2018-05-11T12:53:07-05:00 2017-12-31 411431613 BERGANKDV LTD PO BOX 2100 WATERLOO IA 507042100 990 2017-01-01 421414092 IOWA DONOR NETWORK IOWA 3196653787 550 MADISON AVENUE NORTH LIBERTY IA 52317 SUZANNE CONRAD CHIEF EXECUTIVE OFFICER 3196653787 2018-05-04 1 DAVID A RICHTER CPA P00168204 3192346885 2018-05-04 2017 2022-09-23 18:48:47Z SUZANNE CONRAD 550 MADISON AVENUE NORTH LIBERTY IA 52317 19130987 0 X WWW.IOWADONORNETWORK.ORG X 1993 IA TO SAVE AND ENHANCE LIVES THROUGH ORGAN AND TISSUE DONATION. 15 15 157 127 0 0 871676 508414 18290448 18370373 12575 11076 32891 241124 19207590 19130987 0 0 0 0 10833729 9808159 0 0 131859 9363454 9691301 20197183 19499460 -989593 -368473 22873336 22312774 7722450 7399410 15150886 14913364 X WORKING TOGETHER TO TRANSFORM LIVES THROUGH ORGAN AND TISSUE DONATION. 0 0 14810739 18370373 ORGAN AND TISSUE RECOVERY:IOWA DONOR NETWORK (IDN) OPERATES AS THE PRIMARY CONTACT FOR ORGAN, TISSUE AND EYE DONATION SERVICES IN THE STATE OF IOWA. THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS) HAS CERTIFIED IDN TO FUNCTION AS THE SINGLE ORGAN PROCUREMENT ORGANIZATION SERVING THE STATE OF IOWA. IDN ALSO PROVIDES TISSUE RECOVERY SERVICES. IN 2017, ORGAN RECOVERY SERVICES GENERATED $11,745,443 IN REVENUES WHILE TISSUE RECOVERY SERVICES CONTRIBUTED $6,530,790 TOWARD REVENUES. THROUGH REFERRAL CALLS FROM MORE THAN 120 IOWA HOSPITALS, MEDICAL EXAMINER OFFICES AND EMS AGENCIES, IDN EVALUATES OVER 10,000 PATIENT DEATHS PER YEAR FOR THE POTENTIAL FOR ORGAN AND TISSUE DONATION. TO MAINTAIN THIS REFERRAL NETWORK AND PROVIDE ORGAN AND TISSUE DONATION SERVICES, IDN ENGAGES IN MANY INTERRELATED ACTIVITIES: ORGAN AND TISSUE RECOVERY, ORGAN DISTRIBUTION, PUBLIC EDUCATION AND AWARENESS ACTIVITIES, HOSPITAL AND COMMUNITY DONOR REFERRAL DEVELOPMENT, AND DONOR FAMILY CARE AND FOLLOW-UP SERVICES.AN IDN DONATION COORDINATOR MANAGES THE IDENTIFICATION, EVALUATION AND MEDICAL MAINTENANCE OF ORGAN AND TISSUE DONORS. THIS INCLUDES, ASSISTING OR PERFORMING THE SURGICAL RECOVERY OF ORGANS AND TISSUES, AND COORDINATING THE PLACEMENT AND TRANSPORTATION OF RECOVERED ORGANS. IDN ALSO WORKS WITH THE IOWA LIONS EYE BANK TO FACILITATE EYE DONATION AND RECOVERY.IDN WAS ONE OF THE FIRST DONATION SERVICE AREAS IN THE UNITED STATES TO DEVELOP A DONOR REGISTRY AND ENACT FIRST PERSON CONSENT LEGISLATION. THE REGISTRY, COMBINED WITH LEGISLATION, ALLOWS IOWANS TO LEGALLY CONSENT TO ORGAN AND TISSUE DONATION PRIOR TO DEATH. THIS PROCESS ALLEVIATES THE STRESS ON SURVIVING FAMILY MEMBERS OF TRYING TO MAKE A DONATION