2009 Annual Report

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YEAR Reflection South Texas Blood & Tissue Center 2009 Annual Report

MESSAGE FROM THE PRESIDENT than $5 million, to an organization that distributes more than 200,000 blood components and tests in excess of 7 million biological samples annually. The Center provides over 5,000 tissue allografts, has banked 6,000 cord blood units and registered 160,000 potential bone marrow donors. All of these services are budgeted to generate $148 million in 2010. It is especially gratifying to me that 800 San Antonians and 28 Victorians are employed by this organization that serves more than 100 hospitals and clinics in 43 South Texas counties.

Reflecting Back … And Looking Forward As a physician, one tries to enhance the health of others and that is what I have been privileged to do for the past 26 years as the CEO and Medical Director of the South Texas Blood and Tissue Center. This organization has been my professional home for almost my entire career and I am grateful that I have had the opportunity to develop the resources of this center, thereby enabling physicians to treat and heal patients and enhance lives.

In the summer of 2010, I will transition from the position I have held at the South Texas Blood & Tissue Center (STBTC) to become CEO and Medical Director of QualTex Laboratories, an independent affiliate of STBTC, that performs tests on biological specimens (such as blood, tissue and plasma) to safeguard the lives of recipients of these vital components. I will relocate to Atlanta, Georgia, where a satellite of QualTex Laboratories will open later this year. In addition to supervising the development of the new facility, I will continue to oversee QualTex Laboratories headquarters in San Antonio.

It is with great hope and confidence that I leave the considerable task of leading STBTC in the capable hands of my colleague, Kevin Land, MD, who will take the reins as President/CEO and Medical Director on July 1, 2010.

Dr. Land is currently the Chief Medical and Scientific Officer of Bonfils Blood Center in Denver, Colorado, and he is uniquely qualified to assume duties as the Chief Executive and Medical Director of STBTC. As we commemorate the STBTC’s 35th anniversary with this 2009 Annual Report, it is an appropriate time to reflect on the evolution of this center during its history and, especially, during my 26 years at the helm. STBTC has evolved from a small blood center that collected 50,000 pints of blood in 1983, with annual revenue of less 2

STBTC was the first blood and tissue center in the nation to become an ISO 9000 registered facility in 1996. This is the designation awarded by the International Organization for Standardization to recognize excellence in quality systems.

QualTex Laboratories’ development is part of the vision of the Center to continue its evolution from a predominantly local blood center into a world-class blood, tissue, testing, cord blood, and research institution, while fulfilling the needs of the residents of South Texas and performing testing services for international consumers.

During my tenure, I have been honored to work with a professional staff that is fully dedicated to the Center’s mission and with boards of directors that generously lend their support and collective wisdom. It was my privilege to work with eight board chairs, four of whom served for sustained periods totaling 20 years – Cliff Jefferis,

“I also thank the remarkably selfless donors who make it possible for us to fulfill our mission.” who was my mentor in the early years, Bill Stone, Mike Kreager and Tony Infante. The longevity, history, expertise and vision they brought to the Center was critical to the growth and success it has experienced. Dr. Infante has been a personal friend and a wise counsel to this organization and I thank him as he prepares to leave the STBTC board this spring after 12 years of service.

On behalf of the Center, I also thank the remarkably selfless donors who make it possible for us to fulfill our mission. My deepest appreciation also goes to the public officials who have supported the Center’s work and

Leadership the volunteers who continue to step up and serve on boards, committees and in various capacities throughout this organization. Finally, my deepest gratitude goes to my family and my supportive wife, Jenny, who cheerfully accepted the long hours that I devoted to STBTC and now, in the same spirit, accepts this relocation to the Atlanta area.

I have thoroughly enjoyed the opportunity that the South Texas community has given me over the years to build STBTC into a world-class facility that has enhanced the lives of thousands of patients in this region and across the globe. It is my good fortune that, through my leadership of QualTex Laboratories, I will be able to stay connected with STBTC while accepting exciting new challenges.

Board of Directors: (front row) Norman D. Kalmin, MD, (President), Anthony J. Infante, MD, PhD, (Chair), Bill D. Rasco (Vice Chair); (back row) Dennis Stahl, John Feik, Michael Beldon, Margie A. Peters, MD, Karen Stiefel, PhD, Blanca Molina, MD, Susan R. Ehrman (Secretary), Darryl G. Waldron, PhD, (Treasurer), R. Wayne Hilliard, PhD. Not pictured: Yasan Gooding, PhD.

Leaving is bittersweet, but my sentiments in this reflective time are best expressed by my colleague and former Chair of the STBTC board, Bill Stone, who wrote: “Change is healthy if you have the right attitude.”

I feel very positive about the coming changes and thank all who have made it possible for me to devote a wonderful career at this great organization.

Executive Management: (front row) Linda Myers, Vice President of Technical Services; Norman D. Kalmin, President/CEO and Medical Director; Mary Beth Fisk, Vice President of Development & Tissue Services; (back row) Donna Respondek, Vice President of Financial Services; Darrin Gannaway, Chief Information Officer; Shari Miller, Vice President of Donor Recruitment; Robert de Jongh, Vice President of Blood Services Operations; Sandra Muñoz, Vice President of Human Resources; Jose Garcia, Director of Customer Operations & Product Management; Rachel Beddard, Vice President of Medical Affairs.

Norman D. Kalmin, M.D. President/CEO and Medical Director Mission Statement STBTC’s staff and volunteers are committed to serving the blood, tissue and related needs of the South Texas community in a costeffective manner by utilizing stateof-the-art facilities and equipment and to enhance those services through education and research.

Department Directors: (front row) Donnie Weeks, Tissue Services; Mark Gager, Project Management; Pete Royer, Logistic & Property; (back row) Yvonne Ybarra, Be The Match Program of Central & South Texas; Carmen Davila, Community Relations; Pat Cappelli, Quality Assurance; Rebecca Madere, Human Resources.

