VERSITI INDIANA INC: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- VERSITI INDIANA INC (EIN 35-0991629)
- Tax period
- 2015-01-01 to 2015-12-31
- Filed
- 2016-08-12
- IRS object ID
- 201622259349301867
- Schema version
- 2015v2.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-08-12T09:40:50-05:00 | ReturnTs |
| Tax Period End | 2015-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Grant Thornton LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 E Wisconsin Ave | AddressLine1Txt |
| City | Milwaukee | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53202 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 350991629 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Central Indiana Regional Blood Center | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % DEBRA QUALKENBUSH | InCareOfNm |
| Business Name Control | CENT | BusinessNameControlTxt |
| Phone | 3179165010 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3450 North Meridian Street | AddressLine1Txt |
| City | Indianapolis | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46208 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CHARLES MIRAGLIA MD | PersonNm |
| Person Title | President & CEO | PersonTitleTxt |
| Phone | 3179165010 | PhoneNum |
| Signature | 2016-08-11 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Daniel V Romano | PreparerPersonNm |
| PTIN | P00504182 | PTIN |
| Phone | 4142898200 | PhoneNum |
| Preparation | 2016-08-10 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2016-09-27 15:27:22Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Charles Miraglia MD | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3450 North Meridian Street | AddressLine1Txt |
| City | Indianapolis | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46208 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $60,799,554 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.indianablood.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1952 | FormationYr |
| Legal Domicile State | IN | LegalDomicileStateCd |
| Activity Or Mission | To provide a continuous, safe, and adequate supply of blood products and testing services first to our own communities, then wherever our products and services are needed. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 440 | TotalEmployeeCnt |
| Total Volunteers | 9 | TotalVolunteersCnt |
| Total Gross UBI | -$29,441 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$29,441 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $16,187 | PYContributionsGrantsAmt |
| CY Contributions Grants | $345,250 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $29,148,968 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $50,299,398 | CYProgramServiceRevenueAmt |
| PY Investment Income | $40,048 | PYInvestmentIncomeAmt |
| CY Investment Income | $729,823 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $29,205,203 | PYTotalRevenueAmt |
| CY Total Revenue | $51,374,471 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $25,002 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $50,004 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $13,844,706 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $23,268,114 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $16,988,874 | PYOtherExpensesAmt |
| CY Other Expenses | $30,060,419 | CYOtherExpensesAmt |
| PY Total Expenses | $30,858,582 | PYTotalExpensesAmt |
| CY Total Expenses | $53,378,537 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$1,653,379 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$2,004,066 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $40,933,582 | TotalAssetsBOYAmt |
| Total Assets EOY | $35,154,160 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $7,447,732 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $4,135,183 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $33,485,850 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $31,018,977 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | STEWARDS OF INDIANA'S BLOOD SUPPLY, LINKING VOLUNTEER DONORS TO HOOSIER PATIENTS IN NEED BY RECRUITING, COLLECTING, PROCESSING, TESTING, LABELING AND DISTRIBUTING BLOOD TO HOSPITALS EVERY DAY. A COMMUNITY BLOOD PROGRAM, SUPPLYING FIRST IN INDIANA THEN WHEREVER THE LIFE-SAVING RESOURCE IS NEEDED. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $29,195,311 | ExpenseAmt |
| Grant | $50,004 | GrantAmt |
| Revenue | $33,722,569 | RevenueAmt |
| Desc | The blood banking unit has accomplished a continuous, safe, and adequate supply of blood products by educating and recruiting blood donors, providing accessible donation sites, and ensuring a healthy donor is drawn. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $13,984,177 | ExpenseAmt |
| Revenue | $16,576,829 | RevenueAmt |
