WEST TENN REGIONAL BLOOD CENTER INC: Form 990, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- WEST TENN REGIONAL BLOOD CENTER INC (EIN 62-0876430)
- Tax period
- 2018-01-01 to 2018-12-31
- Filed
- 2019-05-13
- IRS object ID
- 201931339349302093
- Schema version
- 2018v3.1
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-05-13T09:03:42-05:00 | ReturnTs |
| Tax Period End | 2018-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 201941244 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HORNE LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 26 SECURITY DR | AddressLine1Txt |
| City | JACKSON | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 38305 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2018-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 620876430 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WEST TENNESSEE REGIONAL BLOOD CENTER | BusinessNameLine1Txt |
| Business Name Line2 | DBA LIFELINE BLOOD SERVICES | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | WEST | BusinessNameControlTxt |
| Phone | 7314274431 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 183 STERLING FARMS DRIVE | AddressLine1Txt |
| City | JACKSON | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 38305 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JOHN B MILLER | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 7314274431 | PhoneNum |
| Signature | 2019-05-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ANITA HAMILTON CPA | PreparerPersonNm |
| PTIN | P00531089 | PTIN |
| Phone | 7316687070 | PhoneNum |
| Preparation | 2019-05-08 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 50.93.181.18 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-05-13 | IPDt |
| IP Tm | 09:03:09 | IPTm |
| IP Timezone | CD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | BBC96BF4369B65212D4739798E6B6BFC795138E5 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JOHN B MILLER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 183 STERLING FARMS DRIVE | AddressLine1Txt |
| City | JACKSON | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 38305 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $11,122,111 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.LIFELINEBLOODSERV.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1947 | FormationYr |
| Legal Domicile State | TN | LegalDomicileStateCd |
| Activity Or Mission | LIFELINE BLOOD SERVICES IS COMMITTED TO PROVIDING A SAFE BLOOD SUPPLY IN THE QUANTITY AND AT THE TIME NEEDED BY THE PATIENT. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 83 | TotalEmployeeCnt |
| Total Volunteers | 32345 | TotalVolunteersCnt |
| Total Gross UBI | -$16,862 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$16,862 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $18,586 | PYContributionsGrantsAmt |
| CY Contributions Grants | $25,796 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $6,786,908 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $7,333,865 | CYProgramServiceRevenueAmt |
| PY Investment Income | $237,736 | PYInvestmentIncomeAmt |
| CY Investment Income | $167,094 | CYInvestmentIncomeAmt |
| PY Other Revenue | $41,689 | PYOtherRevenueAmt |
| CY Other Revenue | $4,885 | CYOtherRevenueAmt |
| PY Total Revenue | $7,084,919 | PYTotalRevenueAmt |
| CY Total Revenue | $7,531,640 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $2,371,606 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $2,753,212 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $4,210,202 | PYOtherExpensesAmt |
| CY Other Expenses | $4,435,198 | CYOtherExpensesAmt |
| PY Total Expenses | $6,581,808 | PYTotalExpensesAmt |
| CY Total Expenses | $7,188,410 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $503,111 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $343,230 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $10,995,872 | TotalAssetsBOYAmt |
| Total Assets EOY | $10,793,660 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,541,686 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $2,279,381 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $8,454,186 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $8,514,279 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | LIFELINE BLOOD SERVICES IS COMMITTED TO PROVIDING A SAFE BLOOD SUPPLY IN THE QUANTITY AND AT THE TIME NEEDED BY THE PATIENT. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $4,327,963 | ExpenseAmt |
| Revenue | $7,355,612 | RevenueAmt |
