2017-11-06T11:01:50-06:00 2016-12-31 910189318 Moss Adams LLP 601 W Riverside Avenue Ste 1800 Spokane WA 99201 990 2016-01-01 464347438 The Blood Center Foundation of the Inland Northwest BLOO 5098697347 210 W Cataldo Ave Spokane WA 99201 Loreen McFaul Executive Director 5098697347 2017-11-01 1 Emina O Cresswell CPA P01217304 5097472600 2017-11-01 12.129.7.100 2017-11-01 19:07:59 PD P 86B92690DBA53B450090ACE3D4C990CC6A999576 92E4E1887166A1A95AEA2354EF277E907B8DEB06 2016 2018-03-14 21:41:22Z Loreen McFaul 210 W Cataldo Ave Spokane WA 99201 680070 0 X WWW.BLOODCENTERFOUNDATION.ORG X 2013 WA TO INVEST IN HEALTHCARE EDUCATION, RESEARCH AND TECHNOLOGY THROUGHOUT THE INLAND NORTHWEST SUPPORTING THE MISSION AND GOALS OF THE INLAND NORTHWEST BLOOD CENTER. 9 9 2 12 0 0 152652 132136 0 0 113195 68597 0 0 265847 200733 87746 100393 0 0 0 59420 0 0 28371 48394 53187 136140 213000 129707 -12267 3145672 3239217 1500 3240 3144172 3235977 TO INVEST IN HEALTHCARE EDUCATION, RESEARCH AND TECHNOLOGY THROUGHOUT THE INLAND NORTHWEST SUPPORTING THE MISSION AND GOALS OF THE INLAND NORTHWEST BLOOD CENTER. 0 0 147678 100393 IDENTIFY AND CULTIVATE POTENTIAL DONORS, RECEIVE CONTRIBUTIONS IN SUPPORT OF THE MISSION, OVERSEE INVESTMENT OF THE ENDOWMENT, REVIEW GRANT REQUESTS, AND DISTRIBUTE FUNDS TO THOSE GRANT RECIPIENTS CHOSEN FROM THE SELECTION PROCESS. 147678 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 2 1 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X Loreen McFaul 5098697347 210 W Cataldo Ave Spokane WA 99201 Linda Blessing PHD -1116 Trustee 2.00 4.00 X 0 29375 0 Jessica Allen Trustee 2.00 X 0 0 0 Judi Baggarley Trustee 2.00 X 0 0 0 Julie Holland -1216 Trustee 2.00 X 0 0 0 Jill Manion Trustee 2.00 X 0 0 0 Mario Reyes Trustee 2.00 X 0 0 0 Jeffrey Bryant Trustee 2.00 40.00 X 0 261649 22262 William Dittman MD Trustee 2.00 1.00 X 0 19500 0 Wayne Longo Trustee/ Chair 2.00 X X 0 0 0 Lynn Hurley Trustee/ Vice Chair 2.00 1.00 X X 0 0 0 Dan Demchuk Secretary/ Treasurer 2.00 X X 0 0 0 Loreen mcfaul Executive director 20.00 X 3397 46871 1406 Susan Barnes BI EVP/ CFO 2.00 40.00 X 0 439625 22214 3397 797020 45882 0 0 1 0 0 116678 15458 132136 66507 66507 481427 479337 2090 2090 2090 200733 0 0 68597 100393 100393 3397 1699 679 1019 47187 23594 9437 14156 2897 1449 579 869 619 309 124 186 5320 2660 1064 1596 1500 1500 16538 16538 5138 2569 1028 1541 7554 3777 1511 2266 3132 1566 626 940 11174 5587 2235 3352 1070 535 214 321 1506 753 301 452 Board Expenses 3530 1765 706 1059 Printed Materials 1032 516 206 310 Dues and Subscriptions 869 434 174 261 Business Lic & Tax 120 60 24 36 24 12 5 7 213000 147678 36951 28371 206422 132055 230522 230707 104898 116678 2598533 2759777 5297 0 3145672 3239217 1500 298 0 2942 1500 3240 X 3106220 3198866 37952 37111 3144172 3235977 3145672 3239217 -12267 104072 0 X 0 0 0 X 0 0 3098328 152652 132136 3383116 3098328 152652 132136 3383116 3266532 116584 0 0 62178 60707 66507 189392 3572508 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2598533 173730 16538 2755725 2500000 37952 2537952 2500000 2500000 0.98500 0.00000 0.01500 0 0 0 Part V, Line 4: BLOOD CENTER FOUNDATION OF THE INLAND NORTHWEST MAINTAINS A SINGLE ENDOWMENT FUND. THE OBJECTIVE IS THAT THE CORE (INITIAL) ENDOWMENT (FROM INLAND NORTHWEST BLOOD CENTER) WILL REMAIN INTACT, BUT INVESTED, AND A PERCENTAGE OF THE FUND'S INCOME WILL FUND THE STATED CHARITABLE OBJECTIVES WHILE THE BALANCE WILL GROW THE ORIGINAL ENDOWMENT. 