| Desc | The testing unit provides a safe supply of blood products by strict adherence to the FDA, CLIA, AABB, OSHA, GMP, Etc. Guidelines to release a completely safe product. On an on-going basis the unit updates reagents used to perform tests for viral markers. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $43,179,488 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (true) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | Yes (true) | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 41 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 440 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (true) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (true) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | IN | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DEBRA QUALKENBUSH | PersonNm |
| Phone | 3179165010 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3450 N MERIDIAN STREET | AddressLine1Txt |
| City | Indianapolis | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46208 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Gregory N Larkin MD | ||||||||||
| Director | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| James F Austin | ||||||||||
| Vice Chairman | 1.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||||
| E Randall Wright | ||||||||||
| Secretary | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| Timothy P Robinson JD | ||||||||||
| Treasurer | 1.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||||
| Nancy Ahlrichs | ||||||||||
| Director | 1.0 | Yes (X) | $0 | $0 | $0 | |||||
| Connie Danielson MD | ||||||||||
| Director | 1.0 | Yes (X) | $0 | $0 | $0 | |||||
| John Myrland | ||||||||||
| Director | 1.0 | Yes (X) | $0 | $0 | $0 | |||||
| James L Rice | ||||||||||
| Director | 1.0 | Yes (X) | $0 | $0 | $0 | |||||
| L Alan Whaley | ||||||||||
| Chairman | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| Charles Miraglia MD | ||||||||||
| CEO/President - As of 10/2015 | 55.0 | Yes (X) | $70,653 | $0 | $5,543 | Yes (X) | ||||
| Dan Waxman MD | ||||||||||
| Chief Medical Officer/EVP | 55.0 | $407,488 | $0 | $45,075 | Yes (X) | |||||
| Lora Poore | ||||||||||
| VP Labratory Services | 55.0 | $221,083 | $0 | $21,838 | Yes (X) | |||||
| Wendy Mehringer | ||||||||||
| VP Blood Services | 55.0 | $214,100 | $0 | $25,323 | Yes (X) | |||||
| Anthony Watkins | ||||||||||
| Sr VP & CFO | 5.0 | 55.0 | $42,255 | $399,744 | $45,267 | Yes (X) | ||||
| Maureen Kwiecinski | ||||||||||
| asst corporate secretary | 5.0 | 50.0 | $38,572 | $364,472 | $43,301 | Yes (X) | ||||
| Margaret McElligott | ||||||||||
| VP Quality Services | 5.0 | 50.0 | $25,163 | $238,042 | $61,032 | Yes (X) | ||||
| Sandi Lemons | ||||||||||
| VP Human Resouce Services | 4.0 | 51.0 | $21,137 | $282,989 | $47,338 | Yes (X) | ||||
| Lynne Briggs | ||||||||||
| VP Information Svcs & CIO | 4.0 | 51.0 | $17,291 | $284,477 | $58,588 | Yes (X) | ||||
| Tim Bryant | ||||||||||
| CIO/VP - Thru 2/2015 | 55.0 | $261,473 | $0 | $7,704 | Yes (X) | |||||
| Julie Cruz MD | ||||||||||
| Assistant Medical Director | 35.0 | 20.0 | $157,847 | $88,845 | $16,187 | Yes (X) | ||||
| Dipak Shah | ||||||||||
| Director of Donor Testing Lab | 55.0 | $135,017 | $0 | $22,906 | Yes (X) | |||||
| Debra Qualkenbush | ||||||||||
| Director Accounting | 55.0 | $107,282 | $0 | $11,980 | Yes (X) | |||||
| Beth Hughes | ||||||||||
| Director of QA | 55.0 | $103,905 | $0 | $23,070 | Yes (X) | |||||
| Jeremy Watson | ||||||||||
| Director of Donor Recruitment | 55.0 | $102,043 | $0 | $4,390 | Yes (X) | |||||
| Linda White | ||||||||||
| Director of Clinical Services | 55.0 | $100,769 | $0 | $31,063 | Yes (X) | |||||
| Byron B Buhner | ||||||||||
| Former CEO/President | $117,974 | $0 | $0 | Yes (X) | ||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,144,052 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,658,569 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $470,605 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 21 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (4 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| NOW Courier | |||||
| 111 E McCarty | INDIANAPOLIS | IN | 46225 | Delivery | $704,433 |
| Velox Express | |||||
| 243 S Madison Ave | GREENWOOD | IN | 46142 | Delivery | $291,710 |
| Team MJV | |||||
| 115 farabee Drive | LAFAYETTE | IN | 47905 | Cleaning | $170,308 |
| BE Smith | |||||
| 8801 Renner Avenue Suite 200 | LENEXA | MO | 66219 | Employee Recruitment | $117,046 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 4 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $200,000 | RelatedOrganizationsAmt |
| All Other Contributions | $145,250 | AllOtherContributionsAmt |
| Total Contributions | $345,250 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| BLOOD BANKING FEES | 900099 | $33,674,453 | $33,674,453 |
| TESTING SERVICE FEES | 621500 | $16,576,829 | $16,576,829 |
| MISCELLANEOUS INCOME | 900099 | $48,116 | $48,116 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $50,299,398 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $392,738 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | -$29,441 | UnrelatedBusinessRevenueAmt |
| Exclusion | $422,179 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $9,760,168 | SecuritiesAmt |
| Other | $2,000 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $9,418,695 | SecuritiesAmt |
| Other | $6,388 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $341,473 | SecuritiesAmt |
