2017-11-08T13:52:00-06:00 2016-12-31 BDO USA LLP 300 SPRUCE ST STE 100 COLUMBUS OH 43215 990 2016-01-01 311116603 LIFELINE OF OHIO ORGAN PROCUREMENT INC % KENT HOLLOWAY LIFE 6142915667 770 KINNEAR ROAD NO 200 COLUMBUS OH 43212 KENT HOLLOWAY CEO 6142915667 2017-04-27 true Melanie Wernert P01258969 6144883126 162.249.80.3 31869920173125000000 2017-11-08 P D7B0F248DCABB0F04E0D13BEF69184527FF09F5F 8C70FE1CCBDA104FAEB314B1D455D5075C5F4CC1 2016 2017-02-10 21:41:12Z KENT HOLLOWAY 770 KINNEAR ROAD NO 200 COLUMBUS OH 43212 22219171 false X WWW.LIFELINEOFOHIO.ORG X 1984 OH LIFELINE OF OHIO PROMOTES AND COORDINATES DONATION OF HUMAN ORGANS/TISSUES FOR TRANSPLANT, SERVING THE DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS....SEE SCHEDULE O 11 11 120 650 0 145405 304071 17049979 19480428 193171 -384108 -13663 -30847 17374892 19369544 0 0 0 0 7443699 7624189 40830 37707 37707 9153172 10799289 16637701 18461185 737191 908359 14573676 20328602 1609197 6397595 12964479 13931007 X LIFELINE OF OHIO'S MISSION IS TO EMPOWER OUR COMMUNITY TO SAVE AND HEAL LIVES THROUGH ORGAN, EYE AND TISSUE DONATION. false false 15223708 19480428 SEE SCHEDULE O 15223708 true true false true false false false false false false true false false false true true true false false false false false false true true false false false false true true false false false false false false false false false false false false false false false true false false false true 51 0 120 true false false false false false false false false false false X 11 11 false false false false false false false true true false false true true true true true true true true false OH X KENT HOLLOWAY 6142915667 770 KINNEAR ROAD SUITE 200 COLUMBUS OH 43212 X JAMES WIRTH DIRECTOR 1.0 0.0 X 0 0 0 SUE JABLONSKI DIRECTOR 1.0 0.0 X 0 0 0 MICHELLE MCKISSICK DIRECTOR 1.0 0.0 X 0 0 0 GENE WARMAN DIRECTOR 1.0 0.0 X 0 0 0 RACHEL FINNEY DIRECTOR 1.0 0.0 X 0 0 0 TODD PESAVENTO DIRECTOR 1.0 0.0 X 0 0 0 MARK STUDER DIRECTOR 1.0 0.0 X 0 0 0 NAOMI MALETZ DIRECTOR 1.0 0.0 X 0 0 0 ROGER WALKER CHAIR 1.0 0.0 X X 0 0 0 LISA INDEST VICE-CHAIR & TREASURER 1.0 0.0 X X 0 0 0 RONNI RICHARDS SECRETARY 1.0 0.0 X X 0 0 0 KENT HOLLOWAY CEO 40.0 0.0 X 386147 0 47599 SUSAN MANGANELLO CFO 40.0 15.0 X 55274 44299 13501 LADORA DILLS CLINICAL DIRECTOR 40.0 0.0 X 139632 0 16962 MARILYN PONGONIS DIRECTOR OF COMMUNICATIONS 40.0 0.0 X 119925 0 21734 MINDY ZOLL MANAGER OF ORGAN SERVICES 40.0 0.0 X 116716 0 3934 APRIL CAUDILL MANAGER, TISSUE SERVICES 40.0 0.0 X 107985 0 4528 GARY GANT MANAGER, HR ADMINISTRATION 40.0 0.0 X 112767 0 34168 1038446 44299 142426 6 false true false STRATEGIC SUPPORT SERVICES INC 770 KINNEAR ROAD COLUMBUS OH 43212 HEALTH INSURANCE 1055807 LANE AVIATION CORP 4389 INTERNATIONAL GATEWAY COLUMBUS OH 43219 ORGAN RECOVERY TRANS 716164 LIFE CENTER ORGAN DONOR NETWORK 615 ELSINORE PL 400 CINCINNATI OH 45202 ORGAN PROCUREMENT 702430 AMERICAN FOUNDATION FOR DONATION 8154 FOREST HILL AVENUE RICHMOND VA 23235 ORGAN PROCUREMENT 683680 OSU SURGERY LLC 700 ACKERMAN RD 350 COLUMBUS OH 43202 SURGEON FEES 597400 27 63848 240223 304071 KIDNEY PROCUREMENT 621990 6590100 6590100 LIVER PROCUREMENT 621990 3610297 3610297 LUNG PROCUREMENT 621990 2333541 2333541 HEART PROCUREMENT 621990 2290445 2290445 TISSUE RECOVERY 621990 3600159 3600159 1055886 1055886 19480428 122745 122745 0 0 0 0 0 2305713 2280400 532166 25313 -532166 -506853 -506853 6214 63848 37061 -30847 -30847 0 0 0 0 0 0 0 19369544 19480428 -414955 0 0 0 0 622267 296296 325971 0 0 5370700 4489344 881356 0 141121 116537 24584 0 1028731 828078 200653 0 461370 369096 92274 0 0 104551 0 104551 0 33400 0 33400 0 24000 0 24000 0 37707 37707 0 355566 171272 184294 0 0 433854 127759 306095 0 0 0 272118 95241 176877 0 241978 84692 157286 0 0 0 6333 0 6333 0 0 347917 121771 226146 115233 115233 DIRECT RECOVERY COSTS 7789872 7789872 0 0 PUBLIC EDUCATION 474761 474761 0 0 ADMINISTRATIVE EXPENSES 287937 0 287937 0 DISPOSABLE STERILE SUPPLIES 220363 220363 0 0 91406 38626 52780 18461185 15223708 3199770 37707 2012251 5115184 0 0 0 46333 3051107 3189552 0 0 0 0 0 0 86595 145382 350345 269798 11293733 2936399 3792383 8357334 5260455 3167853 0 0 0 0 0 0 20540 37166 14573676 20328602 1450197 2612280 0 0 0 0 0 3735648 0 0 0 0 0 0 0 0 159000 49667 1609197 6397595 X 12964479 13884674 0 46333 0 0 12964479 13931007 14573676 20328602 X 908359 81974 -23805 X false true X true false X 88130 133484 105867 145409 304070 776960 13786905 13935433 15189647 17049979 19480428 79442392 0 0 0 13875035 14068917 15295514 17195388 19784498 80219352 10250 10250 0 10250 10250 80209102 8869 53528 156633 153376 122745 495151 0 8869 53528 156633 153376 122745 495151 0 15944 12574 13684 4676 6214 53092 13899848 14135019 15465831 17353440 19913457 80767595 0.99309 0.99401 0.00613 0.00519 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 24000 24000 18437185 18461185 1000000 250000 843360 894369 940316 1000000 3678045 5517068 23753 21600 24000 24000 93353 210840 223592 235079 250000 919511 1379267 280223 280223 5582492 1720139 3862353 5461 5461 1593499 980737 612762 3832058 230062 3601996 8357334 0 DEFERRED COMPENSATION 25862 INTEREST RATE SWAP 23805 49667 X 20020745 81974 569227 651201 19369544 19369544 19054217 593032 593032 18461185 18461185 PART X, LINE 2: LIFELINE IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE AS AN ORGANIZATION DISCUSSED IN SECTION 501(C)(3). INCOME TAXES ON UNRELATED BUSINESSES INCOME, IF ANY, ARE PROVIDED AT THE APPLICABLE RATES ON INCOME FOR FINANCIAL REPORTING PURPOSES. LIFELINES INCOME TAX FILINGS ARE SUBJECT TO AUDIT BY VARIOUS TAXING AUTHORITIES. IN EVALUATING INCOME TAX-EXEMPT ACTIVITIES, MANAGEMENT BELIEVES ITS POSITION OF TAX-EXEMPT STATUS IS