2015-05-15T08:35:39-05:00 2014-12-31 421243538 BERGAN PAULSEN & COMPANY PC PO BOX 2100 WATERLOO IA 507042100 990 2014-01-01 421414092 IOWA DONOR NETWORK IOWA 3196653787 550 MADISON AVENUE NORTH LIBERTY IA 52317 SUZANNE CONRAD CHIEF EXECUTIVE OFFICER 3196653787 2015-05-11 1 DAVID A RICHTER CPA P00168204 3192346885 2014 2016-02-25 16:41:14Z SUZANNE CONRAD 550 MADISON AVENUE NORTH LIBERTY IA 52317 21901459 0 X WWW.IOWADONORNETWORK.ORG X 1993 IA THE ORGANIZATION FACILITATES BOTH ORGAN AND TISSUE RECOVERY AND SERVES AS THE STATE OF IOWA'S PRIMARY CONTACT FOR ORGAN, TISSUE AND EYE DONATION. 17 17 175 88 0 0 777622 1303336 20727660 20580271 13149 15266 7450 712 21525881 21899585 0 0 0 0 9846341 10779953 0 0 81950 9809758 9888846 19656099 20668799 1869782 1230786 17946283 25115786 3596495 9428439 14349788 15687347 X WORKING TOGETHER TO TRANSFORM LIVES THROUGH ORGAN AND TISSUE DONATION. 0 0 15461347 20580271 ORGAN AND TISSUE RECOVERYIDN IS A NON-PROFIT 501(c)(3) ORGANIZATION THAT OPERATES AS THE PRIMARY CONTACT FOR ORGAN, TISSUE AND EYE DONATION SERVICES IN THE STATE OF IOWA. THE CENTERS FOR MEDICARE AND MEDICAID SERVICES HAS CERTIFIED IDN TO FUNCTION AS THE SINGLE ORGAN PROCUREMENT ORGANIZATION SERVING THE STATE OF IOWA. IDN ALSO PROVIDES TISSUE RECOVERY SERVICES. IN 2014, ORGAN RECOVERY SERVICES GENERATED $11,284,848 IN REVENUES WHILE TISSUE RECOVERY SERVICES CONTRIBUTED $9,078,712 TOWARD REVENUES. IDN WORKS WITH MORE THAN 100 HOSPITALS ACROSS THE STATE. IT ALSO WORKS CLOSELY WITH THE IOWA LIONS EYE BANK TO PROMOTE EYE DONATION. IN KEEPING WITH ITS GOALS, IDN ENGAGES IN MANY INTERRELATED ACTIVITIES: ORGAN AND TISSUE RECOVERY, ORGAN DISTRIBUTION, PUBLIC EDUCATION AND AWARENESS ACTIVITIES, HOSPITAL AND COMMUNITY DONOR REFERRAL DEVELOPMENT, AND DONOR FAMILY CARE AND FOLLOW-UP SERVICES.AN IDN DONATION COORDINATOR MANAGES THE IDENTIFICATION, EVALUATION AND MEDICAL MAINTENANCE OF ORGAN AND TISSUE DONORS. THIS INCLUDES, ASSISTING OR PERFORMING THE SURGICAL RECOVERY OF ORGANS AND TISSUES, AND COORDINATING THE PLACEMENT AND TRANSPORTATION OF RECOVERED ORGANS. IDN ALSO WORKS WITH IOWA LIONS EYE BANK TO FACILITATE EYE DONATION AND RECOVERY.IDN WAS THE 7TH DONATION SERVICE AREA IN THE UNITED STATES TO DEVELOP A DONOR REGISTRY AND ENACT FIRST PERSON CONSENT LEGISLATION. THE REGISTRY, COMBINED WITH LEGISLATION, ALLOWS IOWANS TO LEGALLY CONSENT TO ORGAN AND TISSUE DONATION PRIOR TO DEATH. THIS PROCESS ALLEVIATES THE STRESS ON SURVIVING FAMILY MEMBERS OF TRYING TO MAKE A DONATION DECISION AT A VERY DIFFICULT TIME, DURING THE LOSS OF A LOVED ONE.IDN HAS BEEN RECOGNIZED BY HRSA AS A TOP PERFORMER IN ORGAN RECOVERY. IOWA DONOR NETWORK IS FULLY ACCREDITED BY THE ASSOCIATION OF ORGAN PROCUREMENT ORGANIZATIONS AND THE AMERICAN ASSOCIATION OF TISSUE BANKS.IN 2014, IDN RECEIVED MORE THAN 35,000 CALLS FROM IOWA HOSPITALS AND OTHER HEALTH CARE AND COMMUNITY AGENCIES REFERRING POTENTIAL ORGAN AND TISSUE DONORS. IN 2014, IOWA DONOR NETWORK PROVIDED LIFE-SAVING ORGANS TO WAITING RECIPIENTS FROM 60 DONORS. IN ADDITION, LIFE-SAVING AND LIFE-ENHANCING TISSUE WAS RECOVERED FROM 982 TISSUE DONORS.IOWA DONOR NETWORK PROVIDED GRIEF SUPPORT TO MORE THAN 1,000 IOWA FAMILIES WHO HAVE LOST A LOVED ONE AND MADE THE GENEROUS DECISION TO DONATE. 2038512 HOSPITAL DEVELOPMENT, PUBLIC EDUCATION, AND DONOR FAMILY SERVICESIDN IS COMMITTED TO MEETING ALL HOSPITALS' EDUCATIONAL NEEDS REGARDING DONATION. THIS INCLUDES: TRAINING IN THE IDENTIFICATION, REFERRAL AND MANAGEMENT OF ORGAN DONORS, SENSITIVITY AND TIMING FOR APPROACHING POTENTIAL DONOR FAMILIES WITH THE OPTION OF DONATION, RESPONSIBILITY IN THE OPERATING ROOM FOR RECOVERIES AND DISCUSSIONS CONCERNING AUTHORIZATION FOR DONATION. THE TISSUE RECOVERY PROCESS IS PERFORMED BY IDN STAFF WHILE ORGAN RECOVERY IS DONE BY TRAINED, IDN AFFILIATED TRANSPLANT SURGEONS.EVERY HOSPITAL, MEDICAL EXAMINER'S OFFICE, DMV OFFICE, AND EMS PROGRAM IN IOWA HAS AN ASSIGNED IDN REPRESENTATIVE WHOSE JOB IT IS TO MAKE SURE THAT PERSONNEL KNOW HOW AND WHEN TO CONTACT IDN FOR DONATION ASSISTANCE. IN 2014, IDN STAFF CONDUCTED OVER 150 FORMAL CONTINUING EDUCATION PROGRAMS FOR NURSING AND ALLIED HEALTH STAFF AS WELL AS GREATER THAN 400 INFORMAL EDUCATION SESSIONS WITHIN THE HOSPITALS AND COMMUNITY AGENCIES. IDN STAFF WORK WITH HOSPITALS AND ASSIGNED AGENCIES TO DEVELOP PROTOCOLS OR POLICIES AND PROCEDURES RELATED TO REFERRAL FOR ORGAN AND TISSUE DONATION. OTHER DUTIES INCLUDE: MEETING WITH HOSPITAL/ AGENCY LEADERSHIP AND PERSONNEL TO ENGAGE SUPPORT FOR ORGAN AND TISSUE DONATION, FOLLOW-UP AFTER EACH ORGAN REFERRAL AND FOLLOW-UP WITH STAFF AFTER EACH ORGAN OR TISSUE RECOVERY.IDN HAS A DEPARTMENT WITH TRAINED STAFF DEDICATED TO PROVIDING DONOR FAMILY CARE SERVICES AT THE TIME OF CRISIS AND FOR A PERIOD OF UP TO 24 MONTHS FOLLOWING DONATION IF SO DESIRED BY THE DONOR NEXT-OF-KIN. IDN'S PUBLIC EDUCATION FOCUS IS TO INCREASE DONATION AWARENESS AND ACCEPTANCE. WITH DATA FROM THE IOWA DONOR REGISTRY, THIS EFFORT IS FOCUSED ON REGIONS OF THE STATE (COUNTIES) WITH LOWER THAN AVERAGE DONOR REGISTRATIONS. ACTIVITIES AND PROMOTIONS ARE ORGANIZED AND CONDUCTED BY IDN'S PUBLIC OUTREACH STAFF, WITH THE HELP OF VOLUNTEERS AND CONTRACTED ADVERTISING AND PR AGENCIES. PUBLIC EDUCATION INCLUDES: PRESENTATIONS TO CIVIC GROUPS, WORK PLACES, DRIVER'S EDUCATION AND SPECIAL EVENTS. IN 2014, IOWA HAD APPROXIMATELY 1.7 MILLION RESIDENTS SIGNED UP TO THE IOWA DONOR REGISTRY. THE