2020-10-27T21:14:52-05:00 2019-12-31 ERNST & YOUNG US LLP 101 E WASHINGTON ST SUITE 910 PHOENIX AZ 85004 990 2019-01-01 951708743 BLOOD BANK OF SAN BERNARDINO AND RIVERSIDE COUNTIES % SCOTT MILLER BLOO 9098856503 PO BOX 1429 SAN BERNARDINO CA 924021429 SCOTT MILLER VP BUS DEV/CFO 4806755506 2020-10-19 true PATRICK SHIELDS P01508556 6023223000 71.223.188.32 86597020203015000000 2020-10-27 P 8C048948B7A490D07CE5A3F0FC0D62282FFB2377 4F36297E680F37CA0E167CA53F45772ECC427BCF 2019 2021-01-29 14:40:06Z LIFESTREAM FREDERICK AXELROD MD 384 W ORANGE SHOW RD SAN BERNARDINO CA 92408 73455427 false 6167 X WWW.LSTREAM.ORG X 1951 CA WE HELP SAVE LIVES BY CONNECTING DONORS AND PATIENTS THROUGH THE GIFT OF BLOOD. 9 8 529 200 0 0 319930 175392 61694731 63879101 495118 452268 0 63042 62509779 64569803 6526 4785 0 0 26268025 27641766 0 0 0 37096515 35820771 63371066 63467322 -861287 1102481 34470865 37963319 15302957 16283887 19167908 21679432 X SEE SCHEDULE O false false 53701152 4785 63942143 SEE SCHEDULE O 53701152 true true false false false false false false false false true false false false true true false true false false false false false false false false false false false true false false false false false false false false true false false false false true true true false false true 97 0 true 529 true false false false false false false false false false false false false false X 9 8 false false false false true true true true true false false true true true true true true true true false CA X SCOTT MILLER 9098856503 384 W ORANGE SHOW RD SAN BERNARDINO CA 92408 FREDERICK B AXELROD TRUSTEE/CEO/PRES/SEC/MED DIR 55.0 0.0 X X 420053 0 28329 DONALD J CHAFFIN VP CHIEF MEDICAL OFFICER 45.0 0.0 X 306681 0 33428 SCOTT A MILLER VP BUS DEV/CFO 45.0 0.0 X 224652 0 32380 KEVIN MOORE VP OPERATIONS 45.0 0.0 X 187214 0 24823 JULIANNA H QUARLES VP TECH/CLINICAL AFFAIRS 45.0 0.0 X 164966 0 40124 ROSE SYJUCO REFERENCE LAB SUPERVISOR 40.0 0.0 X 139065 0 9268 SHARON PASCUAL-MENEZ CLS II 40.0 0.0 X 140962 0 5104 JAMES T SCHRAITH trustee/TREASURER 1.0 3.0 X X 0 37625 0 JOHN S LEWIS TRUSTEE (THRU 11/19) 2.0 3.0 X 0 29000 0 JAMES PETERSON TRUSTEE/CHAIRMAN 1.0 2.0 X X 0 22500 0 TERRI L PROCTOR ESQ TRUSTEE/VICE CHAIR 1.0 2.0 X X 0 22500 0 ERIC FRYKMAN MD TRUSTEE (THRU 9/19) 1.0 0.0 X 0 0 0 THELMA KORPMAN MD TRUSTEE 1.0 0.0 X 0 0 0 WILLIAM POWERS TRUSTEE (THRU 3/19) 1.0 0.0 X 0 0 0 MICHAEL SEQUEIRA MD TRUSTEE (THRU 4-19) 1.0 0.0 X 0 0 0 RICHARD TEICHERT TRUSTEE 1.0 0.0 X 0 0 0 FRANK ERCOLI MD TRUSTEE 1.0 0.0 X 0 0 0 JP FLETCHER TRUSTEE 1.0 0.0 X 0 0 0 RAYMOND PROSPERO TRUSTEE 1.0 0.0 X 0 0 0 1583593 111625 173456 23 false true false CREATIVE TESTING SOLUTIONS 2424 W Erie Dr Tempe AZ 85282 BLOOD TESTING SVCS 5373316 INCEPT 4150 BELDEN VILLAGE ST NW STE 205 CANTON OH 44718 CONSULTANTS 