| Other | -$4,388 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $337,085 | TotalRevenueColumnAmt |
| Exclusion | $337,085 | ExclusionAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $51,374,471 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $50,299,398 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | -$29,441 | UnrelatedBusinessRevenueAmt |
| Exclusion | $759,264 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $50,004 | TotalAmt |
| Program Services | $50,004 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,613,856 | TotalAmt |
| Program Services | $1,160,646 | ProgramServicesAmt |
| Management And General | $453,210 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,407,761 | TotalAmt |
| Program Services | $11,800,063 | ProgramServicesAmt |
| Management And General | $4,607,698 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $521,541 | TotalAmt |
| Program Services | $375,080 | ProgramServicesAmt |
| Management And General | $146,461 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,466,940 | TotalAmt |
| Program Services | $2,933,629 | ProgramServicesAmt |
| Management And General | $533,311 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,258,016 | TotalAmt |
| Program Services | $930,963 | ProgramServicesAmt |
| Management And General | $327,053 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $60,937 | TotalAmt |
| Management And General | $60,937 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $119,209 | TotalAmt |
| Management And General | $119,209 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $60,651 | TotalAmt |
| Management And General | $60,651 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,060,918 | TotalAmt |
| Program Services | $311,700 | ProgramServicesAmt |
| Management And General | $749,218 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $372,613 | TotalAmt |
| Program Services | $304,893 | ProgramServicesAmt |
| Management And General | $67,720 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,100,099 | TotalAmt |
| Program Services | $619,199 | ProgramServicesAmt |
| Management And General | $480,900 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $778,605 | TotalAmt |
| Program Services | $534,249 | ProgramServicesAmt |
| Management And General | $244,356 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,955,798 | TotalAmt |
| Program Services | $1,322,522 | ProgramServicesAmt |
| Management And General | $633,276 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $631,488 | TotalAmt |
| Program Services | $549,097 | ProgramServicesAmt |
| Management And General | $82,391 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $338 | TotalAmt |
| Management And General | $338 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,881,565 | TotalAmt |
| Program Services | $961,949 | ProgramServicesAmt |
| Management And General | $919,616 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $321,184 | TotalAmt |
| Management And General | $321,184 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| TECHNICAL SUPPLIES | $19,477,641 | $19,242,369 | $235,272 |
| DELIVERY SERVICES | $1,167,665 | $1,166,970 | $695 |
| DONOR EDUCATION/RECRUITMENT | $747,405 | $747,095 | $310 |
| DUES | $238,645 | $129,598 | $109,047 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $85,658 | TotalAmt |
| Program Services | $39,462 | ProgramServicesAmt |
| Management And General | $46,196 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $53,378,537 | TotalAmt |
| Program Services | $43,179,488 | ProgramServicesAmt |
| Management And General | $10,199,049 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $500 | BOYAmt |
| EOY | $500 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,235,528 | BOYAmt |
| EOY | $4,687,390 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,459,632 | BOYAmt |
| EOY | $5,791,088 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,080,930 | BOYAmt |
| EOY | $1,928,586 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,090,985 | BOYAmt |
| EOY | $673,383 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $35,164,818 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $26,214,651 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,448,149 | BOYAmt |
| EOY | $8,950,167 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,743,998 | BOYAmt |
| EOY | $12,367,167 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $404,544 | BOYAmt |
| EOY | $286,496 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $469,316 | BOYAmt |
| EOY | $469,383 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,933,582 | BOYAmt |
| EOY | $35,154,160 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,447,732 | BOYAmt |
| EOY | $4,135,183 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,447,732 | BOYAmt |
| EOY | $4,135,183 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,397,060 | BOYAmt |
| EOY | $30,623,370 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,683 | BOYAmt |
| EOY | $335,390 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $60,107 | BOYAmt |
| EOY | $60,217 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,485,850 | BOYAmt |
