2017-10-16T14:27:40-05:00 2016-12-31 390859910 Baker Tilly Virchow Krause LLP 1650 Market Street Suite 4500 Philadelphia PA 191037341 990 2016-01-01 237388767 Greater Delaware Valley Society of Transplant Surgeons GREA 2155578090 401 North 3rd Street Philadelphia PA 19123 Howard M Nathan President & CEO 2155578090 2017-10-12 1 Julius C Green CPA P00350393 2159720701 50.243.90.186 2017-10-12 07:07:28 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 D9079DD28A529C8CC17D76080D235F96F7AA2E40 2016 2021-01-29 14:40:06Z GIFT OF LIFE DONOR PROGRAM Howard M Nathan 401 North 3rd Street Philadelphia PA 19123 85824321 0 X www.donors1.org X 1974 PA to RECOVER AND ALLOCAte ORGANS AND TISSUES USED IN LIFE-SAVING AND LIFE-ENHANCING TRANSPLANTS. 12 11 272 445 0 0 0 0 68028551 75427339 835614 224509 802259 -54087 69666424 75597761 796338 10059715 0 0 20467074 23259022 0 0 0 43079497 43852185 64342909 77170922 5323515 -1573161 66853988 66392452 23390633 23783192 43463355 42609260 X Gift of Life Donor Program, the tax-exempt non-profit federally designated organization serving the eastern half of Pennsylvania, southern New Jersey and Delaware, is responsible for recovering and allocating organs and tissues used in life-saving and life-enhancing 0 0 69054761 10059715 75427339 A.) Mission Statement: Gift of Life Donor Program remains dedicated to improving the quality of life of patients awaiting transplantation by maximizing the availability of donor organs and tissues while upholding the highest medical, legal, ethical, and fiscal standards. To achieve its mission, Gift of Life will- Work in partnership with the region's hospitals and health care professionals to ensure that the family of every potential donor is offered the opportunity to support organ and tissue donation in a compassionate, timely, informative and caring manner; - Provide educational programs and materials to positively predispose all members of the community to organ and tissue donation so that the donation is viewed as a fundamental human responsibility; - Serve as a community resource by providing support for families of donors as well as transplant recipients and their families, and - Serve as a leader in the advancement of organ and tissue donation and transplantation. In addition to its ongoing community education and grant programs, and the programming for donation professionals through its affiliated Gift of Life Institute, Gift of Life Donor Program continues to support Gift of Life Family House, a Ronald McDonald-type setting, where families of patients undergoing transplants at the transplant centers in the Philadelphia region are accommodated near the site of the surgery and for follow-up visits. In 2016, the Family House provided 8,606 lodging nights of care to transplant patients and families, served over 30,228 meals to families through the Home Cook Heroes program, accumulated 15,365 hours of support from in-house volunteers, and provided 1,658 trips to and from area hospitals transporting 4,280 guests, driving 17,126 miles. Various resources for transplant families are also available on line to allow for full regional access to the resources and certain services. Gift of Life Family House serves as a physical reminder of the critical need for life-saving organs for transplant.Gift of Life's primary exempt purpose is to coordinate organ and tissue donations, and work with 131 area acute care hospitals and 15 transplant centers to support allocation of those gifts to the 5,415 people in the Gift of Life region on the transplant waiting list. Beyond its clinical work, Gift of Life is also charged with educating the community about donation and transplantation, urging those who have not done so to designate themselves as organ and tissue donors. See Schedule O 69054761 1 0 0 1 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 X 219 0 1 272 1 0 0 0 0 0 0 0 0 0 0 X 12 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 PA NJ X ROBERT FINKEL DIRECTOR OF FINANCE 2155578090 401 North 3rd Street Philadelphia PA 19123 Gerard J Fulda MD Chair 0.60 X X 0 0 0 david pierson VICE CHAIR 0.60 X X 0 0 0 sean dukes treasurer & secretary 0.60 X X 0 0 0 Howard M Nathan President & CEO 45.00 5.00 X X 620509 