1325012 APOLLO COURIERS 1039 W HILLCREST BLVD INGLEWOOD CA 90301 DELIVERY SERVICES 317762 MERCHANTS BUILDING MAINTENANCE LLC 1190 MONTEREY PASS RD MONTEREY PARK CA 91754 MAINTENANCE SERVICES 298322 UPS PO BOX 894820 LOS ANGELES CA 90189 DELIVERY SERVICES 134914 7 175392 175392 175392 BLOOD AND COMPONENTS SERVICE FEES 622110 55167415 55167415 0 0 Laboratory Services 621500 4832963 4832963 0 0 Plasma for Fractionation 446110 3505633 3505633 0 0 All other Program Service 900099 373090 373090 0 0 63879101 479093 479093 0 0 0 0 0 8858799 8885624 -26825 -26825 -26825 0 0 0 0 0 0 0 0 0 Miscellaneous Income 900099 63042 63042 0 0 63042 64569803 63942143 0 452268 4785 4785 0 0 0 0 0 0 705414 0 705414 0 0 0 0 0 21240683 17735778 3504905 0 693726 606054 87672 0 3428713 2975622 453091 0 1573230 1346282 226948 0 0 0 0 212083 0 212083 0 18836 0 18836 0 0 0 0 0 0 0 95413 0 95413 0 1375260 1284439 90821 0 213689 213689 0 0 1915450 1505649 409801 0 490591 314023 176568 0 0 0 0 0 1423569 695370 728199 0 1645998 280465 1365533 0 0 0 0 0 0 0 0 0 303085 0 303085 0 0 0 0 0 1313825 522694 791131 0 292754 105506 187248 0 BLOOD AND COMPONENT PRODUCTS 12489379 12489379 0 0 OPERATING & TESTING SUPPLIES 11157082 11157082 0 0 DONOR RECOGNITION & PROMO 1418993 1418993 0 0 ALL OTHER EXPENSES 1454764 1045342 409422 0 63467322 53701152 9766170 0 0 1561981 1216691 174882 43534 0 0 8342773 9732598 0 0 0 0 0 0 866988 630886 133120 239863 28889198 16444558 11845852 12444640 11062822 13057640 0 0 0 0 0 0 482447 597467 34470865 37963319 6625107 8241146 0 0 0 0 0 0 0 0 0 0 8212946 7459502 0 0 464904 583239 15302957 16283887 X 19167908 21679432 0 0 19167908 21679432 34470865 37963319 1102481 1409043 0 0 0 X false true X true false X 66364 406123 278860 319930 175392 1246669 66272884 62842863 62998487 61694731 63942143 317751108 0 0 0 66339248 63248986 63277347 62014661 64117535 318997777 0 0 0 318997777 268993 238981 326086 390903 479093 1704056 0 268993 238981 326086 390903 479093 1704056 0 0 66608241 63487967 63603433 62405564 64596628 320701833 0.99469 0.99400 0.00531 0.00600 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2582743 2582743 13994679 7376207 6618472 216329 73702 142627 9995215 7472693 2522522 2100232 1521956 578276 12444640 0 Deferred Comp Payable 571032 Rent Step Up LT 12207 583239 X SCHEDULE D, PART X, LINE 2 AT DECEMBER 31, 2019, THE COMPANY EVALUATED WHETHER IT HAD UNCERTAIN TAX POSITIONS THAT SHOULD BE RECOGNIZED OR UNRECOGNIZED BASED ON A 'MORE LIKELY THAN NOT' THRESHOLD FOR TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN, INCLUDING THOSE TAX POSITIONS THAT WOULD NOT BE SUSTAINED UPON EXAMINATION IN ACCORDANCE WITH GUIDANCE RELATED TO ASC 740 'ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES.' THE TAX YEARS FOR THE COMPANY THAT ARE SUBJECT