LIFESHARE TRANSPLANT DONOR SERVICES OF OKLAHOMA INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
LIFESHARE TRANSPLANT DONOR SERVICES OF OKLAHOMA INC (EIN 73-1281589)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-08-08
IRS object ID
201622219349301337
Schema version
2015v2.1
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

FieldValueIRS element (for citing)
Return2016-08-08T14:44:48-05:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN731335926PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BARBARA A LEY A PROFESSIONAL CORPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line16305 WATERFORD BLVD STE 450AddressLine1Txt
CityOKLAHOMA CITYCityNm
State AbbreviationOKStateAbbreviationCd
ZIP73118ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN731281589EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1LifeShare Transplant Donor Services ofBusinessNameLine1Txt
Business Name Line2Oklahoma IncBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlLIFEBusinessNameControlTxt
Phone4058405551PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14705 NW ExpresswayAddressLine1Txt
CityOklahoma CityCityNm
State AbbreviationOKStateAbbreviationCd
ZIP73132ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJeff OrlowskiPersonNm
Person TitleChief Executive OfficerPersonTitleTxt
Phone4058405551PhoneNum
Signature2016-08-08SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJanet GiffordPreparerPersonNm
PTINP00303744PTIN
Phone4058480255PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2016-12-15 16:53:06ZBuildTS

Form 990 IRS990

US Address USAddress

FieldValueIRS element (for citing)
Address Line14705 NW ExpresswayAddressLine1Txt
CityOklahoma CityCityNm
State AbbreviationOKStateAbbreviationCd
ZIP73132ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$24,419,817GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.lifeshareoklahoma.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1984FormationYr
Legal Domicile StateOKLegalDomicileStateCd
Activity Or MissionProvides organ procurement services within the state of Oklahoma.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee127TotalEmployeeCnt
Total Volunteers75TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$28,200PYContributionsGrantsAmt
CY Contributions Grants$48,908CYContributionsGrantsAmt
PY Program Service Revenue$20,907,035PYProgramServiceRevenueAmt
CY Program Service Revenue$24,262,570CYProgramServiceRevenueAmt
PY Investment Income$58,286PYInvestmentIncomeAmt
CY Investment Income$97,568CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$20,993,521PYTotalRevenueAmt
CY Total Revenue$24,409,046CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$7,769,516PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$8,957,127CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$10,355,372PYOtherExpensesAmt
CY Other Expenses$12,787,134CYOtherExpensesAmt
PY Total Expenses$18,124,888PYTotalExpensesAmt
CY Total Expenses$21,744,261CYTotalExpensesAmt
PY Revenues Less Expenses$2,868,633PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$2,664,785CYRevenuesLessExpensesAmt
Total Assets BOY$14,269,268TotalAssetsBOYAmt
Total Assets EOY$17,209,124TotalAssetsEOYAmt
Total Liabilities BOY$4,189,693TotalLiabilitiesBOYAmt
Total Liabilities EOY$4,464,764TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$10,079,575NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$12,744,360NetAssetsOrFundBalancesEOYAmt
MissionLifeShare 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 Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$17,053,467ExpenseAmt
Revenue$24,268,824RevenueAmt
DescOrgan procurement and placement was provided for 288 kidneys, 113 livers, 14 pancreas, 44 hearts,and 43 lungs. LifeShare also provided tissue procurement of 642 tissue donors.Desc
Total Program Service Expenses$17,053,467TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document65IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee127EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Form8899 Filedind0Form8899Filedind
Form1098 C Filed0Form1098CFiledInd
DAF Excess Business Holdings0DAFExcessBusinessHoldingsInd
Taxable Distributions0TaxableDistributionsInd
Distribution To Donor0DistributionToDonorInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldOKStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1LifeShare Transplant Donor ServicesBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4058405551PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14705 NW ExpresswayAddressLine1Txt
CityOklahoma CityCityNm
State AbbreviationOKStateAbbreviationCd
ZIP73132ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
ANTHONY SEBASTIAN MD
DIRECTOR1.00Yes (X)$0$0$0
BENJAMIN COWLEY MD
DIRECTOR1.00Yes (X)$0$0$0
ED HEINEN
BOARD PRESIDENT2.00Yes (X)$0$0$0Yes (X)
GINA FLESHER MS RN
DIRECTOR1.00Yes (X)$0$0$0
HARLAN WRIGHT MD
DIRECTOR1.00Yes (X)$0$0$0
IRFAN KUNDI MD
IMMEDIATE PAST PRESIDENT1.00Yes (X)$0$0$0
MICHAEL MORRIS MD
DIRECTOR1.00Yes (X)$0$0$0
PAMELA SPANBAUER RN BSN MEd
DIRECTOR1.00Yes (X)$0$0$0
PUNEET SINDHWANI MD
DIRECTOR1.00Yes (X)$0$0$0
RAJAT KAUL MD
VICE PRESIDENT1.00Yes (X)$0$0$0Yes (X)
SAMANTHA WEYRAUCH DAVIS
DIRECTOR1.00Yes (X)$0$0$0
STEVE MILLER MD
DIRECTOR1.00Yes (X)$0$0$0
SUZANNE WHEELER
SECRETARY/TREASURER1.00Yes (X)$0$0$0Yes (X)
THOMAS KENKEL MD
DIRECTOR1.00Yes (X)$0$0$0
CHAD MUSE
CLINICAL RESEARCH DIRECTOR40.00$94,108$0$20,978Yes (X)
ELIZABETH HANNAN
DIRECTOR OF HOSPITAL DEVEL40.00$107,432$0$22,164Yes (X)
JAN FOUTCH
VP OF QUALITY SERVICES40.00$130,305$0$25,193Yes (X)
JANICE WHALEY
EXECUTIVE VP/COO40.00$204,331$0$32,004Yes (X)
JEFF ORLOWSKI
PRESIDENT/CEO40.00$269,953$0$55,279Yes (X)
MICHELLE GIBSON
VP HUMAN RESOURCES40.00$117,508$0$35,404Yes (X)
RICARDO BLANCHARD
VP,FINANCE40.00$120,972$0$24,260Yes (X)
ROBERT BASHAW
DIRECTOR OF I.T. & FACILITIES40.00$97,317$0$28,090Yes (X)
PHIL VAN STAVERN
FORMER COO0.00$144,620$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,286,546TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$243,372TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K7IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
MONARCH MARKETING GROUP LLC
200 NW 63RDOKLAHOMA CITYOK73116ADVERTISING$347,295
OKLAHOMA TRANSPLANT PHYSICIANS LLC
3 MARYLAND FARMSBRENTWOODTN37027SURGEON FEES$147,500
THE RAND GROUP LLC
6575 WEST LOOP SOUTH STE 700BELLAIRETX77401SOFTWARE IMPLEMENTATION$131,811
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt
All Other Contributions$48,908AllOtherContributionsAmt
Total Contributions$48,908TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEDICARE/MEDICAID PAYMENTS621991$9,436,403$9,436,403
EXTRA-RENAL PROCUREMENT621991$8,894,573$8,894,573
TISSUE PROCUREMENT621991$5,503,094$5,503,094
ODEAP DEC WEEK621991$227,028$227,028
Other621991$102,022$102,022

