2016-09-30T16:40:15-05:00 2015-12-31 946214841 Armanino LLP 12657 Alcosta Blvd Ste 500 San Ramon CA 945834600 990 2015-01-01 943062436 Donor Network West DONO 8885709400 12667 Alcosta Blvd No 500 San Ramon CA 94583 SANDRA MEJIA CFO 5104448500 2016-09-29 1 John Panetta P00365375 9257902600 2015 2017-02-10 21:41:12Z CYNTHIA SILJESTROM 12667 Alcosta Blvd No 500 San Ramon CA 94583 78096231 0 X donornetworkwest.org X 1987 CA TO SAVE AND IMPROVE LIVES THROUGH ORGAN AND TISSUE DONATION FOR TRANSPLANTATION. 16 15 399 300 0 0 157951 96318 74258799 77077048 204394 164392 46990 165491 74668134 77503249 0 0 0 0 32198947 32150220 0 0 0 37383807 42245812 69582754 74396032 5085380 3107217 41044841 41943029 14701546 12692719 26343295 29250310 X DONOR NETWORK WEST'S MISSION IS TO SAVE AND IMPROVE LIVES THROUGH ORGAN AND TISSUE DONATION FOR TRANSPLANTATION. WE CONCENTRATE OUR EFFORTS ON THE RECOVERY OF VITAL ORGAN SUCH AS LUNGS, HEART, LIVER, KIDNEYS, PANCREAS AND SMALL BOWEL FROM DECEASED DONORS. OUR EMPHASIS IS ON THE PLACEMENT OF THESE ORGANS WITH THE MORE THAN 123,000 PEOPLE WHO ARE CURRENTLY WAITING FOR A LIFE-SAVING ORGAN TRANSPLANT IN OUR COUNTRY. WE ALSO FOCUS ON THE RECOVERY OF TISSUES FOR TRANSPLANTATION INCLUDING SKIN, HEART VALVES, CORNEAS, AND MUSCULOSKELETAL TISSUES. TISSUES ARE PROCESSED AND PLACED THROUGH SEVERAL TISSUE BANKS TO HELP HEAL THOUSANDS WITH THESE GIFTS. 0 0 65116293 76306278 MORE THAN 10,000 PEOPLE WAIT FOR A LIFESAVING ORGAN TRANSPLANT AND THOUSANDS MORE FOR TISSUE TRANSPLANTS IN THE DONOR NETWORK WEST SERVICE AREA. THE RECOVERY AND PLACEMENT OF ORGANS AND TISSUES IS VITAL TO THE ORGANIZATION'S MISSION OF SAVING AND IMPROVING LIVES.OUR CLINICAL OPERATIONS STAFF PROVIDED CARE FOR MORE THAN TWO THOUSAND FAMILIES LAST YEAR DURING A VERY EMOTIONAL TIME IN THEIR LIVES AS THEY SUFFERED THE LOSS OF THEIR LOVED ONES. FAMILIES WERE EITHER INFORMED OF THEIR LOVED ONES WISH TO BE A DONOR THROUGH THEIR REGISTRATION ON THE STATE DONOR REGISTRY OR WERE GIVEN THE INFORMATION NEEDED IN ORDER TO MAKE THE DECISION TO DONATE FOR THEIR LOVED ONE. THROUGH THEIR GENEROSITY, THOUSANDS OF OTHERS WERE SAVED OR HEALED BECAUSE OF THESE GIFTS OF LIFE.IN 2015, WE RECOVERED 937 ORGANS FOR TRANSPLANTATION FROM 300 ORGAN DONORS AND PROVIDED TISSUES FOR TRANSPLANTATION FROM 2,230 TISSUE DONORS; AN ESTIMATED 97,845 LIVES WERE IMPROVED AS A RESULT. 1342604 OUR DONOR FAMILIES ARE CARED FOR THROUGHOUT THE WHOLE DONATION PROCESS AS WELL AS AFTER THE DONATION OCCURS. OUR PROFESSIONAL STAFF FOLLOWS UP WITH THE FAMILIES FOR A YEAR POST-DONATION AND OFFERS RESOURCES AND SUPPORT. WE HOSTED THREE DONOR FAMILY GATHERINGS TO HONOR AND CELEBRATE THE DONOR FAMILIES AND THEIR LOVED ONES WHO GAVE THE GIFT OF LIFE THROUGH ORGAN AND TISSUE DONATION IN 2015. DONOR FAMILY GATHERINGS WERE HELD IN PLEASANTON, RENO AND FRESNO ON THREE SEPARATE DAYS TO ACCOMMODATE MORE THAN 2300 FAMILIES WHOSE LOVED ONES BECAME DONORS IN 2015. 