REGISTRY CAPTURES THE AUTHORIZATION OF ANYONE IN THE STATE WISHING TO BE A DONOR. IN 2014, THERE WERE OVER 200 HOURS OF PUBLIC EDUCATION GIVEN TO THE RESIDENTS OF IOWA. IDN PROVIDES RESOURCES TO VOLUNTEER ORGANIZATIONS AND SUPPORT GROUPS THROUGHOUT IOWA: THESE GROUPS ARE COMPOSED OF PEOPLE WAITING FOR TRANSPLANT, DONOR FAMILY MEMBERS, RECIPIENTS AND OTHER CONCERNED INDIVIDUALS. IDN IS ASSOCIATED WITH SEVERAL PROFESSIONAL ORGANIZATIONS AT THE NATIONAL LEVEL, INCLUDING THE NORTH AMERICAN TRANSPLANT COORDINATIORS ORGANIZATION, THE ASSOCIATION OF ORGAN PROCUREMENT ORGANIZATIONS, THE AMERICAN SOCIETY FOR MULTICULTURAL HEALTH AND TRANSPLANT PROFESSIONALS, THE AMERICAN ASSOCIATION OF TISSUE BANKS AND THE UNITED NETWORK FOR ORGAN SHARING. IN COOPERATION WITH THE GUIDELINES SET FORTH BY THESE PROFESSIONAL ASSOCIATIONS AND GOVERNING BODIES, ALONG WITH THE TRANSPLANT CENTERS ACROSS THE COUNTRY, DONATED ORGANS ARE ALLOCATED EQUITABLY TO TRANSPLANT PATIENTS ACCORDING TO NATIONAL DISTRIBUTION REGULATIONS. 17499859 1 1 0 1 0 0 0 0 0 0 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 71 0 1 175 1 0 0 0 0 0 0 0 0 0 0 X 17 17 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X X X ANGELA CALHOUN 3196653787 550 MADISON AVENUE NORTH LIBERTY IA 52317 SARA DROBNICH VICE CHAIR 2.00 X X 0 0 0 DAVE JAMISON CHAIR 2.00 X X 0 0 0 TAMMI ERB TREASURER 2.00 X X 0 0 0 ALAN REED MD DIRECTOR 2.00 X 0 0 0 BOB RICHARD DIRECTOR 2.00 X 0 0 0 CHRISTIE THOMAS MD SECRETARY 2.00 X X 0 0 0 ERIC BRIESEMEISTER DIRECTOR 2.00 X 0 0 0 JEAN SHELTON DIRECTOR 2.00 X 0 0 0 KIM BURDAKIN DIRECTOR 2.00 X 0 0 0 LAURA WENMAN DIRECTOR 2.00 X 0 0 0 LYNNE LANNING DIRECTOR 2.00 X 0 0 0 MAUREEN KEEHNLE DIRECTOR 2.00 X 0 0 0 NANCY RICHARDSON DIRECTOR 2.00 X 0 0 0 SHARON BLANCHE RN DIRECTOR 2.00 X 0 0 0 WAYNE RICHENBACHER MD DIRECTOR 2.00 X 0 0 0 FATHER MARTY GOETZ DIRECTOR 2.00 X 0 0 0 MICHAEL HENSCH DIRECTOR 2.00 X 0 0 0 STEPHEN DONAHOE DIRECTOR 2.00 X 0 0 0 SUZANNE CONRAD CEO 40.00 X 276764 0 45732 ANGIE CALHOUN FINANCE MANAGER 40.00 X 107192 0 18636 SARAH FEWELL COO 40.00 X 179695 0 21412 KENT ALLISON IT MANAGER 40.00 X 115214 0 10874 SAM HILL ORGAN DONATION MANAGER 40.00 X 114132 0 29480 LINDSEY JONES HR MANAGER 40.00 X 112428 0 12941 MIKE KAISER CLINICAL RECOVERY MANAGER 40.00 X 105764 0 31860 JULIE SCHNEIDER PROFESSIONAL OUTREACH MANAGER 40.00 X 106526 0 23162 1117715 0 194097 12 0 1 0 MIDWEST TRANSPLANT NETWORK PO BOX 843313 KANSAS CITY MO 641843313 ORGAN PROCUREMENT 1514400 UNIVERSITY OF IOWA 2100 UNIVERSITY CAPITOL CENTRE IOWA CITY IA 522425500 HOSPITAL RECOVERY SERVICES 766671 LABS INC PO BOX 712997 CINCINNATI OH 425712997 TISSUE SEROLOGY TESTING 371021 MID AMERICA TRANSPLANT 1110 HIGHLANDS PLAZA DR E 100 