VERSITI INDIANA INC: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- VERSITI INDIANA INC (EIN 35-0991629)
- Tax period
- 2020-01-01 to 2020-12-31
- Filed
- 2021-11-11
- IRS object ID
- 202133159349307598
- Schema version
- 2020v4.1
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-11-11T17:17:25-06:00 | ReturnTs |
| Tax Period End | 2020-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 366055558 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GRANT THORNTON LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 E WISCONSIN AVE | AddressLine1Txt |
| City | MILWAUKEE | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53202 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 350991629 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VERSITI INDIANA INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | VERS | BusinessNameControlTxt |
| Phone | 3179165010 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3450 NORTH MERIDIAN STREET | AddressLine1Txt |
| City | INDIANAPOLIS | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46208 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CHRIS MISKEL | PersonNm |
| Person Title | PRESIDENT & CEO | PersonTitleTxt |
| Phone | 3179165010 | PhoneNum |
| Signature | 2021-11-10 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | CHRIS | PersonFirstNm |
| Person Last | MISKEL | PersonLastNm |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MICHELLE L WEBER | PreparerPersonNm |
| PTIN | P00556798 | PTIN |
| Phone | 4142898200 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | CHRIS MISKEL | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 638 N 18TH STREET | AddressLine1Txt |
| City | MILWAUKEE | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 532332121 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $89,989,909 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.VERSITI.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1952 | FormationYr |
| Legal Domicile State | IN | LegalDomicileStateCd |
| Activity Or Mission | (SEE SCHEDULE O)VERSITI INDIANA, INC. (VERSITI INDIANA) 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. | ActivityOrMissionDesc |
| Voting Members Governing Body | 16 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 15 | VotingMembersIndependentCnt |
| Total Employee | 604 | TotalEmployeeCnt |
| Total Volunteers | 54 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $22,067 | PYContributionsGrantsAmt |
| CY Contributions Grants | $117,530 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $75,029,441 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $85,920,324 | CYProgramServiceRevenueAmt |
| PY Investment Income | $562,813 | PYInvestmentIncomeAmt |
| CY Investment Income | $681,880 | CYInvestmentIncomeAmt |
| PY Other Revenue | $119,936 | PYOtherRevenueAmt |
| CY Other Revenue | $92,393 | CYOtherRevenueAmt |
| PY Total Revenue | $75,734,257 | PYTotalRevenueAmt |
| CY Total Revenue | $86,812,127 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $54,690 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $1,582,230 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $24,873,700 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $25,907,060 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $51,192,509 | PYOtherExpensesAmt |
| CY Other Expenses | $56,106,789 | CYOtherExpensesAmt |
| PY Total Expenses | $76,120,899 | PYTotalExpensesAmt |
| CY Total Expenses | $83,596,079 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$386,642 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $3,216,048 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $45,507,285 | TotalAssetsBOYAmt |
| Total Assets EOY | $52,408,972 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $7,274,959 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $9,711,004 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $38,232,326 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $42,697,968 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | (SEE SCHEDULE O) STEWARDS OF INDIANA'S BLOOD SUPPLY, LINKING VOLUNTEER DONORS TO HOOSIER PATIENTS IN NEED BY RECRUITING, COLLECTING, PROCESSING, TESTING, LABELING AND DISTRIBUTING BLOOD TO HOSPITALS EVERY DAY. A COMMUNITY BLOOD PROGRAM, SUPPLYING FIRST IN INDIANA THEN WHEREVER THE LIFE-SAVING RESOURCE IS NEEDED. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $72,039,662 | ExpenseAmt |
| Grant | $1,582,230 | GrantAmt |
| Revenue | $81,853,474 | RevenueAmt |
| Desc | VERSITI INDIANA, INC. (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 2020, 132,522 BLOOD UNITS WERE COLLECTED. VERSITI PROVIDES CLINICAL DIAGNOSTIC TESTING SERVICES TO HOSPITALS, PHYSICIAN OFFICES AND OTHER REFERENCE LABORATORIES. DURING 2020, 42,079 TESTS WERE PERFORMED. VERSITI MEDICAL SERVICES PROVIDES MEDICAL AND THERAPEUTIC SERVICES IN PARTNERSHIP WITH LOCAL HOSPITALS. DURING 2020, 139 THERAPEUTIC PROCEDURES WERE PERFORMED. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,561,061 | ExpenseAmt |
| Revenue | $4,066,850 | RevenueAmt |
| Desc | VERSITI DONOR TESTING LABORATORY PROVIDES INFECTIOUS DISEASE TESTING TO DETERMINE DONOR SUITABILITY AND PRODUCT SAFETY FOR VERSITI AFFILIATES AND OTHER BLOOD CENTER PARTNERS. DURING 2020, 9,371,489 TESTS WERE PERFORMED. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $74,600,723 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 604 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | Yes (1) | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 16 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 15 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (1) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | IN | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JOANNA MCCOY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6308013147 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1200 N HIGHLAND AVE | AddressLine1Txt |
| City | AURORA | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60506 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (38 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|---|---|
| CHRIS MISKEL | |||||||||
| PRESIDENT & CEO | 11.00 | 44.00 | Yes (X) | $199,881 | $819,925 | $43,085 | |||
| THOMAS ABSHIRE MD | |||||||||
| EVP MSI & CHIEF MED OFFICER | 0.00 | 55.00 | Yes (X) | $0 | $671,220 | $25,280 | |||
| BRIAN BAUTISTA | |||||||||
| EVP & CHIEF OPERATING OFFICER | 11.00 | 44.00 | Yes (X) | $126,909 | $520,586 | $43,085 | |||
| BART REUTER | |||||||||
| EVP & GENERAL COUNSEL | 11.00 | 44.00 | Yes (X) | $115,346 | $473,155 | $43,640 | |||
| ANTHONY WATKINS | |||||||||
| EVP & CHIEF FINANCIAL OFFICER | 9.00 | 35.00 | Yes (X) | $101,450 | $416,149 | $36,332 | |||
| GITESH DUBAL | |||||||||
| EVP & CHIEF MARKETING OFFICER | 11.00 | 44.00 | Yes (X) | $94,811 | $388,921 | $41,028 | |||
| JAMES WEIDNER | |||||||||
| EVP & CHIEF HR OFFICER | 11.00 | 44.00 | Yes (X) | $82,262 | $337,444 | $38,589 | |||
| DAN WAXMAN MD | |||||||||
| EVP & CHIEF MEDICAL OFFICER | 55.00 | 0.00 | Yes (X) | $408,407 | $0 | $30,713 | |||
| BRADLEY PIETZ | |||||||||
| EVP & CHIEF INNOVATION OFFICER | 11.00 | 44.00 | Yes (X) | $75,220 | $308,557 | $43,406 | |||
| LYNNE BRIGGS | |||||||||
| VP & CHIEF INFORMATION OFFICER | 11.00 | 44.00 | Yes (X) | $73,256 | $300,505 | $46,219 | |||
| MARGARET MCELLIGOTT | |||||||||
| VP & CHIEF QUALITY OFFICER | 11.00 | 44.00 | Yes (X) | $62,218 | $255,222 | $37,051 | |||
| JULIE CRUZ MD | |||||||||
| ASSISTANT MEDICAL DIRECTOR | 55.00 | 0.00 | $328,448 | $0 | $22,097 | Yes (X) | |||
| GILBERT C WHITE MD | |||||||||
| PRINCIPAL INVESTIGATOR | 0.00 | 28.00 | $0 | $317,144 | $29,436 | Yes (X) | |||
| LORA POORE | |||||||||
| VP LABORATORY SERVICES | 55.00 | 0.00 | Yes (X) | $259,361 | $0 | $24,854 | |||
| DAMON CLEMENTS | |||||||||
| DIRECTOR END USER TECHNOLOGY SVCS | 55.00 | 0.00 | $140,114 | $0 | $25,742 | Yes (X) | |||
| PENNY SCHROEDER | |||||||||
| DIRECTOR BLOOD COLLECTION | 55.00 | 0.00 | $154,894 | $0 | $8,653 | Yes (X) | |||
| BETH HUGHES | |||||||||
| DIRECTOR QA | 55.00 | 0.00 | $139,155 | $0 | $8,545 | Yes (X) | |||
| DEBRA QUALKENBUSH | |||||||||
| DIRECTOR ACCOUNTING | 55.00 | 0.00 | $134,549 | $0 | $14,986 | Yes (X) | |||
| CHARLES MIRAGLIA MD | |||||||||
| FRMR PRES/CONSULTANT;DIR-THRU 5/2020 | 21.00 | 0.00 | $135,000 | $0 | $0 | Yes (X) | |||
| DALE KENT | |||||||||
| CHAIR - AS OF 5/2020 | 1.00 | 5.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| THOMAS HAUSKE JR | |||||||||
| VICE CHAIR - AS OF 5/2020 | 1.00 | 4.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| JAMES M RAUH | |||||||||
| SECRETARY - AS OF 5/2020 | 1.00 | 5.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| CONNIE DANIELSON MD | |||||||||
| SECRETARY - THRU 5/2020 | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| JOHN PERRAS | |||||||||
| TREASURER - AS OF 5/2020 | 1.00 | 4.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| FRED GEILFUSS | |||||||||
| BM; LEGAL ADVISOR - AS OF 5/2020 | 1.00 | 4.00 | $0 | $0 | $0 | Yes (X) | |||
| DAVID GINSBURG MD | |||||||||
| BOARD MEMBER - AS OF 5/2020 | 1.00 | 4.00 | $0 | $0 | $0 | Yes (X) | |||
| GAIL HANSON | |||||||||
| BOARD MEMBER - AS OF 5/2020 | 1.00 | 4.00 | $0 | $0 | $0 | Yes (X) | |||
| SHERRY HUSA | |||||||||
| BOARD MEMBER - AS OF 5/2020 | 1.00 | 4.00 | $0 | $0 | $0 | Yes (X) | |||
| ROBERT H MANEGOLD | |||||||||
| BOARD MEMBER - AS OF 5/2020 | 1.00 | 5.00 | $0 | $0 | $0 | Yes (X) | |||
| JEFFREY S MCDONALD | |||||||||
| BOARD MEMBER - AS OF 5/2020 | 1.00 | 4.00 | $0 | $0 | $0 | Yes (X) | |||
| RON MILLER | |||||||||
| BOARD MEMBER - AS OF 5/2020 | 1.00 | 4.00 | $0 | $0 | $0 | Yes (X) | |||
| JAMES L RICE | |||||||||
| DIRECTOR - THRU 5/2020 | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| AMY SHAPIRO | |||||||||
| DIRECTOR - THRU 5/2020 | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| MITCHELL G WATT | |||||||||
| BOARD MEMBER - AS OF 5/2020 | 1.00 | 4.00 | $0 | $0 | $0 | Yes (X) | |||
| GREG WESLEY | |||||||||
| BOARD MEMBER - AS OF 5/2020 | 1.00 | 4.00 | $0 | $0 | $0 | Yes (X) | |||
| L ALAN WHALEY | |||||||||
| BOARD MEMBER | 1.00 | 4.00 | $0 | $0 | $0 | Yes (X) | |||
| E RANDALL WRIGHT | |||||||||
| DIRECTOR - THRU 5/2020 | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| PETER ZIEGLER | |||||||||
| BOARD MEMBER - AS OF 5/2020 | 1.00 | 5.00 | $0 | $0 | $0 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,631,281 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $4,808,828 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $562,741 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 19 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| MEDSPEED LLC | |||||
| 655 WEST GRAND AVENUE | ELMHURST | IL | 60126 | DELIVERY SERVICES | $2,517,947 |
| INVITA HEALTHCARE TECHNOLOGIES | |||||
| 135 2ND AVENUE NORTH | JACKSONVILLE | FL | 32250 | SOFTWARE SUPPORT | $336,550 |
| NOW COURIER | |||||
| 111 E MCCARTY STREET | INDIANAPOLIS | IN | 46225 | DELIVERY SERVICES | $302,249 |
| BLUELINE SECURITY | |||||
| 2302 E TROY AVE | INDIANAPOLIS | IN | 46203 | HQ SECURITY SERVICES | $170,710 |
| COVERALL NORTH AMERICA INC | |||||
| 8435 KEYSTONE CROSSING STE 200 | INDIANAPOLIS | IN | 46240 | CLEANING SERVICES | $127,172 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $8,100 | GovernmentGrantsAmt |
| All Other Contributions | $109,430 | AllOtherContributionsAmt |
| Total Contributions | $117,530 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| BLOOD SERVICES | 900099 | $52,103,905 | $52,103,905 |
| DONOR TESTING LABORATORY | 621500 | $29,285,127 | $29,285,127 |
| DIAGNOSTIC LABORATORIES | 621500 | $4,066,850 | $4,066,850 |
| MEDICAL SERVICES | 962150 | $464,442 | $464,442 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $85,920,324 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $470,237 | TotalRevenueColumnAmt |
| Exclusion | $470,237 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,389,425 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,099,572 | SecuritiesAmt |
| Other | $78,210 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $289,853 | SecuritiesAmt |
| Other | -$78,210 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $211,643 | TotalRevenueColumnAmt |
| Exclusion | $211,643 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| PATRONAGE DIVIDENDS | 900099 | $92,386 | $92,386 |
| MISCELLANEOUS | 900099 | $7 | $7 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $92,393 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $86,812,127 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $85,920,324 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $774,273 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,582,230 | TotalAmt |
| Program Services | $1,582,230 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,862,687 | TotalAmt |
| Program Services | $1,607,239 | ProgramServicesAmt |
| Management And General | $255,448 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,786,533 | TotalAmt |
| Program Services | $16,210,157 | ProgramServicesAmt |
| Management And General | $2,576,376 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $911,496 | TotalAmt |
| Program Services | $783,397 | ProgramServicesAmt |
| Management And General | $128,099 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,945,879 | TotalAmt |
| Program Services | $2,532,248 | ProgramServicesAmt |
| Management And General | $413,631 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,400,465 | TotalAmt |
| Program Services | $1,203,932 | ProgramServicesAmt |
| Management And General | $196,533 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,614 | TotalAmt |
| Program Services | $831 | ProgramServicesAmt |
| Management And General | $11,783 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,100 | TotalAmt |
| Management And General | $9,100 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,641 | TotalAmt |
| Management And General | $3,641 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,136,984 | TotalAmt |
| Program Services | $2,873,208 | ProgramServicesAmt |
| Management And General | $263,776 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,947 | TotalAmt |
| Program Services | $30,947 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $319,700 | TotalAmt |
| Program Services | $265,535 | ProgramServicesAmt |
| Management And General | $54,165 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $824,593 | TotalAmt |
| Program Services | $592,683 | ProgramServicesAmt |
| Management And General | $231,910 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,706,496 | TotalAmt |
| Program Services | $831,306 | ProgramServicesAmt |
| Management And General | $875,190 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $740,616 | TotalAmt |
| Program Services | $740,616 | ProgramServicesAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,749 | TotalAmt |
| Program Services | $3,450 | ProgramServicesAmt |
| Management And General | $4,299 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,247,061 | TotalAmt |
| Program Services | $544,736 | ProgramServicesAmt |
| Management And General | $702,325 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | -$297,673 | TotalAmt |
| Program Services | $77,793 | ProgramServicesAmt |
| Management And General | -$375,466 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| MEDICAL LAB SUPPLIES | $30,557,443 | $30,557,443 | ||
| COST OF IMPORTED PROD | $11,824,155 | $11,824,155 | ||
| VERSITI SERVICES ALLOC | $4,286,926 | $920,493 | $3,366,433 | $0 |
| EQUIPMENT LEASE/MAINT | $1,150,099 | $938,142 | $211,957 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $546,338 | TotalAmt |
| Program Services | $480,182 | ProgramServicesAmt |
| Management And General | $66,156 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $83,596,079 | TotalAmt |
| Program Services | $74,600,723 | ProgramServicesAmt |
| Management And General | $8,995,356 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $368,663 | BOYAmt |
| EOY | $0 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,062,648 | BOYAmt |
| EOY | $19,386,716 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $432,555 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,596,389 | BOYAmt |
| EOY | $3,335,105 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $404,754 | BOYAmt |
| EOY | $375,795 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $35,982,835 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $27,822,839 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,634,571 | BOYAmt |
| EOY | $8,159,996 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,196,596 | BOYAmt |
| EOY | $20,567,860 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $243,664 | BOYAmt |
| EOY | $150,945 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $45,507,285 | BOYAmt |
| EOY | $52,408,972 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,963,859 | BOYAmt |
| EOY | $9,046,402 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $17,300 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $311,100 | BOYAmt |
| EOY | $647,302 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,274,959 | BOYAmt |
| EOY | $9,711,004 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,754,042 | BOYAmt |
| EOY | $42,430,157 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $478,284 | BOYAmt |
| EOY | $267,811 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,232,326 | BOYAmt |
| EOY | $42,697,968 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $45,507,285 | BOYAmt |
| EOY | $52,408,972 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $3,216,048 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $1,249,619 | NetUnrlzdGainsLossesInvstAmt |
| Prior Period Adjustments | -$25 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $61,621 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $40,971 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $32,624 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $22,067 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $117,530 | CurrentTaxYearAmt |
| Total | $274,813 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $60,016,732 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $67,246,177 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $67,413,846 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $75,050,266 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $85,920,324 | CurrentTaxYearAmt |
| Total | $355,647,345 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $60,078,353 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $67,287,148 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $67,446,470 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $75,072,333 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $86,037,854 | CurrentTaxYearAmt |
| Total | $355,922,158 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $33,404,428 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $40,111,391 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $39,237,398 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $43,177,371 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $52,422,716 | CurrentTaxYearAmt |
| Total | $208,353,304 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $33,404,428 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $40,111,391 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $39,237,398 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $43,177,371 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $52,422,716 | CurrentTaxYearAmt |
| Total | $208,353,304 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $147,568,854 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $378,163 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $485,008 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $490,460 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $543,845 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $470,237 | CurrentTaxYearAmt |
| Total | $2,367,713 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $378,163 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $485,008 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $490,460 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $543,845 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $470,237 | CurrentTaxYearAmt |
| Total | $2,367,713 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $57,243 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $52,797 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $99,111 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $92,393 | CurrentTaxYearAmt |
| Total | $301,544 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $60,456,516 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $67,829,399 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $67,989,727 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $75,715,289 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $86,600,484 | CurrentTaxYearAmt |
| Total | $358,591,415 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.41150 | PublicSupportCY509Pct |
| Public Support PY509 | 0.42730 | PublicSupportPY509Pct |
| Investment Income CY | 0.00660 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00720 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: | FormAndLineReferenceDesc |
| Explanation | PATRONAGE DIVIDENDS - 2016 AMOUNT: $ 0. 2017 AMOUNT: $ 54,726. 2018 AMOUNT: $ 52,600. 2019 AMOUNT: $ 84,207. 2020 AMOUNT: $ 92,386. MISCELLANEOUS INCOME - 2016 AMOUNT: $ 0. 2017 AMOUNT: $ 2,517. 2018 AMOUNT: $ 197. 2019 AMOUNT: $ 14,904. 2020 AMOUNT: $ 7. | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $60,355 | BeginningYearBalanceAmt |
| End Year Balance | $60,355 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $60,355 | BeginningYearBalanceAmt |
| End Year Balance | $60,355 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $60,313 | BeginningYearBalanceAmt |
| Contributions | $42 | ContributionsAmt |
| End Year Balance | $60,355 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $60,267 | BeginningYearBalanceAmt |
| Contributions | $46 | ContributionsAmt |
| End Year Balance | $60,313 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $60,217 | BeginningYearBalanceAmt |
| Contributions | $50 | ContributionsAmt |
| End Year Balance | $60,267 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,380,724 | OtherCostOrOtherBasisAmt |
| Book Value | $1,380,724 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $17,878,177 | OtherCostOrOtherBasisAmt |
| Depreciation | $14,380,126 | DepreciationAmt |
| Book Value | $3,498,051 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $821,160 | OtherCostOrOtherBasisAmt |
| Depreciation | $592,765 | DepreciationAmt |
| Book Value | $228,395 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $11,878,528 | OtherCostOrOtherBasisAmt |
| Depreciation | $9,946,860 | DepreciationAmt |
| Book Value | $1,931,668 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,024,246 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,903,088 | DepreciationAmt |
| Book Value | $1,121,158 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $8,159,996 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| DEFERRED PAYROLL TAXES | $350,725 |
| LONG TERM RETIREMENT LIABILITIES | $213,736 |
| NH LEASE OBLIGATION | $71,820 |
| SUBLESSEE SECURITY DEPOSIT | $11,021 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $647,302 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $88,136,290 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $1,249,619 | NetUnrealizedGainsInvstAmt |
| Other Revenue | -$25 | OtherRevenueAmt |
| Revenue Not Reported | $1,249,594 | RevenueNotReportedAmt |
| Revenue Subtotal | $86,886,696 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $3,641 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | -$78,210 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | -$74,569 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $86,812,127 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $83,670,648 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $78,210 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $78,210 | ExpensesNotReportedAmt |
| Expenses Subtotal | $83,592,438 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $3,641 | InvestmentExpensesNotIncld2Amt |
| Expenses Not Rpt Fincl Stmt | $3,641 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $83,596,079 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | ENDOWMENTS THE INTENDED USE OF THE ORGANIZATION'S ENDOWMENT FUNDS IS TO PERPETUATE THE MISSION OF VERSITI INDIANA, INC. ADDITIONALLY, THE FILING ORGANIZATION IS A 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 ENDOWMENT FUNDS TO ENSURE THE CONTINUING AVAILABILITY OF FUNDS FOR RESEARCH PURPOSES. THE AMOUNT OF THE VBRIF TOTAL ENDOWMENT AS OF 12/31/2020 WAS $99,612,019 AND WAS ALL BOARD RESTRICTED. |
| 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 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 INTEREST OR PENALTIES RELATED TO INCOME TAXES THAT HAVE BEEN ACCRUED OR RECOGNIZED AS OF AND FOR THE YEARS ENDED DECEMBER 31, 2020 AND 2019. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | PRIOR PERIOD ADJUSTMENT -25. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | LOSS ON SALE OF ASSET -78,210. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | LOSS ON SALE OF ASSET 78,210. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| VERSITI BLOOD RESEARCH INSITUTE FOUNDATION INC | |||||||
| PO BOX 2178 638 N 18TH STREET | MILWAUKEE | WI | 532012178 | 391372542 | 501(C)(3) | $1,568,000 | GENERAL SUPPORT |
| COMMUNITY HEALTH NETWORK FOUNDATION INC | |||||||
| 7240 SHADELAND STN | INDIANAPOLIS | IN | 46256 | 510181688 | 501(C)(3) | $10,000 | GIVING GIG SPSHP |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 2 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | PROCEDURE FOR MONITORING USE OF GRANT FUNDS INSIDE U.S. FROM TIME TO TIME, VERSITI INDIANA 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. ADDITIONALLY, THE FILING ORGANIZATION OFFERS SCHOLARSHIPS TO HIGH SCHOOL SENIORS IF CERTAIN CRITERIA ARE MET. THE SCHOLARSHIPS ARE SENT TO THE COLLEGE, OR UNIVERSITY WHERE THE STUDENT IS ENROLLED. THERE WERE NO SCHOLARSHIPS DISBURSED DURING 2020. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | Yes (1) | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | Yes (1) | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CHRIS MISKEL | ||||||||||||||
| PRESIDENT & CEO | $133,603 | $548,047 | $65,990 | $270,696 | $288 | $1,182 | $3,822 | $15,678 | $4,623 | $18,962 | $208,326 | $854,565 | $0 | $0 |
| THOMAS ABSHIRE MD | ||||||||||||||
| EVP MSI & CHIEF MED OFFICER | $0 | $517,993 | $0 | $146,405 | $0 | $6,822 | $0 | $22,800 | $0 | $2,480 | $0 | $696,500 | $0 | $0 |
| BRIAN BAUTISTA | ||||||||||||||
| EVP & CHIEF OPERATING OFFICER | $88,797 | $364,251 | $37,706 | $154,671 | $406 | $1,664 | $3,821 | $15,679 | $4,623 | $18,962 | $135,353 | $555,227 | $0 | $0 |
| BART REUTER | ||||||||||||||
| EVP & GENERAL COUNSEL | $75,938 | $311,502 | $39,002 | $159,989 | $406 | $1,664 | $3,774 | $15,481 | $4,779 | $19,606 | $123,899 | $508,242 | $0 | $0 |
| ANTHONY WATKINS | ||||||||||||||
| EVP & CHIEF FINANCIAL OFFICER | $72,768 | $298,495 | $25,906 | $106,267 | $2,776 | $11,387 | $3,910 | $16,040 | $3,211 | $13,171 | $108,571 | $445,360 | $0 | $0 |
| GITESH DUBAL | ||||||||||||||
| EVP & CHIEF MARKETING OFFICER | $72,785 | $298,567 | $21,738 | $89,172 | $288 | $1,182 | $3,419 | $14,024 | $4,623 | $18,962 | $102,853 | $421,907 | $0 | $0 |
| JAMES WEIDNER | ||||||||||||||
| EVP & CHIEF HR OFFICER | $61,510 | $252,318 | $20,043 | $82,216 | $709 | $2,910 | $3,910 | $16,040 | $3,653 | $14,986 | $89,825 | $368,470 | $0 | $0 |
| DAN WAXMAN MD | ||||||||||||||
| EVP & CHIEF MEDICAL OFFICER | $345,516 | $0 | $43,133 | $0 | $19,758 | $0 | $14,250 | $0 | $16,463 | $0 | $439,120 | $0 | $0 | $0 |
| BRADLEY PIETZ | ||||||||||||||
| EVP & CHIEF INNOVATION OFFICER | $56,291 | $230,907 | $18,566 | $76,157 | $363 | $1,493 | $3,765 | $15,444 | $4,743 | $19,454 | $83,728 | $343,455 | $0 | $0 |
| LYNNE BRIGGS | ||||||||||||||
| VP & CHIEF INFORMATION OFFICER | $57,896 | $237,495 | $14,336 | $58,808 | $1,024 | $4,202 | $4,469 | $18,331 | $4,590 | $18,829 | $82,315 | $337,665 | $0 | $0 |
| MARGARET MCELLIGOTT | ||||||||||||||
| VP & CHIEF QUALITY OFFICER | $50,005 | $205,124 | $11,199 | $45,939 | $1,014 | $4,159 | $4,084 | $16,751 | $3,178 | $13,038 | $69,480 | $285,011 | $0 | $0 |
| JULIE CRUZ MD | ||||||||||||||
| ASSISTANT MEDICAL DIRECTOR | $308,064 | $0 | $18,586 | $0 | $1,798 | $0 | $13,288 | $0 | $8,809 | $0 | $350,545 | $0 | $0 | $0 |
| GILBERT C WHITE MD | ||||||||||||||
| PRINCIPAL INVESTIGATOR | $0 | $202,525 | $0 | $112,095 | $0 | $2,524 | $0 | $13,500 | $0 | $15,936 | $0 | $346,580 | $0 | $0 |
| LORA POORE | ||||||||||||||
| VP LABORATORY SERVICES | $217,555 | $0 | $38,434 | $0 | $3,372 | $0 | $8,832 | $0 | $16,022 | $0 | $284,215 | $0 | $0 | $0 |
| DAMON CLEMENTS | ||||||||||||||
| DIRECTOR END USER TECHNOLOGY SVCS | $136,464 | $0 | $2,750 | $0 | $900 | $0 | $2,239 | $0 | $23,503 | $0 | $165,856 | $0 | $0 | $0 |
| PENNY SCHROEDER | ||||||||||||||
| DIRECTOR BLOOD COLLECTION | $149,322 | $0 | $4,500 | $0 | $1,072 | $0 | $7,425 | $0 | $1,228 | $0 | $163,547 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 4A | SEVERANCE PAYMENTS AN INDIVIDUAL RECEIVED SEVERANCE IN 2020, WHICH IS INCLUDED ON FORM 990, PART VII. DUE TO A CONFIDENTIALITY AGREEMENT, NEITHER THE NAME NOR THE AMOUNT WILL BE LISTED. |
| 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 INDIANA. OTHER THAN THE VERSITI PRESIDENT & CHIEF EXECUTIVE OFFICER, THE COMPENSATION COMMITTEE DOES NOT INCLUDE MEMBERS OF MANAGEMENT AND IS COMPRISED ENTIRELY OF INDIVIDUALS WHO DO NOT HAVE A CONFLICT OF INTEREST WITH RESPECT TO VERSITI OR VERSITI INDIANA COMPENSATION ARRANGEMENTS. THE VERSITI PRESIDENT AND CHIEF EXECUTIVE OFFICER RECUSES HER/HIMSELF FROM ALL DISCUSSIONS AND APPROVALS RELATED TO HER/HIS COMPENSATION. THE VERSITI COMPENSATION COMMITTEE REVIEWS VERSITI INDIANA EXECUTIVE COMPENSATION ARRANGEMENTS TO ENSURE SUCH ARRANGEMENTS ARE FAIR, REASONABLE, AND NOT EXCESSIVE WHEN COMPARED TO SIMILARLY-SITUATED EXECUTIVES. EXECUTIVE COMPENSATION ARRANGEMENTS ARE REVIEWED FOR REASONABLENESS AND APPROVED BY THE COMPENSATION COMMITTEE ANNUALLY IN ACCORDANCE WITH THE VERSITI REASONABLENESS REVIEW POLICY. THE COMPENSATION COMMITTEE ASSESSES THE REASONABLENESS OF EXECUTIVE COMPENSATION ARRANGEMENTS AFTER IT OBTAINS AND REVIEWS APPROPRIATE DATA FOR COMPARABILITY FROM THE HUMAN RESOURCE DEPARTMENT AND/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. VERSITI AND VERSITI INDIANA 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 INDIANA 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 INDIANA CEO REVIEWS THE PERFORMANCE AND THE ACHIEVEMENT OF INDIVIDUAL GOALS AND OBJECTIVES OF EACH VERSITI/VERSITI INDIANA CORPORATE OFFICER. THE VERSITI/VERSITI INDIANA 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. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 4 | SIGNIFICANT CHANGES TO GOVERNING DOCUMENTS THE FILING ORGANIZATION'S BYLAWS WERE AMENDED IN MAY 2020 TO: - CHANGE VERSITI, INC. FROM THE SOLE VOTING MEMBER TO THE SOLE MEMBER. - REMOVE PROVISION FOR INDIVIDUAL NON-VOTING MEMBERS. - REMOVE BOARD OF DIRECTORS' POWERS TO AMEND BYLAWS, NOMINATE DIRECTORS, AND ELECT BOARD OFFICERS. - UPDATE THE BOARD OF DIRECTORS' NUMBER, COMPOSITION, ELIGIBILITY AND TERM TO: CONSIST OF NOT LESS THAN THREE DIRECTORS AND BE COMPOSED OF THE THEN SERVING DIRECTORS OF THE CORPORATE MEMBER, REMOVE THE LIMITATION ON ELIGIBILITY OF BOARD OF DIRECTORS FOR ELECTION AFTER THE AGE OF 75 YEARS AND AFTER MAXIMUM NUMBER OF TERMS, AND UPDATE THE BOARD OF DIRECTORS' TERM TO SERVE THE SAME TERM THAT SUCH INDIVIDUAL SERVES AS A DIRECTOR OF THE CORPORATE MEMBER. - UPDATE THE RESIGNATION/REMOVAL PROVISIONS SO THAT RESIGNATION/REMOVAL FROM THE CORPORATE MEMBER'S BOARD OF DIRECTORS/OFFICERS SIMULTANEOUSLY RESIGNS/REMOVES THE INDIVIDUAL FROM AFFILIATED BOARDS OF DIRECTORS/OFFICERS. - THE BOARD OF DIRECTORS, BY CHARTER, DELEGATED OVERSIGHT OF THE CORPORATION'S AUDIT AND COMPLIANCE FUNCTIONS TO THE VERSITI AUDIT & COMPLIANCE COMMITTEE. |
| 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 STOCKHOLDER 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 INDIANA UTILIZES GRANT THORNTON LLP TO COMPLETE THE IRS FORM 990 AND RELATED SCHEDULES. FOLLOWING COMPLETION, THEY ARE REVIEWED BY THE CONTROLLER AND CEO OF VERSITI. THE DRAFT FORMS ARE THEN REVIEWED BY THE COMPLIANCE AND AUDIT COMMITTEE PRIOR TO SUBMISSION TO THE IRS. THE FULL BOARD IS PROVIDED A COPY OF THE FORM 990 PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | CONFLICT OF INTEREST POLICY VERSITI INDIANA MAINTAINS A WRITTEN CONFLICT OF INTEREST POLICY. ON AN ANNUAL BASIS, CURRENT DIRECTORS AND OFFICERS ARE ASKED TO COMPLETE A DISCLOSURE FORM BASED ON IRS REQUIREMENTS THAT INCLUDES THE FOLLOWING: WHETHER THEY HAVE ANY DIRECT OR INDIRECT RELATIONSHIP EITHER THROUGH BUSINESS OR FAMILY MEMBER WITH THE ORGANIZATION. WHETHER THEY RECEIVED 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 INDIANA. |
| FORM 990, PART VI, SECTION C, LINE 19 | ORGANIZATION'S DOCUMENTS OPEN TO THE PUBLIC THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST DURING NORMAL BUSINESS HORUS AND AT THE ORGANIZATION'S LOCATION. |
| PART VII: | AVERAGE HOURS THE HOURS LISTED ON FORM 990, PART VII ARE REPRESENTATIVE OF AN AVERAGE FOR THE OFFICERS AND EXECUTIVE TEAM. EACH INDIVIDUAL PERSON'S WEEKLY TALLY MAY BE GREATER OR LESSER PER WEEK BASED ON THEIR INDIVIDUAL ROLES AND RESPONSIBILITIES WITHIN THE FILING ORGANIZATION AND RELATED PARTIES. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 WISCONSIN INC | |||||||||||
| PO BOX 2178 638 N 18TH ST | MILWAUKEE | WI | 53201 | 390807235 | BLOOD | WI | 501(C)(3) | LINE 7 | 0 | VERSITI | |
| VERSITI MICHIGAN INC | |||||||||||
| 1036 FULLER AVE NE | GRAND RAPIDS | MI | 49503 | 381550001 | BLOOD | MI | 501(C)(3) | LINE 10 | 0 | VERSITI | |
| VERSITI BLOOD RESEARCH INSTITUTE FNDN | |||||||||||
| PO BOX 2178 638 N 18TH ST | MILWAUKEE | WI | 53201 | 391372542 | SUPPORTING | WI | 501(C)(3) | LINE 12B, II | 0 | VERSITI | |
| VERSITI ILLINOIS INC | |||||||||||
| 1200 N HIGHLAND AVE | AURORA | IL | 60506 | 362179768 | BLOOD | IL | 501(C)(3) | LINE 10 | 0 | VERSITI | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | Yes (1) | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | Yes (1) | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |