2018-11-14T17:06:03-06:00 2017-12-31 731335926 BARBARA A LEY A PROFESSIONAL CORP 6305 WATERFORD BLVD STE 450 OKLAHOMA CITY OK 73118 990 2017-01-01 731281589 LifeShare Transplant Donor Services of Oklahoma Inc LIFE 4058405551 4705 NW Expressway Oklahoma City OK 73132 Jeff Orlowski Chief Executive Officer 4058405551 2018-11-14 1 Janet Gifford P00303744 4058480255 68.15.98.80 2018-11-14 17:05:26 CS P EF4942FB67AD072F8CF83CCBD1337E07E56D3998 629F51566B715B123BE1696C4A7809F43F40B0B8 2017 2019-02-21 02:37:17Z 4705 NW Expressway Oklahoma City OK 73132 30641566 0 X www.lifeshareoklahoma.org X 1984 OK Provides organ procurement services within the state of Oklahoma. 15 15 143 67 0 0 53275 33628 26737324 30471106 102613 73528 0 0 26893212 30578262 0 0 0 0 10139232 11263605 0 0 0 14275739 16194097 24414971 27457702 2478241 3120560 19809995 23530364 4587536 5065346 15222459 18465018 LifeShare Transplant Donor Services of Oklahoma, Inc. provides organ procurement services within the state of Oklahoma; identification of organ donors; surgical excision and distributions of organs and public education regarding organ donors. 0 0 21771317 30471106 Organ procurement and placement was provided for 297 kidneys, 136livers, 16 pancreas, 50 hearts, and 58 lungs. LifeShare also provided tissue procurement of 790 tissue donors. 21771317 1 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 76 0 1 143 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 15 15 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 0 0 0 OK X LifeShare Transplant Donor Services 4058405551 4705 NW Expressway Oklahoma City OK 73132 ANTHONY SEBASTIAN MD DIRECTOR 0.00 X 0 0 0 BENJAMIN COWLEY MD SECRETARY/TREASURER 0.00 X X 0 0 0 GINA FLESHER MS RN DIRECTOR 0.00 X 0 0 0 HARLAN WRIGHT MD DIRECTOR 0.00 X 0 0 0 IRFAN KUNDI MD DIRECTOR 0.00 X 0 0 0 MICHAEL MORRIS MD DIRECTOR 0.00 X 0 0 0 SAMANTHA WEYRAUCH DAVIS DIRECTOR 0.00 X 0 0 0 STEVE MILLER MD DIRECTOR 0.00 X 0 0 0 TOM ANDERSON DIRECTOR 0.00 X 0 0 0 MARY JOHNSON DIRECTOR 0.00 X 0 0 0 ED HEINEN DIRECTOR 0.00 X 0 0 0 RAJAT KAUL MD IMMEDIATE PAST CHAIR 0.00 X 0 0 0 SUZANNE WHEELER BOARD VICE CHAIR 0.00 X X 0 0 0 PAMELA SPANBAUER RN BSN MEd BOARD CHAIR 0.46 X X 0 0 0 JAMES SHARROCK DIRECTOR 0.00 X 0 0 0 MARTIN BENOIT VP,FINANCE 40.00 X 46254 0 5201 JANICE WHALEY EXECUTIVE VP/COO 40.00 X 225991 0 30723 JEFF ORLOWSKI PRESIDENT/CEO 40.00 X 348661 0 54380 MICHELLE GIBSON VP HUMAN RESOURCES 40.00 X 145026 0 29327 DARRELL TRAHAN VP CLINICAL SERVICES 40.00 X 93002 0 19492 JAN FOUTCH VP OF QUALITY SYSTEMS 40.00 X 154940 0 22109 KATHRYN SMITH VP FOUNDATION 40.00 X 100207 0 16703 ROBERT BASHAW DIRECTOR OF IT & FACILITIES 40.00 X 111772 0 20436 JEFFREY LEGG HIGHLY COMPENSATED EMPLOYEE 40.00 X 138721 0 25732 CHRISTOPHER HOLLIDAY HIGHLY COMPENSATED EMPLOYEE 40.00 X 107691 0 14189 JOANNA ZAMAN DIRECTOR OF ORGAN RECOVERY 40.00 X 107813 0 22698 JOEL SMITH DIRECTOR OF TISSUE RECOVERY 40.00 X 115318 0 15521 RICARDO BLANCHARD VP,FINANCE (FORMER) 40.00 X 146033 0 5347 1841429 0 281858 11 1 1 0 GENESIS CONSULTING LLC 4453 SWILCAN BRIDGE LANE NORTH JACKSONVILLE FL 32224 SURGEON FEES 465147 MONARCH MARKETING GROUP LLC 200 NW 63RD OKLAHOMA CITY OK 73116 ADVERTISING 374571 ECL2 CONSULTING SERVICES LLC PO BOX 1731 GRAPEVINE TX 76099 CONSULTING 100598 3 33628 33628 EXTRA-RENAL PROCUREMENT 621991 11805621 11805621 MEDICARE/MEDICAID PAYMENTS 621991 10943208 10943208 