2018-08-15T18:34:13-07:00 2017-12-31 990 2017-01-01 382772488 ORGAN PROCUREMENT AGENCY OF MICHIGAN ORGA 7349731577 3861 RESEARCH PARK DRIVE ANN ARBOR MI 48108 Anne Kowalczyk CFO 7349221052 2018-08-14 2017 2022-09-23 18:48:47Z GIFT OF LIFE MICHIGAN Ladora Dils 3861 Research Park Drive Ann Arbor MI 48108 65074970 0 X www.giftoflifemichigan.org X 1971 MI GIFT OF LIFE MICHIGAN IS THE STATE'S FEDERALLY DESIGNATED ORGAN AND TISSUE RECOVERY ORGANIZATION. AS SUCH, IT ASSISTS DONOR FAMILIES DURING THEIR TIME OF GRIEF AND ACTS AS THE INTERMEDIARY BETWEEN HOSPITALS AND TRANSPLANT CENTERS TO PROVIDE LIFE-SAVING, LIFE-IMPROVING ORGANS AND TISSUES FOR TRANSPLANT. THESE "GIFT" INCLUDE SUCH ORGANS AS KIDNEYS, LIVERS, HEARTS, LUNGS, AND TISSUE SUCH AS SKIN, TENDONS AND BONE. IN FACT, A SINGLE ORGAN DONOR CAN SAVE UP TO EIGHT LIVES, WHILE A TISSUE DONOR CAN IMPROVE THE LIVES OF UP TO 50 MORE. GIFT OF LIFE ALSO PROMOTES ORGAN, TISSUE, AND EYE DONATION AND MAINTAINS THE MICHIGAN ORGAN DONOR REGISTRY ALONG WITH THE MICHIGAN SECRETARY OF STATE DEPARTMENT. THE CONFIDENTIAL DONOR REGISTRY DOCUMENTS A PERSON'S SELFLESS DESIRE TO SAVE OTHERS AFTER THEIR OWN LIFE HAS ENDED. 18 11 250 643 0 0 22762 15544 52857229 50746556 221233 910630 0 0 53101224 51672730 0 0 0 0 21338905 21386180 0 0 0 29685858 29941923 51024763 51328103 2076461 344627 51329110 51790316 15283137 15399716 36045973 36390600 TO HONOR LIFE THROUGH DONATION BY FACILITATING ORGAN AND TISSUE RECOVERY 0 0 44519278 51767255 ACTIVITIES AND ACCOMPLISHMENTS IN 2017 INCLUDED; FACILITATING 320 ORGAN DONORS, WHICH LED TO 876 ORGAN TRANSPLANTS. EACH ONE REPRESENTING NEW LIFE FOR THE RECIPIENT. ALSO FACILITATED 1038 TISSUE DONORS, WHOSE GIFTS MAY HELP CANCER AND BURN VICTIMS WITH RECONSTRUCTIVE SURGERY AND MAY PROVIDE MOBILITY FOR OTHERS WITH ORTHOPEDIC INJURIES. INCREASED THE NUMBER OF CITIZENS REGISTERED ON THE STATE REGISTRY BY 342,175, BRINGING THE STATEWIDE TOTAL TO OVER 4.7 MILLION RESIDENTS REPRESENTING 61% OF THE ADULT POPULATION IN THE STATE. ORGANIZED A CEREMONY THAT PAID TRIBUTE TO THE PREVIOUS YEAR'S ORGAN AND TISSUE DONORS. MORE THAN 900 DONOR FAMILY MEMBERS ATTENDED THE EVENT. THROUGH ITS STAFF AND VOLUNTEER CORP, PROVIDED 23,000 SERVICE HOURS FOR PROMOTING DONATION. 0 0 0 44519278 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 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 0 0 0 0 1 146 0 1 250 1 0 0 0 0 0 0 0 0 0 0 X 18 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MI X ANNE KOWALCZYK 7349221052 3861 RESEARCH PARK DRIVE ANN ARBOR MI 48108 ATSUSHI YOSHIDA CHAIR 5 0 X X 2990 0 0 ALAN LEICHTMAN PAST CHAIR 5 0 X X 2079 0 0 JOHN GREEN CHAIR ELECT 5 0 X X 2920 0 0 ANNE MURPHY CHAIR ELECT 5 0 X X 0 0 0 ANTHONY KING SECRETARY 5 0 X X 1308 0 0 PAMELA SEXTON TREASURER 5 0 X X 4415 0 0 MAURICE BINKOW BOARD MEMBER 3 0 X 0 0 0 ROBERT DOBRUSIN BOARD MEMBER 3 0 X 0 0 0 STEPHEN ECONOMY BOARD MEMBER 3 0 X 1495 0 0 SHERRIE FARRELL BOARD MEMBER 3 0 