2014-05-12T08:38:42-05:00 2013-12-31 421243538 BERGAN PAULSEN & COMPANY PC PO BOX 2100 WATERLOO IA 507042100 990 2013-01-01 421414092 IOWA DONOR NETWORK IOWA 3196653787 550 MADISON AVENUE NORTH LIBERTY IA 52317 SUZANNE CONRAD CHIEF EXECUTIVE OFFICER 3196653787 2014-05-09 1 DAVID A RICHTER CPA P00168204 3192346885 2013 2015-11-30 17:44:51Z SUZANNE CONRAD 550 MADISON AVENUE NORTH LIBERTY IA 52317 21560379 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. 16 16 166 79 0 0 529459 777622 17037209 20727660 8247 13149 9 7450 17574924 21525881 0 0 0 0 8151248 9846341 0 0 50736 7761368 9809758 15912616 19656099 1662308 1869782 15368462 17946283 3317545 3596495 12050917 14349788 X TRANSFORMING LIVES THROUGH ORGAN AND TISSUE DONATION. 0 0 15424310 20727660 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 2013, ORGAN RECOVERY SERVICES GENERATED $10,966,749 IN REVENUES WHILE TISSUE RECOVERY SERVICES CONTRIBUTED $9,321,008 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 SUPPORT 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 2013, IDN RECEIVED MORE THAN 35,000 CALLS FROM IOWA HOSPITALS AND OTHER HEALTH CARE AND COMMUNITY AGENCIES REFERRING POTENTIAL ORGAN AND TISSUE DONORS. IN 2013, IOWA DONOR NETWORK PROVIDED LIFE-SAVING ORGANS TO WAITING RECIPIENTS FROM 67 DONORS. IN ADDITION, LIFE-SAVING AND LIFE-ENHANCING TISSUE WAS RECOVERED FROM 977 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. 1882285 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.IDN HAS ASSIGNED A STAFF MEMBER TO EVERY HOSPITAL, MEDICAL EXAMINER'S OFFICE, DMV OFFICE, AND EMS PROGRAM IN IOWA WITH THE GOAL OF PROVIDING EDUCATION AND INFORMATION ON HOW TO CALL AND REPORT DEATHS OF ELIGIBLE ORGAN AND TISSUE DONORS. IN 2013, 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 SUPPORT SERVICES AT THE TIME OF CRISIS AND FOR A PERIOD OF 18 MONTHS FOLLOWING DONATION IF SO DESIRED BY THE DONOR NEXT-OF-KIN. IDN'S FAMILY SUPPORT SERVICES (FSS) DEPARTMENT PROVIDES SERVICES AND SUPPORT TO ORGAN AND TISSUE DONOR FAMILIES AFTER EACH DONATION HAS OCCURRED. 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 2013 IOWA HAD APPROXIMATELY 1.8 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 2013, 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. 17306595 1 1 0 1 0 0 0 0 0 0 1 0 0 1 0 1 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 63 0 1 166 1 0 0 0 0 0 0 0 0 0 0 X 16 16 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 JOHN WATSON CHAIR 2.00 X X 0 0 0 SARA DROBNICH VICE CHAIR 2.00 X X 0 0 0 DAVE JAMISON SECRETARY 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 DIRECTOR 2.00 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 DIRECTOR 2.00 X 0 0 0 SUZANNE CONRAD CEO 40.00 X 261393 0 43503 ANGIE CALHOUN FINANCE MANAGER 40.00 X 106278 0 17901 SARAH FEWELL COO 40.00 X 168312 0 20435 535983 0 81839 3 0 1 0 MIDWEST TRANSPLANT NETWORK PO BOX 843313 KANSAS CITY MO 641843313 ORGAN PROCUREMENT 1406700 UNIVERSITY OF IOWA 2100 UNIVERSITY CAPITOL CENTRE IOWA CITY IA 522425500 HOSPITAL RECOVERY SERVICES 944763 LABS INC PO BOX 712997 CINCINNATI OH 425712997 TISSUE SEROLOGY TESTING 543796 CARVER AERO INC 5701 GRANDVIEW