VERSITI BLOOD HEALTH INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
VERSITI BLOOD HEALTH INC (EIN 39-0807235)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-08-15
IRS object ID
201342279349302859
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)
Timestamp2013-08-15T13:07:25-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Grant Thornton LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1100 E Wisconsin AveAddressLine1
CityMilwaukeeCity
StateWIState
ZIP Code53202ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN390807235EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1BloodCenter of Wisconsin IncBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% PAUL MATSONInCareOfName
Name ControlBLOONameControl
Phone4149335000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 2178 638 North 18th StreeAddressLine1
Address Line2SuiteAddressLine2
CityMilwaukeeCity
StateWIState
ZIP Code532012178ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMAUREEN KWIECINSKIName
TitleVP CORPORATE COUNSELTitle
Phone4149335000Phone
Date Signed2013-08-14DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone4142898200Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJACQUELYN FREDRICKNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1638 N 18TH STREETAddressLine1
CityMILWAUKEECity
StateWIState
ZIP Code532012178ZIPCode
FieldValueIRS element (for citing)
Gross Receipts156617647GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.BCW.EDUWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1947YearFormation
State Legal DomicileWIStateLegalDomicile
Activity Or Mission DescriptionRecruits blood, organ & tissue donations. Provides products to health- care facilities; diagnostic lab testing, clinical services & specialty pharmaceuticals. Conducts research, while protecting public safety.ActivityOrMissionDescription
Nbr Voting Members Governing Body28NbrVotingMembersGoverningBody
Nbr Independent Voting Members25NbrIndependentVotingMembers
Total Nbr Employees1064TotalNbrEmployees
Total Nbr Volunteers380TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year19116752ContributionsGrantsPriorYear
Contributions Grants Current Year16594248ContributionsGrantsCurrentYear
Program Service Revenue Prior Year121981532ProgramServiceRevenuePriorYear
Program Service Revenue CY129052505ProgramServiceRevenueCY
Investment Income Prior Year864113InvestmentIncomePriorYear
Investment Income Current Year775329InvestmentIncomeCurrentYear
Other Revenue Prior Year158363OtherRevenuePriorYear
Other Revenue Current Year66410OtherRevenueCurrentYear
Total Revenue Prior Year142120760TotalRevenuePriorYear
Total Revenue Current Year146488492TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year17945000GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY2955377GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year62344881SalariesEtcPriorYear
Salaries Etc Current Year65290539SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year68015686OtherExpensePriorYear
Other Expenses Current Year71600507OtherExpensesCurrentYear
Total Expenses Prior Year148305567TotalExpensesPriorYear
Total Expenses Current Year139846423TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-6184807RevenuesLessExpensesPriorYear
Revenues Less Expenses CY6642069RevenuesLessExpensesCY
Total Assets BOY124774635TotalAssetsBOY
Total Assets EOY130493454TotalAssetsEOY
Total Liabilities BOY44328674TotalLiabilitiesBOY
Total Liabilities EOY46782712TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY80445961NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY83710742NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionBloodCenter of Wisconsin, Inc. protects public safety and serves healthcare facilities by 1) recruiting volunteer blood donors, 2) collecting, processing and distributing blood and blood components, 3) providing specialized diagnostic laboratory testing, pharmaceuticals and medical services, 4) conducting research in vascular biology, immunobiology, transfusion medicine, hemostasis and stem cell biology, and 5) procuring organ and tissue donations.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense46046698Expense
Grants80857Grants
Revenue62822112Revenue
DescriptionBLOODCENTER OF WISCONSIN, INC FULFILLS ITS TAX-EXEMPT PURPOSE BY RECRUITING VOLUNTEER BLOOD DONORS, COLLECTING, PROCESSING AND DISTRIBUTING BLOOD AND BLOOD COMPONENTS TO PROVIDE A SAFE AND STABLE SOURCE FOR CUSTOMERS AT THE 56 HOSPITALS AND OTHER BLOOD CENTERS WE SUPPLY. IN THE YEAR ENDED 2012 OVER 233,088 COLLECTIONS PROVIDED OVER 322,943 UNITS OF BLOOD TO PATIENTS IN NEED.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense20052588Expense
Grants34800Grants
Revenue24086384Revenue
DescriptionBLOODCENTER OF WISCONSIN, INC. (BCW) OPERATES THE COMPREHENSIVE CENTER FOR BLEEDING DISORDERS (CCBD), UNDER A FEDERAL SUBAWARD AGREEMENT OF THE SOCIAL SECURITY ACT. CCBD PROVIDES CRITICAL SERVICES TO BLEEDING & CLOTTING DISORDER PATIENTS & THEIR FAMILIES. AS A COVERED ENTITY UNDER THE FEDERAL 340B DRUG DISCOUNT PROGRAM, BCW IS ELIGIBLE TO ACCESS CERTAIN PHARMACEUTICALS AT DISCOUNTED PRICING. PHARMACEUTICAL NET INCOME IS PROGRAM INCOME & FUNDS ARE RESTRICTED TO ACTIVITIES & EXPENDITURES THAT FURTHER ELIGIBLE PROJECTS & PROGRAM OBJECTIVES UNDER THE FEDERAL SUBAWARD AGREEMENT, INCLUDING PATIENT CARE, EDUCATION, SUPPORT SERVICES, APPROVED GRANT RESEARCH & OTHER COSTS.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense15964331Expense
Revenue25872992Revenue
DescriptionBLOODCENTER OF WISCONSIN, INC. FULFILLS ITS TAX-EXEMPT PURPOSE OF PROVIDING DIAGNOSTIC LABORATORY TESTING IN THE AREAS HISTOCOMPATIBILITY & IMMUNOLOGY, PLATELET & NEUTROPHIL IMMUNOLOGY, HEMOSTASIS, IMMUNOLOGY REFERENCE, MOLECULAR DIAGNOSTICS AND TRANSFUSION SERVICES.Description

