2022-11-15T14:18:23-06:00 2021-12-31 366055558 GRANT THORNTON LLP 100 E WISCONSIN AVE MILWAUKEE WI 53202 990 2021-01-01 381550001 VERSITI MICHIGAN INC VERS 6167742300 1036 FULLER AVE NE GRAND RAPIDS MI 49503 CHRIS MISKEL PRESIDENT & CEO 6308927055 2022-11-15 1 CHRIS MISKEL 999009999 MICHELLE L WEBER P00556798 4142898200 2022-11-03 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z CHRIS MISKEL 638 N 18TH STREET MILWAUKEE WI 532332121 69128503 0 X WWW.VERSITI.ORG X 1955 MI (SEE SCHEDULE O)VERSITI MICHIGAN, INC. (VERSITI MICHIGAN) IS A BLOOD HEALTH INNOVATOR WHO ENHANCES LIVES THROUGH DISCOVERY, DIAGNOSIS AND TREATMENT. VERSITI EXPANDS THE FRONTIERS OF PATIENT HEALTH THROUGH THE INTEGRATION OF SCIENCE, MEDICINE AND SERVICE. 17 16 608 173 0 0 17904 755209 58958588 64355383 927653 1361464 26118 4627 59930263 66476683 1597700 1845293 0 0 22997287 25896483 0 0 0 33985281 35429232 58580268 63171008 1349995 3305675 38388950 40816832 6253924 5133321 32135026 35683511 X VERSITI MICHIGAN, INC. (VERSITI) IS A BLOOD HEALTH INNOVATOR WHO ENHANCES LIVES THROUGH DISCOVERY, DIAGNOSIS AND TREATMENT. VERSITI EXPANDS THE FRONTIERS OF PATIENT HEALTH THROUGH THE INTEGRATION OF SCIENCE, MEDICINE AND SERVICE. 0 1 54062127 1845293 64355383 VERSITI RECRUITS VOLUNTEER BLOOD DONORS, COLLECTS, PROCESSES AND DISTRIBUTES BLOOD AND BLOOD COMPONENTS TO PROVIDE A SAFE AND RELIABLE SUPPLY OF BLOOD FOR HOSPITALS AND OTHER BLOOD CENTERS SERVED. DURING 2021, 160,940 BLOOD UNITS WERE COLLECTED.VERSITI MEDICAL SERVICES PROVIDES MEDICAL AND THERAPEUTIC SERVICES IN PARTNERSHIP WITH LOCAL HOSPITALS. DURING 2021, 2,578 THERAPEUTIC PROCEDURES WERE PERFORMED.VERSITI PROVIDES CLINICAL DIAGNOSTIC TESTING SERVICES TO HOSPITALS, PHYSICIAN OFFICES AND OTHER REFERENCE LABORATORIES. DURING 2021, 10,701 TESTS WERE PERFORMED. 54062127 1 1 0 1 0 0 0 0 0 1 1 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 608 1 0 0 0 0 0 0 0 0 0 0 1 0 X 17 16 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MI X JOANNA MCCOY 6308013147 1200 N HIGHLAND AVENUE AURORA IL 60506 X CHRIS MISKEL PRESIDENT & CEO 10.00 45.00 X X 255181 1087880 45282 BRIAN BAUTISTA EVP & CHIEF OPERATING OFFICER 10.00 45.00 X 148047 631146 47687 BART REUTER EVP & GENERAL COUNSEL 10.00 45.00 X 116061 494781 57113 ANTHONY WATKINS EVP & CHIEF FINANCIAL OFFICER 8.00 36.00 X 115278 491451 45315 GITESH DUBAL EVP & CHIEF MARKETING OFFICER 10.00 45.00 X 111711 476239 47687 JAMES WEIDNER EVP & CHIEF HR OFFICER 10.00 45.00 X 93088 396849 40589 JOSHUA J FIELD SR MEDICAL DIRECTOR - AS OF 2/2021 0.00 55.00 X 0 462680 44069 LYNNE BRIGGS VP & CHIEF INFORMATION OFFICER 10.00 45.00 X 85263 363486 53913 BRADLEY PIETZ EVP & CHIEF INNOVATION OFFICER 10.00 45.00 X 78219 333452 52835 LEEANN WIETEKAMP SENIOR MEDICAL DIRECTOR 55.00 0.00 X 428240 0 26167 MARGARET MCELLIGOTT VP & CHIEF QUALITY OFFICER 10.00 45.00 X 77941 332269 43360 THOMAS ABSHIRE MD EVP MSI & CHIEF MED OFF-THRU 1/2021 0.00 55.00 X 0 360136 7282 GILBERT C WHITE MD PRINCIPAL INVESTIGATOR 0.00 28.00 X 0 251545 33493 JALEAH L HAWKINS ASSOCIATE MEDICAL DIRECTOR 55.00 0.00 X 203861 0 16583 DAWN KAISER DIRECTOR OF DONOR SERVICES 55.00 0.00 X 178114 0 29945 HEIDI SEITZ REGIONAL MANAGER MOBILE-THRU 9/2021 55.00 0.00 X 159332 74980 39749 ELAINE MORRISON DIRECTOR OF REGULATORY COMPL. 