| Desc | A. DONOR SERVICES:IN 2018, THE BLOOD CENTER RECRUITED OVER 12,000 VOLUNTEER BLOOD DONORS TO DONATE 23,325 PINTS OF WHOLE BLOOD/RED CELLS TO MEET THE NEED FOR BLOOD AND BLOOD COMPONENTS. IN 2018, THE BLOOD CENTER ALSO RECRUITED 1,485 VOLUNTEER BLOOD DONORS TO DONATE 2,753 APHERESIS PLATELET PRODUCTS.APPROXIMATELY 672 BLOODMOBILE DRIVES WERE SPONSORED BY BUSINESSES, CHURCHES, SCHOOLS, COMMUNITIES, AND MILITARY ORGANIZATIONS. THESE DRIVES REPRESENT 78% OF ALL WHOLE BLOOD DONATIONS IN WEST TENNESSEE. MOBILE BLOOD DRIVES ARE COORDINATED BY VOLUNTEER CHAIR PEOPLE. THE VOLUNTEER CHAIRPERSON IS RESPONSIBLE FOR FINDING OTHER VOLUNTEERS TO ASSIST IN COORDINATING THE MOBILE FOR VOLUNTEER BLOOD DONORS. VOLUNTEERS CONTRIBUTE THOUSANDS OF HOURS ANNUALLY TO ASSURE SUCCESSFUL BLOOD DRIVES.IN 2018, THE DONOR SERVICES STAFF REGISTERED 32,345 VOLUNTEER BLOOD DONORS. THE VOLUNTEER DONORS ARE SCREENED FIRST TO DETERMINE IF IT IS SAFE FOR THEM TO DONATE; AND SECOND, TO ASSURE IT WILL BE SAFE FOR A PATIENT TO RECEIVE THEIR BLOOD.THE BLOOD CENTER ALSO OFFERS TRANSFUSION ALTERNATIVES FOR PATIENTS PLANNING SURGERIES THAT WILL REQUIRE TRANSFUSION. AUTOLOGOUS TRANSFUSION ALLOWS THE PATIENT TO GIVE HIS/HER OWN BLOOD TO BE USED DURING THE PROCEDURE. DIRECTED DONATION ALLOWS THE PATIENT TO SELECT HIS/HER DONOR. B. PROCESSING AND COMPONENT PREPARATION:EACH BLOOD DONATION UNDERGOES SEVERAL HOURS OF TESTING TO FURTHER ENSURE SAFETY. UNITS ARE TESTED FOR SYPHILIS, CHAGAS DISEASE, PARVO VIRUS, HEPATITIS B, HEPATITIS C ANTIBODY, HTLV-I/II ANTIBODY, AND HIV ANTIBODY. IN ADDITION, NAT TESTING FOR HCV, HIV, WNV AND ZIKA ARE PERFORMED ON EACH DONOR.THE CENTER DIVIDES MOST OF THE BLOOD COLLECTED INTO COMPONENTS. RED CELLS TREAT ANEMIA AND ARE TRANSFUSABLE FOR UP TO 42 DAYS. PLATELETS REDUCE PATIENT BLEEDING AND MUST BE TRANSFUSED WITHIN FIVE DAYS OF DONATION. FRESH FROZEN PLASMA AND CRYOPRECIPITATE ARE USED TO TREAT COAGULATION PROBLEMS AND MAY BE TRANSFUSED WITHIN ONE YEAR OF DONATION. PLASMA FOR FRACTIONATION IS SOLD TO PHARMACEUTICAL COMPANIES FOR THE PRODUCTION OF PLASMA DERIVATIVES. ALL BLOOD PRODUCTS ARE LEUKO-DEPLETED FOR OPTIMUM PATIENT USE. C. PRODUCT MANAGEMENT:ONCE PROCESSING IS COMPLETED, BLOOD IS READY FOR DISTRIBUTION TO AREA HOSPITALS. THE CENTER SENDS OUT MORE THAN 550 UNITS OF BLOOD AND BLOOD COMPONENTS EACH WEEK. IN 2018, 24,179 UNITS OF BLOOD AND BLOOD COMPONENTS WERE TRANSFUSED IN THE CENTER'S EIGHTEEN COUNTY REGION. D. REFERENCE, DIAGNOSTICS AND OUTPATIENT SERVICES:IN 2018, THE BLOOD CENTER REFERENCE LABORATORY RESOLVED 217 SPECIAL TYPING PROBLEMS. BY UTILIZING THE CENTER AS A SHARED SERVICE, THE QUALITY OF HEALTHCARE SERVICES HAS BEEN INCREASED WHILE HEALTHCARE DOLLARS HAVE BEEN SAVED. THE CENTER MAINTAINS STAFF OF EXPERTS IN THE VARIOUS FIELDS, THUS ELIMINATING COSTLY DUPLICATION OF SERVICES BY EACH HEALTHCARE FACILITY SERVED BY THE CENTER E. SUPPORT SERVICES, INCLUDING PLANT AND FACILITY MANAGEMENT:SUPPORT SERVICES INCLUDE THE COMMUNITY SERVICES DEPARTMENT, WHICH WAS ABLE TO UTILIZE THE MEDIA FOR EDUCATION PURPOSES THROUGH LOCAL AND RURAL NEWSPAPERS PUBLISHING HUNDREDS OF PRESS RELEASES, WHICH INFORM THE PUBLIC OF THE CONTINUOUS NEED FOR A SAFE AND ADEQUATE BLOOD SUPPLY. RADIO AND TELEVISION STATIONS DEVOTE A SIGNIFICANT AMOUNT OF PUBLIC SERVICE TIME TO ANSWERING QUESTIONS ABOUT BLOOD DONATIONTHE CENTER'S MANAGEMENT INFORMATION SYSTEMS CONTINUES TO PROVIDE SYSTEMS THAT ENHANCE THE SAFETY OF THE BLOOD SUPPLY AND EFFICIENCY OF THE CENTER.THE HEADQUARTERS BUILDING MOVED TO 183 STERLING FARMS DRIVE (APPROXIMATELY 26,000 SQUARE FOOT FACILITY) IN SEPTEMBER 2011. IN ADDITION, THE CENTER OWNS FOUR 40-FOOT 4 OR 5-BED MOBILE BUSES TO PROVIDE CONVENIENT SITES FOR BLOOD DONATION. THE FORMER BUILDING (APPROXIMATELY 13,000 SQUARE FEET) WAS SOLD IN 2013 TO A LOCAL MEDICAL CLINIC. F. COMMUNITY SUPPORT:STAFF FROM THE CENTER IS INVOLVED IN AMERICAS BLOOD CENTERS (ABC), AMERICAN ASSOCIATION OF BLOOD BANKS (AABB), BLOOD CENTERS OF AMERICA (BCA), ROTARY CLUBS, THE EXCHANGE CLUB, (LOCAL CIVIC ORGANIZATIONS THAT PROVIDE FUNDING FOR COMMUNITY PROJECTS) AS WELL AS THE SOCIETY FROM HUMAN RESOURCE MANAGEMENT (SHRM). | Desc |
| Total Program Service Expenses | $4,327,963 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 11 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 83 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | TN | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HORNE LLP | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7316687070 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 26 SECURITY DRIVE | AddressLine1Txt |
| City | JACKSON | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 38305 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|
| JIM RICKMAN | ||||||
| CHAIRMAN | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| JASON SMITH | ||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| JAMIE JENKINS | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MARK HAYES | ||||||