Activity Other ActivityOther (3 entries)

ExpenseExpenseGrantsGrantsRevenueRevenueDescriptionDescription
19999280282600073816Blood Research Institute
91774061372010523705Organ and Tissue Donation
57194495747312Medical Sciences Institute
FieldValueIRS element (for citing)
Total Of Other Program Service Exp34896135TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt2839720TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev16344833TotalOfOtherProgramServiceRev
Total Program Service Expense116959752TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096153NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees1064NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form1098 C FiledtrueForm1098CFiled
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members28NbrVotingGoverningBodyMembers
Number Independent Voting Members25NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledWIStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest
Other Explain In Sch OXOtherExplainInSchO

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonPAUL MATSONNamePerson
Telephone Number4149376349TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1638 N 18TH STREETAddressLine1
CityMILWAUKEECity
StateWIState
ZIP Code532012178ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (43 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
Jacquelyn Fredrick
President & CEO55.06.0XX7163520240950
Gilbert White MD
EXEC VP RESEARCH & DIR BRI55.01.0XX559833041447
Richard S Gallagher
Chair1.06.0XX000
Thomas J Hauske Jr
Board Member1.05.0X000
Peter Ziegler
Vice Chair1.01.2XX000
Kristin Severson
Corporate Secretary1.0XX000
Robert H Manegold
Treasurer1.01.0XX000
Alberta Darling Senator
Board member1.0X000
Susan Edwards
Board member1.0X000
Nan Gardetto
Board member1.0X000
Robert K Gleeson MD
Board Member1.0X0
Emery Harlan
Board member1.0X000
J Scott Harkness
Board member1.01.0X000
Omar Ishrak PHD
Board Member1.0X0
Sarah Joerres MD
Board member1.0X000
Dale Kent
Board Member1.01.0X0
John D Oliverio
Board member1.0X000
William D Petasnick
Board member1.0X000
Joan M Prince PHD
Board member1.0X000
Leonard J Quadracci
Board member1.0X000
Larry Rambo
Board member1.0X000
James M Rauh
Board member1.0X000
John R Raymond Sr MD
Board member1.0X000
Johan Segerdahl
Board member1.0X000
Paul Skalecki
Board member1.0X000
John J Stollenwerk
Board member1.0X000
Julia Syburg
Board member1.0X000
Peggy Troy
Board member1.0X000
Nick W Turkal MD
Board member1.0X000
Robert Walker
Board member1.01.0X000
Madonna Williams
Board Member1.0X0
Thomas Abshire MD
SR VP MSI & CMO55.0X472756023115
Jeffrey D Allen
Exec VP Strategy & CFO55.06.0X342033058174
Ilke Pnazer
Sr VP Diagnostic Labs55.0X335503049452
James Mitchell
Sr VP Blood Services55.0X323273026623
Maureen Kwiecinski
Corporate Assistant Secretary55.06.0X299343019620
Sandi Lemons
VP Human Resource Services55.0X181929031781
Margaret Mcelligott
VP Quality Services55.0194632042250X
John Campbell
VP OPO & TB55.0467756036780X
Peter Newman PHD
VP Research & Assoc Dir Bri55.0325810035821X
Jerome Gottschall MD
VP Medical Services55.0304736042437X
Kenneth Friedman MD
Medical Director55.0267314046600X
Kathleen E Puca MD
Medical Director55.0253089030837X
FieldValueIRS element (for citing)
Total Reportable Comp From Org5044359TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation725887TotalOtherCompensation
Number Individuals GT100 K73NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
MEDICAL COLLEGE OF WISCONSIN
8701 Watertown Plank RdMILWAUKEEWI53226Medical Services855695
JIGSAW LLC
710 N Plankinton AveMILWAUKEEWI53203marketing640978
MEDIWARE INFORMATION SYSTEMS INC
1900 Spring RdOAKBROOKIL60523software maintenance514753
FROEDERT MEMORIAL LUTHERAN HOSPITAL
9200 W WISCONSIN AVEMILWAUKEEWI53226Medical Services458300
AURORA HEALTH CARE
PO BOX 341100MILWAUKEEWI53234Medical services383957
FieldValueIRS element (for citing)
Number Of Contractors GT100 K23NumberOfContractorsGT100K
Federated Campaigns5723FederatedCampaigns
Related Organizations5217326RelatedOrganizations
Government Grants10072532GovernmentGrants
All Other Contributions1298667AllOtherContributions
Noncash Contributions1016NoncashContributions
Total Contributions16594248TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
BLOOD SERVICES6215006282211262822112
DIAGNOSTIC LABORATORIES6215002587299225872992
PHARMACY6215002408638424086384
ORGAN AND TISSUE DONATION6215001052370510523705
MEDICAL SCIENCES INSTITUTE62150057473125747312
FieldValueIRS element (for citing)
Total Program Service Revenue129052505TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column739884TotalRevenueColumn
Exclusion$739,884ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real30000Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real37406Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-7406Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-7406TotalRevenueColumn
Exclusion-$7,406ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities10044476Securities
Other82718Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities10027730Securities
Other64019Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities16746Securities
Other18699Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column35445TotalRevenueColumn
Exclusion$35,445ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MISCELLANEOUS REVENUE5610004574745747
EDUCATION REVENUE6117102806928069
FieldValueIRS element (for citing)
Total Other Revenue73816TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column146488492TotalRevenueColumn
Related Or Exempt Function Income129126321RelatedOrExemptFunctionIncome
Exclusion$767,923ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total2955377Total
Program Services2955377ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total3959062Total
Program Services1832001ProgramServices
Management And General2127061ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total47130267Total
Program Services38736633ProgramServices
Management And General8393634ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total4125080Total
Program Services3320782ProgramServices
Management And General804298ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total6712117Total
Program Services5382292ProgramServices
Management And General1329825ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total3364013Total
Program Services2689574ProgramServices
Management And General674439ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total335680Total
Program Services305ProgramServices
Management And General335375ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total312889Total
Management And General312889ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total5600Total
Management And General5600ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total174313Total
Management And General174313ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total6401158Total
Program Services5226282ProgramServices
Management And General1174876ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total599818Total
Program Services438192ProgramServices
Management And General161626ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1209096Total
Program Services962520ProgramServices
Management And General246576ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total1406111Total
Program Services701174ProgramServices
Management And General704937ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total55054Total
Program Services55054ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total5111513Total
Program Services3286405ProgramServices
Management And General1825108ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total591885Total
Program Services548798ProgramServices
Management And General43087ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total1126240Total
Program Services924468ProgramServices
Management And General201772ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total660643Total
Management And General660643ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total5828296Total
Program Services3367986ProgramServices
Management And General2460310ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total585899Total
Program Services9714ProgramServices
Management And General576185ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL LAB SUPPLIES244396882441066729021
THERAPEUTIC PRODUCTS1971633919716339
COST OF IMPORTS13912271391227
MISCELLANEOUS EXPENSES16490581003962645096

