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LIFESHARE COMMUNITY BLOOD SERVICES INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
LIFESHARE COMMUNITY BLOOD SERVICES INC (EIN 34-1163202)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-14
IRS object ID
201103189349303675
Schema version
2010v3.2
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)
Timestamp2011-11-14T10:09:45-08:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

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 Date2010-01-01TaxPeriodBeginDate

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 Signed2011-09-23DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameALAN V JANUZZI CPAName
Phone4409852550Phone
Date Prepared2011-11-14DatePrepared
Self EmployedXSelfEmployed
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

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 Receipts17402080GrossReceipts
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 Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees169TotalNbrEmployees
Total Nbr Volunteers20TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Current Year9870ContributionsGrantsCurrentYear
Program Service Revenue Prior Year16776560ProgramServiceRevenuePriorYear
Program Service Revenue CY17337811ProgramServiceRevenueCY
Investment Income Prior Year18472InvestmentIncomePriorYear
Investment Income Current Year54399InvestmentIncomeCurrentYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year16795032TotalRevenuePriorYear
Total Revenue Current Year17402080TotalRevenueCurrentYear
Grants And Similar Amnts CY1043794GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year6101879SalariesEtcPriorYear
Salaries Etc Current Year6197502SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year150516TotalFundrsngExpCurrentYear
Other Expense Prior Year9852267OtherExpensePriorYear
Other Expenses Current Year8788940OtherExpensesCurrentYear
Total Expenses Prior Year15954146TotalExpensesPriorYear
Total Expenses Current Year16030236TotalExpensesCurrentYear
Revenues Less Expenses Prior Year840886RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1371844RevenuesLessExpensesCY
Total Assets BOY9594669TotalAssetsBOY
Total Assets EOY10626817TotalAssetsEOY
Total Liabilities BOY937257TotalLiabilitiesBOY
Total Liabilities EOY597561TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY8657412NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY10029256NetAssetsOrFundBalancesEOY
Mission DescriptionLifeShare Community Blood Services is a community-MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense10023779Expense
Revenue11815399Revenue
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 2010 LIFESHARE DISTRIBUTED OVER 85,384 UNITS OF BLOOD PRODUCTS.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense4344335Expense
Revenue5120813Revenue
Description10,069 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)
Expense70170Expense
Revenue82640Revenue
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 2010, 384 UNITS OF THESE SERVICES WERE DRAWN.Description
FieldValueIRS element (for citing)
Total Program Service Expense14438284TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationtrueBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10963NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees169NumberOfEmployees
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 Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
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 (13 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
MIKE JAWORSKI
BOARD MEMBER1.00X000
SUSAN M NEIDING
BOARD MEMBER1.00X000
RICHARD L CLUCK
PRESIDENT AND CEO40.0022407600XX
MIKE DASH
VP OF OPERATIONS40.0011798400X
FieldValueIRS element (for citing)
Total Reportable Comp From Org342060TotalReportableCompFromOrg
Number Individuals GT100 K2NumberIndividualsGT100K
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 TESTING1750235
MEDSPEED LLC
PO BOX 190LAKE GENEVAWA53147DELIVERY305895
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
All Other Contributions9870AllOtherContributions
Total Contributions9870TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumn
BLOOD PROCESSING FEES90009917018852
PLASMA SALVAGE900099274535
SHIPPING CHARGES90009944424
FieldValueIRS element (for citing)
Total Program Service Revenue17337811TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column48672TotalRevenueColumn
Exclusion$48,672ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities5727Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities5727Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column5727TotalRevenueColumn
Exclusion$5,727ExclusionAmount
FieldValueIRS element (for citing)
Cntrbtns Rprtd Fundraising Events3CntrbtnsRprtdFundraisingEvents

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column17402080TotalRevenueColumn
Related Or Exempt Function Income17337811RelatedOrExemptFunctionIncome
Exclusion$54,399ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total1043794Total
Program Services1043794ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total224076Total
Program Services190079ProgramServices
Management And General22665ManagementAndGeneral
Fundraising11332Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total4718481Total
Program Services3734311ProgramServices
Management And General877375ManagementAndGeneral
Fundraising106795Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total115181Total
Program Services91454ProgramServices
Management And General20974ManagementAndGeneral
Fundraising2753Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total709552Total
Program Services563385ProgramServices
Management And General129209ManagementAndGeneral
Fundraising16958Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total430212Total
Program Services341588ProgramServices
Management And General78342ManagementAndGeneral
Fundraising10282Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total25000Total
Program Services0ProgramServices
Management And General25000ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total38845Total
Program Services0ProgramServices
Management And General38845ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total121228Total
Program Services121228ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total457009Total
Program Services455328ProgramServices
Management And General1681ManagementAndGeneral
Fundraising0Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total21137Total
Program Services0ProgramServices
Management And General21137ManagementAndGeneral
Fundraising0Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total426651Total
Program Services298686ProgramServices
Management And General127965ManagementAndGeneral
Fundraising0Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total53995Total
Program Services42873ProgramServices
Management And General9832ManagementAndGeneral
Fundraising1290Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total35991Total
Program Services31531ProgramServices
Management And General4460ManagementAndGeneral
Fundraising0Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total211341Total
Program Services190207ProgramServices
Management And General21134ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total138237Total
Program Services129838ProgramServices
Management And General8399ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
BLOOD BAGS2048600204860000
LAB TESTS1858794185879400
BLOOD PURCHASED96961596961500
RECRUITMENT FEES650906509000
WASTE DISPOSAL502745027400