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BLOOD SERVICES In 1974, the newly-formed South Texas Regional Blood Bank drew its first unit of blood out of a leased space at 112 Auditorium Circle. The community bank drew approximately 25,000 units that first year. From that humble beginning, the Blood Services division of the South Texas Blood & Tissue Center now draws over 27,000 platelet units and over 149,000 units of red blood cells each year, which it tests, processes and distributes to more than 100 hospitals in a 43-county region – saving countless lives as a critical partner in the region’s health.

An early mobile unit made blood donation more convenient.

That marked growth has continued over the past five years, with sophisticated new technology, record goals achieved, the addition of several fixed donor sites to make blood donation more easily accessible throughout the region, and the opening of the 45,000-square foot Donor Pavilion in 2008, which completed its first full year of service in 2009.

Hospital Services manages the daily supply of blood.

Reflections on 35 years

1976 The facility moved to 7078 San Pedro Avenue.

1974 The community blood center was located on 112 Auditorium Circle, and drew 25,000 blood components in its first year.

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1979 The South Texas Regional Blood Bank opened a satellite site in Victoria, Texas.

2009 Highlights Sixteen-year-olds Extending blood donor eligibility requirements to 16-year-olds in 2009 exceeded expectations and goals – and began building a new generation of altruistic young blood donors. A phenomenal 5,000 16-year-olds rolled up their sleeves, yielding over 4,000 units of lifesaving blood. These fine young people are giving this precious life resource, sharing their stories with others and enlisting friends and family into the cause. High school drives now contribute 16% of STBTC’s total blood donations!

Media Partners When media partners hosted major blood drives this year, many donors discovered the modern and comfortable Donor Pavilion for the first time. In previous years, the Center rented public space for these events. The change of venue conserves resources and introduces a new pool of donors to this beautiful Pavilion.

Dominic Mazziotta has a condition so rare that only 40 people in the world have received the same diagnosis – and he is the only pediatric case. Dominic’s need for transfusions is expected to continue as he fights this uncommon illness.

Maintaining Blood Supply A new strategy is helping maintain inventory levels of the blood components most in demand by hospitals.

The blood center staff conducts a weekly assessment of blood types and products; then recruits qualified donors to maintain required supplies.

Fixed Sites Blood Services staff directed efforts at maturing the seven off-site fixed donor rooms for greater efficiency and to increase site goals by 4% in 2010.

1984 To accommodate growth, the facility moved to a larger building located at 318 McCullough.

1985 The FDA licensed the first HIV screening test.

1984 In the10 years STRBB was at this location, blood collections increased to 100,000 units.

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BE THE MATCH The National Marrow Donor Program (NMDP) changed its name to “Be The Match” in 2009 to more directly convey its purpose – to urge all who are eligible to join the national registry as potential donors. Every day, 6,000 patients search the registry for a life-saving transplant. In the spirit of “Being” The Match, the STBTC program continued its 18 years of participation in the national program in 2009 – as one of the top five recruiting programs in the country. STBTC’s program is designated a High Activity Center for the number of connections it makes each year – this year, 66 matches were made with donors in our region.

Marrow registration drives have signed up potential donors for the past 19 years.

STBTC registered its first NMDP donor in 1991 and by 2009 had registered 159,745 prospective donors. In its second year of operation, the program had an annual goal of 6,500 and the present annual goal is almost 19,000.

The onsite peripheral stem cell collection center offers a comfortable area for donation.

Board of Directors 1986

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1986 Many community leaders have helped guide STBTC through the years by serving on the Board of Directors. Back row: Don Beeler, David Garrett, Oscar Abbott, Rick Donowho and Jack Costello. Front row: Robert Read, Cliff Jefferis (Chair), Norman Kalmin (President), and Bill Stone.

2009 Highlights PBSC Collection Center STBTC established an onsite peripheral blood stem cell (PBSC) collection center in 2009 to improve services and efficiencies for PBSC donors and recipients. As a High Activity Center, the streamlined service avoids delays and frustrations for searching patients and offers convenient scheduling and a comfortable location for donors. The center collected 34 donations in its first year of operation.

Innovation Award Be The Match Program presented STBTC with its 2009 Donor Management Innovation Award for the Center’s initiative in establishing a PBSC collection center. Dr. Jeffrey W. Chell, CEO of Be The Match, said, “STBTC’s efforts are helping us achieve our mission to serve all patients in need of unrelated transplants.”

Cancer Awareness Be The Match at STBTC initiated a Cancer Awareness project in 2008 that expanded in 2009 and continues to grow. It involves the institutionalizing of cancer awareness on college campuses and has been instrumental in increasing the number of young, healthy potential PBSC donors. In one four-day event at Texas State University, San Marcos, Be The Match registered 2,200 new donors. STBTC staff is spreading the news of this mission to other Be The Match centers around the state that are extending the program to major Texas colleges and universities. The goal: To register 25,000 students and faculty per year.

David Silva was diagnosed with acute lymphoblastic leukemia in early 2006, seven days before his 16th birthday.

In September of that year, he received a bone marrow transplant from Annette Witherspoon, a mother of four. The two met for the first time during the Be The Match Donor Appreciation Reception in November of 2009.

1990 The Blood Bank introduced a screening test for the hepatitis C virus (HCV) and began irradiating blood components.

1986 One of the first mobile units used to collect blood from across the city. The fully-equipped unit, pulled by another vehicle, contained everything needed for whole blood collection.

1994 South Texas Regional Blood Bank changed its name to South Texas Blood & Tissue Center and moved to a new facility on IH 10 West.

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TISSUE SERVICES Since 1994, the STBTC Tissue Services program has brought life-enhancing, healing tissue to thousands of patients in over 130 hospitals. These patients are able to enjoy their families, return to work and participate in fuller, healthier, more productive lives because of the gift of tissue allografts. Hope may come in the form of bone to repair orthopedic damage; skin to heal from burns; ligaments and tendons to reconstruct loss and damage; heart valves to replace damaged or defective valves; and veins to replace damaged coronary arteries and restore circulation.