APPROPRIATE BASED ON CURRENT FACTS AND CIRCUMSTANCES. THERE ARE NO ACTIVITIES UNRELATED TO THE PURPOSE OF THE ORGANIZATION; THEREFORE, NO INCOME TAX EXPENSE IS RECOGNIZED. IT IS THE POLICY OF LIFELINE TO INCLUDE IN OPERATING EXPENSES PENALTIES AND INTEREST ASSESSED BY INCOME TAXING AUTHORITIES. THERE ARE NO PENALTIES OR INTEREST FROM TAXING AUTHORITIES INCLUDED IN OPERATING EXPENSES FOR THE YEARS ENDED DECEMBER 31, 2016 AND 2015. PART XI, LINE 2D: SPECIAL EVENT EXPENSES $37,061 DISPOSAL OF ASSETS $532,166 TOTAL $569,227 PART XII, LINE 2D: SPECIAL EVENT EXPENSES $37,061 DISPOSAL OF ASSETS $532,166 CHANGE IN FAIR VALUE OF SWAP INSTRUMENT $23,805 TOTAL $593,032 X X X X true ULTRAFIT-USA PO BOX 629 HILLIARD OH 43026 DASH FOR DONATION true 70062 37707 32355 70062 37707 32355 DASHFORDONATION 70062 63848 6214 1250 1041 34770 0 70062 63848 6214 1250 1041 34770 37061 -30847 X X X X X X false true false false false false false false false KENT HOLLOWAY CEO 239777 21370 125000 32288 15311 433746 125000 LADORA DILLS CLINICAL DIRECTOR 130236 9396 4152 12810 156594 PART I, LINE 4B: DURING 2016, THE ORGANIZATION HAD A SUPPLEMENTAL DEFERRED COMPENSATION PLAN FOR ONE OF THE ORGANIZATION'S KEY EMPLOYEES. KENT HOLLOWAY, CEO - $25,000 ANNUALLY THROUGH 2020 A COUNTY OF FAIRFIELD OHIO 316400066 2016-05-23 3800000 FINANCING RENOVATIONS false false false A 0 0 3800000 0 0 0 64352 0 0 3735648 0 0 2016 false false true true A false false false false false false 0 false false false true A false false false false true true FIFTH THIRD BANK 7.8 false false false 0 false true A true FORM 990, PART I, LINE 1: FOR MEDICARE AND MEDICAID SERVICES ASSIGNED AREA OF OVER 3.5 MILLION PEOPLE. FORM 990, PART III, LINE 4A: LIFELINE OF OHIO ORGAN PROCUREMENT, INC. ("LIFELINE") IS AN INDEPENDENT, NON-PROFIT ORGANIZATION WHOSE PURPOSE IS TO PROMOTE AND COORDINATE THE DONATION OF HUMAN ORGANS AND TISSUE FOR TRANSPLANTATION. LIFELINE HAS BEEN APPROVED BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES AS THE DESIGNATED ORGAN PROCUREMENT ORGANIZATION SERVING 37 OHIO COUNTIES ALONG WITH WOOD AND BROOKE COUNTIES IN WEST VIRGINIA. ACCREDITED BY BOTH THE ASSOCIATION OF ORGAN PROCUREMENT ORGANIZATIONS AND THE AMERICAN ASSOCIATION OF TISSUE BANKS, LIFELINE SERVICES UP TO 78 HOSPITALS AND THE COMMUNITIES THEY SERVE THROUGH ITS TRANSPLANT COORDINATORS, SURGICAL TECHNICIANS AND OTHER PROFESSIONAL STAFF. IN 2016, LIFELINE PROCURED APPROXIMATELY 298 LIFE SAVING DONATED ORGANS FROM APPROXIMATELY 93 DONORS. FORM 990, PART VI, SECTION B, LINE 11: THE AUDIT AND FINANCE COMMITTEE REVIEWED THE FORM 990 WITH THE ORGANIZATION'S AUDIT FIRM RESPONSIBLE FOR ITS PREPARATION. IN ADDITION, THE FORM 990 WAS PROVIDED TO THE ENTIRE BOARD AND, AFTER RECOMMENDATION BY THE AUDIT AND FINANCE COMMITTEE, APPROVED BY THE BOARD. FORM 990, PART VI, SECTION B, LINE 12C: THE