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total139846423Total
Program Services116959752ProgramServices
Management And General22886671ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY10062355BOY
EOY15072772EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY10081678BOY
EOY6100314EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY627BOY
EOY1833EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY17997245BOY
EOY17840971EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY4625391BOY
EOY4326025EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1288008BOY
EOY1287903EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis97986667LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec50236594LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY50504237BOY
EOY47750073EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY30215094BOY
EOY38113563EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY124774635BOY
EOY130493454EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY21185420BOY
EOY21882182EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY14923762BOY
EOY14232611EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY8219492BOY
EOY10667919EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY44328674BOY
EOY46782712EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY80445334BOY
EOY83708909EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY627BOY
EOY1833EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY80445961BOY
EOY83710742EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY124774635BOY
EOY130493454EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses6642069ReconcilationRevenueExpenses
Reconciliation Unrealized Invest-65383ReconciliationUnrealizedInvest
Reconcilation Other Changes-3311905ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years15904094CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years17382980CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years16558435CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year19116752CurrentTaxYearMinus1Year
Current Tax Year16594248CurrentTaxYear
Total85556509Total

Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170

FieldValueIRS element (for citing)
Total0Total

Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt

FieldValueIRS element (for citing)
Total0Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years15904094CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years17382980CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years16558435CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year19116752CurrentTaxYearMinus1Year
Current Tax Year16594248CurrentTaxYear
Total85556509Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total16866817AmountsSubstContributorsTotal
Public Support Total17068689692PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1292659CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years622621CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years797970CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year773398CurrentTaxYearMinus1Year
Current Tax Year769884CurrentTaxYear
Total4256532Total

Net UBI NetUBI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years14660CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total14660Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years42752CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years59245CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4893CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year100000CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total206890Total
FieldValueIRS element (for citing)
Total Support90034591TotalSupport
Gross Receipts From Admissions Etc593844095GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.76293PublicSupportPertcentage170
Public Support Pertcent Prior Year0.78530PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$7,427OtherActivitiesAmount
Total Lobbying Expenditures IIB7427TotalLobbyingExpendituresIIB

