2015-10-20T12:32:32-05:00 2014-12-31 135381590 BDO USA LLP 32125 SOLON ROAD SOLON OH 441392284 990 2014-01-01 341525159 LIFEBANC LIFE 2167525433 4775 RICHMOND ROAD CLEVELAND OH 441285919 OFFICER OFFICER 2167525433 2015-09-17 1 PATRICIA B RUBIN P00041477 4402488787 2015-09-17 2014 2016-02-25 16:41:14Z GORDON BOWEN 4775 RICHMOND ROAD CLEVELAND OH 441285919 32617043 0 X WWW.LIFEBANC.ORG X 1986 OH SAVE AND HEAL LIVES THROUGH ORGAN, EYE AND TISSUE PROCUREMENT & ORGAN PRESERVATION. 21 21 133 175 0 0 155653 529949 24907715 28210669 176823 276263 133857 -44837 25374048 28972044 0 0 0 0 8670358 8928681 0 0 364978 15292694 18654215 23963052 27582896 1410996 1389148 20753222 22708720 6637535 6911112 14115687 15797608 X SEE SCHEDULE OLIFEBANC SAVES AND HEALS LIVES THROUGH ORGAN AND TISSUE DONATION FOR TRANSPLANTATION.PURSUING A FUTURE WHEN THE DECISION TO DONATE IS AN HONOR AND EVERYONE WAITING RECEIVES A TRANSPLANT.LIFEBANC'S VALUES ARE INTEGRITY, INCLUSION, SERVICE, COMMITMENT, DIGNITY 0 0 23445385 28210669 LIFEBANC IS A NONPROFIT ORGAN AND TISSUE RECOVERY ORGANIZATION, SERVING OHIO'S NORTHEAST REGION OF THE STATE. ALONG WITH SERVING THE PUBLIC, PROFESSIONAL COMMUNITY AND DONOR HOSPITALS, LIFEBANC PROVIDES LIFE-SAVING ORGANS TO TWO TRANSPLANT CENTERS: THE CLEVELAND CLINIC AND UNIVERSITY HOSPITAL CASE MEDICAL CENTER. RECOVERED TISSUE IS TRANSPLANTED COUNTLESS TIMES IN HOSPITALS THROUGHOUT THE REGION. IN 2014, LIFEBANC HELPED TO HEAL AND SAVE MORE THAN 500 LIVES. ADDITIONALLY, LIFEBANC WAS INSTRUMENTAL IN HELPING TO PERFORM THE NATION'S FIRST NEAR-TOTAL FACE TRANSPLANT AND ESTABLISHING THE WORLD-RECORD FOR LUNGS TRANSPLANTED THIS YEAR. 434784 ANNUALLY, LIFEBANC VOLUNTEERS AND STAFF EDUCATE NEARLY 100,000 STUDENTS AND ADULTS IN AN EFFORT TO PROVIDE ACCURATE INFORMATION, ENGAGE THE PUBLIC AND INCREASE THE NUMBER OF REGISTERED ORGAN, EYE AND TISSUE DONORS. LIFEBANC ALSO PROVIDES BEREAVEMENT SUPPORT AND SERVICES TO FAMILIES TOUCHED BY DONATION. 23880169 1 1 0 1 0 0 0 0 0 1 1 0 0 0 0 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 67 0 133 1 0 0 0 0 0 1 1 0 0 0 0 X 21 21 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 OH X BARBARA WELKER 2167525433 4775 RICHMOND RD CLEVELAND OH 441285919 JOHN GELLER BOARD PRESIDENT 3.00 X X 0 0 0 MARIANN PACAK IMMEDIATE PAST-PRESIDENT 3.00 X X 0 0 0 CHERYL BAILEY TREASURER/PRESIDENT-ELECT 3.00 X X 0 0 0 COLLEEN MURNANE SECRETARY 3.00 X X 0 0 0 MICAH DAVIS TRANSPLANT ADMINISTRATOR 1.00 X 0 0 0 WHITNEY LLOYD BOARD MEMBER 1.00 X 0 0 0 SARAH J VURA BOARD MEMBER 1.00 X 0 0 0 PETER HELLMAN BOARD MEMBER 1.00 X 0 0 0 SHAWN LYDEN BOARD MEMBER 1.00 X 0 0 0 LAURA GRENFELL BOARD MEMBER 1.00 X 0 0 0 JIM WILL BOARD MEMBER 1.00 X 0 0 0 JOHN DARYL THORNTON BOARD MEMBER 1.00 X 0 0 0 BIJAN EGHTESAD BOARD MEMBER 1.00 X 0 0 0 SONIA ALEMAGNO BOARD MEMBER 1.00 X 0 0 0 ROSCHELLE OGBUJI BOARD MEMBER 1.00 X 0 0 0 EDMUND SANCHEZ BOARD MEMBER 1.00 X 0 0 0 HAROLD SMITH BOARD MEMBER 1.00 X 0 0 0 MELISSA KLINE BOARD MEMBER 1.00 X 0 0 0 BARBARA LOISELLE BOARD MEMBER 1.00 X 0 0 0 GERRICK DOSS BOARD MEMBER 1.00 X 0 0 0 ALAN PAPA BOARD MEMBER 1.00 X 0 0 0 GORDON BOWEN CHIEF EXECUTIVE OFFICER 40.00 X 283447 0 46945 BARBARA A WELKER DIRECTOR OF FINANCE 40.00 X 130468 0 23572 JAMES BARTLEBAUGH DIRECTOR OF HR 40.00 X 117980 0 35137 JULIE R CALDRO DIRECTOR OF TISSUE & DONOR REFERRAL SERVICES 40.00 X 128169 0 9123 DEBRA A COOPER QUALITY & REGULATORY AFFAIRS 40.00 X 141642 0 27410 DANIEL LEBOVITZ MEDICAL DIRECTOR 8.00 X 111422 0 0 913128 0 142187 10 1 1 0 AMERICAN FOUNDATION FOR DONATION AND TRA 8154 FOREST HILL AVE STE 3 RICHMOND VA 23235 IMPORT DONORS VENDOR 2112017 GIFT OF LIFE - MICHIGAN 3861 RESEARCH PARK DR ANN ARBOR MI 48108 IMPORT DONORS VENDOR, OPO 1199450 LIFELINE OF OHIO 7700 KINNEAR RD STE 200 COLUMBUS OH 43212 IMPORT DONORS VENDOR, OPO 845000 CLEVELAND CLINIC FOUNDATION 9500 EUCLID AVE A100 CLEVELAND OH 44194 SEROLOGY TESTING 707500 INDIANA DONOR NETWORK 3760 GUION RD INDIANAPOLIS IN 46222 IMPORT DONORS VENDOR 659139 38 360276 169673 75591 529949 HUMAN ORGAN AND TISSUE PROCUREMEN 621500 28157439 28157439 MEDICARE REIMBURSEMENT 621500 53230 53230 28210669 270573 270573 3595452 3589762 5690 5690 5690 10400 360276 55237 -44837 -44837 28972044 28210669 0 231426 328849 246637 82212 6180727 4852116 1214985 113626 384809 294524 83103 7182 1511896 1157870 324962 29064 522400 433183 80041 9176 19209 19209 47542 47542 17600 17600 42109 42109 477016 339110 137906 154493 28759 125734 416851 133294 281027 2530 305109 88738 214687 1684 129651 91096 38555 54656 14500 39881 275 305290 97621 205816 1853 254450 254450 HOSP & DONOR COSTS 15098618 15098618 VEHICLE AND TRANSPORTAT 469891 454715 15176 COMMUNITY OUTREACH 434784 434784 EVENTS AND RECOGNITIONS 199588 199588 227358 114604 112754 27582896 23880169 3337749 364978 4183179 2128799 27500 3765209 4489867 61236 244943 323273 237202 7156806 1423030 5791857 5733776 5525571 9694711 105664 98692 997233 53230 20753222 22708720 2530429 3073663 4107106 3837449 6637535 6911112 X 14115687 15770108 27500 14115687 15797608 20753222 22708720 1389148 159272 133501 0 X X 0 1 X 1 0 X 71756 155700 278185 155653 529949 1191243 25998753 25842687 26360458 25127073 28221069 131550040 26070509 25998387 26638643 25282726 28751018 132741283 5000 5925 3235 11484 25644 0 5000 5925 3235 11484 25644 132715639 42096 95593 112541 173452 270573 694255 42096 95593 112541 173452 270573 694255 26112605 26093980 26751184 25456178 29021591 133435538 0.99460 