As STBTC celebrates with those patients and their families over the marvelous gift of donated tissue, we are always mindful of the losses that led to this moment.

The dual mission of Tissue Services is to bring hope to patients in need and solace to families in grief. We extend deep gratitude to those individuals who make the decision to donate their tissue, and to those families who make the decision to donate tissue when they have suffered the loss of a loved one. To recognize the sacrifice and grief and to extend our sympathy and gratitude, STBTC’s Bereavement Education Support Taskforce (BEST) has been a vital and integral aspect of Tissue Services since the year 2000.

BEST has lent support to more than 1,000 families through programs, conversations, and personal correspondence. In addition, STBTC has hosted 30 grief support programs attended by over 2,500 people. Our thanks to the 40 speakers and more than 100 volunteers who helped make these events possible.

Tissue Services operates as an American Association of Tissue Banks full-service accredited program.

From its beginning, tissue processing has been performed in state-of-the-art Class 100 Clean Rooms.

1996 STBTC was registered

by International Standards Organization (ISO 9000), becoming the first blood & tissue center in North America to achieve this honor. STBTC also began testing for European plasma centers.

1994 The tissue program began services. The Center is grateful for the selfless decision of families to donate tissue upon the death of a loved one.

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1998 STBTC was selected as one of only a few facilities in the US to implement Nucleic Acid Testing/ Polymerase Chain Reaction testing (NAT/PCR) for infectious disease.

2009 Highlights Milling Technology STBTC became the exclusive provider of a new device for orthopedic surgery in 2009. The Center acquired specialized equipment that mills bone into a precision wedge. The bone is being used as an alternative to conical-shaped screws in spinal surgery. The technology helps stabilize the spine, is less invasive and the fusion is less restrictive – resulting in greater flexibility and faster recovery for the patient.

Bereavement Programs More than 200 clergy, social workers, LMSW clinicians, school counselors, teachers, hospice providers, funeral home staff and lay individuals attended a day-long bereavement workshop hosted by BEST. “Helping to Heal: 360 Degrees of Grief” brought a message of healing, hope and support to attendees to carry back into their communities and assist those who grieve.

Other events during the year included a “Remembering Service,” which invited the grieving to come together for a time of sharing and remembering their loved ones, as well as a session devoted to “Grief and the Holidays.”

2000 Technicians prepared blood with universal leukoreduction, a process that takes place within 24 hours of donation for maximum effectiveness.

Unsuccessful back surgeries had left Kia Bailey with permanent damage and unrelenting pain. The precious gift of donated tissue and the skill of an orthopedic surgeon gave her the hope she needed. Kia is now able to walk upright without a cane or brace.

2002 United Way designated the Center as a United Way Agency.

This heightened the awareness of the blood bank’s services within the community and added support to the Center’s mission.

2001 Governor Perry signed a bill establishing the first public cord blood bank in Texas. Two years later the Texas Legislature awarded a grant to STBTC to establish the Texas Cord Blood Bank.

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TEXAS CORD BLOOD BANK From its earliest beginnings in 1998, when STBTC began its autologous cord blood program, the innovative and wondrous promise of stem cells has motivated the Center to expand into a public cord blood bank. The Texas Cord Blood Bank (TCBB), established in 2003, has completed six years of service — providing the miraculous gift of life through recycling the umbilical cord blood collected after the birth of healthy babies. And in its lifetime so far, the TCBB has collected more than 20,000 units of cord blood, banked nearly 6,000 units that are now listed on the national registry, and has contributed in the transfusion of over 60 life-saving units.

Cryopreservation tanks preserve donated stem cells for many years.

As the therapeutic possibilities for this natural, recycled gift have evolved, cord blood has proven to be a life-saving treatment for children and adults. Initially, 95% of the units distributed were for children, but over time, the usage has expanded to 50% for adult patients. Adults receiving cord blood transfusions may require two units, whereas children use only one – leading to an increase in usage that has compelled the TCBB to raise its initial goal from 5,000 to a new goal of 25,000 banked units.

Patients who may benefit from cord blood include those with leukemia, lymphoma, aplastic anemia, sickle cell anemia, disorders of the immune system and disorders of the blood making system. Continuing research indicates that cord blood may prove helpful for cardiac repair, neurological disorders and diabetes.

2003 The marrow program expanded to central Texas (Austin) area.

2003 The Center expanded its laboratory facility in January by an additional 44,000 sq feet to accommodate growing demand for its services.

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Hospital personnel across the state play an active role in the success of the TCBB.

2004 The Center celebrated 30 years of technological advancements and an increased demand for blood, tissue and testing services.

2004 The STBTC art collection was enhanced when SHARE (Students Help Art Reach Everyone) donated a collection of 100 pieces of student art.

2009 Highlights Hospital Partners Providence Hospital in Waco and Midland Memorial in Midland recently joined the TCBB public collection program, bringing the total to 12 participating hospitals throughout the state.

Remote Collections The U.S. Health Resources & Services Administration (HRSA) selected the TCBB as one of only three national sites to participate in a pilot project to test portable cord blood kits. The kits allow mothers who give birth at non-participating hospitals to donate their babies’ cord blood with their attending physicians’ cooperation. To qualify, physicians will engage in a short web-based training/competency program.

Related Donor Program TCBB was invited to participate in a program developed

by HRSA and administered by Be The Match. Eligible expectant mothers may collect and store their baby’s cord blood to treat a first-degree biological sibling or parent with a diagnosed disease treatable with transplantation … at no cost to the family. The cord blood is stored separately from public cord blood and may not be used in the public repository.

Patrice and Auggie Bravo made a selfless decision.

They donated newborn Mia’s umbilical cord blood to the Texas Cord Blood Bank. Patrice and Auggie tell everyone they know about the miracle of cord blood … and how easy it is to donate.

2005 STBTC laboratories tested over 1.6 million samples of source plasma. The National Marrow Donor Program achieved mega-center status with 100,000 registrants listed.

