2015-10-02T07:50:39-05:00 2014-12-31 420714325 MCGLADREY LLP 801 NICOLLET MALL SUITE 1100 MINNEAPOLIS MN 55402 990 2014-01-01 363584029 UPPER MIDWEST ORGAN PROCUREMENT ORGANIZATION INC / LIFESOURCE UPPE 6128006100 2225 WEST RIVER ROAD NORTH MINNEAPOLIS MN 55411 PETER D FARSTAD CAO 6128006100 2015-08-11 1 TODD A JACKSON P00092672 6123324300 2014 2016-03-07 17:11:31Z X LIFESOURCE SUSAN RAETHER 2225 WEST RIVER ROAD NORTH MINNEAPOLIS MN 55411 39840700 0 X WWW.LIFE-SOURCE.ORG X 1987 MN LIFESOURCE SAVES LIVES AND OFFERS HOPE AND HEALING THROUGH EXCELLENCE IN ORGAN AND TISSUE DONATION. 14 14 161 200 0 0 234254 1590449 33464251 37941342 71038 27980 252649 243323 34022192 39803094 0 0 0 0 12357240 12927000 0 40313 40313 18713322 23172880 31070562 36140193 2951630 3662901 38597982 44489571 17596712 19823413 21001270 24666158 X THE MISSION OF LIFESOURCE IS TO SAVE LIVES AND OFFER HOPE AND HEALING THROUGH EXCELLENCE IN ORGAN AND TISSUE DONATION. 0 0 25267160 38198228 ORGAN AND TISSUE PROCUREMENT: THE ORGAN AND TISSUE PROCUREMENT DEPARTMENTS WORK COLLABORATIVELY WITH HOSPITAL STAFF IN THE LIFESOURCE DONOR SERVICE AREA (MINNESOTA, NORTH DAKOTA, SOUTH DAKOTA, AND A PORTION OF WESTERN WISCONSIN) TO IDENTIFY POTENTIAL ORGAN AND TISSUE DONORS, PROVIDE SUPPORT TO FAMILIES THROUGHOUT THE DONATION PROCESS, SUPPORT PROTOCOLS ESTABLISHED BY THE UNITED NETWORK FOR ORGAN SHARING TO MATCH THE ORGANS WITH THE INTENDED RECIPIENT, COORDINATE ALL CLINICAL ACTIVITIES AND ARRANGE THE SURGICAL RECOVERY OF ORGANS AND TISSUES. DONATION COORDINATORS AND TISSUE RECOVERY PERSONNEL, IN CONJUNCTION WITH DONOR SERVICES CENTER STAFF ACQUIRE KNOWN INFORMATION ABOUT AN INDIVIDUAL'S DOCUMENTED DESIGNATION FOR DONATION. IF NO KNOWN DOCUMENTATION EXISTS, THE COORDINATOR WILL WORK WITH THE NEXT-OF-KIN TO OBTAIN AUTHORIZATION FOR DONATION. IN 2014, LIFESOURCE MANAGED 150 ORGAN DONATION CASES, RESULTING IN 463 ORGAN TRANSPLANTS. IN ADDITION, STAFF COORDINATED THE IMPORT OF 240 ORGANS FROM DONORS OUTSIDE THE LIFESOURCE REGION FOR TRANSPLANTATION IN THE LIFESOURCE REGION. THESE SERVICES SUPPORT THE WORK OF EIGHT TRANSPLANT PROGRAMS LOCATED IN THE LIFESOURCE SERVICE AREA. LIFESOURCE TISSUE RECOVERY STAFF COORDINATED 570 TISSUE DONATION CASES, RESULTING IN THE TRANSPLANT OF APPROXIMATELY 30,039 TISSUE GRAFTS CONSISTING OF BONE, CONNECTIVE TISSUE, FASCIA, SKIN, VEIN AND HEART VALVES. 2502720 HOSPITAL SERVICES: THE HOSPITAL SERVICES DEPARTMENT IS COMMITTED TO MAXIMIZING ORGAN AND TISSUE DONATION BY BUILDING SUCCESSFUL RELATIONSHIPS WITH KEY STAFF MEMBERS OF 270 DONOR HOSPITALS LOCATED THROUGHOUT THE LIFESOURCE REGION. LIFESOURCE HOSPITAL LIAISONS ARE STRATEGICALLY LOCATED IN MINNEAPOLIS, MN; ROCHESTER, MN; DULUTH, MN; FARGO, ND; BISMARCK, ND; RAPID CITY, SD AND SIOUX FALLS, SD. THE GOALS OF THIS DEPARTMENT INCLUDE MAINTAINING STRONG WORKING RELATIONSHIPS WITH HOSPITAL STAFF, PROVIDING EDUCATION TO CLINICIANS, ASSISTING HOSPITAL STAFF IN COMPLYING WITH FEDERAL STANDARDS AND ON-SITE SUPPORT DURING DONATION CASES. 