ORGANIZATION, AS PART OF ITS CORPORATE COMPLIANCE AND ETHICS PROGRAM, HAS ADOPTED A FORMAL CONFLICT OF INTEREST POLICY. THIS POLICY STIPULATES THE PROCEDURE FOR EMPLOYEE AND BOARD MEMBER EDUCATION, GUIDELINES FOR AVOIDING CONFLICTS OF INTEREST, AND THE IMPACT OF FAILURE TO DISCLOSE KNOWN CONFLICTS. ADDITIONALLY, THE ORGANIZATION EXPANDS ON ITS CONFLICT POLICY BY DEFINING ITS OVERALL CORPORATE COMPLIANCE PROGRAM IN A SEPARATE PROGRAM, PROVIDES A CODE OF CONDUCT POLICY FOR ALL EMPLOYEES AND BOARD MEMBERS, OFFERS A NON-RETRIBUTION / NON-RETALIATION POLICY TO ENCOURAGE EMPLOYEES AND BOARD MEMBERS TO REPORT SUSPICIOUS OR INAPPROPRIATE ACTIVITY, HAS A DESIGNATED CORPORATE COMPLIANCE OFFICER, AND HAS A COMPLIANCE COMMITTEE OF THE BOARD THAT OVERSEES THE PROGRAM. IN ADDITION, THE ORGANIZATION HAS A CONTRACT WITH A THIRD PARTY TO PROVIDE A 24 HOUR HOTLINE SO INDIVIDUALS CAN ANONYMOUSLY REPORT INAPPROPRIATE, ILLEGAL, OR UNETHICAL ACTIVITY. AS FINAL CHECKS, ALL BOARD MEMBERS IN ATTENDANCE AT BOARD MEETINGS AND BOARD COMMITTEE MEETINGS ARE ASKED AT THE BEGINNING OF THE MEETING TO DISCLOSE ANY POTENTIAL CONFLICTS OF INTEREST BASED ON THE MEETING AGENDA. IN ADDITION, THE CEO AND CFO REVIEW ALL TRANSACTIONS AND INQUIRE OF BOARD MEMBERS AND EMPLOYEES REGARDING POTENTIAL CONFLICTS. COMMITTEE MEETINGS ARE ASKED AT THE BEGINNING OF THE MEETING TO DISCLOSE ANY POTENTIAL CONFLICTS OF INTEREST BASED ON THE MEETING AGENDA. IN ADDITION, THE CEO AND CFO REVIEW ALL TRANSACTIONS AND INQUIRE OF BOARD MEMBERS AND EMPLOYEES REGARDING POTENTIAL CONFLICTS. FORM 990, PART VI, SECTION B, LINE 15: THE ORGANIZATION ROUTINELY REVIEWS COMPENSATION FOR ALL STAFF THROUGH THE PARTICIPATION IN AN ANNUAL INDUSTRY SURVEY REGARDING COMPENSATION LEVELS AND PRACTICES TO ENSURE IT IS COMPETITIVE AND APPROPRIATE WITH ITS PEERS. THE ORGANIZATION ALSO RETAINS THE SERVICES OF A NATIONALLY RECOGNIZED CONSULTING FIRM TO PERIODICALLY PROVIDE MARKET COMPARATIVE ANALYSIS AND SURVEYS FOR ALL POSITIONS WITHIN THE ORGANIZATION. CEO COMPENSATION IS REVIEWED AND APPROVED BY AN INDEPENDENT COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS BASED ON THE RESULTS OF AVAILABLE COMPARATIVE INFORMATION AND SURVEYS AND THE CEO'S PERFORMANCE WITH RESPECT TO ORGANIZATIONAL GOALS. THE COMPENSATION COMMITTEE ALSO DETERMINES THE COMPENSATION FOR THE ORGANIZATION'S OTHER OFFICERS AND KEY EMPLOYEES. FORM 990, PART VI, SECTION C, LINE 19: THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC IF REQUESTED FOR A REASONABLE MATTER. FORM 990, PART XI, LINE 9: CHANGE IN FAIR VAULE OF SWAP INSTRUMENT $23,805 STRATEGIC SUPPORT SERVICES INC 770 KINNEAR ROAD COLUMBUS OH 43212 454472492 SEE PART VII OH 501(c)(3) Type I false false false false false false false false false false false false false false false true false false false PART II, PRIMARY ACTIVITY: PROVIDES ADMINISTRATIVE RESOURCES