2012-05-15T10:38:51-05:00 2011-09-30 CHERRY BEKAERT & HOLLAND LLP 200 SOUTH 10TH STREET SUITE 900 RICHMOND VA 23219 990 2010-10-01 540959121 VIRGINIA BLOOD SERVICES VIRG 8042134205 2825 EMERYWOOD PARKWAY RICHMOND VA 23294 LOUIS MATHERNE 8042134205 2012-05-15 0 AARON T ELLISON 8046735700 2010 2016-02-24 21:20:13Z ROBERT E CARDEN PHD 2825 EMERYWOOD PARKWAY RICHMOND VA 23294 35359843 0 X WWW.VABLOOD.ORG X 1974 VA SEE PART III QUESTIONS 1 AND 4A. 14 13 284 13 0 0 122655 143282 35027170 34886584 -64253 238219 0 0 35085572 35268085 0 0 0 0 11465159 11566866 0 0 0 21688272 21166167 33153431 32733033 1932141 2535052 31889016 33643954 14662992 14127934 17226024 19516020 X VIRGINIA BLOOD SERVICES PROVIDES (1) THE COMMUNITY WITH CHARITABLE SERVICES SUCH AS SOLICITING, ANALYZING, PROCESSING, AND DISTRIBUTING HUMAN BLOOD PRODUCTS FOR THE BENEFIT OF HOSPITAL PATIENTS, (2) MANAGEMENT SERVICES TO OTHER TAX EXEMPT BLOOD CENTERS, AND (3) FOR THE ADVANCEMENT OF THE SCIENCE AND PRACTICE OF BLOOD TRANSFUSION THERAPY. 0 0 27318325 34886584 PROVIDES BLOOD PRODUCTS TO 20 HOSPITALS AND THEIR PATIENTS THROUGHOUT CENTRAL VIRGINIA. ANNUALLY CONDUCTS MORE THAN 2,650 BLOOD DRIVES AND COLLECTS NEARLY 117,000 BLOOD DONATIONS. OPERATES EIGHT DONOR CENTERS: 2 IN RICHMOND AND 2 IN CHARLOTTESVILLE ALONG WITH OTHERS IN CHESTER, GLEN ALLEN, FISHERVILLE, AND HARRISONBURG.VBS IS ONE OF THE LARGEST VOLUNTEER EFFORTS IN VIRGINIA WITH NEARLY 56,000 DONORS PER YEAR. RECEIVES EXCELLENT INSPECTION REPORTS FROM THE U.S. FOOD AND DRUG ADMINISTRATION. VBS IS GOVERNED BY A VOLUNTEER BOARD OF DIRECTORS MADE UP OF LOCAL MEDICAL AND BUSINESS LEADERS, AND IS NOT AFFILIATED WITH THE AMERICAN RED CROSS. RECEIVES NO GOVERNMENT FUNDING. FUNDING COMES PRIMARILY FROM BLOOD PROCESSING FEES THAT ARE A PATIENT'S TRANSFUSION CHARGES. THESE FEES COVER THE COST OF EMPLOYEE SALARIES AND BENEFITS, BLOOD COLLECTION SUPPLIES AND TESTING, LABORATORY EQUIPMENT, AND OTHER ITEMS REQUIRED TO MAKE BLOOD SAFE AND AVAILABLE. 27318325 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 10 0 1 284 1 0 0 0 0 0 0 0 0 0 0 X 14 13 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 VA X LOUIS MATHERNE 8042134205 2825 EMERYWOOD PARKWAY RICHMOND VA 23294 MR ROBERT E CARDEN PHD 1.00 X X 0 450041 31844 MR FREDDY COBB 1.00 X 0 0 0 MR DICK PIERCE 1.00 X 0 0 0 MR CHARLES W BYRD JR 1.00 X 0 0 0 MS KATHRYN FREEMAN-JONES ESQ 1.00 X 0 0 0 MR RONALD L MOORE 1.00 X 0 0 0 DR SALLIE S COOK MD 1.00 X 0 0 0 MR CHRIS DECAPRI 1.00 X 0 0 0 MR LAURENS SARTORIS 1.00 X 0 0 0 MR MICHAEL J MCCUE DBA 1.00 X 0 0 0 MR PATRICK R LIVERPOOL PHD 1.00 X 0 0 0 MR MARK A SMITH 1.00 X 0 0 0 DR JAMES ZOCCO MD 1.00 X 0 0 0 MR JAMES R BERRY 1.00 X 0 0 0 MS ELEANOR BOENS 1.00 X 0 168330 13676 MR LOUIS MATHERNE 1.00 X 0 200081 13493 MR RICHARD THOMAS 40.00 X 186933 0 17234 186933 818452 76247 4 0 1 0 CREATIVE TESTING SOLUTIONS PO BOX 29871 PHOENIX AZ 85038 BLOOD TESTING 5058465 DYNAMEX INC PO BOX 99188 PITTSBURGH PA 15233 COURIER SERVICE 388287 FRANCIS COMMUNICATION 467 CHESTNUT ST NASHVILLE TN 37203 MARKETING 249849 LANTZ CONSTRUCTION CO 539 SOUTH MAIN ST BROADWAY VA 22815 CONSTRUCTION 173768 UVA HEALTH