55.00 0.00 X 153355 0 23940 MICHAEL DEININGER MD EVP & CHIEF SCI OFF - AS OF 9/2021 0.00 55.00 X 0 156611 12810 ALEXANDRA PIEPER VP & CHIEF QUAL OFF - AS OF 12/2021 10.00 45.00 X 23182 98824 1608 THOMAS HAUSKE JR CHAIR 1.00 5.00 X X 0 0 0 FRED GEILFUSS VICE CHAIR; LEGAL ADVISOR 1.00 4.00 X X 0 0 0 L ALAN WHALEY SECRETARY 1.00 4.00 X X 0 0 0 JOHN PERRAS TREASURER 1.00 4.00 X X 0 0 0 COREEN DICUS-JOHNSON JD BOARD MEMBER - AS OF 3/2021 1.00 4.00 X 0 0 0 DAVID GINSBURG MD BOARD MEMBER 1.00 4.00 X 0 0 0 GAIL HANSON BOARD MEMBER 1.00 4.00 X 0 0 0 SHERRY HUSA BOARD MEMBER 1.00 4.00 X 0 0 0 DALE KENT BOARD MEMBER 1.00 4.00 X 0 0 0 ROBERT H MANEGOLD BOARD MEMBER 1.00 5.00 X 0 0 0 JEFFREY S MCDONALD BOARD MEMBER 1.00 4.00 X 0 0 0 RON MILLER BOARD MEMBER 1.00 4.00 X 0 0 0 KATHY THORNTON-BIAS BOARD MEMBER - AS OF 6/2021 1.00 4.00 X 0 0 0 MITCHELL G WATT BOARD MEMBER 1.00 4.00 X 0 0 0 GREG WESLEY BOARD MEMBER 1.00 4.00 X 0 0 0 PETER ZIEGLER BOARD MEMBER 1.00 4.00 X 0 0 0 2226873 6012329 669427 26 1 1 0 EV CONSTRUCTION CO 86 EAST SIXTH STREET HOLLAND MI 49423 CONTRACTOR 603277 INCEPT 4150 BELDEN VILLAGE ST NW STE 205 CANTON OH 44718 CALL CENTER SERVICES 304186 BLOOD BANK COMPUTER SYSTEMS 1002 15TH ST SW STE 120 AUBURN WA 98001 SOFTWARE SUPPORT 234441 EZ PRO DELIVERY LLC 300 AMES ST SAGINAW MI 48602 DELIVERY SERVICES 197011 INVITA HEALTHCARE TECHNOLOGIES 135 2ND AVENUE NORTH JACKSONVILLE FL 32250 SOFTWARE SUPPORT 189999 7 736332 18877 755209 BLOOD SERVICES 621500 56326407 56326407 MEDICAL SERVICES 621500 6558397 6558397 DIAGNOSTIC LABORATORIES 621500 1470579 1470579 64355383 396278 396278 3617006 2651820 965186 965186 965186 CREDIT CARD REBATES 900099 3722 3722 MISCELLANEOUS 900099 905 905 4627 66476683 64355383 0 1366091 X 1845293 1845293 1186696 1186696 18879102 17575834 1303268 969629 879480 90149 3441838 3052312 389526 1419218 1241618 177600 11583 11583 48000 48000 3457 3457 6635996 6548327 87669 203202 95067 108135 296751 277699 19052 461614 334076 127538 1778544 966774 811770 1214131 1145509 68622 8042 3126 4916 1243718 774869 468849 125777 125777 COST OF IMPORTED PROD 8293613 8293613 MEDICAL LAB SUPPLIES 8068857 8068857 VERSITI SERVICES ALLOC 5389730 1760281 3629449 EQUIPMENT LEASE/MAINT 1263578 859756 403822 382639 291636 91003 63171008 54062127 9108881 0 0 0 0 0 0 0 10122667 13850403 0 0 0 0 218599 218599 1216217 1363795 229977 281449 30285903 22037818 7804659 8248085 0 0 18682861 16740531 0 0 0 0 113970 113970 38388950 40816832 5767581 4975042 0 0 0 0 0 0 0 0 0 0 0 0 0 0 486343 158279 6253924 5133321 X 32126847 35683511 8179 0 32135026 35683511 38388950 40816832 X 3305675 244805 -1995 X 0 1 X 1 0 X 402706 453226 393752 17904 755209 2022797 