2017-09-19T14:01:47-05:00 2016-12-31 Grant Thornton LLP 100 E Wisconsin Ave Milwaukee WI 53202 990 2016-01-01 362179768 Aurora Area Blood Bank DBA Heartland Blood Centers % JOANNA MCCOY AURO 6308927055 1200 N Highland Avenue Aurora IL 60506 MICHELLE ROBINSON PRESIDENT 6308927055 2017-09-13 true Michelle L Weber P00556798 4142898200 2016 2022-09-23 18:48:47Z Michelle Robinson 1200 N Highland Avenue Aurora IL 60506 125520744 false X www.heartlandbc.org X 1943 IL To serve hospitals by recruiting volunteer donors, collecting, processing, testing, and distributing blood and blood components. 16 15 567 16 0 0 1060 1527 49177895 50971477 373142 459235 394467 439627 49946564 51871866 381000 360500 0 0 22569025 21691998 0 0 0 27076353 28312343 50026378 50364841 -79814 1507025 47926971 50544723 4658404 5392582 43268567 45152141 OUR MISSION IS TO PROVIDE AND MAINTAIN AN ADEQUATE SUPPLY OF BLOOD AND BLOOD PRODUCTS FOR AREA HOSPITALS TO DRAW UPON IN ORDER TO MEET THE ANTICIPATED AND ACTUAL NEEDS OF PATIENTS. false false 44571668 360500 51407411 Collect, test, process and distribute blood and blood components to over 75 area hospitals. Heartland works toward collecting more than 175,000 units of blood annually. 44571668 true false false true false false false false false true true false false false true true false true false false false false false false false false false true false true false false false false false false false false false false false false false true false false false true 35 0 true 567 true false false false false false false false false false false X 16 15 true false true false true true true true true false false true true true true true true true true false IL X JOANNA MCCOY 6308013147 1200 N HIGHLAND AVE Aurora IL 60506 X Jacquelyn Fredrick President & CEO 4.0 51.0 X X 0 1005020 44004 Jim Rauh Chair - Thru 9/2016; Treasurer 1.0 3.0 X X 0 0 0 Dale Kent Vice Chair - thru 9/2016; dir. 1.0 2.0 X X 0 0 0 John D Oliverio Corporate Secretary 1.0 2.0 X X 0 0 0 Johan Segerdahl Treasurer - Thru 9/2016 1.0 2.0 X X 0 0 0 Andy Anderson MD Director - Thru 9/2016 1.0 2.0 X 0 0 0 Richard Anderson MD Director - Thru 9/2016 1.0 1.0 X 0 0 0 Cathy Buck Director - As of 10/2016 1.0 1.0 X 0 0 0 Susan Edwards Director - thru 9/2016 1.0 1.0 X 0 0 0 Richard J Fotsch Director - As of 10/2016 1.0 2.0 X 0 0 0 Fred Geilfuss Director - As of 10/2016 1.0 2.0 X 0 0 0 Marc Gorelick MD Director - Thru 9/2016 1.0 1.0 X 0 0 0 Emery Harlan Director - Thru 9/2016 1.0 2.0 X 0 0 0 Thomas Hauske JR Director - As of 10/2016 1.0 2.0 X 0 0 0 Gregory Larkin Director - As of 10/2016 1.0 3.0 X 0 0 0 Robert H Manegold Director 1.0 3.0 X 0 0 0 Jeffrey S McDonald Director 1.0 2.0 X 0 0 0 John Perras Director - As of 10/2016 1.0 3.0 X 0 0 0 Larry Rambo Director - thru 9/2016 1.0 2.0 X 0 0 0 Corey B Rubenstein Director - Thru 9/2016 1.0 2.0 X 0 0 0 Paul Skalecki Director - Thru 9/2016 1.0 2.0 X 0 0 0 Peggy Troy Director - thru 9/2016 1.0 1.0 X 0 0 0 Mitchell G Watt Director - As of 10/2016 1.0 3.0 X 0 0 0 L Alan Whaley Director - As of 10/2016 1.0 3.0 X 0 0 0 Gilbert White MD Director - Thru 9/2016 1.0 54.0 X 0 661854 47330 E Randall Wright Director - As of 10/2016 1.0 3.0 X 0 0 0 Peter Ziegler Director 1.0 3.0 X 0 0 0 Michelle Robinson COO-Thru 8/16;Pres.