2016-11-10T15:55:18-06:00 2015-12-31 750786316 WEAVER AND TIDWELL LLP 24 GREENWAY PLAZA SUITE 1800 HOUSTON TX 77046 990 2015-01-01 760231238 LIFEGIFT ORGAN DONATION CENTER LIFE 7135234438 2510 WESTRIDGE STREET HOUSTON TX 77054 PATRICIA A RUBIN SR EXEC VP AND CFO 7135234438 2016-11-03 1 HEIDI J DOLAN P00934271 7138508787 2015 2017-02-10 21:41:12Z KEVIN MYER 2510 WESTRIDGE STREET HOUSTON TX 77054 45050604 0 X WWW.LIFEGIFT.ORG X 1987 TX THE ORGANIZATION IS A MEDICARE CERTIFIED CORPORATION RESPONSIBLE FOR THE RECOVERY OF HUMAN ORGANS AND TISSUES FOR TRANSPLANTATION. LIFEGIFT ALSO PROVIDES PUBLIC AND PROFESSIONAL EDUCATION TO INCREASE AWARENESS OF THE NEED FOR DONOR ORGANS AND TISSUE. 16 15 254 304 0 0 1010112 1081194 40616722 43516958 387241 452452 0 0 42014075 45050604 0 0 0 0 15289046 16720152 0 0 0 24289829 25521255 39578875 42241407 2435200 2809197 50186751 55814825 9214682 11695345 40972069 44119480 X THE MISSION OF LIFEGIFT IS TO PROVIDE COMMUNITY BENEFIT BY ETHICALLY, EFFECTIVELY AND EFFICIENTLY RECOVERING APPROPRIATELY TRANSPLANTABLE ORGANS AND TISSUE TO GIVE THE GIFT OF LIFE. LIFEGIFT ALSO PROVIDES PUBLIC AND PROFESSIONAL EDUCATION TO INCREASE AWARENESS OF THE NEED FOR DONOR ORGANS AND TISSUES. 0 0 32932645 43487644 PROCUREMENT:AS AN ORGAN PROCUREMENT ORGANIZATION (OPO), LIFEGIFT STAFF IS AVAILABLE 24 HOURS A DAY TO RECEIVE REFERRALS FROM HOSPITAL PERSONNEL WHO IDENTIFY POTENTIAL ORGAN AND/OR TISSUE DONORS. THE ORGANIZATION IS RESPONSIBLE FOR SERVICING A FEDERALLY DESIGNATED SERVICE AREA, WHICH INCLUDES 109 COUNTIES IN HOUSTON, FORT WORTH, LUBBOCK AND AMARILLO AND WORKS WITH APPROXIMATELY 200 HOSPITALS. DURING 2015, 898 ORGANS WERE RECOVERED FROM 283 DONORS FOR TRANSPLANT, A RATE OF RECOVERY THAT IS HIGHER THAN MOST OTHER OPOS IN THE COUNTRY. LIFEGIFT WORKS WITH TRANSPLANT CENTERS AND UNITED NETWORK FOR ORGAN SHARING (UNOS) TO FACILITATE THE MATCHING OF DONOR ORGANS TO RECIPIENTS. LIFEGIFT STAFF FOLLOW THE POLICIES DICTATED BY THE ORGAN PROCUREMENT TRANSPLANT NETWORK (OPTN) FOR THE ALLOCATION OF ORGANS. ADDITIONALLY, LIFEGIFT MAINTAINS A COMMUNICATIONS CALL CENTER, 24 HOURS A DAY, SEVEN DAYS A WEEK. THE CENTER SCREENS REFERRALS, APPROACHES FAMILIES FOR AUTHORIZATION AND MEDICAL HISTORY INFORMATION AND COORDINATES ORGAN AND TISSUE RECOVERY EFFORTS. LIFEGIFT RECEIVED MORE THAN 33,727 REFERRALS IN 2015. LIFEGIFT ALSO RECOVERS TISSUE AND WORKS WITH SIX LOCAL AND NATIONAL TISSUE PROCESSORS TO REFER TISSUE USED FOR TRANSPLANTATION. DURING 2015, THERE WERE MORE THAN 1,006 TISSUE DONATIONS OF BONE, SKIN, HEART VALVES AND VEINS. THESE DONATIONS SAVE THE LIVES OF BURN VICTIMS AND CHILDREN WITH HEART DEFECTS. LIFEGIFT'S FACILITIES INCLUDE THREE ON-SITE OPERATING ROOMS FOR TISSUE RECOVERY. REFERRALS ARE ALSO PROVIDED TO FIVE EYE BANKS TO RECOVER CORNEAS TO RESTORE SIGHT AND FOR RESEARCH PURPOSES. 