55469278 55299607 57234864 58958588 64355383 291317720 55871984 55752833 57628616 58976492 65110592 293340517 0 27648190 26659495 26058716 23308272 15394179 119068852 27648190 26659495 26058716 23308272 15394179 119068852 174271665 385525 379218 422471 391664 396278 1975156 385525 379218 422471 391664 396278 1975156 20805 20571 38289 26118 4627 110410 56278314 56152622 58089376 59394274 65511497 295426083 0.58990 0.53510 0.00670 0.00630 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: SPECIAL EVENT GROSS REVENUE - 2017 AMOUNT: $ 14,695. 2018 AMOUNT: $ 15,247. 2019 AMOUNT: $ 22,079. 2020 AMOUNT: $ 0. 2021 AMOUNT: $ 0. PATRONAGE DIVIDENDS - 2017 AMOUNT: $ 0. 2018 AMOUNT: $ 0. 2019 AMOUNT: $ 15,930. 2020 AMOUNT: $ 25,770. 2021 AMOUNT: $ 0. CREDIT CARD REBATES - 2017 AMOUNT: $ 2,903. 2018 AMOUNT: $ 5,124. 2019 AMOUNT: $ 0. 2020 AMOUNT: $ 0. 2021 AMOUNT: $ 3,722. COURIER SERVICES - 2017 AMOUNT: $ 2,320. 2018 AMOUNT: $ 0. 2019 AMOUNT: $ 0. 2020 AMOUNT: $ 0. 2021 AMOUNT: $ 0. CLASS ACTION PROCEEDS - 2017 AMOUNT: $ 765. 2018 AMOUNT: $ 0. 2019 AMOUNT: $ 0. 2020 AMOUNT: $ 0. 2021 AMOUNT: $ 0. MISCELLANEOUS INCOME - 2017 AMOUNT: $ 122. 2018 AMOUNT: $ 200. 2019 AMOUNT: $ 280. 2020 AMOUNT: $ 348. 2021 AMOUNT: $ 905. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 48000 48000 0 PART II-B, LINE 1: $48,000 OF THE FEES PAID TO VANGUARD PUBLIC AFFAIRS AND EVERGREEN PUBLIC RELATIONS HAVE BEEN ALLOCATED TO LOBBYING. THE SERVICES RELATED TO THESE FEES INCLUDE, BUT ARE NOT LIMITED TO, SECURING LEGISLATIVE APPROPRIATION FROM THE MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES. 99612019 1371435 16077669 4159834 112901289 89992682 4494881 9457908 4333452 99612019 77632272 2512261 14163049 4314900 89992682 86045725 301738 -4472887 4242304 77632272 76439806 2294914 11411375 4100370 86045725 0.98110 0.01890 0 1 1 525459 525459 14566869 10590471 3976398 1158271 1040666 117605 12642766 10211071 2431695 1392538 195610 1196928 8248085 MUTUAL FUNDS 16740531 F 16740531 LONG TERM RETIREMENT LIABILITIES 158279 158279 X 66718031 244805 244805 66473226 3457 3457 66476683 63169546 1995 1995 63167551 3457 3457 63171008 PART V, LINE 4: ENDOWMENTS THE FILING ORGANIZATION IS THE BENEFICIARY OF THE VERSITI BLOOD RESEARCH INSTITUTE FOUNDATION'S ("VBRIF") ENDOWMENT AS A SUPPORTED ORGANIZATION. THE VBRIF BOARD DESIGNATED ENDOWMENT FUNDS ARE DESIGNATED BY THE BOARD AS ENDOWNMENT FUNDS TO ENSURE THE COUNTINUING AVAILABILITY OF FUNDS FOR RESEARCH PURPOSES. PART X, LINE 2: INCOME TAXES VERSITI, WISCONSIN, ILLINOIS, MICHIGAN, INDIANA AND THE FOUNDATION HAVE ALL RECEIVED TAX DETERMINATION LETTERS CONFIRMING THAT THE ORGANIZATIONS QUALIFY AS TAX-EXEMPT ORGANIZATIONS UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC). THE ORGANIZATION FOLLOWS GUIDANCE THAT CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN, INCLUDING ISSUES RELATING TO FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT. THIS GUIDANCE PROVIDES THAT THE TAX EFFECTS FROM AN UNCERTAIN