ST LOUIS MO 63110 ORGAN PROCUREMENT 304800 LEARFIELD COMMUNICATIONS 505 HOBBS ROAD JEFFERSON CITY MO 65109 ADVERTISING 295875 11 219448 1083888 1303336 ORGAN & TISSUE PROCUREMENT 900099 20580271 20580271 20580271 10968 10968 6172 1874 4298 4298 4298 MISCELLANEOUS REVENUE 900099 712 712 712 21899585 20580271 0 15978 727560 217130 510430 7844429 6696437 1086878 61114 1512670 1267879 237813 6978 695294 564251 126041 5002 23370 23370 23200 23200 24000 24000 479132 244108 234975 49 584025 191638 392387 283430 217142 62222 4066 96792 66460 29976 356 593409 512770 79131 1508 275882 167816 106779 1287 55636 35823 19493 320 143467 114552 28524 391 128925 111549 16906 470 DIRECT RECOVERY COSTS 6421112 6421112 INDIRECT PROCUREMENT CO 458526 458526 SPECIAL PROJECTS 165296 128049 37223 24 132644 84617 47642 385 20668799 17499859 3086990 81950 89737 108706 4627773 5910872 111086 116010 5950869 5429254 110366 385078 9328389 1064636 2261112 8263753 4795340 4902113 17946283 25115786 2876789 3441939 719706 5986500 3596495 9428439 X 14329955 15382267 19833 305080 14349788 15687347 17946283 25115786 X 1230786 106773 X 0 1 X 1 0 X 170646 485223 529459 625782 803336 2614446 15232685 15019775 17037209 20727660 20580271 88597600 15403331 15504998 17566668 21353442 21383607 91212046 337346 376944 420765 447533 1582588 0 337346 376944 420765 447533 1582588 89629458 15335 13880 8247 7147 10968 55577 15335 13880 8247 7147 10968 55577 39056 1882 9 7450 712 49109 15457722 15520760 17574924 21368039 21395287 91316732 0.98150 0.99870 0.00060 0.00060 X PART III LINE 12 REPRESENTS: MISCELLANEOUS REVENUE RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 24000 24000 0 Part II-B, Line 1: IDN RETAINS A LOBBYING FIRM TO DEAL WITH LEGISLATIVE ISSUES RELATED TO ORGAN AND TISSUE DONATION. 838814 838814 1926255 440474 1485781 87170 83151 4019 868401 541011 327390 5607749 5607749 8263753 INTEREST IN NET ASSETS OF ALLOSOURCE 4902113 4902113 22006358 106773 106773 21899585 0 21899585 20668799 0 20668799 0 20668799 Part XI, Line 2d - Other Adjustments: CHANGE OF INTEREST IN ALLOSOURCE NET ASSETS 106,773. X X X X 0 0 0 0 0 0 0 1 0 SUZANNE CONRAD CEO 227184 0 26580 0 23000 0 24280 0 21452 0 322496 0 0 0 SARAH FEWELL COO 166998 0 0 0 12697 0 18138 0 3274 0 201107 0 0 0 Part I, Line 7 THE CEO'S BONUS WAS DETERMINED AT THE SOLE DISCRETION OF THE BOARD OF DIRECTORS AND BASED ON THE EVALUATION OF THE CEO'S PERFORMANCE. A COUNTY OF POLK IOWA 426004519 2014-05-23 5986500 FINANCE NEW FACILITY IN ALTOONA, IOWA 0 1 0 A 5986500 5004469 982031 2015 0 0 0 1 A 0 0 0 0 0 0 1 A 0 0 1 0 0 0 0 0 1 LUCAS FEWELL SON OF A KEY EMPLOYEE 89378 COMPENSATION PAYMENTS AS AN EMPLOYEE FOR IOWA DONOR NETWORK DURING 2014. 