0 965002 Clyde F Barker MD HONORARY CHAIR 0.40 2.00 X X 0 0 0 Glen D Moffett Esq Immediate Past Chair 0.60 X X 0 0 0 MARTHA ANDERSON DIRECTOR 0.40 X 0 0 0 Alan L Brechbill Director 0.40 X 0 0 0 laurene Cianfrani Director 0.40 X 0 0 0 MARSHALL SCHWARTZ MD DIRECTOR 0.40 X 0 0 0 radi zaki md director 0.40 X 0 0 0 Barbara Wadsworth director 0.40 X 0 0 0 Jan L Weinstock Esq VP of Admin & General Counsel 45.00 5.00 X 537726 0 98028 Richard Hasz VP of Clinical Division 50.00 X 469734 0 109856 Scott Demczyszyn Director of Transplant Coordination 50.00 0.50 X 210894 1500 48563 Christine Radolovic Asst dir of Transplant Coordination 50.00 0.50 X 188859 3000 24174 Robert Finkel Director of Finance 40.00 5.00 X 183222 0 37631 Gwen O'Shaughnessy Director of Hospital Development 45.00 1.00 X 179411 6225 39541 Keith Klasic Director of Human Resources 45.00 X 170761 0 26071 2561116 10725 1348866 53 0 1 0 Labs Inc PO BOX 843224 KANSAS CITY MO 64114 Laboratory Services 4325683 New Jersey Sharing Network 691 Central Avenue New Providence NJ 07974 Organ Procurement Organization 2724000 united network for organ sharing po box 2484 richmond VA 23218 patient registrations 1354749 Center for Research & Education 204 Sigma Drive Pittsburgh PA 15238 Organ Procurement Organization 1191123 Quick Courier Services PO Box 8640 Philadelphia PA 19101 Courier Serivces 1167977 74 ORGAN REVENUE 900099 58260401 58260401 TISSUE REVENUE 900099 13627361 13627361 AIR TRANSPORTATION REVENUE 900099 2605528 2605528 PUBLIC EDUCATION REVENUE 611710 624259 624259 RESEARCH REVENUE 900099 199990 199990 109800 109800 75427339 538314 538314 331477 435062 -103585 -103585 -103585 9477693 9791498 -313805 -313805 -313805 DONOR RECOG. KITS 900099 20521 20521 BAD DEBT RECOVERY 900099 15256 15256 REIMBURSEMENTS 900099 6431 6431 7290 7290 49498 75597761 75427339 0 170422 10059715 10059715 2731425 2221500 509925 15569631 12662964 2906667 1042905 298818 744087 2760822 2364249 396573 1154239 990324 163915 25056 25056 106586 106586 33020 33020 109403 6031 103372 139733 139733 719335 120290 599045 106660 63460 43200 872260 671674 200586 506031 296116 209915 740486 684470 56016 296505 245302 51203 63246 0 63246 1137733 35252 1102481 521123 64956 456167 Importation Cost 12757558 12757558 Donor Hospital Expenses 11024014 11024014 Organ Transportation 4625427 4625427 Surgical Fees 2513162 2513162 7554847 7349479 205368 77170922 69054761 8116161 0 770 770 7855035 5434607 13061853 15532632 672882 376409 30060050 14996771 15168188 15063279 29105404 28430831 989856 1553924 66853988 66392452 11195598 10666981 11525000 11075000 670035 2041211 23390633 23783192 X 43463355 42609260 43463355 42609260 66853988 66392452 -1573161 719066 0 X 0 1 X 1 0 X 150000 150000 51446186 59415255 59205927 68689216 75427339 314183923 51596186 59415255 59205927 68689216 75427339 314333923 0 0 0 314333923 1068893 825822 894618 941063 869791 4600187 1068893 825822 894618 941063 869791 4600187 45344 53040 1437 180725 49498 330044 52710423 60294117 60101982 69811004 76346628 319264154 0.98460 0.98360 0.01440 0.01550 X Schedule A, Part III, Line 12, Explanation of Other Income: MISCELLANEOUS REVENUE - 2012 Amount: $ 24,056. 2013 Amount: $ 1,106. 2014 Amount: $ 738. 2015 Amount: $ 259. 2016 Amount: $ 13,170. Insurance Proceeds - 2015 Amount: $ 1,585. Refunds/Reimbursements - 2015 Amount: $ 18,237. bad debt recovery - 2012 Amount: $ 21,288. 2013 Amount: $ 51,934. 2015 Amount: $ 166,015. 2016 Amount: $ 15,256. Jury Duty Income - 2014 Amount: $ 699. 2015 Amount: $ 494. CONSULTING BAD DEBT - 2015 Amount: $ -6,250. VENDING MACHINE INCOME - 2015 Amount: $ 385. 2016 Amount: $ 551. DONOR RECOG KITS - 2016 Amount: $ 20,521. 