| VICE-CHAIRMAN | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| DAN DONALDSON | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| JEFF SIMS MD | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| JOHN B MILLER | ||||||
| CEO/DIRECTOR | 40.00 | Yes (X) | Yes (X) | $163,832 | $0 | $6,105 |
| BOBBY RAWSON | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| CAMILLE SEARCY PHD | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MICHELLE PRINCE | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MIKE NICHOLS | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $163,832 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $6,105 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 1 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (4 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| CREATIVE TESTING SOLUTIONS | |||||
| PO BOX 29871 | PHOENIX | AZ | 850389871 | LAB SERVICES | $1,170,950 |
| FENWAL INC | |||||
| 3 CORPORATE DR 300 | LAKE ZURICH | IL | 60047 | LAB SERVICES | $506,011 |
| BLOOD CENTERS OF AMERICA | |||||
| PO BOX 84-5732 | BOSTON | MA | 022845732 | LAB SERVICES | $227,907 |
| IT SYNERGISTICS LLC | |||||
| 115 TREE STREET | FLOWOOD | MS | 39232 | LAB SERVICES | $124,941 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 4 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $25,796 | AllOtherContributionsAmt |
| Noncash Contributions | $14,949 | NoncashContributionsAmt |
| Total Contributions | $25,796 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| BLOOD PRODUCTS | 900099 | $7,246,315 | $7,246,315 |
| LAB SERVICES | 900099 | $80,909 | $80,909 |
| MEDICAL SUPPLIES | 900099 | $6,641 | $6,641 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $7,333,865 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $153,910 | TotalRevenueColumnAmt |
| Exclusion | $153,910 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,603,655 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,590,471 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $13,184 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $13,184 | TotalRevenueColumnAmt |
| Exclusion | $13,184 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| MISC REV: BLOOD TYPE, T-SHIRTS, D | 900099 | $21,747 | $21,747 | |
| IT SYNERGISTICS, LLC INCOME (LOSS | 541519 | -$16,862 | -$16,862 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $4,885 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,531,640 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $7,355,612 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | -$16,862 | UnrelatedBusinessRevenueAmt |
| Exclusion | $167,094 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $163,832 | TotalAmt |
| Management And General | $163,832 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,589,380 | TotalAmt |
| Program Services | $1,710,978 | ProgramServicesAmt |
| Management And General | $878,402 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $100,996 | TotalAmt |
| Management And General | $100,996 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $51,484 | TotalAmt |
| Management And General | $51,484 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,579 | TotalAmt |
| Management And General | $26,579 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $308,363 | TotalAmt |
| Management And General | $308,363 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $781,158 | TotalAmt |
| Program Services | $748,184 | ProgramServicesAmt |
| Management And General | $32,974 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $256,966 | TotalAmt |
| Management And General | $256,966 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $213,054 | TotalAmt |
| Program Services | $170,003 | ProgramServicesAmt |
| Management And General | $43,051 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $54,237 | TotalAmt |
| Management And General | $54,237 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $420,430 | TotalAmt |
| Management And General | $420,430 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $62,762 | TotalAmt |
| Management And General | $62,762 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| BLOOD RELATED SERVICES | $1,561,204 | $1,561,204 | |
| EQUIPMENT REPAIRS | $186,328 | $186,328 | |
| POSTAGE & SHIPPING | $125,939 | $94,511 | $31,428 |
| DUES AND SUBSCRIPTIONS | $66,422 | $66,422 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $219,276 | TotalAmt |
| Program Services | $43,083 | ProgramServicesAmt |
| Management And General | $176,193 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,188,410 | TotalAmt |
| Program Services | $4,327,963 | ProgramServicesAmt |
| Management And General | $2,860,447 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $569,263 | BOYAmt |
| EOY | $1,665,686 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $983,475 | BOYAmt |