671302 770770 THE SHORTAGE OF AVAILABLE ORGANS AND TISSUES IS A SERIOUS ISSUE AS 22 PEOPLE NATIONALLY WILL DIE EACH DAY WAITING FOR AN ORGAN TRANSPLANT. PUBLIC EDUCATION EFFORTS ARE FOCUSED ON INCREASING REGISTRATIONS ON THE CALIFORNIA AND NEVADA STATE DONOR REGISTRIES KNOWN AS THE DONATE LIFE CALIFORNIA REGISTRY AND DONATE LIFE NEVADA REGISTRY. IN 2015, ADDED 362,900 NEW NAMES TO THE REGISTRIES IN OUR SERVICE AREA THROUGH A VARIETY OF EFFORTS.IN 2015, THE COMMUNITY EDUCATION DEPARTMENT FOCUSED ON SEVERAL KEY CAMPAIGNS TO INCREASE DONOR REGISTRATIONS. THESE CAMPAIGNS INCLUDED WORKING WITH OUR 77 DEPARTMENT OF MOTOR VEHICLE OFFICES, COMMUNITY HEALTH CLINICS, HIGH SCHOOLS, FAITH ORGANIZATIONS AND FOCUSING ON MULTICULTURAL OUTREACH. WE REGULARLY WORK WITH OUR DEPARTMENT OF MOTOR VEHICLE OFFICES TO PROVIDE INFORMATION, APPRECIATION AND DEVELOP RELATIONSHIPS WITH EACH OFFICE TO ENSURE THE RECORDING OF THE DONATION DECISIONS OF MILLIONS OF CALIFORNIANS AND NEVADANS. WE SUCCESSFULLY REACHED MANY MULTICULTURAL COMMUNITY CLINICS WITH INFORMATION AND IN-SERVICES, WORKED WITH HIGH SCHOOL TEACHERS TO INTEGRATE ORGAN AND TISSUE DONATION INFORMATION IN HEALTH/SCIENCE CURRICULUMS AND ENGAGED FAITH LEADERS IN GROWING SUPPORT FOR DONATION IN THEIR CONGREGATIONS. WE DOCUMENTED 95 PROACTIVE FREE MEDIA STORIES THAT WERE SEEN ACROSS THE COUNTRY. THE RESULTS - 54% OF OUR ORGAN DONORS WERE ON THE STATE REGISTRIES. THESE INDIVIDUALS HAD OFFICIALLY DOCUMENTED THEIR DECISION TO BE A DONOR AND WE WERE ABLE TO FOLLOW THROUGH ON THEIR WISHES. 67130199 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 175 0 1 399 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 CA X SANDRA MEJIA CFO 8885709400 12667 Alcosta Blvd Ste 500 San Ramon CA 94583 Nancy Lee Chairperson 4.00 X X 0 0 0 Tim Buckhout Director 4.00 X 0 0 0 Brian Dowling Director 4.00 X 0 0 0 Hamila Kownacki Director 4.00 X 0 0 0 Lloyd LaCuesta Director 4.00 X 0 0 0 Kathleen F Lynaugh Director 4.00 X 0 0 0 John Rabkin Director 4.00 X 0 0 0 John Roberts Director 4.00 X 0 0 0 Jill Sullivan Director 4.00 X 0 0 0 Catherine Lan Tran Director 4.00 X 0 0 0 Dolly B Tyan Director 4.00 X 0 0 0 Michelle Zyromski Director 4.00 X 0 0 0 Thomas Cycyota Director 4.00 X 0 0 0 Michael Peterson Director 4.00 X 0 0 0 Reece Fawley Secretary-Treasurer 4.00 X X 0 0 0 Cynthia D Siljestrom CEO 40.00 X X 430864 0 32119 Denise A Kinder COO 40.00 X 303151 0 43016 Sandra R Mejia CFO 40.00 X 298298 0 30624 Sean Van Slyck VP, Organ Program 40.00 X 263751 0 39953 Sandra F Olson Controller 40.00 X 163449 0 23634 Cathy L Olmo Director, Communications 40.00 X 171210 0 30269 Luis F Mayen Director, Procurement 40.00 X 184650 0 19052 Angela G Rosati Director, Tissue Program 40.00 X 204211 0 19921 Colleen M Cieszkowski Director, Hospital and Family 40.00 X 202812 0 25219 Kim J Patton Director, Clinical Services 40.00 X 200175 0 32978 Mark Borer VP, Quality Systems 40.00 X 219803 0 45972 Nikole Adriane Neidlinger Medical Director 40.00 X 248167 0 31283 John T Mason VP, IT 40.00 X 263638 0 34880 Efren Sablan Portal Systems Manager 40.00 X 151695 0 40060 Michael Higuera Clinical Procurement Coordinator 32.00 X 147051 0 40945 Salvador Guerrero Family Resource Coordinator 32.00 X 148165 0 38136 Ricardo Elizondo Manager, Clinical Services 40.00 X 154754 0 43803 Sharon Shamoon Clinical Procurement Coordinator 32.00 X 188838 0 28388 3944682 0 600252 117 0 1 0 Transplant Transportation Services Inc PO Box 937 Penngrove CA 94951 Transportation 2659719 LABS Inc PO Box 