1942508 PROFESSIONAL EDUCATION:LIFEGIFT PROVIDES EDUCATION TO APPROXIMATELY 200 HOSPITALS IN ITS FEDERALLY DESIGNATED SERVICE AREA. A CUSTOMIZED PLAN IS DEVELOPED FOR EACH OF THESE HOSPITALS TO EXPAND LIFEGIFT'S EXPOSURE IN THE MEDICAL COMMUNITY. EDUCATIONAL SERVICES INCLUDE ASSISTING HOSPITALS IN THE DEVELOPMENT OF REQUIRED POLICIES FOR THE IDENTIFICATION AND REFERRAL OF POTENTIAL DONORS; EDUCATION ON THE BENEFITS OF ORGAN AND TISSUE DONATION; AND HOW TO APPROACH POTENTIAL DONOR FAMILIES WHEN ASKING FOR AUTHORIZATION TO DONATE. LIFEGIFT MEETS WITH HOSPITAL ADMINISTRATORS AND HOSPITAL STAFF TO DEVELOP, REVISE AND IMPLEMENT POLICIES TO ENSURE PARTICIPATION IN THE ROUTINE NOTIFICATION OF ALL HOSPITAL DEATHS. AFTER A DONATION TAKES PLACE, FOLLOW UP INFORMATION IS PROVIDED TO THE HOSPITAL. 757803 29314 PUBLIC EDUCATION:LIFEGIFT'S SERVICE AREA CONSISTS OF 109 COUNTIES WITH A POPULATION OF APPROXIMATELY 9.8 MILLION BASED ON THE 2010 CENSUS. LIFEGIFT WORKS TO PROMOTE TEXAS'S STATEWIDE AND ORGAN TISSUE REGISTRY, DONATE LIFE TEXAS, DRIVING INDIVIDUALS TO REGISTER THEIR DECISION TO BE AN ORGAN, EYE AND TISSUE DONOR UPON THEIR DEATHS. LIFEGIFT HOSTS PUBLIC EVENTS ANNUALLY, PARTICULARLY DURING NATIONAL DONATE LIFE MONTH (APRIL.) THESE EVENTS INCLUDE SPEAKING EVENTS, 5K WALK/RUNS AND HEALTH FAIRS. UTILIZING AMBASSADORS OF HOPE (VOLUNTEERS WHO HAVE BEEN TOUCHED BY ORGAN AND TISSUE DONATION), LIFEGIFT CONDUCTS MEDIA OUTREACH IN A VARIETY OF OUTLETS TO INFLUENCE OTHERS ON IMPORTANCE OF ORGAN AND TISSUE DONATION. DURING 2015, A GROUP OF APPROXIMATELY 304 VOLUNTEERS DONATED 1,593 HOURS OF THEIR TIME, REPRESENTING LIFEGIFT AT HUNDREDS OF EVENTS TO PROMOTE DONATION. LIFEGIFT ALSO PRODUCES 24 ELECTRONIC NEWSLETTERS ANNUALLY - 12 FOR INTERNAL AUDIENCES AND 12 FOR EXTERNAL AUDIENCES, AS WELL AS ITS ANNUAL REPORT AND CALENDAR. IN 2015, APPROXIMATELY 28,000 CALENDARS (IN ENGLISH AND SPANISH) WERE DISTRIBUTED TO THE GENERAL PUBLIC AND TO HOSPITAL STAFF. THESE MATERIALS DESCRIBE LIFEGIFT'S ACTIVITIES AND ITS CONTRIBUTIONS TO THE COMMUNITY, HIGHLIGHTING STORIES OF ORGAN, EYE AND TISSUE DONORS AND TRANSPLANT RECIPIENTS. THE ORGANIZATION ALSO HAS A CONCERTED EFFORT ON EDUCATION TO MINORITY POPULATIONS, WITH TAILORED EDUCATION AND OUTREACH. LIFEGIFT HAS A STRONG PRESENCE ON SOCIAL MEDIA AND IS ACTIVE ON FACEBOOK, TWITTER, INSTAGRAM AND LINKEDIN. IN MOST COMMUNICATIONS VEHICLES, THERE IS A CALL TO ACTION TO REGISTER AS A DONOR ON DONATELIFETEXAS.ORG. 35632956 1 1 0 1 0 0 0 0 0 0 1 