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IN HIGH GEAR ANNUAL REPORT FY2017 1 2 3 5 2017 ROAD FINANCIAL BOARD OF DESERVES TO HIGHLIGHTS TRUSTEES A COMMUNITY RESILIENCE BLOOD BANK

6 7 8 COMMUNITY LIFESAVER HIGH SCHOOL CONTRIBUTIONS CLUBS LIFESAVER CLUBS

FY2017 VITAL STATISTICS

24,204 865 WHOLE PLATELETS BLOOD

NUMBER OF UNIQUE 8,914 DONORS 8,450 46,420 SINGLE 46,033 SINGLE RED BLOOD DONOR RED BLOOD DONOR CELLS PLATELETS CELLS PLATELETS

UNITS UNITS COLLECTED DISTRIBUTED WE MAKE A LIVING BY WHAT WE GET. WE MAKE A LIFE BY WHAT WE GIVE.

- Winston Churchill 2017 BOARD OF TRUSTEES OFFICERS Patrick D. Ching - Chair John T. Komeiji - Vice President/Secretary Gary A. Okamoto, MD - Vice President President & Chief Operating Officer President & General Manager Chief Medical Officer Servco Pacific Inc. Hawaiian Telcom AlohaCare

Kim-Anh T. Nguyen, MD, PhD - President Timothy R. Cottrell, PhD - Vice President Markus S. Taib - Vice President President & Chief Executive Officer Head of School President & Chief Operating Officer Blood Bank of Hawaii Iolani School MVNP

Robert S. Harrison - Treasurer Jill F. Shimokawa Higa - Vice President Lori L. McCarney - Immediate Past Chair Chairman & Chief Executive Officer Senior Executive Vice President Chief Executive Officer First Hawaiian Bank Bank of Hawaii Bikeshare Hawaii

TRUSTEES Jason C. Chang David Lassner, PhD Ku`uhaku Park Executive Vice President & Chief President Vice President of Government & Operating Officer University of Hawaii Community Relations The Queen’s Health Systems Matson, Inc. Raymond P. Vara, Jr. Susan K. Eichor President & Chief Executive Officer Avi Mannis President & Chief Operating Officer Hawaii Pacific Health Senior Vice President of Marketing aio Hawaiian Airlines Veronica Kaneko Patty Foley President & Managing Director, Retired Joseph P. Viola Senior Vice President, Human Resources McDonald’s Restaurants of Hawaii Vice President, Legal Department Central Pacific Bank Hawaiian Electric Company John L. Knorek Darryl W. Glaser, MD Director James S. Wataru Kapiolani Medical Center for Torkildson, Katz, Hetherington, Harris President Women and Children & Knorek United Public Workers

William F. Gleason Tyler M. Tokioka Retired Vice President External Affairs William Gleason & Associates Island Insurance Companies

HONORARY TRUSTEES Walter A. Dods, Jr. Warren H. Haruki Chairman of the Board Chief Executive Officer Matson Grove Farm

EX-OFFICIO Jerry Van Meter, MD Bernard Robinson, MD President President County Medical Society Hawaii Medical Association

2017 BLOOD BANK REAL PROPERTIES (BBRP) BOARD Warren H. Haruki John C. Brogan Kim-Anh T. Nguyen, MD, PhD President Vice President Vice President

William D. Balfour, Jr. Chief Lionel E. Camara, Retired Roger J. Wall Vice President Vice President Secretary/ Treasurer

Robert S. Katz, Esq. Russell Okata Vice President

1 Rick Ching Board of Trustees Chair

HAWAII DESERVES A COMMUNITY BLOOD BANK

As the sole provider of blood and blood products State’s transfusion medicine medical expertise for all hospitals statewide, Blood Bank of Hawaii and 40 percent of the supporting technical (BBH) plays a vital role in our community’s public expertise. Hawaii needs the local services and health and disaster preparedness. Hospitals rely reliability from a community blood program that on BBH’s partnership to support programs and a mainland organization cannot provide. services our community needs, and deserves. As a remote island group, it’s essential we all rally BBH provides the blood which enables the together to ensure we have a community blood infrastructure to exist for hospital programs such supply and continue our legacy of saving lives for as organ transplants, heart surgeries, trauma generations to come. centers, neonatal and pediatric intensive care units and oncology centers. Without the blood On behalf of BBH and the Board of on the shelves and readily available, these Trustees, we thank you for joining us programs would not be possible. In addition to on this journey and partnering with blood products, BBH is home to 50 percent of the us on the road ahead.