TAX POSITION CAN ONLY BE RECOGNIZED IN THE FINANCIAL STATEMENTS IF THE POSITION IS MORE LIKELY THAN NOT TO BE SUSTAINED IF THE POSITION WERE TO BE CHALLENGED BY A TAXING AUTHORITY. THE ASSESSMENT OF THE TAX POSITION IS BASED SOLELY ON THE TECHNICAL MERITS OF THE POSITION, WITHOUT REGARD TO THE LIKELIHOOD THAT THE TAX POSITION MAY BE CHALLENGED. VERSITI, WISCONSIN, ILLINOIS, MICHIGAN, INDIANA AND THE FOUNDATION ARE EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C)(3), THOUGH THEY ARE SUBJECT TO TAX ON INCOME UNRELATED TO THEIR EXEMPT PURPOSES, UNLESS THAT INCOME IS OTHERWISE EXCLUDED BY THE IRC. THE ORGANIZATION HAS PROCESSES PRESENTLY IN PLACE TO ENSURE THE MAINTENANCE OF ITS TAX-EXEMPT STATUS; TO IDENTIFY AND REPORT UNRELATED INCOME; TO DETERMINE ITS FILING AND TAX OBLIGATIONS IN JURISDICTIONS FOR WHICH IT HAS NEXUS; AND TO IDENTIFY AND EVALUATE OTHER MATTERS THAT MAY BE CONSIDERED TAX POSITIONS. THE ORGANIZATION FILES FEDERAL AND STATE INCOME TAX RETURNS TO REPORT UNRELATED BUSINESS INCOME WHERE APPLICABLE, AND WITH FEW EXCEPTIONS, THOSE PERIODS GENERALLY REMAIN OPEN THREE YEARS FOR FEDERAL PURPOSES AND FOUR YEARS FOR STATE PURPOSES. THE STATUTE OF LIMITATIONS WILL REMAIN OPEN FOR ANY YEARS WHERE RETURNS WERE NOT FILED. THE ORGANIZATION HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS. SALUS HAS BEEN ORGANIZED AS A LIMITED LIABILITY COMPANY AND, ACCORDINGLY, IS NOT SUBJECT TO FEDERAL OR STATE INCOME TAXES. ALL INCOME TAX ATTRIBUTES OF THE ENTITY ARE PASSED THROUGH TO ITS SOLE MEMBER, WISCONSIN. THE ENTITY IS, HOWEVER, SUBJECT TO TEXAS FRANCHISE TAX. THE ENTITY IS INCLUDED IN THE CONSOLIDATED INFORMATION RETURN FILED BY VERSITI. CENETRON HAS BEEN ORGANIZED AS A WHOLLY OWNED LLC THAT HAS ELECTED TO BE TREATED AS A C-CORPORATION FOR TAX PURPOSES AND SO IS SUBJECT TO FEDERAL AND STATE INCOME TAXES. INCOME TAXES ARE PROVIDED FOR THE TAX EFFECTS OF TRANSACTIONS REPORTED BY CENETRON AND CONSIST OF TAXES CURRENTLY DUE AND DEFERRED TAXES. DEFERRED TAXES ARE RECOGNIZED FOR DIFFERENCES BETWEEN THE BASIS OF ASSETS AND LIABILITIES FOR FINANCIAL STATEMENT AND INCOME TAX PURPOSES. THE DIFFERENCES RELATE PRIMARILY TO INTANGIBLE ASSETS. THE DEFERRED TAX ASSETS AND LIABILITIES REPRESENT THE FUTURE TAX RETURN CONSEQUENCES OF THOSE DIFFERENCES, WHICH WILL EITHER BE TAXABLE OR DEDUCTIBLE WHEN THE ASSETS AND LIABILITIES ARE RECOVERED OR SETTLED. CENETRON IS SUBJECT TO TAXATION IN THE UNITED STATES AND THE STATE OF TEXAS. THE ORGANIZATION RECOGNIZES, IF NECESSARY, INTEREST AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS IN THE PROVISION FOR INCOME TAXES. THERE WERE NO MATERIAL INTEREST OR PENALTIES RELATED TO INCOME TAXES THAT HAVE BEEN ACCRUED OR RECOGNIZED AS OF AND FOR THE YEARS ENDED DECEMBER 31, 2021 AND 2020. PART XII, LINE 2D - OTHER ADJUSTMENTS: BAD DEBT RESERVE ADJUSTMENT 1,995. 