VERSITI ILLINOIS INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
VERSITI ILLINOIS INC (EIN 36-2179768)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-08
IRS object ID
201303129349302130
Schema version
2012v2.1
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-11-08T15:47:12-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN390758449EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1WIPFLI LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 5407AddressLine1
CityROCKFORDCity
StateILState
ZIP Code611250407ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN362179768EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1AURORA AREA BLOOD BANK DBABusinessNameLine1
Business Name Line2HEARTLAND BLOOD CENTERSBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlAURONameControl
Phone6308927055Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11200 N HIGHLAND AVENUEAddressLine1
CityAURORACity
StateILState
ZIP Code60506ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMR DENNIS MESTRICHName
TitlePRESIDENTTitle
Phone6308927055Phone
Date Signed2013-11-08DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameRONALD A RUDOLPHName
PTINP00231285PTIN
Phone8153997700Phone
Date Prepared2013-10-25DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1HEARTLAND BLOOD CENTERSBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonMR DENNIS MESTRICHNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11200 N HIGHLAND AVENUEAddressLine1
CityAURORACity
StateILState
ZIP Code60506ZIPCode
FieldValueIRS element (for citing)
Gross Receipts47188309GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.HEARTLANDBC.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1943YearFormation
State Legal DomicileILStateLegalDomicile
Activity Or Mission DescriptionTO SERVE HOSPITALS BY RECRUITING VOLUNTEER DONORS, COLLECTING, PROCESSING, TESTING, AND DISTRIBUTING BLOOD AND BLOOD COMPONENTS.ActivityOrMissionDescription
Nbr Voting Members Governing Body13NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees539TotalNbrEmployees
Total Nbr Volunteers13TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1687ContributionsGrantsPriorYear
Contributions Grants Current Year669ContributionsGrantsCurrentYear
Program Service Revenue Prior Year46523878ProgramServiceRevenuePriorYear
Program Service Revenue CY46661186ProgramServiceRevenueCY
Investment Income Prior Year324972InvestmentIncomePriorYear
Investment Income Current Year208361InvestmentIncomeCurrentYear
Other Revenue Prior Year244903OtherRevenuePriorYear
Other Revenue Current Year294341OtherRevenueCurrentYear
Total Revenue Prior Year47095440TotalRevenuePriorYear
Total Revenue Current Year47164557TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY20000GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year20125539SalariesEtcPriorYear
Salaries Etc Current Year20751018SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year21499276OtherExpensePriorYear
Other Expenses Current Year24054395OtherExpensesCurrentYear
Total Expenses Prior Year41624815TotalExpensesPriorYear
Total Expenses Current Year44825413TotalExpensesCurrentYear
Revenues Less Expenses Prior Year5470625RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2339144RevenuesLessExpensesCY
Total Assets BOY42663413TotalAssetsBOY
Total Assets EOY45558012TotalAssetsEOY
Total Liabilities BOY3849210TotalLiabilitiesBOY
Total Liabilities EOY3842437TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY38814203NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY41715575NetAssetsOrFundBalancesEOY
Mission DescriptionOUR 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.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense36742525Expense
Grants20000Grants
Revenue46955527Revenue
DescriptionCOLLECT, TEST, PROCESS AND DISTRIBUTE BLOOD AND BLOOD COMPONENTS TO OVER 38 AREA HOSPITALS. HEARTLAND WORKS TOWARD COLLECTING MORE THAN 172,000 UNITS OF BLOOD ANNUALLY.Description
Total Program Service Expense36742525TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109635NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees539NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members13NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs1ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledILStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1JOANNA MCCOYBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number6308013147TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11200 N HIGHLAND AVEAddressLine1
CityAURORACity
StateILState
ZIP Code60506ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (22 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
DR RICK ANDERSON MD
CHAIRMAN0.50XX000
DR ANTOINETTE SPERELAKIS MD
VICE CHAIR0.50XX000
MR ROBERT BONIFAS
SECRETARY/TREASURER0.50XX000
DR FARRUKH AIJAZ MD
DIRECTOR0.50X000
DR PHILLIP DECHRISTOPHER MD PHD
DIRECTOR0.50X000
DR WILLIAM GIBBONS MD
DIRECTOR0.50X000
DR GLORIA MA MD
DIRECTOR0.50X000
DR ROBERT J POOLEY JR MD
DIRECTOR0.50X000
DR KRISHNA REDDY MD
DIRECTOR0.50X000
MR DOUG REIFSTECK
DIRECTOR0.50X000
MR ARIST SGOUROUDIS
DIRECTOR0.50X000
MR JAY WAGNER
DIRECTOR0.50X000
MR THOMAS WRIGHT
DIRECTOR0.50X000
DENNIS MESTRICH
CEO40.00X278702039370
KEVIN KONRAD
VICE PRESIDENT & COO40.00X185914017585
THERESA AINSWORTH
CHIEF FINANCIAL OFFICER40.00X155263025124
DR DOMINIQUE BAZILE
VP - ASST MEDICAL DIRECTOR40.00182930028693X
ROBERT SCARLETT
VP OF ORGANIZATIONAL DEVEL40.00154794013193X
ANN MCKANNA
VP OF MARKETING & BUSINESS40.0012911707418X