TISSUE PROCUREMENT 621991 7250255 7250255 Other 621991 306332 306332 ODEAP DEC WEEK 621991 130000 130000 35690 35690 30471106 97560 97560 33147 6125 11266 52038 21881 -45913 -24032 -24032 30578262 30471106 0 73528 X 1296816 682482 614334 7338322 6177068 1161254 721337 586363 134974 1285142 1044670 240472 621988 505604 116384 49039 49039 55669 55669 12321 12321 967442 818876 148566 587783 94410 493373 301943 95027 206916 163152 27028 136124 409493 409493 356937 232771 124166 52144 26720 25424 16596 16596 430047 430047 302225 302225 Cost of Procurement-Imp 2194112 2194112 Cost of Procurement-Ope 1627234 1627234 Cost of Procurement-Org 1493799 1493799 Cost of Procurement-Sur 824250 824250 6349911 5340903 1009008 27457702 21771317 5686385 0 286 627 9230008 9865190 5133944 7469207 106128 105997 215122 268025 5774214 1631188 4274728 4143026 834047 1673338 15732 4954 19809995 23530364 3141746 3676587 1445790 1388759 4587536 5065346 X 15222459 18465018 15222459 18465018 19809995 23530364 3120560 121999 0 X 1 X 1 X 1 0 X 4651818 6613765 9712340 9679968 11106836 41764727 4651818 6613765 9712340 9679968 11106836 41764727 41764727 79736 59933 97568 102615 97560 437412 42202139 76489239 0.98960 0.98820 X 771990 771990 1365547 154678 1210869 1929580 648387 1281193 1707097 828123 878974 4143026 Fidelity Money Market Institutional 12071 F Metropolitan West Total Return Bond 114879 F PIMCO High Yield Institutional 48500 F PIMCO Investment Grd Corp Bond Fd 110325 F PIMCO Total Return Fund-Inst 113949 F Templeton Global Bond Advisor CL 19349 F Thornburg Limited Term Income Fund 121468 F Vanguard Short Term INV Grade Adm 112763 F American Beacon Small Cap Value Inst 20317 F Carillon Eagle Small Cap Growth Inst 19963 F Cohen & Steers Realty Shares Inst 22108 F Fidelity Contrafund 116019 F Primecap Odyssey Stock 106801 F Vanguard Mid Cap Index Admiral 101827 F Vanguard Small Cap Index Admiral 65080 F Vanguard Windsor II Admiral 96253 F Vanguard 500 Index Admiral 269755 F Harbor Internation Fund CL I 28950 F Lazard Emerging Markets Equity Instl 28515 F Vanguard Developed Markets Index Adm 48992 F Vanguard EM Mk Stk Indx-Adm 32265 F Vanguard International Growth Adm 63189 F 1673338 30733855 121999 -12319 109680 30624175 -45913 -45913 30578262 27491296 45913 45913 27445383 12319 12319 27457702 Part XI, Line 2d - Other Adjustments: Brokerage Fees -12,319. Part XI, Line 4b - Other Adjustments: Loss on Sale of Assets -45,913. Part XII, Line 2d - Other Adjustments: Loss on Sale of Assets 45,913. Part XII, Line 4b - Other Adjustments: Brokerage Fees 12,319. X X X 0 0 0 0 0 0 0 0 0 JANICE WHALEY EXECUTIVE VP/COO 205298 0 20693 0 0 0 25159 0 5564 0 256714 0 0 0 JEFF ORLOWSKI PRESIDENT/CEO 310411 0 38250 0 0 0 44786 0 9594 0 403041 0 0 0 MICHELLE GIBSON VP HUMAN RESOURCES 137855 0 7171 0 0 0 16717 0 12610 0 174353 0 0 0 JAN FOUTCH VP OF QUALITY SYSTEMS 147490 0 7450 0 0 0 17772 0 4337 0 177049 0 0 0 JEFFREY LEGG HIGHLY COMPENSATED EMPLOYEE 137721 0 1000 0 0 0 19397 0 6335 0 164453 0 0 0 RICARDO BLANCHARD VP,FINANCE (FORMER) 139226 0 6807 0 0 0 3290 0 2057 0 151380 0 0 0 Form 990, Part VI, Section B, line 11b The President/CEO reviews the 990 prior to the filing of the return. The 990 as filed is shared with the Board of Directors. Form 990, Part VI, Section B, line 12c The employees and the Board members sign a conflict of interest statement annually. Form 990, Part VI, Section