UPPER MIDWEST ORGAN PROCUREMENT ORGANIZATION INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
UPPER MIDWEST ORGAN PROCUREMENT ORGANIZATION INC (EIN 36-3584029)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-10-10
IRS object ID
202202839349300015
Schema version
2021v4.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2022-10-10T08:09:21-05:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN420714325PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1RSM US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1227 WEST FIRST STREET SUITE 700AddressLine1Txt
CityDULUTHCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55802ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN363584029EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1UPPER MIDWEST ORGAN PROCUREMENTBusinessNameLine1Txt
Business Name Line2ORGANIZATION INC / LIFESOURCEBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlUPPEBusinessNameControlTxt
Phone6128006100PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12225 WEST RIVER ROAD NORTHAddressLine1Txt
CityMINNEAPOLISCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55411ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonPETER D FARSTADPersonNm
Person TitleCAOPersonTitleTxt
Phone6128006100PhoneNum
Signature2022-10-09SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstPETERPersonFirstNm
Person LastFARSTADPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJULIE BOYERPreparerPersonNm
PTINP01278549PTIN
Phone2187275025PhoneNum
Preparation2022-10-09PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1LIFESOURCEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerSUSAN RAETHERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12225 WEST RIVER ROAD NORTHAddressLine1Txt
CityMINNEAPOLISCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55411ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$78,587,674GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.LIFE-SOURCE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1987FormationYr
Legal Domicile StateMNLegalDomicileStateCd
Activity Or MissionLIFESOURCE SAVE LIVES AND OFFERS HOPE AND HEALING THROUGH EXCELLENCE IN ORGAN, TISSUE AND EYE DONATION.ActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent15VotingMembersIndependentCnt
Total Employee204TotalEmployeeCnt
Total Volunteers263TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$312,500PYContributionsGrantsAmt
CY Contributions Grants$3,555,941CYContributionsGrantsAmt
PY Program Service Revenue$54,503,401PYProgramServiceRevenueAmt
CY Program Service Revenue$68,020,761CYProgramServiceRevenueAmt
PY Investment Income$345,213PYInvestmentIncomeAmt
CY Investment Income$1,908,917CYInvestmentIncomeAmt
PY Other Revenue$10,923PYOtherRevenueAmt
CY Other Revenue-$36,917CYOtherRevenueAmt
PY Total Revenue$55,172,037PYTotalRevenueAmt
CY Total Revenue$73,448,702CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$19,531,058PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$21,445,802CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$71,788CYTotalFundraisingExpenseAmt
PY Other Expenses$32,948,230PYOtherExpensesAmt
CY Other Expenses$46,982,786CYOtherExpensesAmt
PY Total Expenses$52,479,288PYTotalExpensesAmt
CY Total Expenses$68,428,588CYTotalExpensesAmt
PY Revenues Less Expenses$2,692,749PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$5,020,114CYRevenuesLessExpensesAmt
Total Assets BOY$68,359,376TotalAssetsBOYAmt
Total Assets EOY$70,090,155TotalAssetsEOYAmt
Total Liabilities BOY$20,571,784TotalLiabilitiesBOYAmt
Total Liabilities EOY$17,194,583TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$47,787,592NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$52,895,572NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionLIFESOURCE SAVES LIVES AND OFFERS HOPE AND HEALING THROUGH EXCELLENCE IN ORGAN, EYE AND TISSUE DONATION.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$58,975,632ExpenseAmt
