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. Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
RHODE ISLAND BLOOD CENTER
Employer identification number
05-0317817
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 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 monetary support
Yes
No
Yes
No
Yes
No
Total
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 2
Part II
Support Schedule for Organizations Described in Sections 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) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(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) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(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. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
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 2013 (line 6, column (f) divided by line 11, column (f))
.........
14
15
Public support percentage for 2012 Schedule A, Part II, line 14
...............
15
16a
33 1/3% support test—2013.
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—2012.
If the organization did not check a 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—2013.
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—2012.
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) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 3
Part III
Support Schedule for Organizations Described in Section 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) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
202,813
168,085
170,809
191,020
104,000
836,727
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......
41,214,106
42,782,354
44,381,944
44,003,911
42,047,341
214,429,656
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.
41,416,919
42,950,439
44,552,753
44,194,931
42,151,341
215,266,383
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
0
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.
0
c
Add lines 7a and 7b..
0
8
Public support (Subtract line 7c from line 6.)
215,266,383
Section B. Total Support
Calendar year (or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
9
Amounts from line 6...
41,416,919
42,950,439
44,552,753
44,194,931
42,151,341
215,266,383
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
128,139
180,103
180,383
176,760
189,993
855,378
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
128,139
180,103
180,383
176,760
189,993
855,378
11
Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
..
13
Total support. (Add lines 9, 10c, 11, and 12.)..
41,545,058
43,130,542
44,733,136
44,371,691
42,341,334
216,121,761
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 2013 (line 8, column (f) divided by line 13, column (f))
.........
15
99.600 %
16
Public support percentage from 2012 Schedule A, Part III, line 15
...............
16
99.570 %
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2013 (line 10c, column (f) divided by line 13, column (f))
......
17
0.400 %
18
Investment income percentage from 2012 Schedule A, Part III, line 17
.............
18
0.430 %
19a
33 1/3% support tests—2013.
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—2012.
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) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 4
Part IV
Supplemental Information.
Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and 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) 2013
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.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
RHODE ISLAND BLOOD CENTER
Employer identification number
05-0317817
Return Reference
Explanation
FORM 990, PART VI, SECTION A, LINE 1
LINE 1A EXCEPT AS PROVIDED BY APPLICABLE STATE LAW, THE ARTICLES OF INCORPORATION OF THE ORGANIZATION, OR BY FURTHER RESOLUTION OF A MAJORITY OF THE BOARD, THE ORGANIZATION'S EXECUTIVE COMMITTEE MAY EXERCISE THE FULL AUTHORITY OF THE BOARD, AS NEEDED, BETWEEN MEETINGS OF THE BOARD. SUCH EXECUTIVE COMMITTEE IS COMPOSED OF THE CHAIRPERSON AND VICE-CHAIRPERSON OF THE BOARD, THE PRESIDENT AND FIVE OTHER TRUSTEES OF THE ORGANIZATION. IN THE EVENT THAT ANY MEMBER OF THE EXECUTIVE COMMITTEE CEASES TO BE A TRUSTEE OF THE ORGANIZATION, HIS OR HER POSITION ON THE EXECUTIVE COMMITTEE SHALL BE DEEMED VACANT AND SHALL BE FILLED IN ACCORDANCE WITH THE BY-LAWS OF THE ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 2
CHARLES REPPUCCI IS AN OFFICER OF HINCKLEY, ALLEN & SNYDER LLP. STEPHEN CARLOTTI WAS A PARTNER AT HINCKLEY, ALLEN & SNYDER LLP DURING THE FISCAL YEAR. FRED MACRI IS AN OFFICER OR KEY EMPLOYEE OF LIFESPAN CORPORATION AND/OR ORGANIZATIONS THAT ARE ULTIMATELY CONTROLLED BY LIFESPAN CORPORATION. FRED MACRI AND JOSEPH SWEENEY ARE EMPLOYED BY ORGANIZATIONS THAT ARE ULTIMATELY CONTROLLED BY LIFESPAN CORPORATION. IN ADDITION, JOSEPH SWEENEY MAY BE AN OFFICER OR KEY EMPLOYEE OF SUCH EMPLOYER ORGANIZATIONS. CHARLES REPPUCCI IS A MEMBER OF THE GOVERNING BODY OF CARE NEW ENGLAND. SANDRA COLETTA IS AN OFFICER OR KEY EMPLOYEE OF CARE NEW ENGLAND AND/OR AN ORGANIZATION THAT IS ULTIMATELY CONTROLLED BY CARE NEW ENGLAND. LAWRENCE SMITH IS A MEMBER OF THE GOVERNING BODY OF BLOOD CENTERS OF AMERICA. LESLIE MARTINEAU IS EMPLOYED BY ORGANIZATIONS THAT ARE ULTIMATELY CONTROLLED BY CHARTER CARE HEALTH PARTNERS. IN ADDITION, SHE MAY BE AN OFFICER OR KEY EMPLOYEE OF SUCH EMPLOYER ORGANIZATIONS.