-as of 8/16 55.0 0.0 X 341389 0 28819 Sandi Lemons VP Human Resource Services 9.0 46.0 X 45449 225036 38875 Maureen Kwiecinski Asst Corporate Secretary 9.0 46.0 X 62396 311978 30879 Anthony Watkins Sr VP & CFO 6.0 49.0 X 40208 361868 44832 Lynne Briggs VP Information Svcs & CIO 7.0 48.0 X 41466 234977 42636 Margaret McElligott VP Quality Services 7.0 48.0 X 30053 210373 42955 Kevin Konrad Exec Director - thru 9/2016 55.0 0.0 X 204360 0 299654 Galen Kline QA Director 55.0 0.0 X 124810 0 27830 Julie Cruz MD IBC Assistant Medical Director 25.0 30.0 X 119392 138474 15051 Joanna McCoy Controller 55.0 0.0 X 116968 0 17747 Amy Smith Director - Donor Recruitment 55.0 0.0 X 113749 0 23241 1240240 3149580 703853 9 false true false US Messenger Logistics 7790 Quincy Street WILLOWBROOK IL 60527 Delivery Services 321736 L S Custom Coaches 9324 Eden Avenue HUDSON FL 34667 Coach Bus 246466 Mediware Information 11711 West 79th Street LENEXA KS 62214 Software Maintenance 199589 Francis Communications 467 Chestnut Street NASHVILLE TN 37203 Recruit Incentives 197182 HermaTerra Technologies 135 2nd Avenue North JACKSONVILLE FL 32250 Software Maintenance 159764 14 1527 1527 BLOOD BANK REVENUE 621500 50971477 50971477 50971477 466528 466528 0 0 0 0 0 73186478 452394 73192967 453198 -6489 -804 -7293 -7293 0 0 0 0 0 0 132863 2713 130150 130150 RISK RETENTION REFUND 621500 154937 154937 EARNED DISCOUNTS 621500 150847 150847 MISCELLANEOUS 900099 3693 3693 309477 51871866 51407411 0 462928 360500 360500 0 0 0 617707 0 617707 0 16632201 14175997 2456204 563522 527405 36117 2751341 2424635 326706 1127227 1003232 123995 0 24322 24322 70196 70196 0 0 32794 32794 679098 20233 658865 1102513 1102513 548629 291808 256821 537279 375784 161495 0 1362208 1130427 231781 1220504 1148827 71677 0 8390 8390 0 0 1415896 1175324 240572 204294 204294 BLOOD AND COMPONENTS 20462715 20462715 EQUIPMENT RENTAL/MAINTENANCE 345070 171890 173180 SMALL EQUIPMENT 160994 107924 53070 LICENSES & FEES 78233 78233 59208 5831 53377 50364841 44571668 5793173 0 1000 1000 6951839 7574595 0 0 6067351 7274488 0 0 0 0 400821 422198 2193375 1805736 840553 844102 26920801 19452691 7761851 7468110 22919313 24435785 0 0 0 0 0 0 790868 718709 47926971 50544723 4265254 5075939 0 0 0 0 0 0 0 0 0 0 0 0 0 0 393150 316643 4658404 5392582 X 43268567 45152141 0 0 0 0 43268567 45152141 47926971 50544723 1507025 376549 X false true X true false X 669 971 2817 1060 1527 7044 46952952 44221583 44141895 49573861 51410124 236300415 0 0 0 46953621 44222554 44144712 49574921 51411651 236307459 0 0 0 0 0 0 8847266 7381663 7774128 5636817 4418127 34058001 8847266 7381663 7774128 5636817 4418127 34058001 202249458 230766 246218 328746 346203 466528 1618461 0 230766 246218 328746 346203 466528 1618461 0 3923 264952 701 364 3693 273633 47188310 44733724 44474159 49921488 51881872 238199553 0.84908 0.81969 0.00679 0.00635 X false false false false false false false false true 7500 7500 false Part II-B, Line 1 LOBBYING ACTIVITIES IN CONJUNCTION WITH THE ILLINOIS COALITION OF COMMUNITY BLOOD CENTERS, THE ORGANIZATION HAS CONTRACTED A LOBBYIST CONSULTING FIRM. THE CONSULTING FIRM SHALL WORK WITH THE COALITION REGARDING ANY LEGISLATIVE ISSUES FACING THE COALITIONS INDUSTRY INCLUDING PROVIDING LEGISLATIVE UPDATES, COORDINATING MEETINGS, EDUCATING LEGISLATORS ON THE COALITIONS ISSUES, ANALYZING AND TRACKING LEGISLATION FOR THE COALITION, AND OTHER RELATED ACTIVITIES. THE APPROXIMATE COSTS OF THIS SERVICE IS $7,500 ANNUALLY. HEARTLAND BLOOD CENTERS HAS RECEIVED A LISTING OF THE SERVICES PROVIDED, AND MOST OF THE SERVICES WERE MORE PUBLIC RELATION MATTERS RATHER THAN LOBBYING PER SE, THEREFORE THE ANNUAL COST WAS RECORDED AS SUCH. 72401518 793676 