DECISION AT A VERY DIFFICULT TIME, DURING THE LOSS OF A LOVED ONE.IDN HAS BEEN RECOGNIZED BY HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) AS A TOP PERFORMER IN ORGAN RECOVERY. IOWA DONOR NETWORK IS FULLY ACCREDITED BY THE ASSOCIATION OF ORGAN PROCUREMENT ORGANIZATIONS (AOPO) AND THE AMERICAN ASSOCIATION OF TISSUE BANKS (AATB). IN 2017, IOWA DONOR NETWORK PROVIDED LIFE-SAVING ORGANS TO WAITING RECIPIENTS FROM 54 DONORS. IN ADDITION, LIFE-SAVING AND LIFE-ENHANCING TISSUE WAS RECOVERED FROM 798 TISSUE DONORS.IDN'S COMMUNICATION CENTER RECEIVED MORE THAN 35,000 CALLS FROM IOWA HOSPITALS AND OTHER HEALTH CARE AND COMMUNITY AGENCIES REFERRING POTENTIAL ORGAN AND TISSUE DONORS. THIS 24-HOUR CALL CENTER PROVIDED DONOR FAMILIES WITH THE HIGHEST LEVEL OF CARE POSSIBLE. ANNUAL TRAINING WAS PROVIDED ON HOW TO CARE FOR FAMILIES DURING A CRISIS. THIS PROVIDED STAFF WITH VALUABLE TOOLS TO HELP SUPPORT GREIVING FAMILIES DURING THE DONATION PROCESS. IN ADDITION IDN FOCUSED ON SELF-CARE FOR STAFF MEMBERS THROUGH TRAINING AND DEBRIEFINGS THROUGHOUT THE YEAR. 2036384 HOSPITAL DEVELOPMENT, PUBLIC EDUCATION, AND DONOR FAMILY SERVICES:IDN IS COMMITTED TO MEETING ALL HOSPITALS' EDUCATIONAL NEEDS REGARDING DONATION. THIS INCLUDES: TRAINING IN THE IDENTIFICATION, REFERRAL AND MANAGEMENT OF ORGAN DONORS, SENSITIVITY, AND TIMING FOR APPROACHING POTENTIAL DONOR FAMILIES WITH THE OPTION OF DONATION. IN 2017, APPROXIMATELY 3,000 HEALTH CARE PROFESSIONALS PARTICIPATED IN THE E-LEARNING PROGRAM THAT WAS LAUNCHED THE PREVIOUS YEAR.EVERY HOSPITAL, MEDICAL EXAMINER'S OFFICE, DMV OFFICE, AND EMS PROGRAM IN IOWA HAS AN ASSIGNED IDN REPRESENTATIVE WHOSE JOB IT IS TO MAKE SURE THAT PERSONNEL KNOW HOW AND WHEN TO CONTACT IDN FOR DONATION ASSISTANCE. IN 2017 IDN STAFF CONDUCTED OVER 200 FORMAL CONTINUING EDUCATION PROGRAMS FOR NURSING AND ALLIED HEALTH STAFF AS WELL AS GREATER THAN 300 INFORMAL EDUCATION SESSIONS WITHIN THE HOSPITALS AND COMMUNITY AGENCIES. IDN STAFF WORK WITH HOSPITALS AND ASSIGNED AGENCIES TO DEVELOP PROTOCOLS OR POLICIES AND PROCEDURES RELATED TO REFERRAL FOR ORGAN AND TISSUE DONATION. OTHER DUTIES INCLUDE: MEETING WITH HOSPITAL/ AGENCY LEADERSHIP AND PERSONNEL TO ENGAGE SUPPORT FOR ORGAN AND TISSUE DONATION, FOLLOW-UP AFTER EACH ORGAN REFERRAL, AND FOLLOW-UP WITH STAFF AFTER EACH ORGAN OR TISSUE RECOVERY.IDN HAS A DEPARTMENT WITH TRAINED STAFF DEDICATED TO PROVIDING DONOR FAMILY CARE SERVICES AT THE TIME OF CRISIS AND FOR A PERIOD OF UP TO 24 MONTHS FOLLOWING DONATION IF SO DESIRED BY THE DONOR