FORM 990, PART VI, SECTION A, LINE 7A
BOARD TRUSTEES THAT ARE "HOSPITAL DESIGNEES," DISTINGUISHED FROM TRUSTEES AT LARGE, ARE APPOINTED BY NON-GOVERNMENTAL HOSPITALS LICENSED IN THE STATE OF RHODE ISLAND THAT UTILIZE BLOOD BANKING SERVICES. PERSONS DESIGNATED TO SERVE AS HOSPITAL DESIGNEES OF THE ORGANIZATION SHALL BE EITHER EMPLOYEES OF THE DESIGNATING HOSPITAL OR MEMBERS OF THE GOVERNING BODY OF THE DESIGNATING HOSPITAL. EACH HOSPITAL DESIGNEE SERVES ON THE BOARD FOR ONE YEAR OR UNTIL A SUCCESSOR IS DESIGNATED AND HAS QUALIFIED. TRUSTEES AT LARGE ARE APPOINTED BY THE BOARD. THE NUMBER OF SUCH HOSPITAL DESIGNEES AND THE NUMBER OF OTHER BOARD MEMBERS SHALL BE AS NEARLY EQUAL IN NUMBER AS POSSIBLE; PROVIDED, THAT THE NUMBER OF TRUSTEES AT LARGE SHALL NOT EXCEED THE AGGREGATE NUMBER OF HOSPITAL DESIGNEES.
FORM 990, PART VI, SECTION B, LINE 11
THE FORM 990 IS DISTRIBUTED TO THE BOARD OF TRUSTEES OF THE ORGANIZATION PRIOR TO FILING. IN ADDITION, THE FORM 990 IS REVIEWED AND DISCUSSED BY THE ORGANIZATION'S AUDIT COMMITTEE.
FORM 990, PART VI, SECTION B, LINE 12C
THE ORGANIZATION ANNUALLY DISTRIBUTES A CONFLICT OF INTEREST DISCLOSURE QUESTIONNAIRE TO ALL BOARD MEMBERS, OFFICERS, AND HIGH-LEVEL EMPLOYEES. A DESCRIPTION OF VARIOUS TYPES OF POTENTIAL CONFLICTS IS GIVEN AND RECIPIENTS ARE ASKED TO DISCLOSE FINANCIAL, PROFESSIONAL, AND PERSONAL CONFLICTS, IF ANY. DISCLOSURES MADE BY RECIPIENTS ARE REVIEWED BY MANAGEMENT, INCLUDING THE BOARD AND OUTSIDE COUNSEL, AS NEEDED. WHEN APPROPRIATE, THE BOARD MAY TAKE FURTHER ACTION TO ADDRESS THE CONFLICT, SUCH AS PROHIBITING A PERSON WITH A CONFLICT FROM VOTING ON CERTAIN ISSUES, OR OTHER APPROPRIATE MEASURES DEEMED NECESSARY TO PROTECT THE BEST INTERESTS OF THE ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 15
THE BOARD APPOINTS A COMPENSATION COMMITTEE COMPRISED OF THREE TO FIVE TRUSTEES, NONE OF WHOM HAVE A CONFLICT OF INTEREST WITH RESPECT TO THE DISCHARGE OF THEIR DUTIES ON BEHALF OF THE COMPENSATION COMMITTEE. IN THE EVENT THAT ANY MEMBER OF THE COMPENSATION COMMITTEE CEASES TO BE A TRUSTEE, HIS OR HER POSITION ON THE COMPENSATION COMMITTEE SHALL BE DEEMED VACANT AND SHALL BE FILLED IN ACCORDANCE WITH THE BY-LAWS OF THE ORGANIZATION. THE COMPENSATION COMMITTEE'S DUTIES INCLUDE PERIODICALLY REVIEWING THE ORGANIZATION'S