2011-05-13T18:55:52-05:00 2010-09-30 KPMG LLP PO BOX 4150 Honolulu HI 968124150 990 2009-10-01 990073479 BLOOD BANK OF HAWAII BLOO 8088459966 2043 DILLINGHAM BOULEVARD HONOLULU HI 96819 ALBERT YOZA 8088459966 2011-05-13 true 8085402800 2009 2016-02-24 21:20:13Z ALBERT YOZA 2043 DILLINGHAM BOULEVARD HONOLULU HI 96819 18249934 false X N/A X 1941 HI TO PROVIDE A SAFE AND ADEQUATE BLOOD SUPPLY, BLOOD PRODUCTS AND RELATED TRANSFUSION SERVICES TO THE PATIENTS OF HAWAII. 25 20 181 190 0 -11274 152515 215524 15537066 15661149 154781 187645 71096 70785 15915458 16135103 1501216 0 0 0 9576095 8077779 0 0 0 7504181 8094303 18581492 16172082 -2666034 -36979 9612676 9666751 4172846 4160949 5439830 5505802 THE BLOOD BANK OF HAWAII'S PRIMARY EXEMPT PURPOSE IS TO MEET THE TRANSFUSION NEEDS OF PATIENTS IN HAWAII, BY PROVIDING THE SAFEST AND HIGHEST QUALITY PRODUCTS RECEIVED FROM A COMMITTED GROUP OF HEALTHY VOLUNTEER BLOOD DONORS. IN FULFILLING THIS MISSION, BLOOD BANK OF HAWAII IS RESPONSIBLE FOR MEETING NEEDS OF THE ENTIRE CIVILIAN POPULATION OF THE STATE. THE GEOGRAPHIC AREA SERVICED IS APPROXIMATELY 6,400 SQUARE MILES. THE BLOOD BANK DISTRIBUTES ITS PRODUCTS AFTER RIGOROUS TESTING TO ALL CIVILIAN HOSPITALS IN HAWAII, TO BE USED IN PATIENT TRANSFUSIONS. ESTABLISHED IN 1941, THE BLOOD BANK OF HAWAII WAS THE THIRD COMMUNITY BLOOD CENTER TO EXIST IN THE UNITED STATES. IT IS A FOUNDING MEMBER OF AND ACCREDITED BY THE AMERICAN ASSOCIATION OF BLOOD BANKS (AABB) WHICH SETS STANDARDS FOR MEDICAL-TECHNICAL PERFORMANCE IN BLOOD BANK AND HOSPITAL LABORATORIES. THE BLOOD BANK OF HAWAII IS ALSO A FOUNDING MEMBER OF THE COUNCIL OF COMMUNITY BLOOD CENTERS. OPERATING 24 HOURS A DAY, 365 DAYS A YEAR, THE false false 12274910 15330439 BLOOD PROCESSING SERVICES & SALVAGE PLASMA 178358 330710 LABORATORY FEES 12453268 true true false false false false false false false true false true false false false false false false false false false false false true false false false false false false false true false false false false false true false false false true 27 0 true 181 true false false false false false false false false false 25 20 false false false false false false false true true false false true true true true true true true true false HI X ALBERT YOZA 8088459966 2043 DILLINGHAM BOULEVARD HONOLULU HI 96819 ROBERT P HIAM 1.0 X 0 0 0 ROBYN YIM MD 40.0 X X 286696 0 16007 T MICHAEL MAY 1.0 X 0 0 0 LORI L MCCARNEY 1.0 X 0 0 0 SHEILA M SUMIDA 1.0 X 0 0 0 KENT TSUKAMOTO 1.0 X 0 0 0 RICHARD C KEENE 1.0 X 0 0 0 LYNN KINNEY 1.0 X 0 0 0 DAVID ALLAIRE 1.0 X 0 0 0 W DAVID P CAREY III 1.0 X 0 0 0 GALEN C CHOY MD 1.0 X 0 0 0 MICHAEL K FUJIMOTO 1.0 X 0 0 0 DARRYL W GLASER MD 1.0 X 0 0 0 WILLIAM F GLEASON 1.0 X 0 0 0 ROBERT S KATZ ESQ 1.0 X 0 0 0 MARYANNE W KUSAKA 1.0 X 0 0 0 ROBERT LEE 1.0 X 0 0 0 JOHN MONAHAN 1.0 X 0 0 0 NICHOLAS NG PACK 1.0 X 0 0 0 GARY A OKAMOTO MD 1.0 X 0 0 0 RUSSELL K OKATA 1.0 X 0 0 0 DR JAMES K SCOTT 1.0 X 0 0 0 ROGER J WALL 1.0 X 0 0 0 WARREN H HARUKI 1.0 X 0 0 0 ROGER KIMURA MD 1.0 X 0 0 0 ROBERT S HARRISON 1.0 X 0 0 0 JILL F SHIMOKAWA HIGA 1.0 X 0 0 0 JOHN T KOMEIJI 1.0 X 0 0 0 ROBERT C MARVIT MD 1.0 X 0 0 0 KEITH VIEIRA 1.0 X 0 0 0 WENDY ABE 40.0 X 131436 0 5824 ALBERT YOZA 40.0 X 115930 0 11649 DR RANDAL COVIN 40.0 X 173242 0 6965 CYNTHIA SHIMIZU 40.0 X 120259 0 12910 JANET CLARK 40.0 X 112100 0 7796 DOREEN MATSUDA 40.0 X 106342 0 12849 1046005 0 74000 7 false true false PUGET SOUND BLOOD CENTER 921 TERRY AVENUE SEATTLE WA 98104 Blood Testing 2884024 First Hawaiian Bank Employee Benefits Dept PO Box 370 HONOLULU HI 968113708 Investment Services 1057043 Caridian BCT Dept 7087 CAROL STREAM IL 601227087 