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 110 0 1 254 1 0 0 0 0 0 0 0 0 0 0 X 16 15 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X X PATRICIA RUBIN SR EXEC VP & CFO 7135234438 2510 WESTRIDGE ST HOUSTON TX 77054 ROBERTA SCHWARTZ MHS EXEC VP OF HOUSTON METHODI 2.00 X 0 0 0 KRISTEN TURNER RN MBA VP-CHI ST. LUKE'S HEALTH 1.00 X 0 0 0 EDWARD KUNTZ PUBLIC MEMBER-HOUSTON 2.00 X 0 0 0 SHARYN IVORY FACHE PUBLIC MEMBER-LUBBOCK 2.00 X 0 0 0 MATTHEW GIROTTO MHA MHR ASST VP-TEXAS CHILDREN'S HOSPITAL 2.00 X 0 0 0 JOSEPH PROSSER MD PUBLIC MEMBER-HOUSTON 1.00 X 0 0 0 JOHN K GRAHAM MD PUBLIC MEMBER-HOUSTON 1.00 X 0 0 0 ADRIANA VALENCIA PUBLIC MEMBER-HOUSTON 2.00 X 0 0 0 NANCY C CYCHOL PRES-COOK CHILDREN'S MEDIC 1.00 X 0 0 0 JENIFER JARRIEL PUBLIC MEMBER-HOUSTON 2.00 X 0 0 0 GEORGE B MALLORY JR MD TEXAS CHILDREN'S HOSPITAL 1.00 X 0 0 0 STEVE SANDERS PUBLIC MEMBER-HOUSTON 1.00 X 0 0 0 KEVIN MYER PRESIDENT AND CEO 50.00 X X 330252 0 38361 STACY BACON MD PUBLIC MEMBER-HOUSTON 1.00 X 0 0 0 ROBERT BOUDWIN PUBLIC MEMBER-HOUSTON 1.00 X 0 0 0 TOM FLANAGAN COO-MEMORIAL HERMANN-TMC 1.00 X 0 0 0 PATRICIA RUBIN SR EXEC VP AND CFO 50.00 X 253768 0 34857 R PATRICK WOOD CHIEF MEDICAL OFFICER 50.00 X 325613 0 25340 SCHAWNTE WILLIAMS-TAYLOR SOUTHEAST REGION MANAGING 50.00 X 167376 0 23188 RONALD EHRLE NORTH REGION MANAGING DIRE 50.00 X 157047 0 22449 KIMBERLY DAVIS RN CPTC CTBS MANAGING DIRECTOR OF DONOR 50.00 X 150178 0 29188 BRIAN ROE MS CTBS SSLBBP MANAGING DIRECTOR FACILITI 50.00 X 161607 0 25065 JERRY DUNN MANAGING DIRECTOR ITS 50.00 X 151996 0 19488 1697837 0 217936 8 0 1 0 LABS INC PO BOX 843224 KANSAS CITY MO 641843224 LAB TESTING SERVICES 581336 VRL LABORATORIES LTD PO BOX 40100 SAN ANTONIO TX 78229 LAB TESTING SERVICES 401862 EVERGREEN TRANSFER SERVICES PO BOX 2618 HOUSTON TX 77588 TRANSPORT SERVICES 392579 TMH PHYSICIAN ASSOC PLLC PO BOX 848228 BOSTON MA 022848228 MEDICAL/HEALTH CARE 297700 BAYLOR COLLEGE OF MEDICINE PO BOX 4803 HOUSTON TX 772104803 MEDICAL/HEALTH CARE 292450 12 1081194 1081194 ORGAN & TISSUE ACQUISITION 900099 43265502 43265502 REFERRAL INCOME 900099 222142 222142 SEMINAR FEES 900099 29314 29314 43516958 452452 452452 45050604 43516958 0 452452 X 1031373 1031373 12416722 10118342 2298380 592962 464151 128811 1734922 1361328 373594 944173 754557 189616 144592 144592 71741 71741 44860 44860 101461 101461 21321365 20904593 416772 82938 45737 37201 823395 600177 223218 636881 413668 223213 519005 255828 263177 608949 506886 102063 251938 157533 94405 376086 376086 448611 17681 430930 DUES & MEMBERSHIPS 81180 30397 50783 PUBS & SUBSCRIPTIONS 8253 2078 6175 42241407 35632956 6608451 0 8037403 6888620 6868910 12041744 558263 