| EOY | $31,018,977 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,933,582 | BOYAmt |
| EOY | $35,154,160 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$2,004,066 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$484,839 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $22,032 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $69,969 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $85,941 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $125,555 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $16,187 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $345,250 | CurrentTaxYearAmt |
| Total | $642,902 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $63,865,634 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $63,098,734 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $60,480,117 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $29,148,968 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $50,299,398 | CurrentTaxYearAmt |
| Total | $266,892,851 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $63,935,603 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $63,184,675 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $60,605,672 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $29,165,155 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $50,644,648 | CurrentTaxYearAmt |
| Total | $267,535,753 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $34,770,853 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $33,642,144 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $32,113,792 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $16,021,273 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $26,560,237 | CurrentTaxYearAmt |
| Total | $143,108,299 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $34,770,853 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $33,642,144 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $32,113,792 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $16,021,273 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $26,560,237 | CurrentTaxYearAmt |
| Total | $143,108,299 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $124,427,454 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $269,099 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $340,997 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $358,869 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $226,164 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $422,179 | CurrentTaxYearAmt |
| Total | $1,617,308 | TotalAmt |
Post1975 UBTI Post1975UBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $269,099 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $340,997 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $358,869 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $226,164 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $422,179 | CurrentTaxYearAmt |
| Total | $1,617,308 | TotalAmt |
Net Income From Other UBI NetIncomeFromOtherUBIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $64,204,702 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $63,525,672 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $60,964,541 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $29,391,319 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $51,066,827 | CurrentTaxYearAmt |
| Total | $269,153,061 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.46229 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99520 | PublicSupportPY509Pct |
| Investment Income CY | 0.00601 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00480 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part III | FormAndLineReferenceDesc |
| Explanation | Public Support Test Calculation The filing organization has made some modifications to methodology for calculating the Part III public support percentage. Central Indiana Regional Blood Center has various contracts in place with hospitals that enable those hospitals to have the necessary blood product supplies on hand. However, due to various regulatory limitations the filing organization is not permitted to bill the hospital patients directly for these blood products. In order to clearly reflect the agency relationship with the hospitals, historical contracts have been and will continue to be revised to clarify that the patient is the actual consumer of these blood products. | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $60,107 | BeginningYearBalanceAmt |
| Contributions | $110 | ContributionsAmt |
| End Year Balance | $60,217 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $60,016 | BeginningYearBalanceAmt |
| Contributions | $91 | ContributionsAmt |
| End Year Balance | $60,107 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $59,834 | BeginningYearBalanceAmt |
| Contributions | $182 | ContributionsAmt |
| End Year Balance | $60,016 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $59,552 | BeginningYearBalanceAmt |
| Contributions | $282 | ContributionsAmt |
| End Year Balance | $59,834 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $59,296 | BeginningYearBalanceAmt |
| Contributions | $256 | ContributionsAmt |