1 VERSITI BLOOD RESEARCH INSTITUTE FOUNDATION INC PO BOX 2178 638 N 18TH STREET MILWAUKEE WI 532012178 391372542 501(C)(3) 1800000 0 GENERAL SUPPORT 1 PART I, LINE 2: PROCEDURE FOR MONITORING USE OF GRANT FUNDS INSIDE U.S. FROM TIME TO TIME, VERSITI MICHIGAN PROVIDES GRANT ASSISTANCE TO VERSITI WISCONSIN, INC. AND OTHER ORGANIZATIONS. THESE FUNDS WILL SUPPORT FUTURE BLOOD RESEARCH AND OTHER INITIATIVES TO SERVE MORE PATIENTS AND REDUCE OVERALL COSTS. MONITORING THE INVESTMENT OF THESE FUNDS, THE DISTRIBUTIONS AND WHAT THESE FUNDS ARE USED FOR IS COMPLETED BY THE LEADERSHIP OF VERSITI. 0 0 0 0 1 0 1 1 0 CHRIS MISKEL PRESIDENT & CEO 134285 572480 107843 459750 13053 55650 3705 15795 4899 20883 263785 1124558 0 0 BRIAN BAUTISTA EVP & CHIEF OPERATING OFFICER 82059 349830 52438 223549 13550 57767 3705 15795 5356 22831 157108 669772 0 0 BART REUTER EVP & GENERAL COUNSEL 68734 293024 34894 148757 12433 53000 3857 16443 6995 29818 126913 541042 0 0 ANTHONY WATKINS EVP & CHIEF FINANCIAL OFFICER 59518 253738 43958 187399 11802 50314 3857 16443 4753 20262 123888 528156 0 0 GITESH DUBAL EVP & CHIEF MARKETING OFFICER 66324 282750 36505 155627 8882 37862 3705 15795 5356 22831 120772 514865 0 0 JAMES WEIDNER EVP & CHIEF HR OFFICER 55879 238219 32443 138311 4766 20319 3857 16443 3855 16434 100800 429726 0 0 JOSHUA J FIELD SR MEDICAL DIRECTOR - AS OF 2/2021 0 355400 0 67156 0 40124 0 16018 0 28051 0 506749 0 0 LYNNE BRIGGS VP & CHIEF INFORMATION OFFICER 55674 237350 22175 94534 7414 31602 4408 18792 5835 24878 95506 407156 0 0 BRADLEY PIETZ EVP & CHIEF INNOVATION OFFICER 50253 214235 17130 73026 10836 46191 3857 16443 6181 26354 88257 376249 0 0 LEEANN WIETEKAMP SENIOR MEDICAL DIRECTOR 309376 0 47185 0 71679 0 14500 0 11667 0 454407 0 0 0 MARGARET MCELLIGOTT VP & CHIEF QUALITY OFFICER 40798 173928 21336 90959 15807 67382 4408 18792 3830 16330 86179 367391 0 0 THOMAS ABSHIRE MD EVP MSI & CHIEF MED OFF-THRU 1/2021 0 29049 0 272458 0 58629 0 6972 0 310 0 367418 0 0 GILBERT C WHITE MD PRINCIPAL INVESTIGATOR 0 175703 0 31500 0 44342 0 14454 0 19039 0 285038 0 0 JALEAH L HAWKINS ASSOCIATE MEDICAL DIRECTOR 150443 0 11193 0 42225 0 9662 0 6921 0 220444 0 0 0 DAWN KAISER DIRECTOR OF DONOR SERVICES 158119 0 18750 0 1245 0 8282 0 21663 0 208059 0 0 0 HEIDI SEITZ REGIONAL MANAGER MOBILE-THRU 9/2021 53509 25181 82440 38795 23383 11004 4835 2275 22195 10444 186362 87699 0 0 ELAINE MORRISON DIRECTOR OF REGULATORY COMPL. 149855 0 525 0 2975 0 7725 0 16215 0 177295 0 0 0 MICHAEL DEININGER MD EVP & CHIEF SCI OFF - AS OF 9/2021 0 136236 0 0 0 20375 0 8319 0 4491 0 169421 0 0 PART I, LINE 3: TOP MANAGEMENT'S COMPENSATION THE COMPENSATION COMMITTEE OF THE VERSITI BOARD OF DIRECTORS, ACTING IN ITS CAPACITY AS THE COMPENSATION COMMITTEE, SETS AND MONITORS THE COMPENSATION PHILOSOPHY FOR VERSITI AND THE RELATED ENTITIES THAT IT SUPPORTS, INCLUDING VERSITI MICHIGAN. OTHER THAN THE VERSITI PRESIDENT AND CHIEF EXECUTIVE OFFICER, THE COMPENSATION COMMITTEE DOES NOT INCLUDE MEMBERS OF MANAGEMENT. TO ENSURE THAT THE COMMITTEE IS COMPRISED OF INDIVIDUALS WHO DO NOT HAVE A CONFLICT OF INTEREST WITH RESPECT TO VERSITI