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2019ANNUAL REPORTStudents at Urshan College in Wentzville, MissouriA Landmark Year of GrowthOur 2019 Annual Report documents a year of significant growth forMississippi Valley Regional Blood Center. We added 24 new facilitiesto our roster of service hospitals, which now totals 115 hospitals inIllinois, Iowa, Missouri, and Wisconsin. Through this expansion, we filleda gap in our service region by adding multiple communities in centralIllinois and we expanded to the north and south with new servicehospitals in Wisconsin and the St. Louis region.To support our growth, we opened facilities in Peoria, Illinois andMadison, Wisconsin and purchased a building in Earth City, Missouri,now remodeled for our Donor Services, Donor Relations, ReferenceLaboratory, and Inventory Management and Distribution teams. Ourcapital investments encompassed communities we have served formany years through the renovation of Donor Centers in Danville andMacomb, Illinois; and Ottumwa, Iowa.INSIDE THIS EDITION“A Landmark Year of Growth” Cont’d 2Earth City Provides New Home 3New Facilities in Peoria & Madison 4Reinvestment in Our Facilities 5Introducing “Early Q” 6Corpuscle Shuffle 5K 7Registered Student Organizations 8Associate Boards Launch 9Parejko Named President, ABC 10The Stanley Cup Surprise 11Branch Analytics Provides Results 12Mission Focus: Love for Lorelei 13Service Region Map 14Service Hospital List 15Board of Directors & 2019 Financials 16Continued on pg. 2.2019 Annual Report Mississippi Valley Regional Blood Center

A donor gets ready to give at Urshan CollegeA Landmark Year — Cont’d.n early 2019, a tragic event within our service region gave greater focus to our work. On Jan. 5, firefighters were called to amanufacturing facility in Clinton, Iowa when the fire burst into an explosion. Tragically, one of the Clinton firefighters, EricHosette, died in the explosion, while another, Adam Cain, was severely injured. Soon after, our teams were called on to helpchannel community support for patients in need.IWe worked with community groups in Clinton, Charlotte, Preston, and the surrounding region on a series of blood drivesthat were quickly organized in response to the tragedy. As one donor told KWQC TV6 News, “It’s been very comfortingseeing the different communities coming together, showing compassion and that they care about others,” (view the KWQC TV6News story here: www.kwqc.com/video?vid 504457032).We are honored to work with generous volunteer donors who support the local blood supply. Our employees’ commitmentto our shared values – the Five Cs: Character, Competency, Communication, Collaboration, and Commitment – is thefoundation of all we’ve achieved in 2019. We are fortunate to do this work with staff, donors, and volunteers who share thesame values and commitment to our mission and to each other.Sincerely,Mike ParejkoPresident and Chief Executive OfficerChad EverittChair, MVRBC Board of DirectorsOur Corporate Values CHARACTER demonstrated by high moral and ethical standards COLLABORATION through teamwork COMPETENCY leading to highly capable teams COMMITMENT and accountabilityEarth City, MissouriEARTH CITY, MISSOURI BUILDING PROVIDES NEW HOME BASEFOR ST. LOUIS OPERATIONSMVRBC consolidated St. Louis-based operations into a single facility through the purchase and remodel ofa two-story building in Earth City, Missouri. Located just west of St. Louis near St. Charles and the MissouriRiver, the facility accommodates our growing Donor Services, Donor Services Training, Donor Relations,Reference Lab, and Inventory Management and Distribution teams in the St. Louis region.From this location, we now serve 27 hospitals in the St. Louis region. We are now developing space inside theEarth City location for a new Component Lab and a Processing Lab. Once open in 2020, these labs will helpincrease the productivity of our St. Louis-based collection operations and will create greater efficiency inMVRBC’s overall component production. COMMUNICATION delivered with clarity2019 Annual Report Mississippi Valley Regional Blood Center22019 Annual Report Mississippi Valley Regional Blood Center3

Peoria, IllinoisNEW FACILITIES IN PEORIA,MADISON SUPPORT GROWTHMacomb Donor CenterREINVESTMENT IN EXISTING FACILITIESMadison, WisconsinAmidst a flurry of new construction in 2019, we wanted to make sureour existing facilities weren’t left behind. We were pleased to remodelour facilities in Danville and Macomb, Illinois, and Ottumwa, Iowa, tobetter serve donors and staff working in communities we have servedfor many years.Adding 24 service hospitals in a single year meansadding infrastructure to support our expansioninto new communities. In 2019, MVRBC openedInventory Management and Distribution Centersin Peoria, Illinois and Madison, Wisconsin. TheWisconsin facility also includes a reference labto support hospitals in southern Wisconsin. InPeoria, we also opened a new Donor Center,offices for our Donor Relations team, and a basefor mobile operations.Ottumwa Donor Center2019 Annual Report Mississippi Valley Regional Blood Center4Danville Donor Center2019 Annual Report Mississippi Valley Regional Blood Center5

Corpuscle Shuffle 5KRUNNERS AND WALKERS SUPPORTCORPUSCLE SHUFFLE 5KAmanda — St. Peters Donor CenterINTRODUCING “EARLY Q” — ONLINE PRE-DONATION SCREENINGMore than 200 runners and walkers signed up for the 2nd Annual“Corpuscle Shuffle,” held in June. The 5K and 1-mile run / walk raisesfunds for MVRBC’s Life avings grants, a program that allows the BloodCenter to provide funding for schools that host mobile blood drives.A new online tool for pre-donation screening is helping donors save time in their effort to help savelives. Donors can complete their Donor History Questionnaire in a private setting online on the sameday as their donation. Upon completing the questionnaire, the system sends the donor an email witha QR code, which allows the donor to move quickly through screening and complete their donationprocess faster than ever before.Participants were greeted with clear skies and warm temps for the raceand post-race party at 5ive Cities Brewing. Life avings grants can beused to defray expenses for the blood drive, for educational purposeswithin the school district, for scholarships, or to support approvedcharitable initiatives.For detailed information and an instructional video, see www.bloodcenter.org/EarlyQ.Link to wrap-up video: https://youtu.be/1EhsUodSqFE2019 Annual Report Mississippi Valley Regional Blood Center62019 Annual Report Mississippi Valley Regional Blood Center7