2 Kim-Anh T. Nguyen, MD, PhD President and CEO

ROAD TO RESILIENCE

Resilience is defined as the ability to recover donation locations. After two years we have from setbacks, adapt well to change, and rebounded and proven our ability to meet keep going in the face of adversity. BBH has patient blood needs while being fiscally had a tough road the past several years as responsible. we forged ahead with the uncertainties of the rail project, unexpected outbreaks of disease Meanwhile we conducted an exhaustive search and shifting challenges in the healthcare for a new suitable location to relocate our industry. As blood banking experts, we reimagined headquarters, which includes blood component our business model and pushed paradigms to manufacturing, reference laboratory, hospital successfully fulfill our lifesaving mission. services, mobile staging, warehouse and supporting departments. With due diligence A Phased Approach and research, we had many false starts, The adage of “go slow to go fast” has been key ran into dead-ends and at times, felt lost. to strategic planning and our response to the With guidance and support from our Board of rail project. Initially we focused on relocating Trustees, support from the community and State the primary donor center, expanding mobile government officials, we persevered. operations and ensuring donors had convenient

Technological and medical advances, emergent diseases, national disasters—all impact the blood banking industry. Here in Hawaii, we continue to evolve our operations, adapt to changes in the marketplace, and strive to innovate.

We remain commited to our legacy of saving lives and providing a safe, reliable and uninterrupted blood supply for Hawaii’s patients.

3 “Festina lente.” Make haste slowly. - Augustus Caesar, First Emperor of the Roman Empire

While the search continued and donor base strategic plan, completing phase one, and stabilized, we focused on our other outward getting phase two well underway, has taken facing customers, Hawaii’s hospitals. To ensure time. The progress has been slow and proven they have the blood necessary to support their effective. With all the pre-work done over the programs with 24/7 service, we are in the process last several years and a plot of land selected, of creating a STAT blood depot on the 3rd BBH is in high gear now, poised to go fast and floor of the donor center on Young Street. The purposefully into the final phase of the rail additional blood distribution center will mitigate response plan. the risk for access issues and unexpected rail construction issues impacting blood deliveries. We’ve recovered from setbacks, adapted our operations, and persevered through adversity. Go Slow to Go Fast BBH continues to evolve, embracing change Next step is securing a parcel of land to build and defining a new culture of resilience. We the new home safeguarding Hawaii’s blood are agile and flexible, focused not just on supply for the next decades. Developing a solid surviving, but thriving in the face of change.

HOSPITAL / PATIENTS DONORS DIVERSIFICATION

• Met basic needs • BBH-centric donor history • Minimal cellular therapy EVOLVE • Only platelet automated questionnaire (DHQ) (collections only) 5 YEARS AGO collections strictly in-center • Conservative eligibility • Required testing requirements

• Patient safety initiatives: • Universal DHQ • Focus on building ADAPT - Bacteria detection • Eligibility requirements infrastructure for TODAY - Universal leukoreduced loosened to match future services blood national standards - Universal Zika testing of practice • Increased efficiency with • Opened doors to 16-year- automated collections: old donors - Triple platelets - Double red cells - Mobile program

• Fully implemented • Electronic and • Add new business INNOVATE automated collections: abbreviated DHQ initiatives: IN THE FUTURE - Platelets, plasma and • Agile to adapt to changes - Source plasma red cells in national standards as - Bio-sourcing - - In donor center and leader in the industry processing lab on mobiles - Cellular therapy - • Pathogen reduction collections and processing lab 4 FY17 FINANCIAL HIGHLIGHTS

FINANCIALS (IN 000s) FY2013 FY2014 FY2015 FY2016 FY2017

OPERATING REVENUE TOTAL $17,107 $17,608 $16,344 $16,892 $17,512

OPERATING EXPENSES TOTAL (16,478) (15,918) (16,676) (17,643) (17,012)

NET OPERATING MARGIN 630 1,690 (332) (751) 500

NON-OPERATING REVENUE TOTAL 1,849 408 125 362 1,263

NON-OPERATING EXPENSE TOTAL 0 (590) (573) (327) 0

NET CHANGE IN ASSETS 2,478 1,508 (780) (716) 1,763

BALANCE SHEET (IN 000s) FY2013 FY2014 FY2015 FY2016 FY2017

ASSETS $18,073 $19,479 $19,715 $19,435 $20,205

LIABILITIES (3,330) (3,228) (4,244) (4,680) (3,687)