COMPENSATION ARRANGEMENTS, ONE MEMBER OF THE COMMITTEE RECUSES HIMSELF FROM DISCUSSIONS AND APPROVALS RELATED TO COMPENSATION; IN ADDITION, THE VERSITI PRESIDENT AND CHIEF EXECUTIVE OFFICER RECUSES HER/HIMSELF FROM ALL DISCUSSIONS AND APPROVALS RELATED TO HER/HIS COMPENSATION. THE VERSITI COMPENSATION COMMITTEE REVIEWS VERSITI MICHIGAN EXECUTIVE COMPENSATION ARRANGEMENTS TO ENSURE SUCH ARRANGEMENTS ARE FAIR, REASONABLE, AND NOT EXCESSIVE WHEN COMPARED TO SIMILARLY-SITUATED EXECUTIVES. EXECUTIVE COMPENSATION ARRANGEMENTS ARE REVIEWED FOR REASONABLENESS AND APPROVED BY THE COMPENSATION COMMITTEE ANNUALLY IN ACCORDANCE WITH THE VERSITI REASONABLENESS REVIEW POLICY. IN ORDER TO ASSESS THE REASONABLENESS OF EXECUTIVE COMPENSATION ARRANGEMENTS, THE COMPENSATION COMMITTEE OBTAINS AND REVIEWS APPROPRIATE COMPARABILITY DATA COLLECTED BY THE HUMAN RESOURCE DEPARTMENT AND/OR AN INDEPENDENT COMPENSATION CONSULTANT. THE COMPENSATION COMMITTEE ENGAGES A QUALIFIED INDEPENDENT COMPENSATION CONSULTANT ANNUALLY. THE INDEPENDENT CONSULTANT PERFORMS AN ANALYSIS OF COMPENSATION LEVELS AT REGIONAL AND NATIONAL ORGANIZATIONS OF COMPARABLE SIZE, SCOPE AND STRUCTURE AND PROVIDES THE COMMITTEE WITH COMPREHENSIVE DATA ON THE AVAILABILITY OF SIMILAR SERVICES WITHIN THE GEOGRAPHIC AREA, COMPENSATION SURVEYS, WRITTEN OFFERS FROM SIMILAR INSTITUTIONS, AND OTHER INFORMATION RELEVANT TO COMPARABILITY OF COMPENSATION. THE COMPENSATION COMMITTEE'S REVIEW, RECOMMENDATIONS AND APPROVALS ARE DOCUMENTED CONCURRENTLY IN THE COMMITTEE MINUTES, WHICH ARE SUBSEQUENTLY REVIEWED AND APPROVED BY THE COMPENSATION COMMITTEE AS REASONABLE, ACCURATE AND COMPLETE. THE COMMITTEE CHAIR VERBALLY COMMUNICATES TO THE VERSITI BOARD OF DIRECTORS A CONFIRMATION OF COMPENSATION REASONABLENESS AND THE OVERALL DUE DILIGENCE PROCESS. VERSITI AND VERSITI MICHIGAN HAVE INCENTIVE PROGRAMS FOR THE CHIEF EXECUTIVE OFFICER AND OTHER CORPORATE OFFICERS DESCRIBED IN DETAILED WRITTEN POLICIES APPROVED BY THE COMPENSATION COMMITTEE ANNUALLY. EVALUATION AND COMPENSATION REVIEW -CEO - EACH YEAR, THE EXECUTIVE/COMPENSATION COMMITTEE EVALUATES THE VERSITI/VERSITI MICHIGAN CEO'S PERFORMANCE AGAINST ESTABLISHED OBJECTIVES, DETERMINES INCENTIVE PAYMENT AND MERIT INCREASE BASED UPON PERFORMANCE AND MARKET DATA PROVIDED BY THE THIRD PARTY COMPENSATION CONSULTANT, AND WORKS WITH THE CEO TO ESTABLISH OBJECTIVES FOR THE NEXT YEAR. -OTHER CORPORATE OFFICERS - EACH YEAR, THE VERSITI/VERSITI MICHIGAN CEO REVIEWS THE PERFORMANCE AND THE ACHIEVEMENT OF INDIVIDUAL GOALS AND OBJECTIVES OF EACH VERSITI/VERSITI MICHIGAN CORPORATE OFFICER. THE VERSITI/VERSITI MICHIGAN CEO PRESENTS HIS/HER RECOMMENDATIONS TO THE COMPENSATION COMMITTEE, WHICH REVIEWS AND APPROVES RECOMMENDED COMPENSATION RANGES, AND APPROVES FINAL SALARY AND INCENTIVE PAYMENTS. CORPORATE OFFICERS ARE POSITIONED WITHIN THE APPROPRIATE SALARY RANGE BASED UPON: -EXECUTIVE'S KNOWLEDGE, COMPETENCIES, AND EXPERIENCE, -PERFORMANCE OF THE EXECUTIVE'S AREAS OF RESPONSIBILITY, -THE