2004 The first Red & White Ball organized by The Blood & Tissue Center Foundation members raised $362,000 for the Texas Cord Blood Bank.

2005 The Blood & Tissue Center Foundation raised $2 million from private donors to match a state grant for the TCBB. 11

QUALTEX LABORATORIES Scientific testing has been a function of the STBTC since its founding 35 years ago, when it initially performed only two tests on donor blood – for syphilis and hepatitis B. In the past five years, testing services have soared, leading the STBTC to form a separate affiliate, QualTex Laboratories, in September, 2007. The labs provide infectious disease testing solutions for blood banks and plasma centers around the country and worldwide.

Testing services have grown at an average rate of 33% annually over the past five years – making QualTex Laboratories the largest independent lab for source plasma testing in the U.S.

Since the early 1980s, dedicated professionals have maintained a high standard of quality.

Testing revenues have grown from 25% five years ago to more than 50% of STBTC’s total revenues in 2009, when the laboratory tested over 7 million samples.

The use of innovative technology provides testing solutions for global companies.

2007 Established non-profit affiliate QualTex Laboratories. Developed NAT tests to detect Parvo B19 and hepatitis A virus. Testing for Chagas disease was also added.

2006 Tissue Services provided life-enhancing implants to over 5,300 patients.

2006 The Center opened donation sites in New Braunfels and Southeast San Antonio to make blood donation accessible to the community.

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2009 Highlights

QualTex Management

Satellite Lab To accommodate continued growth and provide a fully-operational backup site to ensure uninterrupted service, QualTex Laboratories announced in 2009 that it will open a satellite facility in the Atlanta metropolitan area in 2010. Norman D. Kalmin, M.D., who has served as CEO/President and Medical Director of South Texas Blood and Tissue Center for 26 years, will hand over the reins mid-year to Kevin Land, M.D., and Dr. Kalmin will assume a new post as CEO/President and Medical Director of QualTex Laboratories. Production capacity at the satellite facility is expected to match headquarters within eight years.

Research

(L to R): (front row) Irma Villarreal, Vice President of Support Services; Norman D. Kalmin, MD, President/CEO and Medical Director; Linda Myers, Executive Vice President of QualTex; (back row): Kim Ratliff, Director of Quality Assurance; Amy Ryall, Director of Customer Operations; Jose Garcia, Vice President of Marketing and Customer Relations; Scott Jones, Vice President of Laboratory Services; Gary Griffin, Director of Laboratory Services; Kelli Riggins, Director of Support Services.

In 1998-99, STBTC was one of the first labs to launch Nucleic Acid Testing (NAT), working with a European company. QualTex Laboratories has continued to expand NAT – and has developed new assays for Parvo B-19 and Hepatitis A. In 2009, QualTex Laboratories implemented a Research Specialty Lab to focus on developing specialty testing – to include tests for tetanus, rabies, and expansion of testing on cadaveric samples for organ and tissue transplants. In addition, QualTex Laboratories implemented plans to offer NAT services for source plasma customers – an efficiency that will save shipping and handling costs for customers and provide continuity of service.

2008 Three new donor room sites were opened in the summer to help with the communities’ increasing need for blood donations.

2007 The TCBB joined the National Cord Blood Inventory (NCBI). Seven participating hospitals throughout Texas were collecting cord blood to help the life-saving efforts.

2008 Minority outreach and social media campaigns were enhanced in the region.

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SUPPORT SERVICES

2009 Highlights

Support services focus awareness on the Center’s work through concerted programs in communication, media relationships, community education and integration/ collaboration with others in the community and beyond to benefit all who rely on STBTC. A growing staff of skilled professionals makes it possible to achieve the goals each year. In 1974, the Center had only 12 employees; in 2009, STBTC employed nearly 800 – almost 200 of those with QualTex Laboratories.

Another force at work each day is the corps of volunteers that contributed 8,185 hours in 2009, saving the Center upwards of $77,000 in wages and enhancing services in various arenas.

The organization is continually diversifying and expanding services to better meet the needs of its broad customer base of over 100 hospitals in 43 counties and a worldwide network of testing customers that includes blood centers, tissue centers and source plasma facilities.

Collaboration Working with media, community organizations and other non-profits has helped build a collaborative spirit that benefits all who rely on STBTC’s lifesaving, lifeenhancing components. In 2009, the Center hosted drives with the invaluable help of media. The Center is indebted to media partners for their commitment to the causes we represent. At many of these events, STBTC surpasses its daily goal of 600 units of blood.

Community Awareness and Education Newly designed mobile buses and vans attract attention as they travel along South Texas highways. The brightlycolored panels advertise that South Texas Blood & Tissue Center is busily engaged in providing the community with life-saving components. The Center provides a variety of community educational programs for medical professionals and the general public. Facility tours of the laboratories and artwork collection are offered, and speakers can be requested for various schools and community groups.

A fleet of 98 vehicles help collect and deliver life-saving components in South Texas.

Blood and marrow recipients link with media to educate the community.

Services Launched

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1974

Blood collection

1991

Marrow registry

1994

Tissue bank services

1998

Programs Launched 1998

Free cholesterol screening program for donors

2000

Bereavement Education & Support Taskforce

Cord blood collections

2006

2002

The Blood & Tissue Center Foundation initiated

Children’s Educational Programs

2009

2007

QualTex Laboratories became an affiliate

Peripheral Blood Stem Cell Collection Site

Blood Collections 1974

25,000 units

1984

58,000 units

1994

100,000 units red blood cells, 5,000 platelets

2009

149,577 units red blood cells, 27,615 platelets

Minority Outreach STBTC currently has two minority outreach campaigns.

“Donar Sangre es Donar Vida” seeks to educate the Hispanic community about the benefits of donating blood. To accomplish this, STBTC waged a grass roots campaign, partnering with Hispanic media, business organizations and churches – to convey the message that donating blood saves lives. “We Are the Answer” is an awareness campaign directed at the African-American community. Designed to educate potential donors on the importance of blood donation, particularly for those with sickle cell disease, STBTC partnered with CHRISTUS Santa Rosa Children’s Hospital and prominent African-American leaders.