0.99610 0.00520 0.00380 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 17600 17600 27565296 27582896 1000000 250000 0 0 1000000 1000000 1000000 1000000 4000000 6000000 24000 24000 4000 17600 69600 250000 250000 250000 250000 1000000 1500000 337455 777958 21372 1136785 294980 42475 337455 48381 225000 21599 294980 50000 -1619 48381 1.00000 1 0 1401773 1401773 4142460 474594 3667866 207874 80516 127358 1128952 747383 381569 275747 120537 155210 5733776 X 29292467 159272 161151 320423 28972044 0 28972044 27610546 27650 27650 27582896 0 27582896 PART V, LINE 4: THE ORGANIZATION'S ENDOWMENT CURRENTLY CONSISTS OF A FUND DESIGNATED BY THE BOARD OF DIRECTORS TO FUNCTION AS AN ENDOWMENT. IT IS DESIGNATED EXCLUSIVELY FOR OUTREACH, EDUCATION, AND BEREAVEMENT SUPPORT. THE BOARD OF THE ORGANIZATION MAY, AS PROVIDED IN OHIO UPMIFA, FROM TIME TO TIME, APPROPRIATE FOR EXPENDITURE SUCH PORTION OF THE BOARD ENDOWED ASSETS AS IT DETERMINES IS PRUDENT. PART X, LINE 2: THE INTERNAL REVENUE SERVICE HAS RULED THAT THE ORGANIZATION QUALIFIES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS, THEREFORE, NOT SUBJECT TO TAX UNDER PRESENT FEDERAL INCOME TAX LAWS. THE ORGANIZATION HAS NOT BEEN CLASSIFIED AS A PRIVATE FOUNDATION WITHIN THE MEANING OF SECTION 509(A) AND DOES QUALIFY FOR DEDUCTIBLE CONTRIBUTIONS AS PROVIDED IN SECTION 170(B)(1)(A)(VI). THE ORGANIZATION FOLLOWS THE ACCOUNTING GUIDANCE FOR UNCERTAINTY IN INCOME TAXES. THE ORGANIZATION'S INCOME TAX FILINGS ARE SUBJECT TO AUDIT BY VARIOUS TAXING AUTHORITIES. THE EARLIEST YEAR THAT THE ORGANIZATION IS SUBJECT TO EXAMINATION IS THE YEAR ENDED DECEMBER 31, 2011. IN EVALUATING THE ORGANIZATION'S ACTIVITIES, MANAGEMENT BELIEVE ITS POSITION OF TAX-EXEMPT STATUS IS APPROPRIATE BASED ON CURRENT FACTS AND CIRCUMSTANCES, AND THERE HAVE BEEN NO UNCERTAIN POSITIONS TAKEN RELATED TO RECORDING INCOME TAXES. MANAGEMENT HAS ALSO ASSESSED THAT THERE ARE NO ACTIVITIES UNRELATED TO THE PURPOSE OF THE ORGANIZATION AND THEREFORE NO TAX IS TO BE RECOGNIZED. IT IS THE POLICY OF THE ORGANIZATION TO INCLUDE IN OPERATING EXPENSES PENALTIES AND INTEREST ASSESSED BY INCOME TAXING AUTHORITIES. THERE ARE NO PENALTIES OR INTEREST FROM TAXING AUTHORITIES INCLUDED IN OPERATING EXPENSES FOR THE YEARS ENDED DECEMBER 31, 2014 AND 2013. GIFT OF LIFE WALK & RUN 290766 290766 2000 1600 5000 3000 328 LEGACY OF LIFE LUNCHEON 79910 69510 10400 4500 12688 17000 9121 370676 360276 10400 2000 1600 9500 15688 17000 9449 55237 -44837 X 1 1 X X 0 0 0 0 0 0 0 0 0 GORDON BOWEN CHIEF EXECUTIVE OFFICER 283447 0 0 0 0 0 18200 0 28745 0 330392 0 0 0 BARBARA A WELKER DIRECTOR OF FINANCE 130468 0 0 0 0 0 9319 0 14253 0 154040 0 0 0 JAMES BARTLEBAUGH DIRECTOR OF HR 117980 0 0 0 0 0 8629 0 26508 0 153117 0 0 0 DEBRA A COOPER QUALITY & REGULATORY AFFAIRS 141642 0 0 0 0 0 10297 0 17113 0 169052 0 0 0 DANIEL LEBOVITZ MEDICAL DIRECTOR 0 0 0 0 111422 0 0 0 0 0 111422 0 0 0 PART I, LINE 1A THE ORGANIZATION HAS CUSTOMARILY GROSSED-UP LENGTH OF SERVICE AWARDS. DUE TO THE NATURE OF THE PAYMENT, NO SUBSTANTIATION IS NECESSARY. X SOFTWARE 1 63554 FMV X RAFFLE ITEMS 18 4097 FMV 0 0 0 0 PART I, COLUMN (B): SOFTWARE - NUMBER OF CONTRIBUTIONS RAFFLE ITEMS - NUMBER OF CONTRIBUTIONS FORM 990, PART VI, SECTION B, LINE 11 DIRECTOR OF FINANCE WILL REVIEW THE 990 PRIOR TO FILING WITH THE IRS, MAKE ANY NECESSARY CHANGES AND FINALIZE WITH THE ACCOUNTING FIRM. ONCE FINALIZED, DIRECTOR OF FINANCE WILL SUBMIT THE 990 TO THE FINANCE COMMITTEE AND BOARD OF TRUSTEES FOR REVIEW AND SUBSEQUENT APPROVAL FOR FILING. FORM 990, PART VI, SECTION B, LINE 12C DISCLOSURE IN THE ORGANIZATION SHOULD BE MADE TO THE CHIEF EXECUTIVE OFFICER/DESIGNEE (OR IF HE/SHE IS THE ONE WITH THE CONFLICT, THEN TO THE BOARD PRESIDENT), WHO SHALL BRING THE MATTER TO THE ATTENTION OF THE BOARD OR A DULY CONSTITUTED COMMITTEE THEREOF. DISCLOSURE INVOLVING OFFICERS SHOULD BE MADE TO THE BOARD PRESIDENT, (OR IF HE/SHE IS THE ONE WITH THE CONFLICT, THEN TO THE BOARD VICE-PRESIDENT) WHO SHALL BRING THESE MATTERS TO THE BOARD OR A DULY CONSTITUTED COMMITTEE THEREOF. THE BOARD OR A DULY CONSTITUTED COMMITTEE THEREOF, SHALL DETERMINE WHETHER A CONFLICT EXISTS AND IN THE CASE OF AN EXISTING CONFLICT, WHETHER THE CONTEMPLATED TRANSACTION MAY BE AUTHORIZED AS JUST, FAIR, AND REASONABLE TO LIFEBANC. THE DECISION OF THE BOARD OR DULY CONSTITUTED COMMITTEE THEREOF ON THESE MATTERS WILL REST IN THEIR SOLE DISCRETION, AND THEIR CONCERN MUST BE THE WELFARE OF LIFEBANC AND THE ADVANCEMENT OF ITS PURPOSE FORM 990, PART VI, SECTION B, LINE 15A ANNUALLY, THE HR DIRECTOR, AT THE DIRECTION OF THE BOARD CHAIR, PROVIDES THE BOARD CHAIR WITH SURVEY INFORMATION ON CEO COMPENSATION FROM TWO SOURCES, ERC AND AOPO. THE BOARD CHAIR REVIEWS THE COMPENSATION INFO AND SHARES IT WITH THE REST OF THE BOARD. CEO COMPENSATION FOR THE FOLLOWING YEAR IS DISCUSSED AND APPROVED IN EXECUTIVE SESSION AT THE YEAR-END BOARD MEETING. FORM 990, PART VI, SECTION C, LINE 19 THE AUDITED FINANCIAL STATEMENTS AND GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST. RECOVERY STATISTICS ARE PUBLISHED ON THE ORGANIZATION WEBSITE AND NEWSLETTER. FORM 990, PART XII, LINE 2C THE OVERSIGHT OF THE AUDIT AND SELECTION OF AN INDEPENDENT ACCOUNTANT PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. STRATEGIC SUPPORT SERVICES INC 770 KINNEAR RD STE 200 COLUMBUS OH 43212 454472492 CHARITABLE SUPPORTING ORGANIZATION OH 501(C)(3) LINE 11A, I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0