NEXT-OF-KIN. IOWA DONOR NETWORK PROVIDED GRIEF SUPPORT TO MORE THAN 800 IOWA FAMILIES WHO HAVE LOST A LOVED ONE AND MADE THE GENEROUS DECISION TO DONATE.IDN'S PUBLIC EDUCATION FOCUS IS TO INCREASE DONATION AWARENESS AND ACCEPTANCE. WITH DATA FROM THE IOWA DONOR REGISTRY, THIS EFFORT IS FOCUSED ON REGIONS OF THE STATE (COUNTIES) WITH LOWER THAN AVERAGE DONOR REGISTRATIONS. ACTIVITIES AND PROMOTIONS ARE ORGANIZED AND CONDUCTED BY IDN'S PUBLIC OUTREACH STAFF, WITH THE HELP OF VOLUNTEERS AND CONTRACTED ADVERTISING AND PR AGENCIES. PUBLIC EDUCATION INCLUDES: PRESENTATIONS TO CIVIC GROUPS, WORK PLACES, DRIVER'S EDUCATION AND SPECIAL EVENTS. IN 2017 IOWA HAD OVER 1.7 MILLION RESIDENTS SIGNED UP TO THE IOWA DONOR REGISTRY. THE REGISTRY CAPTURES THE AUTHORIZATION OF ANYONE IN THE STATE WISHING TO BE A DONOR. IN 2017, THERE WERE OVER 500 HOURS OF PUBLIC EDUCATION GIVEN TO THE RESIDENTS OF IOWA. IDN PROVIDES RESOURCES TO VOLUNTEER ORGANIZATIONS AND SUPPORT GROUPS THROUGHOUT IOWA: THESE GROUPS ARE COMPOSED OF PEOPLE WAITING FOR TRANSPLANT, DONOR FAMILY MEMBERS, RECIPIENTS AND OTHER CONCERNED INDIVIDUALS. IDN IS ASSOCIATED WITH SEVERAL PROFESSIONAL ORGANIZATIONS AT THE NATIONAL LEVEL, INCLUDING THE NORTH AMERICAN TRANSPLANT COORDINATORS ORGANIZATION, THE ASSOCIATION OF ORGAN PROCUREMENT ORGANIZATIONS, THE AMERICAN SOCIETY FOR MULTICULTURAL HEALTH AND TRANSPLANT PROFESSIONALS, THE AMERICAN BOARD OF TRANSPLANT COORDINATION, THE AMERICAN ASSOCIATION OF TISSUE BANKS AND THE UNITED NETWORK FOR ORGAN SHARING. IN COOPERATION WITH THE GUIDELINES SET FORTH BY THESE PROFESSIONAL ASSOCIATIONS AND GOVERNING BODIES, ALONG WITH THE TRANSPLANT CENTERS ACROSS THE COUNTRY, DONATED ORGANS ARE ALLOCATED EQUITABLY TO TRANSPLANT PATIENTS ACCORDING TO NATIONAL DISTRIBUTION REGULATIONS.SINCE 2012 IDN HAS BEEN ON A PERFORMANCE IMPROVEMENT JOURNEY THROUGH THE IOWA RECOGNITION FOR PERFORMANCE EXCELLENCE (IRPE) PROGRAM. USING THE BALDRIGE EXCELLENCE FRAMEWORK AS A TOOL, IDN IS ENGAGED IN A CONTINOUS REVIEW OF ORGANIZATIONAL SYSTEMS AND PROCESSES, THE IDENTIFICATION OF AREAS OF STRENGTH AND OPPORTUNIY, AND THE DETERMINATION OF WHAT AND HOW IDN SHOULD IMPROVE OR CHANGE. THIS PROCESS ENABLES IDN TO CONTINUOUSLY IDENTIFY WAYS TO PROVIDE THE HIGHEST QUALITY SERVICES POSSIBLE TO ACHIEVE ITS MISSION, VISION AND ORGANIZATIONAL PRIORITIES. IDN WAS RECOGNIZED AT THE SILVER LEVEL OF ACHIEVEMENT FROM THE IRPE PROGRAM IN 2016. 