STEVEN MITZELFELT
VP - QA DIRECTOR40.00133896027046X
JAMES FRANK
DIRECTOR- IS40.00108440032279X
DOUGLAS WINSOR
DIRECTOR, HOSPITAL SERVICES40.00100014016149X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1429070TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation206857TotalOtherCompensation
Number Individuals GT100 K9NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
PRICEWATERHOUSECOOPERS LLC
PO BOX 75647CHICAGOIL60675ACCOUNTING SERVICES231500
MEDIWARE
11711 WEST 79TH STLENEXAKS62214SOFTWARE MAINTENANCE PROVIDER195401
ZONES
PO BOX 34740SEATTLEWA98124COMPUTER SUPPLIES/MAINT119438
US MESSENGER & LOGISTICS
7790 QUINCY STREETWILLOWBROOKIL60527DELIVERY SERIVES111718
WALLEY'S PRINTING
969 N FARNWORTH AVEAURORAIL60505PRINTING/MAILING SERVICES FOR RECRUITMEN104542
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
All Other Contributions669AllOtherContributions
Total Contributions669TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionBLOOD BANK REVENUEDescription
Business Code621500BusinessCode
Total Revenue Column46661186TotalRevenueColumn
Related Or Exempt Function Income46661186RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue46661186TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column230766TotalRevenueColumn
Exclusion$230,766ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other22405Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-22405Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-22405TotalRevenueColumn
Exclusion-$22,405ExclusionAmount
FieldValueIRS element (for citing)
Gross Sales Of Inventory67912GrossSalesOfInventory
Cost Of Goods Sold1347CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column66565TotalRevenueColumn
Related Or Exempt Function Income66565RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
EARNED DISCOUNTS621500119346119346
RISK RETENTION REFUND621500104507104507
MISCELLANEOUS62150039233923
FieldValueIRS element (for citing)
Total Other Revenue227776TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column47164557TotalRevenueColumn
Related Or Exempt Function Income46955527RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$208,361ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total20000Total
Program Services20000ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total701958Total
Management And General701958ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total15577854Total
Program Services14589102ProgramServices
Management And General988752ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total632658Total
Program Services579891ProgramServices
Management And General52767ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2716369Total
Program Services1948675ProgramServices
Management And General767694ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1122179Total
Program Services1032071ProgramServices
Management And General90108ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total326358Total
Management And General326358ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total262240Total
Management And General262240ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total77268Total
Management And General77268ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total1442463Total
Program Services1442463ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total387672Total
Program Services18697ProgramServices
Management And General368975ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total411614Total
Management And General411614ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1506311Total
Management And General1506311ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total804389Total
Program Services804293ProgramServices
Management And General96ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total46569Total
Program Services5000ProgramServices
Management And General41569ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1459476Total
Management And General1459476ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total242251Total
Management And General242251ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BLOOD, COMPONENTS AND S163324311630178930642
EQUIPMENT RENTAL & MAIN580168580168
SMALL EQUIP PURCHASES105362105362
PROGRAM DUES, LICENSE,6982354469279

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total44825413Total
Program Services36742525ProgramServices
Management And General8082888ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1000BOY
EOY1001EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY5329415BOY
EOY8172159EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY4669104BOY
EOY4476444EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY264785BOY
EOY185565EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY2775453BOY
EOY2107063EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1483205BOY
EOY1019017EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis26697638LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec16808286LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY9527109BOY
EOY9889352EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY18307271BOY
EOY19486922EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY306071BOY
EOY220489EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY42663413BOY
EOY45558012EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY3849210BOY
EOY3842437EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY3849210BOY
EOY3842437EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY38814203BOY
EOY26618692EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
EOY15096883EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY38814203BOY
EOY41715575EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY42663413BOY
EOY45558012EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses2339144ReconcilationRevenueExpenses
Reconciliation Unrealized Invest562228ReconciliationUnrealizedInvest
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years27870CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years26635CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3258CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1687CurrentTaxYearMinus1Year
Current Tax Year669CurrentTaxYear
Total60119Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years41942880CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years44731894CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years44009892CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year46748281CurrentTaxYearMinus1Year
Current Tax Year46952952CurrentTaxYear
Total224385899Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years41970750CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years44758529CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years44013150CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year46749968CurrentTaxYearMinus1Year
Current Tax Year46953621CurrentTaxYear
Total224446018Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10969860CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12260508CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10153077CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10675274CurrentTaxYearMinus1Year
Current Tax Year8847266CurrentTaxYear
Total52905985Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10969860CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12260508CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10153077CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10675274CurrentTaxYearMinus1Year
Current Tax Year8847266CurrentTaxYear
Total52905985Total
FieldValueIRS element (for citing)
Public Support Total509171540033PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years417471CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years278845CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years182567CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year331117CurrentTaxYearMinus1Year
Current Tax Year230766CurrentTaxYear
Total1440766Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years417471CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years278845CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years182567CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year331117CurrentTaxYearMinus1Year
Current Tax Year230766CurrentTaxYear
Total1440766Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2090CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1829CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years27572CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year20500CurrentTaxYearMinus1Year
Current Tax Year3923CurrentTaxYear
Total55914Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years42390311CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years45039203CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years44223289CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year47101585CurrentTaxYearMinus1Year
Current Tax Year47188310CurrentTaxYear
Total225942698Total
FieldValueIRS element (for citing)
Public Support Percentage5090.75920PublicSupportPercentage509
Prior Year Support Percentage0.72740PriorYearSupportPercentage
Investment Income Percentage0.00640InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00730PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$6,000OtherActivitiesAmount
Total Lobbying Expenditures IIB6000TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1:ReturnReference
ExplanationIN 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 COALITION'S 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. THE ORGANIZATION ALSO PAYS DUES TO THE AMERICAS BLOOD CENTERS WHICH ONE PERCENT OR $448 WENT TOWARDS LOBBING ACTIVITIES.Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis425219OtherCostOrOtherBasis
Book Value425219BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis13727343OtherCostOrOtherBasis
Depreciation7253773Depreciation
Book Value6473570BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis12545076OtherCostOrOtherBasis
Depreciation9554513Depreciation
Book Value2990563BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings9889352TotalOfBookValueLandBuildings
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt47749189TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments562227NetUnrealizedGainsInvestments
Revenue Not Rptd F990562227RevenueNotRptdF990
Revenue Subtotal47186962RevenueSubtotal
Other Revenues Not Included-22405OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt-22405RevenueNotRptdOnFinStmt
Total Revenue Per Form99047164557TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt44847818TotExpensesEtcAuditedFinclStmt
Other Expenses Included22405OtherExpensesIncluded
Expenses Not Rptd F99022405ExpensesNotRptdF990
Expenses Subtotal44825413ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99044825413TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X, LINE 2:NO PROVISION FOR INCOME TAXES HAS BEEN MADE IN THE ACCOMPANYING FINANCIAL STATEMENTS.
PART XI, LINE 4B - OTHER ADJUSTMENTS:RECLASS LOSS ON DISPOSAL OF ASSETS -22,405.