| End Year Balance | $59,552 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,380,724 | OtherCostOrOtherBasisAmt |
| Book Value | $1,380,724 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $18,494,455 | OtherCostOrOtherBasisAmt |
| Depreciation | $12,841,069 | DepreciationAmt |
| Book Value | $5,653,386 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $16,245 | OtherCostOrOtherBasisAmt |
| Depreciation | $16,245 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $14,087,558 | OtherCostOrOtherBasisAmt |
| Depreciation | $12,737,498 | DepreciationAmt |
| Book Value | $1,350,060 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,185,836 | OtherCostOrOtherBasisAmt |
| Depreciation | $619,839 | DepreciationAmt |
| Book Value | $565,997 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $8,950,167 | TotalBookValueLandBuildingsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
| Total Liability | $0 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $50,894,020 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$484,839 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | -$484,839 | RevenueNotReportedAmt |
| Revenue Subtotal | $51,378,859 | RevenueSubtotalAmt |
| Other Revenues Not Included | -$4,388 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | -$4,388 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $51,374,471 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $53,360,893 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | -$17,644 | OtherExpensesIncludedAmt |
| Expenses Not Reported | -$17,644 | ExpensesNotReportedAmt |
| Expenses Subtotal | $53,378,537 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $53,378,537 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part V | Endowments The intended use of the organization's endowment funds is to perpetuate the mission of Central Indiana Regional Blood Center. |
| Part X | Income Taxes The Organization has received a tax determination letter confirming that the Organization qualifies as a tax exempt organization 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. The Organization, 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, the Organization filed federal unrelated business income tax returns to report a zero amount of unrelated business income. In 2014, the Organization filed a federal return to report an unrelated business loss. 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 year ended December 31, 2015. |
| Part XI, Line 4b | Reconciliation of Revenue Loss on asset sale ($4,388) Part XII, Line 2d Reconciliation of Expenses Loss on Asset Sale $4,388 Gain on Employee Benefit Trust ($22,032) ----------- Total ($17,644) |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| Indiana University | |||||||
| 420 University Blvd | Indianapolis | IN | 46202 | 356001673 | 501(c)(3) | $7,425 | Scholarships |
| Purdue University | |||||||
| 610 Purdue Mall | West Lafayette | IN | 47907 | 356002041 | 501(c)(3) | $5,445 | Scholarships |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 2 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 2 | FormAndLineReferenceDesc |
| Explanation | Grants Once a high school student qualifies and is selected to be a recipient of a scholarship, paperwork is submitted to the Blood Center that details the Indiana college of choice the student will attend in the fall to begin their freshman year. The funding of the scholarships is paid and mailed directly to the Bursar office of each Indiana college selected by the student. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Byron B Buhner | ||||||||||||||
| Former CEO/President | $0 | $0 | $0 | $0 | $117,974 | $0 | $0 | $0 | $0 | $0 | $117,974 | $0 | $117,974 | $0 |
| Dan Waxman MD | ||||||||||||||
| Chief Medical Officer/EVP | $358,821 | $0 | $36,667 | $0 | $12,000 | $0 | $14,381 | $0 | $30,694 | $0 | $452,563 | $0 | $0 | $0 |
| Tim Bryant | ||||||||||||||
| CIO/VP - Thru 2/2015 | $18,077 | $0 | $30,000 | $0 | $213,396 | $0 | $3,038 | $0 | $4,666 | $0 | $269,177 | $0 | $18,771 | $0 |
| Lora Poore | ||||||||||||||
| VP Labratory Services | $184,416 | $0 | $36,667 | $0 | $0 | $0 | $6,535 | $0 | $15,303 | $0 | $242,921 | $0 | $0 | $0 |
| Wendy Mehringer | ||||||||||||||
| VP Blood Services | $177,433 | $0 | $36,667 | $0 | $0 | $0 | $8,907 | $0 | $16,416 | $0 | $239,423 | $0 | $0 | $0 |
| Anthony Watkins | ||||||||||||||
| Sr VP & CFO | $31,550 | $298,469 | $9,328 | $88,252 | $1,377 | $13,023 | $1,958 | $18,526 | $2,369 | $22,414 | $46,582 | $440,684 | $0 | $0 |
| Maureen Kwiecinski | ||||||||||||||
| asst corporate secretary | $29,500 | $278,753 | $7,289 | $68,874 | $1,783 | $16,845 | $3,440 | $32,511 | $704 | $6,646 | $42,716 | $403,629 | $0 | $0 |
| Margaret McElligott | ||||||||||||||
| VP Quality Services | $18,535 | $175,339 | $4,617 | $43,677 | $2,011 | $19,026 | $3,830 | $36,230 | $2,005 | $18,967 | $30,998 | $293,239 | $0 | $0 |
| Sandi Lemons | ||||||||||||||
| VP Human Resouce Services | $17,102 | $228,965 | $3,976 | $53,224 | $59 | $800 | $1,958 | $26,207 | $1,333 | $17,840 | $24,428 | $327,036 | $0 | $0 |
| Lynne Briggs | ||||||||||||||