16847123 1 1 0 1 0 0 0 0 0 1 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 51 0 1 157 1 0 0 0 0 0 0 0 0 0 0 X 15 15 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X X HEIDI HOLLENBECK 3196653787 550 MADISON AVENUE NORTH LIBERTY IA 52317 NANCY RICHARDSON CHAIR 2.00 X X 0 0 0 CHRISTIE THOMAS MD VICE CHAIR 2.00 X X 0 0 0 KIM BURDAKIN SECRETARY 2.00 X X 0 0 0 TAMMI ERB TREASURER 2.00 X X 0 0 0 TARA MCENANY DIRECTOR 2.00 X 0 0 0 ROBIN THOMPSON DIRECTOR 2.00 X 0 0 0 ERIC BRIESEMEISTER DIRECTOR 2.00 X 0 0 0 LAURA WENMAN DIRECTOR 2.00 X 0 0 0 LYNNE LANNING DIRECTOR 2.00 X 0 0 0 FATHER MARTY GOETZ DIRECTOR 2.00 X 0 0 0 MICHAEL HENSCH DIRECTOR 2.00 X 0 0 0 STEPHEN DONAHOE DIRECTOR 2.00 X 0 0 0 BECKY ANTHONY DIRECTOR 2.00 X 0 0 0 SEAN MERRICK DIRECTOR 2.00 X 0 0 0 ALAN REED MD DIRECTOR 2.00 X 0 0 0 SUZANNE CONRAD CEO 40.00 X 263502 0 47985 SARAH FEWELL COO 40.00 X 214627 0 15907 ANGELA CALHOUN FORMER FINANCE MANAGER 40.00 X 110001 0 13667 LINDSEY JONES HR MANAGER 40.00 X 112419 0 10040 MIKE KAISER CLINICAL RECOVERY MANAGER 40.00 X 109366 0 19680 JULIE SCHNEIDER PROFESSIONAL OUTREACH MANAGER 40.00 X 110184 0 8269 KENT ALLISON BUSINESS MANAGER 40.00 X 111696 0 20698 JULIE TRIPPLE TISSUE RECOVERY MANAGER 40.00 X 107270 0 12755 1139065 0 149001 14 0 1 0 UNIVERSITY OF IOWA 2100 UNIVERSITY CAPITOL CENTRE IOWA CITY IA 522425500 HOSPITAL RECOVERY SERVICES 1191015 MIDWEST TRANSPLANT NETWORK PO BOX 843313 KANSAS CITY MO 641843313 ORGAN PROCUREMENT 1174700 MID-AMERICA TRANSPLANT 1110 HIGHLIANDS PLAZA DRIVE E 100 ST LOUIS MO 63110 ORGAN PROCUREMENT 757000 LABS INC PO BOX 712997 CINCINATTI OH 425712997 TISSUE SEROLOGY TESTING 545175 NEBRASKA ORGAN RECOVERY SYSTEM 8502 WEST CENTER ROAD OMAHA NE 68124 ORGAN PROCUREMENT 396000 8 176452 331962 2664 508414 ORGAN & TISSUE PROCUREMENT 900099 18368373 18368373 OTHER REVENUE 532000 2000 2000 18370373 11076 11076 ORS SETTLEMENT 900099 125000 125000 INSURANCE PROCEEDS 900099 71050 71050 MISCELLANEOUS REVENUE 900099 45074 45074 241124 19130987 18370373 0 252200 685290 233381 451909 7247884 6244871 920301 82712 1203675 1027251 163078 13346 671310 551450 112802 7058 15860 15860 26285 26285 36000 36000 545449 395123 150326 132553 63002 69551 213991 147137 64322 2532 146416 96493 44327 5596 516527 337348 175592 3587 156067 69730 84056 2281 38969 21451 17518 349644 226718 120655 2271 108748 92521 15836 391 DIRECT RECOVERY COSTS 6734642 6734642 INDIRECT PROCUREMENT CO 459739 459739 SPECIAL PROJECTS 109292 84491 13182 11619 DUES & SUBSCRIPTIONS 54571 28296 26166 109 46548 33479 12712 357 19499460 16847123 2520478 131859 42 32 4073619 3849426 50986 27717 4687926 4622672 12183 39302 250886 182264 9844199 