LIFESHARE TRANSPLANT DONOR SERVICES OF OKLAHOMA INC: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- LIFESHARE TRANSPLANT DONOR SERVICES OF OKLAHOMA INC (EIN 73-1281589)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-08-14
- IRS object ID
- 201742269349301559
- Schema version
- 2016v3.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-08-14T12:46:47-05:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 731335926 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BARBARA A LEY A PROFESSIONAL CORP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6305 WATERFORD BLVD STE 450 | AddressLine1Txt |
| City | OKLAHOMA CITY | CityNm |
| State Abbreviation | OK | StateAbbreviationCd |
| ZIP | 73118 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 731281589 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LifeShare Transplant Donor Services of | BusinessNameLine1Txt |
| Business Name Line2 | Oklahoma Inc | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | LIFE | BusinessNameControlTxt |
| Phone | 4058405551 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4705 NW Expressway | AddressLine1Txt |
| City | Oklahoma City | CityNm |
| State Abbreviation | OK | StateAbbreviationCd |
| ZIP | 73132 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Jeff Orlowski | PersonNm |
| Person Title | Chief Executive Officer | PersonTitleTxt |
| Phone | 4058405551 | PhoneNum |
| Signature | 2017-08-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Janet Gifford | PreparerPersonNm |
| PTIN | P00303744 | PTIN |
| Phone | 4058480255 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 68.15.98.80 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2017-08-14 | IPDt |
| IP Tm | 12:44:45 | IPTm |
| IP Timezone | CD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | A534573D47F9BC60F9DECC6E83CD2BEF7B1A7ADF | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | A8270428046EB288D2BA6542FE07DD4E2CCD22A8 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4705 NW Expressway | AddressLine1Txt |
| City | Oklahoma City | CityNm |
| State Abbreviation | OK | StateAbbreviationCd |
| ZIP | 73132 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $26,893,212 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.lifeshareoklahoma.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1984 | FormationYr |
| Legal Domicile State | OK | LegalDomicileStateCd |
| Activity Or Mission | Provides organ procurement services within the state of Oklahoma. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 133 | TotalEmployeeCnt |
| Total Volunteers | 150 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $48,908 | PYContributionsGrantsAmt |
| CY Contributions Grants | $53,275 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $24,262,570 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $26,737,324 | CYProgramServiceRevenueAmt |
| PY Investment Income | $97,568 | PYInvestmentIncomeAmt |
| CY Investment Income | $102,613 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $24,409,046 | PYTotalRevenueAmt |
| CY Total Revenue | $26,893,212 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $8,957,127 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $10,139,232 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $12,787,134 | PYOtherExpensesAmt |
| CY Other Expenses | $14,275,739 | CYOtherExpensesAmt |
| PY Total Expenses | $21,744,261 | PYTotalExpensesAmt |
| CY Total Expenses | $24,414,971 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $2,664,785 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $2,478,241 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $17,209,124 | TotalAssetsBOYAmt |
| Total Assets EOY | $19,809,995 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $4,464,764 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $4,587,536 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $12,744,360 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $15,222,459 | NetAssetsOrFundBalancesEOYAmt |
| Mission | 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. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $19,370,640 | ExpenseAmt |
| Revenue | $26,737,324 | RevenueAmt |
| Desc | Organ procurement and placement was provided for 276 kidneys, 125 livers, 11 pancreas, 54 hearts,and 53 lungs. LifeShare also provided tissue procurement of 637 tissue donors. | Desc |
| Total Program Service Expenses | $19,370,640 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 75 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 133 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | 0 | Form8899Filedind |
| Form1098 C Filed | 0 | Form1098CFiledInd |
| DAF Excess Business Holdings | 0 | DAFExcessBusinessHoldingsInd |
| Taxable Distributions | 0 | TaxableDistributionsInd |