EXECUTIVE COMPENSATION PHILOSOPHY AND PLAN AND MAKING RECOMMENDATIONS AS APPROPRIATE, ANNUALLY RECOMMENDING WRITTEN PERFORMANCE GOALS AND OBJECTIVES FOR THE PRESIDENT AND CHIEF EXECUTIVE OFFICER, ANNUALLY CONDUCTING A WRITTEN PERFORMANCE REVIEW OF THE PRESIDENT AND CHIEF EXECUTIVE OFFICER, ANNUALLY ESTABLISHING THE PRESIDENT AND CHIEF EXECUTIVE OFFICER'S COMPENSATION (INCLUDING PERFORMANCE OR OTHER BONUSES, IF ANY), AND ANNUALLY APPROVING THE COMPENSATION OF OTHER KEY EXECUTIVES. THE COMPENSATION OF THE PRESIDENT AND CHIEF EXECUTIVE OFFICER SHALL BE BASED ON A WRITTEN REVIEW OF THE PRESIDENT AND CHIEF EXECUTIVE OFFICER'S PERFORMANCE, THE ORGANIZATION'S EXECUTIVE COMPENSATION PLAN, A RECENT SALARY SURVEY OF POSITIONS COMPARABLE TO THAT OF THE ORGANIZATION'S PRESIDENT AND CHIEF EXECUTIVE OFFICER, AND SUCH OTHER FACTORS AS THE COMPENSATION COMMITTEE DETERMINES TO BE IN THE ORGANIZATION'S INTEREST. IN ADDITION, THE COMPENSATION COMMITTEE REGULARLY ENGAGES A COMPENSATION CONSULTANT TO PROVIDE ADVICE REGARDING THE COMPENSATION OF THE PRESIDENT AND CHIEF EXECUTIVE OFFICER. THE COMPENSATION COMMITTEE SHALL PROVIDE TO THE BOARD A REPORT DETAILING THE COMPENSATION (INCLUDING PERFORMANCE AND OTHER BONUSES, IF ANY) SET FOR THE PRESIDENT AND CHIEF EXECUTIVE OFFICER AND THE REASONS THEREFOR. THE COMPENSATION COMMITTEE ALSO REVIEWS AND APPROVES PRESIDENT AND CHIEF EXECUTIVE OFFICER SALARY RECOMMENDATIONS FOR THE POSITIONS OF (I) VICE PRESIDENT AND CHIEF OPERATING OFFICER; (II) CHIEF FINANCIAL OFFICER; AND (III) VICE PRESIDENT AND CHIEF MEDICAL OFFICER OF THE ORGANIZATION. OTHER DUTIES OF THE COMPENSATION COMMITTEE INCLUDE REVIEW AND APPROVAL THE OVERALL COMPENSATION POLICY INCLUDING THE BONUS PLANS OF THE ORGANIZATION AND PROVISION OF OVERSIGHT REGARDING ALL RETIREMENT AND PENSION PLANS CURRENTLY IN PLACE AND WHICH MAY BE IN PLACE FROM TIME TO TIME.
FORM 990, PART VI, SECTION C, LINE 19
THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC WHERE REQUIRED BY APPLICABLE LAW AND WHEN DEEMED APPROPRIATE BY THE ORGANIZATION.
FORM 990, PART XII, ITEM 2C
THE PROCESS OF THE AUDIT COMMITTEE REVIEW OF AUDITED FINANCIAL STATEMENTS AND SELECTION OF INDEPENDENT CERTIFIED PUBLIC ACCOUNTANT HAS NOT CHANGED FROM PRIOR YEARS.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.