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierPART II-B, LINE 1IIdentifier
Return ReferenceOTHER ACTIVITIESReturnReference
Explanation$5,600 Payment made to Puget Sound Blood Center for shared lobbying expenses for Dr. Greg Denomme's genotyping program. $957 of the dues paid to The Association of Organ Procurement Organizations has been allocated to lobbying. $870 of the dues paid to America's Blood Centers has been allocated to lobbying.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance65750649BeginningOfYearBalance
Contributions478855Contributions
Investment Earnings Or Losses10026143InvestmentEarningsOrLosses
Other Expenditures2081495OtherExpenditures
End Of Year Balance74174152EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance51493448BeginningOfYearBalance
Contributions16417340Contributions
Investment Earnings Or Losses-287443InvestmentEarningsOrLosses
Other Expenditures1872696OtherExpenditures
End Of Year Balance65750649EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance43808211BeginningOfYearBalance
Contributions1272973Contributions
Investment Earnings Or Losses7990201InvestmentEarningsOrLosses
Other Expenditures1577937OtherExpenditures
End Of Year Balance51493448EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance34271292BeginningOfYearBalance
Contributions316005Contributions
Investment Earnings Or Losses10134827InvestmentEarningsOrLosses
Other Expenditures913913OtherExpenditures
End Of Year Balance43808211EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance32456611BeginningOfYearBalance
Contributions730835Contributions
Investment Earnings Or Losses-12670116InvestmentEarningsOrLosses
Other Expenditures-13753962OtherExpenditures
End Of Year Balance34271292EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.99191BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.00809PermanentEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgstrueEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RtrueAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis2705072OtherCostOrOtherBasis
Book Value2705072BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis58970715OtherCostOrOtherBasis
Depreciation25753915Depreciation
Book Value33216800BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis1688333OtherCostOrOtherBasis
Depreciation1211600Depreciation
Book Value476733BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis31737745OtherCostOrOtherBasis
Depreciation21592985Depreciation
Book Value10144760BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2884802OtherCostOrOtherBasis
Depreciation1678094Depreciation
Book Value1206708BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings47750073TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionLONG-TERM PENSION OBLIGATIONSDescription
Amount$10,667,919Amount
FieldValueIRS element (for citing)
Total Of Amounts10667919TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt146460515TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-65383NetUnrealizedGainsInvestments
Revenue Not Rptd F990-65383RevenueNotRptdF990
Revenue Subtotal146525898RevenueSubtotal
Other Revenues Not Included-37406OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt-37406RevenueNotRptdOnFinStmt
Total Revenue Per Form990146488492TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt143195734TotExpensesEtcAuditedFinclStmt
Other Expenses Included3349311OtherExpensesIncluded
Expenses Not Rptd F9903349311ExpensesNotRptdF990
Expenses Subtotal139846423ExpensesSubtotal
Total Expenses Per Form990139846423TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Endowment FundsPart vThe Board Designated Endowment funds (held by BloodCenter Research Foundation) are Designated by the board as endowment funds to ensure the continuing availability of funds for research purposes. The Permanently restricted endowment funds (held by Bloodcenter Research Foundation) were received from the Walter Schroeder Foundation, the income of which is unrestricted.
Reconciliation of RevenuePart XI, Line 4B Rental Activity Expenses $ (37,406)
Reconciliation of ExpensesPart XII, Line 2DAdditional Minimum Pension Expense $ 3,311,905 Rental Activity Expenses $37,406 Total $ 3,349,311