TO AUDIT BY THE IRS AND STATE DEPARTMENTS OF REVENUE ARE GENERALLY THE TAX YEARS ENDED DECEMBER 31, 2016, THROUGH THE CURRENT TAX YEAR EXCEPT IN CERTAIN STATES WHERE THE OPEN TAX YEARS GENERALLY BEGIN WITH THE TAX YEAR ENDED DECEMBER 31, 2015. AS OF DECEMBER 31, 2019, THE COMPANY HAS NOT IDENTIFIED ANY SIGNIFICANT UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE THE RECORDING OF A TAX LIABILITY. THE COMPANY DOES NOT ANTICIPATE A CHANGE IN UNCERTAIN TAX POSITIONS FOR THE 12 MONTHS FOLLOWING THE YEAR ENDED DECEMBER 31, 2019. AS OF DECEMBER 31, 2019, THE COMPANY HAD NO INTEREST OR PENALTIES QUALIFIED FOR EITHER RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. X X X true false false false false false false true false SCOTT A MILLER VP BUS DEV/CFO 224652 0 0 0 0 0 6818 0 25562 0 257032 0 0 0 FREDERICK B AXELROD MD TRUSTEE/CEO/PRES/SEC/MED DIR 415103 0 0 0 4950 0 8400 0 19929 0 448382 0 0 0 JULIANNA H QUARLES VP TECH/CLINICAL AFFAIRS 164966 0 0 0 0 0 14520 0 25604 0 205090 0 6302 0 DONALD J CHAFFIN VP CHIEF MEDICAL OFFICER 306681 0 0 0 0 0 8400 0 25028 0 340109 0 0 0 KEVIN MOORE VP OPERATIONS 178823 0 0 0 8391 0 5428 0 19395 0 212037 0 0 0 Schedule J, Part I, Line 4a KEVIN MOORE RECEIVED SEVERANCE IN THE AMOUNT OF $8,391 IN 2019. SCHEDULE J, PART I, LINE 4B LIFESTREAM HAS A NONQUALIFIED SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN. THE FOLLOWING EMPLOYEE RECEIVED DISTRIBUTIONS FROM THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN DURING 2019: JULIANNA QUARLES - $6,302 THE AMOUNT WAS INCLUDED IN TAXABLE WAGES AND REPORTED IN SCHEDULE J, PART II, COLUMN B(III) AND ALSO IN COLUMN (F) SINCE THE AMOUNT HAS PREVIOUSLY BEEN REPORTED AS DEFERRED COMPENSATION ON A PRIOR FORM 990. Schedule J, Part I, Line 7 LIFESTREAM EMPLOYEES RECEIVED BONUSES FOR MEETING CERTAIN ORGANIZATIONAL GOALS. LIFESTREAM HAS TOTAL DISCRETION IN THE PAYMENT OF THE BONUSES. X RECOGNITION 152 175392 0 false true false SCHEDULE M, PART I, COLUMN (B) THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED IN COLUMN (B). FORM 990, PART I, LINE 6 LIFESTREAM DEPENDS ON THE VALUABLE HELP PROVIDED BY VOLUNTEERS. MORE THAN 200 MEN AND WOMEN GAVE THOUSANDS OF HOURS OF VOLUNTEER TIME TO LIFESTREAM DURING JANUARY THROUGH DECEMBER 2019. THEY ASSISTED AT LIFESTREAM'S LOCATIONS, AS WELL AS HIGH SCHOOLS AND COMMUNITY BLOOD DRIVES. THEY PERFORMED A VARIETY OF CLERICAL DUTIES AND SERVED REFRESHMENTS IN THE CANTEENS. LIFESTREAM HOSTS AN ANNUAL VOLUNTEER RECOGNITION PROGRAM. FORM 990, PART III, LINE 1 THE MISSION OF LIFESTREAM, A NONPROFIT ORGANIZATION ENGAGED IN THE COLLECTION, DEVELOPMENT, AND DISBURSEMENT OF BLOOD AND BLOOD PRODUCTS, IS TO HELP SAVE LIVES BY CONNECTING DONORS AND PATIENTS THROUGH THE GIFT OF BLOOD. IN ADDITION TO COLLECTING AND SUPPLYING BLOOD THROUGH A