NET ASSETS 14,744 16,252 15,471 14,755 16,518

SPECIAL THANKS TO MATSON IN-KIND DONATIONS FOR DONATING SHIPPING SERVICES FOR OUR NEW BLOODMOBILES AIPA Properties, LLC Alexander & Baldwin American Assets Trust Aunty Sally Kaleohano’s Luau Hale Cameron Center Castle & Cooke, Inc. Castle Resorts & Hotels CBRE Group, Inc. Church of the Holy Cross Colliers Monroe Friedlander, Inc. Dave’s Hawaiian Ice Cream

5 COMMUNITY CONTRIBUTIONS

As the community blood program, BBH relies on the generosity of local businesses & organizations which provide support in a variety of ways. Whether it’s an individual, foundation, grant, or commemoration of life, financial donations help us face unexpected changes and navigate challenges. Many businesses and organizations also play a special part in partnering on our life-saving mission and provide cost- free locations for blood drives, donate resources, and offer promotional support or services. We are grateful for all the community support.

ORGANIZATION DONATIONS INDIVIDUAL DONATIONS

$17,271 $4,600 UNDER $100 BOH Live Kokua Giving In memory of Michael Hong Wesley Fong Foundation Daniel Menda $500-$999 Network for Good $10,000 In Memory of Grace Uno PayPal Giving Fund Hawaiian Electric Executive Women International Waikele Center – Honolulu Chapter In Memory of Ricky Hau $5,000 Winifred Harada In Memory of Joyce & McDonald’s Restaurants of Hawaii Romaine Pinkerton $100-$499 In Memory of James V. Shilzony $3,500 Aloha United Way In Memory of Karen Wilkinson Donate Well General Fund Amazon Smile Benevity Community Impact Fund $2,500 Chevron – Your Cause Fidelity Charitable Patrick J. Duarte Desmond Kotake $1,500 Morgan Stanely Cyber Grant Matson Navigation Morgan Stanely Employee Donation In Memory of Wythe Braden

Douglas Emmett, Inc. Hui Okinawa Pacific Ink & Art Expo Friends for Life Hilo Business Associations Pearlridge Center Grand Naniloa Hotel Kamaka Air PM Realty Group Hale Mahaolu Kamoi Snack-n-Go Pulama Lanai Hale Mahaolu Home Pumehana Kaunoa Senior Center Puna Hongwanji Mission Hawaii Pastors Roundtable Kihei Community Center Retired & Senior Volunteer Hawaii Reserves, Inc. Kiwanis Clubs Program (RSVP) Hawaii State Teachers Association Lions Clubs International Ruby Tuesday’s Retirees McDonald’s Restaurants of Hawaii Shriners Hospitals for Children Hawaiian Airlines MMI Realty Services, Inc. Sofos Realty Corporation HMSA Molokai Drugs Inc. US Army Reserves Hilo Honpa Hongwanji Hilo Betsuin Ohana Broadcast Company

6 LIFESAVER CLUBS With the relocation of the primary donor center to BBH Young Street facility, we planned for a two-year recovery period to rebuild our donor base. To adapt, we increased mobile blood drives on with the addition of two new bloodmobiles and several pop-up donation locations. Lifesaver Clubs (LSC) embraced the challenge and partnered with BBH to reach new donors to meet Hawaii’s patient needs. LSC are companies and organizations which host, sponsor and recruit for blood drives to help meet the community blood needs of Hawaii’s hospitals and patients. Their commitment, passion and heroic efforts ensured there was enough blood on the shelves for Hawaii’s loved ones.