Income taxesPart XBloodCenter and the Foundation received a tax determination letter dated December 19, 2006 confirming that BloodCenter and the Foundation qualify as tax-exempt organizations under Section 501(c)(3) of the Internal Revenue Code (the "Code"). Management believes that there are no material uncertain tax positions that require recognition in the consolidated financial statements. BloodCenter and the Foundation, while generally exempt from income tax, are subject to tax on income unrelated to their exempt purposes, unless that income is otherwise excluded by the Code. BloodCenter and the Foundation have filed federal and State of Wisconsin income tax returns to report unrelated business income through 2008 and are no longer subject to tax authority examinations for years prior to 2008 under the federal and state statute. Management has determined that there is no unrelated business income to report for BloodCenter or the Foundation for 2009 through 2012 and income tax returns are not required to be filed. Therefore, as the statute of limitations will remain open for returns not filed, tax years 2009 through 2012 will remain open to audit for both Federal and state purposes. BloodCenter and the Foundation recognize, if necessary, interest and penalties related to unrecognized tax benefits in the provision for income taxes. There were no interest or penalties related to income taxes that have been accrued or recognized as of and for the years ended December 31, 2012 and 2011.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantMethod Of ValuationMethodOfValuationPurpose Of GrantPurposeOfGrant
BloodCenter Research Foundation Inc
638 North 18th StreetMilwaukeeWI53233391372542501(c)(3)2826000FMVResearch
Great Lakes Hemophilia Foundation Inc
638 North 18th StreetMilwaukeeWI53233237367636501(c)(3)34800FMVPatient Financial Assistance
Be The Match Foundation
3001 Broadway St NE 601MinneapolisMN55413411704734501(c)(3)28752FMV
National Blood Foundation
8101 Glenbrook RoadBethesdaMD20814362384118501(c)(3)20000FMVResearch
Afroworld Enterprises LTD
275 W Wisconsin AveMilwaukeeWI53203391422633501(c)(3)5300FMVfestival support
The Foundation for America's Blood Centers
725 15th st nw ste 700washingtonDC20005522038372501(c)(3)8300fmvresearch
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants6TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierGRANTSIdentifier
Return ReferencePART I, LINE 2ReturnReference
ExplanationBloodCenter of Wisconsin, Inc. provides grant funding to BloodCenter ResearCh Foundation, Inc. on an annual basis. These funds are used to provide resources that will support future Blood research. Monitoring the investment of these funds, the distributions and what these are used for is completed by leadership of the BloodCenter Research Foundation, Inc.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Housing Allowance Or ResidenceXHousingAllowanceOrResidence
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (14 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
Jacquelyn Fredrick
President & CEO48775002064040221980237899030510957302000
Gilbert White MD
EXEC VP RESEARCH & DIR BRI43125801053530232220260890153580601280000
Thomas Abshire MD
SR VP MSI & CMO3478520104500020404017500056150495871000
Jeffrey D Allen
Exec VP Strategy & CFO2823860412760183710390620191120400207000
Ilke Pnazer
Sr VP Diagnostic Labs2874030297300183700354260140260384955000
James Mitchell
Sr VP Blood Services28255203941701304017500091230349896000
Maureen Kwiecinski
Corporate Assistant Secretary258009023679017655017387022330318963000
Sandi Lemons
VP Human Resource Services1811920007370130510187300213710000
Margaret Mcelligott
VP Quality Services163963028825018440229050193450236882000
John Campbell
VP OPO & TB3703490388090585980175000192800504536000
Peter Newman PHD
VP Research & Assoc Dir Bri256705049460019645027733080880361631000
Jerome Gottschall MD
VP Medical Services2696620142940207800264320160050347173000
Kenneth Friedman MD
Medical Director253220011602024920246780219220313914000
Kathleen E Puca MD
Medical Director2224140118650188100170030138340283926000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
Part I, Question 1ahousing allowance Vice president John Campbell was given a subsistence housing allowance in the amount of $53,400. It is reported as other reportable compensation on schedule J, Part II, column B(iii). Mr Campbell lives in Florida and works at Bloodcenter of wisconsin in Milwaukee. Business Club Dues Bloodcenter of Wisconsin, Inc. provides business club memberships for the following employees: - Jacquelyn Fredrick - Gilbert White The club memberships are not treated as taxable compensation. The employees use these memberships for business meetings off site and business lunches/dinners. Any personal expenses incurred at the club are paid for directly by the employees or the employees reimburse the entity for personal expenses.
SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANTo ensure BloodCenter of Wisconsin, Inc. achieves its mission, it is essential to attract leading experts in transfusion medicine, science and business by paying competitive salaries and benefits. BloodCenter of Wisconsin, Inc. Board of Directors follows not-for-profit best practices by hiring an independent compensation consultant to annually review the overall executive compensation programs. Jacquelyn Fredrick, CEO, participated in a supplemental executive retirement plan (SERP). The amount deferred during 2012 in service of the SERP plan was $197,197.PART I, LINE 4B

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Bond ReferenceBondReferenceCdIssuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
WHEFA 2004 Master Note
A39133785597710VJF32004-08-0610405703Buildings & Structuresfalsefalsefalse
WHEFA 2009 refinance of 1994A bonds
B3913378552009-08-197145000proceeds used to currently refundfalsefalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Bond ReferenceBondReferenceCdAmount RetiredAmountRetiredAmount Bond DefeasedAmountBondDefeasedTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundCapitalized InterestCapitalizedInterestRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementWorking Capital ExpendituresWorkingCapitalExpendituresCapital ExpendituresCapitalExpendituresOther Spent ProceedsOtherSpentProceedsAmount UnspentAmountUnspentYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
A137570301019758907805020811400101375896000002004falsefalsetruetrue
B1190000071450000000000714500002009truefalsetruetrue

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersBond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTestChange In Use Bond Financed PropChangeInUseBondFinancedPropRemedial Action TakenRemedialActionTakenNon Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
Afalsefalsefalsefalse0truefalsefalsetrue
Bfalsefalsefalsefalse0truefalsefalsetrue

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICBusiness Name Line1NameOfGICProvider/BusinessNameLine1Gross Proceeds InvestedGrossProceedsInvestedWritten Proc To Monitor ReqsWrittenProcToMonitorReqs
0
Atruefalsefalsefalse0falsefalse
0
Bfalsetruefalsefalse0falsefalse

Form990 Schedule K Part V Form990ScheduleKPartV (2 entries)

Bond ReferenceBondReferenceCdProc To Undertk Corrective ActionProcToUndertkCorrectiveAction
Atrue
Btrue