7113 102290 109403 77061519 77170922 1000000 250000 0 0 1000000 1000000 1000000 1000000 4000000 6000000 66864 89408 75185 109403 340860 250000 250000 250000 250000 1000000 1500000 2520 430 7113 10063 782569 23884 758685 10000000 10000000 1.00000 0 1 1 217638 217638 20615070 8850182 11764888 101137 42610 58527 9094133 6103979 2990154 32072 32072 15063279 Estimated Third-Party Payor Settlements 1273878 DEFERRED COMPENSATION 767333 2041211 X 76670927 719066 -37468 681598 75989329 -391568 -391568 75597761 77525022 391568 391568 77133454 37468 37468 77170922 Part V, Line 4: Funds are held by related organization, Transplant Foundation, to fund future operational financial shortfalls and support needed capital projects at the Family House. Part X, Line 2: Gift of Life Donor Program accounts for uncertainty in income taxes by prescribing a recognition threshold of more-likely-than-not to be sustained upon examination by the appropriate taxing authority. Measurement of the tax uncertainty occurs if the recognition threshold has been met. There were no tax uncertainties that met the recognition threshold in 2016 and 2015. The Corporation's policy is to recognize interest related to unrecognized tax benefits in operating expenses. Part XI, Line 2d - Other Adjustments: INVESTMENT EXPENSES -37,468. Part XI, Line 4b - Other Adjustments: Rental revenue included in Expenses on Financial Statements 28,238. Rental Expenses -435,062. BAD DEBT RECOVERY 15,256. Part XII, Line 2d - Other Adjustments: Rental revenue included in Expenses on Financial Statements -28,238. Rental Expenses 435,062. BAD DEBT RECOVERY -15,256. Part XII, Line 4b - Other Adjustments: INVESTMENT EXPENSES 37,468. 1 Transplant house 401 north 3rd street philadelphia PA 19123 260585694 501(c)(3) 528273 Gift of Life Family House Transplant Foundation 401 north 3rd street Philadelphia PA 19123 311481798 501(c)(3) 9531442 Charitable operations 2 0 Part I, Line 2: The organization only provides assistance to affiliated, tax-exempt entities. X X 1 1 X X X X X X 0 1 0 0 0 0 0 1 0 Howard M Nathan President & CEO 439844 0 125811 0 54854 0 946000 0 19002 0 1585511 0 16975 0 Jan L Weinstock Esq VP of Admin & General Counsel 414451 0 90112 0 33163 0 85500 0 12528 0 635754 0 0 0 Richard Hasz VP of Clinical Division 368222 0 100000 0 1512 0 86024 0 23832 0 579590 0 0 0 Scott Demczyszyn Director of Transplant Coordination 188394 0 22500 1500 0 0 24877 0 23686 0 259457 1500 0 0 Christine Radolovic Asst dir of Transplant Coordination 166859 0 22000 3000 0 0 15879 0 8295 0 213033 3000 0 0 Robert Finkel Director of Finance 171472 0 11750 0 0 0 18980 0 18651 0 220853 0 0 0 Gwen O'Shaughnessy Director of Hospital Development 162911 0 16500 6225 0 0 20890 0 18651 0 218952 6225 0 0 Keith Klasic Director of Human Resources 159461 0 11300 0 0 0 17776 0 8295 0 196832 0 0 0 Part I, Line 1a THE ORGANIZATION MAY MAKE GROSS UP PAYMENTS TO THE FOLLOWING INDIVIDUALs FOR ITS 457(B) SUPPLEMENTAL RETIREMENT PLAN: HOWARD M. NATHAN (PRESIDENT & CEO), jan l. weinstock, esq. (vp of admin & general counsel), and richard hasz (vp of clinical division). ALSO, ALL EMPLOYEES ARE ENTITLED TO BE REIMBURSED FOR HALF OF A HEALTH CLUB MEMBERSHIP UP TO A MAXIMUM OF $200 WHICH IS NOT INCLUDED IN TAXABLE COMPENSATION. THE TWO INDIVIDUALS LISTED IN FORM 990, PART VII THAT PARTICIPATED IN THIS BENEFIT THIS YEAR WERE JAN WEINSTOCK AND ROBERT FINKEL. Part I, Line 4b Howard M. Nathan, Richard Hasz, and Jan L. Weinstock, Esq. participate in a 457(f) non-qualified, supplemental retirement plan. Howard M. Nathan received a distribution of $36,869.02 in 2016. Part I, Line 7 THE ORGANIZATION PROVIDES BONUSES BASED ON ORGANIZATION PERFORMANCE, INDIVIDUAL PERFORMANCE, AND SENIORITY (LENGTH OF SERVICE). BONUSES ARE NOT BASED ON THE ORGANIZATION'S REVENUES OR NET EARNINGS. A Philadelphia Authority for Industrial Development 232237287 717818L89 2003-12-04 15500000 Financing for cost of land and construction on new corporate office 0 0 0 A 4425000 15500000 46608 418585 15035949 2004 0 0 1 1 A 0 1 1 1 1 1 0.00000 0.00000 0.00000 0 0 1 A 1 1 0 0 0 1 A 1 PART III, LINES 3B AND 3D Any lease arrangements, management or service contracts, and research agreements on bond-financed property are reviewed by in-house legal counsel to ensure that these arrangements will not result in private business use. Form 990, Part I, Line 1 transplants. Perhaps best known by its telephone numbers, 1-800-DONORS-1, or 1-800-KIDNEY-1, Gift of Life is the region's primary source of information regarding all aspects of organ and tissue donation and transplantation. Since 1974, Gift of Life has helped to coordinate more than 42,000 life-saving organ transplants and an estimated 600,000 life-enhancing tissue transplants. Gift of Life is part of the nationwide