7045041 3800429 76439806 1.00000 false true true 425219 425219 14149698 9291239 4858459 12345884 10161452 2184432 7468110 0 457(B) PLAN LIABILITIES 316643 316643 X 51946148 376549 3517 380066 51566082 305784 305784 51871866 50062574 3517 3517 50059057 305784 305784 50364841 Part V Endowments During 2016, the filing organization was added as a beneficiary of the BloodCenter Research Foundation's ("BCRF") endowment as a supported organization. The amount of the BCRF total endowment as of 12/31/2016 was $76,439,806 and was all board restricted. Part X, line 2 INCOME TAXES Versiti, BloodCenter, Heartland, Michigan, Indiana and the Foundation have all received tax determination letters confirming that the organizations qualify as tax-exempt organizations under section 501(c)(3) of the Internal Revenue Code (IRC). The Organization follows guidance that clarifies the accounting for uncertainty in tax positions taken or expected to be taken in a tax return, including issues relating to financial statement recognition and measurement. This guidance provides that the tax effects from an uncertain tax position can only be recognized in the financial statements if the position is more likely than not to be sustained if the position were to be challenged by a taxing authority. The assessment of the tax position is based solely on the technical merits of the position, without regard to the likelihood that the tax position may be challenged. Versiti, BloodCenter, Heartland, Michigan, Indiana and the Foundation are exempt from federal income tax under IRC section 501(c)(3), though they are subject to tax on income unrelated to their exempt purposes, unless that income is otherwise excluded by the IRC. The Organization has processes presently in place to ensure the maintenance of its tax-exempt status; to identify and report unrelated income; to determine its filing and tax obligations in jurisdictions for which it has nexus; and to identify and evaluate other matters that may be considered tax positions. In years prior to 2014, Heartland filed both federal and state of Illinois income tax returns to report a zero amount of unrelated business income. Management has determined that there is no unrelated business income to report for Heartland for tax years 2014 through 2016, and income tax returns are not required to be filed. Therefore, as the statute of limitations will remain open for returns not filed, tax years 2014 through 2016, will remain open to audit for both federal and state purposes. The Organization has determined that there are no material uncertain tax positions that require recognition or disclosure in the consolidated financial statements. The Organization recognizes, if necessary, interest and penalties related to unrecognized tax benefits in the provision for income taxes. There were no interest or penalties related to income taxes that have been accrued or recognized as of and for the years ended December 31, 2016 and 2015. Part XI, Line 2D OTHER ADJUSTMENTS to Revenue Cost of Goods Sold 2,713 Loss on Disposal of Assets 804 --------- Total 3,517 Part XI, Line 4B OTHER ADJUSTMENTS to Revenue Earned Discounts 150,847 Risk Retention Refund 154,937 --------- TOTAL 305,784 PART XII, LINE 2D OTHER ADJUSTMENTs to Expenses COST OF GOODS SOLD 2,713 Loss on Disposal of Assets 804 --------- Total 3,517 Part XII, Line 4B OTHER ADJUSTMENTS to Expenses Earned Discounts 150,847 Risk Retention Refund 154,937 --------- TOTAL 305,784 true BloodCenter of Wisconsin Inc 638 N 18th Street Milwaukee WI 53233 390807235 501(C)(3) 100000 Research Northwestern University 633 Clark Street Evanston IL 60208 362167817 501(C)(3) 225000 Research THE LEUKEMIA & LYMPHOMA SOCIETY INC 1311 MAMARONECK AVE WHITE PLAINS NY 10605 135644916 501(C)(3) 35000 Research 3 Part I, Line 2 Procedure for Monitoring Use of Grant Funds Inside U.S. Heartland Blood Center provides grant assistance to BloodCenter of Wisconsin, Inc. and other organizations. These funds will support future blood research and other initiatives to serve more patients and reduce overall costs. Monitoring the investment of these funds, the distributions and what these funds are used for is completed by the leadership of Versiti. X X X X true true false false false false false true false Jacquelyn Fredrick President & CEO 0 597950 0 73294 0 333776 0 41834 0 2170 0 1049024 0 310578 Gilbert White MD Director - Thru 9/2016 0 487165 0 150953 0 23736 0 32049 0 15281 0 709184 0 0 Michelle Robinson COO-Thru 8/16;Pres.-as of 8/16 320270 0 20000 0 1119 0 13196 0 15623 0 370208 0 0 0 Sandi Lemons VP Human Resource Services 41563 205794 3742 18527 144 715 3062 15164 3470 17179 51981 257379 0 0 Maureen Kwiecinski Asst Corporate Secretary 53585 267926 5615 28075 3196 15977 4268 21340 878 4393 67542 337711 0 0 Anthony Watkins Sr VP & CFO 35035 315318 4295 38659 878 7891 2237 20135 2246 20214 44691 402217 0 0 Lynne Briggs VP Information Svcs & CIO 37772 214043 3328 18859 366 2075 3155 17876 3241 18364 47862 271217 0 0 Margaret McElligott VP Quality Services 25023 175158 2391 16737 2639 18478 3150 22048 2220 15537 35423 247958 0 0 Kevin Konrad Exec Director - thru 9/2016 202971 0 0 0 1389 0 282507 0 17147 0 504014 0 0 0 Galen Kline QA Director 124551 0 0 0 259 0 5400 0 22430 0 152640 0 0 0 Julie Cruz MD IBC Assistant Medical Director 119392 138474 0 0 0 0 3338 3872 3630 4211 126360 146557 0 0 Part I, Line 4a Severance Payments An individual left the organization in 2016. The individual received deferred severance in 2016, which is included as other deferred compensation on Schedule J, Part II, Column C. Due to confidentiality agreements, neither the name nor the amount will be listed. Part I, Line 4b Supplemental Nonqualified Retirement Plan To ensure Bloodcenter of Wisconsin, Inc. achieves its mission, it is essential to attract leading experts in transfusion medicine, science and business by paying competitive salaries and benefits. Bloodcenter of Wisconsin, Inc. board of directors follows not-for-profit best practices by hiring an independent compensation consultant to annually review the overall executive compensation programs. Jacquelyn Fredrick, CEO, participated in a supplemental executive retirement plan (SERP). The amount deferred during 2016 in service of the serp plan was $228,005. The amount paid and included in Schedule J, Part II, Column B(III) during 2016 in service of the serp plan was $310,578, which includes $310,578 that was previously reported as deferred compensation on Schedule J, Part II, Column C. Part I, Line 7 NON-FIXED PAYMENTS INCENTIVE PAYOUT OPPORTUNITIES, BASED ON PERCENTAGE OF BASE PAY RATE, ARE AVAILABLE TO CERTAIN EMPLOYEES OF THE FILING ORGANIZATION. WHILE LEVELS OF THE INCENTIVE PAYOUT OPPORTUNITY ARE FIXED AND DETERMINED PERCENTAGES OF BASE COMPENSATION; THE INCENTIVE PAYOUT IS SUBJECT TO THE REVIEW OF ACCOMPLISHMENTS/ OBJECTIVES AND THE ULTIMATE DETERMINATION OF INCENTIVE COMPENSATION IS SUBJECT TO PRESIDENT / CEO