654927 687302 838725 11755541 3958251 7125629 7797290 16390959 16109458 10504528 11473411 13757 10650 50186751 55814825 9214682 11695345 9214682 11695345 X 40841033 43997167 131036 122313 40972069 44119480 50186751 55814825 X 2809197 -630669 968883 X X 0 1 X 1 0 X 12557 621723 1416608 1010112 1081194 4142194 8414862 38191030 34799621 40616722 43516958 165539193 8427419 38812753 36216229 41626834 44598152 169681387 3731490 5449009 5117953 6714125 21012577 1029563 1568225 561287 394227 378334 3931636 1029563 5299715 6010296 5512180 7092459 24944213 144737174 167910 375901 324171 400253 452452 1720687 167910 375901 324171 400253 452452 1720687 8595329 39188654 36540400 42027087 45050604 171402074 0.84440 0.98710 0.01000 0.01290 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 44860 44860 0 PART II-B, LINE 1: LIFEGIFT UTILIZED THE SERVICES OF A PUBLIC AFFAIRS CONSULTANT TO EDUCATE THE LEGISLATORS OF THE CRITICAL SHORTAGE OF ORGANS AND TISSUE FOR TRANSPLANTATION. THROUGH THIS EDUCATIONAL EFFORT, LIFEGIFT'S GOAL IS TO RAISE THE AWARENESS OF THE CRITICAL NEED FOR ORGAN AND TISSUE DONATION. 3663003 3663003 3863475 1062473 2801002 17956 17956 0 3603689 2582527 1021162 607418 295295 312123 7797290 INVESTMENT IN ALLOSOURCE LTD 11473411 F 11473411 X 45050604 0 45050604 0 45050604 42241407 0 42241407 0 42241407 PART X, LINE 2: FASB ASC TOPIC 740, INCOME TAXES, REQUIRES A REPORTING ENTITY TO RECOGNIZE IN ITS FINANCIAL STATEMENTS THE FINANCIAL EFFECTS OF A TAX POSITION ONLY IF IT IS DETERMINED THAT IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL NOT BE SUSTAINED UPON EXAMINATION, INCLUDING RESOLUTION OF ANY RELATED APPEALS OR LITIGATION PROCESSES, BASED ON THE TECHNICAL MERITS OF THE POSITION. MANAGEMENT HAS REVIEWED THE TAX POSITIONS TAKEN BY LIFEGIFT, AND IS OF THE OPINION THAT MATERIAL POSITIONS TAKEN BY LIFEGIFT WOULD MORE LIKELY THAN NOT BE SUSTAINED UPON EXAMINATION. ACCORDINGLY, LIFEGIFT HAS NOT RECOGNIZED A LIABILITY RELATED TO UNCERTAIN TAX POSITIONS. FEDERAL TAX YEARS OPEN TO EXAMINATION INCLUDE THE PERIODS 2012 THROUGH 2015. LIFEGIFT RECOGNIZES INTEREST AND PENALTIES ON INCOME TAXES IN THE STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS AS GENERAL AND ADMINISTRATIVE EXPENSES. FOR THE YEARS ENDED DECEMBER 31, 2015 AND 2014, LIFEGIFT HAD NO INTEREST OR PENALTIES ON INCOME TAXES. X X X X X 0 0 0 0 0 0 0 0 0 KEVIN MYER PRESIDENT AND CEO 274027 0 49025 0 7200 0 20141 0 18220 0 368613 0 0 0 PATRICIA RUBIN SR EXEC VP AND CFO 211931 0 41837 0 0 0 16735 0 18122 0 288625 0 0 0 R PATRICK WOOD CHIEF MEDICAL OFFICER 294015 0 31598 0 0 0 12184 0 13156 0 350953 0 0 0 SCHAWNTE WILLIAMS-TAYLOR SOUTHEAST REGION MANAGING 