organ and tissue sharing network operated by the United Network for Organ Sharing (UNOS). In addition to the clinical services, Gift of Life also conducts extensive community outreach and education programs to increase awareness of the critical need for donated organs and tissues to save and enhance the lives of patients in need of transplants and encourage individuals to register as organ and tissue donors through state registries. Gift of Life staff works closely with volunteers and others in the community to coordinate grass roots education programs and interact with area media outlets throughout the tri-state region. Form 990, Part III, Line 4a (continued): Organ Donation Gift of Life's staff of more than 200 full-time and part-time clinical and administrative personnel serves 15 area transplant centers where heart, kidney, liver, lung and pancreas transplants are performed. Currently, there are 5,415 patients locally awaiting a life-saving organ transplant. The clinical work includes coordinating the organ donation process, working as the link between donors, their families, and patients awaiting life-saving transplants. Upon referral by a hospital, the clinical team members provide timely on-site response assessment, evaluation and coordination of potential donors as well as interacting with the family and hospital staff regarding the donation process. More than 38,000 death referrals were assessed by Gift of Life staff for potential organ or tissue donation. Gift of Life staff also generates organ transplant candidate listings on national and local computer systems and oversees allocation of organs. In 2016, the gifts given by 540 generous organ donors allowed Gift of Life Donor Program the organ procurement organization for the eastern half of Pennsylvania, southern New Jersey and Delaware to coordinate a total of 1,412 life-saving transplants over the course of the year. This was the highest number of donors coordinated by an organ procurement organization in the U.S. in 2016. Aiding this process is the Hospital Services staff, which interacts with the area hospitals to provide support and education surrounding the clinical aspects of organ and tissue donation and transplantation. These personnel develop collaborative relationships with area hospitals, physicians, and nurses. Hundreds of professional and educational programs were provided in 2016. Tissue Donation In addition to organ transplants and a core component of Gift of Life's mission is the support of tissue donation and transplantation. Gift of Life coordinates the recovery of life-enhancing tissue, which can then be made available for transplant for residents who are in need of corneas for sight-restoring procedures, as well as skin, tissue and bone to repair injuries. Again, Gift of Life staff collaborates with the hospital staff following the death of a patient to assess the opportunity for donation and to inform the families of their loved one's decision regarding donation, if one has been made, or to otherwise advise families of the donor option. In 2016, Gift of Life recovered tissue from 2,575 donors. These life-saving and enhancing donations may benefit up to 100,000 people , with 1,305 bone donations to improve mobility, skin donations to heal burn patients and heart valve donations to repair life-threatening defects. Those donors also provided 4,500 corneas that gave the gift of sight.. Education The community outreach for Gift of Life runs the gamut of events and programs, all meant to educate the community and showcase the success that donation and transplantation brings. The majority of education is intended to move members of the community to add the organ and tissue donor designation to their driver's license or state ID card. This push occurs in each of the three states Gift of Life covers. Each state has a varying percentage of people who have done this already in Pennsylvania, 47.45 percent of licensed drivers are designated; in New Jersey, that figure is 35.39 percent; and in Delaware, 51.60 percent are designated. The hope is to increase these numbers so designated individuals are in the majority in each state. Information about Gift of Life's educational activities is