PART XII, LINE 2D - OTHER ADJUSTMENTS:RECLASS LOSS ON DISPOSAL OF ASSETS 22,405.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1THE LEUKEMIA & LYMPHOMA SOCIETY INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11311 MAMARONEK AVE SUITE 310AddressLine1
CityWHITE PLAINSCity
StateNYState
ZIP Code10605ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient135644916EINOfRecipient
IRC Section501(C)(3)IRCSection
Amount Of Cash Grant20000AmountOfCashGrant
Purpose Of GrantTO CONTRIBUTE TO THEIR MISSIONPurposeOfGrant

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (6 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
DENNIS MESTRICH
CEO27870200000229790163910318072000
KEVIN KONRAD
VICE PRESIDENT & COO185914000001694706380203499000
THERESA AINSWORTH
CHIEF FINANCIAL OFFICER1552630000016953081710180387000
DR DOMINIQUE BAZILE
VP - ASST MEDICAL DIRECTOR1829300000021655070380211623000
ROBERT SCARLETT
VP OF ORGANIZATIONAL DEVEL1547940000011710014830167987000
STEVEN MITZELFELT
VP - QA DIRECTOR1338960000089510180950160942000

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1ROBERT BONIFASBusinessNameLine1
FieldValueIRS element (for citing)
RelationshipOWNS ALARM DETECTION SYSTEMSRelationship
Amount Of Transaction35099AmountOfTransaction
Description Of TransactionPROVIDED ALARM SERVICE MONITORINGDescriptionOfTransaction
Sharing Of Revenues0SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION A, LINE 4EFFECTIVE DECEMBER 31, 2012 THE ORGANIZATION ENTERED INTO AN AFFILIATION AGREEMENT WITH THE CENTER FOR TRANSFUSION AND TRANSPLANT MEDICINE, INC. (CENTER), AND THE BLOODCENTER OF WISCONSIN, INC. (BCW), BOTH CORPORATIONS FORMED UNDER THE WISCONSIN NONSTOCK CORPORATION LAW. THE GENERAL PURPOSE OF THE AFFILIATION IS TO PROMOTE INCREASED QUALITY OF SERVICE, REDUCED OPERATIONAL COSTS, MORE EFFICIENT DELIVERY OF BLOOD SERVICES, COLLABORATION ON INNOVATIONS IN TRANSFUSION MEDICINE SERVICES, AND OTHER SIGNIFICANT BENEFITS FOR THE COMMUNITIES THEY CURRENTLY SERVE. THE PARTIES SEEK TO CREATE A FULLY INTEGRATED TRANSFUSION MEDICINE OPERATION PROVIDING SUPERIOR VALUE AND COMPREHENSIVE TRANSFUSION MEDICINE SERVICE, CREATING A PLATFORM FOR FUTURES ALLIANCES WITH OTHER BLOOD CENTERS. THE ORGANIZATIONS INTEND TO INTEGRATE VARIOUS PROGRAMS AND SERVICES INCLUDING FINANCE AND ACCOUNTING, LEGAL COMPLIANCE, QUALITY CONTROL, BLOOD OPERATIONS AND DONOR TESTING, MEDICAL/PROFESSIONAL SERVICES, INFORMATION TECHNOLOGY, AND STRATEGIC MARKETING. THE BYLAWS OF ALL THREE ENTITIES WERE RESTATED. AS OF DECEMBER 31, 2012, NO FINANCIAL TRANSACTIONS WERE MADE BETWEEN THE AFFILIATES. SUBSEQUENT TO YEAR END, CENTERS SHARED GOVERNANCE/INTEGRATION COMMITTEE (A COMMITTEE OF CENTERS BOARD OF DIRECTORS) AND THE STRATEGIC ALLIANCE SHARED OPERATIONAL COMMITTEES WILL BE FORMED TO OVERSEE THE INTEGRATION PROCESS AND DEVELOP GOVERNANCE AND INTEGRATION RECOMMENDATIONS TO GUIDE POST-CLOSING OPERATIONS.