145344 0 22032 0 0 0 11841 0 11347 0 190564 0 0 0 RONALD EHRLE NORTH REGION MANAGING DIRE 140096 0 16951 0 0 0 11301 0 11148 0 179496 0 0 0 KIMBERLY DAVIS RN CPTC CTBS MANAGING DIRECTOR OF DONOR 138888 0 11290 0 0 0 11290 0 17898 0 179366 0 0 0 BRIAN ROE MS CTBS SSLBBP MANAGING DIRECTOR FACILITI 141699 0 19908 0 0 0 7127 0 17938 0 186672 0 0 0 JERRY DUNN MANAGING DIRECTOR ITS 135787 0 16209 0 0 0 8400 0 11088 0 171484 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS COMPLETED BY LIFEGIFT AND REVIEWED BY AN INDEPENDENT CPA FIRM, WEAVER & TIDWELL, LLP. THE FORM 990 IS THEN PRESENTED TO THE BOARD OF DIRECTORS AND PUBLISHED ON LIFEGIFT'S INTERNAL AND EXTERNAL WEBSITES. FORM 990, PART VI, SECTION B, LINE 12C LIFEGIFT DOES HAVE A WRITTEN CONFLICT OF INTEREST POLICY AND EACH EMPLOYEE IS PROVIDED WITH A COPY. ANNUALLY EACH EMPLOYEE IS REQUIRED TO SIGN A DOCUMENT ACKNOWLEDGING THEY RECEIVED, READ AND UNDERSTOOD THE CONFLICT OF INTEREST POLICY. THIS PRACTICE IS CONSISTENT WITH PRIOR YEARS IN MONITORING AND ENFORCEMENT OF THE POLICY. FORM 990, PART VI, SECTION B, LINE 15 LIFEGIFT DETERMINES THE COMPENSATION OF THE CEO AND OTHER TOP MANAGEMENT THROUGH THE USE OF A COMPENSATION COMMITTEE, AN INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACT FOR THE CEO, THE USE OF A COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 LIFEGIFT MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC IS THROUGH THE USE OF THE GUIDESTAR WEBSITE, LIFEGIFT'S WEBSITE AND WRITTEN REQUEST FROM THE PUBLIC. FORM 990, PART IX, LINE 11G DIRECT DONOR EXPENSE: PROGRAM SERVICE EXPENSES 20,012,214. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 20,012,214. PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 892,379. MANAGEMENT AND GENERAL EXPENSES 416,772. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,309,151. FORM 990, PART IX, LINE 11G FEES FOR SERVICES - PROGRAM: DIRECT DONOR EXPENSES - 20,012,214 PROFESSIONAL SERVICES - 892,379 ---------- 20,904,593 FEES FOR SERVICES - MANAGEMENT AND GENERAL: PROFESSIONAL SERVICES - 416,772 FORM 990, PART XI, LINE 9: CHANGE IN VALUE OF MEMBERSHIP INTEREST 968,883. FORM 990, PART XII, LINE 2C NO CHANGE WAS MADE IN THE OVERSIGHT OR SELECTION PROCESS OF AN INDEPENDENT ACCOUNTANT. FORM 990, SCHEDULE A, PAGE 3 LIFEGIFT EXAMINES ALL CONTRIBUTIONS ANNUALLY RECEIVED AND CONSIDERS IF THE CONTRIBUTOR'S DONATION MEETS THE CRITERIA FOR A SUBSTANTIAL CONTRIBUTOR AS DEFINED UNDER IRS SECTION 4946. IF LIFEGIFT DETERMINES THE CONTRIBUTIONS RECEIVED FROM A SINGLE CONTRIBUTOR EXCEED $5,000 AND MEET THE CRITERIA OUTLINED SECTION 4946, ALL FUNDS FROM THE SINGLE CONTRIBUTOR ARE INCLUDED IN LINE 7A, PAGE 3 OF SCHEDULE A.