Attach to Form 990 or Form 990-EZ.
Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
| (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 listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
| Total | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (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. | ||||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (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 VI.).. | ||||||
| 11 | Total support Add lines 7 through 10. | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | 270,573 | 400,448 | 832,711 | 1,037,397 | 919,214 | 3,460,343 |
| 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...... | 75,903,196 | 83,066,670 | 84,029,579 | 82,642,403 | 83,428,991 | 409,070,839 |
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513.. | 0 | |||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | 0 | |||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | 0 | |||||
| 6 | Total. Add lines 1 through 5. | 76,173,769 | 83,467,118 | 84,862,290 | 83,679,800 | 84,348,205 | 412,531,182 |
| 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. | 36,795,950 | 37,528,138 | 39,779,080 | 39,027,252 | 27,780,889 | 180,911,309 |
| c | Add lines 7a and 7b.. | 36,795,950 | 37,528,138 | 39,779,080 | 39,027,252 | 27,780,889 | 180,911,309 |
| 8 | Public support (Subtract line 7c from line 6.) | 231,619,873 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 76,173,769 | 83,467,118 | 84,862,290 | 83,679,800 | 84,348,205 | 412,531,182 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 195,435 | 186,179 | 276,310 | 367,561 | 386,358 | 1,411,843 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | 0 | |||||
| c | Add lines 10a and 10b. | 195,435 | 186,179 | 276,310 | 367,561 | 386,358 | 1,411,843 |
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | 0 | |||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | 441,933 | 1,304,474 | 452,935 | 904,676 | 639,198 | 3,743,216 |
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | 76,811,137 | 84,957,771 | 85,591,535 | 84,952,037 | 85,373,761 | 417,686,241 |
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e | Discount claimed for blockage or other factors (explain in detail in Part VI): | |||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by .035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| 7 | Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions) | |||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | ||
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
||
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | ||
| 4 Amounts paid to acquire exempt-use assets | ||
| 5 Qualified set-aside amounts (prior IRS approval required) | ||
| 6 Other distributions (describe in Part VI). See instructions | ||
| 7Total annual distributions. Add lines 1 through 6. | ||
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
||
| 9 Distributable amount for 2014 from Section C, line 6 | ||
| 10 Line 8 amount divided by Line 9 amount | ||
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2014 |
(iii) Distributable Amount for 2014 |
|
|---|---|---|---|---|
|
1
Distributable amount for 2014 from Section C, line 6 |
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|
2
Underdistributions, if any, for years prior to 2014 (reasonable cause required--see instructions) |
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| 3 Excess distributions carryover, if any, to 2014: | ||||
| a From 2009.......X | ||||
| b From 2010.......X | ||||
| c From 2011.......X | ||||
| d From 2012.......X | ||||
| e From 2013....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2014 distributable amount | ||||
|
i
Carryover from 2009 not applied (see instructions) |
||||
| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2014 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2014 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2014, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions) |
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|
6
Remaining underdistributions for 2014. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions) |
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|
7 Excess distributions carryover to 2015. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a From 2010.......X | ||||
| b From 2011.......X | ||||
| c From 2012.......X | ||||
| d From 2013....... | ||||
| e From 2014....... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
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Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at| Return Reference | Explanation |
|---|---|
| FORM 990 REVIEW | FORM 990, PART VI, SECTION B, QUESTION 11B The Oklahoma Blood Institute (OBI) has the annual IRS from 990 reviewed by two standing committees of the Board of Directors in a joint meeting with the company's external auditors prior to filing. The committees responsible for the review are the Nominating/Corporate Governance Committee and Audit/Risk Management Committee. Members of the committees receive a copy of the 990 prior to the meeting and key sections on governance, policies, compensation and program expenses are reviewed. The review is completed and the meeting documented with minutes, which become part of both committees' permanent files. At the conclusion of this review, the entire board is provided a copy of the 990 prior to filing. |
| PROGRAM SERVICE ACCOMPLISHMENTS | FORM 990, PART III, QUESTION 4D These other program services are blood product derivatives. Derivatives are a product manufactured from a raw material byproduct OBI supplies to plasma manufacturers made into a biological drug. Once returned to OBI, derivatives are used for therapeutic treatments for critically ill patients. Associated revenue is $601,233. Other miscellaneous revenue in the amount of $765,625 comes from other sources directly related to the tax-exempt purpose of the organization. |
| Conflict of Interest Policy | Form 990, Part VI, Section b, Question 12c OBI's conflict of interest policy is provided to all Board members and Officers on an annual basis and they are required to sign annual conflict of interest and confidentiality statementS each year. Executed copies of the conflict of interest and confidentiality statements are maintained in the corporate records and the Chair of the Audit/Risk Management Committee and Executive Committee are informed of any conflicts disclosed. If a conflict did exist, the member would recuse themselves from any votes or discussions related to the area of conflict. OBI maintains a confidential disclosure hot line and web site that allows employees to anonymously report any concerns or potential conflict of interests. All reports are sent thru the senior H.R. employee, and significant issues are forwarded to the Chair of the Audit/Risk Management Committee. |
| Compensation Review | Form 990, Part VI, Section c, Questions 15a & 15b The compensation of the CEO is determined by the Executive Committee of the Board of Directors comprising community leaders, business executives and physicians with exemplary ethical and fiduciary standards. CEO compensation is based on comparative salary data from similar health care organizations using IRS Form 990 and industry salary surveys. Similarly, compensation for executives reporting to the CEO is proposed by the CEO based on comparable national and local salaries for positions and approved by the Executive Committee. Changes to compensation are reviewed and formally approved by the Executive Committee of the Board of Directors. The roles of CEO and other physicians and executives requires a rare blend of astute organizational leadership, capable of providing vision and fiduciary management of the state's largest biopharmaceutical, a 700-plus staff entity, and advanced medical specialization and expertise in the unique scientific field of transfusion medicine. Executives have responsibility for 14 operational facilities across 9 major markets in the region and the day-to-day provision of safe and sufficient blood to meet the needs of patients in more than 160 hospitals served. |
| Governing Documents | Form 990, Part VI, Section C, Question 19 Copies of the organization's form 990 are available to the public upon request and at the Guidestar.org web site. Conflict of interest and financial statements are available up on request. |
| AUTHORITY OF GOVERNING BODY | FORM 990, PART VI, Section A, QUESTIONS 6, 7A, & 7B The Oklahoma Blood Institute's bylaws provide for a single member, OBI Holding Company, and the single member has the authority to appoint Board Members. The Single Member's board is elected by the Board of The Oklahoma Blood Institue, and their actions are subject to OBI's approval. |
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