FORM 990, PART VI, SECTION B, LINE 11THE AUDIT COMMITTEE SHALL REVIEW AND COMPARE THE FINAL AUDITED FINANCIAL STATEMENTS AND THE 990, AS WELL AS ANY COMMUNICATION RECEIVED FROM THE AUDIT FIRM REGARDING INTERNAL CONTROLS, ILLEGAL ACTS, OR FRAUD, AND WILL PRESENT THE AUDITED FINANCIAL STATEMENTS AND 990 TO THE BOARD OF DIRECTORS FOR THEIR APPROVAL BEFORE IT IS FILED.
FORM 990, PART VI, SECTION B, LINE 12CALL BOARD OF DIRECTORS MEMBERS, COMPANY OFFICERS AND DIRECTORS WILL BE REQUIRED TO SIGN THE CONFLICT OF INTEREST AND CONFIDENTIALITY STATEMENT ANNUALLY. THIS DOCUMENT INDICATES THEIR UNDERSTANDING AND COMPLIANCE WITH THE HEARTLAND BLOOD CENTERS CONFLICT OF INTEREST POLICIES. ALL FINANCIAL TRANSACTIONS WITH RELATED PARTIES WILL BE DISCLOSED IN THE ANNUAL AUDIT REPORT AND 990 TAX RETURN.
FORM 990, PART VI, SECTION B, LINE 15THE ORGANIZATION'S BOARD OF DIRECTORS DETERMINE EXECUTIVE COMPENSATION. INDUSTRY SPECIFIC DATA INCLUDING SALARY SURVEYS ARE REVIEWED WHEN SETTING EXECUTIVE COMPENSATION.
FORM 990, PART VI, SECTION C, LINE 19ANYONE APPEARING IN PERSON AT THE OFFICES OF HEARTLAND BLOOD CENTERS DURING NORMAL WORKING HOURS MAKING A REQUEST TO INSPECT THE FORMS WILL BE GRANTED ACCESS TO A FILE COPY OF THE FORMS. THE DIRECTOR OF ACCOUNTING SHALL BE RESPONSIBLE FOR MAINTAINING THIS COPY OF EACH FORM AND FOR MAKING IT AVAILABLE TO ALL REQUESTERS. FOR ALL WRITTEN REQUESTS FOR COPIES OF FORMS RECEIVED BY HEARTLAND BLOOD CENTERS, THE ORGANIZATION SHALL REQUIRE PRE-PAYMENT OF ALL COPYING AND SHIPPING CHARGES. FOR REQUESTS FOR COPIES THAT ARE RECEIVED WITHOUT PRE-PAYMENT, HEARTLAND BLOOD CENTERS WILL NOTIFY THE REQUESTER OF THIS POLICY VIA PHONE CALL OR BY LETTER WITHIN 7 DAYS OF RECEIPT OF THE ORIGINAL REQUEST.
FORM 990, PART XII, LINE 2CTHE ORGANIZATION'S AUDIT COMMITTEE USES A SYSTEMATIC PROCESS FOR SELECTION OF INDEPENDENT AUDITORS FOR THE AUDIT OF THE ANNUAL FINANCIAL STATEMENTS. THE AUDIT COMMITTEE HAS BEEN APPOINTED THE RESPONSIBILITY TO OVERSEE THE AUDIT PROCESS INCLUDING THE CONDUCT AND REPORTING ON THE AUDIT. THIS PROCESS HAS NOT CHANGED FROM THE PREVIOUS YEAR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionControlled OrgControlledOrgPublic Charity StatusPublicCharityStatus
CENTER FOR TRANSFUSION AND TRANSPLANT MEDICINE
638 NORTH 18TH STREETMILWAUKEEWI53233454675354PROMOTE INTEGRATION UTILIZATION, AND ENHANCED SERVICES TO BLOOD CENTERSWI501(C)(3)0
BLOODCENTER OF WISCONSIN
638 NORTH 18TH STREETMILWAUKEEWI53201390807235BLOOD, ORGAN, AND TISSUE DONATIONS AND TESTING SERVICESWI501(C)(3)0LINE 7
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

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