2016-08-12T09:39:39-05:00 2015-12-31 Grant Thornton LLP 100 E Wisconsin Ave Milwaukee WI 53202 990 2015-01-01 362179768 Aurora Area Blood Bank DBA HEARTLAND BLOOD CENTERS % JOANNA MCCOY AURO 6308927055 1200 N Highland Avenue Aurora IL 60506 MAUREEN KWIECINSKI Asst. Corp Secretary 6308927055 2016-08-10 true Daniel V Romano P00504182 4142898200 2016-08-10 2015 2016-12-15 16:53:06Z Heartland Blood Centers Jacquelyn Fredrick 1200 N Highland Avenue Aurora IL 60506 78806210 false X www.heartlandbc.org X 1943 IL To serve hospitals by recruiting volunteer donors, collecting, processing, testing, and distributing blood and blood components. 21 19 498 27 0 2817 1060 43849518 49177895 322632 373142 291717 394467 44466684 49946564 210 381000 0 0 21021317 22569025 0 0 0 23088364 27076353 44109891 50026378 356793 -79814 49133134 47926971 5573558 4658404 43559576 43268567 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 44683231 381000 49571998 Collect, test, process and distribute blood and blood components to over 60 area hospitals. Heartland works toward collecting more than 175,000 units of blood annually. 44683231 true false false true false false false false false false true false false false true true true 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 32 0 true 498 true false false false false false false false false false false X 21 19 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 - As of 6/2015 4.0 51.0 X X 0 876096 277928 Dennis Mestrich CEO - Thru 2/2015 54.0 1.0 X X 502674 0 41535 Theresa Ainsworth CFO - Thru 1/2015 55.0 X X 249700 0 26485 Richard Anderson MD Past Chairman/Director 1.0 2.0 X X 0 0 0 Antoinette Sperelakis MD Vice Chair - Thru 2/2015 1.0 X X 0 0 0 Robert Bonifas Sec./Treasurer - Thru 3/2015 1.0 X X 0 0 0 Peter Ziegler Chairman - As of 4/2015 1.0 3.0 X X 0 0 0 Jim Rauh Vice Chair - As of 4/2015 1.0 2.0 X X 0 0 0 John D Oliverio Secretary - As of 4/2015 1.0 2.0 X X 0 0 0 Dale Kent Treasurer - As of 4/2015 1.0 2.0 X X 0 0 0 Alberta Darling Senator Director - As of 4/2015 1.0 1.0 X 0 0 0 Phillip DeChristopher MD PHD Director - Thru 2/2015 1.0 X 0 0 0 Susan Edwards Director - As of 4/2015 1.0 1.0 X 0 0 0 William Gibbons MD Director - Thru 3/2015 1.0 X 0 0 0 Richard Gallagher Director - As of 4/2015 1.0 3.0 X 0 0 0 Emery Harlan Director - As of 4/2015 1.0 1.0 X 0 0 0 Cathy Jacobson Director - As of 4/2015 1.0 1.0 X 0 0 0 Robert H Manegold Director - As of 4/2015 1.0 3.0 X 0 0 0 Jeffrey S McDonald Director 1.0 2.0 X 0 0 0 Robert J Pooley JR MD Director - Thru 2/2015 1.0 X 0 0 0 Joan M Prince PhD Director - As of 4/2015 1.0 1.0 X 0 0 0 Larry Rambo Director - As of 4/2015 1.0 1.0 X 0 0 0 Doug Reifsteck Director - Thru 2/2015 1.0 X 0 0 0 Corey B Rubenstein Director 1.0 2.0 X 0 0 0 Johan Segerdahl Director - As of 4/2015 1.0 1.0 X 0 0 0 Arist Sgouroudis Director - Thru 3/2015 1.0 X 0 0 0 Paul Skalecki Director - As of 4/2015 1.0 1.0 X 0 0 0 Jeffrey Smith MD MMM Director - As of 4/2015 1.0 1.0 X 0 0 0 Peggy Troy Director - As of 4/2015 1.0 1.0 X 0 0 0 Jay Wagner Director - Thru 3/2015 1.0 X 0 0 0 Gilbert White MD Director - As of 4/2015 1.0 54.0 X 0 574898 40681 Kevin Konrad VP & COO - Thru 6/2015 55.0 X 217175 0 35930 Michelle Robinson COO - As of 6/2015 55.0 X 196842 0 8627 Sandi Lemons VP HR Services - As of 6/2015 23.0 32.0 X 127642 176484 47338 Maureen Kwiecinski ASST CORP SEC. - As of 4/2015 9.0 46.0 X 63560 339484 43301 Anthony Watkins Sr VP & CFO - As of 4/2015 7.0 48.0 X 59582 382417 45267 Lynne Briggs VP Info Sv & Cio- as of 4/2015 8.0 47.0 X 46141 255627 58588 Margaret McElligott VP Quality Svcs - as of 4/2015 7.0 48.0 X 35480 227725 61032 Dominique Bazile VP-Asst Med Dir - Thru 6/2015 55.0 X 146648 0 21434 Galen Kline QA Director 55.0 X 129181 0 19971 Amy Smith Director - Donor Recruitment 55.0 X 