Revenue$67,546,943RevenueAmt
DescORGAN, EYE AND TISSUE PROCUREMENT:THE ORGAN, EYE, AND TISSUE PROCUREMENT DEPARTMENTS WORK COLLABORATIVELY WITH HOSPITAL STAFF IN THE LIFESOURCE DONOR SERVICE AREA (MINNESOTA, NORTH DAKOTA, SOUTH DAKOTA, AND A PORTION OF WESTERN WISCONSIN) TO IDENTIFY POTENTIAL ORGAN, EYE AND TISSUE DONORS, PROVIDE SUPPORT TO FAMILIES THROUGHOUT THE DONATION PROCESS, SUPPORT PROTOCOLS ESTABLISHED BY THE UNITED NETWORK FOR ORGAN SHARING TO MATCH THE ORGANS WITH THE INTENDED RECIPIENT, COORDINATE ALL CLINICAL ACTIVITIES AND ARRANGE THE SURGICAL RECOVERY OF ORGANS, TISSUES AND EYES. DONATION COORDINATORS AND TISSUE RECOVERY PERSONNEL, IN CONJUNCTION WITH DONOR SERVICES CENTER STAFF ACQUIRE KNOWN INFORMATION ABOUT AN INDIVIDUAL'S DOCUMENTED DESIGNATION FOR DONATION. IF NO KNOWN DOCUMENTATION EXISTS, THE COORDINATOR WILL WORK WITH THE NEXT-OF-KIN TO OBTAIN AUTHORIZATION FOR DONATION. IN 2021, LIFESOURCE MANAGED 203 ORGAN DONATION CASES, RESULTING IN 572 ORGAN TRANSPLANTS. IN ADDITION, STAFF COORDINATED THE IMPORT AND SUBSEQUENT TRANSPLANT OF 490 ORGANS FROM DONORS OUTSIDE THE LIFESOURCE REGION FOR TRANSPLANTATION IN THE LIFESOURCE REGION. THESE SERVICES SUPPORT THE WORK OF NINE TRANSPLANT PROGRAMS LOCATED IN THE LIFESOURCE SERVICE AREA. LIFESOURCE TISSUE RECOVERY STAFF COORDINATED 865 TISSUE DONATION CASES, RESULTING IN THE TRANSPLANT OF APPROXIMATELY 64,875 TISSUE GRAFTS CONSISTING OF BONE, CONNECTIVE TISSUE, FASCIA, SKIN, VEIN AND HEART VALVES. LIFESOURCE TISSUE RECOVERY STAFF ALSO COORDINATED 468 EYE DONATION CASES, RESULTING IN CORNEAS RECOVERED FOR TRANSPLANT AND RESEARCH.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$1,645,070ExpenseAmt
Revenue$473,818RevenueAmt
DescHOSPITAL SERVICES: THE HOSPITAL SERVICES DEPARTMENT IS COMMITTED TO MAXIMIZING ORGAN AND TISSUE DONATION BY BUILDING SUCCESSFUL RELATIONSHIPS WITH KEY STAFF MEMBERS OF 279 DONOR HOSPITALS LOCATED THROUGHOUT THE LIFESOURCE REGION. LIFESOURCE HOSPITAL LIAISONS AND CLINICAL HOSPITAL COORDINATORS ARE STRATEGICALLY LOCATED IN MINNEAPOLIS, MN; DULUTH, MN; FARGO, ND; BISMARCK, ND; AND RAPID CITY, SD. THE GOALS OF THIS DEPARTMENT INCLUDE MAINTAINING STRONG WORKING RELATIONSHIPS WITH HOSPITAL STAFF, PROVIDING EDUCATION TO CLINICIANS, ASSISTING HOSPITAL STAFF COMPLY WITH FEDERAL STANDARDS AND ON-SITE SUPPORT DURING DONATION CASES.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$1,819,119ExpenseAmt
DescPUBLIC EDUCATION:LIFESOURCE MAINTAINS A STRONG COMMITMENT TO PUBLIC EDUCATION ACTIVITIES DESIGNED TO INCREASE AWARENESS AND UNDERSTANDING ABOUT THE NEED FOR ORGAN AND TISSUE DONATION IN THE LIFESOURCE REGION. THE LIFESOURCE REGION HAS AN OVERALL 70% REGISTERED DONOR RATE, AMONG THE HIGHEST IN THE NATION. THE EDUCATION ACTIVITIES ARE FOCUSED ON DEVELOPING EXTERNAL RELATIONSHIPS FOR THE PURPOSE OF BUILDING SUPPORT FOR DONATION AND POSITIONING LIFESOURCE AS THE DONATION EXPERT IN THE REGION. THIS WORK IS CRITICAL AS THE GROWING NEED FOR ORGANS AND TISSUES WILL NOT BE MET WITHOUT INCREASED PUBLIC SUPPORT AND INDIVIDUALS WHO DESIGNATE THEMSELVES AS DONORS THROUGH THE STATE DRIVER'S LICENSE BUREAUS OR ONLINE STATE DONOR REGISTRY. IN 2021, 263 VOLUNTEERS SUPPORTED THE LIFESOURCE MISSION THROUGH HIGH SCHOOL AND COMMUNITY EDUCATION. THE PUBLIC EDUCATION DEPARTMENT ALSO WORKED TO INCREASE DONATION THROUGH MEDIA CAMPAIGNS, COMMUNITY OUTREACH INITIATIVES, GOVERNMENT RELATIONS AND DONOR FAMILY SERVICES.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$62,439,821TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org MemYes (1)BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document115IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee204EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member15IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldMNStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PETER D FARSTADBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6128006100PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12225 WEST RIVER ROAD NORTHAddressLine1Txt
CityMINNEAPOLISCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55411ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
TIM BJORK
CHAIR5.00Yes (X)Yes (X)$0$0$0
KIM SIMENSEN
VICE CHAIR5.00Yes (X)Yes (X)$0$0$0
CRAIG BROMAN
SECRETARY/TREASURER5.00Yes (X)Yes (X)$0$0$0
SARA CRIGER
IMMEDIATE PAST CHAIR5.00Yes (X)$0$0$0
KEN ACKERMAN
DIRECTOR5.00Yes (X)$0$0$0
GRETCHEN DAHLBERG
DIRECTOR5.00Yes (X)$0$0$0
FRAZIER EALES MD
DIRECTOR5.00Yes (X)$0$0$0
ALEX HILL PHD
DIRECTOR5.00Yes (X)$0$0$0
JERRY LEE
DIRECTOR5.00Yes (X)$0$0$0
TIM PRUETT MD
DIRECTOR5.00Yes (X)$0$0$0
MEGAN REMARK
DIRECTOR5.00Yes (X)$0$0$0
TOM SCHWAB MD
DIRECTOR5.00Yes (X)$0$0$0
MYLYNN TUFTE
DIRECTOR5.00Yes (X)$0$0$0
SCOTT DAVIS
DIRECTOR5.00Yes (X)$0$0$0
REUBEN MOORE
DIRECTOR5.00Yes (X)$0$0$0
SUSAN RAETHER
CHIEF EXECUTIVE OFFICER50.00Yes (X)$661,485$0$78,172
PETER FARSTAD
CHIEF ADMINISTRATIVE OFFICER50.00Yes (X)$357,127$0$71,259
JULIE KEMINK
CHIEF OPERATING OFFICER50.00Yes (X)$335,942$0$71,723
SUSAN LARSON
CHIEF SECURITY OFFICER50.00Yes (X)$277,867$0$28,101
SUSAN WEESE
DIRECTOR OF ORGAN PROCUREMENT50.00$215,608$0$52,922Yes (X)
MARGARET ROGERS
DIRECTOR OF TRANSPLANT CNTR RELATIONS50.00$227,656$0$58,156Yes (X)
WILLIAM PAYNE
MEDICAL DIRECTOR50.00$222,100$0$17,768Yes (X)
BRENDA WELSCH
DIRECTOR OF QUALITY & REGULATORY AFFAIRS50.00$193,641$0$20,081Yes (X)
KATHERINE MCKEE
DIRECTOR OF HOSPITAL SERVICES & DFAC50.00$154,003$0$20,396Yes (X)
JASON NARVERUD
DIRECTOR OF DATA & INFORMATION SERVICES50.00$144,350$0$66,524Yes (X)
BETH KABBA
SENIOR MANAGER OF FINANCIAL OPERATIONS50.00$140,007$0$62,162Yes (X)
KRISTIN ERDMANN
DIRECTOR OF HUMAN RESOURCES50.00$148,437$0$28,851Yes (X)
JOSHUA KORTHOUSE
ORGAN PROCUREMENT MANAGER50.00$137,491$0$27,197Yes (X)
KATHY KISHISH
SENIOR ADVANCE PRACTICE DONATION COORDINATOR50.00$126,910$0$27,278Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,342,624TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$630,590TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K45IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
AVIATION CHARTER
9960 FLYING CLOUD DRIVEEDEN PRAIRIEMN55347CHARTER AVIATION$6,118,235
UW HEALTH UNIVERSITY OF WI HOSPITAL AND
7974 UW HEALTH COURTMIDDLETONWI53562IMPORT ORGAN EXPENSE$3,497,691
IOWA DONOR NETWORK
550 MADISON AVERNORTH LIBERTYIA52317IMPORT ORGAN EXPENSE$2,880,000
GIFT OF HOPE ORGAN & TISSUE
425 SPRING LAKE DRIVEITASCAIL60143IMPORT ORGAN EXPENSE$2,846,470
MIDWEST TRANSPLANT NETWORK
1900 W 47TH PLACE STE 400WESTWOODKS66205IMPORT ORGAN EXPENSE$1,861,800
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K67CntrctRcvdGreaterThan100KCnt
Fundraising$171,840FundraisingAmt
Government Grants$2,990,500GovernmentGrantsAmt
All Other Contributions$393,601AllOtherContributionsAmt
Noncash Contributions$100,285NoncashContributionsAmt
Total Contributions$3,555,941TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
ORGAN PROC/RSRCH REVENUE621300$67,546,943$67,546,943
OTHER OPERATING INCOME621300$473,818$473,818
FieldValueIRS element (for citing)
Total Program Service Revenue$68,020,761TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$659,894TotalRevenueColumnAmt
Exclusion$659,894ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$6,331,188SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$5,076,694SecuritiesAmt
Other$5,471OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$1,254,494SecuritiesAmt
Other-$5,471OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,249,023TotalRevenueColumnAmt
Exclusion$1,249,023ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$19,890FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$171,840ContriRptFundraisingEventAmt
Fundraising Direct Expenses$56,807FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$36,917TotalRevenueColumnAmt
Exclusion-$36,917ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$73,448,702TotalRevenueColumnAmt
Related Or Exempt Func Income$68,020,761RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1,872,000ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$3,064,009TotalAmt
Program Services$1,827,874ProgramServicesAmt
Management And General$1,236,135ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$13,971,857TotalAmt
Program Services$12,589,310ProgramServicesAmt
Management And General$1,374,326ManagementAndGeneralAmt
Fundraising$8,221FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$911,473TotalAmt
Program Services$796,270ProgramServicesAmt
Management And General$115,203ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,361,737TotalAmt
Program Services$2,054,711ProgramServicesAmt
Management And General$307,026ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,136,726TotalAmt
Program Services$993,052ProgramServicesAmt
Management And General$143,674ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,004,161TotalAmt
Management And General$1,004,161ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$71,641TotalAmt
Management And General$71,641ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$25,495TotalAmt
Management And General$25,495ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$98,389TotalAmt
Management And General$98,389ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,063,426TotalAmt
Program Services$860,115ProgramServicesAmt
Management And General$203,311ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$465,285TotalAmt
Program Services$282,037ProgramServicesAmt
Management And General$183,248ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$496,713TotalAmt
Management And General$496,713ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,080,567TotalAmt
Program Services$912,933ProgramServicesAmt
Management And General$167,634ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$90,387TotalAmt
Program Services$74,236ProgramServicesAmt
Management And General$16,151ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$214,189TotalAmt
Program Services$137,916ProgramServicesAmt
Management And General$76,273ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,047,179TotalAmt
Program Services$769,108ProgramServicesAmt
Management And General$278,071ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$578,290TotalAmt
Program Services$458,762ProgramServicesAmt
Management And General$119,528ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtFundraisingFundraisingAmt
IMPORT ORGAN EXPENSE$25,963,766$25,963,766
PROCUREMENT COSTS: ORGA$7,023,266$7,023,266
PROCUREMENT COSTS: TRAN$4,232,276$4,232,276
PUBLIC AND PROFESSIONAL$1,882,686$1,819,119$63,567

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,645,070TotalAmt
Program Services$1,645,070ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$68,428,588TotalAmt
Program Services$62,439,821ProgramServicesAmt
Management And General$5,916,979ManagementAndGeneralAmt
Fundraising$71,788FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$19,345,457BOYAmt
EOY$15,771,348EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$102,091BOYAmt
EOY$102,347EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$22,875BOYAmt
EOY$17,528EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$8,555,933BOYAmt
EOY$8,060,143EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$239,008BOYAmt
EOY$4,282,861EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,172,691BOYAmt
EOY$1,169,026EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$22,557,620LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$7,309,592LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$15,709,284BOYAmt
EOY$15,248,028EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$17,719,394BOYAmt
EOY$21,201,317EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$5,005,487BOYAmt
EOY$3,896,015EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$487,156BOYAmt
EOY$341,542EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$68,359,376BOYAmt
EOY$70,090,155EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$6,532,093BOYAmt
EOY$6,681,858EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$14,039,691BOYAmt
EOY$10,512,725EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$20,571,784BOYAmt
EOY$17,194,583EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$47,764,137BOYAmt
EOY$52,875,589EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$23,455BOYAmt
EOY$19,983EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$47,787,592BOYAmt
EOY$52,895,572EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$68,359,376BOYAmt
EOY$70,090,155EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$5,020,114ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$87,866NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$875,907CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$515,530CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$510,495CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$312,500CurrentTaxYearMinus1YearAmt
Current Tax Year$3,555,941CurrentTaxYearAmt
Total$5,770,373TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$47,090,149CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$46,224,276CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$56,116,490CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$54,539,401CurrentTaxYearMinus1YearAmt
Current Tax Year$68,020,761CurrentTaxYearAmt
Total$271,991,077TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$47,966,056CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$46,739,806CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$56,626,985CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$54,851,901CurrentTaxYearMinus1YearAmt
Current Tax Year$71,576,702CurrentTaxYearAmt
Total$277,761,450TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$23,780CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$19,715CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$27,369CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$30,557CurrentTaxYearMinus1YearAmt
Current Tax Year$27,870CurrentTaxYearAmt
Total$129,291TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$23,780CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$19,715CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$27,369CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$30,557CurrentTaxYearMinus1YearAmt
Current Tax Year$27,870CurrentTaxYearAmt
Total$129,291TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$277,632,159PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$364,061CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$588,512CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$730,836CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$501,948CurrentTaxYearMinus1YearAmt
Current Tax Year$659,894CurrentTaxYearAmt
Total$2,845,251TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$364,061CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$588,512CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$730,836CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$501,948CurrentTaxYearMinus1YearAmt
Current Tax Year$659,894CurrentTaxYearAmt
Total$2,845,251TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$274,597CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,871CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$212CurrentTaxYearMinus2YearsAmt
Total$276,680TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$48,604,714CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$47,330,189CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$57,358,033CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$55,353,849CurrentTaxYearMinus1YearAmt
Current Tax Year$72,236,596CurrentTaxYearAmt
Total$280,883,381TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.98840PublicSupportCY509Pct
Public Support PY5090.98830PublicSupportPY509Pct
Investment Income CY0.01010InvestmentIncomeCYPct
Investment Income PY0.00880InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersYes (1)VolunteersInd
Paid Staff Or ManagementYes (1)PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (1)DirectContactLegislatorsInd
Direct Contact Legislators$25,495DirectContactLegislatorsAmt
Rallies Demonstrations0RalliesDemonstrationsInd
Other Activities0OtherActivitiesInd
Total Lobbying Expenditures$25,495TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationLIFESOURCE CONDUCTED LOBBYING ACTIVITIES DURING 2021 FOR THE PURPOSE OF LEGISLATIVE MONITORING AND INCREASING ORGAN AND TISSUE DONATION. TOTAL COSTS FOR 2021 WAS $25,495.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,136,289OtherCostOrOtherBasisAmt
Book Value$2,136,289BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$17,123,187OtherCostOrOtherBasisAmt
Depreciation$4,884,992DepreciationAmt
Book Value$12,238,195BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,298,144OtherCostOrOtherBasisAmt
Depreciation$2,424,600DepreciationAmt
Book Value$873,544BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$15,248,028TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (2 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
CERTIFICATES OF DEPOSIT$2,485,488F
457 RESERVE$1,410,527C
FieldValueIRS element (for citing)
Total Book Value Securities$3,896,015TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
FINANCE LEASE OBLIGATIONS$10,171,183
OPERATING LEASE OBLIGATIONS$341,542
FieldValueIRS element (for citing)
Total Liability$10,512,725TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$73,494,986TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$87,866NetUnrealizedGainsInvstAmt
Other Revenue-$98,389OtherRevenueAmt
Revenue Not Reported-$10,523RevenueNotReportedAmt
Revenue Subtotal$73,505,509RevenueSubtotalAmt
Other Revenues Not Included-$56,807OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt-$56,807RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$73,448,702TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$68,387,006TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$68,387,006ExpensesSubtotalAmt
Other Expenses Not Included$41,582OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$41,582ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$68,428,588TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:THE ORGANIZATION REVIEWED ITS TAX POSITION FOR ALL OPEN TAX YEARS AND CONCLUDED THE PROVISIONS OF ASC 740 DID NOT HAVE AN IMPACT ON ITS FINANCIAL STATEMENT PRESENTATION. GENERALLY, THE ORGANIZATION IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY THE U.S. FEDERAL, STATE AND LOCAL TAX AUTHORITIES FOR THE YEARS BEFORE 2017.
PART XI, LINE 2D - OTHER ADJUSTMENTS:INVESTMENT EXPENSES RECLASSED TO FUNCTIONAL EXPENSES -98,389.
PART XI, LINE 4B - OTHER ADJUSTMENTS:RECLASS FUNDRAISING EXPENSE -56,807.
PART XII, LINE 4B - OTHER ADJUSTMENTS:RECLASS FUNDRAISING EXPENSE -56,807. INVESTMENT EXPENSES RECLASSED TO FUNCTIONAL EXPENSES 98,389.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1LIFESOURCE GOLF CLASSICEvent1Nm
Gross Receipts Event1$191,730GrossReceiptsEvent1Amt
Charitable Contri Event1$171,840CharitableContriEvent1Amt
Gross Revenue Event1$19,890GrossRevenueEvent1Amt
Cash Prizes Event1$240CashPrizesEvent1Amt
Non Cash Prizes Event1$836NonCashPrizesEvent1Amt
Rent Facility Costs Event1$10,217RentFacilityCostsEvent1Amt
Food And Beverage Event1$8,853FoodAndBeverageEvent1Amt
Other Direct Expenses Event1$36,661OtherDirectExpensesEvent1Amt
Gross Receipts Total$191,730GrossReceiptsTotalAmt
Charitable Contributions Tot$171,840CharitableContributionsTotAmt
Gross Revenue Total Events$19,890GrossRevenueTotalEventsAmt
Cash Prizes Total Events$240CashPrizesTotalEventsAmt
Non Cash Prizes Total Events$836NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$10,217RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$8,853FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events$36,661OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$56,807DirectExpenseSummaryEventsAmt
Net Income Summary-$36,917NetIncomeSummaryAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
SUSAN RAETHER
CHIEF EXECUTIVE OFFICER$624,155$0$0$0$37,330$0$42,700$0$35,472$0$739,657$0$0$0
PETER FARSTAD
CHIEF ADMINISTRATIVE OFFICER$347,582$0$0$0$9,545$0$37,009$0$34,250$0$428,386$0$0$0
JULIE KEMINK
CHIEF OPERATING OFFICER$331,310$0$0$0$4,632$0$36,399$0$35,324$0$407,665$0$0$0
SUSAN LARSON
CHIEF SECURITY OFFICER$275,910$0$0$0$1,957$0$26,134$0$1,967$0$305,968$0$0$0
MARGARET ROGERS
DIRECTOR OF TRANSPLANT CNTR RELATION$223,769$0$0$0$3,887$0$22,682$0$35,474$0$285,812$0$0$0
SUSAN WEESE
DIRECTOR OF ORGAN PROCUREMENT$209,766$0$0$0$5,842$0$18,750$0$34,172$0$268,530$0$0$0
WILLIAM PAYNE
MEDICAL DIRECTOR$222,100$0$0$0$0$0$17,768$0$0$0$239,868$0$0$0
BRENDA WELSCH
DIRECTOR OF QUALITY & REGULATORY AFF$190,326$0$0$0$3,315$0$18,489$0$1,592$0$213,722$0$0$0
JASON NARVERUD
DIRECTOR OF DATA & INFORMATION SERVI$143,512$0$0$0$838$0$14,515$0$52,009$0$210,874$0$0$0
BETH KABBA
SENIOR MANAGER OF FINANCIAL OPERATIO$136,851$0$0$0$3,156$0$12,508$0$49,654$0$202,169$0$0$0
KRISTIN ERDMANN
DIRECTOR OF HUMAN RESOURCES$147,873$0$0$0$564$0$14,058$0$14,793$0$177,288$0$0$0
KATHERINE MCKEE
DIRECTOR OF HOSPITAL SERVICES & DFAC$153,531$0$0$0$472$0$13,834$0$6,562$0$174,399$0$0$0
JOSHUA KORTHOUSE
ORGAN PROCUREMENT MANAGER$136,482$0$0$0$1,009$0$11,191$0$16,006$0$164,688$0$0$0
KATHY KISHISH
SENIOR ADVANCE PRACTICE DONATION COO$126,372$0$0$0$538$0$9,320$0$17,958$0$154,188$0$0$0

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1AVIATION CHARTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Relationship DescriptionSUBSTANTIAL CONTRIBUTORRelationshipDescriptionTxt
Transaction$4,282,861TransactionAmt
TransactionCHARTER AVIATIONTransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule M IRS990ScheduleM

Other Non Cash Contri Table OtherNonCashContriTableGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
DescGOOGLE AD GRANTDesc
Contribution12ContributionCnt
Noncash Contributions Rpt F990$100,285NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Form8283 Received0Form8283ReceivedCnt
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (1)ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, COLUMN (B):FormAndLineReferenceDesc
ExplanationREPORTING THE NUMBER OF CONTRIBUTIONSExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART I, ITEM CDBA: LIFESOURCE
FORM 990, PART VITHE ORGANIZATION'S FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS IN ADVANCE OF THE BOARD OF DIRECTORS MEETING AT WHICH IT IS BEING REVIEWED. AT THE BOARD OF DIRECTORS MEETING THE COMPLETED FORM 990 IS REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS. IN ADDITION, PRIOR TO THE BOARD OF DIRECTORS MEETING, FORM 990 IS PRESENTED TO AND REVIEWED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 1ATHE EXECUTIVE COMMITTEE SHALL CONSIST OF THE CHAIR, VICE CHAIR, SECRETARY-TREASURER, A CLINICAL DIRECTOR AND THE IMMEDIATE PAST CHAIR. THE CHAIR SHALL SERVE AS THE CHAIRPERSON OF THE EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE SHALL EVALUATE THE PERFORMANCE OF THE CHIEF EXECUTIVE OFFICER AND MAKE RECOMMENDATIONS TO THE BOARD REGARDING THE EXECUTIVE COMPENSATION PROGRAM AND FOR THE CHIEF EXECUTIVE OFFICER SUCCESSION PLANNING. ADDITIONALLY, IT SHALL ALSO ACT FOR THE BOARD IN EMERGENCY SITUATIONS BETWEEN BOARD MEETINGS, ONLY WHEN A QUORUM OF THE BOARD CANNOT BE ASSEMBLED EITHER IN PERSON OR THROUGH VARIOUS APPROPRIATE COMMUNICATIONS TECHNOLOGY, EXCEPT AS SUCH AUTHORITY TO ACT FOR THE BOARD IS LIMITED BY STATUTE OR BY ANY LIMITATION IMPOSED BY THE BOARD ON SUCH POWER.
FORM 990, PART VI, SECTION B, LINE 11BTHE ORGANIZATION'S FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS IN ADVANCE OF THE BOARD OF DIRECTORS MEETING AT WHICH IT IS BEING REVIEWED. AT THE BOARD OF DIRECTORS MEETING THE COMPLETED FORM 990 IS REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS. IN ADDITION, PRIOR TO THE BOARD OF DIRECTORS MEETING, FORM 990 IS PRESENTED TO AND REVIEWED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 12CTHE ORGANIZATION REQUIRES COMPLETION OF A CONFLICT OF INTEREST DISCLOSURE FORM BY ALL EMPLOYEES ON AN ANNUAL BASIS. THE CHIEF ADMINISTRATIVE OFFICER REVIEWS ALL CONFLICTS OF INTEREST AND MANAGES ANY CONFLICTS WITH THE INDIVIDUAL AND THEIR MANAGER. FOR EXECUTIVE TEAM AND BOARD OF DIRECTORS, THE CONFLICT OF INTEREST DISCLOSURE IS COMPLETED EACH YEAR AND REVIEWED BY THE GOVERNANCE COMMITTEE OF THE BOARD OF DIRECTORS. IF A CONFLICT ARISES, THE CHAIR OF THE GOVERNANCE COMMITTEE WILL REPORT THE CONFLICT TO THE WHOLE OF THE GOVERNANCE COMMITTEE AND WORK WITH THE INDIVIDUAL MEMBER TO RESOLVE THE CONFLICT. IF THE CONFLICT CANNOT BE RESOLVED, THE MEMBER WOULD NOT BE ALLOWED TO SERVE ON THE BOARD.
FORM 990, PART VI, SECTION B, LINE 15ALIFESOURCE WORKS WITH SULLIVANCOTTER TO CONDUCT AN ANALYSIS OF EXECUTIVE COMPENSATION EVERY YEAR. THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS ENGAGES SULLIVANCOTTER AND SERVES AS THE COMPENSATION COMMITTEE. THE RESULTS OF THE COMPENSATION SURVEY ARE PRESENTED TO THE COMPENSATION COMMITTEE. THE COMPENSATION COMMITTEE, IN A CLOSED SESSION AT A BOARD OF DIRECTORS MEETING DISCUSS EXECUTIVE COMPENSATION, AND MAKES THE DETERMINATION OF CEO SALARY AND BENEFITS. THE COMPENSATION COMMITTEE AND BOARD OF DIRECTORS RECOMMENDS AND APPROVES THE CEO SALARY AND BENEFITS. THE COMPENSATION COMMITTEE AND BOARD OF DIRECTORS REVIEWS OTHER EXECUTIVE SALARIES AND BENEFITS, BUT THE CEO HAS THE FINAL APPROVAL FOR THE OTHER EXECUTIVES.
FORM 990, PART VI, SECTION C, LINE 19LIFESOURCE POSTS ITS ANNUAL FINANCIAL AUDIT ON ITS WEBSITE. THE FORM 990 IS AVAILABLE UPON REQUEST OR VIA GUIDESTAR.ORG. THE CONFLICT OF INTEREST POLICY AND OTHER DOCUMENTS ARE AVAILABLE UPON REQUEST AND ARE REVIEWED BY THE CHARITIES REVIEW COUNCIL THROUGH ITS VOLUNTARY ACCREDITATION PROCESS. LIFESOURCE MEETS ALL STANDARDS OF THE CHARITIES REVIEW COUNCIL AND A REPORT ON FINANCE, GOVERNANCE, AND CONFLICT OF INTEREST IS AVAILABLE ON THE CHARITIES REVIEW COUNCIL WEBSITE. DOCUMENTS ARE AVAILABLE FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN SECTION 6104(D).

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