2013-11-13T10:47:55-06:00 2012-12-31 742920819 ATCHLEY & ASSOCIATES LLP 6850 AUSTIN CENTER BLVD STE 180 AUSTIN TX 787313129 990 2012-01-01 741366292 CENTRAL TEXAS REGIONAL BLOOD AND TISSUE CENTER CENT 5122061266 4300 NORTH LAMAR BOULEVARD AUSTIN TX 78756 MARSHALL COTHRAN 5122061266 2013-11-12 1 KAREN E ATCHLEY P00238005 5123462086 2012 2016-02-24 21:20:13Z SEE SCHEDULE O MARSHALL COTHRAN 4300 NORTH LAMAR BOULEVARD AUSTIN TX 78756 32400753 0 X WWW.INYOURHANDS.ORG X 1951 TX SEE PART III, LINE 1 14 14 225 160 0 0 304880 137482 29725206 32014447 37820 -5022 555261 228846 30623167 32375753 0 0 0 0 9966541 10197634 0 0 98906 18139698 21232781 28106239 31430415 2516928 945338 13300910 14028641 3110921 2893314 10189989 11135327 TO PROVIDE HUMAN BLOOD AND ALLOGRAFT TISSUE SERVICES TO HOSPITALS. TO SAFEGUARD THE COMMUNITY'S GIFTS OF DONATED BLOOD AND TISSUE WITH UNCOMPROMISING QUALITY AND EXCELLENCE IN SERVICE. 0 0 15807314 20171400 BLOOD SERVICES: IN ORDER TO ASSURE A SAFE AND ADEQUATE SUPPLY OFDONATED BLOOD FOR THE TRANSFUSION NEEDS OF CENTRAL TEXAS HOSPITALS, THE CENTER SOLICITS VOLUNTEER BLOOD DONORS AND PROVIDES FOR THE COLLECTION, TESTING, PROCESSING, STORAGE AND DISTRIBUTION OF BLOOD AND BLOOD COMPONENTS. 12377645 11865679 TISSUE SERVICES: THE CENTER PROVIDES FOR THE ETHICAL CONSENT, RECOVERY AND TESTING OF DONATED HUMAN TISSUE, AND FOR THE STORAGE AND DISTRIBUTION OF PROCESSED TISSUE ALLOGRAFTS FOR USE IN ORTHOPEDIC, CARDIOVASCULAR, NEUROLOGICAL AND OTHER SURGICAL PROCEDURES. IT ALSO PROVIDES FOLLOW UP GRIEF SUPPORT SERVICES FOR TISSUE DONOR FAMILIES. 28184959 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 225 1 0 0 0 0 0 0 0 0 0 0 X 14 14 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X APRIL P CLEAVER 5122061278 4300 NORTH LAMAR BOULEVARD AUSTIN TX 78756 STEPHEN S CLARK MD 1.00 X X 0 0 0 KENNETH FOX MD 1.00 X X 0 0 0 RICHARD DEBEHNKE MD 1.00 X X 0 0 0 CURTIS W PAGE 1.00 X X 0 0 0 JAMES D LINDLEY MD 1.00 X 0 0 0 JEFFREY HERBERT MD 1.00 X 0 0 0 EARL KILBRIDE MD 1.00 X 0 0 0 CARLOS RUBIN DECELIS MD 1.00 X 0 0 0 NATHAN THORNTON MD 1.00 X 0 0 0 RY DECLAN FLEMING MD 1.00 X 0 0 0 SARAH SMILEY DO 1.00 X 0 0 0 BRIAN SAYERS MD 1.00 X 0 0 0 MICHELLE BERGER MD 1.00 X 0 0 0 E RANDY ECKERT MD 1.00 X 0 0 0 JOSEPH BROWN 1.00 X 0 122492 14867 MARSHALL COTHRAN 1.00 X 0 277848 29980 ARLIN HALL 1.00 X 0 151605 20840 DENISE BALLINGER 1.00 X 0 121039 14919 JEFF COX 40.00 X 126727 0 9013 MARIAN GARRARD 40.00 X 134038 0 21378 CARI UNGER 40.00 X 109279 0 9561 370044 672984 120558 3 0 1 0 CREATIVE TESTING SOLUTIONS P O BOX 29871 PHOENIX AZ 850389871 LAB TESTING 2607080 KNIGHT REAL ESTATE CORPORATION 307 E 2ND STREET AUSTIN TX 78707 LEASE & RENT 156287 BLOOD BANK COMPUTER SYSTEMS 1002 15TH STREET AUBURN WA 980016502 SOFTWARE MAINTENACE 145033 3 137482 137482 BLOOD SERVICE REVENUES 900099 20148768 20148768 TISSUE SERVICE REVENUE 900099 11865679 11865679 32014447 19978 19978 206214 0 206214 206214 206214 25000 -25000 -25000 -25000 OTHER REVENUE 900099 36115 36115 SETTLEMENTS 900099 -13483 -13483 22632 32375753 32037079 0 201192 409996 389291 16831 3874 7492142 7098387 321099 72656 433892 420242 10551 3099 1220059 1181677 29669 8713 641545 624869 10560 6116 319574 251068 68506 179012 62941 115075 996 381891 360647 19579 1665 715290 655213 60077 71356 67059 3389 