115605 0 22418 Joanna McCoy Director of Accounting 55.0 X 114584 0 18590 Ann Lietz VP - Businesss Development 28.0 27.0 X 108098 104479 21891 2112912 2937210 791016 10 false true false US Messenger Logistics 7790 Quincy Street WILLOWBROOK IL 60527 Delivery Services 288981 Mediware Information 11711 West 79th Street LENEXA KS 62214 Software Maintenance 175666 HemaTerra Technologies 135 2nd Avenue North JACKSONVILLE FL 32250 Software Maintenance 123833 VanDuzor Construction Co 2212 Rockwell Road AURORA IL 60506 Building Remodel 109708 4 1060 1060 BLOOD BANK REVENUE 621500 49177895 49177895 49177895 346203 346203 0 0 0 0 0 28858374 26347 28838201 19581 20173 6766 26939 26939 0 0 96810 1864 94947 94947 RISK RETENTION REFUND 621500 152863 152863 EARNED DISCOUNTS 621500 146293 146293 MISCELLANEOUS 900099 364 364 299520 49946564 49571998 373506 381000 381000 0 0 0 1661354 1661354 0 15991707 15640436 351271 607216 562714 44502 3089133 2516687 572446 1219615 1219615 0 30957 30957 46766 46766 0 0 79371 79371 726775 94675 632100 988817 988817 451530 25291 426239 482609 482609 0 1283053 1066591 216462 1073210 1014822 58388 0 9606 7945 1661 0 0 1509525 1224540 284985 218308 218308 BLOOD AND COMPONENTS 19431490 19431490 EQUIPMENT RENTAL/MAINTENANCE 520572 401659 118913 SMALL EQUIPMENT 150678 96027 54651 DUES 45919 45919 27167 10922 16245 50026378 44683231 5343147 0 1000 1000 8590940 6951839 0 0 4954314 6067351 0 0 0 0 326379 400821 1955224 2193375 930084 840553 27609763 19847912 8464089 7761851 23603986 22919313 0 0 0 0 0 0 307118 790868 49133134 47926971 5117236 4265254 0 0 0 0 0 0 0 0 0 0 0 0 0 0 456322 393150 5573558 4658404 X 28352994 43268567 15206582 0 0 0 43559576 43268567 49133134 47926971 -79814 -211195 X false true X true false X 1687 669 971 2817 1060 7204 46748281 46952952 44221583 44141895 49573861 231638572 0 0 0 46749968 46953621 44222554 44144712 49574921 231645776 0 0 10675274 8847266 7381663 7774128 5636817 40315148 10675274 8847266 7381663 7774128 5636817 40315148 191330628 331117 230766 246218 328746 346203 1483050 0 331117 230766 246218 328746 346203 1483050 0 20500 3923 264952 701 364 290440 47101585 47188310 44733724 44474159 49921488 233419266 0.81969 0.79594 0.00635 0.00579 X false false false false false false false false true 6000 6000 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. IN ADDITION, THE COALITION IS INVOLVED IN OTHER MISCELLANEOUS PUBLIC RELATION ACTIVITIES. THE APPROXIMATE COSTS OF THIS SERVICE IS $6,000 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. 425219 425219 14014157 8781774 5232383 13064516 11066138 1998378 105871 105871 7761851 0 457(B) PLAN LIABILITIES 393150 393150 X 49351940 -211195 1864 -209331 49561271 79371 305922 385293 49946564 49642949 1864 1864 49641085 79371 305922 385293 50026378 Part X, line 2 INCOME TAXES HEARTLAND HAS RECEIVED A TAX DETERMINATION LETTER CONFIRMING THAT THE ORGANIZATION QUALIFIES AS A TAX-EXEMPT ORGANIZATIONS UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (CODE). MANAGEMENT BELIEVES THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE FINANCIAL STATEMENTS. HEARTLAND, WHILE GENERALLY EXEMPT FROM INCOME TAX, IS SUBJECT TO TAX ON INCOME UNRELATED TO THEIR EXEMPT PURPOSES, UNLESS THAT INCOME IS OTHERWISE EXCLUDED BY THE CODE. IN YEARS PRIOR TO 2014, HEARTLAND FILED BOTH FEDERAL AND STATE RETURNS TO REPORT A ZERO AMOUNT OF UNRELATED BUSINESS INCOME. MANAGEMENT HAS DETERMINED THAT THERE IS NO UNRELATED BUSINESS INCOME TO REPORT FOR HEARTLAND IN 2014 AND INCOME TAX RETURNS ARE NOT TO BE FILED. THEREFORE, AS THE STATUTE OF LIMITATIONS WILL REMAIN OPEN FOR RETURNS NOT FILED, TAX YEAR 2014 WILL REMAIN OPEN TO AUDIT FOR BOTH FEDERAL AND STATE PURPOSES. HEARTLAND 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, 2015 AND 2014. Part XI, Line 2D