| VP Information Svcs & CIO | $13,950 | $229,511 | $3,206 | $52,739 | $135 | $2,227 | $1,977 | $32,528 | $1,379 | $22,704 | $20,647 | $339,709 | $0 | $0 |
| Julie Cruz MD | ||||||||||||||
| Assistant Medical Director | $134,385 | $75,640 | $23,462 | $13,205 | $0 | $0 | $4,704 | $2,647 | $5,654 | $3,182 | $168,205 | $94,674 | $0 | $0 |
| Dipak Shah | ||||||||||||||
| Director of Donor Testing Lab | $135,017 | $0 | $0 | $0 | $0 | $0 | $5,435 | $0 | $17,471 | $0 | $157,923 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Severance Payment | Part I, Line 4A An individual left the organization and received severance payment in 2015. Due to a confidentality agreement, neither the name nor the amount will be listed. It is included in Schedule J, part II, Column B(III). |
| Supplemental nonqualified retirement plan | Part I, LIne 4B TO ENSURE BLOODCENTER OF WISCONSIN, INC. and its affiliates ACHIEVES their MISSIONs, IT IS ESSENTIAL TO ATTRACT LEADING EXPERTS IN TRANSFUSION MEDICINE, SCIENCE AND BUSINESS BY PAYING COMPETITIVE SALARIES AND BENEFITS. BLOODCENTER OF WISCONSIN, INC., Versiti, inc., and the affiliates' BOARD OF DIRECTORS FOLLOW NOT-FOR-PROFIT BEST PRACTICES BY HIRING AN INDEPENDENT COMPENSATION CONSULTANT TO ANNUALLY REVIEW THE OVERALL EXECUTIVE COMPENSATION PROGRAMS. Bryon Buhner and Tim Bryant PARTICIPATED IN A Section 457(f) plan. THE AMOUNTS paid out DURING 2015 were as follows: Bryon Buhner: $117,974 Tim Bryant: $ 18,771 |
| Non-Fixed Payments | Part I, Line 7 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. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Terumo BCT | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | Common ODTKE | RelationshipDescriptionTxt |
| Transaction | $2,721,358 | TransactionAmt |
| Transaction | Vendor | TransactionDesc |
| Sharing Of Revenues | false | SharingOfRevenuesInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART IV, COLUMN B | FormAndLineReferenceDesc |
| Explanation | BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS DAN WAXMAN, CHIEF MEDICAL OFFICER, IS A CONSULTANT FOR TERUMO BCT, A VENDOR THAT THE BLOOD CENTER PURCHASES DONOR KITS FROM. IBC PURCHASES, THROUGH A BUYING GROUP, PRODUCTS FROM TERUMO BCT. THE BUYING GROUP PLACES PRICE CONSIDERATIONS IN THE HANDS OF THE EMPLOYEES OF THE BUYING GROUP AND THE EXECUTIVE STAFF OF IBC. THE ACTUAL DECISION TO PURCHASE FROM TERUMO AND THE VOLUME OF THOSE PURCHASES IS A COLLABORATIVE EFFORT BY IBC STAFF OTHER THAN D. WAXMAN. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part VI, Section A, Line 4 | Significant Changes to Governing Documents The filing organization's bylaws were amended on January 1, 2015 to appoint Versiti as the sole corporate member. Part VI, Section A, Line 6 Members or Stockholders VERSITI (A 501(C)(3) ORGANIZATION) IS THE SOLE CORPORATE MEMBER. |
| Part VI, Section A, Lines 7a And 7B | Member or Stockholder Powers VERSITI HAS RESERVE POWERS; INCLUDING THE ABILITY TO ELECT A MAJORITY OF DIRECTORS. |
| Part VI, Section B, Line 11b | Form 990 Review Central Indiana Regional Blood Center utilizes Grant Thornton LLP to complete the IRS Form 990 and related schedules. Following completion, they are reviewed by the Controller and CFO of Versiti. 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 CENTRAL INDIANA REGIONAL BLOOD CENTER 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 BLOODCENTER OF WISCONSIN. WHETHER THEY RECEIVED COMPENSATION FROM ANY ORGANIZATION THAT SHARES COMMON OWNERSHIP OR CONTROL WITH BLOODCENTER OF WISCONSIN. 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 BLOODCENTER OF WISCONSIN. 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 CENTRAL INDIANA REGIONAL BLOOD CENTER. 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 CENTRAL INDIANA REGIONAL BLOOD CENTER 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 CENTRAL INDIANA REGIONAL BLOOD CENTER 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 CENTRAL INDIANA REGIONAL BLOOD CENTER 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/CENTRAL INDIANA REGIONAL BLOOD CENTER 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/CENTRAL INDIANA REGIONAL BLOOD CENTER CEO REVIEWS THE PERFORMANCE AND THE ACHIEVEMENT OF INDIVIDUAL GOALS AND OBJECTIVES OFEACH VERSITI/CENTRAL INDIANA REGIONAL BLOOD CENTER CORPORATE OFFICER. THE VERSITI/CENTRAL INDIANA REGIONAL BLOOD CENTER 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's governing documents, conflict of interest policy, and financial statements are available upon request. 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. Part XI, Line 9 Other Changes in Net Assets Gain on Employee benefit Trust ($22,032) |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Versiti Inc | ||||||||||
| PO Box 2178 638 North 18th | 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 |
| Aurora Area Blood Bank DBA Heartland | ||||||||||
| 1200 N Highland Avenue | Aurora | IL | 60506 | 362179768 | Blood | IL | 501(C)(3) | 09 | BLOODCENTER | false |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | Yes (true) | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | Yes (true) | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
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