EXECUTIVE'S CONTRIBUTION TO OVERALL PERFORMANCE, -THE IMPORTANCE OF RETAINING THE EXECUTIVE, -INTERNAL EQUITY CONSIDERATIONS, -THE FINANCIAL RESOURCES AVAILABLE, AND -EXECUTIVE BASE SALARY INCREASES PROVIDED IN THE COMPETITIVE MARKET PART I, LINE 5B, 6B AND 7: NON-FIXED PAYMENTS INCENTIVE PAYOUT OPPORTUNITIES, BASED ON PERCENTAGE OF BASE PAY RATE, ARE AVAILABLE TO CERTAIN EMPLOYEES OF THE FILING ORGANIZATION. WHILE LEVELS OF THE INCENTIVE PAYOUT OPPORTUNITY ARE FIXED AND DETERMINED PERCENTAGES OF BASE COMPENSATION, THE INCENTIVE PAYOUT IS DETERMINED, IN PART, ON THE CONSOLIDATED REVENUE AND NET EARNING OF OPERATING DIVISIONS. THE INCENTIVE PAYOUT IS SUBJECT TO THE REVIEW OF ACCOMPLISHMENTS/OBJECTIVES AND THE ULTIMATE DETERMINATION OF INCENTIVE COMPENSATION IS SUBJECT TO PRESIDENT/CEO AND EXECUTIVE COMMITTEE OF THE BOARD APPROVAL. FORM 990, PART III, LINE 3 EFFECTIVE SEPTEMBER 30, 2021, THERE WAS A TERMINATION OF THE NETWORK PARTICIPATION AGREEMENT, WHICH INCLUDES THE RIDER FOR DONOR MANAGEMENT ACTIVITIES AND THE RIDER FOR RECRUITMENT ACTIVITIES, BETWEEN VERSITI MICHIGAN AND ANOTHER PARTY. FORM 990, PART VI, SECTION A, LINE 6 MEMBERS OR STOCKHOLDERS VERSITI, INC. (A 501(C)(3) ORGANIZATION) IS THE SOLE VOTING MEMBER. FORM 990, PART VI, SECTION A, LINE 7A MEMBER OR STOCKHOLDERS POWERS VERSITI, INC. HAS RESERVE POWERS, INCLUDING THE ABILITY TO ELECT A MAJORITY OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B REFER TO NARRATIVE LISTED IN LINE 7A. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 REVIEW VERSITI MICHIGAN UTILIZES GRANT THORNTON LLP TO COMPLETE THE IRS FORM 990 AND RELATED SCHEDULES. FOLLOWING COMPLETION, THEY ARE REVIEWED BY THE ORGANIZATION'S MANAGEMENT. THE DRAFT FORMS ARE THEN REVISED 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. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY VERSITI MICHIGAN MAINTAINS A WRITTEN CONFLICT OF INTEREST POLICY. ON AN ANNUAL BASIS, CURENT DIRECTORS AND OFFICERS ARE ASKED TO COMPLETE A DISCLOSURE FORM BASED ON IRS REQUIREMENTS THAT INCLUDES THE FOLLOWING: WHETHER THEY HAVE ANY DIRECT OR INDIRECT RELATIONSHIP EITHER THROUGH BUSINESS OR FAMILY MEMBER WITH THE ORGANIZATION. WHETHER THEY RECEIVED COMPENSATION FROM ANY ORGANIZATION THAT SHARES COMMON OWNERSHIP OR CONTROL WITH THE ORGANIZATION. WHETHER THEY HAVE SERVED AS AN OFFICER, DIRECTOR, KEY EMPLOYEE, PARTNER OR MEMBER OF AN ENTITY (OR SHAREHOLDER OF A PROFESSIONAL CORPORATION) DOING BUSINESS WITH THE ORGANIZATION. THESE ANSWERS ARE ACCUMULATED, SUMMARIZED, AND EVALUATED BY MANAGEMENT TO DETERMINE IF ANY CONFLICTS EXIST. IDENTIFIED CONFLICTS ARE ADDRESSED IN ACCORDANCE WITH THE WRITTEN POLICY. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION PROCESS THE COMPENSATION COMMITTEE OF THE VERSITI BOARD OF DIRECTORS, ACTING IN ITS CAPACITY AS THE COMPENSATION COMMITTEE, SETS AND MONITORS THE COMPENSATION PHILOSOPHY FOR VERSITI AND THE RELATED ENTITIES THAT IT SUPPORTS, INCLUDING VERSITI MICHIGAN. FORM 990, PART VI, SECTION C, LINE 19 ORGANIZATION'S DOCUMENTS OPEN TO THE PUBLIC VERSITI MICHIGAN MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. PART VII: AVERAGE HOURS THE HOURS LISTED ON FORM 990, PART VII ARE REPRESENTATIVE OF AN AVERAGE FOR THE OFFICERS AND EXECUTIVE TEAM. EACH INDIVIDUAL PERSON'S WEEKLY TALLY MAY BE GREATER OR LESSER PER WEEK BASED ON THEIR INDIVIDUAL ROLES AND RESPONSIBILITIES WITHIN THE FILING ORGANIZATION AND RELATED PARTIES. FORM 990, PART IX, LINE 11G DONOR TESTING: PROGRAM SERVICE EXPENSES 5,223,423. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,223,423. SHIPPING AND TRANSPORTATION: PROGRAM SERVICE EXPENSES 652,781. MANAGEMENT AND GENERAL EXPENSES 52,595. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 705,376. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 452,819. MANAGEMENT AND GENERAL EXPENSES 2,283. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 455,102. CONSULTING: PROGRAM SERVICE EXPENSES 69,031. MANAGEMENT AND GENERAL EXPENSES 10,250. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 79,281. CUSTOMER TESTING: PROGRAM SERVICE EXPENSES 55,407. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 55,407. OUTSIDE LAB SERVICE: PROGRAM SERVICE EXPENSES 53,439. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 53,439. TEMPORARY HELP: PROGRAM SERVICE EXPENSES 16,107. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 16,107. RECORD STORAGE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 15,717. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,717. US POSTAL SERVICE: PROGRAM SERVICE EXPENSES 7,961. MANAGEMENT AND GENERAL EXPENSES 830. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,791. NON-MARKETING PRINTING COSTS: PROGRAM SERVICE EXPENSES 1,628. MANAGEMENT AND GENERAL EXPENSES 5,994. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,622. LICENSES, PERMITS, & HOSP FEES: PROGRAM SERVICE EXPENSES 6,873. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,873. EDUCATION: PROGRAM SERVICE EXPENSES 6,355. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,355. OTHER PURCHASE SERV AFFILIATES: PROGRAM SERVICE EXPENSES 2,520. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,520. MISCELLANEOUS: PROGRAM SERVICE EXPENSES -17. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES -17. FORM 990, PART XI, LINE 9: BAD DEBT RESERVE ADJUSTMENT -1,995. VERSITI WISCONSIN INC PO BOX 2178 638 N 18TH ST MILWAUKEE WI 53201 390807235 BLOOD WI 501(C)(3) LINE 7 VERSITI 0 VERSITI BLOOD RESEARCH INSTITUTE FNDN PO BOX 2178 638 N 18TH ST MILWAUKEE WI 53201 391372542 SUPPORTING WI 501(C)(3) LINE 12B, II VERSITI 0 VERSITI INC PO BOX 2178 638 N 18TH ST MILWAUKEE WI 53201 454675354 SUPPORTING WI 501(C)(3) LINE 12B, II N/A 0 VERSITI ILLINOIS INC 1200 N HIGHLAND AVE AURORA IL 60506 362179768 BLOOD IL 501(C)(3) LINE 10 VERSITI 0 VERSITI INDIANA INC 3450 N MERIDIAN ST INDIANAPOLIS IN 46208 350991629 BLOOD IN 501(C)(3) LINE 10 VERSITI 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1