2023-11-14T15:01:13-06:00 2022-12-31 390758449 WIPFLI LLP 1502 LONDON ROAD SUITE 200 DULUTH MN 55812 990 2022-01-01 390844803 BLOOD CENTER OF NORTHCENTRAL WISCONSIN BLOO 7158420761 211 FOREST STREET WAUSAU WI 54403 EMILY JOLIN PRESIDENT & CEO 7158420761 2023-11-14 1 EMILY JOLIN XXX-XX-XXXX 1 MICHAEL J PETERSON CPA P01833529 2187224705 2023-11-13 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z EMILY JOLIN 211 FOREST STREET WAUSAU WI 54403 3775847 0 X WWW.BCNWI.ORG X 1952 WI WE DEDICATE OURSELVES TO MAKE AVAILABLE, FOR THE PATIENTS, THROUGH THE BLOOD CENTER OF NORTHCENTRAL WISCONSIN, INC., A SAFE, ADEQUATE, ECONOMICAL AND VOLUNTARY SUPPLY OF BLOOD AND ITS COMPONENTS FOR THE ALLEVIATION OF PAIN AND SUFFERING AND THE SAVING OF HUMAN LIVES. 6 5 22 100 0 0 212494 0 2335926 3709304 120413 66543 0 0 2668833 3775847 0 0 0 0 841646 1052798 0 0 0 1351025 2568490 2192671 3621288 476162 154559 5598313 5589265 176601 107366 5421712 5481899 WE DEDICATE OURSELVES TO MAKE AVAILABLE, FOR THE PATIENTS, THROUGH THE BLOOD CENTER OF NORTHCENTRAL WISCONSIN, INC., A SAFE, ADEQUATE, ECONOMICAL AND VOLUNTARY SUPPLY OF BLOOD AND ITS COMPONENTS FOR THE ALLEVIATION OF PAIN AND SUFFERING AND THE SAVING OF HUMAN LIVES. 0 0 3366018 0 3709304 COLLECTED 6,814 UNITS OF BLOOD AND COMPLETED 551 PLATELET APHRERESIS PROCEDURES FROM VARIOUS SITES IN TAYLOR, MARATHON, LANGLADE, SHAWANO, PORTAGE, COLUMBIA, LINCOLN AND WOOD COUNTIES. THE BLOOD AND ITS COMPONENTS ARE THEN DISTRIBUTED PRIMARILY TO HOSPITALS IN THE SAME COUNTIES. A TOTAL OF 9,358 UNITS OF BLOOD AND 4,627 BLOOD COMPONENT PRODUCTS, SUCH AS FFP PLASMA, CRYO AND PLATELET APHERESIS WERE DISTRIBUTED. 3366018 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 4 0 22 1 0 0 0 0 0 0 0 0 0 0 0 0 X 6 5 0 0 1 0 0 0 0 1 1 0 0 1 1 1 1 0 1 1 0 0 X EMILY JOLIN 7158420761 211 FOREST STREET WAUSAU WI 54403 EMILY JOLIN PRESIDENT & CEO 36.00 X X 87490 0 17286 JIM WEIX CHAIR/TREASURER 0.20 X X 0 0 0 JESSE TISCHER VICE CHAIR/SECRETARY 0.20 X X 0 0 0 GREG STACKER VICE CHAIR (THRU SEPT) 0.20 X X 0 0 0 CRAIG KERSEMEIER SECRETARY (THRU JUNE) 0.20 X X 0 0 0 DR JAKE HEIER DIRECTOR 0.20 X 0 0 0 JENNINE LARSON MD DIRECTOR (THRU JUNE) 0.20 X 0 0 0 REID RAYOME DIRECTOR 0.20 X 0 0 0 JEB STECKBAUBER DIRECTOR 0.20 X 0 0 0 87490 0 17286 0 0 0 0 INNOVATIVE BLOOD RESOURCES 737 PELHAM BLVD ST PAUL MN 55114 BLOOD TESTING SERVICES 355369 1 SERVICE CHARGES 621500 1896729 1896729 BLOOD COMPONENTS 621500 1518074 1518074 PLASMA & PHLEBOTOMY 621500 214371 214371 LAB INCOME 621500 80130 80130 3709304 66188 66188 355 0 355 355 355 3775847 3709304 0 66543 X 104776 78582 26194 757180 623052 134128 75071 63043 12028 55437 48107 7330 60334 43330 17004 125 125 21373 21373 435603 432787 2816 29425 29425 152769 150203 2566 24200 23000 1200 27484 26110 1374 22768 22768 77343 58007 19336 55285 49142 6143 COMPONENTS EXPENSE 681280 681280 RED BLOOD CELL EXPENSE 609300 609300 LABORATORY EXPENSE 290359 290359 REPAIRS & MAINTENANCE 60414 56761 3653 80762 80762 3621288 3366018 255270 0 894948 865725 551872 553233 304637 501079 0 108141 27224 13789 1939682 1063487 803726 876195 2665906 2276570 350000 394533 5598313 5589265 176601 107366 176601 107366 X 5421712 5481899 5421712 5481899 5598313 5589265 154559 -431172 336800 0 X 0 1 X 1 0 X 212494 212494 2491611 2715610 2834198 2335926 3709304 14086649 2491611 2715610 2834198 2548420 3709304 14299143 0 0 0 14299143 43919 52853 41107 41918 66188 245985 43919 52853 41107 41918 66188 245985 2535530 2768463 2875305 2590338 3775492 14545128 0.98310 0.98340 0.01690 0.01660 X SCHEDULE A, PART III, SECTION A: THE ORGANIZATION HAD A SHORT YEAR IN TAX YEAR 2021 TO CHANGE THEIR YEAR-END TO DECEMBER. THE FOLLOWING PERIODS ARE REPRESENTED IN THE COLUMNS (A)-(E) OF PART III. 2018 - APRIL 01, 2018 - MARCH 31, 2019 2019 - APRIL 01, 2019 - MARCH 31, 2020 2020 - APRIL 01, 2020 - MARCH 31, 2021 2021 - APRIL 01, 2021 - DECEMBER 31, 2021 2022 - JANUARY 01, 2022 - DECEMBER 31, 2022 135486 135486 959058 431643 527415 845138 631844 213294 876195 EQUITY INVESTMENT IN BLOOD CENTERS OF AMERICA, INC. 394533 C 394533 FORM 990, PART VI, SECTION A, LINE 4 THE ORGANIZATION AMENDED ITS BYLAWS TO REFLECT A CHANGE IN STRUCTURE WHICH INVOLVED HAVING A SINGLE VOTING MEMBER, MIDWEST BLOOD CENTERS, INC.. FURTHER DETAILS OF THIS RELATIONSHIP ARE DETAILED IN SCHEDULE R. FORM 990, PART VI, SECTION B, LINE 11B THE BOARD HAS AUTHORIZED THE TREASURER TO REVIEW THE RETURN WHICH IS COMPLETED PRIOR TO FILING. A COPY IS SHARED WITH THE BOARD PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C ANY DIRECTOR, PRINCIPAL OFFICER, OR MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS, WHO HAS A DIRECT OR INDIRECT FINANCIAL INTEREST IS AN INTERESTED PERSON AND COVERED BY THE POLICY. IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICT OF INTEREST, AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF THE FINANCIAL INTEREST AND BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE DIRECTORS AND MEMBERS OF COMMITTEES WITH GOVERNING BOARD DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, HE/SHE SHALL LEAVE THE GOVERNING BOARD OR COMMITTEE WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. THEIR DECISION IS FINAL AND BINDING. EACH INTERESTED PERSON SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS SUCH PERSON HAS RECEIVED A COPY OF THE CONFLICTS OF INTEREST POLICY, HAS READ AND UNDERSTANDS THE POLICY, HAS AGREED TO COMPLY WITH THE POLICY AND UNDERSTANDS THE ORGANIZATION IS CHARITABLE AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. FORM 990, PART VI, SECTION B, LINE 15A THE PROCESS FOR DETERMINING COMPENSATION IS AS FOLLOWS: THE BOARD OF DIRECTORS OBTAINS COMPARABLE DATA TO EVALUATE THEIR COMPENSATION STRUCTURE AND USES THAT FOR A BASIS. THE BOARD THEN VOTES TO APPROVE ANY COMPENSATION FOR OFFICERS, HOWEVER, ANY OFFICER INVOLVED MUST ABSTAIN FROM VOTING ON THE MATTER. FORM 990, PART VI, SECTION C, LINE 19 INFORMATION IS AVAILABLE UPON REQUEST FOR THE DOCUMENTS OPEN TO PUBLIC INSPECTION. FORM 990, PART IX, LINE 11G BLOOD TESTING SERVICES: PROGRAM SERVICE EXPENSES 432,787. MANAGEMENT AND GENERAL EXPENSES 2,816. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 435,603. MIDWEST BLOOD CENTERS INC 4406 W SPENCER STREET APPLETON WI 54914 874378634 SUPPORTING ORGANIZATION WI 501(C)(3) LINE 12B, II 0 COMMUNITY BLOOD CENTER INC 4406 W SPENCER STREET APPLETON WI 54914 390906273 BLOOD CENTER WI 501(C)(3) LINE 10 MIDWEST BLOOD CENTERS 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 0 0