| Distribution To Donor | 0 | DistributionToDonorInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (1) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | OK | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LifeShare Transplant Donor Services | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4058405551 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4705 NW Expressway | AddressLine1Txt |
| City | Oklahoma City | CityNm |
| State Abbreviation | OK | StateAbbreviationCd |
| ZIP | 73132 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| ANTHONY SEBASTIAN MD | |||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| BENJAMIN COWLEY MD | |||||||
| DIRECTOR | 0.80 | Yes (X) | $0 | $0 | $0 | ||
| GINA FLESHER MS RN | |||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| HARLAN WRIGHT MD | |||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| IRFAN KUNDI MD | |||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| MICHAEL MORRIS MD | |||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| SAMANTHA WEYRAUCH DAVIS | |||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| STEVE MILLER MD | |||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| TOM ANDERSON | |||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| MARY JOHNSON | |||||||
| EXECUTIVE DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| ED HEINEN | |||||||
| IMMEDIATE PAST PRESIDENT | 0.80 | Yes (X) | $0 | $0 | $0 | ||
| RAJAT KAUL MD | |||||||
| PRESIDENT | 0.50 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| SUZANNE WHEELER | |||||||
| SECRETARY/TREASURER | 1.20 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| PAMELA SPANBAUER RN BSN MEd | |||||||
| VICE PRES/PRESIDENT ELECT | 1.20 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| JANICE WHALEY | |||||||
| EXECUTIVE VP/COO | 40.00 | $202,406 | $0 | $31,942 | Yes (X) | ||
| JEFF ORLOWSKI | |||||||
| PRESIDENT/CEO | 40.00 | $270,601 | $0 | $49,354 | Yes (X) | ||
| MICHELLE GIBSON | |||||||
| VP HUMAN RESOURCES | 40.00 | $124,269 | $0 | $36,182 | Yes (X) | ||
| LARRY SICKLES | |||||||
| VP OF CLINICAL SERVICES | 40.00 | $118,714 | $0 | $35,056 | Yes (X) | ||
| JAN FOUTCH | |||||||
| VP OF QUALITY SERVICES | 40.00 | $139,261 | $0 | $25,526 | Yes (X) | ||
| RICARDO BLANCHARD | |||||||
| VP,FINANCE | 40.00 | $126,095 | $0 | $25,083 | Yes (X) | ||
| ELIZABETH HANNAN | |||||||
| DIRECTOR OF HOSPITAL DEVEL | 40.00 | $108,054 | $0 | $18,221 | Yes (X) | ||
| JOANNA ZAMAN | |||||||
| DIRECTOR OF ORGAN RECOVERY | 40.00 | $102,642 | $0 | $33,636 | Yes (X) | ||
| JEFFREY LEGG | |||||||
| HIGHLY COMPENSATED EMPLOYEE | 40.00 | $123,482 | $0 | $35,839 | Yes (X) | ||
| LOGAN WILKE | |||||||
| HIGHLY COMPENSATED EMPLOYEE | 40.00 | $108,562 | $0 | $37,386 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,424,086 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $328,225 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 12 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (4 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| GENESIS CONSULTING LLC | |||||
| 4453 SWILCAN BRIDGE LANE NORTH | JACKSONVILLE | FL | 32224 | SURGEON FEES | $286,750 |
| OKLAHOMA TRANSPLANT PHYSICIANS LLC | |||||
| 3 MARYLAND FARMS | BRENTWOOD | TN | 37027 | SURGEON FEES | $168,750 |
| MONARCH MARKETING GROUP LLC | |||||
| 200 NW 63RD | OKLAHOMA CITY | OK | 73116 | ADVERTISING | $163,830 |
| ECL2 CONSULTING SERVICES LLC | |||||
| PO BOX 1731 | GRAPEVINE | TX | 76099 | CONSULTING | $102,290 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 4 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $53,275 | AllOtherContributionsAmt |
| Total Contributions | $53,275 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| EXTRA-RENAL PROCUREMENT | 621991 | $10,424,793 | $10,424,793 |
| MEDICARE/MEDICAID PAYMENTS | 621991 | $9,496,834 | $9,496,834 |
| TISSUE PROCUREMENT | 621991 | $6,456,196 | $6,456,196 |
| ODEAP DEC WEEK | 621991 | $129,859 | $129,859 |
| RESEARCH ORGANS | 621991 | $117,670 | $117,670 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $111,972 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $111,972 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $26,737,324 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $93,536 | TotalRevenueColumnAmt |
| Exclusion | $93,536 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $9,077 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $9,077 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $9,077 | TotalRevenueColumnAmt |
| Exclusion | $9,077 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $26,893,212 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $26,737,324 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $102,613 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,746,134 | TotalAmt |
| Program Services | $890,869 | ProgramServicesAmt |
| Management And General | $855,265 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,202,972 | TotalAmt |
| Program Services | $5,377,445 | ProgramServicesAmt |
| Management And General | $825,527 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $602,331 | TotalAmt |
| Program Services | $494,555 | ProgramServicesAmt |
| Management And General | $107,776 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,011,905 | TotalAmt |
| Program Services | $830,843 | ProgramServicesAmt |
| Management And General | $181,062 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $575,890 | TotalAmt |
| Program Services | $472,845 | ProgramServicesAmt |
| Management And General | $103,045 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $42,912 | TotalAmt |
| Management And General | $42,912 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $54,322 | TotalAmt |
| Management And General | $54,322 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,911 | TotalAmt |
| Management And General | $4,911 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,050,577 | TotalAmt |
| Program Services | $922,619 | ProgramServicesAmt |
| Management And General | $127,958 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $609,390 | TotalAmt |
| Program Services | $105,508 | ProgramServicesAmt |
| Management And General | $503,882 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $259,706 | TotalAmt |
| Program Services | $80,064 | ProgramServicesAmt |
| Management And General | $179,642 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $248,757 | TotalAmt |
| Program Services | $34,557 | ProgramServicesAmt |
| Management And General | $214,200 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $375,654 | TotalAmt |
| Management And General | $375,654 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $349,931 | TotalAmt |
| Program Services | $239,178 | ProgramServicesAmt |
| Management And General | $110,753 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $73,707 | TotalAmt |
| Program Services | $47,237 | ProgramServicesAmt |
| Management And General | $26,470 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,224 | TotalAmt |
| Management And General | $15,224 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $384,113 | TotalAmt |
| Management And General | $384,113 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $285,665 | TotalAmt |
| Management And General | $285,665 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| Cost of Procurement-Imp | $2,182,998 | $2,182,998 |
| Cost of Procurement-Org | $1,319,812 | $1,319,812 |
| Cost of Procurement-Ope | $1,317,302 | $1,317,302 |
| Cost of Procurement-Sur | $660,314 | $660,314 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,040,444 | TotalAmt |
| Program Services | $4,394,494 | ProgramServicesAmt |
| Management And General | $645,950 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,414,971 | TotalAmt |
| Program Services | $19,370,640 | ProgramServicesAmt |
| Management And General | $5,044,331 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $288 | BOYAmt |
| EOY | $286 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,782,632 | BOYAmt |
| EOY | $9,230,008 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,793,616 | BOYAmt |
| EOY | $5,133,944 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $115,098 | BOYAmt |
| EOY | $106,128 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $241,836 | BOYAmt |
| EOY | $215,122 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $5,553,496 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,278,768 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,267,129 | BOYAmt |
| EOY | $4,274,728 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $834,047 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,525 | BOYAmt |
| EOY | $15,732 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,209,124 | BOYAmt |
| EOY | $19,809,995 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,964,718 | BOYAmt |
| EOY | $3,141,746 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,500,046 | BOYAmt |
| EOY | $1,445,790 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,464,764 | BOYAmt |
| EOY | $4,587,536 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,744,360 | BOYAmt |
| EOY | $15,222,459 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,744,360 | BOYAmt |
| EOY | $15,222,459 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,209,124 | BOYAmt |
| EOY | $19,809,995 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $2,478,241 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$142 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | Yes (1) | AccountantCompileOrReviewInd |
Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,494,693 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,651,818 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,613,765 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,712,340 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,679,968 | CurrentTaxYearAmt |
| Total | $35,152,584 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,494,693 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,651,818 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,613,765 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,712,340 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,679,968 | CurrentTaxYearAmt |