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$99,450TotalRevenueColumnAmt
Related Or Exempt Func Income$99,450RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$24,262,570TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$91,314TotalRevenueColumnAmt
Exclusion$91,314ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$17,025OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$10,771OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$6,254OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,254TotalRevenueColumnAmt
Related Or Exempt Func Income$6,254RelatedOrExemptFuncIncomeAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$24,409,046TotalRevenueColumnAmt
Related Or Exempt Func Income$24,268,824RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$91,314ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,423,959TotalAmt
Program Services$696,177ProgramServicesAmt
Management And General$727,782ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$5,537,875TotalAmt
Program Services$4,931,349ProgramServicesAmt
Management And General$606,526ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$538,589TotalAmt
Program Services$440,253ProgramServicesAmt
Management And General$98,336ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$936,366TotalAmt
Program Services$765,404ProgramServicesAmt
Management And General$170,962ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$520,338TotalAmt
Program Services$425,334ProgramServicesAmt
Management And General$95,004ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$60,565TotalAmt
Management And General$60,565ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$37,575TotalAmt
Management And General$37,575ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$530,684TotalAmt
Program Services$126,375ProgramServicesAmt
Management And General$404,309ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$493,973TotalAmt
Program Services$43,470ProgramServicesAmt
Management And General$450,503ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$235,044TotalAmt
Program Services$79,197ProgramServicesAmt
Management And General$155,847ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$266,158TotalAmt
Program Services$28,665ProgramServicesAmt
Management And General$237,493ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$260,717TotalAmt
Management And General$260,717ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$195,357TotalAmt
Program Services$106,328ProgramServicesAmt
Management And General$89,029ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$45,619TotalAmt
Program Services$19,800ProgramServicesAmt
Management And General$25,819ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$46,765TotalAmt
Management And General$46,765ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$320,280TotalAmt
Management And General$320,280ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$321,918TotalAmt
Program Services$849ProgramServicesAmt
Management And General$321,069ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
Cost of Procurement-Imp$1,660,458$1,660,458
Cost of Procurement-Ope$1,418,199$1,418,199
Cost of Procurement-Org$1,339,847$1,339,847
Cost of Procurement-Sur$599,200$599,200