frequently disseminated through a variety of collateral materials, including a quarterly newsletter, the Gift of Life News, with a circulation of more than 100,000. In addition, a monthly online E-News Blast was sent to more than 6,400 supporters. Gift of Life also works with more than 600 active volunteers many of whom have a direct connection with donation either as a transplant recipient, a donor or donor family member, or as a family member or friend of either. This group of committed advocates also participate in 13 different coalitions, or interest-specific groups who target either a specific cause (such as donor family support), or work within a specific area of Gift of Life's region. Gift of Life makes a special effort to outreach into multicultural communities, where the myths and misconceptions are often stronger. The Multicultural Affairs Committee volunteer group takes the task of working one-on-one very proudly to help their peers understand how important it is to embrace donation and help their community. There is also a significant effort to partner with members of faith communities and garner support from the variety of houses of worship in the region. Every major religion fully supports the decision to be an organ donor, citing it as the highest form of generosity and compassion. Gift of Life also continued its focus on youth education activities through its Spirit for Life Student Summit which included the participation of seven schools from Philadelphia County. The goal of the program is to develop educational programs at public and charter high schools in the Philadelphia School District. Taking a different approach to education and awareness, the Lehigh Valley Poster and Essay Contest featured more than 100 posters and 100 essays on the topic of donation and transplantation from local middle and secondary schools throughout the Lehigh Valley Region. The top winners were honored at an awards celebration. During 2016, Gift of Life continued its participation in the OTDA Education Project- working with the PA Departments of Health and Education to incorporate an organ and tissue donation toolkit into school curriculums across the state. Implementation sites include 8 schools from the Gift of Life region which were selected to receive grants to do more comprehensive programming that can then be replicated throughout the state in the next school year. Schedule of Gift of Life Program Services Hospital Recognition In 2016, Gift of Life was proud to recognize the work of all of its hospital partners who help support donation and worked diligently to ensure every family has the opportunity to donate. In addition, Gift of Life developed and conducted a state-wide donor designation campaign with the Hospital and HealthSystem Association of Pennsylvania to promote education and increase the number of registered organ and tissue donors in Pennsylvania. More than 55 hospitals and health care systems participated in the Donate Life Hospital Challenge through a variety of learning calls, hospital and community-based programming and social media outreach. Living Donor Recognition Ceremony - In 2016, Gift of Life hosted the "Gifts of Life, Acts of Love" living donor recognition ceremony. This event was held in coordination with its transplant partners in King of Prussia, PA on March 6, 2016 hosted by Jim Melwert, living donor and KYW News Reporter. This event appropriately entitled "Gifts of Life, Acts of Love" joined more than 36 living donors and their recipients and family members. The keynote speakers at the King of Prussia ceremony were living donor Jon Blum and his wife, as well as living donor Jennifer Lambert. Honorees were presented with special commemorative pins as well as a certificate from the Department of Health and Human Services. Donor Recognition Ceremonies - In October and November, more than 1,020 donor family members and transplant recipients attended one of five "Thanks for Giving the Gift of Life" ceremonies hosted by Gift of Life Donor Program, in conjunction with regional transplant support groups and area volunteer groups. During these ceremonies, transplant recipients honored the family members representing 191 of the hundreds of