0 Form 990, Part VI, Section B, line 11 THE IDN CHIEF EXECUTIVE OFFICER PROVIDES THE DRAFT FORM 990 TO THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS FOR DISCUSSION DURING ITS NEXT MEETING OR CONFERENCE CALL. MEMBERS OF THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS REVIEW ALL INFORMATION PROVIDED IN THE FORM 990 AND MAKE ANY RECOMMENDATIONS FOR CHANGES TO THE CHIEF EXECUTIVE OFFICER. IDN BOARD OF DIRECTORS REVIEW AND VOTE TO APPROVE THE DRAFT FORM 990 PRIOR TO FILING. Form 990, Part VI, Section B, line 12c EACH DIRECTOR, OFFICER, KEY EMPLOYEE, BOARD COMMITTEE MEMBER, AND MEDICAL ADVISORY COMMITTEE MEMBER ANNUALLY SIGNS A STATEMENT, WHICH AFFIRMS SUCH PERSON: (A) HAS RECEIVED A COPY OF THE CONFLICTS OF INTEREST POLICY. (B) HAS READ AND UNDERSTANDS THE POLICY (C) HAS AGREED TO COMPLY WITH THE POLICY, AND (D) UNDERSTANDS THAT IDN IS CHARITABLE AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES THAT ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. DECLARATION OF CONFLICT ADDED TO ALL BOARD/COMMITTEE AGENDAS. Form 990, Part VI, Section B, line 15 THE MARKET IS SURVEYED EVERY TWO YEARS TO EVALUATE EXISTING WAGE AND SALARY RANGES TO MAINTAIN THE OVERALL INTEGRITY AND COMPETITIVENESS OF OUR MARKET BASED SYSTEM. ESTABLISHED WAGE AND SALARY RANGES ARE REVIEWED WITH ASSISTANCE FROM AN OUTSIDE COMPENSATION SPECIALIST. IN 2014, A COMPENSATION SURVEY WAS CONDUCTED BY AN OUTSIDE CONSULTANT FOR ALL STAFF AND EXECUTIVE LEVEL POSITIONS. SALARY INCREASES ARE NOT GRANTED AUTOMATICALLY, BUT ONLY AS A RESULT OF DEMONSTRATED PERFORMANCE, DOCUMENTED BY A JOB-RELATED PERFORMANCE APPRAISAL. THE BOARD ANNUALLY APPROVES THE PERFORMANCE REVIEW OF THE CHIEF EXECUTIVE OFFICER AND ESTABLISHES COMPENSATION BASED ON RECOMMENDATIONS OF THE EXECUTIVE COMMITTEE AND BOARD CHAIR. FOR OFFICERS OR KEY EMPLOYEES, THE BOARD APPROVES APPROPRIATE COMPENSATION AND BENEFIT POLICIES AND PRACTICES. DOCUMENTATION REGARDING THE COMPENSATION ARRANGEMENT IS MAINTAINED BY THE HUMAN RESOURCES MANAGER. PERIODIC REVIEWS ARE CONDUCTED AND AT A MINIMUM INCLUDE THE FOLLOWING SUBJECTS:(A) WHETHER COMPENSATION ARRANGEMENTS AND BENEFITS ARE REASONABLE, AND THE RESULT OF ARMS LENGTH BARGAINING,(B) WHETHER COMPENSATON ARRANGEMENTS AND ALL PAYMENTS FOR SERVICES CONFORM TO IDN POLICIES, ARE PROPERLY RECORDED, REFLECT REASONABLE INVESTMENT OR PAYMENTS FOR GOODS AND SERVICES, FURTHER IDN CHARITABLE PURPOSES AND DO NOT RESULT IN INUREMENT, IMPERMISSIBLE PRIVATE BENEFIT OR IN AN EXCESS BENEFIT TRANSACTION. Form 990, Part VI, Section C, line 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST. Form 990, Part XI, line 9: REPRESENTS THE CHANGE IN THE ORGANIZATION'S INTEREST IN THE 106,773. NET ASSETS OF ALLOSOURCE