AVENUE MUSCATINE IA 52761 FLIGHT SERVICE FOR ORGAN PICKUP 380809 MID AMERICAN TRANSPLANT 1110 HIGHLANDS PLAZA DR E 100 ST LOUIS MO 63110 ORGAN PROCUREMENT 365000 13 80379 697243 777622 ORGAN & TISSUE PROCUREMENT 900099 20727660 20727660 20727660 7147 7147 40500 34498 6002 6002 6002 MISCELLANEOUS REVENUE 900099 7450 7450 7450 21525881 20733662 0 14597 621602 185245 436357 7265661 6424682 805605 35374 1353473 1186524 165556 1393 605605 510868 91996 2741 9006 9006 15600 15600 24000 24000 451461 282609 168794 58 331648 127467 204181 313586 244177 62533 6876 122485 85738 36747 385648 322630 61226 1792 266625 180423 85084 1118 38459 25793 12666 152495 134288 17662 545 131123 116382 14282 459 DIRECT RECOVERY COSTS 6728669 6728669 INDIRECT PROCUREMENT CO 554731 554731 SPECIAL PROJECTS 136706 100491 36215 147516 95878 51258 380 19656099 17306595 2298768 50736 87403 89737 2849897 4627773 82465 111086 5653203 5950869 116671 110366 3203997 942885 2212572 2261112 4366251 4795340 15368462 17946283 2537808 2876789 779737 719706 3317545 3596495 X 12048417 14329955 2500 19833 12050917 14349788 15368462 17946283 X 1869782 429089 X 0 1 X 1 0 X 141967 170646 485223 529459 777622 2104917 13467105 15232685 15019775 17037209 20727660 81484434 13609072 15403331 15504998 17566668 21505282 83589351 0 0 0 83589351 5059 15335 13880 8247 7147 49668 5059 15335 13880 8247 7147 49668 9239 39056 1882 9 7450 57636 13623370 15457722 15520760 17574924 21519879 83696655 0.99870 0.99800 0.00060 0.00080 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. 336254 336254 1926100 392320 1533780 87170 70698 16472 728088 479867 248221 126385 126385 2261112 INTEREST IN NET ASSETS OF ALLOSOURCE 4795340 4795340 X 21954970 429089 429089 21525881 0 21525881 19656099 0 19656099 0 19656099 Part X, Line 2: INCOME TAX RETURNS ARE SUBJECT TO UNCERTAIN TAX POSITIONS THAT MIGHT NOT BE SUSTAINED UPON EXAMINATION BY TAXING AUTHORITIES. MANAGEMENT ANNUALLY MAKES AN APPROPRIATE EVALUATION OF ANY UNCERTAIN TAX POSITIONS THAT MAY EXIST WITHIN THE ORGANIZATION'S TAX RETURN. AS OF DECEMBER 31, 2013, MANAGEMENT BELIEVES THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT ARE REQUIRED TO BE RECORDED OR DISCLOSED. WITH FEW EXCEPTIONS, THE ORGANIZATION IS NO LONGER SUBJECT TO TAX EXAMINATIONS FOR YEARS BEFORE 2010. Part XI, Line 2d - Other Adjustments: CHANGE OF INTEREST IN ALLOSOURCE NET ASSETS 429,089. X X X X 0 0 0 0 0 0 0 1 0 SUZANNE CONRAD CEO 214473 0 23920 0 23000 0 24074 0 19429 0 304896 0 0 0 SARAH FEWELL COO 156379 0 0 0 11933 0 16703 0 3732 0 188747 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 CITY OF NORTH LIBERTY IOWA 420926682 2003-05-15 1237500 FINANCE NEW ADMINISTRATION BUILDING 0 1 0 A 517794 1237500 1237500 2003 0 0 1 1 A 0 0 0 0 0 0 0 A 0 0 1 0 0 0 0 0 0 A 0 LUCAS FEWELL SON OF A KEY EMPLOYEE 80591 COMPENSATION PAYMENTS AS AN EMPLOYEE FOR IOWA DONOR NETWORK DURING 2013. 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. GENERALLY, THE SERVICES OF A COMPENSATION SPECIALIST ARE USED TO CONDUCT THE SALARY SURVEY AND RECOMMEND ADJUSTMENTS. 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 429,089. NET ASSETS OF ALLOSOURCE