men, women and children who died during 2015 and donated organs and tissues for life-saving and life-enhancing transplants. More than 135 of the attending families also brought quilt panels in memory of their loved ones to be placed on the Threads of Love quilt. Volunteer Activities Gift of Life volunteers participated in more than 600 awareness events in 2016. In addition, more than 50 new volunteers were trained and 4 volunteer trainings were held throughout our service region. Form 990, Part III, Line 4a (continued): Youth Education Activities Gift of Life participated in a variety of youth-oriented educational activities. Gift of Life continued to support the PA Organ and Tissue Donation Awareness Education Project. The annual Spring Institute was held in May, bringing together educators from across Pennsylvania to discuss best practices to promote organ and tissue donation and transplantation in secondary school curriculum. Five counties with low donor designation rates were identified and a marketing plan implemented to increase school programs in those counties. In addition to these activities, more than 25,000 students heard about organ and tissue donation from Gift of Life secondary school presentations held in 2016. Multicultural Outreach In 2016, Gift of Life participated in several initiatives to directly interact with multicultural communities in the region and educate them on the importance of organ and tissue donation. For example, Gift of Life partnered with Power 99FM on a campaign featuring radio spots, online advertising, radio interviews, and large public events including Penn Relays, Peace on the Streets and Temple Welcome Week. Numerous programs were hosted by various houses of worship to educate congregants and community about the need for more registered donors. Additionally, Gift of Life celebrated the annual National Minority Donor Awareness Week from August 1-7, 2016, which included a media campaign to highlight the needs of minorities awaiting transplants throughout the region. Several stories were placed in local newspapers, as well as on television and radio stations in Philadelphia and Harrisburg. The signature event for this campaign was the 20th annual Gospel Program, held at the First District Plaza in Philadelphia on July 31. More than 300 people attended the program, which featured inspirational stories by donor families and recipients as well as musical entertainment by seven finalists of the gospel competition. The Multicultural Affairs Committee also conducted regular monthly meetings and members participated in a number of events. Pennsylvania Statewide Promotional Campaign Gift of Life, working closely with Center for Organ and Tissue Recovery and Education (CORE), the Pennsylvania Department of Health and the Pennsylvania Department of Transportation, continued to promote the donor registry through media and public relations campaigns as well as special events. The statewide driver's license promotional campaign titled "Which Side Are You On" continues to be featured in all DMV locations. To date, more than 47.45% of registered Pennsylvanians have placed the organ donor designation on their license. Annual staff training to DMV employees throughout the region also occurred during September and October. In 2016, the number of additional donor designations in Pennsylvania increased by 33,631. There were 2,227 donor designations added through the online portal on Penn DOT's secured website. Volunteers also adopted a local DMV to visit monthly to ensure that staff has the materials needed to encourage individuals to place the donor designation on their driver's license or state I.D. card. New Jersey Statewide Promotional Campaign Gift of Life Donor Program, in partnership with the New Jersey Sharing Network, continued to support the campaign to educate New Jerseyans about organ and tissue donation and transplantation. In April, Gift of Life joined the MVC Regional Manager to visit agency locations across southern New Jersey to highlight the critical role of MVC staff in supporting donor designations. To date, more than 35.39% of residents have placed the donor designation on their license. Bi-lingual materials were distributed