843224 Kansas City MO 641843224 Laboratory 1168937 BEI 1101 Marina Village Parkway Suite Alameda CA 94501 Construction 661476 Ultra Ex LLc 2633 Barrington Court Hayward CA 94545 Delivery Service 351652 DGA Planning Architecture Interiors 550 Ellis Street Mountain View CA 94043 Architecture 316302 19 82456 13862 96318 Organ Acq Fees 621500 73726124 73726124 Medicare/Medicaid Pmts 900099 3350924 3350924 77077048 203788 203788 528832 568228 -39396 -39396 -39396 0 82456 24754 -24754 -24754 Other Revenue 900099 190245 190245 190245 77503249 77077048 0 329883 3563098 2569171 993927 22701243 19767451 2933792 861218 619221 241997 3285212 2987831 297381 1739449 1609451 129998 248786 108909 139877 75134 37567 37567 499783 302156 197627 939194 939194 520813 187984 332829 1770772 1045828 724944 1754674 903487 851187 4232460 4232460 648462 523562 124900 494001 424841 69160 1213512 1043620 169892 Donor Hospital/Import/R 21945570 21945570 Clinical Supplies & Equ 3931917 3931917 Surgeon/Physician Fees 2120806 2120806 Laboratory Fees 1701384 1701384 148544 127789 20755 74396032 67130199 7265833 0 13149506 10277665 1607049 2298036 16968975 16314042 1561579 1917547 6445257 1148984 1180900 5296273 6576832 5839466 41044841 41943029 14589523 11762473 112023 930246 14701546 12692719 X 26343295 29241977 8333 26343295 29250310 41044841 41943029 X 3107217 -208535 8333 X X 0 1 X 1 0 X 75378 171338 328030 157951 96318 829015 59037893 60224149 63841055 74258799 77077048 334438944 59113271 60395487 64169085 74416750 77173366 335267959 0 0 0 335267959 161427 192597 251364 240238 203788 1049414 161427 192597 251364 240238 203788 1049414 74882 9270 125515 64207 190245 464119 59349580 60597354 64545964 74721195 77567399 336781492 0.99550 0.99600 0.00310 0.00310 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3091643 101745 2989898 911086 570430 340656 2442528 476809 1965719 5296273 Fixed income investment 3615589 F Bond funds 2223877 F 5839466 Deferred Lease Payable 930246 930246 X 77319469 -208534 -208534 77528003 -24754 -24754 77503249 74420786 24754 24754 74396032 0 74396032 Part X, Line 2: THE ORGANIZATION IS A QUALIFIED ORGANIZATION EXEMPT FROM FEDERAL AND CALIFORNIA INCOME TAXES UNDER THE PROVISIONS OF 501(C)(3) OF THE INTERNAL REVENUE CODE AND THE 23701D OF THE CALIFORNIA REVENUE AND TAXATION CODE. THE ORGANIZATION HAS ADOPTED THE PROVISIONS FOR ACCOUNTING FOR UNCERTAIN TAX POSITIONS. IT EVALUATES ITS TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN TO DETERMINE WHETHER THE TAX POSITIONS ARE "MORE-LIKELY-THAN-NOT" OF BEING SUSTAINED BY THE APPLICABLE TAX AUTHORITY. TAX POSITIONS NOT DEEMED TO MEET THE "MORE-LIKELY-THAN-NOT" THRESHOLD ARE RECORDED AS AN EXPENSE IN THE APPLICABLE YEAR. AS OF DECEMBER 31, 2015 AND 2014, THE ORGANIZATION DOES NOT HAVE ANY SIGNIFICANT UNCERTAIN TAX POSITIONS FOR WHICH A RESERVE WOULD BE NECESSARY. Part XI, Line 4b - Other Adjustments: Special Event Expenses -24,754. Part XII, Line 2d - Other Adjustments: Special Event Expenses 24,754. Donate Life Walk 82456 82456 6240 690 5665 12159 82456 82456 6240 690 5665 12159 24754 -24754 X 1 1 X X X 0 0 0 0 0 0 0 0 0 Cynthia D Siljestrom CEO 367475 0 63289 0 100 0 21200 0 10919 0 462983 0 0 0 Denise A Kinder COO 257055 