3441239 PUBLIC EDUCATION: LIFESOURCE MAINTAINS A STRONG COMMITMENT TO PUBLIC EDUCATION ACTIVITIES DESIGNED TO INCREASE AWARENESS AND UNDERSTANDING ABOUT THE NEED FOR ORGAN AND TISSUE DONATION IN THE LIFESOURCE REGION. THESE ACTIVITIES ARE FOCUSED ON DEVELOPING EXTERNAL RELATIONSHIPS FOR THE PURPOSE OF BUILDING SUPPORT FOR DONATION AND POSITIONING LIFESOURCE AS THE DONATION EXPERT IN THE REGION. THIS WORK IS CRITICAL AS THE GROWING NEED FOR ORGANS AND TISSUES WILL NOT BE MET WITHOUT INCREASED PUBLIC SUPPORT AND INDIVIDUALS WHO DESIGNATE THEMSELVES AS DONORS THROUGH THE STATE DRIVER'S LICENSE BUREAU OR ONLINE STATE DONOR REGISTRY. IN 2014, 200 VOLUNTEERS SUPPORTED THE LIFESOURCE MISSION THROUGH HIGH SCHOOL AND COMMUNITY EDUCATION. THE PUBLIC EDUCATION DEPARTMENT ALSO WORKED TO INCREASE DONATION THROUGH MEDIA CAMPAIGNS, COMMUNITY OUTREACH INITIATIVES, GOVERNMENT RELATIONS AND DONOR FAMILY SERVICES. 31211119 1 1 0 1 0 0 0 0 0 0 1 1 0 1 1 1 1 0 0 0 0 0 0 1 1 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 120 0 1 161 1 0 0 0 0 0 1 1 0 0 0 0 X 14 14 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MN X PETER D FARSTAD 6128006100 2225 WEST RIVER ROAD NORTH MINNEAPOLIS MN 55411 HON GAIL HAGERTY CHAIR 5.00 X X 0 0 0 BRUCE KING VICE CHAIR 5.00 X X 0 0 0 SARA CRIGER SECRETARY/TREASURER 5.00 X X 0 0 0 SCOTT ANDERSON DIRECTOR 5.00 X 0 0 0 FRAZIER EALES MD DIRECTOR 5.00 X 0 0 0 CHARLES ROSEN MD DIRECTOR 5.00 X 0 0 0 REV C JOHN STEER DIRECTOR 5.00 X 0 0 0 CHAD RICHARDSON MD DIRECTOR 5.00 X 0 0 0 BROCK NELSON DIRECTOR 5.00 X 0 0 0 MARSHA SHOTLEY DIRECTOR 5.00 X 0 0 0 KEITH FAHNHORST DIRECTOR 5.00 X 0 0 0 TIM BJORK DIRECTOR 5.00 X 0 0 0 MARK RITCHIE DIRECTOR 5.00 X 0 0 0 MARJORIE A NELSON DIRECTOR 5.00 X 0 0 0 SUSAN RAETHER CEO 50.00 X 540752 0 55619 PETER FARSTAD CAO 50.00 X 241388 0 40095 MARGARET ROGERS DIRECTOR OF ORGAN PROCUREM 50.00 X 186709 0 27424 KATHRYN GEIST DIRECTOR OF HOSPITAL & TIS 50.00 X 188273 0 41157 SUSAN LARSON PUBLIC AFFAIRS DIRECTOR 50.00 X 165236 0 16062 BRENDA WELSCH DIRECTOR OF QUALITY & REGU 50.00 X 134475 0 32328 JULIE ZABLOSKI DIRECTOR OF DONOR SERVICES 50.00 X 127353 0 28749 1584186 0 241434 13 0 1 0 AVIATION CHARTER 9960 FLYING CLOUD DRIVE EDEN PRAIRIE MN 55347 CHARTER AIR SERVICE 3027992 GIFT OF HOPE ORGAN & TISSUE 425 SPRING LAKE DRIVE ITASCA IL 60143 ORGAN ACQUISITION CHARGES 1991290 UNIVERSITY OF WISCONSIN HOSPITAL 450 SCIENCE DRIVE SUITE 220 MADISON WI 53711 ORGAN ACQUISITION CHARGES 1096930 MP SWANSON LLC 333 