AND EXECUTIVE COMMITTEE OF THE BOARD APPROVAL. Part VI, SECTION A, Line 2 Business Relationship Dale Kent and Peter Ziegler have a business relationship. Richard Gallagher and Johan Segerdahl have a business relationship. John Oliverio and Cathy Buck have a business relationship. Part VI, Section A, Line 4 Significant Changes to Governing Documents Heartland amended its bylaws in October 2016 to replace BloodCenter of Wisconsin, Inc. with Versiti, Inc. as the sole corporate member. It also modified the term limits and removal process of board members. Lastly, it delegated oversight of the investment and finance function to the Versiti Investment & Finance Committee and the oversight of the governance function to the Versiti Governance Committee. Part VI, SECTION A, Line 6 MEMBERS OR STOCKHOLDERS Versiti, INC. (A 501(C)(3) ORGANIZATION) IS THE SOLE CORPORATE MEMBER. PART VI, SECTION A, LINES 7A AND 7B MEMBER OR STOCKHOLDER POWERS Versiti, INC. HAS RESERVE POWERS; INCLUDING THE ABILITY TO ELECT A MAJORITY OF DIRECTORS. Part VI, SECTION B, Line 11b FORM 990 REVIEW THE ORGANIZATION UTILIZES GRANT THORNTON LLP TO COMPLETE THE IRS FORM 990 AND RELATED SCHEDULES. FOLLOWING COMPLETION, THEY ARE REVIEWED BY THE CONTROLLER, AND THE PRESIDENT AND CEO. THE DRAFT FORMS ARE THEN REVIEWED BY THE COMPLIANCE AND AUDIT COMMITTEE PRIOR TO SUBMISSION TO THE IRS. THE FULL BOARD IS PROVIDED A COPY OF THE FORM 990 PRIOR TO FILING. Part VI, SECTION B, Line 12c CONFLICT OF INTEREST POLICY THE ORGANIZATION MAINTAINS A WRITTEN CONFLICT OF INTEREST POLICY. ON AN ANNUAL BASIS, CURRENT DIRECTORS AND OFFICERS ARE ASKED TO COMPLETE A DISCLOSURE FORM BASED ON IRS REQUIREMENTS THAT INCLUDES THE FOLLOWING: WHETHER THEY HAVE ANY DIRECT OR INDIRECT RELATIONSHIP EITHER THROUGH BUSINESS OR FAMILY MEMBER WITH THE ORGANIZATION. WHETHER THEY RECEIVED COMPESNATION FROM ANY ORGANIZATION THAT SHARES COMMON OWNERSHIP OR CONTROL WITH THE ORGANIZATION. WHETHER THEY HAVE SERVED AS AN OFFICER, DIRECTOR, KEY EMPLOYEE, PARTNER OR MEMBER OF AN ENTITY (OR SHAREHOLDER OF A PROFESSIONAL CORPORATION) DOING BUSINESS WITH THE ORGANIZATION. THESE ANSWERS ARE ACCUMULATED, SUMMARIZED AND EVALUATED BY MANAGEMENT TO DETERMINE IF ANY CONFLICTS EXIST. IDENTIFIED CONFLICTS ARE ADDRESSED IN ACCORDANCE WITH THE WRITTEN POLICY. Part VI, SECTION B, Lines 15A AND 15B COMPENSATION PROCESS The Compensation Committee of the Versiti Board of Directors, acting in its capacity as the Compensation Committee, sets and monitors the compensation philosophy for Versiti and the related entities that it supports, including Aurora Area Blood Bank dba Heartland Blood Centers (Heartland). Other than the Versiti President & Chief Executive Officer, the Compensation Committee does not include members of management and is comprised entirely of individuals who do not have a conflict of interest with respect to Versiti or Heartland compensation arrangements. The Versiti President and Chief Executive Officer recuses her/himself from all discussions and approvals related to her/his compensation. The Versiti Compensation Committee reviews Heartland executive compensation arrangements to ensure such arrangements are fair, reasonable, and not excessive when compared to similarly-situated executives. Executive compensation arrangements are reviewed for reasonableness and approved by the Compensation Committee annually in accordance with the Versiti Reasonableness Review Policy. The Compensation Committee assesses the reasonableness