1 INBC 210 w cataldo ave spokane WA 99201 910499130 501(c)(3) 42397 PROGRAM SUPPORT DEPARTMENT LABORATORY MEDICINE AT SHMC 101 W 8th ave spokane WA 99204 320014330 501(c)(3) 26996 MEDICAL LABORATORY SCIENCE STUDENT SCHOLARSHIPS MOBIUS SPOKANE 880 w main lower level spokane WA 99201 911694299 501(c)(3) 15000 CAPITAL CAMPAIGN EXHIBIT CC OF SPOKANE NORTH ID COLLEGGE LC STATE COLLEGE 501 n riverpoint blvd suite 203 spokane WA 99202 910886962 501(c)(3) 13500 PCFIN PHLEBOTOMY SCHOLARSHIPS 4 Part I, Line 2: DONATIONS TO OTHER TAX-EXEMPT ENTITIES ARE MADE IN SUPPORT OF THEIR MISSIONS AND ARE MONITORED VIA THE GOVERNANCE PRACTICES OF THOSE ENTITIES. 1 X X X 0 1 0 0 0 0 0 1 0 Jeffrey Bryant Trustee 0 199118 0 62531 0 0 0 13239 0 9023 0 283911 0 0 Susan Barnes BI EVP/ CFO 0 344201 0 56235 0 39189 0 10600 0 11614 0 461839 0 28901 Part I, Line 4b CERTAIN EMPLOYEES RECEIVED DISTRIBUTIONS FROM THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN DURING 2016 AS FOLLOWS: SUSAN L. BARNES: $28,901 (RESULTING FROM ALMOST 27 YEARS OF SERVICE) THESE AMOUNTS WERE INCLUDED IN TAXABLE WAGES AND ARE REPORTED IN SCHEDULE J, PART II, COLUMN B(III) AND ALSO IN COLUMN F SINCE THESE AMOUNTS HAVE PREVIOUSLY BEEN REPORTED AS DEFERRED COMPENSATION ON A PRIOR FORM 990. THIS PLAN WAS FROZEN AS OF DECEMBER 31, 2011. Part I, Line 5 BLOOD CENTER FOUNDATION OF THE INLAND NORTHWEST (BCFIN) RELIES ON THE METHODS USED BY INLAND NORTHWEST BLOOD CENTER (INBC) IN ESTABLISHING COMPENSATION PAID TO THE EXECUTIVE DIRECTOR INCLUDING: COMPENSATION COMMITTEE, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE OF INBC. Part I, Line 7 BCFIN DOES NOT PAY ANY BONUSES. BONUSES ARE DETERMINED AND PAID BY A RELATED NON-PROFIT ORGANIZATION, INBC. INBC MAY PAY AN ANNUAL BONUS IF CERTAIN ORGANIZATIONAL PERFORMANCE CRITERIA ARE MET, INCLUDING EXCEEDING COLLECTION GOAL, EXCEEDING NET MARGIN GOAL AND MEETING QUALITY GOALS. MANAGEMENT PROPOSES A BONUS TO THE BOARD OF DIRECTORS FOR APPROVAL. BONUSES ARE TYPICALLY PAID AT THE SAME AMOUNT TO ALL STAFF BASED ON STATUS (FULL-TIME, PART-TIME, TENURE, ETC). INBC MAINTAINS A BONUS PROGRAM FOR SENIOR LEADERSHIP STAFF WHICH IS SEPARATE FROM THE ANNUAL ALL-STAFF BONUS DETAILED ABOVE. THE PERCENTAGE IS DETERMINED ON SEVERAL PERFORMANCE FACTORS. Form 990, Part VI, Section A, line 4 As of 12/1/16 the Inland Blood Center NW is no longer a member. The articles of incorporation and bylaws were amended to state that the Corporation shall have no members. Additionally, the bylaws removed verbiage throughout its bylaws related to the former member, Inland Northwest Blood