OTHER ADJUSTMENTS to Revenue Cost of Goods Sold 1,864 Part XI, Line 4B OTHER ADJUSTMENTS to Revenue Earned Discounts 146,293 Risk Retention Refund 152,863 Gain on Disposal of Assets 6,766 ----------- TOTAL 305,922 PART XII, LINE 2D OTHER ADJUSTMENTs to Expenses COST OF GOODS SOLD 1,864 Part XII, Line 4B OTHER ADJUSTMENTS to Expenses Earned Discounts 146,293 Risk Retention Refund 152,863 Gain on Disposal of Assets 6,766 ----------- TOTAL 305,922 true BloodCenter of Wisconsin Inc 638 NORTH 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) 20000 Central Indiana Regional Blood Center 3450 N Meridian St Indianapolis IN 46208 350991629 501(C)(3) 36000 Scholarships 4 Part I, Line 2 Procedure for Monitoring Use of Grant Funds Inside U.S. Heartland Blood Center provides grant assistance to BloodCenter Research Foundation, 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 false false false false false false true false Jacquelyn Fredrick President & CEO - As of 6/2015 0 579632 0 273266 0 23198 0 276016 0 1912 0 1154024 0 0 Dennis Mestrich CEO - Thru 2/2015 160790 0 0 0 341884 0 23711 0 17824 0 544209 0 0 0 Theresa Ainsworth CFO - Thru 1/2015 41573 0 0 0 208127 0 18935 0 7550 0 276185 0 0 0 Gilbert White MD Director - As of 4/2015 0 471804 0 79359 0 23735 0 25387 0 15294 0 615579 0 0 Kevin Konrad VP & COO - Thru 6/2015 215300 0 0 0 1875 0 18181 0 17749 0 253105 0 0 0 Michelle Robinson COO - As of 6/2015 176590 0 20000 0 252 0 4062 0 4565 0 205469 0 0 0 Sandi Lemons VP HR Services - As of 6/2015 103274 142793 24007 33193 361 498 11821 16344 8046 11127 147509 203955 0 0 Maureen Kwiecinski ASST CORP SEC. - As of 4/2015 48612 259641 12011 64152 2937 15691 5670 30281 1158 6192 70388 375957 0 0 Anthony Watkins Sr VP & CFO - As of 4/2015 44487 285532 13154 84426 1941 12459 2761 17723 3341 21442 65684 421582 0 0 Lynne Briggs VP Info Sv & Cio- as of 4/2015 37225 206236 8555 47390 361 2001 5275 29230 3682 20401 55098 305258 0 0 Margaret McElligott VP Quality Svcs - as of 4/2015 26135 167739 6510 41784 2835 18202 5400 34660 2827 18145 43707 280530 0 0 Dominique Bazile VP-Asst Med Dir - Thru 6/2015 143776 0 0 0 2872 0 17403 0 4031 0 168082 0 18426 0 Ann Lietz VP - Businesss Development 107098 103513 0 0 1000 966 6605 6345 4560 4381 119263 115205 0 0 Part I, Line 4a SEVERANCE PAYMENTS Two individuals left the organization and received severance payments in 2015. Due to confidentiality agreements, neither the names nor the amounts will be listed. They are included as other reportable compensation on Schedule J, part II, Column B(III). 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 Jacobson have a business relationship. Part VI, Section A, Line 4 Significant Changes to Governing Documents Within the bylaws, the sole corporate member changed from Versiti, Inc. to Bloodcenter of Wisconsin, Inc. Also, the number of required board members changed from not less than ten directors and not more than fifteen directors to not less than three directors. Part VI, SECTION A, Line 6 MEMBERS OR STOCKHOLDERS BLOODCENTER OF WISCONSIN, INC. (A 501(C)(3) ORGANIZATION) IS THE SOLE CORPORATE MEMBER. PART VI, SECTION A, LINES 7A AND 7B MEMBER OR STOCKHOLDER POWERS BLOODCENTER OF WISCONSIN, 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 DIRECTOR OF ACCOUNTING, 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) 11B 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) 09 VERSITI false BLOODCENTER RESEARCH FOUNDATION INC PO BOX 2178 638 NORTH 18TH MILWAUKEE WI 53201 391372542 Supporting WI 501(c)(3) 11B BLOODCENTER false CENTRAL INDIANA REGIONAL BLOOD CENTER 3450 NORTH MERIDIAN STREET INDIANAPOLIS IN 46208 350991629 BLOOD IN 501(C)(3) 09 VERSITI false false true false false false true true false false false false true true false true true true true false