NUMBER OF FIXED COLLECTION SITES AND BLOOD DRIVES AROUND THE SAN BERNARDINO AND RIVERSIDE COUNTIES, LIFESTREAM PREPARES AND SUPPLIES SPECIALTY BLOOD PRODUCTS TO PATIENTS THROUGHOUT THE COUNTIES IT SERVES. FORM 990, PART III, LINE 4A APPROXIMATELY 146,035 INDIVIDUALS DONATED MORE THAN 105,668 RED BLOOD CELLS AND 19,214 APHERESIS COLLECTIONS THAT PROVIDED PLATELETS, PLASMA AND RED BLOOD CELLS. BLOOD WAS COLLECTED AT FIXED COLLECTION SITES AND BLOOD DRIVES THROUGHOUT THE SAN BERNARDINO AND RIVERSIDE COMMUNITIES. LIFESTREAM ALSO SUPPLIED SPECIALTY PRODUCTS SUCH AS RED CELLS AND PLASMA FOR PEDIATRIC PATIENTS, HIGH DOSE WHITE BLOOD CELLS TO TREAT PATIENTS WITH INFECTIONS, LARGE VOLUME APHERESIS PLASMA FOR BURN, TRAUMA AND TRANSPLANT PATIENTS AND POOLED CRYOPRECIPITATE AND FACTOR CONCENTRATES FOR PATIENTS WITH BLEEDING DISORDERS. AUTOLOGOUS AND DIRECTED DONATION SERVICES WERE MADE AVAILABLE TO PATIENTS AND THEIR FAMILIES WHO DESIRED TO DONATE BLOOD IN ADVANCE OF ANTICIPATED NEED. AS ONE OF TWO AABB (AMERICAN ASSOCIATION OF BLOOD BANKS) ACCREDITED IMMUNOHEMATOLOGY LABS IN SAN BERNARDINO AND RIVERSIDE COUNTIES, LIFESTREAM IS AN EXPERT AT SOLVING COMPLEX PROBLEMS INVOLVING RARE BLOOD TYPES AND OTHER SOPHISTICATED BLOOD CENTER SERVICES AND PREPARES SPECIALIZED BLOOD PRODUCTS FOR UNIQUE BLOOD CONDITIONS. LIFESTREAM ALSO CONTRIBUTES TO THE EDUCATION AND ADVANCEMENT OF THE BLOOD BANKING AND TRANSFUSION COMMUNITY BY OFFERING CONTINUING EDUCATION PROGRAMS, INTERNSHIPS FOR STUDENTS, AND LECTURES FOR HOSPITALS AND MEDICAL SOCIETIES. FORM 990, PART VI, LINE 1A LIFESTREAM'S EXECUTIVE COMMITTEE HAS THE POWERS OF THE BOARD OF TRUSTEES BETWEEN BOARD MEETINGS, UNLESS PROHIBITED BY LAW, THE ARTICLES OF INCORPORATION, AMENDED AND RESTATED BYLAWS, OR AFFILIATION AGREEMENT WITH VITALANT. Form 990, Part VI, Line 4 The governing documents were amended to reflect the new legal name of the existing sole member from "Blood Systems, Inc." to "Vitalant". FORM 990, PART VI, LINE 6 VITALANT IS THE SOLE CORPORATE MEMBER OF LIFESTREAM. FORM 990, PART VI, LINE 7A VITALANT, AS THE SOLE CORPORATE MEMBER OF LIFESTREAM, WILL HAVE THE RIGHT TO NOMINATE TWO VITALANT DESIGNATED DIRECTORS TO SERVE AS FULL VOTING MEMBERS OF LIFESTREAM BOARD. LIFESTREAM WILL HAVE THE RIGHT TO APPROVE THE NOMINATION. FORM 990, PART VI, LINE 7B VITALANT, AS THE SOLE CORPORATE MEMBER OF LIFESTREAM, HAS THE RIGHT OF FINAL APPROVAL OF THE FOLLOWING ACTIONS, BUT THE LIFESTREAM BOARD WILL HAVE PRIMARY RESPONSIBILITY: 1) TO NOMINATE MEMBERS OF LIFESTREAM'S BOARD, 2) ESTABLISHMENT OF GOALS AND MONITORING AND EVALUATING THE PERFORMANCE OF LIFESTREAM'S PRESIDENT/CEO, 3) DEVELOPMENT OF LIFESTREAM'S STRATEGIC PLAN, 4) ADOPTION OF LIFESTREAM'S ANNUAL OPERATING AND CAPITAL BUDGET. VITALANT RESERVES THE RIGHT OF FINAL APPROVAL