High Expectations STBTC and QualTex maintain high standards to comply with the numerous regulatory agencies that conduct frequent inspections of our procedures and facilities.

Our goal is to constantly improve our methodology and streamline our procedures to provide the highest quality product at the lowest cost.

Reginald Moore, M.D. treats sickle cell patients at CHRISTUS Santa Rosa Children’s Hospital. Dr. Moore is a community leader and expert who helps communicate the need for blood and marrow donors at community events as part of the We Are the Answer campaign.

Social Media STBTC’s newly-initiated presence on Twitter, Facebook and MySpace, the popular social media networks, has helped increase the Center’s visibility with audiences of all ages, with a particular focus on the young, techno-savvy generation of potential donors and supporters. Messages are disseminated to thousands instantly – notifying them of critical blood needs, upcoming events, Connect for Life stories, press releases and other key information.

Blood Collection Donor Rooms

TCBB Units Banked

Revenues

1974

One

2005

250 units banked

1985

$4.5 million

2004

Four

2007

2,200 units banked

1989

$6 million

2009

Eight

2009

5,800 units banked

1994

$11 million

2004

$50 million

2006

$73 million

2009

$133 million

Blood Collection Mobile Units 1974

None

1989

One

2009

Fourteen

TCBB Units Matched 2009

Over 60 cord blood units provided for transplantation

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FOUNDATION Since its founding in 2004, The Blood and Tissue Center Foundation has been an invaluable asset to the South Texas Blood & Tissue Center. Governed by an active and dedicated board, the Foundation has hosted the annual Red & White Ball for the past six years which has raised approximately $3 million to support the Texas Cord Blood Bank. We are deeply grateful to the board for sharing their expertise, energy and hard work and to all the volunteers, sponsors and foundations that continue to lend their support to this lifesaving cause.

Attendees at the 2009 Red & White Ball included Jenny Kalmin, Ball co-chairs Karen Norman and Helen West, and Nancy Torgerson.

Nancy & Vernon Torgerson, Jr. The Blood & Tissue Center Foundation Chairs (2009) 2009 Leadership Support Mr. & Mrs. Emerson Banack Mr. & Mrs. Michael Beldon Dr. & Mrs. James Benedict Mr. & Mrs. Michael Birnbaum Dr. & Mrs. John W. Boldt Mr. & Mrs. Robert J. Bruni Mr. & Mrs. Wayman Buchanan Mr. & Mrs. Bruce Bugg Dr. & Mrs. George V. Burkholder Mr. & Mrs. Bartlett Cocke, Jr. Ms. Susan Ehrman Mr. & Mrs. Martin Epner Mr. & Mrs. John Feik Mr. & Mrs. Ron Finch Dr. & Mrs. Michael Fischer Mr. & Mrs. Alvin Frieden Mr. & Mrs. Pat Frost Mr. & Mrs. Michael Gentry Dr. & Mrs. Fernando Guerra Mr. & Mrs. Wendell Hall Dr. & Mrs. Wright Hartsell Mrs. Karen Heintz Mr. Craig Hester Dr. Robert Wayne Hilliard Mr. & Mrs. Robert H. Holliday Dr. Anthony Infante Dr. & Mrs. LeRoy Jones Dr. & Mrs. Norman D. Kalmin Mr. & Mrs. Fred Kanter

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Mr. & Mrs. Michael Kaplan Dr. Margaret Kelley Mr. & Mrs. Michael Kreager Mr. & Mrs. Daniel Kustoff Mrs. Edith S. McAllister Dr. & Mrs. Tom McNish Mrs. Karen Norman Mr. & Mrs. Sam O’Krent Mr. & Mrs. Charles B. Owens Mr. & Mrs. Seymour Palans Mr. & Mrs. James Patterson Dr. Margie A. Peters Mr. & Mrs. Steve Potter Mr. & Mrs. William Dean Rasco Mr. & Mrs. James Rosenblatt Mr. & Mrs. Sol Schwartz Mr. & Mrs. Skinner Simpson Dr. & Mrs. Paul H. Smith, Jr. Mr. & Mrs. Dennis Stahl Mr. & Mrs. David Starr Dr. Karen Stiefel Harrison Mr. & Mrs. Vernon Torgerson, Jr. Dr. Darryl G. Waldron Ms. Helen L. West Dr. & Mrs. Dale Wood Ms. Genie Wright Mr. & Mrs. Mark Wright Mr. & Mrs. Thad C. Ziegler

The Chairman’s Circle of The Blood & Tissue Center Foundation Roz and Ray Adams Sara and John Y. Ames Kathey K. and Robert A. Anderson Foundation Margaret Anderson and Bill Crow Barbara and Cal Banker Louise and Mike Beldon Cathy and Dr. James Benedict Beverly and Mike Birnbaum Veronica and Dr. John Boldt Broadway Bank Earlyne and Wayman Buchanan Gretchen and Dr. George Burkholder Barbara and Raymond Carvajal Mildred and Oscar Ehrenberg Family Fund of the San Antonio Area Foundation Jimmie Ruth and Dick Evans Rita and John Feik Mary Beth Fisk and Danny Miller Kelley and Pat Frost Jenny and Dr. Wright Hartsell Karen and Phil Heintz Craig Hester Janet and Rob Holliday James Avery Julian Gold Jenny and Dr. Norman Kalmin Anne and Fred Kanter Laurie and Michael Kaplan Dr. Margaret Kelley Louis Kowalski Emilie and Mike Kreager Judith R. Lachman Lee Partners Mays Family Foundation Edith McAllister Yona and Dr. Tom McNish Sandra and Robert Muñoz Karen Norman Estate of Ruskin C. Norman, M.D. L.D. Ormsby Charitable Foundation