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total2267133Total
Program Services2211609ProgramServices
Management And General54418ManagementAndGeneral
Fundraising1106Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total16030236Total
Program Services14438284ProgramServices
Management And General1441436ManagementAndGeneral
Fundraising150516Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY4406733BOY
EOY4635363EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2282100BOY
EOY1954431EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY1372202BOY
EOY1035832EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY154508BOY
EOY214014EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis2796397LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1507359LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1375500BOY
EOY1289038EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
EOY1494943EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY3626BOY
EOY3196EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY9594669BOY
EOY10626817EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY937257BOY
EOY597561EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY937257BOY
EOY597561EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY8657412BOY
EOY10029256EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY8657412BOY
EOY10029256EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY9594669BOY
EOY10626817EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses1371844ReconcilationRevenueExpenses
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 Years4130CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years13016CurrentTaxYearMinus3Years
Current Tax Year9870CurrentTaxYear
Total27016Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years13648361CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years14638415CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years15798731CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year16776560CurrentTaxYearMinus1Year
Current Tax Year17337811CurrentTaxYear
Total78199878Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years13652491CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years14651431CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years15798731CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year16776560CurrentTaxYearMinus1Year
Current Tax Year17347681CurrentTaxYear
Total78226894Total
FieldValueIRS element (for citing)
Public Support Total50978226894PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years15987CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years61762CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years46334CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year18472CurrentTaxYearMinus1Year
Current Tax Year54399CurrentTaxYear
Total196954Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years15987CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years61762CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years46334CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year18472CurrentTaxYearMinus1Year
Current Tax Year54399CurrentTaxYear
Total196954Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Total78423848Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99750PublicSupportPercentage509
Prior Year Support Percentage0.99800PriorYearSupportPercentage
Investment Income Percentage0.00250InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00200PriorYrInvestIncomePercentage
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 Basis1180398OtherCostOrOtherBasis
Depreciation532049Depreciation
Book Value648349BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1540999OtherCostOrOtherBasis
Depreciation975310Depreciation
Book Value565689BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1289038TotalOfBookValueLandBuildings
Total Revenue17402080TotalRevenue
Total Expenses16030236TotalExpenses
Excess Or Deficit For Year1371844ExcessOrDeficitForYear
Excess Or Deficit Per FS1371844ExcessOrDeficitPerFS

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 Grant997294AmountOfCashGrant
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 Org188307BaseCompensationFilingOrg
Bonus Filing Org35769BonusFilingOrg
Total Compensation Filing Org224076TotalCompensationFilingOrg
Comp Report Prior990 Filing Org219778CompReportPrior990FilingOrg

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
DR PRISCILLA WALDHEGER
CO-MEDICAL DIRECTOR45170MEDICAL DIRECTORfalse
DR MONIQUE JACQUES
CO-MEDICAL DIRECTOR45170MEDICAL DIRECTORfalse

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (43 entries)

IdentifierIdentifierExplanationExplanation
Pt VI-B, Line 11aTHE BOARD REVIEWED THE 990 AS AN AGENDA ITEM AT A BOARD MEETING
Pt VI-B, Line 12cANNUALLY, BOARD MEMBERS COMPLETE CONFLICT STATEMENTS
Pt VI-B, 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 180625. 180625. 0. 0. DUES AND SUBSCRIPTIONS 47254. 43504. 3750. 0. PAYROLL FEES 46271. 36739. 8426. 1106. REPAIRS 241713. 217542. 24171. 0. BLOOD DISTRIBUTION 462777. 462777. 0. 0. COLLECTION SUPPLIES 194638. 194638. 0. 0. LAB SUPPLIES 340620. 340620. 0. 0. VEHICLE RENTAL 61549. 61549. 0. 0. EQUIPMENT AND STORAGE RENTAL 65638. 57761. 7877. 0. DONOR INCIDENTS 19756. 19756. 0. 0. SUPPLIES 86377. 86377. 0. 0. TELEPHONE 101941. 91747. 10194. 0. MISCELLANEOUS 17755. 1
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-A, 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-C, 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 Involved997294AmountInvolved
Method Of Amt DeterminationACTUALMethodOfAmtDetermination