of executive compensation arrangements after it obtains and reviews appropriate data for comparability from the human resource department and an independent compensation consultant. The Compensation Committee engages a qualified independent compensation consultant annually. The independent consultant performs an analysis of compensation levels at regional and national organizations of comparable size, scope and structure and provides the Committee with comprehensive data on the availability of similar services within the geographic area, compensation surveys, written offers from similar institutions, and other information relevant to comparability of compensation. The Compensation Committee's review, recommendations and approvals are documented concurrently in the Committee minutes, which are subsequently reviewed and approved by the Compensation Committee as reasonable, accurate and complete. Versiti and Heartland have incentive programs for the Chief Executive Officer and other Corporate Officers described in detailed written policies approved by the Compensation Committee annually. Evaluation and Compensation Review -CEO - Each year, the Executive/Compensation Committee evaluates the Versiti/Heartland CEO's performance against established objectives, determines incentive payment and merit increase based upon performance and market data provided by the third party compensation consultant, and works with the CEO to establish objectives for the next year. -Other Corporate Officers - Each year, the Versiti/Heartland CEO reviews the performance and the achievement of individual goals and objectives of each Versiti/Heartland Corporate Officer. The Versiti/Heartland CEO presents his/her recommendations to the Compensation Committee, which reviews and approves recommended compensation ranges, and approves final salary and incentive payments. Corporate Officers are positioned within the appropriate salary range based upon: -EXECUTIVE'S KNOWLEDGE, COMPETENCIES, AND EXPERIENCE, -PERFORMANCE OF THE EXECUTIVE'S AREAS OF RESPONSIBILITY, -THE EXECUTIVE'S CONTRIBUTION TO OVERALL PERFORMANCE, -THE IMPORTANCE OF RETAINING THE EXECUTIVE, -INTERNAL EQUITY CONSIDERATIONS, -THE FINANCIAL RESOURCES AVAILABLE, AND -EXECUTIVE BASE SALARY INCREASES PROVIDED IN THE COMPETITIVE MARKET Part VI, SECTION C, Line 19 ORGANIZATION'S DOCUMENTS OPEN TO THE PUBLIC THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST DURING NORMAL BUSINESS HOURS AT THE ORGANIZATION'S LOCATION. PART VII AVERAGE HOURS THE HOURS LISTED ON FORM 990, PART VII ARE REPRESENTATIVE OF AN AVERAGE FOR THE OFFICERS AND EXECUTIVE TEAM. EACH INDIVIDUAL PERSON'S WEEKLY TALLY MAY BE GREATER OR LESSER PER WEEK BASED ON THEIR INDIVIDUAL ROLES AND RESPONSIBILITIES WITHIN THE FILING ORGANIZATION AND RELATED PARTIES. Versiti Inc PO BOX 2178 638 North 18th Stree Milwaukee WI 53201 454675354 Supporting WI 501(c)(3) 12B NA false Bloodcenter of Wisconsin Inc 638 North 18th Milwaukee WI 532332121 390807235 Blood WI 501(c)(3) 07 VERSITI false Michigan Blood PO BOX 1704 GRAND RAPIDS MI 49501 381550001 Blood MI 501(c)(3) 10 VERSITI false BLOODCENTER RESEARCH FOUNDATION INC PO BOX 2178 638 NORTH 18TH MILWAUKEE WI 53201 391372542 Supporting WI 501(c)(3) 12B Versiti false CENTRAL INDIANA REGIONAL BLOOD CENTER 3450 NORTH MERIDIAN STREET INDIANAPOLIS IN 46208 350991629 Blood IN 501(c)(3) 10 VERSITI false false true false false false false true true false false false true true false true true true true true