Sally and Charles Owens Judy and Seymour Palans Susan and Allen Pierce Pinpoint Marketing Group, Inc. Molly and Steve Potter Donna Respondek and Robert Frick San Antonio Express-News Sarah and Robert Shaw Barbara and Stanley Spigel

Foundation board members Beverly & Fernando Guerra Anna and Dennis Stahl Lynn and Samuel Stahl Family Philanthropic Fund of the San Antonio Area Foundation Julian Stewart Nancy and Vernon Torgerson, Jr. Mr. and Mrs. Graham Weston Linda and Ed Whitacre Vivian and Dr. John Windrow Wendy and Thomas Wirth Mertie and Dr. Dale Wood Wortham Insurance Genie Wright Lori and Mark Wright Thad Ziegler Glass Zachry

Corporate Support Abbott Diagnostics American Opportunity for Housing Anderson Marketing Group Argo Group US AT&T Atlas & Hall, LLP Bank of America Baptist Health System Bartlett Cocke General Contractors Beldon Roofing Company Belk # 328 Kerrville Bene-Comp, Inc. BKD, LLP Broadway National Bank C.H. Guenther & Son, Inc. Carvajal Pharmacy Computer Solutions DPT Laboratories Dublin & Associates Frost Frost Financial Management Group Garza/Bomberger & Associates GRE Creative Communications H-E-B Grocery Company Humana, Inc. IBC James Avery Jefferson Bank - Broadway Branch Julian Gold, Inc. Kohl’s Department Stores Lone Star Pet Supply Methodist Healthcare System Neiman Marcus Pall Medical Pinpoint Marketing Group, Inc. Porter Loring Mortuaries QualTex Raymond James & Associates Sallop Insurance Agency, Inc. San Antonio Express-News Service Mechanical Group, Ltd. Shootz Production Group South Texas Blood & Tissue Center South Texas Pathology Associates Southwest Business Corporation Thad Ziegler Glass, Ltd. Three Lee Investments Limited

Foundation board members Barbara & Michael Gentry

Tortuga Productions University of Texas Health Science Center University of the Incarnate Word USAA Valero Energy Foundation VITAS Hospice Wal-Mart Store #2599 Wal-Mart Store #508 Zachry Community Support Mr. Ray Adams Mr. Jeff Albrecht Mr. Mark Ambrose Mr. John Y. Ames Ms. Jennifer Arulanandam Mr. Rudy Avelar Mr. Matthew Badders Ms. Tracy Ballard Mr. & Mrs. Cal C. Banker Mr. & Mrs. Marvin Barenblat Ms. Kelley H. Barnhill Dr. Michael A. Battista Ms. Holly Bertelsen Mr. & Mrs. Bob Blumenthal Mrs. Ruth McLean Bowers Dr. & Mrs. Sheldon Braverman Mrs. Peggy S. Braxton Ms. Eileen Breslin Mr. Dolph Briscoe Mr. Jeffrey Brown Mr. Brad Camp Mr. John Campion Dr. & Mrs. David Cappelli Mr. & Mrs. James Cheslock Mrs. Donna Hill Clement Mr. & Mrs. Fully Clingman Ms. Francesca Creamer Mr. William R. Crow, Jr. Mr. Michael Cruz Ms. Mary S. Dial Dr. Everett Donowho, Jr. Dr. Sandra Drummond Mr. Ron Duncan Mrs. Patty Edling Mr. Gene Edwards The Honorable Paul Elizondo Mr. & Mrs. Dick Evans, Jr. Mr. & Mrs. Carl Fellbaum Mr. Ivan Magallon Fonseca Mr. L. C. Foster Mr. & Mrs. Charles Franzke Ms. Lydia Fresher Mr. & Mrs. Darcy Alan Frownfelter Ms. Lisa Fults Mrs. Janet Gage Mr. Jose Garcia Mr. Ernesto Garza Ms. Jenna Gasper Mr. Brent Given Mr. James Glover Golf San Antonio Dr. Raymond Goodrich Mrs. Julie Graber Mr. Lance B. Grether Mr. Gary Griffin Mrs. Burton E. Grossman Mrs. Lori F. Grunau Mr. & Mrs. Raul Guerra

2009 Red & White Ball Chair Helen West and Honorary Ball Chair Karen Norman Mrs. Elaine Hamm Mr. Boyd Harris Mrs. Suzanne Harris Mr. Corey L. Hart Mrs. Allison Hayes Mr. Mark Healy Mrs. Jo Anne Hendrix Hill Country Retreat Lions Club Mr. J.R. Holcomb III Mr. & Mrs. Peter Holt Mr. & Mrs. Leonard Holzman Mr. Pete Humble Mrs. Marion Yturria Kimbro Mr. & Mrs. Tres Kleberg Mr. Bryan Kruse Mrs. Judith R. Lachman Mrs. Paula Loring Ms. M.B. Lowry Ms. Barbara Lozano Mr. Wes Madere Mr. Steve Malachowski Mr. Randall P. Maschek Mr. & Mrs. K. Ray Mashburn Mr. Chris Mathis Mr. Arnoldo Mayorga Mrs. Neda L. Mays Ms. Rebekah L. Mays Mr. Barry R. McBee Mr. Steve Mechler Mr. Hector Mendez Dr. & Mrs. Joseph P. Miller Mr. & Mrs. Stuart D. Moiles Mr. Jeff Moss Mrs. Sandra Munoz Mrs. Linda Myers Oak Hills Women’s Golf Assoc.

(WGA) Mr. Thomas O’Connor Mr. Neil O’Mahoney Mr. Christian Orr Ms. Lisa Ortiz Mr. Arturo Perez Dr. George Perry Ms. Laura L. Petrich Mrs. Jane Phipps Ms. Angela Pittman Ms. Lorrie Powell Dr. & Mrs. James Pridgen Public Relations Society of America – San Antonio Dr. Carl F. Raba, Jr.