WASHINGTON AVE N MINNEAPOLIS MN 55401 MEDIA PRODUCTION SERVICES 875000 MIDWEST TRANSPLANT NETWORK 1900 W 47TH PLACE SUITE 400 WESTWOOD KS 66205 ORGAN ACQUISITION CHARGES 710200 44 141238 1449211 73653 1590449 ORGAN PROC/RSRCH REV 621300 37941342 37941342 37941342 33023 33023 5043 -5043 -5043 -5043 19000 141238 32563 -13563 -13563 MISCELLANEOUS INCOME 621300 256886 256886 256886 39803094 38198228 0 14417 788543 473125 315418 10076700 7738906 2337794 731846 562058 169788 567868 436123 131745 762043 585249 176794 54972 54972 71218 71218 35955 35955 40313 40313 238131 238131 481318 481318 192154 192154 159878 33718 126160 149293 149293 297525 200202 97323 70700 70700 IMPORT ORGAN EXPENSE 10199423 10199423 PROCUREMENT COST: ORGAN 4218246 4218246 PUBLIC AND PROFESSIONAL 3654247 3654247 PROCUREMENT COST: HOSPI 1986710 1986710 1363110 1123112 239998 36140193 31211119 4888761 40313 6883715 10517678 236500 3640292 4140156 819671 1698591 488006 658825 20789624 1355098 3265486 19434526 6345043 4852179 17155769 2951116 38597982 44489571 4948298 7496684 12648414 12326729 17596712 19823413 X 21001270 24429658 236500 21001270 24666158 38597982 44489571 3662901 1987 0 X 0 1 X 1 0 X 550731 430029 104082 234254 1590449 2909545 28722903 31413475 32025789 33464251 37941342 163567760 29273634 31843504 32129871 33698505 39531791 166477305 13555 13555 351683 351683 365238 365238 166112067 53730 51848 69898 50028 33023 258527 53730 51848 69898 50028 33023 258527 734024 143116 305212 251640 275886 1709878 30061388 32038468 32504981 34000173 39840700 168445710 0.98610 0.98760 0.00150 0.00200 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 1 0 0 0 0 1 35955 0 0 35955 0 PART II-B, LINE 1: LIFESOURCE CONDUCTED LOBBYING ACTIVITIES DURING 2014 FOR THE PURPOSE OF LEGISLATIVE MONITORING AND INCREASING ORGAN AND TISSUE DONATION. TOTAL COSTS FOR 2014 EQUAL $35,955. 2131796 2131796 16192987 56245 16136742 1555283 851783 703500 909558 447070 462488 19434526 CERTIFICATES OF DEPOSIT 4852179 F 4852179 ASSETS LIMITED TO USE CONSTRUCTION FUND 2951116 2951116 CAPITAL LEASE OBLIGATIONS 12326729 12326729 X 39837644 1987 1987 39835657 -32563 -32563 39803094 36172756 0 36172756 -32563 -32563 36140193 PART X, LINE 2: THE ORGANIZATION REVIEWED ITS TAX POSITION FOR ALL OPEN TAX YEARS AND CONCLUDED THE PROVISIONS OF ASC 740 DID NOT HAVE AN IMPACT ON ITS FINANCIAL STATEMENT PRESENTATION. GENERALLY, THE ORGANIZATION IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY THE U.S. FEDERAL, STATE OR LOCAL TAX AUTHORITIES FOR THE YEARS BEFORE 2011. PART XI, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EXPENSE RECLASSIFIED AS REVENUE -32,563. PART XII, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EXPENSE RECLASSIFIED AS REVENUE -32,563. X 0 