Department of the Treasury Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
Attach to Form 990 or Form 990-EZ. See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
Belle Bonfils Memorial Blood Center
Employer identification number
84-0411209
Part I
Reason for Public Charity Status
(All organizations must complete this part.) See instructions
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).
f
If the organization received a written determination from the IRS that it is a Type I, Type II or Type III supporting organization, check this box
..................................................
g
Since August 17, 2006, has the organization accepted any gift or contribution from any of the following persons?
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the the supported organization?
................
11g(i)
(ii)
a family member of a person described in (i) above?
......................
11g(ii)
(iii)
a 35% controlled entity of a person described in (i) or (ii) above?
................
11g(iii)
h
Provide the following information about the supported organization(s).
(i) Name of supported organization
(ii) EIN
(iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions))
(iv) Is the organization in col. (i) listed in your governing document?
(v) Did you notify the organization in col. (i) of your support?
(vi) Is the organization in col. (i) organized in the U.S.?
(vii) Amount of support?
Yes
No
Yes
No
Yes
No
Total
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 2
Part II
Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5, 7, or 8 of Part I or if the
organization failed to qualify under Part III. If the organization fails to
qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year(or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3
The value of services or facilities furnished by a governmental unit to the organization without charge..
4
Total. Add lines 1 through 3..
5
The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included
on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6
Public Support. Subtract line 5 from line 4.
Section B. Total Support
Calendar year(or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
7
Amounts from line 4..
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
10
Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..
11
Total support (Add lines 7 through 10).
12
Gross receipts from related activities, etc. (See instructions.)
..................
12
13
First Five Years
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here..........................................
Section C. Computation of Public Support Percentage
14
Public Support Percentage for 2010 (line 6 column (f) divided by line 11 column (f))
.........
14
15
Public Support Percentage for 2009 Schedule A, Part II, line 14
...............
15
16a
33 1/3% support test—2010.
If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization
......................
b
33 1/3% support test—2009.
If the organization did not check the box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization
.....................
17a
10%-facts-and-circumstances test—2010.
If the organization did not check a box on line 13, 16a, or 16b and line 14
is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported
organization
..................................................
b
10%-facts-and-circumstances test—2009.
If the organization did not check a box on line 13, 16a, 16b, or 17a and line
15 is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported organization
..............................................
18
Private Foundation
If the organization did not check a box on line 13, 16a, 16b, 17a or 17b, check this box and see
instructions
...................................................
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 3
Part III
Support Schedule for Organizations Described in IRC 509(a)(2) (Complete only if you checked the box on line 9 of Part I or if the organization
failed to qualify under Part II. If the organization fails to qualify under
the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year(or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
487,211
591,096
684,743
193,352
392,949
2,349,351
2
Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
60,484,742
56,792,405
61,042,104
53,386,973
50,168,508
281,874,732
3
Gross receipts from activities that are not an unrelated trade or business under section 513..
4
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5
The value of services or facilities furnished by a governmental unit to the organization without charge..
6
Total. Add lines 1 through 5.
60,971,953
57,383,501
61,726,847
53,580,325
50,561,457
284,224,083
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
b
Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c
Add lines 7a and 7b..
8
Public Support (Subtract line 7c from line 6.)
284,224,083
Section B. Total Support
Calendar year (or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
9
Amounts from line 6...
60,971,953
57,383,501
61,726,847
53,580,325
50,561,457
284,224,083
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
790,356
567,402
1,213,760
892,240
947,212
4,410,970
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
790,356
567,402
1,213,760
892,240
947,212
4,410,970
11
Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
0
0
0
11,746
0
11,746
12
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
0
1,942,647
0
0
0
1,942,647
13
Total support (Add lines 9, 10c, 11 and 12.).
61,762,309
59,893,550
62,940,607
54,484,311
51,508,669
290,589,446
14
First Five Years
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.............................................
Section C. Computation of Public Support Percentage
15
Public Support Percentage for 2010 (line 8 column (f) divided by line 13 column (f))
.........
15
97.810 %
16
Public support percentage from 2009 Schedule A, Part III, line 15
...............
16
98.001 %
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2010 (line 10c column (f) divided by line 13 column (f))
......
17
1.518 %
18
Investment income percentage from 2009 Schedule A, Part III, line 17
.............
18
1.348 %
19a
33 1/3% support tests—2010.
If the organization did not check the box on line 14, and line 15 is more than 33 1/3% and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
..........
b
33 1/3% support tests—2009.
If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
....
20
Private Foundation
If the organization did not check a box on line 14, 19a or 19b, check this box and see instructions
.....
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 4
Part IV
Supplemental Information.
Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
Explanation
Schedule A (Form 990 or 990-EZ) 2010
Additional Data
Software ID:
Software Version:
-
TIN:
SCHEDULE O (Form 990 or 990-EZ)
Department of the Treasury Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ
Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
Belle Bonfils Memorial Blood Center
Employer identification number
84-0411209
Identifier
Return Reference
Explanation
Volunteers
Part I Line 6
In 2010, approximately 154,000 units of blood were collected as a result of nearly 71,600 generous volunteer blood donors who made lifesaving donations. These donations were given at our six community donor centers with five in the Denver Metro area and one in Sterling and at the 2,400 blood drives hosted by more than 1,000 businesses, civic groups and faith-based organizations throughout the year. A vital facet to our success also stems from the 796 dedicated pool of volunteers who gave back to their community by volunteering at our centers, drives, special events and administrative offices. These selfless individuals ensure our donors are well cared for, help organize our mobile blood drives, provide extra support at our many events and assist as needed in support of the community blood supply. Our successes would not be possible without our blood and marrow donors, financials contributors, hospital partners and volunteer advocates who enable us to impart hope, health and the gift of life upon our community.
Organization's Mission
Part III Line 1
In partnership with our community, Bonfils Blood Center saves and enhances lives. We stand for maintaining a safe, adequate and efficiently produced blood supply for our community and beyond. We strive, as Colorado's premier community blood center, to advance healthcare to a higher level of excellence.
Statement of Programs and Accomplishments
Part III, Line 4d
Research: Bonfils Research Department is dedicated to the study of blood and blood transfusions. The team is involved in multiple long term projects focused on the diagnosis, treatment, prevention and cure of blood related illnesses. Projects include extended matching of red cell antigens for sickle cell patients, outcomes in trauma patients, and diseases involving white blood cell function including Transfusion Related Acute Lung Injury (TRALI). The team also continues to participate in vendor protocols to evaluate current and future donation and manufacturing technologies. The Colorado Marrow Donor Program (CMDP) was instituted at Bonfils Blood Center as a local network donor for the National Marrow Donor Program in 1989. CMDP is responsible for community outreach, donor recruitment, and patient advocacy within the Colorado and Wyoming communities. The program manages the local registry and assists volunteer unrelated donors through the donation process. Our mission is to facilitate successful transplants of hematopoietic cells from volunteer unrelated donors as lifesaving therapy for patients in need. Since its inception, CMDP has added more than 75,000 donors to the national registry. Additionally, CMDP has facilitated over 500 marrow/stem cell donations and distributed 68 cord blood units for transplantation. We store and maintain approximately 2,500 cord blood units for distribution. Because patients seeking a marrow donation are more likely to find a match from a donor of a similar ethnic background, CMDP continues to focus their efforts on recruiting more ethnically diverse donors to the national registry.
990 Provided to Board
Part VI, Section B, Line 11
The Form 990 was reviewed in depth with the Finance/Audit Committee (a subsection of the Board of Trustees) by the Tax Partner of the audit firm, the CEO, CFO and Assistant Controller. Copies were provided to all members of the Board of Trustees. A high level review was conducted for the entire Board by the Tax Partner of the audit firm. After the review, the board requested a motion, second and vote to approve the 990 as presented.
Conflict of Interest Policy
Part VI, Section B, Line 12c
The Conflict of Interest Policy is collected annually from all Officers, Directors and Senior Management of the organization. A summary of all responses is created and reviewed by the Board of Trustees. Each meeting of the Board of Trustees is started with a request for any updates and/or changes to any individual's policy with regard to conflicts. This is then documented in the meeting minutes.
Process for Determining Compensation
Part VI, Section B, Line 15
An executive compensation packet is presented to the Audit/Finance Committee as part of the annual budget review/approval process. Benchmarking compensation data is provided from the local Employment Council, national surveys of the blood banking industry and other compensation sources where applicable. Data includes job descriptions, annual compensation and proposed merit increases, and is documented in the files of the organization. Upon review of the data, the Committee carries recommendations to the full Board of Trustees for review and approval. The packet is then kept on file for future reference. For the CEO position, an annual performance and compensation review is conducted by a sub-committee with their recommendations ultimately voted upon by the entire board in Executive Session.
Documents Not Available to the Public
Part VI Section C, Line 19
Bonfils' governing documents, conflict of interest policy and financial statements are not available to the public.
HOURS DEVOTED FOR RELATED ORGANIZATION
FORM 990 PART VII
NAME:Thomas C Puckett TITLE:President/CEO HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATION
FORM 990 PART VII
NAME:Anne C Burtchaell TITLE:CFO HOURS:2
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.