Collection Supplies 756501 HMSA PO Box 29330 HONOLULU HI 968201730 HEALTH INSURANCE 652015 Terumo Medical Corporation PO Box 841733 DALLAS TX 752841733 Collection Supplies 441387 14 215524 215524 BLOOD PROCESSING 900099 14820114 14820114 LABORATORY FEES 900099 330710 330710 SALVAGE PLASMA 900099 510325 510325 15661149 174893 174893 0 0 2127583 2114831 12752 12752 12752 0 0 0 0 FREIGHT CHARGES 900099 43796 43796 DISCOUNT EARNED 900099 14529 14529 ACCOUNTING FEES 900099 12000 12000 460 460 70785 16135103 15661149 0 258430 0 0 0 0 806909 731284 75625 0 5109077 3925656 1183421 1746100 1184064 562036 0 415693 364399 51294 0 23957 23957 103665 103665 0 0 6524 6524 0 435576 435576 139819 139819 595331 516390 78941 0 0 508390 202127 306263 15170 6784 8386 0 0 0 0 294689 107704 186985 201070 201070 EXTERNAL BLOOD TESTING 2999620 2999620 BLOOD BAGS/PLATELET PHERESIS 1202459 1202459 MOBILE COSTS 199655 192251 7404 REPAIRS & MAINTENANCE 367471 172055 195416 CONTRACT SERVICES 290698 195759 94939 710209 512897 197312 16172082 12453268 3718814 0 2448220 -183817 0 1743638 1912077 1938139 539695 436569 202736 196224 4904986 3311233 1522954 1593753 2748568 3681964 238426 260281 9612676 9666751 609382 586552 3563464 3574397 4172846 4160949 X 5439830 5505802 5439830 5505802 9612676 9666751 X false true true X false X 1002576 195833 154637 152515 215524 1721085 13400870 13933962 14499796 15537066 15661149 73032843 14403446 14129795 14654433 15689581 15876673 74753928 74753928 187657 193769 175935 142389 174893 874643 187657 193769 175935 142389 174893 874643 17256 37614 106752 71095 70785 303502 14608359 14361178 14937120 15903065 16122351 75932073 0.98448 0.98529 0.01152 0.01131 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 321655 321655 4476026 3311233 1164793 0 107305 0 107305 1593753 0 ACCRUED VACATION 285031 SALARIES PAYABLE 180999 ACCRUED PENSION EXPENSE 3089057 OTHER LIABILITIES 19310 3574397 16135103 16172082 -36979 102950 -118513 -15563 -52542 16026684 102950 222325 325275 15701409 433694 433694 16135103 16079226 340838 340838 15738388 433694 433694 16172082 BLOOD BANK REAL PROPERTY, INC. INCOME/EXPENSE SCHEDULE D, PART XI, LINE 8 AMOUNTS REPRESENT INCOME AND EXPENSE REPORTED ON THE FORM 990 FOR BLOOD BANK REAL PROPERTY, A SUPPORTING RELATED ORGANIZATION THAT FILES A SEPARATE 990 BUT IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS: INCOME: 222,325 EXPENSE: 340,838 TOTAL: (118,513) OTHER REVENUE ADJUSTMENTS SCHEDULE D, PART XII, LINE 2D & 4B BLOOD BANK REAL PROPERTY INC. INCOME REPORTED ON RELATED ORGANIZATION FORM 990: 222,325 ADJUSTMENTS TO ELIMINATE INTERCOMPANY TRANSACTIONS IN THE CONSOLIDATED FINANCIAL STATEMENTS: (433,694) OTHER EXPENSE ADJUSTMENTS SCHEDULE D, PART XIII, LINE 2D & 4B BLOOD BANK REAL PROPERTY INC. EXPENSE REPORTED ON RELATED ORGANIZATION FORM 990: 340,838 ADJUSTMENTS TO ELIMINATE INTERCOMPANY TRANSACTIONS IN THE CONSOLIDATED FINANCIAL STATEMENTS: (433,694) FIN 48 FOOTNOTE SCHEDULE D, PART X, LINE 2 ON OCTOBER 1, 2009, BLOOD BANK ADOPTED FASB ASC 740-10 INCOME TAXES - OVERALL (ASC 740). UNDER ASC 740, BLOOD BANK RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. RECOGNIZED INCOME TAX POSITIONS ARE MEASURED AT THE LARGEST AMOUNT THAT IS GREATER THAN 50% LIKELY OF BEING REALIZED. CHANGES IN RECOGNITION OF MEASUREMENT ARE REFLECTED IN THE PERIOD IN WHICH THE CHANGE IN JUDGMENT OCCURS. PRIOR TO THE ADOTION OF ASC 740, BLOOD BANK RECOGNIZED THE EFFECT OF INCOME TAX POSITIONS ONLY IF SUCH POSITIONS WERE PROBABLE OF BEING SUSTAINED. THERE WERE NO LIABILITIES FOR UNRECOGNIZED TAX BENEFITS AT SEPTEMBER 30, 2010 & 2009. X X X false false false false false false false