0 45996 0 100 0 20303 0 22713 0 346167 0 0 0 Sandra R Mejia CFO 253180 0 44768 0 350 0 19742 0 10882 0 328922 0 0 0 Sean Van Slyck VP, Organ Program 236960 0 26500 0 291 0 17240 0 22713 0 303704 0 0 0 Sandra F Olson Controller 145049 0 18000 0 400 0 11297 0 12337 0 187083 0 0 0 Cathy L Olmo Director, Communications 145139 0 25000 0 1071 0 12247 0 18022 0 201479 0 0 0 Luis F Mayen Director, Procurement 168885 0 15000 0 765 0 12772 0 6280 0 203702 0 0 0 Angela G Rosati Director, Tissue Program 188811 0 15000 0 400 0 13615 0 6306 0 224132 0 0 0 Colleen M Cieszkowski Director, Hospital and Family 181690 0 20722 0 400 0 13872 0 11347 0 228031 0 0 0 Kim J Patton Director, Clinical Services 177706 0 21129 0 1340 0 14857 0 18121 0 233153 0 0 0 Mark Borer VP, Quality Systems 197297 0 21500 0 1006 0 15598 0 30374 0 265775 0 0 0 Nikole Adriane Neidlinger Medical Director 200656 0 37607 0 9904 0 14359 0 16924 0 279450 0 0 0 John T Mason VP, IT 226788 0 36500 0 350 0 16892 0 17988 0 298518 0 0 0 Efren Sablan Portal Systems Manager 127982 0 10000 0 13713 0 8282 0 31778 0 191755 0 0 0 Michael Higuera Clinical Procurement Coordinator 140165 0 6721 0 165 0 9241 0 31704 0 187996 0 0 0 Salvador Guerrero Family Resource Coordinator 137881 0 8735 0 1549 0 8075 0 30061 0 186301 0 0 0 Ricardo Elizondo Manager, Clinical Services 140607 0 14047 0 100 0 11992 0 31811 0 198557 0 0 0 Sharon Shamoon Clinical Procurement Coordinator 180399 0 8224 0 215 0 9551 0 18837 0 217226 0 0 0 Part I, Line 1a All regular Donor Network West employees may receive up to $30 per month for a gym membership or exercise class as part of the employee health benefit. Proof of payment is required. Reimbursement is processed through the payroll system. Initiation, country club and golf fees are excluded from reimbursement. Form 990, Part VI, Section B, line 11 The Form 990 is distributed to the entire governing body before filing. The Form 990 is reviewed and approved by the Chair of the Audit Committee. Form 990, Part VI, Section B, line 12c The Board of Directors of Donor Network West has adopted a policy on conflicts of interest of its Board members and employees. Donor Network West is committed to this policy and does perform an annual review of this policy. To carry out this policy, each board member is to identify any actual or potential conflicts of interest as described in the policy with respect to outside interests, investments, or other activities that might relate to services provided to Donor Network West. Form 990, Part VI, Section B, line 15 Donor Network West utilizes a comprehensive salary survey conducted by the Associations of Organ Procurement Organizations utilizing McGladrey consulting services as well as other publicly available salary information to set executive salaries. The Executive Committee to the Board of Directors also reviews any salary increase for the CEO. Form 990, Part VI, Section C, line 19 Financial statement, 990 and conflict of interest policy are available upon request. Governing documents are not available to the general public. Form 990, Part XI, line 9: Change in Temporarily Restricted Net Assets 8,333. Form 990, Part XII, Line 2c: The process has not changed from prior year.