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$4,954,775TotalAmt
Program Services$4,372,562ProgramServicesAmt
Management And General$582,213ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$21,744,261TotalAmt
Program Services$17,053,467ProgramServicesAmt
Management And General$4,690,794ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$443BOYAmt
EOY$288EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$5,598,159BOYAmt
EOY$5,782,632EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$4,153,143BOYAmt
EOY$6,793,616EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$100,182BOYAmt
EOY$115,098EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$260,781BOYAmt
EOY$241,836EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$5,168,446LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$901,317LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$4,136,560BOYAmt
EOY$4,267,129EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$20,000BOYAmt
EOY$8,525EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$14,269,268BOYAmt
EOY$17,209,124EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,638,032BOYAmt
EOY$2,964,718EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$1,551,661BOYAmt
EOY$1,500,046EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,189,693BOYAmt
EOY$4,464,764EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$10,079,575BOYAmt
EOY$12,744,360EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$10,079,575BOYAmt
EOY$12,744,360EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$14,269,268BOYAmt
EOY$17,209,124EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$2,664,785ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewYes (1)AccountantCompileOrReviewInd

Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,928,482CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,494,693CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,651,818CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,613,765CurrentTaxYearMinus1YearAmt
Current Tax Year$9,712,340CurrentTaxYearAmt
Total$29,401,098TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,928,482CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,494,693CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,651,818CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,613,765CurrentTaxYearMinus1YearAmt
Current Tax Year$9,712,340CurrentTaxYearAmt
Total$29,401,098TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$29,401,098PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$66,975CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$80,828CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$79,736CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$59,933CurrentTaxYearMinus1YearAmt
Current Tax Year$97,568CurrentTaxYearAmt
Total$385,040TotalAmt
FieldValueIRS element (for citing)
Total Support$29,786,138TotalSupportAmt
Gross Receipts Rltd Activities$57,789,248GrossReceiptsRltdActivitiesAmt
Public Support CY1700.98710PublicSupportCY170Pct
Public Support PY1700.98510PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$771,990OtherCostOrOtherBasisAmt
Book Value$771,990BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,365,547OtherCostOrOtherBasisAmt
Depreciation$86,184DepreciationAmt
Book Value$1,279,363BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,703,307OtherCostOrOtherBasisAmt
Depreciation$381,583DepreciationAmt
Book Value$1,321,724BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,327,602OtherCostOrOtherBasisAmt
Depreciation$433,550DepreciationAmt
Book Value$894,052BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$4,267,129TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt$24,409,046TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$24,409,046RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$24,409,046TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$21,744,261TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$21,744,261ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$21,744,261TotalExpensesPerForm990Amt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JAN FOUTCH
VP OF QUALITY SERVICES$130,305$0$0$0$0$0$14,005$0$11,188$0$155,498$0$0$0
JANICE WHALEY
EXECUTIVE VP/COO$204,331$0$0$0$0$0$21,962$0$10,042$0$236,335$0$0$0
JEFF ORLOWSKI
PRESIDENT/CEO$269,953$0$0$0$0$0$34,622$0$20,657$0$325,232$0$0$0
MICHELLE GIBSON
VP HUMAN RESOURCES$117,508$0$0$0$0$0$13,428$0$21,976$0$152,912$0$0$0
PHIL VAN STAVERN
FORMER COO$144,620$0$0$0$0$0$0$0$0$0$144,620$0$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section B, line 11The governing body receives a copy of the 990 prior to the filing of the return.
Form 990, Part VI, Section B, line 12cThe employees and the board members sign a conflict of interest statement annually.
Form 990, Part VI, Section C, line 19Lifeshare 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 VIIANTHONY SEBASTIAN, M.D. - OKLAHOMA TRANSPLANT CENTER 940 NE 13TH STREET STE OKLAHOMA CITY, OK 73104. BENJAMIN COWLEY, M.D. - OUHSC/920 STANTON L. YOUNG BLVD WP 2250, OKLAHOMA CITY, OK 73104. ED HEINEN - 3366 NW EXPRESSWAY, SUITE 800, OKLAHOMA CITY, OK 73112. 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. PAMELA SPANBAUER, R.N., B.S.N., M.Ed. - 5308 NW 118TH CIRCLE, OKLAHOMA CITY, OK 73162. PHIL VAN STAVERN - 2241 NW 56TH, OKLAHOMA CITY, OK 73112. PUNEET SINDHWANI, M.D. - 920 STANTON L. YOUNG BLVD, WP3150, OKLAHOMA CITY, OK 73104. RAJAT KAUL, M.D. - 1124 SOUTH ST. LOUIS AVENUE, SUITE 200, TULSA, OK 74120. SAMANTHA WEYRAUCH DAVIS - 320 SOUTH BOSTON AVENUE, SUITE 200, TULSA, OK 74103-3706. STEVE MILLER, M.D. - 10901 EAST 48TH STREET, TULSA, OK 74146. SUZANNE WHEELER - 4200 E SKELLY DR, SUITE 950, TULSA, OK 74135. THOMAS KENKEL, M.D. - 1124 SOUTH ST. LOUIS AVENUE, SUITE 200, TULSA, OK 74120.