false false ROBYN YIM MD 262096 0 24600 0 0 0 4359 0 12824 0 303879 0 0 0 DR RANDAL COVIN 169946 0 3296 0 0 0 1141 0 6649 0 181032 0 0 0 Robert P Hiam Officer/Trustee 725968 SEE SCHEDULE O false Richard C Keene Officer/Trustee 4495229 SEE SCHEDULE O false DR JAMES K SCOTT TRUSTEE 182672 SEE SCHEDULE O false JOHN T KOMEIJI TRUSTEE 121891 SEE SCHEDULE O false FORM 990, PART VI, SECTION B, LINE 11 The Board of Directors has delegated the review of the Form 990 to the Executive/Finance Committee. The organization's Accounting Manager and Chief Financial Officer work closely with the outside accounting firm it engages to review the return; and the final draft of the Form 990 is also reviewed by the President and Chief Operating Officer prior to providing the draft to the Executive/Finance Committee. In addition to consulting with the Chief Financial Officer, the Executive/Finance Committee also meets with the President. The Chair Person of the Executive/Finance Committee also consults with the accounting firm hired to prepare the Form 990. Subsequent to its review, the Executive/Finance Committee reports back to the Board regarding its oversight of the Form 990 and a copy of the final draft is provided to the entire voting Board before the return is filed. FORM 990, PART VI, SECTION B, LINE 12C The Executive Committee of the Board is charged with monitoring proposed or ongoing transactions for conflicts of interest and addressing any potential or actual conflicts. Pursuant to the Conflicts of Interest Policy, an annual conflict of interest questionnaire, aimed at determining any family and business relationships and transactions or other transactions that may pose a potential conflict, is distributed to all covered persons (i.e., board members and officers). Covered persons are required to disclose real or potential conflicts at the time when such conflicts arise. When someone becomes a covered person and annually thereafter, each covered person is required to sign a statement affirming that he/she: (1) has received a copy of the Conflicts of Interest Policy; (2) has read the Policy and understands said Policy; and (3) agrees to comply with all requirements of the Policy, including completing the conflicts of interest questionnaire. The completed questionnaires are reviewed by the Executive Committee and any persons with actual or potential conflicts are informed via written communication. The procedures for addressing any conflict of interest includes, but is not limited to, the following:(1) the conflicting interest is fully disclosed to the President, However, if the President is in the conflict of interest, the conflicting interest is fully disclosed to the Board Chair person;(2) the interested person responds to factual questions related to the substance of the transaction or arrangement being considered, after which he/she shall leave the meeting;(3) the person with the conflict of interest is excluded from the discussion and approval of such transaction; (4) alternatives to the proposed transaction are investigated, competitive bids or comparable valuations are obtained;(5) any conflicting issues during the course of a Board meeting which cannot be resolved is referred to the Executive Committee; and(6) the transaction or action must be approved by the Executive Committee. FORM 990, PART VI, SECTION B, LINE 15 The Board appoints the Executive and Human Resources (Compensation) Committees, comprised solely of independent Trustees, none of which have a conflict of interest with respect to the compensation arrangement, are accountable for setting reasonable compensation packages for each officer or key employee (including the President). The Executive Committee develops, consistent with the organization's philosophy and principles, the Annual Performance Goals and Criteria to be used in determining merit increases and bonus compensation criteria for the President and other officers. The Human Resources Committee reviews and approves the Personnel Budget (salaries and wages, including benefits) for all other staff including key employees. The committees review national and local salary and wage surveys for similar positions in similar industries (last done in August 2010) to obtain comparablility data. Both Committees also have the ability to utilize the organization's compensation and benefits consultant, if the need arises. Committee meeting minutes are used to document the terms of the transaction and date of approval, the members of the authorized body who were present during the debate and voted, the comparability data obtained and relied on, the method by which the comparability data was obtained, and the actions taken with respect to consideration of the transaction by members who had a conflict of interest with the transaction. FORM 990, PART VI, SECTION C, LINE 19 While federal tax laws do not mandate that the organization's governing documents, conflict of interest policy and financial statements be made available for public inspection, the organization makes its financial statements available upon request and posts the information on the state of hawaii attorney general's website. SCHEDULE L, PART IV, Column(d), Description of transaction The payments noted in this schedule O WERE MADE TO THE ORGANIZATIONS OR COMPANIES THAT THE TRUSTEES WORK FOR, ARE BOARD MEMBERS OF, OR REPRESENT AND NOT TO THE INDIVIDUALS DIRECTLY. ROBERT P. HIAM: Mr. Hiam is the PRESIDENT AND CHIEF EXECUTIVE OFFICER OF HMSA. The AMOUNT OF THE TRANSACTION represents the insurance premiums paid to HMSA, the largest health care insurance provider in the State of Hawaii and its plans are offered by Blood Bank of Hawaii and many other non-profit and for profit companies and organizations throughout the State TO THEIR RESPECTIVE EMPLOYEES. RICHARD C. Keene - Mr. Keene is the Executive Vice President and Chief Financial Officer of the Queen's Health Systems, which is the parent COMPANY of The Queen's Medical Center (QMC), a major customer of the Blood Bank of Hawaii. QMC is the largest acute care facility and hospital in the State of Hawaii. DR. JAMES K. SCOTT - DR. SCOTT IS A MEMBER OF THE BOARD OF DIRECTORS OF HAWAIIAN ELETRIC INDUSTRIES, WHICH IS THE PARENT OF HAWAIIAN ELECTRIC COMPANY. THE TRANSACTION REPRESENTS AMOUNTS PAID FOR ELECTRICITY SERVICES TO HAWAIIAN ELECTRIC COMPANY, THE ONLY ELECTRICITY PROVIDER ON THE ISLAND OF OAHU. JOHN T. KOMEIJI - MR. KOMEIJI IS A SENIOR VICE PRESIDENT, AND GENERAL COUNSEL OF HAWAIIAN TELCOM, THE LARGEST COMMUNICATIONS PROVIDER IN THE STATE OF HAWAII. THE TRANSACTION REPRESENTS AMOUNTS PAID FOR TELEPHONE SERVICES TO HAWAIIAN TELCOM. SCHEDULE R, PART V, LINE 2, DESCRIPTION OF TRANSACTION AMOUNTS THE VALUE OF THE LEASE BETWEEN BLOOD BANK REAL PROPERTY INC. AND THE ORGANIZATION ($221,694) IS BASED OFF OF AN INDEPENDENT MARKET RENT STUDY. THE VALUE OF THE CONTRIBUTION RECEIVED FROM BLOOD BANK REAL PROPERTY INC. TO THE ORGANIZATION IS THE CASH VALUE OF THE CONTRIBUTION. BLOOD BANK REAL PROPERTY INC 2043 DILLINGHAM BOULEVARD HONOLULU HI 96819 990323347 TITLE HOLDING HI 501(C)(3) 11 TYPE III NA false false true false false false false false false true false false false true false true false false BLOOD BANK REAL PROPERTY INC C 200000 BLOOD BANK REAL PROPERTY INC J 221694