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonSusan EdwardsNamePerson
FieldValueIRS element (for citing)
RelationshipEntity w/ common EODTKERelationship
Amount Of Transaction2789859AmountOfTransaction
Description Of TransactionProduct SalesDescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
IdentifierPart IV - Business TransactionsIdentifier
ExplanationThe above business transactions involving interested persons are provided at fair value and in the normal course of business.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Other Program ServicesPart III, Line 4dBloodCenter of Wisconsin, Inc. fulfills its tax-exempt purpose in three ways: A. Blood research institute conducts research in vascular biology, immunobiology, transfusion medicine, hemostasis and stem cell biology. B. Organ and Tissue Donation combines procurement services and education to enhance the lives of patients and provides guidance to the families of potential donors. C. Medical Sciences Institute provides medical services including consultation with hospitals we serve, special patient services for patients with unique blood disorders including providing community education programs for medical professionals through routine lecture series and the specialist in blood banking programs.
Business RelationshipPART VI, LINE 2Dale Kent and Peter Ziegler have a business relationship. John Raymond and Dr. Gleason have a business relationship.
FORM 990 REVIEWPART VI - LINE 11BBloodCenter of Wisconsin utilizes Grant Thornton LLP to complete the IRS Form 990 and related schedules. Following completion they are reviewed by the Controller, Sr. Vice President and CFO and the President and CEO. The draft forms are then reviewed by the Compliance and Audit Committee prior to submission to the IRS. The full board is provided a copy of the Form 990 prior to filing.
WRITTEN CONFLICT OF INTEREST POLICYPART VI B - LINE 12BLOODCENTER OF WISCONSIN 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.
CompensationPart VI, Line 15a and bThe Executive Committee of the BloodCenter of Wisconsin (BCW) Board of Directors, acting in its capacity as the Compensation Committee, sets and monitors the compensation philosophy for the organization. Other than the BCW President & Chief Executive Officer, the Executive/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 BCW compensation arrangements. The BCW President & Chief Executive Officer recuses her/himself from all discussions and approvals related to her/his compensation. Executive compensation arrangements are reviewed for reasonableness and approved by the Executive/Compensation Committee annually. The Executive/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 Executive/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 Executive/Compensation Committee's review, recommendations and approvals are documented concurrently in the Committee minutes, which are subsequently reviewed and approved by the Executive/Compensation Committee as reasonable, accurate and complete. BloodCenter of Wisconsin has an incentive program for Executives, Directors, Management, Investigators and Staff described in detailed written policies approved by the Executive/Compensation Committee annually. Evaluation and Compensation Review -CEO - Each year, the Executive/Compensation Committee evaluates the 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. -Executives - Each year, the Executive/Compensation reviews the performance of each Executive and their individual goals, reviews and approves recommended compensation ranges, and approves final salary and incentive payments. Executives are positioned within the appropriate salary range based on the: -Executive's knowledge, competencies, and experience, -Performance of the Executive's areas of responsibility, -The Executive's contribution to overall BloodCenter of Wisconsin performance, -The importance of retaining the Executive, -Internal equity considerations, -The financial resources available -Executive base salary increases provided in the competitive market
ORGANIZATION'S DOCUMENTS OPEN TO THE PUBLICPart VI - LINE 19The organization makes its governing documents, conflict of interest policy, and financial statements available upon request to the public. Viewing is done on the organization's premises.
OTHER CHANGES IN NET ASSETS OR FUND BALANCESPART XI, LINE 5Pension Adjustment (3,311,905)

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
BloodCenter Research Foundation Inc
PO BOX 2178 638 NORTH 18TH STREEMILWAUKEEWI53201391372542SUPPORTINGWI501(c)(3)11bBLOODCENTERtrue
Center for Transfusion Transplant
PO Box 2178 638 North 18th StreemilwaukeeWI53201454675354supportingWI501(c)(3)11bbloodcentertrue
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
BLOODCENTER RESEARCH FOUNDATION INC
B2826000FMV
BLOODCENTER RESEARCH FOUNDATION INC
C5217326FMV
BLOODCENTER RESEARCH FOUNDATION INC
N,Q602574FMV
BLOODCENTER RESEARCH FOUNDATION INC
O819148FMV

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.