C, line 19 Lifeshare Transplant Donor Services of Oklahoma, Inc only provides its governing documents, conflict of interest policy, and financial statements when requested. They do not publish this information on their website. Form 990, Part VII Contact Addresses for Officers, Directors, Etc ANTHONY SEBASTIAN, M.D. - OKLAHOMA TRANSPLANT CENTER 940 NE 13TH STREET STE OKLAHOMA CITY, OK 73104. BENJAMIN COWLEY, M.D. - 800 STANTON L. YOUNG BLVD., STE 5300, OKLAHOMA CITY, OK 73104. GINA FLESHER, M.S., R.N. - 1604 TIMBERCREEK DR., DUNCAN, OK 73533. HARLAN WRIGHT, M.D. - 940 NE 13TH ST., STE. 3000, OKLAHOMA CITY, OK 73104. IRFAN KUNDI, M.D. - 2000 SOUTH WHEELING AVENUE, SUITE 510, TULSA, OK 74104. MICHAEL MORRIS, M.D. - 3300 NW EXPRESSWAY, OKLAHOMA CITY, OK 73112. SAMANTHA WEYRAUCH DAVIS - 320 SOUTH BOSTON AVENUE, SUITE 200, TULSA, OK 74103-3706. STEVE MILLER, M.D. - 10901 EAST 48TH STREET, TULSA, OK 74146. TOM ANDERSON - 5705 N. MACARTHUR, WARR ACRES, OK 73122. MARY JOHNSON - 6161 SOUTH YALE AVE, TULSA, OK 74136. ED HEINEN - 3366 NW EXPRESSWAY, SUITE 800, OKLAHOMA CITY, OK 73112. RAJAT KAUL, M.D. - 1124 SOUTH ST. LOUIS AVENUE, SUITE 200, TULSA, OK 74120. SUZANNE WHEELER - 4200 E SKELLY DR, SUITE 950, TULSA, OK 74135. PAMELA SPANBAUER, R.N., B.S.N., M.Ed. - 5308 NW 118TH CIRCLE, OKLAHOMA CITY, OK 73162. JAMES SHARROCK - 211 N. ROBINSON, 10TH FLOOR, OKLAHOMA CITY, OK 73102. Form 990, Part IX, line 24e Sponsorships: Program service expenses 16,250. Management and general expenses 510,780. Fundraising expenses 0. Total expenses 527,030. Cost of Procurement-Organ Acquisition Non-Recovery: Program service expenses 520,000. Management and general expenses 0. Fundraising expenses 0. Total expenses 520,000. Cost of Procurement-Hospital Lab: Program service expenses 509,819. Management and general expenses 0. Fundraising expenses 0. Total expenses 509,819. Cost of Procurement-Donor Evaluation: Program service expenses 480,804. Management and general expenses 0. Fundraising expenses 0. Total expenses 480,804. Cost of Procurement-Transportation of Organs and Tissue: Program service expenses 452,408. Management and general expenses 0. Fundraising expenses 0. Total expenses 452,408. Cost of Procurement-Tissue Procurement Expense: Program service expenses 389,754. Management and general expenses 0. Fundraising expenses 0. Total expenses 389,754. Cost of Procurement-Other Acquisition Costs: Program service expenses 334,126. Management and general expenses 0. Fundraising expenses 0. Total expenses 334,126. Cost of Procurement-Anesthesiology: Program service expenses 323,583. Management and general expenses 0. Fundraising expenses 0. Total expenses 323,583. Call Center: Program service expenses 318,919. Management and general expenses 0. Fundraising expenses 0. Total expenses 318,919. Cost of Procurement-Transportation of Teams: Program service expenses 274,008. Management and general expenses 0. Fundraising expenses 0. Total expenses 274,008. Cost of Procurement-Respiratory Therapy: Program service expenses 240,436. Management and general expenses 0. Fundraising expenses 0. Total expenses 240,436. Cost of Procurement-Intensive Care Unit: Program service expenses 210,938. Management and general expenses 0. Fundraising expenses 0. Total expenses 210,938. Cost of Procurement-Medical Supplies: Program service expenses 204,556. Management and general expenses 