Mr. Ralph Ratliff Mrs. Donna Respondek Mr. & Mrs. Jack C. Richmond Ms. Pam Rohlfs Mr. Jacquelyne Russell Ms. Olga Samaniego Dr. & Mrs. Frank C. Sammis III Mr. Ravi Sandhu Mrs. Margaret Scott Mr. & Mrs. Josef Seiterle Mr. & Mrs. Kevin B. Semtner Ms. Sharon P Simonick Ms. Emily Skillman Dr. Lon Smith Mrs. Sally Ann Smith Mr. & Mrs. Joe Soules Mr. & Mrs. Stanley Spigel Mr. Frank A. Stanush III Ms. Ann F. Stevens Mr. J. Barry Stevens Mr. & Mrs. Julian Stewart Mr. Phil Stewart Mr. Clifford Straton Mrs. Melissa E. Strittmatter Mr. & Mrs. William Sutherland Mr. Patrick H. Swearingen, Jr. Mr. George S. Sykes, Jr. Mr. & Mrs. Michael L. Taylor Team McAllen Cycling The Texas Stars Mr. Billy Thompson Ms. Christine Torrence Ms. Rebecca Tucci United Way of San Antonio & Bexar County Mr. Charlie Vann Ms. Jutta Von Borg-Roth Ms. Nancy G. West Mr. Graham Weston Mr. & Mrs. Edward E. Whitacre, Jr. Mrs. Stacy B. Wiltshire Mr. & Mrs. Thomas Wirth Mrs. Erin Wolf Ms. Carol Wratten Dr. & Mrs. James W. Yancy Mrs. Wendy Zachmeyer Mr. & Mrs. Thad M. Ziegler Mr. Michael Zucker Mr. Kenneth Zuschlag

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Tribute Gifts Mr. John Aldridge In memory of Mr. Paul Aldridge Mr. & Mrs. Michael Beldon In memory of Mr. Lincoln B. Stahl Mr. Doug Bornemann In memory of Mr. Dennis Kamphoefner Mr. & Mrs. Jason Chozick In memory of Ms. Florence Gross In memory of Dr. Joseph Lehman Ms. Katelyn Costello In memory of Mr. Dennis Kamphoefner Mr. Richard Dugger In honor of Mr. & Mrs. Charles B. Owens

Mildred & Oscar Ehrenberg Family Fund of the San Antonio Area Foundation In memory of Dr. Ruskin C. Norman Mr. George Eisenhoffer In memory of Ms. Deborah Greer-Costello Mr. & Mrs. Ruben Escobedo In honor of Mr. & Mrs. Michael Gentry Mrs. Anna M. Femat In memory of Mr. David Forbes Ms. Mary Beth Fisk & Mr. Danny Miller In honor of Mrs. Lori Wright In memory of Mrs. Anita Davis In memory of Mr. Phil Heintz Mr. & Mrs. James Forbus In memory of Mr. David Forbes Mr. William Fries In memory of Mr. Dennis Kamphoefner Mr. Barry Gangwer In memory of Mr. Dennis Kamphoefner Bernard (Buddy) Gardner In honor of Mr. & Mrs. Fred Kanter In honor of Mr. & Mrs. James Patterson Mr. Jesse R. Greer In memory of Ms. Deborah Greer-Costello Ms. Aida L. Guerrero In memory of Ms. Deborah Greer-Costello Mr. H. H. Hancock In memory of Mr. David Forbes Mr. & Mrs. Todd Hargrove In honor of Zachary Windrow Mrs. Karen Heintz In honor of Mrs. Beverly Birnbaum In honor of Mr. & Mrs. Hank Goldstein In honor of Dr. & Mrs. Ken Kornman

In honor of Dr. & Mrs. Don Novick In honor of Mrs. Margie O’Krent In honor of Mr. & Mrs. Mark Wright In memory of Mr. Lincoln B. Stahl Jefferson Bank - Broadway Branch In memory of Mr. Phil Heintz Dr. & Mrs. Norman D. Kalmin In honor of Ms. Amy Chozick In honor of Dr. & Mrs. David J. Fisher’s granddaughter, Olivia In honor of Mr. & Mrs. Ian Fisher’s grandson In honor of Mr. & Mrs. Leonard Holzman’s granddaughter In memory of Mrs. Anita Davis In memory of Mr. Phil Heintz In memory of Mr. Don Pomerantz Mr. & Mrs. Fred Kanter In memory of Dr. Ruskin C. Norman Mr. & Mrs. Franklin Lewis In memory of Mr. David Forbes Mr. Scott Malan In memory of Mr. Dennis Kamphoefner Mr. & Mrs. V. S. Marett, Jr. In memory of Mr. David Forbes Ms. Ruth Maxey In memory of Ms. Jacque Ford Mays Family Foundation In memory of Dr. Ruskin C. Norman Ms. Muriel McGuire In memory of Ms. Deborah Greer-Costello Dr. & Mrs. Tom McNish In honor of Dr. & Mrs. James Benedict In honor of Dr. Michael Merren In honor of Dr. David Mozersky In honor of Ms. Helen L. West In honor of Mr. Mark Wright In memory of Mrs. Martha Bell Mrs. Angela R. Morey In memory of Ms. Jacque Ford Mr. & Mrs. Allen Naylor In memory of Mr. David Forbes Newman Family Charitable Trust of the San Antonio Area Foundation In honor of Mrs. Karen Norman In honor of Ms. Helen L. West Dr. Ruskin C. & Karen Norman Family Foundation In honor of Mr. & Mrs. Bruce Bugg In honor of Mr. & Mrs. James Patterson Dr. & Mrs. Don Novick In honor of Mr. Phil Heintz Oak Hills Women’s Golf Assoc.