FOUNDATION 500 RAY C HUNT DR CHARLOTTESVILLE VA 22903 MEDICAL CONSULTATION 123332 5 143282 132245 143282 BLOOD PROCESSING 621990 32998650 32998650 LABORATORY SERVICES 621500 1754078 1754078 OTHER 621990 68364 68364 BLOOD DELIVERY 621990 65492 65492 34886584 243977 243977 86000 91758 -5758 -5758 -5758 35268085 34886584 0 238219 212743 212743 9389582 9389582 188967 188967 1043536 1043536 732038 732038 5414708 5414708 140279 140279 689619 689619 27175 27175 36005 36005 159062 159062 299621 299621 1296557 1296557 BLOOD SUPPLIES 6315446 6315446 BLOOD TESTING 5392007 5392007 BLOOD IMPORTS 423590 423590 FREIGHT 404116 404116 REPAIRS & MAINTENANCE 274921 274921 293061 293061 32733033 27318325 5414708 0 250 250 2039107 3820211 3326298 2854931 8660 10235 1585131 1618608 51407 190089 20622493 6385043 14773210 14237450 9689469 10421896 415484 490284 31889016 33643954 3223260 2763180 606386 567075 7000000 6770000 3833346 4027679 14662992 14127934 X 17219727 19516020 6297 0 17226024 19516020 31889016 33643954 X 2535052 -245056 X X 0 1 1 X 0 X 113948 167867 136251 122655 143282 684003 32378175 33678017 34743445 35027170 34886584 170713391 32492123 33845884 34879696 35149825 35029866 171397394 0 3280256 1696327 921294 1665187 617475 8180539 3280256 1696327 921294 1665187 617475 8180539 163216855 410437 359611 222836 138517 243977 1375378 410437 359611 222836 138517 243977 1375378 275391 -4141 28422 -202770 -5758 91144 33177951 34201354 35130954 35085572 35268085 172863916 0.94420 0.94150 0.00800 0.00780 X SCHEDULE A, PART IV, SUPPLEMENTAL INFORMATION: PART III LINE 12 OTHER INCOME EACH YEAR IS GAIN (LOSS) ON THE SALE OF DEPRECIABLE BUSINESS ASSETS RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2946710 2946710 9673418 989891 8683527 502631 149415 353216 3856764 2735542 1121222 3642970 2510195 1132775 14237450 DUE TO THE VBS GROUP 2945381 457B RETIREMENT PLAN OBLIGATION 415588 INTEREST RATE SWAP OBLIGATION 434014 CAPITAL LEASE OBLIGATION 232696 4027679 35268085 32733033 2535052 -349420 104364 -245056 2289996 34591164 -349420 104364 -245056 34836220 431865 431865 35268085 32301168 0 32301168 431865 431865 32733033 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: VIRGINIA BLOOD SERVICES RECEIVED AN AUDITED FINANCIAL STATEMENT FOR THIS TAX YEAR ON A CONSOLIDATED BASIS WITH THE VBS GROUP THAT WAS PREPARED IN ACCORDANCE WITH GAAP. A FIN 48 FOOTNOTE TO THE AUDITED CONSOLIDATED STATEMENTS DISCLOSED "MANAGEMENT HAS EVALUATED THE EFFECT OF NEW GUIDANCE SURROUNDING UNCERTAIN TAX POSITIONS AND CONCLUDED THAT THE COMPANY HAS NO MATERIAL UNCERTAIN TAX POSITIONS AT SEPTEMBER 30, 2011." PART XI, LINE 8: 104,364 GAIN ON INTEREST RATE SWAP AGREEMENT PART XII, LINE 4B: 299,621 RECLASSIFY INTEREST EXPENSE 132,244 MARKETING AND DONOR RELATIONS EXPENSE 431,865 TOTAL PART XIII, LINE 4B: 299,621 RECLASSIFY INTEREST EXPENSE 132,244 MARKETING AND DONOR RELATIONS EXPENSE 431,865 TOTAL PART XII LINE 2D: 104,364 GAIN ON INTEREST SWAP AGREEMENT X 1 1 X X X X X 0 0 0 0 0 0 0 0 0 MR ROBERT E CARDEN PHD 0 335131 0 78575 0 36335 0 9800 0 22044 0 481885 0 468385 MS ELEANOR BOENS 0 133490 0 21309 0 13531 0 6214 0 7462 0 182006 0 190565 