0. Fundraising expenses 0. Total expenses 204,556. Human Resources: Program service expenses 0. Management and general expenses 198,491. Fundraising expenses 0. Total expenses 198,491. Cost of Procurement-Tissue Typing: Program service expenses 188,976. Management and general expenses 0. Fundraising expenses 0. Total expenses 188,976. Cost of Procurement-Pharmacy: Program service expenses 173,268. Management and general expenses 0. Fundraising expenses 0. Total expenses 173,268. Transplant Coordinator Expense: Program service expenses 156,803. Management and general expenses 0. Fundraising expenses 0. Total expenses 156,803. Cost of Procurement-Medical Waste: Program service expenses 151,401. Management and general expenses 0. Fundraising expenses 0. Total expenses 151,401. Donor Data System: Program service expenses 144,919. Management and general expenses 0. Fundraising expenses 0. Total expenses 144,919. Cost of Procurement-Organ Hospital Bill Review: Program service expenses 142,435. Management and general expenses 0. Fundraising expenses 0. Total expenses 142,435. Admin & General: Program service expenses 40,278. Management and general expenses 98,912. Fundraising expenses 0. Total expenses 139,190. Memberships and Dues: Program service expenses 8,153. Management and general expenses 68,828. Fundraising expenses 0. Total expenses 76,981. Professional Education: Program service expenses 26,214. Management and general expenses 47,344. Fundraising expenses 0. Total expenses 73,558. Cost of Procurement-Transplant Coordinator: Program service expenses 54,520. Management and general expenses 0. Fundraising expenses 0. Total expenses 54,520. Donations: Program service expenses 0. Management and general expenses 52,500. Fundraising expenses 0. Total expenses 52,500. Cost of Procurement-Other Excision Costs: Program service expenses 21,573. Management and general expenses 0. Fundraising expenses 0. Total expenses 21,573. Uniforms & Linens: Program service expenses 19,383. Management and general expenses 0. Fundraising expenses 0. Total expenses 19,383. Tools & Med Supplies: Program service expenses 2,785. Management and general expenses 11,312. Fundraising expenses 0. Total expenses 14,097. Taxes-Other: Program service expenses 0. Management and general expenses 10,270. Fundraising expenses 0. Total expenses 10,270. Team Oklahoma: Program service expenses 8,077. Management and general expenses 0. Fundraising expenses 0. Total expenses 8,077. Retirement of Assets: Program service expenses 0. Management and general expenses 6,975. Fundraising expenses 0. Total expenses 6,975. Bank Service Charges: Program service expenses 0. Management and general expenses 3,596. Fundraising expenses 0. Total expenses 3,596. Doubtful Accounts Provision: Program service expenses -73,483. Management and general expenses 0. Fundraising expenses 0. Total expenses -73,483. Schedule R, Part II To assume all of the fundraising activities of its supported organization, ie., the LifeShare Transplant Donor Services of Oklahoma, Inc. which is the Federally-certified organ procurement organization for the State of Oklahoma. The LifeShare Foundation 4705 NW Expressway Oklahoma City OK 731325213 821003338 See Schedule O OK 501(c)(3) Line 12b, II LifeShare Transplant Donor Services 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 The LifeShare Foundation B 52000 Cash Donation