to all MVC locations. Delaware Statewide Promotional Campaign Currently, 51.6% of Delawareans are registered as organ and tissue donors. In 2016, the number of donor designations increased by 12,059. In honor of National Donate Life Month in April, the Delaware DMV locations showed their support for organ and tissue donation by decorating their DMV locations for National Blue and Green Day. During April, they also wore shirts promoting organ and tissue donation. Gift of Life was awarded a grant of $44,100 to develop a public awareness campaign for 2016 and is represented on the Delaware Organ and Tissue Awareness Board. Family Support Services Gift of Life Family Support Services department continued to provide follow-up services free of charge to donor families and recipients as well as providing support to Hearts of Gold, our donor family volunteer group. During 2016, 534 outreach calls were conducted, 507 anniversary notes were sent to family members, 37.75 hours of counseling were provided and 1,117 letters of correspondence were reviewed and forwarded on to donor families and recipients. In addition, 2,293 donor recognition kits were distributed to families of deceased donor families. Gift of Life continues to partner with CORE and the PA Department of Health to implement a grief counseling program for organ and tissue donor families throughout Pennsylvania. Form 990, Part V, Line 2b: GIFT OF LIFE DONOR PROGRAM ("GLDP") IS AN AFFILIATE IN A GROUP, INCLUDING THE TRANSPLANT FOUNDATION (EIN: 31-1481798) AND THE TRANSPLANT HOUSE (EIN: 26-0585694), OF WHICH GLDP IS CONSIDERED A COMMON PAY AGENT FOR W-2 REPORTING. GLDP REPORTS ALL EMPLOYEES ON ITS FORM W-3; HOWEVER, EACH AFFILIATE HAS EMPLOYEES ALLOCATED TO THAT ENTITY. PER IRS INSTRUCTIONS, EMPLOYEES LISTED ON PART V, LINE 2A ARE THOSE WHO HAVE BEEN DEEMED TO BE EMPLOYEES OF THE FILING ORGANIZATION. Form 990, Part VI, Section B, line 11b FORM 990 WAS REVIEWED WITH THE GOVERNING BODY AT A BOARD MEETING PRIOR TO FILING, AND ALL BOARD MEMBERS RECEIVED A COPY OF THE FINAL FORM 990 PRIOR TO FILING WITH THE IRS. Form 990, Part VI, Section B, line 12c BOARD MEMBERS, OFFICERS AND KEY EMPLOYEES ARE ANNUALLY REQUIRED TO REVIEW THE CONFLICT OF INTEREST POLICY; DISCLOSE ANY POSSIBLE PERSONAL, FAMILIAL, OR BUSINESS RELATIONSHIP THAT WOULD GIVE RISE TO A CONFLICT OR APPEARANCE OF A CONFLICT; AND ACKNOWLEDGE BY SIGNING THE POLICY THAT HE/SHE IS ACTING IN ACCORDANCE WITH THE LETTER AND SPIRIT OF THE POLICY. THESE SIGNED STATEMENTS AND DISCLOSURES ARE REVIEWED BY THE ORGANIZATION'S VICE PRESIDENT OF ADMINISTRATION AND GENERAL COUNSEL. BOARD MEMBERS MUST REFRAIN FROM VOTING ON ANY TRANSACTION OR OTHER MATTER IN WHICH THE MEMBER HAS A CONFLICT OF INTEREST. MEMBERS MUST ALSO REPORT PROMPTLY TO THE BOARD CHAIRPERSON AND PRESIDENT/CEO ANY FUTURE SITUATION IN WHICH A POSSIBLE CONFLICT OF INTEREST MIGHT ARISE. Form 990, Part VI, Section B, line 15 COMPENSATION IS DETERMINED ANNUALLY BY A COMMITTEE OF THE BOARD WHICH IS COMPRISED OF INDEPENDENT PERSONS. AN INFORMAL PAIRED COMPARISON RANKING AMONG EXISTING GIFT OF LIFE DONOR PROGRAM JOBS COMBINED WITH MARKET-BASED WAGE DATA (WHEN AVAILABLE) IS USED. A periodic review performed every two years with an independent compensation consultant is also conducted. The process for determining compensation of the organization's officers and key employees is documented in the minutes to the board meetings. Form 990, Part VI, Section C, line 19 The organization will make its governing documents, conflict of interest policy, and financial statements available to the public upon request. Transplant House 401 North 3rd Street Philadelphia PA 19123 260585694 Provide Temporary lodging and support for patients' family members PA 501(c)(3) Line 7 Greater Delaware Valley Society of Transplant Surgeons 1 Transplant Foundation 401 North 3rd Street Philadelphia PA 19123 311481798 FUNDRAISING, RESEARCH & EDUCATION supporting organ donation PA 501(c)(3) Line 12a, I Greater Delaware Valley Society of Transplant Surgeons 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 1 0 1 0 0 TRANSPLANT FOUNDATION B 9531442 Cost Transplant House B 528273 Cost Transplant FOUNDATION O 826103 Cost Transplant House O 721406 cost