OF THE FOLLOWING ACTIONS, AND LIFESTREAM WILL GIVE ADVANCE NOTICE PRIOR TO TALKING ANY OF THE FOLLOWING ACTIONS: 1) CHANGES TO LIFESTREAM'S MISSION STATEMENT, 2) CHANGES TO LIFESTREAM ARTICLES OF INCORPORATION AND BYLAWS, 3) ESTABLISHMENT OF ANY JOINT VENTURES, MERGERS, PARTNERSHIPS, SUBSIDIARIES AND AFFILIATIONS BETWEEN LIFESTREAM AND ANY OTHER ORGANIZATION, 4) DECISIONS RELATED TO THE HIRING AND TERMINATION OF LIFESTREAM'S PRESIDENT/CEO, 5) APPROVING THE INCURRENCE OR REFINANCING OF DEBT OF LIFESTREAM IN EXCESS OF $250,000 IN AGGREGATE, OTHER THAN IN THE ORDINARY COURSE OF BUSINESS, 6) APPROVING ANY SALE OF LIFESTREAM ASSETS IN EXCESS OF $250,000 IN AGGREGATE, OTHER THAN IN THE ORDINARY COURSE OF BUSINESS. VITALANT RESERVES THE RIGHT TO SELECT THE LIFESTREAM INDEPENDENT AUDITORS (EXTERNAL AND INTERNAL) FOLLOWING CONSULTATION WITH THE LIFESTREAM BOARD. FORM 990, PART VI, LINE 11B THE FORM 990 IS PREPARED BY AN OUTSIDE ACCOUNTING FIRM BASED ON INFORMATION PROVIDED BY THE FINANCE TEAM. A COPY OF THE DRAFT FORM 990 AND SCHEDULES IS SUPPLIED TO ALL CURRENT BOARD MEMBERS PRIOR TO THE MEETING HELD TO ACCEPT THE RETURNS. MEMBERS OF MANAGEMENT REVIEW THE FORM 990 WITH THE BOARD AND ARE AVAILABLE FOR ANSWERING QUESTIONS. ANY COMMENTS FROM THE BOARD ARE CONSIDERED PRIOR TO FILING THE FORM 990 WITH THE IRS. FORM 990, PART VI, LINE 12C EACH YEAR, THE BOARD OF TRUSTEES AND SENIOR MANAGEMENT ARE REQUESTED TO SIGN AND RETURN A CONFLICT OF INTEREST FORM TO COMPANY COUNSEL. ANY CONFLICTS DISCLOSED ARE DISCUSSED IN EXECUTIVE SESSION WITH THE BOARD AND RESOLVED. IN ADDITION, IN PREPARATION FOR THE FORM 990 FILING, THE TRUSTEES, OFFICERS AND KEY EMPLOYEES IDENTIFIED ARE REQUIRED TO RESPOND TO A COMPREHENSIVE CONFLICT OF INTEREST AND FAMILY RELATIONSHIP QUESTIONNAIRE. ANY CONFLICTS DISCLOSED ARE DISCUSSED WITH THE BOARD AND DISCLOSED APPROPRIATELY ON THE FORM 990. FORM 990, PART VI, LINES 15A & B THE CEO'S COMPENSATION IS ESTABLISHED BY THE BOARD USING, IN PART, EXTERNAL COMPENSATION DATA FROM THE BLOOD INDUSTRY. THE LAST COMPLETED REVIEW WAS FOR 2019 COMPENSATION. FORM 990, PART VI, LINE 19 THE ORGANIZATIONS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AT THE ORGANIZATIONS CORPORATE OFFICE DURING NORMAL BUSINESS HOURS. BLOOD BANK SAN BERNARDINORIVERSIDE FDN PO BOX 1429 SAN BERNARDINO CA 92402 208911074 FUNDRAISING CA 501(c)(3) 12A-I BBSBRC true VITALANT 6210 E OAK STREET SCOTTSDALE AZ 85257 860098929 BLOOD BANKING AZ 501(c)(3) 10 NA false CANYON STATE INSURANCE COMPANY PO BOX 1085 113 S CHURCH ST GRAND CAYMAN CJ KY1-1102 981084327 CAPTIVE INSURANCE CJ NA FOREIGN true BIOCARE INC 6210 E OAK STREET SCOTTSDALE AZ 85257 813906720 PHARMA AZ NA C Corp true false false false false false false true true false false false false true false false true false false false