X 0 0 0 DARLA GRANGER BOARD MEMBER 3 0 X 2336 0 5250 MARK HARRIS BOARD MEMBER 3 0 X 0 0 0 JAMES HOOGEBOOM BOARD MEMBER 3 0 X 257 0 0 ANNETTE JOE BOARD MEMBER 3 0 X 0 0 0 DEAN KIM BOARD MEMBER 3 0 X 654 0 0 TIM MULLIGAN BOARD MEMBER 3 0 X 0 0 0 ELIZABETH RUBINSTEIN BOARD MEMBER 3 0 X 0 0 0 KATHLEEN VOGELSANG BOARD MEMBER 3 0 X 0 0 0 LADORA DILS CHIEF EXECUTIVE OFFICER 55.00 0 X 344034 0 30332 BRUCE NICELY CHIEF OPERATING OFFICER 50 0 X 266271 0 32509 ANNE KOWALCZYK CHIEF FINANCIAL OFFICER 52 0 X 268200 0 44439 STEVEN RUDICH MD MEDICAL DIRECTOR 40 0 X 357092 0 40869 CHAK SUM HO CHIEF LABORATORY OFFICER 45 0 X 275955 0 45644 MICHAEL HAGAN MD CHIEF QUALITY OFFICER 40 0 X 208966 0 34886 SHEILA ALSTON CLINICAL DIRECTOR 50 0 X 166471 0 23028 DAVID GEE DIRECTOR OF INFORMATION TECHNOLOGY 40 0 X 155261 0 33210 MARK TUDOR DIRECTOR OF SURGICAL CENTER AND FACILITIES 40 0 X 137979 0 31468 DOUGLAS BUTLER DIRECTOR OF FAMILY AND HOSPITAL SERVICES 40 0 X 133630 0 31037 WALTER HERCZYK ADMINISTRATIVE LAB DIRECTOR 40 0 X 127193 0 18713 2459506 0 371385 31 0 1 0 UNIVERSITY OF MICHIGAN HEALTH SERVICES 700 KMS PLACE ANN ARBOR MI 48108 SURGICAL RECOVERY SERVICES 592450 NORA 3815 E MAIN STREET ST CHARLES IL 60174 TRANSPORTATION OF ORGANS, TISSUE DONORS 419453 PRIORITY TRANSPORTATION 1230 W 8 MILE ROAD FERNDALE MI 48220 TRANSPORTATION OF ORGANS AND TISSUE DONORS 194637 RED AUSTIN'S FUNERAL COACH SERVICE 6780 JACKSON TAYLOR MI 48180 TRANSPORTATION OF TISSUE DONORS 175172 MICHIGAN REGIONAL REMOVAL 7230 HOLTON DUCK LAKE ROAD HOLTON MI 49425 TRANSPORTATION OF TISSUE DONORS 161147 8 0 0 0 0 0 15544 0 15544 MEDICARE PAYMENTS 621300 21496909 21496909 0 0 ORGAN RECOVERY 621300 20058150 20058150 0 0 TISSUE RECOVERY 621300 8078125 8078125 0 0 LAB SERVICES 621300 1113372 1113372 0 0 0 0 0 0 50746556 280561 0 0 280561 0 0 0 0 0 0 0 0 0 0 14126833 -94524 13402240 0 724593 -94524 630069 0 0 630069 0 0 51672730 50746556 0 910630 2830891 1693109 1137782 13661120 12072660 1588460 1105945 926536 179409 2532218 2125353 406865 1256006 1080441 175565 14373 14373 43500 43500 2499981 2280659 219322 1100542 343859 756683 129667 129667 644854 19668 625186 2401373 2274871 126502 383834 203411 180423 1140805 168552 972253 252835 252835 DONOR HOSPITAL EXPENSES 8651209 8651209 0 0 IMPORTED ORGAN COSTS 7798005 7798005 0 0 LAB AND MEDICAL SUPPLIES 3462374 3462374 0 0 RECIPIENT REGISTRATION 1418571 1418571 0 0 51328103 44519278 6808825 0 195 195 8143576 5185559 9583129 10293068 751119 2041439 631337 849199 28377564 6540557 24352732 21837007 7487921 11450228 379101 133621 51329110 51790316 5744914 7146251 9171608 8119844 366615 133621 15283137 15399716 X 36045973 36390600 0 0 0 0 36045973 36390600 51329110 51790316 344627 0 0 0 0 0 X 0 1 X 1 0 X 18255 6828 13691 22762 15544 77080 43306873 42728265 47941941 52857229 50746556 237580864 43325128 42735093 47955632 52879991 50762100 237657944 237657944 123403 198660 199753 257542 315566 1094924 123403 198660 