| Total | $35,152,584 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $35,152,584 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $80,828 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $79,736 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $59,933 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $97,568 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $102,615 | CurrentTaxYearAmt |
| Total | $420,680 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $35,573,264 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $66,559,768 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.98820 | PublicSupportCY170Pct |
| Public Support PY170 | 0.98710 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $771,990 | OtherCostOrOtherBasisAmt |
| Book Value | $771,990 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,365,547 | OtherCostOrOtherBasisAmt |
| Depreciation | $120,431 | DepreciationAmt |
| Book Value | $1,245,116 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,837,668 | OtherCostOrOtherBasisAmt |
| Depreciation | $506,375 | DepreciationAmt |
| Book Value | $1,331,293 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,578,291 | OtherCostOrOtherBasisAmt |
| Depreciation | $651,962 | DepreciationAmt |
| Book Value | $926,329 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $4,274,728 | TotalBookValueLandBuildingsAmt |
| Total Rev Etc Audited Fincl Stmt | $26,888,162 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$140 | NetUnrealizedGainsInvstAmt |
| Other Revenue | -$4,910 | OtherRevenueAmt |
| Revenue Not Reported | -$5,050 | RevenueNotReportedAmt |
| Revenue Subtotal | $26,893,212 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $26,893,212 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $24,410,062 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $24,410,062 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $4,909 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $4,909 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $24,414,971 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part XI, Line 2d - Other Adjustments: | Brokerage Fees -4,910. |
| Part XII, Line 4b - Other Adjustments: | Brokerage Fees 4,909. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JANICE WHALEY | ||||||||||||||
| EXECUTIVE VP/COO | $202,406 | $0 | $0 | $0 | $0 | $0 | $21,392 | $0 | $10,550 | $0 | $234,348 | $0 | $0 | $0 |
| JEFF ORLOWSKI | ||||||||||||||
| PRESIDENT/CEO | $270,601 | $0 | $0 | $0 | $0 | $0 | $27,553 | $0 | $21,801 | $0 | $319,955 | $0 | $0 | $0 |
| MICHELLE GIBSON | ||||||||||||||
| VP HUMAN RESOURCES | $124,269 | $0 | $0 | $0 | $0 | $0 | $13,566 | $0 | $22,616 | $0 | $160,451 | $0 | $0 | $0 |
| LARRY SICKLES | ||||||||||||||
| VP OF CLINICAL SERVICES | $118,714 | $0 | $0 | $0 | $0 | $0 | $14,883 | $0 | $20,173 | $0 | $153,770 | $0 | $0 | $0 |
| JAN FOUTCH | ||||||||||||||
| VP OF QUALITY SERVICES | $139,261 | $0 | $0 | $0 | $0 | $0 | $14,796 | $0 | $10,730 | $0 | $164,787 | $0 | $0 | $0 |
| RICARDO BLANCHARD | ||||||||||||||
| VP,FINANCE | $126,095 | $0 | $0 | $0 | $0 | $0 | $13,480 | $0 | $11,603 | $0 | $151,178 | $0 | $0 | $0 |
| JEFFREY LEGG | ||||||||||||||
| HIGHLY COMPENSATED EMPLOYEE | $123,482 | $0 | $0 | $0 | $0 | $0 | $13,167 | $0 | $22,672 | $0 | $159,321 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 4 | There shall now be no more than 18 on the Board of Directors. This was originally 16. The addition of Directors being classified as Independent or Dependent determined by criteria listed in Bylaws. Quorum requirements increased from 60% of total Board member attendance to 75%. Granting of a proxy no longer constitutes attendance at such meetings for purposes of attendance requirements. Each Director is now required to attend 75% of regular meetings during calendar year. Failure constitutes resignation. Secretary/Treasurer shall now be appointed Chair of the Finance Committee. All Board members are required to participate on at least one standing committee of the Board. There must be one Independent Director on the Finance Committee. Added Executive Committee and Governance Committee. Removed Nominating Committee, Medical Advisory Subcommittee, and Tissue Advisory Committee. Disclosures of any interest or affiliation shall be made by all officers and Directors on an annual basis on a Conflicts of Interest Statement. Failure to complete the Conflicts of Interest Statement by the deadline imposed by the CEO will result in discipline of the officer and suspension of Director from all Board activities. |
| 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. - COLLEGE OF MED BLDG, NEPHROLOGY SECTION, SUITE 530, OKLAHOMA CITY, OK 73104. GINA FLESHER, M.S., R.N. - 1407 N. WHISENANT 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 - 9705 N BROADWAY, SUITE 150, OKLAHOMA CITY, OK 73114. 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. |