In honor of Mr. Jon Wickstrom Mr. & Mrs. Charles B. Owens In memory of Mrs. Margaret Cap Rust In honor of Mr. & Mrs. Vernon Torgerson, Jr. Ms. Kelly Palisi In memory of Mr. Dennis Kamphoefner Mr. Travis S. Patterson In honor of Mr. Thomas Patterson Mrs. Susan Pierce In honor of Dr. & Mrs. Rus Norman

Public Relations Society of America – San Antonio In honor of Mr. Sean Wood Ms. Jill Ray In memory of Ms. Jacque Ford Ms. Rosie Roberts In memory of Ms. Deborah Greer-Costello Mr. Joseph Schuchert In memory of Mr. Dennis Kamphoefner Dr. Jeffrey Senior In memory of Mr. Dennis Kamphoefner Mr. & Mrs. Robert Shaw In honor of Mr. & Mrs. Vernon Torgerson, Jr. In honor of Mr. & Mrs. Mark Wright South Texas Blood & Tissue Center In memory of Mrs. Anita Davis In memory of Mr. Phil Heintz In memory of Mr. Lincoln B. Stahl Ms. Lillian Stafford In memory of Ms. Jacque Ford Mr. & Mrs. Dennis Stahl In memory of Mr. Phil Heintz Mr. & Mrs. Michael Starling In honor of Ms. Kristie Reed Hanson and Mr. Andrew Hartwell Mr. & Mrs. David Starr In honor of Mr. & Mrs. Jason Chozick Mrs. Belinda Stuart In memory of Ms. Jacque Ford The Texas Stars In memory of Ms. Jacque Ford Mr. John C. Thomas In memory Dr. Ruskin C. Norman Mrs. Sylvia Villarreal In memory of Ms. Deborah Greer-Costello Mrs. Beatrice Vinas In memory of Ms. Deborah Greer-Costel

2009 Foundation Support Robert A. & Kathy K. Anderson Foundation Braverman Family Charitable Foundation Cowden Charitable Foundation Mildred and Oscar Ehrenberg Family Fund of the San Antonio Area Foundation Kittie Nelson Ferguson Foundation The Gorman Foundation G.A.C. Halff Foundation Helen Freeborn Kerr Foundation

Mays Family Foundation McCombs Foundation Methodist Healthcare Ministries Newman Family Charitable Trust of the San Antonio Area Foundation The Nordan Trust Dr. Ruskin C. and Karen Norman Family Foundation L.D. Ormsby Charitable Foundation

Myra Stafford Pryor Charitable Trust San Antonio Children’s Foundation William & Salome Scanlan Foundation St. Luke’s Lutheran Health Ministries Lynn and Samuel Stahl Family Philanthropic Fund of the San Antonio Area Foundation Shelby Rae Tengg Foundation The USAA Foundation

Foundation board members Louise & Mike Beldon

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Foundation board members Thad & Anna Ziegler Ms. Helen L. West In honor of Mrs. Burton E. Grossman In memory of Mrs. Margaret Cap Rust Mr. & Mrs. John Williamson In memory of Mr. David Forbes Mr. & Mrs. Mark Wright In memory of Mr. Phil Heintz Zachry In memory Dr. Ruskin C. Norman

Committees Budget & Finance Darryl G. Waldron, PhD (Chair) Anthony J. Infante, MD Norman D. Kalmin, MD (Ex-Officio) Donna Respondek, CPA (Ex-Officio) Dennis Stahl

Human Resources Susan Ehrman (Chair) John Barnes Deborah Becht Norman D. Kalmin, MD (Ex-Officio) Sandra Munoz, (Ex-Officio) R. Steven Thomason Brenda Wingert Lee Wingert

Investment Committee R. Matthew Freund (Chair) Anthony J. Infante, MD Norman D. Kalmin, MD (Ex-Officio) Donna Respondek, CPA (Ex-Officio) Darryl G. Waldron, PhD

Bereavement Education Support Taskforce (BEST) Darwin Huartson (Chair) Cecilia Alvarez, LCSW, NCBF Gretchen Bealer Elizabeth Clark Janice Clyborne Carmen Davila Melissa Deuter, MD Mary Beth Fisk, MT Ruth Gallo, RN Michelli Gomez, LMSW Rev. Kay Johnson Paula Loring, LMSW-ACP Aracely Torres Sam Warren Janie Worth

Research Committee Robert E. Lanford, PhD (Chair) Mary Beth Fisk, MT Shou-Jiang Gao, PhD Scott Jones, PhD Norman D. Kalmin, MD Philip T. LoVerde, PhD Linda Myers, MT Medical Advisory Margaret Peters, MD (Chair) Rachel Beddard, MD Mary Beth Fisk, MT Fernando A. Guerra, MD Chantal Harrison, MD Ajeya Joshi, MD Norman D. Kalmin, MD David Leibold, MD Charles Lerner, MD Linda Myers, MT Jacqueline Vickrey, MD

Foundation board members Kim & Michael Fischer

Foundation board members Emilie Kreager & Valerie Finch

Services & Expenses

Expenses

Revenues

(in millions)

(in millions)

$118.9

$132.9

Testing $46.4 Wages $30.7 Purchased Services & Other $16.1 Supplies $12.6 Benefits $6.7 Depreciation $5.3 Interest Expenses $1.1

Client Testing $64.9 Blood & Tissue Processing $57.7 Other Revenues $8.2 Investment Income $2.1

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Headquarters 6211 IH 10 West at First Park Ten San Antonio, TX 78201 (210) 731-5555 (800) 292-5534

Methodist Healthcare Donor Room 4410 Medical Drive, Suite 220 San Antonio, TX 78229 (210) 575-4851

Shavano Donor Room 4079 N. Loop 1604 West, Suite 102 San Antonio, TX 78257 (210) 736-8920

Victoria Branch 1109 Sam Houston Drive Victoria, TX 77901 (361) 576-3651

Northeast Donor Room 8527 Village Drive, Suite 106 San Antonio, TX 78217 (210) 249-4450

Southeast Donor Room 3158 SE Military Dr., Suite 104 San Antonio, TX 78223 (210) 736-8971

Westover Hills Donor Room 10555 Culebra, Suite 107 San Antonio, TX 78251 (210) 736-8934

New Braunfels Donor Room 651 N. IH 35, Suite 830 New Braunfels, TX 78130 (830) 625-5401

www.southtexasblood.org