1928812 8262911 7915387 5534783 5675974 22873336 22312774 2106561 2014880 2000 0 5613889 5384530 7722450 7399410 X 14870232 14663198 280654 250166 15150886 14913364 22873336 22312774 X -368473 130951 X 0 1 X 1 0 X 777622 1303336 948578 523426 508414 4061376 20727660 20580271 19572037 18290448 18370373 97540789 21505282 21883607 20520615 18813874 18878787 101602165 4387178 5164672 5772221 4785276 4037670 24147017 0 4387178 5164672 5772221 4785276 4037670 24147017 77455148 7147 10968 9530 8187 11076 46908 7147 10968 9530 8187 11076 46908 7450 712 6909 38440 241124 294635 21519879 21895287 20537054 18860501 19130987 101943708 0.75980 0.75510 0.00050 0.00040 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS REVENUE - 2013 AMOUNT: $ 7,450. 2014 AMOUNT: $ 712. 2015 AMOUNT: $ 6,909. 2016 AMOUNT: $ 38,440. 2017 AMOUNT: $ 45,074. ORS SETTLEMENT - 2017 AMOUNT: $ 125,000. INSURANCE PROCEEDS - 2017 AMOUNT: $ 71,050. SCHEDULE A, PART VI, LIST OF UNUSUAL GRANTS: DESCRIPTION: CONTRIBUTION DATE: 06/17/16 AMOUNT: 348250. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 36000 36000 0 PART II-B, LINE 1: IDN RETAINS A LOBBYING FIRM TO DEAL WITH LEGISLATIVE ISSUES RELATED TO ORGAN AND TISSUE DONATION. 10000 240 10240 1.00000 1 0 838814 838814 7179867 970670 6209197 217234 42175 175059 1608284 915967 692317 7915387 INTEREST IN NET ASSETS OF ALLOSOURCE 5665734 BENEFICIAL INTEREST IN COMMUNITY FOUNDATION 10240 5675974 19261938 130951 130951 19130987 0 19130987 19499460 0 19499460 0 19499460 PART V, LINE 4: THE ENDOWMENT FUND REPRESENTS AMOUNTS HELD BY A COMMUNITY FOUNDATION FOR THE ORGANIZATION. THE EARNINGS ON THIS FUND ARE INTENDED TO BE USED TO SUPPORT THE VOLUNTEER PROGRAM. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN INTEREST IN ALLOSOURCE NET ASSETS 130,951. X X X X X 0 0 0 0 0 0 0 0 0 SUZANNE CONRAD CEO 263502 0 0 0 0 0 16200 0 31785 0 311487 0 0 0 SARAH FEWELL COO 214627 0 0 0 0 0 12852 0 3055 0 230534 0 0 0 A COUNTY OF POLK IOWA 426004519 2014-05-23 5986500 FINANCE NEW FACILITY IN ALTOONA, IOWA 0 1 0 A 565094 5986500 5986500 2015 0 0 0 1 A 0 0 0 0 0 0 1 A 0 0 1 0 0 0 0 0 1 A 0 ALEX STEWART SON-IN-LAW OF OFFICER 66713 COMPENSATION PAYMENTS AS AN EMPLOYEE FOR IOWA DONOR NETWORK DURING 2017. 