AMY WEISS 2308 NOTTINGHAM COURT MINNETONKA MN 55305 CONSULTS ON IN PERSONS SOLICATIONS 0 420700 40313 380387 420700 40313 380387 GOLF TOURNAMENT 160238 141238 19000 282 32281 160238 141238 19000 282 32281 32563 -13563 X X X X X 0 0 0 0 0 0 0 0 0 SUSAN RAETHER CEO 515017 0 0 0 25735 0 38300 0 27360 0 606412 0 0 0 PETER FARSTAD CAO 236634 0 0 0 4754 0 28142 0 21830 0 291360 0 0 0 MARGARET ROGERS DIRECTOR OF ORGAN PROCUREM 185381 0 0 0 1328 0 21709 0 10952 0 219370 0 0 0 KATHRYN GEIST DIRECTOR OF HOSPITAL & TIS 186182 0 0 0 2091 0 22614 0 27074 0 237961 0 0 0 SUSAN LARSON PUBLIC AFFAIRS DIRECTOR 164108 0 0 0 1128 0 16062 0 1686 0 182984 0 0 0 BRENDA WELSCH DIRECTOR OF QUALITY & REGU 132960 0 0 0 1515 0 13978 0 26371 0 174824 0 0 0 JULIE ZABLOSKI DIRECTOR OF DONOR SERVICES 125934 0 0 0 1419 0 12940 0 21783 0 162076 0 0 0 X 3M VAPOR BARRIER 1 73563 FMV 0 0 0 PART I, COLUMN (B): NUMBER OF ITEMS CONTRIBUTED FORM 990, PART VI, SECTION B, LINE 11 THE ORGANIZATION'S FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS IN ELECTRONIC FORM ON THE BOARD OF DIRECTORS PORTAL SITE IN ADVANCE OF THE BOARD OF DIRECTORS MEETING. AT THE BOARD OF DIRECTORS MEETING, THE ACCEPTANCE OF FORM 990 IS REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS. IN ADDITION, PRIOR TO THE BOARD OF DIRECTORS MEETING, FORM 990 IS PRESENTED TO AND REVIEWED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REQUIRES COMPLETION OF A CONFLICT OF INTEREST DISCLOSURE FORM BY ALL MEMBERS ON AN ANNUAL BASIS. FORM 990, PART VI, SECTION B, LINE 15 LIFESOURCE WORKS WITH INTEGRATED HEALTHCARE STRATEGIES TO CONDUCT AN ANALYSIS OF EXECUTIVE COMPENSATION EVERY OTHER YEAR. THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS ENGAGES INTEGRATED HEALTHCARE STRATEGIES AND SERVES AS THE COMPENSATION COMMITTEE. THE RESULTS OF THE COMPENSATION SURVEY ARE PRESENTED TO THE COMPENSATION COMMITTEE. THE COMPENSATION COMMITTEE, IN CLOSED SESSION AT A BOARD OF DIRECTORS MEETING DISCUSSES EXECUTIVE COMPENSATION, AND MAKES THE DETERMINATION OF CEO SALARY AND BENEFITS. THE COMPENSATION COMMITTEE AND BOARD OF DIRECTORS REVIEWS OTHER EXECUTIVE'S SALARY AND BENEFITS. FORM 990, PART VI, SECTION C, LINE 19 LIFESOURCE POSTS ITS ANNUAL FINANCIAL AUDIT ON ITS WEBSITE. THE FORM 990 IS AVAILABLE UPON REQUEST OR VIA GUIDESTAR.ORG. THE CONFLICT OF INTEREST POLICY AND OTHER DOCUMENTS ARE AVAILABLE UPON REQUEST AND ARE REVIEWED BY THE CHARITIES REVIEW COUNCIL THROUGH ITS VOLUNTARY ACCREDITATION PROCESS. LIFESOURCE MEETS ALL STANDARDS OF THE CHARITIES REVIEW COUNCIL AND A REPORT ON FINANCE, GOVERNANCE, AND CONFLICT OF INTEREST IS AVAILABLE ON THE CHARITIES REVIEW COUNCIL WEBSITE. DOCUMENTS ARE AVAILABLE FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN SECTION 6104(D).