1132 Bishop GP Roadway Solutions Kapilina Beach Homes 369 Air Force Recruiting Squadron Grand Hyatt Kauai Kapiolani Women’s Center 677 Ala Moana Group 70 International Kauai County aio Hale Pawa’a Keller Williams Realty Alii Place Halekulani Hotel Ko Olina Beach & Sports Club Aloha Stadium Dental Associates Hapuna Beach Prince Hotel Kualoa Ranch ALTRES Hawaii Coffee Company Legal Aid American Savings Bank, F.S.B. Hawaii County Locations LLC. Anchor Church Hawaii County Police Department Longs Drugs Hawaii Regional Bank of Hawaii Hawaii Egg Company, Inc. Business Office BMW of Honolulu Hawaii Medical Service Association Lutheran Church of Honolulu BYU Hawaii Hawaii Pacific Health Innovation Center C4 Christ Centered Hawaii Pacific University Marriott Community Church Hawaii Shotokan Karate Mary, Star of the Sea Church Calvary by the Sea Lutheran Church Hawaii State Teachers Association Matson Navigation Calvary Chapel Hawaii USA Federal Credit Union Matson Terminals Castle Medical Center Hawaiian Electric Company Maui Economic Opportunity Central Pacific Bank Hawaiian Telcom Main Mauna Kea Beach Hotel Chaminade University of Honolulu Hawthorne Cat Moanalua Gardens Cherry Blossom Festival HELCO Missionary Church Church of the Holy Cross HiEmployment Monsanto Company City & County of Honolulu Hilton Worldwide Nā Lama Kukui County of Hawaii Holy Family Catholic Academy New Hope CrossFit 808 Oahu Transit Services, Inc. (TheBus) CrossFit HTF Honolulu Police Department Ono Construction Cycle City, Ltd. Honpa Hongwanji Hawaii Betsuin Our Lady of Good Counsel Dauterman Healthcare-Mobility Hyatt Centric Beach Our Lady of Sorrows Delta Airlines Iglesia Ni Cristo Waipahu Pacific Beach Hotel Dr. K.B. Chun & Sons Impact Fellowship Pacific Guardian Center Enterprise Holdings Islands Hospice Pacxa Federal Building JN Preowned Pepsico First Hawaiian Bank Kailua Community Church ProService Hawaii First Presbyterian Church of Kailua Seventh-day Adventist Resurrection of the Lord Honolulu at Koolau Kailua United Methodist Church Catholic Church Foodland Supermarket Ltd. Kaimuki Christian Church Rising Phoenix Jaycees Friendship Baptist Church Kaiser Permanente Rotary Club GEICO Insurance Kaneohe Yacht Club Sea Life Park

7 Servco Pacific, Inc. The Bridge Church of the Nazarene Wahiawa General Hospital Shepherd Ohana The Church of Jesus Christ Wahiawa Hongwanji Mission Shriners Hospitals for Children of Latter-Day Saints Wahiawa Seventh-day Adventist Simplex Grinnell The Kahala Hotel & Resort Waianae Coast Comprehensive Spectrum The Modern Honolulu Health Center St. Ann’s Church The Queen’s Health Systems Waikele Center St. Elizabeth Catholic Church The Ritz-Carlton Residences, Waimanalo Seventh-day St. John Lutheran Church Waikiki Beach Adventist Church St. John Vianney Parish The Shops at Dole Cannery Ward Village St. Joseph Church Title Guaranty Waterfront Plaza St. Stephen Catholic Church Tony Group Autoplex Wells Fargo Starwood Hotels & Resorts UFC Gym Wong Ohana State of Hawaii Unity Church of Hawaii Word of Life Christian Center Taste Tea Universal Protection Service Wyndham Bali Hai Villas The Arc in Hawaii University of Hawaii Systems Youth Challenge Academy

HIGH SCHOOL LIFESAVER CLUBS In 2017 BBH welcomed 16-year-olds as new blood donors to join their counterparts across the nation. Throughout Hawaii, 41 high schools hosted 91 blood drives and collected 5,873 units of blood. Student donations contribute 12% of the state’s blood supply, a 3% increase over the previous academic year.

Admiral Arthur W. Radford Mid-Pacific Institute High School Aiea High School - Hawaii Campus Kamehameha Schools Nanakuli High & Intermediate School - Kapalama Campus Pearl City High School H. P. Baldwin High School Kamehameha Schools Henry J. Kaiser High School - Maui Campus Roosevelt High School Hilo High School Kapaa High School Iolani School Saint Francis School Kauai High School James B. Castle High School King Kekaulike High School Waiakea High School Kahuku High & Intermediate School Lanai High School Waialua High & Intermediate School Waimea High School Maryknoll High School

8 2043 DILLINGHAM BLVD HONOLULU, HAWAII 96819-4024 BBH.ORG