Form 990, Part IX, line 24eCost of Procurement-Other Acquisition Costs: Program service expenses 409,116. Management and general expenses 0. Fundraising expenses 0. Total expenses 409,116. Call Center: Program service expenses 408,719. Management and general expenses 0. Fundraising expenses 0. Total expenses 408,719. Cost of Procurement-Tissue Procurement Expense: Program service expenses 384,908. Management and general expenses 0. Fundraising expenses 0. Total expenses 384,908. Cost of Procurement-Transportation of Organs and Tissue: Program service expenses 378,650. Management and general expenses 0. Fundraising expenses 0. Total expenses 378,650. Cost of Procurement-Hospital Lab: Program service expenses 365,941. Management and general expenses 0. Fundraising expenses 0. Total expenses 365,941. Cost of Procurement-Anesthesiology: Program service expenses 274,795. Management and general expenses 0. Fundraising expenses 0. Total expenses 274,795. Cost of Procurement-Tissue Typing: Program service expenses 265,181. Management and general expenses 0. Fundraising expenses 0. Total expenses 265,181. Sponsorships: Program service expenses 116,816. Management and general expenses 145,525. Fundraising expenses 0. Total expenses 262,341. Cost of Procurement-Organ Acquisition Non-Recovery: Program service expenses 237,409. Management and general expenses 0. Fundraising expenses 0. Total expenses 237,409. Cost of Procurement-Donor Evaluation: Program service expenses 233,622. Management and general expenses 0. Fundraising expenses 0. Total expenses 233,622. Cost of Procurement-Medical Supplies: Program service expenses 190,600. Management and general expenses 0. Fundraising expenses 0. Total expenses 190,600. Human Resources: Program service expenses 0. Management and general expenses 166,799. Fundraising expenses 0. Total expenses 166,799. Admin & General: Program service expenses 40,349. Management and general expenses 109,737. Fundraising expenses 0. Total expenses 150,086. Cost of Procurement-Transportation of Teams: Program service expenses 144,061. Management and general expenses 0. Fundraising expenses 0. Total expenses 144,061. Donor Data System: Program service expenses 136,835. Management and general expenses 0. Fundraising expenses 0. Total expenses 136,835. Transplant Coordinator Expense: Program service expenses 114,883. Management and general expenses 0. Fundraising expenses 0. Total expenses 114,883. Cost of Procurement-Respiratory Therapy: Program service expenses 113,350. Management and general expenses 0. Fundraising expenses 0. Total expenses 113,350. Professional Education: Program service expenses 53,462. Management and general expenses 55,852. Fundraising expenses 0. Total expenses 109,314. Cost of Procurement-Pharmacy: Program service expenses 100,734. Management and general expenses 0. Fundraising expenses 0. Total expenses 100,734. Cost of Procurement-Intensive Care Unit: Program service expenses 89,025. Management and general expenses 0. Fundraising expenses 0. Total expenses 89,025. Cost of Procurement-Medical Waste: Program service expenses 86,372. Management and general expenses 0. Fundraising expenses 0. Total expenses 86,372. Cost of Procurement-Organ Hospital Bill Review: Program service expenses 79,569. Management and general expenses 0. Fundraising expenses 0. Total expenses 79,569. Memberships and Dues: Program service expenses 8,940. Management and general expenses 56,030. Fundraising expenses 0. Total expenses 64,970. Doubtful Accounts Provision: Program service expenses 51,437. Management and general expenses 0. Fundraising expenses 0. Total expenses 51,437. Donations: Program service expenses 0. Management and general expenses 39,301. Fundraising expenses 0. Total expenses 39,301. Cost of Procurement-Other Excision Costs: Program service expenses 34,872. Management and general expenses 0. Fundraising expenses 0. Total expenses 34,872. Cost of Procurement-Transplant Coordinator: Program service expenses 33,461. Management and general expenses 0. Fundraising expenses 0. Total expenses 33,461. Uniforms & Linens: Program service expenses 14,786. Management and general expenses 0. Fundraising expenses 0. Total expenses 14,786. Taxes-Other: Program service expenses 0. Management and general expenses 5,432. Fundraising expenses 0. Total expenses 5,432. Team Oklahoma: Program service expenses 4,102. Management and general expenses 0. Fundraising expenses 0. Total expenses 4,102. Tools & Med Supplies: Program service expenses 567. Management and general expenses 3,354. Fundraising expenses 0. Total expenses 3,921. Bank Service Charges: Program service expenses 0. Management and general expenses 183. Fundraising expenses 0. Total expenses 183.

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