908 45164 8689 36475 730838 527494 203344 302224 41147 261077 DIRECT PRODUCT COSTS 9537392 9537392 CLINICAL SUPPLIES 2818721 2818721 OUTSIDE TESTING 2604671 2604671 REIMBURSMENTS 2062496 305913 1756583 1464152 1229538 233735 879 31430415 28184959 3146550 98906 725 725 3562533 3755776 2748622 2714559 96168 86596 733336 872262 231296 372331 13876419 8058211 5928230 5818208 0 408184 13300910 14028641 1946790 2254771 82240 57983 903835 366209 178056 214351 3110921 2893314 X 9932987 11135327 257002 0 10189989 11135327 13300910 14028641 945338 0 X 0 1 X 1 0 X 35228 129223 86963 304880 137482 693776 27620303 29826018 31122847 29725206 32014447 150308821 27655531 29955241 31209810 30030086 32151929 151002597 0 0 0 151002597 201335 194915 195763 199809 206214 998036 201335 194915 195763 199809 206214 998036 15336 23601 92667 356170 22632 510406 27872202 30173757 31498240 30586065 32380775 152511039 0.99010 0.98970 0.00650 0.00690 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 492615 492615 5726417 2988537 2737880 841956 621933 220023 6815431 4447741 2367690 5818208 AFFILIATE PAYABLES 214351 214351 32375753 0 32375753 0 32375753 31430415 0 31430415 0 31430415 X X 0 0 0 0 0 0 0 0 0 MARSHALL COTHRAN 0 235000 0 38000 0 4848 0 19762 0 10218 0 307828 0 0 ARLIN HALL 0 138605 0 13000 0 0 0 10763 0 10077 0 172445 0 0 MARIAN GARRARD 122038 0 12000 0 0 0 11757 0 9621 0 155416 0 0 0 FORM 990, PART I, DOING BUSINESS AS: THE BLOOD AND TISSUE CENTER OF CENTRAL TEXAS FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION'S MEMBERSHIP IS MADE UP OF THE MEMBERS OF THE TRAVIS COUNTY MEDICAL SOCIETY. THEY ARE ELIGIBLE TO VOTE IN THE SOCIETY'S ELECTION OF OFFICERS. FORM 990, PART VI, SECTION A, LINE 7A THE FOUR OFFICERS OF TRAVIS COUNTY MEDICAL SOCIETY (TCMS) ARE SLOTTED POSITIONS ON THE ORGANIZATION'S BOARD. FORM 990, PART VI, SECTION B, LINE 11 A COPY OF FORM 990 IS GIVEN TO THE CEO, CFO, AND EACH BOARD MEMBER TO REVIEW PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REVIEWS THE ANNUAL DISCLOSURES REQUIRED OF OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES FOR INTERESTS THAT COULD GIVE RISE TO CONFLICT. FORM 990, PART VI, SECTION B, LINE 15 THE CEO'S COMPENSATION IS DETERMINED BY A JOINT EXECUTIVE COMMITTEE OF THE BOARDS, REVIEWING PERFORMANCE AND MARKET SURVEY DATA. SUBORDINATE STAFF OFFICERS'COMPENSATION IS DETERMINED BY THE CEO, REVIEWING PERFORMANCE AND MARKET SURVEY DATA FOR THOSE POSITIONS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC ON A CASE BY CASE BASIS. TRAVIS COUNTY MEDICAL SOCIETY 4300 NORTH LAMAR BOULEVARD AUSTIN TX 78756 746017762 TO SERVE AND REPRESENT THE MEDICAL PROFESSION TX 501(C)(6) 0 TRAVIS COUNTY MEDICAL SOCIETY FOUNDATION PO BOX 4487 AUSTIN TX 78756 741720086 FACILITATING AND ORGANIZING ACCESS TO HEALTHCARE FOR UNINSURED PATIENTS TX 501(C)(3) LINE 7 0 THE MEDICAL SERVICE BUREAU INC 4300 NORTH LAMAR AUSTIN TX 78756 741268591 PHONE ANSWERING TX TRAVIS COUNTY MEDICAL SOCIETY C 0 0 0 0 0 1 0 0 0 0 1 1 0 1 0 0 1 0 0 0 TRAVIS COUNTY MEDICAL SOCIETY J 131652 FMV TRAVIS COUNTY MEDICAL SOCIETY FOUNDATION J 13632 FMV THE MEDICAL SERVICE BUREAU INC J 30840 FMV THE MEDICAL SERVICE BUREAU INC M 900 FMV THE MEDICAL SERVICE BUREAU INC K 23121 FMV TRAVIS COUNTY MEDICAL SOCIETY P 2081292 FMV TRAVIS COUNTY MEDICAL SOCIETY E 214351 FMV