| EOY | $1,153,608 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $222,375 | BOYAmt |
| EOY | $196,537 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $75,511 | BOYAmt |
| EOY | $73,058 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $8,859,253 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $4,256,767 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,899,258 | BOYAmt |
| EOY | $4,602,486 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,603,655 | BOYAmt |
| EOY | $2,717,611 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $642,335 | BOYAmt |
| EOY | $384,674 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,995,872 | BOYAmt |
| EOY | $10,793,660 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $625,438 | BOYAmt |
| EOY | $600,793 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,916,248 | BOYAmt |
| EOY | $1,678,588 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,541,686 | BOYAmt |
| EOY | $2,279,381 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,454,186 | BOYAmt |
| EOY | $8,514,279 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,454,186 | BOYAmt |
| EOY | $8,514,279 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,995,872 | BOYAmt |
| EOY | $10,793,660 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $343,230 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$283,137 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $18,586 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $25,796 | CurrentTaxYearAmt |
| Total | $44,382 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,646,999 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,646,999 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,471,092 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,786,908 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,333,865 | CurrentTaxYearAmt |
| Total | $33,885,863 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,646,999 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,646,999 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,471,092 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,805,494 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,359,661 | CurrentTaxYearAmt |
| Total | $33,930,245 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $33,930,245 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $361,730 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $74,071 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $127,924 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $260,281 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $167,094 | CurrentTaxYearAmt |
| Total | $991,100 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $361,730 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $74,071 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $127,924 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $260,281 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $167,094 | CurrentTaxYearAmt |
| Total | $991,100 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,430 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $59,605 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $69,652 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $50,384 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,885 | CurrentTaxYearAmt |
| Total | $186,956 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $7,011,159 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,780,675 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,668,668 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,116,159 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,531,640 | CurrentTaxYearAmt |
| Total | $35,108,301 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.96640 | PublicSupportCY509Pct |
| Public Support PY509 | 0.95690 | PublicSupportPY509Pct |
| Investment Income CY | 0.02820 | InvestmentIncomeCYPct |
| Investment Income PY | 0.03950 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $555,731 | OtherCostOrOtherBasisAmt |
| Book Value | $555,731 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,180,934 | OtherCostOrOtherBasisAmt |
| Depreciation | $782,718 | DepreciationAmt |
| Book Value | $3,398,216 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,812,153 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,465,409 | DepreciationAmt |
| Book Value | $346,744 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,310,435 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,008,640 | DepreciationAmt |
| Book Value | $301,795 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $4,602,486 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | SECURITIES | Desc |
