Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
|
Total |
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Calendar year
(or fiscal year beginning in)
![]() |
(a) 2020 | (b) 2021 | (c) 2022 | (d) 2023 | (e) 2024 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | 26,647,932 | 26,132,948 | 31,822,899 | 35,533,265 | 47,346,648 | 167,483,692 |
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf .... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3 | 26,647,932 | 26,132,948 | 31,822,899 | 35,533,265 | 47,346,648 | 167,483,692 |
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) .. | 40,835,796 | |||||
| 6 | Public support. Subtract line 5 from line 4. | 126,647,896 | |||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2020 | (b) 2021 | (c) 2022 | (d) 2023 | (e) 2024 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 26,647,932 | 26,132,948 | 31,822,899 | 35,533,265 | 47,346,648 | 167,483,692 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | 1,862,957 | 1,963,086 | 1,514,098 | 3,484,842 | 3,854,062 | 12,679,045 |
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | 100,852 | 121,241 | 91,510 | 524,619 | 622,113 | 1,460,335 |
| 11 | Total support. Add lines 7 through 10 | 181,645,677 | |||||
Calendar year (or fiscal
year beginning in) ![]() |
(a) 2020 | (b) 2021 | (c) 2022 | (d) 2023 | (e) 2024 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | ||||||
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose | ||||||
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513 ..... | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge | ||||||
| 6 | Total. Add lines 1 through 5 | ||||||
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons | ||||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | ||||||
| c | Add lines 7a and 7b.. | ||||||
| 8 | Public support. (Subtract line 7c from line 6.) | ||||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2020 | (b) 2021 | (c) 2022 | (d) 2023 | (e) 2024 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | ||||||
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | ||||||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | ||||||
| 11 | Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
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| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by 0.035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | 1 | |
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
2 | |
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | 3 | |
| 4 Amounts paid to acquire exempt-use assets | 4 | |
| 5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) | 5 | |
| 6 Other distributions (describe in Part VI). See instructions | 6 | |
| 7Total annual distributions. Add lines 1 through 6. | 7 | |
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
8 | |
| 9 Distributable amount for 2024 from Section C, line 6 | 9 | |
| 10 Line 8 amount divided by Line 9 amount | 10 | |
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2024 |
(iii) Distributable Amount for 2024 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2024 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2024 (reasonable cause required-- explain in Part VI).
See instructions. |
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| 3 Excess distributions carryover, if any, to 2024: | ||||
| a From 2019....... | ||||
| b From 2020....... | ||||
| c From 2021....... | ||||
| d From 2022....... | ||||
| e From 2023....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2024 distributable amount | ||||
|
i
Carryover from 2019 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2024 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2024 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
|
5
Remaining underdistributions for years prior to 2024, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
6
Remaining underdistributions for 2024. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
7 Excess distributions carryover to 2025. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2020..... | ||||
| b Excess from 2021..... | ||||
| c Excess from 2022..... | ||||
| d Excess from 2023..... | ||||
| e Excess from 2024..... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|---|
| SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: | PATRONAGE DIVIDENDS - 2020 AMOUNT: $ 31,405. 2021 AMOUNT: $ 0. 2022 AMOUNT: $ 0. 2023 AMOUNT: $ 0. 2024 AMOUNT: $ 0. COPY FEES - 2020 AMOUNT: $ 0. 2021 AMOUNT: $ 0. 2022 AMOUNT: $ 510. 2023 AMOUNT: $ 0. 2024 AMOUNT: $ 667. MISCELLANEOUS - 2020 AMOUNT: $ 197. 2021 AMOUNT: $ 12,241. 2022 AMOUNT: $ 0. 2023 AMOUNT: $ 355. 2024 AMOUNT: $ 3,347. ACQUIRED CASH RECEIPTS - 2020 AMOUNT: $ 69,250. 2021 AMOUNT: $ 109,000. 2022 AMOUNT: $ 91,000. 2023 AMOUNT: $ 110,000. 2024 AMOUNT: $ 66,667. CREDIT CARD REBATES - 2020 AMOUNT: $ 0. 2021 AMOUNT: $ 0. 2022 AMOUNT: $ 0. 2023 AMOUNT: $ 880. 2024 AMOUNT: $ 51. AFFILIATE SERVICE FEES - 2020 AMOUNT: $ 0. 2021 AMOUNT: $ 0. 2022 AMOUNT: $ 0. 2023 AMOUNT: $ 413,384. 2024 AMOUNT: $ 551,381. |
| Software ID: | |
| Software Version: |
| Return Reference | Explanation |
|---|---|
| FORM 990, PART I, LINE 1 | VERSITI WISCONSIN, INC. (VERSITI WISCONSIN) IS A BLOOD HEALTH INNOVATOR WHICH ENHANCES LIVES THROUGH DISCOVERY, DIAGNOSIS AND TREATMENT. VERSITI EXPANDS THE FRONTIERS OF PATIENT HEALTH THROUGH THE INTEGRATION OF SCIENCE, MEDICINE AND SERVICE. |
| FORM 990, PART VI, SECTION A, LINE 6 | MEMBERS OR STOCKHOLDERS VERSITI, INC. IS THE SOLE CORPORATE 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 WISCONSIN UTILIZES GRANT THORNTON TO COMPLETE THE IRS FORM 990 AND RELATED SCHEDULES. FOLLOWING COMPLETION, THEY ARE REVIEWED BY THE ORGANIZATION'S MANAGEMENT. THE DRAFT FORMS ARE THEN REVIEWED BY THE AUDIT AND COMPLIANCE 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 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 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 EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS, ACTING IN ITS CAPACITY AS THE COMPENSATION COMMITTEE, SETS AND MONITORS THE COMPENSATION PHILOSOPHY FOR THE FILING ORGANIZATION. |
| FORM 990, PART VI, SECTION C, LINE 19 | ORGANIZATION'S DOCUMENTS OPEN TO THE PUBLIC THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST TO THE PUBLIC DURING NORMAL BUSINESS HOURS 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. |
| FORM 990, PART IX, LINE 11G | SHIPPING & TRANSPORTATION: PROGRAM SERVICE EXPENSES 1,892,601. MANAGEMENT AND GENERAL EXPENSES 164,068. TOTAL EXPENSES 2,056,669. OUTSIDE LAB SERVICE: PROGRAM SERVICE EXPENSES 547,086. TOTAL EXPENSES 547,086. TEMPORARY HELP: PROGRAM SERVICE EXPENSES 445,420. MANAGEMENT AND GENERAL EXPENSES -40,335. TOTAL EXPENSES 405,085. SUBAWARDS: PROGRAM SERVICE EXPENSES 5,782,955. TOTAL EXPENSES 5,782,955. DONOR TESTING: PROGRAM SERVICE EXPENSES 5,744,886. TOTAL EXPENSES 5,744,886. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 1,255,534. MANAGEMENT AND GENERAL EXPENSES 495,400. TOTAL EXPENSES 1,750,934. ANIMAL CARE COSTS: PROGRAM SERVICE EXPENSES 1,331,489. TOTAL EXPENSES 1,331,489. CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 1,353,566. MANAGEMENT AND GENERAL EXPENSES 56,399. TOTAL EXPENSES 1,409,965. OPERATING ROOM: PROGRAM SERVICE EXPENSES 1,163,168. TOTAL EXPENSES 1,163,168. IRB CONTRACTOR FEES: PROGRAM SERVICE EXPENSES 866,757. TOTAL EXPENSES 866,757. LAB: PROGRAM SERVICE EXPENSES 617,231. TOTAL EXPENSES 617,231. ICU: PROGRAM SERVICE EXPENSES 587,028. TOTAL EXPENSES 587,028. TRANSLATION SERVICE: PROGRAM SERVICE EXPENSES 491,172. TOTAL EXPENSES 491,172. PHARMACY: PROGRAM SERVICE EXPENSES 478,584. TOTAL EXPENSES 478,584. OTHER HOSPITAL CHARGES: PROGRAM SERVICE EXPENSES 386,278. TOTAL EXPENSES 386,278. GRADUATE STUDENT STIPENDS: PROGRAM SERVICE EXPENSES 363,637. TOTAL EXPENSES 363,637. RADIOLOGY: PROGRAM SERVICE EXPENSES 353,846. TOTAL EXPENSES 353,846. CLAIM/BILLING REVIEW: PROGRAM SERVICE EXPENSES 343,423. TOTAL EXPENSES 343,423. OUTSIDE MEDICAL DIRECTOR (OPO): PROGRAM SERVICE EXPENSES 338,895. TOTAL EXPENSES 338,895. CARDIOLOGY: PROGRAM SERVICE EXPENSES 309,386. TOTAL EXPENSES 309,386. FACILITY CHARGES: PROGRAM SERVICE EXPENSES 249,890. TOTAL EXPENSES 249,890. RESPIRATORY THERAPY: PROGRAM SERVICE EXPENSES 203,332. TOTAL EXPENSES 203,332. RECORD STORAGE: PROGRAM SERVICE EXPENSES 8,645. MANAGEMENT AND GENERAL EXPENSES 193,876. TOTAL EXPENSES 202,521. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 177,046. TOTAL EXPENSES 177,046. ANESTHESIA: PROGRAM SERVICE EXPENSES 159,955. TOTAL EXPENSES 159,955. LICENSES, PERMITS, & HOSP FEES: PROGRAM SERVICE EXPENSES 109,085. MANAGEMENT AND GENERAL EXPENSES 5,733. TOTAL EXPENSES 114,818. EDUCATION: PROGRAM SERVICE EXPENSES 73,611. MANAGEMENT AND GENERAL EXPENSES 33,663. TOTAL EXPENSES 107,274. DNA SEQUENCING: PROGRAM SERVICE EXPENSES 91,053. TOTAL EXPENSES 91,053. FUNERAL HOME CHARGES: PROGRAM SERVICE EXPENSES 85,305. TOTAL EXPENSES 85,305. PS SUPPLIES: PROGRAM SERVICE EXPENSES 84,572. TOTAL EXPENSES 84,572. CUSTOMER TESTING: PROGRAM SERVICE EXPENSES 54,813. TOTAL EXPENSES 54,813. PUBLICATION SERVICES: PROGRAM SERVICE EXPENSES 49,888. MANAGEMENT AND GENERAL EXPENSES 3,018. TOTAL EXPENSES 52,906. NON-MARKETING PRINTING COSTS : PROGRAM SERVICE EXPENSES 29,435. MANAGEMENT AND GENERAL EXPENSES 3,967. TOTAL EXPENSES 33,402. OUTSIDE CORE LAB CHARGES: PROGRAM SERVICE EXPENSES 25,836. TOTAL EXPENSES 25,836. OTHER PURCHASE SERV AFFILIATES: PROGRAM SERVICE EXPENSES 16,541. TOTAL EXPENSES 16,541. NON-HOSPITAL BUSINESS DEVELOPMENT: PROGRAM SERVICE EXPENSES 14,538. TOTAL EXPENSES 14,538. PHARMACY DISPENSING FEE: PROGRAM SERVICE EXPENSES 12,635. TOTAL EXPENSES 12,635. BANK ACCOUNT FEES: PROGRAM SERVICE EXPENSES 9,223. MANAGEMENT AND GENERAL EXPENSES 1,816. TOTAL EXPENSES 11,039. LAUNDRY COSTS: PROGRAM SERVICE EXPENSES 8,846. TOTAL EXPENSES 8,846. VARIABLE LEASES PRINTING SERVICES: MANAGEMENT AND GENERAL EXPENSES 588. TOTAL EXPENSES 588. MEDICAL REPORTS: PROGRAM SERVICE EXPENSES 79. TOTAL EXPENSES 79. EMPLOYMENT RECRUITMENT FEES: PROGRAM SERVICE EXPENSES 20. TOTAL EXPENSES 20. |
| FORM 990, PART XI, LINE 9: | BAD DEBT RESERVE ADJUSTMENT -374,084. CHANGE IN EQUITY IN CENETRON 504,088. INVESTMENT IN AFFILIATE BALANCE SHEET AMOUNT -1,430,000. |
| Software ID: | |
| Software Version: |