Center. Form 990, Part VI, Section A, line 6 The sole member of BCFIN was Inland Northwest Blood Center (INBC) until 12/1/16. It was a related Washington, non-profit entity. Form 990, Part VI, Section A, line 7a AS THE SOLE CORPORATE MEMBER, INBC NOMINATED THE BOARD OF BCFIN. BSI, THE SOLE CORPORATE MEMBER OF INBC, APPROVED EACH NOMINATION. Form 990, Part VI, Section A, line 7b BSI HAD THE RIGHT TO APPROVE BOARD ELECTIONS. INBC AND BSI APPROVED AMENDMENTS TO THE BYLAWS. Form 990, Part VI, Section B, 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 990 AND SCHEDULES IS SUPPLIED TO ALL BOARD MEMBERS. ANY COMMENTS FROM THE BOARD ARE CONSIDERED PRIOR TO FILING THE FORM 990 WITH THE IRS. Form 990, Part VI, Section B, line 12c DIRECTORS, TRUSTEES, AND KEY EMPLOYEES ARE REQUIRED TO ANNUALLY REVIEW AND SIGN OFF ON THE CONFLICT OF INTEREST POLICY AND COMPLETE A FORM DESCRIBING ANY SITUATIONS THAT COULD RESULT IN A CONFLICT OF INTEREST. THE BOARD CHAIR REVIEWS ALL THE CONFLICT OF INTEREST STATEMENTS AND THESE ARE MAINTAINED WITH THE BOARD RECORDS. Form 990, Part VI, Section B, line 15 The organization determines the Executive Director's compensation using comparability data, compensation committee and documents the approval by the board or compensation committee in their board minutes. Form 990, Part VI, Section C, line 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST. FORM 990, PART VI, LINE 1A: THE EXECUTIVE COMMITTEE HAD THE POWER AND AUTHORITY TO TRANSACT ALL BUSINESS OF BCFIN BETWEEN BOARD MEETINGS, UNLESS PROHIBITED BY LAW OR THE ARTICLES OF INCORPORATION. THE EXECUTIVE COMMITTEE CONSISTED OF (1) THE BLOOD SYSTEMS, INC (BSI) REPRESENTATIVE SERVING ON THE BOARD OR HIS/HER DESIGNEE, (2) THE CHAIR OF BCFIN'S BOARD, AND (3) ONE ADDITIONAL MEMBER OF THE BCFIN BOARD. BLOOD SYSTEMS INC 6210 E OAK STREET SCOTTSDALE AZ 85257 860098929 BLOOD BANKING AZ 501(C)(3) Line 9 N/A 0 BLOOD CENTERS OF THE PACIFIC 270 MASONIC AVENUE SAN FRANCISCO CA 94118 941156555 BLOOD BANKING CA 501(C)(3) Line 9 BSI 0 CREATIVE TESTING SOLUTIONS 6210 E OAK STREET SCOTTSDALE AZ 85257 271120123 BLOOD BANKING AZ 501(C)(3) Line 10 BSI 0 INLAND NORTHWEST BLOOD CENTER 210 W CATALDO AVENUE SPOKANE WA 99201 910499130 BLOOD BANKING WA 501(C)(3) Line 9 BSI 0 Belle Bonfils Memorial Blood Center 717 yosemite street denver CO 80230 840411209 BLOOD BANKING CO 501(C)(3) Line 9 BSI 0 BLOOD BANK OF SAN BERNARDINO & RIVERSIDE PO BOX 1429 SAN BERNARDINO CA 92402 951708743 BLOOD BANKING CA 501(C)(3) Line 9 BSI 0 MID-SOUTH REGIONAL BLOOD CENTER INC 1040 MADISON AVE MEMPHIS TN 38104 620719021 BLOOD BANKING TN 501(C)(3) Line 9 BSI 0 BERGEN COMMUNITY REGIONAL BLOOD CTR INC 102 CHESTNUT RIDGE ROAD MONTVALE NJ 07645 221541702 BLOOD BANKING NJ 501(C)(3) Line 9 BSI 0 LIFESHARE COMMUNITY BLOOD SERVICES 105 CLEVELAND STREET ELYRIA OH 44035 341163202 BLOOD BANKING OH 501(C)(3) Line 9 BSI 0 CANYON STATE INSURANCE COMPANY WEST BAY ROAD GRAND CAYMAN CJ 981084327 INVESTMENT CJ N/A C 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0