| Book Value | $2,717,611 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $2,717,611 | TotalBookValueSecuritiesAmt |
| Total Rev Etc Audited Fincl Stmt | $7,233,554 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$283,137 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | -$283,137 | RevenueNotReportedAmt |
| Revenue Subtotal | $7,516,691 | RevenueSubtotalAmt |
| Other Revenues Not Included | $14,949 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $14,949 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $7,531,640 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $7,173,461 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $7,173,461 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $14,949 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $14,949 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $7,188,410 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | DONATED NONCASH PROMOTIONAL ITEMS |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | DONATED NONCASH PROMOTIONAL ITEMS |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JOHN B MILLER | PersonNm |
| Title | CEO/DIRECTOR | TitleTxt |
| Base Compensation Filing Org | $149,732 | BaseCompensationFilingOrgAmt |
| Compensation Based On Rltd Orgs | $0 | CompensationBasedOnRltdOrgsAmt |
| Bonus Filing Organization | $14,100 | BonusFilingOrganizationAmount |
| Bonus Related Organizations | $0 | BonusRelatedOrganizationsAmt |
| Other Compensation Filing Org | $0 | OtherCompensationFilingOrgAmt |
| Other Compensation Rltd Orgs | $0 | OtherCompensationRltdOrgsAmt |
| Deferred Compensation Flng Org | $0 | DeferredCompensationFlngOrgAmt |
| Deferred Comp Rltd Orgs | $0 | DeferredCompRltdOrgsAmt |
| Nontaxable Benefits Filing Org | $6,105 | NontaxableBenefitsFilingOrgAmt |
| Nontaxable Benefits Rltd Orgs | $0 | NontaxableBenefitsRltdOrgsAmt |
| Total Compensation Filing Org | $169,937 | TotalCompensationFilingOrgAmt |
| Total Compensation Rltd Orgs | $0 | TotalCompensationRltdOrgsAmt |
| Comp Report Prior990 Filing Org | $0 | CompReportPrior990FilingOrgAmt |
| Comp Report Prior990 Rltd Orgs | $0 | CompReportPrior990RltdOrgsAmt |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE HEALTH EDUCATIONAL AND HOUSING FACILITY BOARD OF THE CITY OF JACKSON | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 621209535 | BondIssuerEIN |
| Bond Issued | 2010-04-29 | BondIssuedDt |
| Issue Price | $4,620,000 | IssuePriceAmt |
| Purpose | THE PURPOSE IS TO CONSTRUCT A NEW BUILDING. | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Total Proceeds | $4,620,000 | TotalProceedsAmt |
| Issuance Costs From Proceeds | $76,855 | IssuanceCostsFromProceedsAmt |
| Capital Expenditures | $4,079,829 | CapitalExpendituresAmt |
| Unspent | $463,316 | UnspentAmt |
| Substantial Completion | 2011 | SubstantialCompletionYr |
| Refunding Tax Exempt Bonds | 0 | RefundingTaxExemptBondsInd |
| Refunding Taxable Bonds | 0 | RefundingTaxableBondsInd |
| Final Allocation Made | Yes (1) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | 0 | MgmtContractBondFincdPropInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | 0 | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | 0 | RebateNotDueYetInd |
| Exception To Rebate | 0 | ExceptionToRebateInd |
| No Rebate Due | 0 | NoRebateDueInd |
| Variable Rate Issue | 0 | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | 0 | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | 0 | ProceduresCorrectiveActionInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART V, QUESTION 2A AND PART VII COMPENSATION | PLEASE NOTE THAT WEST TENNESSEE REGIONAL BLOOD CENTER (LIFELINE) HAS ENTERED INTO A AGREEMENT WITH A PROFESSIONAL EMPLOYER ORGANIZATION (PEO). THIS ORGANIZATION ISSUES ALL W-2 ON THEIR BEHALF; THEREFORE, W-2S LISTED ON PART V QUESTION 2A REFLECT THE NUMBER OF W-2S ISSUED BY THE PEO FOR WAGES PAID THROUGH THE CO-EMPLOYMENT AGREEMENT WITH LIFELINE. THE OFFICER COMPENSATION LISTED ON PART VII IS ALSO REFLECTED ON THE W-2 ISSUED BY THE PEO. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE CEO REVIEWS AND APPROVES THE 990 BEFORE IT IS FILED. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION MAILS OUT A QUESTIONNAIRE ANNUALLY TO MONITOR AND ENFORCE COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE EXECUTIVE COMMITTEE ACTS AS A COMPENSATION COMMITTEE. THEY COMPARE SALARIES TO A SURVEY OF INDEPENDENT BLOOD CENTER EXECUTIVES. BOARD APPROVAL REQUIRED TO CHANGE COMPENSATION. |
| FORM 990, PART VI, SECTION C, LINE 18 | AVAILABLE UPON REQUEST. |
| FORM 990, PART VI, SECTION C, LINE 19 | AVAILABLE UPON REQUEST. |
| FORM 990, PART XII, LINE 2C | PROCESS FOR SELECTION AND MONITORING OF INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM PRIOR YEAR. |
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