199753 257542 315566 1094924 43448531 42933753 48155385 53137533 51077666 238752868 0.99541 0.9958 0.00459 0.0042 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 474117 474117 0 22234254 3570869 18663385 0 0 0 0 0 5666891 2969688 2697203 0 2302 0 2302 21837007 0 FLEXIBLE PREMIUM ANNUITY 133621 133621 52362318 689588 0 0 0 689588 51672730 0 0 0 51672730 51328103 0 0 0 0 0 51328103 0 0 0 51328103 X X X X X 0 0 0 0 0 0 0 0 0 LADORA DILS CHIEF EXECUTIVE OFFICER 310534 0 33500 0 0 0 12793 0 19713 0 376540 0 0 0 BRUCE NICELY CHIEF OPERATING OFFICER 240781 0 25490 0 0 0 26640 0 7654 0 300565 0 0 0 ANNE KOWALCZYK CHIEF FINANCIAL OFFICER 241007 0 27193 0 0 0 26900 0 19327 0 314427 0 0 0 STEVEN RUDICH MD MEDICAL DIRECTOR 353832 0 3260 0 0 0 35000 0 8043 0 400135 0 0 0 CHAK SUM HO CHIEF LABORATORY OFFICER 247951 0 28004 0 0 0 28105 0 19368 0 323428 0 0 0 MICHAEL HAGAN MD CHIEF QUALITY OFFICER 188080 0 20886 0 0 0 20869 0 15301 0 245136 0 0 0 SHEILA ALSTON CLINICAL DIRECTOR 163163 0 3308 0 0 0 16738 0 7634 0 190843 0 0 0 DAVID GEE DIRECTOR OF INFORMATION TECHNOLOGY 152135 0 3126 0 0 0 15670 0 18799 0 189730 0 0 0 MARK TUDOR DIRECTOR OF SURGICAL CENTER AND FACILITIES 135237 0 2742 0 0 0 13929 0 18691 0 170599 0 0 0 DOUGLAS BUTLER DIRECTOR OF FAMILY AND HOSPITAL SERVICES 131172 0 2458 0 0 0 13498 0 18667 0 165795 0 0 0 WALTER HERCZYK ADMINISTRATIVE LAB DIRECTOR 125801 0 1392 0 0 0 12844 0 6949 0 146986 0 0 0 Form 990, Part VI, Section B, Line 11b THE 990 IS MADE PUBLIC TO ALL GOVERNING BOARD AND COMMITTEE MEMBERS ON A SHARED PORTAL. THE AUDIT COMMITTEE ALSO REVIEWS THE 990 SUBSEQUENT TO FILING. A FINAL COPY OF THE 990 IS ON GUIDESTAR.ORG WITH A LINK ON THE ORGANIZATIONS WEBSITE TO THE GUIDESTAR WEBSITE. Form 990, Part VI, Section B, Line 12c ALL BOARD MEMBERS, COMMITTEE MEMBERS, AND EMPLOYEES OF GIFT OF LIFE MICHIGAN ARE COVERED UNDER THE CORPORATE COMPLIANCE POLICY AND CONFLICT OF INTEREST POLICY. ALL PARTIES ARE TRAINED ON AN ANNUAL BASIS AND MUST DECLARE CONFLICT OF INTERESTS AT THAT TIME. EXECUTIVE LEADERSHIP ASSESSES THE LEVEL OF CONFLICT AND IS ALSO ENTRUSTED TO MANAGE THESE CONFLICTS AT EACH BOARD OR COMMITTEE MEETING. MEMBERS WHO HAVE CONFLICTS MUST ABSTAIN FROM VOTING AND THEIR ABSTENTION IS RECORDED IN THE MINUTES. THE COMPLIANCE COMMITTEE ANNUALLY REVIEWS CONFLICTS OF INTEREST FROM EMPLOYEES AND BOARD AND COMMITTEE MEMBERS. Form 990, Part VI, Section B, Line 15 THE EXECUTIVE AND FINANCE AND AUDIT COMMITTEE ANNUALLY REVIEW SALARY INCREASES OF THE CEO, CFO, COO, COD, CQO AND CLD. SALARIES ARE BENCHMARKED AGAINST MARKET SURVEYS WITHIN AND OUTSIDE OF THE ORGAN PROCUREMENT INDUSTRY. OTHER POSITIONS ARE ROUTINELY MEASURED AND BENCHMARKED BY INDUSTRY SURVEYS AT MARKET RATES. Form 990, Part VI, Section C, Line 19 GOVERNANCE DOCUMENTS ARE SUPPLIED AS REQUESTED BY THE PUBLIC. BOARD AND COMMITTEE MEMBERS AND EMPLOYEES HAVE THIS INFORMATION AVAILABLE TO THEM BY A SHARED WEBSERVER AND INTRANET PORTAL.