| Form 990, Part IX, line 24e | Cost of Procurement-Tissue Procurement Expense: Program service expenses 427,954. Management and general expenses 0. Fundraising expenses 0. Total expenses 427,954. Cost of Procurement-Transportation of Organs and Tissue: Program service expenses 426,861. Management and general expenses 0. Fundraising expenses 0. Total expenses 426,861. Cost of Procurement-Hospital Lab: Program service expenses 413,828. Management and general expenses 0. Fundraising expenses 0. Total expenses 413,828. Call Center: Program service expenses 401,049. Management and general expenses 0. Fundraising expenses 0. Total expenses 401,049. Cost of Procurement-Other Acquisition Costs: Program service expenses 374,007. Management and general expenses 0. Fundraising expenses 0. Total expenses 374,007. Cost of Procurement-Organ Acquisition Non-Recovery: Program service expenses 291,677. Management and general expenses 0. Fundraising expenses 0. Total expenses 291,677. Sponsorships: Program service expenses 13,331. Management and general expenses 277,071. Fundraising expenses 0. Total expenses 290,402. Cost of Procurement-Anesthesiology: Program service expenses 266,166. Management and general expenses 0. Fundraising expenses 0. Total expenses 266,166. Cost of Procurement-Donor Evaluation: Program service expenses 240,025. Management and general expenses 0. Fundraising expenses 0. Total expenses 240,025. Transplant Coordinator Expense: Program service expenses 210,687. Management and general expenses 0. Fundraising expenses 0. Total expenses 210,687. Cost of Procurement-Tissue Typing: Program service expenses 206,494. Management and general expenses 0. Fundraising expenses 0. Total expenses 206,494. Cost of Procurement-Transportation of Teams: Program service expenses 202,817. Management and general expenses 0. Fundraising expenses 0. Total expenses 202,817. Cost of Procurement-Respiratory Therapy: Program service expenses 178,030. Management and general expenses 0. Fundraising expenses 0. Total expenses 178,030. Cost of Procurement-Medical Supplies: Program service expenses 175,224. Management and general expenses 0. Fundraising expenses 0. Total expenses 175,224. Cost of Procurement-Medical Waste: Program service expenses 159,741. Management and general expenses 0. Fundraising expenses 0. Total expenses 159,741. Cost of Procurement-Intensive Care Unit: Program service expenses 148,198. Management and general expenses 0. Fundraising expenses 0. Total expenses 148,198. Human Resources: Program service expenses 0. Management and general expenses 146,357. Fundraising expenses 0. Total expenses 146,357. Donor Data System: Program service expenses 132,489. Management and general expenses 0. Fundraising expenses 0. Total expenses 132,489. Cost of Procurement-Pharmacy: Program service expenses 115,679. Management and general expenses 0. Fundraising expenses 0. Total expenses 115,679. Professional Education: Program service expenses 59,609. Management and general expenses 51,490. Fundraising expenses 0. Total expenses 111,099. Admin & General: Program service expenses 15,544. Management and general expenses 85,483. Fundraising expenses 0. Total expenses 101,027. Cost of Procurement-Other Excision Costs: Program service expenses 73,432. Management and general expenses 0. Fundraising expenses 0. Total expenses 73,432. Memberships and Dues: Program service expenses 11,113. Management and general expenses 61,274. Fundraising expenses 0. Total expenses 72,387. Cost of Procurement-Organ Hospital Bill Review: Program service expenses 72,365. Management and general expenses 0. Fundraising expenses 0. Total expenses 72,365. Team Oklahoma: Program service expenses 43,630. Management and general expenses 0. Fundraising expenses 0. Total expenses 43,630. Cost of Procurement-Transplant Coordinator: Program service expenses 35,150. Management and general expenses 0. Fundraising expenses 0. Total expenses 35,150. Uniforms & Linens: Program service expenses 15,137. Management and general expenses 0. Fundraising expenses 0. Total expenses 15,137. Tools & Med Supplies: Program service expenses 2,366. Management and general expenses 10,556. Fundraising expenses 0. Total expenses 12,922. Taxes-Other: Program service expenses 0. Management and general expenses 11,104. Fundraising expenses 0. Total expenses 11,104. Bank Service Charges: Program service expenses 0. Management and general expenses 1,504. Fundraising expenses 0. Total expenses 1,504. Retirement of Assets: Program service expenses 0. Management and general expenses 1,111. Fundraising expenses 0. Total expenses 1,111. Doubtful Accounts Provision: Program service expenses -318,109. Management and general expenses 0. Fundraising expenses 0. Total expenses -318,109. |
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