0 FORM 990, PART VI, SECTION B, LINE 11B THE IDN CHIEF EXECUTIVE OFFICER PROVIDES THE DRAFT FORM 990 TO THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS FOR DISCUSSION DURING ITS NEXT MEETING OR CONFERENCE CALL. MEMBERS OF THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS REVIEW ALL INFORMATION PROVIDED IN THE FORM 990 AND MAKE ANY RECOMMENDATIONS FOR CHANGES TO THE CHIEF EXECUTIVE OFFICER. IDN BOARD OF DIRECTORS REVIEW AND VOTE TO APPROVE THE DRAFT FORM 990 PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C EACH DIRECTOR, OFFICER, KEY EMPLOYEE, BOARD COMMITTEE MEMBER, AND MEDICAL ADVISORY COMMITTEE MEMBER ANNUALLY SIGNS A STATEMENT, WHICH AFFIRMS SUCH PERSON: (A) HAS RECEIVED A COPY OF THE CONFLICTS OF INTEREST POLICY. (B) HAS READ AND UNDERSTANDS THE POLICY (C) HAS AGREED TO COMPLY WITH THE POLICY, AND (D) UNDERSTANDS THAT IDN IS CHARITABLE AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES THAT ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. DECLARATION OF CONFLICT ADDED TO ALL BOARD/COMMITTEE AGENDAS. FORM 990, PART VI, SECTION B, LINE 15 IDN USES AN EXTERNAL COMPANY THAT PROVIDES TWO SOURCES OF DATA INCLUDING COMPARABLE 990S OF LIKE-SIZE OPOS AND THEIR OWN DATABASE OF NON-PROFIT ORGANIZATIONS TO DETERMINE MARKET COMPENSATION. THE MARKET IS SURVEYED EVERY TWO YEARS FOR STAFF WAGES AND THREE YEARS FOR EXECUTIVES TO EVALUATE EXISTING WAGE AND SALARY RANGES TO MAINTAIN THE OVERALL INTEGRITY AND COMPETITIVENESS OF OUR MARKET BASED SYSTEM. ESTABLISHED WAGE AND SALARY RANGES ARE REVIEWED WITH ASSISTANCE FROM AN OUTSIDE COMPENSATION SPECIALIST. SALARY INCREASES ARE NOT GRANTED AUTOMATICALLY, BUT ONLY AS A RESULT OF DEMONSTRATED PERFORMANCE, DOCUMENTED BY A JOB-RELATED PERFORMANCE APPRAISAL. THE BOARD ANNUALLY APPROVES THE PERFORMANCE REVIEW OF THE CHIEF EXECUTIVE OFFICER AND ESTABLISHES COMPENSATION BASED ON RECOMMENDATIONS OF THE EXECUTIVE COMMITTEE AND BOARD CHAIR. FOR OFFICERS OR KEY EMPLOYEES, THE BOARD APPROVES APPROPRIATE COMPENSATION AND BENEFIT POLICIES AND PRACTICES. DOCUMENTATION REGARDING THE COMPENSATION ARRANGEMENT IS MAINTAINED BY THE HUMAN RESOURCES MANAGER. PERIODIC REVIEWS ARE CONDUCTED AND AT A MINIMUM INCLUDE THE FOLLOWING SUBJECTS:(A) WHETHER COMPENSATION ARRANGEMENTS AND BENEFITS ARE REASONABLE, AND THE RESULT OF ARMS LENGTH BARGAINING,(B) WHETHER COMPENSATON ARRANGEMENTS AND ALL PAYMENTS FOR SERVICES CONFORM TO IDN POLICIES, ARE PROPERLY RECORDED, REFLECT REASONABLE INVESTMENT OR PAYMENTS FOR GOODS AND SERVICES, FURTHER IDN CHARITABLE PURPOSES AND DO NOT RESULT IN INUREMENT, IMPERMISSIBLE PRIVATE BENEFIT OR IN AN EXCESS BENEFIT TRANSACTION. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST. FORM 990, PART XI, LINE 9: REPRESENTS THE CHANGE IN THE ORGANIZATION'S INTEREST IN THE NET ASSETS OF ALLOSOURCE CHANGE IN INTEREST IN NET ASSETS 130,951.