LIFE CONNECTION OF OHIO: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
LIFE CONNECTION OF OHIO (EIN 31-1285637)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-05-08
IRS object ID
201321289349301817
Schema version
2012v2.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-05-08T13:50:18-07:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1LublinSussman Group LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line13166 N Republic BlvdAddressLine1
CityToledoCity
StateOHState
ZIP Code436151507ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN311285637EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Life Connection of OhioBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlLIFENameControl
Phone4198934891Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line13661 Briarfield BlvdAddressLine1
CityMaumeeCity
StateOHState
ZIP Code43537ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMichael G PhillipsName
TitlePresident & CEOTitle
Date Signed2013-05-07DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameTerri S LeeName
PTINP01270516PTIN
Phone4198412848Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts6740663GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web Sitewww.lifeconnectionofohio.orgWebSite
Type Of Organization OtherXTypeOfOrganizationOther
Year Formation1989YearFormation
State Legal DomicileOHStateLegalDomicile
Activity Or Mission DescriptionSecure organ and tissue donors; coordinate transplant servicesActivityOrMissionDescription
Nbr Voting Members Governing Body13NbrVotingMembersGoverningBody
Nbr Independent Voting Members13NbrIndependentVotingMembers
Total Nbr Employees37TotalNbrEmployees
Total Nbr Volunteers325TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year216657ContributionsGrantsPriorYear
Contributions Grants Current Year209848ContributionsGrantsCurrentYear
Program Service Revenue Prior Year6623662ProgramServiceRevenuePriorYear
Program Service Revenue CY6517745ProgramServiceRevenueCY
Investment Income Prior Year19725InvestmentIncomePriorYear
Investment Income Current Year13070InvestmentIncomeCurrentYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year6860044TotalRevenuePriorYear
Total Revenue Current Year6740663TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year25000GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY15000GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year3727184SalariesEtcPriorYear
Salaries Etc Current Year3792877SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year3264142OtherExpensePriorYear
Other Expenses Current Year3239836OtherExpensesCurrentYear
Total Expenses Prior Year7016326TotalExpensesPriorYear
Total Expenses Current Year7047713TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-156282RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-307050RevenuesLessExpensesCY
Total Assets BOY6080312TotalAssetsBOY
Total Assets EOY6045704TotalAssetsEOY
Total Liabilities BOY595444TotalLiabilitiesBOY
Total Liabilities EOY867886TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY5484868NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY5177818NetAssetsOrFundBalancesEOY
Mission DescriptionSecure organ and tissue donors; coordinate transplant servicesMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense2446284Expense
DescriptionOrgan Acquisition - To acquire and maintain donor organs and maintain viability prior to transplantation.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense1800025Expense
DescriptionProcurement Coordination - To facilitate and coordinate procurement and transplant services including donor identification and care, organ removal and transplantation and work with donor families.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense758949Expense
Grants15000Grants
DescriptionPubic Education - Working with general public to increase awareness of organ and tissue donation.Description
FieldValueIRS element (for citing)
Total Program Service Expense5005258TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MembertrueBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109630NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees37NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Licensed More Than One StatefalseLicensedMoreThanOneState
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members13NbrVotingGoverningBodyMembers
Number Independent Voting Members13NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJohn EmmerichNamePerson
Telephone Number4198934891TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13661 Briarfield Blvd 105AddressLine1
CityMaumeeCity
StateOHState
ZIP Code43537ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (19 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationIndividual Trustee Or DirectorIndividualTrusteeOrDirectorHighest Compensated EmployeeHighestCompensatedEmployee
Michael G Phillips
President & CEO60.000.00275877046197
Jeffry R Zimmer
Director0.000.00000X
Norma J Tomlinson
Director0.000.00000X
Scott A Shelton
Director0.000.00000X
Steven H Selman MD
Secretary5.000.00900000X
David M Smith MD
Director0.000.00000X
J Colby King
Director0.000.00000X
Kenneth A Kropp MD
Treasurer10.000.005000000X
William K Rundell Jr MD
Chairman10.000.005000000X
Mark R Bonnell MD
Director0.000.00000X
Tyrone Payne
Vice Chairman0.000.00000X
Jagadish Jhunjhunwala
Director0.000.00000X
Wallen L Crane
Director0.000.00000X
Lawrence Burns
Director0.000.00000X
Ronald Apwisch
COO - Dayton55.000.00119610034827X
Carolyn Ruge
COO - Toledo55.000.00122133023407X
Jeffrey Arrington
Mgr - Rec Services55.000.00103385048117X
Ellen Blair
Mgr - Rec Services55.000.00116105034539X
John Emmerich
CFO40.000.00114494038500X
FieldValueIRS element (for citing)
Total Reportable Comp From Org960604TotalReportableCompFromOrg
Total Other Compensation225587TotalOtherCompensation
Number Individuals GT100 K6NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
The Toledo Hospital
2142 N Cove BlvdToledoOH43606Organ Procurement195505
Miami Valley Hospital
One Wyoming StreetDaytonOH45409Organ Procurement770905
Medical Mutual of Ohio
PO Box 951922ClevelandOH44193TPA for Health Insur671864
CBCCTS
PO Box 71-3284ColumbusOH43271Tissue Procurement226744
American Fndn of Donation & Transplantation
8154 Forrest Hill AveRichmondVA23235Out of Area Billing328185
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
Related Organizations190000RelatedOrganizations
All Other Contributions19848AllOtherContributions
Total Contributions209848TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionOrgan ProcurementDescription
Total Revenue Column6517745TotalRevenueColumn
Related Or Exempt Function Income6517745RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue6517745TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column13070TotalRevenueColumn
Exclusion$13,070ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column6740663TotalRevenueColumn
Related Or Exempt Function Income6517745RelatedOrExemptFunctionIncome
Exclusion$13,070ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total15000Total
Program Services15000ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total584067Total
Program Services71519ProgramServices
Management And General512548ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total2053761Total
Program Services1438372ProgramServices
Management And General615389ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total162158Total
Program Services75759ProgramServices
Management And General86399ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total791619Total
Program Services599187ProgramServices
Management And General192432ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total201272Total
Program Services126332ProgramServices
Management And General74940ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total9189Total
Management And General9189ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total17500Total
Management And General17500ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total67715Total
Management And General67715ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total0Total

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total142645Total
Management And General142645ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total64693Total
Program Services60034ProgramServices
Management And General4659ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total40037Total
Management And General40037ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total41156Total
Management And General41156ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total0Total

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneralProgram ServicesProgramServices
Insurance6999569995
Public Education7269272692
Telephone765511997256579
Organ Recovery24462842446284

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total191379Total
Program Services43500ProgramServices
Management And General147879ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total7047713Total
Program Services5005258ProgramServices
Management And General2042455ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY750BOY
EOY199EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY3361404BOY
EOY4305779EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2428064BOY
EOY1507012EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY105153BOY
EOY78272EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis545664LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec444651LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY132371BOY
EOY101013EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY52570BOY
EOY53429EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY6080312BOY
EOY6045704EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY595444BOY
EOY867886EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY595444BOY
EOY867886EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY5484868BOY
EOY5177818EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5484868BOY
EOY5177818EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY6080312BOY
EOY6045704EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-307050ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years197600CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years167085CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years195969CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year216657CurrentTaxYearMinus1Year
Current Tax Year209848CurrentTaxYear
Total987159Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7936855CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6455312CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8767997CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6623662CurrentTaxYearMinus1Year
Current Tax Year6517745CurrentTaxYear
Total36301571Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Total0Total

Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509

FieldValueIRS element (for citing)
Total0Total

Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt

FieldValueIRS element (for citing)
Total0Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years8134455CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6622397CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8963966CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6840319CurrentTaxYearMinus1Year
Current Tax Year6727593CurrentTaxYear
Total37288730Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50937288730PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years58468CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years28030CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years24313CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year19725CurrentTaxYearMinus1Year
Current Tax Year13070CurrentTaxYear
Total143606Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Total0Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years58468CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years28030CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years24313CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year19725CurrentTaxYearMinus1Year
Current Tax Year13070CurrentTaxYear
Total143606Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Total0Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Total0Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years8192923CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6650427CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8988279CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6860044CurrentTaxYearMinus1Year
Current Tax Year6740663CurrentTaxYear
Total37432336Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99620PublicSupportPercentage509
Prior Year Support Percentage0.99320PriorYearSupportPercentage
Investment Income Percentage0.00380InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00680PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Form4720 Filed4955 TaxfalseForm4720Filed4955Tax
Correction MadefalseCorrectionMade
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$957OtherActivitiesAmount
Total Lobbying Expenditures IIB957TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3
Form4720 Filed4912 TaxfalseForm4720Filed4912Tax

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierPart II-B, Line 1iIdentifier
Return ReferencePart II-B, Line 1i - Other Activities DescriptionReturnReference
ExplanationLife Connection pays membership dues to Association of Organ Procurement Organizations. Of these dues, $957 was deemed by AOPA to be lobbying expenses.Explanation

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis236283OtherCostOrOtherBasis
Depreciation203174Depreciation
Book Value33109BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis309381OtherCostOrOtherBasis
Depreciation241477Depreciation
Book Value67904BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings101013TotalOfBookValueLandBuildings
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt6740663TotRevenueEtcAuditedFinclStmt
Revenue Subtotal6740663RevenueSubtotal
Total Revenue Per Form9906740663TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt7047713TotExpensesEtcAuditedFinclStmt
Expenses Subtotal7047713ExpensesSubtotal
Total Expenses Per Form9907047713TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierPart XIdentifier
Return ReferencePart X : FIN48 FootnoteReturnReference
ExplanationThe Organization has determined that there are no uncertain tax positions that require disclosure in these financial statements under the FASB Accounting Standards Codification topic Income Taxes. The tax years 2009 through 2012 are subject to possible examination by the Internal Revenue Service.Explanation

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1Kidney Foundation of Northwest OhioBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13100 W Central Ave Suite 250AddressLine1
CityToledoCity
StateOHState
ZIP Code43606ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient341133682EINOfRecipient
Amount Of Cash Grant10000AmountOfCashGrant
Amount Of Non Cash Assistance0AmountOfNonCashAssistance
Purpose Of GrantSee supplemental informationPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV (2 entries)

IdentifierIdentifierExplanationExplanation
Grantmaker's Description of How Grants are UsedRequests for grants are presented to and approved by the Board of Directors. Progress reports are periodically presented at board meetings as needed.
Additional Supplemental InformationKidney Foundation of Northwest Ohio - Enhance the care of patients with end stage renal disease and support education efforts of kidney transplantation.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgtrueCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException
Rebuttable Presumption ProcedurefalseRebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII (5 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgBonus Filing OrgBonusFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrg
Ronald Apwisch
COO - Dayton1175352075956925258154437
Michael G Phillips
President & CEO27247734002203224165322074
John Emmerich
CFO114494912229378152994
Jeffrey Arrington
Mgr - Rec Services103385827139846151502
Ellen Blair
Mgr - Rec Services1131302975928925250150644

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
Tracy Kropp
Directors Daughter50599employeefalse
Laurie Rose
CEO's Daughter97331employeefalse

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990, Part VI, Line 19Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableAppropriate documents are provided upon written request to the CEO.
Form 990, Part VI, Line 15bForm 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesCompensation of the CEO is reviewed and approved by the directors aided by the use of salary surveys. Compensation of other management employees is determined by the CEO with consultation with the directors and salary surveys.
Form 990, Part VI, Line 12cForm 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsConflict of interest policy is reviewed at least annually with directors and employees.
Form 990, Part VI, Line 11bForm 990, Part VI, Line 11b: Form 990 Review ProcessThe Form 990 is reviewed by the President and CEO and by the Chief Financial Officer prior to filing. Copies of the Form 990 are provided by email to all Directors for their review prior to the filing of the Form 990.
Form 990, Part VI, Line 6Form 990, Part VI, Line 6: Explanation of Classes of Members or ShareholderThe Kidney Foundation of Northwest Ohio and Miami Valley Hospital are members of Life Connection of Ohio and appoint six directors each to the Board of Directors.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrg
Kidney Foundation of Northwest Ohio
3100 W Central AvenueToledoOH43606341133682Support services to patients and clientsOH501(c)(3)7N/Afalse
Found for the Science of Human Donation
3661 Briarfield Blvd 105MaumeeOH43537141885649Stipend to procurement coord. studentsOH501(c)(3)7N/Afalse
Miami Valley Hospital
One Wyoming StreetDaytonOH454092793310537504HospitalOH501(c)(3)3N/Afalse
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

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