCUSO 0.00 X 0 0 0 DR MELISSA GEORGE 0.00 X 0 0 0 MICHAEL LEPLEY 0.00 X 0 0 0 DR PETER PHILLIPS 0.00 X 0 0 0 JOSEPH BAZZARRI 0.00 X 0 0 0 DIANE ROUSH 40.00 X 105648 0 16857 PATRICK BRADLEY 40.00 X 167270 0 22072 MICHELLE THOMPKINS 40.00 X 118150 0 30247 391068 0 69176 3 0 1 0 HSC BLOOD CENTER 2171 28TH STREET SOUTH WEST ALLENTOWN PA 18103 TESTING 1938392 BLOOD BANK COMPUTER SYSTEMS 1002 15TH ST SUITE 120 AUBURN WA 98001 SOFTWARE MAINT/SUPPORT 113586 2 95348 16000 95348 HOSPITAL BILLINGS 900099 14018891 14018891 14018891 65017 65017 MISC. INCOME 900099 17135 17135 17135 14196391 14036026 0 65017 311728 122477 189251 3928666 3853982 73371 1313 229355 222315 6935 105 648562 610958 32152 5452 305771 288193 17477 101 58504 29017 29487 221741 221472 269 275581 258481 17100 188210 188210 273799 247485 26314 51974 51311 663 25934 17169 8765 21256 13845 7411 292437 270939 21498 122881 113993 7881 1007 TESTING 2397488 2397488 BLOOD PACKS 1622998 1622998 IMPORTED BLOOD 1019034 1019034 SUPPLIES 481434 465435 15999 412189 361927 50262 12889542 12376729 504835 7978 371 275 2524841 3355567 25000 0 1530343 1426131 83430 166405 115558 129713 4160823 1793105 2075833 2367718 1052534 1396950 45282 46114 7453192 8888873 681227 843151 838807 751517 27113 27878 1547147 1622546 X 5881045 7266327 25000 0 5906045 7266327 7453192 8888873 X 1306849 53433 X X 0 1 1 X 0 X 8624 114007 43765 130896 95348 392640 8011839 9272293 11121778 13177353 14018891 55602154 8020463 9386300 11165543 13308249 14114239 55994794 0 0 0 55994794 34141 21500 36657 58942 65017 216257 34141 21500 36657 58942 65017 216257 36517 30207 20592 17732 17135 122183 8091121 9438007 11222792 13384923 14196391 56333234 0.99400 0.99350 0.00380 0.00390 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 213229 213229 1456776 406962 1049814 282725 49453 233272 2208093 1336690 871403 2367718 RESERVE FOR UNEMPLOYMENT TAXES 20000 INTEREST RATE SWAP 7878 27878 14196391 12889542 1306849 54198 -765 53433 1360282 14284589 54198 34000 88198 14196391 0 14196391 12924307 34000 765 34765 12889542 0 12889542 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE BLOOD BANK ADHERES TO THE PROVISIONS OF FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ACCOUNTING STANDARDS CODIFICATION (ASC) 740, INCOME TAXES (ASC 740). ASC 740 ESTABLISHES RULES FOR RECOGNIZING AND MEASURING TAX POSITIONS TAKEN IN AN INCOME TAX RETURN, INCLUDING DISCLOSURES OF UNCERTAIN TAX POSITIONS (UTPS). ASC 740 MANDATES THAT COMPANIES EVALUATE ALL MATERIAL INCOME TAX POSITIONS FOR PERIODS THAT REMAIN OPEN UNDER APPLICABLE STATUTES OF LIMITATION, AS WELL AS POSITIONS EXPECTED TO BE TAKEN IN FUTURE RETURNS. THE UTP RULES THEN IMPOSE A RECOGNITION THRESHOLD ON EACH TAX POSITION. A COMPANY CAN RECOGNIZE AN INCOME TAX BENEFIT ONLY IF THE POSITION HAS A "MORE LIKELY THAN NOT" (I.E., MORE THAN 50 PERCENT) CHANCE OF BEING SUSTAINED ON THE TECHNICAL MERITS. FOR THE YEARS ENDED JUNE 30, 2012 AND 2011, THE BLOOD BANK HAS TAKEN NO MATERIAL TAX POSITIONS ON ITS APPLICABLE TAX FILINGS THAT DO NOT MEET THE MORE LIKELY THAN NOT THRESHOLD. AS A RESULT, NO AMOUNT FOR UNCERTAIN TAX POSITIONS HAS BEEN INCLUDED IN THE FINANCIAL STATEMENTS. THE BLOOD BANK BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR FISCAL YEARS PRIOR TO THE YEAR ENDED JUNE 30, 2009. PART XI, LINE 8 - OTHER ADJUSTMENTS: UNREALIZED LOSS ON DERIVATIVE FINANCIAL INSTRUMENT -765. PART XIII, LINE 2D - OTHER ADJUSTMENTS: UNREALIZED LOSS ON DERIVATIVE FINANCIAL INSTRUMENT 765. X X 0 0 0 0 0 0 0 0 0 PATRICK BRADLEY 167270 0 0 0 0 0 13382 0 8690 0 189342 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 A COPY OF THE COMPLETED FORM 990 AND RELATED SCHEDULES IS REVIEWED BY THE EXECUTIVE COMMITTEE. THE INDEPENDENT ACCOUNTING FIRM IS AVAILABLE TO ANSWER ANY QUESTIONS AND MAKE ANY CHANGES IF NEEDED. THE EXECUTIVE COMMITTEE APPROVES THE FINAL COPY OF THE IRS FORM 990. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY FOR ALL EMPLOYEES IS IN THE CPBB EMPLOYEE MANUAL GIVEN TO ALL NEW EMPLOYEES ON THE FIRST DAY OF THEIR EMPLOYMENT. THE MANUAL ALSO CONTAINS AN ACKNOWLEDGEMENT SHEET WHICH EACH EMPLOYEE MUST SIGN INDICATING THAT THEY HAVE BEEN GIVEN AN OPPORTUNITY TO READ AND UNDERSTAND THE MANUAL AND ALL POLICIES AND PROCEDURES CONTAINED IN IT. THEIR SIGNATURE ON THE ACKNOWLEDGEMENT OF RECEIPT CERTIFIES THEIR AGREEMENT TO FOLLOW THE POLICIES AND PROCEDURES AS STATED IN THE MANUAL. THE CONFLICT OF INTEREST POLICY FOR CPBB BOARD OF DIRECTORS IS PROVIDED IN ITS ENTIRETY TO ALL NEW BOARD MEMBERS AND THE ANNUAL AFFIRMATION OF COMPLIANCE AND DISCLOSURE STATEMENT IS PROVIDED ANNUALLY TO ALL BOARD MEMBERS FOR THEIR SIGNATURE. FORM 990, PART VI, SECTION B, LINE 15 AN ANNUAL REVIEW IS PERFORMED BY THE EXECUTIVE COMMITTEE AND PRESIDENT/CEO THAT INCLUDES THE USE OF INDUSTRY SURVEYS. FORM 990, PART VI, SECTION C, LINE 19 THESE DOCUMENTS ARE AVAILABLE UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 54,198. UNREALIZED LOSS ON DERIVATIVE FINANCIAL INSTRUMENT -765. TOTAL TO FORM 990, PART XI, LINE 5: 53,433. PART XII, LINE 2C THE EXECUTIVE COMMITTEE ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT.