2020-10-09T15:36:01-05:00 2019-12-31 420714325 RSM US LLP 801 NICOLLET MALL WEST TOWER STE 1100 MINNEAPOLIS MN 554022526 990 2019-01-01 880253675 NEVADA DONOR NETWORK INC NEVA 7027969600 2055 E SAHARA AVE LAS VEGAS NV 89104 JOSEPH FERREIRA PRESIDENT/CEO 7027969600 2020-10-05 1 KACIE MCEWEN P01599614 6123324300 2020-10-05 68.47.31.197 2020-10-05 11:22:04 CD P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 B56786F7D21A8F39D00ED83C272556B8DDCB8C36 2019 2021-01-29 14:40:06Z JOSEPH FERREIRA 2055 E SAHARA AVE LAS VEGAS NV 89104 33308080 0 X WWW.NVDONOR.ORG X 1986 NV TO MAXIMIZE THE GIFT OF LIFE AND HEALTH THROUGH ORGAN, EYE AND TISSUE DONATION. 14 14 167 155 0 0 8886 71761 29882877 32793261 111068 188606 -174610 -118114 29828221 32935514 64579 77100 0 0 13152154 14663630 0 0 0 13653736 16192185 26870469 30932915 2957752 2002599 26703707 29909260 13996218 15201203 12707489 14708057 X NEVADA DONOR NETWORK (THE "NETWORK") IS A FEDERALLY DESIGNATED NOT-FOR-PROFIT ORGAN, TISSUE, AND EYE PROCUREMENT ORGANIZATION. THE NETWORK IS RESPONSIBLE FOR THE COORDINATION, RECOVERY, AND DISTRIBUTION OF DONATED HUMAN ORGANS AND TISSUES INTENDED FOR TRANSPLANTATION, MEDICAL EDUCATION AND RESEARCH. THE NETWORK PROVIDES SERVICES TO HOSPITALS AND HEALTHCARE FACILITIES THROUGHOUT NEVADA AND PARTICIPATES IN THE NATIONAL ORGAN AND TISSUE SHARING PROGRAM. 0 0 13778821 0 21578832 ORGAN RECOVERY FOCUSES ON LIFE SAVING SOLID ORGANS SUCH AS THE HEART, LIVER, LUNGS, INTESTINES, PANCREAS AND KIDNEYS. ORGAN RECOVERY SUPPORTS THE SOLID ORGAN TRANSPLANT PROGRAMS AT UNIVERSITY MEDICAL CENTER AND OTHER TRANSPLANT PROGRAMS ACROSS THE COUNTRY.PROGRAM EXPENSES REPORTED ARE DIRECT EXPENSES ONLY AND DO NOT INCLUDE UNALLOCATED EXPENSES, SOME OF WHICH ARE REPORTED IN PROGRAM 4D BELOW. 2794524 0 8670207 TISSUE AND EYE RECOVERY INCLUDES BONES, TENDONS, SKIN, HEART VALVES, VEINS AND CORNEAS. TISSUES ARE RECOVERED BY THE NETWORK STAFF AND SENT TO VARIOUS ORGANIZATIONS FOR FURTHER PROCESSING AND SUBSEQUENT DISTRIBUTION. THE NETWORK ALSO OPERATES A FULL SERVICE EYE BANK THAT PROVIDES OCULAR TISSUE FOR TRANSPLANTATION. OCULAR TISSUE IS UTILIZED LOCALLY AND SHARED WITH OTHER EYE BANKS THROUGHOUT THE UNITED STATES AND OTHER COUNTRIES THROUGH THE INTERNATIONAL CORNEA PROJECT. THIS PROGRAM INCLUDES THE NORTHERN NEVADA OFFICE THAT ALSO PERFORMS TISSUE AND EYE RECOVERY.PROGRAM EXPENSES REPORTED ARE DIRECT EXPENSES ONLY AND DO NOT INCLUDE UNALLOCATED EXPENSES, SOME OF WHICH ARE REPORTED IN PROGRAM 4D BELOW. 865005 0 1830375 THE HLA LABORATORY PERFORMS TISSUE TYPING ON POTENTIAL ORGAN DONORS, RECIPIENTS AND LIVING RELATED MATCHES.PROGRAM EXPENSES REPORTED ARE DIRECT EXPENSES ONLY AND DO NOT INCLUDE UNALLOCATED EXPENSES, SOME OF WHICH ARE REPORTED IN PROGRAM 4D BELOW. 7366408 77100 713847 NEVADA DONOR NETWORK PROVIDES EDUCATION, AWARENESS AND INFORMATION TO THE MEDICAL COMMUNITY AND GENERAL PUBLIC THROUGH PROFESSIONAL EDUCATION SEMINARS, HOSPITAL IN-SERVICES, CEU PROGRAMS, PUBLIC EDUCATION, HEALTH FAIRS, BEREAVEMENT PROGRAMS, AND SCHOOL PRESENTATIONS. 7366408 77100 713847 24804758 1 0 0 1 0 0 0 0 0 0 1 0 0 1 0 1 0 1 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 89 0 1 167 1 0 0 0 0 0 1 0 0 0 0 0 0 0 X 14 14 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X JASON MAHFOOD 7027969600 2055 E SAHARA AVE LAS VEGAS NV 89104 JOSEPH FERREIRA PRESIDENT/CEO 40.00 5.50 X 449151 0 23915 KEVIN BURNS MD MEDICAL DIRECTOR HLA LAB 40.00 0.00 X 458755 0 29008 JASON MAHFOOD CFO 40.00 2.00 X 261370 0 32144 SIMON KEITH COO 40.00 0.00 X 219605 0 0 MATHEW WADSWORTH VP OF CLINICAL AFFAIRS 40.00 0.00 X 206443 0 11017 JACQUELINE WARN VO OF QUALITY & REG. AFFAIRS 40.00 0.00 X 189086 0 20403 DARREN LAHRMAN VP OF CLINICAL SERVICES 40.00 0.00 X 179193 0 9346 ADAM BLACKER MANAGER HLA LAB 40.00 0.00 X 141104 0 38807 SARA LEVINSON DIRECTOR OF HR 40.00 0.00 X 138170 0 13940 JEFFREY STEINKAMP CLINICAL DONATION SPECIALIST I 48.69 0.00 X 135822 0 19819 MICHAEL HUDSON DIRECTOR OF HOSPITAL SERVICES 40.00 0.00 X 133704 0 13318 AMADO DABU PROCUREMENT TRANSPLANT COORD II 45.40 0.00 X 128742 0 29864 TODD SKLAMBERG CHAIR 1.00 1.00 X X 0 0 0 TRUDY LARSON MD PAST CHAIR 1.00 1.00 X X 0 0 0 AMY MCKINNEY SECRETARY 1.00 0.00 X X 0 0 0 CHRIS BOSSE TREASURER 1.00 0.00 X X 0 0 0 BARRY BROWNE MD DIRECTOR 1.00 0.00 X 0 0 0 ESTHER-MARIE CARMICHAEL ASCP PHM C DIRECTOR 1.00 0.00 X 0 0 0 STEPHEN CORRIGAN RAYHILL MD FACS DIRECTOR 1.00 0.00 X 0 0 0 LEONARD FREEHOF DIRECTOR 1.00 0.00 X 0 0 0 DR SEBASTIAN GIWA DIRECTOR 1.00 0.00 X 0 0 0 APRIL SANBORN CPM DIRECTOR 1.00 0.00 X 0 0 0 KATHY SILVER BS MBA FACHE FHFMA DIRECTOR 1.00 1.00 X 0 0 0 MASON VANHOUWELING DIRECTOR 1.00 0.00 X 0 0 0 BILL WELCH DIRECTOR 1.00 0.00 X 0 0 0 CLAUDE WISE DIRECTOR (AS OF DEC 14, 2019) 1.00 0.00 X 0 0 0 2641145 0 241581 27 0 1 0 TRINITY AIR MEDICAL 1437 W AUTO DR TEMPE AZ 85284 MEDICAL TRANSPORTATION 851664 DONOR CALL SOLUTIONS INC 2817 E CAMELBACK RD PHOENIX AZ 85016 MEDICAL STAFFING 448688 ARIZONA TRANSPLANT ASSOCIATES PC 2218 N 3RD ST PHOENIX AZ 85004 MEDICAL SERVICES 390600 GTSAI SERVICES LLC 44 LAYING UP CT LAS VEGAS NV 89148 MEDICAL SERVICES 283503 HOLLAND & HART LLP PO BOX 17283 DENVER CO 80217 LEGAL SERVICES 148522 8 71761 71761 ORGAN RECOVERY 621500 21578832 21578832 TISSUE AND EYE RECOVERY 621500 8670207 8670207 HLA LABORATORY 621500 1830375 1830375 ALL OTHER FEES 621500 713847 713847 32793261 192000 192000 6155 9549 -3394 -3394 -3394 244903 363017 -118114 -118114 32935514 32793261 0 70492 77100 77100 2102595 1699103 403492 9915574 8018571 1897003 377659 292752 84907 1412827 1137446 275381 854975 652382 202593 127847 127847 73613 73613 1217359 1030851 186508 38425 16274 22151 821021 164115 656906 824602 534899 289703 495873 350114 145759 255230 255230 516862 150521 366341 285683 285683 RECOVERY COSTS 4388348 4388348 TRAINING & EDUCATION 1634554 1220252 414302 LABORATORY 1597086 1597086 MEDICAL SUPPLIES 1543036 1462797 80239 2372646 2012147 360499 30932915 24804758 6128157 0 9733206 9490031 142337 337916 6343533 7148402 205401 230335 230458 189334 11506318 3237546 8102154 8268772 10777 13335 2790 2187 1933051 4228948 26703707 29909260 5035111 5397830 484338 1371748 8476769 8431625 13996218 15201203 X 12707489 14708057 12707489 14708057 26703707 29909260 2002599 -2031 0 X 0 1 X 1 0 X 83349 13649 33804 43228 71161 245191 21838449 24134483 26362746 29882877 32793261 135011816 21921798 24148132 26396550 29926105 32864422 135257007 0 0 0 135257007 26649 8354 38691 111068 192000 376762 26649 8354 38691 111068 192000 376762 21948447 24156486 26435241 30037173 33056422 135633769 0.99720 0.99850 0.00280 0.00150 X 0 0 0 0 0 0 0 0 1 1103 1103 0 PART II-B, LINE 1: NDN PAYS DUES TO THE ASSOCIATION OF ORGAN PROCUREMENT ORGANIZATION (AOPO), OF WHICH A SMALL PORTION IS USED FOR LOBBYING. 423012 423012 9073544 1785039 7288505 13187 10415 2772 1742383 1280395 461988 254192 161697 92495 8268772 INTERCOMPANY ACCOUNTS 307156 OTHER ASSETS 101104 INVESTMENT IN BLUE FLAG INC (SCH R RELATED ORGANIZATION) 3820688 4228948 X PART X, LINE 2: THE NETWORK IS GENERALLY EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE IRC. GENERALLY, THE NETWORK IS NO LONGER SUBJECT TO FEDERAL INCOME TAX RETURN EXAMINATIONS FOR THE YEARS PRIOR TO 2016. THE NETWORK QUALIFIES FOR THE CHARITABLE CONTRIBUTION DEDUCTION. THE NETWORK IS GENERALLY EXEMPT FROM INCOME TAXES ON RELATED INCOME PURSUANT TO THE APPROPRIATE SECTION OF THE IRC. IN THE PREPARATION OF TAX RETURNS, TAX POSITIONS ARE TAKEN BASED ON INTERPRETATION OF FEDERAL, STATE AND LOCAL INCOME TAX LAWS. IN ACCORDANCE WITH THE ACCOUNTING STANDARDS, MANAGEMENT PERIODICALLY REVIEWS AND EVALUATES THE STATUS OF UNCERTAIN TAX POSITIONS AND MAKES ESTIMATES OF AMOUNTS, INCLUDING INTEREST AND PENALTIES, ULTIMATELY DUE OR OWED. NO AMOUNTS HAVE BEEN IDENTIFIED OR RECORDED AS UNCERTAIN TAX POSITIONS. FEDERAL, STATE AND LOCAL TAX RETURNS GENERALLY REMAIN OPEN FOR EXAMINATION BY THE VARIOUS TAXING AUTHORITIES FOR A PERIOD OF THREE TO SIX YEARS. 0 NDN ANNUAL GALA 244903 244903 0 85000 20000 225000 33017 244903 244903 85000 20000 225000 33017 363017 -118114 0 ASSOCIATION OF ORGAN PROCUREMENT ORGANIZATIONS 8245 BOONE BLVD STE 450 VIENNA VA 22182 581652896 501(C)(3) 7000 NATIONAL CONFERENCE SPONSORSHIP NEVADA HOSPITAL ASSOCIATION 5190 NEIL ROAD STE 400 RENO NV 89502 880109306 501(C)(6) 10000 CONFERENCE SPONSORSHIP ONELEGACY FOUNDATION 761 W KIMBERLY AVE PLACENTIA CA 92870 452936915 501(C)(3) 20000 ROSE PARADE SPONSORSHIP - DONOR REMEMBERANCE TRANSPLANT LIFE FOUNDATION FKA TRANSPLANT GAMES OF AMERICA 217 GRANDVILLE AVE SW STE 301 GRAND RAPIDS MI 49546 461252372 501(C)(3) 25000 NATIONAL SPONSORSHIP - TRANSPLANT GAMES 3 1 PART I, LINE 2: TO FULFILL ITS MISSION AND PUBLIC CHARGE TO INCREASE ORGAN AND TISSUE DONATION, INCLUDING PUBLIC EDUCATION AND THE REGISTRATION OF DONORS, NDN CONTRIBUTES TO AND HAS ENTERED PROMOTIONAL AGREEMENTS WITH VARIOUS ORGANIZATIONS. IN RETURN FOR SPONSORSHIP PAYMENTS, NDN RECEIVES PROMOTIONAL NIGHTS CENTERED ON DONOR REGISTRATION AND RECOGNITION, WHICH SERVE TO DRIVE INCREASED COMMUNITY EDUCATION AND REGISTRATION OF DONORS. X X X X 1 0 0 0 0 1 0 0 0 JOSEPH FERREIRA PRESIDENT/CEO 315707 0 111628 0 21816 0 18198 0 7633 0 474982 0 0 0 KEVIN BURNS MD MEDICAL DIRECTOR HLA LAB 335419 0 89825 0 33511 0 17463 0 17828 0 494046 0 0 0 JASON MAHFOOD CFO 234438 0 24005 0 2927 0 13759 0 19644 0 294773 0 0 0 SIMON KEITH COO 3204 0 0 0 216401 0 0 0 454 0 220059 0 0 0 MATHEW WADSWORTH VP OF CLINICAL AFFAIRS 165043 0 25518 0 15882 0 8284 0 3637 0 218364 0 0 0 JACQUELINE WARN VO OF QUALITY & REG. AFFAIRS 169300 0 16830 0 2956 0 8758 0 13210 0 211054 0 0 0 DARREN LAHRMAN VP OF CLINICAL SERVICES 143751 0 20500 0 14942 0 3629 0 6496 0 189318 0 0 0 ADAM BLACKER MANAGER HLA LAB 117069 0 11659 0 12376 0 15920 0 23603 0 180627 0 0 0 SARA LEVINSON DIRECTOR OF HR 124230 0 11129 0 2811 0 7015 0 8522 0 153707 0 0 0 JEFFREY STEINKAMP CLINICAL DONATION SPECIALIST I 109115 0 5676 0 21031 0 5798 0 14827 0 156447 0 0 0 AMADO DABU PROCUREMENT TRANSPLANT COORD II 112474 0 7176 0 9092 0 14465 0 18536 0 161743 0 0 0 PART I, LINE 3 NEVADA DONOR NETWORK CONDUCTS A COMPENSATION STUDY AT REGULAR INTERVALS, USING A THIRD PARTY COMPENSATION CONSULTANT. CERTAIN EXECUTIVES HAVE WRITTEN EMPLOYMENT CONTRACTS WHICH ARE REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS. PART I, LINE 4A SIMON KEITH RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $208,266 DURING 2019. PART I, LINE 6 THE DIRECTORS AND CEO'S BONUSES WERE ACCRUED BASED ON PRE-DETERMINED GOALS AND OBJECTIVES TIED TO PERFORMANCE METRICS. THE METRICS INCLUDE ORGANIZATIONAL NET INCOME AS WELL AS SPECIFIC STRATEGIC PLAN GOALS. THE BONUS IS A FIXED TARGET PERCENTAGE THAT INCLUDES A CAP. THE CFO AND COO BONUS PAID IS TIED TO PERFORMANCE METRICS AS WELL AS EMPLOYMENT AGREEMENTS. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS SENT VIA EMAIL AND REGULAR MAIL TO ALL BOARD MEMBERS PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS A POLICY ON CORPORATE COMPLIANCE THAT ALL EMPLOYEES, MEMBERS OF THE GOVERNING AND ADVISORY BOARDS AND MEMBERS OF THEIR IMMEDIATE HOUSEHOLD MUST DISCLOSE ANY ACTUAL OR POTENTIAL CONFLICTS OF INTEREST AND ABSTAIN FROM ANY ACTION OR VOTE INVOLVING THE DISCLOSED POTENTIAL OR ACTUAL CONFLICT. TRAINING IS DONE ON AN ANNUAL BASIS FOR BOTH EMPLOYEES AND BOARD MEMBERS AND ALL SIGN-OFF THAT THEY UNDERSTAND AND WILL ADHERE TO POLICY. FORM 990, PART VI, SECTION B, LINE 15 ALL WAGES AND BENEFITS ARE REVIEWED AND APPROVED BY THE BOARD OF TRUSTEES USING AN INDEPENDENT THIRD PARTY SALARY STUDY. FORM 990, PART VI, SECTION C, LINE 19 FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN SECTION 6104(D). FORM 990, LINE 6 TOTAL NUMBER OF VOLUNTEERS VOLUNTEERS FOR NEVADA DONOR NETWORK ARE OFTEN PERSONALLY CONNECTED TO THE CAUSE AS A TRANSPLANT RECIPIENT, DONOR HERO FAMILY MEMBER, LIVING DONOR, OR GENERAL SUPPORTER. THEY REPRESENT NEVADA DONOR NETWORK IN THE COMMUNITY, EDUCATING THE PUBLIC ABOUT THE IMPORTANCE OF ORGAN, EYE AND TISSUE DONATION BY STAFFING INFORMATION TABLES AT COMMUNITY EVENTS; ASSEMBLING INFORMATION/MAILINGS FOR PUBLIC DISTRIBUTION; AND SHARING THEIR STORY IN VARIOUS PRESENTATIONS AND MEDIA OPPORTUNITIES. NEVADA DONOR SUPPORT FOUNDATION INC 2055 E SAHARA AVENUE LAS VEGAS NV 89104 472624567 FOUNDATION NV 501(C)(3) LINE 12A, I NEVADA DONOR NETWORK INC 1 NEVADA DONOR NETWORK FOUNDATION 2055 E SAHARA AVENUE LAS VEGAS NV 89104 812380381 FOUNDATION NV 501(C)(3) LINE 12A, I NEVADA DONOR NETWORK INC 1 BLUE FLAG INC PO BOX 61734 LAS VEGAS NV 89160 475262223 INVESTING NV NEVADA DONOR NETWORK INC C 60 3722904 1.00000 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0