2014-10-10T08:35:20-05:00 2013-12-31 341945695 SS&G INC 300 SPRUCE ST SUITE 250 COLUMBUS OH 43215 990 2013-01-01 311116603 LIFELINE OF OHIO ORGAN PROCUREMENT INC LIFE 6142915667 770 KINNEAR ROAD NO 200 COLUMBUS OH 43212 JAMES BOYD CFO 6142915667 2014-10-04 1 ANNETTE HOELZER P00000633 6144883126 2014-10-04 2013 2015-11-30 17:44:51Z JAMES BOYD 770 KINNEAR ROAD NO 200 COLUMBUS OH 43212 14246912 0 X WWW.LIFELINEOFOHIO.ORG X 1984 OH LIFELINE OF OHIO PROMOTES AND COORDINATES DONATION OF HUMAN ORGANS/TISSUES FOR TRANSPLANT SERVING THE DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE AND MEDICAID SERVICES ASSIGNED AREA OF OVER 3.5 MILLION PEOPLE. 10 10 96 574 0 0 88130 133484 13786905 13935433 8869 48390 -38454 -49286 13845450 14068021 0 0 0 0 6297381 6676329 0 28567 28567 7265300 7160543 13562681 13865439 282769 202582 13490460 13344580 1885534 1542099 11604926 11802481 X LIFELINE OF OHIO'S MISSION IS TO EMPOWER OUR COMMUNITY TO SAVE AND HEAL LIVES THROUGH ORGAN, EYE AND TISSUE DONATION. 0 0 10877415 13935433 LIFELINE OF OHIO ORGAN PROCUREMENT, INC. ("LOOP") IS AN INDEPENDENT, NON-PROFIT ORGANIZATION WHOSE PURPOSE IS TO PROMOTE AND COORDINATE THE DONATION OF HUMAN ORGANS AND TISSUE FOR TRANSPLANTATION. LOOP HAS BEEN APPROVED BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES AS THE DESIGNATED ORGAN PROCUREMENT ORGANIZATION SERVING 37 OHIO COUNTIES ALONG WITH WOOD AND BROOKE COUNTIES IN WEST VIRGINIA. ACCREDITED BY BOTH THE ASSOCIATION OF ORGAN PROCUREMENT ORGANIZATIONS AND THE AMERICAN ASSOCIATION OF TISSUE BANKS, LOOP SERVICES UP TO 71 HOSPITALS AND THE COMMUNITIES THEY SERVE THROUGH ITS TRANSPLANT COORDINATORS, SURGICAL TECHNICIANS AND OTHER PROFESSIONAL STAFF.IN 2013, LOOP PROCURED 268 LIFE SAVING DONATED ORGANS FROM 81 DONORS. IN ADDITION, TISSUE WAS PROCURED FROM 406 DONORS. THIS TISSUE WILL PROVIDE LIFE ENHANCING TRANSPLANTABLE MATERIALS FOR LITERALLY HUNDREDS OF RECIPIENTS.23 LIFESAVING ORGANS WERE IMPORTED INTO OUR REGION AND PROVIDED TO PATIENTS BEING TREATED BY OUR LOCAL TRANSPLANT CENTERS. LOCALLY PROCURED ORGANS WERE SUCCESSFULLY ALLOCATED TO OTHER REGIONS OF THE COUNTRY FOLLOWING STANDARD SHARING GUIDELINES SET BY THE UNITED NETWORK FOR ORGAN SHARING. PROGRAMS WERE CONDUCTED DURING THE YEAR BOTH TO THE PROFESSIONAL COMMUNITIES AND TO THE COMMUNITIES AT LARGE TO SUPPORT THE GIFT OF ORGAN TISSUE DONATION. 10877415 1 0 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 0 0 0 0 0 1 0 0 0 1 72 0 96 1 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 OH X JAMES BOYD 6142915667 770 KINNEAR ROAD SUITE 200 COLUMBUS OH 43212 CATHERINE LUCHSINGER DIRECTOR 1.00 X 0 0 0 JAMES WIRTH DIRECTOR 1.00 X 0 0 0 ROBERT HIGGINS DIRECTOR 1.00 X 0 0 0 SUE JABLONSKI DIRECTOR 1.00 X 0 0 0 TONY SICILIANO DIRECTOR 1.00 X 0 0 0 MARILYN TOMASI DIRECTOR 1.00 X 0 0 0 GENE WARMAN DIRECTOR 1.00 X 0 0 0 MARK BAINBRIDGE TREASURER 1.00 X X 0 0 0 ROGER WALKER CHAIR 1.00 X X 0 0 0 RONNIE RICHARDS SECRETARY 1.00 X X 0 0 0 LISA INDEST VICE-CHAIR 1.00 X X 0 0 0 KENT HOLLOWAY CEO 40.00 X 305018 0 49678 JAMES BOYD CFO 40.00 15.00 X 143907 74483 34875 LADORA DILS CLINICAL DIRECTOR 40.00 X 174409 0 38299 MARILYN PONGONIS DIRECTOR OF COMMUNICATIONS 40.00 X 105103 0 16934 JACKLYN HINES MANAGER OF LIMA OFFICE 40.00 X 109785 0 14977 MINDY ZOLL MANAGER OF RECOVERY SERVIC 40.00 X 102502 0 5364 940724 74483 160127 6 0 1 0 OSU MEDICAL CENTER PO BOX 183102 COLUMBUS OH 43218 HOSPITAL SERVICES 498001 GRANT MEDICAL CENTER 3728 OLENTANGY RIVER ROAD COLUMBUS OH 43214 HOSPITAL SERVICES 439197 OSU SURGERY LLC PO BOX 634733 CINCINNATI OH 45263 ORGAN TRANSPLANT 365980 AMERICAN FOUNDATION FOR DONATION 8154 FOREST HILL AVENUE RICHMOND VA 23235 ORGAN RECOVERY 305940 FIFTH-THIRD BANK PO BOX 630781 CINCINNATI OH 45263 CREDIT CARD/BANK 233900 19 92111 41373 133484 KIDNEY PROCUREMENT 621990 4871996 4871996 TISSUE PROCUREMENT 621990 3128126 3128126 LIVER PROCUREMENT 621990 2357822 2357822 HEART PROCUREMENT 621990 1191237 1191237 LUNG PROCUREMENT 621990 999641 999641 1386611 1386611 13935433 53528 53528 111893 117031 -5138 -5138 -5138 12574 92111 61860 -49286 -49286 14068021 13935433 0 -896 746187 372752 373435 4675025 3947802 727223 97885 82943 14942 738915 602913 136002 418317 334654 83663 108017 108017 39795 39795 23753 23753 28567 28567 495101 426892 68209 371829 87204 284625 341844 119645 222199 216551 75793 140758 13037 4563 8474 308111 107839 200272 124348 124348 DIRECT RECOVERY COSTS 3855603 3855603 PUBLIC EDUCATION 837440 837440 ADMINISTRATIVE EXPENSES 364049 364049 DUES AND SUBSCRIPTIONS 42241 14784 27457 18824 6588 12236 13865439 10877415 2959457 28567 2016974 1883618 3000000 60046 22432 3046094 3344660 58266 55387 294934 343373 5786883 2302251 3628724 3484632 2793686 1385422 1416792 13490460 13344580 1199831 1302256 65306 685703 174537 1885534 1542099 X 11604926 11802481 11604926 11802481 13490460 13344580 X 202582 -13553 8526 X 0 1 X 1 0 X 326950 195983 181125 88130 133484 925672 12303423 12330742 14139336 13786905 13935433 66495839 6521 48263 13092 15944 12574 96394 12636894 12574988 14333553 13890979 14081491 67517905 1250 1250 0 1250 1250 67516655 46591 5969 17710 8869 53528 132667 46591 5969 17710 8869 53528 132667 12683485 12580957 14351263 13899848 14135019 67650572 0.99800 0.99760 0.00200 0.00240 X 23753 23753 13843441 13867194 843360 210840 0 0 793153 828134 843360 2464647 3696971 25175 25500 23753 74428 198288 207034 210840 616162 924243 280223 280223 3936176 1530296 2405880 27720 27720 0 992453 541119 451334 550311 203116 347195 3484632 MERRILL LYNCH 2793686 F 2793686 BOARD DESIGNATED CAPITAL FUND 1385422 INTEREST RECEIVABLE 31370 1416792 DEFERRED COMPENSATION 174537 174537 X 14143545 75524 75524 14068021 0 14068021 13932439 67000 67000 13865439 0 13865439 PART X, LINE 2: LIFELINE IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE AS AN ORGANIZATION DISCUSSED IN SECTION 501(C)(3). INCOME TAXES ON UNRELATED BUSINESSES INCOME, IF ANY, ARE PROVIDED AT THE APPLICABLE RATES ON INCOME FOR FINANCIAL REPORTING PURPOSES. LIFELINE'S INCOME TAX FILINGS ARE SUBJECT TO AUDIT BY VARIOUS TAXING AUTHORITIES. THE OPEN AUDIT PERIODS ARE 2010 THROUGH 2012. IN EVALUATING INCOME TAX EXEMPT ACTIVITIES, MANAGEMENT BELIEVES ITS POSITION OF TAX-EXEMPT STATUS IS CURRENT BASED ON CURRENT FACTS AND CIRCUMSTANCES. THERE ARE NO ACTIVITIES UNRELATED TO THE PURPOSE OF THE ORGANIZATION AND THEREFORE NO INCOME TAX EXPENSE IS RECOGNIZED. IT IS THE POLICY OF LIFELINE TO INCLUDE IN OPERATING EXPENSE 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, 2013 AND 2012. PART XI, LINE 2D - OTHER ADJUSTMENTS: FAIR VALUE OF INTEREST RATE SWAP 8,526. SPECIAL EVENTS EXPENSE 61,860. LOSS ON SALE OF ASSETS 5,138. PART XII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENTS EXPENSE 61,860. LOSS ON SALE OF ASSETS 5,138. ROUNDING 2. X X X X 1 PREMIER SPORTS PO BOX 1470 POWELL OH 43065 PUBLIC AWARENESS,ORGANIZED DASH FOR DONATION 1 104685 28567 76118 104685 28567 76118 DASH FOR DONATION 104685 92111 12574 1246 60614 104685 92111 12574 1246 60614 61860 -49286 X X X X X X 0 1 0 0 0 0 0 0 0 KENT HOLLOWAY CEO 223658 0 81360 0 0 0 34149 0 15529 0 354696 0 0 0 JAMES BOYD CFO 143907 60000 0 14483 0 0 19566 0 15309 0 178782 74483 0 0 LADORA DILS CLINICAL DIRECTOR 166259 0 8150 0 0 0 20110 0 18189 0 212708 0 0 0 PART I, LINE 4B AS OF MARCH 2011, THE ORGANIZATION ENTERED INTO THREE SUPPLEMENTAL DEFERRED COMPENSATION PLANS FOR THREE OF THE ORGANIZATION'S KEY EMPLOYEES. KENT HOLLOWAY, CEO - $25,000 ANNUALLY THROUGH JANUARY 2016 JIM BOYD, CFO - $17,000 ANNUALLY THROUGH JANUARY 2015 LADORA DILS, CHIEF CLINICAL EXECUTIVE - $17,000 ANNUALLY THROUGH JANUARY 2014 FORM 990, PART VI, SECTION B, LINE 11 THE AUDIT AND FINANCE COMMITTEE REVIEWED THE FORM 990 WITH THE ORGANIZATION'S AUDIT FIRM RESPONSIBLE FOR ITS PREPARATION. IN ADDITION, THE FORM 990 WAS PROVIDED TO THE ENTIRE BOARD AND, AFTER RECOMMENDATION BY THE AUDIT AND FINANCE COMMITTEE, APPROVED BY THE BOARD. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION, AS PART OF ITS CORPORATE COMPLIANCE AND ETHICS PROGRAM, HAS ADOPTED A FORMAL CONFLICT OF INTEREST POLICY. THIS POLICY STIPULATES THE PROCEDURE FOR EMPLOYEE AND BOARD MEMBER EDUCATION, GUIDELINES FOR AVOIDING CONFLICTS OF INTEREST, AND THE IMPACT OF FAILURE TO DISCLOSE KNOWN CONFLICTS. ADDITIONALLY, THE ORGANIZATION EXPANDS ON ITS CONFLICT POLICY BY DEFINING ITS OVERALL CORPORATE COMPLIANCE PROGRAM IN A SEPARATE PROGRAM, PROVIDES A CODE OF CONDUCT POLICY FOR ALL EMPLOYEES AND BOARD MEMBERS, OFFERS A NON-RETRIBUTION / NON-RETALIATION POLICY TO ENCOURAGE EMPLOYEES AND BOARD MEMBERS TO REPORT SUSPICIOUS OR INAPPROPRIATE ACTIVITY, HAS A DESIGNATED CORPORATE COMPLIANCE OFFICER, AND HAS A COMPLIANCE COMMITTEE OF THE BOARD THAT OVERSEES THE PROGRAM. IN ADDITION, THE ORGANIZATION HAS A CONTRACT WITH A THIRD PARTY TO PROVIDE A 24 HOUR HOTLINE SO INDIVIDUALS CAN ANONYMOUSLY REPORT INAPPROPRIATE, ILLEGAL, OR UNETHICAL ACTIVITY. AS FINAL CHECKS, ALL BOARD MEMBERS IN ATTENDANCE AT BOARD MEETINGS AND BOARD COMMITTEE MEETINGS ARE ASKED AT THE BEGINNING OF THE MEETING TO DISCLOSE ANY POTENTIAL CONFLICTS OF INTEREST BASED ON THE MEETING AGENDA. IN ADDITION, THE CEO AND CFO REVIEW ALL TRANSACTIONS AND INQUIRE OF BOARD MEMBERS AND EMPLOYEES REGARDING POTENTIAL CONFLICTS. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION ROUTINELY REVIEWS COMPENSATION FOR ALL STAFF THROUGH THE PARTICIPATION IN AN ANNUAL INDUSTRY SURVEY REGARDING COMPENSATION LEVELS AND PRACTICES TO ENSURE IT IS COMPETITIVE AND APPROPRIATE WITH ITS PEERS. THE ORGANIZATION ALSO RETAINS THE SERVICES OF A NATIONALLY RECOGNIZED CONSULTING FIRM TO PERIODICALLY PROVIDE MARKET COMPARATIVE ANALYSIS AND SURVEYS FOR ALL POSITIONS WITHIN THE ORGANIZATION. CEO COMPENSATION IS REVIEWED AND APPROVED BY AN INDEPENDENT COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS BASED ON THE RESULTS OF AVAILABLE COMPARATIVE INFORMATION AND SURVEYS AND THE CEO'S PERFORMANCE WITH RESPECT TO ORGANIZATIONAL GOALS. THE COMPENSATION COMMITTEE ALSO DETERMINES THE COMPENSATION FOR THE ORGANIZATION'S OTHER OFFICERS AND KEY EMPLOYEES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC IF REQUESTED FOR A REASONABLE MATTER. FORM 990, PART XI, LINE 9: INTEREST RATE SWAP ADJUSTMENT 8,526. STRATEGIC SUPPORT SERVICES INC 4775 RICHMOND ROAD CLEVELAND OH 44128 454472492 PROVIDES ADMINISTRATIVE RESOURCES OH 501(C)(3) LINE 11A, I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0