MR LOUIS MATHERNE 0 156850 0 28222 0 15009 0 7449 0 6044 0 213574 0 219968 MR RICHARD THOMAS 149967 0 24046 0 12920 0 6975 0 10259 0 204167 0 167017 0 SUPPLEMENTAL INFORMATION PART III PART II LINE B(II) DISCRETIONARY BONUSES ARE PAID ACCORDING TO CRITERIA ESTABLISHED AT THE BEGINNING OF THE YEAR BY THE EXECUTIVE COMPENSATION COMMITTEE BASED ON THE EMPLOYEE'S INDIVIDUAL AND DEPARTMENT GOALS AND THE ORGANIZATION'S OVERALL OPERATING RESULTS. VIGINIA BIOTECHNOLOGY RESEARCH PARTNERSHIP 541726850 92775MAA9 2006-10-19 14000000 CONSTRUCTION OF BLOOD FACILITY 0 0 0 7230000 14362780 478045 173373 13711362 2007 0 0 1 1 0 0 0 0 0 1 0 1 1 WACHOVIA BANK 9.500000000000 0 0 0 0 1 X 74 18183 FMV X MIDAS OIL CHANGES 1129 44020 FMV X TICKETS/GIFT CARDS 103 43266 FMV X ELECTRONIC ITEMS 5 2439 FMV X MISCELLANEOUS 18 24337 FMV 0 1 0 FORM 990, PART VI, SECTION A, LINE 3 THE VBS GROUP, THE PARENT OF VIRGINIA BLOOD SERVICES AND ITS SUPPORTING ORGANIZATION UNDER SECTION 509(A)(3), PROVIDES MANAGEMENT SERVICES TO THE COMPANY. FORM 990, PART VI, SECTION B, LINE 11 A COPY OF THE FORM 990 WITH ALL REQUIRED SUPPORTING SCHEDULES TO BE FILED WITH THE IRS IS POSTED ON A WEBSITE THAT ONLY BOARD MEMBERS HAVE ACCESS TO. THE BOARD MEMBERS ARE ASKED TO GO ONTO THIS SITE AND REVIEW THE RETURN AND PROVIDE MANAGEMENT WITH THEIR COMMENTS AND QUESTIONS. HARD COPIES OF THE RETURN ARE HAND DELIVERED TO MEMBERS OF THE FINANCE COMMITTEE WHO REVIEW IT IN DETAIL. FORM 990, PART VI, SECTION B, LINE 12C ALL DIRECTORS, OFFICERS, AND KEY EMPLOYEES ARE REQUIRED TO SUBMIT A FORM ANNUALLY DISCLOSING ANY ACTUAL OR POSSIBLE CONFLICTS OF INTEREST. THE FORMS ARE REVIEWED BY THE GOVERNANCE COMMITTEE WHICH DETERMINES WHETHER A CONFLICT EXISTS. ANY PERSON DEEMED TO HAVE A CONFLICT DURING THE YEAR IS PROHIBITED FROM PARTICIPATING IN DELIBERATIONS AND DECISIONS REGARDING CONFLICTED TRANSACTIONS. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION OF ALL OFFICERS AND KEY EMPLOYEES OF VBS IS REVIEWED AND APPROVED BY INDEPENDENT MEMBERS OF THE EXECUTIVE COMPENSATION COMMITTEE. THIS REVIEW WAS LAST CONDUCTED IN NOVEMBER 2011. THE COMMITTEE RECEIVED A REPORT DATED NOVEMBER 15, 2011 FROM THE TITAN GROUP LLC, AN INDEPENDENT COMPENSATION REVIEW FIRM, CONCLUDING THAT THE COMPENSATION PACKAGE OF EACH OFFICER AND KEY EMPLOYEE LISTED ON FROM 990, PART VII, SECTION A IS "REASONABLE AS COMPARED AGAINST SIMILAR POSITIONS IN COMPETITIVE PEER GROUPS WITH SIMILAR OPERATING SIZE AND SCOPE." THE COMPENSATION WAS APPROVED BY THE EXECUTIVE COMPENSATION COMMITTEE AND THE DECISION WAS DOCUMENTED IN COMMITTEE MINUTES. FORM 990, PART VI, SECTION C, LINE 19 VIRGINIA BLOOD SERVICE'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -349,420. GAIN ON INTEREST RATE SWAP AGREEMENT 104,364. TOTAL TO FORM 990, PART XI, LINE 5: -245,056. FORM 990 PART XII LINE 2C THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR THE VBS GROUP 2825 EMERYWOOD PWY RICHMOND VA 23294 541562993 SUPPORTING VIRGINIA BLOOD SERVICES VA 501(C)(3) 11B N/A 0 0 0 0 0 1 0 0 0 0 0 0 1 1 1 0 0 0 0 THE VBS GROUP E 2945381 COST THE VBS GROUP L 2533816 COST THE VBS GROUP M 200000 COST THE VBS GROUP N 2680893 COST