St. Louis Associate BoardPictured Above: Top (from left): Brooke Colbert, Melody Brooks, Scott Halfhill, Dawn Chapman, Kristen Capps-Jones, Jeannine McCullough Bottom (from left): AmandaHess, Katie Schoenborn, Kelsey Gaby Not Pictured: Alli McNamara, Amanda Reed, Annie Stagner, Kim Frazer, Kim Kelley, Ify Akanru, Sara SieversStudents at the University of Illinois Champaign-UrbanaMaking ConnectionsWORKING WITH REGISTEREDSTUDENT ORGANIZATIONS (RSO GO)BLOOD CENTER ESTABLISHES ASSOCIATE BOARDSWITH FOCUS ON RECRUITING YOUNGER DONORSStudents from our Registered Student Organization (RSO) at the Universityof Illinois Urbana-Champaign helped raise awareness for blood donationat the U of I’s Quad Day in September 2019. It’s all a part of our work withRSOs on college campuses. In the 2019 fall semester, we launched our “RSOGo Blood Drive Challenge” between RSOs at Illinois State University andUniversity of Illinois, which provided 936 donations in a single semester.At the beginning of each school year, our Donor Relations teams regularlyparticipate in campus information fairs. While in high school, many studentsserve on blood drive committees or participate as donors in their high schoolblood drive. However, this doesn’t automatically translate into support at thecollege level. Having our banner and information booth at the U of I QuadDay provided a great opportunity to make an impression on students andlaunch the RSO Go Blood Drive Challenge.2019 Annual Report Mississippi Valley Regional Blood CenterWith an eye to recruiting new and younger donors, MVRBC has establishedAssociate Boards in the Quad Cities, Urbana, and St. Louis. The AssociateBoards include individuals age 20 - 49 who are focused on building networksand awareness of the Blood Center and the importance of our mission.Avalon BrooksVice Chair, Quad CitiesShivani ShahIntern, Urbana8Many of our Associate Board members have been personally impacted by ablood transfusion, and several have already organized blood drives to supportthe blood supply. This includes Avalon Brooks, Vice Chair of our AssociateBoard in the Quad Cities (pictured left), who has hosted community blooddrives at 392 Caffe in downtown Davenport. We will continue to develop ourAssociate Boards by working with young leaders across our service region.2019 Annual Report Mississippi Valley Regional Blood Center9

Staff at Glen Carbon Centennial LibraryMike ParejkoPresident & Chief Executive OfficerMIKE PAREJKO NAMED PRESIDENT, AMERICA’SBLOOD CENTERS BOARD OF DIRECTORSAmerica’s Blood Centers’ Board of Directors elected MVRBC CEOMike Parejko as President of the ABC Board in its Annual Meeting,held in April 2019. The new slate of officers includes Rob Purvis (NewYork Blood Center) as Vice President and Delisa English (The BloodConnection) as Secretary/Treasurer.Parejko says his leadership of the ABC Board reflects positively onMVRBC. “It’s a great honor to represent all of the independentcommunity blood centers through my service on the ABC Board. Butit’s only because of the great people we have in place at MVRBC that Iwill be able to represent our Blood Center, and all members of ABC, ona national, and even international, stage.”2019 Annual Report Mississippi Valley Regional Blood CenterStanley Cup SurpriseGreat News! Our “Change the World”campaign was selected as “Best PRCampaign of 2019” by America’s BloodCenters (ABC). Marketing staff acceptedthe award at the ABC Annual Meeting inWashington D.C., March 2020.10It was quite the surprise when staff at the Glen Carbon Centennial Library blood drive were given theopportunity to have their picture taken with the Stanley Cup! The 2019 Stanley Cup winning St. LouisBlues allowed Glen Carbon Centennial Library to display the Cup as part of its rotational travel aroundthe area. Go Blues!2019 Annual Report Mississippi Valley Regional Blood Center11

BRANCH ANALYTICS PROJECT RESULTS IN 20% INCREASEIN PLATELET DONOR BASEPlatelet donations expire just five days after collection. Additionally, more than 45% of platelet donors are60 years of age or older. Given the brief shelf-life of the product and our need to recruit new and youngerplatelet donors, our platelet scheduling team is continually looking for ways to add to our active plateletdonor base.LOVE FOR LORELEI BLOOD DRIVEIn 2019, the Blood Center partnered with Branch Analytics to identify and recruit high value whole blooddonors to platelet donation. Through this process, we targeted and recruited existing whole blood donorswhose profile indicates a high likelihood for conversion to platelet donation. After just six months, we sawa 20% increase in our active platelet donor base and our scheduling team has made 568 appointments fordonation by new platelet donors.Prior to receiving her liver transplant in July 2017, Loreleirequired bi-weekly blood transfusions to keep her healthy. Herfamily saw first-hand the difference blood donation can make,and now hosts the “Love for Lorelei” Blood Drive twice a year!Mom (Megan) with Lorelei2019 Annual Report Mississippi Valley Regional Blood Center12To learn more about Lorelei, visit: 9 Annual Report Mississippi Valley Regional Blood Center13